구개열 환자 말 평가 시 검사어에 대한 고찰 : 임상현장의 말 평가 어음자료와 문헌적 고찰을 중심으로

최성희,최재남,남도현,최홍식,Choi, Seong-Hee,Choi, Jae-Nam,Nam, Do-Hyun,Choi, Hong-Shik 대한후두음성언어의학회 2005 대한후두음성언어의학회지 Vol.16 No.1

Differential diagnosis of articulation and resonance problems in the cleft lip and palate speech is required for evaluating various factors contribute to speech problems such as VPI, dental occlusion, palatal fistulae, learning. However, validity of speech stimuli is current issue to evaluate accurately each problem in cleft speech. This study was conducted to investigate speech stimuli using in the clinical setting and review the literatures and articles published 1990 to 2005 for helping develop standardized speech samples. The results were recommendation to evaluate properly velopharyngeal function when conducting a diagnostic evaluation as follows : 1) In identification hypernasality, the speech stimuli should be included low pressure consonants to eliminate effects of nasal emission, compensatory articulation. 2) Speech stimuli should be consist of visual, front sounds to eliminate compensatory articulation and to stimulate easily. 3) Regarding early diagnosis and treatment, speech stimuli need to develop for infants and preschooler. 4) Stimulus length on nasalance scores should be at least 6 syllables. 5) In phonetic context on nasalance scores, /i/ vowel should be take into consideration excluding paragraph. 6) Connected speech stimuli should be developed for evaluating intelligibility and VP function.

신생아 중환자실에 입원한 환아 어머니의 스트레스

최성희,Choi Sung Hee 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1

The parents have much expectation upon the pregnancy and child birth, and in most cases, they expect the healthy parturient child. However, we can be placed on the high-risk conditions which have the physical, social and immature infant, due to the unexpected results, among the new-born. Accordingly, these high-risk newborn and premature infants will be mostly in NICU, which the concentrated medical treatment can be given, upon their conditions. After their birth and during these periods, they will be divided from the parents, and the nurse will accomplish the bringing-up activities which they can take care of the infant, expected by the parents after their birth. The hospitalization of high-risk newborn including these premature infants is the shocking experience to the parents of family, and thus they can feel the fear and uneasiness, and these reactions of parents are troubled in the behavior at the usual days, and cause the disorder and spiritless status, and these results break the supporting ability of parents, and cause the obstruction. Also, the unavoidable division between the parents and the children as like hospitalization of children can make the parents to feel the alienation emotionally, and this causes the results which the pride on the bringing-up ability of baby gets to be lost. These problems can cause the difficulties on the bonding or the parenting in the further days, and can be related to the neglect and abuse of children. Also, it is gradually increased to study and report which the emotional division by the physical division between the mother and the baby obstructs the normal affection course between the parent and the infant. The stress caused by the birth and the hospitalization of high-risk newborn, as like this, is important in the points which it can uncertainly affect the potential energy for the relationship of parent-child who are finally healthy. Accordingly, the significance and purpose of this study are to understand the contents and degree of stress which the parents of high-risk newborn including the immature child can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to the nursing intervention program for these. The subject of this study is the mother of newborn in NICU of 10 General Hospitals located at the 3one of Pusan, Korea from September 1997 to October 1997, and thus makes the subject of 95 person of parents who agreed to take part in the study and it is descriptive study related to the stress of mother having the newborn in NICU. The method is based on the preceding study related to the stress of mother having the experience of child hospitalization and chronic disease child, and then acquires the advice of specialists group as like 5 nursing professors, and then is amended and supplemented. Total number of questions is 43 items and consists of 5 factors as like medical treatment &nursing procedures, disease status & prognosis, role of parents, communication & inter-personal relationships, hospital environment, and is 5 point Likert Scale. The reliability of this study method is very highly shown to be Cronbach α=0.95. The collected data is analysed as Average, Frequency, Standard Deviation, T-test, ANOVA, Pearson Correlation Coefficient, Duncan multifulrange test by use of SPSS /PC (V7.5). The results of this study is summarized as under. 1. Every characteristics of subject is which the party of mother is 28.70age(±7.48) in the average ages, 51% in the high-school graduate, 38.5% in the christianity, total monthly income is 212.55 thousand won(±1.971), 74.5% in the housewife, 72.9% in the parents and children together living and the number of children to be 1.48person(± 0.6) in average, the recognition on the prognosis of baby is 74.0% in 'Don't know', the relationship with the husband after the hospitalization of babyis 37.3% in 'More Intimate', the relationship with the family of husband to be 48% in 'No-change', an

Weighted IMM 기법을 사용한 각도 추정 오차 감소 기법

최성희,송택렬,Choi, Seonghee,Song, Taeklyul 한국군사과학기술학회 2015 한국군사과학기술학회지 Vol.18 No.1

This paper proposes a new approach to reduce the target estimation error of the measurement angle, especially applied to the medium and long range surveillance radar. If the target has no maneuver and no change in heading direction for a certain time interval, the predicted angle of interacting multiple model(IMM) from the previous track information can be used to reduce the angle estimation error. The proposed method is simulated in 2 scenarios, a scenario with a non-maneuvering target and a scenario with a maneuvering target. The result shows that the new fusion solution(weighted IMM) with the predicted azimuth and the measured azimuth is worked properly in the two scenarios.

경부형 전기인공후두 Blueton의 개발과 음향학적 성능 분석

최성희,박용재,박영관,김태정,남도현,임성은,이성은,김한수,최홍식,김광문,Choi, Seong-Hee,Park, Young-Jae,Park, Young-Kwan,Kim, Tae-Jung,Nam, Do-Hyun,Lim, Sung-Eun,Lee, Sung-Eun,Kim, Han-Soo,Choi, Hong-Shik,Kim, Kwang-Moon 대한후두음성언어의학회 2004 대한후두음성언어의학회지 Vol.15 No.1

Electrolarynx(EL), battery operated vibrators which are held against the neck by on-off button, has been widely used as a verbal communication method among post-laryngectomized patients. EL speech can produce easily without need of any additional surgery or special training and be used with any other methods. This institute developed a neck-typed EL named "Blueton" in commperation with EL Company Linkus, which consists of 3 parts : Vibrator part, Control part, Battery part. In this study we evaluated the acoustic characteristics of the produced voices by Blueton compared with Servox-inton using MDVP. Three EL users (2 full time users, 1 part time user) were participated. The results revelaed that NHR higher in Servox than Blueton and intensity is higher in Blueton than Servox. The spectra for vowels produced by EL speakers are mixed signals combined with talkers' vocal output and electrolarynx noise. The spectra pattern is similar with two ELs. High, SPI index and vowel spectra from MDVP demonstrated characteristics of both electrolarynxes related to noise signal. This finding suggests that Blueton helps to provide one of useful rehabilitation options in the post laryngectomy patients.

광촉매 Cds , ZnS 를 이용한 광화학반응 - DHP vesicle 분산계에서 -

최성희,한명남,차민환 ( Sung Hee Choi,Myung Nam Han,Min Whan Cha ) 한국화학공학회 1995 화학공학의이론과응용 Vol.1 No.2

각종 음성분석기에 따른 음성장애 환자의 주기간 주파수 및 진폭변동률 분석

최성희,남도현,이승훈,정원혁,김덕원,최홍식,Choi Seong Hee,Nam Do-Hyun,Lee Seung-Hoon,Jung Won-Hyuk,Kim Deok-Won,Choi Hong-Shik 대한후두음성언어의학회 2005 대한후두음성언어의학회지 Vol.16 No.2

Background and Objectives : Voice perturbation measures, such as jitter and shimmer has been importantly used for diagnosis and treatment efficacy of laryngeal dysfunction. This study was conducted to investigate validity of newly developed multi-channel voice analyzer program by comparing with MDVP, PRAAT, TF32. In addition, we compared the voice perturbation measures with different voice analyzer program by type of signals. Materials and Methods : Nineteen mild-severe dysphonic patients participated in our study. Fundamental frequency, jitter and shimmer values were obtained from different voice analyzer program using the same sustained/ah/phonation. Results : Fundamental frequency and shimmer were highly correlated whereas jitter was weakly correlated between newly developed multi-channel voice analyzer program and the others though different pitch computation algorithm except MDVP, In addition, Type 2 and 3 signals were weakly correlated than Type 1. Conclusion : In the clinical setting, clinician may have sufficient information of voice analyzer and control conditions properly for severity of pathologic voice before voice perturbation measure to obtain reliable results.

0.5 cm 이하의 갑상선 유두상암

최성희,우상욱,김대겸,김정한,남석진,양정현,Sung-Hee Choi,Sang-Uk Woo,Dae-Kyum Kim,Jeong-Han Kim,Seok-Jin Nam,and Jung-Hyun Yang 대한갑상선-내분비외과학회 2004 The Koreran journal of Endocrine Surgery Vol.4 No.1

혈중 Estradiol 농도 측정을 위한 여러 방사면역측정 검사키트 및 화학면역발광 검사법의 성능평가 및 상호비교

최성희,노경운,김진의,송요성,팽진철,강건욱,이동수,Choi, Sung Hee,Noh, Gyeong Woon,Kim, Jin Eui,Song, Yoo Sung,Paeng, Jin Chul,Kang, Keon Wook,Lee, Dong Soo 대한핵의학기술학회 2015 핵의학 기술 Vol.19 No.1

Estradiol($E_2$)은 월경 주기와 배란유도 및 불임 및 폐경을 진단하는데 유용한 지표이다. 따라서 정도인증 평가 지표인 정밀도(precision), 회수율(accuracy), 예민도(sensitivity) 및 타 키트와의 상관성(comparison) 비교를 통하여 우수한 키트를 선정하여 사용함으로서 핵의학검사실 표준화와 질 향상을 도모하고자 본 연구를 시행하였다. 핵의학검사실에서 사용하고 있는 방사면역측정법(Radioimmunoassay; RIA)으로 SIEMENS (Coat-A-Count Estradiol, USA), DIAsource (Immunoassays S.A.. Belgium), AMP (As bach Medical Products GMBH, Germany), BECKMAN COULTER (IMMUNOTECH s.r.o. Czech Republic), Beckman Coulter Ultra Sensitive Estradiol (IMMUNOTECH s.r.o. Czech Republic), CIS Bio (France), MP (ICN Biomedicals, Germany) 7개 키트와 화학발광면역측정법으로 검사하는 E170 (Roche Diagnostics, Germany), Architect (ABBOTT, USA) 2종류의 자동화장비로 측정하였다. 측정 내 정밀도는 키트별로 농도에 따라 다르게 측정 되었으며, 측정값이 낮은 저농도에서는 10.9~13.6% 변이계수를 보였으며, 중, 고농도에서는 모든 키트가 10% 이내의 결과를 보였다. 키트간 상관성 평가를 위한 ANOVA 분석에서 저농도, 중농도, 고농도 검체 각각에 대하여 대부분 키트 간에 유의한 상관관계를 보였으나 일부 키트에서는 유의하지 않은 결과를 보이기도 하였다. 측정 간 정밀도는 측정값이 낮은 저(Low) 농도에서는 10.8~12.3% 변이계수를 보였으며, 중(Medium), 고(High)농도에서는 모든 키트가 10% 이내의 결과를 보였다. 회수율은 IEMENS $92.7{\pm}12.4%$, DIAsou rce $101.4{\pm}18.4%$, AMP $95.1{\pm}11.5%$, BECKMAN COULTER $108.4{\pm}18.5%$, BECKMAN COULTER Ultra Sensitive $104.2.{\pm}13.5%$, CIS Bio $101.3{\pm}11.6%$, MP $93.1{\pm}13.2%$ 이다. 예민도(pg/mL)는 SIEMENS 7.5, DIAsource 6.2, AMP 5.7, BECKMAN COULTER 6.2, BECKMAN COULTER Ultra Sensitive 5.3, CIS Bio 4.5, MP 5.5 이다. 상관성에서는 저농도에서는 MP 키트가 타 키트에 비해 다소 높게 측정되었으며, 중, 고농도에서는 E170 장비가 다소 높게 측정되었다. 외부정도관리 숙련도 시료를 이용한 측정값에서는 타 키트에 비하여 SIEMENS 키트는 낮은 경향을 보였으며, E170, Architect, MP 키트들은 다소 높은 경향을 보였다. $E_2$ 검사 측정 키트 및 방법들은 전체적으로 정밀도, 회수율, 민감도 등의 지표에서 검사에 이용하는 데 무리가 없으나, 키트 변경 시에는 검사의 일관성 유지를 위하여 상호 상관성을 고려하여야 할 것이다. Purpose Serum estradiol ($E_2$) measurement is requested for diagnosing menstrual cycles, ovulation induction, infertility, and menopause. $E_2$ is measured using several methods and kits including radioimmunoassay (RIA) and chemiluminescece immunoassay (CLIA). The purpose of this study was to evaluate quality of these methods and to compare them with each other. Materials and Methods Seven radioimmunoassay kits and two CLIA methods were included in the analysis. Using standard samples and patient samples, intra-assay precision, inter-assay precision, correlation between other methods, sensitivity, and recovery rate were evaluated. Results For all tested kits and methods, coefficients of variance (CVs) of intra-assay precision test were 10.9~13.6% in low-level samples and less than 10% in medium and high-level samples. CVs of inter-assay precision test were 10.8~12.3% in low-level samples and less than 10% in medium and high-level samples with all tested kits and methods. Recovery rates were $92.7{\pm}12.4%$ for SIEMENS, $101.4{\pm}18.4%$ for DIAsource, $95.1{\pm}11.5%$ for AMP, $108.4{\pm}18.5%$ for BECKMAN COULTER, $104.2{\pm}13.5%$ for BECKMAN COULTER Ultra Sensitive, $101.3{\pm}11.6%$ for CIS Bio, and $93.1{\pm}13.2%$ for MP kits. Sensitivity was 7.5, 6.2, 5.7, 6.2, 5.3, 4.5, and 5.5 pg/mL for SIEMENS, DIAsource, AMP, BECKMAN COULTER, BECKMAN COULTER Ultra Sensitive, CIS Bio, and MP kits, respectively. The measurement by MP kit was slightly higher than those by other kits in low-level samples, and the measurement by E170 was slightly higher than those of other kits in medium and high-level samples. In the measurement of standard sample for external quality control, SIEMENS kit produced relatively lower values whereas E170, Architect, and MP kits produced relatively higher values compared with other kits. Conclusion All tested kits for $E_2$ measurement have satisfactory performance for clinical use. However, correlation between kits should be considered when test kits are to be changed, because some pairs of kits do not have correlations with each other.

메밀녹차의 향기성분

최성희,Choi, Sung-Hee 한국생명과학회 2007 생명과학회지 Vol.17 No.8

The volatile flavor components of buckwheat (Fagopyrum esculentum Moench)-green tea were analyzed and identified. To make tea having good flavor and functional property, parched buckwheat (50%) was mixed with green tea (50%). The extraction of volatile flavor compounds of buckwheat-green tea was accomplished by a simultaneous distillation and extraction method using a Likens and Nickerson's extraction apparatus. The concentrated extract was analyzed and identified by gas chromatography and GC-mass spectrometry. The main volatile flavor components of buckwheat-green tea were compounds that originated from parched buckwheat and the green tea. The former were 15 pyrazines having roasted and nutty aroma and methylbutanals and furfural having sweet-aroma. The latter were nerolidol, linalool, indole, ${\beta}-ionone$ and geraniol etc having flower-like odor in green tea. 생리활성을 갖는 것으로 알려진 메밀을 고소하게 볶은 시판 메밀차를 중급 정도의 녹차에 혼합하여 메밀녹차를 제조하고 기호도와 관련이 있는 향기 성분을 동시증류추출(SDE) 장치를 사용하여 분석하였다. 메밀차와 녹차를 1:1로 혼합한 메밀녹차의 향기성분으로 42종류를 동정하였다. 메밀녹차에는 메밀차의 향기성분 23종류와 녹차의 향기 성분 16종류 및 공통으로 포함된 3종류의 화합물들로 구성되어 있었다. 메밀녹차의 향기성분으로는 15종류의 pyrazine류를 동정하였다. 이는 메밀녹차의 향기 성분 중 약 32%를 차지하는 비율이었다. 메밀녹차의 향기 성분은 본래 녹차가 가지고 있는 향에 구수하고 달콤한 향을 띄는 볶음 메밀의 향기성분들이 부여되어 생성된 것으로 밝혀졌다. 본 연구에서 사용한 녹차는 중급 정도에 해당되는 덖음차로 고급녹차에 많았든 linalool이나 geraniol은 적은 함량 포함되어 있었으나 녹차향에 기여하는 꽃향기를 띄는 nerolidol의 함량은 많았으며 nonanal, 2-phenylethanol, cis-jasmone, indole 및 ${\beta}-ionone$ 등도 함유되어 있었다. 복은 향의 중요성분으로는 roasted flavor인 pyrazine류와 pyrrole류, 달콤한 향을 띄는 methylbutanal류와 furan류 등으로 밝혀졌다. 특히, pyrazine류는 종류도 많고 함량도 메밀차 전체 면적의 56%로서 녹차에 혼합되었을 때 메밀녹차의 고소한 향에 크게 기여하는 것으로 나타났다.

인증표준물질(CRM)을 이용한 방사면역측정법의 회수율 평가

최성희,신선영,임소희,홍미경,노경운,김진의,Choi, Sung Hee,Shin, Sun Young,Lim, So Hee,Hong, Mee Kyung,Noh, Gyeong Woon,Kim, Jin Eui The Korean Society of Nuclear Medicine Technology 2014 핵의학 기술 Vol.18 No.1

Purpose: Reference material (RM) is defined as material that is safe and homogeneous enough about specified characteristic that is made with a purpose of using test of measurement or nominal characteristic. Certified reference material (CRM), which is issued by authorized organization, is defined as reference material that provides characteristic value, link uncertainty and retroactivity. The purpose of this paper was to evaluate recovery of radioimmunoassay by Certified Reference Material enclosed with a certificate and therefore to enhance reliability of test. Materials and Methods: WHO certified reference material is purchased from NIBSC (National Institute for Biological Standard and Control, United Kingdom) and made of 3 levels that are C-1 (low concentration), C-2 (medium concentration) and C-3 (high concentration) and measured for kit at the Seoul National University Hospital. Recovery rate is evaluated after measurement at four different days. Results: Recovery rate results using WHO certified reference material are T4 90%, Ferritin 88%, PSA 94%, Prolactin 99%, AFP 94% and TSH 93%. Conclusion: A procedure that appropriate accuracy, precision, specificity, sensitivity, reproducibility, and validate on the subject of kit for radioimmunoassay is essential. Recovery rate assay as extraction efficiency of analysis process is percent about already measuring results of analysis result after all measuring process. This is very important assessment standards of performance evaluation of immunoassay kit. Recovery rate results of 6 type used WHO CRM are satisfactory to 88~99%. This demonstrates that the radioimmunoassay is a very accurate measurement, which is very effectively utilized in clinical practice. 공인된 기구에 의해 발급된 문서를 동반하는 인증표준물질은 특성값과 추정값의 신뢰정도를 나타내는 연계 불확도, 그리고 측정한 결과가 명시된 불확정 정도의 범위 내에서 국가 측정 또는 국제측정표준에 일치되도록 연속적으로 비교하고 교정하는 소급성을 제공하는 표준물질이다. 회수율 검사는 검체를 측정하여 얻은 값이 참값에서 얼마만큼 벗어났는지의 차이를 말하며 키트의 정확도를 반영한다. 이러한 인증표준물질을 가지고 회수율 검사를 하는 것은 체외 방사면역진단키트의 정확성을 보여주며 이러한 평가는 매우 중요하다. 인증표준물질은 NIBSC (National Institute for biological standard and control, United Kingdom)와 IRMM (Institute for Reference Materials and Measurements, Belgium)에서 구입하였고 검사 종목은 T4, Ferritin, PSA, Prolactin, AFP 그리고 TSH으로 총 6종목이다. T4는 IRMM의 표준물질을 사용하였고 나머지 종목은 NIBSC의 표준물질을 사용하였다. C-1 (저농도), C-2 (중농도), C-3 (고농도) 3 level로 제조하여 본원에서 사용하는 키트를 이용하여 4회 측정하였다. WHO 인증표준물질을 이용한 회수율 측정에서 T4 90%, Ferritin 88%, PSA 94%, Prolactin 99%, AFP 94%, TSH 93%였다. 6개 종목의 회수율 측정에서 88-99%로 양호한 결과를 보였다. 핵의학 체외진단키트의 정확성을 높이기 위해서 이 연구가 다른 검사실의 키트로 확장되어 검사가 되어야 하고 검사실간에도 교류가 필요하다. 인증표준물질을 이용한 체외진단키트의 회수율 평가가 앞으로도 지속되어야 하며 결과의 정확성은 환자의 만족의 증가로 이어질 것으로 기대한다.