정상면역을 가진 성인에서 발생한 식도 방선균증

김현수 ( Hyun Soo Kim ),천종운 ( Jong Woon Cheon ),김민수 ( Min Su Kim ),정창길 ( Chang Kil Jung ),김경록 ( Kyung Rok Kim ),최재원 ( Jae Won Choi ),강동우 ( Dong Woo Kang ),김선영 ( Sun Young Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2

Hyun Soo Kim, Jong Woon Cheon, Min Su Kim, Chang Kil Jung, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang and Sun Young Kim1 Departments of Internal Medicine and Pathology1, DongKang Medical Center, Ulsan, Korea Actinomycosis is a chronic suppurative disease and caused by Actinomycosis species, principally Actinomyces israelii, which are part of the normal inhabitant on the mucous membrane of the oropharynx, gastrointestinal tract, and urogenital tract. It usually affects cervicofacial, thoracic and abdominal tissue. Cervicofacial type has the highest percentage of occurrence with 50%. Actinomycosis frequently occurs following dental extraction, jaw surgery, chronic infection or poor oral hygiene. It may also be considered as an opportunistic infection in immunocompromised patients such as malignancy, human immunodeficiency virus infection, diabetes mellitus, steroid usage or alcoholism. But, actinomycosis rarely occurs in adults with normal immunity and rare in the esophagus. We report an unusual case of esophageal actinomycosis which was developed in a patient with normal immunity and improved by therapy with intravenous penicillin G followed oral amoxicillin, and we also reviewed the associated literature.

한국전통지화의 전승발전과 보존을 위한 민간지화에 관한 연구

김선영(Kim, Sun Young) 한국디자인문화학회 2017 한국디자인문화학회지 Vol.23 No.1

역사적으로 문화적 가치가 뛰어난 지화에 관한 연구는 궁중, 불교, 무속에만 국한되어 있어 민간지화에 대한 연구사례는 거의 찾아볼 수 없어 일반인들은 지화를 종교적인 꽃으로 인식하고 있다. 본 연구는 일반인들의 지화 인식범위를 확장하고 민간지화의 전승발전과 보존을 도모하고자 김희영씨 일가를 중심으로 민간지화의 제작기법을 분석하여 민간지화 연구의 기초자료로 제공하고자 한다. 연구 방법과 범위는 이론적 고찰을 바탕으로 민간지화의 특성을 구체적으로 조사하고 김희영씨와 전수자들을 만나 민간지화제작 사례를 종합적으로 분석하였으며 그 결과는 다음과 같다. 첫째, 민간지화는 크게 실내장식, 혼례상, 회갑 잔칫상, 꽃상여, 세시풍속에서 사용되며 공간적, 예술적, 심리적 기능을 중심으로 생활예술로 일반화 된 것이 특징이다. 둘째, 민간지화는 꽃의 사실적인 부분을 중요시하기 때문에 꽃 본래의 형태와 유사하며 한 꽃꽂이에 여러 가지 꽃을 꽂아 화려하게 장식한다. 셋째, 대표적인 지화로 모란, 작약, 다리화, 동백, 수국, 장미가 있으며 꽃잎의 개수와 꽃잎 끝 모양에 따라 꽃이 달라지기 때문에 유동적으로 변형이 가능하다. 넷째, 오직 천연염색으로 염색을 한 한지만을 사용한다. 다섯째, 지화 크기에 대한 제한이 없어 의례의 규모 및 공간의 크기에 따라 적절히 변형이 가능하나 꽃의 비례가 중요하다. 본 연구는 조선 말기부터 지금까지 김희영씨 일가를 중심으로 이어진 전승계보와 지화제작 방법을 밝혀 사라져 가고 있는 민간지화와 관련된 연구 성과를 도출하였다는 점에서 의의가 있다. 또한 이처럼 민간지화 의 전승을 드러내고 그 맥락을 이어간다면 지화에 대한 잘못된 인식의 오류에서 벗어나 대중화를 이끌 수 있을 것이다. Studies on Korean paper flowers with high cultural value are confined to palace, Buddhism, and shamanism. Therefore, there are few cases of research on civilian Korean paper flowers, and ordinary people perceive paper flowers as religious flowers. The purpose of this study is to analyze the production techniques of civilian Korean paper flowers based on Heeyoung Kim"s family in order to expand the scope of civilian Korean paper flowers and to promote the development and preservation. Based on the theoretical considerations, the method and scope of the study were investigated in detail, and Heeyoung Kim"s met with the practitioners and analyzed the case studies of civilian Korean paper flowers. The results are as follows. First, civilian Korean paper flowers are commonly used in interior decorations, marriage ceremonies, 60‘s birthday, funeral and ceremonial customs, and are characterized by living arts centering on spatial, artistic, and psychological functions. Second, civilian Korean paper flowers are similar to the original forms of flowers because they emphasize realistic parts of flowers, and they are decorated with colorful flowers by inserting various flowers in one flower arrangement. Third, Kim’s typical flowers are peony, darihwa, camellia, hydrangea, and rose. The number of petals and the shape of the end of the petals are able to change flexibly. Fourth, only Korean paper, Hanji, dyeing with natural dyeing method, are used for making civilian Korean paper flowers. Fifth, because there is no restriction on the size of petal, it is possible to change appropriately according to the size of the ceremony and the size of the space, but the proportion of the flower is important. This study is meaningful in that the results related to the Korean paper flowers were derived by finding the tradition and production methods that have been centered on the Kim’s family since the end of the Joseon Dynasty. In addition, if the tradition of civilian Korean paper flowers is revealed and the context is continued, it is possible to escape from the mistake of misunderstanding and it will lead to popularization.

뇌성마비아의 임상적 양상

김선영,김재현,김찬문,Kim, Sun-Young,Kim, Jae-Hyun,Kim, Chan-Mun 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.3

Cerebral palsy is a neurodevelopmental impairment caused by a nonprogressive defect or lesion in single or multiple locations in the immature brain. The defect or lesion can occur in utero or during or shortly after birth and produces sensory-motor impairment that are usually evident in early infancy. The causes of cerebral palsy are not completely understood, certain prenatal, perinatal, and postnatal factors have been associated with cerebral palsy. This study was analysed the clinical features of 50 children with cerebral palsy (29 males and 21 females) in National Rehabilitation Hospital from March 17 to June 27, 1998. The time of initial visit was over than 12 months in 74%, and their cheif complains were delayed developments (78%). The preterm infants were 40% and the infants with low birth weight were 36%. The maternal age at childbirth was over than 30 years old in 52%. The most common type of cerebral palsy was spastic (54%), mixed (22%), athetosis and hypotonia (10% each), ataxia (4%). The cerebral palsy with preterm infants and low birth weight were more likely to have spastic type (P=0.002, P=0.023 each). The most preterm infants were born between 30 and 35 years old of maternal age, and there were statistical significance in difference (P=0.031).

고립성 골 전이를 동반한 식도편평세포암에서 동시 항암화학방사선 요법 후 완전관해를 보인 1례

김선영,서민호,최혁순,김은선,금보라,진윤태,이홍식,엄순호,김창덕,류호상,이우진,전훈재,김예지,Sun Young Kim,Min Ho Seo,Hyuk Soon Choi,Eun Sun Kim,Bora Keum,Yoon Tae Jeen,Hong Sik Lee,Soon Ho Um,Chang Duck Kim,Ho Sang Ryu,Woo Jin Lee,Hoon Jai 대한소화기암연구학회 2013 Journal of digestive cancer reports Vol.1 No.1

There is no established treatment for esophageal carcinoma with metastasis. For the metastatic esophageal squamous cell carcinoma, chemotherapy or best supportive care according to patient's performance status are accepted as an available treatment. We report a case of complete remission after concurrent chemoradiotherapy for esophageal squamous cell carcinoma with metastatic lesion in 5th thoracic vertebrae. A 57-year-old man with ongoing dysphagia and weight loss was admitted to our hospital. On the endoscopic and radiologic imaging evaluation,the patient was diagnosed as a squamous cell carcinoma of esophagus with solitary metastatic lesion in 5th thoracic vertebrae. The patient was treated with combination chemotherapy (5-fluorouracil (5-FU) and cisplatin) and concurrent radiotherapy for two months to relieve dysphagia. Because metastatic lesion in thoracic vertebrae was located near the primary esophageal tumor, the metastatic lesion could be included within the radiation field. After concurrent chemoradiotherapy, consecutive 4 cycles of chemotherapy had been carried out. Primary esophageal tumor with metastatic lymph nodes and metastatic lesion in 5th thoracic vertebrae disappeared on follow up computed tomography (CT) and positron emission tomography-CT (PET-CT). Follow up endoscopic biopsy revealed no remnant malignant cells at previous primary cancer lesion.

섬망 환자의 지각된 낙인 척도 개발 및 타당성 검증

김선영,김성완,김재민,신일선,윤진상,Kim, Seon-Young,Kim, Sung-Wan,Kim, Jae-Min,Shin, Il-Seon,Yoon, Jin-Sang 한국정신신체의학회 2015 정신신체의학 Vol.23 No.2

연구목적 본 연구는 '섬망환자의 지각된 낙인 척도(Perceived Stigma of Delirium Scale, PSDS)'를 개발하고 신뢰도와 타당도를 평가하여 섬망을 경험한 환자의 지각된 낙인을 측정하고자 시행되었다. 방 법 기존 문헌과 낙인 관련 척도를 고찰 및 참고하여 7문항의 PSDS 예비 척도를 구성하고, 섬망에서 회복된 128명의 환자를 대상으로 PSDS와 디스트레스 온도계(Distress Thermometer, DT)를 측정하였다. 탐색적 요인 분석을 시행하여 낙인 척도의 요인 구조를 확인하였다. 신뢰도 검증을 위해 내적 일치도와 검사-재검사 신뢰도를 분석하였다. 공시타당도는 PSDS 총점과 DT의 상관 분석을 통해 확인하였다. 결 과 예비 척도의 요인 분석을 시행한 결과 단일 요인이 추출되었다. 예비 척도 7문항 중 1개 문항은 낮은 요인 부하량을 가져 제외하였다. PSDS의 내적 일치도의 분석을 위해 시행한 Cronbach's ${\alpha}$ 값은 0.85였다. PSDS 총점의 검사-재검사간 상관 계수는 0.71이었으며, 각 문항별 상관 계수는 0.58에서 0.83사이었다. PSDS의 총점과 DT는 유의한 상관관계를 보였다. 결 론 본 연구는 PSDS가 섬망에서 회복된 환자의 지각된 낙인을 측정하는데 있어서 신뢰할만한 도구임을 확인하 였다. 본 척도 연구를 기반으로, 후속 연구와 다기관 연구를 통해 임상적 유용성의 평가가 이루어져야 할 것이다.

CDMA 이동통신을 위한 PN 코드의 성능분석

김선영,성진숙,정종태,김진업,이상천,김영식,이영규,Kim, Seon-Yeong,Seong, Jin-Suk,Jeong, Jong-Tae,Kim, Jin-Eop,Lee, Sang-Cheon,Kim, Yeong-Sik,Lee, Yeong-Gyu 한국전자통신연구원 1992 전자통신동향분석 Vol.7 No.2

CDMA시스팀은 차세대 디지틀 셀룰라 시스팀을 위해 개발중인 방식이다. CDMA 이동통신에 있어서 PN 코드 발생기는 대역확산, 시스팀 동기, 변복조 등의 중요한 역할을 한다. 본 고에서는 CDMA 이동통신용 PN 코드 발생기의 특성, 구성원리, 실현 방법 및 Qualcomm사의 CDMA 시스팀에 이용되고 있는 PN 코드 발생기의 성능분석 결과 및 기능에 대하여 살펴본다.

광주.전남 지역에 거주하는 소아에서 Helicobacter pylori와 A형 간염 바이러스의 혈청 IgG 항체 양성률 비교

김선영,김영옥,정해율,김병주,마재숙,Kim, Seon-Young,Kim, Young-Ok,Chung, Hae-Yul,Kim, Byung-Ju,Ma, Jae-Sook 대한소아소화기영양학회 2001 Pediatric gastroenterology, hepatology & nutrition Vol.4 No.2

Purpose: This study was undertaken to investigate the seroepidemiologic pattern of Helicobacter pylori (H. pylori) and hepatitis A virus (HAV) infections in children. Methods: A total of 315 serum samples were obtained from healthy children, living in Gwangju and Chonnam area. All serum samples were assayed for H. pylori IgG level using enzyme immunoassay techniques. HAV IgG level in serum were tested by a competitive radio-immunoassay in 215 subjects. The age-specific seroprevalence of H. pylori and HAV was separately analysed. The concordance of seropositivity and seronegativity between H. pylori and HAV infection was examined by the kappa statistic analysis. Results: Seropositivity was found in 17.5% (55/315) and 30.2% (65/215) of the subjects for H. pylori and HAV, respectively. Cross-tabulation of these data showed that 21 subjects (9.8%) were seropositive and 135 (62.8%) were seronegative for both H. pylori and HAV, 15 (7.0%) were seropositive for only H. pylori and 44 (20.5%) for only HAV. The seroprevalence of H. pylori and HAV increased significantly with age. There was a slight agreement between H. pylori and HAV seropositivity (${\kappa}$=0.26). Conclusion: This study shows a slight similarity in the concordance of seropositivity and seronegativity between H. pylori and HAV infection and provides evidence that H. pylori and HAV may share a common mode of transmission.

Meta- and Gene Set Analysis of Stomach Cancer Gene Expression Data

김선영,Jeong-Hwan Kim,Heun-Sik Lee,Seung-Moo Noh,Kyu-Sang Song,June-Sik Cho,Hyun-Yong Jeong,Woo Ho Kim,Young-Il Yeom,김남순,Sangsoo Kim,Hyang-Sook Yoo,Yong Sung Kim 한국분자세포생물학회 2007 Molecules and cells Vol.24 No.2

서울지역 대기오염이 천식에 미치는 급성영향: 연구대상의 특성에 따른 비교

김선영,김재용,김호,Kim, Sun-Young,Kim, Jai-Yong,Kim, Ho 대한예방의학회 2006 예방의학회지 Vol.39 No.4

Objectives: Korean epidemiological studies have used reduced samples according to the subject's characteristics, such as the health services provided, the historical note with asthma, and age, to examine the acute effect of air pollution on asthma using the Korean National Health Insurance records. However, there have been few studies on whether the effects shown in these reduced samples are different from those of all samples. This study compared the effects of air pollution on asthma attacks in three reduced samples with those of entire samples. Methods: The air pollution data for $PM_{10},\;CO,\;SO_2,\;NO_2,\;and\;O_3$, and weather conditions including temperature, relative humidity, and air pressure in Seoul, 2002, were obtained from outdoor monitoring stations in Seoul. The emergency hospital visits with an asthma attack in Seoul, 2002 were extracted from the Korean National Health Insurance records. From these, the reduced samples were created by health service, historical notes with asthma, and age. A case-crossover design was adopted and the acute effects of air pollution on asthma were estimated after adjusting for weather, time trend, and seasonality. The model was applied to each reduced sample and the entire sample. Results: With respect to the health service, the effects on outpatients were similar to those for the total sample but were different for inpatients. These similar effect sizes were also observed in the reduced samples according to the historical note with asthma and age. The relative risks of $PM_{10},\;CO,\;SO_2,\;NO_2,\;and\;O_3$, among the reduced and entire samples were 1.03, 1.04-1.05, 1.02-1.03, 1.04-1.06, and 1.10-1.17, respectively. Conclusions: There was no clear evidence to show a difference between the reduced samples and the entire samples.

디지틀 이동통신용 RPE-LTP 음성부호화기

김선영,김진업,정종태,김영식,Kim, Seon-Yeong,Kim, Jin-Eoup,Jeong, Jong-Tae,Kim, Yeong-Shik 한국전자통신연구원 1990 전자통신동향분석 Vol.5 No.4

세계적인 추세에 근거하여, 디지틀 이동 통신용 음성 부호화 방식 표준안 선정을 위해 평가 대상 방식으로 DSBC(Dynamic bit allocation SubBand Coding), RPE-LTP(Regular Pulse Excited Long Term Prediction),CELP(Code Excited Linear Prediction) 등을 선정한 바 있다.본 논문에서는 이들 방식중 13 kbps RPE-LTP의 실현 및 성능평가에 관하여 다루었다. 먼저 음질에 중요한 영향을 미치는 분석/합성부호화에 근거한 파라미터 양자화 방법 그리고 채널 코딩과의 연계를 위한 비트 중요도 해석 등을 언급하였다. 끝으로 시뮬레이션 결과를 나타내었다.