대장암에 의해 발생한 위결장 누공

양선영 ( Sun Young Yang ),변태준 ( Tae Jun Byun ),윤영섭 ( Yeong Seop Yun ),박재일 ( Jae Il Park ),손주현 ( Joo Hyun Sohn ),이동후 ( Dong Hoo Lee ) 대한소화기학회 2003 대한소화기학회지 Vol.41 No.5

Gastrocolic fistula is an uncommon complication caused by benign or malignant diseases on the stomach or colon. It was known to occur in gastric ulcer, trauma and infection. However, recent studies indicate that the malignant diseases such as stomach cancer and colon cancer emerged as a main causative factor. Gastrocolic fistula is likely to be most commonly diagnosed by barium enema, and occasionally detected by the upper gastrointestinal series or endoscopy. Recently, incidence of gastrocolic fistula is decreased due to early diagnosis of stomach or colon cancer. We report a case of gastrocolic fistula in a patient with transverse colon cancer found by both barium enema and upper gastrointestinal series. (Korean J Gastroenterol 2003;41:406-409)

초보놀이치료자를 위한 아동중심놀이치료 인턴쉽 프로그램이 놀이치료자의 전문적 역량 강화에 미치는 효과

양선영(Sun Young Yang),한유진(You Jin Han) 가정과삶의질학회 2017 가정과삶의질연구 Vol.35 No.1

보육기관에서의 놀이치료가 유아의 문제 행동, 자아지각, 사회적 상호작용 및 놀이치료 과정에서 유아의 반응 변화에 미치는 영향

양선영(Sun Young Yang),한유진(You Jin Han) 한국아동학회 2014 아동학회지 Vol.35 No.1

The study was performed at a childcare center based play therapy to help ameliorate the problems of infants in the borderline, self-concept, social interaction, infant`s response changes observed during play therapy. The subjects of this study consisted of twenty eight infants between the ages of 4 to 5 years who exhibited behavior problems. All subjects were located in the Seoul. The play therapists were sent to the child care center, and conducted 16 sessions of play therapy to infants exhibiting problem behaviors. In summary, the results indicated the following. First, childcare center based play therapy was effective in improving infants` behavior problems in the borderline areas outlined above. Second, childcare center based play therapy had a positive effect on the self-concept of infants. Third, childcare center based play therapy had a positive effect on the social interaction among the infants. Finally, there was significant difference in the responses of infants during childcare center based play therapy.

위식도역류질환 환자의 식이 위험요인 및 삶의 질

양선영 ( Sun Young Yang ),이오영 ( Oh Young Lee ),김혜은 ( Hye Eun Kim ),장유경 ( Yu Kyoung Chang ),윤병철 ( Byung Chul Yoon ),최호순 ( Ho Soon Choi ),정용건 ( Yong Gun Chung ),조찬호 ( Chan Ho Cho ) 대한내과학회 2006 대한내과학회지 Vol.70 No.6

목적: 우리나라 위식도 역류질환자들의 식습관 실태를 파악하고 질환의 위험 요인으로 생각되는 식품에 대한 섭취 기호도 및 식이습관을 조사하여 질환 정도와의 관련성을 파악하며 건강과 관련된 신체적, 정서적 삶의 질을 평가하였다. 방법: 한양대학교 병원에 내원하여 위식도역류질환의 증상이 있는 환자 중 내시경 병변이 있는 미란성 식도염군과 내시경 병변이 없으나 병적 역류가 증명된 비미란성 식도염군을 대상군으로 하고, 비슷한 시기에 건강 검진을 위해 방문한 수진자 Background: The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea. The aim of this study is to evaluate the dietary habit which is commonly known as risk factor of GERD and the quality of life in GERD patients. Methods: This study

하부식도 근육층 비후를 동반한 호두까기 식도 환자에서 발생한 Steakhouse 증후군

양선영 ( Sun Young Yang ),이오영 ( Oh Young Lee ),한성희 ( Sung Hee Han ),전대원 ( Dae Won Jun ),노병주 ( Byoung Joo Roh ),윤창옥 ( Chang Ok Yoon ),이항락 ( Hang Lak Lee ),윤병철 ( Byung Chul Yoon ),최호순 ( Ho Soon Choi ),함준수 대한소화기기능성질환·운동학회 2005 Journal of Neurogastroenterology and Motility (JNM Vol.11 No.2

Acute esophageal obstruction caused by the impaction of a large bolus of food has been called the `steakhouse syndrome`. Esophageal stenosis is usually found in adults suffering with steakhouse syndrome, but occasionally the syndrome occurs in the absence of any underlying organic abnormality. A 71-year-old male patient had complained of swallowing difficulty after ingesting meat two days previously. We performed endoscopy and found a meat bolus at 30 cm from the incisors, and we so removed the meat with a basket. No pathologic findings were observed endoscopically after the removal of the esophageal meat bolus. The esophageal manometry showed segmental, high amplitude esophageal pressure at the lower esophagus with normal peristalsis. We performed endoscopic ultrasonography with a high frequency catheter and we found thickening of the lower esophageal muscle layer. This case shows that nutcracker esophagus may be the cause of esophageal foreign body impaction and thickening of muscle layer may be associated with the symptom. (Kor J Neurogastroenterol Motil 2005;11:166-169)

위장관 ; 대장 선종 환자의 식이 위험요인에 관한 연구

양선영 ( Sun Young Yang ),김영선 ( Young Sun Kim ),송지현 ( Ji Hyun Song ),정수진 ( Su Jin Chung ),이인희 ( In Hee Lee ),홍경주 ( Kyoung Ju Hong ),이은정 ( Eun Jung Lee ),김동희 ( Donghee Kim ),임정윤 ( Jeong Yoon Yim ),박민정 ( M 대한소화기학회 2012 대한소화기학회지 Vol.60 No.2

Background/Aims: The role of dietary risk factors in colorectal carcinogenesis remains unclear. We investigated the association between dietary intakes and colorectal adenomas who visited a health promotion center for a routine health check-up colonoscopy. Methods: We conducted a retrospective case-control study using data from individuals who had colonoscopy at Seoul National University Hospital Healthcare System Gangnam Center from October 2003 to December 2007. The subjects were 242 patients (162 males and 80 females) with histopathologically confirmed colorectal adenoma, and 464 (272 males and 192 females) controls. Dietary data were obtained via 24 hour dietary recall, assisted by a registered dietitian. The student`s t-test and the chi-square test were performed for the statistical comparison of means and proportions among groups. Multivariate analyses using logistic regression were performed to assess the relation between dietary intake and colorectal adenoma. Results: The total average energy intake of the patients (male: 2,407.5±429.2 kcal, female: 1,901.3±316.9 kcal) was higher than the controls (male: 2,249.6±430.4 kcal, female: 1,752.4±275.0 kcal; p=0.001). High energy intake (male: OR=4.13, 95% CI=1.70-10.05, p=0.002; female: OR=4.00, 95% CI=1.51-10.61, p=0.005) and animal protein intake (male: OR=3.97, 95% CI=1.66-9.49, p=0.002; female: OR=5.76, 95% CI=1.99-16.169, p=0.001) were found to be associated with the risk of colorectal adenoma after adjusting for confounders such as age, BMI, waist circumference, metabolic syndrome and smoking. Conclusions: In summary, high energy intake and animal protein were associated with colorectal adenoma. (Korean J Gastroenterol 2012;60:102-108)

유채의 $F_1$ 종자 생산시 종자친과 화분친의 재식비 및 등숙시기별 종자의 지방산 분석

구양규,양선영,정용수,김현성,서미정,안성주,Ku, Yang-Gyu,Yang, Sun-Young,Jung, Yong-Su,Kim, Hyun-Sung,Suh, Mi-Chung,Ahn, Sung-Ju 한국작물학회 2010 한국작물학회지 Vol.55 No.3

이 실험의 목적은 유채 $F_1$ 종자 생산시 종자친과 화분친의 재식비 및 수확시기별 종자의 지방산 함량에 영향을 미치는지 알아보고자 실험을 수행하였다. 안정적인 종자 생산을 위해, 두 가지의 실험을 노지에서 수행하였다. 실험 1은 $F_1$ 종자 생산을 위한 종자친과 화분친의 재식 비별(4:2, 10:2, 10:1)로 정식하였고 유채 개화 후 40, 45, 50, 55, 60에 지방산 함량을 조사하였다. 실험 2는 $F_2$ 종자의 개화 후 등숙시기별로 종자를 수확하여 지방산을 분석하였다. 실험의 결과, 종자친과 화분친 재식비에 따른 등숙시기별 유채 종자의 지방산 조성 및 함량은 차이를 보여 주었으나 지방산의 오염 정도 척도인 erucic acid는 재식비에 따라 영향을 미치지 않았다. 종자친과 화분친의 비에서 얻어진 $F_1$과 $F_2$ 종자 비에서 palmitic acid, stearic acid과 linoleic acid은 등숙 시기에 따라 감소하였다. 그러나 oleic acid는 두 실험 모두에서 개화 후 55일까지 상대적으로 증가하였지만, 개화후 60일째 영향을 미치지 않았다. 지방산 생합성 관련 유전자인 SAD, FAD1 및 FAD2의 발현양상도 등숙 시기별 지방산 조성 및 함량과 일치하였다. 이런 결과는 종자친과 화분친의 비에 따른 재식비과 $F_2$종자의 비에 따른 지방산 조성이 큰 문제가 되지 않음을 보여주므로 $F_1$ 종자의 안정적인 생산을 위해 종자친의 파종비는 늘리고 화분친비를 줄이면 유채 종자 생산량이 높아질 것으로 사료가 된다. The objective of this experiment was determined to investigate the effect of the planting ratio of Male Sterility (MS) to Restorer Line (RL) and harvesting time on fatty acid compositions under $F_1$ seed production of Brassica napus L. For rapeseed seed production, two experiments were conducted in the open fields. One experiment studied planting ratios of MS to RL (4:2, 10:2, or 10:1) were planted and investigated fatty acid composition at 40, 45, 50, 55, and 60 days after flowering, the other $F_2$ seeds were analyzed on fatty acid compositions of harvested seeds at five sequential stages. The results showed that fatty acid compositions of developing seeds were influenced by MS:RL planting ratios and $F_2$ hybrid treatments and contaminated level of fatty acid compositions, erucic acid, were unaffected by planting ratio of MS to RL. Fatty acid compositions such as palmitic acid (C16:0), stearic acid (C18:0) and linoleic acid (C18:2) contents decreased during seed maturation period in $1^{st}$ and $2^{nd}$ experiments. In contrast, oleic acid (C18:1) content relatively increased up to 55days after flowering. At day 60 after flowering, oleic acid content was unaffected by MS:RL planting ratios and $F_2$ seeds treatments. Aspects of related gene expression of fatty acid synthesis such as SAD, FAD1 and FAD2 were followed exactly to changes of fatty acid composition during seed maturation. These results suggest that MS ratio may be enlarged and RL may be reduced, indicating this ratio will be useful for rape seed production.

보육시설 인준에 대한 학부모와 보육종사자의 인식

이완정(Lee Wan jeong),양선영(Yang Sun young) 한국열린유아교육학회 1999 열린유아교육연구 Vol.4 No.2

집단모래놀이치료가 발달장애아동 비장애형제의 자아강도에 미치는 효과

장정순 ( Chang Jeong Soon ),양선영 ( Yang Sun Young ) 명지대학교 아동가족심리치료센터 2019 아동가족치료연구 Vol.17 No.-

본 연구는 발달장애아동 비장애형제에게 집단모래놀이치료를 실시하여 자아강도에 미치는 효과를 검증하고자 하였다. 연구대상은 집단모래놀이치료에 참가하기를 희망하는 서울시내 초등학교 3-4학년 아동 10명을 실험집단 5명, 통제집단 5명으로 구성하여 실험집단에는 집단모래놀이치료를 주 2회, 60분씩, 총 12회기 실시하였다. 연구도구는 자아강도 척도를 사용하여 사전과 사후검사의 변화를 비교하여 분석하였다. 자료분석은 SPSS/WIN 20.0 통계 프로그램을 이용하였으며 분석방법은 다음과 같다. 첫째, 실험집단과 통제집단 간 각 척도별 사전검사 점수의 차이를 알아보기 위하여 비모수 검정인 Mann Whitney U test를 실시하였다. 둘째, 집단모래놀이치료를 실시 전과 후의 실험집단과 통제집단간의 사전·사후검사 점수의 차이를 알아보기 위하여 비모수 통계방법인 윌콕슨 부호 순위 검정(Wilcoxon matched-pairs signed-rank Test)을 실시하였다. 또한 투사기법인 K-HTP검사를 사전과 사후에 실시하여 자아강도의 질적 변화가 있는지 알아보았다. 본 연구 결과는 다음과 같다. 첫째, 집단모래놀이치료가 발달장애아동 비장애형제의 자아강도 향상에 효과가 있었다. 하위영역별로 살펴보면, 유능성, 주도성, 탄력성, 사회성 영역에서 유의미한 변화가 나타났다. 둘째, K-HTP검사를 통해 실험집단의 질적변화를 살펴본 결과, 자신감이 증가하고 자아강도가 향상된 모습으로 나타났다. This study intended to investigate the effect of group sand-play therapy on the Ego-strength in siblings of children with developmental disabilities. This study randomly assigned 10 of elementary school third and fourth grade students in Seoul, those into experimental group of five and control group of five. The program was consisted of total 12sessions, which were 60minutes twice per week. The ego-strength tool was used in this study. For comparison between pre- and post-test data of ego-strength were analyzed by using an SPSS/WIN 20.0 statistical program. First, using Mann Whitney U test to determine differences between -pre and -post data of control and examine group. Second, for non-parametric Wilcoxon (matched-pairs signed-rank test) was performed to determine differences data between before and after group sand-play therapy for siblings of children with developmental disabilities. Also, to determine qualitative changes of self-strength by using K-HTP as a projection tool. The results of this study is as follows. First, group sand-play therapy develops self-strength of siblings of children with developmental disabilities, which those sub-areas of competence, initiative, resilience, and sociality had significantly changed. Second, self confidence and ego-strength of siblings of children with developmental disabilities were improves through the K-HTP test.

류마티스 질환에서 고용량 면역글로불린 정주요법의 효과

윤재희 ( Jae Hee Yun ),양선영 ( Sun Young Yang ),김일 ( Il Kim ),홍철호 ( Cheol Ho Hong ),이혜순 ( Hye Soon Lee ),엄완식 ( Wan Sik Uhm ),김태환 ( Tae Hwan Kim ),전재범 ( Jae Bum Jun ),유대현 ( Dae Hyun Yoo ),배상철 ( Sang Cheol B 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.4

Objective: Although clearly demonstrated in idiopathic thrombocytopenic purpura, Kawasaki disease, the efficacy of intravenous immunoglobulins in the treatment of rheumatic diseases is still being debated. We investigated the effect of high dose intravenous immunoglobulins in selected rheumatic diseases. Methods: Twenty nine patients with rheumatic diseases who had received high dose intravenous immunoglobulins were studied. There were 18 patients with systemic lupus erythematosus (SLE), 8 dermatomyositis/polymyositis (DM/PM) patients, 2 adult onset still`s disease (AOSD) patients and 1 Henoch-schnlein purpura patient. They were treated with high dose intravenous immunoglobulins (each course consisted of 400 mg/kg for 5 days). Each patient received between 1-37 treatment courses. These patients were evaluated both by clinical outcome and by serologic profile that were taken before and after treatment. Results: Clinical improvement was observed in 16 patients out of 29 patients. Nine patients of them could decrease daily prednisolone doses. The clinical manifestations that responded good were: skin rash and ulcer, high fever, vasculitis, hemolytic anemia, thrombocytopenia, myositis. However lupus nephritis and interstitial lung disease did not benefit from the treatment. Conclusion: The high dose intravenous immunoglobulin treatment is good in patients with SLE, DM/PM and AOSD when they are steroid dependent or steroid resistant.