• Title/Summary/Keyword: 자연파열

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A study on the voiceless plosives from the English and Korean spontaneous speech corpus (영어와 한국어 자연발화 음성 코퍼스에서의 무성 파열음 연구)

  • Yoon, Kyuchul
    • Phonetics and Speech Sciences
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    • v.11 no.4
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    • pp.45-53
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    • 2019
  • The purpose of this work was to examine the factors affecting the identities of the voiceless plosives, i.e. English [p, t, k] and Korean [ph, th, kh], from the spontaneous speech corpora. The factors were automatically extracted by a Praat script and the percent correctness of the discriminant analyses was incrementally assessed by increasing the number of factors used in predicting the identities of the plosives. The factors included the spectral moments and tilts of the plosive release bursts, the post-burst aspirations and the vowel onsets, the durations such as the closure durations and the voice onset times (VOTs), the locations within words and utterances and the identities of the following vowels. The results showed that as the number of factors increased up to five, so did the percent correctness of the analyses, resulting in 74.6% for English and 66.4% for Korean. However, the optimal number of factors for the maximum percent correctness was four, i.e. the spectral moments and tilts of the release bursts and the following vowels, the closure durations and the VOTs. This suggests that the identities of the voiceless plosives are mostly determined by their internal and vowel onset cues.

A case of congenital ductus arteriosus aneurysm (Congenital ductus arteriosus aneurysm 1례)

  • Wang, Sheng Wen;Kim, Ji Eun;Lee, Young Seok;Lee, Young Ah
    • Clinical and Experimental Pediatrics
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    • v.49 no.12
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    • pp.1363-1366
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    • 2006
  • Aneurysmal dilatation of the ductus arteriosis has been considered a rare but potentially fatal abnormality. The mechanism of ductal aneurysmal formation remains uncertain. Plain chest radiography has proven helpful in the diagnosis of ductus arteriosus aneurysm (DAA), before the application of transthoracic echocardiography. The transthoracic echocardiography is an important tool for the diagnosis and follow-up of DAA. We present a case of congenital ductus arteriosus aneurysm in a newborn, that was an incidental discovery. The diagnosis was made by echocardiography, three-dimensional surface rendering computed tomography (CT), and spontaneous regression after four weeks of follow-up.

Surgical Treatment of Spontaneous Rupture of the Esophagus [Boerhaave`s Syndrome] (식도 자연파열[Boerhaave 증후군]의 외과적 치료;2례 보고)

  • Kim, Keun;Chang, Bong-Hyun;Lee, Jong-Tae;Kim, Kyu-Tae
    • Journal of Chest Surgery
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    • v.25 no.8
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    • pp.812-818
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    • 1992
  • The spontaneous rupture of the esophagus is an uncommon disease, but without early diagnosis and treatment, the mortality rate is high. This report is on the two cases treated at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyu-ngpook National University. The first patient, after heavy drinking, had vomiting followed by chest pain, dyspnea and subcutaneous emphysema. After diagnosis using an esophagogram, an operation was perfomed. About a 4cm rupture was found at the lower left part of the esophagus and was primarily sutured with the intercostal muscle. The patient was weaned from the ventilator after 40 hours. The second patient had symptoms the same as the first case. Six days after the app-earence of the symptoms, the patient was treated by the Thais onlay gastric patch method. The leakage happened after the surgery and he received a conservative treatment. After discharge no abnormalities, such as leakage and stricture, were found on the eso-phagogram The two patients now live a normal life.

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Spontaneous Rupture of Proximal Rectus Femoris: A case report (근위부 대퇴직근의 자연 파열 - 증례보고 -)

  • Jeon, In-Ho;Kyung, Hee-Soo;Lee, Sang-Won;Kim, Poong-Taek
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.81-84
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    • 2006
  • Rupture of the rectus femoris at the musculotendinous junction is very rarely reported in the literature, especially which is caused by chronic repetitive stimulation. A 21 year old soldier complained of progressing right thigh pain and mass for 8 weeks after military training. MRI of the right thigh showed inhomogenous mass lesion suspecting soft tissue tumor. However ultrasonographic examination showed torn retracted rectus femoris tendon at musculotendinous junction. One year after primary repair of ruptured tendon, the patient is free from symptoms and returned to full previous activities. Knowledge of this sonographic and MRI finding will help the surgeon to diagnose and treat this rare injury.

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A Case of Cervical Emphysema and Spontaneous Pneumomediastinum (경부 기종과 함께 발생한 자연성 종격동 기종 1예)

  • Kim, Hyeonseok;Choi, Hyo Geun;Park, Bumjung
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.1
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    • pp.33-36
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    • 2016
  • Cervical emphysema and Spontaneous pneumomediastinum is an uncommon disease. Cervical emphysema is mainly caused by trauma or head and neck surgery. Here, we report a case of cervical emphysema and spontaneous pneumomediastinum in a 15-year-old man. This case emphasizes that cervical swelling patients with negative inflammation findings should be scrutinized for cervical emphysema and spontaneous pneumomediastinum.

A study on the release burst spectra of the voiceless plosives from the English and Korean spontaneous speech corpus (영어와 한국어 자연발화 코퍼스에서의 무성 폐쇄음 개방 파열 스펙트럼 연구)

  • Hwang, Sunmi;Yoon, Kyuchul
    • Phonetics and Speech Sciences
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    • v.9 no.4
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    • pp.27-34
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    • 2017
  • The purpose of this work is to examine the English and Korean voiceless plosives from the Buckeye[15] and Seoul[16] corpus in terms of their static spectral characteristics. The plosives were automatically extracted by a Praat script. In order to estimate the percent correctness in the classification of the plosives, discriminant analyses were performed whose trainings were based on four spectral moments, i.e. the center of gravity, variance, skewness and kurtosis as suggested in [6]. Another set of discriminant analyses were performed based on the spectral tilts. In the last set of analyeses, the spectral moments and tilts were both used in the training. Results showed that the correct classification rate did not exceed around 65% in the best case, which suggested that phonetic cues other than the release burst would be necessary including the dynamic spectral aspects and vowel-onset cues.

Pathophysiology and Natural history of Rotator Cuff Tears (회전근 개 파열의 병태생리와 자연경과)

  • Gwon, O-Su
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2006.11a
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    • pp.59-68
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    • 2006
  • 회전근 개 질환의 병리기전의 연구과정은 과거에 형태학, 거시적 해부학 또는 방사선학적 연구를 통해 충돌 증후군에 대한 연구에 집중되었으나 그간의 병리조직학 및 생역학의 발전에 힘입어 좀 더 근본적인 원인에 대한 접근이 가능하게 되어 다양한 요인에 의해 복합적인 기전을 통해 발생함이 밝혀지고 있다. 그러나 아직 이와 같은 성과를 바탕으로 임상적으로 적절한 진단, 치료, 재활 및 예방에 대한 명확한 해답을 제시하기에는 부족함이 있으며 향후 건 내의 퇴행성 변화에 대한 분자 생물학적인 접근과 생체 내와 같은 조건에서의 역동성을 재현할 수 있는 견관절 모델의 개발을 통한 더욱 향상된 생역학적 연구가 필요할 것으로 생각된다.

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Vaginal Hemorrhage Associated with Decidualized Rectovaginal Deep Infiltrating Endometriosis during the Third Trimester of Pregnancy: A Case Report (임신 중 탈락막 변화를 동반한 직장질부위 심부자궁 내막증에서 발생한 대량 질출혈: 증례 보고)

  • Jeong-Won Oh;Eun Ji Lee;Yoon-Mi Jin
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1121-1127
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    • 2022
  • Endometriosis-related symptoms are believed to be alleviated during pregnancy. However, pregnancy complications, such as pseudoaneurysm of the uterine artery, rupture of ovarian or uterine vessels, and intraabdominal bleeding from decidualized deep infiltrating endometriosis (DIE) lesion have been rarely reported. Owing to the potential risk of rupture and resultant life-threatening complications, proper diagnosis and close monitoring of decidualized endometriotic lesion are very important despite its low relative risk. Till date, massive vaginal bleeding from decidualized rectovaginal DIE during pregnancy has not been in English literatures. Here, we present the first case of spontaneous massive vaginal bleeding due to decidualized rectovaginal DIE that occurred in the late third trimester of pregnancy.

Spontaneous Pneumomediastinum: Clinical Experience of 24 Patients in Two Medical Center (자연성 종격동 기종: 두 병원에서의 임상 경험 24예)

  • Moon, Hyeon-Jong
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.663-668
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    • 2010
  • Background: Spontaneous pneumomediastinum is an uncommon disorder with few cases reported. It usually occurs in young males and has benign self-limiting course without any apparent concomitant factor. It is seen after intrathoracic pressure changes leading to alveolar rupture. The clinical experiences of two medical centers were reviewed to aid in optimal management. Material and Method: Retrospective review between March 2003 and August 2010 with spontaneous pneumomediastinum patients was performed. Result: 24 patients were identified with a diagnosis of spontaneous pneumomediastinum. These 24 patients were comprised of 18 men and 6 women with mean age 18.9 years (range 10 ~ 33). The major initial complaints were chest pain (79.2%), throat pain (62.5%), and subcutaneous emphysema (41.7%). The triggering events were exercise (16.7%), coughing (12.5%) and vomiting (12.5%). No apparent triggering event was noted in 54.2% of patients. In all cases, chest radiograph and computed tomography was done. Diagnostic computed tomography was required in 25%. White blood cell counts and C-reactive protein (CRP) were checked, and their initial mean values were $9,790{\pm}3,240/{\mu}L$ Land $1.31{\pm}1.71mg/dL$, final mean values were $5,440{\pm}1,665/{\mu}L$ Land $0.72{\pm}0.73mg/dL$, respectively. 23 patients were admitted (average $5.0{\pm}1.8$) and the symptoms were self-limiting in all cases without complications. Conclusion: Spontaneous pneumomediastinum is a benign condition with mild inflammatory signs that often presents with chest or throat pain. Secondary causes must be ruled out to avoid an unfavorable outcome with less invasive study. Because of very rare complications and recurrence, outpatient basis and shortened hospitalization may be feasible.

Clinical Analysis and Treatment of Esophageal Perforation (식도천공의 치료 및 임상고찰)

  • Park, Hoon;Park, Nam-Hee;Park, Chang-Kwon;Lee, Kwang-Sook;Keum, Dong-Yoon
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.111-116
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    • 2006
  • Background: Perforation of the esophagus is a deadly injury that requires expert management for survival. The mediastinal contamination with microorganisms, gastric acid, and digestive enzymes results in a mediastinitis that is often fatal if untreated. Material and Method: Between January 1990 and June 2004, 38 patients with esophageal perforation were treated in our hospital. Retrospective review of these cases has been performed. Result: There were 28 males and 10 females. The mean age was 43.84$\pm$18.89 years (range $1{\~}73$ years). Spontaneous rupture was found in $34\%$ of perforations, iatrogenic perforation in $32\%$ and traumatic perforation in $34\%$. Perforation occurred in the cervical esophagus in 8 cases, thoracic esophagus in 29 and abdominal esophagus in 1. In the cervical esophageal perforation, managements were primary closure in 8 and drainage in 2. In the thoracic esophageal perforation, managements were primary closure in 14, resection in 3 and conservative management in 12. The mortality rate was $25\%$ in cervical esophageal perforation and $34.5\%$ in thoracic esophageal perforation. We revealed risk factor of esophageal perforation to be peropertaive septic condition (p=0.005). Conclusion: Most important risk factor of esophageal perforation was preoperative septic condition. Preoperative prompt and aggressive preoperative treatment may improve the survival rate of esophageal perforation.