• Journal of Chest Surgery
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• 제51권1호
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• pp.57-60
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• 2018

Left main bronchus compression occasionally occurs in patients with cardiac disease. A 19-month-old female patient weighing 6.7 kg was admitted for recurrent pneumonia and desaturation. S he had an atrial septal defect (AS D) with a right aortic arch. Her left main bronchus had been compressed between the enlarged right pulmonary artery (RPA) and the descending thoracic aorta for 14 months. We conducted ASD closure and RPA anterior translocation via sternotomy. The left main bronchus compression was relieved despite the medium-term duration of compression.

• 비교문화연구
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• 제24권
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• pp.112-119
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• 2011

This study presents experiments which examined the role of amplitude and fundamental frequency (f0) in the phonetic perception of short versus long stop length contrasts in Japanese (e.g., [t] vs. [tt]). Stop length contrasts are normally characterized by differences in the duration of stop closures. However, closure duration can be unreliable as a perceptual cue when one considers variability in the rate at which people speak. Acoustically, the amplitude and f0 of the vowel following stop consonants are known to covary with the length distinction of stops in Japanese. Given this fact, the current study examined amplitude and f0 as potential secondary cues to the distinction. The results indicate that even though both amplitude and f0 are robust correlates, Japanese listeners do not use these cues in categorizing short versus long stops.

• 한국지진공학회논문집
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• 제14권1호
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• pp.25-34
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• 2010

비선형 이력거동을 가지는 교량 구조계에 지진하중이 작용하였을 때 파괴확률을 추정할 수 있는 기법을 제시하였다. 교량 구조계는 지진하중이 작용할 때 이중선형 이력거동을 보이는 단자유도 진동계로서 모델링하였다. 교량의 파괴는 상단의 변위 응답이 지진 지속시간 동안 정해진 한계 상태 값을 최초로 넘어설 때 발생하는 것으로 정의하였다. 지진하중에 대한 비선형 구조계의 최초통과확률을 추정하기 위하여, 단위시간 동안 한계상태를 넘어서는 빈도수를 계산하는 crossing theory를 적용하였다. 단위시간 동안의 한계상태 초과 빈도수 추정을 위하여 필요한, 비선형 구조계의 응답과 응답의 미분값 간의 결합확률밀도함수를 추정하기 위한 기법으로서, Non-Gaussian closure 기법을 제시하였다. 다양한 지반운동 특성을 가지는 다수의 인공지진 가속도 시간이력을 생성하여 교량의 동적 특성에 따른 파괴확률을 추정하였다. 제시된 기법을 사용한 결과 얻어진 파괴확률 값을 crude Monte-Carlo 시뮬레이션을 통하여 얻어진 정해 및 기존의 방법을 적용하여 얻어진 파괴확률 값과 비교함으로써 제시된 파괴확률 추정 기법의 정확성과 효율성을 검증하였다.

• 지질공학
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• 제28권3호
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• pp.349-365
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• 2018

The strain and acoustic emission (AE) signals of Pocheon granite were measured during uniaxial compression tests to investigate microcrack formation and damage. Crack closure, initiation, and damage stresses of each sample were determined through an analysis of the crack volumetric strain and stiffness. The samples experienced four damage stages according to stress levels: stage 1 = crack closure stage; stage 2 = elastic stage; stage 3 = crack initiation stage; stage 4 = crack damage stage. At least 75% of all AE signals occurred in stages 3 and 4, and different AE parameters were detected in the four stress stages. Rise time, count, energy, and duration clearly showed a tendency to gradually increase with the damage stress stage. In particular, the rise time, energy, and duration increased by at least 95% in stage 4 as compared with stage 1. However, the maximum amplitude showed a smaller increase, and the average frequency decreased slightly at higher stages. These results indicate that as the degree of rock damage increases, the crack size grows larger. The crack types corresponding to the AE signals were determined using the relationship between RA (Rise time / Amplitude) values and average frequencies. Tension cracking was dominant in all stress stages. Shear cracking was rare in stages 1 and 2, but increased in stages 3 and 4. These results are consistent with previous studies that reported cracking begins after samples have already been damaged. Our study shows that the state of rock damage can be investigated solely through an analysis of AE parameters when rocks are under compressive stress. As such, this methodology is suitable for understanding and monitoring the stress state of bedrock.

• 말소리와 음성과학
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• 제13권2호
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• pp.45-55
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• 2021

본 연구는 경직형 경도-중등도 뇌성마비 마비말장애 성인이 산출한 한국어 파찰음의 음향학적인 특징을 분석한다. 한국어의 마찰음과 파찰음은 조음오류가 빈번하게 발생하는 자음인데, 기존 연구들은 마찰음에만 집중했다. 따라서 본 연구에서는 마비말장애 화자가 산출한 파찰음을 음향학적으로 분석하고자 한다. QoLT_SPEECH_2014 데이터베이스 내에서 파찰음 /tɕ, tɕ^h, ͈tɕ/이 어두 초성 및 어중 초성에 위치하는 단어를 선정하여 경도-중등도 경직형 장애 남성 화자 6명과 비장애 남성 화자 5명의 발화 데이터를 분석에 사용하였다. 한국어의 파찰음의 특성을 고려하여 파찰음의 음향학적 특징을 나타내는 매개변수를 선정하여 분석을 시행하였다: 마찰구간의 길이, 묵음 구간의 길이, 무게중심, 분산, 왜도, 첨도, 중심적률. 분석 결과는 다음과 같다: 1) 어중 초성 파찰음에서 마비말장애인이 유의하게 긴 마찰구간의 길이를 보였다, 2) 마비말장애인이 유의하게 긴 묵음 구간의 길이를 보였다, 3) 무게중심의 경우 두 집단 간의 유의한 차이가 존재하지 않았다, 4) 마비말장애인이 유의하게 큰 왜도 값을 보였다, 5) 마비말장애인이 유의하게 큰 중심적률 값을 보였다. 본 연구는 마비말장애인이 산출한 파찰음의 특성을 분석하고, 비장애인이 산출한 파찰음과의 차이를 밝혔다.

• 말소리와 음성과학
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• 제15권1호
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• pp.19-24
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• 2023

This study investigated acoustic (VOT) and articulatory characteristics of Korean velar stops in monosyllabic CV structures to examine how the three-way distinction is realized in the laryngeal and supralaryngeal domains and how the distinction is manifested in male versus female speakers' speech production. EMA data were collected from 22 speakers. In line with previous studies, male speakers preserved the three-way differentiation of velar stops (/k^*/</k/</k^h/) in terms of VOT while female speakers showed only a two-way distinction (/k^*/</k/=/k^h/). As for the kinematic characteristics, a clear three-way distinction was found only in male speakers' peak velocity measure in the C-to-V opening movement (/k^h/</k/</k^*/). For the other kinematic measures (i.e., articulatory closure duration, deceleration duration of the opening movement and the entire opening movement duration), male speakers showed only a two-way distinction between fortis and the other two stops. Female speakers did not show a three-way contrast in any kinematic measure. They showed a two-way distinction between lenis and the other two stops in C-to-V deceleration duration (/k^*/=/k^h/</k/), and a two-way distinction between fortis and lenis stops in the opening movement duration. An overall comparison of VOT and articulatory analyses revealed that the lenis-aspirated kinematic distinction is diminishing, driven by female speakers, in line with the loss of the lenis-aspirated distinction in VOT that could influence supralaryngeal articulation.

• 음성과학
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• 제9권4호
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• pp.113-130
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• 2002

Measurements were made of pressure rise time (PoRT), voice cessation time, flattened peak intraoral air pressure (Po), pressure static time (PoST), pressure-fall time and the duration of oral closure as four English speakers uttered isolated nonsense $V_{1}CV_{2}$ words containing /b/ and /p/ ($V_{1}=V_{2}$ and the V was /$\alpha$/), with stress on either $V_{1}orV_{2}$ alternately. The hypothesis tested was: The tense stop consonant. will be characterized either by a higher Po or a longer PoST, and/or by both against lax. Findings: (1) PoRT was significantly greater in /b/ than /p/, (2) the voiceless stop /p/ produced generally greater mean Po, averaged across five tokens, than its voiced counterpart /b/, but statistically insignificant, and (3) altogether, across stress, tokens and subjects, the difference in the calculated pressure static time (PoSTc), i.e., PoST + PoRT, between /p/ and /b/ was highly significant (p $\leq$ 0.003). Although further investigations remain to be taken, the results strongly supported the linguistic hypothesis of tense-lax distinction, with /b/ being lax and /p/ tense. Airflow resistance at the glottis and supraglottal air volume are assumed to be responsible for much of difference in PoRT between /p/ and /b/. The PoSTc reflecting, although indirectly, the respiratory efforts during the oral closure of a stop, was a convincing phonetic parameter of the consonantal tenseness based on respiratory efforts. The effects of stress on Po and PoSTc were inconsistent, and the shorter PoRT than consonantal constriction interval was always accompanied by Po and PoST.

• Journal of Chest Surgery
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• 제29권8호
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• pp.905-909
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• 1996

1991년부터 1994년까지 75례의 폐 절제술을 시행하여 기관지 절주를 봉합하는 방법에 따라2군으로 나누었다. 49명의 환자에서 51례의 자동 조직 봉합기를 사용하였고(Group I) 24례에서 단속 수봉합 하였다.(Group II). 환자의 구성은 악성종양 3)례 (Groups:Group II, 22:11), 기관지확장증 23례 (18:5), 양성 종양 5례 (3:2), 국균증 5례 (2.3), 결핵 3례 (2:1), 기관지 선종 2례 (0:2) 등이 었다. 수술 수기는 21례의 전폐절제술(18:3), 13례의 쌍엽절제술(11:2), 26례의 폐엽절제술(14 12), 11례의 폐구역절제술(6:5)과 4례의 폐엽절제술 및 폐구역절제술(4:0)을 시행하였다. 자동 조직 봉합기를 사용한 군에서 수봉합 군보다 통계학적으로 유의하게 술후 흉관 배액량이 적었고 (p=0.047) 흉관 제거 시기가 더 빨랐다(p=0.005). 그러나 통계 학적으로 유의하지는 않았지만 술후 공기 누출 기간도 짧았고3p=0.2821 기관지 흉막루의 발생 빈도도 더 적었다.

• 대한족부족관절학회지
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• 제12권2호
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• pp.156-162
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• 2008

Purpose: Open fractures of the foot and ankle require prompt repair of the wound due to the complexity of anatomy, insufficiency of soft tissues and inadequate blood supply. Early flaps and skin grafts are used for this purpose yet general condition of the patient as well as local wound environment often precludes such treatment options. Vacuum- Assisted Closure (VAC) is recently being used in such cases. This study was done to validate the use of VAC together with silver antimicrobial dressing materials in contaminated open fracture wounds. Materials and Methods: We have selected 10 patients with Gustillo-Anderson type III open fractures of the foot & ankle treated with VAC and silver antimicrobial dressing materials from March 2007 to January 2008. The relationship between duration of treatment with wound size, contamination, and degree of soft tissue damage was analyzed. Results: The average age of patients was 36.6 years. The average amount of VAC application time was 23.4 days. Silver dressing materials were used for 16.8 days. Average wound healing time was 51.9 days. Statistically significant relationship was found between wound size, VAC application time and silver dressing material application time. No complications such as osteomyelitis were found after treatment. Conclusion: VAC technique is recently being used in open fractures with wide skin and soft tissue defects, producing good results. A wide array of dressing materials such as silver dressing is in development. We have incorporated the VAC technique together with silver dressing materials in the treatment of open fractures and achieved complication free results.

• Clinical and Experimental Pediatrics
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• 제51권10호
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• pp.1065-1070
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• 2008

목 적: 초극소 체중아에서 혈역학적으로 의미 있는 동맥관 개존증은 심각한 합병증의 발생을 증가시키나 동맥관 폐쇄에 대한 적절한 시점과 치료 방법에 대한 원칙은 없는 실정이다. 본 연구는 혈역학적으로 의미 있는 동맥관 개존증의 지연된 폐쇄가 예후에 미치는 영향을 분석하고자 하였다. 방 법: 2005년 3월부터 2007년 5월까지 본원 신생아중환자실에 입원한 1,000 g 미만의 동맥관개존증 환아 58례($26{\pm}2wk$, $782{\pm}146g$)를 대상으로 조기 폐쇄군(생후 7일 이내 폐쇄) 38례와, 지연 폐쇄군(생후 7일 이후 폐쇄) 20례로 분류하여 분석하였다. 혈역학적으로 의미 없는 동맥관 개존증 4례, 선천성 기형 1례, 생후 7일 이내에 사망한 3례는 제외되었다. 결과: 대상 환아 58명의 평균 재태 주령은 $26{\pm}2$주, 출생체중은 $782{\pm}146g$이었다. 주산기 요인으로 지연 폐쇄군에서 재태주령이 짧고($25.7{\pm}1.7wk$ vs $27.1{\pm}2.0wk$), 체외 수정의 빈도가 높았으며(55% vs 24%, P=0.017), 산모의 전자간증이 적었다(5% vs 34%, P=0.013). 동맥관 직경은 조기 폐쇄군과 지연 폐쇄군 간에 통계학적으로 유의한 차이가 없었다. 기관지 폐 이형성증(95% vs 65%, P=0.012), 뇌실내 출혈(70% vs 39%, P=0.027), 비정상적 청력검사 결과(32% vs 8%, P=0.024)는 지연 폐쇄군에서 유의하게 증가하였다. 또한 재태주 령을 보정한 다중회귀분석에서 동맥관 폐쇄가 지연될수록 인공 환기 치료기간(r2=0.362, P=0.008), 총 입원기간(r2=0.257, P=0.020), 완전 장관수유까지 걸린시간(r2=0.305, P<0.001), 총 정맥영양기간(r2=0.224, P=0.010)이 유의하게 증가하였다. 결 론: 초극소 체중아에서 혈역학적으로 의미 있는 동맥관 개존증은 폐쇄가 지연될수록 여러 합병증을 유발하므로 출생 1주 이내에 적극적인 약물적, 수술적 치료가 필요할 것으로 생각된다.