• 한국음향학회지
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• 제20권3호
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• pp.48-55
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• 2001

가산적이고 비정상적인 잡음을 줄이는 새로운 방법이 제안되었다. 본 방법은 잡음에 대한 정보나 묵음구간에서의 잡음추정을 필요로 하지 않는다. 잡음처리는 각 시간 프레임에서 주파수대역을 기본으로 하여 수행된다. 어떤 프레임에서 특정한 주파수대역이 음성이 우세한지 혹은 잡음이 우세한지에 대한 결정과 인간청각기의 매스킹 성질을 기반으로 하여, 적절한 양의 잡음을 주파수 차감법을 이용하여 제거한다. 제안된 방법은 다양한 환경에서 (자동차 잡음, Fl6 잡음, 백색 잡음, 핑크 잡음, 탱크 잡음, 혼선잡음) 성능평가가 이루어졌다. 그리고 일반적인 주파수차감법과 비교하여 세그멘탈 신호대 잡음비 (SNR)를 구하고, 시각적 측정 척도인 스펙트로그램과 듣기평가를 통해, 음성왜곡은 줄이면서 효과적으로 잡음을 줄일 수 있음을 알 수 있다.

• 한국공간구조학회논문집
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• 제10권4호
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• pp.49-57
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• 2010

본 연구는 기존 철근콘크리트 구조물에 대하여 대표적인 변위-기반 설계법인 Chopra&Goel 이 제안한 직접변위-기반 설계법의 기본개념을 적용하여 최대 설계지반 가속도에 대한 보강 Steel Jacket의 두께를 결장하고, 결정된 보강 두께를 적용하여 보강전 후 성능설계기법에 의한 비선형 해석 및 보강설계법에 의한 보다 개선된 알고리즘 및 프로그램을 제시하였다. Steel Jacket 보강된 철근콘크리트 기둥에 대한 설계 변위 추정을 위해 Steel Jacket 보강된 철근콘크리트 부재의 비선형 층상화 세그멘트 해석 모델을 제시하고, 성능기반설계에 의한 성능개선설계를 위하여 목표성능변위 및 설계자전가속도 조건에 대해 직접 변위-기반 설계 방법 및 변위계 수법에 의한 내진성능개선 설계 방법을 제시하였다. 적용 예에서 본 방법은 기존 철근콘크리트 기둥과 비교하여 성능개선설계 결과 보강 전에 비해 변위 연성비 및 변위성능에서 크게 개선된 성능설계 결과를 제공해 주었다.

• 대한토목학회논문집
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• 제33권2호
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• pp.397-407
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• 2013

교량 건설에 있어서 사용 재료의 개발과 새로운 형식을 개발하는 기술이 발달하였다. 그러나 대부분의 기술 개발은 현장 타설 및 재료비 절감을 위한 공법에 치중하고 있다. 이러한 현장 타설의 경우 주변 환경 피해와 주변 민원을 야기할 뿐만 아니라 날씨에 큰 영향을 받는 단점을 가지고 있다. 이러한 단점을 극복하기 위해서 공기 단축을 위한 공법 개발이 증대되고 있는 실정이다. 이 방법이 조립식 공법이다. 대부분의 조립식 건설공법은 상부구조에 위주이며, 이에 반해서 하부구조는 매우 미미하다. 선행 연구자들은 내부 구속 중공 CFT 기둥을 이용하여 조립식 기둥을 제시하였으며, 상세 요소로 기둥 세그먼트 접합부, 기초접합부, 기둥-코핑 접합부, 조립식 코핑부가 개발되어졌다. 본 연구에서는 기존에 개발된 방법을 적용하여 조립식 ICH CFT 모델의 실험체를 제작하여 내진성능을 분석하였다. 실험체는 기둥 접합방법에 따라서 몰탈주입법과 보강재 보강법으로 2개가 제작되었으며, 실험 모델이 지진 하중을 받을 경우의 파괴 및 거동 특성을 다양한 방법으로 분석하였다.

• 한국건설순환자원학회논문집
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• 제5권3호
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• pp.290-297
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• 2017

압축강도 160MPa와 길이 15.4m를 가진 분절형 U거더와 합성 U거더의 휨거동 실험을 수행하였다. 실험 변수로는 강섬유 혼입률과 U거더 상부의 슬래브이다. U거더의 복부와 하부플랜지에 종방향 철근을 배근하였다. 상부플랜지에 2개의 15.2mm 강연선을 포함한 2개의 프리스트레싱 텐던 그리고 하부플랜지에 7개의 15.2mm 강연선을 포함한 2개의 프리스트레싱 텐던이 배치되고 U거더 접합 시 한차례 긴장 작업을 하였다. 초고강도 콘크리트 강도로 인해 U거더에 도입한 충분히 강한 프리스트레싱 긴장력은 U거더 시공단계에서 자중과 고정하중을 부담할 수 있다. U거더의 취성적 거동에 비해 합성 U거더는 안정적이고 연성적인 하중처짐 관계를 보여주고 있다. U거더 상부에 슬래브를 시공한 후, U거더 접합 시 도입했던 프리스트레싱 긴장력에 의한 합성 U거더의 휨하중 내하력은 마지막 하중 단계에서 설계하중을 부담할 수 있다. 초고강도 콘크리트로 인한 간단한 프리스트레싱 방법은 시공단계와 공사비 면에서 장점을 가지고 있다. 간격이 작은 전단키는 초고강도 콘크리트 U거더와 고강도 콘크리트슬래브간의 완전한 합성관계를 가져와 파괴하중 직전까지 슬립현상이나, 벌어짐 현상을 보이지 않았다.

• Archives of Reconstructive Microsurgery
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• 제19권1호
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• pp.12-20
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• 2010

Purpose: Industrial punch accidents involving fingers cause segmental injuries to tendons and neurovascular bundles. Although multiple-level segmental amputations are not replanted to regain function, most patients with an amputated finger want to undergo replantation for cosmetic as much as functional reason. The authors describe four cases of digital amputation by an industrial punch that involved the reinstatement of the amputated finger involving a joint and neurovascular bundle. Amputated segments were replanted to restore amputated surfaces and distal segments. Methods: A single institution retrospective review was performed. Inclusion criteria of punch injuries requiring replantation were applied to patients of all demographic background. Injury extent (size, tissue involvement), operative intervention, pre- and postoperative hand function were recorded. Result: Four cases of amputations were treated at our institute from 2004 to 2008 from industrial punch machine injury. Average patient age was 32.5 years (25~39 years) and there were three males and one female. Sizes of amputated segments ranged from $1.0{\times}1.0{\times}1.2\;cm^3$ to $3{\times}1.5{\times}1.6\;cm^3$. Tenorrhaphy was conducted after fixing fractured bone of the amputated segments with K-wire. Proximal and distal arteries and veins were repaired using the through & through method. The average follow-up period was thirteen months (2~26 months), and all replanted cases survived. Osteomyelitis occurred in one case, skin grafting after debridement was performed in two cases. Because joints were damaged in all four cases, active ranges of motion were much limited. However, a secondary tendon graft enhanced digit function in two cases. The two-point discrimination test showed normal values for both static and dynamic tests for three cases and 9 mm and 15 mm by dynamic and static testing, respectively, in one case. Conclusion: Though amputations from industrial punch machines are technically challenging to replant, our experience has shown it to be a valid therapy. In cases involving punch machine injury, if an amputated segment is available, the authors recommend that replantation be considered for preservation of finger length, joint mobility, and overall functional recovery of the hand.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제37권4호
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• pp.272-277
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• 2011

Purpose: The aim of this study was to compare the estimated blood loss and determine the change in hemoglobin depending on the combination of each orthognathic surgery. Subjects and Methods: The subjects of this study were patients who underwent orthognathic surgery among those diagnosed with a dentofaical deformity in Mok-Dong hospital, Ewha Womans University from 2002 to 2009. One hundred patients (men - 36, women - 64, mean age of $24.5{\pm}4.6$) participated in the study and were divided into four groups (group 1 - bilateral sagittal ramus osteotomy [BSSRO], group 2 - BSSRO+Genioplasty, group 3 - Lefort 1+BSSRO+genioplasty, group 4 - anterior segmental osteotomy on maxilla and mandible). A comparative study on the estimated blood loss (EBL), operation time, peri-operative changes in hemoglobin was performed using anesthesia records. The results were analyzed statistically using a Mann-Whitney U-test and Spearman's Rho test - SPSS 12.0 (SPSS Inc. Chicago, IL, USA). Results: In group 1 (BSSRO), the mean EBL, operation time and change in hemoglobin was $394.43{\pm}52.69$ ml, $184{\pm}42.33$ minutes, and 1.43, respectively, In group 2 (BSSRO+genioplasty), it was $556.32{\pm}63.42$ ml, $231{\pm}37.45$ minutes, and 1.80, respectively. In group 3 (Lefort 1+BSSRO+Genioplasty), it was $820.55{\pm}105.54$ ml, $320{\pm}15.41$ minutes, and 2.73, respectively. In group 4 (segmental osteotomy), it was $1025.39{\pm}160.21$ ml, $355{\pm}20.10$ minutes, and 3.33, respectively. In particular, in group 3, significant differences were observed depending on the method of the orthognathic surgery. The mean EBL in a Lefort 1 osteotomy with advancement was only 687 ml, whereas Lefort 1 osteotomy with canting correction (992 ml), even impaction (764 ml), and posterior nasal spine impaction (100 ml) showed a much higher EBL. Conclusion: From these results, the EBL and peri-operation hemoglobin increased as treatment plans became more complicated and increasing operation time. Safe orthognathic surgery should be performed by applying proper autologous transfusion plans based on the average EBL of each orthognathic surgery type.

• Journal of Korean Neurosurgical Society
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• 제60권5호
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• pp.577-583
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• 2017

Objective : Laminoplasty is an effective surgical method for treating cervical degenerative disease. However, postoperative complications such as kyphosis, restriction of neck motion, and instability are often reported. Despite sufficient preoperative lordosis, this procedure often aggravates the lordotic curve of the cervical spine and straightens cervical alignment. Hence, it is important to examine preoperative risk factors associated with postoperative kyphotic alignment changes. Our study aimed to investigate preoperative radiologic parameters associated with kyphotic deformity post laminoplasty. Methods : We retrospectively reviewed the medical records of 49 patients who underwent open door laminoplasty for cervical spondylotic myelopathy (CSM) or ossification of the posterior longitudinal ligament (OPLL) at Pusan National University Yangsan Hospital between January 2011 and December 2015. Inclusion criteria were as follows : 1) preoperative diagnosis of OPLL or CSM, 2) no previous history of cervical spinal surgery, cervical trauma, tumor, or infection, 3) minimum of one-year follow-up post laminoplasty with proper radiologic examinations performed in outpatient clinics, and 4) cases showing C7 and T1 vertebral body in the preoperative cervical sagittal plane. The radiologic parameters examined included C2-C7 Cobb angles, T1 slope, C2-C7 sagittal vertical axis (SVA), range of motion (ROM) from C2-C7, segmental instability, and T2 signal change observed on magnetic resonance imaging (MRI). Clinical factors examined included preoperative modified Japanese Orthopedic Association scores, disease classification, duration of symptoms, and the range of operation levels. Results : Mean preoperative sagittal alignment was $13.01^{\circ}$ lordotic; $6.94^{\circ}$ lordotic postoperatively. Percentage of postoperative kyphosis was 80%. Patients were subdivided into two groups according to postoperative Cobb angle change; a control group (n=22) and kyphotic group (n=27). The kyphotic group consisted of patients with more than $5^{\circ}$ kyphotic angle change postoperatively. There were no differences in age, sex, C2-C7 Cobb angle, T1 slope, C2-C7 SVA, ROM from C2-C7, segmental instability, or T2 signal change. Multiple regression analysis revealed T1 slope had a strong relationship with postoperative cervical kyphosis. Likewise, correlation analysis revealed there was a statistical significance between T1 slope and postoperative Cobb angle change (p=0.035), and that there was a statistically significant relationship between T1 slope and C2-C7 SVA (p=0.001). Patients with higher preoperative T1 slope demonstrated loss of lordotic curvature postoperatively. Conclusion : Laminoplasty has a high probability of aggravating sagittal balance of the cervical spine. T1 slope is a good predictor of postoperative kyphotic changes of the cervical spine. Similarly, T1 slope is strongly correlated with C2-C7 SVA.

• Journal of Korean Neurosurgical Society
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• 제64권6호
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• pp.891-900
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• 2021

Objective : Vertebral artery dissecting aneurysm (VADA) is a very rare subtype of intracranial aneurysms; when ruptured, it is associated with significantly high rates of morbidity and mortality. Despite several discussions and debates, the optimal treatment for VADA has not yet been established. In the last 10 years, flow diverter devices (FDD) have emerged as a challenging and new treatment method, and various clinical and radiological results have been reported about their safety and effectiveness. The aim of our study was to evaluate the clinical and radiological results with the use of FDD in the treatment of unruptured VADA. Methods : We retrospectively evaluated the data of all patients with unruptured VADA treated with FDD between January 2018 and February 2021 at our hybrid operating room. Nine patients with unruptured VADA, deemed hemodynamically unstable, were treated with FDD. Among other parameters, the technical feasibility of the procedure, procedure-related complications, angiographic results, and clinical outcomes were evaluated. Results : Successful FDD deployment was achieved in all cases, and the immediate follow-up angiography showed intra-aneurysmal contrast stasis with parent artery preservation. A temporary episode of facial numbness and palsy was noted in one patient; however, the symptoms had completely disappeared when followed up at the outpatient clinic 2 weeks after the procedure. The 3-6 months follow-up angiography (n=9) demonstrated complete/near-complete obliteration of the aneurysm in seven patients, and partial obliteration and segmental occlusion in one patient each. In the patient who achieved only partial obliteration, there was a sac 13 mm in size, and there was no change in the 1-year follow-up angiography. In the patient with segmental occlusion, the cause could not be determined. The clinical outcome was modified Rankin Scale 0 in all patients. Conclusion : Our preliminary study using FDD to treat hemodynamically unstable unruptured VADA showed that FDD is safe and effective. Our study has limitations in that the number of cases is small, and it is not a prospective study. However, we believe that the study contributes to evidence regarding the safety and effectiveness of FDD in the treatment of unruptured VADA.

• 한국방사선학회논문지
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• 제16권6호
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• pp.787-797
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• 2022

본 연구는 온열·마사지 자극이 가능한 기계식 침대 적용을 통해 척추를 수직으로 자극하여, 파킨슨병의 통증 감소 및 증상 완화를 확인하고자 하였다. 이를 위해 파킨슨병 환자를 대상으로 의료용 조합자극 침대를 사용함에 따른 척추의 분절운동을 확인한 후 시각아날로그척도, 요통 기능 장애, 보행 능력, 나선형 그리기 검사를 실시하고 해당 변수 간의 관계를 파악하였다. 10일간의 시각아날로그척도, 요통 기능 장애 평가에서 침대 사용 후 평균이 감소하는 경향을 확인하였다. 보행 능력은 이동 시간의 감소와 이동 거리의 증가를 관찰하였다. 나선형 그리기 검사에서 침대 사용 후 검사 시간의 평균이 전보다 유의하게 낮았다. 그 결과, 기계식 온열 및 마사지로 척추 분절운동이 발생함에 따른 파킨슨병 환자의 회복 및 통증 완화를 위한 보조적인 방법으로 사용할 수 있는 가능성을 제시하였다. 그러나 본 연구는 예비적 연구로 피험자수가 적어 향후 피험자수와 상태를 세부적으로 고려한 추가적 연구가 필요하다.

• Journal of Acupuncture Research
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• 제21권2호
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• pp.301-314
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• 2004

Objectives : We studied to discover the patterns of DITI of the patients having a both neck and upper extremity pain on one side without any nerve root compression sign and the history of cervical disc herniation. Method : We selected 26 patients as an experimental group, who had visited for a both neck and upper extremity pain on one side without any nerve root compression sign, at the department of acupunture and moxibustion in Conmaul oriental medical hospital, during 2001. 01. - 2003. 09. And 31 normal adults were selected as a control group, not having any neck or arm pain and any history of cervical disease. We analyzed the segmental temperature statistically with t-test. Results & Conclusion : There was a significant change of temperatures in the scapula, posterior brachium, lateral forearm and dorsal hand area. And the experimental group showed cold spot and disruption of normal thermographic shape that were usually shown on the cervical sprain.