Escandon, Joseph M.;Santamaria, Eric;Prieto, Peter A.;Duarte-Bateman, Daniela;Ciudad, Pedro;Pencek, Megan;Langstein, Howard N.;Chen, Hung-Chi;Manrique, Oscar J.
Archives of Plastic Surgery
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v.49
no.3
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pp.378-396
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2022
Several reconstructive methods have been reported to restore the continuity of the aerodigestive tract following resection of pharyngeal and hypopharyngeal cancers. However, high complication rates have been reported after voice prosthesis insertion. In this setting, the ileocolon free flap (ICFF) offers a tubularized flap for reconstruction of the hypopharynx while providing a natural phonation tube. Herein, we systematically reviewed the current evidence on the use of the ICFF for reconstruction of the aerodigestive tract. A systematic literature search was conducted across PubMed MEDLINE, Web of Science, ScienceDirect, Scopus, and Ovid MEDLINE(R). Data on the technical considerations and surgical and functional outcomes were extracted. Twenty-one studies were included. The mean age and follow-up were 54.65 years and 24.72 months, respectively. An isoperistaltic or antiperistaltic standard ICFF, patch flap, or chimeric seromuscular-ICFF can be used depending on the patients' needs. The seromuscular chimeric flap is useful to augment the closure of the distal anastomotic site. The maximum phonation time, frequency, and sound pressure level (dB) were higher with ileal segments of 7 to 15 cm. The incidence of postoperative leakage ranged from 0 to 13.3%, and the majority was occurring at the coloesophageal junction. The revision rate of the microanastomosis ranged from 0 to 16.6%. The ICFF provides a reliable and versatile alternative for reconstruction of middle-size defects of the aerodigestive tract. Its three-dimensional configuration and functional anatomy encourage early speech and deglutition without a prosthetic valve and minimal donor-site morbidity.
An, Deok Soon;Mun, Sung Ho;An, Oh Seong;Kim, Do Wan
International Journal of Highway Engineering
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v.17
no.6
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pp.11-18
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2015
PURPOSES : The purpose of this thesis is to evaluate the effectiveness of an active noise cancellation (ANC) system in reducing the traffic noise level against frequencies from the predictive model developed by previous research. The predictive model is based on ISO 9613-2 standards using the Noble close proximity (NCPX) method and the pass-by method. This means that the use of these standards is a powerful tool for analyzing the traffic noise level because of the strengths of these methods. Traffic noise analysis was performed based on digital signal processing (DSP) for detecting traffic noise with the pass-by method at the test site. METHODS : There are several analysis methods, which are generally divided into three different types, available to evaluate traffic noise predictive models. The first method uses the classification standard of 12 vehicle types. The second method is based on a standard of four vehicle types. The third method is founded on 5 types of vehicles, which are different from the types used by the second method. This means that the second method not only consolidates 12 vehicle types into only four types, but also that the results of the noise analysis of the total traffic volume are reflected in a comparison analysis of the three types of methods. The constant percent bandwidth (CPB) analysis was used to identify the properties of different frequencies in the frequency analysis. A-weighting was applied to the DSP and to the transformation process from analog to digital signal. The root mean squared error (RMSE) was applied to compare and evaluate the predictive model results of the three analysis methods. RESULTS : The result derived from the third method, based on the classification standard of 5 vehicle types, shows the smallest values of RMSE and max and min error. However, it does not have the reduction properties of a predictive model. To evaluate the predictive model of an ANC system, a reduction analysis of the total sound pressure level (TSPL), dB(A), was conducted. As a result, the analysis based on the third method has the smallest value of RMSE and max error. The effect of traffic noise reduction was the greatest value of the types of analysis in this research. CONCLUSIONS : From the results of the error analysis, the application method for categorizing vehicle types related to the 12-vehicle classification based on previous research is appropriate to the ANC system. However, the performance of a predictive model on an ANC system is up to a value of traffic noise reduction. By the same token, the most appropriate method that influences the maximum reduction effect is found in the third method of traffic analysis. This method has a value of traffic noise reduction of 31.28 dB(A). In conclusion, research for detecting the friction noise between a tire and the road surface for the 12 vehicle types needs to be conducted to authentically demonstrate an ANC system in the Republic of Korea.
Objective: This entire study has two parts. Study I aimed to develop a psychological assessment scale and the study II aimed to investigate the effects of LFN (low frequency noise) on the psychological responses in humans, using the scale developed in the study I. Background: LFN is known to have a negative impact on the functioning of humans. The negative impact of LFN can be categorized into two major areas of functioning of humans, physiological and psychological areas of functioning. The physiological impact can cause abnormalities in threshold, balancing and/or vestibular system, cardiovascular system and, hormone changes. Psychological functioning includes cognition, communication, mental health, and annoyance. Method: 182 college students participated in the study I in development of a psychological assessment scale and 42 paid volunteers participated in the study II to measure psychological responses. The LFN stimuli consisted of 12 different pure tones and 12 different 1 octave-band white noises and each stimulus had 4 different frequencies and 3 different sounds pressure levels. Results: We developed the psychological assessment scale consisting of 17 items with 3 dimensions of psychological responses (i.e., perceived physical, perceived physiological, and emotional responses). The main findings of LFN on the responses were as follows: 1. Perceived psychological responses showed a linear relation with SPL (sound pressure level), that is the higher the SPL is, the higher the negative psychological responses were. 2. Psychological responses showed quadric relations with SPL in general. 3. More negative responses at 31.5Hz LFN than those of 63 and 125Hz were reported, which is deemed to be caused by perceived vibration by 31.5Hz. 'Perceived vibration' at 31.5Hz than those of other frequencies of LFN is deemed to have amplified the negative psychological response. Consequently there found different effects of low frequency noise with different frequencies and intensity (SPL) on multiple psychological responses. Conclusion: Three dimensions of psychological responses drawn in regard to this study differed from others in the frequencies and SLP of LFN. Negative psychological responses are deemed to be differently affected by the frequency, SPL of the LFN and 'feel vibration' induced by the LFN. Application: The psychological scale from our study can be applied in quantitative psychological measurement of LFN at home or industrial environment. In addition, it can also help design systems to block LFN to provide optimal conditions if used the study outcome, .i.e., the relations between physical and psychological responses of LFN.
When the building becomes high, the number of households increases and they are adjacent to the elevator. So, frequency of use of elevators will increase. Elevator noise is bound to increase in the future. However, there are currently no legal standards for elevator noise or measurement and evaluation methods that can clearly measure elevator noise in Korea. Although some methods for measuring elevator noise are presented in KS F ISO 16032, this standard is not a standard established for elevator noise. It is a standard that integrates the overall measurement method of building equipment and equipment, and the position of the microphone is selected by the experimenter during measurement. Elevator noise is characterized by a low sound pressure level as the noise in the mid-low frequency band is important. However, even today, complaints from residents about elevator noise are increasing. In this study, the position of the microphone that can most sensitively pick up the elevator noise when measuring the elevator noise was studied. According to the distance from the wall and the height from the floor, a total of 9 microphone positions were measured and analyzed. As a result of the experiment, it was confirmed that the elevator noise has a very high influence in the 63 Hz band. The measured value at the center point was identified as a factor that lowered the overall elevator noise level value.
Journal of Korean Society of Environmental Engineers
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v.31
no.8
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pp.635-640
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2009
After 1960s, in accordance with getting bigger in changing range of annual rain precipitation, those dams were built in order to prevent any drought and flood through the regulation of flux. In case of such dam, when it reaches to some definite pondage, for its regulation of water volume, numerous volume of water in the reservoir should be discharged by opening the floodgate, at this time a severe damage can be occurred to those lives and properties of the residents and tourists at the river or riverside. Accordingly, despite the sounding alarm broadcasting for prevention and notice such damage could be clearly travelled to those people without influence by the discharging noise or other neighboring environmental factor, since it was only empirically installed without any peculiar research until now, the alarm broadcasting could not effectively travel, and the travelling distance also could not known correctly. On such point of view, this Study has ever grasped the characteristics by frequencies and its sound pressure level about the discharge noise and the alarm broadcasting of Daechung Dam, one of multipurpose dams through the measurement and analysis by distances, and based on this, also has ever presupposed the proper location of additional alarm broadcasting spot using a simulation program named Cadna-A.
When the hollow cylinder structure moves in underwater with high speed structural can be propagated from the end of the structure to the front side. This noise can reduce the sensitivity of the conformal array which installed in the surface of the cylinder. To reduce this noise propagation it is suggested to install two self-reduction rings at the surrounding of the cylinder which is 500mm in diameter and 840mm in length. The places of the two noise reduction rings are 120mm and 240mm point from the end of the structure. Two noise reduction rings reduced 10.1 % of maximum stress. When outside noise frequency applied to the structure from the 4kZ to 6kHz, 20dB noise reduction was calculated using 6 order polynomial equation. When outside noise frequency also applied to the structure with 200Hz, 500Hz, 900Hz, maximum sound pressure level point moved to the end of the structure. Most conformal sensors are fabricated at the front side of the structure. Based on the simulation results proposed two rings can be reduced noise propagation from the tail of the structure effectively.
This study was carried out to diminish the formation of scale in boilers which is one of the defect elements when they are operating. The defect relating to scale can cause a fatal impact on the explosion of boilers due to the overheating of their tubes, or it can affect the flow of water inside boilers with its bad circulation and result in a disparity of water inside the equipment. Heat transfer in the scale is low comparing to the boiler material, so it can lead to energy losses and has also impact on the global warming. In 2005, the Korean government introduced a system which requires boiler users to install the equipment which can prevent or eliminate the formation of scale to improve the management of water quality in boilers. The study on the techniques for preventing or eliminating the formation of scale started in 1821 and since then subsequently there have been lots of similar studies. The first one was about the scale reduction using potato starch. Since an ultrasonic scale preventer developed by a scientist from a Russian acoustic institute was introduced in1993, a variety of equipment of this kind have been disseminated in Korea. There has been a need to demonstrate the condition for the best performances of such equipment. Boilers are mostly composed of the main body and 288 the tube with a circular curved surface. I carried out a demonstration study on a circular tube which affects the scale defect the most among the boiler components. As a result of it, I found out the fact that the ultrasonic wave needs to reach a certain level of sound pressure and frequency to affect the formation of scale.
Kim, Young-Pil;Ham, Hun-Ju;Hong, Sung-Hee;Ko, Seok-Cheol
Journal of the Korea Academia-Industrial cooperation Society
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v.20
no.10
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pp.415-424
/
2019
In this paper, a minimum rotation radius was designed and fabricated to overcome the threshold so that elderly or disabled people who have difficulty moving can move and transfer safely and conveniently in a narrow room. In the indoor environment, where the sedentary culture develops, this study aimed to provide convenience for passengers with fracture diseases, geriatric diseases, and other knee and waist diseases. First, links, seats, armrests, covers, motors, batteries, chargers, controllers, etc. were attached to the frame so that they could be moved and lifted indoors. The product design and structure were designed considering the user's environment and physical characteristics, and IoT functions were added. A driving experiment was performed to confirm the operating performance of the manufactured indoor moving and lifting wheelchair. The performance tests, such as continuous running time, turning radius, maximum actuator load, maximum lift height, sound pressure level, minimum sensing distance of the driving aid sensor, interworking of server and app programs, device compatibility, and duty cycle error rate, were performed. As a result of the test, the built-in wheelchair could achieve the performance test target of each item and operate successfully.
In this study, machine learning-based clustering and classification of residential noise in apartment buildings was conducted using frequency and temporal characteristics. First, a residential noise source dataset was constructed . The residential noise source dataset was consisted of floor impact, airborne, plumbing and equipment noise, environmental, and construction noise. The clustering of residential noise was performed by K-Means clustering method. For frequency characteristics, Leq and Lmax values were derived for 1/1 and 1/3 octave band for each sound source. For temporal characteristics, Leq values were derived at every 6 ms through sound pressure level analysis for 5 s. The number of k in K-Means clustering method was determined through the silhouette coefficient and elbow method. The clustering of residential noise source by frequency characteristic resulted in three clusters for both Leq and Lmax analysis. Temporal characteristic clustered residential noise source into 9 clusters for Leq and 11 clusters for Lmax. Clustering by frequency characteristic clustered according to the proportion of low frequency band. Then, to utilize the clustering results, the residential noise source was classified using three kinds of machine learning. The results of the residential noise classification showed the highest accuracy and f1-score for data labeled with Leq values in 1/3 octave bands, and the highest accuracy and f1-score for classifying residential noise sources with an Artificial Neural Network (ANN) model using both frequency and temporal features, with 93 % accuracy and 92 % f1-score.
For the flexible and rational distribution of limited existing health resources based on measurements of individual risk, the socalled Risk Approach is being proposed by the World Health Organization as a managerial tool in maternal and child health care program. This approach, in principle, puts us under the necessity of developing a technique by which we will be able to measure the degree of risk or to discriminate the future outcomes of pregnancy on the basis of prior information obtainable at prenatal care delivery settings. Numerous recent studies have focussed on the identification of relevant risk factors as the Prior infer mation and on defining the adverse outcomes of pregnancy to be dicriminated, and also have tried on how to develope scoring system of risk factors for the quantitative assessment of the factors as the determinant of pregnancy outcomes. Once the scoring system is established the technique of classifying the patients into with normal and with adverse outcomes will be easily de veloped. The scoring system should be developed to meet the following four basic requirements. 1) Easy to construct 2) Easy to use 3) To be theoretically sound 4) To be valid In searching for a feasible methodology which will meet these requirements, the author has attempted to apply the“Likelihood Method”, one of the well known principles in statistical analysis, to develop such scoring system according to the process as follows. Step 1. Classify the patients into four groups: Group $A_1$: With adverse outcomes on fetal (neonatal) side only. Group $A_2$: With adverse outcomes on maternal side only. Group $A_3$: With adverse outcome on both maternal and fetal (neonatal) sides. Group B: With normal outcomes. Step 2. Construct the marginal tabulation on the distribution of risk factors for each group. Step 3. For the calculation of risk score, take logarithmic transformation of relative proport-ions of the distribution and round them off to integers. Step 4. Test the validity of the score chart. h total of 2, 282 maternity records registered during the period of January 1, 1982-December 31, 1982 at Ewha Womans University Hospital were used for this study and the“Questionnaire for Maternity Record for Prenatal and Intrapartum High Risk Screening”developed by the Korean Institute for Population and Health was used to rearrange the information on the records into an easy analytic form. The findings of the study are summarized as follows. 1) The risk score chart constructed on the basis of“Likelihood Method”ispresented in Table 4 in the main text. 2) From the analysis of the risk score chart it was observed that a total of 24 risk factors could be identified as having significant predicting power for the discrimination of pregnancy outcomes into four groups as defined above. They are: (1) age (2) marital status (3) age at first pregnancy (4) medical insurance (5) number of pregnancies (6) history of Cesarean sections (7). number of living child (8) history of premature infants (9) history of over weighted new born (10) history of congenital anomalies (11) history of multiple pregnancies (12) history of abnormal presentation (13) history of obstetric abnormalities (14) past illness (15) hemoglobin level (16) blood pressure (17) heart status (18) general appearance (19) edema status (20) result of abdominal examination (21) cervix status (22) pelvis status (23) chief complaints (24) Reasons for examination 3) The validity of the score chart turned out to be as follows: a) Sensitivity: Group $A_1$: 0.75 Group $A_2$: 0.78 Group $A_3$: 0.92 All combined : 0.85 b) Specificity : 0.68 4) The diagnosabilities of the“score chart”for a set of hypothetical prevalence of adverse outcomes were calculated as follows (the sensitivity“for all combined”was used). Hypothetidal Prevalence : 5% 10% 20% 30% 40% 50% 60% Diagnosability : 12% 23% 40% 53% 64% 75% 80%.
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