• 대한후두음성언어의학회지
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• 제15권2호
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• pp.145-152
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• 2004

Background and Objectives : The current study aimed to 1) compare of Lingual function and alveolar sounds between 4-year-old Korean children with and without ankyloglossia, 2) investigate the correlation between ① maximum lingual length-protrusion(MLL-P) and percentage of consonants corrects(PCC) focused on alveolar sounds, ② lingual movement and PCC focused on alveolar sounds, ③ MLL-P and lingual movement. Materials and Method : Twenty-two 4-year-old children participated as subjects in the study: a control group of 11 normal children and an experimental group of 11 children who were previously diagnosed as having ankyloglossia. They were measured for lingual function (lingual length, lingual movement) and the performances of speech articulation. Results : Children with ankyloglossia displayed significantly shorter MLL-P than 4 year normal children. Experimental group displayed significantly worse lingual movement, lower PCC in Picture consonants test, and lower PCC of alveolar sounds than control group. Ther was significantly high correlation between MLL-P and lingual movement of experimental group. Conclusion : This paper describes clinical measure and functional aspects of the tongue. Such baseline analysis provides a more definitive appraisal of lingual function as well as a more objective basis for diagnosis and treatment of ankyloglossia.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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• pp.1511-1516
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• 2011

The maintenance of the turnout is composed of signal field and track field on business, the electrical and mechanical field on system. adjustment and maintenance carry forward through coordination with these fields. In the case of turnout equipment used in a first phase of Seoul-Busan high-speed train, it is treated by classifying as mechanical adjustments and electrical adjustments. Mechanical adjustment is conducted with focus on fine adjustment to meet maintenance standards limits(1mm or less) about interval of basic rail and tongue rail about each part of track transition equipment. This refers to mechanical adjustments performed mainly with physical changes and movement characteristics between basic rail and tongue rail by considering the overall environment surrounding track side of section installed track transition equipment. However, these series of maintenance are conducted in state that high-speed train is not in the process from 1 am to 4 am at night, but common workers for maintenance are not familiar with the operation and checking about various situation, and the workers are even insufficient. Maintenance training using mixed reality is conducted in the place of business, we tried to overcome several problems of safety and time reduction through this training.

• 음성과학
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• 제15권3호
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• pp.145-156
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• 2008

The goal of this study was to investigate acoustic and physiologic characteristics of two phonation types of 'Khoomei' which is a traditional singing style of people who live around the Altai mountains or Mongolia region. It can be produced two pitches simultaneously - high melody pitch can be perceived along with a low drone pitch. Sygyt and kargyraa styles are the most popular and identifiable styles and they can be recognized as the different sounds depending on the method of voice production. Two trained Mongolians participated and have used at least 5 - 6 years. The characteristics of this voice production were measured by using flexible fiberscope, Stroboscopy, Lx Speech studio, Spead, and Doctor Speech. In Sygyt style, very high vocal fold closure (71.50%) with both true and false vocal folds contact and strong breathing support was observed. They also showed that tongue height and harmonics were increased (around 10dB) with resonance cavity movement. In contrast, it was found that Kargyraa sound had very low pitch with relaxed stomach, less laryngeal tension and lower vocal fold contact (69.50%) than hard Sygyt style sound without raising the tongue during phonation. 'Khoomei' phonation can be made by strong contact of both true and false vocal folds and by increasing the harmonics as well.

• Journal of Korean Neurosurgical Society
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• 제54권5호
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• pp.423-425
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• 2013

We present a case report to remind surgeons of this unusual complication that can occur in any surgery, even posterior cervical spine surgery under general anesthesia and discuss its causes, treatment methods, and the follow-up results in the literature. The peripheral Tapia's syndrome is a rare complication of anesthetic airway management. Main symptoms are hoarseness of voice and difficulty of tongue movement. Tapia's syndrome after endotracheal general anesthesia is believed to be due to pressure neuropathy of the vagus nerve and the hypoglossal nerve caused by the endotracheal tube. To our knowledge, no report has been published or given an explanation for Tapia's syndrome after posterior cervical spine surgery. Two patients who underwent posterior cervical surgery complained hoarseness and tongue palsy postoperatively. There is no direct anatomical relation between the operation, the vagus nerves and the hypoglossal nerves, and there is no record of displacement or malposition of the endotracheal tube. After several months, all symptoms are resolved. To avoid this problem in posterior cervical spine surgery, we suggest paying special attention to the position of the endotracheal tube to avoid excessive neck flexion before and during the positioning of the patient.

• 말소리와 음성과학
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• 제2권2호
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• pp.93-100
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• 2010

The purpose of this study was to investigate the differences of feeding ability and articulatory function in the children with spastic cerebral palsy and typically developing children according to feeding subtypes. The feeding subtypes were limited by chewing, cup drinking and spoon feeding. 14 children with spastic cerebral palsy and 14 typically developing children were participated in this study. The results were following as; First, there were significant differences in overall articulatory function between two groups Second, all scores of articulators' function according to feeding subtypes in children with cerebral palsy was significantly higher than typically developing children Third, chewing mode in feeding subtypes was highly correlated with lip and tongue movement. compared to another Finally, the correlation between spoon feeding and mobility of lip and tongue was high in both groups. These results suggested that These results suggest that the effort to find out the differences feeding ability and appliances for articulatory function in CP children are meaningful in catching their speech ability indirectly. Moreover, the more organized feeding skills should be discussed in the relationship with verbal and nonverbal development.

• 대한치과교정학회지
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• 제52권6호
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• pp.451-460
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• 2022

Moebius syndrome (MBS) is a congenital neurologic disorder that causes cranio-facial abnormalities. It involves paralysis of the VI and VII cranial nerves and causes bilateral or unilateral facial paralysis, eye movement disorder, and deformation of the upper and lower limbs. The orofacial dysfunctions include microstomia, micrognathia, hypotonic mimetic and lip muscles, dental enamel hypoplasia, tongue deformity, open bite or deep overbite, maxillary hypoplasia, high arched palate, mandibular hyperplasia or features indicating mandibular hypoplasia. This case report presents a 7-year-old male patient who was diagnosed with MBS at the age 2 years. The patient displayed typical clinical symptoms and was diagnosed with Class II malocclusion with a large overjet/overbite, tongue deformity and motion limitation, and lip closure incompetency. Treatment was initiated using a removable appliance for left scissor bite correction. After permanent tooth eruption, fixed appliance treatment was performed for correction of the arch width discrepancy and deep overbite. A self-ligation system and wide-width arch form wire were used during the treatment to expand the arch width. After 30 months of phase II treatment, the alignment of the dental arch and stable molar occlusion was achieved. Function and occlusion remained stable with a Class I canine and molar relationship, and a normal overjet/overbite was maintained after 9.4 years of retainer use. In MBS patients, it is important to achieve an accurate early diagnosis, and implement a multidisciplinary treatment approach and long-term retention and follow-up.

• International Journal of Naval Architecture and Ocean Engineering
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• 제10권1호
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• pp.1-8
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• 2018

As the key equipment in deep ocean mining, the slurry pump suffers from wear and blocking problems. In this paper, high-speed photography technique is applied to track the movement rule of single particle of the coarse particle solid-liquid two-phase flow in a double blade slurry pump. The influences of particle diameter and particle density on the pass-through and collision characteristics of particles are analyzed as well. The results show that the average of the passing pump time first decreases and then increases when the particle diameter increases. The average of the passing pump time decreases by 22.7%, when the particle density increases from $1.09g/cm^3$ to $1.75g/cm^3$. Besides, the particle density has great influence on the location where the particle hits the tongue. Most particles of $1.09g/cm^3$ hit the tongue on the left side, while collision location of particles of $1.75g/cm^3$ is mainly on the top and at the right side of the tongue. The research can provide a basis for the optimization design of slurry pump in deep ocean mining system.

• 대한간호학회지
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• 제48권1호
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• pp.26-37
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• 2018

Purpose: The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release. Methods: The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth. Results: The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p<.001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p<.001), discomfort score (F=9.38, p<.001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group. Conclusion: The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.

• Journal of Oral Medicine and Pain
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• 제37권2호
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• pp.107-112
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• 2012

하악 및 구강주위근육의 조절되지 않는 움직임으로 정의 되는 구강안면운동장애(orofacial movement disorder, OMD)는 노인층에서 많이 발생하며 그 원인이 아직 정확히 밝혀지지 않고 치료방법 또한 다양하다. 임상적 특징을 분석하고 치료방법을 연구한 자료는 많이 있으나 타액분비와 OMD의 상관관계에 대한 구체적인 연구는 아직 없다. 본 연구에서는 부산대학교치과병원 구강내과에 내원한 OMD 환자 중 구강건조감을 호소한 4명의 환자를 증례로 하여 필로카핀(pilocarpine)을 경구로 투여한 후 OMD 증상의 변화를 관찰하였다. 연구결과 타액분비량의 저하를 보여 구강건조증으로 진단된 증례와 정상타액분비량을 보이는 증례 모두에서 필로카핀의 경구투여 후 OMD증상의 개선을 보였다. 따라서 향후 OMD와 구강건조증의 상관관계에 대한 추가적인 연구가 필요할 것으로 사료된다.

• 대한치과교정학회지
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• 제30권2호
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• pp.261-272
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• 2000

심한 골격성 전후방 및 수직적 악골 부조화를 동반하는 경우는 교정치료 만으로는 만족할 만한 결과를 얻기 어렵고 많은 전후방적인 이동과 치료의 안정성을 얻기 위하여 교정치료와 동반한 악교정수술이 필요하다. 하악전돌증 환자에서의 치료의 목적은 저작, 발음 등 악구강계의 기능을 개선하고 안모의 심미성을 증진시키는 한편 안정성을 유지하는 데에 있다. 악교정수술에 의한 하악골의 이동으로 위치의 변화를 보이는 조직으로는 설골, 인두, 혀 등이 있다. 악교정수술을 동반한 교정치료를 받은 골격성 하악전돌증 환자에서 주위 조직들에서 변화 양상을 관찰하고 악교정수술 전후와 보정기간 후의 회귀나 재발에 의한 설골, 인두, 혀 및 상하순의 변화를 살펴보기 위하여 본 연구를 시행하였다. 본 연구에서는 하악전돌증을 주소로 내원하여 하악상행지 시상골절단술을 동반한 교정치료를 받은 환자 22명의 측모두부방사선 규격사진을 수술 전 (T1),수술 후 (T2), 교정장치의 제거 2년 보정 후 (T3) 3회에 걸쳐 계측 및 비교한 후 다음과 같은 결과를 얻었다. 1. 수술 후 설골이 상악골 및 교합평면에 대해 시계방향으로 회전하였으며 보정기간 후 회귀함을 보여주었다. 2. 하악골의 수술에 의한 후방이동 후 설골이 후하방으로 이동하였으며 보정기간 후 상전방으로 회귀함을 보여주었다. 3. 인두의 깊이 변화는 상부에서 수술직후 약간 감소하는 경향을 보여 주었으나 보정 전후에 전반적으로 유의한 차이가 없는 것으로 나타났다. 4. 혀의 기저부와 관련해서는 혀 기저부 각 (Cv4ia-hy-pt)이 감소하고, 혀의 기저부 배면이 후하방으로 변화하는 양상을 보여주었으며 보정기간 후에 상방으로 변화하였다. 5. 상하순의 두께는 상순에서는 수술 후 감소하였다가 다시 증가하는 양상을, 하순이하의 연조직에서 두께가 증가하였다가 감소하는 형태로 나타났다. 이는 하순에서는 수술 후 잉여 연조직에 의한 두께의 증가가 나타나고 상순에서는 구륜근에 의한 장력에 의해 상순의 두께가 감소하였다가 보정 기간 후 새로운 악골 위치로 적응하는 것으로 생각된다.