• 말소리와 음성과학
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• 제6권4호
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• pp.181-187
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• 2014

The present study was performed to investigate the characteristics of breath groups while reading paragraph in normal adults and adult patients with voice disorders. 10 normal females(avr. 20.6 yrs.), 10 young voice disorder females(avr. 33.5 yrs., P1 group), and 10 old voice disorder females(avr. 56.3 yrs., P2 group) read a paragraph of 210 syllables. By using the 'Running Speech' program of the Phonatory Aerodynamic System(PAS), total duration, numbers of breath groups, duration per breath group, and numbers of syllables per breath group were measured, and their correlations with aerodynamic measurement results of reading were analyzed. As a result, in total duration, numbers of breath groups, normals scored highest and P2 group speakers, lowest. Normals showed the longest duration per breath group which was not significant. P2 group speakers showed the highest numbers of syllables per breath group. Correlation analysis showed significantly high correlation scores of total duration and expiratory airflow; numbers of breath groups and inspiratory volume.

• Korean Journal of Hydrosciences
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• 제5권
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• pp.33-43
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• 1994

This study is to determine the critical duration of design rainfall and to utilize it for the design of detention pond with pump station. To examine the effect of the duration and temporal distribytion of the design rainfall, Huff's quartile method is used for the 9 cases of durations (ranges from 20 to 240 minutes) with ten years return period, and the ILLUDAS model is used for runoff analysis. The storage ratio, which is the ratio of maximum storage amounts to total runoff volume, is introduced to determine the criticalduration of design rainfall. The duration which maximizes the storage ratio is adopted as the critical duration. This study is applied to 18 urban drainage watercheds with pump station in Seoul, of which the range of watershed area is 0.24~12.70$km^2$. The result of simulation shows that the duration which maximizes storage ratio is 30 and 60 minutes on the whole. It is also shown that the storage ratios of 2nd - and 3rd-quartile pattern are larger than those of 1st- and 4th-quartile pattern of temporal distribution. A simplified empirical formula for Seoul area is suggested by the regression analysis between the maximum storage ratio and the peak ratio. This formula can be utilized for the preliminary design and planning of detention pond with pump station.

• 대한한방부인과학회지
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• 제29권3호
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• pp.35-46
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• 2016

Objectives: The aim of this study was to investigate the effect of herbal medicine on obesity and overweight female patients and to gather the information of a proper treatment goal for anti-obesity program in Korean medicine clinic.Methods: 230 subjects were recruited and those data were analyzed for body-mass index (BMI), treatment duration, weight, body fat, muscle volume and body fat/weight loss ratio. It was compared among age groups and severity of obesity.Results: It was achieved to loss 12-13 kg for 105.8 days thru obesity program of Korean medicine clinic. There were no significant differences for BMI loss, weight loss, body fat loss, muscle volume gain and treatment duration among age groups. It was found that there were significant differences among overweight, obesity and severe obesity group for BMI loss, weight loss, body fat loss and muscle volume gain except treatment duration. It was assumed the weight loss for 1 month was 3.2 kg, 4.2 kg, 4.5 kg for each severity group respectively.Conclusions: It was found herbal medicine treatment would be effective for female obesity and expected the patients could achieve 12-13 kg weight loss for 15 weeks treatment including 8-12 weeks herbal medicine administration and BMI loss per month could be 1.22 kg/m², 1.60 kg/m² and 1.70 kg/m² for severity of obesity respectively. Hereafter, further controlled study with more numbers of patients should be needed to determine the goal of medical treatment for obesity.

• Journal of Chest Surgery
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• 제54권6호
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• pp.466-472
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• 2021

Background: Major intraoperative hemorrhage reportedly predicts unfavorable survival outcomes following surgical resection for esophageal carcinoma (EC). However, the factors predicting the amount of blood lost during thoracoscopic esophagectomy have yet to be sufficiently studied. We sought to identify risk factors for excessive blood loss during video-assisted thoracoscopic surgery (VATS) for EC. Methods: Using simple and multiple linear regression models, we performed retrospective analyses of the associations between clinicopathological/surgical factors and estimated hemorrhagic volume in 168 consecutive patients who underwent VATS-type esophagectomy for EC. Results: The median blood loss amount was 225 mL (interquartile range, 126-380 mL). Abdominal laparotomy (p<0.001), thoracic duct resection (p=0.014), and division of the azygos arch (p<0.001) were significantly related to high volumes of blood loss. Body mass index and operative duration, as continuous variables, were also correlated positively with blood loss volume in simple linear regression. The multiple linear regression analysis identified prolonged operative duration (p<0.001), open laparotomy approach (p=0.003), azygos arch division (p=0.005), and high body mass index (p=0.014) as independent predictors of higher hemorrhage amounts during VATS esophagectomy. Conclusion: As well as body mass index, operation-related factors such as operative duration, open laparotomy, and division of the azygos arch were independently predictive of estimated blood loss during VATS esophagectomy for EC. Laparoscopic abdominal procedures and azygos arch preservation might be minimally invasive options that would potentially reduce intraoperative hemorrhage, although oncological radicality remains an important consideration.

• Clinical and Experimental Pediatrics
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• 제61권11호
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• pp.362-365
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• 2018

Purpose: This study aimed to analyze changes in QRS duration and cardiothoracic ratio (CTR) following pulmonary valve replacement (PVR) in patients with tetralogy of Fallot (TOF). Methods: Children and adolescents who had previously undergone total repair for TOF (n=67; median age, 16 years) who required elective PVR for pulmonary regurgitation and/or right ventricular out tract obstruction were included in this study. The QRS duration and CTR were measured pre- and postoperatively and postoperative changes were evaluated. Results: Following PVR, the CTR significantly decreased (pre-PVR $57.2%{\pm}6.2%$, post-PVR $53.8%{\pm}5.5%$, P=0.002). The postoperative QRS duration showed a tendency to decrease (pre-PVR $162.7{\pm}26.4$ msec, post-PVR $156.4{\pm}24.4$ msec, P=0.124). QRS duration was greater than 180 msec in 6 patients prior to PVR. Of these, 5 patients showed a decrease in QRS duration following PVR; QRS duration was less than 180 msec in 2 patients, and QRS duration remained greater than 180 msec in 3 patients, including 2 patients with diffuse postoperative right ventricular outflow tract hypokinesis. Six patients had coexisting arrhythmias before PVR; 2 patients, atrial tachycardia; 3 patients, premature ventricular contraction; and 1 patient, premature atrial contraction. None of the patients presented with arrhythmia following PVR. Conclusion: The CTR and QRS duration reduced following PVR. However, QRS duration may not decrease below 180 msec after PVR, particularly in patients with right ventricular outflow tract hypokinesis. The CTR and ECG may provide additional clinical information on changes in right ventricular volume and/or pressure in these patients.

• 대한토목학회논문집
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• 제32권3D호
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• pp.205-212
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• 2012

일반국도 교통량조사는 크게 수시조사와 상시조사로 나누어진다. 수시조사는 상시조사와 달리 표본조사로 시행되고 있으며 조사 시기에 따라 AADT에 대한 오차의 크기가 달라진다. 따라서 본 연구에서는 수시조사의 AADT 추정의 정확도를 높이기 위하여 도로 유형별로 AADT와의 오차가 작은 수시조사 시기를 파악하고자 하였다. 그리고 상시조사는 조사 지점에 설치되어 있는 장비의 고장이나 오작동 등으로 인하여 교통량 자료가 정상적으로 수집되지 않아 해당 지점의 교통량 변동을 제대로 파악할 수 없는 경우가 자주 발생한다. 따라서 본 연구에서는 장비 설치년도, 중차량 비율 등이 장비의 고장이나 오작동의 원인이 될 수 있는 지를 장비 유지보수 횟수와의 상관관계 분석을 통하여 파악하고자 하였다.

• Journal of Chest Surgery
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• 제6권1호
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• pp.15-22
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• 1973

The definition of cancer, its diagnosis and its prognosis all depend upon description of growth. To the layman a synonym for cancer is a "growth". There are no quantitative terms for the description of growth or growth rate in clinical use. There has been no attempt to assign values that would define "rapidly" or "slowly" growing. Estimates of growth potentiality are implied in the descriptive phrases "poorly differentiated" or "well differentiated", "highly malignant" or "low grade malignancy". and in systems of grading. These qualifying terms represent a personal impression, clinically useful in prognosis, but relative in nature. They do not lend themselves to uniform application or precise measurement for purpose of comparison. Growth is related to size and time. The volume of tumor depends upon the duration of the period of growth and the rate of growth. If the interval and change in volume are known. the average growth rate can be determined. If the growth rate is determined, and assumed to be constant., the duration of a given tumor and the time of inception can be estimated. The commonest concept of the origin of cancer is that as a result of a mutation involving a single cell, succeeding divisions of cells establish a colony with the characteristics recognizable as cancer. If the growth rate of the hypothetical tumor were constant it could be described in terms of "tumor volume doubling time". In the department of thoracic surgery of St. Mary hospital in Catholic Medical College, a clinical evaluation for the growth rate, degree of malignancy, resectability and prognosis was done on a total 24 cases of primary bronchogenic carcinoma which contour was significant on the chest X-ray film as possible estimating the tumor volume doubling time. The following results were obtained: 1. In the cases of 6.0cm or more in diameter of minor size at operation the resectability rate was lower and in the cases of 60 days or more in the tumor or volume doubling time the resectability rate was higher. 2. If differentiation of cancer cells was lower graded in tissue pathology, the tumor volume was shorter and the resectability rate was lower. 3. The tumor volume doubling time of the primary bronchogenic carcinoma occured more over 60 years of age was slightly shorter than under 60 years of age. 4. The tumor size at operation was more important to evaluate the survival time and prognosis than the tumor volume doubling time because the tumor growth was not always constant, we presume.mor volume doubling time because the tumor growth was not always constant, we presume.

• 한국도로학회논문집
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• 제19권5호
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• pp.153-162
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• 2017

PURPOSES : This study was conducted to analyze the effects arising from extending the duration of nighttime road construction on improving road quality and durability. METHODS : Most previous studies estimating the social cost of various construction conditions did not consider road pavement cooling time as a factor in improving road pavement quality. This study investigated the feasibility of achieving higher road quality and durability by extending the duration of nighttime road construction time extension. For this investigation, the effects of such an extension on traffic conditions were analyzed based on micro-simulation studies and scenario-based cost-benefit analyses, using factors including traffic volume, delay, construction cost, and road pavement cooling time. RESULTS : The results of the traffic simulation studies and cost-benefit analyses indicate that the current road construction method that emphasizes completing nighttime road construction by 6 a.m. reduces pavement life while causing relatively little traffic delay. If the night construction time is instead extended to 2 p.m., road pavement lifetime is increased, reducing road re-construction cost. These savings are greater than the cost of congestion arising from extending the duration of nighttime construction. CONCLUSIONS : The current nighttime construction durations need to be extended in order to efficiently manage roads and reduce road management costs.

• 한국환경과학회지
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• 제11권7호
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• pp.621-626
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• 2002

Depth-area-duration(DAD) relations are important to hydrological plans and designs for the water resources as well as the flood defence. And these relations have been still in analysis and use today because they can be applied to readily available data. In this paper, rational and consistent DAD models were developed using the multiple regression analysis and basic relationships of area ratio-runoff volume about heavy rainfall occurring in the Im-Jin river basin, 1999. In addition, revised DAD models and curves that can convert a maximum point rainfall to mean area rainfall were developed and evaluated. As results, these models seem to have predictive value in order to plan and design hydrological structures of flood defence in the Im-Jin river basin.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2006년도 정기학술발표대회 논문집
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• pp.467-470
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• 2006

모든 건설공사의 기초를 이루는 토공사는 건설기계의 사용으로 오늘날까지 많은 발전을 이루어 왔으나, 공기단축 및 원가절감에 있어 중요한 요소인 토공장비의 적정한 조합시공방안이 체계적으로 정립되어 있지 않고 경험에 의존하여 수행되는 상태로 관련분야에 대한 체계적인 연구가 필요한 실정이다. 합리적인 기계화 토공은 공사에 투입될 장비의 성능 및 특성, 공사의 종류, 규모 및 주위의 여건 등을 사전에 철저히 파악해야 하며, 사용 가능한 몇 가지 규격의 장비를 선정하여 최적조합시공을 계획해야 한다. 이에 본 연구에서는 시스템 다이내믹스 기법을 활용하여 토공작업의 여러 단계 중 기계화 토공장비의 굴착 후 적재 및 운반단계를 대상으로 토공장비의 최적조합시공에 의한 토공량 산정 모형을 구축한다. 이 연구의 결과로 도출되는 토공장비의 최적조합시공모형은 토공계획을 담당하는 관리자가 토공장비의 선정에 있어 최단시간에 합리적인 판단을 하게 해줄 것으로 기대된다.