• Journal of Chest Surgery
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• v.51 no.1
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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.

• Cross-Cultural Studies
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• v.24
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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.

• Journal of the Earthquake Engineering Society of Korea
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• v.14 no.1
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• pp.25-34
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• 2010

A method is presented for evaluating the seismic failure probability of bridge structures which show a nonlinear hysteretic dynamic behavior. Bridge structures are modeled as a bilinear dynamic system with a single degree of freedom. We regarded that the failure of bridges will occur when the displacement response of a deck level firstly crosses the predefined limit state during a duration of strong motion. For the estimation of the first-crossing probability of a nonlinear structural system excited by earthquake motion, we computed the average frequency of crossings of the limit state. We presented the non-Gaussian closure method for the approximation of the joint probability density function of response and its derivative, which is required for the estimation of the average frequency of crossings. The failure probabilities are estimated according to the various artificial earthquake acceleration sets representing specific seismic characteristics. For the verification of the accuracy and efficiency of presented method, we compared the estimated failure probabilities with the results evaluated from previous methods and the exact values estimated with the crude Monte-Carlo simulation method.

• The Journal of Engineering Geology
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• v.28 no.3
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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.

• Phonetics and Speech Sciences
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• v.13 no.2
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• pp.45-55
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• 2021

This study aims to analyze the acoustic characteristics of Korean affricates produced by dysarthric speakers with cerebral palsy. Korean fricatives and affricates are the consonants that are prone to errors in dysarthric speech, but previous studies have focused only on fricatives. For this study, three affricates /tɕ, tɕ^h, ͈tɕ/ appearing at word initial and intervocalic positions produced by six mild-moderate male speakers of spastic dysarthria are selected from a QOLT database constructed in 2014. The parameters representing the acoustic characteristics of Korean affricates were extracted by using Praat: frication duration, closure duration, center of gravity, variance, skewness, kurtosis, and central moment. The results are as follows: 1) frication duration of the intervocalic affricates produced by dysarthric speakers was significantly longer than that of the non-disordered speakers; 2) the closure duration of dysarthric speakers was significantly longer; 3) in the case of the center of gravity, there was no significant difference between the two groups; 4) the skewness of the dysarthric speakers was significantly larger; and 5) the central moment of dysarthric speakers was significantly larger. This study investigated the characteristics of the affricates produced by dysarthric speakers and differences with non-disordered speakers.

• Phonetics and Speech Sciences
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• v.15 no.1
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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.

• Speech Sciences
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• v.9 no.4
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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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• v.29 no.8
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• pp.905-909
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• 1996

From 1991 to 1994, We performed 75 cases of pulmonary resection. These were divided into two groups according to the method of bronchial stump closure : 51 cases automatic staplers were a plied in 49 patients (Group 1), 24 patients were closed with manual interrupted suture (Group II). Disease entities of the patients were malignant tumor in 33 patients(Group I: Group II, 22· II, bronchiectasis in 23(18:5), benign tumor in 5(3:2), aspergilloma in 5(2:3), tuberculosis(2:1) in 3, bronchogenic cyst in 2 (0 : 2) and so on. Surgical Procedure% for these Patients were 21 Pneumonectomies(18:3), 13 bilobectomies(11:2), 26 lobectomles (14:12), 11 segmentectomies (6:5) and 4 lobectomy with segmentectomies (4:0). In conclusion, the Amount of tube drainage was smaller and the removal of chest tube after surgery was shorter than manual bronchial closure group by means of statistical significance (p=0.047, p=0.005). Although there were no statistical significance, the duration of air leakage was reduced and incidence of bronchopleural rstula was reduced in the stapler used group compared with manual bronchial closure.

• Journal of Korean Foot and Ankle Society
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• v.12 no.2
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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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• v.51 no.10
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• pp.1065-1070
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• 2008

Purpose : This study aims to determine whether early closure (within 7 d) of significant patent ductus arteriosus (PDA) with indomethacin or ligation reduces neonatal morbidity when compared with delayed closure (after 7 d). Methods : Fifty-eight extremely-low-birth-weight infants admitted to the NICU of Seoul National University Hospital from April 2005 to May 2007 with PDA were studied retrospectively. Results : The mean gestational age (GA) was $26{\pm}2weeks$ (range, 23-32 wk), and the birth weight was $782{\pm}146g$ (range, 430-990 g). The delayed closure group was associated with early GA ($25.7{\pm}1.7wk$ vs $27.1{\pm}2.0wk$, P=0.013), in vitro fertilization (IVF) (55% vs 24%, P=0.017), and the absence of preeclampsia (5% vs. 34%, P=0.013). There was no difference in ductal size between the early closure and delayed closure groups. The incidence of bronchopulmonary dysplasia (95% vs 65%, P=0.012) and intraventricular hemorrhage (70% vs. 39%, P=0.027) increased in the delayed closure group. Using regression analysis adjusted for gestational age, delayed closure correlated positively with the duration of ventilator support (P=0.008), hospitalization (P=0.020), time to full enteral feeding (P<0.001), and total parenteral nutrition (P=0.010). Conclusion : Delayed closure of the hemodynamically significant patent ductus arteriosus in extremely-low-birth-weight infants is significantly related to the development of various morbidities. Thus, early closure of PDA is needed within the first week of life.