• Title/Summary/Keyword: deteriorated

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Risk Factors of Deteriorated Voice Quality in Patients Who Underwent Thyroidectomy (갑상선 절제술 후 발생하는 주관적인 음성 기능 저하의 위험 요인에 대한 연구)

  • Lee, Hyoung Shin;Kim, Sung Won;Park, Chanwoo;Kim, Chang Hoi;Kim, Seobin;Lim, Sujin;Lee, Kang Dae
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.1
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    • pp.7-11
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    • 2016
  • Background and Objectives: Quality of voice may be deteriorated after thyroidectomy without any injury to recurrent laryngeal nerve. While there have been several studies showing the change of acoustic parameters after thyroidectomy, factors related to deteriorated voice quality have been rarely studies. In this study, we sought to analyze the factors associated to deteriorated voice quality after thyroidectomy. Materials and Methods: We made a retrospective review of 35 patients who underwent thyroidectomy for papillary thyroid carcinoma. Voice analysis including acoustic analysis, voice handicap index 10 (VHI-10), and GRBAS score was conducted before and 3 months after surgery. Patients were grouped according to the amount of increase in VHI-10 after surgery ; group A (${\Delta}VHI<7$) and group B (${\Delta}VHI{\geq}7$). Clinicopathologic factors associated to patients of group B were analyzed and changes of parameters from acoustic analysis in each group were evaluated. Results : Patients of group B were associated with age ${\geq}45$ years (p=0.025) and showed borderline association to total thyroidectomy (p=0.075) and tumor size ${\geq}1cm$ (p=0.086). Multivariate analysis demonstrated that those with age ${\geq}45$ years were independently associated to deteriorated quality of voice (p=0.014, HR=18.38). Patients of group B were also associated to significant deterioration of high pitch (p<0.001) and Grade score with borderline significance (p=0.054). Conclusion: Patients older than 45 years may have higher risk of deterioration of quality of voice after thyroidectomy based on increase of VHI-10 score (${\Delta}VHI{\geq}7$). Association with deterioration of high pitch should also be considered in these patients.

Analysis of Radiologic Factors Affecting Longterm Surgical Results of Anterior Cervical Fusion Patients (경추 전방 유합 환자의 장기 수술 결과에 영향을 주는 방사선학적 요인 분석)

  • Choe, Il Seung;Seo, Dae Hee;Park, Sung Choon;Chae, Euy Byung;Choi, Sun Wook;Song, Kwan Young;Kang, Dong Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.194-200
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    • 2001
  • Object : Anterior cervical discectomy and fusion is accepted as appropriate surgical intervention for disease processes of the ventral cervical spine. In some cases, however, improvement of symptom following operation develop myelopathy or rhizopathy at longterm follow-up. We studied to clarify the correlation between clinical results and plain radiologic findings at long term follow-up. Methods : A total of 86 patients who underwent anterior cervical discectomy and fusion were grouped into deteriorated and good recovery group. These two groups were compared in lateral functional roentgenograms on the cervical kyphosis and disc height at fused level, sagittal plane rotation and dynamic sagittal canal diameter at adjacent level. Results : The presence of cervical kyphosis and disc height at fused level do not correlate with long term followup results. Sagittal plane rotation of more than 20 degrees were identified in 36% of the cases in deteriorated group, whereas the same findings were identified in 15% of the cases in good group. Sagittal diameter of less than 12mm were identified in 48% of the cases in deteriorated group, whereas the same finding were identified in 8% of the cases in good group. Preoperatively, sagittal plane rotation of more than 20 degrees at adjacent level were identified in 28% of the cases in deteriorated group, whereas the same findings were identified in 13% of the cases in good group. Preoperatively sagittal diameter of less than 12mm at adjacent level were identified in 40% of the cases in deteriorated group, whereas the same finding were identified in 7% of the cases in good group. Conclusion : Large sagittal plane rotation and small dynamic sagittal diameter at adjacent level were factors that might be associated with later clinical deterioration after cervical anterior fusion.

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MICROMORPHOLOGICAL ASPECTS OF HARDWOODS DETERIORATED IN THE SEA-WATER FROM WRECKED SHIP'S TIMER (수침목재의 재질분석에 관한 연구-미시형태적 변화를 중심으로)

  • KIM, Yoon-Soo;CHOI, Kwang-Nam
    • 보존과학연구
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    • s.7
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    • pp.246-264
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    • 1986
  • Micoromorphological alterations of sea-waterlogged woods by marinemicro-oragnisms were investigated by the light and scanning electron microscopy as a part of serial investigations on the shipwrecked materials which were excavated at the sea shore of Wando-Kun, southern coast of Korea in 1984.Deterioration of sea-waterlogged wood by marine microorganisms were varied with the wood species. The degree of deterioration even in the same wood specieswas different according to the part where it was in mud of sea-water. However, the resistance of Torreya nucifera over the marine organisms was marked. Deterioration in cell wall may be classified into three types; thinning of cell wall, separation of secondary wall from compound middle lamella and tunneling of cell wall. Thinning and separation were frequently observed, while the tunneling was rare. Among the wood cell elements of hardwoods, vessel wall was the least deteriorated. The difference degree of degradation of cell wall constituents and the accumulation of inorganic substances in cell lumen indicate that some factors to be considered for the conservation treatment were discussed. The kinds of marine microorganisms invading and/or inhabiting in wrecked wooden ship were also discussed.

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Effect of Ni Addition Interfacial Reaction and Corrosion Resistance in Hot Dip Galvanizing (용융안연 도금욕의 Ni첨가가 도금강판의 게면반응 및 내식성에 미치는 영향)

  • 이경구;시희봉;이도재
    • Journal of the Korean institute of surface engineering
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    • v.31 no.6
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    • pp.379-388
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    • 1998
  • The iron-zinc interfacial reaction and corrosin properties in galvanizing bath containning Ni have been intestigated. The substrate steel plates were galvanized in Zn or Zn-0.018Al baths with various Ni contents. The corrosion resistance of galvanized specimens was also evaluated by $60^{\circ}$bending test for galvannealing speaaimens. The corrosion resistance was improved with Ni addition in pure Zn bath, while deteriorated with Ni addition in Zn-0.18Al bath. The anti-powdering property, on thhe otherhand, was improved with Ni addition in Zn-0.18Al bath, while deteriorated with Ni addition in pure Zn. It was found that the anti-powdering property was improved with increasing $\xi$ phase ratio in reaction layer.

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An Examination of Needs for the Reuse Planning of Deteriorated Multi-family Housing (노후공동주택의 재사용계획을 위한 요구성 조사)

  • 현택수;장석하;이병태
    • Journal of the Korean housing association
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    • v.10 no.1
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    • pp.137-144
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    • 1999
  • This study examines the general reuse plan for deteriorated multi-family housing (apartrtments) in the urban fringe of Taegu City. The apartments which were built in the 1970's have to be improved. It is necessary to carry out the actual investigation for alternatives of reconstruction or reuse. From the above point of view, the study lays its purpose to find pertinent directions for the reasonable reuse plan, and gets on as follows; 1) Analize the residential state for users' needs of detoriorated aprtments through an investigation. 2) Synthesize the experts' opinions about matters related to reuse planning through a questionnaire. 3) Suggest the general solutions in three areas; unit dwelling, housing site, equipment and facilities, Finally, in the future housing development projects, concepts of reuse planning should be reflected beforehand.

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The Changes of Mechanical Properties of Used Oil in Gasoline Engine (가솔린 엔진오일의 사용에 따른 기계적 성질의 변화에 관한 연구)

  • 강석춘;신성철;김동길;노장섭
    • Tribology and Lubricants
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    • v.9 no.2
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    • pp.36-48
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    • 1993
  • This study is concerned with the changes (deterioration) of the mechanical properties of used oil in the gasoline engine. The analysed properties of used oil were friction, antiwear, wear debris, load-carrying ability and the formation of surface film. From this study, it was found that the oil used in engine was deteriorated to increase the wear and fricion and decrease the load-carrying ability as the running distance of oil was increased. Also the main cause of deterioration was related to the formation of the protective film on the contact zone. When the film was composed with rich additives (sulfur), this could properly protect contact zone from the increase of wear and friction. But as oil was deteriorated, it could not form such a film and therefore the protective ability of sliding surface diminished.

A Consideration of the Expected Service Life Cycles of Electrical Equipments in Buildings (자가용 전기설비 권장 사용기간에 대한 고찰)

  • Jung, Jong-Wook;Kim, Sun-Gu
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.24 no.12
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    • pp.131-137
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    • 2010
  • This paper considers and suggests the life cycle of the power equipments installed in buildings. The target equipments were divided into 5 groups by a couple of conditions, and a theoretical consideration and domestic foreign case studies were carried out. As a result, the most appropriate life cycles and monitoring periods were suggested for each group. The suggested results are expected to practically help the field electricians determine whether they have to replace the deteriorated equipments or not.

Electroluminescent and Accelerated Aging Properties of ZnS:Cu Phosphor (ZnS:Cu 형광체의 전계 발광 및 가속열화 특성)

  • 이종찬;황명근;박대희
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2001.11a
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    • pp.13-16
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    • 2001
  • In this paper, the emission and aging properties of ZnS:Cu electroluminescent device were experiment respectively at room temperature and 7$0^{\circ}C$ relative humidity 100%. ZnS:Cu and BaTiO$_3$were respectively used for phosphor and dielectric. While AC 100V on 400Hz frequency were applied to the devices at room temperature and 70$_3$relative humidity 100%, the change of brightness were measured and compared. The surface of aged devices were investigated by scanning electron microscope. With the continuously operated environment of room temperature and 7$0^{\circ}C$ relative humidity 100%, the decay time were measured and the dark spot and aging status on the surface of the device were investigated. ZnS:Cu electroluminescent properties were deteriorated by the Increased temperature and humidity. Also the deteriorated properties were confirmed by the brightness and surface chanties of device, and the aging mechanism from the simulation on sulfur vacancy and deep tracts density.

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