• 제목/요약/키워드: deterioration grade

검색결과 110건 처리시간 0.019초

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

  • 이형신;김성원;박찬우;김창회;김서빈;임수진;이강대
    • 대한두경부종양학회지
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    • 제32권1호
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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.

태안 동문리 마애삼존불입상의 정밀 훼손도 진단과 위치환경 분석 (Detailed Deterioration Diagnosis and Analysis of Site Environment for the Taean Dongmunri Maaesamjonbulipsang (Rock-carved Standing Triad Buddha Statue), Korea)

  • 이선명;전병규;신은정;이찬희
    • 보존과학회지
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    • 제27권4호
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    • pp.381-393
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    • 2011
  • 이 연구에서는 태안 동문리 마애삼존불입상의 재질특성을 바탕으로 표면 손상도를 진단하고 풍화환경을 고찰하였다. 태안 동문리 마애삼존불입상은 조립질 흑운모화강암으로 석영, 알칼리장석, 사장석, 흑운모 및 백운모로 구성되어 있다. 이 삼존불은 표면요철, 박락, 적갈색, 암갈색, 암회색, 황갈색 변색이 발생하였으며 이중 표면변색이 높은 훼손율(46.6%)을 나타냈다. 또한 초음파 탐사결과, 구성암석이 전반적으로 심한 풍화단계(0.59, HW)를 나타내어 암석 재질이 약화된 상태를 나타냈다. 삼존불의 보호각은 내부 습도환경(일평균: 86.6%)을 외부에 비해 고습도 환경으로 유지시키는 것으로 나타났다. 또한 겨울철에는 영하권 기온분포로 동결융해에 따른 풍화작용이 발생될 가능성을 나타냈다. 이 같은 수분문제를 완화시키기 위해 최근 폐쇄형에서 개방 형태로 변화시켰으나 근본적인 수분문제는 남아있는 상태이다. 수분 문제는 북측 도로변을 따라 흐르는 지표수가 지속적으로 유입되어 발생하는 것으로 이에 대한 환경적 제어방안이 필요할 것으로 판단된다.

재생 첨가제를 활용한 재활용 아스팔트 바인더의 실내 공용성 평가 (Laboratory Performance Evaluation of Recycled Asphalt Binders with Differing Rejuvenators)

  • 김영민;임정혁;황성도;정규동;이석근
    • 한국도로학회논문집
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    • 제17권6호
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    • pp.55-63
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    • 2015
  • PURPOSES : The objective of this study is to investigate the properties of recycled asphalt binders with five different rejuvenators, in order to evaluate the applicability of the recycled asphalt binders compared with the original asphalt binder. METHODS : In order to simulate recycled asphalt binders, fresh asphalt binders are aged by various Superpave aging procedures, such as the rolling thin-film oven (RTFO) and the pressure aging vessel (PAV). Then, selected rejuvenators are added to the aged asphalt binders in the amount of 5%, 10%, and 15%. The asphalt binder properties are evaluated by the dynamic shear rheometer (DSR), the rotational viscometer (RV), and the bending beam rheometer (BBR). In this study, AP-5 (penetration grade 60-80, PG 64-16) asphalt binder is used. A total of five types of rejuvenators are employed. RESULTS AND CONCLUSIONS : When considering aged asphalt without a new asphalt binder, it seems that the percentage of rejuvenator used in Korea is a bit too low, and that it fails to possess the characteristics of the original binder. From the current practice of evaluating the properties of recycled binder based on penetration ratio only, the amount of rejuvenator required is similar for the long-term-aged binder, but is excessive for the longest-term aged binder, causing deterioration of workability and stiffness of the recycled binder.

실리콘 게이트전극을 갖는 고온소자와 금속 게이트전극을 갖는 P형 저온 다결정 실리콘 박막 트랜지스터의 전기특성 비교 연구 (A Research About P-type Polycrystalline Silicon Thin Film Transistors of Low Temperature with Metal Gate Electrode and High Temperature with Gate Poly Silicon)

  • 이진민
    • 한국전기전자재료학회논문지
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    • 제24권6호
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    • pp.433-439
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    • 2011
  • Poly Si TFTs (poly silicon thin film transistors) with p channel those are annealed HT (high temperature) with gate poly crystalline silicon and LT (low temperature) with metal gate electrode were fabricated on quartz substrate using the analyzed data and compared according to the activated grade silicon thin films and the size of device channel. The electrical characteristics of HT poly-Si TFTs increased those are the on current, electron mobility and decrease threshold voltage by the quality of particles of active thin films annealed at high temperature. But the on/off current ratio reduced by increase of the off current depend on the hot carrier applied to high gate voltage. Even though the size of the particles annealed at low temperature are bigger than HT poly-Si TFTs due to defect in the activated grade poly crystal silicon and the grain boundary, the characteristics of LT poly-Si TFTs were investigated deterioration phenomena those are decrease the electric off current, electron mobility and increase threshold voltage. The results of transconductance show that slope depend on the quality of particles and the amplitude depend on the size of the active silicon particles.

Verification of the Reliability and Validity of a Virtual Reality Cognitive Evaluation System Based on Motion Recognition Analysis Evaluation

  • Jeonghan Kwon;Subeen Kim;Jongduk Choi
    • 한국전문물리치료학회지
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    • 제30권4호
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    • pp.306-313
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    • 2023
  • Background: As social problems due to the acceleration of the aging era and the increase in the elderly population are becoming serious, virtual reality (VR)-based healthcare is emerging as an approach for preventing and managing health issues. Objects: This study used validity and reliability analyses to examine the clinical efficacy that is, the clinical value and usability of a novel VR cognitive evaluation system index that we developed. Methods: We developed a VR cognitive evaluation system based on motion recognition analysis evaluation for individuals aged 65 to 85. After conducting the Korean version of the Mini-Mental State Exam (K-MMSE) cognitive evaluation, the evaluation score was verified through correlation analysis in the VR cognitive evaluation system. To verify the construct validity of the two groups, the Global Deterioration Scale (GDS) grades were categorized into a normal cognitive group (GDS grade 1) and a cognitive impairment group (GDS grades 2 and 3). The data were measured twice to determine the reliability between the two measurements and assess the stability and clinical value of the evaluation system. Results: Our evaluation system had a high correlation of 0.85 with the widely used K-MMSE cognitive evaluation. The system had strong criterion-related validity at the 95% confidence interval. Compared to the average score of GDS grade 1 in the VR cognitive evaluation system, the average score of GDS grades 2 and 3 in the VR cognitive evaluation system was statistically significantly lower while also having strong construct validity at the 95% confidence interval. To measure the reliability of the VR cognitive evaluation system, tests-retests were conducted using the intraclass correlation coefficient (3,1), which equaled 0.923 and was statistically significant. Conclusion: The VR cognitive evaluation system we developed is a valid and reliable clinical tool to distinguish between normal cognitive status and mild cognitive impairment.

Monocyte Count and Systemic Immune-Inflammation Index Score as Predictors of Delayed Cerebral Ischemia after Aneurysmal Subarachnoid Hemorrhage

  • Yeonhu Lee;Yong Cheol Lim
    • Journal of Korean Neurosurgical Society
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    • 제67권2호
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    • pp.177-185
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    • 2024
  • Objective : Delayed cerebral ischemia (DCI) is a major cause of disability in patients who survive aneurysmal subarachnoid hemorrhage (aSAH). Systemic inflammatory markers, such as peripheral leukocyte count and systemic immune-inflammatory index (SII) score, have been considered predictors of DCI in previous studies. This study aims to investigate which systemic biomarkers are significant predictors of DCI. Methods : We conducted a retrospective, observational, single-center study of 170 patients with SAH admitted between May 2018 and March 2022. We analyzed the patients' clinical and laboratory parameters within 1 hour and 3-4 and 5-7 days after admission. The DCI and non-DCI groups were compared. Variables showing statistical significance in the univariate logistic analysis (p<0.05) were entered into a multivariate regression model. Results : Hunt-Hess grade "4-5" at admission, modified Fisher scale grade "3-4" at admission, hydrocephalus, intraventricular hemorrhage, and infection showed statistical significance (p<0.05) on a univariate logistic regression. Lymphocyte and monocyte count at admission, SII scores and C-reactive protein levels on days 3-4, and leukocyte and neutrophil counts on days 5-7 exhibited statistical significance on the univariate logistic regression. Multivariate logistic regression analysis revealed that monocyte count at admission (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.04-2.65; p=0.036) and SII score at days 3-4 (OR, 1.55; 95% CI, 1.02-2.47; p=0.049) were independent predictors of DCI. Conclusion : Monocyte count at admission and SII score 3-4 days after rupture are independent predictors of clinical deterioration caused by DCI after aSAH. Peripheral monocytosis may be the primer for the innate immune reaction, and the SII score at days 3-4 can promptly represent the propagated systemic immune reaction toward DCI.

도시기반시설 인접 터널 굴착시 근접도 평가기준 개선방안 연구 (Study on Improving Proximity Evaluation Standards when Excavating Tunnels Adjacent to Urban Infrastructure)

  • 이철;조국환
    • 터널과지하공간
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    • 제34권4호
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    • pp.283-300
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    • 2024
  • 도심지 개발 활성화로 인해 기존 지하철에 인접하여 터널을 굴착하는 사례가 증가하고 있다. 이는 기존 지하철의 구조물 및 궤도에 영향을 미쳐 안정성 및 사용성 저하를 초래할 수 있다. 본 연구에서는 터널 인접 굴착시 신설터널 및 기존 지하철의 안정성을 확보하기 위한 근접도 평가범위의 적정성을 검증하고 다양한 조건을 고려한 정량적 보정율 기준을 제안하였다. 보정율 적용 조건은 암반등급, 지질적 취약구간, 구조적 취약구간 및 구조물 노후구간을 고려하였다. 암반등급은 수치해석 검증을 통해 기존터널의 압축응력 증분량을 비교(3등급 암반 기준 1~5등급 구분)하여 보정율을 산정하고, 지질적 취약구간은 파쇄대 존재 유무 및 지하수 영향을 고려하여 응력 해석 및 지하수 연계해석을 통해 압축응력 증분량을 비교하여 보정율을 산정하였다. 구조적 취약구간은 접속부 유무에 따른 3차원 수치해석을 통해 보정율을 산정하고, 구조물 노후구간은 건전도 등급에 따른 압축응력 허용기준을 참고하여 보정율을 산정하였다. 암반 및 지질 조건, 구조물 상태 등을 고려한 정량적 보정율을 근접도 평가기준에 적용함으로써 보다 정확한 근접도 평가가 수행되기를 기대한다.

큰느타리의 품질 등급, 손질 및 포장 방법에 따른 유통 수명 (Effects of quality grade, trimming, and packaging method on shelf life of king oyster mushrooms)

  • 최지원;이지현;오인호;임수연;임지훈;양해조;최현진;신일섭;홍윤표
    • 한국버섯학회지
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    • 제19권3호
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    • pp.234-245
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    • 2021
  • 큰느타리의 수출시 유통 기한 연장을 목적으로 수확시 품질 등급, 대와 자실체 사이를 잘라낸 손질 처리 유무, 그리고 관행 OPP 봉지에 끈묶음한 포장 방법을 개선시켜 트레이용기에 넣은 후 밀봉처리시 효과를 구명하고자 하였다. 수확시 품질 등급은 수확전 재배사의 온도를 9~11℃ 낮추어 적응시킨 버섯을 특품으로, 관행 13~15℃로 적응시킨 버섯을 상품으로 설정하였다. 선별한 특품과 상품 버섯을 이용하여 손질 및 포장방법으로 3처리구를 두었다. 첫째는 절단 손질 후 OPP 봉지에 넣어 끈묶음한 포장(Cut & OPP), 둘째는 손질하지 않고 OPP 봉지에 넣어 끈묶음한 포장(Uncut & OPP), 마지막으로 개선포장방법으로 절단 손질한 후 트레이용기에 넣고 밀봉한 포장(Cut & Tray)이었다. 포장 완료한 버섯 처리구를 0℃ 저장고에 42일간 보관하면서 포장 내부의 기체 조성, 품질 요인의 변화, 신선 품질에 대한 관능평가를 실시하였다. 특품과 상품의 버섯 모두 Cut & Tray, Cut & OPP, 그리고 Uncut & OPP 처리 순으로 전반적으로 신선도가 높게 유지되었다. 특품 버섯의 유통 수명은 Cut & Tray 처리의 경우 30일, Cut & OPP 처리의 경우 28일, Uncut & OPP 처리의 경우 21일이었고, 상품 버섯의 유통 수명은 Cut & Tray 처리시 22일, Cut & OPP 처리시 17일, 그리고 Uncut & OPP 처리시 14 일이었다. 신선 버섯의 품질에 영향을 미치는 요인은 갓과 대의 갈변과 부패 지수였다. 특히, 버섯 대의 아랫부분의 갈변과 그에 연관된 표피색 a*값과 b*값의 변화가 품질 저하의 주요인이었다.

잎담배의 수분함량이 부패 및 탄화엽 발생에 미치는 영향 (The Influence of Moisture Contents on Decay and Carbonization in Flue-Cured Tobacco during Aging storage.)

  • 민영근;이경구;안동명;이완남
    • 한국연초학회지
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    • 제13권1호
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    • pp.61-68
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    • 1991
  • The moisture contents of threshed leaf tobacco during aging storage were very important factor for the improvement or deterioration of leaf quality. Decay and carbonization of leaf tobacco were mainly controlled by moisture contents during storage. The influence of moisture contents on the decay and carbonization of threshed leaf tobacco (Flue-Cured, Var. NC 82. AB3O-1 grade) were examined during 1 year. The moisture contents of leaf tobacco were treated to 3 kg as 12% (controle), 16%, 20% and 24% after redrying, respectively, These tobacco were put into center of carton box containing about 200kg with 12%'s tobacco, and then packed and stored from June, 1988 under natural weather condition in warehouse at Ock-Cheon threshing plant. Samples were taken from dissected carton box at 0, 1, 2, 4, 7 and 12 months after moisture treatment and Racking time, and some chemical properties were investigated at every sampling time. In results of inducement to decay and carbonization of leaf tobaccos during 1 year's storage by moisture treatment. decayed leaf was appeared but carbonized leaf did not. Calorification and decayed leaf occurred at high moisture contents above 20%, and these phenomena were appeared between 30 and 150 days after moisture treatment and packing. High moisture content leaves (above 20%) caused nearby other leaves to be sunk with high moisture content. Nicotine and calcium contents were increased to 20%~30% and 10%~22%, respectively, but total sugar contents was decreased to 40%~60% by moisture treatment(20% ~24% ).

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스텝 어닐링에 의한 저온 및 고온 n형 다결정 실리콘 박막 트랜지스터의 전기적 특성 분석 (Analysis of Electrical Characteristics of Low Temperature and High Temperature Poly Silicon TFTs(Thin Film Transistors) by Step Annealing)

  • 이진민
    • 한국전기전자재료학회논문지
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    • 제24권7호
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    • pp.525-531
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    • 2011
  • In this paper, experimental analyses have been performed to compare the electrical characteristics of n channel LT(low temperature) and HT(high temperature) poly-Si TFTs(polycrystalline silicon thin film transistors) on quartz substrate according to activated step annealing. The size of the particles step annealed at low temperature are bigger than high temperature poly-Si TFTs and measurements show that the electric characteristics those are transconductance, threshold voltage, electric effective mobility, on and off current of step annealed at LT poly-Si TFTs are high more than HT poly-Si TFT's. Especially we can estimated the defect in the activated grade poly crystalline silicon and the grain boundary of LT poly-Si TFT have more high than HT poly-Si TFT's due to high off electric current. Even though the size of particles of step annealed at low temperature, the electrical characteristics of LT poly-Si TFTs were investigated deterioration phenomena that is decrease on/off current ratio depend on high off current due to defects in active silicon layer.