• Journal of Chest Surgery
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• 제31권5호
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• pp.540-543
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• 1998

본 례는 65세 남자 환자에서 전폐절제술후에 발생한 기관지 늑막루 및 농흉의 치험례로 일차적으로 만성화하게한 다음 정중흉골절개하 심낭절개로 좌 주기관지를 노출후 자동봉합기(TA 4.8-30)로 좌 주기관지를 이중 결찰 봉합하여 좌측 늑막강내의 염증을 일으키는 원인인 기관지 늑막루를 차단한 다음, 늑막강내의 농흉을 치료함에 있어 흉강경을 이용하여 변형된 Clagett술식으로 내면을 깨끗하게 세척한 후 민감한 항생제를 이용하여 늑막강을 채우고 흉강삽관을 뽑고 그 부위를 봉합하는 방법을 시행하여 잔존 농흉강을 폐쇄하였다.

• 대한후두음성언어의학회지
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• 제16권2호
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• pp.152-157
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• 2005

Background and Objectives : 10 normal Korean native speakers participated subjects to investigate the acoustic and aerodynamic study of Korean fricatives, affricates, and plosives and to make good use of the results for the patients with articulation problems. Materials and Method Their productions of [asa], [as'a], [aca], $[ac^ha]$, (ac'a), (ata) , $[at^ha]$, and [at'a] were analyzed with Lx Speech Studio Program (Laryngogrtaph Ltd, UK) for acoustic analysis and Phonatory Function Analyze. (Nagashima Ltd. Model PS 77H, Tokyo, Japan) for aerodynamic analysis. Results : The results are as follows : 1) Plosives showed higher Qx1 in vocal folds closure ratio than fricatives and affricates. 2) Tense fricatives, affricates, and plosives showed higher Qx2 in vocal folds closure ratio than asperated and 1ax. 3) Asperated showed higher Qx1 in vocal folds closure ratio than tense and 1ax. 4) Asperated showed higer peak flow rate than tense and 1ax. Conclusion This results may be helpful for treatment in articulation disorders.

• 한국지하수토양환경학회지:지하수토양환경
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• 제22권4호
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• pp.33-48
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• 2017

An optimum disposal plan of disused sealed radioactive sources (DSRSs) should be established to ensure long-term disposal safety at the low- and intermediate-level radioactive waste (LILW) disposal facility in Gyeongju. In this study, an optimum disposal system was suggested and preliminary post-closure safety assessment was performed. The DSRSs disposal system was composed of a rock cavern and near surface disposal facilities at the Gyeongju LILW disposal facility. The assessment was conducted using GoldSim program, and probabilistic assessment and sensitivity analysis were implemented to evaluate the uncertainties in the input parameters of natural barriers. Deterministic and probabilistic calculations indicated that the maximum dose was below the regulatory limits ($0.1mSvyr^{-1}$ for the normal scenario, $1mSvyr^{-1}$ for the well scenario). It was concluded that the DSRSs disposal system would maintain environmental safety over a long-time. Moreover, the partition coefficient of Np in host rock, Darcy velocity in host rock, and density of the host rock were the most sensitive parameters in predicting exposure dose in the safety assessment.

• 말소리와 음성과학
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• 제7권1호
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• pp.67-77
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• 2015

The purpose of this study was to investigate how deaf parents influence the speech sounds of their normal-hearing children. Twenty four normal hearing children of deaf adults (CODA) and normal hearing parents (NORMAL) aged 3 to 4 participated in the study. The F1, F2, and the vowel triangle area in 7 vowels and the voice onset times (VOTs) and closure durations in 9 stops were measured. The results of the study are as follows. First, the F1 and F2 for all vowels were higher and the vowel triangle area was larger in CODA than in NORMAL although they were not statistically significant. Second, VOTs in $C_{stop}V$ for $/t^*/$ and in $VC_{stop}V$ for $/t^*/$, $/t^h/$, and $/k^h/$ were longer in CODA than in NORMAL. Most stops in CODA appeared to be longer VOTs for most phonemes. Third, the manner and place of articulation in stops did not make a difference between CODA and NORMAL in VOTs and closed durations. CODA does not demonstrate the speech characteristics of deaf people, however, they seem to speak differently than NORMAL, which means CODA might be influenced by a different linguistic environment created by deaf parents in some way.

• Radiation Oncology Journal
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• 제18권2호
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• pp.150-156
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• 2000

서론 :정위방사선치료는 높은 정밀도로 크기가 작고 구형인 병변에 국한하여 방사선을 조사할 수 있는 기술이지만 병변의 모양이 구형이 아닌 경우에는 병변 주변의 정상조직에 고선량의 방사선이 조사될 수 있다. 본 연구는 독립턱을 부분적으로 폐쇄하여 방사선량 분포를 개선하는 방법, 선량계산과 선량분포의 도시방법을 보고하고자 한다. 방법 :정위방사선치료 시의 호의 궤적상 병변은 방사선조사영역 내에 포함하면서 주변 정상조직을 최대한 차폐하도록 원형 콜리메이터와 독립턱 부분페쇄를 적절히 조합하였다. 물 펜톰과 마이크로 전리함을 이용하여 출력인자와 조직최대선량비를 측정하여 이론적 계산치와 비교하였다. 필름선량측정계를 이용하여 5 cm 깊이에서의 심부선량분포를 측정하여 계산치와 비교하였다. 이와 같은 측정자료를 자가 개발한 치료계획 프로그램에 반영하여 뇌전이 환자의 정위 방사선치료 선량계산과 도시에 적용하여 원형 콜리메이터만을 이용하였을 경우와 독립턱 부분폐쇄를 추가하였을 경우의 병변과 정상 뇌의 선량체적표를 각각 비교하였다. 결과 : 5.0 cm 직경의 원형 콜리메이터를 사용하고 한 쪽 독립턱을 중심축으로부터 30 mm, 15.5 mm, 8.6 mm, 0 mm 까지 열었을 때 측정한 출력인자와 조직최대선량비는 계산치와 각각 0.5%와 0.3%의 오차범위로 잘 부합하였다. 필름선량계로 얻은 5 cm 깊이의 심부선량분포도 역시 계산치와 잘 부합하였다. 자가 개발한 치료계획 프로그램으로 병변과 정상 뇌의 선량체적표를의 상호 비교를 통하여 독립턱 부분폐쇄를 적용한 경우에 있어서 보다 개선된 선량분포를 얻을 수 있음을 확인하였다. 결론 : 정위방사선치료에 있어서 독립턱의 부분폐쇄를 적용함으로써 보다 개선된 선량분포계획을 얻을 수 있으며 이를 적용하여 비교적 크기가 크고 모양이 불규칙한 병변에 대하여도 정위방사선치료를 확대 적용할 수 있겠다.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2001년도 춘계학술대회논문집D
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• pp.630-635
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• 2001

The stem thrust required to unwedging a gate valve is influenced by the pressure and temperature when the valve is closed and by the changes in these conditions between closure and opening. "Pressure Locking" and "Thennal Binding" refer to situations where pressure and temperature effects cause the unwedging load to be much higher than normal. A model of these phenomena has been developed. The effects of pressure and temperature are analyzed to determine the change in this disk-to-seat "interference". Flexibilities or Stiffness of the disk and body strongly influence the unwedging thrust. Calculation and limited comparison to data have been performed for the RHR motor operated valve designs and scenario. Pressure changes can increase the unwedging thrust when bonnet pressure exceeds the pressure in the adjacent piping and temperature changes can increase the unwedging thrust when a temperature change after closure produces an increase in the disk-to-seat interference.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권4호
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• pp.414-421
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• 2000

The objective evaluation of velopharyngeal closure function is the key to diagnosis and therapy control of velopharyngeal incompetency. The aim of this study is to evaluate the aerodynamic and acoustic characteristics of the velopharyngeal closure function of patients who have developed velopharyngeal incompetency after management with speech aids. The test words were composed of sustained vowels /a/, /i/, /e/, /u/, /ja/, /je/, /wi/ and polysyllabic words /p'ap'i/, /siso/, /mami/ for measuring nasalance, The data was collected before the placement of the speech aids and one to three months after. The results were as follows: The nasalance score of the velopharyngeal incompetency speakers was higher than that of the normal control group, except for nasal sounds, and was decreased after placement of the speech aids, especially in high vowels /i/ (P<.01) and /wi/ (P<.05).

• 대한족부족관절학회지
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• 제24권4호
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• pp.148-155
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• 2020

Purpose: Minor foot amputations are performed for recurrent or infected ulcers or osteomyelitis of the diabetic feet. Patients may require a large amount of bone resection for wound closure. On the other hand, this results in more foot dysfunction and a longer time to heal. The authors describe fillet flap coverage to avoid more massive resection in selected cases. This study shows the results of fillet flap coverage for the closure of diabetic foot minor amputation. Materials and Methods: This was a retrospective case series of patients who underwent forefoot and midfoot amputation and fillet flap for osteomyelitis or nonhealing ulcers between March 2013 to November 2017. In addition, the patient comorbidities, hospital days, complications, and duration to complete healing were evaluated. Results: Fourteen fillet flap procedures were performed on 12 patients. Of those, two had toe necrosis, nine had forefoot necrosis, and three had midfoot necrosis. Eleven forefoot amputations and three midfoot amputations were performed. Among forefoot necrosis after a fillet flap, three patients had revision surgery for partial necrosis of the flap, and two patients had an additional amputation. Two patients had additional amputations among those with midfoot necrosis. By the fillet flap, the amputation size was reduced as much as possible. The mean initial healing days, complete healing days, and hospital stay was 70.6 days, 129.0 days, and 60.0 days, respectively. Conclusion: The fillet flap facilitates restoration of the normal foot contour and allows salvage of the metatarsal or toe.

• 말소리와 음성과학
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• 제4권1호
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• pp.125-131
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• 2012

The patients with incomplete glottic closure have an important feature decreasing the maximum phonation time (MPT) because airflow rate or air leakage is greater than people without voice disorders. Also they can appear a problem in the intensity regulation. This study analyzed MPT difference based on the comfortable intensity and louder intensity and the correlation between MPT and respiration volume of unilateral vocal fold palsy (UVFP) and sulcus vocalis (SV) group. The twenty with UVFP, the 21 with SV, the 21 normal subjects measured MPT in /a/ vowel prolongation task with comfortable intensity and louder intensity and compared analysis by measuring FVC, $FEV_1$, $FEV_1/FVC$ to analyze the correlation between MPT and respiration volume. First, a comparison of MPT according to the intensity between groups is that MPT of the normal group was statistically significant long compared to the patient group in comfortable intensity, but MPT between groups was not statistically significant difference in the louder intensity. Second, an analysis of the correlation between MPT and respiration volume is that this was statistically significant correlation between MPT in comfortable intensity and MPT in louder intensity. But this did not show statistically significant correlation between intensity and respiration volume. This study can be supported the preceding study results deduced that shorting MPT of the patient group compared to the normal group was originated in the problem of laryngeal valving mechanism at the level of vocal folds rather than a problem of respiratory function. Also at the phonation by varying the intensity, the result can deduce that in the case of patient group, the length of MPT had been improved by increasing the glottal closure ratio in the louder intensity. These results can support the theoretical basis that should be applied to the clinicians by varying the intensity at the voice evaluation and voice therapy for the patients with the glottis incompetence.

• Nutrition Research and Practice
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• 제8권4호
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• pp.404-409
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• 2014

BACKGROUND/OBJECTIVES: The number of diabetic patients has recently shown a rapid increase, and delayed wound healing is a major clinical complication in diabetes. In this study, the wound healing effect of Hominis placenta (HP) treatment was investigated in normal and streptozotocin-induced diabetic mice. MATERIALS/METHODS: Four full thickness wounds were created using a 4 mm biopsy punch on the dorsum. HP was injected subcutaneously at the middle region of the upper and lower wounds. Wounds were digitally photographed and wound size was measured every other day until the 14th day. Wound closure rate was analyzed using CANVAS 7SE software. Wound tissues were collected on days 2, 6, and 14 after wounding for H/E, immunohistochemistry for FGF2, and Masson's trichrome staining for collagen study. RESULTS: Significantly faster wound closure rates were observed in the HP treated group than in normal and diabetes control mice on days 6 and 8. Treatment with HP resulted in reduced localization of inflammatory cells in wounded skin at day 6 in normal mice and at day 14 in diabetic mice (P < 0.01). Expression of fibroblast growth factor (FGF) 2 showed a significant increase in the HP treated group on day 14 in both normal (P < 0.01) and diabetic mice (P < 0.05). In addition, HP treated groups showed a thicker collagen layer than no treatment groups, which was remarkable on the last day, day 14, in both normal and diabetic mice. CONCLUSIONS: Taken together, HP treatment has a beneficial effect on acceleration of cutaneous wound healing via regulation of the entire wound healing process, including inflammation, proliferation, and remodeling.