• 임상이비인후과
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• 제29권2호
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• pp.190-197
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• 2018

Background and Objectives : Positional OSAS is characterized by an apnea-hypopnea index (AHI) score >5, which, while sleeping in the supine position, is double that in non-supine position. This study was performed to compare the clinical characteristics of positional OSAS and non-positional OSAS patients, and the effects of the modified jaw thrust maneuver during drug-induced sleep endoscopy (DISE) between positional OSAS and non-positional OSAS patients. Materials and Methods : 68 positional OSAS patients and 19 non-positional OSAS patients were included. They all underwent full-night polysomnography and DISE. The modified jaw thrust maneuver was introduced during DISE. Airway structural changes induced by the modified jaw thrust maneuver were evaluated and documented. Results : There were no statistically significant differences in Friedman stage or tonsil grade, body mass index, Epworth sleepiness scale (ESS) score, blood pressure, AHI, or obstructive pattern between the positional and non-positional OSAS patients. However, mean arterial oxygen saturation (SaO2), lowest SaO2, and total arousal index values were more severe in the non-positional OSAS patients. After introduction of the modified jaw thrust maneuver, retrolingual level obstruction showed a tendency toward a higher rate of airway opening in positional OSAS patients than in non-positional OSAS patients. Conclusions : The effects of a mandibular advancement device (MAD) can be estimated by carrying out a modified jaw thrust maneuver during DISE. The tendency toward a higher rate of airway opening in positional OSAS patients than non-positional OSAS patients in retrolingual level obstruction after jaw thrust maneuver introduced during DISE may be clinically important for MAD.

• 영어영문학
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• 제55권6호
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• pp.1193-1220
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• 2009

This study examined the impact of sonority profiles, positional differences and L2 proficiency on Korean EFL learners' perception of English biconsonantal clusters, using nonce words. The overall results showed that major predictions of the sonority-based typological markedness on consonant clusters were supported, as obstruent plus sonorant and sonorant plus obstruent sequences were better perceived than obstruent only or sonorant only sequences. Yet, some consonant clusters did not show a preference for sonority profiles. Positional effects were also confirmed, as word-initial biconsonantal clusters were better perceived than wordfinal ones across all the participant groups. Participants' English proficiency turned out to be also important in the perception of consonant clusters, since university students' mean rate of accuracy was highest, followed by that of high school students, which in turn followed by that of middle school students. Further, the effects of other factors like frequency and stimuli on speech perception were also addressed, along with some implications for future research.

• 말소리와 음성과학
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• 제3권3호
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• pp.69-75
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• 2011

This paper investigates phrase positional effects on the timing of F0 (pitch) peaks in Tokyo Japanese disyllabic words with varying accent type (HL or LH) and phrase position (final or non final). The F0 peak timing was normalized by the total word duration ('normalized H timing'). The normalized H timing was significantly affected by accent type and phrase position. The H timing was later in the LH accent type than in the HL accent type, and in non final positions than in final positions. In addition, to examine the validity of the quantitative results, different models of phrase position effects were compared by measuring H timing in two approaches: normalization versus relative distance measures. For the normalization measures, the H timing was measured as the time of the F0 peak divided by the total word duration or by the duration of the tone bearing syllable. For the relative distance measures, the H timing was measured as the distance in milliseconds from the end of the word or from the end of the associated syllable. The best model was the normalization by the total word duration, rather than by the duration of the tone bearing syllable. This means that phrase positional effects on the timing of F0 peaks in Japanese disyllabic words are best modeled in terms of proportion of the total word duration.

• 대한한방내과학회지
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• 제37권2호
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• pp.273-282
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• 2016

Objective: This clinical study was performed with a female patient to evaluate the effects of combined Eastern-Western medicine treatment on benign paroxysmal positional vertigo after acute vestibular neuritis.Method: We used acupuncture, herbal medication, Western medication, fluid therapy, and the canalith repositioning maneuver to treat a female patient suffering from dizzy spells. The vertigo scale was checked to assess any improvement in symptoms.Results: The patient had originally recovered from acute vestibular neuritis, but after the first discharge, she came down with benign paroxysmal positional vertigo and had to be rehospitalized. She eventually got better, however, and her score on the vertigo scale improved.Conclusion: This study demonstrates that combined Eastern-Western medicine treatment may be an effective option for treating benign paroxysmal positional vertigo after acute vestibular neuritis, despite the difficulty of the treatment in this case.

• 대한한방내과학회지
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• 제32권3호
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• pp.371-386
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• 2011

Background : Vertigo is a very common complaint in clinical practice. The number of patients who complain of vertigo has been increasing due to rapid growth of the elderly population. This study was designed to review the clinical features and success of oriental medical treatment of positional vertigo. Methods : This observation was made on 70 subjects diagnosed with positional vertigo. They were hospitalized in the Semyung University Oriental Medicine Hospital. Results : The results were as follows 1. Female patients (82.9%) were more than male patients. The most common age group was 8th decade and the patients rapidly increased after the 5th decade of age. 2. The most common past history of positional vertigo was hypertension, the second was cerebral infarction, and the third was hyperlipidemia. 3. In the oriental medicine diagnosis, phlegm-dampness syndrome (痰濕交阻 眩暈) was the most common disease (92.9%), and in western medicine, BPPV was the most (82.9%). 4. In herbal medication, Banhabaekchulchunma-tang gami (45.7%) was the most commonly used, the second being Taeksa-tang (30%). 5. The vertigo score of 94.3% patients improved and none got worse. 6. In general characteristics, men over 64 years improved best. Past history had no effect on the improvement of vertigo. 7. The sooner patients visited hospital after onset, the shorter hospitalization time was. Conclusions : Vertigo attacks patients well in advanced age, with various causative diseases. Oriental medical treatments have considerable effects on positional vertigo, especially treated with Banhabaekchulchunma-tang gami and Taeksa-tang.

• 성인간호학회지
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• 제26권4호
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• pp.424-433
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• 2014

Purpose: This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE). Methods: The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE. Results: There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.

• 전기의세계
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• 제31권1호
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• pp.43-49
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• 1982

This paper intends to compare and illustrate the feedback effects of the state feedback scheme to a positional control system by the use of the state observer. As a case study, the dynamic properties of a proposed positional control system lie derived, first, and the design of an optimal state feedback control system by the actual states is intended as a primary case study. For the illustration of the feedback effects with the asymptotic state observer, unobservability of some state variables are assumed and an optimal state feedback design is carried by using the estimated states which is reconstructed through the observer. That is, when some of the states of the system to be controlled are not avalable, an observer is constructed to estimate the unaccessable states. Adigital computer is used for the comparative study of the feedback effects in both cases. The resultant response of the proposed system have shown quite reasonable satisfaction oncontrol quality.

• 한국동물학회지
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• 제33권3호
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• pp.322-329
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• 1990

한국산 도롱뇽 유생의 다리재생에 미치는 retinoic acid의 효과를 알아보았다. 도롱뇽 유생의 다리를 distal zeugopodium 또는 distal stylopodium 부위에서 절단하고 절단 후 4일째에 복강내 주사방법으로 RA를 처리한 결과 근원위 축상에서 재생된 골격이 복제되어 근위부화한 형태를 나타내었다. RA처리에 따른 골격 재생이 평균 근위 부화정도는 처리량이 증가와 더불어 증가하였으며 또한 절단부위를 달리하였을 경우에도 영향을 받았다. 근원위 축상에서 평균 근위부화정도의 최대치에 근접한 값은 처리량을 150 $\mu$ g/g body wt.로 했을 때 얻어졌으며 이 처리량을 넘어서는 경우에는 재생의 저해 혹은 주변으로부터의 골격복제 현상이 나타났으며 그 빈도 역시 처리량의 증가와 함께 상승하였다. 이러한 실험결과는 RA처리에 의하여 유발되리라고 보여지는 positional value의 변화가 근원위축을 비롯한 3개의 주요 축상에서 점진적으로 일어남을 시사하며, zeugopodium의 복제가 stylopodium의 복제보다 쉽게 일어난다는 사실은 근원위축상에서 세포들의 RA에 대한 민감성이 동이하지 않거나 혹은 positional value의 배열양상이 직선적이 아님을 시사하고 있다.

• Asian-Australasian Journal of Animal Sciences
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• 제29권12호
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• pp.1675-1681
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• 2016

The aim of this study was to detect positional candidate genes located within the support interval (SI) regions based on the results of red blood cell, mean corpuscular volume (MCV), and mean corpuscular hemoglobin quantitative trait locus (QTL) in Sus scrofa chromosome 13, and to verify the correlation between specific single-nucleotide polymorphisms (SNPs) located in the exonic region of the positional candidate gene and the three genetic traits. The flanking markers of the three QTL SI regions are SW38 and S0215. Within the QTL SI regions, 44 genes were located, and runt-related transcription factor 1, dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 1A (DYRK1A), and potassium inwardly-rectifying channel, subfamily J, member 15 KCNJ15-which are reported to be related to the hematological traits and clinical features of Down syndrome-were selected as positional candidate genes. The ten SNPs located in the exonic region of the three genes were detected by next generation sequencing. A total of 1,232 pigs of an $F_2$ resource population between Landrace and Korean native pigs were genotyped. To investigate the effects of the three genes on each genotype, a mixed-effect model which is the considering family structure model was used to evaluate the associations between the SNPs and three genetic traits in the $F_2$ intercross population. Among them, the MCV level was highly significant (nominal $p=9.8{\times}10^{-9}$) in association with the DYRK1A-SNP1 (c.2989 G$F_2$ intercross, our approach has limited power to distinguish one particular positional candidate gene from a QTL region.

• 말소리와 음성과학
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• 제8권1호
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• pp.19-24
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• 2016

The Korean high back vowels /o/ and /u/ have been reported to be in a state of near-merger especially among young female speakers. Along with cross-generational changes, the vowel position within a word has been reported to render different phonetic realization. The current study examines native English speakers' ability to attend to the phonetic cues that distinguish the two merging vowels and the positional effects (word-initial vs. word-final) on the identification accuracy. 28 two-syllable words containing /o/ or /u/ in either initial or final position were produced by native female Korean speakers. The CV part of each target word were excised and presented to six native English speakers. The results showed that although the identification accuracy was the lowest for /o/ in word- final position (41%), it increased up to 80% in word-initial position. The acoustic analyses of the target vowels showed that /o/ and /u/ were differentiated on the height dimension only in word-initial position, suggesting that English speakers may have perceived the distinctive F1 difference retained in the prominent position.