• Title/Summary/Keyword: 음성보존

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A Clinical Study on Bilateral Vocal Fold Paralysis (양측성대마비에 대한 임상적 고찰)

  • 김광문;최홍식;최흥식;조정일;김세헌
    • Proceedings of the KSLP Conference
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    • 1996.11a
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    • pp.84-84
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    • 1996
  • 1986년 10월부터 1996년 8월까지 연세대학교 의과대학 영동세브란스병원 이비인후과에 내원한 환자로서 문진, 이학적검사 및 방사선학적검사에 의하여 양측성대마비로 진단된 47례를 대상으로 성별, 연령, 주증상, 성대마비의 원인 및 치료경과에 대하여 후향적으로 분석하였다. 성별은 남자가 34례(72%), 여자가 13례(28%)였고 연령별로는 20대에서 60대에 걸쳐 비교적 고르게 분포하였으며 평균연령은 46세였다. 주증상이 호흡곤란이었던 경우가 22례(47%)로 가장 많았고 애성이 19례(40%)로 그 다음 순이었다. 성대마비의 원인별로 보면, 중추성이 4례(9%)였고, 나머지는 말초성으로 이중 비수술적 외상에 의한 경우가 15례(32%)로 가장 많았고 수술적 외상이 10례(21%), 특발성이 9례(19%), 기도내 삽관이 5례(11%)였으며, 이외에도 염증성요인에 의한 것이 2례, 갑상선종양에 의한 것이 1례, 그리고 중증근무력증에 의한 것이 1례이었다. 양측성대마비에 대한 치료로서 기관절개술이 13례(28%), 피열연골절제술이 13례(28%)에서 행해졌으며 이중 술후 완전탈관이 가능하였던 경우는 기관절개술을 시행하였던 경우에 6례(46%), 피열연골절제술을 시행하였던 경우에 9례(69%)였고 수술후 완전탈관까지의 기간은 기관절개술의 경우 평균 18개월, 피열연골절제술의 경우 평균 3개월이었다. 이외 보존적 치료가 20례(43%)에서 행해졌으며 이중 2례는 자연치유되었다.

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The effects of low temperature storage and aging of Jeot-kal on the microbial counts and microflora (젓갈의 숙성 및 저온 저장이 미생물 균수 및 균총에 미치는 영향)

  • Hong, Yeun;Kim, Jeong-Hee;Ahn, Byung-Hak;Cha, Seong-Kwan
    • Korean Journal of Food Science and Technology
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    • v.32 no.6
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    • pp.1341-1349
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    • 2000
  • The addition of 5% NaCI to standard plate count (SPC) and bromcresol purple (BCP) agar showed the highest viable cell counts for Jeot-kal samples. The use of 15% glycerol as cryoprotectant showed the highest microbial survival rate at both temperatures, $-20^{\circ}C$ and $-170^{\circ}C$, and on both colony count media, SPC and BCP. During the aging, the pH of Bajirak Jogae-Jeot (fermented clam) decreased from 6.8 to 5.0. Crude protein content was 10% for Bajirak Jogae-Jeot and $6{\sim}7%$ for Myeolchi-Jeot (fermented anchovy). Microbial population of Bajirak Jogae-Jeot was $10^9\;CFU/g$ after 4 weeks of aging, but was only $10^{3-5}\;CFU/g$ in the case of Myeolchi-Jeot. The proportion of Gram positive and catalase negative bacteria in Bajirak Jogae-Jeot increased drastically during the 4 weeks of aging, which showed typical lactic bacterial fermentation. After 2 years' storage of Jeot-kal in liquid nitrogen tank, the cell counts of total aerobic or lactic bacteria were decreased, resulting in about 10% survival rate. Microbial floral change of Jeot-kal was also investigated. In the case of Bajirak Jogae-jeot, the ratio of rod to cocci and that of Gram negative to positive increased after liquid nitrogen storage. But, rod to cocci ratio of Myeolchi-jeot decreased after liquid nitrogen storage. The ratio of yeasts decreased in both cases after storage.

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Arthroscopic ACL Reconstruction Using Quadrupled Hamstring Tendon with Tibial Remnant-preserving Technique (슬괵건을 이용하여 경골부 잔류 조직을 보존한 관절경적 전방십자인대 재건술)

  • Kyung, Hee-Soo;Oh, Chang-Wug;Kim, Poong-Taek;Lee, Byung-Woo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.92-98
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    • 2007
  • Purpose: We evaluated the clinical results of arthroscopic ACL reconstruction using quadrupled hamstring tendon with tibial remnant-preserving technique. Materials and Methods: Thirty-five cases were evaluated from Feb, 2003 to May, 2006. The average interval from injury to surgery was $2.6{\pm}1.6$ months. The cause of injury was mostly sports-related trauma. The average follow-up period was 17 months. Tibial remnant was preserved as much as possible and caution was taken not to damage the remnant during ACL reconstruction. Postoperative rehabilitation was the same as the usual rehabilitation method after ACL reconstruction, except for delaying motion for 2 weeks with an extension locking brace. Clinical evaluation was performed using ROM; Lachman test; pivot-shift test; anterior displacement measurement using KT-2000 arthrometer; Lysholm score and proprioception measured by single limb standing test. Results: There was no limitation of knee motion without contracture. The Lachman test and pivot-shift test were both negative. The side-to-side difference of anterior displacement measured using KT-2000 arthrometer was improved from 6.7 mm to 2.2 mm. The average Lysholm score improved from 81 to 96. The single limb standing test for proprioceptive evaluation showed no significant difference from a normal leg. Conclusion: ACL reconstruction with tibial remnant-preserving technique can preserve mechanoreceptors with prorioception and expect good functional recovery.

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Studies on the Keeping Quality of Ultra High Temperature Processed Market Milk (초고온살균유(超高溫殺菌乳)의 보존성(保存性)에 관(關)한 연구(硏究))

  • Kim, Jong Woo
    • Korean Journal of Agricultural Science
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    • v.6 no.2
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    • pp.158-165
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    • 1979
  • These studies were carried out to investigate the freshness and bacteria of ultra high temperature processed market milks which treated and distributed in four districts: Kwangju, Daejon, Sungwhan and Seoul, and to elucidate their keeping qualities when stored in refrigerator and at room temperature. Various samples taken from the four districts were tested and the results obtained were as follows. 1. Samples from three districts retained acidities fit for standard for 9 days and those from one district for 5 days when stored at $4^{\circ}C$. However, the periods were shortened to 1 day for samples of the three districts and to same day for those of one district when stored at $20^{\circ}C$. 2. Negative results were obtained from alcohol and boiling tests upto 10 days for samples of the three districts and upto 6 to 7 days for those of one district when stored at $4^{\circ}C$. But positive results were recorded after 2 days for samples of the three districts and after 1 day for those of one district when stored at $20^{\circ}C$. 3. Total viable number of organisms did not exceed the standard limit upto 10 days for sample of one district, up to 7 days for those of two districts and upto 2 days for those of the other when stored at $4^{\circ}C$. But in case of storage at $20^{\circ}C$, samples of one district maintained viable titre below the limit for 1 day and samples of three districts for same day. 4. Initial number of psychrophilic were $4.8{\times}10^3/ml$ on an average. This titre was increased to $6.4{\times}10^7/ml$ gradually during 10 days when stored at $4^{\circ}C$, and to $5.2{\times}10^7/ml$ during 2 days. when stored at $20^{\circ}C$. 5. Number of thermoduric bacteria were below $10^2/ml$ for 10 days in samples of three districts and for 6 days in those of the other when stored at $4^{\circ}C$. However, in case of storage at $20^{\circ}C$, the titre exceeded $10^2/ml$ after 1 day in samples of three districts. 6. No coliform bacteria were detected in all samples from the four districts.

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A Study on the Reaction Rate and Cause Analysis of Cyanoacrylate Adhesives According to the Coating Mixtures for Metal Artifacts (금속유물 코팅제와 Cyanoacrylate 접착제의 반응속도 및 원인분석: 초기접착속도를 중심으로)

  • Kwon, Hee-Hong;Huh, Il-Kwon;Kim, Soo-Ki
    • Journal of Conservation Science
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    • v.27 no.2
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    • pp.135-144
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    • 2011
  • When metal artifacts have to undergo conservation treatment, the person in charge of the treatment selects and uses various coating mixtures based on his judgment regarding their condition, material, or environment. Since the kinds of coating mixtures or solvents make a difference in the set time of cyanoacrylate adhesives, they have something to do with the efficiency of the conservation treatment. This study examines the effects and causes that affect the set time of cyanoacrylate adhesives according to the kinds of coating mixtures and solvents and suggests ways to increase the set time. As a result, it is thought that as the surface roughness gets flatter, the wettability of adhesive is improved further, which increases the set time. Moreover, the C-F binding of V-Flon, C-O-C absorption peak, molecular weight of the coating mixtures, and glass transition temperature (Tg) were the factors that significantly affected the set time. According to the result of measuring the set time based on the result of superficial and chemical analysis, relative difference was shown according to the kind and viscosity of adhesive, but all the adhesives indicated the following order of the set time: V-Flon > Paraloid B-72 (in xylene) > Paraloid NAD-10 > Paraloid B-72 (in acetone).

A Study on the Meanings and Roles of Oral History from a Perspective of Archival Science (기록학적 관점에서의 구술의 의미와 역할에 관한 연구)

  • Kim, Myoung-Hun
    • The Korean Journal of Archival Studies
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    • no.24
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    • pp.73-112
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    • 2010
  • With progress of the sound and moving picture recording technology, sound and moving picture have been a tool for evidence and memory on human activities. Accordingly, in archival science the importance of oral history as a record is disseminating and the production of oral record is carried out actively. But for producing oral record in archival institutions, the identity of oral record need to be established more firmly. Archival science is the task which delivers the current appearance of life to future through records. Therefore producing oral record in archival science must have unique characters. And archival science is the task which is building current memory. Therefore the identity of oral more firmly. This article intends to explore the meaning and role of oral record from a perspective of archival science. All these days, the theories and methodologies had been developed focusing on written records mainly in the deep-rooted influence of positivism. But as it is enabled the creation and preservation of records through 'speech', it need to be noted that oral record is the very core of tool for delivering the current society shape and collective memory. Therefore this article will intend to explore the meaning and role of oral record as a part of effort to establish the identity of oral record.

스테인레스 극판을 이용한 전해수장치의 수질특성과 오징어 선도유지를 위한 전해수 빙장 효과

  • Lee, Nam-Geol;Jeong, Gap-Seop
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2006.11a
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    • pp.278-282
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    • 2006
  • 연속식 스테인레스 단자방식의 전해수기를 이용하여, 기기의 특성과 연근해 다획성 어종인 오징어를 빙장온도대에서 담수빙과 산성전해수빙, 염기성전해수빙으로 저장 중에 선도 보존효과 및 표피색의 변화에 대하여 검토하여 향후 전기분해수의 연안산 해산어류의 빙장 적용기초 자료로 이용하고자 연구한 결과를 요약하면 다음과 같다. 전체적으로 동일한 Amphere를 걸 었을때, 산성전해수의 경우 낮은 pH를 유지했으며, 유량을 늘릴수록 산성도가 떨어지는 것을 알 수 있었다. 먹는물 수질기준에 따른 유속별 생산 전해수의 수질분석 및 미생물검사결과 세균학적인 검사의 경우 모든 검사과정에서 먹는물 기준 이하치를 나타내고 있으나 산성전해수의 경우 미생물학적인 검사에서 음성의 결과를 나타냈다 전해수빙과 담수빙 저장중 오징어의 일반성분과 VBN관찰 결과 수분함량은 77.65%였으며 단백질함량은 18.32%, 지질의 함량은 2.41%, 회분함량은 1.62%로 나타났다. 빙장 저장직전 11.2mg/100g이었으며, 저장 초기에 모든 전해 환원산성수 빙장구에서 VBN 증가가 억제되었다.

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Clinical Study on Laryngo - Microscopic Surgery For Vocal Nodules and Polyps (후두결절 및 폴립의 후두미세 수술에 관한 임상연구)

  • 문영일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.11.2-11
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    • 1983
  • Vocal nodules and polyps are much more frequent in singers, public speakers, teachers and actors. Voice trauma and voice misuse, at times associated with mild inflammatory reaction, appear to be important in their etiology. It is generally agreed that vocal cord nodules and polyps are inflammatory in nature and they arise in the subepithelial layer of loose connective tissue of the vocal cord. Since the junction of anterior and middle thirds of the membranous cord and has the greatest amplitude of vibration. This is the site of predilection for vocal cord nodules. The author performed laryngomicrosurgery for 70 cases of vocal nodules and polyps at Ewha Womans University Hospital during the period of 5 years. The result obtained were as follows ; 1) Surgical excision is not necessarily the best approach because vocal nodules in the early stages will resolve with the simplest voice therapy. 2) In children, surgery is rarely indicated because most nodules in children regress during adolescence. 3) For patients who use their voices professionally, voice therapy is indicated for three months. 4) If after three month of conservative treatment the cord lesion does not improve and the patient it still dissatisfied with his voice, laryngomicrosurgery can then be considered. 5) The small cuffed endotracheal tube in the interarytenoid space helps to keep the cords immobile and in an abducted position. 6) Removal of the nodule shoule be started by gentle retraction posteriorly and as soon as a tear appears anterior to the nodule. 7) On occasion it is preferable to start the dissection with a siccle knife while the nodule is held on the stretch. 8) Voice rest should be maintained for a week following which the free edges of the cords are usually healed.

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Clinical Outcome after Breast Conserving Surgery and Radiation Therapy for Early Breast Cancer (초기 유방암의 유방 보존수술 후 방사선 치료 결과)

  • Cho, Heung-Lae;Kim, Cheol-Jin;Park, Sung-Kwang;Oh, Min-Kyung;Lee, Jin-Yong;Ahn, Ki-Jung
    • Radiation Oncology Journal
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    • v.26 no.4
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    • pp.204-212
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    • 2008
  • Purpose: This study was performed to evaluate the disease-free survival and risk factors of recurrence in early breast cancer patients who have undergone breast conserving surgery and radiation therapy. Materials and Methods: From March 1997 to December 2002, 77 breast cancer patients who underwent breast conserving surgery and radiation therapy were reviewed retrospectively. The median follow-up time was 58.4 months (range $43.8{\sim}129.4$ months) and the mean subject age was 41 years. The frequency distribution of the different T stages, based on the tumor characteristics was 38 (49.3%) for T1, 28 (36.3%) for T2, 3 for T3, 7 for T is and 1 for an unidentified sized tumor. In addition, 52 patients (67.5%) did not have axillary lymph metastasis, whereas 14 patients (18.1%) had $1{\sim}3$ lymph node metastases and 3 (0.03%) had more than 4 lymph node metastases. The resection margin was negative in 59 patients, close (${\leq}2\;mm$) in 15, and positive in 4. All patients received radiation therapy at the intact breast using tangential fields with a subsequent electron beam boost to the tumor bed at a total dose ranging from 59.4 Gy to 66.4 Gy. Patients with more than four positive axillary lymph nodes received radiation therapy ($41.4{\sim}60.4\;Gy$) at the axillary and supraclavicular area. Chemotherapy was administered in 59 patients and tamoxifen or fareston was administered in 29 patients. Results: The 5 year overall survival and disease-free survival rates were 98.08% and 93.49%, respectively. Of the 77 patients, a total of 4 relapses (5.2%), including 1 isolated supraclavicular relapse, 1 supraclavicular relapse with synchronous multiple distant relapses, and 2 distant relapses were observed. No cases of local breast relapses were observed. Lymph node metastasis or number of metastatic lymph nodes was not found to be statistically related with a relapse (p=0.3289) nor disease-free survival (p=0.1430). Patients with positive margins had a significantly shorter disease-free survival period (p<0.0001) and higher relapse rates (p=0.0507). However, patients with close margins were at equal risk of relapse and disease-free survival as with negative margins (p=1.000). Patients younger than 40 years of age had higher relapse rates (9.3% vs. 0%) and lower disease-free survival periods, but the difference was not statistically significant (p=0.1255). The relapse rates for patients with tumors was 14% for tumor stage T2, compared to 0% for tumor stage T1 tumors (p=0.0284). A univariate analysis found that disease-free survival and relapse rates, T stage, positive resection margin and mutation of p53 were significant factors for clinical outcome. Conclusion: The results of this study have shown that breast conservation surgery and radiation therapy in early breast cancer patients has proven to be a safe treatment modality with a low relapse rate and high disease-free survival rate. The patients with a positive margin, T2 stage, and mutation of p53 are associated with statistically higher relapse rates and lower disease-free survival.

The Effectiveness of Electroglottographic Parameters in Differential Diagnosis of Laryngeal Cancer (후두암 감별진단에 있어 성문전도(Electroglottograph) 파라미터의 유용성)

  • 송인무;고의경;전경명;권순복;김기련;전계록;김광년;정동근;조철우
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.14 no.1
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    • pp.16-25
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    • 2003
  • Background and Objectives : Electroglottography(EGG) is a non-invasive method of monitoring the vocal cord vibration by measuring the variation of physiological impedance across the vocal folds through the neck skin. It reveals especially the vocal fold contact area and is widely used for basic laryngeal researches, voice analysis and synthesis. The purpose of this study is to investigate the effectiveness of EGG parameters in differential diagnosis of laryngeal cancer. Materials and Methods : The author investigated 10 laryngeal cancer and 25 benign laryngeal disease patients who visited at the Department of Otolaryngology, Pusan National University Hospital. The EGG equipment was devised in the author's Department. Among various parameters of EGG, closed quotient(CQ), speed quotient(SQ), speed index(SI), Jitter, Shimmer, Fo were determined by an analysis program made with MATLAB 6.5$^{\circledR}$(Mathwork, Inc.). In order to differentiate various laryngeal diseases from pathologic voice signals, the author has used the electroglottographic parameters using the neural network of multilayer perceptron structure. Results : SQ, SI, Jitter and Shimmer values except those of CQ and Fo showed remarkable differences between benign and malignant laryngeal disease groups. From the artificial neural network, the percentage of differentiating the laryngeal cancer was over 80% in SQ, SI, Jitter, Shimmer except for CQ and Fo. These results indicated that it is possible to discriminate the benign and malignant laryngeal diseases by EGG parameters using the artificial neural network. Conclusion : If parameters of EGG which can reveal for the pathology of laryngeal diseases are additionally developed and the current classification algorithm is improved, the discrimination of laryngeal cancer will become much more accurate.

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