• Title/Summary/Keyword: Double Sound

검색결과 143건 처리시간 0.028초

Ebstein 기형의 수술 -2례 보고- (Surgical Repair for Ebstein's Anomaly)

  • naf
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.289-296
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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최적화된 큐 기반의 NMEA 프로토콜 멀티플렉서 시뮬레이션에 관한 연구 (A Study of NMEA Protocol Multiplexer Simulation on the based optimizing Queue)

  • 박시형;정성훈;김창수;임창묵;임재홍
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2004년도 추계학술대회
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    • pp.15-19
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    • 2004
  • 현재 국내에서는 NMEA 프로토콜 멀티플렉서를 개발한 사례 및 제품이 없어, 외국의 고비용 장비를 수입하여 사용하거나, 멀티 포트를 이용하여 NMEA 프로토콜을 전송하는 프로그램을 소프트웨어 적으로 구현하여 사용하고 있다. 이러한 방법은 고비용이 지출되거나, 각 응용프로그램마다 별도의 처리 부분을 작성해야하는 문제점이 있다. 또한, NMEA 프로토콜을 출력하는 각각의 장비들은 제조 회사 및 플랫폼이 다르므로 이중의 자원낭비 및 손실 등을 초래할 수 있다. 본 논문에서는 이를 보완하기 위하여 신뢰성 있는 처리방법과 고성능의 단일 하드웨어 모듈로서 독립적으로 동작할 수 있고 최적화된 큐의 설계를 이용하여 모듈의 메모리 효율을 높이며, 주요 입력 센서 장비인 자이로콤 파스, 에코 사운드, GPS 등의 장비들과 실시간 통신의 높은 신뢰성을 유지할 수 있는 NMEA 프로토콜 멀티플렉서를 구현에 대하여 제안하였다.

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도로연변 환경시설에 의한 교통소음 저감방안에 관한 연구 (A study on Traffic Noise control by the Environmental facilities around Roadway)

  • 설증민;정용
    • 환경위생공학
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    • 제3권2호
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    • pp.43-60
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    • 1988
  • This study was carried out to determine traffic noise level and analyze noise reduction effects of various sound protection facilities in the area of Seoul, Inch'on, Songchoo and Seoul- Busan Expressway from March to Octover, 1987. The results were as follows; 1. As compared with the environmental standards and the traffic noise level in heavy noise areas, traffic noise levels observed were shown in higher than environmental standards. The noise levels in Seoul were determined at 12.8-18.2 dB(A) in daytime and 19.0-26.9 dB (A) in nighttime. And incase of inch'on, it were 6.7-9.6 dB(A) in daytime, 7.9-18.9 dB(A) in nighttime, respectively. 2. The environmental noise level observed in the backside of protection facilities, such as apartment, soundproof barrier and houses, which were constructed in paralled to the road was lower about 3-5 dB(A) than perpendicular to theroad. Noise recuction effect of upper stairs in apartment was higher than lower stairs. 3. The predicted noise level obtained from the equation $({\triangle}L\;=\; -10\;log\;(^{I'1}/Ii)\;was\;\pm\;1dB$ (A) and the correlation coefficient (r) was 0.923. 4. The noise reduction effect in backside of apartment was measured at on sites and predicted by total noise loss equation. The predicted noise level was 60.9 dB(A) and the measured level was 60.6 dB(A), respectively. 5. The narrow width landscape less than 10m width was almost no effect for the protection of traffic noise. According to the synthesis of the above results, the noise level of the road was exceeding mostly the environmental standard in the heavy traffic areas. The counterplan should be set as well. The insulation of noise protection facilities were effective by the location with near distance from the road edge. The reduction effect of double window in apartment was represented so much. The prediction model could be applied to estimate the noise levels in the roadside as well as the effectiveness for the noise protection facilities.

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방송뉴스제작에 있어서 기자.PD 협업의 시너지효과 탐구 - KBS 2TV <뉴스투데이>를 중심으로 - (Study of Synergy Effects of Collaboration in News Program between TV Reporter & Producer - Focusing on KBS 2TV -)

  • 홍경수
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.164-176
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    • 2011
  • 기자와 PD 협업의 본격적인 시작이라고 볼 수 있는 <뉴스투데이>의 시너지 효과 분석을 통하여 기자와 PD 협업의 바람직한 방향에 대한 함의를 얻기 위한 연구다. <뉴스투데이>는 PD시스템, 기자시스템, 더블 리포팅시스템, 공동작업 시스템 등 4가지의 대표적인 협업양식을 시도했으며, 각 양식은 현장취재, 반영, 편집, 글쓰기의 주체에 의해 구별되었다. 공동작업 시스템을 제외한 기자시스템과 PD시스템에서는 완성한 꼭지 프로그램의 단순한 합산만으로 엄밀한 의미의 시너지는 적다고 할 수 있다. 협업의 성과로는 기존의 뉴스와는 다른 영상, 길이, 관점, 사운드를 가진 새로운 뉴스가 출현했다는 것과, 새로운 프로그램을 배태시킨 토양을 제공했으며, 8시 뉴스시간대라는 새로운 장르 리터러시를 생성시켰다는 것이다. 협업의 성공 요인으로는 구성원이라는 변인이 중요하다는 것을 발견했다. 적절한 비율을 가진 시스템의 균형 역시 성공요인으로 들 수 있다. 하지만, 직종의 벽이라는 한계는 넘기 어려웠고, 협업지향적인 리더가 사라지자, 조직이 와해되었으며, 프로그램은 폐지의 수순을 밟았다.

경춘선 전동열차의 실내 소음 특성 (Interior Noise Characteristics of the Electric Trains in Gyeongchun Line)

  • 안용찬;이중혁;김석현
    • 대한기계학회논문집A
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    • 제38권7호
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    • pp.817-822
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    • 2014
  • 경춘 복선의 일반 전동열차와 준 고속 열차인 ITX-청춘이 개통된 이래, 서울과 춘천을 오가는 유동인구가 급증하고 있다. 이는 대용량성과 저렴한 요금, 운행의 정시성 및 안전성 측면에서 다른 교통수단에 비해 철도 운송의 경쟁력이 높기 때문이다. 그러나 실내소음 측면에서는 전동 열차에 대한 승객들의 불만이 상당하다. 특히 터널 구간에서 실내소음은 급격히 높아져 대화에도 지장을 줄 정도이다. 본 연구에서는 경춘선 일반 전동 열차와 ITX-청춘 열차를 대상으로 정상 주행 중의 실내소음 특성을 비교 분석한다. 개활지, 터널 및 교량에서의 소음 레벨, 주파수 특성과 음질 지수를 분석하고, 실내 위치에 따른 소음레벨의 차이를 비교하여 소음의 전달 경로를 파악함으로써 향후 전동 열차의 실내소음 향상을 위한 기초 정보를 제공하고자 한다.

국내 장수명 공동주택 Mock-up House와 일본 KSI 실험주택 인필 요소기술 비교 연구 (A Study on the comparison of Infill Technology between Korea long life Apartment Mock up House and Japan KSI experimental House)

  • 최영호;김신;김성완
    • KIEAE Journal
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    • 제8권4호
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    • pp.63-69
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    • 2008
  • The thesis is a comparative analysis of Infill Technologies between Korea's long-life Mock-up House, a study driven by 'Durability and Flexibility of Long-life Housing Technology Development' of R&D, and Japan's KSI experimental house, the major example of Japan's long-llfe housing. In terms of the domestic Mock-up House, a system of building the floor first was applied. The floor material of each housing unit required a development of dry heating component that is partially substitutable in order to avoid conflict with the finishing. Also, a development of a floor system that can counteract against the construction inaccuracy was required. In the Case of an outer wall, need to make the wall with the chassis. In the case of ceiling, need to develop the double ceiling system which is good for sound insulation. Also, in comparison to KSI experimental house in Japan, it would require to develop a wiring system of the ceiling which can react to the movement of the wall. Especially, to assure the flexible nature of an internal wall, it would desperately require the research and development of the products related to components and flexible system of mechanical/electrical/communication parts as well as supporting institutionalized system for this development. Furthermore, for KSI experimental house in Japan, it would be necessary to formulate a construction manual as well as a systematic and practical planning guide to invent a new interface rule which will secure simplicity of assembling, dismantling, installation and replacement of architectural components for which research development is quite insignificant at the moment. This effort will have to continue to give a solid direction for better application of such reference manual during construction and development of long life span apartment by public sector as well as private corporations.

위상 반전 현상을 이용한 덕트 소음 제거기 (Reactive Acoustic Filter based on the Phase Cancellation Effect)

  • 강종민
    • 소음진동
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    • 제9권3호
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    • pp.600-606
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    • 1999
  • 본 논문은 길이 방향에 따라 단면적이 감소하는 경로와 증가하는 경로 2개가 존재할 경우 길이 방향에 따른 단면적 변화율과 경로의 길이에 의하여 특정 주파수에서 음파의 위상이 반대되는 현상이 발생하여 전달 경로 하단에서 해당 주파수의 소음이 상쇄되는 현상을 규명하였다. 단면적 변화를 고려한 1차 파동 방정식을 적용하여 매우 간단한 해석적인 해를 구하였으며, 원형 덕트 내의 속이 빈 콘 형상의 단면적 변화를 적용하여 실험적으로 검증하였다. 질량 효과에 의하여 필터링 주파수는 1, 2차 모드에서는 이론보다 더 낮은 주파수에서 결정되나, 3차 이상 고차 모드에서는 이론식으로 그 해당 주파수를 예측할 수 있다. 본 연구의 결과는 좁은 공간에서 덕트의 특정 소음의 주파수를 제거하여 음질을 개선할 필요가 있는 경우 이를 덕트 내부에 적용하는 콤팩트한 필터로 적용할 수 있다.

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사고종류에 따른 삼상 일체화된 자속구속형 SFCL의 사고전류제한특성 분석 (Analysis of Fault Current limiting Characteristics According to Fault Type in Integrated Three-Phase Flux-Lock Type Superconducting Fault Current limiting)

  • 박충렬;임성훈;박형민;조용선;최효상;한병성
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2005년도 하계학술대회 논문집 Vol.6
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    • pp.54-56
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    • 2005
  • In this paper, we investigated the quench characteristics of HTSC elements in the integrated three-phase flux-lock type SFCL according to fault types such as the single-line-to-ground fault, the double-line-to-ground fault, the line-to-line fault and the three-line-to-ground fault. The integrated three-phase flux-lock type SFCL was the upgrade version of the single-phase flux-lock type SFCL. The structure of the integrated three-phase flux-lock type SFCL consisted of three-phase flux-lock reactor wound on an iron core with the ratio of the same turn between coil 1 and coil 2 in each phase. When the SFCL is operated under the normal condition, the flux generated in the iron core is zero because the flux generated between two coils of each single phase is canceled out. Therefore, the SFCL's impedance is zero, and the SFCL has negligible influence on the power system. However, if a fault occurs in any single-phase among three phases, the flux generated in the iron core is not zero any more. The flux makes HTSC elements of all phases quench irrespective of the fault type, which reduces the current of fault phase as well as the current of sound phase. It was observed that the fault current limiting characteristics of the suggested SFCL were dependent on the quench characteristics of HTSC elements in all three phases.

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삼상일체화된 자속구속형 SFCL의 사고종류에 따른 소자들의 퀜치 특성 (Quench Characteristics of HTSC Elements according to fault types in Integrated Three-Phase)

  • 박충렬;이종화;박식;두호익;임성훈;최효상;한병성
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 제36회 하계학술대회 논문집 B
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    • pp.960-962
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    • 2005
  • In this paper, we investigated the quench characteristics of high-Tc superconducting(HTSC) elements in the integrated three-phase flux-lock type superconducting fault current limiter(SFCL) according to fault types such as the single-line-to-ground fault, the double-line-to-ground fault, the line-to-line fault and the triple-line-to-ground fault. The integrated three-phase flux-lock type SFCL is an upgrade version of single-phase flux-lock type SFCL. The structure of the integrated three-phase flux-lock type SFCL consisted of a three-phase flux-lock reactor wound on an iron core with the ratio of the same turn between coil 1 and coil 2 in each phase. When the SFCL is under the normal condition, the flux generated in the iron core is zero because the flux generated between two coils of each single phase is canceled out. Therefore, the SFCL's impedance is zero, and the SFCL has negligible influence on the power system. However, if a fault occurs in any single one of three phases, the flux generated in the iron core is not zero any more. The flux makes HTSC elements of all phases to quench irrespective of the fault type, which reduces the current in fault phase as well as the current of sound phase. It was obtained that the fault current limiting characteristics of the suggested SFCL were dependent on the quench characteristics of HTSC elements in all three phases.

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Pain perception and efficacy of local analgesia using 2% lignocaine, buffered lignocaine, and 4% articaine in pediatric dental procedures

  • Afsal, M.M;Khatri, Amit;Kalra, Namita;Tyagi, Rishi;Khandelwal, Deepak
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제19권2호
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    • pp.101-109
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    • 2019
  • Background: The purpose of this study was to compare the pain perception and anesthetic efficacy of 2% lignocaine with 1:200,000 epinephrine, buffered lignocaine, and 4% articaine with 1:200,000 epinephrine for the inferior alveolar nerve block. Methods: This was a double-blind crossover study involving 48 children aged 5-10 years, who received three inferior alveolar nerve block injections in three appointments scheduled one week apart from the next. Pain on injection was assessed using the Wong-Baker Faces pain scale and the sound eye motor scale (SEM). Efficacy of anesthesia was assessed by subjective (tingling or numbness of the lip, tongue, and corner of mouth) and objective signs (pain on probing). Results: Pain perception on injection assessed with Wong-Baker scale was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between buffered lignocaine and articaine (P = 0.041). The onset of anesthesia was lowest for buffered lignocaine, with a statistically significant difference between buffered lignocaine and lignocaine (P < 0.001). Moreover, the efficacy of local analgesia assessed using objective signs was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between lignocaine and articaine. Conclusion: Buffered lignocaine was the least painful and the most efficacious anesthetic agent during the inferior alveolar nerve block injection in 5-10-year-old patients.