• 말소리와 음성과학
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• 제6권4호
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• pp.171-179
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• 2014

Purposes: Speech acceptability means the subjective judgement of listeners regarding the naturalness and normality of the speech. The purpose of this study was to determine the predicting variables for speech acceptabilities of children with cochlear implants. Methods: Twenty seven children with CI participated. They had profound pre-lingual hearing loss without any additional disabilities. The mean of chronological ages was 8;9, and mean of age of implantation was 2;11. Speech samples of reading and spontaneous speech were recorded separately. Twenty college students who were not familiar to the speech of deaf children evaluated the speech acceptabilities using visual analog scale. 1 segmental (articulation) and 6 suprasegmental features (pitch, loudness, quality, resonance, intonation, and speaking rate) of speech were perceptually evaluated by 3 SLPs. Correlation and multiple regression analysis were performed to evaluate the predicting variables. Results: The means of speech acceptability for reading and spontaneous speech were 73.47 and 71.96, respectively. Speech acceptability of reading was predicated by the severity of intonation and articulation. Speech acceptability of spontaneous speech was predicated by the severity of intonation and loudness. Discussion and conclusion: Severity of intonation was the most effective variable to predict the speech acceptabilities of both reading and spontaneous speech. A further study would be necessary to generalize the result and to apply this result to intervention in clinical settings.

• 말소리와 음성과학
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• 제14권2호
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• pp.39-54
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• 2022

본 연구의 목적은 L2KSC(외국어로서의 한국어 음성 말뭉치)의 한국어 부분에서 한국어 낭독과 자유 발화를 분석하여 음성 유형의 운율 차이를 명확히 하는 것이다. 이를 위해 문장의 조음 길이, 조음 속도, 한 문장 내 휴지 길이 및 휴지 빈도, 문장 F0값을 변수로 설정하고 통계적 방법론(t-검정, 상관 분석, 회귀 분석)을 통해 분석하였다. 실험결과, 낭독과 자유 발화는 각 문장을 구성하는 운율구 형태가 구조적으로 달랐는데 각 발화 유형을 구별하는 운율적 요소로는 조음 길이, 휴지 길이, 휴지 빈도로 나타났다. 통계적 결과에서는 낭독 발화는 조음 속도와 조음 길이의 상관관계가 가장 높았는데, 이는 주어진 문장이 길수록 화자가 더 빨리 말하는 것을 설명하였다. 그러나 자유 발화에서는 문장의 조음 길이와 휴지 빈도 사이의 관계가 높았다. 전반적으로 자유 발화에서는 문장을 만들기 위해 짧은 억양구가 지속적으로 만들어지는데, 그런 이유로 더 많은 휴지가 발생하여 문장이 더 길어지는 것으로 나타났다.

• 말소리와 음성과학
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• 제13권3호
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• pp.31-37
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• 2021

The fundamental frequency, or f0, is an important acoustic measure in the prosody of human speech. The current study examined the f0 distribution of a corpus of spontaneous speech in order to provide normative data for Korean speakers. The corpus consists of 40 speakers talking freely about their daily activities and their personal views. Praat scripts were created to collect f0 values, and a majority of obvious errors were corrected manually by watching and listening to the f0 contour on a narrow-band spectrogram. Statistical analyses of the f0 distribution were conducted using R. The results showed that the f0 values of all the Korean speakers were right-skewed, with a pointy distribution. The speakers produced spontaneous speech within a frequency range of 274 Hz (from 65 Hz to 339 Hz), excluding statistical outliers. The mode of the total f0 data was 102 Hz. The female f0 range, with a bimodal distribution, appeared wider than that of the male group. Regression analyses based on age and f0 values yielded negligible R-squared values. As the mode of an individual speaker could be predicted from the median, either the median or mode could serve as a good reference for the individual f0 range. Finally, an analysis of the continuous f0 points of intonational phrases revealed that the initial and final segments of the phrases yielded several f0 measurement errors. From these results, we conclude that an examination of a spontaneous speech corpus can provide linguists with useful measures to generalize acoustic properties of f0 variability in a language by an individual or groups. Further studies would be desirable of the use of statistical measures to secure reliable f0 values of individual speakers.

• Journal of Korean Neurosurgical Society
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• 제60권5호
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• pp.511-517
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• 2017

Objective : Spontaneous intracerebral hemorrhage (ICH) and ischemic stroke share common vascular risk factors such as aging and hypertension. Previous studies suggested that the rate of recurrent ICH and ischemic stroke might be similar after ICH. Presence of cerebral arterial stenosis is a potential risk factor for future ischemic stroke. This study investigated the prevalence and factors associated with cerebral arterial stenosis in Korean patients with spontaneous ICH. Methods : A total of 167 patients with spontaneous ICH were enrolled. Intracranial arterial stenosis (ICAS) and extracranial arterial stenosis (ECAS) were assessed by computed tomography angiography. Presence of ICAS was defined if patients had arterial stenosis in at least one intracranial artery. ECAS was assessed in the extracranial carotid artery. More than 50% luminal stenosis was defined as presence of stenosis. Prevalence and factors associated with presence of ICAS and cerebral arterial stenosis (presence of ICAS and/or ECAS) were investigated by multivariable logistic regression analysis. Results : Thirty-two (19.2%) patients had ICAS, 7.2% had ECAS, and 39 (23.4%) patients had any cerebral arterial stenosis. Frequency of ICAS and ECAS did not differ among ganglionic ICH, lobar ICH, and brainstem ICH. Age was higher in patients with ICAS ($67.6{\pm}11.8$ vs. $58.9{\pm}13.6years$ p=0.004) and cerebral arterial stenosis ($67.9{\pm}11.6$ vs. $59.3{\pm}13.5years$, p<0.001) compared to those without stenosis. Patients with ICAS were older, more frequently had diabetes, had a higher serum glucose level, and had a lower hemoglobin level than those without ICAS. Patients with cerebral arterial stenosis were older, had diabetes and lower hemoglobin level, which was consistent with findings in patients with ICAS. However, patients with cerebral arterial stenosis showed higher prevalence of hypertension and decreased kidney function compared to those without cerebral arterial stenosis. Multivariable logistic regression analyses showed that aging and presence of diabetes independently predicted the presence of ICAS, and aging, diabetes, and hypertension were independently associated with presence of cerebral arterial stenosis. Conclusion : 19.2% of patients with spontaneous ICH had ICAS, but the prevalence of ECAS was relatively lower (7.2%) compared with ICAS. Aging and diabetes were independent factors for the presence of ICAS, whereas aging, hypertension, and diabetes were factors for the cerebral arterial stenosis.

• 의료법학
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• 제19권2호
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• pp.209-233
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• 2018

이 연구의 목적은 5년간(2012년~2016년) 응급실 도착 전 심정지 환자의 자발순환회복 여부를 파악하고, 이에 미치는 요인을 규명하기 위하여 시도하였다. 이 연구는 우리나라 전국을 대상으로 2012~2016년 '질병관리본부'에서 실시한 '급성심장정지조사 원시자료'를 주 자료로 사용하였다. 2012년부터 2016년 5년간의 국가 심장정지 조사 자료 중 심장정지 환자 136,212명을 분석 대상으로 하였다. 일반적 특성, 사회·인구학적 특성, 발생관련 특성에 따른 응급실 도착 전 자발순환 회복 여부를 파악하기 위해 교차분석을 하였고, 자발순환 회복 여부에 미치는 요인을 분석하고자 이분형 로지스틱 회귀분석을 실시하였다. 분석결과 응급실 도착 전 자발순환 회복 여부에 미치는 요인은 응급실 도착전 심폐소생술 지속 이송 여부, 응급실 도착 전 급성심장정지 목격 여부, 일반인 심폐소생술 시행 종류, 급성심장정지 발생 장소, 급성심장정지 발생 원인이었다(P<0.001, P<0.01). 그러므로, 심정지 환자의 자발순환 회복에 영향을 미치는 요인을 중심으로 체계적인 정부의 보건정책 시행과 대중적인 보건교육을 강화해야 할 것이다.

• 대한영상의학회지
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• 제83권4호
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• pp.958-964
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• 2022

폐 상피양 혈관 내피종은 경계성 또는 저등급 악성의 드문 혈관성 종양이며 그 예후를 예측하기는 어렵다. 이 논문에서는 다발성 폐결절이 있는 47세 무증상 여성에서 7년의 추적 기간 동안, 초기 검사에서 크기가 크고 높은 ¹⁸F-fluorodeoxyglucose 흡수를 보이는 결절은 크기가 증가하는 진행을 보였고, 1 cm 미만의 대부분의 작은 결절은 말초 가장자리 석회화 또는 결절 석회화와 함께 자발적인 퇴행을 보여주었다. 환자는 폐 상피양 혈관내피종으로 진단되었으며 크기가 커진 결절에 대해 수술적 절제술을 받았다. 이 사례는 한 개인에서 질병의 진행과 퇴행이 동시에 나타난 혼합적인 반응을 보여준다는 점에서 주목할 만하며 이 논문을 통해 예후를 예측하는 데 도움이 될 수 있겠다.

• The Korean Journal of Pain
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• 제22권1호
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• pp.99-103
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• 2009

We studied the historical changes of intervertebral disc displacement using magnetic resonance imaging. The phenomenon of the spontaneous regression of herniated discs is well known. The case of a 40-years-old male presenting with a large disc herniation at L5-S1, experiencing severe sciatic pain, and having the straight leg raising test positive at 25 degrees is presented. The extruded disc was documented by clinical examination. He was treated conservatively with epidural steroid injection (ESI), medication, physical therapy and self-exercise and reevaluated in 10 weeks later, 30 and 1 year. Large extruded disc can be treated successfully by physical therapy with ESI. However, the degeneration and the dehydration of disc result in decrease of disc height. Consequently, the regression of extruded disc might have been due to the resorption and the dehydration.

• 청정기술
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• 제29권4호
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• pp.288-296
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• 2023

세계적으로 석탄은 다른 에너지원에 비해 매장량이 풍부하여 다양한 에너지원으로 사용되고 있다. 기존 석탄 이용 방식에서 발생하는 환경적인 문제를 해결하기 위해 청정 석탄 활용 기술 개발이 이루어지고 있으며 대표적인 기술로 IGCC발전 기술이 있다. IGCC 발전에서 사용되는 석탄은 CMD 공정에서 열풍을 동시에 공급하여 건조, 분쇄가 이루어지고 있으나, 공급되는 열풍의 온도가 너무 높을 경우, 탈휘발, 자연발화 현상이 발생하게 되고 이로 인한 CMD 공정의 안정적인 운전을 저하시킨다. 본 연구에서는 유연탄 9종을 이용하여 탈휘발, 자연발화 개시온도를 측정하고 석탄 특성분석결과와 함께 상관관계를 알아보고자 하였다. 탈휘발 현상의 경우 350 ~ 400 ℃ 사이에서 6종 석탄의 탈휘발이 확인되었고 400 ℃ 이상의 온도에서 3종의 석탄 탈휘발을 확인하였다. 자연발화의 경우 100 ℃ 이하에서 1종의 석탄, 100 ~ 150 ℃ 사이에서 6종의 석탄, 150 ℃ 이상에서 2종 석탄의 자연발화를 확인하였다. 측정한 개시온도를 석탄 분석 결과 중 Oxygen, Moisture, Fe₂O₃, CaO, H/C Ratio, O/C Ratio와 비교하여 상관관계를 확인하였다. 회귀분석으로 각 개시온도의 회귀계수와 결정계수를 계산하였으며, FC/VM 데이터의 52.44%가 탈휘발 개시온도에 대해, Fe₂O₃ 데이터의 59.10%가 자연발화 개시온도에 대해 영향을 주는 것에 대한 유의한 결과를 확인 하였다.

• Journal of Chest Surgery
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• 제24권2호
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• pp.222-226
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• 1991

Authors recently experienced a case of traumatic pulmonary pseudocyst in 4 year-old girl. Traumatic pulmonary cyst is a rare complication of blunt thoracic trauma, simulating surgical conditions such as lung abscess, localized empyema, or congenital bronchogenic cyst. Unless infection is supervened, surgery is not indicated because of its spontaneous regression. In this article, authors present the case and review the traumatic pulmonary pseudocyst with related articles.

• Journal of Korean Neurosurgical Society
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• 제39권3호
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• pp.221-223
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• 2006

We report the case of a patient with a retro-odontoid synovial cyst, coupled with os odontoideum and atlantoaxial instability. We observed the regression of the cyst after C1-2 transarticular screw fixation and posterior wiring without direct surgical excision of the cyst on the follow-up MR images, which were obtained two and three months postoperatively. The myelopathic symptoms and signs of this patient were resolved by degrees.