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      • KCI등재

        경북지역 공공하수처리시설 유입수 및 방류수의 유기물 특성

        이기창,박영진,강귀화,정미옥,류동현,정상섭,이원태 대한환경공학회 2021 대한환경공학회지 Vol.43 No.5

        Objectives : This study aimed to provide scientific information on the characteristics of organic matters in influents and effluents of sewage treatment plants (STPs) in Gyeongbuk province, Korea, for better performance of treatment processes in the plants. Methods : We selected six STPs with each capacity over 30,000 m3/day in Gyeongbuk province, and analyzed water quality data in influents and effluents of the plants from 2013 to 2020. Also, the removal efficiencies of pollutants were assessed with the operational data. In 2020, characteristics and origins of dissolved organic matters (DOM) in influents and effluents were investigated using the fluorescence excitation emission matrix (FEEM) analysis. Results and Discussion : The average BOD5/CODMn ratios of influents and effluents from the STPs were 1.60 and 0.27, respectively. High variability in BOD5/CODMn ratios was observed for both influents and effluents. The CODMn/TOC ratios of the influents and effluents were the same with an average of 1.6. Although the biological treatment process was different for each STP, the organic matter removal efficiency was similar, and the TOC removal efficiency was 86.5~91.7%. The representative spectra of DOM identified through FEEM analysis was peak C (humic-acid like substance) region, and under the same carbon concentration (2 mg-C/L) the fluorescence intensity of effluents was stronger than influents possibly due to the influence of soluble microbial products (SMP). It was found that DOM of both influent and effluent originated from microorganisms, and the difference in water quality of DOM was statistically significant. Conclusions : The characteristics and fate of organic matters in influents and effluents of the six STPs were similar regardless of plant location. The results of this study can be used as basic information to efficiently control organic matters in the STPs. 목적: 본 연구는 경북지역 내 대표적인 공공하수처리시설의 유입수 및 유출수 내 유기물 특성을 분석하고 이를 통해 처리시설의 효율적인 운영을 도모하고자 수행하였다. 방법: 경북지역의 공공하수처리시설 중 시설규모 30,000 m3/day 이상인 6곳을 선정하여 2013~2020년 동안의 운영자료를 활용하여 유입수 및 방류수의 수질특성과 공정효율을 분석하였다. 2020년 시료는 형광 excitation emission matrix (EEM) 분석기법을 활용하여 유입수 및 방류수의 용존유기물질(Dissolved Organic Matter, DOM) 특성과 생성기원 등을 조사하였다. 결과 및 토의: 분석대상 공공하수처리시설의 유입수와 방류수의 BOD5/CODMn 평균비는 각각 1.60과 0.27이었다. BOD5/CODMn 비는 유입수 뿐만 아니라 생물학적처리가 된 방류수에서도 변동성이 크게 나타났다. 유입수와 방류수의 CODMn/TOC 비는 평균 1.6으로 동일하였다. 처리시설별로 생물학적공법이 상이하였지만 유기물 제거효율은유사하게 나타났으며, TOC의 경우 제거효율은 86.5~91.7%이었다. 형광 EEM 분석을 통해 확인된 DOM의 대표적EEM spectra는 peak C (humic-acid like substance) 영역이었고, 동일한 탄소농도(2 mg-C/L) 조건에서 방류수가 미생물의 대사활동으로 생성된 soluble microbial products (SMP)의 영향으로 형광강도가 더 강했다. 유입수와 방류수의 DOM은 모두 미생물로부터 기인한 것으로 나타났고, DOM의 수질성상 차이는 통계적으로 유의하였다. 결론: 조사대상 공공하수처리시설간 유입수 및 방류수에 대한 유기물질의 거동이 유사하고 다양한 유기물 성상지표가 비교적 균일한 값을 가져 본 연구의 결과가 향후 수처리공정에서 유기물질을 효율적으로 제어하기 위한 기초자료로 활용 가능할 것이다.

      • KCI등재

        The Effects of the Vestibular Rehabilitation on the Benign Paroxysmal Positional Vertigo Recurrence Rate in Patients with Otolith Dysfunction

        Reza Hoseinabadi,Akram Pourbakht,Nasrin Yazdani,Ali Kouhi,Mohammad Kamali,Farzaneh Zamiri Abdollahi,Sadegh Jafarzadeh 대한청각학회 2018 Journal of Audiology & Otology Vol.22 No.4

        Background and Objectives: Although repositioning maneuvers have shown remarkable success rate in treatments of benign paroxysmal positional vertigo (BPPV), the high recurrence rate of BPPV has been an important issue. The aims of present study were to examine the effects of otolith dysfunction on BPPV recurrence rate and to describe the effect of vestibular rehabilitation exercises on BPPV recurrence in BPPV patients with concomitant otolith dysfunction. Subjects and Methods: Forty-five BPPV patients included in this study (three groups). Patients in group 1 had no otolith dysfunction and patients in groups 2 and 3 had concomitant otolith dysfunction. Otolith dysfunction was determined with ocular/cervical vestibular evoked myogenic potential (oVEMP and cVEMP) abnormalities. Epley’s maneuver was performed for the patients in all groups but patients in group 3 also received a 2-month vestibular rehabilitation program (habituation and otolith exercises). Results: This study showed that BPPV recurrent rate was significantly higher in patients with otolith dysfunction in comparison to the group 1 (p<0.05). Vestibular rehabilitation resulted in BPPV recurrence rate reduction. Utricular dysfunction showed significant correlation with BPPV recurrence rate. Conclusions:Otolith dysfunction can increase BPPV recurrence rate. Utricular dysfunction in comparison to saccular dysfunction leads to more BPPV recurrence rate. Vestibular rehabilitation program including habituation and otolith exercises may reduce the chance of BPPV recurrence.

      • KCI등재

        Comparison of Speech Rate and Long-Term Average Speech Spectrum between Korean Clear Speech and Conversational Speech

        유제은,오홍엽,정승엽,진인기 대한청각학회 2019 Journal of Audiology & Otology Vol.23 No.4

        Background and Objectives: Clear speech is an effective communication strategy used in difficult listening situations that draws on techniques such as accurate articulation, a slow speech rate, and the inclusion of pauses. Although too slow speech and improperly amplified spectral information can deteriorate overall speech intelligibility, certain amplitude of increments of the mid-frequency bands (1 to 3 dB) and around 50% slower speech rates of clear speech, when compared to those in conversational speech, were reported as factors that can improve speech intelligibility positively. The purpose of this study was to identify whether amplitude increments of mid-frequency areas and slower speech rates were evident in Korean clear speech as they were in English clear speech. Subjects and Methods: To compare the acoustic characteristics of the two methods of speech production, the voices of 60 participants were recorded during conversational speech and then again during clear speech using a standardized sentence material. Results: The speech rate and longterm average speech spectrum (LTASS) were analyzed and compared. Speech rates for clear speech were slower than those for conversational speech. Increased amplitudes in the mid-frequency bands were evident for the LTASS of clear speech. Conclusions:The observed differences in the acoustic characteristics between the two types of speech production suggest that Korean clear speech can be an effective communication strategy to improve speech intelligibility.

      • KCI등재

        Measurement of Skull Size on Computed Tomography Images for Developing a Bone Conduction Headset Suitable for the Korean Standard Head Size

        Cheol Hyo Ku,Soo Won Kim,Ji Young Kim,Seung Won Paik,Hui Joon Yang,이지현,서영준 대한청각학회 2020 Journal of Audiology & Otology Vol.24 No.1

        Background and Objectives: We aimed to measure the head dimensions on computed tomography (CT) images, to compare them to directly measured head dimensions, and to predict a new parameter of bone thickness for aiding bone conduction implant (BCI) placement. Subjects and Methods: We reviewed the facial and mandibular bone CT images of 406 patients. Their head sizes were analyzed using five parameters included in the 6th Size Korea project, and they were divided into age groups (ranging from the 10s to the 80s). We compared the head length, head width, sagittal arc, bitragion arc, and head circumference in the CT and Size Korea groups. We also added the parameter bone thickness for aiding BCI placement. Results: All the head size parameters measured using CT were significantly smaller than those measured directly, with head length showing the smallest difference at 7.85 mm. The differences in the other four parameters between the two groups according to patient age were not statistically significantly different. Bone thickness had the highest value of 4.89±0.93 mm in the 70s and the lowest value of 4.10±0.99 mm in the 10s. Bone thickness also significantly correlated with head width (p=0.038). Conclusions: Our findings suggested that the CT and direct measurements yielded consistent data. Moreover, CT enabled the measurement of bone sizes, including bone thickness, that are impossible to measure directly. CT measurements may complement direct measurements in the Size Korea data when used for developing bone conduction hearing devices (BCIs and headsets) for the Korean population.

      • KCI등재

        A Case of Otogenic Brain Abscess Causing Loss of Consciousness

        곽민규,정재호,이승환,박철원 대한청각학회 2014 Journal of Audiology & Otology Vol.18 No.2

        Acute or chronic otitis media can cause intracranial complications, one of the most serious being brain abscess. Empirical antibiotic treatment and proper surgical management should be considered to avoid fatal consequences. However, proper extent and optimal timing of surgical intervention are still matters of debate. We present a case of a 31-year-old man who presented with acutely altered mental status, caused by otogenic brain abscess who we treated successfully with antibiotics and otologic surgery and no neurosurgical treatment.

      • KCI등재

        Approaching Knowledge, Attitudes, and Practices Model for Elderly with Dementia Who are Suspected to Have Hearing Impairment in Korea

        Sunghwa You,한우재 대한청각학회 2020 Journal of Audiology & Otology Vol.24 No.1

        Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.

      • KCI등재

        Microscopic versus Endoscopic Inlay Butterfly Cartilage Tympanoplasty

        이세아,강현택,이윤지,김보경,이종대 대한청각학회 2019 Journal of Audiology & Otology Vol.23 No.3

        Background and Objectives: Inlay butterfly cartilage tympanoplasty makes the graft easy, and reduces operating time. The present study aimed to investigate the outcomes of microscopic versus endoscopic inlay butterfly cartilage tympanoplasty. Subjects and Methods: In this retrospective study, the outcomes of 63 patients who underwent inlay butterfly cartilage tympanoplasty with small to medium chronic tympanic membrane perforation were evaluated. Twenty-four patients underwent conventional microscopic tympanoplasty and 39 underwent endoscopic tympanoplasty. The outcomes were analyzed in terms of the hearing gain and graft success rate. Results: The surgical success rate was 95.8% in the patients who underwent conventional microscopic tympanoplasty and 92.3% in those who underwent endoscopic tympanoplasty. In both groups of patients, the postoperative air-bone gap (ABG) was significantly lower than the preoperative ABG. There were no significant differences between the preoperative and postoperative ABG values in either group. Conclusions: Endoscopic inlay tympanoplasty using the butterfly cartilage technique appears to be an effective alternative to microscopic tympanoplasty and results in excellent hearing.

      • KCI등재

        Expansion to the Motion Sickness Susceptibility Questionnaire-Short Form: A Cross-Sectional Study

        Ugur Emel,Konukseven Bahriye Ozlem,Topdag Murat,Cakmakci Mustafa Engin,Topdag Deniz Ozlem 대한청각학회 2022 Journal of Audiology & Otology Vol.26 No.2

        Background and Objectives: The primary objective of this study is to investigate the necessity of questioning virtual reality systems in the motion sickness susceptibility questionnaire (MSSQ)-short form. The secondary objective of this study is to determine the validity and reliability of the Turkish version of the MSSQ-short form, with proven validity and reliability.Subjects and Methods: In the questionnaire form, for which expert opinion was obtained to maintain linguistic equivalence, the virtual reality items were added to the questionnaire. The questionnaire was then administered to 297 individuals. The results were statistically analyzed with and without these virtual reality items for validity and reliability.Results: After the addition of the virtual reality items, the reliability of the questionnaire was found to be quite high (Cronbach’s alpha r=0.912). The norm values between the original MSSQ-short form (12.9±9.9) and the Turkish MSSQ-short form (13.8±12.9) were found to be consistent.Conclusions: Motion sickness symptoms can occur not only during movement, but also with indirect stimulus. Our findings suggest that adding virtual reality items to the original form is important in long term practical applications. Our results show that the Turkish version of the original questionnaire is quite reliable. Submission of the MSSQ-short form in Turkish will be useful for documentation and will also encourage further research in this area.

      • KCI등재

        Migraine-Associated Otalgia: An Underappreciated Entity

        Sussman Sarah,Zimmerman Zachary,Chishom Taylor,Reid Lauren,Seyyedi Mohammad 대한청각학회 2022 Journal of Audiology & Otology Vol.26 No.2

        Background and Objectives: Otalgia can be primary/otogenic or secondary as a referred pain from another site, which can be difficult to establish owing to various causes and the complex innervation of the ear. In our center, we observed a large group of patients with unexplained otalgia that had a higher prevalence of migraine. We hypothesized that migraine may cause secondary otalgia. This study then aimed to determine the prevalence of migraine-associated otalgia and evaluate the efficacy of migraine treatment.Subjects and Methods: This 2-year retrospective study was conducted at a busy otology clinic. Patients were identified using diagnostic codes corresponding to otalgia. The prevalence of migraine-associated otalgia was determined, and the efficacy of migraine treatment was evaluated in these patients. The interventions included prophylactic and abortive migraine treatments. Statistical analysis was conducted to compare between the pre- and post-treatment symptoms.Results: A total of 208 patients with otalgia were identified. Sixty-four out of ninety patients with unexplained otalgia met the criteria for migraine; of them, 30 patients had an adequate follow-up and were thus included in the evaluation of treatment efficacy. Otalgia improved in 87% of the patients who received migraine treatment. After treatment, the mean pain score and headache frequency significantly decreased from 7 to 2 and from 27 to 9 days per month, respectively (p<0.001).Conclusions: Migraine should be considered as a source of secondary otalgia, and patients should receive treatment as they often respond to migraine treatment.

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