• 제목/요약/키워드: D2D Coverage

검색결과 237건 처리시간 0.033초

Therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain: cost utility analysis based on a randomized controlled trial

  • Manchikanti, Laxmaiah;Pampati, Vidyasagar;Kaye, Alan D.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • 제31권1호
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    • pp.27-38
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    • 2018
  • Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

Differential Protein Expression in EC304 Gastric Cancer Cells Induced by Alphastatin

  • Wang, Xin-Xin;Sun, Rong-Ju;Wu, Meng;Li, Tao;Zhang, Yong;Chen, Lin
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권4호
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    • pp.1667-1674
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    • 2012
  • Objective: To explore the differential protein expression profile in EC304 gastric cancer cells induced by alphastatin. Methods: Cultured EC304 cells in the exponential phase of growth were randomly divided into alphastatin and control groups. Total proteins were extracted and the two dimensional electrophoresis (2-DE) technique was applied to analyze differences in expression with ImageMaster 2D Platinum 5.0 software. Proteins were identified using the MASCOT database and selected differently expressed proteins were characterised by western blotting and immunofluorescence. Results: $1350{\pm}90$ protein spots were detected by the ImageMaster software in the 2-DE gel images from the control and alphastatin groups. The match rate was about 72-80% for the spectrum profiles, with 29 significantly different protein spots being identified, 10 upregulated, 16 downregulated, two new and one lost. The MASCOT search scores were 64-666 and the peptide matching numbers were 3-27 with sequence coverage of 8-62%. Twenty-three proteins were checked by mass spectrometry, including decrease in Nm23 and profilin-2 isoform b associated with the regulation of actin multimerisation induced by extracellular signals. Conclusion: The proteome in EC304 cells is dramatically altered by alphastatin, which appears to play an important role in modulating cellular activity and anti-angiogenesis by regulating protein expression and signal transduction pathways through Nm23 and profilin-2 isoform b, providing new research directions for anti-angiogenic therapy of gastric cancer.

3-D Shock Structure of Orion KL Outflow with IGRINS

  • Oh, Heeyoung;Pyo, Tae-Soo;Kaplan, Kyle F.;Koo, Bon-Chul;Yuk, In-Soo;Lee, Jae-Joon;Mace, Gregory N.;Sokal, Kimberly R.;Hwang, Narae;Park, Chan;Park, Byeong-Gon;Jaffe, Daniel T.
    • 천문학회보
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    • 제43권2호
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    • pp.38.3-38.3
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    • 2018
  • We present the results of high-resolution near-IR spectral mapping toward the Orion KL outflow. In this study, we used the Immersion Grating Infrared Spectrometer (IGRINS) on the 2.7 m Harlan J. Smith Telescope at McDonald Observatory. IGRINS's large wavelength coverage over the H & K bands and high spectral resolving power (R ~ 45,000) allowed us to detect over 35 shock-excited ro-vibrational H2 transitions and to measure directly the gas temperature and velocity of the dense outflows. In our previous study toward the H2 peak 1 region in the Orion KL outflow, we identified 31 outflow fingers from a datacube of the H2 1-0 S(1) $2.122{\mu}m$ line and constructed a three-dimensional map of the fingers. The internal extinction (${\Delta}AV$ > 10 mag) and overall angular spread of the flow argue for an ambient medium with a high density (105 cm-3). In this presentation, we show preliminary results of additional mapping toward a remarkable chain of bows (HH 205 - HH 207) farther from the ejection center, and obtain a more clear view of the shock physics of a single isolated bullet that improves on the knowledge gained from observations of the more complex peak 1 region in our earlier study.

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지역별.연령별 중국 성인여성(地域別.年齡別 中國 成人女性)의 체형구성 요인(體型構成 要因)과 유형 비교 연구(類型 比較 硏究) (A Comparative Study on Chinese Adult women's constitutional components and Somatotype Characteristic)

  • 위혜정;손희순
    • 패션비즈니스
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    • 제10권5호
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    • pp.58-73
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    • 2006
  • The purpose of this study was to improve of fittness and coverage rate of exporting domestic clothing to China for Chinese Adult Female. For study, It was measured 1381 female women aged between 19 and 50 who resident in Beijing and Shanghai in China. as a sample, 1360 female women was seleted for development of apparel sizing system. As for the method of this study was made of 111 items by indirect measures done during Jun. 23 $\sim$ Aug. 7, 2004. Data analysis were processed by SPSS WIN 10.0 Program was used to for technical statistical analysis, correlation analysis, factor analysis, ANOVA(t-test and F-test), duncan's multiple test. The result was as follows: Chinese Adult women's constitutional components determined by factor analysis, six components could be identified: factor 1:constitutional obesty and width size, factor 2: longistudinal body size, factor 3: shoulder form and size, factor 4: longistudinal upper body size, factor 5: under body size, factor 6: shoulder dropping. According to the Women's Wear Specifications(GB/T 1335.2-1997) by drop, body types of Chinese Adult female was classified into six types, it was Y, A, B, C and Z, D. In order, A type as standard somatotype(49.8%), B type(26.9%), Y type (18.8%), C type(2.9%). Y type had the average height and shoulder, bust girth. They were slimmer in overall terms. A type had a normal obesity and body size in height, shoulder, bust girth. They were average Chinese Women. B type had a smaller then A type. They were more obes and thick waist girth. C type had the highest obesity, the widest shoulder and bust girth, and thick waist girth. The characteristics of each body type following the body type structure factor are Y-type for slender type, A-type for standard type, B-type for slightly large type, and C-type for obese type. For each region, the Beijing area had in the order of A-type, Y-type, B-type and C-type, and the Shanghai area had in the order of A-type, B-type, Y-type and C-type.

Effects of Varying Dietary Zinc Levels and Environmental Temperatures on the Growth Performance, Feathering Score and Feather Mineral Concentrations of Broiler Chicks

  • Lai, P.W.;Liang, Juan-Boo;Hsia, L.C.;Loh, T.C.;Ho, Y.W.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권7호
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    • pp.937-945
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    • 2010
  • This study aimed to investigate the effects of dietary zinc (Zn), environmental temperatures and Zn${\times}$temperature interaction on growth, feathering score and mineral composition of broilers. A total of 256 d-old Avian male broiler chicks were randomly allocated to a $4{\times}2$ factorial arrangement with four corn-soybean meal basal diets (containing 44 mg Zn/kg) supplemented with 0, 40, 60 mg/kg Zn (Diets 1, 2 and 3, respectively; 0.8% Ca for these three diets) and non-Zn supplementation, 1.6% Ca (Diet 4) and two temperature conditions (low: 26, 24, $22^{\circ}C$ vs. high: 30, 28, $26^{\circ}C$). All birds were given feathering coverage scores for back, breast, wing, under-wing and tail. The wing and tail were further evaluated for the occurrence and severity of defect feathers. Feathers were then pooled for mineral composition analysis. The results showed that in high temperature conditions, broilers fed Zn-unsupplemented, 0.8% Ca ration (Diet 1) had significantly (p<0.05) lower ADFI and ADG (wk 1-6) than birds under low temperature conditions. However, when the birds were fed 40 and 60 mg/kg Zn supplementation (Diets 2 and 3), the ADFI and ADG in both temperature conditions were not significantly different. In low temperature conditions, the ADFI, ADG (p<0.05), all feather coverage (p<0.01) and tail defect scores (p<0.001) of birds fed Diet 4 (excess Ca) were significantly poorer than those fed Diet 1. More Ca (p<0.05) was retained in the feathers of broilers fed Diet 4 under high temperature conditions. Broilers fed the Zn-unsupplemented ration (Diet 1) had significantly higher feather phosphorus (p<0.01) and potassium (p<0.05) concentrations than those fed the 60 mg/kg Zn-supplemented ration (Diet 3). A reduction of feather phosphorus (p<0.01) and potassium (p<0.05) and higher manganese (p<0.05) concentrations were observed in Diet 4 broilers as compared to those fed Diet 1. Under high temperature conditions, broilers had lower iron (p<0.05) and higher manganese (p<0.05) concentrations in feathers. Broilers kept in high temperature conditions had a higher Zn requirement and 40 mg/kg Zn supplementation was sufficient for the birds to achieve optimum growth. Supplemental Zn ameliorated the adverse effect of high temperature on growth and occurrence of tail feather defects. Excess Ca disrupted Zn metabolism to exert a detrimental effect on growth performance and normal feathering and this was elucidated in the birds kept in low temperature conditions.

대구시 자생 모감주나무군락의 종조성, 구조 및 동태 (Floristic Composition, Structure, and Dynamics of Koelreuteria paniculata Communities in Daegu City)

  • 김준수;조준희;김학윤;조현제
    • 한국산림과학회지
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    • 제108권2호
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    • pp.168-176
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    • 2019
  • 대구광역시에 자생하고 있는 모감주나무군락의 종조성과 구조 그리고 개체군 동태를 파악하기 위하여 2018년 7월에 자생 임분 3곳을 선정하여 식물사회학적 식생조사와 매목조사를 실시하였다. 야외에서 수집된 식생 및 매목조사 정보를 바탕으로 종조성에 의한 군락 유형을 구분하고 그 유형별 계층구조, 구성 종의 상대 중요치, 생활형 조성, 종다양성, 그리고 개체군 구조 등을 분석, 비교하였다. 군락 유형은 참느릅나무-좀목형아군락, 광대싸리아군락, 그리고 사위질빵군락 등 3개 유형이 구분되고 그 식생단위체계는 1개 군락군, 2개 군락, 그리고 2개 아군락으로 정리되었다. 계층구조는 교목층의 높은 식피율(85% 이상)에 비하여 초본층은 10%이하로 매우 낮은 경향이었다. 구성종의 상대중요치(MIV)는 교목층 94.3, 아교목층 81.6, 관목층 75.5, 그리고 초본층 60.0으로 모든 식생 층위에서 모감주나무가 절대적으로 높게 나타났다. 종다양도(H')는 군락 유형 간 큰 차이가 있었는데 사위질빵군락(2.062)이 광대싸리아군락(0.547)에 비해 약 4배정도 높게 나타났다. 생활형 조성의 중심체계(휴면형-지하기관형-산포기관형-생육형)는 전체적으로 '$MM-R_5-D_4{\cdot}D_2-e$'로 나타났으나 군락 유형 간에는 산포기관형에 있어서 다소 차이를 보였다. 모감주나무군락의 개체군 구조는 3개 군락 유형에서 모두 어린 개체의 밀도가 높고 크기가 큰 개체의 밀도가 낮은 역J자형의 모양을 나타내고 현재의 하층식생을 구성하고 있는 식물 중 모감주나무 개체군을 대체할 만한 식물종이 없으므로 지속적 유지가 가능한 개체군으로 판단되었다.

척추 MRI를 위한 One-Channel Phased-Array Quadrature RF 코일 (One-Channel Phased-Array Quadrature RF Coil for Spine Magnetic Resonance Imaging)

  • 양윤정;김선경
    • 대한의용생체공학회:의공학회지
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    • 제19권2호
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    • pp.129-132
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    • 1998
  • 이 논문의 목적은 척추 영상을 위한 One-channel phased-array quadrature RF 코일을 개발하는 것이다. 두 개의 수직방향 RF 코일을 조합하여 만든 Quadrature RF코일은 한 개의 코일을 쓰는 것에 비해 배의 signal-to-noise ratio(SNB) 향상을 얻울 수 있다. Phased-array quadrature RF 코일에서는 코일 element의 크기를 줄임으로써 SNR을 더욱 향상시킬 수 있다. 이에 따라 줄어드는 코일의 Coverage를 유지하기 위해 phased-array 코일에서는 여러 set의 작은 코일을 사용한다. 다음과 같은 두가지 방법으로 Phased-array의 각 코일간의 간섭 현상을 제거했으며 SNR을 개선하였다. (1)인접한 코일을 적당한 간격으로 겹쳐지게 함으로써 상호 인덕턴스를 영으로 만든다. (2)Pro-amp를 코일에 바로 붙임으로써 커플링 회로에서의 SNR loss를 방지하고 그 다음 단에서 코일 사이의 phase차를 보정한다. 이 논문에서는 Receive-only mode의 Phased-array quadrature RF 코일을 개발하여 팬텀과 인체 척추의 영상촬영을 통하여 그 성능을 입증하였다.

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Anemia and Iron Deficiency according to Feeding Practices in Infants Aged 6 to 24 Months

  • 김순기
    • Journal of Nutrition and Health
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    • 제31권1호
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    • pp.96-101
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    • 1998
  • The prevalence of iron deficiency in later infancy and the toddler years(25% to 40% at 1 year of age) has not decreased remarkably , except in Western countries. The purpose of this study was to 1) determine the relationship between current feeding practices and iron status, and 2) assess compliance to infant feeding instructions. Two groupsof infants were examined. The first group of 302 infants aged 6 to 24months was seen at a well baby clinic while the second group of 135 infants of the same age group was assessed by venipuncture. Cutoff values for laboratory tests were as follows ; hemoglobin<11g/dL, mean corpuscular volume (MCV) <72fl ; red cell distribution width(RDW)>15% ; serum ferritin level<10ng/ml ; and transferrin saturation (serum iron(TIBC)<10%. The diagnosis of iron deficiency anemia (IDA) was made when a low hemoglobin level was associated with either low ferritin orlow transferrin saturation . Of the 302 children brought to the well baby clinic , 12.3%(n=37) were found to have anemia (hemoglobin<11.0/dL). In terms of children grouped according to feeding practices, it was found that children with anemial comprised 32.0% (24/75) of the prolonged breast-fed group (Group A), significantly more than the 4.0%(7/176) of the artificial milk feeding group(Group B). and 3.9%(2/51) of the switched from breast milk to iron -fortified weaning foods group(Group C).Among the 107 children with IDA , iron deficiency in 105 children(98.1%) was suggested by their dietary histories ; exclusive or prolonged breast-feeding for more than 6 months without iron fortification in 98 infants ; cow's milk consumption> 500ml/day without iron fortification during infancy(n=12), or >800ml without iron-fortified foods after infancy(n=15) ; and the use of unfortified forumula or unbalanced diets, mainly limited to rice gruel. Despite the relatively high (79.6%) motivation on the part of the infants mothers and supervison by professional personnel, the poor results in the infants receiving iron fortified foods were due to poor compliance(85.75). Among the mothers of 98 IDA patients who were contacted by telephone , it was revealed that 29% did not give the oral iron preparation for more than 2 months. Furthermore, negligence or disregard by the parents occurred in 14% of the case , discontinuance of the oral iron preparation by the parents due to side effects occurred in 6%, and the children's refusal or poor oral intake and no further trial occurred in 6%. The dietary history of a large group of infants was highly predictive of their risk for anemia . Continued consumption of breast milk until the age of 1 year is not warranted unless iron-fortified foods are given concomitantly. Because there is a problem with compliance, more successful and safe strategies for preventing iron deficiency woold included dual coverage in the from of therapeutic iron supplementation as well use of iron-fortified foods for teddlers who are at risk of iron deficiency.

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2차원 전기비저항 탐사에 사용되는 ROLL-ALONG 기법에 대한 고찰 (A STUDY ON THE ROLL-ALONG TECHNIQUE USED IN 2D ELECTRICAL RESISTIVITY SURVEYS)

  • 한원석;윤종렬
    • 지구물리
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    • 제6권3호
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    • pp.155-164
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    • 2003
  • 차원 전기비저항 탐사자료의 획득에 널리 사용되는 roll-along 기법의 타당성과 효율성을 현재 통용되고 있는 쌍극자-쌍극자 배열법(dipole-dipole array) 과 베너 슐럼버저 (Wenner-Schlumberger array)배열법 의 경우에 대하여 수치 모델링을 통해 분석하였다 천부 정보를 상대적으로 많이 포함하고 있는 가단면도 상부에 위치한 자료들은 기법에 의한 자료의 누락이 없으므로 천부의 전기비저항 이상대는 두 배열법에서 모두 성공적으로 영상화되었다 그러나 비교적 심부에 위치한 이상대는 roll-along기법으로 야기되는 자료의 누락으로 인해 왜곡된 형태로 나타날 수 있으며 이 현상은 자료획득의 수평 범위가 상대적으로 빈약한 베너 슐럼버저 배열법에서 더 크게 나타나는 것으로 확인되었다 또한 실제 탐사에서 쌍극자 쌍극자 배열법은 S/N비가 낮아 유한한 전극 개수로 구현할 수 있는 최대전극전개계수($n_max$) 까지 전극을 전개할 수 없는 경우가 많은 이유로 roll-along기법으로 인한 자료의 누락이 적게 나타나지만 베너 슐럼버저 배열법의 경우에는 S/N비가 높아 ($n_max$)까지 전극을 전개하게 되어 자 료의 누락이 커지므로 역산 단면의 왜곡이 야기될 수 있는 것으로 분석되었다 따라서 동일한 기본전극간격 ($a$)과($n$)을 사용하였을 때 쌍극자 쌍극자 배열법보다 깊은 median depth(Edwards, 1977)를 제공하는 베너 슐럼버저 배열 법의 경우 roll-along기법에 의한 자료의 왜곡을 줄이고 효율적인 현장 작업을 위하여 ($n_max$)보다는 자료의 누락이 무시될 수 있는 ($n_prob$)을 기준으로 가탐심도에 적합한 를 결정한 후 측선 중첩구간이 전체 측선 길이의 3/4이 되도록 전극을 전진 배치하는 전극배열 방식이 추천되며 이는 수치 모델링을 통해 확인되었다.

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MO-PACVD 및 복합 플라즈마 공정에 의한 내마모 내식성 코팅 (Wear and corrosion coatings by MO-PACVD and dual plasma processes)

  • 김선규
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 1999년도 추계학술발표회 초록집
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    • pp.3-4
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    • 1999
  • 최근 산업이 고속도화, 고능률화 및 고정멸화의 추세로 발전함에 따라 우수한 내마모성, 인성, 고온 안정성 및 내구성을 갖는 공구 및 금형을 요구하게 되었다. 그러나 이와같은 성질들은 어떤 단일 재료에서는 얻을 수 없으며 적당한 기판공구나 금혈위에 내마모성 보호피막을 coating함으로 비교적 저렴하게 얻을 수 있다. 화학증착법으로 TiC, TiN등을 증착시킬때에는 $1000^{\circ}C$정도의 반응온도가 필요하며 이러한 증착온도는 모재가 초경합금일때는 문제가 안되나 강재일 경우 모재의 연화와 칫수변화의 문제를 야기시킨다. 최근에는 플라즈마를 사용하여 증착반응온도를 $550^{\circ}C$ 이하로 낮추는 플라즈마 화학 증착볍(PACVD)이 대두되고 있다. 그러나 이 방법어서 는 뚱착하려는 금속원소가 TiCl4의 형태로 공급되고 있으므로 생성된 층이 염소를 포함하고 있다. 이 층에 잔존하는 염소는 층의 기계적 성질을 저하시키고 층내의 stress를 유발시킨다. 또한 HCI개스의 생성으로 인하여 펌프 및 장비의 부식이 촉진 된다 이러한 결점을 극복하기 위하여 금속유기화합물 전구체(metallo-organic precursor)로 $TiCl_4$를 대체하고자 하는 연구가 활발하게 진행되고 있으며 본 연구실에서 이에 대하여 연구한 결과를 소개하고자 한다. diethylamino titanium을 전구체로 사용하여 $H_2,\;N_2,\;Ar$분위기하에서 pulsed d.c.를 사용하는 MO-PACVD에 의하여 $150~250^{\circ}C$의 저온에서 Al 2024 기판에 TiCN층 형 성을 하였다. 전구체 증발온도는 $74~78^{\circ}C$의 온도범위어야 하며 고경도의 코탱층은 54% duty, 14.2kHz, 450V의 조건에서 얻어졌으며 duty, 주파수, 전압이 증가함에 따라 경도는 저하되었다. 이때의 표면 morphology를 SEM으로 조사한바 dome structure가 크게 발달되었음을 알 수 있었다. 본 실험의 온도 범위내에서 얻은 TiCN 증착반응의 활성화에너지는 7.5Kcal/mol이었다. 증착된 TiCN층은 우수한 내마모섣을 나타내었으며 스크래치테스트 결과 17N의 엄계하중을 나타내었다. 본 연구에서 변화 시킨 duty, 주파수, 전압의 범위에서는 층의 밀착력은 크게 변화하지 않았다. titanium isopropoxide를 전구체로 사용하여 Hz, Nz 분위기하에서 d.c.를 사용하는 MO-PACVD에 의하여 Ti(NCO) 코팅층을 SKDll, SKD61, SKH9 공구강에 형성시키는 공정을 개발하였다. 최적의 Ti(NCO) 코탱층을 얻기 위해 유입전구체 부피%의 양은 향착압력의 5%를 넘지 않아야 되고 수소와 젤소 가스비가 1:1일 때 가장 높은 코팅층의 경도값을 나타내었다. 수소와 질소 가스비가 3:7일 때 TiFeCr(NCO)의 복화합물 코팅층이 형성됨을 알 수 있었고 500t의 증착온도에서 얻은 Ti(NCO) 코팅층이 높은 경도값과 좋은 내식성을 나타내었다. 또한 이와같은 Ti(NCO) 코팅공정과 본 실험실에서 개발한 확산층만 형성시키는 plsma nitriding 공정을 결합하여 복합코탱층을 형성하였는데 이 복합코팅층은 고경도와 우수한 내마모성, 내식성 뿐만 아니라 10)N 이상의 뛰어난 밀착력을 나타내었다. 현재 많이 사용되고 있는 PVD법은 step coverage가 좋지 않은 점과 cost intensive p process라는 단점이 있다. MO-PACVD법은 이러한 문제를 해결할 수 있는 방법으로서 앞으로 지속적인 도전이 요구되는 분야이다.

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