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검색결과 686건 처리시간 0.026초

요가운동이 뇌졸중 환자의 균형과 보행속도에 미치는 영향 (The Effects of Yoga Exercise on Balance and Gait Velocity in Stroke Patient)

  • 송현승;김진영
    • 한국산학기술학회논문지
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    • 제14권1호
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    • pp.294-300
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    • 2013
  • 이 연구는 요가운동이 뇌졸중 환자에게 자가 운동 프로그램으로의 가능성을 확인하고자 요가운동을 적용하여 정적균형, 동적균형, 보행속도를 측정하였다. 뇌졸중으로 편마비 진단을 받은 입원 환자 18명을 대상으로 대조군과 요가운동군에 각각 9명씩 배정하여 주 3회 60분씩 8주간 요가운동을 실시하였다. 정적균형은 Tetrax를 사용하여 안정성지수(무게중심의 이동)와 체중분포지수를, 동적균형은 functional reach test(FRT)와 dynamic gait index(DGI)를, 보행속도는 10미터 보행 검사를 실시하였다. 그 결과 요가운동군에서 무게중심의 이동과 체중분포의 안정성, FRT와 DGI의 유의한 향상을 보였다. 대조군에서는 유의한 차이를 보이지 않았다. 보행속도에는 두 군 모두 유의한 차이를 보이지 않았다. 이는 요가운동이 뇌졸중 후 균형능력이 상실된 환자에게 체계적인 자가 운동 프로그램으로 적용 가능하다고 사료된다.

CareDose 4D 사용 시 동일한 스캔조건에서 조직기반설정을 다르게 적용함에 따른 선량 비교: 성인과 소아팬텀 연구 (Radiation Dose Comparison according to Different Organ Characteristics at Same Scan Parameters Using CareDose 4D: An Adult and Pediatric Phantom Evaluation)

  • 공효금;이기백
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권4호
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    • pp.271-277
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    • 2019
  • CareDose 4D which is the Siemens's Automatic Exposure Control (AEC) can adjust the level of radiation dose distribution which is based on organ characteristic unlike other manufacturer's AEC. Currently, a wide scan range containing different organs is sometimes examined at once (defined as one scan). The purpose of this study was to figure out which organ characteristic option is suitable when one scan method is utilized. Two types of anthropomorphic phantoms were scanned in the same range which were from frontal bone to carina level according to three different organ characteristics such as Thorax, Abdomen, and Neck. All scans and image reconstruction parameters were equally applied and radiation dose were compared. Radiation dose with Thorax organ characteristic was lower than that with Neck. Also, that with Abdomen oran characteristic was lower than Thorax. There were significant differences in radiation dose according to different organ characteristics at the same parameters (P<0.05). Usage of Neck organ characteristic had a result of the highest radiation dose to all phantom. On the other hand, utilization of Abdomen organ characteristic showed the lowest radiation dose. As a result, it is desirable to set appropriate organ characteristic according to examined body part when you checkup patients. Also, when you implement one scan method, selection of Abdomen-based organ characteristic has reduced more radiation dose compared with two different organ characteristic.

The influence of sea surface temperature for vertical extreme wind shear change and its relation to the atmospheric stability at coastal area

  • Geonhwa Ryu;Young-Gon Kim;Dongjin Kim;Sang-Man Kim;Min Je Kim;Wonbae Jeon;Chae-Joo Moon
    • Wind and Structures
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    • 제36권3호
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    • pp.201-213
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    • 2023
  • In this study, the effect of sea surface temperature (SST) on the distribution of vertical wind speed in the atmospheric boundary layer of coastal areas was analyzed. In general, coastal areas are known to be more susceptible to various meteorological factors than inland areas due to interannual changes in sea surface temperature. Therefore, the purpose of this study is to analyze the relationship between sea surface temperature (ERA5) and wind resource data based on the meteorological mast of Høvsøre, the test bed area of the onshore wind farm in the coastal area of Denmark. In addition, the possibility of coastal disasters caused by abnormal vertical wind shear due to changes in sea surface temperature was also analyzed. According to the analysis of the correlation between the wind resource data at met mast and the sea surface temperature by ERA5, the wind speed from the sea and the vertical wind shear are stronger than from the inland, and are vulnerable to seasonal sea surface temperature fluctuations. In particular, the abnormal vertical wind shear, in which only the lower wind speed was strengthened and appeared in the form of a nose, mainly appeared in winter when the atmosphere was near-neutral or stable, and all occurred when the wind blows from the sea. This phenomenon usually occurred when there was a sudden change in sea surface temperature within a short period of time.

이쑤시개를 이용한 잔디층, 대취층, 및 토양층에서 동전마름병 전염원의 검출 (Toothpick-Aided Detection of Sclerotinia homoeocarpa in the Turfgrass Leaf Canopy, Thatch, and Soil in Relation to Dollar Spot Infection Centers)

  • 이정한;민규영;심규열;김동수;상현규;정근화;곽연식
    • Weed & Turfgrass Science
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    • 제4권4호
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    • pp.376-382
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    • 2015
  • 동전마름병은 Sclerotinia homoeocarpa가 원인균으로 주로 한지형 잔디에 발생하는 주요 병이다. 본 연구는 이쑤시개를 이용하여 동전마름병 전염원 검출과 처리물량을 달리하여 약제 살포하였을 때 병원균 검출 특성을 조사하기 위하여 수행하였다. 동전마름병 병원균을 검출한 결과 병반 중심의 잎 부위에서는 100% 검출되었으며, 대취 부분에서는 83.3%가 검출되었으나 토양에서는 전혀 검출되지 않았다(대취층 아래 1, 2와 3 cm). 병반 중심부와 가장자리에서는 100% 검출되었으며 병반으로부터 1.5 cm 떨어진 부분에서는 13% 검출되었으며 병반으로부터 3와 4.5 cm 떨어진 부분에서 병원균의 분리빈도는 각각 3와 0%로 나타났다. 동전마름병 병원균은 병반으로부터 1.5 cm 떨어진 지점의 잎과 대취에서는 73.3%와 20%가 검출되었으며 3 cm 떨어진 부분과 4.5 cm 떨어진 부분에서 각각 46.6%와 13.3% 병원균이 검출되었다. 토양부분에서는 병원균이 검출되지 않았으며 전염원 검출 빈도는 병반으로부터 멀어질수록 낮아지는 경향이었다. 두 가지 약제를 같은 약량으로 2.26와 6.78 L의 물에 희석하여 처리한 결과 병원균 검출빈도는 Chlorothalonil (CH) 처리구보다 Propiconazole (PP) 처리구에서 높게 나타났다. 병반중심부에서 CH의 경우 검출 빈도는 15.5%로 PP의 경우 20.5%로 나타났다. 잎에서는 CH약제 처리구는 각각 15.5%와 2.2%가 검출되었으며 PP 처리구에서 이보다 높은 20.5%와 4.4%가 검출되었다. 대취층에서 전염원은 CH 처리구에서 물 2.26 L와 12.7%로 물 6.78 L가 2.2%로 검출되었다. 가장자리에서는 잎 부분을 검출한 결과 CH의 경우 물 2.26 L 처리구에서는 2.7%로 물 6.78L에서는 검출되지 않았으며 PP의 경우 물 2.26 L에서 9.4%로 물 6.78L에서는 CH 처리구와 같이 검출되지 않은 것으로 나타났다. 이쑤시개 방법은 빠르고 쉽게 동전마름병을 검출하여 전염원의 분포 조사 및 전염원 형성 예측을 할 수 있는 방법으로 제안한다.

실험적 급성 폐색전증에서 Endothelin 수용체 길항제가 혈류 및 호흡 역학에 미치는 영향 (The Effects of Endothelin Receptor Antagonist on Hemodynamic and Respiratory Mechanics in Experimental Acute Pulmonary Thromboembolism)

  • 이지현;전용감;최강현;심태선;임채만;고윤석;김우성;김동순;김원동;이상도
    • Tuberculosis and Respiratory Diseases
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    • 제48권2호
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    • pp.210-222
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    • 2000
  • 한국산 잡견 11마리를 대상으로 자가 혈병을 이용한 급성 폐색전증을 만들고 ET 수용체 길항제를 투여하여 다음과 같은 결과를 얻었다. 1. 혈병 투여후 폐동맥압은 상승하였고 심박출량은 감소하였으며 페혈관 저항은 증가하였다. 동맥혈 산소분압과 혼합 정맥혈의 산소 분압이 감소하였고 사강호흡이 증가하였고 생리적 단락이 증가하였으나 전신혈압은 변동이 없었다. 모든 측정치는 수용체 길항제 투여군과 대조군간에 차이를 보이지 않았다. 2. ET-1 수용체 길항제 투여후 전신혈압, 동맥 및 혼합정맥혈산소 분압, 동정맥 단락, 및 사강호흡의 정도는 두군간에 차이를 보이지 않았으나, 폐동맥압, 심박출량, 폐혈관 저항은 길항제 투여 30분후부터 수용체 길항제 투여군과 대조군간에 차이를 보이기 시작하여 210분후까지 지속되었다. 3. ET-1의 농도는 색전전(Baseline)에 비하여 색전후 동맥혈, 혼합정맥혈, 및 그 비(동맥혈/혼합정맥혈)가 증가를 보였고, 수용체 길항제 투여후 투여군에서는 대조군에 비해 ET-1의 농도 증가가 의미 있게 높았다. 4. 면역조직화학염색상에서 폐색전증이 유발된 개의 폐혈관 및 폐조직에서 색전을 투여하지 않은 정상 개의 조직에 비해 ET-1의 발현이 증가되었다. 5. Northern blot 상에서 폐색전이 일어난 폐조직의 preproET-1 mRNA 발현은 색전이 일어나지 않은 개의 폐조직에 비하여 증가되었다.

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자궁경부암의 고선량율 강내치료후 실패양상에 대한 고찰 (Cancinoma of Uterine Cervix Treated wvith High Dose Rate Intracavitary Irradiation : 1 Patterns of Failure)

  • 김옥배;최태진;김진희;이호준;김영애;서영욱;이태성;차순도
    • Radiation Oncology Journal
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    • 제11권2호
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    • pp.369-376
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    • 1993
  • 1988년 7월부터 1991년 5월까지 계명대학교 의과대학 동산의료원 치료방사선과에서 완치목적으로 고선량율 강내조사장치로 치료한 226명의 자궁경부암 환자를 대상으로 하여 치료후의 실패양상을 관찰하고자 하였다. 대상환자는 전병기에 고르게 분포하고 있으며, 최장 및 평균 추적관찰기간은 각각 60개월, 43개월이었다. 방사선치료는 외부조사를 먼저 시행하였으며, 가능한 단기간내에 강내치료를 시작하였다. 먼저 외부조사로써 대개의 환자에서 4500~6300 cGy를 골반부에 조사하였으며, 병기에 따라서 2700~4500 cGy부터 골반중앙부를 차폐하였다. 강내치료는 A점을 기준으로 전체 조사선량이 최소한 5700~7500 cGy가 되도록 하였으며, 병기별로 A점에 조사된 평균선량은 IB 6700 cGy, IIA 7200 cGy, IIB 7450 cGy, III 7600 cGy, IV 8100 cGy이었다. FIGO 병기에 따른 환자 분포 는 IB 37명 $(16.4\%),$IIA 91명 $(41.3\%),$ IIB 58명 $(25.7\%),$ III 32명 $(13.8\%),$ IV 8명 $(3.5\%)$이었다. 총 재발환자는 226명 중 54명으로 $23.9\%$이었으며, 각 병기별 재발율은 IB $13.5\%,\;IIA\15.4\%,\;IIB\;25.9\%,\;III\;46.9\%,\;IV\;62.5\%$로 병기가 진행됨에 따라서 재발율이 증가하는 것으로 나타났다. 또 재발 부위별 양상은 54명의 재발환자 중 32명에서 골반내 단일재발이었으며, 11명은 골반재발과 원격전이가 동시에 나타났다. 그리고 나머지 11명에서 원격전이만 보였다. 43명의 국소재발의 반이상을 차지한다. 그리고 조사선량과 재발율과의 관계는 초기환자(IA, IIA)에서는 다소 유의하게 보였으나, 진행된 병기의 환자에서는 조사선량이 많았으나 치료실패율이 현저하게 높았다. 따라서 이들 환자들을 효과적으로 치료하기 위하여 단순히 치료선량을 증가시키는 것보다 다른 보조적치료, 즉 약물치료와의 병용치료 등이 절실히 요구되며, 또한 국소재발의 억제가 원격전이를 감소시킬 수 있는 한 방법일 수 있다.

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종합 건강검진 과정에서 나타난 일부 중년기 여성의 건강문제 (Health Problem of the Middle-Aged Women)

  • 성미혜
    • 대한간호학회지
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    • 제29권2호
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    • pp.258-270
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    • 1999
  • This study was carried out to offer the basic data for more qualitative lives of the middle-aged women through their health maintenance and control. So, the researcher reviewed and analyzed the health problems of the middle-aged women, the differences of main symptoms in each subject, positive ratcs in screening tests, the difference of screening tests with age and the correlation of obesity and blood pressure with screening tests. All subjects were 218 women(40-59years) who had a check-up at a comprehensive health check-up center in K University Hospital in Seoul from July 1, 1998 to August 31. 1998. Questionaires were developed to get subjects, general characteristics. main symptoms, medical examination and diagnosed disease by the researcher referring through the questionaires of comprehensive health check-up center and the medical recorders were used as a tool of study. The researcher analyzed the data with SPSS PC+ ; the distribution of the subjects, general characteristics and main symptoms with percentage : the difference between main symptoms and screening tests with X$^2$-test, ANOVA. The results are as follows. 1) Among the age distribution, most were 40-45 years old and unemployed. 2) The most common complaints were indigestion in digestive system, cough in respiratory system, heart beat in cardiovascular system, general sweat in endocrine system. edema in urinary system, easy bruise in hematologic system, backache in musculoskeletal system, headache in psychoneurologic system, lochia in gynecology, itch in dermatology system, eye ball pain in visual system and tinnitus in auditory system. 3) In main symptoms according to age, the 40-45 age group had a higher rate of complaints in digestive system and gynecology than other age group ; the 46-49 age group in endocrine system. 4) The main symptoms according to diagnosis had no difference statistically. 5) The screening tests which showed high rates of abnormality were mammography(the highest), abdominal ultrasonography, upper gastrointestinal series/gastrofiberscopy, PFT. In all age group the highest rate of abnormality was seen in mammography. 6) In screening tests according to age. the 46-49 age group showed higher positive rates of pap smear, blood sugar test, urine test than any other age group ; the 50-55 age group showerd higher positive rates of obesity, BP, chest X-ray, abdominal ultrasonography, ESR, SGOT, CRP and urine micro. 7) In correlation of obesity with screening test, the obesity group showed higher positive rates of blood pressure, chest X-ray, abdominal ultrasonography, HCT and CRP than the normal weight group. 8) In correlation of blood pressure with screening test, the hypertension group showed higher positive rate of obesity, chest X-ray, abdominal ultrasonography, pap smear and blood sugar than the normal blood pressure group. In conculusion, the middle-aged women have various physical symptoms and affected by age. The obesity and BP have an important effect on the health of the middle aged women. Therefore, this study is considered significant as data for qualitative lives of the middle-aged women playing an important part of family health care by catching of their health problem complaints for prevention of disease and promotion of health.

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림포신티그래피용 $^{99m}TC$를 표지황화안티몬 콜로이드 및 전분의 제조에 관한 연구 (Studies on the Preparation of $^{99m}TC$ Labelled Antimony Sulfide Colloid and Hydroxyethyl Starch for Lymphoscintigraphy)

  • 박경배;오옥두;김재록;임상무;홍성운
    • 대한핵의학회지
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    • 제23권1호
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    • pp.71-83
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    • 1989
  • For the development of $^{99m}Tc-labelled$ antimony sulfide colloid and hydroxyethyl starch, various experiments such as preparation of colloid, control of the distribution of particle size, establishment of labelling conditions, determination of labelling yield and radiochemical purity, examination of stability, and organ imagings of rabbits etc. were carried out. 1) Antimony sulfide colloid was readily prepared by the reaction of aqueous solution of antimony potassium tartrate with hydrogen sulfide generated by treating ferrous sulfide with dilute sulfuric acid. The colloid could be stabilized by adding small amount of polyvinylpyrrolidone. 2) Electron microscopy analysis exhibited the distribution of colloid size in the range of $1\sim15nm$ with a major portion of 9 m. The colloid solution was sterilized by membrane filtration $(0.2{\mu}m)$ and then stored at $4^{\circ}C$. This sterilized colloid was so stable that it was usable at least for one year. 3) The antimony sulfide colloid was labelled by adding sodium $pertechnetate-^{99m}Tc$ solution to the reaction vial, followed by adding hydrochloric acid and then boiled for 30 min. The optimal pH of the reaction mixture was found to be in the range of $1.3\sim1.4$. Instant thin layer chromatography (ITLC) analysis showed high labelling yield of above 99.5%. This labelled colloid maintained high radio-chemical purity of above 99% until 10 hours after labelling. 4) Animal studies showed high uptake of $^{99m}Tc-Sb_2S_3$ colloid at lymph vessels and nodes indicating a suitable agent for lymphoscintigraphy. Satisfactory results were also abtained in other clinical studies. 5) Hydroxyethyl starch (HES $0.6\sim1.0%$) was labelled with $Na^{99m}TcO_4$ in the presence of $SnCl_2$ with high labelling yield of above 99.5%. The optimal pH of the reaction mixture was in the range of $1.8\sim2.0$. $^{99m}Tc-HES$ maintained high radiochemical purity of above 99% until 10 hours after labelling. 6) Animal studies showed that $^{99m}Tc-HES$ migrated more rapidly from the injection sites into the lymph vessels than $^{99m}Tc-Sb_2S_3$ colloid while less amount of the former was uptaken at lymph nodes than that of the latter. Similar phenomenon was also observed in other clinical studies. As a result, $^{99m}Tc-Sb_2S_3$ colloid was found to be more effective lymphoscintigraphic agent than $^{99m}Tc-HES$.

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게잡이 원숭이에 있어 rHuEPO(HM10760)의 단회 투여 후 혈액학 및 혈액생화학적 변화 (Changes in Hematological and Serum Biochemical Parameters After Single Dose of Recombinant Human Erythropoietin (HM10760) in Male Cynomolgus Monkeys)

  • 김충용;이현숙;이필수;하창수;권세창;이관순;송창우;한상섭
    • Toxicological Research
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    • 제22권1호
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    • pp.61-67
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    • 2006
  • Changes in hematology and serum biochemistry after treatment of recombinant human erythropoietin (rHuEPO, HM10760) were screened in 4 male cynomolgus monkeys (Macaca fascicularis). Four monkeys, composed of a treatment group of HM10760 and a positive control group of $Aranesp^(R}$, were subcutaneously administered at same dose of $100{\mu}g/kg$. Both groups did not show any change in body weights and food consumption for 4 weeks compared with those of pretreatment. Both groups did not show any change in total leukocyte count (WBC) and platelet count, while both groups showed increased platelet distribution width (PDW) percentage in HM10760 group during a period from day 5 to day 59 and in $Aranesp^(R}$ group during a period from day 9 to day 26. Both groups showed increases in red blood cells (RBC), hemoglobin (HGB), and hematocrit (HCT) approximately 10 days after treatment compared with those of pretreatment (day 0). The increased levels of RBC, HGB, and HCT were much higher in HM10760 than in $Aranesp^(R}$ by the increases of $3.2%{\sim}12.5%$ for RBC, $3.8%{\sim}17.1%$ for HCT, and $1.85%{\sim}11%$ for HGB. Both groups showed increases in red cells distribution width (RDW) and reticulocyte (RET) compared with those of pretreatment, showing the highest peak from day 9. The increased level of RET lasted up to day 14 in $Aranesp^(R}$ group, while it lasted up to day 23 in HM10760 group. The increased level of RDW lasted up to day 59, it was much higher in HM10760 by the increase of $10.1%{\sim}17.6%$ than in $Aranesp^(R}$ group. In serum biochemistry, both groups showed a decrease in chloride level compared with those of pretreatment. These findings indicated that HM10760 increased RBC, HGB, HCT, RDW, and RET compared with those of pretreatment, and the increased levels were much higher in HM10760 than in $Aranesp^(R}$.

분지형 폴리카보네이트의 분자량 조절 및 유변학적 특성 연구 (A Study on the Molecular Weight Control and Rheological Properties of Branched Polycarbonate)

  • 이봄이;프러산터;김희승;유승윤;김연철
    • 공업화학
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    • 제23권4호
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    • pp.388-393
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    • 2012
  • 말단캡핑제(end capping agent) 4종류와 함량별로 분지형 폴리카보네이트를 용융중합법으로 제조하였다. 합성된 분지형 폴리카보네이트의 화학구조는 FT-IR과 $^{1}H-NMR$ 스펙트럼을 이용하여 확인하였으며, 말단캡핑제의 반응여부는 FT-IR 스펙트럼의 수산기($3500\;cm^{-1}$) 존재여부로 확인하였다. 평균 분자량 및 분자량 분포도, 유리전이 온도 및 분해온도는 GPC, DSC와 TGA를 이용하여 측정하였다. 말단캡핑제의 화학구조에 따라 평균 분자량이 증가 또는 감소를 나타내었으며, 말단캡핑제로 4-tert-butylphenol (TBP)이 사용되었을 때 최적의 분자량 조절 결과를 나타내었다. 말단캡핑제의 함량이 증가할수록 평균분자량은 감소하였고, 4-tert-butylphenol이 0.05 mol%가 첨가될 때 폴리카보네이트의 대형 사출물 가공에 적합한 20000 정도의 수평균분자량을 나타내었다. 분지형 폴리카보네이트의 용융점도는 분자량이 감소할수록 감소하였으며, shear thinning effect에는 큰 영향을 주지 않음을 확인하였다.