• Title/Summary/Keyword: ESD

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The Effect of Psychological Factors on Postoperative Pain in Gastric Tumor Patients after Endoscopic Submucosal Dissection (내시경 점막하 박리법을 시술 받은 위종양 환자에서 심리적 요인이 시술 후 통증에 미치는 영향)

  • Lee, Joon-Hyub;Jeon, Han Ho;Lee, San;Lee, Hyeok;Oh, Seung-Taek;Chang, Jhin Goo;Im, Woo Young;Park, Jaesub;Choi, Won-Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.68-75
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    • 2018
  • Objectives : Since pain in cancer patients is an important factor that greatly affects the quality of life and prognosis, many attempts have been actively made to reduce the pain. Despite continuous effort on reducing pain after Endoscopic submucosal dissection (ESD), research has not been done on psychological factors as much as on biological factors affecting pain. The objective of this study is to investigate the psychological factors affecting postoperative pain in gastric tumor patients who underwent gastric ESD. Methods : 91 gastric tumor patients who visited National Health Service Ilsan Hospital in Korean between May 2015 and June 2016, and received ESD were evaluated. Baseline characteristics including sociodemographic factors, anxiety, depression, and resilience were evaluated before the procedure. Multivariate logistic regression was done to analyze factors affecting postoperative pain. Results : The group with high postoperative pain showed lower alcohol consumption and higher depressive symptom scores than the group with low postoperative pain. Also, the group with high postoperative pain showed lower total resilience score with lower subtotal scores in self-control and positive item. Multivariate logistic regression analysis of the postoperative pain showed that patients with lower score in self-control of resilience [odd ratio (OR), 0.911 ; 95% CI, 0.854-0.971, p=0.004) reported more pain after ESD. Conclusions : This study showed that patients with lower self-control ability of resilience felt more pain after ESD. Among the psychological factors evaluated in this study, resilience of an individual seems to have effect on pain.

Assessment of Radiation Dose Due to X-Ray Simple Series Examinations (X-선 단순 Series 촬영 시 피폭 선량 평가)

  • Gang, Eunbo;Hwang, Incheol;Shin, Woonjae
    • Journal of the Korean Society of Radiology
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    • v.8 no.2
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    • pp.81-88
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    • 2014
  • In diagnostic radiology, each part is examined through serial radiography in most cases of general radiography. However, the reality is that, as for diagnostic reference level, measured values have been set up only for AP projection of each part and lateral projection. In the clinical setting, cumulative dose is incurred by serial radiography of patients, and this can make comparison of diagnostic reference level and cumulative exposure dose impossible or can lead to underestimation of diagnostic reference level. In this study, measurement of cumulative dose of serial radiography of each part revealed that when converting entrance surface dose to effective dose in case it is included in the exposure field, cumulative dose measured from a maximum of 38.06% to a minimum of 0.23% of individual dose limitation of the public. Also, when converting entrance surface dose of each part that is not included in the exposure field into effective dose, it measured from a maximum of 5% to a minimum of 0.04% of individual dose limitation of the public. Results of this study show entrance surface dose substantially increases in serial radiography of each part. Therefore, it is deemed that hospitals need to establish diagnostic reference level specifically, and subdivision of radiography orders for patients is also required in order to reduce unnecessary inspections. Moreover, the need of accurate exposure field is emphasized in case of inspection of several parts.

Fabrication of Sm0.5Sr0.5CoO3 cathode films for intermediate temperature SOFCs by electrostatic spray deposition (정전분무증착법에 의한 중온형 고체산화물 연료전지를 위한 Sm0.5Sr0.5CoO3 양극막의 제조)

  • Park, In-Yu;Im, Jong-Mo;Jung, Yeong-Geul;Shin, Dong-Wook
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.20 no.2
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    • pp.69-73
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    • 2010
  • The microstructural change of the $Sm_{0.5}Sr_{0.5}CoO_3$ (SSC) electrode for a cathode material of solid oxdie fuel cells (SOFCs) deposited by the electrostatic spray deposition (ESD) technique was characterized. Samarium chloride hexahydrate $(SmCl_3{\cdot}6H_2O)$, strontium chloride hexahydrate $(SrCl_2{\cdot}gH_2O)$, cobalt nitrate hexahydrate $(Co(No_3)_2{\cdot}6H_2O)$ as starting materials and methyl alcohol as solvent were used to make precursor solution. The suitable porous SSC films for a cathode of SOFCs were deposited on Si substrate and it is observed that the microstructure was strongly dependent on processing parameters such as deposition time, substrate temperature, and applied voltage. Scanning Electron Microscope (SEM) and X-ray Diffractometer (XRD) measurement were used to investigate the microstructure and crystallinity of the SSC films. The ESD technique is shown to be an efficient method in which the SOFCs' cathode film can be fabricated with the desired phases and microstructure.

Time Series Analysis of the Relationship between Housing Consumer Sentiment and Regional Housing Prices in Seoul (서울시 주택소비심리와 권역별 주택가격의 시계열적 관계분석)

  • Yang, Hye-Seon;Seo, Won-Seok
    • Journal of Cadastre & Land InformatiX
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    • v.50 no.1
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    • pp.125-141
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    • 2020
  • This study investigated the time-series relationship between housing consumer sentiment and housing prices in the five major districts in Seoul and also analyzed the effect of the housing consumer sentiment on housing prices using Granger Causality and VEC (Vector Error Correction) models. To describe the key results, first of all, housing consumer sentiment and regional housing market prices were closely related to each other, and the consumer sentiment strongly affected the change of housing prices. Second, the housing consumer sentiment was confirmed to have a discriminatory effect on the housing prices among the districts in Seoul in the short term. Specifically, the housing price of the east southern district (ESD) was the main reason for the change in housing consumer sentiment in Seoul, and that the resulting impact was transferred to other districts. Third, it was analyzed that regions other than the ESD would increase the housing prices in the long term as the housing consumer sentiment turned positive, but that the ESD would see a steady tone. Fourth, in the case of relative influence by district, housing (apartment) price fluctuation in a district was generally found to be most affected by adjacent or competitive districts. Through these findings, this study confirmed that there is a clear causality between housing consumer sentiment and housing prices in each district of Seoul and that there is a discriminatory influence on housing consumer sentiment among the districts.

A Study on Added Filters for Reduction of Radiation Exposure Dose in Skull A-P Projection (머리부 전후방향촬영 시 방사선피폭선량 저감을 위한 부가여과판에 대한 연구)

  • Lee, Cho-Hee;Lim, Chang-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.7
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    • pp.3117-3122
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    • 2011
  • Skull A-P projections are the bi-product where the ESD (Entrance Surface Dose) for digital radiography is much higher than that conventional screen-film radiography. Therefore, the aim of this study was to reduce radiation doses to patients by using an added filter. This research focuses on the identification of the reduction of exposure to radiation based on the thickness of an added filter when applying the 'Skull A-P Projection' by using the 'Skull Phantom'. Also, an experiment was conducted to evaluate the qualitative decline of images through filtration. The measurement of one's exposed dose to radiation was executed by locating the 'Skull Phantom' on the position of the 'Skull AP,' while changing 16 kinds of added filters from 0.1 mmAl to 0.5 mmCu + 2.0 mmAl in terms of incident and penetrating doses. For the qualitative evaluation of images, a total number of 17 images have been acquired in the 'Skull Phantom' under the same conditions as those for the measurement of one's exposed dose. The acquired images have been evaluated by a radiological specialist. As a result, the images with a diagnostic value have been obtained by using such added filters as the compound filter of 0.2 mmCu +1.0 mmAl. The exposed dose absorbed on the 'Skull Phantom' is about 0.6 mGy. The value is only 12% of 5 mGy, the ESD value acquired on the 'Skull P-A Projection', which is recommended by the International Atomic Energy Agency (IAEA). As a result, depending on the parts of inspection, it is possible to reduce the patient's exposed dosage of radiation considerably by using an appropriate added filter.

Carbon Footprint Awareness on Education in Connection with SDGs of the Pre-service Teachers (SDGs 연계 교육에서 예비교사들의 탄소 발자국 인식)

  • Kim, Yunji
    • Journal of the Korean Society of Earth Science Education
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    • v.14 no.2
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    • pp.146-158
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    • 2021
  • We are to introduce an example of ESD in connection with SDGs through liberal arts courses opened at the College of Education. We analyzed the awareness of the carbon footprint expressed by 42 preservice teachers in a class designed in connection with SDGs 13 goal, 'climate action'. The pre-service teachers wrote a carbon diet diary, a checklist for the level of practice that emits carbon in daily life, and freely expressed the source and proportion of their carbon emissions through the carbon footprint drawing activity. In items of electricity use, public transportation use, and garbage disposal, the level of practice was positive, but water use was analyzed in a negative way. The pre-service teachers who expressed the carbon footprint in 2-3 items reached a majority, showing limitations in recognizing the carbon emission situation in their daily life. Pre-service teachers will be the main actors of education on the environmental issues of the earth at the school site, and the carbon literacy of pre-service teachers will directly or indirectly affect students. We hope that various ESD programs linked to the 17 SDGs will be developed and applied to the educational field to contribute to sustainable global environmental education.

Experience of Pre-service Science Teachers in Designing and Implementing Education for Sustainable Development (ESD) on Climate Crisis Topics: Focusing on the Application of Reciprocal Peer Teaching (기후위기 주제 지속가능발전교육 수업 설계와 실행에 있어서 예비과학교사들이 갖는 경험 분석: 상호동료교수법 적용을 중심으로)

  • Son, Yeon-A
    • Journal of the Korean Society of Earth Science Education
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    • v.14 no.3
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    • pp.277-291
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    • 2021
  • This study is to implicate for analyzing the expertise of Education for Sustainable Development (ESD) dealing with science-related social issues by reorganizing educational materials on climate crisis topics and analyzing in-depth class performance preparation and actual class by pre-service science teachers. As a result of the study, it was found that pre-service science teachers have the expertise to analyze the curriculum horizontally and extract subject-integrated elements, but it is difficult to perform convergent science classes by incorporating them into the social problem-solving process in actual classes. In addition, it was analyzed that through this study, pre-service science teachers came to think about the importance of having their own specialized expertise when they become school teachers through preparation for their classes integrating science-related social issues. Through the application of the reciprocal peer teaching applied in this study, giving pre-service science teachers of various expertise an opportunity to experience the process of designing and implementing integrated science classes while sharing their expertise will greatly help them improve their convergence education.

A Comparative Study of Patient Dose and Image Quality according to the Presence or Absence of Grid During Chest PA Radiography using an Auto Exposure Control System (자동 노출 조절장치를 사용한 흉부 후·전 방향 방사선 검사 시 격자 유·무에 따른 환자 선량과 영상품질 비교 연구)

  • So-min Lee;Han-yong Kim;Dong-hwan Kim;Young-Cheol Joo
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.573-579
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    • 2023
  • This study compares dose difference between the presence or absence of grid in Chest PA radiography using auto exposure control and compares image quality among presence, absence or virtual grid, and proposes a new clinically useful grid combination for chest radiography. The human body phantom was placed Chest PA position and the dosimeter was placed at T6. The same irradiation conditions and field size were applied. 30 images were obtained in the state in which grid was applied and in the state in which grid was not applied, and an additional 30 images in which the virtual grid was applied to the image without the grid were obtained. Radiation dose was presented to entrance surface dose. The image quality was analyzed by comparing the signal-to-noise and contrast-to-noise ratio. ESD decreased by 48% when the grid was not used, compared to when the grid was used. SNR and CNR increased by 32% and 30% compared to grid use when grid was not used, respectively. In the case of using the virtual grid, it increased by 18% and 16% respectively, compared to the case of using the grid. As a result of this study, it is believed that when using a virtual grid instead of a grid, the quality of the image can be maintained while reducing the patient dose.

A Study on the Practicality of Christian Education Based on the Sustainable Development Education of UNESCO (유네스코 지속가능발전교육에 근거한 기독교교육의 실천가능성에 관한 연구)

  • Jongmin Lee
    • Journal of Christian Education in Korea
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    • v.74
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    • pp.57-80
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    • 2023
  • The purpose of this study is to review the practicality of Christian education for sustainable development in a rapidly changing world. The first part of this study identify the concept, meaning, and direction of implementation of "Sustainable Development," which has been studied and published around UNESCO since the early 1980s, and present practical strategies for the sustainable development of Christian education. This study chronologically selected five major reports published by UNESCO--"Our Common Future"(1987), "Agenda 21"(1992), "UN Decade of Education for Sustainable Development 2005-2014"(2002), "Roadmap for Implementing the Global Action Programme for Education for Sustainable Development 2015-2019"(2014) and "Education for Sustainable Development 2030"(2020)--and examined the concept and meaning of "Sustainable Development"(SD). At the same time, in relation to "Education for Sustainable Development"(ESD), the occurrence, change, and implementation method of "Sustainable Development Goals"(SDGs) were examined and presented. This study derived three Christian educational implications necessary to properly establish the next generation of faith, based on a leadership development strategy using the concept of sustainable development, For the sustainability of Christian education, the foundation of education based on the correct biblical interpretation of cultural mandate is first examined, and then the need for curriculum development and class design is proposed using various types of indicators and educational modules. Finally, specific practices for the development of educational leadership to revitalize Christian education are presented through a multi-dimensional approach.

3D IC에서의 인터페이스 기술

  • Kim, So-Yeong
    • The Magazine of the IEIE
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    • v.36 no.9
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    • pp.61-69
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    • 2009
  • 본 기고에서는 반도체 3D IC에서 저전력, 고속 신호 전송을 가능하게 하는 다양한 인터페이스 기술에 대하여 알아보았다. Micro-bump나 TSV와 같이 유선으로 신호를 전송하는 방법과, capacitance나 inductance coupling을 이용하여 무선으로 전송하는 기술을 살펴보았다. 최근 TSV 공정 기술이 많이 발전하여, 앞으로 TSV 인터페이스에 기반한 3D IC가 많이 나올 것으로 기대된다. 무선 인터페이스를 사용할 경우, 특히 inductance coupling을 이용한 경우, 낮은 vdd로도 신호전송이 가능하고, pulse width를 줄일 수 있으며, ESD 보호회로가 필요없어, 저전력으로 신호를 전송할 수 있다.

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