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검색결과 125건 처리시간 0.032초

한국형 낙상 위험 사정도구의 타당성 평가연구 (Validation of Adult Fall Assessment Scale Korean Version for Adult Patients in General Hospitals in Korea)

  • 최은희;고미숙;이신애;박정하
    • 임상간호연구
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    • 제26권2호
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    • pp.265-273
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    • 2020
  • Purpose: The purpose of this study was to test the predictive validity of the Fall Assessment Scale-Korean version (FAS-K) and to find the most appropriate cutoff score to screen high-risk fall groups in adult patients in general hospitals in Korea. Methods: We performed a prospective evaluation study in medical and surgical ward patients at two major general hospitals in Seoul. Data were collected from Nov. 1, 2018 to Feb. 28, 2019, nurses performed 651 observation series. The researcher measured the fall risk assessment score by applying FAS-K, MFS (Morse Fall Scale), and JHFRAT (Johns Hopkins Hospital Fall Risk Assessment tool) to the patients twice a week between 10 am and 12 noon. Data were analyzed using Pearson's corelation coefficients, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools. Results: The FAS-K was positively correlated with the MFS (r=.70, p<.001) and the JHFRAT (r=.82, p<.001). According to the receiver operating characteristics (ROC) curve analysis of the FAS-K, sensitivity, specificity, and positive and negative prediction values were 85.3%, 49.4%, 8.5%, and 98.4%, respectively, when the FAS-K score was 4. Therefore, the cut-off score of the FAS-K to identify groups with high fall risk was 4. Conclusion: The FAS-K is a valid tool for measuring fall risk in adult inpatients. In addition, the FAS-K score, 4, can be used to identify high-risk fall groups and know specific points in time to provide active interventions to prevent falls.

Effects of Robot-Mediated Gait Training Combined with Virtual Reality System on Muscle Activity: A Case Series Research

  • Heo, Seoyoon;Kim, Mooki;Choi, Wansuk
    • 국제물리치료학회지
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    • 제11권2호
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    • pp.2021-2027
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    • 2020
  • Background: Previous robot-mediated gait training has been proven several limitations such as pointless repeated motion training, decreased presence, etc. In this research, adult stroke patients were participated in robot-mediated gait training accompanied with or without virtual reality program. Objectives: Exploring whether the results indicated virtual reality system has contribution to muscle strength and balance ability. Design: A case series research, cross-over trial. Methods: Eleven participants (male 4, female 7) with adults diagnosed as stroke from medical doctor ware engaged. The participants received 2 treatment sessions of identical duration, robot-assisted gait training with virtual reality and robot-assisted gait training with screen-off randomly crossed over include 1-day for each person of wash-out period. The parameter was muscle activity, the researchers assessed sEMG (surface electromyography). Results: The result showed less muscle activities during training in robot-assisted gait training with virtual reality circumstances, and these indicated muscles were gluteus medius muscle, vastus medialis muscle, vastus intermedius and vastus lateralis muscle, semimembranosus muscle, gastrocnemius-lateral head, and soleus muscle (P<.05). Conclusion: In this study, we analyzed the outcome of muscle activity for clinical inference of robot-assisted gait training with virtual reality (VR). Less muscle activity was measured in the treatment accompanied by VR, therefore, a more systematic, in-depth and well-founded level of follow-up research is needed.

Cross Validation of Attention-Deficit/Hyperactivity Disorder-After School Checklist

  • Lee, Sukhyun;Kim, Bongseog;Yoo, Hanik K.;Huh, Hannah;Roh, Jaewoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권3호
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    • pp.129-136
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    • 2018
  • Objectives: This study aimed to evaluate the efficacy of the attention-deficit/hyperactivity disorder (ADHD)-After School Checklist (ASK) by comparing the results of the Comprehensive Attention Test (CAT) and Clinical Global Impression-Severity (CGI-S) Scale and then by calculating the area under the receiver operating characteristic (ROC) curve. Methods: We performed correlation analyses on the ASK and CAT results and then the ASK and CGI-S results. We created a ROC curve and evaluated performance on the ASK as a diagnostic tool. We then analyzed the test results of 1348 subjects (male 56.8%), including 1201 subjects in the general population and 147 ADHD subjects, aged 6-15 years, from kindergarten to middle school in Seoul and Gyeonggi province, South Korea. Results: According to the correlation analyses, ASK scores and the Attention Quotient (AQ) of CAT scores showed a significant correlation of -0.20--0.29 (p<0.05). The t-test between ADHD scores and CGI-S also showed a significant correlation (t=-2.55, p<0.05). The area under the ROC curve was calculated as 0.81, indicating good efficacy of the ASK, and the cut-off score was calculated as 15.5. Conclusion: The ASK can be used as a valid tool not only to evaluate functional impairment of ADHD children and adolescents but also to screen ADHD.

원격교육용 정보를 배포하는 주문형 멀티미디어 서비스 시스템 개발 (Development of On-demand Multimedia Service System with Dissemination of Information for Distance Education)

  • 이혜정;박두순
    • 컴퓨터교육학회논문지
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    • 제5권1호
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    • pp.57-66
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    • 2002
  • 컴퓨터와 인터넷 기술의 비약적인 발전으로 인해 인터넷상에서의 실시간 멀티미디어 서비스가 가능해짐에 따라 주문형 비디오(Video on Demand ; VOD)서비스나 GVA기술을 이용한 원격 교육이 시도되고 있다. 그러나 현재 VOD나 GVA서비스는 양질의 비디오화면을 실시간으로 서비스하는 서버의 연구나 효율적인 교육내용에만 집중되어 있을 뿐 사용자를 위한 서비스 형태에 대한 개발은 거의 이루어지지 않고 있다. 따라서 본 논문에서는 VOD나 GVA 서비스를 이용하여 원격교육을 받고자 하는 사용자 측면의 정보 서비스를 위한 서비스 시스템을 설계하고 구현하였다. 본 논문에서 설계한 주문형 멀티미디어 서비스 시스템은 E-mail올 이용한 오프라인 검색 서비스, PUSH 기술을 이용한 주기적인 최신정보 서비스, SDI서비스를 이용한 고객 맞춤 예약정보서비스와 피드백 서비스를 제공함으로서 사용자가 원하는 교육 자료를 선별하고 검색하는데 있어 걸리는 노력과 시간을 최대한 단축시키고, 서버에 접속하는 횟수를 최대한 줄여서 보다 고차원적인 정보 서비스를 받을 수 있도록 하였다.

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열전소자 원리를 이용한 부품 Tester용 온도공급 장치 연구 (메모리 Device Tester용 온도제어장치 도입을 위한 연구) (A Study for Adopting the Temperature Control Unit on Memory Device Tester Based on Principle of Thermoelectric Semiconductor)

  • 김선주;홍철호;신동욱;서승범;이무재
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2003년도 학술회의 논문집 정보 및 제어부문 B
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    • pp.414-416
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    • 2003
  • 메모리 제품의 사용 환경은 점차적으로 High Speed/High Density화됨에 따라 현 Comp. Test 환경으로 Field 환경을 모두 수용하기가 어려워지고 있다. 따라서, Component Level에서 다양한 실장 System을 이용한 Screen 방법이 요구 되고 있다. 다양한 환경에서 Test를 실시하기 위해서 필수 불가결한 조건은 온도(Temperature)를 자동으로 제어(Control)할 수 있는 기능이 필요하게 되었다. 이에, 현재 사용하고 있는 방법은 Chamber나 히터를 이용하고 있으나 온도 제어가 보다 용이하고 정밀한 기능이 요구됨에 따라 열전반도체(Thermoelectric semiconductor)원리를 이용한 온도 제어 장치 도입을 위한 연구가 진행되었다. 본 논문에서는 그 개발 현황 및 평가 결과를 근거로 신규 Component실장 Tester에 효율적으로 도입 적용 가능함을 제시 하고자 한다. 또한, 향후 기타 Tester 및 산업용 설비 등에 까지 확대적용 가능함으로써 전자부품(메모리)의 품질 향상 및 설비투자 Cost절감 효과가 기대 된다.

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티롤리안 위어 스크린 경사에 따른 유량계수 추정 (An Estimation of Discharge Coefficients with the Variations of Tyrolean Weir Screen Angle)

  • 유창환;백유현;오윤근;최익배
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2018년도 학술발표회
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    • pp.227-227
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    • 2018
  • 티롤리안 위어(Tyrolean Weir)는 유송잡물 및 유사의 영향이 비교적 높은 산악지역에 설치되는 취수구조물로 대부분 저류면적이 제한된 자류식(Run-Off River) 수력발전 및 소규모 농업용수 취수시설에 적합한 구조물이다. 티롤리안 위어는 일반적인 취수시설과 비교하여 구조물의 규모를 최소화할 수 있어 친환경적 취수구조물로 분류할 수 있다. 아직까지 국내에서는 설치사례가 없고 연구성과 또한 부족하여 적용성에 한계가 있는 것이 사실이다. 본 연구에서는 3차원 유동해석 프로그램인 FLOW-3D를 이용하여 티롤리안 위어의 월류흐름특성을 분석하고 스크린 경사와 월류수위 변화에 따른 유량계수를 산정하였다. 티롤리안 위어 스크린경사에 따른 수치모형실험을 위해 3차원 AUTO CAD 프로그램을 이용하여 위어폭 11.0m, 길이 10m 및 수로경사 2:3의 솔리드 모형을 구성하였으며, 티롤리안 위어 스크린 경사를 $0^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$, $25^{\circ}$, $30^{\circ}$로 변화시키며 월류수심 변화에 따른 수치모형실험을 수행하였다. 금회 수치해석 분석결과 다음과 같은 결론을 얻을 수 있었다. 1) 티롤리안 위어 스크린 경사가 증가할수록 유량계수가 증가하였다. 2) 월류수심 1.4m일때 월류량의 표준편차는 0.767이며 월류수심 4.4m일때 표준편차는 9.580으로 월류수심이 증가할수록 스크린 경사에 따른 표준편차는 증가하는 것으로 확인되었다. 3) 티롤리안 위어 스크린 경사가 클수록 월류수심은 감소하고 접근수로부 유속이 증가하였으며 스크린 경사가 작을수록 월류수심은 증가하고 유속이 감소하는 경향을 확인하였다. 4) 티롤리안 위어 스크린 경사가 작고 월류수심이 클수록 광정위어와 유사한 흐름특성을 보였다.

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제 2형 성인 당뇨병 유병자의 혈당조절 취약군 예측: 제7기(2016-2018년도) 국민건강영양조사 자료 활용 (Identification of Subgroups with Poor Glycemic Control among Patients with Type 2 Diabetes Mellitus: Based on the Korean National Health and Nutrition Examination Survey from KNHANES VII (2016 to 2018))

  • 김희선;정석희
    • Journal of Korean Biological Nursing Science
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    • 제23권1호
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    • pp.31-42
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    • 2021
  • Purpose: This study was performed to assess the level of blood glucose and to identify poor glycemic control groups among patients with type 2 diabetes mellitus (DM). Methods: Data of 1,022 Korean type 2 DM patients aged 30-64 years were extracted from the Korea National Health and Nutrition Examination Survey VII. Complex samples analysis and a decision-tree analysis were performed using the SPSS WIN 26.0 program. Results: The mean level of hemoglobin A1c (HbA1c) was 7.22±0.25%, and 69.0% of the participants showed abnormal glycemic control (HbA1c≥6.5%). The characteristics of participants associated with poor glycemic control groups were presented with six different pathways by the decision-tree analysis. Poor glycemic control groups were classified according to the patients' characteristics such as period after DM diagnosis, awareness of DM, sleep duration, gender, alcohol drinking, occupation, income status, low density lipoprotein-cholesterol, abdominal obesity, and number of walking days per week. Period of DM diagnosis with a cut-off point of 6 years was the most significant predictor of the poor glycemic control group. Conclusion: The findings showed the predictable characteristics of the poor glycemic control groups, and they can be used to screen the poor glycemic control groups among adults with type 2 DM.

인터넷을 이용한 수업에서 패킷캡쳐를 통한 사이트 접속 제한 (Access Restriction by Packet Capturing during the Internet based Class)

  • 이중철;이용진
    • 대한공업교육학회지
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    • 제32권1호
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    • pp.134-152
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    • 2007
  • 본 연구는 인터넷을 이용한 수업에서 학생들이 수업과 관련되지 않은 웹 사이트에 접속하는 것을 교사용 컴퓨터에서 발견하여 차단함으로써 수업의 효율성을 높이고, 교사가 의도하는 방향으로 수업을 진행할 수 있는 프로그램의 개발에 목적이 있다. 본 연구의 결과를 이용하면 수업과 관련되지 않은 웹 사이트에 접속하는 것을 방지하기 위하여 랜(LAN) 전원을 차단하고 수업하는 기존의 방법 대신 교수 매체로서 인터넷을 효과적이고 안전하게 사용할 수 있다. 관련 연구는 한 개의 호스트(host)만 감시하고 접속을 차단하는 반면에 본 연구에서 개발한 프로그램은 접속해 있는 모든 호스트들을 감시하고 차단할 수 있다. 본 연구에서 제안한 프로그램은 소규모 네트워크 환경에 설치된 리눅스(linux) 운영체제에서 개발되었다. 개발된 프로그램은 5가지 기능을 포함하고 있다. 도메인 네임(domain name)에서 IP(internet protocol) 주소로 변환하여 파일로 저장하는 변환 기능, 인터넷을 사용할 준비가 되어 있는 학생 컴퓨터를 탐색하여 파일로 저장하는 탐색기능, 패킷(packet)을 캡쳐(capture)하여 패킷의 정보를 표현해주는 패킷 캡쳐 기능, 캡쳐된 패킷 정보와 차단 목록 데이터를 비교하는 비교기능, 그리고 차단 목록과 캡쳐된 패킷 정보가 일치할 경우 네트워크 접속을 차단하는 기능으로 구성되어 있다. 개발된 프로그램을 사용하면 네트워크를 통과하는 모든 패킷(packet)을 실시간에 정확하게 캡쳐 할 수 있고, 불량 사이트에 학생이 접근하는 경우 교사의 컴퓨터 화면에 관련 내용이 표시된다. 따라서 교사는 관련 내용을 실시간으로 확인하고, 불량 사이트에 대한 접속을 차단할 수 있다. 본 연구에서 개발된 프로그램은 초 중등학교와 같은 소규모 네트워크에 적용가능하며, 교사와 학생, 학교차원의 수업 관리와 컴퓨터 실습실 관리의 효율성을 향상시킬 것이다.

Wearable Computers

  • Cho, Gil-Soo;Barfield, Woodrow;Baird, Kevin
    • 섬유기술과 산업
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    • 제2권4호
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    • pp.490-508
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    • 1998
  • One of the latest fields of research in the area of output devices is tactual display devices [13,31]. These tactual or haptic devices allow the user to receive haptic feedback output from a variety of sources. This allows the user to actually feel virtual objects and manipulate them by touch. This is an emerging technology and will be instrumental in enhancing the realism of wearable augmented environments for certain applications. Tactual displays have previously been used for scientific visualization in virtual environments by chemists and engineers to improve perception and understanding of force fields and of world models populated with the impenetrable. In addition to tactual displays, the use of wearable audio displays that allow sound to be spatialized are being developed. With wearable computers, designers will soon be able to pair spatialized sound to virtual representations of objects when appropriate to make the wearable computer experience even more realistic to the user. Furthermore, as the number and complexity of wearable computing applications continues to grow, there will be increasing needs for systems that are faster, lighter, and have higher resolution displays. Better networking technology will also need to be developed to allow all users of wearable computers to have high bandwidth connections for real time information gathering and collaboration. In addition to the technology advances that make users need to wear computers in everyday life, there is also the desire to have users want to wear their computers. In order to do this, wearable computing needs to be unobtrusive and socially acceptable. By making wearables smaller and lighter, or actually embedding them in clothing, users can conceal them easily and wear them comfortably. The military is currently working on the development of the Personal Information Carrier (PIC) or digital dog tag. The PIC is a small electronic storage device containing medical information about the wearer. While old military dog tags contained only 5 lines of information, the digital tags may contain volumes of multi-media information including medical history, X-rays, and cardiograms. Using hand held devices in the field, medics would be able to call this information up in real time for better treatment. A fully functional transmittable device is still years off, but this technology once developed in the military, could be adapted tp civilian users and provide ant information, medical or otherwise, in a portable, not obstructive, and fashionable way. Another future device that could increase safety and well being of its users is the nose on-a-chip developed by the Oak Ridge National Lab in Tennessee. This tiny digital silicon chip about the size of a dime, is capable of 'smelling' natural gas leaks in stoves, heaters, and other appliances. It can also detect dangerous levels of carbon monoxide. This device can also be configured to notify the fire department when a leak is detected. This nose chip should be commercially available within 2 years, and is inexpensive, requires low power, and is very sensitive. Along with gas detection capabilities, this device may someday also be configured to detect smoke and other harmful gases. By embedding this chip into workers uniforms, name tags, etc., this could be a lifesaving computational accessory. In addition to the future safety technology soon to be available as accessories are devices that are for entertainment and security. The LCI computer group is developing a Smartpen, that electronically verifies a user's signature. With the increase in credit card use and the rise in forgeries, is the need for commercial industries to constantly verify signatures. This Smartpen writes like a normal pen but uses sensors to detect the motion of the pen as the user signs their name to authenticate the signature. This computational accessory should be available in 1999, and would bring increased peace of mind to consumers and vendors alike. In the entertainment domain, Panasonic is creating the first portable hand-held DVD player. This device weight less than 3 pounds and has a screen about 6' across. The color LCD has the same 16:9 aspect ratio of a cinema screen and supports a high resolution of 280,000 pixels and stereo sound. The player can play standard DVD movies and has a hour battery life for mobile use. To summarize, in this paper we presented concepts related to the design and use of wearable computers with extensions to smart spaces. For some time, researchers in telerobotics have used computer graphics to enhance remote scenes. Recent advances in augmented reality displays make it possible to enhance the user's local environment with 'information'. As shown in this paper, there are many application areas for this technology such as medicine, manufacturing, training, and recreation. Wearable computers allow a much closer association of information with the user. By embedding sensors in the wearable to allow it to see what the user sees, hear what the user hears, sense the user's physical state, and analyze what the user is typing, an intelligent agent may be able to analyze what the user is doing and try to predict the resources he will need next or in the near future. Using this information, the agent may download files, reserve communications bandwidth, post reminders, or automatically send updates to colleagues to help facilitate the user's daily interactions. This intelligent wearable computer would be able to act as a personal assistant, who is always around, knows the user's personal preferences and tastes, and tries to streamline interactions with the rest of the world.

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ZnO nanostructures for e-paper and field emission display applications

  • Sun, X.W.
    • 한국정보디스플레이학회:학술대회논문집
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    • 한국정보디스플레이학회 2008년도 International Meeting on Information Display
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    • pp.993-994
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    • 2008
  • Electrochromic (EC) devices are capable of reversibly changing their optical properties upon charge injection and extraction induced by the external voltage. The characteristics of the EC device, such as low power consumption, high coloration efficiency, and memory effects under open circuit status, make them suitable for use in a variety of applications including smart windows and electronic papers. Coloration due to reduction or oxidation of redox chromophores can be used for EC devices (e-paper), but the switching time is slow (second level). Recently, with increasing demand for the low cost, lightweight flat panel display with paper-like readability (electronic paper), an EC display technology based on dye-modified $TiO_2$ nanoparticle electrode was developed. A well known organic dye molecule, viologen, was adsorbed on the surface of a mesoporous $TiO_2$ nanoparticle film to form the EC electrode. On the other hand, ZnO is a wide bandgap II-VI semiconductor which has been applied in many fields such as UV lasers, field effect transistors and transparent conductors. The bandgap of the bulk ZnO is about 3.37 eV, which is close to that of the $TiO_2$ (3.4 eV). As a traditional transparent conductor, ZnO has excellent electron transport properties, even in ZnO nanoparticle films. In the past few years, one-dimension (1D) nanostructures of ZnO have attracted extensive research interest. In particular, 1D ZnO nanowires renders much better electron transportation capability by providing a direct conduction path for electron transport and greatly reducing the number of grain boundaries. These unique advantages make ZnO nanowires a promising matrix electrode for EC dye molecule loading. ZnO nanowires grow vertically from the substrate and form a dense array (Fig. 1). The ZnO nanowires show regular hexagonal cross section and the average diameter of the ZnO nanowires is about 100 nm. The cross-section image of the ZnO nanowires array (Fig. 1) indicates that the length of the ZnO nanowires is about $6\;{\mu}m$. From one on/off cycle of the ZnO EC cell (Fig. 2). We can see that, the switching time of a ZnO nanowire electrode EC cell with an active area of $1\;{\times}\;1\;cm^2$ is 170 ms and 142 ms for coloration and bleaching, respectively. The coloration and bleaching time is faster compared to the $TiO_2$ mesoporous EC devices with both coloration and bleaching time of about 250 ms for a device with an active area of $2.5\;cm^2$. With further optimization, it is possible that the response time can reach ten(s) of millisecond, i.e. capable of displaying video. Fig. 3 shows a prototype with two different transmittance states. It can be seen that good contrast was obtained. The retention was at least a few hours for these prototypes. Being an oxide, ZnO is oxidation resistant, i.e. it is more durable for field emission cathode. ZnO nanotetropods were also applied to realize the first prototype triode field emission device, making use of scattered surface-conduction electrons for field emission (Fig. 4). The device has a high efficiency (field emitted electron to total electron ratio) of about 60%. With this high efficiency, we were able to fabricate some prototype displays (Fig. 5 showing some alphanumerical symbols). ZnO tetrapods have four legs, which guarantees that there is one leg always pointing upward, even using screen printing method to fabricate the cathode.

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