• 대한간호학회지
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• 제35권1호
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• pp.47-55
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• 2005

Purpose: This study was to evaluate the validity of the Pediatric Index of Mortality Ⅱ(PIM Ⅱ). Method: The first values on PIM Ⅱ variables following ICU admission were collected from the patient's charts of 548 admissions retrospectively in three ICUs(medical, surgical, and neurosurgical) at P University Hospital and a cardiac ICU at D University Hospital in Busan from January 1, 2002 to December 31, 2003. Data was analyzed with the SPSSWIN 10.0 program for the descriptive statistics, correlation coefficient, standardized mortality ratio(SMR), validity index(sensitivity, specificity, positive predictive value, negative predictive value), and AUC of ROC curve. Result: The mortality rate was 10.9% (60 cases) and the predicted death rate was 9.5%. The correlation coefficient(r) between observed and expected death rates was .929(p<.01) and SMR was 1.15. Se, Sp, pPv, nPv, and the correct classification rate were .80, .96, .70, .98, and 94.0% respectively. In addition, areas under the curve (AUC) of the receiver operating characteristic(ROC) was 0.954 (95% CI=0.919～0.989). According to demographic characteristics, mortality was underestimated in the medical group and overestimated in the surgical group. In addition, the AUCs of ROC curve were generally high in all subgroups. Conclusion: The PIM Ⅱ showed a good, so it can be utilized for the subject hospital. better.

• 한국세라믹학회지
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• 제31권12호
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• pp.1577-1587
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• 1994

TiO2 thin films with the substitution of oxygen with nitrogen were deposited on silicon substrate by metalorganic chemical vapor deposition (MOCVD) using Ti(OCH(CH3)2)4 (titanium tetraisopropoxide, TTIP) and N2O as source materials. X-ray diffraction (XRD) results indicated that the crystal structure of the deposited thin films was anatase TiO2 with only (101) plane observed at the deposition temperatures of 36$0^{\circ}C$ and 38$0^{\circ}C$, and with (101) and (200) plane at above 40$0^{\circ}C$. Raman spectroscopic results indicated that the crystal structure was anatase TiO2 in accordance with the XRD results without any rutile, fcc TiN, or hcp TiN structure. No fundamental difference was observed with temperature increase, but the peak intensity at 194.5 cm-1 increased with strong intensity at 143.0 cm-1 for all samples. The crystalline size of the films varied from 49.2 nm to 63.9 nm with increasing temperature as determined by slow-scan XRD experiments. The refractive index of the films increased from 2.40 to 2.55 as temperature increased. X-ray photoelectron spectroscopy (XPS) study showed only Ti 2s, Ti 2p, C 1s, O 1s and O 2s peaks at the surface of the film. The composition of the surface was estimated to be TiO1.98 from the quatitative analysis. In the bulk of the film Ti 2s, Ti 2p, O 1s, O 2s, N 1s and N 2s were detected, and Ti-N bonding was observed due to the substitution of oxygen with nitrogen. A satellite structure was observed in the Ti 2p due to the Ti-N bonding, and the composition of titanium nitride was determined to be about TiN1.0 from the position of the binding energy of Ti-N 2p3/2 and the quatitative analysis. The spectrum of Ti 2p energy level could be the sum of a 4, 5, or 6 Gaussian curve reconstruction, and the case of the sum of the 6 Gaussian curve reconstruction was physically most meaningful. From the results of Auger electron spectroscopy (AES), it was known that the composition was not varied significantly throughout the whole thickness of the film, and silicon oxide was not observed at the interface between the film and the substrate. The composition of the film was possible (TiO2)1-x.(TiN)x or TiO2-2xNx and in this experimental condition x was found to be about 0.21-0.16.

• 센서학회지
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• 제6권3호
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• pp.207-213
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• 1997

$H^{+}$ 이온에 선택적으로 감응하는 field effect transistor(pH-ISFET)를 바탕소자로 하고, 그 gate 주위에 Ag/AgCl 기준전극을 형성한 다음, 이를 둘러싼 수화젤(hydrogel)막 및 기체투과막의 이중막 구조를 가진 용존이산화탄소($CO_{2(aq)}$) 센서소자를 사진식각(photolithography)법으로 제작하였다. PVA-SbQ 혹은 PVP-PVAc/감광제 형의 광가교형 감광액은 수화젤막 형성에 적합하지 않았으나, 2-hydroxyethyl methacrylate(HEMA) 및 acrylamide를 포함하는 광중합형 감광액을 사용할 경우에는 사진식각법에 의한 수화젤막이 좋은 해상도로 얻어졌다. 기체투과막은 urethane acrylate계 UV-oligomer를 주성분으로 한 감광액을 써서 사진식각법으로 수화젤막위에 형성할 수 있었다. 또한 수화젤막 및 기체투과막을 사진식각법으로 형성할 때 N,N,N',N'-tetramethyl ethplenediamine(TED) 을 $O_{2}$ quencher로서 감광액 중에 도입함으로써 UV 노광시에 polyester film을 부착하는 번거로운 공정을 생략할 수 있음을 알았다. 이렇게 제조된 $pCO_{2}$ 센서는 수용액 중에서 $10^{-3}{\sim}10^{0}\;mol/{\ell}$의 $CO_{2}$ 농도변화에 대하여 직선적인 검정곡선(calibration curve)을 얻을 수 있었다.

• 대한한방부인과학회지
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• 제25권3호
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• pp.95-102
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• 2012

Purpose: The purpose of this study is to define the cut off values of cold hypersensitivity of hands by using digital infrared thermographic imaging(DITI). Methods: Thermographic images of 130 patients with cold hypersensitivity of hands(CHHG, n=65) and non-cold hypersensitivity of hands(NCHHG, n=65) were retrospectively reviewed. We used the temperature difference the palm(PC8) and the upper arm(LU4) for diagnosing cold hypersensitivity of hands. The temperature differences of between two groups were analysed using independent samples t-tests. The cut off values were calculated by ROC curve analysis. Analyses were undertaken using SPSS version 17.0. P value of < 0.05 was considered significant. Results: The temperature difference the palm(PC8) and the upper arm(LU4) were significantly different between groups(p < 0.001). Using receiver operating characteristic curve analysis, the sensitivity, specificity, and area under the curve were 70.8%, 73.8%, respectively both hands. The AUC was 0.822 on right hand and 0.818 on left hand. The optimum cut-off value was defined as $-0.05^{\circ}C$. Conclusions: These results suggest that DITI is a reliable instrument for estimating the cold hypersensitivity of hands.

• 대한한방부인과학회지
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• 제26권3호
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• pp.85-92
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• 2013

Objectives: The purpose of this study is to find diagnostic points and define the cut off values of hot flashes by using digital infrared thermographic imaging. Methods: Thermographic images of 75 patients with hot flashes (HF, n=35) and non-hot flashes (NHF, n=40) were retrospectively reviewed. We used the temperature difference between Ex-HN3 and CV17, LU4, CV12, CV4 for diagnosing hot flashes. The temperature differences of between two groups were analysed using independent samples t-tests. The cut off values were calculated by received operating characteristic curve analysis. Analyses were undertaken using SPSS version 17.0. and p-value of <0.05 was considered significant. Results: The temperature difference Ex-HN3 and LU4 were the most significantly different between groups (p<0.001). Using receiver operating characteristic curve analysis, the sensitivity, specificity, and area under the curve were 65.7%, 72.5%, 0.729, respectively. The optimum cut off value was defined as $1.00^{\circ}C$. Conclusions: These results suggest that the digital infrared thermographic imaging is a reliable instrument for estimating hot flashes.

• Advanced Composite Materials
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• 제16권1호
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• pp.31-44
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• 2007

The purpose of this study is to improve the examining and understanding of the bonding behavior of Fiber Reinforced Polymer (FRP) sheets bonded to concrete blocks and steel plates under fatigue loading. First, a series of experimental investigations is summarized in the paper. The fatigue behavior of bonding surface between FRP sheets and concrete is finally characterized by the conducted P-S-N diagram representing the relationship among the probability of FRP debonding (P), the bond stress amplitudes (S), and the number of cycles (N) at debonding on a semi-logarithmic scale. The different debonding modes for various fracturing surface are also investigated and evaluated.

• 한국지반환경공학회 논문집
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• 제13권6호
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• pp.73-81
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• 2012

해상풍력시스템의 규모가 점차적으로 증가하고 있는 추세에 따라 상부구조물을 지지하는 기초구조물 안정성 확보의 중요성이 대두되고 있다. 이에 따라, 지반공학적 측면에서 기초구조물과 지반의 상호작용이 전체 시스템에 미치는 영향을 파악하기 위한 해석방안이 요구되고 있으며, p-y 곡선 모델의 적용이 대표적인 방법이다. 본 연구에서는 풍황이 우수하여 해상풍력발전 시스템 운영을 위한 대상지로써 적합하다고 알려져 있는 제주도 해저지반(현무암)의 공학적 특성을 현재까지 제안된 암반 p-y 곡선 모델에 적용하였다. 이를 통해 제주도 및 국내 암반 분포 지역에 대한 해상풍력시스템 기초구조물과 해저암반 간의 상호작용 해석 과정을 정리하고 향후 연구 방향을 제안하였다. 전반적으로 암반 p-y 곡선 산정결과는 지표면에 근접할수록 지반반력이 증가하는 경향을 나타냈으며, 말뚝에 작용하는 모멘트, 전단력 등을 분석한 결과 암반의 공학적 특성을 적절히 모사할 수 있음을 확인하였다.

• 한국지반공학회논문집
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• 제22권4호
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• pp.73-83
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• 2006

댐 안정성 평가를 위하여 불포화 이론을 이용한 침투해석 기법이 널리 사용되고 있으나 지반의 불포화 거동에 대한 인식 부족과 실험절차의 번거로움으로 인하여 입력 물성치에 대한 체계적인 실험과 평가가 일반화되지 못하고 있는 실정이다. 지반의 불포화 수리특성은 변동성과 불확실성을 내포하고 있으며, 이는 침투수량 및 간극수압 분포 등 댐체 및 제방의 침투거동에 영향을 미친다. 본 연구에서는 댐의 심벽재료에 대한 함수특성곡선과 투수계수를 구하는 실내실험을 수행하였다. 그리고, 불포화수리특성이 댐체의 침투 거동에 미치는 영향을 살펴보기 위하여 입력물성의 확률론적 분포를 고려한 수치해석을 수행하였다. 해석결과 Fredlund와 Xing 함수특성곡선식과 Campbell의 투수계 수식에서 변수 a와 n은 값이 클수록, n과 p는 값이 작을수록 정상상태에서의 침투수량이 많았다.

• Journal of Chest Surgery
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• 제50권4호
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• pp.275-280
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• 2017

Background: Video-assisted thoracoscopic surgery (VATS) anatomic lung resections are gradually becoming the standard surgical approach in early-stage non-small cell lung cancer (NSCLC). The technique is being applied in cases of larger tumors depending on the experience of the surgical team. The objective of this study was to compare early surgical and survival outcomes in patients undergoing anatomic pulmonary resections using VATS and thoracotomy techniques for clinical T2 NSCLC during the adaptation period of the surgical team to the VATS approach. Methods: The data of all patients who underwent anatomic pulmonary resection for NSCLC using VATS and open techniques since April 2012 were recorded to create a prospective lung cancer database. Clinical T2 NSCLC patients who underwent VATS anatomic lung resection were identified and compared with cT2 patients who underwent open resection. Results: Between April 2012 and August 2014, 269 anatomical resections for NSCLC were performed (80 VATS and 189 thoracotomy). Thirty-four VATS patients who had clinical T2 disease were identified and stage-matched to thoracotomy patients. The average tumor diameter was comparable ($34.2{\pm}11.1{\times}29.8{\pm}10.1mm$ vs. $32.3{\pm}9.8{\times}32.5{\pm}12.2mm$, p=0.4). Major complications were higher in the thoracotomy group (n=0 vs. n=5, p=0.053). There was no 30-day mortality, and the 2-year survival rate was 91% for VATS and 82% for thoracotomy patients (p=0.4). Conclusion: VATS anatomic resections in clinical T2 NSCLC tumors are safe and have perioperative and pathologic outcomes similar to those of thoracotomy, while remaining within the learning curve.

• Korean Journal of Radiology
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• 제24권5호
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• pp.444-453
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• 2023

Objective: Meningeal lymphatic vessels are predominantly located in the parasagittal dural space (PSD); these vessels drain interstitial fluids out of the brain and contribute to the glymphatic system. We aimed to investigate the ability of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in assessing the dynamic changes in the meningeal lymphatic vessels in PSD. Materials and Methods: Eighteen participants (26-71 years; male:female, 10:8), without neurological or psychiatric diseases, were prospectively enrolled and underwent DCE-MRI. Three regions of interests (ROIs) were placed on the PSD, superior sagittal sinus (SSS), and cortical vein. Early and delayed enhancement patterns and six kinetic curve-derived parameters were obtained and compared between the three ROIs. Moreover, the participants were grouped into the young (< 65 years; n = 9) or older (≥ 65 years; n = 9) groups. Enhancement patterns and kinetic curve-derived parameters in the PSD were compared between the two groups. Results: The PSD showed different enhancement patterns than the SSS and cortical veins (P < 0.001 and P < 0.001, respectively) in the early and delayed phases. The PSD showed slow early enhancement and a delayed wash-out pattern. The six kinetic curve-derived parameters of PSD was significantly different than that of the SSS and cortical vein. The PSD washout rate of older participants was significantly lower (median, 0.09; interquartile range [IQR], 0.01-0.15) than that of younger participants (median, 0.32; IQR, 0.07-0.45) (P = 0.040). Conclusion: This study shows that the dynamic changes of meningeal lymphatic vessels in PSD can be assessed with DCE-MRI, and the results are different from those of the venous structures. Our finding that delayed wash-out was more pronounced in the PSD of older participants suggests that aging may disturb the meningeal lymphatic drainage.