• The Journal of Advanced Prosthodontics
• /
• 제9권5호
• /
• pp.341-349
• /
• 2017

PURPOSE. This study evaluated the accuracies of different bite registration techniques for implant-fixed prostheses using three dimensional file analysis. MATERIALS AND METHODS. Implant fixtures were placed on the mandibular right second premolar, and the first and second molar in a polyurethane model. Aluwax (A), Pattern Resin (P), and Blu-Mousse (B) were used as the bite registration materials on the healing abutments (H) or temporary abutments (T). The groups were classified into HA, HP, HB, TA, TP, and TB according to each combination. The group using the bite impression coping was the BC group; impression taking and bite registration were performed simultaneously. After impression and bite taking, the scan bodies were connected to the lab analogs of the casts. These casts were scanned using a model scanner. The distances between two reference points in three-dimensional files were measured in each group. One-way ANOVA and Duncan's test were used at the 5% significance level. RESULTS. The smallest distance discrepancy was observed in the TB group using the temporary abutments. The Blu-Mousse and HP groups showed the largest distance discrepancy. The TB and BC groups showed a lower distance discrepancy than the HP group (P=.001), and there was no significant difference between the groups using the temporary abutments and healing abutments (P>.05). CONCLUSION. Although this study has limitations as an in-vitro investigation, the groups using the temporary abutments to hold the Blu-Mousse record and bite impression coping showed greater accuracy than the group using the healing abutments to hold the pattern resin record.

• 대한치과보철학회지
• /
• 제51권4호
• /
• pp.315-322
• /
• 2013

연구 목적: 내측연결형 임플란트와 지대주의 연결체에 반복하중을 부여하였을 때 수직 침하를 평가하고자 하였다. 연구 재료 및 방법: 외측연결형 임플란트와 내측연결형 임플란트에 세 종류의 시멘트유지형 지대주를 각각 장착하였다. 즉, 외측연결형 지대주(Ext 그룹), 내측연결형 1-piece 지대주(Int-1 그룹), 내측연결형 2-piece 지대주(Int-2 그룹)를 사용하였으며, 각 그룹마다 7개의 시편을 준비하였다. 임플란트-지대주 연결체에 수직하중을 적용하기 위하여 임플란트 받침대에 고정한 후, 4 Hz의 빈도로 $150{\pm}10N$의 반복하중을 가하였다. 수직침하량은 0, 5, 10, 50, 100, 1,000, 5,000, 10,000회의 반복하중 후에 각각 측정하였다. 반복측정분산분석(RM-ANOVA)를 이용하여 반복하중의 영향을 분석하였으며, 패턴변화를 관찰하기 위하여 선형혼합모형(linear mixed model)을 사용하였다. 유의수준은5% 로 설정하였다. 결과: 10,000회 반복하중 후 수직침하량은, Ext 그룹에서 $0.714{\pm}0.488{\mu}m$, Int-1그룹에서 $5.286{\pm}1.604{\mu}m$, Int-2 그룹에서 $11.429{\pm}1.902{\mu}m$를 나타내었다. 패턴분석에서는, Int-1 그룹 및 Int-2 그룹에서 지속적인 수직침하가 관찰되었으며, Ext그룹에서는 수직침하현상이 관찰되지 않았다. 결론:10,000회 반복하중 후의 선형혼합모형을 통한 분석에서, Ext그룹은 수직침하현상을 보이지 않았으나, Int-1 및 Int-2 그룹은 지속적인 수직침하현상을 나타내었다. 또한, Int-2그룹에서 Int-1그룹보다 더 많은 수직침하량이 관찰되었다.

• 한국해양학회지:바다
• /
• 제9권1호
• /
• pp.40-49
• /
• 2004

강원도 삼척 호산해역에서 해조장의 회복에 결정적 역할을 할 것으로 짐작되는 둥근성게(Strongylocentrotusnudus) 개체군에 대한 생태학적 연구를 수행하였다. 2002년 6월의 예비연구를 통해 조하대에 3개 실험구(인공해조장. 갯녹음지역, 자연해조장)를 설정하고, 8월, 10월, 12월에 둥근성게의 분포와 섭식률, 포식압, 포식자 조합을 추정하였다. 둥근성게의 서식 밀도는 자연해조장에서 가장 낮았으나, 각경(test diameter)의 중위수는 가장 큰것(Kruskal-Wallis test, 8월, p<0.001; 10월, p=0.036)으로 나타났다. 둥근 성게의 먹이 섭식률을 추정하기 위한 실험(enclosure cage experiment)은 자연해조장에서 수행되었으며, 8월과 10월에 각각 160, 13.8 mg seaweed/g sea urchin/day로 추정되었다. 둥근성게에 대한 상대적인 포식압의 실험구 간 비교를 위해 수행된 포박실험 (tethering experiment)으로부터 자연해조장의 포식압이 다른 두 실험구에 비해 상대적으로 높은 것으로 나타났다. 실험 도중 현장에서 관찰된 포식자는 대부분 무척추동물인 것으로 나타났으며 어류 포식의 증거는 찾을 수 없었다. 죽은 성게나 산 성게를 담은 통발을 이용하여 포식자 조합을 파악하기 위한 실험을 하였다. 둥근성게의 포식자는 복족류 Neptuned arthritica와 별불가사리 Asterina pectinifera, 집게류 Pagurus cf. samuelis, 그리고 게류에 속하는 Atergatis integerrimus 등이며, 집게류인 Paguristes barbatus와 게류인 Actaea subglobosa도 가능성이 있는 포식자인 것으로 추정되었다 실험구 간 대비되는 관찰 결과로부터 (1)성게의 낮은 서식 밀도와 관련된 요인은 포식압이며, (2) 이는 조사 해역의 백화 현상의 발생, 유지와 낮은 포식압 간 가능한 상관관계를 제시하는 것으로 해석되었다.

• 한국의료질향상학회지
• /
• 제4권1호
• /
• pp.82-103
• /
• 1997

Background : With increased concerns about variation among physician's practice pattern and their impact on the quality of care, clinical practice guidelines have been developed by many different organizations, with differing aims and incentives. From the same point of view, there is growing interest in the development of clinical practice guidelines in Korea, but with only a few examples. As a result, there is not much exploration on the incentive and barrier to develop guidelines as well as description on the development process. The purposes of this study are to describe the process of the four different clinical practice guidelines in a hospital setting, and to identify incentives and barriers in the development of guidelines. Methods : For this research, a clinical practice guideline development committee and four clinical practice guideline development teams were organized in a university hospital which has more than 1,200 bead. Twenty eight doctors, three nurses, and one technician participated as members of development teams for eight months. Four to six meetings were held, and three to seven departments in the hospital were involved. Results : The topics which developed into clinical practice guidelines were cardiopulmonary resuscitation(CPR), blood transfusion, anticoagulation, and angiography. The main goals set by teams were education(CPR, angiography), risk management(blood transfusion), and to enhance quality of care(anticoagulation). Among four teams, only in the team for anticoagulation guideline medical record review and pilot-testing were performed. Also literature review was not carried out systematically. However, all the guidelines were developed by multidisciplinary be used as standard protocols in the practice. Conclusion : Experience and skill in developing process has to be improved to have a more valid and useful practice guideline. In particular, literature review and problem identification by examining medical record should be emphasized. Also further studies on the clinical outcomes of the guidelines application and changes in physicians' behaviors would be required.

• 대한불안의학회지
• /
• 제2권1호
• /
• pp.39-44
• /
• 2006

Objective : Chronic posttraumatic stress disorder (PTSD) is defined by the coexistence of symptoms (reexperiencing, avoidance and hyperarousal), persisting for more than months or years that causes significant impairment in social occupational functioning. This study was conducted to evaluate the effects of terazosin on posttraumatic nightmares which is one of chronic PTSD symptoms. Methods : Twenty patients with chronic PTSD and severe trauma-related nightmares were treated with terazosin (3-7 mg/day) for 8 weeks. Recurrent distressing dreams item of the Clinician administered PTSD Scale (CAPS), Total CAPS score, Clinical Global Impressions-Severity Scale (CGI-S) and Clinical Global Impressions-Change Scale (CGI-C) were performed at baseline, 4-week and 8-week. Mississippi Scale for Combat-Related PTSD and Combat Exposure Scale (CES) were used to evaluate PTSD symptom pattern and degree of exposure. Results : Significant decrease in recurrent distressing dreams item, reexperiencing, avoidance and hyperarousal symptom score and total CAPS score were at 4-week and 8-week treatment compared to baseline (recurrent distressing dreams item : $2.70{\pm}1.88$ and $1.25{\pm}1.49$ ; reexperiencing, avoidance and hyperarousal symptom score : $2.30{\pm}2.49$, $1.20{\pm}1.05$, $3.10{\pm}1.68$ and $4.00{\pm}3.59$, $1.55{\pm}1.50$, $5.60{\pm}3.23$ ; total CAPS score : $8.20{\pm}6.26$ and $5.40{\pm}5.89$). There were significant correlation between dosage of terazosin and improvement of PTSD symptoms. Adverse effects such as fatigue and orthostatic hypotension were showed, which were mild and self-limited. Conclusion : These results suggest that terazosin may improve severe trauma-related nightmares and overall PTSD symptoms. Randomized controlled study with more subjects would be necessary in the future.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제26권6호
• /
• pp.628-635
• /
• 2000

The purpose of this study was to evaluate the result after 2-phase surgical-orthodontic treatment without preoperative orthodontic treatment for the skeletal Cl III malocclusion patient and to obtain an adequate protocol on the bases of this result. This retrospective study of ten patients who underwent 2-phase treatment were done to evaluate 1) the surgical stability and relapse pattern 2) the facial esthetics 3) the TMJ problem 4) the total time of the treatment. Results were followed : 1) The horizontal relapse of the mandible was 26.8% and didn't show significant differences compared to the conventional 3-phase treatment. But, it was considered that this amount of relapse was the sum of true relapse and autoratation of mandible due to decreased vertical dimension during orthodontic treatment. 2) It was estimated that there's no difference on the ratio of anterior facial height between the subjects and the normal patients. On the horizontal analysis, the mandible of the subjects was located more anteriorly than that of the normal patients. This result showed that there was a need for the accurate preoperative esthetic evaluation and the additional methods for reducing the relapse due to the occlusal interference. 3) Wide variation was noted on the TMJ symptoms of the subjects, however, it was estimated that there's no significant differencees of symptoms compared to that of the conventional 3-phase treatment on literatures. 4) The average of the overall period of treatment was 20.8 months and we obtained reduction of the treatment time compaired to 3-phase treatment on many literatures. Most of the results of this study were similar to the findings of the 3-phase treatment(preoperative orthodontic-orthognathic surgery-postoperative orthodontic), but total time of the treatment was shorter in patients with 2-phase treatment than in those with the conventional 3-phase treatment. With 2-phase treatment, we experienced many advantages compared to the conventional method considering that it was favarable conditions for the teeth, it had the flexibility for the treatment, and it could be the adequate treatment approach for the stomatognathic system. Although this retrospective pilot study had some limitations, due to small samples, the authors would hope that it could serve as a guide for the future researches, and the clinical applications.

• 대한간호학회지
• /
• 제20권3호
• /
• pp.368-380
• /
• 1990

A central issue in the development of nursing practice is to describe the phenomenon with which nursing is concerned. To identify the health problems which can be diagnosed and managed by the nurse is the first step to organize and ensure the development of nursing science. Therefore the academic world has been discussing the application of the nursing diagnosis in nursing practice as a means of improving quality of care. The objectives of this study were to develop a standardized nursing care plan for ten selected nursing diagnoses to form a database for computerized nursing service. The research approach used in the study was (1) the selection of the ten nursing diagnoses which occur most frequently on medical-surgical wards, (2) the development of a standardized nursing care plan for the ten selected nursing diagnoses, (3) application of the plan to hospitalize patients and evaluation of the content validity by the nurses, and (4) evaluation of the clinical effects after the use of the standardized nursing care plans. The subjects were 56 nurses and 395 hospitalized patients on two medical and two surgical unit. The results of this study were as follows ; 1) The ten selected nursing diagnoses for the development of the standardized nursing care plans were “PAIN, SLEEP DISTURBANCE, ALTERED HEALTH MAINTENANCE, ALTERATION IN NUTRITION, ANXIETY, CONSTIPATION, ALTERED PATTERNS OF URINARY ELIMINATION, DISTURBANCE IN BODY IMAGE, POTENTIAL FOR ACTIVITY INTOLERANCE AND ACTIVITY INTOLERANCE”. 2. The developed standardized nursing care plans included the nursing diagnosis, definition, defining characteristics, etiologic or related factors that contribute to the condition, recording pattern, desired outcomes and nursing orders (nursing interventions). 3. The plan was used with hospitalized patients on medical - surgical wards to test for content validity. The patient's satisfaction with the nursing care and nurses' job satisfaction were investigated to evaluate the clinical effects after the use of the standardized nursing care plans. A comparison of patient satisfaction with nursing care before and after the introduction of the standardized nursing care plans showed a statistically significant higher level of satisfaction with the standardized care plans. There was no difference in the level of job satisfaction expressed by the nursing staff before and after the standardized nursing care plans were introduced. However, when opinions about the use of the standardized nursing care plans were examined it was found that there was a positive effect on clarity in defining the nursing problems, determining nursing cost, more feasible goal setting, effective and systematic nursing records and indications for nursing research. The results of this study suggest that in order to increase the use of nursing diagnoses in the clinical area, it would be effective to select some wards as a pilot project, give the nurses training in the use of nursing diagnosis and develop and use the standardized nursing care plans. In addition to the ten diagnosis used in this study it is recommended that continual development of nursing diagnoses be done using diagnoses that are appropriate to Korea and testing them for validity through standardized care plans.

• Journal of Periodontal and Implant Science
• /
• 제47권6호
• /
• pp.352-362
• /
• 2017

Purpose: Furcation involvement in the molars is difficult to treat, and has been recognized as a risk factor for tooth loss. Although periodontal regenerative therapies, including guided tissue regeneration and various types of bone grafts, have been applied to furcation defects, the effects of these treatments are limited, especially in large class III furcation defects. The purpose of this pilot study was to investigate the effect of reciprocal autologous root transplantation on periodontal wound healing and regeneration in class III furcation defects in dogs. Methods: Furcation defects (7 mm wide and 6 mm high) were surgically created after root separation of the unilateral third and fourth premolars in 4 dogs. Eight furcation defects were randomized to receive either reciprocal autologous root transplantation (test) or no further treatment (control). In the test group, the mesial and distal roots were transplanted into the distal and mesial extraction sockets, respectively. The animals were sacrificed 10 weeks after surgery for histologic evaluation. Results: The healing pattern in the control group was characterized by extensive collapse of the flap and limited periodontal regeneration. New bone formation in the test group ($3.56{\pm}0.57mm$) was significantly greater than in the control group ($0.62{\pm}0.21mm$). Dense collagen fibers inserting into the residual cementum on the transplanted root surfaces were observed in the test group. Slight ankylosis was observed in 2 of the 4 specimens in the test group on the mesiodistal sides where the root-planed surfaces faced the existing bone. Root resorption (RR) was detected in both the control and test groups. Conclusions: Within the limits of this study, it can be concluded that reciprocal autologous root transplantation was effective for bone regeneration in class III furcation defects in dogs. However, further studies are required to standardize the approach in order to prevent unwanted RR prior to clinical application.

• Korean Chemical Engineering Research
• /
• 제55권4호
• /
• pp.535-541
• /
• 2017

Ag 200 ppm과 총유량 120 l/h의 기준으로 이온 교환 섬유 시스템을 제작하였다. 이 시스템은 이온교환 섬유로서 강염기성인 FIVAN A-6을 이용하였고, 이온교환 섬유의 교환이 용이하고 고정틀이 필요 없도록 고안된 이중관 형 이온 교환 섬유조로 구성되어있다. 이 시스템의 이온교환섬유의 Ag에 대한 이온교환 용량은 4.6 meq/g 이었으며, 공정조건별로는 다음과 같은 결과를 얻었다. 흡착공정의 경우 유속의 영향을 확인한 후 40~90 l/h의 범위에서 운전하였으며, pH 7~12 범위에서는 Ag의 착이온 형성에 대한 pH의 영향이 없는 것으로 나타났다. 역세공정의 경우 60~120 l/h의 범위에서 Ag 회수율 실험을 수행하였으며, 역세용 화학물질로는 NaOH, $NH_4Cl$, NaCl을 이용하여 비교실험을 하였고, 역세 화학물질이 고농도 일수록 탈착시간은 짧아지지만 몰당 탈착 효율은 저하되는 경향이었으므로 탈착시간과 농도의 균형을 잘 맞추어 운전해야 경제적 운전이 될 수 있음을 확인하였다. 강염기성 음이온 섬유인 FIVAN A-6와 이중관형 이온교환 섬유조를 이용하여 Ag 흡착율은 99.5% 이상, 총 Ag회수율은 96% 이상의 결과를 얻을 수 있었으며 상용화 가능함을 확인할 수 있었다.

• 대한전자공학회논문지TE
• /
• 제37권1호
• /
• pp.35-41
• /
• 2000

본 논문은 디지털 VCR에서 기록 부호화기로 사용하고 있는 24/25 I-NRZI 변조기의 설계를 위하여 구조를 고찰하고, 스펙트럼 규격을 만족하는 구형파의 전폭 값과 표준 데이터(Sine 및 Cosine계수)를 ROM 테이블에 저장하기 위한 비트의 크기를 고찰하였다. ROM 테이블에 저장되는 표준 데이터의 유효 비트 크기와 구형 파의 진폭 값은 출력 스펙트럼의 파일럿 신호에 대한 크기와 변조기의 하드웨어 크기에 영향을 준다. 설계될 24/25 I-NRZI 변조기에서 출력되는 데이터의 스펙트럼을 겸증하기 위해 램덤 패턴(F0,F1,F2)을 이용하여 실험하였으며, 스펙트럼 분석 결과, 최적의 값으로 구형파의 진폭 갑은 0.065이고, 표준 데이터를 ROM에 저장하기 위한 비트의 크기는 3비트임을 알 수 있었다. 또한, 설계된 24/25 I-NRZI 변조기의 하드웨어 기능을 검중하기 위해 프펙트럼 결과를 토대로 먼저 C 모델링하고, Verilog HDL(Cadence Verilog XL)로 코딩하였으며, Synopsys(Library "Samsung KG75")툴을 이용하여 합성하고, 이를 근거로 하드웨어의 크기를 고찰하였다. 이 연구에서 고찰한 24/25 I-NRZI 변조기는 프리코더의 Path방법 등에 대한 구조를 개선하면10,000게이트 이하로 설계할 수 있으며, 현재 실용화되고 있는 디지털 캠코더에 응용할 수 있다.