• Neonatal Medicine
• /
• 제28권3호
• /
• pp.116-123
• /
• 2021

Purpose: The aim of this study was to estimate the effect of targeting risk factors for the control of central line-associated bloodstream infection (CLABSI) among high-risk infants in a tertiary neonatal intensive care unit (NICU). Methods: Infants admitted to the NICU and diagnosed with CLABSI from January to December 2013 were eligible for inclusion to the study. The CLABSI group (n=47) was matched in a 1:2 ratio to the control group (n=94) based on gestational age, birth weight, and Score for Neonatal Acute Physiology-II. Risk factors for CLABSI were identified using the Cox proportional hazard model, and analysis of the effect of these risk factors targeting infection control was performed. Results: The risk factors associated with CLABSI were prolonged central line dwell days (adjusted hazard ratio [HR], 1.028; 95% confidence interval [CI], 1.011 to 1.045; P=0.001), use of a silicone catheter (adjusted HR, 5.895; 95% CI, 1.893 to 18.355; P=0.002), surgical treatment (adjusted HR, 3.793; 95% CI, 1.467 to 9.805; P=0.006), and less probiotic supplementation (adjusted HR, 0.254; 95% CI, 0.068 to 0.949; P=0.042). By targeting these risk factors with a quality improvement initiative, the mean CLABSI incidence rate per 1,000 catheter-days decreased from 6.6 to 3.1 (P=0.004). Conclusion: Targeting risk factors for infection control significantly reduced the rate of CLABSI among high-risk infants in the NICU.

• 대한소아치과학회지
• /
• 제30권1호
• /
• pp.47-53
• /
• 2003

본 연구는 영구치와 유치의 상아질 표면에 상품화된 화학기계적 우식치질 제거용액인 $Carisolv^{TM}$(MediTeam, Sweden)를 사용하고 복합레진을 접착한 후 전단결합강도를 측정함으로써 $Carisolv^{TM}$의 사용이 복합레진의 접착에 미치는 영향을 평가하고자 하였다. 교정치료를 위하여 발거된 상, 하악 소구치 80개와 정상적으로 탈락한 손상이 없이 건전한 상악 유전치 80개의 순, 협면의 상아질을 노출시키고 $Carisolv^{TM}$를 실험군은 60초 적용하고 대조군은 $Carisolv^{TM}$를 사용하지 않았다. 상아질 접착제는 Scotchbond Multi-Purpose(3M, USA), Single Bond(3M, USA), Clearfil SE Bond(Kuraray, Japan), AQ Bond(Sun Medical, Japan)를 각각 제조사의 지시대로 적용하였고 광중합형 복합레진은 Z100(3M, USA)을 사용하였다. $5^{\circ}C$와 $55^{\circ}C$에 각 30초씩 계류시켜 1,000회 열순환시키고 Universal Testing Machine(Zwick Z020, Zwick Co., Germany)을 사용하여 전단결합강도를 측정하고 분석하여 다음과 같은 결론을 얻었다. 1. 각 군간 전단결합강도를 비교한 결과, 유치에 비해 영구치의 전단결합강도가 높게 나타났다. 영구치에서는 Clearfil SE Bond만 사용한 군에서 가장 높았고 $Carisolv^{TM}$와 AQ Bond를 병용한 군에서 가장 낮았다. 2. $Carisolv^{TM}$ 사용하지 않은 군과 사용한 군간의 전단결합강도를 비교한 결과, 영구치와 유치 모두에서 상아질 접착제의 종류에 관계없이 $Carisolv^{TM}$를 사용한 군이 사용하지 않은 군에 비해 전단결합강도가 통계학적으로 유의하게 낮게 나타났다(P<0.001). 3. 상아질 접착제의 종류에 따른 전단결합강도를 비교한 결과, 영구치와 유치 모두에서 Clearfil SE Bond를 사용한 군의 전단결합강도가 가장 높았으며 AQ Bond를 사용한 군의 전단결합강도가 가장 낮았다.

• Restorative Dentistry and Endodontics
• /
• 제27권5호
• /
• pp.502-514
• /
• 2002

The aim of this study was to evaluate the marginal adaptation of direct class II sandwich restoration with packable composites(P-60), resin modified glass ionomer cement(Fuji-II LC), flowable compomer(Dyract Flow), flowable composites(Filtek Flow) in comparison with total bond restorations. In addition, for sandwich restorations, influence of different sandwich techniques was also evaluated. Large butt-joint box typed class II cavites with cervical margins 1mm below the cemento-enamel junction were cut into 70 extracted human molars. The cavities(7 groups, n=10) were filled using a closed/open sandwich restoration or total bond restoration technique with materials according to the manufacturer's recommandation using the single-component bonding agent for each system. Teeth were thermocycled 500 times between 5$^{\circ}C$ and 55$^{\circ}C$ with 30-second dwell time. The teeth were then coated with nail polish 1mm short of the restoration, placed in a 2% methylene blue for 24 hours, and sectioned with diamond wheel. Sections were examined with a stereoscope to determine the extent of microleakage. Dentine /Cementum margins were analyzed for microleakage on scale of 0(no leakage) to 4(entire axial wall) and interface between materials, on scale of 0(no leakage) to 3(axial wall). Results were evaluated with Kruskal Wallis Test, corrected for ties, to determine whether there were statistically significant differences among the seven groups. Pairs of groups were analyzed using the Student-Newman-Keuls Method and Dunn s Method. The results were as follows : 1. All groups showed some micoleakage in cervical portion. But there were no microleakage in interface between materials. 2. Closed sandwich restorations with Fuji-II LC and Filtek Flow had significantly lower leakage rating than total restorations with only P-60. However, open sandwich restorations with Dyract Flow showed significantly higher (P<0.05) 3. Closed sandwich restorations had significantly lower leakage rating than total restorations. However open sandwich restoration s showed significantly higher (P<0.05). 4. Sandwich restorations with Fuji-II LC were iou$.$or leakage than only P-60. Filtek Flow, Dyract Flow. But there were no statistically differences among the materials. From the results above, it could be concluded, closed sandwich restorations was effective in reducing microleakage of class II restorations. The best results showing the least microleakage were for the closed sandwich technique with Fuji-II LC and Filtek Flow.

• Restorative Dentistry and Endodontics
• /
• 제27권3호
• /
• pp.249-256
• /
• 2002

The use of flowable composite resins as liners in class II packable composite restoration has been suggested by some manufacturers. However, the contributions of this technique are unproven. The purpose of this study was to compare the gingival microleakage in class II packable composite restorations with or without the use of flowable composite resins as liners. Slot cavities were prepared on both proximals of 80 extracted human molars and randomly assigned to 8 groups of 20 each. The gingival margins were located at 1mm above CEJ in 80 cavities (group1-4) and 1mm below CEJ in 80 cavities (group5-8). The prepared teeth were mounted in the customized tray with adjacent teeth to simulate clinical conditions and metallic matrix band (Sectional matrix) and wooden wedges were applied. After acid etching and application of Single Bond, each group was restored with the following materials using incremental placement technique: Group 1,5 (Filtek P60), group 2, 3, 4 and group 6, 7, 8 (AeliteFlo, TetricFlow, Revolution/ Filtek P60). All specimens were thermocycled 500 times between 5$^{\circ}C$ and 55$^{\circ}C$ with 1 mimute dwell time, immersed 2% methylene blue dye for 24 hours and then rinsed with tab water. The specimens were embedded in clear resin and sectioned longitudinally through the center of restoration with a low speed diamond saw. Dye penetration at gingival margin was viewed at 20 magnification and analyzed on a scale of 0 to 4. Kruscal-Wallis One way analysis and Mann-Whitney Rank sum test were used to analyze the results. The results of this study were as follows. 1. The leakage values seen at the enamel margin were significantly lower than those seen at the dentin margin(P<0.05). 2. On the enamel margin, packable composite resins with flowable liners showed lower leakage than those without flowable liners, but there were no significant differences among the four groups(P>0.05). 3. On the dentin margin, four groups demonstrated moderate to severe leakage, and there were no significant differences in leakage values(P>0.05).

• 대한소아치과학회지
• /
• 제30권1호
• /
• pp.54-60
• /
• 2003

본 연구는 영구치와 유치의 상아질 표면에 상품화된 화학기계적 우식치질 제거용액인 $Carisolv^{TM}$(MediTeam, Sweden)를 사용하고 복합레진을 접착한 후 전단결합강도를 측정함으로써 $Carisolv^{TM}$의 사용이 복합레진의 접착에 미치는 영향을 평가하고자 하였다. 교정치료를 위하여 발거된 상, 하악 소구치 80개와 정상적으로 탈락한 손상이 없이 건전한 상악 유전치 80개의 순, 협면의 상아질을 노출시키고 $Carisolv^{TM}$를 실험군은 60초 적용하고 대조군은 $Carisolv^{TM}$를 사용하지 않았다. 상아질 접착제는 Scotchbond Multi-Purpose(3M, USA), Single Bond(3M, USA), Clearfil SE Bond(Kuraray, Japan), AQ Bond(Sun Medical, Japan)를 각각 제조사의 지시대로 적용하였고 광중합형 복합레진은 Z100(3M, USA)을 사용하였다. $5^{\circ}C$와 $55^{\circ}C$에 각 30초씩 계류시켜 1,000회 열순환시키고 Universal Testing Machine(Zwick Z020, Zwick Co., Germany)을 사용하여 전단결합강도를 측정하고 분석하여 다음과 같은 결론을 얻었다. 1. 각 군간 전단결합강도를 비교한 결과, 유치에 비해 영구치의 전단결합강도가 높게 나타났다. 영구치에서는 Clearfil SE Bond만 사용한 군에서 가장 높았고 $Carisolv^{TM}$와 AQ Bond를 병용한 군에서 가장 낮았다. 2. $Carisolv^{TM}$ 사용하지 않은 군과 사용한 군간의 전단결합강도를 비교한 결과, 영구치와 유치 모두에서 상아질 접착제의 종류에 관계없이 $Carisolv^{TM}$를 사용한 군이 사용하지 않은 군에 비해 전단결합강도가 통계학적으로 유의하게 낮게 나타났다(P<0.001). 3. 상아질 접착제의 종류에 따른 전단결합강도를 비교한 결과, 영구치와 유치 모두에서 Clearfil SE Bond를 사용한 군의 전단결합강도가 가장 높았으며 AQ Bond를 사용한 군의 전단결합강도가 가장 낮았다.

• 한국진공학회:학술대회논문집
• /
• 한국진공학회 2014년도 제46회 동계 정기학술대회 초록집
• /
• pp.298-298
• /
• 2014

Quantum dot infrared photodetectors (QDIPs) based on Stranski-Krastanov (SK) quantum dots (QDs) have been widely explored for improved device performance using various designs of heterostructures. However, one of the biggest limitations of this approach is the "pancake" shape of the dot, with a base of 20-30 nm and a height of 4-6 nm. This limits the 3D confinement in the quantum dot and reduces the ratio of normal incidence absorption to the off-axis absorption. One of the alternative growth modes to the formation of SK QDs is a sub-monolayer (SML) deposition technique, which can achieve a much higher density, smaller size, better uniformity, and has no wetting layer as compared to the SK growth mode. Due to the advantages of SML-QDs, the SML-QDIP design has attractive features such as increased normal incidence absorption, strong in-plane quantum confinement, and narrow spectral wavelength detection as compared with SK-DWELL. In this study, we report on the improved device performance of InAs/InGaAs SML-QDIP with different composition of $Al_xGa1-_xAs$ barrier. Two SML-QDIPs (x=0.07 for sample A and x=0.20 for sample B) are grown with the 4 stacks 0.3 ML InAs. It is investigated that sample A with a confinement-enhanced (CE) $Al_{0.22}Ga_{0.78}As$ barrier had a single peak at $7.8{\mu}m$ at 77 K. However, sample B with an $Al_{0.20}Ga_{0.80}As$ barrier had three peaks at (${\sim}3.5{\mu}m$, ${\sim}5{\mu}m$, ${\sim}7{\mu}m$) due to various quantum confined transitions. The measured peak responsivities (see Fig) are ~0.45 A/W (sample A, at $7.8{\mu}m$, $V_b=-0.4V$ bias) and ~1.3 A/W (sample B, at $7{\mu}m$, $V_b=-1.5V$ bias). At 77 K, sample A and B had a detectivity of $1.2{\times}10^{11}cm.Hz^{1/2}/W$ ($V_b=-0.4V$ bias) and $5.4{\times}10^{11}cm.Hz^{1/2}/W$ ($V_b=-1.5V$ bias), respectively. It is obvious that the higher $D^*$ of sample B (than sample A) is mainly due to the low dark current and high responsivity.

• 구강회복응용과학지
• /
• 제16권1호
• /
• pp.51-60
• /
• 2000

주조 포스트코아와 치질 계면에서 시멘트 종류에 따른 미세누출의 변화를 알아보기 위해 상악 전치부 및 하악 견치, 총 40개의 단근치를 백악-법랑 경계 2mm 상방에서 절단하고 백악-법랑 경계 1mm 상방에 chamfer 변연 형성 후, 통상적 근관 형성, 및 충전을 시행하고 주조용 Parapost를 이용하여 40개의 주조 포스트코아를 제작하였다. 각 군당 10개씩 4군으로 분배하여, 실험 I군에서는 인산아연 시멘트인 Fleck's를, 실험 II군에서는 글래스아이오노머 시멘트인 Fuji I을, 실험 III군에서는 4-META계 레진 시멘트인 Superbond C & B를, 실험 IV군에서는 인산 에스테르계 레진 시멘트인 Panavia 21로 각각 접착한 다음, 500회 thermocycling 및 1% basic fuchsin 염색액 침액을 거친 후 시편을 협설면으로 절단하고 광학 현미경상에서 포스트와 치질 계면사이의 미세누출정도를 지수로 산정하여 시편 협설면의 지수 평균을 계산한 후 각 군간의 비교 분석을 통해 다음과 같은 결론을 얻었다. 1. 모든 시편의 계면에서 미세누출이 관찰되었다. 2. 실험 I군에서 실험 II군, 실험 III군, 및 실험 IV군에 비해 유의성있게 가장 높은 미세누출지수를 보였고, 실험 II군에서 실험 III군, 및 실험 IV군에 비해 유의성있게 높은 미세누출지수를 보였다(p<0.05). 3. 실험 IV군에서 가장 낮은 미세누출지수를 보였으나 실험 III군과의 통계학적 차이는 없었다(p>0.05).