• Journal of Hospice and Palliative Care
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• 제21권4호
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• pp.144-151
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• 2018

목적: 말기암환자 가족의 영적요구도를 측정하기 위한 도구의 신뢰도와 타당도를 검증하기 위한 연구이다. 방법: 본 연구는 1) 예비문항의 작성 2) 내용타당도 검증 3) 신뢰도와 타당도 검증 4) 최종문항 선정 과정에 따른 방법론적 연구이다. 결과: 요인분석을 통해 '신과의 관계/죽음 수용', '관계성 회복/희망과 평화', '삶의 의미와 목적'의 3가지 요인이 추출되었다. 이 요인들은 총 변량의 61.088%를 설명하였으며, Cronbach's alpha 값은 0.944, Guttman 반분 신뢰도 계수는 0.826으로 나타났다. 결론: 본 도구는 신뢰도와 타당도를 지닌 도구임이 확인되었다. 이에 호스피스 완화의료 분야에서 말기암환자 가족의 영적요구도를 사정할 때 활용도가 높은 도구라고 본다.

• 한국보육학회지
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• 제19권2호
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• pp.165-176
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• 2019

본 연구의 목적은 유아교사의 생활지도 효능감 개념을 규정하고, 실제 유아교육기관에서 생활지도의 구성요인을 밝혀, 유아교사의 생활지도 효능감을 객관적으로 판단할 수 있는 척도를 개발하는 것이다. 이를 위하여 유아교사에게 요구되는 생활지도의 내용을 추출하고 국내, 외 교사효능감 이론 및 척도에 대한 고찰에 근거하여 83개 예비문항을 선정하였고 델파이방법에 의해 61개 문항을 선정하여 유아교사 243명을 대상으로 예비문항에 대한 응답을 구해 탐색적 요인 분석을 한 결과, 4요인 51문항 (문제행동지도 효능감 21문항, 유아이해 효능감 11문항, 가정연계 효능감 12문항, 기본생활습관지도 효능감 9문항)이 최종 문항으로 선정되었다. 최종척도에 대한 타당도와 신뢰도 검증을 위해 SPSS 프로그램을 사용하여 문항양호도 검증, 요인분석, 상관관계, 문항간 내적 합치도와 반분신뢰도를 산출하였다. 분석결과, 본 척도가 유아교사의 생활지도 효능감을 측정하기에 적합한 도구임이 확인되었다.

• 한국재료학회지
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• 제29권7호
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• pp.451-455
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• 2019

The electromagnetic and thermal properties of a heavy fermion $CeNi_2Ge_2$ are investigated using first-principle methods with local density approximation (LDA) and fully relativistic approaches. The Ce f-bands are located near the Fermi energy $E_F$ and hybridized with the Ni-3d states. This hybridization plays important roles in the characteristics of this material. The fully relativistic approach shows that the 4f states split into $4f_{7/2}$ and $4f_{5/2}$ states due to spin-orbit coupling effects. It can be found that within the LDA calculation, the density of states near the Fermi level are mainly of Ce-derived 4f states. The Ni-derived 3d states have high peaks around -1.7eV and spreaded over wide range around the Fermi level. The calculated magnetic of $CeNi_2Ge_2$ with LDA method does not match with that of experimental result because of strong correlation interaction between electrons in f orbitals. The calculations show that the specific heat coefficient underestimates the experimental value by a factor of 19.1. The discrepancy between the band calculation and experiment for specific heat coefficient is attributed to the formation of a quasiparticle. Because of the volume contraction, the exchange interaction between the f states and the conduction electrons is large in $CeNi_2Ge_2$, which increases the quasiparticle mass. This will result in the enhancement of the specific hear coefficient.

• Asian-Australasian Journal of Animal Sciences
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• 제32권1호
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• pp.152-158
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• 2019

Objective: This study was conducted to evaluate the effect of water restriction (WR) on physiological and blood parameters in lactating dairy cows reared under Mediterranean climate. Methods: The trial lasted 16 days preceded by two weeks of adaptation to the experimental condition in spring 2014 on 6 dairy cows in mid-lactation. These cows were allowed water ad libitum for 4 days (W100) (hydration period), then split into 2 groups, one group has received 25% and the other 50% of water compared to their mean water consumption during the hydration period; then rehydrated for 4 days. Feed intake and physiological parameters: respiratory rate (RR), heart rate (HR), and rectal temperature (RT) were recorded twice a day. Blood was collected once a day and analyzed for serum concentration of glucose (Glc), triglycerides (TG), cholesterol (Chol), urea (Ur), creatinine (Crea), and total protein (TP) by enzymatic colorimetric method and cortisol (Cort) by radioimmunoassay. Results: Total dry matter intake (TDMI) was affected by WR. A decrease in TDMI was observed in WR groups compared to W100 group (effect, group, period, day, $group{\times}day$, $period{\times}day$: p<0.001). Also, WR resulted in a significant increase in RR, HR, RT in WR groups than in W100 group (effect, group: p<0.001). In addition, an increase in the serum concentration of Glc, TG, Chol, Ur, Crea, TP, and Cort was noted in WR groups (effect, group, period, day: p<0.001). Conclusion: This study has shown the ability of cows raised in a Mediterranean climate to cope with different levels of WR and thus reach a new equilibrium. As result, elucidates the important role of water as a limiting factor for livestock in environments with low water availability.

• Journal of Periodontal and Implant Science
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• 제49권4호
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• pp.228-236
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• 2019

Purpose: The purpose of this study was to evaluate the synergistic effect of adjunctive hyperbaric oxygen (HBO) therapy on new bone formation and angiogenesis after 8 weeks of healing. Methods: Sprague-Dawley rats (n=28) were split into 2 groups according to the application of adjunctive HBO therapy: a group that received HBO therapy (HBO group [n=14]) and another group that did not receive HBO therapy (NHBO group [n=14]). Each group was divided into 2 subgroups according to the type of bone graft material: a biphasic calcium phosphate (BCP) subgroup and an Escherichia coli-derived recombinant human bone morphogenetic protein-2-/epigallocatechin-3-gallate-coated BCP (mBCP) subgroup. Two identical circular defects with a 6-mm diameter were made in the right and left parietal bones of each rat. One defect was grafted with bone graft material (BCP or mBCP). The other defect was not grafted. The HBO group received 2 weeks of adjunctive HBO therapy (1 hour, 5 times a week). The rats were euthanized 8 weeks after surgery. The specimens were prepared for histologic analysis. Results: New bone (%) was higher in the NHBO-mBCP group than in the NHBO-BCP and control groups (P<0.05). Blood vessel count (%) and vascular endothelial growth factor staining (%) were higher in the HBO-mBCP group than in the NHBO-mBCP group (P<0.05). Conclusions: HBO therapy did not have a positive influence on bone formation irrespective of the type of bone graft material applied after 8 weeks of healing. HBO therapy had a positive effect on angiogenic activity.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권3호
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• pp.159-166
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• 2022

Objectives: The stability of crestal bone has been reported as a major factor in the success of dental implants. Implants can be placed in an equicrestal (crestal) or subcrestal position. The aim of this study was to evaluate the effect of implant depth placement on marginal bone loss. Materials and Methods: The study was created in a split-mouth design. Immediately after implant surgery, digital parallel radiographs were prepared and levels of bone were measured where marginal bone loss and bone level changes occurred. These measurements were repeated at 3-month and 6-month follow-up periods. Results: In this interventional study, 49 implants were evaluated in 18 patients. Primary bone height was not significant between the intervention and control groups in both mesial and distal aspects at 3 months and 6 months from the baseline. The mean marginal bone loss on the mesial side was 1.03 mm in the subcrestal group and 0.83 mm in the crestal group. In addition, mean marginal bone loss on the distal side was 0.88 mm and 0.81 mm in the subcrestal and crestal groups, respectively. Marginal bone loss was not significantly different between sexes, the maxilla or mandible, and in the anterior or posterior regions as well as between different lengths and diameters of implants. Conclusion: Based on the results of this study, there was no significant difference in terms of marginal bone loss between crestal and subcrestal implants.

• Elastomers and Composites
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• 제58권1호
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• pp.32-43
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• 2023

The worldwide use of polyurethane foam products generates large amounts of waste, which in turn has detrimental effects on the surroundings. Hence, finding an economical and environmentally friendly way to dispose of or recycle foam waste is an utmost priority for researchers to overcome this problem. In that sense, the glycolysis of waste flexible polyurethane foam (WFPF) from automotive seat cushions using different industrial-grade glycols and potassium hydroxide as a catalyst to produce recovered polyol was investigated. The effect of different molecular weight polyols, catalyst concentration, and material ratio (PU foam: Glycols) on the reaction conversion and viscosity of the recovered polyols was determined. The obtained recovered polyols are obtained as single or split-phase reaction products. Besides, the foaming characteristics and physical properties such as cell morphology, thermal stability, and compressive stress-strain nature of the regenerated flexible foams based on the recovered polyols were discussed. It was observed that the regenerated flexible foams displayed good seating comfort properties as a function of hardness, sag factor, and hysteresis loss compared to the reference virgin foam. With the growing demand for a sustainable and circular economy, a global valorization of glycolysis products from polyurethane scraps can be realized by transforming them into profitable substances.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권2호
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• pp.206-216
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• 2000

저자는 1996년 1월에서 1998년 10월까지 본원에서 하악지시상분할골절단술을 시행한 하악전돌증환자중 35명(남자15명, 여자 20명)을 무작위로 선정하여 수술전, 수술직후 및 술후 1년의 하악각변화를 분석한 결과 다음과 같은 결론을 얻었다. 1. 35명 환자의 하악각평균은 술직후에는 술전에 비해 $9.3^{\circ}$ 감소하였다가 술후 1년까지 $4.0^{\circ}$증가하여 술전에 비해 술후 1년의 하악각은 $5.3^{\circ}$감소하였다(p<0.01). 2. 35명 환자의 악교정수술전 하악각평균은 $129.4^{\circ}({\pm}6.27)$로 정상에 비해 유의있게 큰 값을 보였으며 하악지시상분할골절단술 후 1년의 하악각평균은 $124.1^{\circ}({\pm}6.33)$로 비교적 개선되었다. 3. 술전과 술후 1년 사이의 남녀의 하악각변화는 여자는 $5.4^{\circ}$감소, 남자는 $5.3^{\circ}$감소로서 남녀간에 유의한 차이는 없었다(p>0.05). 4. 35명의 하악지시상분할골절단술을 받은 환자의 술전과 술후 1년 사이의 하악각변화에서 하악각감소에 관여하는 가장 주요한 변수는 하악후퇴량이었다. 5. 35명의 하악지시상분할골절단술을 받은 환자의 술직후부터 술후 1년까지의 하악각변화에서 하악각증가에 관여하는 가장 주요한 요인은 수평회귀율이었으며 원심골편후방부의 흡수현상도 하악각증가에 관여하는 것으로 생각되었다. 결론적으로 하악전돌증 환자에 있어 하악각이 정상보다 큰 경우 하악지시상분할골절단술은 하악각개선에 효과적이었으며 하악각이 정상에 가깝고 과도한 하악후퇴량이 요구되는 경우는 Short lingual cut 방법, 부가적인 원심골편의 후방변연절제술, Obwegeser II 방법과 같은 하악우각부 형태를 유지하는 수술법을 선택함이 유리할 것으로 예상되고 술후 회귀방지책이 안정된 하악각유지에도 도움이 될 것으로 사료된다.

• Clinical and Experimental Reproductive Medicine
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• 제42권2호
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• pp.45-50
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• 2015

Objective: Artificial oocyte activation (AOA) is an effective method to avoid total fertilization failure in human in vitro fertilization-embryo transfer (IVF-ET) cycles. AOA performed using a calcium ionophore can induce calcium oscillation in oocytes and initiate the fertilization process. We evaluated the usefulness of AOA with a calcium ionophore in cases of total fertilization failure in previous cycles and in cases of severe male factor infertility patients with non-motile spermatozoa after pentoxifylline (PF) treatment. Methods: The present study describes 29 intracytoplasmic sperm injection (ICSI)-AOA cycles involving male factor infertility at Cheil General Hospital from January 2006 to June 2013. Patients were divided into two groups (control, n=480; AOA, n=29) depending on whether or not AOA using a calcium ionophore (A23187) was performed after testicular sperm extraction-ICSI (TESE-ICSI). The AOA group was further split into subgroups according to sperm motility after PF treatment: i.e., motile sperm-injected (n=12) and non-motile sperm-injected (n=17) groups (total n=29 cycles). Results: The good embryo rate (52.3% vs. 66.9%), pregnancy rate (20.7% vs. 52.1%), and delivery rate (10.3% vs. 40.8%) were lower in the PF/AOA group than in the control group. When evaluating the effects of restoration of sperm motility after PF treatment on clinical outcomes there was no difference in fertilization rate (66.6% vs. 64.7% in non-motile and motile sperm, respectively), pregnancy rate (17.6% vs. 33.3%), or delivery rate (5.9% vs. 16.7%) between the two groups. Conclusion: We suggest that oocyte activation is a useful method to ensure fertilization in TESE-ICSI cycles regardless of restoration of sperm motility after PF treatment. AOA may be useful in selected patients who have a low fertilization rate or total fertilization failure.

• 대한치과교정학회지
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• 제29권1호
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• pp.113-127
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• 1999

악골의 골격적 부조화를 가진 환자의 교정치료는 악교정 수술을 필요로 하고, 악교정 수술에 의해 교합평면각은 변화된다. 특히 전치부 개교를 동반한 III급 부정교합 환자에서 치아안면 기형을 치료하기 위한 교합평면각의 변화에 대하여 많은 논란이 있어 왔다. 교합평면각을 증가시키는 하악골의 시계 방향 회전(clockwise rotation)은 전치부 개교에 대한 적절한 치료법으로 추천되어 왔고 하악골의 반시계 방향의 회전(counterclockwise rotation)은 하악지 고경을 증가시키는 방향으로 하악골을 회전시킨다는 개념으로 인해 재발(relapse)을 유발하는 불안정한 수술 방법으로 인식되어 왔다. 본 연구는 전치부 개교를 동반한 골격성 III 부정교합 환자에서 교합평면의 반시계 방향 회전을 동반한 하악지 시상분할 골절단술 시행 후 교합평면각의 변화와 술후 안정성과의 관계를 평가 하고자 하였다. 하악지 시상분할 골절 단술과 rigid fixation으로 치료받은 환자 25 명 (평균연령 20.6세)을 대상으로 하여 수술 직전(T1), 술후 2주내(T2), 그리고 술후 6 개월 이후(T3)에 촬영한 측모 두부계측 방사선 사진을 통계분석한 결과(Paired t-test, Pearson correlation analysis), 다음의 결론을 얻었다. 1. 악교정 수술 후(T2) 하악평면각은 $2.9^{\circ}$ 감소하였고 SN 평면에 대한 하악 교합평면의 각도는 $2.7^{\circ}$ 감소하였다. 술후 6 개월경과 후(T3) 후안면 고경의 감소로 인해(P<0.01) 하악 평면각은 $1.0^{\circ}$ 증가하였으나 하악 교합평면의 경사도는 변화되지 않았다. 2. 악교정 수술 후 시간 경과(T3)에 의해 발생한 수평적 재발은 하악골의 전방 이동량이 B점에서 1.6 mm로 수술시 전체 후방 이동량의 약$22\%$였다. 전안면 고경에서는 수직적 재발이 발생하지 않았으나,후안면 고경은 감소하였다. (P<0.01). 3. 수평적 재발과 상관관계를 보이는 항목은 하악평면각 이었고(P<0.01) 수술 6 개월경과 후 후안면 고경의 감소와 상관관계가 있는 요소로는 수술시 하악골의 후방 이동량(P<0.01), 하악지 고경의 증가량(P<0.01), 그리고 하악평면각의 감소량(P<0.01) 등이 있었다. 4. 수술시 하악 교합평면 경사도의 변화량과 술후 재발과는 상관관계가 없었다.