• Title/Summary/Keyword: sPEEK

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A Lower T1 Slope as a Predictor of Subsidence in Anterior Cervical Discectomy and Fusion with Stand-Alone Cages

  • Lee, Su Hun;Lee, Jun Seok;Sung, Soon Ki;Son, Dong Wuk;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • 제60권5호
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    • pp.567-576
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    • 2017
  • Objective : Preoperative parameters including the T1 slope (T1S) and C2-C7 sagittal vertical axis (SVA) have been recognized as predictors of kyphosis after laminoplasty, which is accompanied by posterior neck muscle damage. The importance of preoperative parameters has been under-estimated in anterior cervical discectomy and fusion (ACDF) because there is no posterior neck muscle damage. We aimed to determine whether postoperative subsidence and pseudarthrosis could be predicted according to specific parameters on preoperative plain radiographs. Methods : We retrospectively analyzed 41 consecutive patients (male : female, 22 : 19; mean age, $51.15{\pm}9.25years$) who underwent ACDF with a stand-alone polyether-ether-ketone (PEEK) cage (>1 year follow-up). Parameters including SVA, T1S, segmental angle and range of motion (ROM), C2-C7 cervical angle and ROM, and segmental inter-spinous distance were measured on preoperative plain radiographs. Risk factors of subsidence and pseudarthrosis were determined using multivariate logistic regression. Results : Fifty-five segments (27 single-segment and 14 two-segment fusions) were included. The subsidence and pseudarthrosis rates based on the number of segments were 36.4% and 29.1%, respectively. Demographic data and fusion level were unrelated to subsidence. A greater T1S was associated with a lower risk of subsidence (p=0.017, odds ratio=0.206). A cutoff value of T1S<$28^{\circ}$ significantly predicted subsidence (sensitivity : 70%, specificity : 68.6%). There were no preoperative predictors of pseudarthrosis except old age. Conclusion : A lower T1S (T1S<$28^{\circ}$) could be a risk factor of subsidence following ACDF. Surgeons need to be aware of this risk factor and should consider various supportive procedures to reduce the subsidence rates for such cases.

다문화 교육프로그램이 간호대학생의 문화적 역량, 공감 능력, 자기효능감에 미치는 효과 (Effects of a Multicultural Education Program on the Cultural Competence, Empathy and Self-efficacy of Nursing Students)

  • 픽은희;박재순
    • 대한간호학회지
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    • 제43권5호
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    • pp.690-696
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    • 2013
  • Purpose: This study was done to examine the effects of a multicultural education program on nursing students' cultural competence, empathy, and self-efficacy. Methods: In this quasi-experimental study, the participants were assigned to an experimental group (n=40) or a control group (n=40). The data were analyzed using independent t-test, Chi-square or Fisher's exact test, and paired t-test with the SPSS windows 18.0 program. Results: After receiving the multicultural education program, the levels of cultural competence and self-efficacy in the experimental group were higher than in the control group. The level of empathy increased slightly in the experimental group while it decreased in the control group. Conclusion: The results of this study indicate that multicultural education is effective in raising the level of cultural competence and self-efficacy in nursing students. Thus, there is a need for continuous effort to integrate multicultural education programs in the nursing curriculum. Repeated study to test effects of these multicultural education programs should be also necessary.

섬유금속적층판 제작을 위한 PTFE 몰드 기반 마이크로파 공정에 대한 실험적 연구 (Experimental Study on Manufacturing Fiber Metal Laminate using Microwave Heating Based on PTFE Mold)

  • 박으뜸;이영헌;김정;강범수;송우진
    • 소성∙가공
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    • 제29권4호
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    • pp.179-187
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    • 2020
  • Existing composite forming processes such as the autoclave, prepreg compression forming (PCF), RTM, etc. require high production costs because of their long processing time. On the other hand, microwave heating process (MHP) can reduce the production costs since both mold and composite material can be heated directly. The aim of this study is to manufacture a mold consisting of polytetrafluoroethylene (PTFE), quartz glass, stainless steel clamps, and polyether ether ketone (PEEK) bolts for fabricating FML based on self-reinforced polypropylene (SRPP) using the MHP. First, the flame test was carried out prior to the MHP to check the temperature on the mold and whether the spark occurred at the mold and the edge of the FML. Second, the uniaxial tensile test was then conducted to obtain the mechanical properties of the FML manufactured by the MHP. The mechanical properties were compared with those of the FML fabricated by the PCF. As a result, the MHP using the PTFE mold can manufacture the FML more rapidly than the PCF, and obtain acceptable mechanical properties.

탄화수소계열 수전해용 공유가교 SPEEK/Cellulose 복합막의 다양한 함량의 가교제에 따른 제조 및 특성 (Preparation and Characterization of Covalently Cross-linked SPEEK/Cellulose Composite Membranes with Various Cross Linkage Contents for Water Electrolysis)

  • 김보영;김민진;윤영요;문상봉;정장훈
    • 한국수소및신에너지학회논문집
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    • 제29권5호
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    • pp.411-418
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    • 2018
  • The polymer electrolyte membranes, CL-SPEEK/Cellulose composite membrane I, II, III with the improved electrochemical and mechanical properties were prepared and characterized. The engineering plastic polyether ether ketone (PEEK) and cellulose were sulfonated and cross-linked. The membranes were prepared by sol-gel casting method with different amount of cross-linking reagent. In conclusion, the composite membranes I, II, III showed improved thermostability, tensile strength and oxidative durability. Proton conductivity of the membranes was also improved and the composite membrane I showed 0.1312 S/cm at $80^{\circ}C$ which was the best of those composite membranes.

Recent advances in the reconstruction of cranio-maxillofacial defects using computer-aided design/computer-aided manufacturing

  • Oh, Ji-hyeon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제40권
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    • pp.2.1-2.7
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    • 2018
  • With the development of computer-aided design/computer-aided manufacturing (CAD/CAM) technology, it has been possible to reconstruct the cranio-maxillofacial defect with more accurate preoperative planning, precise patient-specific implants (PSIs), and shorter operation times. The manufacturing processes include subtractive manufacturing and additive manufacturing and should be selected in consideration of the material type, available technology, post-processing, accuracy, lead time, properties, and surface quality. Materials such as titanium, polyethylene, polyetheretherketone (PEEK), hydroxyapatite (HA), poly-DL-lactic acid (PDLLA), polylactide-co-glycolide acid (PLGA), and calcium phosphate are used. Design methods for the reconstruction of cranio-maxillofacial defects include the use of a pre-operative model printed with pre-operative data, printing a cutting guide or template after virtual surgery, a model after virtual surgery printed with reconstructed data using a mirror image, and manufacturing PSIs by directly obtaining PSI data after reconstruction using a mirror image. By selecting the appropriate design method, manufacturing process, and implant material according to the case, it is possible to obtain a more accurate surgical procedure, reduced operation time, the prevention of various complications that can occur using the traditional method, and predictive results compared to the traditional method.

Automatic Searching Algorithm for Galactic HI at Forbidden Velocities in the Inner-Galaxy ALFA Low-Latitude HI (I-GALFA) Survey

  • 강지현;구본철;;;박금숙
    • 천문학회보
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    • 제36권1호
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    • pp.86.2-86.2
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    • 2011
  • The faint wing-like features at velocities beyond the velocity boundaries of the Galactic rotation (Forbidden-Velocity Wings, FVWs) in the large-scale position-velocity diagrams of the HI surveys are thought to be associated with dynamical Galactic events. The primary candidates of these FVWs are rapidly expanding HI shells of the old Galactic supernova remnants (SNRs), which are too faint to be visible in other frequencies. The unprecedented sensitivity and resolution of the I-GALFA survey enable detection of "all" HI shells of Galactic SNRs at forbidden velocities predicted by Koo and Kang (2004). Therefore, comparing the distribution of the FVWs visible in the I-GALFA survey and that of the model will improve our understanding on the interstellar medium and the evolution of SNRs. We have been developing an automatic searching algorithm for FVWs in the I-GALFA survey to minimize the selection effects of visual inspection used in the previous FVW study. We present the searching mechanism for FVWs and the statistical properties of the automatically searched FVWs. Also, we discuss the similarities and the differences between the distribution of the identified FVWs and that of the SNRs predicted by Koo and Kang (2004).

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치과 캐드캠 시스템에서 사용되는 고분자 수복재료들의 표면특성과 접착양상 (Surface characteristics and bonding performance of polymer restorative materials for dental CAD/CAM systems)

  • 김재홍;김기백
    • 대한치과기공학회지
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    • 제41권3호
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    • pp.203-209
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    • 2019
  • Purpose: The purpose of this study was to investigate the mechanical properties of polymer prosthetic and restorative materials for dental CAD/CAM using two test method; surface characteristics and shear bond strength. Methods: Commercialized CAD/CAM polymer blanks were investigated; One kinds of PMMA, and one PEKK blanks. A total of 20 PMMA and PEKK specimens were prepared, and each group was divided into 10 specimens. Average surface roughness was observed under surface profilometer. The contact angle was measured with a surface electrooptics. The bond strength was evaluated by a universal testing machine at a crosshead speed of 5mm/min. The data were statistically analyzed using independent t-test and Fisher's exact test(P<0.05). Results: The PMMA and PEKK group showed a significant difference in the shear bond strength with the composite resin(P<0.05). The surface roughness of the PEKK group was higher than that of the PMMA group. The fracture mode were observed in PEKK groups with 50% showing adhesive remnant index score. Conclusion: PEEK is used as substructure material and composite veneering material is applied. PEKK resins will contribute to the development of successful products that will provide structural and aesthetic satisfaction.

수간호원의 리더쉽 유형과 간호원의 소진 (Burnout) 경험 정도와의 관계 (A Study of the Relationship between the Leadership Style of the Head Nurse and Nurses과 Burnout Level)

  • 김화실
    • 대한간호학회지
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    • 제14권1호
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    • pp.21-33
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    • 1984
  • The purpose of this study was to define the relationship between the leadership style of head nurses and the burnout level of nurses by taking into consideration the factors which influence the level of burnout and which show how burnout varies according to the leadership style of lead nurses. The subjects of the survey were 355 ward nurses and their 48 head nurses working in five university hospitals in Seoul. The nurses were surveyed by means of a questionnaire from Sept. 22 though Sept. 29, 1983. The Leadership Scale devised by Fleishman, and modified by Lee, and the Burnout Scale developed by Pines et al, and adapted to the Korean situation by Peek, were used as a basis of ;his survey This researcher subjected the questionnaire to a pre-test and to an internal reliability consistency test through item analysis. For the purpose of analysis of the data, the general characteristics were set at Mean and the general characteristics of head nurses in relation to the level of burnout of nurses was analysed by the Pearson Correlation Coefficient. The relation between head nurses' general characteristics 3nd leadership style, the relation between nurses' general characteristics and level of burnout and the level of burnout of nurses according to the different style of leadership of head nurses were analysed by ANOVA. A summary of the results of the study is as follows. 1. Hypothesis:“That the burnout level of the nurse will be different according to the leadership style of the head nurse”was supported. 2. Analysis of the relationship between the head nurse's general characteristics and the leadership style of the head nurse showed that the leadership style of the head nurse was not related to age and experience as head nurse. 3. Analysis of the relationship of nurses' burnout levels to general characteristics of nurses showed statistically significant differences in burnout levels according to working departments, expected working period and reasons for selecting nursing as a profession. Also, the burnout level of nurses was negatively related to the head nurse's age and experience as a head nurse.

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수전해용 공유가교 SPEEK/HPA 복합막의 제조 및 물리화학적 특성 (The Preparation and Physicochemical Characteristics of Covalently Cross-Linked SPEEK/HPA Composite Membranes for Water Electrolysis)

  • 황용구;이광문;우제영;정장훈;문상봉;강안수
    • 한국수소및신에너지학회논문집
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    • 제20권2호
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    • pp.95-103
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    • 2009
  • In order to improve the electrochemical, mechanical and electrocatalytic characteristics, engineering plastic of polyether ether ketone (PEEK) as polymer matrix was sulfonated (SPEEK) and the organic-inorganic blend composite membranes has been prepared by loading heteropoly acids (HPAs), including tungstophosphoric acid (TPA), molybdophosphoric acid (MoPA), and tungstosilicic acid (TSiA). And then these were covalently cross-linked (CL-SPEEK/HPA) as the electrolyte and MEA of polymer electrolyte membrane electrolysis (PEME). As a result, the optimum reaction conditions of CL-SPEEK/HPA was established and the electrochemical characteristics such as ion conductivity ($\sigma$) were in the order of magnitude: CL-SPEEK /TPA30 (${\sigma}=0.128\;S/cm^{-1}$) < /MoPA40 (${\sigma}=0.14\;S/cm^{-1})$ < /TSiA30 (${\sigma}=0.22\;S/cm^{-1}$) at $80^{\circ}C$, and mechanical characteristics such as tensile strength: CL-SPEEK /TSiA30 $\fallingdotseq$ /MoPA40 < /TPA30. Consequently, in regards of above characterisitics and oxidation durability, the CL-SPEEK/TPA30 exhibited a better performance in PEME than the others, but CL-SPEEK/MoPA40 showed the best electrocatalytic activity of cell voltage 1.71 V among the composite membranes. The dual effect of higher proton conductivity and electrocatalytic activity with the addition of HPAs, causes a synergy effect.

오일리스 부시용 고체윤활제 개발 (Development of Solid Lubricants for Oil-less Bush)

  • 공호성;한흥구;김진욱;김경석;박종식
    • Tribology and Lubricants
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    • 제35권2호
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    • pp.87-93
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    • 2019
  • This work aims to develop a dry lubricant for oilless bush, especially a solid lubricant, thereby creating a coating method with improved properties of anti-friction and load-carrying capacity without oil lubrication. In this work, spherical-shaped powders of thermosetting resin such as polyimide (PI) are mixed with a binder matrix obtained by mixing a fluorocarbon compound resin such as Polytetrafluoroethylene (PTFE) or Ethylene tetra fluoro ethylene (ETFE) with itself or with a non-fluorocarbon thermoplastic resin such as Polyether ether ketone (PEEK). And these dry lubricant mixtures are thickly coated (200-300 mm in the thickness) on the inner surface of the bush by using a wet-typed air-spray deposition method. It was found that the load-carrying capacity of the solid lubricant for excavator bush (60 mm in diameter) that operates under a high load condition (at 40 MPa) is greatly improved owing to the spherical-shaped powders of thermosetting resin. In addition, the coefficient of friction at the sliding surface is also reduced less than 0.1. Thick coating also lowers the contact stress at the edge of a bush that results in better tribological performances. The result suggests that the lubrication performance and durability life of the bush can be remarkably improved even without lubrication (oil or grease).