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A Study of Family Caregiver's Burden for the Terminally III Patients (지역사회 말기질환자 가족 부담감에 관한 연구)

  • Han, Sung-Suk;Ro, You-Ja;Yang, Soo;Yoo, Yang-Sook;Kim, Sek-Il;Hwang, Hee-Hyung
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.58-72
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    • 2003
  • The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

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Characterization of Arsenic Sorption on Manganese Slag (망간슬래그의 비소에 대한 수착특성 연구)

  • Seol, Jeong Woo;Kim, Seong Hee;Lee, Woo Chun;Cho, Hyeon Goo;Kim, Soon-Oh
    • Journal of the Mineralogical Society of Korea
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    • v.26 no.4
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    • pp.229-244
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    • 2013
  • Arsenic contamination may be brought about by a variety of natural and anthropogenic causes. Among diverse naturally-occurring chemical speciations of arsenic, trivalent (As(III), arsenite) and pentavalent (As(V), arsenate) forms have been reported to be the most predominant ones. It has been well known that the behavior of arsenic is chiefly affected by aluminum, iron, and manganese oxides. For this reason, this study was initiated to evaluate the applicability of manganese slag (Mn-slag) containing high level of Mn, Si, and Ca as an efficient sorbent of arsenic. The main properties of Mn-slag as a sorbent were investigated and the sorption of each arsenic species onto Mn-slag was characterized from the aspects of equilibrium as well as kinetics. The specific surface area and point of zero salt effect (PZSE) of Mn-slag were measured to be $4.04m^2/g$ and 7.73, respectively. The results of equilibrium experiments conducted at pH 4, 7 and 10 suggest that the sorbed amount of As(V) was relatively higher than that of As(III), indicating the higher affinity of As(V) onto Mn-slag. As a result of combined effect of pH-dependent chemical speciations of arsenic as well as charge characteristics of Mn-slag surface, the sorption maxima were observed at pH 4 for As(V) and pH 7 for As(III). The sorption of both arsenic species reached equilibrium within 3 h and fitting of the experimental results to various kinetic models shows that the pseudo-second-order and parabolic models are most appropriate to simulate the system of this study.

Does an extensive diagnostic workup for upfront resectable pancreatic cancer result in a delay which affects survival? Results from an international multicentre study

  • Thomas B. Russell;Peter L. Labib;Jemimah Denson;Fabio Ausania;Elizabeth Pando;Keith J. Roberts;Ambareen Kausar;Vasileios K. Mavroeidis;Gabriele Marangoni;Sarah C. Thomasset;Adam E. Frampton;Pavlos Lykoudis;Manuel Maglione;Nassir Alhaboob;Hassaan Bari;Andrew M. Smith;Duncan Spalding;Parthi Srinivasan;Brian R. Davidson;Ricky H. Bhogal;Daniel Croagh;Ashray Rajagopalan;Ismael Dominguez;Rohan Thakkar;Dhanny Gomez;Michael A. Silva;Pierfrancesco Lapolla;Andrea Mingoli;Alberto Porcu;Teresa Perra;Nehal S. Shah;Zaed Z. R. Hamady;Bilal Al-Sarrieh;Alejandro Serrablo;Somaiah Aroori
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.4
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    • pp.403-414
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    • 2023
  • Backgrounds/Aims: Pancreatoduodenectomy (PD) is recommended in fit patients with a carcinoma (PDAC) of the pancreatic head, and a delayed resection may affect survival. This study aimed to correlate the time from staging to PD with long-term survival, and study the impact of preoperative investigations (if any) on the timing of surgery. Methods: Data were extracted from the Recurrence After Whipple's (RAW) study, a multicentre retrospective study of PD outcomes. Only PDAC patients who underwent an upfront resection were included. Patients who received neoadjuvant chemo-/radiotherapy were excluded. Group A (PD within 28 days of most recent preoperative computed tomography [CT]) was compared to group B (> 28 days). Results: A total of 595 patents were included. Compared to group A (median CT-PD time: 12.5 days, interquartile range: 6-21), group B (49 days, 39-64.5) had similar one-year survival (73% vs. 75%, p = 0.6), five-year survival (23% vs. 21%, p = 0.6) and median time-to-death (17 vs. 18 months, p = 0.8). Staging laparoscopy (43 vs. 29.5 days, p = 0.009) and preoperative biliary stenting (39 vs. 20 days, p < 0.001) were associated with a delay to PD, but magnetic resonance imaging (32 vs. 32 days, p = 0.5), positron emission tomography (40 vs. 31 days, p > 0.99) and endoscopic ultrasonography (28 vs. 32 days, p > 0.99) were not. Conclusions: Although a treatment delay may give rise to patient anxiety, our findings would suggest this does not correlate with worse survival. A delay may be necessary to obtain further information and minimize the number of PD patients diagnosed with early disease recurrence.

The Comparative Study of Family Dynamics between Families of Problem Students and of Normal Students (문제학생가족과 정상학생가족의 가족역동 비교연구)

  • 김윤희;문희자
    • Journal of Korean Academy of Nursing
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    • v.23 no.2
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    • pp.187-206
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    • 1993
  • The study was done to better understand problem behavior in high school students as described in family system theory, which explains the individual’s problem within the family interactions. The purpose of the study 1. To analyze the difference in the parents’ relationship as a couple between the two groups. 2. To analyze the difference in the parent-adolecent relationship between the two groups. 3. To analyze the difference in the family function (cohesion adaptability) between the two groups. The method of the study The staudy subjects consisted of a total of 176 families (528 persons), 109 high school students (End grade) with problem behavior and their parents (problem family group) ,and 69 high school students (same grade) with normal behavior and their parents (normal family group) residing in the Seoul area. Data were gathered from structured, self-reporting qestionaires which included a Couple Relation measurement (95 items) , Parent-Adolescent communication measurement (20 items), Family Cohesion Adaptability Scale (20 items) by DavidH. Olson et al., and a behavior evaluation tool. The results of the study 1. The results as related to the hypothesis were as follows. Hypothesis 1 : “satisfaction within The couple's relationship of the parents of problem family group will be lower than the normal family group was supported significantly(t=3.07, p=.005). Hypothesis 2: “The parent-adolescent relationship of the problem family group will be more negative and problematic than the normal family group” was supported significantly(t=4.06, p=.000). Hypothesis 3: “The family function (cohesion adaptability) of the problem family group will be lower than the normal family group" was supported significantly(t=2.20, p=.022) 2. The results of related analysis were as follows 1) Analysis of a causal relation between the couple’s relationship, the parent-adolescent relationship, family function and adolescent behavior showed that the Above 3 variables influenced adolescent behavior.. In cases where couple’s relation-ship, the parent-adolescent’s relationship, the family function are the better, their adolescent’s behavior is better. 2) Discriminant analysis of the research tool showed The discriminant ability of couple’s relationship tool was 75.57%, the Parent-Adolescent communication tool, 67.05, the family adaptability cohesion tool.67. 61%. In summary, interpersonal relationships in the family subsystems are interactive and their relation influences the behaviors. of adolescents in the family. Therefore, family therapy would be a more effective method than individual therapy, to resolve negative problem for adolscents, and the research tool used in this study are very useful for family system diagnosis and nursing intervention.

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The Effects of Cancer Prevention and Early Detection Education on Cancer-related Knowledge, Attitudes, and Preventive Health Behavior of Middle-aged Women in Korea (암 예방과 조기발견 교육이 중년기 여성의 암에 대한 지식, 태도 및 예방적 건강행위에 미치는 영향)

  • Park, Sun-Young;Park, Chung-Ja;Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.441-450
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    • 2001
  • The purpose of this study was to identify the effects of cancer prevention and early detection education on cancer-related knowledge, attitudes, and preventive health behavior of middle-aged women in Korea. The research design was a nonequivalent control group pretest-posttest design. The subjects of this study were 38 middle-aged women from a church in Taegu. An Experimental group of 19 and a control group of 19 women were studied. The study was conducted from September 21, 2000 to October 27, 2000. The cancer prevention and early detection education had been provided to the experimental group for 2 weeks. The contents of the education program for the third most prevalent cancer of Korean women were : 'the risk factors of cancer', 'the early symptoms of cancer', 'the diagnostic test for cancer detection', and 'the cancer prevention methods'. The instruments used for this study were modified, cancer-related knowledge, and attitude, preventive health behavior tools of Suh et al.(1998). Data were analyzed using descriptive statistics, $\chi^2$-test, t-test, ANCOVA with SPSS WIN 9.0/PC. The results were as follows : 1) Hypothesis 1 that the women who get cancer prevention and early detection education will have higher scores of the cancer-related knowledge than the women do not get cancer prevention and early detection education was accepted(F=4.732, p=.037). 2) Hypothesis 2 that the women who get cancer prevention and early detection education will have higher scores of cancer-related attitudes than the women do not get cancer prevention and early detection education was rejected(F=.118, p=.733). 3) Hypothesis 3 that the women who get cancer prevention and early detection education will have higher scores of cancer-related preventive health behavior than the women who do not get cancer prevention and early detection education was rejected(F=2.250, p=.143). On the basis of the above findings, the following recommendations are suggested : 1) It is necessary to identify the variables affected on cancer-related knowledge, attitudes and preventive health behavior. 2) It is necessary to develop a well organized cancer prevention and early detection education program to change cancer-related attitude and preventive health behavior.

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Studies on ammonium adsorption by and desorption from various soils (I) -Langmuir adsorption isotherm of ammonium (토양별(土壤別) 암모늄의 흡착(吸着) 및 탈착(脫着)에 관(關)한 연구(硏究) (I) -암모늄의 Langmuir 등온흡착(等溫吸着))

  • Shim, Sang-Chil;Kim, Kwang-Rai;Kim, Moo-Sung;Park, Hoon
    • Korean Journal of Soil Science and Fertilizer
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    • v.10 no.1
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    • pp.1-6
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    • 1977
  • Fifteen soils including volcanic ash, acid sulfate and degraded saline soils were investigated for Languir adsorption isotherm of ammonium using $NH_4H_2PO_4$. The results are as follows. Languir adsorption maxima of ammonium (LAMA) ranged from 2.4me/100g soil to 12.3 and the average was 5.3. Initial concentration of 30 to 60 or 40 to 80 ppm(as N) appears to be suitable for LAMA measurement. There were two LAMA in some soils. Difference between adsorption constants (bonding energy) was mostly greater than that between LAMA. LAMA ranged from 9.4% to 72% of cation exchange capacity and average was 47%. It did not show any clear tendency with CEC, pH, organic matter content, base saturation percent, P, K, Ca, Mg, Na and Si. Except volcanic ash soils which were grouped into two groups according to ammonium adsorption LAMA was significantly (r=0.951 at 1%) correlated with adsorption at 200ppm. This single concentration seems suitable for LAMA measurement. Probable mechanism of ammonium adsorption was discussed, in which the associated anions were combined with iron and aluminum and then ammonium was bound to phosphorus. Applicability of Langmuir adsorption isotherm model to the soils under field condition was also discussed.

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A Study on the Characteristics of Bentonites Produced in Korea (한국산 Bentonite의 특성(特性)에 관(關)한 조사연구(調査硏究))

  • Lee, Jae-Suk;Jung, Pil-Gyun;Choi, Dae-Ung
    • Korean Journal of Soil Science and Fertilizer
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    • v.10 no.1
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    • pp.69-74
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    • 1977
  • This study has been conducted to identify physico-chemical and clay mineralogical characteristics of bentonites produced in Korea for the purpose of finding good quality bentonite for agricultural ure. The results are summarized as follows: 1. Bentonites are mainly composed of montmorillonite developed from tuffs in a lava flow. 2. Chemical properties of bentonites are: pH in $H_2O$(1:1), 7:cation exchange capacity, 60-96me/100g; content of $SiO_2$, 54-72%; ratio of $SiO_2$ to $Al_2O_3$, 4.1-10.0;oven dry loss of $H_2O$ is higher than the ingnition loss of $H_2O$. 3. The x-ray diffrection patterns of powder bentonites show peaks at $14-15{\AA}$, $4.4{\AA}$, and $2.5{\AA}$, and that of swellen one show $17{\AA}$ when treated with ethylene glycol. 4. Distribution areas of the good quality bentonites were (1) Dogu-Dong, Donghae-Myeon, Yeonil-Gun, Gyeongsangbug-Do (2) Hamyeon-Ri, Yangnam-Myeon, Weolseong-Gun, Gyeongsanbug-Do. (3) Joam-Ri, Gangdong-Myeon, Weolseong-Gun, Gyeongsangbug-Do. (4) Sanha-Ri, Gangdong-Myeon, Ulju-Gun, Gyeongsangnam-Do. (5) Sinhyeon-Ri, Gangdong-Myeon, Ulju-Gun, Gyeongsangnam-Do. (6) Yonghang-Ri, Pyeongchang-Myeon, Pyeongchang-Gun, Gangweon-Do.

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Development of Digital Filter and Damper for Improving Accuracy of Measurement of Application Amount of Disinfectants of Disinfection Vehicle (방역차량의 약제 살포량 측정 정확성 개선을 위한 디지털 필터와 댐퍼 개발)

  • Baek, Seunghwan;Park, Donghyeok;Park, Hana;Lee, Chungu;Rhee, Joongyong
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.148-148
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    • 2017
  • 방역 차량의 약액탱크, 차량의 연료, 워셔액 등의 탱크 내부에는 잔존량을 측정하기 위해 기둥과 floating box로 이루어진 부력식 수위레벨센서가 사용되고 있으나 액체레벨에 따라 float이 상하로 움직이는 측정원리상 차량 주행 중 정확성이 매우 떨어진다(Park et al. 2016). 방역차량이 주행 중 분사할 때, 슬로싱 현상과 방역소독기의 노즐과 펌프에서 발생하는 진동으로 인해 기존의 부력식 센서를 이용한 약제 살포량 측정방법은 정확성이 매우 떨어지는 경향이 있다. 본 연구의 목적은 방역차량이 주행하면서 분사할 때, 수위레벨 센서를 이용한 약제살포량 측정의 정확성을 개선하는 것으로 디지털 칼만필터, Low pass filter와 댐퍼를 제작하여 이용했다. 본 연구에서는 압력식 레벨센서를 이용해 약액탱크의 높이당 단면적과 수위를 측정하여 약제살포량을 계산했다. Python 2.7을 이용해 디지털 칼만필터와 Low pass filter(LPF)를 구현하였으며 3D프린터를 이용해 댐퍼를 제작했다. 실내에서 슬로싱 현상을 인공적으로 만들어 필터와 댐퍼의 수위 측정 정확성 개선효과를 확인 후 실제 방역차량에 부착하여 비포장도로에서 주행하면서 분사할 때 필터와 댐퍼의 효과를 확인하였다. 댐퍼의 공극률(p)을 바꿔가며 수위 측정 정확성 개선효과를 확인하였다. 실내, 현장 실험 결과, 칼만필터가 LPF보다 개선효과가 더 크지만 데이터 50개 처리에 1.71초의 시간지연이 발생했다. 댐퍼는 수위센서를 고정시키고 유체의 운동을 방해하여 이상치와 큰 오차제거에 효과적이었다. 칼만필터와 댐퍼를 동시에 이용할 경우, 수위 측정정확성 $R^2$는 0.9985, 0.9981로 ${\pm}4.3cm$의 범위내에서 수위를 측정할 수 있었다. 필터의 시간지연과 수위 측정정확성을 고려하여 데이터 기록간격을 3초로 설정하면 ${\pm}3cm$이내에서 약탱크 내 수위를 측정할 수 있었다. 공극률(p)가 0.294, 0.291, 0.17에서 측정정확성 $R^2$는 각각 0.9897, 0.9858, 0.9872 로 p가 0.294에서 개선효과가 가장 좋았으나 개선효과의 차이는 크지 않았다.

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Inhibitory effects of Cortex Mori on Compound 48/80-induced Anaphylactic Shock and Cutaneous Reaction

  • Jun, Byoung-Deuk;Chai, Ok-Hee;Park, Myoung-Hee-;Lee, Hern-Ku-;Lee, Moo-Sam-
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.243-243
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    • 1994
  • Although active systemic anaphylaxis and passive cutaneous anaphylaxis have been empolyed to study anaphylactic hypersensitivity, it is difficult and time-consuming to induce these reactions in experimental animals. In recent, Jun et al have found a simple method to induced anaphylactic hypersensitivity such as anaphylactic shock(AS) and cutaneous reaction(CR) using compound48/80. Cortex mori (Morus alba L.), the root bark of mulberry tree has been used as an antiphlogistic, diuretic, and expectorant in herbal medicine. The purpose of this study was to determine whether the methanol extract of Cortex mori could inhibit the compound 48/80-induced AS and CR. To induce AS, various doses of compound 48/80 (5, 7.5, 10, 15$\mu\textrm{g}$/gm B.W.) were injected intraperitoneally (i.p.) into ICR mice. The animals were pretreated by three injection(i.p.) of Cortex mori before compound 48/80 administration. Peripheral blood was collected from the right ventricle to estimate the level of serum histamine at 15 minutes after the injctin(i.p.) of various concentration of compound48/80. Mortility rate, mean death time and mesenteric mast cell degranulation rate were evaluated over a 72 hour period. To estimate the effect of Cortex mori on compound 48/80-induced cutaneous reaction, various doses of compound 48/80 with or without Cortex mori were injected intradermally(i.d.) into the shaved flank of Sprague-Dawley rats, and the blue cutaneous patchs induced by Evans'blue injection at the compound 48/80 alone and Cortex mori plus compound 48/80 injection sites were observed. As a Parameter of these reactions, the levels of histamine in the supernatant, calcium uptake and intracellular CAMP of RPMC were measured. supernatant, 1)compound 48/80-induced mortility rate, mean death time, mesenteric mast cell degranulation rate, and serum histamine level in ICR mice were significantly inhibited by pretreatment of Cortex mori, 2) cutaneous reaction inducd by compound48/80 was well developed in Sprague-Dawley rat, but Cortex mori inhibited the compound 48/80-induced blue patch formation remarkably, 3) the compound 48/80-induced degranulation, histamine release and calcium uptake of RPMC pretreated with Cortex mori were significantly inhibited, compared to those of control without Cortex mori pretreatment, and 4)the level of cAMP of RPMC was reduced bythe increased concentration of compound 48/80, pretreatment of Cortex mori not only inhibited the compound 48/80-induced reduction of CAMP but also significantly increased the level of cAMP naturally, from the above results, it is suggested that Cortex mori has an some substances with an ability to inhibits the compound 48/80-induced AS,CR, and mast cell activation.

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The Effect of Extrusion Temperature on Microstructure and Thermoelectric Properties of Rapidly Solidified P-type $P-type Bi_{0.5}Sb_{1.5}Te_3$ alloy (급속응고된 $P-type Bi_{0.5}Sb_{1.5}Te_3$ 합금 열전재료의 미세조직과 열전특성에 미치는 압출 온도의 효과)

  • 이영우;천병선;홍순직;손현택
    • Proceedings of the Korean Powder Metallurgy Institute Conference
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    • 2001.11a
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    • pp.28-28
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    • 2001
  • $Bi_2Te_3$계 열전반도체 재료는 200 ~ 400K 정도의 저온에서 에너지 변환 효율이 가장 높은 재료로서 열전냉각 및 발전재료로 제조볍 및 특성에 관한 많은 연구가 진행되어 왔다. 전자냉각 모듈의 제조에는 P형 및 N형 $Bi_2Te_3$계 단결정이 주로 사용되고 있으나. $Bi_2Te_3$ 단결정은 C축에 수직한 벽개면을 따라 균열이 쉽게 전파하기 때문에 소자 가공사 수윤 저하가 가장 큰 문제점으로 지적되고 있다. 이에 따라 최근 열전재료의 가공방법에 따른 회수율 증가 및 열전특성 향상에 관한 열간압출, 단조와 같은 연구가 활발히 이루어지고 있다. 본 연구는 가스분사법(gas atomizer)을 이용하여 용질원자 편석의 감소, 고용도의 증가,균일고용체 형성, 결정립미세화 둥 급속응고의 장점을 이용하여 화학적으로 균질한$Bi_2Te_3$계 열전재료 분말을 제조하고, 제조된 분발을 압출가공하여 기계적성질, 소자의 가공성 및 열전 성능 지수율 향상시키는데 연구 목적이 있다. 본 설험에서는 99.9%이상의 고순도 Bi. Te. Se. Sb를 이용하여, 고주파 유도로에서 Ar 분위기로 용융하고, 가스분사법를 이용하여 균질한 $Bi_2Te_3$계 열전재료 분만을 제조하였다. 분말표면의 산화막을 제거하기 위하여 수소분위기에서 환원처리를 행하였고, 된 분말을 Al 캔 주입하여 냉간성형 한 후 진공중에서 압출온도를 변화시켜 열간압출 가공을 행하였다. 압출 온도변화에 따른 압출재의 미세조직 및 열전특성에 중요한 영향을 미치는 C면 배향에 대한 결정방위 해석, 압출재의 압축강도 등을 분석하였으며, 압출온도에 따삼 미세조직 변화와 결정방위의 변화에 따른 열전특성의 관계를 해석하였다성시켰고 이들이 산인 HNO3에서 녹았기 때문이다. 본 연구에서 개발된 새로운 에칭 용액인 90H2O2 - 10HNO3 (vol%)의 에칭 원리가 똑같이 적용 가능한 다른 종류의 초경 합금에서도 사용이 가능할 것으로 판단된다.로 판단된다.멸과정은 다음과 같다. 출발물질인 123 분말이 211과 액상으로 분해될 때 산소가스가 배출되며, 이로 인해 액상에서 구형의 기공이 생성된다. 이들 중 일부는 액상으로 채워져 소멸되나, 나머지는 그대로 남는다. 특히, 시편 중앙에 서는 수십-수백 마이크론 크기의 커다란 기공이 다수 관찰된는데, 이는 기공의 합체로 만들어진 것이다. 포정반응 열처리 시 기공 소멸로 만들어진 액상포켓들은 주변 211 입자와 반응하여 123 영역으로 변한다. 이곳은 다른 지역과 비교하여 211 밀도 가 낮기 때문에, 미반응 액상이 남거나 211 밀도가 낮은 123 영역이 된다. 액상으로 채워지지 못한 구형의 기공들 중 다수가 123 결정 내로 포획되며, 그 형상은 액상/ 기공/고상 계면에너지에 의해 결정된다.단의 경우, 파단면이 매끄럽고 파변상의 결정립도 매우 미세하였으며, 산확물 의 용집도 찾아보기 어려웠 나, 접합부 파단의 경우에는 파변의 굴곡이 비교척 심하고 연성 입계파괴의 형태를 보였£며, 결정립도 모채부 파단의 경우에 비해 조대하였다. 조대하였다. 셋째, 주상기간 중 총 에너지 유입률 지수와 $Dst_{min}$ 사이에 높은 상관관계가 확인되었다. 특히 환전류를 구성하는 주요 입자의 에너지 영역(75~l13keV)에서 가장 높은(0.80) 상관계수를 기록했다. 넷째, 회복기 중에 일어나는 입자들의 유입은 자기폭풍의 지속시간을 연장시키는 경향을 보이며 큰 자기폭풍일수록 현저했다. 주상에서 관측된 이러한 특성은 서브스톰 확장기 활동이 자기폭풍의

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