• 제목/요약/키워드: PM Point

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유방암 환자의 수술 후 심리사회적 적응, 부부친밀도 및 가족지지 (Psychosocial Adjustment, Marital Intimacy and Family Support of Post-mastectomy Patients)

  • 조옥희;유양숙
    • 종양간호연구
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    • 제9권2호
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    • pp.129-135
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    • 2009
  • Purpose: This study was to explore the psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. Methods: The subjects were 90 post-mastectomy patients (stage I or II) who were eligible and agreed to participate in the study. The data collection period was from March to May, 2008. Subjects completed a survey including demographics, psychosocial adjustment scale by Lee (a 4-point Likert scale), marital intimacy scale by Kim (a 4-point Likert scale), and family support by Shim (a 5-point Likert scale). Data were analyzed using SAS (ver 9.0) program and frequency, mean (SD), t-test, ANOVA and Pearson correlation coefficients were used. Results: The mean scores of the psychosocial adjustment and marital intimacy were 2.8 (${\pm}0.4$) and 2.5 (${\pm}0.5$). Also, the mean score of the family support was 3.6 (${\pm}0.7$). Regarding the correlation between the psychosocial adjustment, marital intimacy and family support, there was a positive correlation. Conclusion: These results showed that subjects who had higher marital intimacy and family support showed better in psychosocial adjustment. To improve psychosocial adjustment of post-mastectomy patients for breast cancer more effectively, there is an necessity to provide various strategic supports and intervention for effective communication with spouse and family.

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구외 묘기장치를 이용한 무치악 환자의 수평면상 하악운동에 관한 연구 (HORIZONTAL PLANE JAW MOVEMENTS IN EDENTULOUS PATIENTS BY USE OF EXTRAORAL TRACING DEVICE)

  • 은성식;정재헌
    • 대한치과보철학회지
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    • 제32권3호
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    • pp.396-410
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    • 1994
  • Ten subjects who were going to wear conventional complete dentures were selected for this study. Theree subjects were women and seven were men. The average age was 63.1 years(range : 44 to 76 years). With the Height tracer (extraoral tracing device) in place the subject was instructed to go through the entire range of mandibular movements. The extreme lateral pathway of the incisor point, the so-called Gothic arch, was thereby inscribed by the stylus on the tracing plate. The mandibular movements in this study were peformed voluntarily by the subject(self guided technique) and guided by the dentist(chin-point technique and bimanual technique). The Gothic arch tracings were analysed and the Gothic arch angles and eccentric movement distances were measured. The results were as follows : 1. The apex position of the Gothic arch tracings of mandibular movements in edentulous patients varied both anterioposteriorly and mediolaterally. 2. The Gothic arch tracing had some lateral deviation during protrusion. 3. The average Gothic arch tracing angle was $136.7{\pm}12.0^{\circ}$ by subjects self guided technique, $135.7{\pm}5.9^{\circ}$ by chin-point technique, $136.6{\pm}6.5^{\circ}$ by bimanual technique. But there were no statistical differences in the reliability among the three techniques. 4. The average mandibular eccentric movements were irregular and the mandibular eccentric movement distances varied with a wide range.

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임상실습 교수효율성과 임상실습교육환경이 간호학생의 임상실습수행능력에 미치는 영향 (Effects of Teaching Effectiveness and Clinical Learning Environment on Clinical Practice Competency in Nursing Students)

  • 한지영;박현숙
    • 기본간호학회지
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    • 제18권3호
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    • pp.365-372
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of the teaching effectiveness and clinical learning environment on the clinical practice competency in nursing students. Method: Undergraduate nursing students (268) enrolled in one of 4 universities in 2 cities completed a survey questionnaire. Collected data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression with the SPSS/Win 11.0 program. Results: The mean score for teaching effectiveness was 3.09 (${\pm}.53$) on a 5-point scale, for clinical learning environment, 3.09 (${\pm}.50$) on a 5-point scale, and for clinical practice competency, 3.94 (${\pm}.52$) on a 6-point scale. Significant positive correlations were found between teaching effectiveness and clinical learning environment, and clinical practice competency. The regression model explained 8.8% of clinical practice competency. Teaching effectiveness and clinical learning environment were significant predictors of clinical practice competency. Conclusion: The findings of the study suggest that teaching effectiveness and clinical learning environment be considered when developing strategies to increase clinical practice competency in nursing students.

성선자극홀몬 투여가 Angora토끼의 난소반응에 미치는 영향 (Effect of Gonadotropin Treatment on the Ovarian Response in the Angora Rabbits)

  • 최경문;김병기;강경석
    • 한국가축번식학회지
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    • 제12권3호
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    • pp.167-173
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    • 1988
  • The present experiment was carried out to investigate super-ovulating response, ovulation time and fertilizability in the angora rabbit that gonadotropin was treated. The results obtained were summarized as follows ; 1. Number of ovulating point and ovarian weight in PMSG 100I.U.(25${\pm}$2.45;1104.2${\pm}$110.6mg) and PMSG 200I.U.(30.6${\pm}$1.76, 1330.0${\pm}$153.9mg) treated group were significantly higher than natural mating(6.6${\pm}$1.49, 560.2${\pm}$60.6mg) and HCG treated group(9.8${\pm}$0.8;651.6${\pm}$55.1mg)(P<0.01). 2. Survival rate and recovery rate in natural mating, HCG and PMSG 100I.U. treated group were significantly higher than PMSG 200I.U. treated group.(P<0.01)(P<0.05). 3. Ovulation started at 10hrs and mostly finished at 16hrs after HCG injection. 4. The fertilizable life of egg ovulated was during 8hrs after ovulation.

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유연성 연마기를 이용한 관절경적 전방 십자 인대 재건술의 추시 결과 (The Follow-up Results of Anterior Cruciate Ligament Reconstruction Using The Flexible Reamer)

  • 채인정;왕준호;최기원;송동익
    • 대한관절경학회지
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    • 제12권1호
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    • pp.18-23
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    • 2008
  • 목적: 유연성 연마기를 이용한 전방십자인대 재건술을 시행 받은 환자에서 슬관절의 기능 및 안정성에 대한 임상적 결과를 보고하고자 한다. 대상 및 방법: 1999년 3월부터 2004년 5월까지 유연성 연마기를 이용하여 전방 십자 인대 재건술을 시행받고 1년 이상 추시가 가능 하였던 98례를 대상으로 하였다. 임상적 평가를 위해 주관적 검사로는 Lysholm knee score 및 2000 International Knee Documentation Committee(IKDC) subjective knee score를 이용하였으며, 객관적 검사로는 전방 전위 검사와 Lachman 검사, pivot shift 검사 그리고 KT-2000 arthrometer를 이용하였다. 결과: 관절 운동 범위는 5도 이상의 신전 소실이 술 전에는 8례에서 술 후 1례로 감소 하였으며 5도 이상의 최대 굴곡 소실은 술 전 12례에서 술 후 2례로 감소 하였다. 주관적 검사 중, Lysholm 점수는 술 전에 평균 61.3점(${\pm}3.5$ SD)에서 술 후에 87.7점(${\pm}2.0$ SD)으로 향상되었고, IKDC subjective knee score도 술 전 평균 49점(${\pm}3.3$ SD)에서 술 후 84점(${\pm}2.2$ SD)으로 향상되었다. 객관적 검사 중, Lachman 검사상 grade II 이상의 전방 전위를 보인 경우는 술 전 93례에서 술 후 5례로 감소하였으며 pivot shift 검사상 술 전 71례에서 grade II 이상의 양성 소견을 보였으나 술 후 음성인 경우가 89례였다. 또한 KT-2000 arthrometer 검사상 환측과 건측의 최대 전방 전위 차이는 술 전 평균 6.8 mm(${\pm}1.9$ SD)에서 술 후 평균 1.8 mm(${\pm}0.8$ SD)로 향상되었다. 결론: 유연성 연마기를 이용한 전방십자인대 재건술로 술 후 양호한 결과를 얻었으며, 특히 슬관절의 회전 안정성을 얻을 수 있었던 바 이는 이식물을 보다 해부학적인 위치에 이식시킬 수 있었기 때문일 것으로 사료된다.

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Le Fort I 골절단술을 이용한 상악골 전진 후 안정성에 관한 3차원적 연구 (Three Dimensional Study on the Postoperative Stability after Advancement of Maxilla Using Le Fort I Osteotomy)

  • 오철중;허정우;정광;조민성;정승곤;박홍주;오희균;유선열;국민석
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권2호
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    • pp.82-87
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    • 2013
  • Purpose: This study evaluated postoperative maxillary stabilities in patients with skeletal Class III malocclusion who were taken both maxillary advancement surgery and mandibular retrusive surgery, using Le Fort I osteotomy, through three-dimensional computed tomography. Methods: We selected 14 patients who were taken postoperative three-dimensional computerized tomography at the time before surgery, immediately after surgery, six months after surgery among the patients undergone both maxillary advancement surgery using Le Fort I osteotomy and mandibular retrusive surgery using bilateral sagittal split ramus osteotomy. We measured and compared the vertical distance of A-point and posterior nasal spine (PNS), the horizontal distance of A-point and PNS in transverse plane and coronal plane of the three-dimensional reconstructed images, respectively. Results: In transverse plane, the distance difference between immediately after surgery ($S_1$) and immediately before surgery ($S_0$) of A-point was $-0.04{\pm}1.80$ mm, $S_2$ and $S_0$ was $-0.15{\pm}1.69$ mm, and between $S_1$ and $S_2$ was $0.11{\pm}0.58$ mm. There were no significant differences between these data (P>0.05). In transverse plane, the distance between $S_1-S_0$ of PNS was $-3.87{\pm}2.37$ mm, $S_2-S_0$ of PNS was $-3.79{\pm}2.39$ mm, and $S_1-S_2$ of PNS was $-0.08{\pm}0.18$ mm. There were significant differences between these data (P<0.05). In coronal plane, the distance between $S_1-S_0$ of A-point was $3.99{\pm}0.86$ mm, $S_2-S_0$ was $3.57{\pm}1.09$ mm, and $S_1-S_2$ was $0.42{\pm}0.42$ mm. There were significant differences between these data (P<0.05). In coronal plane, the distance between $S_1-S_0$ of PNS was $3.82{\pm}0.96$ mm, $S_2-S_0$ was $3.43{\pm}0.91$ mm, and $S_1S_2$ was $0.39{\pm}0.49$ mm. There were significant differences between these data (P<0.05). In transverse plane, it was estimated that PNS has no statistical postoperative stability in the same direction. In coronal plane, it was estimated that both A-point and PNS had no statistical postoperative stability (P<0.05). Conclusion: Clinically, the operation plan needs to take into account of the maxillary relapse.

하악의 습관적 개폐구 운동시 중립대 결정에 관한 연구 (A STUDY ON THE DETERMINATION OF THE NEUTRAL ZONE AT THE HABITUAL OPENING AND CLOSING MANDIBULAR MOVEMENTS)

  • 이돈오;계기성;강동완
    • 대한치과보철학회지
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    • 제28권1호
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    • pp.123-135
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    • 1990
  • It would be of importance to determine the neutral Tone by a resultant axis of relation on relation to the mandible in understanding the biomechanics of the mandibular movement. In this study, the neutral zone at the habitual opening and closing mandibular movements is the shape of the paths described by a minimum moving point occured as an average center of the determined instantaneous centers of rotation. Twenty, aged $23{\sim}25$, male dental students without Temporomandibular disorders and with normal occlusion clinically were selected for the study. The habitual opening and closing mandibular movements were recorded by the Gnathorecouder and analyzed by the computer program of a planer rigid body model and the determined method of a minimum moving point. The results obtained from this study were as follows. 1. The minimum moving points were placed in the body of the mandible except two subjects. 2. The mean of maximum displacements of a minimum moving point was $0.62{\pm}0.08cm$ on X-axis and $0.73{\pm}0.16cm$ on y-axis. 3. The mean of maximum displacements of a minimum moving point was $3.39{\pm}0.62cm$ 4. The position and shape of the neutral zone were determined by the position, displacements, and moving distances of a minimum moving point.

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구름접촉을 하는 분말고속도공구강의 X선을 이용한 표면성상해석 (Analysis of Rolling Contact Surface on PM-High Speed Steel by X-ray Diffraction)

  • 이한영;김용진;배종수
    • Tribology and Lubricants
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    • 제19권1호
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    • pp.1-8
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    • 2003
  • Recently, PM-high speed steel(PM-HSS) has reportedly been a good alternative material for rolling mill because of its superior performance to conventional HSS. This paper has been aimed to investigate the possibility for application to rolling contact element for PM-HSS by X-ray diffraction technique. The X-ray elastic constant for PH-HSS has been found by X-ray diffraction during the four-point bending test. Residual stress and half-value breadth on the contact surface during rolling contact fatigue process by X-ray diffraction have also been measured. The result of this study shows that the application of X-ray diffraction technique to PM-HSS could be as possible alternative material as conventional HSS. Half-value breadth on rolling contact surface by X-ray diffraction is not changed during rolling contact fatigue process. On the other hand, the residual stress is changed. This suggests that dislocation reaction has been hardly occurred in rolling contact, depending on super-saturated carbon in PM-HSS.

X선회절에 의한 분말 고속도공구강의 구름접촉피로 해석 (Analysis of Rolling Contact fatigue for PM-High Speed Steel by X-ray Diffraction)

  • 이한영;노정균;배종수;김용진
    • 한국윤활학회:학술대회논문집
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    • 한국윤활학회 2000년도 제32회 추계학술대회 정기총회
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    • pp.44-49
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    • 2000
  • Recently, PM-high speed steel(PM-HSS) has reportedly been a good alternative material for rolling mill because of its superior peformance to conventional HSS. This paper has been aimed to investigate the possibility for application to rolling contact element for PM-HSS by X-ray diffraction technique. The X-ray elastic constant for PM-HSS has been found by X-ray diffraction during the four-point bending test. Residual stress and half-value breadth on the contact surface during rolling contact fatigue process by X-ray diffraction have also been measured. The result of this study shows that the application of X-ray diffraction technique to PM-HSS could be as possible alternative material as conventional HSS. Half-value breadth on rolling contact surface by X-ray diffraction is not changed during rolling contact fatigue process. On the other hand, the residual stress is changed. This suggests that dislocation reaction has been hardly occurred in rolling contact, depending on supersaturated carbon in PM-HSS.

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미국 St. Louis Supersite에서의 준 실시간 PM2.5에 대한 기여도 추정 및 지역 규모 오염원의 위치 파악 (Estimation of Source Apportionment for Semi-Continuous PM2.5 and Identification of Location for Local Point Sources at the St. Louis Supersite, USA)

  • 황인조
    • 한국대기환경학회지
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    • 제25권2호
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    • pp.154-166
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    • 2009
  • In this study, 1-hour integrated $PM_{2.5}$ mass and chemical composition concentrations were monitored at the St. Louis-Midwest Supersite in Illinois. Time-resolved samples were collected one week in each of June 2001 (22 June to 28 June), November 2001 (7 November to 13 November), and March 2002 (19 March to 25 March). A total of 427 samples were collected by CAMM (continuous ambient mass monitor) and 15 compounds were analyzed by AAS, PILS (particle-into-liquid sampler), and TOT (thermal optical transmittance) method. PMF was applied to identify the sources and apportion the $PM_{2.5}$ mass to each source for highly time resolved data. In addition, the nonparametric regression (NPR) was applied to identify the predominant directions of local sources relative to wind direction. Also, this study performed compare the NPR analysis and location of actual local point sources at the St. Louis area. The PMF modeling identified nine sources and the average mass was apportioned to gasoline vehicle, road dust, zinc smelter, copper production, secondary sulfate, diesel emission, secondary nitrate, iron+steel, and lead smelter, respectively. These results suggested that this study results will be help for $PM_{2.5}$ source apportionment studies at similar metropolitan area, establish $PM_{2.5}$ standard, and establish effective emissions reduction strategies in Korea.