• Journal of Korean Neurosurgical Society
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• 제56권1호
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• pp.5-10
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• 2014

Objective : When the pedicle screw insertion technique is failed or not applicable, C7 intralaminar screw insertion method has been used as an alternative or salvage fixation method recently. However, profound understanding of anatomy is required for safe application of the bilaterally crossing laminar screw at C7 in clinic. In this cadaveric study, we evaluated the anatomic feasibility of the bilateral crossing intralaminar screw insertion and especially focused on determination of proper screw entry point. Methods : The C7 vertebrae from 18 adult specimens were studied. Morphometric measurements of the mid-laminar height, the minimum laminar thickness, the maximal screw length, and spino-laminar angle were performed and cross-sectioned vertically at the screw entry point (spino-laminar junction). The sectioned surface was equally divided into 3 parts and maximal thickness and surface area of the parts were measured. All measurements were obtained bilaterally. Results : The mean mid-laminar height was 13.7 mm, mean minimal laminar thickness was 6.6 mm, mean maximal screw length was 24.6 mm, and mean spinolaminar angle was $50.8{\pm}4.7^{\circ}$. Based on the measured laminar thickness, the feasibility of 3.5 mm diameter intralaminar screw application was 83.3% (30 sides laminae out of total 36) when assuming a tolerance of 1 mm on each side. Cross-sectional measurement results showed that the mean maximal thickness of upper, middle, and lower thirds was 5.0 mm, 7.5 mm, and 7.3 mm, respectively, and mean surface area for each part was $21.2mm^2$, $46.8mm^2$, and $34.7mm^2$, respectively. Fourteen (38.9%) sides of laminae would be feasible for 3.5 mm intralaminar screw insertion when upper thirds of C7 spino-laminar junction is the screw entry point. In case of middle and lower thirds of C7 spino-laminar junction, 32 (88.9%) and 28 (77.8%) sides of laminae were feasible for 3.5 mm screw insertion, respectively. Conclusion : The vertical cross-sectioned area of middle thirds at C7 spinolaminar junction was the largest area and 3.5 mm screw can be accommodated with 77.8 % of feasibility when lower thirds were the screw entry point. Thus, selection of middle and lower thirds for each side of screw entry point in spino-laminar junction would be the safest way to place bilateral crossing laminar screw within the entire lamina. This anatomic study result will help surgeons to place the screw safely and accurately.

• Journal of Trauma and Injury
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• 제26권2호
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• pp.39-46
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• 2013

Purpose: Non-invasive blood pressure measurement is widely used as a pre-hospital triage tool for blunt trauma patients. However, scant data exits for using the mean arterial pressure (MAP), compared to the systolic blood pressure, as a guiding index. The aim of this study was to determine the association between adverse outcomes and mean arterial pressure (MAP) and to exhibit the therapeutic range of the MAP in adult blunt trauma patients. Methods: The electronic medical records for all trauma patients in a single hospital from January 2010 to September 2012 were retrospectively reviewed. Patients below 17 years of age, patients with penetrating injuries, and patients with serious head trauma (injuries containing any skull fractures or any intracranial hemorrhages) were excluded. Adverse outcomes were defined as one of the following: death in the Emergency Department (ED), admission via operating theater, admission to the intensive care unit, transfer to another hospital for emergency surgery, or discharge as hopeless. Results: There were 14,537 patients who met entry criteria. Adverse outcomes occurred for MAPs in range from 90 to 120 mmHg. Adverse outcomes were found, after adjusting for confounding variables, to occur increasingly as the MAP declined below 90 mmHg or rose above 120 mmHg. Conclusion: Not only lower but also higher mean arterial pressure is associated with increased adverse outcomes in adult blunt trauma patients. Thus, patients with a MAP above 120 mmHg should be considered as a special group requiring higher medical attention, just as those with a MAP below 90 mmHg are.

• 공업화학
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• 제17권5호
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• pp.471-475
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• 2006

$VO_x$ 박막이 상온에서 $Pt/Ti/SiO_{2}/Si$ 기판위에 반응성 radio frequency (rf) 마그네트론 스퍼터링 방법에 의하여 450 nm 두께로 증착되었다. 증착 공정에서 산소의 농도와 타겟에 인가되는 rf power를 변수로 설정하여 증착 속도를 조사하였다. $VO_x$ 박막의 증착속도는 산소 농도가 증가함에 따라서 감소하고, rf power가 증가할수록 증가하는 것이 관찰되었다. 증착된 $VO_x$ 박막은 $O_{2}$와 $N_{2}$ 가스 분위기에서 $450^{\circ}C$의 온도로 2, 4, 그리고 6 h 동안 각각 열처리 되었고, 열처리 과정을 진행한 후 x-ray diffraction (XRD) 분석을 이용하여 열처리 전과 후의 결정성 변화를 관찰하였다. 그리고 열처리 전과 후의 $VO_x$ 박막의 표면과 단면을 field emission scanning electron microscopy (FESEM)를 이용하여 관찰하였으며 전류-전압 측정을 이용하여, 증착된 $VO_x$ 박막의 metal-insulator transition (MIT) 특성을 관찰하였다. $N_{2}$ 분위기에서 열처리된 $VO_x$ 박막보다 $O_{2}$ 분위기에서 열처리된 $VO_x$ 박막에서 더 우수한 MIT 특성을 관찰 할 수 있었다.

• 한국지반환경공학회 논문집
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• 제15권3호
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• pp.65-74
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• 2014

대규모 건설공사, 토목공사 시 지반 특성 파악을 위해 주로 수행되는 시추조사는 명확하고 확실한 지반정보를 제공한다는 장점이 있지만 좌표 공간상 지점마다 수행되기 때문에 현장 전체의 지반특성 파악이 어렵다. 이에 반해 탄성파, 중력파 등을 이용하는 물리탐사는 시추조사와는 달리 연속적인 단면의 정보를 제공하고 넓은 지역의 지반특성을 파악할 수 있다는 장점을 가지고 있는 반면 측정값의 지반공학적 상관성이 불확실하기 때문에 지반 특성을 직접적으로 결정하기에는 적합하지 않다는 단점이 있다. 따라서 대상 부지의 정확한 지반정보 파악을 위해서는 두 가지 이종 지반조사 자료, 즉 물리탐사자료와 시추조사 자료를 상호 보완하여 이용하는 것이 바람직하다. 본 연구에서는 이종 지반조사의 통합분석 기법을 제안하였으며, 분석 방법의 정확성과 신뢰성을 높이기 위하여 수치지도를 도입하였다. 수치지도를 사용하여 시험, 조사 단계에서 발생할 수 있는 지반고의 오차를 보정하였으며, 표고와 기울기를 분석하여 대상분석 영역 설정의 지표로 사용하였다. 다음으로 탄성파의 속도분포 단면 등고선을 디지타이징(digitizing)하고 지구통계학적 방법인 크리깅(kriging)을 이용하여 3차원으로 공간보간하였으며, 이를 시추조사와 결합하여 각 토층 경계 별 평균 탄성파 속도를 도출하였다. 자료를 도출하는 과정에서 이상치 분석을 수행하여 결과의 신뢰성을 높였으며, 최적화된 평균 탄성파 속도를 활용하여 3차원 층상 정보를 결정할 수 있는 통합 분석 기법을 수립하였다. 최종적으로 수립된 통합분석 기법을 A댐 비상여수로 건설현장에 적용하였다.

• 구강회복응용과학지
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• 제25권2호
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• pp.95-107
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• 2009

본 연구의 목적은 전통적인 소결 방법과 마이크로 웨이브 소결 방법에 의해 제작된 지르코니아 코아의 내부 및 변연 적합도를 알아보는 것이다. 본 실험은 기존의 소결로를 이용하는 $3M^{(R)}$의 Lava(LAV), $Kavo^{(R)}$사의 Everest(EVE), $Cerasys^{(R)}$ CAD/CAM 시스템(CER)과 마이크로웨이브 소결로를 이용하는 Dent. $solution^{(R)}$사의 CAD/CAM 시스템(DEN)에서 시스템별로 12개씩의 코아를 제작하고 실리콘 접착제를 이용하여 금속 다이에 부착시켰다. $Skyscan^{(R)}$ 1076 미세 단층 촬영기를 이용해 각각의 시편을 촬영한 후 재구성하였다. 각 시편에 대해 B-L상, M-D상 절단면 및 치아 장축에 대한 횡단면을 구해내고 각각의 단면에 대해 변연 간격, 축면 간격, 교합면 간격을 측정하였다. 실험에 대한 결과는 다음과 같다. 1. 변연 간격은 EVE가 $36.20{\mu}m$로 가장 작았고, LAV는 $47.67{\mu}m$, DEN는 $52.47{\mu}m$, CER은 $54.63{\mu}m$를 나타내었다. 2. 축면 간격은 EVE가 $63.49{\mu}m$로 가장 큰 값을 나타내었으나 네군간에는 유의차는 없었다. 3. 교합면 간격은 DEN이 $77.06{\mu}m$으로 가장 작은 값을 나타내었으며, EVE와 CER은 $100{\mu}m$를 넘는 값으로 다른 두군과 유의차를 보였다. 본 연구에서 마이크로웨이브 소결을 통해 제작된 CAD/CAM 지르코니아 코아는 임상적으로 허용할 만한 변연 간격 및 축면 간격, 교합면 간격을 보여 주었다.

• 한국광학회지
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• 제3권4호
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• pp.258-265
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• 1992

저압화학기상증착법으로 Si 기판에 $P_{2}O_{5}-SiO_{2}$ 광도파박막계를 제작하였다. 제작된 박막의 광도파손실율은 1.65dB/cm이었으나 $1100^{\circ}C$에서 열처리한 뒤에는 0.1dB/cm 이하로 크게 감소하였다. 레이저 노광법과 활성이온식각법으로 광도파로를 제작하여 $1100^{\circ}C$에서 열처리하였다. 열처리 결과 도파로 코어의 모양은 사각형에서 반원형으로 바뀌었으며 0.6328$\mu$m에서 0.03dB/cm 그리고 1.53$\mu$m에서 0.04dB/cm의 낮은 도파손실율을 나타내었다. 도파로의 도파손실율이 감소하는 이유로는 고온 열처리과정에서 첫째 박막조직과 결합하여 광흡수를 일으키는 수소가 확산 방출되고 둘째 광산란을 일으키는 도파로의 거친 계면 및 박막조직이 재형성되며, 셋째 식각법으로 도파로를 만들때 생기는 도파로 코어의 거친 계면이 매끄럽게되어 도파광의 산란손실이 중어들기 때문으로 생각된다.

• 멤브레인
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• 제12권2호
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• pp.75-89
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• 2002

Polyethesulfone(PES) 상변환 막 제조 시 캐스팅 용액에의 무기염 첨가가 막의 구조 및 성능에 미치는 효과를 캐스팅 용액의 열역학적.속도론적 특성치로서 연구하였다. PES/NMP 캐스팅 용액에 첨가시킨 무기염의 종류[CaCl_2, LiCl, LiCl_4, ZnCl_2 $및 Mg(ClO_4)_2]$와 양을 달리하여 제조된 막의 몰폴로지와 막성능(순수 투과량 및 용질 배제도)을 캐스팅용액의 점도와 coagulation vague, 제막시간에 따른 광투과도 변화, 총괄 다공도와 순수 투과량, bovine serum albumin(BSA) 용액의 한외여과 실험 및 막단면의 SEM 사진 결과로서 설명하였다. 이 결과 모든 종류의 무기염에 대해 첨가량이 증가할수록 캐스팅 용액의 점도는 증가하고, coagulation value는 낮아져 열역학적 불안정성이 증가하며, 막 단면 상층부(top layer below skin surface)의 an게가 증가하였으며, BSA 배제도는 감소하고 순수 투과량은 CaC1$_2$ 및 LiCl 무기염을 제외하고는 점차 증가하였다. CaC1$_2$ 및 LiCl 무기염을 첨가한 경우는 첨가량이 증가함에 따라 macrovoid의 형성이 억제되었으며, 순간분리의 침강형식은 유지하나 침강 속도가 점차 느려졌다. 반면 LiCl_4$ 및 Mg(ClO_4)_2$무기염을 첨가한 경우는 침강속도가 점차 빨라졌다.

• 생명과학회지
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• 제15권3호
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• pp.352-358
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• 2005

The purpose of this study was to examine the effect of various exercise intensity on Resting Metabolic Rate (RMR), excess post exercise energy expenditure (EPEE), and thyroid hormonal changes in trained (TR) and untrained (UT) people. The subject of the present study were divided into two groups and four periods: trained (TR; n=6) and untrained (UT; n=6) group. And the periods were divided as follows; Resting (R), Maximal (M), High intensity (H), and Low intensity (L). The percent body fat and RMR of all subjects were measured at every periods. The RMR was measured early in the morning following a 12-hour fast using MMX3B gas analyzer and blood sample were collected from the anticubital vein to investigate thyroid hormonal (T3, T4, Free T3, Free T4, & TSH) changes. All the RMR values were expressed as absolute value/BSA $(kcal/d/m^2)$. And We also analyzed mean energy expenditure for 30 minutes during and after different intensity exercise. There was significant difference in RMR among different intensity of exercise. in TR (p < .05) not in the UT group. however, there was no significant different percent body fat in TR and in UT group. In the energy expenditure, there was significant different between TR and UT in HEE (high intensity exercise energy expenditure), LEE (low intensity exercise energy expenditure), HEEPE (high intensity exercise energy expenditure post exercise) & LEEPE (low intensity exercise expenditure post exercise). In the hormonal level, there was significant different in T4 level in the TR group at H period and in T4, Free T3, & Free T4 levels in TR group at L period, however there was no significant different in the UT group. The present cross-sectional study was design to investigate the relationship between exercise intensity and RMR. The focus of this investigation was to compare RMR in aerobically trained (TR) and untrained (VI). The relationship among RMR, exercise intensity and percent body fat would best be investigated using MMX3B and body composition analyzer. Each subject completed measurement of percent body fat, RMR, hormone in the period of maximal oxygen uptake exercise (M), high intensity exercise (H), and low intensity exercise (L). From the results, Low intensity of exercise (L), there was a trend for an increased RMR (kcal/day) in the TR not for the UT. This is best explained not by the reduced percent body fat but by the highly induced energy expenditure (during exercise and post exercise energy expenditure) and increased T4, Free T3, and Free T4 hormonal levels in the low intensity exercise for the TR group.

• 한국전문물리치료학회지
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• 제23권3호
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• pp.21-28
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• 2016

Background: The toe-spread-out (TSO) exercise has been introduced as a strengthening exercise for the abductor hallucis muscle in subjects with hallux valgus. Visual biofeedback using ultrasound imaging during exercise, may increase the ability to selectively contract the abductor hallucis muscle, compared with exercise alone. Objects: The aim of this study was to investigate the effects of ultrasound imaging visual feedback during the TSO exercise with respect to its influence on the angle of the first metatarsophalangeal joint (1st MPJ) and the cross-sectional area (CSA) of the abductor hallucis muscle in subjects with hallux valgus. Methods: Twenty-five healthy young subjects with a mean average age of 22.5 years, and a standard deviation of 2.3 years, were recruited for this study. Hallux valgus was defined as an angles greater than $15^{\circ}$ angle of 1st MPJ. Goniometric measurement was used to determine the angle of 1st MPJ. In addition, an ultrasound system was used to collect the CSA of the abductor hallucis muscle in each foot. The angle of the 1st MPJ and CSA of the abductor hallucis were measured in three positions; the resting position, during TSO exercise, and during TSO exercise in conjunction with real-time ultrasound imaging feedback. All data analyzed using a repeated analysis of variance with Bonferroni correction in order to compare the dependent variables in all three positions. Statistical level of significance was set up as p<.05. Results: The angle of the 1st MPJ was noted to be significantly reduced and the CSA of the abductor hallucis to be significantly greater during TSO exercise used in conjunction with ultrasound imaging visual feedback, compared to when the values were recorded during TSO exercise alone (p<.05). Conclusion: Based on these findings, it can be concluded that the application of ultrasound imaging visual feedback during TSO exercise is more effective in contracting selectively the abductor hallucis than the use of exercise alone.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.88-95
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• 2016

Purpose: Gestational weight gain and prepregnancy body weight are important factors of childbirth outcomes, which further cause obesity, metabolic diseases, or psychological problems later in women's lives. Changes in diet, westernized lifestyle, traditional postpartum care, and childbirth at older age are thought to be threats to proper weight management in Korean women of reproductive age. Public health and antenatal care need to focus on the proper body weight management of women by carefully planning pregnancy to postpartum periods. Purpose: This study explored the body weight changes from pregnancy to postpartum and the related characteristics in women within 12 months after childbirth. Methods: A cross-sectional, retrospective study was conducted with 102 Korean women within 12 months after childbirth. Data were collected using an online survey system, and a structured questionnaire available for electronic self-administration was modified to include demographics, obstetrical history, and body weight at 6 time points. The International Physical Activity Questionnaire and Eating Habit Measurement instruments were also used in data collection. A professional survey agency recruited the participants, and data were automatically saved and then analyzed. Results: The average age of the participants was 33.8 years, 48% were housewives and were well-educated. Seventy-two percent of the participants were primiparas and 82% had breastfed their babies. The body mass index (BMI) ranged from 17.3 to 27.8, indicating that 21.5% of the participants were overweight or obese. The mean gestational weight gain was 11.8 kg, and weight loss was apparent during the first 3 months postpartum. The mean decline in weight was 3.4 kg at one year after childbirth. Women wanted to lose 5.6 kg (range: 3~20 kg), however 44% of them reported that they had not engaged in any weight control efforts. Further, 72% of them reported having engaged in a low level of physical activity. Body weight was not associated with women's characteristics, physical activity score, and diet. Conclusion: Women's awareness of gestational weight gain, lifestyle modification, and the risk of prolonged weight retention should be promoted through the antenatal and women's healthcare systems. As pregnancy and childbirth are critical events that affect women's health, integrative education to ensure healthy transition to life after delivery is required.