• The Korean Journal of Pain
• /
• 제24권4호
• /
• pp.205-215
• /
• 2011

Background: Interventional pain management (IPM) is a branch of medical science that deals with management of painful medical conditions using specially equipped X-ray machines and anatomical landmarks. Interventional physiatry is a branch of physical medicine and rehabilitation that treats painful conditions through intervention in peripheral joints, the spine, and soft tissues. Methods: A cross-sectional study was conducted using three years of hospital records (2006 to 2008) from the Physical Medicine and Rehabilitation Department at Chittagong Medical College Hospital in Bangladesh, with a view toward highlighting current interventional pain practice in a tertiary medical college hospital. Result: The maximum amount of intervention was done in degenerative peripheral joint disorders (600, 46.0%), followed by inflammatory joint diseases (300, 23.0%), soft tissue rheumatism (300, 23.0%), and radicular or referred lower back conditions (100, 8.0%). Of the peripheral joints, the knee was the most common site of intervention. Motor stimulation-guided intralesional injection of methylprednisolone into the piriformis muscle was given in 10 cases of piriformis syndrome refractory to both oral medications and therapeutic exercises. Soft tissue rheumatism of unknown etiology was most common in the form of adhesive capsulitis (90, 64.3%), and is discussed separately. Epidural steroid injection was practiced for various causes of lumbar radiculopathy, with the exception of infective discitis. Conclusion: All procedures were performed using anatomical landmarks, as there were no facilities for the C-arm/diagnostic ultrasound required for accurate and safe intervention. A dedicated IPM setup should be a requirement in all PMR departments, to provide better pain management and to reduce the burden on other specialties.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제34권2호
• /
• pp.106-111
• /
• 2012

Purpose: The aim of this sturdy was to assess the prevalence and change in pathologic findings in the maxillary sinus by using preoperative and postoperative cone-beam computed tomography (CBCT). Methods: The subjects included 83 patients with maxillary sinus abnormalities who underwent orthognathic surgery between January 2010 to December 2010. The CBCT analyses were classified according to the thickness of maxillary sinus membrane; Normal (membrane thickness<2 mm), mucosal thickening (membrane thickness ${\geq}2mm$ and <6 mm), partial opacification (membrane thickness>6 mm but not complete), total opacification, and polypoidal mucosal thickening. The diameters of the maxillary sinus ostium on the coronal cross-sectional view were also calculated. Results: Out of 166 maxillary sinuses in 83 patients, 42 (25.3%) maxillary sinuses before surgery and 37 (22.3%) maxillary sinuses after surgery showed abnormalities. A decrease in the diameters of maxillary ostium was observed after surgery (P<0.05). However, there was no significant difference in mucosal thickness both, preoperatively and postoperatively. Conclusion: The orthognathic surgery didn't deteriorate the maxillary sinus abnormaility. Despite the low prevalence of sinus complications in orthognathic surgery, all the patients should be informed of the possibility of sinusitis that could require the surgical intervention before surgery.

• Imaging Science in Dentistry
• /
• 제48권2호
• /
• pp.103-109
• /
• 2018

Purpose: To analyze cone-beam computed tomography (CBCT) use, indications, and exposure parameters in San $Jos{\acute{e}}$, Costa Rica. Materials and Methods: A cross-sectional study was performed. All CBCT examinations over a period of 6 months at 2 radiological centers in San $Jos{\acute{e}}$, Costa Rica were evaluated. The examinations were performed with Veraview EPOC X550 and Veraviewepocs 3D R100 equipment. The patients' age and sex, clinical indication for CBCT, region of interest (ROI), repeat examinations, specialty of the referring dentist, field-of-view (FOV), tube voltage (kV), tube current (mA), and radiation dose (${\mu}Gy$) were evaluated. Patients were classified by age as children (${\leq}12years$), adolescents(13-18 years), and adults(${\geq}19years$). Results: The mean age of the 526 patients was 49.4 years. The main indications were implant dentistry and dental trauma. The most frequent ROIs were posterior, while anterior ROIs were much less common. The highest percentage of repeat examinations was in children. Fifty-six percent of the referring dentists were specialists. The most commonly used FOV was small. The mean tube voltage and current were 79.8 kV and 7.4 mA for Veraview EPOC X550 and 89.9 kV and 6 mA for Veraviewepocs 3D R100, respectively. The mean doses for children, adolescents, and adults were $6.9{\mu}Gy$, $8.4{\mu}Gy$, and $7.8{\mu}Gy$, respectively. Conclusion: Although CBCT was most commonly used in adults for implant dentistry, most repeat examinations were in children, and the highest mean dose was in adolescents. Additional dose optimization efforts should be made by introducing low-dose protocols for children and adolescents.

• Perspectives in Nursing Science
• /
• 제12권2호
• /
• pp.115-123
• /
• 2015

Purpose: This study aimed to investigate the quality of patient-centered nursing care (PCNC) among women with breast cancer at a cancer center in Seoul, Korea. Methods: In a cross-sectional survey design, 223 women with breast cancer were recruited from the oncology surgery unit. The Korean version of the oncology patients' perceptions of the quality of nursing care scale, which is conceptualized in four sub-dimensions (individualization, proficiency, responsiveness, and coordination) was used for measurement. Data were analyzed using descriptive statistics and ANOVA. Results: The participants were all women, with a mean age of 51.3 years. The mean score of PCNC was high and significantly different from each other according to age group. Breast cancer women, who had mastectomy, were satisfied highly in terms of proficiency and responsiveness care, but less satisfied with individualization and coordination care than those of other women. Conclusion: The findings of this study show the quality of cancer nursing care, especially focusing on patient-centeredness, can be measured from the patients'perspective. The individualized and coordinated nursing care is considered to be the core of quality cancer care implying patient-centeredness. Based on the findings of this study, more research is necessary to explore the patients' view of quality cancer care and to test the effects of PCNC within the context of comparative effectiveness.

• Corrosion Science and Technology
• /
• 제18권2호
• /
• pp.55-60
• /
• 2019

Corrosion failure in the convection part of peak load boiler (PLB) of the district heating system led to water leakage. Herein, Internal Rotary Inspection System (IRIS) inspection was employed to examine wall thinning and the cause of leakage in the flue tube. The corrosive products of the turbulator and tube were investigated using scanning electron microscope combined with energy dispersive spectroscopy, X-ray diffraction, and inductively coupled plasma (ICP). Majority of the serious corrosion damage was observed near the turbulator located in the upper flue tube. ICP analysis of the boiler water revealed oxide formation of sodium chloride in the lower end part of the flue tube. A cross-sectional view of the turbulator revealed the presence of double-layers of the oxide film, indicating environmental change during operation associated with water leakage. The outer surface of the turbulator consisted of the acid oxides such as $NO_x$ and $SO_x$ along with sodium and chloride ions. Dew-point corrosion is hypothesized as the main cause for the formation of acid oxides in the region of contact of the flue tube and the turbulator.

• Safety and Health at Work
• /
• 제13권2호
• /
• pp.141-147
• /
• 2022

Background: On the basis of its role for the development of occupational health research, information, good practices, the International Commission on Occupational Health (ICOH) launched the present survey to collect information on public health and prevention policies put in place by the governments of the countries in the world to contain the pandemic. Methods: A cross-sectional study was conducted through an online questionnaire focused on COVID-19 data, public health policies, prevention measures, support measures for economy, work, and education, personal protective equipment, intensive care units, contact tracing, return to work, and the role of ICOH against COVID-19. The questionnaire was administered to 113 ICOH National Secretaries and senior OSH experts. Collected data refer to the period ranging from the beginning of the pandemic in each country to June 30, 2020. Results: A total of 73 questionnaires from 73 countries around the world were considered valid, with a 64.6% response rate. Most of the respondents (71.2%) reported that the state of emergency was declared in their country, and 86.1% reported lockdown measures. Most of the respondents (66.7%) affirmed that the use of face masks was compulsory in their country. As for containment measures, 97.2% indicated that mass gatherings (meetings) were limited. Regarding workplace closing, the most affected sector was entertainment (90.1%). Conclusion: The results of this survey are useful to gain a global view on COVID-19 policy responses at country level.

• 한국시뮬레이션학회논문지
• /
• 제18권4호
• /
• pp.219-225
• /
• 2009

본 연구는 복잡하고 다양한 반도체 웨이퍼 가공(FAB) 공정의 전체적인 흐름을 컴퓨터 모델로 구축하고 이를 Device 단면도를 나타내는 프리젠테이션 툴과 연동시키는 교육 모델의 개발을 목적으로 하였다. 급변하는 세계 반도체 시장에서 국내 반도체 업체는 지속적인 기술 개발과 더불어 효율적인 생산관리에 대응할 수 있도록 하여 국제 경쟁력을 키워야 할 것이다. 따라서 본 연구에서 다루어진 공정의 흐름과 각 단위공정의 특성을 바탕으로 설립된 모델은 서울대학교 반도체 공동 연구소를 대상으로 구현되었으나 앞으로 생산 관리를 담당할 국내 반도체 업체들의 신입사원과 현장기술자의 질적 향상을 위한 시청각 교육용 자료로의 활용 시 상당한 효과를 거둘 것이라 예상된다. 이는 생산업체에 국한되어지는 것만은 아니며 반도체 공정에 관련된 대학 학과목에서도 활용되어지리라 생각된다. 또한 확장성과변화에 유연한 모델을 개발함으로써 반도체 생산 업체들은 구성된 표준 모델을 이용하여 각 회사의 실정에 맞추어 자사에 대한 시뮬레이션을 손쉽게 수행함으로써 많은 교육 효과와 이에 따른 원가 절감의 효과까지 거둘 수 있을 것이다.

• 한국재료학회지
• /
• 제11권7호
• /
• pp.556-561
• /
• 2001

실리사이드반웅을 이용하여 니켈모노실리사이드의 양측계면에 단결정실리콘을 적층시켜 전도성이 우수하며 식각특성이 달라 MEMS용 기판으로 채용이 가능한 SOS (Silicon-on-Silicide) 기판을 제작하였다. 실리콘 기판 전면에 Ni를 열증착법으로$ 1000\AA$두께로 성막하고, 실리콘 기판 경면과 맞블여 후 $300~900^{\circ}C$온도범위에서 15시간동안 실리사이드 처리하여 니켈모노실리사이드가 접합매체로 되는 기판쌍들을 완성하였다. 완성된 기판쌍들은 IR (infrared) 카메라를 이용하여 비파괴적으로 접합상태를 확인하고. 주사전자현미경 (scaning electron microscope)과 투과전자현미경 (tranmission electron microscope)을 이용하여 수직단면 미세구조를 확인하였다. Ni 실리사이드의 상변화가 일어나는 온도를 제외하고는 Si NiSi ∥Si 기판쌍은 기판전면에 52%이상 완전접합이 진행되었음을 확인하였고 생성 실리사이드의 두께에 따라 나타나는 명암부에 비추어 기판쌍 중앙부에 두꺼운 니켈노실리아드가 형성되었다고 판단되었다. 완성된 Si NiSi ∥ Si 기판쌍을 SBM 수직단면에 의괘 확인한 결과 접합이 완성된 기판중심부의 접합계면은 $1000\AA$ 두께의 NiSi가 균일하게 형성되었으며 배율 30,000배의 해상도에서 계면간 분리부분없이 완전한 접합이 진행되었음을 확인하였다. 반면 기판쌍 에지 (edge)부분에는 실리사이드가 헝성되지 않은 비접합상태가 발견되었다. 수직단면루과전자현미경 결과물에 근거하여 접합된 중심부에서는 피접합되는 실리콘의 경면과 니켈이 성막된 실리콘 경면 상부계면에 10-20$\AA$의 비정질막이 발견되었으며, 산화막으로 추정되는 이 막이 접합률을 현저히 저하시키는 것을 확인하였다. 접합이 진행되지 않은 에지부는 이러한 산화막이 열처리 진행중 급격히 성장하여 피접합 실리콘층의 분리가 발생하였다. 따라서 Si NiSi ∥Si 기판쌍의 접합률을 향상시키기 위해서는 피접합 실리콘 계면과 Ni 상부층간의 비정질부를 적극적으로 제거하여야 함을 알 수 있었다.

• 대한치과보철학회지
• /
• 제41권4호
• /
• pp.421-439
• /
• 2003

Statement of problem : It is difficult to obtain a good titanium casting body using the traditional sprue design because of high melting point of Ti, and the low fluidity and high reactivity of molten Ti. Purpose : A new sprue design for titanium casting bodies needs more trial and error. In order to decrease the number of trial and error, computer simulation(MAGMASOFT, Magmasoft Giessereitechnologie GmbH, Achen, Germany) was used to optimize sprue design in U-shaped implant superstructures. Material and method : Five kinds of sprue were examined for the design of the sprue former for titanium casting: Sprue design A(sprue length 4 mm, rectangular shape, 4 sprues), Sprue design B(sprue length 4 mm. round shape. radius 2 mm, 7 sprues), Sprue design C (sprue length 2 mm, round shape, radius 2 mm, 7 sprues). Sprue design D (sprue length 2 mm, cone shape, large radius 3mm. small radius 2mm, 7 sprues), and Sprue design E( sprue length 2 mm. one unit channel shape). Sprue design F(sprue length 2mm, one unit channel shape) was also examined for the design of the customized sprue former in the Biotan system(Schutz Dental Gmbh, Germany). The casting bodies were taken in Sprue design A, Sprue design D, Sprue design E, and Sprue design F in the Biotan casting system. The numerically predicted defects were compared with the experimental dental castings by the radiographic and sectional view observations. Results : 1. According to the result of computer simulation, turbulence during mold filling was decreased in the sequence of Sprue design F, Sprue design E, Sprue design D, Sprue design C, Sprue design B, and Sprue design A. 2. The calculated solidification time contours indicate that hot spot was moved from the casting body to the sprue button in the sequence of Sprue design A, Sprue design B, Sprue design C, Sprue design D, and Sprue design E. The filling pattern of Sprue design F was similar to that of Sprue design E. 3 The predicted filling pattern shows that less turbulence was found in the customized sprue former than in the standard sprue former. 4. According to the results of the radiographic and cross sectional observations, casting defects less than 1mm were found at the center of a casting body with Sprue design E and Sprue design F. However, larger casting defects of 4mm were found in a casting with Sprue design A. 5. The predicted casting porosity was similar to that of the real casting. Conclusion : One unit channel-type and customized sprue former can be recommended. Further research and developement of various sprue designs using computer simulation in necessary to optimize casting design, in order to reduce the formation of casting defects in implant titanuim super-structures.

• 대한토목학회논문집
• /
• 제31권3D호
• /
• pp.363-373
• /
• 2011

경제성장과 더불어 우리 삶을 구성하고 있는 주변 환경의 질에 대한 관심과 요구가 높아지고 도로 이용자 측면에서도 쾌적성, 심리적 안정 및 안락성 등을 고려한 도로경관 조성에 대한 관심이 확대되면서 도로의 질적인 개선 노력이 요구되고 있다. 따라서 공학적인 측면에서 기준화된 설계지침이 아닌 도로 이용자 측면에서의 감성인지를 고려한 안전하고 쾌적한 도로설계 기준의 정립이 절실히 필요한 실정이다. 이에 본 연구에서는 도심지 주요 도로의 도로 횡단면 구성요소를 중심으로 도로 이용자들이 느끼는 도로경관에 대한 감성인지 실험을 통해 만족도를 조사하고 주성분과 군집분석, 다중회귀모형 등을 통해 도로경관 구성요소와의 관계성을 규명하였다. 분석결과 보통의 보도경관 만족도를 확보하기 위해서는 차로 폭은 3~5m, 차로 수는 2~5차로, 길어깨 폭은 0.55~1.43m, 유효 보도 폭은 2.2~3.9m, 중앙 화단 폭은 1.05~1.9m, 중앙 가로수 높이는 6.25~14.5m, 중앙 여유 폭은 0.65~1.625m, 보도 가로수 높이는 6.4~15m, 건물 높이는 18~44m(6~15층) 범위에 있어야 함을 알 수 있었다.