전력기기용, 에폭시/마이크로 실리카 및 알루미나 복합제의 전기적·기계적 파괴 강도 특성

박주언,박재준,Park, Joo-Eon,Park, Jae-Jun 한국전기전자재료학회 2018 전기전자재료학회논문지 Vol.31 No.7

In this study, we prepared 40, 45, 50, 55, 60, 65, and 70 wt% content composites filled in epoxy matrix for two micro silica and three micro alumina types for use as a GIS heavy electric machine. As a filler type of epoxy composite, micro silica composites showed excellent AC breakdown strength properties compared to micro alumina composites in the case of electrical properties of micro silica and alumina. The electrical breakdown properties of micro silica composites increased with increasing filler content, whereas those of micro alumina decreased with increasing filler content. In the case of mechanical properties, the micro silica composite showed improved tensile strength and flexural strength compared with the micro alumina composite. In addition, mechanical properties such as tensile strength and flexural strength of micro silica and alumina composites decreased with increasing filler content. This is probably because O-H groups are present on the surface of silica in the case of micro silica but are not present on the surface of alumina in the case of micro alumina.

DEA모형을 활용한 한방병원의 경영효율성 분석

박주언,최병희,임병묵,Park, Joon,Choi, Byunghee,Lim, Byungmook 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.3

Objectives : This study aimed to analyze the management efficiency of Korean Medicine hospitals for recent 10 years(2001~2010) using the Data Envelop Analysis(DEA) model. Methods : We collected the management data of 23 Korean Medicine hospitals for DEA model from the Korean Oriental Medicine Hospitals' Association (KOMHA). Input variables of DEA model are numbers of beds, numbers of doctors, numbers of nurses and numbers of other staffs of each Korean Medicine hospitals. Output variables are numbers of inpatients and numbers of outpatients of each Korean Medicine hospitals. Based on the DEA model, we calculated the efficiency score of each Korean Medicine hospital and compared it by hospital's ownership, location, and size. Results : Average DEA efficiency scores of Korean Medicine hospitals by year ranged from 0.86 to 0.92. Private owned hospitals showed higher efficiency scores than the university affiliated hospitals with statistical significance (p=0.001). And Korean Medicine hospitals located in capital region of Korea(Seoul City, Incheon City, Gyeonggi-do) and the rest Korean Medicine hospitals did not show statistical difference (p=0.516). Lastly, Korean Medicine hospitals with different size did not show statistical difference in management efficiency (p=0.499). Conclusion : We have found that Korean Medicine hospitals management efficiency have not changed throughout 10 years, and that different ownership forms of Korean Medicine hospital show statistical difference in management efficiency while location, and size do not.

위식도역류질환과 관련 없는 비심인성 흉통 환자의 우울 및 불안

박주언,류한욱,이풍렬,유범희,Park, Joo-Eon,Ryu, Han-Wook,Rhee, Poong-Lyul,Yu, Bum-Hee 대한불안의학회 2006 대한불안의학회지 Vol.2 No.1

Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.

KOMPSAT-3 위성영상의 상대기하보정에 대한 건물의 영향 분석

박주언,김태헌,윤예린,이차빈,이진민,이창노,한유경,Park, Jueon,Kim, Taeheon,Yun, Yerin,Lee, Chabin,Lee, Jinmin,Lee, Changno,Han, Youkyung 한국측량학회 2022 한국측량학회지 Vol.40 No.4

In this study, to analyze the effect of buildings on the image co-registration performance, co-registration results are compared according to the presence or absence of matching points extracted from buildings. To remove the matching points extracted from buildings, a building mask generated by extracting building objects from the digital topographic map was used. In addition, matching points extraction performance and image co-registration accuracy were analyzed according to the magnitude of the convergence angle. Image co-registration results were compared by applying the affine and piecewise linear transformation models, respectively. According to the experimental results, the affine transformation model showed an overall improvement in accuracy after removing the matching points extracted from buildings. On the other hand, the piecewise linear transformation model improved the accuracy at the checkpoints including the surrounding buildings, but the accuracy improvement was not significant at checkpoints in the flat area without the existence of buildings. In addition, when the piecewise linear transformation model was applied, stable accuracy of less than 2 pixels was derived from images with a convergence angle of 20° or less. 본 연구에서는 고해상도 위성영상의 상대기하보정 결과에 건물이 미치는 영향을 분석하기 위해 건물에서 추출된 정합쌍의 유무에 따른 상대기하보정 결과를 비교한다. 건물 정합쌍의 제거를 위해 수치지형도에서 건물 객체를 추출하여 생성한 건물마스크 영상을 이용하였으며, 추가적으로 수렴각의 크기에 따른 정합쌍 추출 성능 및 상대기하보정 결과를 분석하였다. Affine 및 Piecewise linear 변환모델을 각각 적용하여 건물밀집지역에 대한 상대기하보정 결과를 비교하였다. 실험 결과, Affine 변환모델은 건물 정합쌍 제거 후 전반적인 정확도 향상을 나타내었다. 반면에, Piecewise linear 변환모델은 주변에 건물을 포함하고 있는 검사점에서 정확도가 향상되었으나, 건물이 없는 평탄한 지역의 검사점에서는 정확도 향상이 크지 않았다. 또한, Piecewise linear 변환모델을 적용할 경우 20° 이하의 수렴각을 갖는 영상에서 2 pixels 이하의 안정적인 정확도를 도출하였다.

심리외상 이후의 신체증상

박주언,안현의,김원형,Park, Joo Eon,Ahn, Hyun-Nie,Kim, Won-Hyoung 한국정신신체의학회 2016 정신신체의학 Vol.24 No.1

연구목적 심리외상에 노출된 이후 신체증상이 매우 빈번히 발생하곤 한다. 이러한 신체증상은 사회기능과 직업기능 및 환자-의사 관계와 종종 연관되지만 외상후스트레스장애 진단 범주에 포함되지 않은 상태이다. 본 논문에서는 이러한 신체증상의 기전, 흔한 임상양상, 그리고 치료에 대해 고찰하고자 한다. 방 법 PubMed, Scopus, Google Scholar, KoreaMed, KISS와 같은 학술검색엔진을 사용하여 2016년 3월 31일까지 검색된 심리외상 노출 이후 신체증상에 관한 자료를 바탕으로 연구하였다. 결 과 심리외상 노출 이후의 신체증상의 발생 기전은 심리적인 측면과 생리적인 측면으로 구분될 수 있었다. 심리기전은 정신역동이론, 인지행동이론, 그리고 다른 이론들이 포함되었다. 생리기전은 신경내분비 및 면역계, 자율신경계, 중추 신경계의 변화로 설명되었다. 심리외상과 연관된 신체증상은 두경부, 흉부, 복부, 기타 근골격계, 피부 및 면역계에서 나타나는 다양한 건강문제로 표현되었다. 이러한 신체증상의 표준화된 치료에 대한 연구는 매우 부족하였다. 결 론 임상의와 재난정신건강지원 실무자는 심리외상에 대한 개입이나 PTSD 치료 동안 동반된 신체증상에 대해 항상 염두에 두어야 한다. 심리외상과 PTSD에서 보이는 이러한 신체증상에 대해 더 많은 연구가 진행될 필요가 있다. Objectives : Somatic symptoms after the exposure of psychological trauma frequently developed. However, the somatic symptoms are not covered under the diagnostic criteria of posttraumatic stress disorder(PTSD) in detail, although they are often associated with social and occupational functioning and patient-doctor relationships. The aim of this article is to highlight the potential mechanisms, the common manifestations, and the treatment of the somatic symptoms. Methods : This article studied the somatic symptoms searched using academic search engines like PubMed, Scopus, Google Scholar, KoreaMed and KISS from the earliest available date of indexing to March 31, 2016. Results : The mechanism of somatic symptoms after the exposure was described as psychological and physiological aspects. Psychological mechanism consisted of psychodynamic theory, cognitive behavioral theory, and others. Physiological mechanism involved changes in neuroendocrine and immune system, autonomic nervous system and central nervous system. Somatization associated with psychological trauma manifested various health conditions on head and neck, chest, abdominal, musculoskeletal, and dermatological and immune system. Few studies described the standardization of treatment for the somatic symptoms. Conclusions : Clinicians and disaster behavioral health providers should think of the accompanying somatic symptoms during intervention of psychological trauma and PTSD. Further studies are needed on the somatic symptoms seen in psychological trauma and PTSD.

재난정신건강 평가도구

박주언,강석훈,원성두,노대영,김원형,Park, Joo Eon,Kang, Suk-Hoon,Won, Sung-Doo,Roh, Daeyoung,Kim, Won-Hyoung 대한불안의학회 2015 대한불안의학회지 Vol.11 No.2

Objectives : After disaster, some people develop posttraumatic stress sequelae such as posttraumatic stress disorder (PTSD), major depression, substance use disorders, and suicide. To date, numerous screening and assessment tools for behavioral health issues including mental health problems, psychosocial maladjustment and status of recovery after disaster have been developed. In this condition, one of important topics is to choose instruments that can quickly and accurately measure the issues. Methods : This article reviewed several self-reported scales in adults for disaster behavioral health, which were searched using academic search engines like PubMed, Scopus, KoreaMed and KISS from the earliest available date of indexing through January 31, 2015. Results : More than 40 eligible instruments evaluating the disaster behavioral health issues containing posttraumatic stress sequelae, psychological and social resources, non-disaster stress, and general functions were presented in terms of availability, effectiveness, and expeditiousness. Also, we introduced basic frame aiming on practical usage, which includes standard version and brief version of the instruments for disaster behavioral health. Conclusion : We suggest the accessibility and the applicability of assessment instruments for disaster behavioral health. The systemic review of this article will provide further directions for them. 재난 경험자들의 정신건강은 개인적인 측면뿐만 아니라 재난 이후의 지역사회의 회복 측면에서 매우 중요하기 때문에 개인적 수준과 사회적 수준 양쪽에서 접근해야 한다. 또한 재난 경험자들을 이해하고 돕기 위해서는 PTSD, 우울, 불안과 같은 정신 건강 분야뿐만 아니라 심리적 및 사회적 자원 분야, 물질남용 및 중독 분야, 비재난스트레스 분야, 기능상태 분야 등 다양한 방면의 평가가 필요하다. 재난정신건강 평가를 위해서 최소한 1시간 이내에 평가할 수 있는 표준 버전과 30분을 넘지 않는 단축 버전과 같은 기본적인 패키지가 필요하다. 임상 현장보다 재난 현장에서 시간 및 비용이 더 중요한 요소이고 재난 현장의 특성상 실현 가능성도 고려하여야 하기 때문에 이 모두를 고려한 구성을 해야 한다. 적극적인 재난정신건강의 다면적 평가를 통해 조기에 위험군을 선별하고 이를 적절히 관리한다면 재난 이후에 발생하는 외상후스트레스후유증을 최소화할 수 있을 것이다.

긴장성두통과 편두통의 바이오피드백 치료

박주언,이계성,신상은,Park, Joo-Eon,Lee, Kye-Seong,Shin, Sang-Eun 한국정신신체의학회 2006 정신신체의학 Vol.14 No.1

연구목적 : 두통은 일생 동안 90% 이상의 사람들이 경험하게 되는 임상 증후군이다. 이 논문은 긴장성두통과 편두통의 현재의 개념과 바이오피드백 치료 및 이완요법에 대해 요약하였다. 방법: Pubmed/Medline 검색에 포함된 용어는 바이오피드백(biofeedback), 이완(relaxation), 생리적(physiological), 행동적 (behavioral), 비약물의 (nonpharmacological), 두통(headache), 긴장성두통(tension-type headache), 그리고 편두통(migraine)이었다. 검색되지 않은 저술 중 적절한 논문과 바이오피드백을 수행하는 전문가의 의견도 포함시켰다. 결과 : 두통은 바이오피드백 및 이완요법을 포함한 행동치료적 개입에 의해 치료될 수 있는 정신생리장애(psycho-physiological disorder)로 볼 수 있다. 두통에서 이러한 치료들을 통해 임상적 호전을 보인다는 보고들이 지속되고 있다. 또한, 환자에게 실제 적용 시 고려할 점도 제시하였다. 결론: 바이오피드백 치료와 이완요법은 단독 또는 약물치료와 함께 두통 환자에게 제공될 수 있는 효과적인 치료법으로 제안된다. Objectives : Headache is a clinical symptom that more than 90% of all individuals experience during their life time. This article provides a current concept of tension-type and migraine headaches and summarizes the effects of biofeedback treatment and/or relaxation techniques. Methods : The following terms were used for Pubmed/Medline search : biofeedback, relaxation, physiological, behavioral, nonpharmacological, headache, tension-type headache, and migraine. A review of references from relevant literature was also conducted to collect reports not identified in the Pubmed/Medline search. Interviews with experts on biofeedback were also included in this review. Results : Headache is a psychophysiological symptom that can be treated by some behavioral interventions including biofeedback and relaxation. Literatures on biofeedback and/or relaxation have consistently reported significant therapeutic effects on headaches. Important factors that we have to consider, when we apply to headache patients with biofeedback and relaxation techniques, were also presented. Conclusion : The available evidence suggests that biofeedback and relaxation techniques are effective treatments for the patients with headaches and can be provided to the patients as monotherapy or combination therapy with medication.

불안증과 스트레스

박주언,Park, Ju-Eon 대한산업보건협회 2006 산업보건 Vol.220 No.-

성견에서 Acelluar dermal matrix가 1면 골내낭 결손부의 치주조직 재생에 미치는 영향

박주언,김병옥,박주철,장현선,Park, Ju-Un,Kim, Byung-Ock,Park, Joo-Cheol,Jang, Hyun-Seon 대한치주과학회 2006 Journal of Periodontal & Implant Science Vol.36 No.1

Although the main purpose of periodontal treatment to regenerate is the complete regeneration of periodontal tissue due to periodontal disease, most of the treatment cannot meet such purpose because healing by long epithelial junction. Therefore, diverse materials of resorbable and non-resorbable have been used to regenerate the periodontal tissue. Due to high risk of exposure and necessity of secondary surgical procedure when using non-resorbable membrane, guided tissue regeneration using the resorbable membrane has gain popularity, recently. However, present resorbable membrane has the disadvantage of not having sufficient time to regenerate date to the difference of resorption rate according to surgical site. Meanwhile, other than the structure stability and facile manipulation, acellular dermal matrix has been reported to be a possible scaffold for cellular proliferation due to rapid revascularization and favorable physical properties for cellular attachment and proliferation. The purpose of this study is to estimate the influence of acellular dermal matrix on periodontal ligament, cementum and alveolar bone when acellular dermal matrix is implanted to 1-wall alveolar bone defect. 4 dogs of 12 to 16 month old irrelevant to sex , which below 15Kg of body weight, has been used in this study. ADM has been used for the material of guided tissue regeneration. The 3rd premolar of the lower jaw was extracted bilaterally and awaited for self-healing. subsequently buccal and lingual flap was elevated to form one wall intrabony defect with the depth and width of 4mm on the distal surface of 2nd premolar and the mesial surface of 4th premolar. After the removal of periodontal ligament by root planing. notch was formed on the basal position. Following the root surface treatment, while the control group had the flap sutured without any treatment on surgically induced intrabony defect. Following the root surface treatment, the flap of intrabony defect was sutured with the ADM inserted while the control group sutured without any insertion. The histologic specimen was observed after 4 and 8 weeks of treatment. The control group was partially regenerated by periodontal ligament, new cementum and new alveolar bone. the level of regeneration is not reached on the previous formed notch. but, experimental group was fully regenerated by functionally oriented periodontal ligament fiber. new cementum and new alveolar bone. In conclusion, we think that ADM seems to be used by scaffold for periodontal ligament cells and the matrix is expected to use on guided tissue regeneration.

공황장애의 뇌영상 및 신경생물학적 식견

박주언,강은호,이인수,유범희,Park, Joo-Eon,Kang, Eun-Ho,Lee, In-Soo,Yu, Bum-Hee 대한불안의학회 2007 대한불안의학회지 Vol.3 No.2

Panic disorder is a common psychiatric illness that causes considerable morbidity. However, the biological basis of panic disorder remains unclear. In this report, we present and summarize the current literature on functional neuroimaging studies related to the neurobiology of panic disorder. The findings were summarized and divided into six groups : (1) known brain structures related to anxiety, especially panic disorder ; (2) structural results ; (3) functional imaging studies at rest ; (4) functional imaging studies with challenge testing ; (5) neuroreceptor studies ; and (6) changes in the treatment of panic disorder. Based on the findings of these neuroimaging studies, it seems as though panic disorder involves the hippocampal and parahippocampal areas, including the amygdala, as well as some cortical regions, such as the temporal and prefrontal cortices. Panic disorder is known to be associated with an imbalance between the right and left hemispheres of the brain at rest or during panic attacks. During a panic attack, patients with panic disorder are likely to experience an increase in local activity in the cingulate, insula, midbrain, and so on. On the other hand, a widespread reduction in the cortical areas has also been reported in most provocation studies. Thus, panic disorder may be related to the excess activation of the fear networks in response to subtle environmental cues and insufficient inhibition from higher cortical control areas ; however ; further studies are recommended in order to fully understand the neurobiology of panic disorder.