한국형 자궁경부 촬영진 ( New Cervicography ) , 세포검사 그리고 HPV-DNA 검사를 이용한 새로운 자궁경부암 검진 모델 ( Model ) 개발

김승조(SJ Kim),박찬규(CK Park),이효표(HP Lee),남궁성은(SE Namkoong),강순범(SB Kang),서호석(HS Saw),이재관(JK Lee),김수녕(SN Kim),김재원(JW Kim),배석년(SN Bae),김찬주(CJ Kim),이근호(KH Lee),이선영(SY Lee),김인호(IH Kim),이찬(C Lee),이정노(JN Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.5

N/A Objective : The false negative rate of conventional cytology is reported to range from 18 to 45%. It is necessary to develop more effective screening strategies that would ideally be more accurate than conventional cytology. This study is designed to investigate the potential of conventional cytology, cervicography, HPV-DNA testing and their combinations as primary screening techniques for cervical neoplasia. The purpose of this project is to develop the models and guidelines for screening tools of cervical cancer of the uterus by evaluating sensitivity, specificity and cost-effectiveness of all the screening methods. Study design : We conducted a screening of random sample of women who visited the department of OB-Gyn. of five different major university hospitals such as Catholic University Hospital, Korea University Hospital, Seoul National University Hospital, Yeonsei University Hospital and Pochon CHA University Bundang CHA Hospital, from May 1, 1996 to April 30, 1999. In a cohort women with an age range of 20 to 70 who underwent routine cytologic screening at Catholic University, Hospital Bundang CHA General Hospital and local clinics from April 1, 1996 to Decomber 31, 2000. cervicography (n=417,125) and testing for HPV-DNA (n=1,347) by the hybrid capture assay were studied for the ability of the cervical cancer screeuing. A new cervicography system with Kim's classification which was developed by Prof. Kim Seung Jo as an adjunctive method for the cervical cancer screening was applied in this cohort study. And then, accuracy, effectivencess, cost-effectiveness of the single or combined screening method were analysed. Result : Sensitivity and specificity of Pap smear were ranged from 55.6% to 83.1% and 72.8% to 88.3% respectively. The combination of Pap smear and cervicography had sensitivity from 89.7% to 98.6%, specificity from 68.2% to 93.2%. With combination of Pap smear, HPV DNA test and cervicography, sensitivity became also highest accuracy among all screening methods from 92.8% to 98.8%. Considering medical charges for diagnosis and social cost occurred by false positive and false negative results, the most cost-effective diagnostic modality was thought to be the combination of Pap smear and cervicography(91,433 won). In patients who were diagnosed as LSIL, colposcopic examination confirmed progression to high grade intraepithelial lesion(HSIL) in 10.7% patients, persistence of LSIL in 55% patients during the 3 year follow-up period. Accuracy of the screening for cervical cancer and CIN can significantly be improved by cytology with new cervicography rather than cytology alone. We concluded that cervicography can be important adjunctive tests for cervical cytology, improving the effectiveness of cervical screening by allowing a more sensitive detection of cervical neoplasia.

수용액 매체에서 젤-케스팅 공정을 이용한 세라믹 코어 제조에 관한 연구(I) : 다성분계 분산 세라믹 슬립의 젤화 거동

김재원,김두현,김인수,유영수,김재철,조창용,Kim, Jae-Won,Kim, Du-Hyeon,Kim, In-Su,Yu, Yeong-Su,Kim, Jae-Cheol,Jo, Chang-Yong 한국재료학회 2001 한국재료학회지 Vol.11 No.2

A new process, gelcasting in aqueous medium, to fabricate complex-shaped ceramic core has investigated. The ceramic slurry, mixture of fused silica powder and additives such as zircon and cordierite, was electrosterically stabilizes. The slip was prepared by ball milling of polydispered ceramic suspension with monomer, dimer and dispersant. The rheological behavior of slip was evaluated by viscosity measurement. It was found that the high solid loading of polydispersed ceramic slip, which has low viscosity of 50vol%, is possible to obtained. The viscosity of the slip was significantly dependent upon the amount of polymer dispersant and the formulation of monomer and dimer. The green bodies were fabricated through casting and gelation at room temperature followed by drying at $25^{\circ}C$ for 48hrs under relative humidity of 80~85%. Crack-free green body was successfully fabricated through the above process. 수용액 매체에서 젤케스팅을 이용하여 복잡한 형상의 세라믹스를 제조하기 위한 새로운 공정을 연구하였다 용융실리카 분말과 첨가제로서 지르콘과 코디어라이트 조성으로 혼합된 현탁액을 electrosteric 방법으로 안정화시켰다. 슬립은 다성분계 세라믹 현탁액에 단량체, 이량체 그러고 분산제를 혼합하고, 볼밀하여 준비하였다. 슬립의 유동학적 특성을 평가하기 위해 점도를 측정하였으며 , 낮은 점도를 갖는 50vo1%의 고농도 다성분계 세라믹 슬립의 제조가 가능하였다. 슬립의 점도는 고분자 분산제의 함량과 단량체 및 이량체의 혼합비에 크게 의존하였다. 성형체는 안정화시킨 슬립을 몰드에 부어 상온에서 젤화시킨 후 $25^{\circ}C$, 80~85% 상대습도 분위기 하에서 48시간동안 건조시켜 제조하였으며 건조된 성형체에는 균열이 발생하지 않았다.

정밀주조용 쉘 몰드에 알루미노실리케이트계 졸의 응용에 관한 연구 ( I )

김재원,김두현,서성문,조창용,최승주,김재철,박영규,Kim, Jae-Won,Kim, Du-Hyeon,Seo, Seong-Mun,Jo, Chang-Yong,Choe, Seung-Ju,Kim, Jae-Cheol,Park, Yeong-Gyu 한국재료학회 1999 한국재료학회지 Vol.9 No.12

알루미노실리케이트 계 졸이 지르콘 쉘 몰드의 뮬라이트 층 생성에 미치는 영향을 고찰하였다. 알루미노실리케이트 졸은 콜로이달 실리카와 수용성 질산알루미늄을 혼합하여 제조하였으며 50$^{\circ}C$에서 48시간 조건에서 겔화 하였다. 이러한 겔은 깁사이트 및 알루미노실리케이트 복합 겔로 구성되어 있었으며, Si 이온과 결합하는 모든 Al 이온의 배위수가 4임을 확인하였다. 뮬라이트 상은 1300$^{\circ}C$ 이상에서 소결하였을 때 관찰되었으며 뮬라이트의 XRD 피크는 소결 온도와 질산알루미늄의 농도가 증가할수록 노실리케이트 졸 슬러리를 2차 층에 코팅하였다. 그 결과 1차 및 3차 층의 분리가 일어났으며, 이는 소결시 졸의 1차 및 3차 층으로 침윤 발생과 잔류 실리카와 뮬라이트 간의 열팽창계수 차이에 기인한 것으로 판단된다. The effect of aluminosilicate sol on the formation of mullite layer in zircon shell mold was investigated. Aluminosilicate sol was prepared by mixing of colloidal silica(NALCO(R) 1130) and an aqueous solution of aluminium nitrate at room temperature. The sol gelled at 50$^{\circ}C$ for 48 hrs. It was identified that the gel consists of aluminosilicate complexes and gibbsite. The coordination number of all aluminium ion bonded with silicon ion was four. Mullite phase formed by sintering above 1300$^{\circ}C$. XRD peak of mullite sharpened with increasing sintering temperature and the content of aluminium nitrate. Mullite phase displayed whisker-like 0.5~5${\mu}m $ particles. Separation between 1st and 3rd layers during sintering and the difference in thermal expansion coefficient between residual silica and mullite.

Al 첨가에 따른 소성중 쉘 몰드의 뮬라이트화 거동

김재원,김두현,서성문,조창용,김주량,최승주,Kim, Jae-Won,Kim, Du-Hyeon,Seo, Seong-Mun,Jo, Chang-Yong,Kim, Ju-Ryang,Choe, Seung-Ju 한국재료학회 1999 한국재료학회지 Vol.9 No.8

The efect of A1 addition and sintering condition on mutization behavior between alumina and silica in alumina-based shell mold was investigated. A1 addition and high sintering temperature increased the degree of mullitization between alumina/silica but decreased the room temperature strentgh of the shell molds. It was identified that the sintered strength of the shell molds was in range of 2.0~2.6kg/$\textrm{mm}^2$. Al addition suppressed deflection of the shell molds at high temperature. Especially, no deflection was observed in the specimen which was sintered at $1000^{\circ}C$ for 1hr with 2.5wt% Al. The specimen sintered at $1500^{\circ}C$ for 4hrs with no Al addition also displayed no deflection. A1 분말의 첨가량을 변화시킨 알루미나 쉘 몰드를 제조하여 소성조건에 따른 알루미나/실리카의 뮬라이트화 거동을 관찰하였다. 알루미나/실리카의 뮬라이트화 반응은 소성온도 및 A1 함량의 증가에 따라 증대함을 알 수 있었으나 쉘 몰드의 상온강도는 감소하였다. 각 소성조건에서 측정된 쉘 강도는 2.0~2.6kg/$\textrm{mm}^2$임을 알 수 있었다. Al의 첨가는 고온에서 쉘 몰드의 변형을 억제시켰다. 특히 2.5wt%%의 Al을 첨가한 후 $1000^{\circ}C$에서 1시간 유지한 시편에서는 변형이 일어나지 않았으며, 또한 Al을 첨가하지 않은 시편을 $1500^{\circ}C$에서 4시간동안 소성한 시편에서도 변형이 일어나지 않음을 알 수 있었다.

수용액 매체로부터 코디어라이트 졸의 제조 및 코디어라이트 세라믹스의 소결거동

김재원,김현철,김두현,서성문,조창용,최승주,김재철,Kim, Jae-Won,Kim, Hyeon-Cheol,Kim, Du-Hyeon,Seo, Seong-Mun,Jo, Chang-Yong,Choe, Seung-Ju,Kim, Jae-Cheol 한국재료학회 2000 한국재료학회지 Vol.10 No.3

소결 촉진제 첨가없이 치밀한 코디어라이트 세라믹스를 얻기 위해 Mg-Al-Si계의 열적거동을 검토하였다. 수용액 매체에서 코디어라이트 현탁액의 분산안정성을 ESA를 이용하여 조사하였으며, 코디어라이트 졸의 응집 방지와 분산성을 부여하기 위해 2N $HNO_3$와 2N $NH_4OH$ 용액으로 pH 1.03과 pH 8.30로 조절하였다. pH 8.30인 코디어라이트 졸을 $150^{\circ}C$에서 12시간 건조한 시료에서 magnesium-aluminum-silicate 복합 겔이 존재하였다. 평형상태의 코디어라이트 겔의 결정화는 $1300^{\circ}C$ 이상의 소결 온도에서 존재하였으며, $1300^{\circ}C$ 이하의 조건에서는 ${\mu}-cordierite(Mg_2Al_4Si_5O_18)$, spine($MgAl_2O_4$) 및 mullite($Al_6Si_2O_{13}$)와 같은 다양한 준안정상이 복합적으로 혼재하였다. pH 1.03과 pH 8.30로 조절된 현탁액에서 코디어라이트 겔의 핵반응은 유사하게 일어났으나, 치말화거동은 졸의 pH에 상당한 차이를 보였다. pH 1.03인 졸 보다 pH 8.30인 졸의 치밀화가 더욱 진전되었다. In order to fabricate dense cordierite ceramics without sintering aid, thermal behavior of Mg-Al-Si compounds during sintering was investigated. The dispersibility of cordierite suspension in aqueous media was measured by ESA(electrokinetic sonic amplitude). To prevent aggregation and insufficient dispersion of the cordierite sol, the pH of the suspension was controlled to 1.03 and 8.30 by adding $2N\;HNO_3$ and $2N\;NH_4OH$, respectively. Magnesium-aluminum-silicate complex gel coexisted in the specimen which has been gelled at $150^{\circ}C$ fir 12 hours, however several metastable phase such as ${\mu}-cordierite(Mg_2Al_4Si_5O_{18}),\;spine(MgAl_2O_4)\;and\;mullite(Al_6Si_2O_{13})$ existed below $1300^{\circ}C$ Nucleation rates of the two suspension were similar, but densification of the gel was sensitive to the pH of the sol. Densification of the sol with the pH of 8.3 was more pronounced than that of the sol with pH of 1.63.

수용액 매체에서 젤-케스팅 공정을 이용한 세라믹 코어 제조에 관한 연구(II) : 세라믹 코어 소결체의 물성

김재원,김두현,김인수,유영수,최백규,김의환,조창용,Kim, Jae-Won,Kim, Du-Hyeon,Kim, In-Su,Yu, Yeong-Su,Choe, Baek-Gyu,Kim, Ui-Hwan,Jo, Chang-Yong 한국재료학회 2001 한국재료학회지 Vol.11 No.6

수용성 매체에서 젤-케스팅 공정을 이용하여 용융실리카를 기본으로 하는 다성분계 세라믹 코어 (中子)를 제조하고, 소결조건에 따른 제반 기계적 물성과 알칼리 부식용액에 의한 용출특성을 고찰하였다. 1000cP (at $50sec^{-1}$ ) 이하의 낮은 점도를 갖는 50vol%의 고농도 다성분계 세라믹 슬림의 제조가 가능하였다. 성형체는 안정화시킨 슬림을 몰드에 부어 상온에서 겔화시킨 후 $25^{\circ}C$, 80% 상대습도 분위기 하에서 48시간동안 건조시켜 제조하였으며 건조된 성형체에는 균열이 발생하지 않았다. 세라믹 코어 성형체의 소결온도가 상승할 수록 상온강도, 겉보기 밀도, 수축률은 시편의 기공도와 역비례하여 증가하였다. 세라믹 코어 소결체의 용출속도는 동일한 온도에서 알칼리 부식용액의 농도에 의존하였으며, 소결체의 기공도가 클수록 증가하였다. The effect of sintering condition on the mechanical properties and leachability of polydispersed ceramic core body made by gel-casting process in aqueous medium have been investigated. The polydispersed ceramic slip that has low viscosity($\leq$1000cP, at 1000cP (at $50sec^{-1}$ ) and high solid loading(50vo1%) was obtained. The green bodies were fabricated through casting and gelation at room temperature followed by drying at $25^{\circ}C$for 48hrs under relative humidity of 80%. Crack-free green body was successfully fabricated through the above process. The strength at room temperature, apparent bulk density, and shrinkage of the ceramic core body increased propotionally with increasing sintering temperature(1100~150$0^{\circ}C$). However, porosity of the ceramic core body showed relatively low vague. Leaching rate of sintered core body increased with increasing porosity of the sintered body, and was significantly dependent upon the concentration of alkali caustic solution at the same leaching temperature.

접합 공정 조건이 Al-Al 접합의 계면접착에너지에 미치는 영향

김재원,정명혁,장은정,박성철,김성동,박영배,Kim, Jae-Won,Jeong, Myeong-Hyeok,Jang, Eun-Jung,Park, Sung-Cheol,Cakmak, Erkan,Kim, Bi-Oh,Matthias, Thorsten,Kim, Sung-Dong,Park, Young-Bae 한국재료학회 2010 한국재료학회지 Vol.20 No.6

3-D IC integration enables the smallest form factor and highest performance due to the shortest and most plentiful interconnects between chips. Direct metal bonding has several advantages over the solder-based bonding, including lower electrical resistivity, better electromigration resistance and more reduced interconnect RC delay, while high process temperature is one of the major bottlenecks of metal direct bonding because it can negatively influence device reliability and manufacturing yield. We performed quantitative analyses of the interfacial properties of Al-Al bonds with varying process parameters, bonding temperature, bonding time, and bonding environment. A 4-point bending method was used to measure the interfacial adhesion energy. The quantitative interfacial adhesion energy measured by a 4-point bending test shows 1.33, 2.25, and $6.44\;J/m^2$ for 400, 450, and $500^{\circ}C$, respectively, in a $N_2$ atmosphere. Increasing the bonding time from 1 to 4 hrs enhanced the interfacial fracture toughness while the effects of forming gas were negligible, which were correlated to the bonding interface analysis results. XPS depth analysis results on the delaminated interfaces showed that the relative area fraction of aluminum oxide to the pure aluminum phase near the bonding surfaces match well the variations of interfacial adhesion energies with bonding process conditions.

신발 유형과 행동 과제에 따른 보행 속도 분석

김재원,조연하,이선엽,이무렬,김소정,김진아,Kim, Jae-Won,Jo, Yeon-Ha,Lee, Sun-Yeop,Lee, Mu-Ryeol,Kim, So-Jeong,Kim, Jin-A 한국임상보건과학회 2017 한국임상보건과학회지 Vol.5 No.4

Purpose. Walking depends on the speed and type of shoe to be worn, and the degree of impact varies with the muscle used. In addition, the speed can be changed by moving objects and using objects when walking. This study analyzed the change of walking speed by applying various factors influencing walking. Methods. A total of 60 patients who had not undergone musculoskeletal diseases during the last 1 year were included. Shoe type was divided into slippers and shoe heels. Behavioral types were divided into bagging, books, and cell phone use. The walking speed was measured by the general walking, the middle walking, and the fast walking. The time was measured using a 10M linear distance test. The collected data were analyzed with SPSS program for independent samples t-test, one-way ANOVA. Results. There was a statistically significant difference according to the type of shoes when walking. Walking speed was slow in shoe heel. In addition, There was statistically significant difference according to type of behavior task at walking. Walking speed was slow in task type using mobile phone during walking. Conclusions. The walking speed were appeared difference in each type of shoe heel, using mobile phone.

4-point bending test system을 이용한 Cu-Cu 열 압착 접합 특성 평가

김재원,김광섭,이학주,김희연,박영배,현승민,Kim, Jae-Won,Kim, Kwang-Seop,Lee, Hak-Joo,Kim, Hee-Yeon,Park, Young-Bae,Hyun, Seung-Min 한국마이크로전자및패키징학회 2011 마이크로전자 및 패키징학회지 Vol.18 No.4

3차원 칩 적층 접합에 사용하기 위한 Cu-Cu 금속 저온 접합 공정을 위하여 접합 온도 및 플라즈마 표면 전처리에 따른 열 압착 접합을 수행 하였다. 4점굽힘시험과 CCD 카메라를 이용하여 Cu 접합부의 정량적인 계면접착에너지를 평가하였다. 접합 온도 $250^{\circ}C$, $300^{\circ}C$, $350^{\circ}C$에서 각각 $1.38{\pm}1.06$(상한값), $7.91{\pm}0.27$(하한값), $10.36{\pm}1.01$(하한값) $J/m^2$으로 접합온도 $300^{\circ}C$ 이상에서 계면접착에너지 5 $J/m^2$ 이상의 값을 얻었다. 접합 온도 $300^{\circ}C$ 이하 낮은 온도에서 접합하기 위해 Cu-Cu 열 압착 접합 전 Ar+$H_2$ 플라즈마로 $200^{\circ}C$에서 2분간 표면 전처리 후 $250^{\circ}C$ 조건에서 열 압착 접합할 경우 계면접착에너지 값이 $6.59${\pm}0.03$(하한값) $J/m^2$로 표면 전 처리하지 않은 시험편에 비해 접합 특성이 크게 증가 하였다. The quantitative interfacial adhesion energy of the Cu-Cu direct bonding layers was evaluated in terms of the bonding temperature and Ar+$H_2$ plasma treatment on Cu surface by using a 4-point bending test. The interfacial adhesion energy and bonding quality depend on increased bonding temperature and post-annealing temperature. With increasing bonding temperature from $250^{\circ}C$ to $350^{\circ}C$, the interfacial adhesion energy increase from $1.38{\pm}1.06$ $J/m^2$ to $10.36{\pm}1.01$ $J/m^2$. The Ar+$H_2$ plasma treatment on Cu surface drastically increase the interfacial adhesion energy form $1.38{\pm}1.06$ $J/m^2$ to $6.59{\pm}0.03$ $J/m^2$. The plasma pre-treatment successfully reduces processing temperature of Cu to Cu direct bonding.

실리카 바인더 함량과 소결조건이 지르콘계 주형의 강도에 미치는 영향

김재원,김두현,김인수,서성문,조해용,김두수,조창용,최승주,Kim, Jae-Won,Kim, Du-Hyeon,Kim, In-Su,Seo, Seong-Mun,Jo, Hae-Yong,Kim, Du-Su,Jo, Chang-Yong,Choe, Seung-Ju 한국재료학회 2000 한국재료학회지 Vol.10 No.6

실리카 바인더 함량이 지르콘 쉘 주형의 기계적 특성에 미치는 영향을 고찰하였다. 실리카 졸/지르콘 함량비 $R_w$는 0.18~0.43 범위에서 변화시켰으며, 주형의 소결온도는 $871^{\circ}C~1400^{\circ}C$ 범위에서 변화시켰다. 생형의 상온강도는 실리카 졸/지르콘 함량비 $R_w$에 비례하여 증가하였다. 소결온도가 $1300^{\circ}C$ 이하인 경우, $R_w$가 증가함에 따라 소결된 주형의 상온강도와 치밀화는 증가하였다. 그러나 $R_w$가 0.43이고 $1400^{\circ}C$에서 3시간 동안 소결시킨 경우 주형의 상온강도와 치밀화가 오히려 감소하였다. 이는 소결 중 내화물 입자와 실리카 바인더와 열팽창계수의 차이에 기인하는 것으로 판단된다. 정밀주조용 지르콘 쉘 주형 제작을 의한 최적의 $R_w$ 값은 0.33인 것으로 나타났다. The effect of silica binder content on the mechanical properties of zircon shell mold was investigated. Content of binder silica sol to refractory powder in weight[$R_W$] was adjusted from 0.18 to 0.43. Sintering of the shell mold was carried out in the temperature range of $871^{\circ}C$ to $1400^{\circ}C$. Green strength of the shell mold at room temperature increased with increasing $R_W$ and sintering temperature up to $1300^{\circ}C$. However, the mold with $R_W$ of 0.43 that sintered at $1400^{\circ}C$ for 3 hours showed relatively low strength and large level of porosity. The mechanical behavior of the shells is supposed to attributed to the difference in thermal expansion coefficient between refractory powder and binder silica. The optimum value of $R_W$ for zircon-based shell molds was found to be 0.33.