Poster Session : PS 0831 ; Upper GI Tract : Clinical Factors to Predict Angiographically Detectable Non-Variceal Upper Gastrointestinal Bleeding in Patients Refractory to Endoscopic Treatment

( Tae Hwan Ha ),( Tae Hoon Oh ),( Sung In Yu ),( Min Kim ),( Jong Wook Kim ),( Won Ki Bae ),( Jae Hyung Kim ),( Seung Suk Baek ),( Mi Jin Ryu ),( Ye Na Choi ),( Ji Young Park ),( Eileen L Yoon ),( Tae 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

Background: Non-variceal upper GI bleeding (NVUGIB) is a common medical problem that has signifi cant association with morbidity and mortality. Angiographic detection and subsequent transarterial embolization (TAE) is a primary treatment option when medical and endoscopic treatments fail. We investigated clinical factors that could affect the success of the angiographic detection and prognosis after TAE in patients with NVUGIB refractory to endoscopic therapy. Methods: A retrospective analysis of the clinical data was done in patients with failed endoscopic treatment who underwent angiography for the treatment of acute NVUGIB between May 2002 and May 2013. Patients were divided into detection or non-detection groups according to the presence of bleeding stigmata in angiographic fi nding. Rebleeding defi ned as subsequent bleeding event within 7 days and mortality within 30days were analyzed as outcome parameters after TAE following detection in angiography. Results: A total 45 patients 37 (male, mean age, 65.9±14.9 years) were analyzed and classifi ed as a detection group (n=25, 55.5%) and non-detection group (n=20, 44.6%). Peptic ulcers were the most common cause of refractory NVUGIB. Larger transfusion amount (5.7±3.9 unit vs. 3.5±2.8 unit; P=0.03), prolonged aPTT level (34.2±17.3 sec vs. 21.8±13.8 sec; P=0.01) and short time interval between last endoscopy and angiography (17.5±25.9 hours vs. 34.3±59.5 hours; P=0.04) were found to be signifi cant factors for predicting angiographic detection. TAE was performed in all patients detected in angiography. Rebleeding (44%) was significantly associated with higher Rockall score (8.3±1.5 vs. 6.6±2.4; P=0.046) and mortality (12%) was signifi cantly associated with higher Rockall score (9.3±0.6 vs. 7.1±2.2; P=0.002) and higher level of BUN (55.3±47.4 vs. 27.6±17.4; P=0.01). Conclusions: Clinical characteristics associated with angiographic detection in patients with NVUGIB refractory to endoscopic therapy were severe bleeding, bleeding tendency and early angiographic intervention. The Rockall score is useful parameter for predicting rebleeding and mortality after TAE.

지방신문의 국제뉴스에 관한 연구 : 걸프전 보도를 중심으로

김원태 전남대학교 사회과학연구소 1991 현대사회과학연구 Vol.2 No.1

The tendancy of the report of the international news shows that the developing countries' news is relatively few and negative than that of the advanced countries. It appeared that in the international news flow of information, there is imballance and the negative news finally effects bad influences on international relation. The similar assertion appeared obviously not only in the study results of foreign scholars; Schramm, Markham, Galtung, Weaver and Wilhoit, but also in Korean scholars: Kim, Jung-Gi, Choi, Chang-Sup, Lee, Sang-Chul, You, Jae-Chun, Im, Duk-Keun, Kim, Won-Tae. The study on the international news generally deals with the news flow from advanced countries to the developing countries and the imbalance of news report centering around 4 major wire services, and Korean newspapers also show same news tendancy. But there is nearly no study presentation on international news of local papers. Local papers deal with international news at political department or editing department without foreign news department. In view of the importance of internationalization of locality, local papers should have more interest about international news. The ratio of center related news is 62.9%, local related news is 37.1% and in editorial, center related theme is 76.4%, but local related theme is only 23.6%. Though it is located in local cities, however, Local papers deal with general news and editorials as if it is center papers. So the newspaper editing is not match with locality and it seems like a reduced-size edition of center papers. Local papers have weak point in covering international news. There is many local agencies which do not have foreign news department. Therefore without international news specialists, teletypewriters, all foreign news are depending on Yunhap News Agency. But when an important event occurred like Gulf War, they temporarily entrust expert journalists in foreign language with foreign news dealer. To know how local papers deal with international news, the researcher compare and analyze Chosun-Ilbo in Seoul, Kwangju-Ilbo in Kwangju, and Maeil-Sinmun in Taegu by using content analysis as an analysis method for the all sample papers of February 1991. Especially, in this period, the researcher want to study how Seoul and local papers deal with such an important event like Gulf War. In result, Chosun-Ilbo covered not only much international news but also sports, international politics, economics evenly. It dispatched 3 correspondents at war districts. It tried to see the war event through its eyes and filtered and reedited foreign news under the name of 'foreign news integration'. But the effort which it wants to free from foreign news agency's view had no sufficient effect. The ratio of international news volume and space in Kwangju-Ilbo was relatively low than Chosun-Ilbo. Giving foreign news directly to readers it lacks unificative view. But it tried to cover the vivid news by dispatching correspondent at Gulf district. And it was unique case among local papers. Besides it has enthusiasm to cover somewhere like Mongolia etc. Comparing to Chosun-Ilbo and Kwangju-Ilbo the gravity of international news of Maeil-Sinmun was very low. Though percentages of international news was relatively low, but it use `foreign news integration' like Chosun-Ilbo and clearly expressed news source agencies. But Maeil-Sinmun was somhow negligent for local readers on international news without particular reason. Nowadays local papers should contribute to develop local culture by enlarging international news in quantity and quality, carrying out the role of the 'world window' for local readers.

Clinical Outcome of Modified Cervical Lateral Mass Screw Fixation Technique

Kim, Seong-Hwan,Seo, Won-Deog,Kim, Ki-Hong,Yeo, Hyung-Tae,Choi, Gi-Hwan,Kim, Dae-Hyun The Korean Neurosurgical Society 2012 Journal of Korean neurosurgical society Vol.52 No.2

Objective : The purpose of this study was 1) to analyze clinically-executed cervical lateral mass screw fixation by the Kim's technique as suggested in the previous morphometric and cadaveric study and 2) to examine various complications and bicortical purchase that are important for b-one fusion. Methods : A retrospective study was done on the charts, operative records, radiographs, and clinical follow up of thirty-nine patients. One hundred and seventy-eight lateral mass screws were analyzed. The spinal nerve injury, violation of the facet joint, vertebral artery injury, and the bicortical purchases were examined at each lateral mass. Results : All thirty-nine patients received instrumentations with poly axial screws and rod systems, in which one hundred and seventy-eight screws in total. No vertebral artery injury or nerve root injury were observed. Sixteen facet joint violations were observed (9.0%). Bicortical purchases were achieved on one hundred and fifty-six (87.6%). Bone fusion was achieved in all patients. Conclusion : The advantages of the Kim's technique are that it is performed by using given anatomical structures and that the complication rate is as low as those of other known techniques. The Kim's technique can be performed easily and safely without fluoroscopic assistance for the treatment of many cervical diseases.

간세포암환자에서 간동맥 화학 색전술 후 발생한 리피오돌에 의한 폐렴 1예

김소이,김유리,허현미,배서은,이명원,최윤정,김고흔,김태헌,유 권,문일환 이화여자대학교 의과대학 2009 EMJ (Ewha medical journal) Vol.32 No.2

Hepatocellular carcinoma(HCC)is one of common causes of cancer-related death in Korea where the majority of HCC patients were Hepaitc B virus(HBV)carriers and have cirrhosis. Transarterial chemoembolization(TACE)is commonly applied to the treatment of multinodular HCC in Korea and careful selection of candidate is important for the risk of various side effects. Besides common side effects as fever, nausea, abdominal pain and elevation of liver enzyme, TACE may predispose to hepatic failure, ischemic cholecystitis, pulmonary embolism, cerebral embolism and pneumonitis. In previous studies, some cases of pulmonary and cerebral embolism cases were reported but lipiodol pneumonitis after TACE was rarely reported. A 65-year-old woman with a multinodular HCC associated with HBV infection, was treated with TACE. Seven days after the procedure, nonspecific respiratory symptoms such as dyspnea and dry cough developed. Chest X-ray and chest computed tomography showed diffuse ground glass opacities in whole lung fields, suggestive of lipiodol pneumonitis. After several days of supportive care with steroid administration, radiologic abnormalities and subjective symptoms were much improved, considered that the disease was compatible with lipiodol pneumonitis.

水稻 이양전작(春播) 靑刈 옥수수의 경제성 조사

金基元,徐大振,姜奉泰 진주산업대학교 1972 論文集 Vol.9 No.-

1. The weather condition was good and the cost of producing 7,600Kg/wa of soiling corns was 3,911 Won 2. Appreciate value per Kg was 51 Won, labor-expense was 3,38won, fertilizer-expense 0,16 Won and productive quantity per invested labor-hour was 118Kg, 3. Forage quantity to purchase with the expense of soiling coiling corns sold is as follows:barley is 156,4Kg, corns are 88.3Kg, wheat bran is 165.7Kg, wheat 114.0Kg and nou-fatdrid ricebran is 23.42Kg. 4. After-farming growth and harvest quantity were not different, but the damage of disease was slightly more.

DATA BASE SYSTEM DEVELOPMENT AND STATISTICAL ANALYSIS OF EIR3 ACCIDENTS OF SEVERAL COUNTRIES

Kim,In-Tae,Kim,In-Won,Song,Hee-Oeul 한국화재소방학회 1997 한국화재소방학회 학술대회 논문집 Vol.1997 No.-

The fire accident cases of several countries such as Korea, Japan, United States, etc., were collected and compared statistically. The trends of fire accidents in several countries will help us establish detailed plans for fire protection and reduce the possible fire accidents in the future. For construction of data base system, the program FADS was developed, which is operable in Windows environment.

Case Report : Autosomal Translocation Patient Who Experienced Premature Menopause: A Case Report

( Tae-hee Kim ),( Yesol Kim ),( Do-won Jeong ),( Eun-gyeong Lee ),( Dong-su Jeon ),( Jun-mo Kim3 ) 대한폐경학회 2015 대한폐경학회지 Vol.21 No.2

Premature ovarian failure (POF) is a condition in which the ovarian functions of hormone production and oocyte development become impaired before the typical age for menopause. POF and early menopause are present in a broad spectrum of gonad dysgenesis, from a complete cessation of ovarian function to an intermittent follicle maturation failure. Actually POF has been identified as a genetic entity (especially chromosome X), but data on genetic factors of premature menopause are limited. Until now, several cases revealed that inactivation of X chromosomes has an effect on ages of premature menopause and females with balanced or unbalanced X-autosome translocations can have several reproductive problems. On the other hand, there have been a few data that was caused by autosome-autosome translocation can lead. Therefore we report a relevant case of POF with translocation between chromosomes 1 and 4. She had her first menstrual period at the age of 12, and after 7 years she stopped menstruation. Chromosomal analysis showed 46, XX, t (1;4) (p22.3;q31.3). While evaluating this rare case, we could review various causes (especially genetic factors) of POF. To remind clinicians about this disease, we report a case of POF caused by autosomeautosome translocation with a literature review. (J Menopausal Med 2015;21:112-114)

고속 주축계의 자켓의 유량 변화에 따른 냉각 특성

김태원,김수태,최대봉,김태형 한국공작기계학회 2000 한국공작기계학회 추계학술대회논문집 Vol.2000 No.-

Cooling characteristics of cooling jacket for spindle system with built-in motor are studied. For the analysis, three dimensional model for the cooling jacket is built by using finite volume method. The three dimensional model includes the estimation on the amount of heat generation of bearing and built-in motor and the thermal characteristic values such as heat flux on the boundary. Numerical results show that flow rate are important factors for cooling characteristics of cooling jacket.

알코올성 치매의 신경심리학적 소견

김태유,김지원,김상윤,김준모,이동기,연권인,김민정,이은아,손정은 대한노인병학회 2004 대한노인병학회지 Vol.8 No.1

주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ(Health and Work Performance Questionnaire)를 이용한 예비연구

김원,황태연,함병주,이준석,최병휘,김세주,서용진,강은호,우종민 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Major depressive disorder (MDD) causes patients' distress and makes socioeconomic burden, both directly and indirectly. We used the concept of lost productive time (LPT) to estimate the indirect costs and calculated both absenteeism and presenteeism among workers with MDD. Mcthods : Depression group was recruited from workers visiting psychiatric outpatient clinic who had MDD without major physical or mental disorders (N= 106). Age and sex matched healthy control group was also recruited through advertisement (M=100). All participants completed a interview using WHO Health and Work Performance Questionnaire (HPQ), Job Stress Measurement Scale for Korean Employees, and Hamilton Rating Scale for Depression. Statistical analysis was performed with independent t-test or χ² test as characteristics of values (p=0.05). Results : The number of absence (0.94-day/month vs. 0.10-day/month, P=0.015) andthe numberofearly leaving (2.56-day/month vs. 0.24-day/month, P<0.001) were significantly higher in the depression group. Depression group evaluated their Perfor-mance level much lower than controls with significant value (5.16 vs. 7.62, P<0.001). In addition, depression group estimated their performance level during the last 4 weeks lower compared to the level of past 1-year (5.16 vs 6.63, P<0.001). The estimated costs of absenteeism in depression group were higher than controls by 2,520,000 Korean Won per year, and those of presenteeism were also higher by 4,880,000 Korean Won per year. The total costs of LPT in depression group were higher than controls by 7,400,000 Korean Won, which corresponds to 26% ofmean annual salary. In addition, the level of occupational stress, such as high demand and interpersonal conflict, was higher in the depression group. Conclusion : Major depressive disorder costs substantial productivity loss to workers and their company. Presenteeism imposes more time cost than absenteeism. Effectiveness trials are needed to devise cost-effective programs for the early detection and treatment of depression at the workplace.