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      • 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.

      • KCI등재

        傷寒論에 대한 精神醫學的 硏究

        文相泰,辛容玹,具炳壽 대한한방신경정신과학회 2000 동의신경정신과학회지 Vol.11 No.1

        This study was aimed to get the course which is caused by Neuropsychiatric symptoms in Sang-Han. Therefore this study is based on 『Euhak-Ipmun. Sang-Han』(『醫學入門.傷寒』) classfied mainly by symptoms. The results were summerized as follows: 1. Neuropsychiatric symptoms in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』) are explained as Pal-Gang(八綱), which shows those are settled down to a systematic oriental medical theory. 2. Pal-Bup (八法) used in the cure of symptomatische psychose in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』), which is intended to boost the effect of cure, choosing the respondent cure method about various causes. 3. Pal-Gang(八綱) and Pal-Bup(八法) in『Euhak-Ipmun. Sang-Han』(『醫學入門·傷寒』) are improved by Lee-Chun(李 ) who added Jang-gi(張機)'s Sang Han theory and new medical thought in the ages of Geum. Won. 4. Lee-Chun(李 ) believed that Neuropsychiatric symptoms which appeared in Sang Hang is caused by the "Unbalance(不平)". So he wanted to reach harmony of "Jeong(精), QI(氣), Shin(神), Hyul(血)" after improving the status of "Unbalance(『不平』)" toward the status of "Balance(平)".

      • 북한소설 『군바바』에 나타난 ‘민족의식’

        박태상(Park Tae-Sang) 동북아시아문화학회 2007 동북아시아문화학회 국제학술대회 발표자료집 Vol.- No.-

        『Gunbaba』, written by Kim Hye-sung, a rising writer of North Korea, is a historical long-novel which is remarkably highlighting the characteristic of the independence and nationality of our people by standing a Josun military officer as a hero with a historical background of Josun which was dotted with a long spell of national ordeal such like the residence of the Japanese supervising Agent in 1906, the dismission of the Korean army in 1907, the Special Envoys of Hague, and the deposition of King Gojong. 『Gunbaba』 has a framwork of latitude of longitude of supporting characters such like Jock-song, Kwon Ki-hong, Kim Hui-sook, Yang Seol-hee, and Lee around a hero, Nam Sang-duk, a main character. This work is, so to speak, based on ' the First People of Josun', the ideology of 'nationalism', which was stressed by Kim Jeong-il, the chairman of the defence committee after he came to the force. This ideology was functioned as the driving force that caused the writing tendency such like the realistic works of the historical theme that were in great vogue in the North Korean society. Especially in one point, this work gives fun to the readers that it focuses on the nationalism by describing the various types in the decadent stage to the Japanese colonialism of the various kinds of characters, who had collaborated with the Japanese Imperialists in many ways, such as Kim Tae-jin, Lee Wan-yong, and Park Young-hyo of the day it shows. First of all, Nam Sang-duk, the hero, is actually described as a person with many troubles in the work. Nam Sang-duk, who graduated first from the Senior Military Academy and got appointed to a platoon commander of the Josun army, was continually playing a role as a trouble-maker. Without regard to his soldiership, he is engaged into some trouble between 'Cheongcheon Pub' which is operated by Kwon Soon-sil, his friend Kwon Ki-hong's elder sister and 'Sakura Coffee Shop' which is operated by a Japanese, Yoshiko and he is behind bars and then is released. In fact, it seems that the writer has intention in his mind that Nam Sang-duk, his hero, kept his foot in the trouble to make him <a sensible person>. Besides, the hero, Nam Sang-duk, deeply impressed by the Drive for National Debt Compensation of Yang Ki-tak, organized the Danyeonhoe in his Josun army and raised money to participate in the Drive for National Debt Compensation. Moreover, going on his way, he found a boy dying hit by the new train which first showed in Seoul and hurry to the doctor's office carrying him on his back and gave some portion of the fund for the Drive. After all, these activities of him seem to include the writer's purpose not only to show the patriotism of Nam Sang-duk but also to reveal the falseness and the oppression of the Japanese Militarism through the victim by the train, which is propagandized as the symbol of modernization and the point of the modem civilization which is propagandized by the Japanese Imperialism. Another one, Park Sung-hwan, the battalion commander, heard the news of the painful outcries of Yang Sung-hwan who had known the reality of the dismission of Josun army ordered by the Emperor' false will being forced by Lideungbakmun and his pro-Japanese Lee Wan-young, killed himself by a pistol. Nam Sang-duk, the hero, hearing the gun-sound and witnessing the scene of the suicide, dashed to the common soldiers, stimulated them, and resisted in arms. Nam Sang-duk, determined to die and with a bundle of explosive, rushed to the city gate where the Japanese machine-gun position and the fortress were lined up with and died a heroic death raising the morale of the rebel forces. These gallantry and intrepidity come to the victory in the end and they transfer to the esthetical category of 'heroism' and 'nobility' which the North Korean esthetics categorized. In 『Gunbaba』, there appears a peculiar assistant, Park jwa-su, who is set up a very

      • KCI등재SCOPUS
      • 스테레오 비전을 이용한 이동로봇의 지도 작성을 위한 연구

        성용원,윤태성 國立 昌原大學校 産業技術硏究所 2002 産技硏論文集 Vol.16 No.-

        In this paper, an environment map bulding for the mobile robot navigation using a stereo camera system is studied. First of all, distance measurements are necessary to build the environment map. So, a distance measurement method using two fixed cameras is presented. To measure the distance using a stereo vision system, finding the common points in the left and the right images are needed. In this study, an area-based stereo matching is used to solve this problem. To reduce the computation time, 1) the DSP processor on vision board is used, 2) suitable sizesearch region for environment is taken, 3) small size model for matching is used, and 4) hierarchical search method is used. Also, a simple movement method is presented to make an environment map for mobile robot. Finally, the presented method is proved experimentally. The images of a corridor are taken by a stereo camera, and the distances of a corridor are obtained fast using the presented method from the images. And then, the environment map for the navigation of mobile robot is constructed. The acquired map is helpful for understanding the environment.

      • 경남지역 유통산업 발전방안 : 재래시장 활성화와 관련하여

        성태현 慶南大學校 産業經營硏究所 2001 産業經營 Vol.28 No.-

        경제위기가 계속됨에 따라 지역경제의 두 축인 유통산업과 건설업이 큰 위축을 받고 있다.재래시장 활성화를 위한 정책방안이 수립되었지만 뚜렷한 해법보다는 오히려 재래시장의 재건축에 중점을 두고 있는 듯하다. 재래시장은 실업을 완화하는 사회안전망이자 지역경제의 활력원이다. 시설의 현대화, 업종의 전문화 등을 통해 대형유통업과 유사한 형태로 조성한다는 것은 어쩔 수 없는 방편이지만 재래시장 본연의 기능을 없애는 일일 수 있다. 따라서, 재래시장의 활성화 방안은 지역별, 시장별로 특징을 살리고 지역문화와 산업은 물론 소비자성향까지도 고려하여 차별화하는 전략이 중요하다. 본 연구는 경남지역의 재래시장(중소상가)이 안고 있는 문제점과 특성을 파악하고 향후 경쟁력을 갖게 하기 위한 방안과 이를 위한 행정적 재정적 지원과 제도적 정비 방안을 강구해 보는데 있다. 유통산업의 변천과 발전 추세 면에서 볼 때 재래시장이 활성화되기란 힘든 실정이나. 재래시장은 여전히 지역경제에 있어서 그 비중이 높으므로 소홀히 할 수 없는 실정이다. 특히 중저소득층의 가계에 상당히 중요하고, 나아가 이들 재래시장의 시장 주체들의 생업에도 매우 중요한 수단인 것이다. 재래시장의 가장 큰 문제는 수요자가 크게 줄어들고 있다는 점이다. 대규모 신규 유통업체가 상당부분 시장권을 잠식한 상태이다. 경남지역 재래시장 활성화 원칙은 우선 대형 유통업체의 경영력과 운영방식을 benchmarking하면서 동시에 이들 대규모 유통업체와 철저한 차별화 전략을 강구하는 일일 것이다. 경남지역은 정부가 재개발을 목적으로 정의하는 재래시장의 형태는 물론 재개발될 수 없는 형태의 재래시장이 존재한다. 따라서 재래시장이라 함은 대형 유통업체와 달리 근린생활시장, 상가 등 일반시장을 포함하게 된다. 재래시장 활성화를 위한 지원방안을 분류하면 다양하나, 하드웨어적인 재개발지원보다는 오히려 제도적 지원, 재정(세제)지원, 금융지원, 기술경영지원, 판매지원, 시설관리 및 운영지원 등의 소프트웨어적인 측면이 더 긴요하다. 한편, 정부나 자치단체에서 대행하는 다양한 지원책도 중요하나, 그 보다 우선되어야 할 사항은 시장주체인 입점자나 상인(조직)의 노력이다. 대형점에서 하는 다양한 판촉 프로그램을 수렴하여 재래시장에 맞게 재구성해 활용하는 방안도 매우 필요한 것이다. 재래시장 스스로 대형점과 다른 특성화 및 차별화 전략을 강구해 나가는 일이 무엇보다도 시급한 과제이다.

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