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.

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

삼배위 황화합물의 산촉매 가수분해 반응

성대동,이종팔,엄태섭 東亞大學校 大學院 1995 大學院論文集 Vol.20 No.-

The acid catalyzed hydrolysis of N-substituted sulfinamides have been studied in agueous solution of perchloric acid at 25℃ by spectrophotometrically. The pH-rate profile for N-phenylbenzene-sulfinamide(a); N-p-chlorophenybenzenesulfinamide(d), N-phenyl-p-chlorobe enesulfinamide(f) and N-phenyl-o-chlorobenzenesulfinamide (h) shows linearity, while those for N-p-methoxyphenylbenzenesulfin-amide(b), N-p-methylphenylbenzenesulfinamide(c) and N-phenyl-p-ethylbenzenesulfinamide(e) have a break at about pH 3. The break of pH-rate profile is ascribed to a change in the rate-determining step of the reaction involving a hypervalent intermediate.

간호사의 유방자가검진(Breast Self-Examination)에 관한 지식, 태도, 실천

태영숙,김성진 고신대학교 의학부 2003 高神大學校 醫學部 論文集 Vol.18 No.1

Background/Objective: The purpose of this study was to investigate knowledge, attitudes and practices of nurses toward breast self-examination(BSE) and to identify factors that may associate compliance with breast self examination. Methods: The subjects for this study were 277 nurses in 8 university hospitals in Pusan. The data were collected from September 21 to October 20, 2001 by means of a structured questionnaire. The instrument used for this study was Choi's BSE knowledge scale, Kim's BSE attitude scale and Jung's BSE practice scale. Result: The data were analyzed using frequency, percentage, mean±S,D t-test, ANOVA using SPSS program. The results of study were as follows; 1. The mean score of knowledge for the total sample was 22.94±0.39. The mean score of attitude for the total sample was 3.44±0.31. The mean score of practice for the total sample was 7.25±4.62 2. There were significant difference in knowledge of BSE according to education level of nurses (F=6.752, p=0.01). There were no significant difference in attitude of BSE according to general factors of nurses(P>0.05). There were significant difference in practice of BSE according to age (F=2.734, p=0.044), and merital status of nurses (t=2.598, P=0.010). 3. There were significant difference in knowledge of BSE according to exercise for health (t=2.259, P=0.024), frequency of performance in BSE(F=6.641, P=0.000), confidence in knowldge of BSE technique(F=5.661, P=0.000), confidence in finding breast nodule of nurses (F=7.684, P=0.000). There were not significant difference in attitude of BSE according to BSE relating factors of nurses( P>0.05). There were significant difference in practice of BSE according to exercise for health (t=2.269, P=0.024), enlisting the help of significant peers(t=3.393, P=0.001), frequency of performance in BSE(F=13.932, P=0.000), confidence in knowldge of BSE technique(F=5.350, P=0.000), confidence in finding breast nodule(F=7.204 ,P=0.000), asking clients of BSE of nurses(t= 3.153, P=0.011). Conclusion: The level of knowledge about BSE of nurses was high score. The nurses' attitude about BSE was positive, The level of nurses' self practice of BSE was low. Therefor It is necessary to develop the nurses' educational program for BSE with its focus on associating factors of compliance of BSE.

生命保險 募集組織의 生産性 提高에 관한 硏究

성태현,이병석,김길종 慶南大學校 産業經營硏究所 1999 産業經營 Vol.24 No.-

갑상선 결절의 초음파 유도조직검사에서 20 Gauge Franseen Needle Biopsy 의 임상적 유용성 및 제한적 용도에 대한 분석

박성태 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

..

경남지역항만의 경제적 효과에 관한 연구 : 마산·진해·삼천포항을 중심으로

성태현 慶南大學校 産業經營硏究所 1998 産業經營 Vol.22 No.-

예술품 파괴와 인격권 : 대법원 2015. 8. 27. 선고 2012다204587 판결

권태상 梨花女子大學校 法學硏究所 2016 法學論集 Vol.21 No.1

(1) 예술품 파괴가 동일성유지권 침해에 해당할 수 있는지에 대하여 견해가 대립되고 있는데, 우리나라 저작권법의 해석으로 이를 긍정하기는 어려울 것으로 보인다. 우선 저작권법 제13조 제1항이 저작물의 존속을 유지할 권리까지 포함한다고 해석하는 것은 문언해석의 한계를 넘을 수 있다. 그리고 동일성유지권은 인격권 침해 유형 중 이른바 “왜곡으로 인한 인격상 침해”를 막기 위한 권리로 볼 수 있는데, 예술품 파괴의 경우는 동일성이 변경된 작품을 작성한 것으로 인식될 위험이 존재하지 않으므로, 동일성유지권으로 보호되는 영역을 침해한다고 보기 어렵다. (2) 저작인격권이 일반적 인격권과 같은 성질의 권리인지 여부에 대해서 오래 전부터 논의되어 왔으나, 이에 대해 어떤 견해를 취하든 저작자가 일반적 인격권을 주장하는 것을 막을 수 없을 것으로 보인다. 대상판결은 동일성유지권 침해의 성립 여부와 별개로 저작자의 일반적 인격권 침해가 성립할 수 있다고 보았는데, 이는 타당한 법리로 평가할 수 있다. (3) 예술품이 파괴된 경우 창작자의 주관적 명예감정이 침해될 수 있다는 점은 쉽게 긍정할 수 있다. 그리고 예술품 파괴라는 사실행위에 의하여 창작자의 사회적 평가가 저하되면 이는 창작자의 명예를 침해한 것으로 볼 수 있을 것이다. 예술품 파괴행위는 그 예술품의 가치가 낮다거나 특정장소에 부적합하다는 사실을 간접적으로 암시하는 것이라고 볼 수도 있다. 또한 헌법상 예술의 자유의 내용을 고려하면, 창작자의 인격적 이익의 내용은 작품을 자유롭게 창작하는 것과 그 작품을 외부에 표현하고 전파하는 것이라고 할 수 있다. 대상판결은 “자신의 예술작품이 공공장소에 전시･보존될 것이라는 점에 대하여 정당한 이익”을 가질 수 있다고 판시하였는데, 이는 공공장소에 설치된 예술작품과 관련된 예술표현의 자유를 설시한 것으로 볼 수 있다. 또한 대상판결은 저작자의 “명예감정 및 사회적 신용과 명성 등”도 언급하였으나, 이를 예술품 파괴 자체가 아니라 예술품 파괴 방식과 관련해서만 언급하고 있어 다소 부적절해 보인다. (4) 예술품 소유자가 예술품을 파괴하는 것이 어떤 경우 적법한 소유권 행사가 되고 어떤 경우 창작자의 인격권 침해가 되는지는 결국 문제된 사안에서 창작자의 이익과 소유자의 이익을 구체적으로 비교형량하여 판단해야 할 것이다. 대상판결은 예술품 파괴행위의 위법성을 판단하기 위하여 창작자의 이익과 소유자의 이익을 모두 고려해야 한다는 기준을 제시했다고 볼 수 있는데, 벽화의 창작성 정도, 벽화가 원고의 전체 작품에서 차지하는 지위 등에 대한 언급이 없는 것은 다소 아쉽다. 예술품 파괴행위의 위법성을 판단함에 있어서 소유자가 누구인지 여부가 결정적인 기준이 되는 것은 바람직하다고 보기 어렵다. 대상판결의 법리는 사인 간에도 적용될 수 있다고 보아야 할 것이다. 다만 예술품 소유자가 사인인 경우는 파괴행위의 위법성을 인정하는 것을 더 신중히 판단해야 할 것이다. 한편 예술품이 파괴된 경우 사후적으로 위법성이 인정되더라도 예술품을 복구하는 것은 어렵다는 점을 고려하면, 소유자에게 파괴 전에 반환 기회를 제공할 의무를 부과하는 것이 합리적인 방법으로 보인다. 그러나 명문의 규정이 없는 상황에서 단지 해석에 의하여 소유자에게 이러한 의무를 부과하기는 쉽지 않으므로, 향후 이러한 내용의 명문 규정을 두는 것이 법적안정성 측면에서도 바람직하다. According to Korean Copyright Law, destruction of a work of art does not constitute infringement of integrity right. Article 13 of the Korean Copyright Law cannot be interpreted to include the right to maintain existence of a work. Integrity right should be understood as a right against false light in the public eye. Artists should be allowed to invoke general personality right regardless of the relation between moral right and general personality right. The Supreme Court of Korea decided that general personality rights can be infringed regardless of infringement of integrity right. This holding seems proper. Destruction of a work of art can infringe on artist’s subjective feeling of honor. If social apprehension of an artist is lowered by destruction, it also constitute infringement of honor. Destruction of a work of art can imply that the work has little value or inappropriate to specific site. Considering constitutional freedom of art, personality rights of artist also include the right to create work freely and to express and spread the work. When the ownership of a work of art and personality rights of artist collide, balancing of interests is necessary. In this case, the Supreme Court of Korea have suggested standard to consider interests of owner and artist. This standard should be applied to a case in which the owner is private person. Meanwhile, it is reasonable to impose owner duty to provide an opportunity for artist to buy back the work of art. Considering legal stability, it is desirable that owner’s duty is stipulated in law.

AlGaN 薄膜의 異狀 相轉移 現像硏究

김성태 忠州大學校 2007 한국교통대학교 논문집 Vol.42 No.-

Exciton formation energy of AlGaN thin film is roughly scaled as , ; exciton formation energy) from the energy gap values depending on composition and temperature. Phase diagram of vs. rectangular coordinates is presented, and phase transition behavior of the critical region is explained by the theories of universal bimetalic binding energy and alloy potential fluctuation. We assert the local pseudopotential shape of critical point be the key to the calculation of parameters such as energy gap, cohesive energy and elastic bulk modulus in the sense that we get the density functional and correction factors to meet the selfconsistency.