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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

      • Poly(2-hydroxyethyl methacrylate-co-γ-methacryloxypropyl triethyl silane) 및 Poly(2-hydroxyethyl methacrylate-co-γ-methacryloxypropylmethyl bistrimethyl siloxysilane)의 반응성과 열적 성질

        성용길,정태화,이상영 동국대학교 1986 論文集 Vol.25 No.-

        Hydrophilic poly(2-hydroxyethyl methacrylate) has been accepted as biocompatible material for medical applications. Some of its relatively poor physical property are still remained as problems to be improved. In order to improve its physical property, new copolymers of 2-nhydroxyethyl methacrylate(HEMA) with silane monomers have been developed and synthesized. The silane monomers are γ-methacryloxypropyl triethyl silane(MPTS) and γ-methacryloxypropyl methyl bistrimethyl siloxysilane(MPMBSS). The compositions of unreacted monomers in the copolymers were separated and determined by the intensity of each peak by gas chromatographic analysis. The monomer reactivity ratios determined by the Kelen-Tu¨dos method are as follows; r_1=0.80 and r_2=0.71 for poly(HEMA-co-MPTS), r_1=1.22 and r_2=0.21 for poly(HEMA=co-MPMBSS). The tendency of alternating copolymerization and the relative reactivty of MPTS and MPMBSS with HEMA were investigated. The Q and e values were also calculated by the Alfrey-Price equation. The synthesized monomers and copolymers were identified by infrared spectroscopy and nuclear magnetic resonance spectroscopy. The thermal properties of the copolymers were also measured by thermogravimetry and differential scanning calorimetry.

      • KCI등재
      • KCI등재

        한국어 '-어(서)' 구문

        성태수 대한언어학회 2000 언어학 Vol.8 No.1

        Sung, Tae-Soo. 2000. On Korean '-ese' Construction. Linguistics 8-1, 59-85. Korean morpheme '-e' can be substituted for '-ese', in which case '-ese' carries three kinds of meanings: causal, time-restricted, and motivational. More precisely to consider the three relations above, on the one hand, we can find that they have a lexical meaning of 'possessing' in common. On the other, '-ese' is assumed to be utilized as a kind of functional category, in that it stands for 'resultative meaning'. The '-ese' constructions include two events in a sentence, of which the first event accounts for a cause and the second represents its effect to the first event. Inserted to the end of the first clause representing a cause, '-ese' plays a role of connecting the first and the second clause representing an effect. '--ese' that is [+lexical] as well as [+functional] is an affix, combined with the lower lexical verb. This category will be called FP. The [+L, +F] category has a strong morphological property to be checked off by means of merging of '-ese' to the position of F. However, comparing Korean '-ese' constructions and Chinese '-de' constructions, we can find out a discrepancy that the identification of pro in the lower clause is under Tang (1998)'s GCT, in Chinese '-de' constructions, but not in Korean '-ese' constructions. The reason stems from a parameter that Korean '-ese' constructions, but not Chinese '-de' constructions, has an AgrP, immediately dominated by FP. (Namseoul University)

      • SCIESCOPUSKCI등재

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