Endoscopy and Imaging Modalities/Basic Science of Gastrointestinal Disorders/Miscellaneous : Changing Pattern Of Digestive And Liver Disease In Korea, 1990-2006 Year; A Single Center Study

( Jung Hyun Kwon ),( Sang Woo Kim ),( In Sik Chung ),( Myung Gyu Choi ),( Kwan Woo Nam ),( Jung Pil Suh ),( Jae Hyuck Chang ),( Won Haing Hur ),( Yu Kyung Cho ),( Jae Myung Park ),( In Seok Lee ) 대한소화기학회 2007 SIDDS Vol.9 No.-

Background/Aims: Westernization in many Asian countries have changed lifestyles and diets, so once rare diseases have now become prevalent. The aim of this study is to investigate the changing pattern of digestive and liver disease in Korea, from 1990 to 2006. Methods: We extracted data specific gastrointestina (GI) disease based on the International Classification of Diseases code from the in-patients records at the Kangnam St. Mary`s Hospital in 1990, 1996 and 2006. This hospital is a tertiary-care hospital in Seoul, Korea, which has a capacity of 800 beds. Results: The admission rate for GI disease increased between 1990 and 2006. Overall in-patients were 1,623 persons in 1990, 2,368 persons in 1996 and 4,166 persons in 2006. The mean age of in-patients increased as time went by. A stomach cancer was the most common diagnosis during all periods, but its prevalence has decreased. Colon cancer ranked the 7th in 1990, but markedly increased and now ranks the second. The third was a hepatocellular carcinoma. The bile duct and gallbladder cancer, pancreas and esophageal cancer ranking followed with little interval change. In cases of cancer patients, a regular admission dramatically increased for chemotherapy. The number of patients admitted with pre-malignant neoplasm of stomach and colon increased remarkably with the development of endoscopy. The liver transplant, inflammatory bowel discase, and reflux esophagitis emerged form mid-1990s with greater frequencies, yet much below the levels found in the West. The admission rate for peptic ulcer, especially ulcer bleeding remained relatively stable, despite a decreased rate for ulcer perforation. Liver cirrhosis, hepatitis, cholelithiasis with cholecystitis-cholangitis, appendicitis, hemorrhoid and gastritis all decreased. Conclusions: The stomach cancer is the leading cause of admission, despite a recent decline. Colon cancer showed a marked rise. The liver transplant, inflammatory bowel disease and reflux esophagitis were new diagnosis with an increased tendency.

AE 신호를 이용한 회전형 압축기의 이상상태 감시

이감규,정지홍,김전하,강명창,김정석 한국공작기계학회 2004 한국생산제조학회지 Vol.13 No.5

The compressor has one of important roles in refrigeration cycle and it determines refrigeration efficiency and quality. This paper aims to monitor rotary compressors for room air conditioners by using Acoustic Emission(AE) technique. The reliability of rotary compressors has been evaluated through visual inspection on them after long term test. This paper describes methods for acquisition and processing AE raw signal to monitor the state of rotary compressor. A detecting method of abnormal compressor in real time is suggested and special-purpose monitoring system which can be applied to automatic manufacturing line is developed using one-chip microprocessor at low cost.

콩코드 납축전지의 SOC 추정

전창완,채광석,임준규,오명섭,박명신 순천향대학교 부설 산업기술연구소 2004 순천향 산업기술연구소논문집 Vol.10 No.1

Nowadays many battery-based systems like electric vehicle have appeared. As a result efficient battery management becomes important. In this paper, state-of-charge (SOC) estimation of a Concode lead acid battery is discussed. The SOC estimation problem plays an important role in battery management system(BMS). In this paper, an SOC table is established by many charge and discharge experiments. This table can be used to development advanced SOC estimation algorithms.

광섬유 Fabry-Perot 간섭형 전류 및 전압센서 시스템의 제작

박동수,김명규,김창원,이정희,손병기 경북대학교 센서기술연구소 1994 센서技術學術大會論文集 Vol.5 No.1

Although the conventional current transformers(CTs) and the potential transformers(PTs) have been used in the power system, new method is demanded which can measure with safty, EMI(electro-magnetic interference)-free. Over the last few years, variours kinds of optical measurement systems have been studied. The optical CTs and PTs systems, however, are very complicated and large, and hence the systems have a difficulty to maintain and repair. A new type fiber optic voltage and current transducers were fabricated by using fiber optic Fabry-Perot interferometer and PZT. A simple optical signal processing circuits and its PC interface circuits were also designed.

KAL기 추락에 의한 대량재해의 개인식별

강신몽,이원태,고영창,최상규,김윤희,이홍석,서재관,윤중진,이혜경,최득린,김종열,윤창육,변명식,이장홍 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

Individual identification is an important part in medicolegal field especially in mass disaster. At July, 27, 1989, KAL KE-803 was crashed on landing at Tripoli International Airport, Liba. The plane was caught in fire and sixty eight Koreans were sacrified. The majority of victims were severely charred and injured. The authors examed all dead bodies and successfully identified all the cases through visual, anthropological, odontological, radiological and pathological methods including fingerprint and blood typing.

환경친화형 수분산성 불소 아크릴레이트 공중합체에 의한 섬유 표면개질

유수용,김정두,문명준,서차수,주창식,이민규 한국환경과학회 2004 한국환경과학회지 Vol.13 No.10

Waterborne fluorinated acrylate copolymer (WFAC) for surface modification of textile was synthesized from perfluoroalkyl ethyl acrylate, octadecyl acrylate, glycidyl methacrylate, surfactant and 3,3 methyl-methoxy butanol. The structures of the synthesized WFAC were determinated by FT-IR and ^(19)F-NMR analysis. The thermal stability investigated with DSC and TGA was decreased with increasing the content of fluorinated acrylate in the copolymer. However, the particle sizes of WFAC were increased with increasing the content of fluorinated acrylate in the copolymer. The surface energies calculated by contact angles of WFAC were in the range of 29.80~3.41 dyne/cm. On the observing SEM of the textile surface treated with WFAC, the textile was swollen and compacted with increasing the concentration of water repellency agent. WFAC synthesized in this study showed a good water repellency.

합성 Goethite에 의한 인산이온, 황산이온 및 구리이온의 흡착 특성

김정두,유수용,문명준,감상규,주창식,이민규 한국환경과학회 2003 한국환경과학회지 Vol.12 No.9

Adsorption of phosphate, sulfate, and copper ion to goethite was investigated. Goethite was prepared in the alkaline solution. In the single adsorbate systems, the final equilibrium plateau reached within 20 min. The adsorption isotherms of the individual ions could be well described by the Langmuir equation. The maximum adsorption capacities (q_(max)) were calculated as 0.483 mmol/g and 0.239 mmol/g at pH 3 for phosphate and sulfate ion, and 0.117 mmol/g at pH 6 for copper ion, respectively. In competitive adsorption system with phosphate and sulfate, phosphate ion was a stronger competitor for adsorption on goethite than sulfate ion, which was consistent with higher affinity of phosphate ion for the surface compared to sulfate ion. The existence of sulfate ion enhanced the adsorption of copper ion but the adsorption of sulfate was inhibited when copper ion was present.

Effect of Dynamic Position Changes on Adenoma Detection During Colonoscope Withdrawal: A Randomized Controlled Multicenter Trial :

Lee, Seung-Woo,Chang, Jae Hyuck,Ji, Jeong-Seon,Maeong, Il Ho,Cheung, Dae Young,Kim, Joon Sung,Cho, Young-Seok,Chung, Wook-Jin,Lee, Bo-In,Kim, Sang-Woo,Kim, Byung-Wook,Choi, Hwang,Choi, Myung-Gyu American College of Gastroenterology 2016 The American journal of gastroenterology Vol.111 No.1

<P>OBJECTIVES: Adequate luminal distension is essential for improving adenoma detection during colonoscope withdrawal. A few crossover studies have reported that dynamic position changes maximize luminal distension and increase adenoma detection rates (ADR). We designed a multicenter, randomized, parallel-group trial to verify the effect of dynamic position changes on colonic adenoma detection. METHODS: This study was conducted at the six hospitals of the Catholic University of Korea. Patients aged 45-80 years who underwent a colonoscopy for the first time were included. In the position change group, the position changes during colonoscope withdrawal were as follows: cecum, ascending colon, and hepatic flexure: left lateral position; transverse colon: supine position; splenic flexure, descending colon, sigmoid colon, and rectum: right lateral position. In the control group, the examinations were performed entirely in the left lateral position during colonoscope withdrawal. The primary outcome measure was the ADR, which was defined as the proportion of patients with >= 1 adenoma. RESULTS: A total of 1,072 patients were randomized into the position change group (536 patients) or the control group (536 patients). The ADR was higher in the position change group than in the control group (42.4 vs. 33.0%, P=0.002). More adenomas were detected per subject in the position change group (0.90 vs. 0.67, P=0.01). Increases in the number of adenomas were observed in examinations of the transverse colon (0.22 vs. 0.13, P=0.016) and the left colon (0.37 vs. 0.27, P=0.045). A significant increase in the ADR was observed for endoscopists with a relatively low detection rate. For endoscopists with a high detection rate, non-significant changes in the ADR were observed. CONCLUSIONS: Dynamic position changes during colonoscope withdrawal increased the ADR.</P>

Change of Clostridium difficile Colitis during Recent 10 Years in Korea

Lee, Yune Jeong,Choi, Myung Gyu,Lim, Chul Hyun,Jung, Woong Ryong,Cho, Hyun Sun,Sung, Hye Young,Nam, Kwan Woo,Chang, Jae Hyuck,Cho, Yu Kyung,Park, Jae Myung,Kim, Sang Woo,Chung, In Sik The Korean Society of Gastroenterology 2010 대한소화기학회지 Vol.55 No.3

<P>Background/Aims: Our clinical experience and recent published literatures suggest that Clostridium difficile colitis (CDC) has become more common and potentially more pathogenic in recent years. The aim of study was to evaluate changes in the epidemiological features of CDC in hospitalized patients in Korea. Methods: We retrospectively reviewed all patients of CDC diagnosed at Kangnam St. Mary Hospital from 1998 to 2007. CDC was defined as having a positive C. difficile cytotoxicity assay, or endoscopic or pathologic evidence of CDC. Results: A total of 189 cases (male 73, female 116, mean age 63.3 years) of CDC were diagnosed during the study period. The prevalence of CDC increased from 1.9/10,000 patient admissions in 1998-1999 to 8.82/10,000 patient admissions in 2006-2007. One hundred sixty three indication for cases (86.2%) of patients identified a prior use of antibiotics in the 2 months preceding diagnosis. The most common antibiotic use was prophylactic use during perioperational period (33.3%) followed by pneumonia (23.3%). The overall response rate to initial antibiotics was 82.7%. One hundred seventy two (91%) patients were initially treated with metronidazole. The response rate was 84.3%. All patients with initial failure to metronidazole were successfully treated by vancomycin. The response rate of vancomycin as first treatment was 80%. Three deaths were associated with CDC despite the use of combination of metronidazole and vancomycin. Conclusions: The prevalence of CDC in hospitalized patients in Korea significantly increased from 1998 to 2007.</P>

Role of Neuropeptide Y and Proopiomelanocortin in Fluoxetine- Induced Anorexia

Myung Chang-Seon,Kim Bom-Taeck,Choi Si Ho,Song Gyu Yong,Lee Seok Yong,Jahng Jeong Won The Pharmaceutical Society of Korea 2005 Archives of Pharmacal Research Vol.28 No.6

Fluoxetine is an anorexic agent known to reduce food intake and weight gain. However, the molecular mechanism by which fluoxetine induces anorexia has not been well-established. We examined mRNA expression levels of neuropeptide Y (NPY) and proopiomelanocortin (POMC) in the brain regions of rats using RT-PCR and in situ hybridization techniques after 2 weeks of administering fluoxetine daily. Fluoxetine persistently suppressed food intake and weight gain during the experimental period. The pair-fed group confirmed that the reduction in body weight in the fluoxetine treated rats resulted primarily from decreased food intake. RT-PCR analyses showed that mRNA expression levels of both NPY and POMC were markedly reduced by fluoxetine treatment in all parts of the brain examined, including the hypothalamus. POMC mRNA in situ signals were significantly decreased, NPY levels tended to increase in the arcuate nucleus (ARC) of fluoxetine treated rats (compared to the vehicle controls). In the pair-fed group, NPY mRNA levels did not change, but the POMC levels decreased (compared with the vehicle controls). These results reveal that the chronic administration of fluoxetine decreases expression levels in both NPY and POMC in the brain, and suggests that fluoxetine-induced anorexia may not be mediated by changes in the ARC expression of either NPY or POMC. It is possible that a fluoxetine raised level of 5-HT play an inhibitory role in the orectic action caused by a reduced expression of ARC POMC ($\alpha$-MSH).