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.

맨드라미(Celosia cristata L.) 꽃 메탄올 추출물로부터 용매분획된 분획물의 항산화활성

김현영(Hyun Young Kim),고지연(Jee Yeon Ko),송석보(Seuk Bo Song),김정인(Jung In Kim),서혜인(Hye In Seo),이재생(Jae Saeng Lee),곽도연(Do Yeon Kwak),정태욱(Tae Wook Jung),김기영(Ki Young Kim),오인석(In Seok Oh),정헌상(Heon Sang Jeong),우 한국식품영양과학회 2012 한국식품영양과학회지 Vol.41 No.11

맨드라미꽃의 식품학적 이용가능성을 확인해 보고자 항산화성분 및 항산화활성에 대해 검토하였다. 맨드라미꽃의 항산화성분과 활성은 메탄올 추출물과 순차적 용매분획물에 대해 측정하였으며, 메탄올 추출물과 hexane, chloroform, ethyl acetate, butanol 및 물 분획물의 추출수율은 각각 23.33, 10.27, 20.00, 13.63, 17.55 및 38.54%였다. 맨드라미 꽃 메탄올 추출물의 총 polyphenol, flavonoid 및 tannin 함량은 각각 6.80 ㎎ GAE/g ME, 2.34 ㎎ CE/g ME 및 6.23 ㎎ TAE/g ME였다. 순차적 용매분획물 중 butanol 분획에서 각각 14.92 ㎎ GAE/g SF, 5.44 ㎎ CE/g SF 및 13.38 ㎎ TAE/g SF로 함량이 높았다. 총 proanthocyanidin 함량은 44.72 ㎍ CE/g ME였고 순차적 용매분획물은 각각 42.47, 44.43, 50.03, 49.12 및 41.80 ㎍ CE/g ER로 용매간 유의적인 차이를 보이지 않았다. 맨드라미꽃의 메탄올 추출물의 DPPH 및 ABTS radical 소거활성은 각각 5.24 및 10.70 ㎎ TE/g ME였고 butanol 분획에서 각각 12.53 및 21.09 ㎎ TE/g SF로 활성이 높았다. 메탄올 추출물의 SOD 유사활성은 7.96 unit/mL로 나타났고 hexane, chloroform, ethyl acetate, butanol 및 물 분획물은 각각 4.56, 6.15, 8.07, 12.36 및 5.21 unit/mL로 butanol 분획의 활성이 높았다. 맨드라미꽃 추출물의 항산화성분과 항산화활성 간에 높은 정의 상관관계를 보였고 맨드라미꽃 추출물이 체내 및 식품에서 유익한 도움을 줄 수 있을 것으로 생각된다. The purpose of this study was to evaluate the antioxidant contents and activities of solvent fractions from methanolic extracts of cockscome flowers. The yield of methanolic extracts from cockscome flowers was 23.33%, whereas those of its solvent fractions (hexane, chloroform, ethyl acetate, butanol, and water) were 10.27, 20.00, 13.63, 17.55, and 38.54%, respectively. Total polyphenolic, flavonoid, tannin, and proanthocyanidin contents of methanolic extracts (ME) were 6.80 ㎎ gallic acid equivalent (GAE)/g ME, 2.34 ㎎ catechin equivalent (CE)/g ME, 6.23 ㎎ tannic acid equivalent (TAE)/g ME, and 44.72 ㎍ CE/g ME, respectively. The highest total polyphenolic, flavonoid, and tannin contents of solvent fractions were 14.92 ㎎ GAE/g solvent fraction (SF), 5.44 ㎎ CE/g SF, and 13.38 ㎎ TAE/g SF in the butanol fraction, respectively. The total proanthocyanidin contents were 42.47, 44.43, 50.03, 49.12, and 41.80 ㎍ CE/g SF, respectively. The DPPH and ABTS radical scavenging activities from cockscome flowers were 5.24 and 10.70 ㎎ Trolox equivalent (TE)/g ME, respectively. The highest DPPH and ABTS radical scavenging activities of the solvent fractions were 12.53 and 21.09 ㎎ TE/g SF in the butanol fraction, respectively. SOD-like activities of methanolic extracts from cockscome flowers were 7.96 units/mL, whereas those of its solvent fractions were 4.56, 6.15, 8.07, 12.36, and 5.21 units/mL, respectively. The results of this study show that notable antioxidant activities in cockscome flowers have significant health benefits.

알루미나이징 表面處理한 構造用鋼의 彼勞强度 및 破壞擧動에 관한 硏究

吳世旭,朴春根,全泰玉,全哲昊,周原植,李圭用 東亞大學校 大學院 1978 大學院論文集 Vol.2 No.-

Aluminizing-treated structural steel is excellent in high temperature oxidation resistance, wear resistance and corrosion resistance. So, it has been widely used for the machine parts which have required such properties. However it is difficult to find out any study result of the notched influence on the aluminizing-treated materials and the second diffusion materials. In this investigation the low carbon steel plates with with V-notches were coated with aluminum and made into second diffusion. With these specimcns the bending fatigue strength and fatigue life were observed and also crack propagation of alloy layer was investigated. The results obtained are as follows: 1) On the smoothed specimens a fatigue limit of aluminizing material was lower than the one of raw material, but it was more increased than the one of heat treatment material, and the fatigue limit of second diffusion material was lowest. 2) On the V-notched specimens a fatigue limit of aluminizing material was higher with 44% increase ratio than the one of raw material and with 63% increase ratio than the one of heat treatment material, and the rate of increase became lower increase ratio in a fatigue limit comparing to aluminzing material, with no influence of notch radius. 3) According as the notch radius became smaller, the fatigue limit became. higher on the raw material, it was same on th aluminizing material and lowest on the second diffusion material. 4) Crack initiation period was 0.04% below of fatigue crack life and the full growth period of crack propagation at alloy layer was 0.1%. The crack propagation from alloy layer to matrix was 16% of the fatigue crack life. This means that the crack propagation rate at alloy layer was very fast but the crack delay at the boundary of both was so long. 5) Crack propagation grows through defects, inclusion, peeling and previous boundary.

低 사이클 反覆引張을 받는 構造用鋼의 疲勞强度와 疲勞크랙 傳播에 관한 硏究

吳世旭,玉致均,全泰玉,李圭用 동아대학교 공과대학 부설 한국자원개발연구소 1975 硏究報告 Vol.1 No.1

There has been many unexpected fractures of any steels used widely in many kinds of industries, which cause to a loss of lives and property. This is because the cause of fatigue demage which was not precisely considered In the conventional design. Recently it has been considered that most of fractures occurred in the design of various mechanical structures such as pressure vessels, piping, etc. are the cracks caused by low cycle fatigue. Especially it is very important in presuming the life of notched structural steel to clarify the characteristics of the low cycle fatigue crack propagation of notched structural steel. In this study, some experiments were carried out the domestic structural steel plates with "O"hole, "U" and "V" type notches under low cycle pulsating tension fatigue testing. And then the mechanism and behavior of low cycle fatigue were clarified through the consideration on the notch effect vs. fatigue strength of various notched specimens, the relations between crack propagation rate and stress intensity factor, and on the initiation of fatigue crack and its propagation, etc. The results obtained in this study are summarized as follows; (1) At the root radius R=0.25㎜ of "O" hole notch, it has higher fatigue strength and at R≥0.5㎜, almost the same in the S-N curve. But at the smaller "U" and "V" type notch root radius, it has the lower fatigue strength in the S-N curve. (2) The initiation of fatigue crack was occurred at 45~55%, 20~50% and 10~30% through each total fatigue life of the "O" hole, "U" and "V" type notch. The "O" hole notch specimen has almost the same initiation of fatigue crack without regard of notch size, but the "U" and "V" type notch specimens have the lower initiation at the larger notch root radius. (3) The "O" hole notch specimen has the lowest crack propagation rate and the incubation phenomenon of crack propagation rate occurred about 0.3㎜ of crack length. (4) Between the crack propagation rate and stress intensity factor, the value of exponent "m" was 1.11∼2.34. At the smaller root radius of "O" hole notch, the value of exponent "m" becomes the larger, but at the larger root radius of "U" and "V" type notch the value becames the smaller. (5) Propagating crack passes around or branches out on account of inclusions, with out passing through the inclusions. (6) At the smaller root radius of "U" and "V" type notch, the shape of crack propagation became more intricate, but in the case of "O" hole notch, the opposite phenomenon occurred. And at the higher stress level of each notch, the crack propagation tend to be more intricate.

UML을 이용한 송전선로 보호계전기 정정프로그램 분석/설계

吳泰旭,崔勉松,李承宰 明知大學校 産業技術硏究所 2004 産業技術硏究所論文集 Vol.23 No.-

PROSET2000 that is integrated protective management system had developed and used in order to automate the setting process of protective relays in transmission system protection. PROSET2000 have database for relay setting and automated for relay setting program within. This paper proposed PCM current differential relay setting program point of Object Oriented Programming paradigm using Unified Modeling Language about additional relay in PROSET2000. Nevertheless each relay uses same current differential but setting method is different. This paper discribed different thing about setting method of each relay and evaluated more effective and corrective relay setting program using UML.

만화 과제를 이용한 정신분열병 환자의 사회인지 능력의 측정

오정은,나명현,하태현,신용욱,노규식,홍순범,이경진,신민섭,이영호,권준수 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.3

Objectives : This study is to investigate the hypothesis that schizophrenic patients have difficulty in inferring mental state of others. Methods : Twenty schizophrenic patients and twenty normal subjects were administered to the Cartoon Task required inferring the character's intention in a given context. Results : The schizophrenic patients showed a statistically significant impairment in the Cartoon Task. Both groups chose the card depicting a frequent everyday action significantly more rather than the similar card to the last picture in each story for wrong answers. Conclusion : These preliminary results suggest that schizophrenia is associated with a specific deficit of the cognitive ability referred to as social cognition, and this deficit can be detected not only in the acute phase as found in previous research studies, but also in remission. Also when subjects fail to appreciate what is going on in the minds of other people, they seem to rely on a socially familiar experience.

유산소성 운동 강도가 혈중 알코올 농도에 미치는 영향

오승렬,오상덕,김태욱,박원화 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This study was to examine the most effective exercise intensity to decrease blood alcohol level under the condition of the same exercise volume after alcohol ingestion The subjects of the study were 7 students who enrolled in physical education major at H University, The blood alcohol levels of subjects were recorded and analyzed in different exercise condition, which were without exercise, HRmax 50% aerobic exercise, HRmax 70% aerobic exercise at each exercise situation(before, immediately after, 65rnins after, and 120mins after exercise). The effects of aerobic exercise on blood alcohol level and the changes in blood alcohol concentration level according to aerobic exercise intensity were as follows : 1. The blood alcohol levels in non-exercise group, HRmax 50% exercise group, and HRmax 70% exercise group illustrated significant difference(p<.05), In post hoc test, there was significant difference between non-exercise group and HRmax 50% exercise group (p<.05). In addition, there was significant difference between non-exercise group and HRmax 70% exercise group(p<.05). However, the blood alcohol levels in HRmax 50% exercise group and HRmax 70% exercise group did not show significant difference(p>.05). 2. The levels of decreasing blood alcohol concentration in the exercise situation(before, immediately after, 60mins after, and 120mins after exercise) showed significant difference(p<.001). 3. The interactive effect between exercise group and exercise situation illustrated significant difference(p<.001). As mentioned above, aerobic exercise was effective to decrease blood alcohol level after alcohol ingestion but under the condition of the same exercise volume the change of blood alcohol levels according to exercise intensity did not show significant difference. In conclusion, the most effective and fastest way to decrease blood alcohol level was HRmax 50% aerobic exercise, that is low intensity, rest after the exercise, and slight physical activity.

제1형 당뇨병 환자에서 췌도세포 동종이식의 반복시행

양태영,정인경,서인아,오은영,조건영,오승훈,김성주,정재훈,민용기,이명식,이문규,김광원,도영수,주성욱 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.24 No.4

연구배경:췌도세포 이식은 시술이 간편하고 안전하기 때문에 반복이식이 가능하여 그 동안 여러 센터에서 반복이식의 성공을 보고한 바 있다. 국내에서도 본 병원을 비롯하여 몇몇 센터에서 췌도세포 이식이 활발히 시도되고 있으나 사람에서의 동종이식 및 동종 이식의 반복시행은 보고된 바 없는 실정이다. 저자 등은 국내 최초로 췌도세포 동종이식을 시행하여, 혈청 C­펩타이드가 증가하고 인슐린 요구량이 감소하였으며, 혈당농도와 당화혈색소의 안정을 보였다. 그러나 이식 70일 후 다시 인슐린 요구량이 증가하고 C­펩타이드가 감소하여 췌도세포 이식을 다시 시행한 바 있다. 2차 이식 후 70여일이 지난 현재 다시 혈청 C­펩타이드가 증가하고, 인슐린 요구량이 더 감소되어 췌도세포 이식에서 반복 시행의 유용성을 보고하는 바이다. 방법:환자는 32세 남자로 17년전 당뇨병 진단 후 인슐린 치료 중이었으며, 3년전 부터는 만성신부전증으로 혈액툭석을 하고있었다. 1999년 12월 25일 신장이식을 하였고 3일 후 췌도이식을 하였으며, 두번째 이식은 70일 후 시행하였다. 췌도분리는 변형된 Recordi방법과 비연속성 자당 농도차(discontinuous density gradient)를 이용하였으며 분리한 췌도는 배양 후 환자의 신장기능이 정상화되고 미생물학 검사에서 음성을 확인한 후 경피경간으로 간문맥을 접근하여 16G 폴리 에틸렌 카테터를 이용하여 간실질에 이식하였다. 결과:1차 췌도이식시 순수분리전 췌도수는 210,000개, 순수분리후 획득한 췌도수는 90,000개, 순도 95%, 세포양 1.0mL 이었고, 2차 췌도이식시 순수분리전 췌도수는 420,000개, 순수분리후 획득한 췌도수는 370,000개, 순도 95%, 세포양 1.5mL 이었다. 1,2차 모두 간문맥을 통해 약 20분에 걸쳐 간실질에 주입하였다. 췌도이식전 인슐린요구량은 75∼75U/일, HbA1e 8∼10%, C­펩타이드 0.6ng/mL 였으며, 1차 췌도이식수 7일째 인슐린 요구량은 40U/일, C­펩타이드 1.5ng/mL, FPS 109mg/mL 였고, 40일 추적관찰 후 인슐린 요구량이 36U/일, C­펩타이드 1.8ng/mL, HbA1e 6.5∼7.0%로 안정되었다. 그러나 이식 50일째부터 인슐린 요구량이 50∼56U/일, C­펩타이드 0.6ng/mL, FPS 130∼200mg/dL로 혈당 조절이 불안정하여 다시 췌도이식을 시행하였다. 2차 이식후 50일이 경과한 현재, 인슐린 요구량은 26U/일, C­펩타이드 1.8ng/mL, FPS 90∼120mg/dL로 다시 안정되었다. 결론:췌도이식은 반복이식이 가능하며, 본 환자의 경우 인슐린요구량 감소, 혈당의 안정화 및 C­펩타이드가 상승하여 이식한 췌도의 기능을 확인할 수 있었고, 향후 스테로이드 등 면역억제가 유지 용량으로 감량되면 인슐린 요구량은 더 감소될 것으로 기대된다. Over the past 20 years, significant advances have been made in human islet transplantation. However, cases of prolonged insulin independence after islet allotransplantation have rarely been reported and over time, a slight, gradual decrease in insulin secretion appears to occur, as suggested by the lower C-peptide. Although preliminary clinical success achieved over the past few years has been considerably higher with whole pancreatic transplant than with isolated islet grafts, both approaches remain experimental. Islet grafts might gain, over time, increasing credibility and might eventually provide an easier alternative in terms of grafting procedures and patient management, as compared with the more "traumatizing" whole-pancreas transplantation. Also, using islet, re-transplantation is possible. But it is not known whether re-transplantation of islet could be suitable for those patients who lost grafted islet function. The aim of the present study was to investigate the benefits of re-transplantation of islet in previously simultaneous islets-kidney transplant (SIK) patient who have lost graft function. Methods : The recipient was a 32 year old male. First islet transplantation was underwent at December 25, 1999. However, the grafted islets lost function after 70 days. So we performed re-transplantation of islets. The isolation of islet was conducted sterilely on a laminarflow hood and isolated by a modified Recordimethod. The islet was injected slowly into the liver via a cannular placed in the potalvein for 20 minutes. Results : Transplanted islets were 90,000 IEq at first islet transplantation, 370,000 IEq at second islet transplantation. The insulin requirement was reduced from 75-85 to 35-40 U/day, the basal C-peptide level was 1.5 ng/mL at 7 days posttransplant Unfortunately, the grafted islets lost function after 70 days. After second transplantation, the insulin requirement was reduced to 26 U/day. Conclusions : Despite the continuous need for exogenous insulin therapy, islet transplantation can prevent wide glucose fluctuations, thus resulting in normalization of glycemic control and improvement in HbAlc, and also, show that islets can be successfully and safely re-transplanted intraportally in patients who have lost previously grafted islet function (J Kor Diabetes Asso 457~466, 2000).

실험적 급성 심근경색증 후 좌심실 재성형에 관여하는 간질 조직의 변화에 대한 전환효소억제제의 기전에 대한 연구 : 백서의 非痛璧性 심근경색 후 좌심실 재성형 및 Transforming Grawth Factor β-1의 발현 변화와 이에 대한 레닌 안지오텐신계 차단제의 효과 분석 Effects on Transforming Growth Factor - β-1 Expression

연태진,김석연,김효수,김어진,김소영,정은주,서정욱,오병희 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.9

Austenite Stainless鋼의 高溫强度및 破壞擧動에 관한 硏究(Ⅰ) : Creep 强度와 破壞擧動에 관하여 Creep Strength and Fracture Behavior

全泰玉,周原植,金福仁,崔병국,吳世旭 東亞大學校 1980 東亞論叢 Vol.17 No.2

Austenite stainless steel 년 316 has heat treated to austenite structure by heating at 1100℃ for 1hr and suddenly cooling. These specimens has been dealed with aging treatment at 700℃ for 0hr, 2hr, 10hr, and 100hr separately, and then conducted by creep test on the uniaxial state of stress in atmosphere of 600℃. The experimental results are obtained as follows. 1) Creep rupture stain rate has increased by the increasing of aging time. 2) Creep rupture time have had large affect of aging time comparing with 0hr aging specimen and increased by 20%, 40%, and 60% separately for 2hr, 10hr, and 100hr aging specimen. The empirical formulas of creep rupture time "t" as follows. (aging time are in parenthesis) t?=2.297×10? t?=8.810×10? t?=2.951×10? t?=1.178×10? 3) Creep constant "n" has increased, "k" decreased and creep limit increased by increasing the aging time. Then creep strain rate has decreased and increased by increasing the aging time and stress. The empirical formulas as follows. ε?=3.326×10? ε?=1.905×10? ε?=1.347×10? ε?=3.465×10? 4) The creep strain rate multiplied by creep rupture time has constant value according to property of material and belongs to the range of parallel line at logarithmic graph paper. 5) Hardness has increased by the increasing of aging time and intergranular hardness is higher than transgranular hardness. 6) The micro cracks occur from wedge crack and cavitation crack at grain boundary and exist at the surface of specimen and the surface of longitudnal section. 7) High stress and aging specimens have mostly wedge crack. Low stress and nonaging specimens have mostly cavitation crack. 8) Rupture surface of higher stress has shearing fracture of about 45° inclination, and has tendency of fracture by directing perpendicular to the axis for decreasing creep stress and also has same phenomenon for occurrence and propagation of crack.