LC, Acute : O-061 ; Mode of cirrhosis related complication in Korean patients with liver cirrhosis -A prospective multicenter cohort study

( Hyun Young Woo ),( Jeong Won Jang ),( Sang Gyune Kim ),( Chang Hyeong Lee ),( Tae Yeob Kim ),( Won Young Tak ),( Sung Kyu Choi ),( Mong Cho1 ),( Jong Young Choi ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.-

Background: Cirrhosis-related complications are indications for transplantation. However, the mode of complication has not been evaluated so far. To better address this issue, we investigated the mode of cirrhosis related complication and impact of these complications on survival in prospective, multicenter, inception cohort study of subjects with liver cirrhosis presenting with the first onset of decompensated complication. Methods: In this observational study, 1515 patients with the confirmed onset time of the first decompensated complication were enrolled. The mortality risk of cirrhosis-related complications, including ascites, portal hypertensive gastrointestinal bleeding (PHGB), spontaneous bacterial peritonitis (SBP), hepatic encephalopathy (HE), hepatorenal syndrome (HRS), was analyzed in these cirrhotic patients. Result: As the first complication, ascites was the most frequent (53.8%), followed PHGB (36.2%), HE (7.6%), SBP (1.7%) and HRS (0.7%). During follow-up (mean 32±47 months), 484 (31.9%) experienced subsequent decompensations and the proportion of subsequent complication was consistently changed; the proportion of HE, SBP, HRS increased as time progressed. The interval between subsequent decompensative events was progressively shortened. The mortality rate according to the first complication was as follows; Ascites =PHGB> HE=SBP>HRS. The mortality rate of patients experienceing subsequent complication was significantly higher than those without subsequent complication. According to the kinds of subsequent complication, survival of HE was also higher than HRS but lower than ascites or PHGB and similar to that of SBP and this difference of survival disappeared after repeated complication. Conclusion: The mortality risk correlated with initial complication and the risk increases as the number of complication episodes is repeated. Patient`s mean age was 56±11.50 years and 72.1% was male. The cause of liver cirrhosis is hepatitis B virus (38.6%), alcohol (35.5%) and hepatitis C virus (8.9%).

환경거시경제이론의 소개와 그 평가

조영탁 大田産業大學校 2002 한밭대학교 논문집 Vol.19 No.-

This paper critically surveys Environmental Macroeconomics that is a new field of Ecological Economics. I focus on Dr. Daly's framework of Environmental Macroeconomics because Dr. Daly's contribution to Environmental Macroeconomics and Ecological Economics is so great and numerous. Comparing Dr. Daly's Environmental Macroeconomics with traditional Neoclassical Macroeconomics, I address the strength and the weakness of Dr. Daly's theory.

IMF시대 이전과 이후의 한국 학생과 성인의 실패경험 분석

탁수연,박영신,김의철 한국아동교육학회 2004 아동교육 Vol.13 No.1

본 연구에서는 청소년 위험행동의 발달적 모형에 기초하여 감각추구성향과 적극적 대처전략이 각각 위험요인과 보호요인으로 작용하는지를 검증함으로써 모형의 경험적 타당도를 확인하고자 하였다. 남녀 중고등학생 680명을 대상으로 요인분석을 통해 개발한 위험행동 척도와 감각추구성향척도 및 대처전략척도를 실시하였다. 그 결과 감각추구성향은 청소년의 위험행동을 의미있게 예측해 줄 뿐만 아니라 인과관계가 밝혀짐으로써 위험요인으로 확인이 되었다 그러나 소극적 대처는 위험행동을 정적인 관계에서 예측해 주지만 인과관계를 지니지 않기 때문에 위험요인으로 보기는 어렵다. 한편, 본 연구에서 보호요인으로 가정하였던 적극적 대처는 감각추구성향과의 상호작용이 유의하지 않음으로써 단순한 보상요인의 성격을 갖는 것으로 해석되었다. 논의에서는 위험행동에 영향을 주는 보호요인과 보상요인, 위험요인과 취약성 요인에 대해 언급하고, 앞으로의 연구방향에 대해 소개하였다. 특히 앞으로의 연구에서는 위험요인의 부정적 영향력을 완화시킬 수 있는 보호요인들을 재확인함과 동시에 다양한 변인들을 투입하여 보호요인과 보상요인을 명확하게 구분할 필요성이 있음을 논의하였다. Past researches have examined the indigenous characteristics of achievement (Kim & Park, 1998). In addition, research has been conducted investigating the failure experiences and future achievements prior to the Asian Economic Crisis (otherwise known as the IMF crisis) (Park & Kim, 1999). Recently, Korean's achievement research has purpose of this study is to re-examine Korean's achievement consciousness by analyzing Koreans' failure experiences and future achievements after the IMF Crisis period. A total of 988 Korean students and adults participated in this research (116 primary students, 88 junior high school students, 72 senior high school students, and their fathers-246, and mothers-271). The results are consistent with previous research finding. The most painful experience of failure was found to be academic failure due to lack of self-regulation. For students, the most aspired future achievement was related to obtaining a future profession. For adults, happiness within the family was found to be the most aspiring future achievement. For social support, students indicated that they received the most support from their parents, whereas, adults indicated that they receive the most support from their spouses. Furthermore, both groups indicated that self-regulation is the most important factor in achieving their future aspiration.

WTO체제하 세계농정변화의 성격과 그 의미 : 우루과이라운드 농산물협상의 성격분석을 중심으로 With Emphasis on the Characteristic of the Agriculture Negotiation in UR

조영탁 大田産業大學校 1996 論文集 Vol.3 No.-

This paper investigates the meaning of the agreement on agriculture in UR. Especially it lays emphasis on the analysis of the background and the dynamic process of the agriculture negotiation in UR. On the basis of that analysis, this paper reveals the implications of the global switch in agricultural policy under the WTO system.

적절한 용량 이하의 경구용 향응고제 사용 중 발생한 뇌출혈 환자의 임상 양상

조수진,황흥곤,나찬영,이영탁,최현배,조태구 世宗醫學硏究所 2000 世宗醫學 Vol.17 No.2

제도주의 환경이론의 소개와 검토 : 신고전파 환경이론과 비료를 중심으로

조영탁 大田産業大學校 1997 論文集 Vol.5 No.-

This paper examines the environmental theory of the institutional economics. Especially, this paper reveals the characteristics of the institutional environmental economics on the comparison of the institutional approach and the neoclassical approach. With this, the strength and weakness of the institutional environmental economics are articulated.

벌자상 후에 발생한 급성심근경색증 2례

민영기,정윤석,박인철,조준필,탁승제 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Acute myocardial infarction after a bee sting is a very rare process. Among proposed mechanisms, vasospasm of the coronary artery ㅑs the most probable mechanism. Many mediators are included in the venom of wasps, and those mediators have vasoconstrictive properties and may constrict the coronary artery. Furthemore, those mediators have thrombogenic properties that lead to thrombogenesis in the coronary artery and aggravate myocardial ischemia. Epinephrine, commonly used in the management of anaphylactic shock, may further aggravate myocardial ischemia, We experienced two cases of acute myocardial infarction after a bee sting. In the first case, we could find no underlying abnormalities of the coronary vessel because the patient died during coronary angiography. In the second case, the electrocardiogram showed inferior wall myocardial infarction, but only mild stenosis of the right coronary artery was seen in coronary angiography.

遮光水準이 麥門冬의 生育 및 收量에 미치는 影響

玄京卓,趙南棋,宋昌吉,姜榮吉 濟州大學校亞熱帶農業硏究所 1996 亞熱帶農業硏究 Vol.13 No.-

SummaryFive shading levels (0, 5, 50, 75 and 90%) were investigated for their effects on growth and yield of Liriope platyphylla Wang et Tang. The results obtained were summarized as follows;1. Plant height and leaf length increased with increasing shading levels up to 50% and then decreased with further increasing shading. Leaf width ranging from 0.49 to 0.52cm tended to linearly decrease as shading level was increased. 2. SPAD reading was linearly increased from 56.9 to 69.5 as shading level was increased from 0 to 90%. 3. There was no difference in fresh leaf weight among shading levels. However, fresh weight of roots, tuberous roots, and shoots + roots decreased with increasing shading level. 4. The number of tuberous roots per plant decreased from 21.4 at 0% shading to 11.8 at 90% shading. Dry weight per tuberous root was heaviest (0.4g) at 35% shading and then declined with increasing shading level. 5. Dry tuberous root yield per plant ranged from 6.5g at 0% shading to 3.1g at 90% shading showing linear relationship between yield and shading level. Yield per plant highly correlated wish the number of tuberous roots per plant. 6. The results indicate that growing Liriope platyphylla Wang et Tang under shading has no advantage in Cheju province.

자궁내막에 발생한 점막 연관 림프조직 (MALT) 림프종 1예

전균호,조현진,박성균,김천복,김대연,김종혁,김용만,김영탁,목정은,남주현 대한부인종양 콜포스코피학회 2003 Journal of Gynecologic Oncology Vol.14 No.4

Non-Hodgkin's 림프종의 약 40%는 결절외(extranodal) 림프종으로 대개 위장관에서 발생하며 이들 중 점막 연관 림프조직(mucosa-associated lymphoid tissue: MALT)에서 기원한 림프종은 MALT 림프종으로 분류된다. 위 외의 부위에서 원발성으로 발생하는 MALT 림프종은 매우 드물지만 실제 거의 모든 신체 장기에 발생하는 것으로 알려져 있는데, 가장 흔한 부위인 위 외에도 폐, 갑상선, 침샘, 눈물샘에 발생하고, 드물게 안구, 유방, 방광, 신장, 흉선 등에도 보고된 바 있다. MALT 림프종은 오랜 기간동안 원격 전이하지 않고 국소 병변으로 남아 있는 특징이 있어 치료 방향 또한 국소 병변의 치료에 집중되며, 예후도 림프절 기원의 림프종에 비해 양호한 것으로 알려져 있다. 본 저자 등은 자궁 내막에 원발성으로 발생한 MALT 림프종 1예를 경험하였기에 문헌 고찰과 함께 이를 보고하고자 한다. Mucosa associated lymphoid tissue (MALT) lymphoma can rarely develop primarily in extranodal sites other than stomach which is the most common site for it. Other rare primary sites are small intestine, colorectum, esophagus, lung, thyroid, salivary gland, lacrymal gland, breast and skin. MALT lymphoma represents a distinct clinicopathologic features: it is usually localized to their original site for a long time and shows much more favorable prognosis than lymphoma at other site, but some MALT lymphoma can arise simultaneously or successively in different organ or give rise to another MALT lymphoma of other organ and can be multifocally disseminated or recurred. We report a very rare case of high grade B-cell lymphoma of mucosa associated lymphoid tissue (MALT) of the uterine endometrium, which was confirmed by immunohistochemical assay.

농업경상재투입액의 추계와 분석

황수철,조영탁 大田産業大學校 1996 論文集 Vol.3 No.-

This study examines the long term trends of current inputs in Korean agricultural sector. For this, aggregative time series for current inputs was prepared: the value of current inputs in terms of 1985 prices. The annual data pertain to the period 1955~92. Current inputs may be defined as the inputs of tangible factors of production, whose values are fully transferred to their products within a single production period. Not only factors which are supplied to agriculture from the non-agriculture sector, but also those produced within agriculture are included to the extent that they agree with the above definition. However, self-supplied intermediate goods are excluded in this study. Current inputs are classified as follows: Fertilizers, Agricultural Chemicals, Seeds and Feeds. Using the data set estimated, we analyzes the characteristics of trends and structural changes of current inputs.