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.

유도전동기 속도제어를 위한 비선형 비례적분 제어기 설계

오태석,김일환,박찬원 강원대학교 산업기술연구소 2006 産業技術硏究 Vol.26 No.B

This paper presents a robust speed control method of induction motors(IM) using a Non-linear PI controller(NPI). NPI is high gain controller in region of small error, and low gain controller in region of large error. So in steady state, system will be robust against variation of load torque. The simulation and experiment results confirm the validity of proposed control scheme.

악안면 골격 형태에 따른 교합평면각의 변화에 관한 두부 방사선학적 연구

오세윤,김웅철,김지환,이준석,김진완,유진호,김태석 高麗大學校 倂設 保健大學 保健科學硏究所 1999 保健科學論集 Vol.25 No.1

A correlation analysis was made to understand the interaction between the growth patterns of some craniofacial skeletal components and occlusal plane inclination. 5 angular measurements(S.a. Ar.a, Go.a, UGo.a, LGo.a), 6 linear measurements(ACBL, PCBL, RH. MBL. AFH. PFH) and OP/SN. obtained from 83 cephalometric tracing records, were selected and the relationship between the occlusal plane angle and those measurements were analyzed statistically. Ramus Height(r=-0.55), Posterior Facial Height(r=-0.41), were found to be negatively related with Occlusal Plane angle, while Lower Gonial angle(r= 0.35), Saddle angle(r= 0.24) were found to be positively related with Occlusal Plane angle(p(0.05). The results obtained from the above analysis were further assessed with stepwise regression analysis, using Occlusal Plane angle as a dependant variable, and RH, LGo.a and S.a as explanatory variables. Stepwise regression analysis revealed that all the explanatory variables were found to be significant.(p<0.05) [OP/SN] = -8.74-0.33(RH)+0.23(S.a)+0.20(LGo.a). (R²=0.44). This stepwise regression analysis explains, to some extent, the relationship between the growth patterns of some craniofacial skeletal components and the occlusal plane inclination. 1. The inclination of Occlusal Plane angle is noticeably related with the growth patterns of some craniofacial skeletal components, i.e. RH, PFH, Saddle angle and Lower Gonial angle 2. In high Occlusal Plane angle, the Ram us Height tends to be shorter, and the Saddle angle and Lower Gonial angle tend to be obtuse.

치과기공사의 직업만족도 측정을 위한 설문도구의 개발

오세윤,김웅철,김지환,이병기,유진호,김태석,이준석,이주호 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

Conflicts between individuals are quite natural and they can act as an positive contributing factor not only to the development of an individual but also to the organization to which one belongs. But too much conflicts will always induce dissatisfaction and stresses, which will be destructive and harmful to all of them, and that is why we are always tying to seek(find) out the causes for the origination of conflicts and remedies to cope with them effectively. The present study, as the first one in a series of studies which our researchers contemplate executing, was designed to develop a measure of job satisfaction for dental laboratory technicians. One job satisfaction measure and two job satisfaction related measures, one for faithfulness for the job and the other for environmental characteristics of dental laboratory were newly developed. The newly developed measures were comprised of a total of 38 items, which were each 12 items for job satisfaction and faithfulness for the job and 14 items for environmental characteristics of dental laboratory With the aid of factor analysis for principal components and categorization of items by panel of professionals, items of each measure were grouped into 2-4 subscales. Contribution to internal consistency was the fina) criterion for an item's inclusion in a subscale. Internal consistency reliability of each item was attested through the statistical analysis on the data obtained from 55 structured questionnaires. Reliability of internal consistency of subscales in each measure of job satisfaction and faithfulness for the job ranged from 0.74 to 0.79 and 0.90-0.91 respectively. The result from this research came to draw the following conclusions. 1. Validity and internal consistency reliability of all the items of each measure was attested. 2. The newly developed measure of job satisfaction was found to be appropriate for (measuring the degree of job satisfaction of) dental technicians, as well as for (other) dental office personnels.

간접적응 신경회로망을 이용한 안테나 축받이 시스템의 안정화

이오걸,김태우,박두환,이준탁,송효신 동의공업대학 1999 論文集 Vol.25 No.1

In this paper, the stabilization control problems of antenna pedestal system under the parametric variations and non-linearities such as gravity torque and under external disturbances were described. The proposed controller could stabilize the given antenna system by an indirect adaptive neural network controller. The proposed indirect adaptive neural network controller was consist of an indirect off-line model identifier by neural network and an adaptive on-line neural network controller, based on the reference model and the least square method. The designed controller was applied to an stabilization control of Inmarsat-M antenna pedestal system with the azimuth and the elevation axis. The simulation results were desirable and were superior to the conventional PID controller tuned by Ziegler-Nichols' method.

흰쥐의 파라쿼트 중독모델에서 폐손상에 대한 N-acetylcysteine과 Methylprednisolone의 효과

최태환,조건현,오동렬,김세경 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: This study evaluated the inhibitory effects of N-acetylcysteine(NAC) and methylprednisolone on lung injury in the paraquat-poisoned rat model. Methods: Sixty rats were divided into four groups(n=15 in each group) accordingly to the drug administered : group I, only intraperitoneally injected paraquat (20 mg/kg); group II, intraperitoneally injected paraquat and NAC(300 mg/kg); group III, intraperitoneally injected paraquat and methylprednisolone(60 mg/kg); and group IV, intraperitoneally injected paraquat, NAC(300 mg/kg), and methylprednisolone(60 mg/kg). On the 7th day after injection, the survival rate of experimental rats and the positive area of collagen fiber in the injured lung stained by Masson's trichroms were evaluated. Results: 1. There were no differences in the 7-day survival rates for the four groups. 2, The percent of collagen fiber for group II(6.3 ± 4.7%) was significantly decreased in comparison with that for group I (14.4±9.7%). 3. The percent of collagen fiber for Group III(13.2±5.9%) was not significantly different from that for group I(14.4±9.7%). 4. The percent of collagen fiber for Group IV(6.9±4.6%) was significantly decreased in comparison with that for group I, but was not different from that for group II. Conclusion: These results suggest that NAC protects against pulmonary fibrosis in paraquat-poisoned rats whereas methylprednisolone does not protect against pulmonary fibrosis.

Fuzzy 제어기를 이용한 외란부가 Servo System 제어

정형환,김태우,이오걸,이준탁 東亞大學校 1991 東亞論叢 Vol.28 No.1

A servo system requires faster and more accurate dynamic responses. Generally a PD control is mai-nly used to obtain the precision, and in the other hand a fuzzy control to improve the transient respo-nse and to cope with the nonlinearity of systems. Recently hybrid control, which is attempted to combine the advantages of PD control and a Fuzzy control was proposed, but this technique requires complicate design procedures. Therefore in this paper, a fuzzy controller with a series of membership functions and various sampling periods and rules, was designed on the basis of Lyapunov stability theory and auto tuning methods of imput scale factors using the proposed windowing techniques. And also it was showed to have the excellent adaptive performacnes against internal-external disturbances and the usefulness of this controller from the results of simulations.

치과기공사의 스트레스 증상과 직무요인과의 관련성 연구

김지환,오세윤,김웅철,유진호,김태석,이준석,이원철 高麗大學校 倂設 保健大學 保健科學硏究所 2001 保健科學論集 Vol.27 No.2

This study was carried out to investigate psychiatric stress symptoms and stress- inducing factors, such as role overload, work demand, work procedure and so forth in korean dental laboratory technicians. Questionnaires were mailed to randomly selected 1000 dental technicians who were systematically selected. Among them, 786 dental technicians completed the questionnaires and returned them. Validity test and reliability test on the questionnaires were done prior to the main survey, using the SCL-90-R as a standard. Stress-inducing factors were identified with a multiple regression analysis on the continuous variables. To investigate stress-inducing factors on stress symptoms, analysis on distribution of characteristics was performed, and then correlation analysis and multiple regression analysis was carried out. The results of the study were as follows: According to multiple regression analysis, there was a statistical correlation between stress symptoms and role overload, work procedure, occupation conflict, interpersonal relationship, social support, personality traits in stress symptom(GSID). The stress symptoms in korean dental laboratory technicians seemed to be mostly job related ones, and considering the results obtained from the study, it is suggested that reducing work load and proper health promotion programs for dental technicians be necessary.

골프스윙시 근육협응관계 구명을 위한 EMG 분석

심태용,신성휴,오승일,문정환 한국운동역학회 2004 한국운동역학회지 Vol.14 No.3

T. Y. SHIM, S. H. SHIN, S. I. OH, J. I-. MUN. EMG Analysis for Investigation Muscle-Collaborated Relationship during Golf Swing. Korean Journal of Sport Biomechanics, Vol. 14, No. 3, pp. 177-189, 2004. Kinematic and kinetic analysis using 3D Motion Capture system are common, yet there is little in the literature that discuss the relationship and coactivity between muscles during the golf swing. The purpose of this study was to describe the relationship between the employed 16 muscles during golf swing. We could observe 3 muscle patterns such as 'Line' shape, 'L' shape, and 'Loop' shape for the golf swing activity. The 'Line' shape indicates that two muscles act almost perfectly in phase, and the 'L' shape represents that two muscles act in a reciprocating manner(When one is active, the other is quiescent and vice versa). And the 'Loop' shape indicates that two muscles act sequently(After one is active, the other act). In these results, we knew the muscle patterns during golf swing is similar to the patterns during gait. And we presented it was possible to show the consistence of golf swing through the frequency analysis of muscle patterns. We believe that the results potentially useful for the golf players and coaches to analyze their performance.

共産圈 國家의 體制變革과 南北韓

裵相五,金泰丸 忠南大學校 法學硏究所 1990 法學硏究 Vol.1 No.1