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.

고속 주축계의 자켓의 유량 변화에 따른 냉각 특성

김태원,김수태,최대봉,김태형 한국공작기계학회 2000 한국공작기계학회 추계학술대회논문집 Vol.2000 No.-

Cooling characteristics of cooling jacket for spindle system with built-in motor are studied. For the analysis, three dimensional model for the cooling jacket is built by using finite volume method. The three dimensional model includes the estimation on the amount of heat generation of bearing and built-in motor and the thermal characteristic values such as heat flux on the boundary. Numerical results show that flow rate are important factors for cooling characteristics of cooling jacket.

Cisplatin과 Tobramycin이 白鼠 Corti器에 미치는 영향에 關한 電子 顯微鏡的 硏究 : Ultrastructural Study

김동환,신태균,김무강,김홍선,김원식 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.1

In order to study the morphological changes of Corti’s organ in the rat treated with cisplatin and tobramycin, thirty-three rats, weighing between 200∼250g, were used, and divided into 4 groups, i.e., 3 rats were used for control, and 30 rats were used for 3 experimental groups. Each experimental group was divided into cisplatin-treated, tobramycin-treated, and both cisplatin and tobramycin treated group with 10 rats. Rats were injected with a single dose of 7.7㎎/㎏ of cisplatin intraperitoneally and 50㎎/㎏/day of tobramycin for 2 days intramuscularly, respectively or both. Treated rats were sacrificed on the 3rd and 5th day after the first injection. Results were as follows; 1. Cisplatin-treated group: Outer hair cells of Corti’s organ were degenerated with the formation of vacuoles and appearance of lysosomes, however, inner hair cells showed mild vacuolization. 2. Tobramycin-treated group: NO pathological changes were found in Corti’s organ. 3. Combined cisplatin and tobramycin treated group: Outer and inner hair cells showed vacuolization, appearance of lysosomes, myelin figures and multivesicular body. There were also multivesicular body in the inner phalangeal cell and myelin figure in the Reissner’s membrance. 4. Degeneration of Corti’s organ in the combined treated group was more sever than those of the single cisplatin-treated or tobramycin-treated group. 5. NO pathological differences of Corti’s organ in duration of postinjection were manifested in any groups. It can be concluded that cisplatin induces toxicity to inner ear and cisplatin enhance toxicity more in continued treated with tobramycin.

알코올성 치매의 신경심리학적 소견

김태유,김지원,김상윤,김준모,이동기,연권인,김민정,이은아,손정은 대한노인병학회 2004 대한노인병학회지 Vol.8 No.1

지방신문의 국제뉴스에 관한 연구 : 걸프전 보도를 중심으로

김원태 전남대학교 사회과학연구소 1991 현대사회과학연구 Vol.2 No.1

The tendancy of the report of the international news shows that the developing countries' news is relatively few and negative than that of the advanced countries. It appeared that in the international news flow of information, there is imballance and the negative news finally effects bad influences on international relation. The similar assertion appeared obviously not only in the study results of foreign scholars; Schramm, Markham, Galtung, Weaver and Wilhoit, but also in Korean scholars: Kim, Jung-Gi, Choi, Chang-Sup, Lee, Sang-Chul, You, Jae-Chun, Im, Duk-Keun, Kim, Won-Tae. The study on the international news generally deals with the news flow from advanced countries to the developing countries and the imbalance of news report centering around 4 major wire services, and Korean newspapers also show same news tendancy. But there is nearly no study presentation on international news of local papers. Local papers deal with international news at political department or editing department without foreign news department. In view of the importance of internationalization of locality, local papers should have more interest about international news. The ratio of center related news is 62.9%, local related news is 37.1% and in editorial, center related theme is 76.4%, but local related theme is only 23.6%. Though it is located in local cities, however, Local papers deal with general news and editorials as if it is center papers. So the newspaper editing is not match with locality and it seems like a reduced-size edition of center papers. Local papers have weak point in covering international news. There is many local agencies which do not have foreign news department. Therefore without international news specialists, teletypewriters, all foreign news are depending on Yunhap News Agency. But when an important event occurred like Gulf War, they temporarily entrust expert journalists in foreign language with foreign news dealer. To know how local papers deal with international news, the researcher compare and analyze Chosun-Ilbo in Seoul, Kwangju-Ilbo in Kwangju, and Maeil-Sinmun in Taegu by using content analysis as an analysis method for the all sample papers of February 1991. Especially, in this period, the researcher want to study how Seoul and local papers deal with such an important event like Gulf War. In result, Chosun-Ilbo covered not only much international news but also sports, international politics, economics evenly. It dispatched 3 correspondents at war districts. It tried to see the war event through its eyes and filtered and reedited foreign news under the name of 'foreign news integration'. But the effort which it wants to free from foreign news agency's view had no sufficient effect. The ratio of international news volume and space in Kwangju-Ilbo was relatively low than Chosun-Ilbo. Giving foreign news directly to readers it lacks unificative view. But it tried to cover the vivid news by dispatching correspondent at Gulf district. And it was unique case among local papers. Besides it has enthusiasm to cover somewhere like Mongolia etc. Comparing to Chosun-Ilbo and Kwangju-Ilbo the gravity of international news of Maeil-Sinmun was very low. Though percentages of international news was relatively low, but it use `foreign news integration' like Chosun-Ilbo and clearly expressed news source agencies. But Maeil-Sinmun was somhow negligent for local readers on international news without particular reason. Nowadays local papers should contribute to develop local culture by enlarging international news in quantity and quality, carrying out the role of the 'world window' for local readers.

DATA BASE SYSTEM DEVELOPMENT AND STATISTICAL ANALYSIS OF EIR3 ACCIDENTS OF SEVERAL COUNTRIES

Kim,In-Tae,Kim,In-Won,Song,Hee-Oeul 한국화재소방학회 1997 한국화재소방학회 학술대회 논문집 Vol.1997 No.-

The fire accident cases of several countries such as Korea, Japan, United States, etc., were collected and compared statistically. The trends of fire accidents in several countries will help us establish detailed plans for fire protection and reduce the possible fire accidents in the future. For construction of data base system, the program FADS was developed, which is operable in Windows environment.

Clinical Outcome of Modified Cervical Lateral Mass Screw Fixation Technique

Kim, Seong-Hwan,Seo, Won-Deog,Kim, Ki-Hong,Yeo, Hyung-Tae,Choi, Gi-Hwan,Kim, Dae-Hyun The Korean Neurosurgical Society 2012 Journal of Korean neurosurgical society Vol.52 No.2

Objective : The purpose of this study was 1) to analyze clinically-executed cervical lateral mass screw fixation by the Kim's technique as suggested in the previous morphometric and cadaveric study and 2) to examine various complications and bicortical purchase that are important for b-one fusion. Methods : A retrospective study was done on the charts, operative records, radiographs, and clinical follow up of thirty-nine patients. One hundred and seventy-eight lateral mass screws were analyzed. The spinal nerve injury, violation of the facet joint, vertebral artery injury, and the bicortical purchases were examined at each lateral mass. Results : All thirty-nine patients received instrumentations with poly axial screws and rod systems, in which one hundred and seventy-eight screws in total. No vertebral artery injury or nerve root injury were observed. Sixteen facet joint violations were observed (9.0%). Bicortical purchases were achieved on one hundred and fifty-six (87.6%). Bone fusion was achieved in all patients. Conclusion : The advantages of the Kim's technique are that it is performed by using given anatomical structures and that the complication rate is as low as those of other known techniques. The Kim's technique can be performed easily and safely without fluoroscopic assistance for the treatment of many cervical diseases.

간문부 담관암 환자에서 경피경관 양측성 금속 배액관의 효과

김금래,김주형,박원규,장재천,조재호,김태년,김준화,장병익 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Background: The purpose of this study was to determine the effectiveness of percutaneously place self-expanding metallic stent for the relief of biliary obstruction in patients with hilar cholangiocarcinoma. Materials and Methods: From November 2001 to December 2004, 48 patients with hilar cholangiocarcinoma were prospectively studied. After percutaneous placement of bilateral self-expanding, uncovered metallic stents, follow-up evaluation was carried out until July 2005. Results: There were 4 cased of Bismuth type Ⅱ,21 cases of Bismuth typeⅢa 8 cases of Bismuth type Ⅲb and 15 cases of Bismuth type Ⅳ. Stent placement was technically successful in all patients All patients had satisfactory biliary drainage, resulting in one week drainage rate of 72.8% and final drainage of 91.9% There were 12 cases (21.3%) of abdominal pain requiring analgesics and 1 case (7.1%) of cholangitis; both were successfully managed with conservative treatments. Late complications occurred in four patient (8.3%), including two patients with cholangitis, one patient with liver abscess, and one patient with biloma; all were appropriately managed by percutaneous drainage. The average length and median durations of stent patency and median survival time were 303 days (range, 60~815) and 338 days (range, 60 ~1175), respectively. Conclusion: Placement of a percutaneous metallic stent is an effective and safe method of palliation of patients with hilar cholangiocarcinoma.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

水稻 이양전작(春播) 靑刈 옥수수의 경제성 조사

金基元,徐大振,姜奉泰 진주산업대학교 1972 論文集 Vol.9 No.-

1. The weather condition was good and the cost of producing 7,600Kg/wa of soiling corns was 3,911 Won 2. Appreciate value per Kg was 51 Won, labor-expense was 3,38won, fertilizer-expense 0,16 Won and productive quantity per invested labor-hour was 118Kg, 3. Forage quantity to purchase with the expense of soiling coiling corns sold is as follows:barley is 156,4Kg, corns are 88.3Kg, wheat bran is 165.7Kg, wheat 114.0Kg and nou-fatdrid ricebran is 23.42Kg. 4. After-farming growth and harvest quantity were not different, but the damage of disease was slightly more.