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.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

맥동 무선계측장치의 개발

김태규,민영봉,정태상 진주산업대학교 1991 論文集 Vol.29 No.-

압력센서를 이용하여 무선송수신 신호회로를 고안 제작하였고, 자기상관함수를 이용한 계측프로그램을 개발하였다. 이들 장치를 진탕기에 부착하여 무선맥동수를 측정한 결과 자기상관계수의 파형이 진탕기의 주기와 동일한 주기로 변화하는 것을 확인할 수 있었고 맥동수도 2Cycle/min.의 일정한 차이를 보여 가축의 반추회수 및 스포츠과학 등의 계측에 응용이 가능할 것으로 사료된다. Signal processing circuit was developed using pressure sensor and measuring program by the auto correlation function. The result of wireless pulse measuring, attached system to shaker, the waveform of auto correlation function coefficient and shaker cycle was transformed on the same period. Number of pulse was appeared to 2C/min. difference steadily. With data above mentioned possible to application to measurement in number of remination and sport science etc.

글래스 아이오노머 이장재와 복합레진간의 결합강도에 관한 연구

김민희,정태성,김신 大韓小兒齒科學會 1999 大韓小兒齒科學會誌 Vol.26 No.3

본 연구는 현재 널리 쓰이고 있는 sandwich technique을 임상에 적용함에 있어서,GIC 이장재에 대한 이중중합형 레진과 비교적 근래에 소개된 compomer의 결합력을 측정하여 기존의 광중합형, 화학중합형 복합레진과 비교하고, 가장 우수한 결합력을 보이는 glass ionomer composite resin의 조합을 밝혀내고자 시도되었다. 이장용 재료로는, 광중합형인 GIC Vitrebond와 화학중합형인 GIC인 Ketac-fil을 사용하였으며,이 두가지의 이장재에 대해,광중합형 복합 레진인 Z-100,화학중합형 복합 레진인 Clearfil, compomer인 Dyract,그리고 이중중합형 복합 레진인 Bis-core를 축조하여 각 군당 10개씩, 총 80개의 시편을 제작하였다. 제작된 시편은 37℃의 증류수에 24시간동안 보관한 후,full load scale 50Kg,cross-head speed 1mm/min 조건의 만능 시험기에서 그 전단결합강도를 측정하였으며 실험결과는 student t-test로 검정하였다.본 연구의 결과는 다음과 같다. 1.Vitrebond를 이장재로 사용한 경우,Z-100이 가장 낮은 결합강도를 보였으며,나머지 세 재료는 결합력의 차이를 보이지 않았다(P<0.05). 2.Ketac-fil을 이장재로 사용한 경우,Clearfil이 가장 높은 결합강도를 보였고,Dyract, Bis-core가 중등도의 결합강도를,Z-100이 가장 낮은 결합강도를 보였다(P<0.05). 3.Clearfild은 Vitrebond 상방에서는 타 재료들과 비슷한 결합강도를 보였으나, Ketac-fil 상방에서는 가장 높은 결합강도를 보임으로써, GIC 이장재 종류에 따른 결합력의 차이를 보였으나 (P<0.05),나머지 세 재료의 경우에는 차이를 보이지 않았다(P>0.05). 4.Vitrebond를 사용할 때보다 Ketac-fil을 이장재로 사용할 때, 상부에 축조되는 복합레진의 종류에 따른 결합력의 차이가 더 크게 나타났다(P<0.05). For the purpose of providing suggestions in selection of filling materials used in `sandwich technique',the bone strengths between glass ionomer cement bases and composite resins were invetigated and compared. For lining materials,`Vitrebond' and '`Ketac-fil' were used.Using these two as bases,10 of each following resins were built up of the top ;Z-100(light curing resin),Clear-fil(chemical curing resin),Bis-core(dual cure resin),Dyract(compomer),therfore 10 specimens of each group and total of 80 specimens were made. After storing specimens in 37℃ deionized water for 24 hours,the shear bond strengths were measured under universal testing machine with 50 kg of full load scale and 1mm/min of crosshead speed and obtained the results as follows: 1.Over Vitrebond base,Z-100 showed the lowest bond strength but the other three did not show any difference in bond strength. 2.Over Ketac-fil base,Clear-fil showed the highest bond strength followed by Dyract,Bis-core,and Z-100 showed the lowest bond strengths. 3.Whereas Clear-fil showed the similar bond strengths on the Vitrebond base as other resins,it showed the highest bond strength on Ketac-fil base,which showed some difference in bond strength by differing GIC bases. 4.The bond strengths between base materials and composite resin showed a stronger resin-dependence tendency in cases with Ketac-fil bases rather than with Vitrebond bases.

장기간 항갑상선제 투여 후 임의 중단 뒤 재복용시 발생한 무과립구증 1 예

김승만;김태영;박수영;배영환;서영경 정은주;김태균;권민정;박정현;이순희 인제대학교 2011 仁濟醫學 Vol.32 No.-

Agranulocytosis, one of the major side effects of antithyroid a gents, probably occurs in less than 0.25% of cases treated with antithyroid agents. It usually occurs within the first several weeks or months after the initiation of therapy, when drug dosage is higher. Most reported cases of agranulocytosis have occurred during the first 3 months of therapy. We describe here a rare case that did not experience the side effect for 6 years of antithyroid agent treatment but presented with agranulocytosis in one month after re-exposure. It suggests that the major side effect such as agranulocytosis can occur in patients who had undergone prior uneventful antithyroid drug therapy.

Treatment of Radioactive Liquid Waste by the Forced-AirCirculation System

Tae-κuk Kim,IL Sik Kang,Jong-Sik Shon,Young-Gerl Ryu,Won-Hyuk Jang,Sang-Min Bae,Young-Yong Ji,Dae-Seok Hong,Kyung-Kil Kwak 한국방사성폐기물학회 2011 한국방사성폐기물학회 학술논문요약집 Vol.9 No.2

알코올성 치매의 신경심리학적 소견

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

코드 스멜 탐지를 위한 AST 메타모델의 확장과 OCL 명세

김태웅,김태공,김경민 인제대학교 2009 仁濟論叢 Vol.24 No.1

Recently, refactoring has been largely used to increase the efficiency of software development and decrease its maintenance costs. It is prior to determine the improvements before applying refactoring for improving the design of legacy code. Regarding this issue, Martin Fowler and Kent Beck proposed bad smells in code that identifies the design problem. Thus, this study detects the code smells automatically. To do this work, this study transforms the source code to an XMI document based on EAST meta model, which is an extended model of AST meta model. And the code smells that was defined with a natural language are specified using the OCL. Furthermore, this study performs the detection in which the code smell will be specified by using OCL and verifies its applicability and effectivity.

베체트병 환자에서 Azathioprine으로 유발된 급성 췌장염 1례

김기향,권민정,김동기,김애란,김윤정,박지훈,이영태,박보민,김동욱 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Although many drug are thought capable of initiating acute pancreatitis, following azathioprine administration represents the 5% incidence by far the highest recorded incidence to date. We report a 35-year-old male who developed acute pancreatitis in the course of treatment with azathioprine for Behcet's disease. He was admitted due to abdominal pain, diarrhea, and fever for 10 days. Serum amylase and lipase levels were 510U/L and 3702U/L respectively. The abdominal CT scan revealed diffuse enlargement of the pancreas. There was no history of alcohol use or gall bladder disease. We considered drugs, especially azathioprine, as the cause of acute pancreatitis. We diagnosed it as acute pancreatitis. The patient was treated conservatively with hydration and analgesics. The symptom subsided within four days. Five days later, azathioprine was resumed. And the patient complained of abdominal pain. The elevated levels of serum amylase and lipase confirmed the recurrence of pancreatitis. His symptom subsided when azathioprine intake the stopped, and the serum amylase and lipase levels returned to normal level within five days.

경희대학교 평화의 전당 노래비 디자인

김동찬,김호겸,민창기,김태현,김용욱 경희대학교 디자인연구원 2003 예술· 디자인학연구 Vol.6 No.1

The purpose of this study is to design a basic draft of a monumental inscription with a poem of a peace for stirring up a peaceful mind. The inscription is expected to be a place for arousing a peaceful mind to visitors. Moreover, this place can be a place for culture and rest, which uplifts the image and phase of Kyunghee University to both.