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.

太谿穴의 臨床 活用에 대한 文獻考察

구성태,송문영,강정묵,김용명,박보라,이은석,홍정아,김경식,손인철 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Literally, the mean of Tae-gye is highest brook. And on the basis of the acupuncture theory, Tae-gye point is the Soo earth point and source point of the Kidney Channel as well. In addition, Tae-gye point is one of the Yang-Returning Nine points. We were trying to study bibliographically on the Tae-gye point because Tae-gye point can be used very broadly across the symptoms in the theoretical aspect described above. As a results, we found out that according to the classical books of acupuncture, Tae-gye point is entering point of the Meridian Water as a source point and can be used at both Kidney-Sufficient Syndrom and Kidney-Deficient Syndrom. And Tae-gye can be applied to the disease of kidney or bladder that is urogenital symtoms, Also, Tae-gye is an useful option of tooth-ache, asthma, indigestion, constipation, edema etc whose cause is related with decrease of Kidney ki.

북한소설 『군바바』에 나타난 ‘민족의식’

박태상(Park Tae-Sang) 동북아시아문화학회 2007 동북아시아문화학회 국제학술대회 발표자료집 Vol.- No.-

『Gunbaba』, written by Kim Hye-sung, a rising writer of North Korea, is a historical long-novel which is remarkably highlighting the characteristic of the independence and nationality of our people by standing a Josun military officer as a hero with a historical background of Josun which was dotted with a long spell of national ordeal such like the residence of the Japanese supervising Agent in 1906, the dismission of the Korean army in 1907, the Special Envoys of Hague, and the deposition of King Gojong. 『Gunbaba』 has a framwork of latitude of longitude of supporting characters such like Jock-song, Kwon Ki-hong, Kim Hui-sook, Yang Seol-hee, and Lee around a hero, Nam Sang-duk, a main character. This work is, so to speak, based on ' the First People of Josun', the ideology of 'nationalism', which was stressed by Kim Jeong-il, the chairman of the defence committee after he came to the force. This ideology was functioned as the driving force that caused the writing tendency such like the realistic works of the historical theme that were in great vogue in the North Korean society. Especially in one point, this work gives fun to the readers that it focuses on the nationalism by describing the various types in the decadent stage to the Japanese colonialism of the various kinds of characters, who had collaborated with the Japanese Imperialists in many ways, such as Kim Tae-jin, Lee Wan-yong, and Park Young-hyo of the day it shows. First of all, Nam Sang-duk, the hero, is actually described as a person with many troubles in the work. Nam Sang-duk, who graduated first from the Senior Military Academy and got appointed to a platoon commander of the Josun army, was continually playing a role as a trouble-maker. Without regard to his soldiership, he is engaged into some trouble between 'Cheongcheon Pub' which is operated by Kwon Soon-sil, his friend Kwon Ki-hong's elder sister and 'Sakura Coffee Shop' which is operated by a Japanese, Yoshiko and he is behind bars and then is released. In fact, it seems that the writer has intention in his mind that Nam Sang-duk, his hero, kept his foot in the trouble to make him <a sensible person>. Besides, the hero, Nam Sang-duk, deeply impressed by the Drive for National Debt Compensation of Yang Ki-tak, organized the Danyeonhoe in his Josun army and raised money to participate in the Drive for National Debt Compensation. Moreover, going on his way, he found a boy dying hit by the new train which first showed in Seoul and hurry to the doctor's office carrying him on his back and gave some portion of the fund for the Drive. After all, these activities of him seem to include the writer's purpose not only to show the patriotism of Nam Sang-duk but also to reveal the falseness and the oppression of the Japanese Militarism through the victim by the train, which is propagandized as the symbol of modernization and the point of the modem civilization which is propagandized by the Japanese Imperialism. Another one, Park Sung-hwan, the battalion commander, heard the news of the painful outcries of Yang Sung-hwan who had known the reality of the dismission of Josun army ordered by the Emperor' false will being forced by Lideungbakmun and his pro-Japanese Lee Wan-young, killed himself by a pistol. Nam Sang-duk, the hero, hearing the gun-sound and witnessing the scene of the suicide, dashed to the common soldiers, stimulated them, and resisted in arms. Nam Sang-duk, determined to die and with a bundle of explosive, rushed to the city gate where the Japanese machine-gun position and the fortress were lined up with and died a heroic death raising the morale of the rebel forces. These gallantry and intrepidity come to the victory in the end and they transfer to the esthetical category of 'heroism' and 'nobility' which the North Korean esthetics categorized. In 『Gunbaba』, there appears a peculiar assistant, Park jwa-su, who is set up a very

<주다> 동사에 관하여

성태수 남서울대학교 인문사회과학연구센터 2000 인문사회연구 Vol.2 No.-

Previous studies have considered that the Korean verb ´cwuta´should be divided into three types : a lexical verb ´cwuta´, (as a participant of a compound verb): and an auxiliary verb ´cwuta´. The former cannot be used independdently in a sentence as a 3-place predicate. The second combines with other lexical verbs to form the compound verb. The latter serves as a helping verb (or an auxiliary verb), which adds the implication of ´service´or ´way´to the main verb. However, the second seems to assing the theta-role of ´goal´to dative NP´, while the latter doesn´t. We claim that the dative NP should be assumed to be an adverbial phrase which means ´for NP´or ´instead of NP´, since the existence of the dative NP is optional like that of other adverbial phrases. In this sense, the second is claimed to be an auxiliary verb like the latter. Finally, the structure of ´cwuta´constructions is analyzed.

성공과 역할 갈등

이혜성,김태련 이화여자대학교 한국문화연구원 1995 韓國文化硏究院 論叢 Vol.66 No.1-3

This research is about success and role conflict in which through the use of questionnaires success perception, success attributes, role conflicts in the success pursuit process, and coping methods have been surveyed. Result is summarized as following: above all, the meaning of success appeared differently to men and women. Standards of mens success are mainly occupation, economic power and ability, on the other hand, womens success is happy family. In the items to measure the degree of success, general success evaluation scores are high, however, the sex difference is not appeared. On the other side, as a result of the survey to find out how success perception relates to personality of the individual person, androgynous trait is the most important personality characteristic in all aspects of success. And as male trait is important in occupation of success perception, female is in family and interpersonal relationship. Attribution of the success cause appeared in order of ability, effort, interest, and aptitude consistently with the general success groups attribution pattern. Analysis of conflicts meeting in the process of success pursuit, cause of conflicts pointed out to be at work is job dissatisfaction, problem of parelling work and family at the same time, conflict with boss, and differences in values at the job. And in family the cause is children, economics, family health, conflicts with in-laws and there to with spouse. In the result, there appears to be no difference in work or family in coping methods of these conflict phenomenon. However, in the group which actively tries to find coping method showed sex differences. There appeared more response in women as to men to look for where can give out help. Where as in the inactive coping group, high response in men appeared to stick with the methods of previous problem solving. These results show necessity of not only women counseling centering those women who need help, but also men counseling for those men who do not seem to recognize the apparent necessity of counseling. However, in order to get the counseling effect, it needs an approach in where clients traits are carefully considered. In a time context where success is emphasized, it is earnestly needed to recognize various problems of success, to understand those conflict phenomena produced in the success process, and to seek coping methods for these. Accordingly, through counseling procedures and vast amount of knowledge about success and its various problems should be reflected in counseling. Therefore to seek ways and means to help and individual for further successful adjustment.

공중에게 잘못된 인식을 심어주는 행위

권태상 梨花女子大學校 法學硏究所 2017 法學論集 Vol.22 No.1

(1) 미국에서는 공중에게 잘못된 인식을 심어주는 행위를 독자적인 불법행위 유형으로 인정할 수 있는지 여부가 다투어지고 있는데, 현재 다수의 주는 이 유형의 불법 행위를 인정하고 있다. 공중에게 잘못된 인식을 심어주는 행위 유형을 인정하지 않는 견해는 이 유형이 명예훼손과 중복된다고 한다. 그러나 공중에게 잘못된 인식을 심어주는 행위 유형을 인정하는 견해는 양자의 보호이익이 다르다고 본다. 즉 명예훼손 사안에서 보호되는 이익은 외부 세계의 평판이라는 객관적인 것이나, 프라이버시 사안에서 침해되는 이익은 내면의 상처라는 주관적인 것이라고 한다. (2) 우리나라에서도 학설상 공중에게 잘못된 인식을 심어주는 행위 유형의 프라이버시권 침해가 인정되고, 이것이 명예훼손과 구별된다는 점도 인정되고 있다. 공중에게 잘못된 인식을 심어주는 행위 유형의 프라이버시권 침해를 인정한 것으로 보이는 판결들도 있다. 그러나 많은 판결들이 이 유형의 프라이버시권 침해가 문제될 수 있는 사건에서 명예훼손 책임을 인정하였다. 미국의 논의가 우리에게 시사하는 점은 다음과 같다. 첫째 공중에게 잘못된 인식을 심어주는 행위가 사람의 내면적 이익을 보호한다는 점을 명확히 인식할 필요가 있다. 행위의 외부적 결과만 보면 이 유형과 명예훼손의 구별이 어려워질 수 있으나, 주된 보호이익이 무엇인가라는 측면에서 보면 양자를 구별하는 것이 가능하다. 둘째 공중에게 잘못된 인식을 심어주는 행위를 인정하는 가장 큰 실익은 허위의 진술이 명예훼손적이지 않은 경우도 구제수단을 제공한다는 점이다. 이 경우는 명예훼손이 성립하지 않으므로, 공중에게 잘못된 인식을 심어주는 행위가 유일한 구제수 단이 된다. 셋째 허위의 진술에 대한 구제가 필요한 이유는, 명예훼손과 무관하게 사람은 자신의 모습이 잘못 공개되지 않을 이익을 갖기 때문이다. 이는 이른바 인격상의 왜곡에 대한 보호라고 할 수 있다. 넷째 우리나라에서는 진실한 사실을 적시하여도 명예훼손이 성립할 수 있으나, 이 경우 공중에게 잘못된 인식을 심어주는 행위를 인정하기는 어려울 것이다. 다섯째 명예훼손으로 인한 위자료와 공중에게 잘못된 인식을 심어주는 행위로 인한 위자료의 성격도 다르다고 할 수 있다. 전자는 평판의 하락으로 인해 발생하는 정신적 손해의 배상이 중심이 되고, 후자는 내면적 이익의 침해의 배상이 중심이 된다. 그러나 실제로는 이를 구별하는 것이 쉽지 않아, 양자가 중첩될 가능성이 있다. (1) In United States, majority of States acknowledge the false light tort as a viable claim in their jurisdictions. Some courts rejected the tort based on the reason that it duplicates defamation. But Courts in states that have accepted the false light tort have distinguished false light from defamation in the interest protected. These courts hold that in defamation cases the interest sought to be protected is the objective one of reputation in the outside world, while in privacy cases the interest affected is the subjective one of injury to inner person. (2) In Korea, the false light privacy invasion is recognized in theory and some courts seem to acknowledge this tort. But in many cases where the false light tort is involved, courts have made an judgement on defamation. Those points below should be specially considered. 1. It is necessary to recognize that in false light cases the interest affected is the subjective one of injury to inner person. In contrast, only the outcome appearing on the outside is considered, it is not easy to distinguish false light from defamation. 2. Certain false statements that do not injure the reputation of plaintiff can be an actionable invasion of false light privacy. In this case, plaintiff can not resort to defamation and the false light tort is the only remedy against false statements. 3. All men have interests of not being disclosed to public in a different way than what he is, so it is necessary to recognize remedy against false statements. This is the protection against distortion of personality images. 4. In Korea, even true statements can give rise to liability for defamation. But in this case, it is difficult to assert the false light privacy invasion. 5. The nature of consolation money for defamation and false light is not identical. The former focuses on mental distress flowing from damage to reputation, while the latter focuses on injury to inner person. But it is not easy to differentiate in practice, the object of consolation money can overlap.

재발성 호흡기 유두종증의 임상양상과 보조 치료의 유용성

성명훈,최병윤,진정욱,성원진,박범정,노종렬,김대우,원태빈,김광현 대한이비인후과학회 2001 대한이비인후과학회지 두경부외과학 Vol.44 No.12

영어 읽기 능력을 향상하기 위한 영화자료 사용에 대하여

성태수 남서울대학교 2016 남서울대학교 논문집 Vol.22 No.-

Poly(2-hydroxyethyl methacrylate-co-γ-methacryloxypropyl triethyl silane) 및 Poly(2-hydroxyethyl methacrylate-co-γ-methacryloxypropylmethyl bistrimethyl siloxysilane)의 반응성과 열적 성질

성용길,정태화,이상영 동국대학교 1986 論文集 Vol.25 No.-

Hydrophilic poly(2-hydroxyethyl methacrylate) has been accepted as biocompatible material for medical applications. Some of its relatively poor physical property are still remained as problems to be improved. In order to improve its physical property, new copolymers of 2-nhydroxyethyl methacrylate(HEMA) with silane monomers have been developed and synthesized. The silane monomers are γ-methacryloxypropyl triethyl silane(MPTS) and γ-methacryloxypropyl methyl bistrimethyl siloxysilane(MPMBSS). The compositions of unreacted monomers in the copolymers were separated and determined by the intensity of each peak by gas chromatographic analysis. The monomer reactivity ratios determined by the Kelen-Tu¨dos method are as follows; r_1=0.80 and r_2=0.71 for poly(HEMA-co-MPTS), r_1=1.22 and r_2=0.21 for poly(HEMA=co-MPMBSS). The tendency of alternating copolymerization and the relative reactivty of MPTS and MPMBSS with HEMA were investigated. The Q and e values were also calculated by the Alfrey-Price equation. The synthesized monomers and copolymers were identified by infrared spectroscopy and nuclear magnetic resonance spectroscopy. The thermal properties of the copolymers were also measured by thermogravimetry and differential scanning calorimetry.

수사기관의 요청에 따라 개인정보를 제공한 전기통신사업자의 손해배상책임 : 대법원 2016. 3. 10. 선고 2012다105482 판결

권태상 梨花女子大學校 法學硏究所 2018 法學論集 Vol.22 No.4

전기통신사업법상 통신자료제공 제도는 수사기관이 전기통신사업자로부터 그 이용자의 성명, 주민등록번호, 전화번호 등의 개인정보를 취득할 수 있는 제도이나, 법원의 허가나 영장을 요건으로 하고 있지 않다. 이에 따라 통신자료제공 제도는 영장주의 원칙에 위반된다거나 통신의 비밀, 개인정보자기결정권, 표현의 자유 등을 침해한다는 비판을 받고 있다. 이 사건 법률조항이 “응할 수 있다.”고 되어 있는 것도 바람직하다고 평가할 수 없다. 현재 통신자료제공 제도에 대해서는 여러 입법론적 개선 방안이 제시되고 있다. 그러나 이 사건 법률조항에 따라 행위한 전기통신사업자가 손해배상책임을 부담하는지 여부는 통신자료제공 제도 자체의 문제점과는 별도로 판단해야 한다. 현대 정보사회에서 전기통신사업자 특히 피고와 같은 인터넷 서비스 제공자가 갖는 공공성은 부정할 수 없으나, 이러한 공공성에 근거하여 바로 법적 의무를 인정할 수는 없다. 전기통신사업자에게 수사기관의 통신자료 제공 요청을 실질적으로 심사할 의무를 인정하기 위해서는 이러한 의무를 규정한 근거 법률이 존재하거나 합리적인 해석에 의해 이러한 의무를 도출할 수 있어야 한다. 이 사건 법률조항은 전기통신사업자에게 통신자료 제공을 허용하고 그 제공행위를 면책시키는 의미라고 보는 것이 타당하며, 실질적 심사 의무의 근거가 된다고 보기 어렵다. 그리고 범죄 행위의 위법성, 사안의 중대성과 긴급성 등에 대한 판단은 여러 법익과 가치를 고려해야 하는 전문적인 것으로, 사인(私人)인 전기통신사업자가 이러한 판단을 하는 것은 쉽지 않다. 나아가 이러한 판단은 그 성격상 수사기관이나 법원 등 국가기관의 업무에 해당하므로, 이를 사인(私人)인 전기통신사업자에게 전가하는 것은 바람직하다고 볼 수 없다. 대상판결이 이와 유사한 논거를 들어 전기 통신사업자의 실질적 심사 의무를 부정한 것은 타당하다. 한편 대상판결은 통신자료 제공으로 제한되는 사익이 이용자의 인적 사항에 한정된다고 하였으나, 개인의 인적 사항에 관한 정보가 갖는 중요성을 낮게 평가하는 것은 타당하지 않다. 다만 통신자료 제공의 상대방이 비밀엄수 의무가 있는 수사기관이라는 점은 일반적인 경우보다 침해 정도를 감소시키는 요소가 될 수 있다. 대상판결은 전기통신사업자에게 실질적 심사 의무를 부과하는 것이 이 사건 법률 조항의 입법 취지에 부합하지 않는다고 하였다. 이 사건 법률조항이 영장주의 원칙에 합치되도록 운영되어야 한다는 주장도 있으나, 설령 통신자료제공 제도에 위헌적인 측면이 있다 하더라도 사인인 전기통신사업자에게 이러한 판단을 요구하기는 어려워 보이고, 나아가 그 법률 규정에 따라 행위한 사인에게 책임을 묻는 것도 어려워 보인다. This paper examines the case in which the liability of a telecommunication operator that provided personal information to the investigative agency on request was discussed. According to the Telecommunication Business Act, investigative agency can request telecommunication operator to provide communication data without warrant or permission of the court. Communication data is personal information such as name, resident registration number, address, phone number, ID, date of accession and termination. Though telecommunication operator have public concern in the information society, legal duty can not be acknowledged based only on this public concern. The duty of telecommunication operator to substantially review the request for communication data of investigative agency can be acknowledged when this duty is stipulated in law or can be reasoned out by rational analysis. Telecommunication Business Act does not stipulate the duty to review the request for communication data of investigative agency. Furthermore, it is difficult for telecommunication operator to judge the illegality of behaviour and the importance and urgency of matter because this judgement is highly specialized and requires to balance conflicting interests of the case. This judgement is the duty of governmental organs in nature and it is not desirable to shift this duty to telecommunication operator. Supreme Court of Korea denied the duty of substantial review of the request for communication data of investigative agency and this seems proper.