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.

UML을 이용한 송전선로 보호계전기 정정프로그램 분석/설계

吳泰旭,崔勉松,李承宰 明知大學校 産業技術硏究所 2004 産業技術硏究所論文集 Vol.23 No.-

PROSET2000 that is integrated protective management system had developed and used in order to automate the setting process of protective relays in transmission system protection. PROSET2000 have database for relay setting and automated for relay setting program within. This paper proposed PCM current differential relay setting program point of Object Oriented Programming paradigm using Unified Modeling Language about additional relay in PROSET2000. Nevertheless each relay uses same current differential but setting method is different. This paper discribed different thing about setting method of each relay and evaluated more effective and corrective relay setting program using UML.

이동 애드 혹 네트워크에서 QoS를 지원하는 AODV 라우팅 프로토콜

吳世德,趙榮泰,丁燦赫,金玄郁,李光培,姜景仁,朴京培,文泰洙,郭承郁,河載承 明知大學校 産業技術硏究所 2003 産業技術硏究所論文集 Vol.22 No.-

Abstract - In this paper, we propose a bidirectional mobile Ad Hoc routing protocol based on AODV(ad-hoc on-demand distance victor routing) with QoS(quality of service) support. At presence, wireless mobile communication focuses on how to efficiently support mobility of users more than QoS guarantee. However, in order to satisfy requirement of various applications which have been or will be served, QoS guarantee between end point is a very important issue. The existing AODV routing protocol is implemented to use only BE (Best Effort) service. However, actual wireless mobile environment requires to reduce a waste of communication resources and meet with the real-time change of data paths by setting up routes with QoS support, considering available communication resources at each node in advance. Therefore, in this thesis, we propose an adaptive QoS support method using hello message in order to rapidly meet with the change of available communication resources and to smoothly perform route maintenance. For performance evaluation, we analyzed the average date reception rate. At that time, we used evaluation parameters such as node's mobility -stop time, hello message period, and packet priority, considering the node's mobility and the number of best effort/QoS data flows. As results, we found that with our proposed method the average data reception rate was increased 16.3% for 0 mobility-stop second case and 4.7% for 300 mobility-stop second case.

영구자석 직류 전동기의 설계에 관한 연구

오승석,정태경 중앙대학교 생산공학연구소 1998 생산공학연구소 논문집 Vol.7 No.1

기존의 자기저항법에 카터계수와 누설 퍼미언스를 개선시켜서 해석 및 설계를 하였다. 누설계수를 도입한 파이형 4단자 등가회로를 이용하여 적절한 자로의 평가가 가능하였다. 또한 해석과 설계후 효율성을 중시한 프로그램을 제작하여 쉽게 사용하도록 하였다. 검토결과 설계 프로그램은 실제의 전동기에 대해 신뢰할 수준의 결과를 산출하는 것을 확인할 수 있었다. 이 프로그램으로 인하여 사용자가 한번의 초기 데이터 입력으로 원하는 특성값이나 설계값을 얻을 수 있게 되어 쉽게 모터를 분석할 수 있게 되었다. To analyze and design a motor magnetic permeance method and numerical methods such as F.E.M. are used. In this thesis, DC motor is analyzed and designed by the permeance method. Modified Carter coefficient and leakage permeance are presented. A magnetic flux path can be approximated properly by using a equivalent πnetwork representation adding the leakage coefficient. Finally, effective and easy-to-use program is realized. Experimental analysis and design with an actual motors proves that this program produces reliable results. There are many experimental coefficient in this algorithms and it makes some design errors. Using of this program an motor engineer can obtain satisfactory characteristic and design value by inputting initial data at once.

NDRG2 is one of novel intrinsic factors for regulation of lL-10 production in human myeloid cell

최승철,김광동,김종태,오상석,윤선영,송은영,이희구,조영경,최인표,임종석,김재화 Sookmyung Women's University Research Institute of 2010 여성과 건강 Vol.6 No.1

NDRG2 is one of novel intrinsic factors for regulation of lL-10 production in human myeloid cell

최승철,김광동,김종태,오상석,윤선영,송은영,이희구,조영경,최인표,임종석,김재화 Sookmyung Women's University Research Institute of 2010 여성과 건강 Vol.6 No.1

유산소성 운동 강도가 혈중 알코올 농도에 미치는 영향

오승렬,오상덕,김태욱,박원화 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This study was to examine the most effective exercise intensity to decrease blood alcohol level under the condition of the same exercise volume after alcohol ingestion The subjects of the study were 7 students who enrolled in physical education major at H University, The blood alcohol levels of subjects were recorded and analyzed in different exercise condition, which were without exercise, HRmax 50% aerobic exercise, HRmax 70% aerobic exercise at each exercise situation(before, immediately after, 65rnins after, and 120mins after exercise). The effects of aerobic exercise on blood alcohol level and the changes in blood alcohol concentration level according to aerobic exercise intensity were as follows : 1. The blood alcohol levels in non-exercise group, HRmax 50% exercise group, and HRmax 70% exercise group illustrated significant difference(p<.05), In post hoc test, there was significant difference between non-exercise group and HRmax 50% exercise group (p<.05). In addition, there was significant difference between non-exercise group and HRmax 70% exercise group(p<.05). However, the blood alcohol levels in HRmax 50% exercise group and HRmax 70% exercise group did not show significant difference(p>.05). 2. The levels of decreasing blood alcohol concentration in the exercise situation(before, immediately after, 60mins after, and 120mins after exercise) showed significant difference(p<.001). 3. The interactive effect between exercise group and exercise situation illustrated significant difference(p<.001). As mentioned above, aerobic exercise was effective to decrease blood alcohol level after alcohol ingestion but under the condition of the same exercise volume the change of blood alcohol levels according to exercise intensity did not show significant difference. In conclusion, the most effective and fastest way to decrease blood alcohol level was HRmax 50% aerobic exercise, that is low intensity, rest after the exercise, and slight physical activity.

건조조건에 따른 꽁치과메기의 콜레스테롤 함량 변화

오승희,하태익,장명호 한국식품영양학회 1996 韓國食品營養學會誌 Vol.9 No.3

꽁치 가공식품 개발 가능성을 타진하기 위해 경북 동해안 일대의 전통·향토식품인 과메기를 자연건조와 인공건조로 각각 15일 건조하여 콜레스테롤 함량변화에 따른 과메기의 품질변화 건조효과를 조사하였다. 그 결과, 생체 꽁치의 콜레스테롤 함량은 건물 시료당 56.0mg%이었으며, 자연건조 3일째에 급격히 감소(생체 대비 10%)하였고, 그 후 큰 변화가 거의 없었다. 인공건조는 서서히 감소(3.0%→6.6%)하였다. New drying method was tested for the quality control for Kwamegi, dry Pacific saury(Cololahis saira) in east coast, area of Kyungbuk province, Korea, Cholesterol content of raw fish was 56 mg% on dry basis, and decreased to 50.82 mg% rapidly the first 3 day and then, it was almost unchanged. However, the cholesterol content decreased slowly to 52.3 mg% during 15 days in new artificial drying.

모 제약회사 근로자들의 직업성 천식 유병률과 약제 분말 노출수준

오성수,최용휴,김은아,이영목,장재길,유장진,박승현,김태균,정수영,김규상,강성규 大韓産業醫學會 2006 대한직업환경의학회지 Vol.18 No.2

목적: 제약회사에서 직업상 천식의 유병 규모를 파악하고 작업공정에 대한 작업환경 측정을 통해 제약회사의 약제 분말에 대한 노출수준을 평가하고자 하였다. 방법: 제약회사에서 약제 분말에 노출되는 근로자를 대상으로 천식을 선별하기 위하여 설문조사 및 진찰, 혈액검사, 폐기능 검사 그리고 피부단자시험을 실시하였고, 각 부서별 공정에 따라서 총분진과 항생제 또는 효소제 분말에 대한 작업환경 측정을 실시하였다. 직업상 천식이 의심되는 근로자에 대하여 기관지과민성에 대한 검사(메타콜린을 이용한 비특이 기관지유발시험)와 약제 분말 기관지유발시험을 실시하여 확진하였다. 결과: 설문조사 및 진찰에서 작업 관련 천식 증상이 있는 근로자는 11명(34.4%)이었고, 약제 분말을 이용한 피부단자시험에서 1+ 이상 반응을 보인 근로자 10명(31.2%)이었다. 비특이 기관지유발시험 결과 8명(25.0%)이 양성(PC20 ≤16 mg/ml)이었다. 약제 분말 기관지유발시험을 통해 직업상 천식으로 확진된 근로자는 5명(15.6%)이었다. 작업환경 측정에서 원료를 충진하거나 투입하는 작업 그리고 정립작업에서 약제 분말에 대한 노출이 많았다. 결론: 제약회사에서 직업상 천식은 주로 제조공정 중 약제 분말에 노출된 근로자에서 발생하여, 증상 및 직업성 천식의 유병률이 높았다. 따라서 원료를 충진 또는 투입하는 작업과 정립작업 등 제조과적에서 약제 분말 노출을 줄이기 위한 세심한 주의가 필요하여, 약제 분말을 취급하는 근로자에 대해서는 천식 증상 조사뿐 아니라 정기적으로 피부단자시험, 비특이 기관지유발시험 등을 실시하여야 할 것이다. Objectives: After the investigation of one worker with occupational asthma, we surveyed the preva- lence of occupational asthma and the exposure level of pharmaceutical dust of 32 workers in a pharmaceutical company. Methods: Thirty-two of the 90 employees participated in the survey which consisted of questionnaire, blood sampling, spirometry and skin prick tests with 8 common allergens as well as 9 antibiotics and 2 enzymes. Various indices of the working environment were also measured. Subjects who had a symptom suggestive of work-related asthma or positive skin prick test were further investigated by PC20 methacholine. Nine subjects who had a PC20 result of 16 mg/ml or less (n=7) or had work-related symptoms and positive skin prick test (n=2) were referred to undergo a specific bronchial provocation test to phar- maceutical dust in an academic allergic disease center. Results: Eleven of 32 workers (34.4%) had a work-related symptom suggestive of occupational asthma. Ten (31.2%) showed positive skin prick test. 8 (25.0%) had a PC20 result of 16 mg/ml or less (indicative of significant bronchial hyperresponsiveness), and 5 (15.6%) had a positive result on the specific bronchial provocation test. Exposure levels of stuffing, input of raw materials and screening process were relatively high. Conclusions: This survey showed that pharmaceutical workers have an increased risk of occupational asthma. Although pharmaceutical factories maintain a relatively good working environment, careful control of respiratory tract exposures, especially during stuffing, input or raw materials and screening process, is important to prevent occupational asthma. Pharmaceutical workers need to undergo regular skin prick and methacholine bronchial provocation tests, as well as asthmatic symptom survey, to ensure the early detection and prevention of occupational asthma.

용매의 선택에 따른 전도성 Polyaniline의 자기적 성질변화

오응주,서정선,노태호,류광선,정상국,송승기 명지대학교 자연과학연구소 1994 자연과학논문집 Vol.11 No.-

Polyaniline(emeraldine base:EB)를 pH에 따라 HCI로 1차 doping을 한후ESR을 사용하여 자기적 성질을 조사했다.또한 emeraldine base를 camphorsulfonic acid(HCSA), dodecylbenzene sulfonic acid(HDBSA)등의 산으로 1차 doping 시키고 이것을 m-cresol, acetic acid, 및 formic acid에 녹여 2차 doping을 한 후 SQUID 를 이용하여 자기적 성질을 측정하였다. Doping에 사용된 HCI용액의pH가 감소함에 따라 ESR 신호의 강도가 증가하였으며, 이로부터 doping에 따라 상자성을 나타나게 하는 화학종이 가타다는 것을아타내고 있다.m-cresol내에서 HCSA 및 HDBSA로 각각 doping된 EB-CSA/m-cresol 과 EB-DBSA/m-cresol 시료 무두 상자성을 나타내었고, 온도가 증가함에 따라 자하율값이 감소하는 경향을 나타내었다.χ?값은 2.18x10?과 7.87x10?emu/mol2-rings unit 보이며 두 스핀에 대한 Fermi 에너지 level(E?)에서의 상태밀도를 나타내는 N(E?)는 0.67과 0.24 상태(eV/2-rings unit?)로 나타났다.Camphorsulfonic ascid(HCSA)로 doping 된 EB를 m-cresol, acetic acid 및 chloroform 등 다른 용매에서 처리시 관찰된 자화율의 변화를 온도에 의존하지 않는 χ?값과 온도에 의존하는 χ? 값으로 구분하여 curie spin의 온도의존성을 규명하였다. Dependency of magnetic properties of polyaniline(emeraldine base:EB)on the pH of HCI used in doping was inverstigated by electron spin resonance spectroscopy. Emeraldine base doped with functionalized acid (primary dopant) such as camphorsulfonic acid (HCSA), dodecylbenzene sulfonic acid(HDBSA) was processed in various solvents (m-cresol, acetic acid, formic acid etc.)into homogeneous solution and free standing film and its magnetic properties were measured by SQUID. The intensity of ESR signal was increased with decrese in pH of HCL solution and paramagnetic behavior of doped polyaniline due to the formation of polaron upon doping could be confoirmed from these results. The same g value of 2.004±0.001 measured for all of the samples means that the chemical species which show paramagnetism are sasme. Polyanilines doped with HCSA and HDBSA in m-cresol showed paramagnetism and decrease in susceptibility with increase in temperature. χ? value was appered 2.18x10? and 7.87x10? emu/mol2-rings unit and N(E?) which is density of states at Fermi energy level for two spins was 0.67 and 0.24 state eV? 2rings unit? respectively. The changes in susceptibility of polyanilines doped with HCSA in m-cresol, acetic acid, formic acid etc. were divided into temperature independent χ? term and temperature dependent χ? term and temperature dependency of curie spin concentration was examined.