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.

초전도 코일의 �치 시뮬레이션 해석

배준한,주민석,고태국 연세대학교 대학원 1994 延世論叢 Vol.30 No.1

This thesis is a study on the quench characteristics in epoxy impregnated superconducting magnet. Teh normal 3one propagation velocity, full quench time and full recovery time in a superconducting magnet during quench are simulated numerically. Propagation velocity is linearly proportional to the transport current and abruptly increases near the critical current. Longitudinal velocity is nearly 20 times of transverse velocity regardless of the transport current. The ratio of the transverse velocity to longitudinal velocity is about 0.04 regardless of the transport current and the full quench time is abruptly decreased near the minimum propagation current. Comparing superconducting composites composed of Cu matrix to the composites of Cu/CuNi matrix, the propagation velocity of the former is slower than the latter, while the full quench time of the former is longer under the same transport curent.

하드 포인트 변경에 따른 조종안정성 평가

배태한,장석동,송철기 慶尙大學校 經營行政大學院 2004 工學硏究院論文集 Vol.20 No.-

Vehicle stability is an important subject in vehicle design and control, because vehicle stability is closely dependent upon its dynamic performance. The modeling and its analysis are performed by using ADAMS in the present paper. The camber angle and the toe angle are analyzed due to the hard point movement in the static simulation. The side slip angle and the yaw rate are analyzed due to the hard point movement in the driving simulation such as the steady state cornering and the double lane change.

편마비 환자에서 정량적 감각기능 검사로 측정한 온도감각역치

배하석,심은결,윤태식,이정민,김성민 이화여자대학교 의과대학 2009 EMJ (Ewha medical journal) Vol.32 No.1

Objectives:Hemiplegic patients with unilateral cerebral lesions suffer from sensory deficit as well as motor deficit. But clinical assessment of thermal sensation is one of the least reliable components of neurological examination and is difficult to quantify. Methods:We measured thermal sensory thresholds of cold sense, warm sense, cold pain and hot pain in hemiplegic patients with thermal sensory analyzer(TSA). To investigate and quantify the thermal sensory deficit of hemiplegic patients, we compared the measurements with normal con-trols, between body regions, and between hemiplegic and sound side. Results:Hemiplegic patients showed impaired thermal sensory thresholds in all modalities compared to their sound side and normal controls. Conclusion:Quantitative sensory test using thermal sensory analyzer can be useful to quantify the thermal sensory deficit and follow up the progress.

펜싱 종목별 연습 및 시합시 심박수 변화

최태석,이근배,천영호,이현수 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4

This experiment was done on 30 fencers that had joined the national competition and had a research on theft heart rates during the fencing bout and got the following results. 1. In average, a male fencer have a height of 178.40㎝, weight of 72.50㎏, the height when sitting of 93.70㎝, the chest perimeter of 94.70㎝, arm length of 56.50㎝, and thigh parameter of 60.20㎝. In average, for a female fencer, had a height of 167.98㎝, weight of 59.00㎏, the height when sitting of 87.00㎝, chest perimeter of 84.50㎝, the thigh perimeter of 58.30㎝, and the arm length of 50.90㎝. From the result of testing a fencer's endurance by general footwork, it was proofed that the evaluation of respiratory function was needed more. 3. When comparing the heart rates of male fencers in the fencing bout of fleuret and epee, we found out that the fleuret fencer had a higher heart rate, in average of 17.06beat/min, than the epee fencer. However, there was not much difference with the heart rates during the bouts of sabre and fleuret Clearly, the bout during epee showed lowest heart rate among these three subjects. 4. The heart rates during female's fencing bout, there was not much difference with the heart rates in the male's fencing bout, and the heart rate during a bout of epee was about 18.59beat/min lower than fleuret.

포괄수가지불제도 적용에 따른 산부인과 진료수입의 변화

황태연,유병철,정귀언,정수진,김성준,배기택,손혜숙,이종태,전진호,엄상화 인제대학교 2001 仁濟醫學 Vol.22 No.1

Objectives: Under the fee-for-service system, Korean hospitals have been suffering from the worsening profitability caused by law medical care fees. To overcome the difficulties, they have maximized the quantity of medical services and made relatively large investment in developing new medical services using high-priced medical equipment, medicines and medical supplies which were not covered by medical insurance system rather than reduced running costs. Materials and Methods: This study was made to analyze and forecast the revenue change of the department of Obstetrics and gynecology of an university hospital in Seoul, expecting the implementation of DRG system in 2000. Results: The results were as follows : 1.During the first two days of hospitalization. 41% of total medical service fee was occurred, which was thought that most of the check-ups and operations were made during this period. After two days of hospitalization, the new occurrence of medical service fee tended to reduce. 2.Out of total medical service fee, 67% of admission fee was occurred after 5 days of hospitalization. This was because medical service fees in obstetrics and gynecology department occurred during the first 5 days of hospitalization. 3.Out of fees for operation, treatment, medical supplies and blood transfusion. 71% was occurred during the first two days. 4. In case of fees for examination, 50% was occurred during the first two days. 5.A total of 53% of fees for medication and injection was occurred during the first 5 days. Conclusions: By the implementation of the DRG system, the income is forecast to increase by 800 won to 310,000 won by the disease group of obstetrics and gynecology department. To increase hospital income with the implementation of DRG system, the results of this study suggest that examinations should be done at out-patient departments before the hospitalization of patient, the discharge of patient should be noticed in advance to reduce the period of hospitalization, and admission appointment system should be implemented for the immediate operation and delivery.

渭川國家工團指定 論爭에 關한 政策分析

李愚泰,裵錫保 慶南大學校 産業經營硏究所 1997 産業經營 Vol.21 No.-

펜싱 指導課程의 構成原理

이근배,최태석,서동화 한국체육대학교 2001 論文集 Vol.24 No.-

The study develops the course of specialized and phased education teaching fencing effectively, improving capacity while playing cultivating high-quality human resources. It will be able to present the following process for above subject. First, training theory and methodology : The process is to advance expert knowledge and ability to manage competition that will be applied originally from special field to the spo teaching fencing. Second, educational method and teaching theory: The process is for fencers (players) to elevate ability which is necess with leader and referee as well as improve the skill. Third, theory of sports equipment and training facility: The process deal with actual subject such as fencing equipment facility, formation and management in fencing etc.. Forth, the fencing in view of medical science, biology, psychology : This process consider fencing from psysiology, sports medicine, psychology.

일반골퍼의 성취목표성향과 참여동기가 스포츠 몰입에 미치는 영향

한태준,배영훈,박현숙 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

A study is to analyze how a participating motivation and achievement goal orientation of amateur golfers concentrate on sports and the results are as follows.: First, there was no significant difference on sex in the achievement goal orientation, however, the better record, the more selforiented and retention-oriented. Second, men had a higher participating motivation in pleasure and sociability, on the contrary, women had one in health and physical strength. The highest level of participating motivation among men was pleasure and that among women was physical condition Third, the expected factors on sports concentration were given different depending on golf records. The higher record, the more importance in inner motivation factors rather than external ones or achievement goal orientations. To make them participate in playing golf continuously, the participating motivation of sports should be given differently according to the level of competition. It is required to study the ways in succession how to rase the level of concentration on sports with the less competition, the higher concentration.

청년기 여자펜싱선수들의 경기 종목별 심상훈련연습 특성

최태석,이동범,천영호,이근배 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.4

Open-ended questionnaire was asked 135 girls senior high school fencing athletics. According to these collected and analyzed open-ended questionnaires, they give the following conclusions. Mostly, open-ended questionnaires showed girls senior high school fencing players practiced many images such as self-confidence, patience, tenacity, competition and a practice, and in an image frequency aspect, epee players showed more images than foil players. However, in image content, while epee players had a tendency of defense, foil players, in contrast, showed attack-oriented images. As our worldwide predominant fencing athletics train formally the deficient imagery discipline, it is very important to make the applicable program of imagery discipline.