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.

Switched Reluctance Motor의 진동, 소음 특성해석에 관한 연구

정태욱,최태완,이태환 진주산업대학교 2000 산업과학기술연구소보 Vol.- No.7

Switched reluctance motor(SRM) drive system is to be compatible for wide range adjustable speed motoring system because it has the same driving characteristics of DC series motor, easy control principle and high efficiency characteristics. By this reason, SRM drive system will be applied to many commercial adjustable speed application that requires economic advantages and high performance abilities. But, SRM drives generate large vibration and acoustic noise because it is rotated by step pulse mmf and switching commutation mechanism. This disadvantage has been obstacles to applicate SRM drives as generalized motor drive system. The main origin of vibration and noise is caused by commutation method which applies step pulse waveform mmf to stator pole and removes the mmf suddenly. This sudden variation of stator flux vibrates stator frame by radial direction and excites natural vibration mode of stator. This paper analyzes the characteristics of vibration and acoustics noise of SRM from the viewpoint of natural mode and driving coidition, and consider the reduction strategy of that.

흰쥐와 햄스터의 생체리듬과 관계된 신경핵에서 Fos 면역양성물질 발현에 관한 연구

박환태,박인식,백선용,김봉선,김진정,김재봉 대한해부학회 1994 Anatomy & Cell Biology Vol.27 No.1

하중작용강도 변화에 따른 회전굽힘 피로특성에 관한 연구(2)

안태환 忠州大學校 2007 한국교통대학교 논문집 Vol.42 No.-

This study has been made investigation for the difference of fatigue strength under variable cyclic-rate, compared with three types cyclic-rate 2700cpm, 750cpm and 100cpm using smooth specimens(Kt=1.025) and center holed specimens(Kt=2.02) of SCM 440 steel were obtained through fatigue tests in the rotating. The following conclusions were obtained 1. The specimen(SCM 440) is continuously softened in the field of low cyclic rate. 2. The fatigue strength become high in case of big stress intensity factor. 3. The crack growth life become fast in high stress level. 4. The time of failure can be predicted in the same conditions.

Unity를 이용한 아케이드 미니 게임 제작

최종운, 유태환, 김수균, 안성옥 배재대학교 공학연구소 2014 공학논문집 Vol.16 No.1

본 논문은 Unity3D 게임엔진을 이용하여 쉽게 접할 수 있는 아케이드 형식의 미니게임을 제작하는데 목적이 있다. 우리는 미니 게임을 통하여 창의력, 반사 신경을 향상시키도록 하였고, 또한 일상생활에서 볼 수 있는 애완동물이라는 소재를 사용하여, 게임에 접근하기 어려운 사람들에게 친근감을 주게 하는 것을 특징으로 한다. 또한 랭킹 시스템을 도입하여 유저들에게 경쟁을 유도하게 하여 유저들의 게임 참가율을 증대하도록 하였다. 본 논문에서는 Unity3D 엔진을 이용하여, 게임의 개발시간을 단축하여 개발 비용을 줄일 수 있으면서도 게임의 질은 떨어지지 않도록 하였다

흰쥐 시각교차위핵에서 Galanin 면역반응 축삭종말의 분포와 신경연접구조

박환태,백선용,김봉선,김진정,김재봉 대한해부학회 1992 Anatomy & Cell Biology Vol.25 No.4

매복된 하악 제3 대구치 발치시 항생제 투여의 효용성

여환호,박주철,정종훈,강태호 大韓顎顔面成形再建外科學會 1999 Maxillofacial Plastic Reconstructive Surgery Vol.21 No.4

To evaluate the efficacy of antibiotic administration in the impacted mandibular third molar extraction the author investigated 107 patients requiring extraction of the lower third molar who visited at the Department of oral and maxillofacial Surgery. Chosun Dental Hospital and were healthy without medical problems and had no signs and symptoms of infection around the lower third molar. The patients were divided into 4 groups according to the method of antibiotics administration : 13 patients without antibiotics administration(group 1), 30 patients with only intravenous injection of Cefazoline 2.0g 30 minutes before the procedure(group 2), 39 patients with intravenous injection of Cefazoline 2.0g 30 minutes before the procedure and oral administration of follow-up dosages of Augmentin for 1 day(group 3), and 25 aptients with intravenous injection of Cefazoline 2.0g 30 minutes before the procedure and oral administration of follow-up disages of Augmentin for 3 day(group 4). Infection rates after extraction wer calculated and compared according to gender, the age of the patients, the level of impaction, and also compared between four groups. The results were as follows. 1. The overall infection rate was 8.4%. 2. The infection rate was higher in male(11.9%) than in female(4.2%), but there were statistically no significant differences between them. 3. Infection rate was lower in patients under age 30(7.2%) than in patients over age 30(12.5%), but there were statistically no significant between them. 4. Infection rate was higher in patients with complete bony impacted tooth(11.1%) than in patients with partial bony impacted tooth(6.5%), but there were statistically no significant differences between them. 5. Infection rate was 7.7% in group 1, 10.0% in group 2, 10.3% in group 3, 4.0% ingroup 4 and there were statistically no significant differences between groups. In summary, it is more important to extract the impacted lower third molar under aseptic condition and to minimize the injury of tissue if possible than to administer the preventive antibiotics in reducing the infection rate in healthy patients without medical problems who had no signs and symptoms of infection around the lower third molar.

매몰이의 연골 변형의 교정

박대환,김태모,한동길,안기영 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.5

The key points of treatment of cryptotia are the elevation of invaginated ear helix and the correction of deformed cartilage. Prevention of stabilized cartilage contouring from returning to the previous state is also important. The authors carried cartilage plasty by modified Fukuda's method that several incisions are made along the crus, and then the crus is flattened using mattress suture in cases of mild cartilage deformity. In cases of severe cartilage deformity, the cartilage plasty by Onizuka method was carried. The cartilage graft from cavum on concha served as a splint for prevention of recurrence of cartilage deformities. We have repaired 13 cryptotic deformities in 9 patients with aesthetically satisfactory results using vertical incision at the superior crus of antihelix with mattress suture or cartilage graft from cavum of concha for cartilage correction. The correction of deformed cartilage by modified Fukida or Onizuka method is a good option for the treatment of cryptotia.

관순법에 의한 휜-관 열교환기의 성능 해석

이태환,유충웅 진주산업대학교 1999 論文集 Vol.38 No.-

A cross-flow finned tube heat exchanger was investigated using a tube-by-tube method. The refrigerant R22 flows inside tubes while the air passes outside the finned tube. A self-constructed refrigerant circuitry was adopted. The refrigerant enthalpy at the exit of each tube and the average condensate layer thickness are investigated as a measure of the heat transfer and the observation with the quantity of condensation phenomenon respectively. The dependence of refrigerant enthalpy and the average condensate layer thickness on the refrigerant circuitry was also observed. It was confirmed that this method could be applied to the analysis of finned tube heat exchanger with condensation.

Fuzzy 제어기를 이용한 외란부가 Servo System 제어

정형환,김태우,이오걸,이준탁 東亞大學校 1991 東亞論叢 Vol.28 No.1

A servo system requires faster and more accurate dynamic responses. Generally a PD control is mai-nly used to obtain the precision, and in the other hand a fuzzy control to improve the transient respo-nse and to cope with the nonlinearity of systems. Recently hybrid control, which is attempted to combine the advantages of PD control and a Fuzzy control was proposed, but this technique requires complicate design procedures. Therefore in this paper, a fuzzy controller with a series of membership functions and various sampling periods and rules, was designed on the basis of Lyapunov stability theory and auto tuning methods of imput scale factors using the proposed windowing techniques. And also it was showed to have the excellent adaptive performacnes against internal-external disturbances and the usefulness of this controller from the results of simulations.