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Emergent single-balloon enteroscopy for overt bleeding of small intestinal vascular malformation

World Journal of Gastroenterology 2018年第1期24卷 157-160页

作者： chen-shuan chung Kuan-Chih chen Yueh-Hung Chou Kuo-Hsin chen Division of Gastroenterology and Hepatology Department of Internal MedicineFar Eastern Memorial HospitalNew Taipei City 22060Taiwan College of Medicine Fu Jen Catholic UniversityNew Taipei City 24205Taiwan Taiwan Association for the Study of Small Intestinal Diseases(TASSID) Taoyuan City 33305Taiwan Department of Anatomical Pathology Far Eastern Memorial HospitalNew Taipei City 22060Taiwan Department of Surgery Far Eastern Memorial HospitalNew Taipei City 22060Taiwan Department of Electrical Engineering Yuan Ze UniversityNew Taipei City 22060Taiwan

A 28-year-old man presented with anemia symptoms and intermittent tarry stool passage for three days. No stigmata of hemorrhage were identified using esophagogastroduodenoscopy, ileocolonoscopy, and contrast-enhanced computed tomography. He then developed massive tarry stool passage with profound hypovolemic shock and hypoxic respiratory failure. Emergent angiography revealed active bleeder, probably from the jejunal branches of the superior mesenteric artery, but embolization was not performed due to possible subsequent extensive bowel ischemia. His airway was secured via endotracheal intubation with ventilator support, and emergent antegrade singleballoon enteroscopy was performed at 8 h after clinical overt bleeding occurrence; the procedure revealed a 2-cm pulsating subepithelial tumor with a protrudingblood plug at the distal jejunum. Laparoscopic segmental resection of the jejunum with end-to-end anastomosis was performed after emergent endoscopic tattooing localization. Pathological examination revealed a vascular malformation in the submucosa with an organizing thrombus. He was uneventfully discharged 5 d later. This case report highlights the benefit of early deep enteroscopy for the treatment of small intestinal bleeding.

关键词： Early endoscopy Small intestine Deep enteroscopy Device-assisted enteroscopy Obscure gastrointestinal bleeding Vascular malformation

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Liver collision tumor of primary hepatocellular carcinoma and neuroendocrine carcinoma:A rare case report

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World Journal of Clinical Cases 2022年第35期10卷 13129-13137页

作者： Kuo-Shyang Jeng Chun-Chieh Huang chen-shuan chung Chiung-Fang Chang Department of General Surgery Far Eastern Memorial HospitalNew Taipei 220Taiwan Department of Radiology Far Eastern Memorial HospitalNew Taipei 220Taiwan Department of Internal Medicine Far Eastern Memorial HospitalNew Taipei 220Taiwan Department of Medical Research Far Eastern Memorial HospitalNew Taipei 220Taiwan

BACKGROUND Hepatocellular carcinoma(HCC)can occasionally develop with other non-HCC cell types,either in a combined type or collision type.A collision tumor is defined as two histopathologically distinct tumors of the same organ lacking a clear transition *** collision tumors are *** them,“hepatocellular carcinoma-hepatic neuroendocrine carcinoma”(HCC-NEC)collision tumors are especially rare and information about them is rarely *** SUMMARY A 48-year-old man with typical findings of HCC underwent consecutive therapies,including radiofrequency ablation and embolization prior to *** of the HCC-NEC collision tumor in the right liver and another HCC in the left liver was established following surgical *** patient displayed NEC metastasis following resection and succumbed to septicemia after 2 more rounds of *** our knowledge,this is the 25th reported case of mixed HCC-NEC *** rarity of HCC-NEC collision tumors and the absence of diagnostic criteria make it difficult to differentiate this condition from simple liver tumors,especially in patients with chronic liver *** Our case highlights the difficulty in accurately diagnosing HCC-NEC in the absence of histological *** prognosis is poor for this condition,although ultrasound-guided liver biopsy can be helpful to establish a prompt *** accumulation of such cases could help establish an accurate diagnosis *** discovery of NEC may allow for better treatment strategies and better prognoses.

关键词： Collision tumor Combined tumor Hepatocellular carcinoma Neuroendocrine tumor Case report

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Protein C deficiency related obscure gastrointestinal bleeding treated by enteroscopy and anticoagulant therapy

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World Journal of Gastroenterology 2015年第3期21卷 1024-1027页

作者： Wei-Fan Hsu Yuk-Ming Tsang chung-Jen Teng chen-shuan chung Department of Internal Medicine Far Eastern Memorial Hospital Department of Radiology Far Eastern Memorial Hospital College of Medicine Fu Jen Catholic University Taiwan Association for the Study of Small Intestinal Diseases

Obscure gastrointestinal bleeding is an uncommonly encountered and difficult-to-treat clinical problem in gastroenterology,but advancements in endoscopic and radiologic imaging modalities allow for greater accuracyin diagnosing obscure gastrointestinal *** varices account for less than 5% of all variceal bleeding cases,and jejunal variceal bleeding due to extrahepatic portal hypertension is *** present a 47-year-old man suffering from obscure gastrointestinal *** tomography of the abdomen revealed multiple vascular tufts around the proximal jejunum but no evidence of cirrhosis,and a visible hypodense filling defect suggestive of thrombus was visible in the superior mesenteric *** revealed several serpiginous varices in the proximal *** data disclosed protein C deficiency(33.6%).The patient was successfully treated by therapeutic balloonassisted enteroscopy and long-term anticoagulant therapy,which is normally contraindicated in patients with gastrointestinal *** modalities for obscure gastrointestinal bleeding,such as capsule endoscopy,computed tomography enterography,magnetic resonance enterography,and enteroscopy,were also reviewed in this article.

关键词： Angiography Computed tomography Enteroscopy Obscur

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Small-signal Stability Criteria in Power Electronics-dominated Power Systems:A Comparative Review

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Journal of Modern Power Systems and Clean Energy 2024年第4期12卷 1003-1018页

作者： Qifan chen Siqi Bu Chi Yung chung Department of Electrical and Electronic Engineer The Hong Kong Polytechnic UniversityHong KongChina Department of Electrical and Electronic Engineering Shenzhen Research InstituteCentre for Grid ModernisationInternational Centre of Urban Energy NexusCentre for Advances in Reliability and SafetyResearch Institute for Smart Energyand Policy Research Centre for Innovation and TechnologyThe Hong Kong Polytechnic UniversityHong KongChina

To tackle emerging power system small-signal stability problems such as wideband oscillations induced by the large-scale integration of renewable energy and power electronics,it is crucial to review and compare existing small-signal stability analysis *** this basis,guidance can be provided on determining suitable analysis methods to solve relevant small-signal stability problems in power electronics-dominated power systems(PEDPSs).Various mature methods have been developed to analyze the small-signal stability of PEDPSs,including eigenvalue-based methods,Routh stability criterion,Nyquist/Bode plot based methods,passivity-based methods,positive-net-damping method,lumped impedance-based methods,bifurcation-based methods,*** this paper,the application conditions,advantages,and limitations of these criteria in identifying oscillation frequencies and stability margins are reviewed and compared to reveal and explain connections and discrepancies among ***,efforts are devoted to mathematically proving the equivalence between these small-signal stability ***,the performance of these criteria is demonstrated and compared in a 4-machine 2-area power system with a wind farm and an IEEE 39-bus power system with 3 wind farms.

关键词： Impedance-based method oscillation analysis power electronic converter power electronics-dominated power system renewable power generation small-signal stability

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Precise mapping of hilar cholangiocarcinoma with a skip lesion by SpyGlass cholangioscopy:A case report

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World Journal of Gastrointestinal Surgery 2023年第5期15卷 965-971页

作者： cheng-Han Chiang Kuan-Chih chen Benedict Devereaux chen-shuan chung Kuei-Chang Kuo Chien Chu Lin cheng-Kuan Lin Hsiu-Po Wang Kuo-Hsin chen Division of Gastroenterology and Hepatology Department of Internal MedicineXin-Tai General HospitalNew Taipei 242063Taiwan Department of Internal Medicine Far Eastern Memorial HospitalNew Taipei 22060Taiwan Department of Gastroenterology Royal Brisbane and Women's HospitalHerston 4029QueenslandAustralia Department of Internal Medicine College of MedicineNational Taiwan UniversityTaipei 10002Taiwan Department of Surgery Far Eastern Memorial HospitalNew Taipei 22060Taiwan

BACKGROUND Cholangiocarcinoma(CC)is a very aggressive cancer with a poor *** surgery is the only curative therapy,preoperative evaluation of the tumor extent is essential for surgical *** high-quality image modalities such as computed tomography and magnetic resonance imaging have been used extensively in preoperative evaluation,the accuracy is *** obtain precise localization of tumor spread arising from the hilar region preoperatively,the development of an acceptable imaging modality is still an unmet *** SUMMARY A 52-year-old female presented to our emergency department with jaundice,abdominal pain,and ***,she was treated for *** retrograde cholangiopancreatography with the cholangiogram showed long segment filling defect in the common hepatic duct with dilatation of bilateral intrahepatic *** biopsy was performed,and the pathology suggested intraductal papillary neoplasm with high-grade *** treatment of cholangitis,contrasted-enhanced computed tomography revealed a hilar lesion with undetermined Bismuth-Corlette *** cholan gioscopy showed that the lesion involved the confluence of the common hepatic duct with one skip lesion in the posterior branch of the right intrahepatic duct,which was not detected by previous image *** surgical plan was modified from extended left hepatectomy to extended right *** final diagnosis was hilar CC,*** patient has remained disease-free for more than 3 *** SpyGlass cholangioscopy may have a role in precision localization of hilar CC to provide surgeons with more information before the operation.

关键词： Hilar cholangiocarcinoma Jaundice SpyGlass cholangioscopy Bismuth-Corlette classification Hepatectomy Case report

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Anion storing,oxygen vacancy incorporated perovskite oxide composites for high-performance aqueous dual ion hybrid supercapacitors

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Journal of Energy Chemistry 2024年第7期94卷 646-655页

作者： Taehun Kang Puritut Nakhanivej Kyung Jae Wang Yu chen Yongchul G chung Ho Seok Park School of Chemical Engineering Sungkyunkwan University(SKKU)2066Seobu-roJangan-guSuwonGyeonggi-do 16419Republic of Korea Warwick Manufacturing Group(WMG) University of WarwickCoventry CV47ALUnited Kingdom School of Chemical Engineering Pusan National UniversityGeumjeong-guBusanGyeongsangnam-do 46241Republic of Korea SKKU Institute of Energy Science and Technology(SIEST) Sungkyunkwan University2066SeoburoJangan-guSuwon 440-746Republic of Korea SKKU Advanced Institute of Nano Technology(SAINT) Sungkyunkwan University2066SeoburoJangan-guSuwon 440-746Republic of Korea Department of Health Sciences and Technology Samsung Advanced Institute for Health Sciences and Technology(SAIHST)Sungkyunkwan UniversitySuwon 16419Republic of Korea

Dual ion storage hybrid supercapacitors(HsCs)are considered as a promising device to overcome the limited energy density of existing supercapacitors while preserving high power and long ***,the development of high-capacity anion-storing materials,which can be paired with fast charg-ing capacitive electrodes,lags behind cation-storing ***,we demonstrate the surface faradaic OH-storage mechanism of anion storing perovskite oxide composites and their application in high-performance dual ion *** oxygen vacancy and nanoparticle size of the reduced LaMnO_(3)(r-LaMnO_(3))were controlled,while r-LaMnO_(3) was chemically coupled with ozonated carbon nanotubes(oCNTs)for the improved anion storing capacity and cycle *** taken by in-situ and ex-situ spectroscopic and computational analyses,OH-ions are inserted into the oxygen vacancies coordi-nating with octahedral Mn with the increase in the oxidation state of Mn during the charging process or vice *** OH-storing r-LaMnO_(3)/oCNT composite with Na*storing MXene,the as-fabricated aqueous dual ion HSCs achieved the cycle performance of 73.3%over 10,000 cycles,delivering the max-imum energy and power densities of 47.5 w h kg^(-1) and 8 kw kg^(-1),respectively,far exceeding those of previously reported aqueous anion and dual ion storage *** research establishes a foundation for the unique anion storage mechanism of the defect engineered perovskite oxides and the advancement of dual ion hybrid energy storage devices with high energy and power densities.

关键词： Anion storage Dual ion storage Defect engineered perovskites Hybrid supercapacitors Nanocomposites

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Mechanically driven assembly of biomimetic 2D-material microtextures with bioinspired multifunctionality

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Nano Research 2024年第2期17卷 663-678页

作者： Yang Li Lin Jing Joshua M.Little Haochen Yang Tsai-Chun chung Po-Yen chen Department of Chemical and Biomolecular Engineering University of MarylandCollege ParkMD 20740USA Maryland Robotics Center University of MarylandCollege ParkMD 20742USA School of Materials Science and Engineering Nanyang Technological University50 Nanyang AvenueSingapore 639798Singapore

Nature provides a wealth of bio-inspiration for advanced material *** various nanomaterials into biomimetic microtextures with bioinspired functionalities has spurred increasing research interests and facilitated technological advances in various *** recent years,two-dimensional materials(2DMs)have emerged as important building block units in the biomimicry field due to their distinct chemical,physical,electrical,electrochemical,and catalytic *** this review article,various mechanically driven assembly approaches are summarized to fabricate various genealogies of biomimetic 2DM microtextures with bio-inspired ***,sequential deformation strategies are discussed to programmably construct higher dimensional 2DM microtextures,ranging from wrinkles/crumples(one-time deformation)to multiscale hierarchies(multiple deformations).Next,the current progress using higher dimensional 2DM microtextures to imitate different biological structures and/or induce bio-inspired multifunctionality is systematically *** showcases of bio-inspiration and biomimicry using different 2DM nanosheets are highlighted:(1)wrinkle patterns of an earthworm that spur the design of strain sensors with programmable working ranges and sensitivities,(2)wrinkle appearance of a Shar-Pei dog that motivates the fabrication of stretchable energy storage devices,(3)hierarchical scale textures of a desert lizard that inspire cation-induced gelation platforms for 2DM aerogels,and(4)wrinkle skin of an elephant that influences the development of 2DM protective skin for soft ***,challenges and future opportunities of adopting 2DM nanosheets to assemble biomimetic microstructures with synergistic functionalities are discussed.

关键词： two-dimensional(2D)materials mechanically driven assembly biomimetic microtextures functional nanocomposite bio-inspired multifunctionality

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Highly Accurate Golden Section Search Algorithms and Fictitious Time Integration Method for Solving Nonlinear Eigenvalue Problems

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Computer Modeling in Engineering & Sciences 2024年第5期139卷 1317-1335页

作者： Chein-Shan Liu Jian-Hung Shen chung-Lun Kuo Yung-Wei chen Center of Excellence for Ocean Engineering Taiwan Ocean UniversityKeelung202301TaiwanChina Department of Marine Engineering Taiwan Ocean UniversityKeelung202301TaiwanChina

This study sets up two new merit functions,which are minimized for the detection of real eigenvalue and complex eigenvalue to address nonlinear eigenvalue *** each eigen-parameter the vector variable is solved from a nonhomogeneous linear system obtained by reducing the number of eigen-equation one less,where one of the nonzero components of the eigenvector is normalized to the unit and moves the column containing that component to the right-hand side as a nonzero input vector.1D and 2D golden section search algorithms are employed to minimize the merit functions to locate real and complex ***,the real and complex eigenvectors can be computed very accurately.A simpler approach to the nonlinear eigenvalue problems is proposed,which implements a normalization condition for the uniqueness of the eigenvector into the eigenequation *** real eigenvalues can be computed by the fictitious time integration method(FTIM),which saves computational costs compared to the one-dimensional golden section search algorithm(1D GSSA).The simpler method is also combined with the Newton iterationmethod,which is convergent very *** the proposed methods are easily programmed to compute the eigenvalue and eigenvector with high accuracy and efficiency.

关键词： Nonlinear eigenvalue problem quadratic eigenvalue problem two new merit functions golden section search algorithm fictitious time integration method

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Achieving high carrier mobility and low lattice thermal conductivity in GeTe-based alloys by cationic/anionic co-doping

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Rare Metals 2024年第6期43卷 2784-2795页

作者： Xiao-Qiang Wang Xiao-Quan Hu Jun-Yan Lin Chu-Bin Li Xiao-Tong Yu Qi-Yong chen Li-Li Xi Qi-Shuo Yang Han Li Ji-Ye Zhang shuan-Kui Li Kai Guo School of Physics and Materials Science Guangzhou UniversityGuangzhou 510006China Research Center for Advanced Information Materials(CAIM) Huangpu Research&Graduate School of Guangzhou UniversitySino-Singapore Guangzhou Knowledge CityGuangzhou510555China School of Materials Science and Engineering Shanghai UniversityShanghai 200444China Materials Genome Institute Shanghai UniversityShanghai 200444China School of Mechanical and Mining Engineering University of QueenslandBrisbaneQLD 4072Australia Key Laboratory of Si-Based Information Materials&Devices and Integrated Circuits Design Department of Education of Guangdong ProvinceGuangzhou 510006China

TheⅣ-Ⅵcompound GeTe is considered as a promising alternative to the toxic PbTe for high-efficiency mid-temperature thermoelectric ***,pristine GeTe suffers from a high concentration of Ge vacancies,resulting in an excessively high hole concentration(>1×10^(21)cm^(-3)),which greatly limits its thermoelectric *** address this issue,CuBiTe_(2)alloying is introduced to increase the formation energy of Ge vacancies in GeTe,thereby inhibiting the high carrier *** carrier scattering caused by the electronegativity difference between different elements is suppressed due to the similar electronegativity of Cu and Ge atoms.A relatively high hole mobility is obtained,which ultimately leads to a high power ***,by introducing Se as an alloying element at the anionic site in GeTe,dense point defects with mass/strainfield fluctuations are *** contributes to the strengthening of phonon scattering,thereby reducing the lattice thermal conductivity from 1.44 W·m^(-1)·K^(-1)for pristine GeTe to 0.28 W·m^(-1)·K^(-1)for Ge_(0.95)Cu_(0.05)Bi_(0.05)Te_(0.9)Se_(0.15)compound at 623 K.

关键词： GeTe Carrier mobility CuBiTe_(2)alloying Lattice thermal conductivity Thermoelectric properties

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Self-polarized RGB device realized by semipolar micro-LEDs and perovskite-in-polymer films for backlight applications

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Opto-Electronic Advances 2024年第3期7卷 35-49页

作者： Tingwei Lu Yue Lin Tianqi Zhang Yue Huang Xiaotong Fan Shouqiang Lai Yijun Lu Hao-chung Kuo Zhong chen Tingzhu Wu Rong Zhang School of Electronic Science and Engineering Fujian Engineering Research Center for Solid-State LightingXiamen UniversityXiamen 361005China Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province(IKKEM) Xiamen 361005China Department of Photonics and Graduate Institute of Electro-Optical Engineering College of Electrical and Computer EngineeringYang Ming Chiao Tung UniversityHsinchu 30010China Semiconductor Research Center Hon Hai Research InstituteTaipei 11492China.

In backlighting systems for liquid crystal displays,conventional red,green,and blue(RGB)light sources that lack polarization properties can result in a significant optical loss of up to 50%when passing through a *** address this inefficiency and optimize energy utilization,this study presents a high-performance device designed for RGB polarized *** device employs an array of semipolar blueμLEDs with inherent polarization capabilities,coupled with mechanically stretched films of green-emitting CsPbBr3 nanorods and red-emitting CsPbI3-Cs4PbI6 hybrid *** CsPbBr3 nanorods in the polymer film offer intrinsic polarization emission,while the aligned-wire structures formed by the stable CsPbI3-Cs4PbI6 hybrid nanocrystals contribute to substantial anisotropic emissions,due to their high dielectric *** resulting device achieved RGB polarization degrees of 0.26,0.48,and 0.38,respectively,and exhibited a broad color gamut,reaching 137.2%of the NTSC standard and 102.5%of the Rec.2020 *** compared to a device utilizing c-plane LEDs for excitation,the current approach increased the intensity of light transmitted through the polarizer by 73.6%.This novel fabrication approach for polarized devices containing RGB components holds considerable promise for advancing next-generation display technologies.

关键词： halide perovskite light-emitting-diodes polarized emission nanocrystals stability

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