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Mandated health insurance increases rates of elective knee surgery

World Journal of Orthopedics 2019年第2期10卷 81-89页

作者： Daniel kim Woo Do Shahein Tajmir Brandon Mahal Joe DeAngelis Arun Ramappa Radiation Oncology Massachusetts General Hospital Harvard Medical School Department of Surgery Madigan Army Medical Center Radiology Massachusetts General Hospital Harvard Medical School Department of Orthopaedic Surgery Beth Israel Deaconess Medical Center Harvard Medical School

BACKGROUND The recent federal ruling to against Affordable Care Act(ACA), specifically the mandate requiring people to buy insurance, has once again brought the healthcare reform debate to the spotlight. The ACA increased the number of insured Americans through the development of subsidized healthcare plans and health insurance exchanges. Insurance-based differences in the rate of upper extremity elective orthopaedic surgery have been described before and after healthcare reform in Massachusetts, where a similar mandate was put into place years before the ACA was passed. However, no comprehensive study has evaluated insurance-based differences of knee elective surgery before and after *** To investigate how an individual mandate to purchase health insurance affects rates of knee *** A retrospective review was performed within an orthopaedic surgery department at a tertiary-care, academic medical center in Massachusetts. The rate of elective knee surgery performed before and after the healthcare reform(2005-2006 and 2007-2010, respectively) was calculated. The patients were categorized by insurance type(Commonwealth Care, Medicare, Medicaid, private insurance,Workers' Compensation, TriCare, and Uninsured). Using χ2 testing, differences in rates of surgery between the pre-reform and post-reform period and among insurance subgroups were *** Rate of surgery increased in the post-reform period(pre-reform 8.07%(95%CI:7.03%-9.11%), post-reform 9.38%(95%CI: 8.74%-10.03%)(P = 0.04) and was statistically significant. When the insurance groups and insurance types were compared, the rates of surgery are not significantly different before or after *** The increase in the rate of elective knee surgery in the post-reform period suggests that health care reform in Massachusetts has been successful in decreasing the uninsured population and may increase health care *** is a hypothesis generating study that suggests furthe

关键词： Healthcare reform Elective surgery Lower extremity Affordable Care Act Orthopaedic surgery

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Chronic alcohol consumption potentiates the development of diabetes through pancreatic β-cell dysfunction

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World Journal of Biological Chemistry 2015年第1期6卷 1-15页

作者： Ji Yeon kim Dae Yeon Lee Yoo Jeong Lee Keon Jae Park Kyu Hee kim Jae Woo kim Won-Ho kim Division of Metabolic Diseases Center for Biomedical Science National Institute of Health Osong-eup Heungdeok-gu Cheongju Chungbuk 363-700 South Korea Department of Biochemistry and Molecular Biology Yonsei University College of Medicine Seoul 120-752South Korea

Chronic ethanol consumption is well established as a major risk factor for type-2 diabetes(T2D), which is evidenced by impaired glucose metabolism and insulin resistance. However, the relationships between alcoholconsumption and the development of T2 D remain controversial. In particular, the direct effects of ethanol consumption on proliferation of pancreatic β-cell and the exact mechanisms associated with ethanolmediated β-cell dysfunction and apoptosis remain elusive. Although alcoholism and alcohol consumption are prevalent and represent crucial public health problems worldwide, many people believe that low-tomoderate ethanol consumption may protect against T2 D and cardiovascular diseases. However, the J- or U-shaped curves obtained from cross-sectional and large prospective studies have not fully explained the relationship between alcohol consumption and T2 D. This review provides evidence for the harmful effects of chronic ethanol consumption on the progressive development of T2 D, particularly with respect to pancreatic β-cell mass and function in association with insulin synthesis and secretion. This review also discusses a conceptual framework for how ethanolproduced peroxynitrite contributes to pancreatic β-cell dysfunction and metabolic syndrome.

关键词： Ethanol consumption Type 2 diabetes Pancreatic β-cells Glucokinase Metabolic syndrome

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Three-dimensional label-free morphology of CD8+T cells as a sepsis biomarker

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Light(Science & Applications) 2023年第12期12卷 2565-2576页

作者： MinDong Sung Jong Hyun kim Hyun-Seok Min Sooyoung Jang JaeSeong Hong Bo Kyu Choi JuHye Shin Kyung Soo Chung Yu Rang Park Division of Pulmonary and Critical Care Medicine Department of Internal MedicineYonsei University College of MedicineSeoulRepublic of Korea Department of Biomedical Systems Informatics Yonsei University College of MedicineSeoulRepublic of Korea Tomocube Inc155 Sinseong-roShinsung-dongYuseong-guDaejeonRepublic of Korea

Sepsis is a dysregulated immune response to infection that leads to organ dysfunction and is associated with a high incidence and mortality *** lack of reliable biomarkers for diagnosing and prognosis of sepsis is a major challenge in its *** aimed to investigate the potential of three-dimensional label-free CD8+T cell morphology as a biomarker for *** study included three-time points in the sepsis recovery cohort(N=8)and healthy controls(N=20).Morphological features and spatial distribution within cells were compared among the patients'*** developed a deep learning model to predict the diagnosis and prognosis of sepsis using the internal cell *** between the morphological features and clinical indices were *** morphological features and spatial distribution differed significantly between patients with sepsis and healthy controls and between the survival and non-survival *** model for predicting the diagnosis and prognosis of sepsis showed an area under the receiver operating characteristic curve of nearly 100%with only a few cells,and a strong correlation between the morphological features and clinical indices was *** study highlights the potential of three-dimensional label-free CD8+T cell morphology as a promising biomarker for *** approach is rapid,requires a minimum amount of blood samples,and has the potential to provide valuable information for the early diagnosis and prognosis of sepsis.

关键词： sepsis diagnosis Morphological

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High-precision method for measuring the photothermal properties of transparent media with digital holography

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Chinese Optics Letters 2011年第12期9卷 2-5页

作者： David C.Clark Myung K.kim Digital Holography and Microscopy Laboratory Department of PhysicsUniversity of South Florida

Quantitative phase microscopy by digital holography provides direct access to the phase profile of a transparent subject with high precision. This is useful for observing phenomena that modulate phase, but are otherwise difficult or impossible to detect. In this letter, a carefully constructed digital holographic apparatus is used to measure optically induced thermal lensing with an optical path difference precision of less than 1 nm. Furthermore, by taking advantage of the radial symmetry of a thermal lens, such data are processed to determine the absorption coefficient of transparent media with precisions as low as 1 × 10-5cm-1 using low power （30 mW） continuous wave （CW） excitation.

关键词： High-precision method for measuring the photothermal properties of transparent media with digital holography

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H_2S Sensing Characteristics of Thin Film SnO_2 Sensor with N_2 Treatment

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稀有金属材料与工程 2006年第A03期35卷 385-388页

作者： Jong-Won kim Kwang-Hyun Yun Geon-Young Cha Gi-Hong Rue Duk-Dong Lee Jeung-Soo Huh Department of Nano-Science and Technology Sangyuk-Dong 1370Bukgu DaeguKorea Department of Materials Science and Metallurgy Sangyuk-Dong 1370Bukgu DaeguKorea School of Electronic Engineering Kyungpook National UniversitySangyuk-Dong 1370Bukgu DaeguKorea Department of Nano-Science and Technology Department of Materials Science and MetallurgySangyuk-Dong 1370Bukgu DaeguKorea

SnO_2 thin film sensors were fabricated by a thermal evaporation *** sensors were heated for thermal *** high porosity,SnO_2 thin film sensors were treated in a N_2 *** sensors that were treated with O_2 after being treated with N_2 showed 70 % sensitivity for 1×10~ -6) of H_2S,which is higher than the sensors that were only treated with O_*** Ni metal,as a catalyst,was evaporated on the thin film Sn on the Al_2O_3 *** sensor was heated to grow the Sn nanowire in a tube furnace with N_2 *** nanowire was heated for *** sensitivity of SnO_2 nanowire sensor was measured for 500×10~ -9) of H_*** selectivity of the SnO_2 nanowire sensor was compared with the thin film and the thick film SnO_*** sensor was measured for H_2S,CO,and NH_3 in this study.

关键词： SnO2 gas sensor N2 nanowire H2S

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Engineering of Materials for Respiratory Protection:Salt-Coated Antimicrobial Fabrics for Their Application in Respiratory Devices

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Accounts of Materials Research 2022年第3期3卷 297-308页

作者： Sumin Han Euna Oh Erin Keltie Jong Sung kim Hyo-Jick Choi Department of Chemical and Materials Engineering University of AlbertaEdmontonAB T6G 1H9Canada Health and Environments Research Centre(HERC) Department of Community Health and EpidemiologyFaculty of MedicineDalhousie UniversityHalifaxNS B3H 4R2Canada

CONSPECTUS:The development of a highly effective,low-cost method for protection against direct transmission through infectious media associated with respiratory diseases has been considered to be a major challenge in the management of the pandemic ***,filtration in respirators and masks depends on the mesh size,raising safety concerns about direct contact with the virus-laden layers of masks and respirators during use and ***,conventional medical face masks and respirators are recommended for single use only because long-term use and reuse of masks increase the risk of contact transmission of *** a result,mask reusability has gained much attention in addressing the global problem of respirator and mask shortages during the COVID-19 ***,coinfection by influenza,SARSCoV-2,and bacteria has been an ongoing issue in the current COVID-19 *** our response to the increasing demand for more convenient forms of disease control,our group has investigated antimicrobial technologies for respiratory devices against pandemic/epidemic diseases and developed two universal antimicrobial coating technologies:(1)nonwashable,reusable salt-coated fabrics and(2)washable,photopolymerizable polymer-coated fabrics which efficiently inactivate infectious viruses by contact with the *** is an opportune time to assess research efforts toward antimicrobial face mask technology for its expected impact on society and the economy.

关键词： gained Application coating

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Physical properties of sprayed antimony doped tin oxide thin films:The role of thickness

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Journal of Semiconductors 2011年第5期32卷 10-17页

作者： A.R.Babar S.S.Shinde A.V.Moholkar C.H.Bhosale J.H.kim K.Y.Rajpure Electrochemical Materials Laboratory Department of PhysicsShivaji UniversityKolhapur-416 004India Department of Materials Science and Engineering Chonnam National University300 Yongbong-DongBuk-GuGwangju500-757South Korea

Transparent conducting antimony doped tin oxide （Sb：SnO2） thin films have been deposited onto pre- heated glass substrates using a spray pyrolysis technique by varying the quantity of spraying solution. The structural, morphological, X-ray photoelectron spectroscopy, optical, photoluminescence and electrical properties of these films have been studied. It is found that the films are polycrystalline in nature with a tetragonal crystal structure having orientation along the （211） and （112） planes. Polyhedrons like grains appear in the FE-SEM images. The average grain size increases with increasing spraying quantity. The compositional analysis and electronic behaviour of Sb：SnO2 thin films were studied using X-ray photoelectron spectroscopy. The binding energy of Sn3ds/2 for all samples shows the Sn^4＋ bonding state from SnO2. An intensive violet luminescence peak near 395 nm is observed at room temperature due to oxygen vacancies or donor levels formed by Sb^5＋ ions. The film deposited with 20 cc solution shows 70 % transmittance at 550 nm leading to the highest figure of merit （2.11 × 10^-3 Ω^-1）. The resistivity and carrier concentration vary over 1.22 × 10^-3 to 0.89 × 10^-3Ω cm and 5.19 ×10^20 to 8.52 × 10^20 cm^-3, respectively.

关键词： semiconductors microstructure optical properties electrical properties

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Tree species identity and interaction determine vertical forest structure in young planted forests measured by terrestrial laser scanning

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Forest Ecosystems 2024年第3期11卷 266-275页

作者： Mengxi Wang Lander Baeten Frieke Van Coillie kim Calders Kris Verheyen Quentin Ponette Haben Blondeel Bart Muys John Armston Hans Verbeeck Q-ForestLab Department of EnvironmentFaculty of Bioscience EngineeringGhent UniversityBelgium Forest&Nature Lab Department of EnvironmentFaculty of Bioscience EngineeringGhent UniversityBelgium Earth and Life Institute Université Catholique de Louvain(UCLouvain)Louvain-la-NeuveBelgium Department of Earth&Environmental Sciences KU LeuvenBelgium Department of Geographical Sciences University of MarylandCollege ParkMDUSA

Vertical forest structure is closely linked to multiple ecosystem characteristics,such as biodiversity,habitat,and *** tree species in planted forests has the potential to create diverse vertical forest structures due to the different physiological and morphological traits of the composing tree ***,the relative importance of species richness,species identity and species interactions for the variation in vertical forest structure remains unclear,mainly because traditional forest inventories do not observe vertical stand structure in *** laser scanning(TLS),however,allows to study vertical forest structure in an unprecedented ***,we used TLS single scan data from 126 plots across three experimental planted forests of a largescale tree diversity experiment in Belgium to study the drivers of vertical forest *** plots were 9–11years old young pure and mixed forests,characterized by four levels of tree species richness ranging from monocultures to four-species mixtures,across twenty composition *** generated vertical plant profiles from the TLS data and derived six stand structural *** mixed models were used to test the effect of species richness on structural *** a hierarchical diversity interaction modelling framework,we further assessed species identity effect and various species interaction effects on the six stand structural *** results showed that species richness did not significantly influence most of the stand structure variables,except for canopy height and foliage height *** identity on the other hand exhibited a significant impact on vertical forest structure across all *** interaction effects were observed to be site-dependent due to varying site conditions and species pools,and rapidly growing tree species tend to dominate these ***,our results highlighted the importance of considering both species identity an

关键词： TreeDivNet FORBIO Stand structural complexity Terrestrial laser scanning Vertical forest structure Tree diversity Planted forests

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Increased intestinal macromolecular permeability and urine nitrite excretion associated with liver cirrhosis with ascites

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World Journal of Gastroenterology 2008年第24期14卷 3884-3890页

作者： Soong Lee Seung-Cheol Son Moon-Jong Han Woo-Jin kim Soo-Hyun kim Hye-Ran kim Woo-Kyu Jeon Ki-Hong Park Myung-Geun Shin Department of Internal Medicine College of MedicineSeonam University and Seonam University Hospital Department of Laboratory Medicine Chonnam National University Medical School and Chonnam National University Hwasun Hospital Brain Korea 21 Project Center for Biomedical Human Resources at Chonnam National University Medical School Department of Internal Medicine Kangbuk Samsung HospitalSungkyunkwan University School of Medicine Korea Polymer Testing & Research Institute Ltd.

AIM： To determine intestinal permeability, the serum tumor necrosis factor （TNF）-α level and urine nitric oxide （NO） metabolites are altered in liver cirrhosis （LC） with or without ascites. METHODS： Fifty-three patients with LC and 26 healthy control subjects were enrolled in the study. The intestinal permeability value is expressed as the percentage of polyethylene glycol （PEG） 400 and 3350 retrieval in 8-h urine samples as determined by high performance liquid chromatography. Serum TNF-α concentrations and urine NO metabolites were determined using an enzyme-linked immunosorbent assay （ELISA） and Greiss reaction method, respectively. RESULTS： The intestinal permeability index wassignificantly higher in patients with LC with ascites than in healthy control subjects or patients with LC without ascites （0.88 ± 0.12 vs 0.52 ± 0.05 or 0.53 ± 0.03, P 〈 0.05） and correlated with urine nitrite excretion （r = 0.98）. Interestingly, the serum TNF-α concentration was significantly higher in LC without ascites than in control subjects or in LC with ascites （198.9 ± 55.8 pg/mL vs 40.9 ± 12.3 pg/mL or 32.1 ± 13.3 pg/mL, P 〈 0.05）. Urine nitrite excretion was significantly higher in LC with ascites than in the control subjects or in LC without ascites（ 1170.9± 28.7 μmol/L vs 903.1 ± 55.1 μmol/L or 956.7 ± 47.7 μmol/L, P 〈 0.05）. COMCLUSIOM： Increased intestinal macromolecular permeability and NO is probably of importance in the pathophysiology and progression of LC with ascites, but the serum TNF-α concentration was not related to LC with ascites.

关键词： Intestinal permeability Tumor necrosisfactor-R Nitric oxide Liver cirrhosis Ascites

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Design and Implementation of 10 Gbps Optical Add-Drop Transponder

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光学学报 2003年第S1期23卷 657-658页

作者： Byoung-Sung kim Seung-Il Myong Jung-Chan Lee Je-Soo Ko Network Laboratory Electronics and Telecommunications Research Institute Daejeon Korea.Network Laboratory Electronics and Telecommunications Research Institute Daejeon Korea.Network Laboratory Electronics and Telecommunications Research Institute Daejeon Korea.Network Laboratory Electronics and Telecommunications Research Institute Daejeon Korea.

10 Gbps optical add-drop transponder, which can accommodate VSR (very short reach) to LR (long reach) subnetworks, is designed and implemented. The transponder consists of an OCA (optical transport network connection ... 详细信息

关键词： SONET VSR very LR FEC of Design and Implementation of 10 Gbps Optical Add-Drop Transponder SCA

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