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New anti-mesenteric delta-shaped stapled anastomosis: Technical report with short-term postoperative outcomes in patients with Crohn’s disease

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2592-2601页

作者： Jong Lyul lee Yong Sik Yoon hyun gu lee Young Il Kim Min hyun Kim Chan Wook Kim In Ja Park Seok-Byung Lim Chang Sik Yu Division of Colon and Rectal Surgery Department of SurgeryUniversity of Ulsan College of MedicineAsan Medical CenterSeoul 05505South Korea Department of Surgery Gangdong Kyung Hee University HospitalSeoul 05278South Korea

BACKGROUND Medical treatment for Crohn’s disease(CD)has continuously improved,which has led to a decrease in surgical recurrence *** these advancements,25%of patients will undergo repeat intestinal *** of CD com-monly occurs on the mesentery side of the anastomosis *** To compare the new anti-mesenteric side-to-side delta-shaped stapled anasto-mosis(DSA)with the conventional stapled functional end-to-end anastomosis(CSA).METHODS This retrospective study included CD patients who underwent ileo-ileal or ileo-colic anastomosis between January 2020 and December *** DSA technique employed a stapler to maintain the concept of anti-mesentery side-to-side ana-stomosis by performing a 90°vertical closure of the open window compared with the CSA *** the corner where the open window is closed,the DSA avoids forming a pouch and creates an anastomosis resembling a delta shape within the intestinal *** compared demographics,preoperative condition,operative findings,and operative outcomes for the two *** The study included 175 patients,including 92 in the DSA group and 83 in the CSA *** two groups were similar in baseline characteristics,preoperative medical treatment,and operative findings except for the Montreal classification *** 30-days postoperative complication rate was signi-ficantly lower in the DSA group compared with the CSA group(16.3%vs 32.5%,P=0.009).Ileus incidence was significantly lower in the DSA group than in the CSA group(4.3%vs 14.5%,P=0.033),and the hospital stay was shorter in the DSA group than in the CSA group(5.67±1.53 days vs 7.39±3.68 days,P=0.001).CONCLUSION The DSA technique was feasible and showed comparable postoperative outcomes with lower short-term complic-ations compared with the CSA *** studies on CD recurrence and long-term complications are warranted.

关键词： Crohn’s disease Surgery Anastomosis Complication Recurrence

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Hospice care compliance of nurses working at a hospice ward in Korea

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Open Journal of Nursing 2014年第2期4卷 57-66页

作者： hyun gu lee Heeok Park Young Mi Chun College of Nursing Keimyung University Daegu South Korea College of Nursing Taegu Science University Daegu South Korea Keimyung University Dongsan Hospital Daegu South Korea

Purpose: The purpose of this study was to investigate the hospice care compliance of nurses working at a hospice ward and provide meaningful data to improve the hospice care compliances. Methods: Participants included 104 nurses working at the hospice ward of the hospital located at P and D cities. Data was collected from February to March 2012. The level of hospice care compliance was measured using Bae (2000)’s questionnaires. Data were analyzed with descriptive statistics, t-test, one-way ANOVA and Scheffè test using SPSS/WIN 18.0 program. Results: The level of hospice care compliance in hospice nurses working at a hospice ward was high (3.25 out of 4). In hospice care compliance, the physical area was highest, followed by the emotional, spiritual, and social areas. Hospice care compliance was significantly different according to age, marital status, education, religion, importance of religion, job position, job satisfaction and life satisfaction. Hospice care compliance was also significantly different according to the nurses’ experience of death, having license or certification related to hospice care and experiences related to clients’ death. Conclusions: The findings of this study showed that the level of hospice care compliance was high and the hospice care compliance in South Korea was primarily focused on physical care. Considering that spiritual needs are important needs in hospice clients, hospice nurses need to focus on those aspects more. To improve the quality of hospice care compliance in the hospice nurses, programs to increase hospice nurses’ job and life satisfaction are needed.

关键词： Hospice Care Compliance Nurses

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Meta Shack–Hartmannwavefront sensor with large sampling density and large angular field of view:phase imaging of complex objects

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Light(Science & Applications) 2024年第9期13卷 1908-1918页

作者： Gi-hyun Go Dong-gu lee Jaeyeon Oh Gookho Song Doeon lee Mooseok Jang Department of Bio and Brain Engineering Korea Advanced Institute of Science and Technology(KAIST)DaejeonRepublic of Korea

Shack–Hartmann wavefront sensors measure the local slopes of an incoming wavefront based on the displacement of focal spots created by a lenslet array,serving as key components for adaptive optics for astronomical and biomedical ***,the challenges in increasing the density and the curvature of the lenslet have limited the use of such wavefront sensors in characterizing slowly varying wavefront ***,we develop a metasurfaceenhanced Shack–Hartmann wavefront sensor(meta SHWFS)to break this limit,considering the interplay between the lenslet parameters and the performance of *** experimentally validate the meta SHWFS with a sampling density of 5963 permm2 and a maximum acceptance angle of 8°which outperforms the traditional SFWFS by an order of ***,to the best of our knowledge,we demonstrate the first use of a wavefront sensing scheme in single-shot phase imaging of highly complex patterns,including biological tissue *** proposed approach opens up new opportunities in incorporating exceptional light manipulation capabilities of the metasurface platform in complex wavefront characterization.

关键词： angular curvature exceptional

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Prognostics and health management of alkaline water electrolyzer: Techno-economic analysis considering replacement moment

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Energy and AI 2023年第3期13卷 160-168页

作者： hyunjun lee Jiwon gu Boreum lee hyun-Seok Cho Hankwon Lim School of Energy and Chemical Engineering Ulsan National Institute of Science and Technology50 UNIST-gilEonyang-eupUlju-gunUlsan 44919Republic of Korea Hydrogen Research Department Future Energy Research DivisionKorea Institute of Energy Research152 Gajeong-roYuseongDaejeonRepublic of Korea Graduate School of Carbon Neutrality Ulsan National Institute of Science and Technology50 UNIST-gilEonyang-eupUlju-gunUlsan 44919Republic of Korea Carbon Neutrality Demonstration and Research Center Ulsan National Institute of Science and Technology50 UNIST-gilEonyang-eupUlju-gunUlsan 44919Republic of Korea

Recently,considerable attention has been paid to the installation of renewable energy capacity to mitigate global CO_(2) emissions.H_(2) produced using water electrolysis and renewable energy is regarded as a clean energy carrier,generating electricity without CO_(2) emissions,called‘Green H 2’.In this paper,a prognostics and health man-agement model for an alkaline water electrolyzer was proposed to predict the load voltage on the electrolyzer to obtain the state of health *** prognostics and health management model was developed by training historical operating data via machine learning models,support vector machine and gaussian process regression,showing the root mean square error of 1.28×10^(−3) and 8.03×10^(−6).In addition,a techno-economic analysis was performed for a green H_(2) production system,composed of 1 MW of photovoltaic plant and 1 MW of alkaline water electrolyzer,to provide economic insights and feasibility of the system.A levelized cost of H_(2) of$6.89 kgH_(2)−1 was calculated and the potential to reach the levelized cost of H_(2) from steam methane reforming with carbon capture and storage was shown by considering the learning rate of the photovoltaic module and ***,the replacement of the alkaline water electrolyzer at around 10 years was preferred to increase the net present value from the green H_(2) production system when capital expenditure and replacement cost are low enough.

关键词： Green H_(2) Alkaline water electrolysis Prognostics and health management Voltage degradation Techno-economic analysis Replacement

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Accelerated biodegradation of iron-based implants via tantalum-implanted surface nanostructures

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Bioactive Materials 2022年第3期7卷 239-250页

作者： Min-Kyu lee hyun lee Cheonil Park In-gu Kang Jinyoung Kim Hyoun-Ee Kim hyun-Do Jung Tae-Sik Jang Department of Materials Science and Engineering Seoul National UniversitySeoul08826Republic of Korea Querrey Simpson Institute for Bioelectronics Northwestern UniversityEvanstonIL60208USA Department of Biomedical-Chemical Engineering Catholic University of KoreaBucheon14662Republic of Korea Department of Biotechnology The Catholic University of KoreaBucheon14662Republic of Korea Department of Materials Science and Engineering Chosun UniversityGwangju61452Republic of Korea

In recent years,pure iron(Fe)has attracted significant attention as a promising biodegradable orthopedic implant material due to its excellent mechanical and biological ***,in physiological conditions,Fe has an extremely slow degradation rate with localized and irregular degradation,which is problematic for practical *** this study,we developed a novel combination of a nanostructured surface topography and galvanic reaction to achieve uniform and accelerated degradation of an Fe *** target-ion induced plasma sputtering(TIPS)technique was applied on the Fe implant to introduce biologically compatible and electrochemically noble tantalum(Ta)onto its surface and develop surface nano-galvanic *** tests revealed that the uniformly distributed nano-galvanic corrosion cells of the TIPS-treated sample(nano Ta-Fe)led to relatively uniform and accelerated surface degradation compared to that of bare ***,the mechanical properties of nano Ta-Fe remained almost constant during a long-term in vitro immersion test(~40 weeks).Biocompatibility was also assessed on surfaces of bare Fe and nano Ta-Fe using in vitro osteoblast responses through direct and indirect contact assays and an in vivo rabbit femur medullary cavity implantation *** results revealed that nano Ta-Fe not only enhanced cell adhesion and spreading on its surface,but also exhibited no signs of cellular or tissue *** results demonstrate the immense potential of Ta-implanted surface nanostructures as an effective solution for the practical application of Fe-based orthopedic implants,ensuring long-term biosafety and clinical efficacy.

关键词： Iron Tantalum Ion implantation Biodegradation Orthopedic implants

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Characterizing and controlling infrared phonon anomaly of bilayer graphene in optical-electrical force nanoscopy

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Light(Science & Applications) 2023年第12期12卷 2700-2710页

作者： Junghoon Jahng Sunho lee Seong-gu Hong Chang Jun lee Sergey G.Menabde Min Seok Jang Dong-hyun Kim Jangyup Son Eun Seong lee Hyperspectral Nano-imaging Team Korea Research Institute of Standards and ScienceDaejeon 34113Republic of Korea Department of Aerospace Engineering University of Illinois at Urbana-ChampaignUrbanaIL 61801USA Multiscale Mechanical Properties Measurement Team Korea Research Institute of Standards and ScienceDaejeon 34113Republic of Korea School of Mechanical Engineering Chonnam National UniversityGwangju 61186Republic of Korea School of Electrical Engineering Korea Advanced Institute of Science and TechnologyDaejeon 34141Republic of Korea Functional Composite Materials Research Center Korea Institute of Science and TechnologyJeonbuk 55324Republic of Korea SKKU Advanced Institute of Nanotechnology Sungkyunkwan UniversitySuwon 16419Republic of Korea Division of Nano&Information Technology KIST SchoolUniversity of Science and TechnologySeoul 02792Republic of Korea

We,for the first time,report the nanoscopic imaging study of anomalous infrared(IR)phonon enhancement of bilayer graphene,originated from the charge imbalance between the top and bottom layers,resulting in the enhancement of E1u mode of bilayer graphene near 0.2 *** modified the multifrequency atomic force microscope platform to combine photo-induced force microscope with electrostatic/Kelvin probe force microscope constituting a novel hybrid nanoscale optical-electrical force imaging *** enables to observe a correlation between the IR response,doping level,and topographic information of the graphene *** the nanoscale spectroscopic image measurements,we demonstrate that the charge imbalance at the graphene interface can be controlled by chemical(doping effect via Redox mechanism)and mechanical(triboelectric effect by the doped cantilever)***,we can also diagnosis the subsurface cracks on the stacked few-layer graphene at nanoscale,by monitoring the strain-induced IR phonon *** approach provides new insights into the development of graphene-based electronic and photonic devices and their potential applications.

关键词： electrical force optical

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A Study on Classification and Detection of Small Moths Using CNN Model

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Computers, Materials & Continua 2022年第4期71卷 1987-1998页

作者： Sang-hyun lee Department of Computer Engineering Honam UniversityGwangsanguGwangju62399South Korea

Currently,there are many limitations to classify images of small *** addition,there are limitations such as error detection due to external factors,and there is also a disadvantage that it is difficult to accurately distinguish between various *** paper uses a convolutional neural network(CNN)algorithm to recognize and classify object images of very small moths and obtain precise data images.A convolution neural network algorithm is used for image data classification,and the classified image is transformed into image data to learn the topological structure of the *** improve the accuracy of the image classification and reduce the loss rate,a parameter for finding a fast-optimal point of image classification is set by a convolutional neural network and a pixel image as a *** a result of this study,we applied a convolution neural network algorithm to classify the images of very small moths by capturing precise images of the *** results showed that the accuracy of classification of very small moths was more than 90%.

关键词： Convolution neural network rectified linear unit activation function pooling feature map

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A Study on Cascade R-CNN-Based Dangerous Goods Detection Using X-Ray Image

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Computers, Materials & Continua 2022年第11期73卷 4245-4260页

作者： Sang-hyun lee Department of Computer Engineering Honam UniversityGwangsanguGwangju 62399Korea

X-ray inspection equipment is divided into small baggage inspection equipment and large cargo inspection *** the case of inspection using X-ray scanning equipment,it is possible to identify the contents of goods,unauthorized transport,or hidden goods in real-time by-passing cargo through X-rays without opening *** this paper,we propose a system for detecting dangerous objects in X-ray images using the Cascade Region-based Convolutional Neural Network(Cascade R-CNN)model,and the data used for learning consists of dangerous goods,storage media,firearms,and *** addition,to minimize the overfitting problem caused by the lack of data to be used for artificial intelligence(AI)training,data samples are increased by using the CP(copy-paste)algorithm on the existing *** also solves the data labeling problem by mixing supervised and semi-supervised *** four comparative models to be used in this study are Faster Regionbased Convolutional Neural Networks Residual2 Network-101(Faster R-CNN_Res2Net-101)supervised learning,Cascade R-CNN_Res2Net-101_supervised learning,Cascade Region-based Convolutional Neural Networks Composite Backbone Network V2(CBNetV2)Network-101(Cascade R-CNN_CBNetV2Net-101)_supervised learning,and Cascade RCNN_CBNetV2-101_semi-supervised learning which are then compared and *** a result of comparing the performance of the four models in this paper,in case of Cascade R-CNN_CBNetV2-101_semi-supervised learning,Average Precision(AP)(Intersection over Union(IoU)=0.5):0.7%,AP(IoU=0.75):1.0%than supervised learning,Recall:0.8%higher.

关键词： Cascade R-CNN model faster R-CNN model X-ray screening equipment Res2Net supervised learning semi-supervised learning

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An Effective Threat Detection Framework for Advanced Persistent Cyberattacks

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Computers, Materials & Continua 2023年第5期75卷 4231-4253页

作者： So-Eun Jeon Sun-Jin lee Eun-Young lee Yeon-Ji lee Jung-Hwa Ryu Jung-hyun Moon Sun-Min Yi Il-gu lee Department of Future Convergence Technology Engineering Sungshin Women’s UniversitySeoul02844Korea Department of Convergence Security Engineering Sungshin Women’s UniversitySeoul02844Korea

Recently,with the normalization of non-face-to-face online environments in response to the COVID-19 pandemic,the possibility of cyberattacks through endpoints has *** endpoint devices are managed meticulously to prevent cyberattacks and ensure timely responses to potential security *** particular,because telecommuting,telemedicine,and teleeducation are implemented in uncontrolled environments,attackers typically target vulnerable endpoints to acquire administrator rights or steal authentication information,and reports of endpoint attacks have been increasing *** persistent threats(APTs)using various novel variant malicious codes are a form of a sophisticated ***,conventional commercial antivirus and anti-malware systems that use signature-based attack detectionmethods cannot satisfactorily respond to such *** this paper,we propose a method that expands the detection coverage inAPT attack *** this model,an open-source threat detector and log collector are used synergistically to improve threat detection *** the scope of attack log collection through interworking between highly accessible open-source tools can efficiently increase the detection coverage of tactics and techniques used to deal with APT attacks,as defined by MITRE Adversarial Tactics,Techniques,and Common Knowledge(ATT&CK).We implemented an attack environment using an APT attack scenario emulator called Carbanak and analyzed the detection coverage of Google Rapid Response(GRR),an open-source threat detection tool,and Graylog,an open-source log *** proposed method expanded the detection coverage against MITRE ATT&CK by approximately 11%compared with that conventional methods.

关键词： Advanced persistent threat cybersecurity endpoint security MITRE ATT&CK open-source threat detector threat log collector

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Adaptive Consistent Management to Prevent System Collapse on Shared Object Manipulation in Mixed Reality

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Computers, Materials & Continua 2023年第4期75卷 2025-2042页

作者： Jun lee hyun Kwon Department of Game Software Hoseo UniversityAsan-siKorea Department of Artificial Intelligence and Data Science Korea Military AcademySeoulKorea

A concurrency control mechanism for collaborative work is akey element in a mixed reality environment. However, conventional lockingmechanisms restrict potential tasks or the support of non-owners, thusincreasing the working time because of waiting to avoid conflicts. Herein, wepropose an adaptive concurrency control approach that can reduce conflictsand work time. We classify shared object manipulation in mixed reality intodetailed goals and tasks. Then, we model the relationships among goal,task, and ownership. As the collaborative work progresses, the proposedsystem adapts the different concurrency control mechanisms of shared objectmanipulation according to the modeling of goal–task–ownership. With theproposed concurrency control scheme, users can hold shared objects andmove and rotate together in a mixed reality environment similar to realindustrial sites. Additionally, this system provides MS Hololens and Myosensors to recognize inputs from a user and provides results in a mixed realityenvironment. The proposed method is applied to install an air conditioneras a case study. Experimental results and user studies show that, comparedwith the conventional approach, the proposed method reduced the number ofconflicts, waiting time, and total working time.

关键词： Mixed reality upper body motion recognition shared object manipulation adaptive task concurrency control

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