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Laparoscopic cholecystectomy in patients with anesthetic problems

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World Journal of Gastroenterology 2013年第29期19卷 4832-4835页

作者： Bum-Soo Kim Sun-hyung Joo jin-hyun joh Jae-Woo Yi Department of Surgery School of Medicine Kyung Hee University Seoul 134-727 South Korea Departments of Surgery and Anesthesiology and Pain Medicine School of Medicine Kyung Hee University Seoul 134-727 South Korea

Laparoscopic cholecystectomy is a standard operation for benign gallbladder disease. As experience with laparoscopic cholecystectomy has increased, the procedure has become possible in patients with anesthetic problems. Patients with ankylosing spondylitis or severe kyphosis represent a challenging group to anesthesiologists and laparoscopic surgeons since these diseases are associated with difficult intubation, restrictive ventilatory defects, and cardiac problems. The relatively new approach of awake fiberoptic intubation is considered to be the safest option for patients with anticipated airway difficulties. Laparoscopic cholecystectomy is usually performed under general anesthesia but considerable difficulties in anesthetic management are encountered during laparoscopic surgery; for example, hemodynamic instability may develop in patients with cardiopulmonary dysfunction due to pneumoperitoneum and position changes during the operation. Nonetheless, regional anesthesia can be considered as a valid option for patients with gallbladder disease who are poor candidates for general anesthesia due to cardiopulmonary problems. We report three cases of laparoscopic cholecystectomy successfully performed in patients with anesthetic problems that included cardiopulmonary disease, severe kyphosis, and ankylosing spondylitis.

关键词： Laparoscopic cholecystectomy Kyphosis Ankylosing spondylitis Anesthetic problems

Highly dense and ultrathin gadolinia-doped ceria interlayer for enhanced performance of large-area anode-supported solid oxide fuel cell

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Progress in Natural Science:Materials International 2023年第5期33卷 733-741页

作者： Sang Woo Shin Amjad Hussain Muhammad Zubair Khan Dong Woo joh Tak-hyung Lim Seung-Bok Lee Jong-Eun Hong Joon hyung Shim Rak-hyun Song Hydrogen Energy Research Division Korea Institute of Energy Research Department of Mechanical Engineering Korea University Department of Advanced Energy and System Engineering Korea University of Science and Technology(UST) 4. Department of Materials Science & Engineering Pak-Austria Fachhochschule: Institute of Applied Sciences and Technology

The fabrication of a highly dense and ultrathin Gd doped ceria(GDC) interlayer on a large-area, porous electrolyte-coated planar anode support using vacuum slurry coating is studied for application in solid oxide fuel cells(SOFCs). The electrolyte-coated planar anode support body is fabricated by tape casting and pre-sintering is performed at 1100, 1150, and 1200°C. The GDC interlayer is coated onto the pre-sintered electrolyte-coated anode support using a vacuum slurry coating process with different immersion times(30–60 s). A highly dense and ultrathin GDC interlayer with a thickness of 1.48 μm is produced after co-sintering at 1400°C. The 1200°C pre-sintered electrolyte-coated anode support showed a thin and highly dense GDC interlayer which is attributed to a lower shrinkage difference between the coated GDC interlayer and pre-sintered body. The electrochemical performance of a vacuum slurry-coated GDC interlayer cell is 38 % higher compared to that of the screen-printed GDC-coated cell at 700°C due to the greatly reduced Ohmic and electrode polarization resistances. The considerable improvement in the performance is attributed to the ultrahigh GDC density which has prevented the secondary phase formation between the cathode and electrolyte. This study presents the economical, scalable, and reproducible process for the fabrication of highly robust GDC interlayer for the large-area planar anode-supported SOFCs.

关键词： Solid oxide fuel cell Vacuum slurry coating GDC interlayer Sintering Performance

A dynamic infiltration technique to synthesize nanolayered cathodes for high performance and robust solid oxide fuel cells

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Journal of Energy Chemistry 2022年第7期31卷 201-210,I0006页

作者： Saeed Ur Rehman Ho-Seon Song Hye-Sung Kim Muhammad Haseeb Hassan Dong-Woo joh Rak-hyun Song Tak-Hyoung Lim Jong-Eun Hong Seok-Joo Park Seung-Bok Lee High Temperature Energy Conversion Laboratory Korea Institute of Energy Research152Gajeong-roYuseong-gu.Daejeon34129.Republic of Korea Department of Advanced Energy and System Engineering University of Science and Technology.217 Gajeong-ro.Yuseong-gu.Daejeon 34113.Republicof Korea

Solution infiltration is a popular technique for the surface modification of solid oxide fuel cell(SOFC)***,the synthesis of nanostructured SOFC cathodes by infiltration is a tedious process that often requires several infiltration and high temperature(≥500℃)calcination ***,fabricating large-area nanostructured cathodes via infiltration still requires serious ***,we propose a facile and scalable urea assisted ultrasonic spray infiltration technique for nanofabrication of SOFC *** is demonstrated that by using urea as a precipitating agent,the calcination after each infiltration cycle can be omitted and the next infiltration can be performed just after a drying step(≤100℃).Finally,the precipitates can be converted into a desired catalyst phase in single calcination thus,a nanostructured cathode can be fabricated in a much faster *** is also shown that the low calcination temperature of the cathode(≤900℃)can produce highly durable SOFC performance even without employing a Ce_(0.9)Gd_(0.1)O_(2)(GDC)diffusion barrier layer which provides the ease of SOFC *** coupling with an ultrasonic spray technique,the urea assisted infiltration can be scaled up for any desired cathode ***_(0.6)Sr_(0.4)Co_(0.2)Fe_(0.8)O_(3) nanolayered cathode was fabricated and it was characterized by scanning electron microscope(SEM),X-ray diffraction(XRD),and transmission electron microscopy(TEM)*** showed the formation of a nanolayer cathode just after 5 cycles of the urea assisted infiltration while the XRD and TEM confirmed the phase and stoichiometric uniformity of the 100 nm cathode *** effectiveness of the newly developed technique was further verified by the stable operation of a GDC buffer layer free SOFC having an active cathode area of 25 cm^(2) during a 1200 h durability *** research outcomes propose urea assisted ultrasonic spray infiltration as a facile,scalable,and commercially viable method

关键词： Solid oxide fuel cell(SOFC) Cathode Infiltration Nanolayer Nanofabrication GDC barrier layer free SOFC

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Mechanical alloying of platinum with 5% ZrO_2 nanoparticles for glass making tools

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Transactions of Nonferrous Metals Society of China 2014年第S1期24卷 99-105页

作者： Taek-Kyun JUNG Dong-Woo joh Seung-Yub LEE Myung-Sik CHOI Soong-Keun hyun Hyo-Soo LEE Korea Institute of Industrial Technology 7-47 Songdo-dong Yenosu-gu Incheon 406-840 Korea Department of Applied Physics and Applied Mathematics Columbia University School of Materials Science and Engineering Inha University 253 Yonghyun-Dong Incheon 405-751 Korea

Synthesis and characterization of mechanically alloyed Pt-5%ZrO2(volume fraction) for structural components in the glass industry were described. Zirconia(ZrO2) nanoparticles(<100 nm) were produced by the electrical explosion of zirconium(Zr) wires, and blended with platinum(Pt) powders(<44 ?m) for 2-72 h in ambient atmosphere. The Pt particle size followed the typical decreasing trend of the normal ball milling process up to 48 h, but particle agglomeration was observed at 72 h. The grain size evolution was similar to that of the particle size, dropping down to around 50 nm at 48 h. The root mean square strain of the Pt crystallites showed the opposite behavior, maximizing at 48 h with a subsequent relaxation process. For the 48 h ball milled powders, spark plasma sintering was carried out to form a bulk disk. The measured mass loss of the sintered bulk sample shows a decent thermal stability despite its relatively low density.

关键词： platinum zirconia nanoparticle electrical wire explosion mechanical alloying

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社区步行通达性对独栋住宅房价的效益评估--美国德克萨斯州奥斯丁市空间特征分析

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城市交通 2016年第4期14卷 75-91页

作者：李威 Kenneth joh Chanam Lee Jun-hyun Kim Han Park Ayoung Woo 张斯阳(译) 德州农工大学建筑学院景观建筑和城市规划系美国德克萨斯州大学城77843-3137 德州交通研究所美国德克萨斯州大学城77843-3135 中国城市规划设计研究院北京100037

通过分析美国德克萨斯州奥斯丁市2010—2012年独栋住宅的销售价格,以街道智慧步行指数(Street Smart Walk Score)和人行道密度(Sidewalk Density)作为衡量指标,研究社区步行通达性对房价的影响。使用Cliff-Ord空间特征模型(即广义空间模... 详细信息

通过分析美国德克萨斯州奥斯丁市2010—2012年独栋住宅的销售价格,以街道智慧步行指数(Street Smart Walk Score)和人行道密度(Sidewalk Density)作为衡量指标,研究社区步行通达性对房价的影响。使用Cliff-Ord空间特征模型(即广义空间模型,General Spatial Model,或者SAC)控制空间自相关影响。结果表明:在依赖小汽车的社区通过增加设施可达性来提升步行通达性的举措并不能提高房价;增加人行道也只能最小限度地提高房价。投资社区便利设施和人行道对适宜步行社区的房价提升效果比依赖小汽车的社区显著。

关键词： Cliff-Ord空间特征模型广义空间模型(SAC) 房价步行指数适宜步行社区步行通达性空间自相关空间特征模型

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