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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

Long-term outcomes of very low birth weight infants with intraventricular hemorrhage:a nationwide population study from 2011 to 2019

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World Journal of Pediatrics 2024年第7期20卷 692-700页

作者： Joonsik Park Sook-Hyun Park Yu-ra Kwon So Jin yoon Joo Hee lim Jung Ho Han Jeong Eun Shin Ho Seon Eun Min Soo Park Soon Min Lee Department of Pediatrics Yonsei University College of Medicine211 Eonjuro GangnamguSeoul 06273Republic of Korea

Background Advancements in neonatal care have increased preterm infant survival but paradoxically raised intraventricular hemorrhage(IVH)*** study explores IVH prevalence and long-term outcomes of very low birth weight(VLBW)infants in Korea over a *** Using Korean National Health Insurance data(NHIS,2010-2019),we identified 3372 VLBW infants with IVH among 4,129,808 live ***-related claims data,encompassing diagnostic codes,diagnostic test costs,and administered procedures were sourced from the NHIS *** results of the developmental assessments are categorized into four groups based on standard deviation(SD)*** characteristics and complications were compared among the *** regression models were employed to identify significant changes in the incidence of complications and to calculate odds ratios with corresponding 95%confidence intervals for each risk factor associated with mortality and morbidity in ***-term growth and development were compared between the two groups(years 2010-2013 and 2014-2017).Results IVH prevalence was 12%in VLBW and 16%in extremely low birth weight(ELBW)*** the past decade,IVH rates increased significantly in ELBW infants(P=0.0113),while mortality decreased(P=0.0225).Major improvements in certain neurodevelopmental outcomes and reductions in early morbidities have been observed among VLBW infants with *** percent of the population received surgical treatments such as external ventricular drainage(EVD)or a ventriculoperitoneal(VP)shunt,with the choice of treatment methods remaining consistent over *** IVH with surgical intervention group exhibited higher incidences of delayed development,cerebral palsy,seizure disorder,and growth failure(height,weight,and head circumference)up to 72 months of age(P<0.0001).Surgical treatments were also significantly associated with abnormal developmental screening test *** The neurodevelopmental outcomes of infa

关键词： Cerebral intraventricular hemorrhage Developmental Hydrocephalus Mortality Posthemorrhagic ventricular dilatation Surgery

Effect of various red phosphorescent dopants in single emissive white phosphorescent organic light-emitting devices

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Chinese Optics Letters 2017年第5期15卷 53-57页

作者： jong Hyun lim Jin Wook Kim Geum Jae yoon Ayse Turak Woo Young Kim Department of Green Energy & Semiconductor Engineering Hoseo University Asan 31499 Korea R&D Center A-PRO Co. Ltd. Gunpo 15830 Korea Department of Electrical and Electronic Engineering The University of Hong Kong Hong Kong 070 China Department of Engineering Physcis McMaster University Hamilton Ontario L8S 4L7 Canada

In order to realize single emissive white phosphorescent organic light-emitting devices （PHOLEDs） with three color phosphorescent dopants （red, green, and blue）, the energy transfer between the host material and the three dopants, as well as the among the three dopants themselves, should be considered and optimized. To explore the effect of red phosphorescent dopant on the color rendering index （CRI）, the authors investigate the wavelength position of the maximum emission peak from three phosphorescent dopants. The CRI and luminous efficiency of white PHOLED in which Ir（pq）2（acac） acts as the red phosphorescent dopant are found to be greater than those of devices prepared using Ir（piq）3 and Ir（btp）2（acac） as the emission spectrum has a relatively high intensity near the human perception of blue, red, and green wavelengths. Furthermore, we demonstrate that the performance of the three dopants is related to the absorption characteristics of the red phosphorescent dopant. With a maximum emission peak at 600 nm, Ir（pq）2（acac） has a higher intensity in the concave section between 550 and 600 nm seen for red and blue dopants. In addition, the long metal-to-ligand charge transfer （MLCT） absorption tail of Ir（pq）2（acac） overlaps with the emission spectra of the green dopant, enhancing emission. Such energy transfer mechanisms are confirmed to optimize white emission in the single emissive white PHOLEDs.

关键词： Charge transfer Current density Doping (additives) Emission spectroscopy Energy transfer Light emission

High prevalence of osteoporosis in patients with gastric adenocarcinoma following gastrectomy

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World Journal of Gastroenterology 2007年第48期13卷 6492-6497页

作者： Jung Sub lim Sang Bum Kim Ho-yoon Bang Gi Jeong Cheon jong-Inn Lee Department of Pediatrics Korea Cancer Center Hospital Department of Surgery Korea Cancer Center Hospital Department of Nuclear Medicine Korea Cancer Center Hospital

AIM： To evaluate the prevalence and predictive factors of osteoporosis in patients with gastric adenocarcinoma alter gastrectomy.METHODS： The study included 133 patients diagnosed with gastric adenocarcinoma but who did not undergo prior diagnostic work-up for osteoporosis. Bone mineral density （BMD） was measured by dual-energy X-ray absorptiometry （DXA） and vertebral deformity was assessed by plain X-rays. We evaluated the effects of age, sex, body mass index （BMI）, anemia, back pain, vertebral deformity, tumor staging, reconstruction type, and past medical history to determine predictive factors of osteoporosis in these patients.RESULTS： The prevalence of osteoporosis in the lumbar spine was 38.3% （male, 28.9%; female, 54.0%）, and 15.0% in the femoral neck （male, 10.8%; female, 22.0%）. The vertebral deformity rate was 46.6% （male, 43.4%; female, 52.0%）. Age, BMI and hemoglobin correlated with BMD （P 〈 0.01）. In males, anemia and age 〉 64 years were independent predictive factors of osteoporosis in multivariate analysis. In females, back pain was an independent factor for osteoporosis.CONCLUSION： The results of this study revealed that prevalence of osteoporosis and vertebral bone deformity rate were high in gastric cancer patients, regardless of post-gastrectomy duration and operation type. Early diagnosis and a proper management plan must be established in these patients.

关键词： Gastric adenocarcinoma Gastrectomy Bone mineral density Osteoporosis Vertebral deformity Anemia Back pain

A Steam-Plasma Igniter for Aluminum Powder Combustion

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Plasma Science and Technology 2015年第5期17卷 392-401页

作者： Sanghyup LEE Kwanyoung NOH Jihwan lim Woongsup yoon Mechanical Engineering Department of Yonsei University

High-temperature ignition is essential for the ignition and combustion of energetic metal fuels, including aluminum and magnesium particles which are protected by their high- melting-temperature oxides. A plasma torch characterized by an ultrahigh-temperature plasma plume fulfills such high-temperature ignition conditions. A new steam plasma igniter is designed and successfully validated by aluminum power ignition and combustion tests. The steam plasma rapidly stabilizes in both plasma and steam jet modes. Parametric investigation of the steam plasma jet is conducted in terms of arc strength. A high-speed camera and an oscilloscope method visualize the discharge characteristics, and optical emission spectroscopy measures the thermochemical properties of the plasma jet. The diatomic molecule OH fitting method, the Boltzmann plot method, and short exposure capturing with an intensified charge coupled device record the axial distributions of the rotational gas temperature, excitation temperature, and OH radical distribution, respectively. The excitation temperature at the nozzle tip is near 5500 K, and the gas temperature is 5400 K.

关键词： steam plasma igniter aluminum emission spectroscopy energetic metal fuels powder ignition and combustion optical

Thermo-physical Characteristics of Nickel-coated Aluminum Powder as a Function of Particle Size and Oxidant

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Chinese Journal of Mechanical Engineering 2016年第6期29卷 1244-1255页

作者： LEE Sanghyup NOH Kwanyoung lim Jihwan yoon Woongsup Advanced Energy and Propulsion Laboratory Department of Mechanical Engineering Yonsei University Missile System Integration / propulsion Center Hanwha Corp.

Aluminum particles 15-25 μm in size are widely used in fuel propellants and underwater propulsion systems in national defense research. However, these particles are covered with an aluminum oxide film, which has a high melting point, so ignition is difficult. To improve the ignitability of high-energy aluminum powder and to understand the reaction phenomenon as a function of particle size（15-25 μm, 74-105 μm, and 2.38 mm） and oxidizer（air, CO2, and argon）, the natural oxide films are chemically removed. The particles are then coated with nickel using an electro-less method. The degree of nickel deposition is confirmed qualitatively and quantitatively through surface analysis using scanning electron microscopy/energy dispersive spectroscopy. To characterize the nickel coatings, elemental analysis is also conducted by using X-ray diffraction. Thermogravimetric analysis/differential scanning calorimetry （TGA/DSC） enable comparisons between the uncoated and coated aluminum, and the reaction process are investigated through fine structural analysis of the particle surfaces and cross sections. There are little difference in reactivity as a function of oxidant type. However, a strong exothermic reaction in the smaller nickel-coated aluminum particles near the melting point of aluminum accelerates the reaction of the smaller particles. Explanation of the reactivity of the nickel-coated aluminum depending on the particle sizes is attempted.

关键词： nickel-coated aluminum TGA/DSC aluminum ignition combustion intermetallic reaction

Overexpression of the M2 isoform of pyruvate kinase is an adverse prognostic factor for signet ring cell gastric cancer

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World Journal of Gastroenterology 2012年第30期18卷 4037-4043页

作者： Jae Yun lim Sun Och yoon So Young Seol Soon Won Hong jong Won Kim Seung Ho Choi Jae Yong Cho Department of Medical Oncology Gangnam Severance Cancer HospitalYonsei University College of MedicineSeoul 135-720South Korea Department of Pathology Gangnam Severance Cancer HospitalYonsei University College of MedicineSeoul 135-720South Korea Department of Surgery Gangnam Severance Cancer HospitalYonsei University College of MedicineSeoul 135-720South Korea

AIM:To investigate M2 isoform of pyruvate kinase(PKM2) expression in gastric cancers and evaluate its potential as a prognostic biomarker and an anticancer ***:All tissue samples were derived from gastric cancer patients underwent curative gastrectomy as a primary *** and pathological information were obtained from the medical *** expression microarray data from 60 cancer and 19 noncancer gastric tissues were analyzed to evaluate the expression level of PKM2 *** microarrays were constructed from 368 gastric cancer *** was used to measure PKM2 expression and PKM2 positivity of cancer was determined by proportion of PKM2-positive tumor cells and staining *** between PKM2 expression and the clinicopathological factors was evaluated and the correlation between PKM2 and cancer prognosis was ***:PKM2 mRNA levels were increased more than 2-fold in primary gastric cancers compared to adjacent normal tissues from the same patients(log transformed expression level:7.6 ± 0.65 vs 6.3 ± 0.51,P < 0.001).Moreover,differentiated type cancers had significantly higher PKM2 mRNA compared to undifferentiated type cancers(log transformed expression level:7.8 ± 0.70 vs 6.7 ± 0.71,P < 0.001).PKM2 protein was mainly localized in the cytoplasm of primary cancer cells and detected in 144 of 368(39.1%) human gastric cancer ***2 expression was not related with stage(P = 0.811),but strongly correlated with gastric cancer differentiation(P < 0.001).Differentiated type cancers expressed more PKM2 protein than did the undifferentiated *** differentiated adenocarcinoma showed 63.6% PKM2-positive cells;in contrast,signet-ring cell cancers showed only 17.7% PKM2-positive ***,PKM2 expression was correlated with shorter overall survival(P < 0.05) independent of stage only in signet-ring cell ***:PKM2 expression might be an adverse prognostic factor for signet-rin

关键词： Gastric cancer M2 isoform of pyruvate kinase Biomarker Signet ring cell carcinoma Prognosis

Clinical outcome after pulmonary metastasectomy from primary hepatocellular carcinoma:Analysis of prognostic factors

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World Journal of Gastroenterology 2008年第37期14卷 5717-5722页

作者： jong-Bum Kwon Khun Park Young-Du Kim jong-Hee Seo Seok-Whan Moon Deog-Gon Cho Yong-Whan Kim Dong-Goo Kim Seung-Kew yoon Hyeon-Woo lim Department of Thoracic and Cardiovascular Surgery the Catholic University of KoreaSeoul 137-701 Korea Department of Surgery the Catholic University of KoreaSeoul 137-701 Korea Department of Internal Medicine the Catholic University of KoreaSeoul 137-701 Korea Department of Preventive Medicine the Catholic University of KoreaSeoul 137-701 Korea

AIM： To review the surgical outcomes in terms of the surgical indications and relevant prognostic factors. METHODS： Sixteen patients underwent therapeutic lung surgery between March 1999 and May 2006. The observation period was terminated on May 31, 2007. The surgical outcomes and the clinicopathological factors were compared. RESULTS： There was no mortality or major morbidity encountered in this study. The mean follow-up period after metastasectomy was 26.7 ＋ 28.2 （range： 1-99 mo）, and the median survival time was 20 mo. The 1- and 5-year survival rates were 56% and 26%, respectively. At the end of the follow-up, 1 patient died from hepatic failure without recurrence, 6 died from hepatic failure with a recurrent hepatocellular carcinoma （HCC）, and 4 died from recurrent HCC with cachexia. Among several clinical factors, Kaplan Meier analysis revealed as a treatment for the that liver transplantation primary lesion, grade of cell differentiation, and negative evidence HBV infection were independent predictive factors. On Cox＇s proportional hazard model, there were no significant factors affecting survival after pulmonary metastasectomy in patients with HCC. CONCLUSION： A metastasectomy should be performed before other treatments in selected patients, Although not significant, patients with liver transplantation of a primary HCC survived longer, Liver transplantation might be the most beneficial modality that can offer patients better survival, A multi- institutional and collaborative study would be needed for identifying clinical prognostic factors predicting survival in patients with HCC and lung metastasis.

关键词： Hepatocellular carcinoma Pulmonary metastasis Metastasectomy Liver transplantation Thoracoscopy

Determination of efficient superfinishing conditions for mirror surface finishing of titanium

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Journal of Central South University 2012年第1期19卷 155-162页

作者： KIM Jin-seob lim Eun-seong JUNG yoon-gyo School of Mechatronics Changwon National UniversityChangwon 641-773Korea

To determine mirror surface finishing conditions and efficient and economical superfinishing conditions for pure titanium and titanium alloys, an abrasive film is used when superfinishing is performed under varying conditions. These conditions include the workpiece rotation speed, the oscillation speed, the contact pressure of the roller, the hardness of the roller, and the type of abrasive film. The superfinishing device is applied to polishing a thin and long cylindrical bar. A micro-finishing film and a lapping film were used as abrasive films. A1203 grains or SiC grains were used as abrasives. The surface roughness of a polished workpiece was measured using a stylus-type surface-roughness measuring instrument. As a result, the conditions to improve the polishing surface efficiently include high values for the workpiece rotation speed, oscillation speed and contact pressure. The roller hardness has no effect on the efficient polishing conditions. The mirror finish of a surface can be created using lapping film of 3 μm with Al2O3 grains after polishing to a steady surface roughness under the efficient polishing conditions.

关键词： superfinishing mirror surface finishing abrasive film surface roughness titanium optimal polishing time