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Unilateral versus bilateral Y-type stent-in-stent metal stent insertions in inoperable malignant hilar biliary strictures:A multicenter retrospective study

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Hepatobiliary & Pancreatic Diseases International 2021年第6期20卷 561-567页

作者： Ik Hyun Jo Chang-Nyol Paik Dae Bum Kim Jaesin Lee jong Yul Lee Jae Hyuck Chang Kyu-Hyun Paik Won-suk Park Department of Internal Medicine College of MedicineSt.Vincent’s HospitalThe Catholic University of KoreaSeoulKorea Department of Internal Medicine College of MedicineIncheon St.Mary’s HospitalThe Catholic University of KoreaSeoulKorea Department of Internal Medicine College of MedicineBucheon St.Mary’s HospitalThe Catholic University of KoreaSeoulKorea Department of Internal Medicine College of MedicineDaejeon St.Mary’s HospitalThe Catholic University of KoreaSeoulKorea

Background:To date,there is controversy regarding unilateral versus bilateral stent placement in patients with malignant hilar biliary strictures(MHBSs).The aim of this study was to compare the clinical outcomes and complications of unilateral and bilateral(stent-in-stent method)stent placements for these ***:We conducted a multicenter retrospective analysis of patients with inoperable MHBS who underwent endoscopic self-expandable metal stent(SEMS)placement from January 2009 to December *** groups classified according to the stent procedure method were compared for demographic,procedural,and postprocedure *** analysis for patency loss and overall survival was also ***:A total of 236 subjects were included.A superior technical success rate was found in the unilateral stent group(98.8%vs.82.5%,P<0.001),whereas the clinical success rate was higher in the bilateral group(85.7%vs.70.5%,P=0.028).There was no significant difference with respect to complications or patency loss,and the bilateral group had better overall survival(P<0.01).In the Cox proportional hazard model,MHBSs from lymph node compression were associated with a higher risk of death(HR=9.803,P=0.003).In contrast,bilateral SEMS insertion showed reduced postprocedural mortality(HR=0.316,P=0.001).Conclusions:Y-type stent-in-stent bilateral SEMSs are technically difficult but demonstrated more favorable overall survival for palliative bile drainage of inoperable MHBS patients compared to unilateral insertions.

关键词： Cholestasis Extrahepatic neoplasm Cholangiopancreatography Endoscopy Self-expandable metal stents

Humidity-induced synaptic plasticity of ZnO artificial synapses using peptide insulator for neuromorphic computing

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Journal of Materials Science & Technology 2022年第24期119卷 150-155页

作者： Min-Kyu song Hojung Lee Jeong Hyun Yoon Young-Woong song Seok Daniel Namgung Taehoon Sung Yoon-Sik Lee jong-Seok Lee Ki Tae Nam Jang-Yeon Kwon School of Integrated Technology Yonsei UniversityIncheon 21983South Korea Department of Materials Science and Engineering Seoul National UniversitySeoul 08826South Korea Soft Foundry Seoul National UniversitySeoul 08826South Korea School of Chemical and Biological Engineering Seoul National UniversitySeoul 08826South Korea

Neuromorphic devices inspired by the human brain have attracted significant attention because of their excellent ability for cognitive and parallel *** study presents ZnO-based artificial synapses with peptide insulators for the electrical emulation of biological *** demonstrated the dynamic responses of the device under various environmental *** proton-conducting property of the tyrosine-rich peptide enables time-dependent responses under ambient conditions such that various aspects of synaptic behaviors are emulated by the *** transition from short-term memory to longterm memory is achieved via electrochemical doping of ZnO by ***,we demonstrate an image classification simulation using a multi-layer perceptron model to evaluate the potential of the device for use in neuromorphic *** neural network based on our device achieved a recognition accuracy of 87.47% for the MNIST handwritten digit *** work proposes a novel device platform inspired by biosystems for brain-mimetic hardware systems.

关键词： Artificial synapse Neuromorphic computing Oxide semiconductor Proton conductor Artificial neural network

Tyrosine-mediated analog resistive switching for artificial neural networks

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Nano Research 2023年第1期16卷 858-864页

作者： Min-Kyu song Seok Daniel Namgung Hojung Lee Jeong Hyun Yoon Young-Woong song Kang Hee Cho Yoon-Sik Lee jong-Seok Lee Ki Tae Nam Jang-Yeon Kwon School of Integrated Technology Yonsei UniversityIncheon 21983Republic of Korea Department of Mechanical Engineering Massachusetts Institute of TechnologyMA 02139USA Research Laboratory of Electronics Massachusetts Institute of TechnologyMA 02139USA Department of Materials Science and Engineering Seoul National UniversitySeoul 08826Republic of Korea Soft Foundry Seoul National UniversitySeoul 08826Republic of Korea School of Chemical and Biological Engineering Seoul National UniversitySeoul 08826Republic of Korea

The fourth industrial revolution indispensably brings explosive data processing and storage;thus,a new computing paradigm based on artificial intelligence-enabling device structure is urgently *** have received considerable attention in this regard because of their ability to process and store data at the same ***,fundamental problems with abrupt switching characteristics limit their practical *** address this problem,we utilized the concept of metaplasticity inspired by biosystems and observed gradual switching in the peptide-based memristor at high proton *** unexpectedly high slope value>1.7 in the logI–V curve at low voltage(≤400 mV)was considered the main origin,and it might arise from the modulatory response of proton ions on the threshold of Ag ion migration in the peptide *** the obtained gradual switching property at high proton conductivity,the device showed significantly increased accuracy of image recognition(~82.5%).We believe that such a demonstration not only contributes to the practical application of neuromorphic devices but also expands the bioinspired functional synthetic platform.

关键词： artificial synapse neuromorphic computing proton conductor peptide materials artificial neural network

Paraaortic lymph node metastasis in patients with intra-abdominal malignancies:CT vs PET

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World Journal of Gastroenterology 2009年第35期15卷 4434-4438页

作者： Mi-Jung Lee Mi Jin Yun Mi-suk Park Seung Hwan Cha Myeong-Jin Kim jong Doo Lee Ki Whang Kim Department of Diagnostic Radiology Research Institute of Radiological Science and Institute ofGastroenterology Yonsei University College of Medicine 134Sincheon-Dong Seodaemun-Gu Seoul 120-752 South Korea Department of Nuclear medicine Yonsei University College of Medicine 134 Sincheon-Dong Seodaemun-Gu Seoul 120-752 South Korea Department of Diagnostic Radiology Yonsei University Wonju College of Medicine Wonju 220-701South Korea

AIM： To compare the diagnostic accuracy of computed tomography （CT） and positron emission tomography （PET） for the preoperative detection of paraaortic lymph node （PAN） metastasis in patients with intra- abdominal malignancies. METHODS： Sixty-six patients with intra-abdominal malignancies who underwent both CT and PET before lymphadenectomy were included in this study. Histopathologicaliy, 13 patients had metastatic PAN, while 53 had non-metastatic PAN. The CT criteria for metastasis were： short diameter ：）f 〉 8 mm, Iobular or irregular shape, and/or combined ancillary findings, including necrosis, conglomeration, vessel encasement, and infiltration. The PET criterion was positive fluorodeoxyglucose （FDG） uptake. The sensitivity, specificity, positive predictive value （PPV）, negative predictive value （NPV）, and accuracy of both modalities were compared with the pathologic findings, and the false positive and false negative cases with both CT and PET were ***： The sensitivity, specificity, PPV, NPV, and accuracy of CT were 61.5%, 84.9%, 50%, 90% and 80.3%, respectively. For PET, the percentages were 46.2%, 100%, 100%, 88.3%, and 89.4%. Additionally, there were 8 false positive CT cases （8/53, 15.1%） and zero false positive PET cases. Of the 13 metastatic PANs, there were 5 false negative CT scans （38.5%） and 7 （53.9%） false negative PET ***： For detecting PAN metastasis, CT is more sensitive than PET, while PET is more specific.

关键词： Malignancy Paraaortic lymph node Computed tomography Positron emission tomography Sensitivity Specificity

Analysis of Wireless Backhaul Networks Based on Aerial Platform Technology for 6G Systems

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Computers, Materials & Continua 2020年第2期62卷 473-494页

作者： Sooeun song Minsu Choi Yunyeong Goh Jusik Yun Wonsuk Yoo Wonsik Yang Jaewook Jung jong-Moon Chung School of Electrical and Electronic Engineering Yonsei UniversitySeoul03722Korea

As next generation communication technologies emerge,new high data rate applications and high-definition large-screen video streaming have become very *** a result,network traffic has been increasing so much that existing backhaul networks soon will not be able to support all traffic *** support these needs in future 6G mobile systems,the establishment of an additional backhaul wireless network is considered *** one of the solutions,a wireless backhaul network based on an aerial platform has been *** order to explore the potential of aerial platforms as wireless backhaul networks,in this paper,the categories for wireless backhaul networks based on aerial platforms are *** paper includes a survey of the definitions and characteristics of low altitude platforms(LAPs)and high altitude platforms(HAPs),as well as channel models according to the *** wireless backhaul network designs based on aerial platforms,altitude and platform selection options,deployment options,energy issues,and security based on target location and performance were considered in the analysis and investigation.

关键词： Wireless backhaul network aerial platform high altitude platform low altitude platform

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

H pylori eradication:A randomized prospective study of triple therapy with or without ecabet sodium

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World Journal of Gastroenterology 2008年第6期14卷 908-912页

作者： Hyung Wook Kim Gwang Ha Kim jong Yun Cheong Ung suk Yang Seung Keun Park Chul Soo song Dae Hwan Kang Geun Am song Department of Internal Medicine Bongseng Memorial Hospital Busan Korea Department of Internal Medicine Pusan National University School of Medicine Busan 602-739 Korea Department of Internal Medicine Maryknoll Hospital Busan Korea

AIM: To investigate whether adding ecabet sodium to the standard triple therapy for H pylori infection improve eradication rate. METHODS: Two hundred and fifty-seven H pylori-infected patients were randomly assigned to standard triple therapy (group A, n = 129) or triple therapy plus ecabet sodium (group B, n = 128). Successful eradication was defined as a negative 13C-urea breath test 6-8 wk after completion of treatment. RESULTS: After completion of therapy, 194/257 patients showed negative 13C-urea breath test results. According to intention-to-treat analysis, the infection was eradicated in 93/129 (72.1%) patients in group A and 101/128 (78.9%) in group B (P = 0.204). Per-protocol analysis showed successful eradication in 93/118 (78.8%) patients from group A and 101/114 (88.6%) from group B (P = 0.044). There were no significant differences in the side effects experienced by the patients in the two treatment groups. CONCLUSION: Our results suggest that the addition of ecabet sodium improves the efficacy of the standard triple therapy for H pylori.

关键词： H pylori Eradication Triple therapy Ecabet sodium

Clinical course of ulcerative colitis patients who develop acute pancreatitis

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World Journal of Gastroenterology 2017年第19期23卷 3505-3512页

作者： jong Wook Kim Sung Wook Hwang Sang Hyoung Park Tae Jun song Myung-Hwan Kim Ho-Su Lee Byong Duk Ye Dong-Hoon Yang Kyung-Jo Kim Jeong-Sik Byeon Seung-Jae Myung suk-Kyun Yang Department of Internal Medicine Inje University Ilsan Paik Hospital Department of Gastroenterology University of Ulsan College of MedicineAsan Medical Center Department of Biochemistry and Molecular Biology University of Ulsan College of Medicine

To investigate the clinical course of ulcerative colitis (UC) patients who develop acute *** analyzed 3307 UC patients from the inflammatory bowel disease registry at Asan Medical Center from June 1989 to May 2015. The clinical course of UC patients who developed acute pancreatitis was compared with that of non-pancreatitis UC *** 51 patients who developed acute pancreatitis, 13 (0.40%) had autoimmune, 10 (0.30%) had aminosalicylate-induced, and 13 (1.73%) had thiopurine-induced pancreatitis. All 13 patients with autoimmune pancreatitis (AIP) had type 2 AIP. Two (15.4%) patients had pre-existing AIP, and three (23.1%) patients developed AIP and UC simultaneously. Compared to non-pancreatitis patients, AIP patients had UC diagnosed at a significantly younger age (median, 22.9 years vs 36.4 years; P = 0.001). AIP and aminosalicylate-induced pancreatitis patients had more extensive UC compared to non-pancreatitis patients. All patients with pancreatitis recovered uneventfully, and there were no recurrences. Biologics were used more frequently in aminosalicylate- and thiopurine-induced pancreatitis patients compared to non-pancreatitis patients [adjusted OR (95%CI), 5.16 (1.42-18.67) and 6.90 (1.83-25.98), respectively]. Biologic utilization rate was similar among AIP and non-pancreatitis patients [OR (95%CI), 0.84 (0.11-6.66)]. Colectomy rates for autoimmune, aminosalicylate-induced, and thiopurine-induced pancreatitis, and for non-pancreatitis patients were 15.4% (2/13), 20% (2/10), 15.4% (2/13), and 7.3% (239/3256), respectively; the rates were not significantly different after adjusting for baseline disease *** patients show a non-significant increase in colectomy, after adjusting for baseline disease extent.

关键词： Ulcerative colitis Pancreatitis Autoimmune Colectomy Clinical course

The role of vasoepididymostomy for treatment of obstructive azoospermia in the era of in vitro fertilization:a systematic review and meta-analysis

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Asian Journal of Andrology 2019年第1期21卷 67-73页

作者： Young Eun Yoon Hyung Ho Lee Sung Yul Park Hong Sang Moon Dong suk Kim Seung-Hun song Dae Keun Kim Department of Urology Hanyang University College of MedicineSeou104763Korea Department of Urology National Health Insurance Corporation Ilsan Hospital Gyeonggi-do 10444Korea Department of Urology Fertility Center of CHA Gangnam Medical CenterCHA UniversitySeou106135Korea Department of Urology CHA Seoul Station Fertility CenterCHA UniversitySeou104637Korea Department of Urology School of MedicineGraduate SchoolHanyang UniversitySeou104763Korea

This study comprises a systematic review and meta-analysis of micmsurgical vasoepididymostomy outcomes in epididymal obstructive azoospermia.A comprehensive literature search was performed using Medline,Embase,and the Cochrane library that included all studies related to microsurgical *** included “vasoepididymostomy,”“epididymovasostomy,”“epididymal obstruction,”and “epididymis obstruction.”Event rate and risk ratio (RR)were *** rate and pregnancy rate were *** analysis comprised 1422 articles,including 42 observational studies with 2298 enrolled patients performed from November 1978 to January *** overall mean patency rate was 64.1%(95%confidence interval [CI]:58.5%-69.3%;F=83.0%),and the overall mean pregnancy rate was 31.1%(95%CI:26.9%-35.7%;I^2=73.0%).We performed a meta-analysis comparing the patency rate of bilateral microsurgical vasoepididymostomy and unilateral microsurgical vasoepididymostomy and found an RR of 1.38%(95%CI: 1.21%-1.57%;P <0.00001).A comparison of the site of microsurgical vasoepididymostomy showed that caudal or corpus area was favorable for patency rate (RR =1.17%;95%CI: 1.01%-1.35%;P =0.04).Patients with motile sperm in epididymal fluid exhibited an RR of 1.53%(95%CI:1.11%-2.13%;P =0.01)with respect to patency rate. Microsurgical vasoepididymostomy is an effective treatment for epididymal obstructive azoospermia that can improve male fertility. We find that performing microsurgical vasoepididymostomy bilaterally,anastomosing a larger caudal area,and containing motile sperm in epididymis fluid can potentially achieve a superior patency rate.

关键词： azoospermia meta-analysis vasoepididymostomy