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Classification of hepatobiliary scintigraphy patterns in segmented gallbladder according to anatomical discordance

World Journal of Clinical Cases 2023年第11期11卷 2423-2434页

作者： Yun-Chae lee Won-sik jung Chang-Hun lee Seong-Hun Kim Seung-Ok lee Division of Gastroenterology Department of Internal MedicineJeonbuk National University Medical SchoolJeonju 54907JeonbukSouth Korea Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital Jeonju 54907JeonbukSouth Korea

BACKGROUND Hepatobiliary scintigraphy(HBS)is a useful diagnostic imaging technique that uses radiotracers to evaluate the function of the gallbladder(GB)and biliary *** segmented GB,some HBS images reveal a discordant GB boundary as compared to anatomical *** To evaluate the characteristics of HBS in segmented GB and determine the clinical relevance according to HBS *** A total of 268 patients with chronic cholecystitis,gallstones,or biliary colic symptoms who underwent HBS between 2011 and 2020 were *** GB was defined as segmental luminal narrowing of the GB body on computed tomography(CT)or magnetic resonance(MR)images,and HBS was examined 1 mo before or after CT or *** GB was classified into 3 types based on the filling and emptying patterns of the proximal and distal segments according to the characteristics of HBS images,and GB ejection fraction(GBEF)was identified:Type 1 was defined as a normal filling and emptying pattern;Type 2 was defined as an emptying defect on the distal segment;and Type 3 was defined as a filling defect in the distal *** Segmented GB accounted for 63 cases(23.5%),including 36 patients(57.1%)with Type 1,18 patients(28.6%)with Type 2,and 9 patients(14.3%)with Type 3 emptying ***,approximately 43%of HBS images showed a discordant pattern as compared to anatomical imaging of segmented *** there were no significant differences in clinical symptoms,rate of cholecystectomy,or pathological findings based on the type,most gallstones occurred in the distal *** GBEF was 62.50%±24.79%for Type 1,75.89%±17.21%for Type 2,and 88.56%±7.20%for Type *** 1 showed no difference in reported GBEF compared to the non-segmented GB group(62.50%±24.79%vs 67.40%±21.78%).In contrast,the reported GBEF was higher in Types 2 and 3 with defective emptying and filling when compared to Type 1(80.11%±15.70%vs 62.57%±24.79%;P=0.001).CONCLUSION In segmented GB,discordance i

关键词： Gallbladder Segmented Gallbladder emptying Radionuclide imaging Misdiagnosis Cholecystitis

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Experimental assessment of two-phase bubble pump for solar water heating

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Journal of Central South University 2012年第6期19卷 1590-1599页

作者： CHUNG Han-shik WOO Ju-sik SHIN Yong-han KIM jun-hyo JEONG Hyo-min Institute of Marine Industry Department of Mechanical and Precision EngineeringGyeongsang National University445 Inpyeong DongTongyeongGyeongsangnamdo650-160Korea Department of Mechanical and Precision Engineering Gyeongsang National University445 Inpyeong DongTongyeongGyeongsangnamdo650-160Korea Division of Marine Engineering Mokpo National Maritime UniversityHaeyangdaehang-Ro 91Mokpo-siJeollanam-do530-729Korea

The research goal is to develop a new solar water heater system(SWHS) that uses a solar bubble pump instead of an electric *** pump is powered by the steam produced from an evacuated tube ***,heat could be transferred downward from the collector to a hot water storage *** designed system consists of two sets of heat-pipe evacuated tube collectors,a solar bubble pump installed at an upper level and a water storage tank with a heat exchanger at a lower *** heads of 1 and 5 m were *** bubble pump could operate at the collector temperature of about 90-100 ℃ and vapor gage pressure of 80-90 *** is found that water circulation within the SWHS depends on the incident solar intensity and system discharge *** investigations are conducted to obtain the system thermal efficiencies from the hourly,daily and long-term performance *** thermal performance of the proposed system is compared with conventional solar water *** results show that the proposed system achieves system characteristic efficiency of 10% higher than that of the conventional systems using electric pump if taking the consumption of electric power into *** the former is a zero carbon system.

关键词： two-phase bubble pump solar water heater system (SWHS) zero carbon

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Disseminated osteomyelitis after urinary tract infection in immunocompetent adult:A case report

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World Journal of Clinical Cases 2020年第16期8卷 3542-3547页

作者： Young jun Kim Jae Hoon lee Department of Internal Medicine Institute of Wonkwang Medical ScienceWonkwang University College of MedicineIksan 54538South Korea

BACKGROUND Urinary tract infection(UTI)is one of the most common bacterial *** pyelonephritis or upper urinary tract infection is often accompanied by bacteremia;however,bacteremia resolves in most cases without ***,complications due to bacteremia *** of these is *** mainly affects the lumbar vertebral bodies,and rarely affects other *** SUMMARY An 80-year-old woman presented to the hospital with a two-month history of pain in both *** months ago,she was admitted to the hospital for fever,flank pain,and urinary frequency and was diagnosed with bacteremic *** hospitalization,she complained of pain in both legs;however,the pain resolved shortly after,and no abnormalities were observed on physical ***,she was placed on 2-wk antibiotic therapy for UTI without further evaluation for leg ***,pain recurred after discharge and persisted;therefore,an imaging test was *** scan and magnetic resonance imaging suggested osseous infection in both femurs,tibiae and *** treatment was performed,and tissue-and bone cultures revealed Escherichia coli,a previously observed pathogen,which demonstrated same antibiotic sensitivities,as noted in previous *** was diagnosed with disseminated osteomyelitis,as a complication of UTI,and was placed on an 8-wk antibiotic *** Indication for osteomyelitis should be high regardless of bone pain at sites other than lumbar spine after or during UTI.

关键词： Urinary tract infection Urosepsis Complication Disseminated Osteomyelitis Escherichia coli Case report

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Predictive factors for early clinical response in community-onset Escherichia coli urinary tract infection and effects of initial antibiotic treatment on early clinical response

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World Journal of Clinical Cases 2020年第19期8卷 4342-4348页

作者： Young jun Kim Jeong-Mi lee Jae-Hoon lee Department of Internal Medicine Wonkwang University College of MedicineIksan 54538South Korea Department of Public Health Wonkwang University College of MedicineIksan 54538South Korea Department of Internal Medicine and Institute of Wonkwang Medical Science Wonkwang University College of MedicineIksan 54538South Korea

BACKGROUND Urinary tract infection(UTI)is a common *** often requires hospitalization,and severe presentations,including sepsis and other complications,have a mortality rate of 6.7%-8.7%.AIM To evaluate the predictive factors for early clinical response and effects of initial antibiotic therapy on early clinical response in community-onset Escherichia coli(***)urinary tract infections(UTIs).METHODS This retrospective study was conducted at Wonkwang University Hospital in South Korea between January 2011 and December *** patients(aged>18 years)who were diagnosed with community-onset *** UTI were enrolled in this *** A total of 511 hospitalized patients were included.66.1%of the patients had an early clinical *** mean length of hospital stay in patients with an early clinical response were each 4.3 d shorter than in patients without an early clinical *** the multiple regression analysis,initial appropriate antibiotic therapy(OR=2.449,P=0.006),extended-spectrum(3-lactamase(ESBL)-producing ***(OR=2.112,P=0.044),improper use of broad-spectrum antimicrobials(OR=0.411,P=0.006),and a stay in a healthcare facility before admission(OR=0.562,P=0.033)were the factors associated with an early clinical *** broadspectrum antibiotic therapy was not associated with an early clinical *** ESBL producing ***,and the type of residence before hospital admission were the factors associated with an early clinical *** of initial antibiotic therapy was a predictive factor for an early clinical response,but broadspectrum of initial antibiotic therapy did not impact early clinical response.

关键词： Escherichia coli Urinary tract infections Adult Community acquired infections

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Helicobacter pylori in gastric carcinogenesis

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World Journal of Gastrointestinal Oncology 2015年第12期7卷 455-465页

作者： Hyo jun Ahn Dong Soo lee Division of Gastroenterology Department of Internal Medicine College of Medicine Daejeon St. Mary’s Hospital the Catholic University of Korea

Gastric cancer still is a major concern as the third most common cancer worldwide, despite declining rates of incidence in many Western countries. Helicobacter pylori(H. pylori) is the major cause of gastric carcinogenesis, and its infection insults gastric mucosa leading to theoccurrence of atrophic gastritis which progress to intestinal metaplasia, dysplasia, early gastric cancer, and advanced gastric cancer consequently. This review focuses on multiple factors including microbial virulence factors, host genetic factors, and environmental factors, which can heighten the chance of occurrence of gastric adenocarcinoma due to H. pylori infection. Bacterial virulence factors are key components in controlling the immune response associated with the induction of carcinogenesis, and cag A and vac A are the most well-known pathogenic factors. Host genetic polymorphisms contribute to regulating the inflammatory response to H. pylori and will become increasingly important with advancing techniques. Environmental factors such as high salt and smoking may also play a role in gastric carcinogenesis. It is important to understand the virulence factors, host genetic factors, and environmental factors interacting in the multistep process of gastric carcinogenesis. To conclude, prevention via H. pylori eradication and controlling environmental factors such as diet, smoking, and alcohol is an important strategy to avoid H. pylori-associated gastric carcinogenesis.

关键词： Helicobacter pylori Gastric cancer

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Production of high-purity Mg metal from dolomite through novel molten salt electrolysis and vacuum distillation

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Journal of Magnesium and Alloys 2023年第4期11卷 1308-1320页

作者： Hyeong-jun Jeoung Tae-Hyuk lee Jin-Young lee Kyung-Woo Yi jungshin Kang Korea Institute of Geoscience and Mineral Resources 124 Gwahak-ro Yuseong-guDaejeon 34132Republic of Korea Department of Materials Science and Engineering Seoul National University1 Gwanak-roGwanak-guSeoul 08826Republic of Korea Department of Resources Engineering University of Science and Technology217 Gajeong-ro Yuseong-guDaejeon 34113Republic of Korea School of Materials Science and Engineering Pusan National University2 Busandaehak-roGeumjeong-guBusan 46241Republic of Korea

In this study,a novel Mg production process for producing high-purity Mg metal from dolomite was *** the electrolysis of calcined dolomite was conducted using Cu cathode and C anode in MgF_(2)–LiF molten salt at 1083–1173 K by applying an average current of 1.42–1.46 A for 9.50–21.0 h,the current efficiency of 66.4–88.6%was *** produced Mg alloys consisted of MgCu_(2)and Cu(Mg)or MgCu_(2)and CuMg_(2)phases,depending on the Mg concentration in the Mg *** the electrolysis of calcined dolomite was conducted in MgF_(2)–LiF–CaF_(2)molten salt at 1083 K,the current efficiency was 40.9–71.4%,owing to undesired reactions such as electroreduction of Ca^(2+)or/and CO_(3)^(2−)***,the current efficiency increased from 40.9%to 63.2%by utilizing a Pt anode,because the occurrence of CO_(3)^(2−)ions in the molten salt was *** vacuum distillation of the obtained Mg alloys at 1300 K for 10 h,Mg metal with a purity of 99.9996–99.9998%was ***,the feasibility of this novel process for the production of high-purity Mg metal from dolomite was demonstrated.

关键词： High-purity magnesium Dolomite Magnesium oxide Electrolytic process Copper metal cathode Vacuum distillation

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Interleukin-24 is correlated with differentiation and lymph node numbers in rectal cancer

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World Journal of Gastroenterology 2011年第9期17卷 1167-1173页

作者： Youngmin Choi Mee-Sook Roh Young-Seoub Hong Hyung-sik lee Won-Joo Hur Department of Radiation Oncology Dong-A University School of Medicine Department of Pathology Dong-A University School of Medicine Department of Preventive Medicine Dong-A University School of Medicine

AIM:To assess the significance of interleukin(IL)-24 and vascular endothelial growth factor(VEGF)expression in lymph-node-positive rectal cancer. METHODS:Between 1998 and 2005,90 rectal adenocarcinoma patients with lymph node involvement were *** patients received radical surgery and postoperative pelvic chemoradiotherapy of 50.4-54.0 *** of 5-fluorouracil and leucovorin or levamisole was given intravenously during the first and last week of radiotherapy,and then monthly for about 6 *** of IL-24 and VEGF was evaluated by immunohistochemical staining of surgical specimens, and their relations with patient characteristics and survival were *** median follow-up of surviving patients was 73 mo(range:52-122 mo). RESULTS:IL-24 expression was found in 81 out of 90 patients;31 showed weak intensity and 50 showedstrong *** expression was found in 64 out of 90 *** and weak intensities of IL-24 expression were classified as negative expression for ***-24 expression was significantly reduced in poorly differentiated tumors in comparison with well or moderately differentiated tumors(P=0.004),N2b to earlier N stages(P=0.016),and stageⅢc to stageⅢ a orⅢb(P=0.028).The number of involved lymph nodes was also significantly reduced in IL-24-positive patients in comparison with IL-24-negative ones. There was no correlation between VEGF expression and patient *** of IL-24 and VEGF was not correlated with survival,but N stage and stages were significantly correlated with survival. CONCLUSION:IL-24 expression was significantly correlated with histological differentiation,and inversely correlated with the degree of lymph node involvement in stageⅢrectal cancer.

关键词： Interleukin-24 Rectal cancer Lymph node Histological differentiation Vascular endothelial growth factor

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Is the advantage of coronary bypass graft surgery over percutaneous coronary intervention in diabetic patients with severe multivessel disease influenced by the status of insulin requirement？

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Journal of Geriatric Cardiology 2014年第1期11卷 83-89页

作者： Beom jun lee Peter Herbison Cheuk-Kit Wong Department of Cardiology Dunedin School of Medicine University of Otago Dunedin Public Hospital Dunedin New Zealand Department Preventive and Social Medicine Dunedin School of Medicine University of Otago Dunedin New Zealand

Several studies have shown that coronary artery bypass graft surgery （CABG） is superior to percutaneous coronary intervention （PCI） in patients with diabetes and multi-vessel disease. Whether this advantage of CABG over PCI is confined to diabetics who require insulin is unknown. We review the published literature comparing CABG with PCI in diabetics including 8 cohorts and 4,786 patients. There was a lower rate for all-cause mortality （Relative risk （RR）： 0.78, 95% confidence interval （CI）： 0.62-0.99）, and for major adverse cardiac and cerebrovascular events （MACCE, RR： 0.59, 95% CI： 0.47-0.75） for CABG compared to PCI. Composite outcome of mortality, myocardial infarction and stoke was similar between CABG and PCI （RR： 0.87, 95% CI： 0.54-1.42）. Visual inspection of the forest plots showed that in most analyses, the point estimates of the RR are similar between the insulin requiring group and non-insulin requiring group. On meta-regression, there was no interaction between status of insulin requirement and revascularization strategies （P 〉 0.05 for all）. The pre- sented data on the still unpublished analysis of the FREEDOM trial showed similar results. Thus, in the current era, CABG is superior to PCI with lower mortality and MACCE rates, but the state of insulin requirement had no effect on the outcomes from the two revascularization strategies.

关键词： Percutaneous coronary intervention Coronary artery bypass graft surgery Diabetes mellims Insulin Multivessel disease

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Code generation and recognition using a modified ejection system in die-casting process

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China Foundry 2020年第5期17卷 364-371页

作者： Jaekyung Song Jeongsu lee Young Chul lee Byoung jun lee Chaeho Lim Industrial Materials and Smart Manufacturing Engineering Korea University of Science and TechnologyDaejeon CityRepublic of Korea Digital Manufacturing Process Group Korea Institute of Industrial TechnologyGyeonggi-doRepublic of Korea

A code-generation and recognition technology that uses a modified ejection system in the diecasting process is *** achieve the highest level of quality management,the first requirement in the manufacturing process is to establish a product management system according to the specific product ***,a method to individually identify each product,such as a barcode or QR code,is required during the production *** manufactured in the die-casting process always have ejector pin(EP)***,an ejection system was modified to generate a unique code using EP *** ejection system has two features:an EP with a modified head to show the direction of rotation,and a function to dependently rotate EPs(five or six EPs)with a constant *** EPs are numbered according to the rotation ***,the EP marks can be viewed as a five-or six-digit code.A program was also developed to individually identify the products by automatically detecting and reading the EPs using deep learning-based object detection and classification technology.

关键词： code recognition die-casting ejection system object detection product management smart manufacturing

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Finger vein recognition using weighted local binary pattern code based on a support vector machine

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Journal of Zhejiang University-Science C(Computers and Electronics) 2010年第7期11卷 514-524页

作者： Hyeon Chang lee Byung jun KANG Eui Chul lee Kang Ryoung PARK Division of Electronics and Electrical Engineering Dongguk University Electronics and Telecommunications Research Institute Division of Fusion and Convergence of Mathematical Sciences the National Institute for Mathematical Sciences

Finger vein recognition is a biometric technique which identifies individuals using their unique finger vein patterns. It is reported to have a high accuracy and rapid processing speed. In addition, it is impossible to steal a vein pattern located inside the finger. We propose a new identification method of finger vascular patterns using a weighted local binary pattern (LBP) and support vector machine (SVM). This research is novel in the following three ways. First, holistic codes are extracted through the LBP method without using a vein detection procedure. This reduces the processing time and the complexities in detecting finger vein patterns. Second, we classify the local areas from which the LBP codes are extracted into three categories based on the SVM classifier: local areas that include a large amount (LA), a medium amount (MA), and a small amount (SA) of vein patterns. Third, different weights are assigned to the extracted LBP code according to the local area type (LA, MA, and SA) from which the LBP codes were extracted. The optimal weights are determined empirically in terms of the accuracy of the finger vein recognition. Experimental results show that our equal error rate (EER) is significantly lower compared to that without the proposed method or using a conventional method.

关键词： Finger vein recognition Support vector machine (SVM) Weight Local binary pattern (LBP)

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