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Long-term outcomes of endoscopic submucosal dissection and surgery for undifferentiated intramucosal gastric cancer regardless of size

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World Journal of Gastroenterology 2022年第8期28卷 840-852页

作者： Gil Ho lee Eunyoung lee Bumhee Park Jin Roh Sun Gyo Lim Sung Jae Shin kee myung lee Choong-Kyun Noh Department of Gastroenterology Ajou University School of MedicineSuwon 16499South Korea Department of Biomedical Informatics Ajou University School of MedicineSuwon 16499South Korea Department of Pathology Ajou University School of MedicineSuwon 16499South Korea

BACKGROUND The clinical outcomes of endoscopic submucosal dissection(ESD)for undifferentiated(UD)intramucosal early gastric cancer(EGC)compared with those of surgery,regardless of lesion size,are not well ***,there is a concern regarding the treatment plan before and after ESD in cases of UD intramucosal EGC within expanded *** To evaluate clinical outcomes of ESD compared with those of surgery in UD intramucosal EGC patients regardless of tumor *** We enrolled patients with UD intramucosal EGC after ESD with complete resection or surgery from January 2005 to August 2020 who met the within or beyond expanded indications with lesion size>2 cm(the only non-curative factor).Overall,123 and 562 patients underwent ESD and surgery,*** propensity-score matching,clinical and long-term outcomes,i.e.,recurrencefree survival(RFS)and overall survival(OS),were *** multivariable Cox proportional hazard model with treatment modality and ESD indication was used to evaluate the recurrence *** After matching,119 patients each were finally enrolled in the ESD and surgery *** median length of hospital stay was shorter in the ESD group than surgery group(4.0 vs 9.0 days,P<0.001).Four cases of recurrence after ESD were local recurrences,all of which occurred within 1 *** recurrence was seven(5.9%)and two(1.7%)in the ESD and surgery groups,*** difference was observed between the two groups with respect to OS(P=0.948).However,the ESD group had inferior RFS compared with the surgery group(P=0.031).ESD was associated with the risk of recurrence after initial treatment in all enrolled patients(hazard ratio,5.2;95%confidence interval:1.0-25.8,P=0.045).CONCLUSION Although OS was similar between the two groups,surveillance endoscopy was important for the ESD than for the surgery group because RFS was inferior and local recurrence was an issue.

关键词： Early gastric cancer Undifferentiated cancer Expanded indication Endoscopic submucosal dissection Surgery

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Stabilized sub-grain and nano carbides-driven 1.2 GPa grade ultra-strong CrMnFeCoNi high-entropy alloy additively manufactured by laser powder bed fusion

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Journal of Materials Science & Technology 2022年第22期117卷 8-22页

作者： Young-Kyun Kim kee-Ahn lee Department of Materials Science and Engineering Inha UniversityIncheon 22212Republic of Korea Korea Institute of Materials Science(KIMS) Changwon 51508Republic of Korea

High-entropy alloys(HEAs)with interstitial atoms that are produced by additive manufacturing have gained intensive interest in the materials science community because of their suitability for constructing high-strength net-shape ***,a strategy to additionally enhance the strength of selective laser melted carbon-containing HEAs was *** as-built carbon-containing HEAs(C_(x)(Cr_(20)Mn_(20)Fe_(20)Co_(20)Ni_(20))_(100-x)(x=0.5 at.%,1.0 at.%,and 1.5 at.%))contain supersaturated carbon,and the extent of supersaturation increases as the carbon content *** subjected to aging treatment at 650°C for 1 h,the microstructure of the three alloys did not change at the grain ***,the microstructure at the sub-grain scale changed markedly,and these changes influenced the tensile properties and deformation *** particular,the tensile strength of aged 1.5C-HEA at 650°C was∼1.2 GPa at room temperature,which is higher than those reported for CrMnFeCoNi ***,the main deformation mechanism changed from deformation twinning to dislocation-mediated slip,resulting in much higher strain hardening capacity after the aging *** work led to the development of an alternative promising method that involves tailoring the microstructure,to enhance the mechanical properties of additively manufactured metallic materials that contain interstitial atoms.

关键词： Selective laser melting High-entropy alloy Carbon contents Aging Microstructure evolution Tensile property Deformation mechanism

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Effect of carrier gas species on the microstructure and compressive deformation behaviors of ultra-strong pure copper manufactured by cold spray additive manufacturing

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Journal of Materials Science & Technology 2022年第2期97卷 264-271页

作者： Young-Kyun Kim kee-Ahn lee Department of Materials Science and Engineering Inha UniversityIncheon 22212Republic of Korea

Cold spray(CS)which has recently become a promising additive manufacturing(AM)technology,was used to fabricate ultra-strong pure *** addition,the effects of carrier gas species on the microstructural characteristics,mechanical properties and deformation mechanisms were systemically *** CSAM copper manufactured with N_(2) carrier gas reveals a heterogeneous bimodal microstructure consisting of ultra-fine grains at the particle interface and relatively coarse grains in inner *** He carrier gas,a homogeneous grain structure consisting of ultra-fine grains in most areas was *** tests showed that N_(2) and He carrier gasses enabled ultra-high yield strengths of 340 and415 MPa,*** values are comparable to severely plastic deformed copper,which has extremely low ductility and shape *** the other hand,both samples showed a strain-softening phenomenon that does not commonly occur at room *** deformation microstructures revealed that dynamic recovery(DRV)and dynamic recrystallization(DRX)phenomena were generated despite being deformed at room *** on the above findings,the overall deformation mechanisms according to the carrier gas species in the CSAM copper manufacturing process were ***,the work hardening and softening behaviors of CSAM Cu are predicted by using a constitutive equation.

关键词： Cold spray additive manufacturing Carrier gas Pure Cu Mechanical properties Deformation behavior

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Endoscopic bilateral stent-in-stent placement for malignant hilar obstruction using a large cell type stent

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Hepatobiliary & Pancreatic Diseases International 2016年第6期15卷 633-639页

作者： Jin myung Park Sang Hyub lee Kwang Hyun Chung Dong kee Jang Ji Kon Ryu Yong-Tae Kim Jae Min lee Woo Hyun Paik Department of Internal Medicine and Liver Research Institute Seoul National University HospitalSeoul National University College of Medicine Department of Internal Medicine Kangwon National University HospitalKangwon National University School of Medicine Department of Internal Medicine Gyeongsang National University HospitalGyeongsang National University College of Medicine Department of Internal Medicine Inje University Ilsan Paik Hospital

BACKGROUND： Bilateral stent-in-stent （SIS） self-expandable metal stent placement is technically chghallenging for palliation of unresectable malignant hilar obstruction. In the SIS technique, the uniform large cell type biliary stent facilitates contralateral stent deployment through the mesh of the first metallic stent. This study aimed to assess the technical success and clinical effectiveness of this technique with a uniform large cell type biliary stent. METHODS： Thirty-one patients who underwentlbilateral SIS placement using a large cell type stent were reviewed retrospectively. All patients showed malignant hilarl obstruction （Bismuth types Ⅱ, Ⅲ, Ⅳ） with different etiologies. RESULTS： Sixteen （51.6%） patients were male. The mean age of the patients was 67.0±14.0 years. Most patients were diagnosed as having hilar cholangiocarcinoma （58.1%） and gallbladder cancer （29.0%）. Technical success rate was 83.9%. Success was achieved more frequently in patients without masses obstructing the biliary confluence （MOC） than those with MOC （95.2% vs 60.0%, P=0.03）. Functional success rate was 77.4%. Complications occurred in 29.0% of the patients. These tended to occur more frequently in patients with MOC （50.0% vs 19.0%, P=0.11）. Median time to recurrent biliary obstruction was 188 days and median survival was 175 days. CONCLUSIONS： The large cell type stent can be used efficiently for bilateral SIS placement in malignant hilar obstruction. However, the risk of technical failure increases in patients with MOC, and caution is needed to prevent complications for these patients.

关键词： biliary tract disease cholangiocarcinoma endoscopic biliary drainage stent insertion

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Electrochemical characteristics of phosphorus doped Si-C composite for anode active material of lithium secondary batteries

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中国有色金属学会会刊：英文版 2009年第4期19卷 1018-1022页

作者： Jae-Hyun NOH Kwan-Yo ung lee Joong-kee lee Battery Research Center Korea Institute of Science and Technology Department of Chemical and Biological Engineering Korea University

Phosphorus doped silicon-carbon composite particles were synthesized through a DC arc plasma ***(SiH4) and methane(CH4) were introduced into the reaction chamber as the precursor of silicon and carbon,***(PH3) was used as a phosphorus dopant *** of synthesized particles were carried out by scanning electron microscopy(SEM),X-ray diffractometry(XRD),X-ray photoelectron spectroscopy(XPS) and bulk resistivity *** properties were investigated by cyclic test and electrochemical voltage spectroscopy(EVS).In the experimental range,phosphorus doped silicon-carbon composite electrode exhibits enhanced cycle performance than intrinsic silicon and phosphorus doped *** can be explained that incorporation of carbon into silicon acts as a buffer matrix and phosphorus doping plays an important role to enhance the conductivity of the electrode,which leads to the improvement of the cycle performance of the cell.

关键词：电化学特性磷掺杂负极活性材料磷硅电池材料锂离子 X射线光电子能谱扫描电子显微镜

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1.45 GPa ultrastrong cryogenic strength with superior impact toughness in the in-situ nano oxide reinforced CrMnFeCoNi high-entropy alloy matrix nanocomposite manufactured by laser powder bed fusion

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Journal of Materials Science & Technology 2022年第2期97卷 10-19页

作者： Young-Kyun Kim Min-Chul Kim kee-Ahn lee Department of Materials Science and Engineering Inha UniversityIncheon 22212Republic of Korea Korea Atomic Energy Research Institute(KAERI) Daejeon 34057Republic of Korea

CrMnFeCoNi high-entropy alloys(HEAs)exhibit an excellent combination of tensile strength and ductility at cryogenic *** study led to the introduction of a new method for the development of high-performance CrMnFeCoNi HEAs at cryogenic temperatures by jointly utilizing additive manufacturing(AM)and the addition of interstitial *** interstitial oxygen present in the powder feedstock was transformed into beneficial nano-sized oxides during AM *** HEA nanocomposite fabricated using laser powder bed fusion(L-PBF)not only contains heterogeneous grains and substructures but also a high number density of nano-sized *** tensile results revealed that the L-PBF HEA nanocomposite has superior yield strengths of 0.77 GPa and 1.15 GPa,and tensile strengths of 0.92 GPa and 1.45 GPa at 298 K and 77 K,*** addition,the Charpy impact energies of the samples tested at 298 K and 77 K were measured as 176.2 J and 103.7 J,*** results indicate that the L-PBF HEA nanocomposite successfully overcomes the well-known strength-toughness *** tensile deformation microstructure contained a relatively large number of deformation twins(DTs)at cryogenic temperature,a possible consequence of the decrease in the stacking fault energy with decreasing *** the other hand,cracks were found to propagate along the grain boundaries at room temperature,whereas a transgranular crack was observed at cryogenic temperature in the specimens fractured as a result of the Charpy impact.

关键词： Laser powder bed fusion High-entropy alloy matrix nanocomposite Nano-oxide:cryogenic Tensile Impact toughness

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Employment of encapsulated Si with mesoporous TiO_2 layer as anode material for lithium secondary batteries

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中国有色金属学会会刊：英文版 2009年第4期19卷 1023-1026页

作者： Sang-Eun PARK Bo-Eun KIM Sang-Wha lee Joong-kee lee Advanced Energy Materials Processing Laboratory Korea Institute of Science and Technology Department of Chemical & Bio Engineering Kyungwon University

Silicon composite of nano-capsule type is newly applied as an active anode material for lithium ion ***2-encapsulated silicon powders were synthesized by a sol-gel reaction with titanium *** nanoparticles were successfully embedded into porous titanium oxide capsules that played as a buffer layer against drastic volume changes of silicon during the charge-discharge cycling,consequently leading to the retardation of the capacity fading of intrinsic silicon *** electrochemical and structural properties of silicon nanocomposites with different surface areas of encapsulating TiO2 layer were characterized by X-ray diffraction(XRD),nitrogen gas adsorption analysis by the Brunauer-Emmett-Teller(BET) equation,transmission electron microscopy(TEM),and galvanostatic charge-discharge experiments.

关键词：二氧化钛硅材料锂二次电池负极材料封装纳米复合材料透射电子显微镜就业

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Effect of post heat-treatment on the microstructure and high-temperature oxidation behavior of precipitation hardened IN738LC superalloy fabricated by selective laser melting

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Journal of Materials Science & Technology 2021年第17期76卷 95-103页

作者： Kyu-Sik Kim Sangsun Yang Myeong-Se Kim kee-Ahn lee Department of Materials Science and Engineering Inha UniversityIncheon 22212Republic of Korea Korea Institute of Materials Science Changwon51508Republic of Korea Auratech Co. Ltd.Seongnam13449Republic of Korea

The present study investigated the effect of as-built and post heat-treated microstructures of IN738LC alloy fabricated via selective laser melting process on high temperature oxidation *** as-built microstructure showed fine cell and columnar structure due to high cooling *** element segregation was observed in inter-cell/inter-columnar *** post heat-treatment,the initially-observed cell structure disappeared,instead bimodal Ni_3(Al,Ti)particles *** temperature(1273 K and 1373 K)oxidation test results showed parabolic oxidation curves regardless of temperature and initial *** as-built IN738LC fabricated via the selective laser melting process displayed oxidation resistance similar to or slightly better than that of IN738LC fabricated via wrought or cast ***-treated SLM IN738LC,although had similar oxidation weight-gain values to those of the SLM asbuilt material at 1273K,showed relatively better oxidation resistance at 1373 *** Ni_3(Al,Ti)precipitate formed in the post heat treatment changed the local chemical composition,thereby led to changes in alumina former/chromia former location and fraction on the alloy *** was concluded that in heat-treated IN738LC increased alumina former fraction was found,and this resulted in excellent oxidation resistance and relatively low weight-gain.

关键词： IN738LC Selective laser melting High temperature oxidation Post heat-treatment Oxidation mechanism

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Discovery of Pb-free hybrid organic-inorganic 2D perovskites using a stepwise optimization strategy

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npj Computational Materials 2022年第1期8卷 776-787页

作者： Byung Do lee Jin-Woong lee Minseuk Kim Woon Bae Park kee-Sun Sohn Department of Nanotechnology and Advanced Materials Engineering Sejong University209 Neungdong-roGwangjin-guSeoul143-747South Korea Department of Advanced Components and Materials Engineering Sunchon National UniversityChonnam57922Republic of Korea

The current status of 2D organic–inorganic hybrid perovskites for use in photovoltaic(PV)and light-emitting diode(LED)applications lags far behind their 3D ***,we propose a computational strategy for discovering novel perovskites with as few computing resources as possible.A tandem optimization algorithm consisting of an elitism-reinforced nondominated sorting genetic algorithm(NSGA-II)and a multiobjective Bayesian optimization(MOBO)algorithm was used for density functional theory(DFT)*** DFT-calculated band gap and effective mass were taken as objective functions to be optimized,and the constituent molecules and elements of a Ruddlesden–Popper(RP)structure(n=2)were taken as decision *** previously unknown RP perovskite candidates for PV and LED applications were discovered as a result of the NSGA-II/MOBO ***,more accurate DFT calculations based on the HSE06 exchange correlation functional and ab initio molecular dynamics(AIMD)were conducted for the discovered 2D perovskites to ensure their validity.

关键词： sorting optimization perovskite

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Landscape pattern and its effect on ecosystem functions in Seoul Metropolitan area:Urban ecology on distribution of the naturalized plant species

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Journal of Environmental Sciences 2003年第2期15卷 199-204页

作者： Sun-kee Hong In-Ju Song Hyun-Ok Kim Eung-Kyong lee Environmental Planning Institute Seoul National UniversitySeoul Development InstituteTechnical University BerlinEnvironmental Planning Institute Seoul National University Seoul 151-742 Korea Seoul 100-250 KoreaGermanySeoul 151-742 Korea

During land transformation process in the human history, naturalized plants were introduced to several land use patterns by the different ways of plant itself. Including some naturalized plants that had been contribute to land restoration, many naturalized plants have been invaded to original habitat or landscape for native plants. Once the plants were colonized, they extend their area and population size. Urban developed areas often give an important role of source habitat for naturalized plants and expanding their population size. In recent, this situation is appearing as one of environmental problems about the urban landscape management controlling the naturalized plants that invaded in the developed area and conserving the native vegetation. This paper is focusing on relationships between distribution of habitat of naturalized plants and landscape patch in urban area in Seoul. Gangdong-Gu, one of the administrative areas in Seoul was selected for this study. We examined the recent land use change using LANDSAT TM data and spreading of the representative naturalized plants (Robinia pseudoacacia and Eupatorium rugosum) by Seoul Biotope Mapping Project and field survey in 1999. As a result, these two species were often occurred in the same habitat and distributed in forest edge disturbed by man. Their distribution patterns were related to landscape indices (patch size and shape) in the forest edge.

关键词： biotope mapping ecosystem management human impact landscape pattern naturalized plants urban ecology

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