检索结果-南通市图书馆

Role of endoscopy in acute gastrointestinal bleeding in real clinical practice:An evidence-based review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2019年第2期11卷 68-83页

作者： kyoungwon jung Won Moon Department of Internal Medicine Kosin University College of Medicine

Although upper gastrointestinal bleeding is usually segregated from lower gastrointestinal bleeding, and guidelines for gastrointestinal bleeding are divided into two separate sections, they may not be distinguished from each other in clinical practice. Most patients are first observed with signs of bleeding such as hematemesis, melena, and hematochezia. When a patient with these symptoms presents to the emergency room, endoscopic diagnosis and treatment are considered together with appropriate initial resuscitation. Especially, in cases of variceal bleeding, it is important for the prognosis that the endoscopy is performed immediately after the patient stabilizes. In cases of suspected lower gastrointestinal bleeding, full colonoscopy after bowel preparation is effective in distinguishing the cause of the bleeding and treating with hemostasis. The therapeutic aspect of endoscopy, using the mechanical method alone or injection with a certain modality rather than injection alone, can increase the success rate of bleeding control. Therefore, it is important to consider the origin of bleeding and how to approach it. In this article, we aim to review the role of endoscopy in diagnosis, treatment, and prognosis in patients with acute gastrointestinal bleeding in a real clinical setting.

关键词： Endoscopy Gastrointestinal bleeding Endoscopic bleeding control Emergency bowel preparation Bedside endoscopy Second-look endoscopy

Superior mesenteric vein thrombosis induced by influenza infection:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2020年第18期8卷 4193-4199页

作者： Gyu Man Oh kyoungwon jung Jae Hyun Kim Sung Eun Kim Won Moon Moo In Park Seun Ja Park Department of Internal Medicine Kosin University College of MedicineBusan 49267South Korea

BACKGROUND Among the various types and causes of mesenteric ischemia,superior mesenteric vein(SMV)thrombosis is a rare and ambiguous *** a patient presents with SMV thrombosis,past medical history should be reviewed,and the patient should be screened for underlying *** thrombosis may also occur due to systemic *** this report,we describe a case of SMV thrombosis complicated by influenza B *** SUMMARY A 64-year-old male visited the hospital with general weakness,muscle aches,fever,and abdominal *** patient underwent computed tomography(CT)and was diagnosed with SMV *** the patient’s muscle pain and fever could not be explained by the SMV thrombosis,the clinician performed a test for influenza,which produced a positive result for influenza *** patient had a thrombus in the SMV only,with no invasion of the portal or splenic veins,and was clinically *** treatment was prescribed without surgery or other *** follow-up CT scan showed improvement,and the patient was subsequently discharged with continued oral anticoagulant *** This case provides evidence that influenza may be a possible risk factor for SMV *** unexplained abdominal pain is accompanied by an influenza infection,examination of an abdominal CT scan may be necessary to screen for possible SMV thrombosis.

关键词： Influenza B virus Mesenteric ischemia Venous thrombosis Mesenteric vascular occlusion Influenza Human Case reports

Second-line bismuth-containing quadruple therapy for Helicobacter pylori eradication and impact of diabetes

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2017年第6期23卷 1059-1066页

作者： Sung Eun Kim Moo In Park Seun Ja Park Won Moon Jae Hyun Kim kyoungwon jung Hae Koo Kim Young Dal Lee Department of Internal Medicine Kosin University College of MedicineBusan 49267South Korea

To investigate Helicobacter pylori (H. pylori) eradication rates using second-line bismuth-containing quadruple therapy and to identify predictors of eradication *** study included 636 patients who failed first-line triple therapy and received 7 d of bismuth-containing quadruple therapy between January 2005 and December 2015. We retrospectively demonstrated H. pylori eradication rates with respect to the year of therapy as well as demographic and clinical factors. H. pylori eradication was confirmed by a 13C-urea breath test or a rapid urease test at least 4 wk after the completion of bismuth-based quadruple therapy: proton pump inhibitor, metronidazole, bismuth, and *** overall eradication rates by intention-to-treat analysis and per-protocol analysis were 73.9% (95%CI: 70.1%-77.4%) and 94.5% (95%CI: 92.4%-96.5%), respectively. Annual eradication rates from 2005 to 2015 were 100.0%, 92.9%, 100.0%, 100.0%, 100.0%, 97.4%, 100.0%, 93.8%, 84.4%, 98.9%, and 92.5%, respectively, by per-protocol analysis. A multivariate analysis showed that diabetes mellitus (OR = 3.99, 95%CI: 1.56-10.20, P = 0.004) was associated with H. pylori eradication therapy *** second-line bismuth-containing quadruple therapy for H. pylori infection is still effective in Korea, and diabetes mellitus is suggested to be a risk factor for eradication failure.

关键词： Helicobacter pylori Disease eradication Treatment failure Bismuth Diabetes mellitus

Prognostic significance of the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in patients with stage Ⅲ and Ⅳcolorectal cancer

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2017年第3期23卷 505-515页

作者： Jae Hyun Kim Jun Yeop Lee Hae Koo Kim Jin Wook Lee Sung Gyu jung kyoungwon jung Sung Eun Kim Won Moon Moo In Park Seun Ja Park Division of Gastroenterology Department of Internal MedicineKosin University College of MedicineBusan 602-702South Korea

AIM To evaluate the prognostic value of the neutrophil-tolymphocyte ratio(NLR) and platelet-to-lymphocyte ratio(PLR) in patients with colorectal cancer(CRC).METHODS Between April 1996 and December 2010, medical records from a total of 1868 patients with CRC were retrospectively reviewed. The values of simple inflammatory markers including NLR and PLR in predicting the long-term outcomes of these patients were evaluated using Kaplan-Meier curves and Cox regression *** The median follow-up duration was 46 mo(interquartile range, 22-73). The estimation of NLR and PLR was based on the time of diagnosis. In multivariate Cox regression analysis, high NLR (≥ 3.0) and high PLR(≥ 160) were independent risk factors predicting poor long-term outcomes in patients with stage Ⅲ and Ⅳ CRC. However, high NLR and high PLR were not prognostic factors in patients with stage Ⅰ and Ⅱ *** In this study, we identified that high NLR (≥ 3.0) and high PLR (≥ 160) are useful prognostic factors to predict long-term outcomes in patients with stage Ⅲ and Ⅳ CRC.

关键词： Colorectal cancer Neutrophil Lymphocyte Platelet Prognosis

Study on durability of Pt supported on graphitized carbon under simulated start-up/shut-down conditions for polymer electrolyte membrane fuel cells

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Energy Chemistry 2018年第1期27卷 326-334页

作者： Won Suk jung Department of Chemical Engineering University of South CarolinaColumbiaSC 29208USA

The primary issue for the commercialization of proton exchange membrane fuel cell（PEMFC） is the carbon corrosion of support under start-up/shut-down conditions. In this study, we employ the nanostructured graphitized carbon induced by heat-treatment. The degree of graphitization starts to increase between 900 and 1300 ℃ as evidenced by the change of specific surface area, interlayer spacing, and ID/IG value. Pt nanoparticles are deposited on fresh carbon black（Pt/CB） and carbon heat-treated at 1700 ℃（Pt/HCB17） with similar particle size and distribution. Electrochemical characterization demonstrates that the Pt/HCB17 shows higher activity than the Pt/CB due to the inefficient microporous structure of amorphous carbon for the oxygen reduction reaction. An accelerating potential cycle between 1.0 and 1.5 V for the carbon corrosion is applied to examine durability at a single cell under the practical start-up/shutdown conditions. The Pt/HCB17 catalyst shows remarkable durability after 3000 potential cycles. The Pt/HCB17 catalyst exhibits a peak power density gain of 3%, while the Pt/CB catalyst shows 65% loss of the initial peak power density. As well, electrochemical surface area and mass activity of Pt/HCB17 catalyst are even more stable than those of the Pt/CB catalyst. Consequently, the high degree of graphitization is essential for the durability of fuel cells in practical start-up/shut-down conditions due to enhancing the strong interaction of Pt and π-bonds in graphitized carbon.

关键词： Polymer electrolyte membrane fuel ceils Membrane electrolyte assembly Carbon corrosion Start-up/shut-down Durability

Tolerating Permanent State Transition Faults in Asynchronous Sequential Machines

在线全文

学校读者我要写书评

暂无评论

Journal of Computer Science & Technology 2016年第5期31卷 1028-1037页

作者： jung-Min Yang School of Electronics Engineering Kyungpook National University Daegu 41566 Korea

Corrective control theory lays a novel foundation for the fault-tolerant control of asynchronous sequential machines. In this paper, we present a corrective control scheme for tolerating permanent state transition faults in the dynamics of asynchronous sequential machines. By a fault occurrence, the asynchronous machine may be stuck at a faulty state, not responding to the external input. We analyze the detectability of the considered faults and present the necessary and sufficient condition for the existence of a controller that overcomes any permanent transition faults. Fault tolerance is realized by using potential reachability and asynchronous mechanisms in the machine. A case study on an asynchronous counter is provided to illustrate the proposed fault detection and tolerance scheme.

关键词： asynchronous sequential machine corrective control permanent fault fault tolerance

Next High Performance and Low Power Flash Memory Package Structure

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Computer Science & Technology 2007年第4期22卷 515-520页

作者： jung-Hoon Lee ERI Control Instrumentation EngineeringGyeongSang National UniversityJinju660-701Korea

In general, NAND flash memory has advantages in low power consumption, storage capacity, and fast erase/write performance in contrast to NOR flash. But, main drawback of the NAND flash memory is the slow access time for random read operations. Therefore, we proposed the new NAND flash memory package for overcoming this major drawback. We present a high performance and low power NAND flash memory system with a dual cache memory. The proposed NAND flash package consists of two parts, i.e., an NAND flash memory module, and a dual cache module. The new NAND flash memory system can achieve dramatically higher performance and lower power consumption compared with any conventionM NAND-type flash memory module. Our results show that the proposed system can reduce about 78% of write operations into the flash memory cell and about 70% of read operations from the flash memory cell by using only additional 3KB cache space. This value represents high potential to achieve low power consumption and high performance gain.

关键词： flash memory NAND-type NOR-type memory localities buffer or cache memory

Plant-pollinator metanetworks in fragmented landscapes:a simulation study

在线全文

学校读者我要写书评

暂无评论

Ecological Processes 2023年第1期12卷 415-424页

作者： Ehsan Rahimi Chuleui jung Agricultural Science and Technology Institute Andong National UniversityAndong City 36729Republic of Korea Department of Plant Medicals Andong National UniversityAndong CityRepublic of Korea

Background The topology of the plant-pollinator network can be explained by the species’abundance and their random ***-pollinator networks can be studied in the context of a landscape,because each patch can accommodate a certain local *** populations of pollinators in the landscape can be connected through migration and then constitute a metanetwork that is known as a combination of spatial and ecological *** this regard,habitat fragmentation can affect the topology of plant-pollinator metanetworks through changes in the species abundance and limiting their ***,it is not clear what pattern(fragmented or aggregated)of the landscape structure can accommodate networks with a higher degree of *** we created simulated landscapes with different forest proportions scenarios(from 5%to 50%of the total landscape)and degrees of ***,for each landscape,we limited the proportion of pollinators to the forest *** assumed that plants and pollinators are randomly distributed around the landscape and interact *** used landscape metrics to measure different aspects of landscape structure and bipartite metrics for calculating the degree of specialization in plant-pollinator *** The statistical relationship between bipartite and landscape metrics showed that the relationship between the topology of plant-pollinator networks and the landscape structure is affected by the forest amount in the landscape and the degree of forest *** also found that according to the nestedness and H2(a measure of specialization)metrics,fragmented landscapes contain more general plant-pollinator *** Our findings suggest that fragmented landscapes,characterized by scattered forest patches,can promote higher levels of interaction between limited pollinators and diverse flowers,leading to more general plant-pollinator networks.

关键词： Plant–pollinator metanetwork Habitat fragmentation Simulated landscape Landscape metrics Bipartite metrics

同方期刊数据库

Asymptotic T_u-Toeplitzness of weighted composition operators on H^2

在线全文

学校读者我要写书评

暂无评论

Science China Mathematics 2018年第5期61卷 881-896页

作者： Sungeun jung Department of Mathematics Hankuk University of Foreign Studies

Given a unilateral forward shift S acting on a complex,separable,infinite dimensional Hilbert space H,an asymptotically S-Toeplitz operator is a bounded linear operator T on H satisfying that{S^(*n)T S^n}is convergent with respect to one of the topologies commonly used in the algebra of bounded linear operators on *** this paper,we study the asymptotic T_u-Toeplitzness of weighted composition operators on the Hardy space H^2,where u is a nonconstant inner function.

关键词： Toeplitz operator asymptotically S-Toeplitz operator weighted composition operator inner function