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Potential risk factors for nonalcoholic steatohepatitis related to pancreatic secretions following pancreaticoduodenectomy

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World Journal of Gastroenterology 2011年第32期17卷 3716-3723页

作者： Sun Choon Song Seong Ho Choi Dong Wook Choi jin Seok Heo Woo Seok kim min Jung kim Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine

AIM: To identify risk factors for nonalcoholic steatohepatitis following pancreaticoduodenectomy, with a focus on factors related to pancreatic secretions. METHODS: The medical records of 228 patients who had a pancreaticoduodenectomy over a 16-mo period were reviewed retrospectively. The 193 patients who did not have fatty liver disease preoperatively were included in the final analysis. Hepatic steatosis was diagnosed using the differences between splenic and hepatic attenuation and liver-to-spleen attenuation as measured by non-enhanced computed tomography. RESULTS: Fifteen patients (7.8%) who showed postoperative hepatic fatty changes were assigned to Group A, and the remaining patients were assigned to Group B. Patient demographics, preoperative laboratory findings (including levels of C-peptide, glucagon, insulin and glucose tolerance test results), operation types, and final pathological findings did not differ significantly between the two groups; however, the frequency of pancreatic fistula (P = 0.020) and the method of pancreatic duct stenting (P = 0.005) showed significant differences between the groups. A multivari- ate analysis identified pancreatic fistula (HR = 3.332, P = 0.037) and external pancreatic duct stenting (HR = 4.530, P = 0.017) as independent risk factors for the development of postoperative steatohepatitis. CONCLUSION: Pancreatic fistula and external pancreatic duct stenting were identified as independent risk factors for the development of steatohepatitis following pancreaticoduodenectomy.

关键词： Nonalcoholic fatty liver diseases Nonalcoholic steatohepatitis Pancreatic duct stenting Pancreatic fistula Pancreatic surgery

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Clinical characteristics of asymptomatic Terson syndrome in the patients with aneurysmal subarachnoid hemorrhage

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International Journal of Ophthalmology(English edition) 2020年第2期13卷 292-300页

作者： Hae min Kang jin Mo Cho So Yeon kim Jeong Hoon Choi Department of Ophthalmology Catholic Kwandong UniversityInternational St.Mary’s HospitalIncheon 22711Republic of Korea Department of Neurosurgery Catholic Kwandong UniversityInternational St.Mary’s HospitalIncheon 22711Republic of Korea Department of Ophthalmology Choikang Eye ClinicSeoul 01110Republic of Korea

●AIM:To investigate clinical characteristics of asymptomatic Terson syndrome and its clinical impact in patients with aneurysmal subarachnoid hemorrhage(SAH).●METHODS:This retrospective,interventional study included 31 patients with aneurysmal SAH,and the medical records were *** addition to baseline characteristics of the study population such as age,sex,and underlying medical history,multi-modal imaging analysis,including fluorescein angiography(FA),spectral domain optical coherence tomography(SD-OCT),were also *** Coma Scale(GCS),Hunt-Hess(HH)grade,and Fisher scale at the time of admission,and functional outcome by using modified Rankin Scale(mRS)at 6 mo were compared.●RESULTS:Of the 31 patients,10 patients(32.3%)were diagnosed with Terson *** the patients with Terson syndrome did not report visual symptoms at the time of ophthalmologic *** showed microvascular changes of retinal capillaries and varying degrees of disc ***-OCT allowed intuitive anatomical localization of multi-layered retinal hemorrhages and assessment of ellipsoid zone *** patients with Terson syndrome showed significantly worse GCS(P=0.047)and HH grade(P=0.025)than those without,except Ficher scale(P=0.385).There was no significant difference in the mRS(P=0.250)at 6 *** baseline factors,the HH grade was the only significant factor associated with Terson syndrome(B=1.079,P=0.016).●CONCLUSION:In our study,32.3%of the patients have Terson syndrome without visual *** baseline HH grade is significantly correlated with Terson syndrome,and there is no significant difference in the functional outcome between the patients with and without Terson *** syndrome may develop without any visual symptoms as shown in our study,and ophthalmologic screening may be recommended to prevent further visual deterioration especially in the patients with poor HH grade at the time of aneurysmal SAH.

关键词： cerebral aneurysm subarachnoid hemorrhage Terson syndrome

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Kohn–Sham time-dependent density functional theory with Tamm–Dancoff approximation on massively parallel GPUs

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npj Computational Materials 2023年第1期9卷 1556-1567页

作者： Inkoo kim Daun Jeong Won-Joon Son Hyung-jin kim Young min Rhee Yongsik Jung Hyeonho Choi jinkyu Yim Inkook Jang Dae Sin kim Innovation Center Samsung ElectronicsHwaseong 18448Republic of Korea Department of Chemistry Korea Advanced Institute of Science and Technology(KAIST)Daejeon 34141Republic of Korea Samsung Advanced Institute of Technology Samsung ElectronicsSuwon 16678Republic of Korea

We report a high-performance multi graphics processing unit(GPU)implementation of the Kohn–Sham time-dependent density functional theory(TDDFT)within the Tamm–Dancoff *** algorithm on massively parallel computing systems using multiple parallel models in tandem scales optimally with material size,considerably reducing the computational wall time.A benchmark TDDFT study was performed on a green fluorescent protein complex composed of 4353 atoms with 40,518 atomic orbitals represented by Gaussian-type functions,demonstrating the effect of distant protein residues on the *** the largest molecule attempted to date to the best of our knowledge,the proposed strategy demonstrated reasonably high efficiencies up to 256 GPUs on a custom-built state-of-the-art GPU computing system with Nvidia A100 *** believe that our GPU-oriented algorithms,which empower first-principles simulation for very large-scale applications,may render deeper understanding of the molecular basis of material behaviors,eventually revealing new possibilities for breakthrough designs on new material systems.

关键词： GPUs graphics massive

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Classifying extrahepatic bile duct metachronous carcinoma by de novo neoplasia site

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World Journal of Gastroenterology 2014年第11期20卷 3050-3055页

作者： Hyung Jun Kwon Sang Geol kim Jae min Chun Yoon jin Hwang Department of Surgery Kyungpook National University Medical CenterDaegu 702-210South Korea

Extrahepatic bile duct(EHBD)cancer may occur metachronously,and these cancers are resectable with a favorable *** aimed to identify the pattern of metachronous EHBD *** classified the cases of metachronous EHBD cancer reported in the literature thus far and investigated two new cases of metachronous EHBD cancer.A 70-year-old female underwent R0 bile duct resection for a type 1 Klatskin tumor(pT-1N0M0).A 70-year-old male patient underwent R0 bile duct resection for a middle bile duct cancer(pT2N1M0).Imaging studies of both patients taken at 14 and 24mo after first surgery respectively revealed a metachronous cholangiocarcinoma that required pancreaticoduodenectomy(PD).Histopathology of the both tumors after PD revealed cholangiocarcinoma invading the pancreas(pT3N0M0).Both patients have been free from recurrence for 6 years and 16 mo respectively after the second *** a review of the literature on these cases,we classified the pattern of metachronous EHBD cancer according to the site of de novo *** proximal remnant bile duct was most commonly *** EHBD cancer should be distinguished from an unresectable recurrent *** metachronous EHBD cancer may be helpful in identifying rare metachronous tumors.

关键词： Metachronous Extrahepatic bile duct Cancer Prognosis Recurrence

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Endoscopic papillary large balloon dilation for the removal of bile duct stones

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World Journal of Gastroenterology 2013年第46期19卷 8580-8594页

作者： jin Hong kim min Jae Yang Jae Chul Hwang Byung Moo Yoo Department of Gastroenterology Ajou University School of Medicine

Endoscopic papillary large balloon dilation(EPLBD)with endoscopic sphincterotomy(EST)has been widely used as the alternative to EST along with endoscopic mechanical lithotripsy(EML)for the removal of large or difficult bile duct ***,EPLBD without EST was recently introduced as its simplified alternative ***,we systematically searched PubMed,Medline,the Cochrane Library and EMBASE,and analyzed all gathered data of EPLBD with and without EST,respectively,by using a single standardized definition,reviewing relevant literatures,published between 2003and June 2013,where it was performed with largediameter balloons(12-20 mm).The outcomes,including the initial success rate,the rate of needs for EML,and the overall success rate,and adverse events were assessed in each and compared between both of two procedures:"EPLBD with EST"and"EPLBD without EST".A total of 2511 procedures from 30 published articles were included in EPLBD with EST,while a total of413 procedures from 3 published articles were included in EPLBD without *** the results of outcomes,the overall success rate was 96.5%in EPLBD with EST and97.2%in EPLBD without EST,showing no significant difference between both of *** initial success rate(84.0%vs 76.2%,P<0.001)and the success rate of EPLBD without EML(83.2%vs 76.7%,P=0.001)was significantly higher,while the rate of use of EML was significantly lower(14.1%vs 21.6%,P<0.001),in EPLBD with *** rate of overall adverse events,pancreatitis,bleeding,perforation,other adverse events,surgery for adverse events,and fatal adverse events were 8.3%,2.4%,3.6%,0.6%,1.7%,0.2%and 0.2%in EPLBD with EST and 7.0%,3.9%,1.9%,0.5%,0.7%,0%and 0%in EPLBD without EST,respectively,showing no significant difference between both of *** conclusion,recent accumulated results of EPLBD with or even without EST suggest that it is a safe and effective procedure for the removal of large or difficult bile duct stones without any additional risk of severe adv

关键词： Balloon dilation Endoscopic sphincteroto-my Common bile duct gallstones Lithotripsy Compli-cations Assessment Patient outcomes

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Long-type double-balloon enteroscopy-assisted ERCP using hand-made accessories in Roux-en-Y hepaticojejunostomy(with video)

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Hepatobiliary & Pancreatic Diseases International 2021年第4期20卷 407-408页

作者： min Jae Yang Ah Reum kim Jae Chul Hwang Byung Moo Yoo jin Hong kim Department of Gastroenterology Ajou University School of MedicineSuwonSouth Korea

To the Editor:Short-type balloon enteroscope-assisted endoscopic retrograde cholangiopancreatography(BE-ERCP)is becoming the procedure of choice for biliopancreatic disease treatment in patients with postoperative anatomy^([1,2]).However,it has not yet been available in many *** a long-type balloon enteroscope with a200-cm working length has been widely used for small bowel endoscopy,its use for ERCP was limited by the lack of commercially available extra-long accessories^([3]).

关键词： balloon anatomy ERCP

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Chunggan extract, a traditional herbal formula, ameliorated alcohol-induced hepatic injury in rat model

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World Journal of Gastroenterology 2014年第42期20卷 15703-15714页

作者： Hyeong-Geug kim Jung-min kim Jong-min Han jin-Seok Lee min-Kyung Choi Dong-Soo Lee Yeon-Hwa Park Chang-Gue Son Liver and immunology research center Daejeon Oriental Hospital of Oriental Medical Collage of Daejeon University NAR center Inc. Daejeon Oriental Hospital of Oriental Medical Collage of Daejeon University Department of Internal Medicine Daejeon St.Mary’s Hospital The Catholic University of Korea

AIM: To evaluate protective effects of Chunggan extract (CGX), a traditional herbal formula, under 4 wk of alcohol consumption-induced liver injury.

关键词： Alcohol abuse Liver injury Traditional Chinese Medicine Fibrogenic cytokines Hepato stellate cell

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CNT/High Mass Loading MnO2/Graphene-Grafted Carbon Cloth Electrodes for High-Energy Asymmetric Supercapacitors

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Nano-Micro Letters 2019年第4期11卷 549-560页

作者： Lulu Lyu Kwang-dong Seong Jong min kim Wang Zhang Xuanzhen jin Dae Kyom kim Youngmoo Jeon Jeongmin Kang Yuanzhe Piao Graduate School of Convergence Science and Technology Seoul National UniversitySeoul 151-742Republic of Korea School of Chemistry and Chemical Engineering Yangzhou UniversityYangzhou 225002JiangsuPeople’s Republic of China Advanced Institutes of Convergence Technology Suwon 443-270Republic of Korea

Flexible supercapacitor electrodes with high mass loading are crucial for obtaining favorable electrochemical performance but still challenging due to sluggish electron and ion ***,rationally designed CNT/MnO2/graphene-grafted carbon cloth electrodes are prepared by a“graft-deposit-coat”*** to the large surface area and good conductivity,graphene grafted on carbon cloth offers additional surface areas for the uniform deposition of MnO2(9.1 mg cm?2)and facilitates charge ***,the nanostructured MnO2 provides abundant electroactive sites and short ion transport distance,and CNT coated on MnO2 acts as interconnected conductive“highways”to accelerate the electron transport,significantly improving redox reaction *** from high mass loading of electroactive materials,favorable conductivity,and a porous structure,the electrode achieves large areal capacitances without compromising rate *** assembled asymmetric supercapacitor demonstrates a wide working voltage(2.2 V)and high energy density of 10.18 mWh cm?3.

关键词： High mass loading Flexible pseudocapacitor Voltage window Energy density

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Enhancement of ballistic performance enabled by transformation-induced plasticity in high-strength bainitic steel

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Journal of Materials Science & Technology 2021年第25期84卷 219-229页

作者： min Cheoljo Selim kim Dong Woo Suh Hong Kyu kim Yongjin kim Seok Su Sohn Sunghak Lee Center for Advanced Aerospace Materials Pohang University of Science and TechnologyPohang37673South Korea Graduate Institute of Ferrous Technology Pohang University of Science and TechnologyPohang37673South Korea Materials Directorate Agency for Defense DevelopmentDaejeon305-600South Korea Department of Materials Science and Engineering Korea UniversitySeoul02841South Korea

High-strength bainitic steels have created a lot of interest in recent times because of their excellent combination of strength,ductility,toughness,and high ballistic mass *** steels have great potential in the fabrication of steel armor *** various approaches and methods have been conducted to utilize the retained austenite(RA)in the bainitic matrix to control mechanical properties,very few attempts have been conducted to improve ballistic performance utilizing transformationinduced plasticity(TRIP)*** this study,high-strength bainitic steels were designed by controlling the time of austempering process to have various volume fractions and stability of RA while maintaining high *** dynamic compressive and ballistic impact tests were conducted,and the relation between the effects of TRIP on ballistic performance and the adiabatic shear band(ASB)formation was *** results show for the first time that an active TRIP mechanism achieved from a large quantity of metastable RA can significantly enhance the ballistic performance of high-strength bainitic steels because of the improved resistance to ASB ***,the ballistic performance can be effectively improved by a very short austempering time,which suggests that the utilization of active TRIP behavior via tuning RA acts as a primary mechanism for significantly enhancing the ballistic performance of high-strength bainitic steels.

关键词： High-strength bainitic steel Ballistic performance Split Hopkinson pressure bar(SHPB) Adiabatic shear band(ASB) Retained austenite(RA) Transformation-induced plasticity(TRIP)

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Use of various MgO resources for high-purity Mg metal production through molten salt electrolysis and vacuum distillation

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Journal of Magnesium and Alloys 2023年第2期11卷 562-579页

作者： Hyeong-Jun Jeoung Tae-Hyuk Lee Youngjae kim jin-Young Lee Young min kim Toru HOkabe Kyung-Woo Yi Jungshin Kang Korea Institute of Geoscience and mineral Resources 124 Gwahak-ro Yuseong-guDaejeon 34132South Korea Department of Materials Science and Engineering Seoul National University1 Gwanak-roGwanak-guSeoul 08826South Korea Department of Resources Engineering University of Science and Technology217 Gajeong-ro Yuseong-guDaejeon 34113South Korea Korea Institute of Materials Science 797 Changwondae-roSeongsan-guChangwonGyeongnam 51508South Korea Institute of Industrial Science The University of Tokyo4-6-1 KomabaMeguro-kuTokyo 153-8505Japan School of Materials Science and Engineering Pusan National University2 Busandaehak-roGeumjeong-guBusan 44241South Korea

A green and effective electrolytic process was developed to produce high-purity Mg metal using primary and secondary resources containing Mg O as a feedstock. The electrolysis of various Mg O resources was conducted using a Cu cathode in MgF2– LiF – KCl molten salt at 1043 K by applying an average current of 1.44 A for 12.5 h. The electrolysis of calcined North Korean magnesite and seawater Mg O clinker yielded Mg alloys of MgCu2and(Cu) phases with current efficiencies of 89.6–92.4%. The electrolysis of oxidized Mg O-C refractory brick, aged ferronickel slag, and ferronickel slag yielded Mg alloys of MgCu2and(Cu) phases with current efficiencies of 59.3–92.3%. The vacuum distillation of Mg alloys obtained was conducted at 1300 K for 10 h to produce high-purity Mg metal. After vacuum distillation, Mg metal with a purity of above 99.994% was obtained. Therefore, this study demonstrates the feasibility of the production of high-purity Mg metal from various Mg O resources using a novel electrolytic process with a Cu cathode, followed by vacuum distillation.

关键词： High-purity magnesium Magnesium oxide resources Electrolytic process Metal cathode Vacuum distillation

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