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Long-term outcome in patients with obscure gastrointestinal bleeding after negative capsule endoscopy

World Journal of Gastroenterology 2013年第10期19卷 1632-1638页

作者： Seong-Joon Koh Jong Pil Im Ji Won kim Byeong Gwan kim Kook Lae Lee sang gyun kim Joo Sung kim Hyun Chae Jung Department of Internal Medicine Seoul National University Boramae HospitalSeoul National University College of MedicineSeoul 110-744South Korea Department of Internal Medicine and Liver Research Institute Seoul National University College of MedicineSeoul 110-744South Korea

AIM:To investigate long-term outcome in obscure gastrointestinal bleeding(OGIB) after negative capsule endoscopy(CE) and identify risk factors for ***:A total of 113 consecutive patients underwent CE for OGIB from May 2003 to June 2010 at Seoul National University ***-five patients(84.1%) with a subsequent follow-up after CE of at least 6 mo were enrolled in this ***-up data were obtained from the patients' medical *** CE images were reviewed by two board-certified gastroenterologists and consensus diagnosis was used in all *** primary outcome measure was the detection of rebleeding after CE,and factors associated with rebleeding were evaluated using multivariate ***:Of the 95 enrolled patients(median age 61 years,range 17-85 years),62 patients(65.3%) were *** median duration of follow-up was 23.7 mo(range 6.0-89.4 mo).Seventy-three patients(76.8%) underwent CE for obscure-overt *** examination of the small bowel was achieved in 77 cases(81.1%).Significant lesions were found in 38 patients(40.0%).The overall rebleeding rate was 28.4%.The rebleeding rate was higher in patients with positive CE(36.8%) than in those with negative CE(22.8%).However,there was no significant difference in cumulative rebleeding rates between the two groups(log rank test;P = 0.205).Anticoagulation after CE examination was an independent risk factor for rebleeding(hazard ratio,5.019;95%CI,1.560-16.145;P = 0.007),regardless of CE ***:Patients with OGIB and negative CE have a potential risk of ***,close observation is required and alternative modalities should be considered in suspicious cases.

关键词： Capsule endoscopy Gastrointestinal hemorrhage Risk factors Prognosis Enteroscopy

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How to improve patient satisfaction during midazolam sedation for gastrointestinal endoscopy?

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World Journal of Gastroenterology 2017年第6期23卷 1098-1105页

作者： Eun Hyo Jin Kyoung Sup Hong Young Lee Ji Yeon Seo Ji Min Choi Jaeyoung Chun sang gyun kim Joo Sung kim Hyun Chae Jung Department of Internal Medicine Healthcare Research InstituteSeoul National University Hospital Healthcare System Gangnam Center Department of Internal Medicine Liver Research InstituteSeoul National University College of Medicine Department of Biostatistics and Bioinformatics Healthcare Research InstituteSeoul National University Hospital Healthcare System Gangnam Center

To determine the procedure-related factors that affect sedation satisfaction and to make a suggestion to improve *** prospectively enrolled a total of 456 patients who underwent outpatient endoscopy procedures with midazolam sedation between March 2014 and August 2014. All patients completed both pre- and post-endoscopy questionnaires about sedation expectations and *** study cohort included 167 (36.6%) patients who underwent esophagogastroduodenoscopy (EGD), 167 (36.6%) who underwent colonoscopy, and 122 (26.8%) who underwent a combined procedure (EGD and colonoscopy). Over 80% of all patients were satisfied with sedation using midazolam. In univariate and multivariate analyses, total procedure time in the EGD group, younger age (≤ 50 years), and longer colonoscopy withdrawal time in the colonoscopy group were related to decreased satisfaction with sedation. However, in active monitoring and intervention group, there was no decrease in grade of satisfaction despite longer procedure time due to more procedures during colonoscopy. Younger age (≤ 50 years), longer inter-procedure time gap, and colonoscopy withdrawal time were related to decreased satisfaction in the combined EGD and colonoscopy *** is still a safe and effective sedative for gastrointestinal endoscopy. Satisfaction with sedation depends on several factors including age (≤ 50 years) and procedure time duration. To improve patient satisfaction with sedation, active monitoring of sedation status by the endoscopist should be considered for patients who require long procedure time.

关键词： Conscious sedation Patient satisfaction Endoscopy Midazolam Surveys and questionnaires

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Efficacy and safety of rebamipide/nizatidine in patients with erosive gastritis: A randomized, multicenter, phase 4 study

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World Journal of Gastroenterology 2024年第48期30卷 5152-5161页

作者： Donghoon Kang Myung-Gyu Choi Ki-Nam Shim Hye-Kyung Jung Seung-Joo Nam Jung Ho Park sang gyun kim Nam-Hoon kim Su Jin Hong Tae Joo Jeon Jae Il Chung Hang Lak Lee Ju Yup Lee Tae Oh kim Chang Min Lee Sun Moon kim Jeong-Hwan kim Jang Eon kim Jeong Seop Moon Ho Dong kim Wan-Sik Lee Hong Jun Park Department of Internal Medicine Seoul St.Mary’s HospitalThe Catholic University of KoreaSeoul 06591South Korea Department of Internal Medicine Ewha Womans University Seoul HospitalGastroenterology and Hepatology CenterSeoul 07985South Korea Department of Internal Medicine Ewha Womans University Mokdong HospitalSeoul 07985South Korea Department of Internal Medicine Kangwon National University School of MedicineChuncheon 24289South Korea Department of Medicine Kangbuk Samsung HospitalSungkyunkwan University School of MedicineSeoul 03181South Korea Department of Internal Medicine and Liver Research Institute Seoul National University HospitalSeoul 03080South Korea Department of Internal Medicine Ilsan Paik HospitalInje University College of MedicineGoyang 10380South Korea Department of Internal Medicine Digestive Disease CenterSoonchunhyang University Bucheon HospitalBucheon 31538South Korea Department of Internal Medicine Inje University College of MedicineSanggye Paik HospitalSeoul 01757South Korea Department of Gastroenterology Sahmyook Medical CenterSeoul 02500South Korea Department of Internal Medicine Hanyang University College of MedicineSeoul 04763South Korea Department of Internal Medicine Keimyung University School of MedicineDaegu 42601South Korea Department of Internal Medicine Inje University Haeundae Paik HospitalInje University College of MedicineBusan 48108South Korea Department of Internal Medicine Gyeongsang National University School of MedicineGyeongsang National University HospitalJinju 52727South Korea Department of Internal Medicine Konyang University HospitalDaejeon 35365South Korea Gastroenterology Center Konkuk University Medical CenterSeoul 05030South Korea Department of Gastroenterology Seoul Medical CenterSeoul 02053South Korea Department of Gastroenterology Inje University Busan Paik HospitalBusan 47392South Korea Department of Gastroenterology St.Carollo HospitalSooncheon 57931South Korea Division of Gastroenterology Department of Internal

BACKGROUND For the treatment of gastritis,rebamipide,a mucoprotective agent,and nizatidine,a gastric acid suppressant,are commonly employed *** To compare the efficacy of Mucotra®SR(rebamipide 150 mg)and Axid®(nizatidine 150 mg)combination therapy with the sole administration of Axid®in managing erosive *** A total of 260 patients diagnosed with endoscopically confirmed erosive gastritis were enrolled in this open-label,multicenter,randomized,phase 4 clinical trial,allocating them into two groups:Rebamipide/nizatidine combination twice daily vs nizatidine twice daily for 2 *** full-analysis set analysis encompassed 239 patients(rebamipide/nizatidine,n=121;nizatidine,n=118),while the per-protocol analysis included 218 patients(n=110 vs 108).Post-treatment assessments comprised primary(erosion improvement rate)and secondary(erosion and edema cure rates,erythema improvement rates,hemorrhage,and gastrointestinal symptoms)***,drug-related adverse effects were *** Primary efficacy assessment showed a statistically significant improvement rate in mucosal erosions in the combination group compared to the control group in the full-analysis set(rebamipide/nizatidine 62.0%,nizatidine 49.2%,P=0.046),with a similar trend noted in the per-protocol analysis(62.7%vs 50.0%,P=0.058).Both groups were effective in curing erosion and edema and improvement of bleeding,erythema,and gastrointestinal symptoms,whereas no inter-group differences were *** confined to the participants with gastritis symptoms,improvement of erosion was more optimal in the combination group(63.0%vs 49.5%,P=0.046).No adverse events related to the drugs were *** Rebamipide/nizatidine combination is effective in treatment of erosive gastritis.

关键词： Gastritis Erosive gastritis Combination therapy Rebamipide Nizatidine

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Water hammer in the pump-rising pipeline system with an air chamber

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Journal of Hydrodynamics 2014年第6期26卷 960-964页

作者： kim sang-gyun LEE Kye-Bock kim Kyung-Yup Korea Water Resources Corporation School of Mechanical Engineering Chungbuk National University School of Mechanical Engineering Korea Polytechnic University

Water hammer following the tripping of pumps can lead to overpressure and negative pressure. Reduction in overpressure and negative pressure may be necessary to avoid failure, to improve the efficiency of operation and to avoid fatigue of system components. The field tests on the water hammer have been conducted on the pump rising pipeline system with an air chamber. The hydraulic transient was simulated using the method of characteristics. Minimizing the least squares problem representing the difference between the measured and predicted transient response in the system performs the calibration of the simulation program. Among the input variables used in the water hammer analysis, the polytropic exponent, the discharge coefficient and the wave speed were calibrated. The computer program developed in this study will be useful in designing the optimum parameters of an air chamber for the real pump pipeline system. The correct selection of air chamber size and the effect of the inner diameter of the orifice to minimize water hammer have been investigated by both field measurements and numerical modeling.

关键词： air chamber design parameter field test pump pipeline system water hammer

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Integrated guidance and control for damping augmented system via convex optimization

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Chinese Journal of Aeronautics 2022年第7期35卷 30-39页

作者： Bong-gyun PARK Tae-Hun kim The 1^(st)R&D Institute-4 Agency for Defense DevelopmentDaejeon 34186Republic of Korea

In this paper,an integrated guidance and control approach is presented to improve the performance of the missile *** approach includes damping augmented system with attitude rate feedback to decrease the oscillation during the homing phase for missiles with low *** addition,physical constraints,which can affect the performance of the missile interception,such as acceleration limit,seeker’s look angle,and look angle rate constraints are *** integrated guidance and control problem is formulated as a convex quadratic optimization problem with equality and inequality constraints,and the solution is obtained by a primal–dual interior point *** performance of the proposed method is verified through several numerical examples.

关键词： Convex optimization Damping augmented system Integrated guidance and control Physical constraint Primal-dual interior point method

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Sweet food improves chronic stress-induced irritable bowel syndrome-like symptoms in rats

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World Journal of Gastroenterology 2014年第9期20卷 2365-2373页

作者： sang-gyun Rho Yong Sung kim Suck Chei Choi Moon Young Lee Department of Emergency Medical Services Sunmoon University Chungnam Asan 336-708 South Korea Department of Gastroenterology and Wonkwang Digestive Disease Research Institute Wonkwang University Sanbon Hospital Gyeonggi Gunpo 435-040 South Korea Department of Gastroenterology and Wonkwang Digestive Disease Research Institute School of MedicineWonkwang University Jeonbuk Iksan 570-974 South Korea Department of Physiology and Institute of Wonkwang Medical Science and Wonkwang Digestive Disease Research Institute School of Medicine Wonkwang UniversityJeonbuk Iksan 570-749 South Korea

AIM: To investigate whether palatable sweet foods have a beneficial effect on chronic stress-induced colonic motility and inflammatory cytokines.

关键词： Irritable bowel syndrome Colon Stress Adrenal hormones Cytokines Rat

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Adsorption of phosphate on magnetite-enriched particles (MEP) separated from the mill scale

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Frontiers of Environmental Science & Engineering 2019年第5期13卷 81-92页

作者： Muhammad Kashif Shahid Yunjung kim Young-gyun Choi Department of Environmental Engineering Chungnam National UniversityDaejeon 34134Republic of Korea Mechanical Process Research Group Engineering CenterPOSCO E&CIncheon 220099Republic of Korea

Phosphate is a major pollutant in water, causing serious environmental and health consequences. In present study, the phosphate adsorption on novel magnetite-enriched particles (MEP) was comprehensively investigated. A new method and device were introduced for the separation of MEP from the mill scale at low magnetic intensity. Particles were characterized with different techniques such as XRD, XRF, SEM and EDS. The XRD and XRF analysis of MEP identified the dominant existence of crystalline magnetite. Furthermore, the morphological analysis of MEP confirmed the agglomerate porous morphology of magnetite. Oxygen and iron, the main constituents of magnetite were acknowledged during the elemental analysis using EDS. The phosphate adsorption on MEP is well explained using various isotherm and kinetic models, exhibiting the monolayer adsorption of phosphate on the surface of MEP. The maximum adsorption capacity was determined 6.41 mg/g. Based on particle size (45–75 and 75–150 μm) and empty bed contact time (1 and 2 h), four columns were operated for 54 days. MEP were appeared successful to remove all phosphate concentration from the column influent having 2 mg/L concentration. The operated column reactors were successfully regenerated with alkaline solution. The results indicated potential for practical application of the MEP for phosphate removal.

关键词： Adsorption Magnetite Mill-scale Phosphate Wastewater treatment

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Positive solutions for a Lotka-Volterra prey-predator model with cross-diffusion and Holling type-Ⅱ functional response

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Science China Mathematics 2014年第5期57卷 991-1010页

作者： ZHOU Jun kim Chan-gyun School of Mathematics and Statistics Southwest University Department of Mathematics College of William and Mary

We consider a Lotka-Volterra prey-predator model with cross-diffusion and Holling type-II functional *** main concern is the existence of positive solutions under the combined effect of cross-diffusion and Holling type-II functional ***,a positive solution corresponds to a coexistence state of the ***,we study the sufficient conditions to ensure the existence of positive solutions by using degree theory and analyze the coexistence region in parameter *** addition,we present the uniqueness of positive solutions in one dimension ***,we study the stability of the trivial and semi-trivial solutions by analyzing the principal eigenvalue of the corresponding linearized system,and then we characterize the stable/unstable regions of semi-trivial solutions in parameter plane.

关键词： Lotka-Volterra prey-predator model Holling type-II functional response cross-diffusion positive solutions coexistence uniqueness degree theory

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Protein and energy concentrations of meat meal and meat and bone meal fed to pigs based on in vitro assays

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Animal Nutrition 2021年第1期7卷 252-257页

作者： Hyunjun Choi Chang Sik Won Beob gyun kim Department of Animal Science and Technology Konkuk UniversitySeoul 05029Republic of Korea

The objective of this study was to develop equations for estimating ileal digestible crude protein(CP)and metabolizable energy(ME)contents of meat meal(MM)and meat and bone meal(MBM)as feed in-gredients for pigs based on in vitro *** ingredients were 4 sources of MM and 3 sources of *** and CP contents of the ingredients ranged from 3.8%to 33.1%and 46.8%to 82.9%(as-is basis),*** vitro ileal disappearance(IVID)of CP was determined and ileal digestible CP content was calculated by multiplying CP content by IVID of *** vitro total tract disappearance(IVTTD)of dry matter(DM)was determined and ME was calculated using gross energy,CP contents,and IVTTD of *** IVID of CP and IVTTD of DM ranged from 77.2%to 88.7%and from 82.7%to 92.4%,*** ileal digestible CP and ME contents ranged from 37.8%to 73.5%DM and 2,405 to 3,905 kcal/kg DM,*** contents were negatively correlated(P<0.001)with CP(r=-0.99),in vitro ileal digestible CP(r=-0.97),gross energy(r-1.00),in vitro digestible energy(r=-0.97),and adjusted ME(r=-0.97).The most fitting equations for ileal digestible CP and adjusted ME were:ileal digestible CP(%DM)=11.91-0.90×Ash(%DM)+0.74×IVID of CP(%)(R2=0.99)and adjusted ME(kcal/kg DM)=130.85-50.90×ash(%DM)+47.06×IVTTD of DM(%)(R2=0.99).To validate the accuracy of the prediction equations for ME,mean bias and linear bias were determined using a regression *** ME values of MM and MBM were in a good agreement with data obtained from animal ex-periments based on a statistically insignificant bias in the *** conclusion,ME concentrations of MM and MBM as swine feed ingredients can be calculated using ash concentration and in vitro disap-pearance of dry matter.

关键词： Animal offal Energy In vitro disappearance method Protein

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Mechanical properties of graphene oxide?silk fibroin bionanofilms via nanoindentation experiments and finite element analysis

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Friction 2022年第2期10卷 282-295页

作者： Hyeonho CHO Joonho LEE Hyundo HWANG Woonbong HWANG Jin-gyun kim Sunghan kim School of Mechanical Engineering Chung-Ang UniversitySeoul 06974Republic of Korea Department of Mechanical Engineering(Integrated Engineering) Kyung Hee UniversityGyeonggi 17104Republic of Korea Department of Mechanical Engineering POSTECHPohang 37673Republic of Korea Department of Robotics&Mechatronics.Korea Institute of Machinery&Materials Daejeon 34103Republic of Korea

Understanding the mechanical properties of bionanofilms is important in terms of identifying their *** primary focus of this study is to examine the effect of water vapor annealed silk fibroin on the indentation modulus and hardness of graphene oxide-silk fibroin(GO-SF)bionanofilms through nanoindentation experiments and finite element analysis(FEA).The GO-SF bionanofilms were fabricated using the layer-by-layer *** water vapor annealing process was employed to enhance the interfacial properties between the GO and SF layers,and the mechanical properties of the GO-SF bionanofilms were found to be affected by this *** employing water vapor annealing,the indentation modulus and hardness of the GO-SF bionanofilms can be ***,the FEA models of the GO-SF bionanofilms were developed to simulate the details of the mechanical behaviors of the GO-SF *** difference in the stress and strain distribution inside the GO-SF bionanofilms before and after annealing was *** addition,the load-displacement curves that were obtained by the developed FEA model conformed well with the results from the nanoindentation *** summary,this study presents the mechanism of improving the indentation modulus and hardness of the GO-SF bionanofilms through the water vapor annealing process,which is established with the FEA simulation models.

关键词： graphene oxide silk fibroin layer-by-layer(LbL) nanoindentation finite element analysis(FEA)

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