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Survival improvement and prognostic factors in recent management of extrahepatic cholangiocarcinoma:A single-center study

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Hepatobiliary & Pancreatic Diseases International 2020年第2期19卷 153-156页

作者： Jung Wan Choe Hyo Jung kim Jae seon kim Division of Gastroenterology Department of Internal MedicineKorea University Ansan HospitalKorea University College of Medicine516 Gojan-dongDanwon-guAnsan-siGyeonggi-do15355Korea Division of Gastroenterology Department of Internal MedicineKorea University Guro HospitalKorea University College of Medicine148 Gurodong-roGuro-guSeoul 08308Korea

Background:Cholangiocarcinoma was considered as a dismal disease with very poor prognosis until *** is increasingly found due to increased life *** surgical and medical management were advanced recently,data on the prognosis,especially extrahepatic cholangio-carcinoma(ECC),were *** study aimed to identify clinicopathologic features and prognosis of patients with ***:Patients followed up and diagnosed with ECC between January 2014 and December 2016 at a tertiary hospital were included,whereas those with intrahepatic cholangiocarcinoma,gallbladder cancer,and ampullary cancer were ***:A total of 83 patients were followed after the treatment(49 men and 34 women;median age 73.3 years).Cancer location was classified as distal common bile duct(25 patients),proximal com-mon bile duct(24 patients),common hepatic duct(20 patients),and hilar(14 patients).About 14.5%of patients had history of another malignant neoplasm,and 24.1%patients had chronic ***-cal resection was performed in 54 patients(65%)and dysplasia was combined in 63%(34/54).Adjuvant chemotherapy was performed in 54%(29/54),but only 7 underwent palliative chemotherapy in 29 non-surgical *** median overall survival in all patients was 30.9 *** analyzing the treatment modality,median survival of adjuvant chemotherapy,surgery only,palliative chemotherapy,and support-ive care groups were 42.9,30.9,12.0,and 8.9 months,respectively(P<0.05).In the Cox regression analy-sis of survival,age,surgical resection,chemotherapy,and comorbidity were significant prognostic factors,and the comorbidity was the only significant prognostic factor in the multivariable analysis(hazard ratio[HR]=2.80;95%CI:1.32–5.95;P=0.007).In a subgroup analysis of surgical patients,the presence of dysplasia was a favorable prognostic factor in the multivariable analysis(HR=0.29;95%CI:0.09–0.91;P=0.033).Conclusions:The overall survival of patients with ECC wa

关键词： Cholangiocarcinoma Survival Prognosis

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Accidental esophageal intubation via a large type C congenital tracheoesophageal fistula:A case report

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World Journal of Clinical Cases 2022年第30期10卷 11198-11203页

作者： seong Min Hwang myeong Jin kim Sora kim Saeyoung kim Department of Anesthesiology and Pain Medicine School of MedicineKyungpook National UniversityDaegu 41944South Korea

BACKGROUND Tracheoesophageal fistula(TEF)is a congenital anomaly characterized by interruptions in esophageal continuity with or without fistulous communication to the *** management during TEF repair is challenging because of the difficulty of perioperative airway *** is important to determine the appropriate position of the endotracheal tube(ETT)for proper ventilation and to prevent excessive gastric ***,the tip of the ETT should be placed immediately below the fistula and above the *** SUMMARY A full-term,one-day-old,2.4 kg,50 cm male neonate was diagnosed with TEF type *** induction,an ETT was inserted using video laryngoscope and advanced deeply to ensure that the tip passed over the fistula,according to known *** passage of the ETT through the vocal cords was confirmed via video ***,after inflating the ETT cuff,breath sounds were not heard on bilateral lung ***,gastric sounds were *** that a large fistula(approximately 6.60 mm×4.54 mm)located 10.2mm above the carina was confirmed on preoperative tracheal computed tomography,the possibility of unintentional esophageal intubation was highly ***,we decided to uncuff and withdraw the ETT carefully for repositioning,while monitoring auscultation and end-tidal CO2 *** a certain point(9.5 cm from the lip),clear breath sounds and proper end-tidal CO_(2) readings were suddenly achieved,and adequate ventilation was *** Preanesthetic anatomical evaluation with imaging studies in TEF is necessary to minimize complications related to airway management.

关键词： Tracheoesophageal fistula Imaging study Anatomy Intubation Airway management Auscultation Case report

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Impact of statin usage patterns on outcomes after percutaneous coronary in-tervention in acute myocardial infarction：Korea Working Group on Myocar-dial Infarction registry （KorMI） study

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Journal of Geriatric Cardiology 2014年第2期11卷 93-99页

作者： Chan-Hee Lee Sang-Hee Lee Jong-seon Park Young-Jo kim Kee-Sik kim Shung-Chull Chae Hyo-Soo kim Dong-Ju Choi myeong-Chan Cho Seung-Woon Rha Myung-Ho Jeong Department of Cardiology Yeungnam University Hospital 170 Hyeonchung-ro Nam-gu Daegu 705-717 South Korea Department of Internal Medicine Daegu Catholic University Hospital 33 Duryugongwon-ro 17-gil Nam-gu Daegu 705-718 South Korea Department of Internal Medicine Kyungpook National University Hospital 130 Dongdeok-ro Jung-gu Daegu 700-721 South Korea Department of Internal Medicine Seoul National University Hospital 101 Daehak-ro Jongno-gu Seoul 110-744 South Korea Department of Internal Medicine Seoul National University Bundang Hospital 82 Gumi-ro 173-gil Bundang-gu Seongnam 463-707 South Korea Department of Internal Medicine Chungbuk National University Hospital 776 1sunhwan-ro Heungdeok-gu Cheongju 361-711 South Korea Department of Internal Medicine Korea University Guro Hospital 148 Gurodong-ro Guro-gu Seoul 152-703 South Korea Department of Internal Medicine Chonnam National University Hospital 42 Jebong-ro Dong-gu Gwangju 501-757 South Korea

Background The benefit of statin use after acute ST-segment elevation myocardial infarction （STEMI） has been well established, however, the influence of the timing of statin administration has not been elucidated. The objective of this study focused on early clinical outcomes after percutaneous coronary intervention （PCI）. Methods This analysis of the Korea Working Group on Myocardial Infarction registry （KorMI） study included 3,584 STEMI patients （mean age, 63 ±13 years;male, 2,684, 74.9%） undergoing PCI from January 2008 to June 2009. Rates of major adverse cardiac events （MACE：all-cause death, recurrent MI, and target lesion revascularization） were compared among patients grouped according to statin therapy timing：I, both during and after hospitalization （n=2,653, 74%）;II, only during hospita-lization （n=309, 8.6%）;III, only after discharge （n=157, 4.4%）;and IV, no statin therapy （n=465, 13%）. Mean follow-up duration was 234 ± 113 days. Results Multivariate factors of statin use during hospitalization included prior statin use, multiple diseased vessels, final thrombolysis in myocardial infarction flow grade III, and low-density lipoprotein cholesterol level. At 6-month follow-up, groups Ⅲ and Ⅳ had the highest MACE rates （2.3%, 3.9%, 5.1%, and 4.9%for groups I-IV, respectively, P=0.004）. After adjusting for confounders, groups Ⅱ-Ⅳ had a higher MACE risk than group Ⅰ [hazard ratio （HR）：3.20, 95%confidence interval （95%CI）：1.31-7.86, P=0.011;HR：3.84, 95%CI：1.47-10.02, P=0.006;and HR：3.17, 95%CI：1.59-6.40, P=0.001;respectively]. Conclusions This study, based on the national registry database, shows early and continuous statin therapy improvs early outcomes of STEMI patients after PCI in real-world clinical prac-tice.

关键词： Statins Acute myocardial infarction Treatment omcome

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Effect of initial precursor concentration on TiO_2 thin film nanostructures prepared by PCVD system

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Journal of Energy Chemistry 2013年第3期22卷 375-381页

作者： Hoang Hai Nguyen Dong-Joo kim Dong-Wha Park Kyo-seon kim Department of Chemical Engineering Kangwon National UniversityChuncheonKangwon-Do200-701Republic of Korea Department of Chemical Engineering and RIC-ETTP(Regional Innovation Center for Environmental Technology of Thermal Plasma) Inha University253 Yonghyun-dongNam-guIncheon402-751Republic of Korea

TiO2 thin film was prepared on Si substrate by plasma chemical vapor deposition （PCVD） system and the morphologies of ZiO2 thin film were controlled by adjusting the initial precursor concentration. As the initial titanium tetra-isopropoxide （TTIP） concentration increases in PCVD reactor, the shapes of TiO2 particles generated in PCVD reactor change from the spherical small-sized particles around 20 nm and spherical large-sized particles around 60 nm to aggregate particles around 100 nm. The TiO2 particles with different shapes deposit on the substrate and become the main building blocks of resulting TiO2 thin film. We observed the TiO2 thin film with smooth morphology at low initial TTIP concentration, granular morphology at medium initial TTIP concentration, and columnar morphology at high initial TTIP concentration. It is proposed that we can prepare the TiO2 thin film with controlled morphologies in one-step process just by adjusting the initial precursor concentration in PCVD .

关键词： plasma chemical vapor deposition thin film growth morphology of TiO2 thin film shape of TiO2 particles

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Performance Study of a Hybrid Heat Pump Dryer based on Numerical Analysis and Experimental Set-up

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Journal of Thermal Science 2021年第1期30卷 111-122页

作者： SHAMSUDDEEN Mohamed Murshid CHA Dong-An kim seon-Chang KANEMOTO Toshiaki kim Jin-Hyuk Industrial Technology Korea University of Science&TechnologyDaejeon 34113Republic of Korea Thermal&Fluid System R&D Group Korea Institute of Industrial TechnologyCheonan 31056Republic of Korea Institute of Ocean Energy Saga UniversityHonjo 1Saga 840-8502Japan

Seafood,especially sea cucumbers and oysters are an expensive delicacy in several Asian *** sun-drying of these products takes 3 to 4 days and fetches a lower market *** industrial drying machines used for seafood drying are unable to dry sea cucumbers and oysters without texture and color degradation as they are delicate,temperature-sensitive and have longer drying *** economical drying system that does not cause texture or color degradation is the heat pump drying system and is commonly applied for agriculture and fabric *** this study,the heat pump technology is applied to develop two hybrid dryer models(bottom discharge and front discharge)to dry shellfish and sea cucumbers in large scale for storage and *** model is tested in a laboratory-scale with wet sponges as input material for its dehumidification capacity and the power consumed to attain the target *** front discharge model is found to have rapid drying capability and *** fluid dynamic tools are used to study the hot air flow behavior and flow uniformity inside the drying *** front discharge model showed smooth uniform flow over the trays with fewer losses in the flow *** front discharge model with higher drying rate,lower power consumption and uniform airflow distribution over the trays is chosen for the industrial-scale design.

关键词： heat pump hybrid dryer CFD drying rate sea cucumber oyster

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Probiotic modulation of dendritic cells co-cultured with intestinal epithelial cells

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World Journal of Gastroenterology 2012年第12期18卷 1308-1318页

作者： Ji Yeun kim myeong Soo Park Geun Eog Ji Department of Food and Nutrition Research Institute of Human EcologyCollege of Human EcologySeoul National University Research Institute Bifido Inc.HongcheonGangwondo 250-804South Korea

AIM： To investigate cytokine production and cell surface phenotypes of dendritic cells （DC） in the presence of epithelial cells stimulated by probiotics.METHODS： Mouse DC were cultured alone or together with mouse epithelial cell monolayers in normal or in- verted systems and were stimulated with heat-killed probiotic bacteria, Bifidobacterium lactis ADO 11 （BL）, Bifidobacterium bilfidum BGN4 （BB）, Lactobacillus casei IBS041 （LC）, and Lactobacillus acidophilus AD031 （LA）, for 12 h. Cytokine levels in the culture supernatants were determined by enzyme-linked immunosorbent as say and phenotypic analysis of DC was investigated by flow cytometry.RESULTS： BB and LC in singlecultured DC increased the expression of I-Ad, CD86 and CD40 （I-Ad, 18.51 vs 30.88, 46.11, CD86, 62.74 vs 92.7, 104.12; CD40, 0.67 vs 6.39, 3.37, P 〈 0.05）. All of the experimental probiot-ics increased the production of inflammatory cytokines, interleukin （IL）-6 and tumor necrosis factor （TNF）-α. However, in the normal coculture systems, LC and LA decreased the expression of I-A^α （39.46 vs 30.32, 33.26, P 〈 0.05）, and none of the experimental probiotics increased the levels of IL-6 or TNF-α. In the inverted coculture systems, LC decreased the expression of CD40 （1.36 vs -2.27, P 〈 0.05）, and all of the experimental probiotics decreased the levels of IL-6. In addition, BL increased the production of IL-10 （103.8 vs 166.0, P 〈 0.05） and LC and LA increased transforming growth factor-13 secretion （235.9 vs 618.9, 607.6, P 〈 0.05）.CONCLUSION： These results suggest that specific pro- biotic strains exert differential immune modulation mediated by the interaction of dendritic cells and epithelial cells in the homeostasis of gastrointestinal tract.

关键词： Dendritic cells Intestinal epithelial cells Pro-biotics Co-culture Immune modulation

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Microstructural evolution of pre-twinned Mg alloy with annealing temperature and underlying boundary migration mechanism

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Journal of Magnesium and Alloys 2023年第8期11卷 2953-2966页

作者： Ye Jin kim Jong Un Lee Gyo myeong Lee Sung Hyuk Park School of Materials Science and Engineering Kyungpook National UniversityDaegu 41566Republic of Korea

This study investigates the variations in the microstructural characteristics of a pre-twinned Mg alloy with the temperature of the subsequent annealing *** this end,a rolled AZ31 alloy is compressed to 3%plastic strain along the rolling direction(RD)to activate{10-12}twinning and is subsequently annealed at 200,250,300,350,and 400℃.Numerous{10-12}twins are formed throughout the compressed material,leading to the formation of a RD-oriented *** an annealing temperature of 200℃,no microstructural variations occur during *** the annealing temperature increases from 250 to 400℃,the residual strain energy and remaining twin boundaries of the annealed material decrease owing to the promoted static recovery and the increased area fraction of twin-free grown ***,an increase in the annealing temperature results in a gradual microstructural transition from a fully twinned grain structure to a completely twin-free grain *** microstructural evolution during annealing is predominantly governed by the movement of high-angle grain boundaries via a strain-induced boundary migration mechanism,and a few twin boundaries migrate above 350℃ because of their lower boundary *** boundary migration behavior and resultant microstructural evolution are discussed in detail based on the variations in boundary mobility and driving force for boundary migration with annealing temperature.

关键词： Rolled Mg alloy {10-12}twin Grain growth Boundary migration Annealing

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Enhancing the Prediction of User Satisfaction with Metaverse Service Through Machine Learning

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Computers, Materials & Continua 2022年第9期72卷 4983-4997页

作者： seon Hong Lee Haein Lee Jang Hyun kim Department of Applied Artificial Intelligence/Department of Human-Artificial Intelligence Interaction Sungkyunkwan UniversitySeoul03063Korea Department of Interaction Science/Department of Human-Artificial Intelligence Interaction Sungkyunkwan UniversitySeoul03063Korea

Metaverse is one of the main technologies in the daily lives of several people,such as education,tour systems,and mobile application ***,the number of users of mobile metaverse applications is increasing owing to the merit of accessibility *** provide an improved service,it is important to analyze online reviews that contain user *** previous studies have utilized traditional methods,such as the structural equation model(SEM)and technology acceptance method(TAM)for exploring user satisfaction,using limited survey *** methods may not be appropriate for analyzing the users of mobile *** overcome this limitation,several researchers perform user experience analysis through online reviews and star ***,some online reviews occasionally have inconsistencies between the star rating and the sentiment of the *** variation disturbs the performance of machine *** alleviate the inconsistencies,Valence Aware Dictionary and sEntiment Reasoner(VADER),which is a sentiment classifier based on lexicon,is *** current study aims to build a more accurate sentiment classifier based on machine learning with *** this study,five sentiment classifiers are used,such as Naïve Bayes,K-Nearest Neighbors(KNN),Logistic Regression,Light Gradient Boosting Machine(LightGBM),and Categorical boosting algorithm(Catboost)with three embedding methods(Bag-of-Words(BoW),Term Frequency-Inverse Document Frequency(TF-IDF),Word2Vec).The results show that classifiers that apply VADER outperform those that do not apply VADER,excluding one classifier(Logistic Regression with Word2Vec).Moreover,LightGBM with TF-IDF has the highest accuracy 88.68%among other models.

关键词： Metaverse ubiquitous computing user satisfaction online review big data VADER machine learning natural language processing

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Environmentally friendly hybrid coating prepared by electro-deposition method at various seawater conditions

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中国有色金属学会会刊：英文版 2009年第B09期19卷 110-113页

作者： myeong-Hoon LEE Kyung-Man MOON Jong-Do kim Kang JUN Kwang-Ho kim Division of Marine System Engineering Korea Maritime University Dongsam-Dong Youngdo Busan 606-791 Korea National Core Research Center for Hybrid Materials Solution Pusan National University Busan 609-735 Korea

The formation mechanism of calcareous deposit films in seawater involves an increase in pH at the metal/solution interface due to cathodic reactions, a raised carbonate ion concentration at the interface and precipitation of inorganic deposits such as CaCO3, Mg(OH)2. Environmentally friendly hybrid calcareous deposit films were formed by an electrochemical technique on steel substrates in various solution environments. And the influence of dissolved gas on formation of calcareous deposit films was investigated by scanning electron microscopy(SEM), energy dispersive spectroscopy(EDS) and X-ray diffractometry(XRD). Consequently, these results showed that formation of good overall calcareous deposited films by dissolved gas in seawater environments can be achieved by controlling the material composition and structure through effective use of electrochemical method.

关键词：海水混合环保电沉积扫描电子显微镜涂层制备溶液界面

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Information Extraction Based on Multi-turn Question Answering for Analyzing Korean Research Trends

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Computers, Materials & Continua 2023年第2期74卷 2967-2980页

作者： seongung Jo Heung-seon Oh Sanghun Im Gibaeg kim seonho kim School of Computer Science and Engineering KOREATECHCheonan31253Korea Korea Institute of Science and Technology Information KISTIDaejeon34141Korea

Analyzing Research and Development(R&D)trends is important because it can influence future decisions regarding R&D *** typical trend analysis,topic or technology taxonomies are employed to compute the popularities of the topics or codes over *** it is simple and effective,the taxonomies are difficult to manage because new technologies are introduced ***,recent studies exploit deep learning to extract pre-defined targets such as problems and *** on the recent advances in question answering(QA)using deep learning,we adopt a multi-turn QA model to extract problems and solutions from Korean R&D *** the previous research,we use the reports directly and analyze the difficulties in handling them using QA style on Information Extraction(IE)for sentence-level benchmark *** investigating the characteristics of Korean R&D,we propose a model to deal with multiple and repeated appearances of targets in the ***,we propose a model that includes an algorithm with two novel modules and a prompt.A newly proposed methodology focuses on reformulating a question without a static template or pre-defined *** show the effectiveness of the proposed model using a Korean R&D report dataset that we constructed and presented an in-depth analysis of the benefits of the multi-turn QA model.

关键词： Natural language processing information extraction question answering multi-turn Korean research trends

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