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Comparison on colonoscopic parameters according to length of adult-colonoscope

Chinese Medical Journal 2014年第1期127卷 85-91页

作者： seung-hwa lee Duck-Joo lee Center for Health Promotion Department of Family Practice andCommunity Health Ajou University School of Medicine SuwonRepublic of Korea

Background High success rate of intubation and short intubation time have been needed to endoscopists for a complete and comfortable coolonoscopy,if *** purpose of present study was to compare procedure efficiencies according to adult-colonoscope *** This was a prospective,randomized,single-blinded controlled trial.A total of 239 healthy Korean subjects were randomly assigned to two groups：one group receiving intermediate-length adult-colonoscope （n=119）,and the other group receiving long-length adult-colonoscope （n=120）.Cecal intubation time and rate,and terminal ileal intubation time and rate as well as other procedure-related outcomes （adenoma detection rate,withdrawal time,and total procedure time） were *** There were significant differences in cecal intubation time and terminal ileal intubation rate according to colonoscope *** time of cecal intubation was shorter in the intermediate-scope group than that in the long-scope group （（222.13±101.67） s vs.（253.85±109.40） s,P=-0.014）.However,the rate of terminal ileal intubation was higher in the long-scope group than that in the intermediate-scope group （94.2％ vs.83.2％,P=-0.007）.In addition,terminal ileal intubation time was also shorter in the long-scope group than that in the intermediate-scope group （（35.21±38.89） s vs.（44.09±33.87） s,P ＜0.001）.There were no significant differences in other procedure-related outcomes between the two *** The intermediate-length adult-colonoscope had an advantage over the long-length adult-colonoscope regarding cecal intubation time,whereas the long-scope had an advantage over the intermediate-scope regarding the rate and time of terminal ileal *** results suggest that it is rational to prepare and use these two types of colonoscope properly,instead of employing only one type of colonoscope.

关键词： colonoscopy intubation time intubation rate colonoscope length

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Diagnostic value of maximal-outer-diameter and maximal-mural-thickness in use of ultrasound for acute appendicitis in children

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World Journal of Gastroenterology 2009年第23期15卷 2900-2903页

作者： Bo-Kyung Je Sung-Bum Kim seung hwa lee Ki Yeol lee Sang Hoon Cha Department of Radiology College of Medicine Korea University #516 Gojan1-Dong Danwon-Gu Ansan-City Gyeonggi-Do 425-707 South Korea Department of Internal Medicine Dongshin Hospital #430 Hongeundong Seodaemungu Seoul 120-100 South Korea

MM： To evaluate the maximal-outer-diameter （MOD） and the maximal-mural-thickness （MMT） of the appendix in children with acute appendicitis and to determine their optimal cut-off values to diagnose acute appendicitis.METHODS： In total, 164 appendixes from 160 children between 1 and 17 years old （84 males, 76 females; mean age, 7.38 years） were examined by high-resolution abdominal ultrasound for acute abdominal pain and the suspicion of acute appendicitis. We measured the MOD and the MMT at the thickest point of the appendix. Patients were categorized into two groups according to their medical records： patients who had surgery （surgical appendix group） and patients who did not have surgery （non-surgical appendix group）. Data were analyzed by MedCalc v.9.3. The rank sum test （Mann-Whitney test） was used to evaluate the difference in the MOD and the MMT between the two groups. ROC curve analysis was used to determine the optimal cut-off value of the MOD and the MMT on diagnosis of acute appendicitis.RESULTS： There were 121 appendixes （73.8%） in the non-surgical appendix group and 43 appendixes （26.2%） in the surgical appendix group. The median MOD differed significantly between the two groups （0.37 cm vs 0.76 cm, P〈 0.0001）, and the median MMT also differed （0.15 cm vs 0.33 cm, P 〈 0.0001）. The optimal cut-off value of the MOD and the MMT for diagnosis of acute appendicitis in children was 〉 0.57 cm （sensitivity 95.4%, specificity 93.4%） and 〉 0.22 cm （sensitivity 90.7%, specificity 79.3%）, respectively.CONCLUSION： The MOD and the MMT are reliable criteria to diagnose acute appendicitis in children. An MOD 〉 0.57 cm and an MMT 〉 0.22 cm are the optimal criteria.

关键词： Appendicitis Ultrasonography Pediatrics Diagnosis ROC curve

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Colonic mucosa-associated lymphoid tissue lymphoma identified by chromoendoscopy

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World Journal of Gastroenterology 2014年第48期20卷 18487-18494页

作者： Sang-Wook Seo seung-hwa lee Duck-Joo lee Kwang-Min Kim Joon-Koo Kang Do-Wan Kim Jeong-Hun lee Center for Health Promotion Department of Family Practice and Community Health Ajou University School of Medicine Suwon 443-380 South Korea Department of Gastroenterology Ajou University School of Medicine Suwon 443-380 South Korea Department of Anesthesiology Ajou University School of Medicine Suwon 443-380 South Korea Department of Surgery Ajou University School of Medicine Suwon 443-380 South Korea

Colonic mucosa-associated lymphoid tissue (MALT) lymphomas are a rare occurrence and the definitive treatment has not been established. Solitary or multiple, elevated or polypoid lesions are the usual appearances of MALT lymphoma in the large intestine and sometimes the surface may reveal abnormal vascularity. Herein, we report a case of MALT lymphoma and review the relevant literature. Upon colonoscopy, a suspected pathologic lesion was observed in the proximal transverse colon. The lesion could be distinguished more prominently after using narrow-band imaging mode and indigo carmine-dye spraying chromoendoscopy. Histopathologic examination of this biopsy specimen revealed lymphoepithelial lesions with diffuse proliferation of atypical lymphoid cells effacing the glandular architecture and centrocyte-like cells infiltrating the lamina propria. Immunohistochemical analyses showed that tumor cells were positive for CD20 and Bcl-2e, and negative for CD10, CD23, and Bcl-6. According to Ann-Arbor staging system, the patient had stage IIE. A partial colectomy with dissection of the paracolic lymph nodes was performed. Until now, there is no recurrence of lymphoma at follow-up.

关键词： Chromoendoscopy Lymphoma Mucosa-associated lymphoid tissue Narrow-band imaging mode

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Synergistically coupling of Ni–Fe LDH arrays with hollow Co–Mo sulfide nanotriangles for highly efficient overall water splitting

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Rare Metals 2024年第2期43卷 522-532页

作者： Yun Jae lee seung-Keun Park Department of Advanced Materials Engineering Chung-Ang UniversityAnseongGyeonggi-do17546Republic of Korea Department of Intelligent Energy and Industry Chung-Ang University84 Heukseok-ro Dongjak-guSeoul06974Republic of Korea Western Seoul Center Korea Basic Science Institute150 Bugahyeon-roSeodaemun-guSeoul03759Republic of Korea

Developing bifunctional catalysts that can catalyze both oxygen evolution reaction(OER)and hydrogen evolution reaction(HER)is pivotal to commercializing large-scale water ***,a novel hollow nanotriangle composed of NiFe LDH-CoMoS_(x) heterojunction(H-CMSx@NiFe LDH)is proposed as a highly efficient bifunctional electrocatalyst for both OER and *** fabricate a heterojunction system,ultra-thin nickel–iron layered double hydroxide(NiFe LDH)nanosheets are uniformly electrodeposited onto a metal–organic framework-derived hollow CoMoS_(x) *** strong coupling of CoMoS_(x) and NiFe LDH catalysts forms the intimate heterojunction interfaces to facilitate interfacial charge transfer,which is favorable to enhance the bifunctional catalytic ***,the large void of CoMoS_(x) nanotriangles and interconnected ultra-thin NiFe LDH nanosheets result in good electrolyte penetration and gas ***,the as-prepared H-CMSx@NiFe LDH on nickel foam(NF)exhibits an impressive catalytic activity and durability for OER and HER activities,delivering a current density of 100 mA·cm^(−2) at the small overpotentials of 214 and 299 mV in OER and HER,***,H-CMSx@NiFe LDH/NF proves to be an effective electrode for an alkaline electrolyzer,as a voltage of only 1.99 V is enough to achieve a current density voltage of only 1.99 V is enough to achieve a current density of 400 mA·cm^(−2) with no degradation in performance over 50 h.

关键词： Overall water splitting Metal-organic framework Molybdenum sulfide Layered double hydroxide Heterojunction

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Adverse effects of early-life stress:focus on the rodent neuroendocrine system

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Neural Regeneration Research 2024年第2期19卷 336-341页

作者： seung Hyun lee Eui-Man Jung Department of Molecular Biology College of Natural SciencesPusan National UniversityBusanRepublic of Korea

Early-life stress is associated with a high prevalence of mental illnesses such as post-traumatic stress disorders,attention-deficit/hyperactivity disorder,schizophrenia,and anxiety or depressive behavior,which constitute major public health *** the early stages of brain development after birth,events such as synaptogenesis,neuron maturation,and glial differentiation occur in a highly orchestrated manner,and external stress can cause adverse long-term effects throughout *** body utilizes multifaceted mechanisms,including neuroendocrine and neurotransmitter signaling pathways,to appropriately process external *** individuals first exposed to early-life stress deploy neurogenesis as a stress-defense mechanism;however,in adulthood,early-life stress induces apoptosis of mature neurons,activation of immune responses,and reduction of neurotrophic factors,leading to anxiety,depression,and cognitive and memory *** process involves the hypothalamus-pituitary-adrenal axis and neurotransmitters secreted by the central nervous system,including norepinephrine,dopamine,and *** rodent early-life stress model is generally used to experimentally assess the effects of stress during *** paper reviews the use of the early-life stress model and stress response mechanisms of the body and discusses the experimental results regarding how early-life stress mediates stress-related pathways at a high vulnerability of psychiatric disorder in adulthood.

关键词： early-life stress hypothalamic-pituitary-adrenergic axis maternal separation mental illness neurodevelopmental disorder neuroendocrine system neurotransmitter

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Colonoscopy procedural skills and training for new beginners

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World Journal of Gastroenterology 2014年第45期20卷 16984-16995页

作者： seung-hwa lee Young-Kyu Park Duck-Joo lee Kwang-Min Kim Center for Health Promotion Ajou University School of Medicine Center for Health Promotion Bundang Jesaeng Hospital

The incidence of colorectal cancer has been increasing in the developed world including South Korea and *** allows for greater diagnostic specificity and sensitivity compared with other types of examinations,such as the stool occult blood test,barium enema,and computed tomography ***,in recent years,the demand for colonoscopies has grown *** beginners including primary care physicians may help meet the increasing demand by performing ***,it is a challenge to learn the procedure due to the long learning-curve and the high rate of complications,such as perforation and bleeding,as compared to ***,considerable training and experience are required for optimal performance of *** order to perform a complete colonoscopic examination,there were a few important thingsto learn and remember,such as the position of examinee(e.g.,left and right decubitus,supine,and prone)and examiner(two-man method vs one-man standing method vs one-man sitting method),basic skills(e.g.,tip deflection,push forward and pull back,torque,air suction and insufflation),advanced skills(e.g.,jiggling and shaking,right and left turn shortening,hooking,and slide-by technique),assisting skills(e.g.,position change of examinee,abdominal compression,breathing-holding,and liquid-infusion technique),and intubation techniques along the lower gastrointestinal *** this article,we attempt to describe the methods of insertion and advancement of the colonoscope to the new beginners including primary care *** believe that this article may be helpful to the new beginners who wish to learn the procedure.

关键词： Colonoscopy Beginner Training Proce-dural skills

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Translation and psychometric validation of the Korean version of the academic nurse self-efficacy scale for Korean bachelor-level nursing students

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Frontiers of Nursing 2024年第2期11卷 209-219页

作者： Eunkyung lee Jin-hwa Park College of Nursing Institute of Nursing ScienceDaegu Catholic UniversityNam-guDaegu 42472Republic of Korea

Objective:This study aimed to translate the Academic Nurse Self-Efficacy scale(ANSE),assess its appropriateness for use in Korean nursing students,and evaluate the Korean Version of the Academic Nurse Self-Efficacy scale’s(K-ANSE)validity and ***:The data of 444 nursing college students at 10 universities across the country were collected from November 1,2020 to June 8,*** K-ANSE was analyzed utilizing SPSS 25.0 and AMOS 25.0 *** K-ANSE’s content validity,construct validity,convergent/discriminant validity,criterion-related validity,and reliability were ***:Internal emotion management,auto-regulatory behavior,external emotion management,and sociality were *** Cronbach’sαfor the overall scale was 0.87,and that of the 4 subscales ranged from 0.70 to ***:The Korean version of the ANSE seems to be a valid and reliable instrument to measure Korean bachelor-level nursing students.

关键词： academic self-efficacy Baccalaureate confirmatory factor analysis nursing students psychometrics translation and adaptation

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Technical skills and training of upper gastrointestinal endoscopy for new beginners

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World Journal of Gastroenterology 2015年第3期21卷 759-785页

作者： seung-hwa lee Young-Kyu Park Sung-Min Cho Joon-Koo Kang Duck-Joo lee Health Promotion Center Ajou University School of MedicineSuwon 443-380South Korea Health Promotion Center Bundang Jaesang HospitalKwandong University School of MedicineSeongnam 463-774South Korea Department of Gastroenterology Ajou University School of MedicineSuwon 443-380South Korea

The incidence of gastric cancer remains high in *** gastrointestinal(GI) endoscopy,i.e.,esophagogastroduodenoscopy(EGD),has a higher diagnostic specificity and sensitivity than the upper GI ***,EGD has the ability to biopsy,through taking a tissue of the pathologic *** training of EGD procedural skills require a few important things to be learned and remembered,including the posture of an examinee(e.g.,left lateral decubitus and supine) and examiner(e.g.,one-man standing method vs one-man sitting method),basic skills(e.g.,tip deflection,push forward and pull back,and air suction and infusion),advanced skills(e.g.,paradoxical movement,J-turn,and U-turn),and intubation techniques along the upper GI tract(e.g.,oral cavity,pharynx,larynx including vocal cord,upper and middle and lower esophagus,gastroesophageal junction,gastric fundus,body,and antrum,duodenal bulb,and descending part of duodenum).In the current review,despite several limitations,we explained the intubation method of EGD for *** hope this will be helpful to beginners who wish to learn the procedure.

关键词： Upper gastrointestinal endoscopy Esophagogastroduo

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Ionizing terahertz waves with 260 MV/cm from scalable optical rectification

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Light(Science & Applications) 2024年第6期13卷 1075-1087页

作者： Hyeongmun Kim Chul Kang Dogeun Jang Yulan Roh Sang hwa lee Joong Wook lee Jae Hee Sung Seong Ku lee Ki-Yong Kim Advanced Photonics Research Institute GISTGwangju61005Korea Department of Physics and Optoelectronics Convergence Research Center Chonnam National UniversityGwangju61186Korea Pohang Accelerator Laboratory POSTECHPohang37673Korea Center for Relativistic Laser Science Institute for Basic ScienceGwangju61005Korea Institute for Research in Electronics and Applied Physics Department of PhysicsUniversity of MarylandCollege ParkMaryland20742USA

Terahertz(THz)waves,known as non-ionizing radiation owing to their low photon energies,can actually ionize atoms and molecules when a sufficiently large number of THz photons are concentrated in time and ***,we demonstrate the generation of ionizing,multicycle,15-THz waves emitted from large-area lithium niobate crystals via phase-matched optical rectification of 150-terawatt laser pulses.A complete characterization of the generated THz waves in energy,pulse duration,and focal spot size shows that the field strength can reach up to 260 megavolts per *** particular,a single-shot THz interferometer is employed to measure the THz pulse duration and spectrum with complementary numerical *** intense THz pulses are irradiated onto various solid targets to demonstrate THz-induced tunneling ionization and plasma *** study also discusses the potential of nonperturbative THz-driven ionization in gases,which will open up new opportunities,including nonlinear and relativistic THz physics in plasma.

关键词： optical interferometer matched

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Anonymous TollPass: A Blockchain-Based Privacy-Preserving Electronic Toll Payment Model

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Computers, Materials & Continua 2024年第6期79卷 3495-3518页

作者： Jane Kim Soojin lee Chan Yeob Yeun seung-Hyun Seo Department of Electronic&Electrical Engineering Graduate SchoolHanyang UniversitySeoul04763Korea Department of Electrical Engineering and Computer Science Khalifa University of Science and TechnologyAbu Dhabi127788United Arab Emirates School of Electrical Engineering Hanyang UniversityERICAAnsan15588Korea

As big data,Artificial Intelligence,and Vehicle-to-Everything(V2X)communication have advanced,Intelligent Transportation Systems(ITS)are being developed to enable efficient and safe transportation *** Toll Collection(ETC),which is one of the services included in ITS systems,is an automated system that allows vehicles to pass through toll plazas without stopping for manual *** ETC system is widely deployed on highways due to its contribution to stabilizing the overall traffic system *** ensure secure and efficient toll payments,designing a distributed model for sharing toll payment information among untrusted toll service providers is ***,the current ETC system operates under a centralized ***,both toll service providers and toll plazas know the toll usage history of *** raises concerns about revealing the entire driving routes and patterns of *** address these issues,blockchain technology,suitable for secure data management and data sharing in distributed systems,is being applied to the ETC *** enables efficient and transparent management of ETC ***,the public nature of blockchain poses a challenge where users’usage records are exposed to all *** tackle this,we propose a blockchain-based toll ticket model named AnonymousTollPass that considers the privacy of *** proposed model utilizes traceable ring signatures to provide unlinkability between tickets used by a vehicle and prevent the identity of the vehicle using the ticket from being identified among the ring members for the ***,malicious vehicles’identities can be traced when they attempt to reuse *** conducting simulations,we show the effectiveness of the proposed model and demonstrate that gas fees required for executing the proposed smart contracts are only 10%(when the ring size is 50)of the fees required in previous studies.

关键词： Blockchain electronic toll collection smart contract traceable ring signature

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