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Use of a clinical pathway in laparoscopic gastrectomy for gastric cancer

World Journal of Gastroenterology 2015年第48期21卷 13507-13517页

作者： Hee sung kim sun oak kim Byung Sik kim Department of Gastric Surgery Asan Medical CenterUlsan University School of Medicine Department of Clinical Epidemiology and Biostatistics Asan Medical CenterUlsan University School of Medicine

AIM: To evaluate the implementation of a clinical pathway and identify clinical factors affecting the clinical pathway for laparoscopic ***: A standardized clinical pathway for gastric cancer(GC) patients was developed in 2001 by the GC surgery team at the Asan Medical Center. We reviewed the collected data of 4800 consecutive patients treated using the clinical pathway following laparoscopic gastrectomy with lymph node dissection for GC involving intracorporeal and extracorporeal anastomosis. The patients were treated between August 2004 and October 2013 in a single institution. To evaluate the rate of completion and risk factors affecting dropout from the clinical pathway, we used a multivariate logistic regression ***: The overall completion rate of the clinical pathway for laparoscopic gastrectomy was 84.1%(n = 4038). In the comparison between groups of intracorporeal anastomosis and extracorporeal anastomosis patients, the completion rates were 8 3. 8 8 %(n = 1 7 4 0) a n d 8 4. 3 6 %(n = 2 0 7 1), respectively, showing no statistically significant difference. The main reasons for dropping out were postoperative complications(n = 463, 9.7%) and the need for patient observation(n = 299, 6.2%). Among the discharged patients treated using the clinical pathway, the number of patients who were readmitted within 30 d due to postoperative complications was 54(1.1%). In a multivariate analysis, the intraoperative events(OR = 2.558) were the most predictable risk factors for dropping out of the clinical pathway. Additionally, being male(OR = 1.459), advanced age(OR = 1.727), total gastrectomy(OR = 2.444), combined operation(OR = 1.731), and ASA score(OR = 1.889) were significant risk factors affecting the dropout rate from the clinical ***: Laparoscopic gastrectomy appears to be a good indication for the application of a clinical pathway. For successful application, patients with risk factors should be managed carefully.

关键词： Clinical pathway Laparoscopic gastrectomy Gastric cancer Extracorporeal anastomosis Intracorporealanastomosis

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Mechanical properties of high-strength concrete subjected to high temperature by stressed test

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中国有色金属学会会刊：英文版 2009年第B9期19卷 128-133页

作者： Gyu-Yong kim Young-sun kim Tae-Gyu LEE Division of Architecture Engineering Chun gnam National University

Recently, the effects of high temperature on compressive strength and elastic modulus of high strength concrete were experimentally investigated. The present study is aimed to study the effect of elevated temperatures ranging from 20 ℃ to 700 ℃ on the material mechanical properties of high-strength concrete of 40, 60 and 80 MPa grade. During the strength test, the specimens are subjected to a 25% of ultimate compressive strength at room temperature and sustained during heating, and when the target temperature is reached, the specimens are loaded to failure. The tests were conducted at various temperatures (20-700 ℃) for concretes made with W/B ratios of 46%, 32% and 25%, respectively. The results show that the relative values of compressive strength and elastic modulus decrease with increasing compressive strength grade of specimen.

关键词：高强混凝土高温作用力学性能测试抗压强度温度升高弹性模量强度试验

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Oral TNF-αsiRNA delivery via milk-derived exosomes for effective treatment of inflammatory bowel disease

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Bioactive Materials 2024年第4期34卷 138-149页

作者： Geonhee Han Hyosuk kim Hochung Jang Eun sun kim sun Hwa kim Yoosoo Yang KU-KIST Graduate School of Converging Science and Technology Korea UniversitySeoul02841Republic of Korea Medicinal Materials Research Center Biomedical Research DivisionKorea Institute of Science and Technology(KIST)Seoul02792Republic of Korea Division of Bio-Medical Science and Technology KIST SchoolUniversity of Science and TechnologySeoul02792Republic of Korea Department of Internal Medicine Korea University College of MedicineSeoul02841Republic of Korea

Oral administration facilitates the direct delivery of drugs to lesions within the small intestine and colon,making it an ideal approach for treating patients with inflammatory bowel ***,multiple physical barriers impede the delivery of oral RNA drugs through the gastrointestinal ***,we developed a novel oral siRNA delivery system that protects nucleic acids in extreme environments by employing exosomes derived from milk to encapsulate tumor necrosis factor-alpha(TNF-α)siRNA *** remarkable structural stability of milk-derived exosomes(M-Exos),as opposed to those from HEK293T cells,makes them exceptional siRNA *** demonstrate that milk exosomes loaded with TNF-αsiRNA(M-Exo/siR)can effectively inhibit the expression of TNF-α-related inflammatory ***,given that milk exosomes are composed of unique lipids with high bioavailability,orally administered M-Exo/siR effectively reach colonic tissues,leading to decreased TNF-αexpression and successful alleviation of colitis symptoms in a dextran sulfate sodium-induced inflammatory bowel disease murine ***,milk-derived exosomes carrying TNF-αsiRNA can be effectively employed to treat inflammatory bowel ***,using exosomes naturally derived from milk may shift the current paradigm of oral gene delivery,including siRNA.

关键词： Milk-derived exosome Oral gene delivery siRNA Inflammatory bowel disease TNF-α

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Experimental Study on the Inlet Fogging System Using Two-Fluid Nozzles

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Journal of Thermal Science 2010年第2期19卷 132-135页

作者： Abhilash Suryan Dong sun kim Heuy Dong kim School of Mechanical Engineering Andong National University FMTRC Daejoo Machinery Co.

Large-capacity compressors in industrial plants and the compressors in gas turbine engines consume a considerable amount of power. The compression work is a strong fimction of the ambient air temperature. This increase in compression work presents a significant problem to utilities, generators and power producers when electric demands are high during the hot months. In many petrochemical process industries and gas turbine engines, the in- crease in compression work curtails plant output, demanding more electric power to drive the system. One way to counter this problem is to directly cool the inlet air. Inlet fogging is a popular means of cooling the inlet air to air compressors. In the present study, experiments have been performed to investigate the suitability of two-fluid nozzle for inlet fogging. Compressed air is used as the driving working gas for two-fluid nozzle and water at am- bient conditions is dragged into the high-speed air jet, thus enabling the entrained water to be atomized in a very short distance from the exit of the two-fluid nozzle. The air supply pressure is varied between 2.0 and 5.0 bar and the water flow rate entrained is measured. The flow visualization and temperature and relative humidity measurements are carried out to specify the fogging characteristics of the two-fluid nozzle.

关键词： Evaporative Cooling Inlet Fogging Energy Savings Two-fluid Nozzles

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Phylogenetic relationship,biogeography,and conservation genetics of endangered Fraxinus chiisanensis(Oleaceae),endemic to South Korea

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Plant Diversity 2022年第2期44卷 170-180页

作者： Changkyun kim Dong-Kap kim Hang sun Joo-Hwan kim Plant Research Division Honam National Institute of Biological ResourcesMokpo 58762Republic of Korea Forest Biodiversity Division Korea National ArboretumPocheon 11186Republic of Korea CAS Key Laboratory for Plant Biodiversity and Biogeography of East Asia Kunming Institute of BotanyChinese Academy of SciencesKunming 650204YunnanPR China Department of Life Science Gachon UniversitySeongnam 13120Republic of Korea

Endemic plants are important for understanding phylogenetic relationships,biogeographical history,and genetic variation because of their restricted distribution and their role in conserving ***,we investigated the phylogenetic relationships of the Korean endemic Fraxinus chiisanensis by reconstructing the molecular phylogeny of Fraxinus based on two nuclear DNA(nrITS and phantastica)and two chloroplast DNA(psbA-trnH and rp132-trnL)*** our fossil-calibrated phylogenetic framework,we also inferred the biogeographical history of *** provide a scientific basis for the conservation of ***,we determined the levels of genetic diversity and genetic differentiation in this *** information from nuclear and chloroplast DNA sequence data,our molecular phylogenetic analyses identified *** as a genetically distinct unit from its sister group,Fraxinus platypoda from *** molecular dating analyses using nuclear and chloroplast DNA data sets show *** diverged from its sister *** in the Early or Middle Miocene and differentiated in the Late Miocene on the Korean *** results suggest that the divergence of *** was associated with the submergence of the East China Sea land bridge and enhanced monsoons in East *** compared to ***,*** exhibits low genetic diversity within populations and high genetic differentiation among *** results help us to understand the evolutionary history of *** and to develop a conservation strategy for this species.

关键词： East China Sea land bridge Endemic species Fraxinus chiisanensis Korean Peninsula Genetic diversity Biogeography

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Replica higher-order topology of Hofstadter butterflies in twisted bilayer graphene

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npj Computational Materials 2023年第1期9卷 783-791页

作者： sun-Woo kim sunam Jeon Moon Jip Park Youngkuk kim Department of Physics KAISTDaejeonRepublic of Korea Department of Materials Science and Metallurgy University of CambridgeCambridgeUK Department of Energy Science Sungkyunkwan UniversitySuwonRepublic of Korea Center for Theoretical Physics of Complex Systems Institute for Basic Science(IBS)DaejeonRepublic of Korea Department of Physics Hanyang UniversitySeoulRepublic of Korea Department of Physics Sungkyunkwan UniversitySuwonRepublic of Korea

The Hofstadter energy spectrum of twisted bilayer graphene(TBG)is found to have recursive higher-order topological *** demonstrate that higher-order topological insulator(HOTI)phases,characterized by localized corner states,occur as replicas of the original HOTIs to fulfill the self-similarity of the Hofstadter *** show the existence of exact flux translational symmetry in TBG at all commensurate *** on this result,we identify that the original HOTI phase at zero flux is re-entrant at a half-flux periodicity,where the effective twofold rotation is *** addition,numerous replicas of the original HOTIs are found for fluxes without protecting *** the original HOTIs,replica HOTIs feature both localized corner states and edge-localized real-space topological *** replica HOTIs originate from the different interaction scales,namely,intralayer and interlayer couplings,in *** topological aspect of Hofstadter butterflies revealed in our results highlights symmetry-protected topology in quantum fractals.

关键词： properties spectrum topological

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Byte Frequency Based Indicators for Crypto-Ransomware Detection from Empirical Analysis

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Journal of Computer Science & Technology 2022年第2期37卷 423-442页

作者： Geun Yong kim Joon-Young Paik Yeongcheol kim Eun-sun Cho Department of Computer Science and Engineering Chungnam National UniversityDaejeon 34134South Korea School of Computer Science and Technology Tiangong UniversityTianjin 300387China

File entropy is one of the major indicators of crypto-ransomware because the encryption by ransomware increases the randomness of file ***,entropy-based ransomware detection has certain limitations;for example,when distinguishing ransomware-encrypted files from normal files with inherently high-level entropy,misclassification is very *** addition,the entropy evaluation cost for an entire file renders entropy-based detection impractical for large *** this paper,we propose two indicators based on byte frequency for use in ransomware detection;these are termed EntropySA and DistSA,and both consider the interesting characteristics of certain file subareas termed“sample areas”(SAs).For an encrypted file,both the sampled area and the whole file exhibit high-level randomness,but for a plain file,the sampled area embeds informative structures such as a file header and thus exhibits relatively low-level randomness even though the entire file exhibits high-level *** and DistSA use“byte frequency”and a variation of byte frequency,respectively,derived from sampled *** indicators cause less overhead than other entropy-based detection methods,as experimentally proven using realistic ransomware *** evaluate the effectiveness and feasibility of our indicators,we also employ three expensive but elaborate classification models(neural network,support vector machine and threshold-based approaches).Using these models,our experimental indicators yielded an average Fl-measure of 0.994 and an average detection rate of 99.46%for file encryption attacks by realistic ransomware samples.

关键词： computer security cryptography machine learning ransomware

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Impact of surgical volume on nationwide hospital mortality after pancreaticoduodenectomy

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World Journal of Gastroenterology 2012年第31期18卷 4175-4181页

作者： Chul-Gyu kim sungho Jo Jae sun kim Department of Nursing Cheongju UniversityCheongjuChungbuk 360-764South Korea Department of Surgery Dankook University College of MedicineCheoanChungnam 330-714South Korea Health Insurance Review and Assessment Service Seoul 137-706South Korea

AIM:To evaluate the impact of surgical volume on nationwide hospital mortality after pancreaticoduodenectomy(PD) for periampullary tumors in South ***:Periampullary cancer patients who underwent PD between 2005 and 2008 were analyzed from the database of the Health Insurance Review and Assessment Service of South Korea.A total of 126 hospitals were divided into 5 categories,each similar in terms of surgical volume for each *** used hospital mortality as a quality indicator,which was defined as death during the hospital stay for PD,and calculated adjusted mortality through multivariate logistic models using several confounder ***:A total of eligible 4975 patients were enrolled in this *** annual surgical volume of hospitals was markedly varied,ranging from 215 PDs in the very-high-volume hospital to < 10 PDs in the verylow-volume *** route,type of medical security,and type of operation were significantly different by surgical *** overall hospital mortality was 2.1% and the observed hospital mortality by surgical volume showed statistical *** volume,age,and type of operation were independent risk factors for hospital death,and adjusted hospital mortality showed a similar difference between hospitals with observed *** result of the HosmerLemeshow test was 5.76(P = 0.674),indicating an acceptable appropriateness of our regression ***:The higher-volume hospitals showed lower hospital mortality than the lower-volume hospitals after PD in South Korea,which were clarified through the nationwide database.

关键词： Hospital mortality Pancreaticoduodenecto-my South Korea Databases Factual Logistic models Risk factors

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Injection molding of micro patterned PMMA plate

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Transactions of Nonferrous Metals Society of China 2011年第A1期21卷 148-152页

作者： Yeong-Eun YOO Tae-Hoon kim Tae-Jin JE Doo-sun CHOI Chang-Wan kim sun-Kyung kim Department of Nanomanufacturing Technology KIMM 171 Jang-dong Yusung-gu Daejeon 305-343 Korea Department of Product Design and Manufacturing Seoul National University of Technology

A plastic plate with surface micro features was injection molded to investigate the effect of pressure rise of melt on the replication of the micro structures. Prism pattern, which is used in many optical applications, was selected as a model pattern. The prism pattern is 50 μm in pitch and 108° in the vertical angle. The overall size of the plate was 335 minx213 mm and the thickness of the plate varied linearly from 2.6 mm to 0.7 ram. The prism pattern was firstly machined on the nickel plated core block using micro diamond tool and this machined pattern core was installed in a mold for injection molding of prism patterned plate. Polymethyl methacrylate （PMMA） was used as a molding material. The pressure and temperature of the melt in the cavity were measured at different positions in the cavity and the replication of the pattern was also measured at the same positions. The results show that the pressure or temperature profile through the process depends on the shape and the size of the plate. The replication is affected by the temperature and pressure profiles at the early stage of filling, which is right after the melt reaches the position to be measured.

关键词： micro prism pattern injection molding replication pressure profile temperature profile

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Chemical surface tuning of zinc metal anode toward stable,dendrite-less aqueous zinc-ion batteries

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Journal of Energy Chemistry 2023年第11期86卷 1-8,I0001页

作者： Pranav Kulkarni sun-Sik kim Hyun Young Jung Department of Energy Engineering Gyeongsang National UniversityJinju-siGyeongnam 52725South Korea Department of Energy System Engineering Gyeongsang National UniversityJinju-siGyeongnam 52725South Korea

The commercialization of Zn batteries is confronted with urgent challenges in the metal anode,such as dendrite formation,capacity loss,and cracking or ***,surface interfacial engineering of the Zn anode is introduced for achieving safety and dendritic-free cycling for high-performance aqueous Zn batteries through a simple but highly effective chemical etching-substitution *** chemical modification induces a rough peak-valley surface with a thin fluorine-rich interfacial layer on the Zn anode surface,which regulates the growth orientation via guiding uniform Zn plating/stripping,significantly enhances accessibility to aqueous electrolytes and improves wettability by reducing surface *** a result,such a synergetic surface effect enables uniform Zn plating/stripping with low polarization of 29 m V at a current density of 0.5 m A cm^(-2) with stable cyclic performance up to 1000 ***,a full cell composed of a fluorine-substituted Zn anode coupled with aβ-MnO_(2)or Ba-V_(6)O_(13)cathode demonstrates improved capacity retention to 1000 cycles compared to the pristine-Zn *** proposed valley deposition model provides the practical direction of surface-modified interfacial chemistries for improving the electrochemical properties of multivalent metal anodes via surface tuning.

关键词： Dendrite free Peak-Valley surface Zinc-ion batteries Surface modification Fluorinated interface

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