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Revision of bilateral self-expandable metallic stents placed using the stent-in-stent technique for malignant hilar biliary obstruction

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Hepatobiliary & Pancreatic Diseases International 2018年第5期17卷 437-442页

作者： Jun Hyuk Son Hee Seung Lee Sang Hyub Lee Seungmin Bang Jinwoo Kang Woo Hyun paik Ji Kon Ryu Yong-Tae Kim Department of Internal Medicine and Liver Research Institute Seoul National University HospitalSeoul National University College of MedicineSeoulKorea Department of Internal Medicine Inje University Ilsan Paik HospitalGoyangKorea Department of Internal Medicine Institute of GastroenterologyYonsei University College of MedicineSeoulKorea Department of Gastroenterology and Hepatology SMG-SNU Boramae Medical CenterSeoulKorea

Background: Endoscopic biliary decompression using bilateral self-expandable metallic stent(SEMS) placed using the stent-in-stent(SIS) technique is considered favorable for unresectable malignant hilar biliary obstruction(MHBO). However, occlusion of the bilateral SIS placement is frequent and revision can be challenging. This study was performed to investigate the efficacy, the long-term patency and the appropriate approach for revision of occluded bilateral SIS placement in unresectable MHBO. Methods: From January 2011 to July 2016, thirty-eight patients with unresectable MHBO underwent revision of occluded bilateral SIS placement. Clinical data including success rates and patency of revision, were retrospectively analyzed. Results: The technical success rate of revision was 76.3%. The clinical success rate of revision was 51.7% and mean patency of revision was 49.1 days. No significant predictive factor for clinical failure of revision was observed. The cell size of SEMS was not found to have significant effects on clinical success rates or revision patency. Conclusions: Revision of occluded bilateral SIS placement for MHBO showed fair patency and clinical success rate. Revision method and cell size of SEMS were not found to influence clinical outcomes.

关键词： Malignant hilar biliary obstruction Self-expandable metallic stent Stent-in-stent Revision

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Ultimate Compressive Strength Computational Modeling for Stiffened Plate Panels with Nonuniform Thickness

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Journal of Marine Science and Application 2020年第4期19卷 658-673页

作者： Hyun Ho Lee Jeom Kee paik Department of Naval Architecture and Ocean Engineering Pusan National UniversityBusanSouth Korea The Korea Ship and Offshore Research Institute(Lloyd’s Register Foundation Research Centre of Excellence) Pusan National UniversityBusanSouth Korea Department of Mechanical Engineering University College LondonLondonUK

The aim of this paper is to develop computational models for the ultimate compressive strength analysis of stiffened plate panels with nonuniform *** welding-induced initial deformations and residual stresses was presented with the measured *** methods,i.e.,ANSYS finite element method,ALPS/SPINE incremental Galerkin method,and ALPS/ULSAP analytical method,were employed together with existing test database obtained from a full-scale collapse testing of steel-stiffened plate *** study was conducted with varying the difference in plate thickness to define a representative(equivalent)thickness for plate panels with nonuniform *** are provided for structural modeling to compute the ultimate compressive strength of plate panels with variable thickness.

关键词： Ultimate compressive strength Steel-stiffened plate structures Nonuniform plate thickness ANSYS finite element method ALPS/SPINE incremental Galerkin method ALPS/ULSAP analytical method

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Cardiac metastasis from colorectal cancer:A case report

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World Journal of Gastroenterology 2009年第21期15卷 2675-2678页

作者： Pyong Wha Choi Chul Nam Kim Sun Hee chang Woo Ik chang chang Young Kim Hyun Min Choi Department of Surgery Ilsan Paik HospitalInje University College of Medicine Department of Diagnostic Pathology Ilsan Paik HospitalInje University College of Medicine Department of Chest Surgery Ilsan Paik HospitalInje University College of Medicine Department of Internal Medicine Ilsan Paik HospitalInje University College of Medicine

The heart is an unusual site of metastasis from any malignancy. We report a case of cardiac metastasis from colorectal cancer. A 70-year-old woman was referred with a presumptive diagnosis of sigmoid colon cancer with cardiac myxoma. Two-dimensional echocardiography showed a 4 cm x 4.5 cm mobile mass on the lateral right atrial wall, and computed tomography revealed a low attenuated Iobulating mass in the right atrium. The patient underwent anterior resection for sigmoid colon cancer （T4N2）. Thereafter, she experienced progressive shortness of breath. Therefore, a cardiac operation was performed 2 wk after the colorectal operation. Histological examination revealed adenocarcinoma, which was identical to the primary lesion. Although two- dimensional echocardiography has become the diagnostic test of choice for detecting cardiac tumors, in patients with colorectal cancer showing a cardiac mass, further diagnostic evaluation such as a magnetic resonance imaging might be necessary.

关键词： Heart Cardiac metastasis Colorectalcancer Atrial myxoma Magnetic resonance imaging

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Unusual prerectal location of a tailgut cyst: A case report

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World Journal of Gastroenterology 2006年第31期12卷 5081-5083页

作者： Si-Hyong Jang Ki-Seok Jang Young-Soo Song Kyueng-Whan Min Hong-Xiu Han Kyeong-Geun Lee Seung-Sam paik Departments of Pathology and SurgeryCollege of Medicine Hanyang UniversitySeoulKorea

Tailgut cyst is a rare congenital cystic lesion arising from the remnants of the embryonic postanal gut. It occurs exclusively within the retrorectal space and rarely in the perirenal area or in the subcutaneous tissue. A prerectal and retrovesical location of tailgut cyst is extremely rare. To the best of our knowledge, only three cases have been reported in the English literature. We experienced an unusual case of tailgut cyst developed in the prerectal and retrovesical space in a 14-year-old boy. Abdominal computed tomography demonstrated a prerectal cyst which was located at the anterolateral portion to the rectum. The cyst contained yellowish inspissated mucoid material. Microscopically, the cyst was lined by squamous, columnar, cuboidal and transitional epithelia and the wall was fibrotic with dispersed smooth muscle cells. Although tailgut cyst arising in prerectal area is extremely rare, its possibility should be considered in differential diagnosis of a prerectal and retrovesical cystic mass.

关键词： Tailgut cyst Prerectal mass Retrovesica mass Developmental cyst

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Design of general user interface for automatic service composition

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通讯和计算机（中英文版） 2009年第9期6卷 5-9页

作者： Incheon paik Haruhiko Takada School of Computer Science and Engineering The University of Aizu Fukushima 965-8580 Japan

Automatic web service composition provides new value-added services dynamically to compose existing services. paik[1] proposed logical and physical web service composition and ontologies for this. A useful composer needs well-defined web interface for general users. A general user interface is designed and implemented in this paper. The user interface generates some HTML form based on the ontology and additional HTN ontology.

关键词： Web服务组合用户界面设计本体论增值服务界面生成组合和 HTM

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TiO2 nanotube branched tree on a carbon nanofiber nanostructure as an anode for high energy and power lithium ion batteries

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Nano Research 2014年第4期7卷 491-501页

作者： Taeseup Song Hyungkyu Han Heechae Choi Jung Woo Lee Hyunjung Park Sangkyu Lee Won II Park Seungchul Kim Li Liu Ungyu paik Department of Materials Science Engineering Hanyang University Seou113 3-791 Korea Center for ComputationalScience Korea Institute of Science and Technology Seou1136-791 Korea School of Chemistry Key Laboratory of Environmentally Friendly Chemistry and Applications of Ministry of Education Xiangtan University Xiangtan 411105 China

The inherently low electrical conductivity of TiO2-based electrodes as well as the high electrical resistance between an electrode and a current collector represents a major obstacle to their use as an anode for lithium ion batteries. In this study, we report on high-density TiO2 nanotubes （NTs） branched onto a carbon nanofiber （CNF）＂tree＂ that provide a low resistance current path between the current collector and the TiO2 NTs. Compared to a TiO2 NT array grown directly on the current collector, the branched TiO2 NTs tree, coupled with the CNF electrode, exhibited -10 times higher areal energy density and excellent rate capability （discharge capacity of -150 mA.h.g-1 at a current density of 1,000 mA·g-1）. Based on the detailed experimental results and associated theoretical analysis, we demonstrate that the introduction of CNFs with direct electric contact with the current collector enables a significant increase in areal capacity （mA·h·cm-2） as well as excellent rate capability.

关键词： titanium dioxide carbon nanofibers areal capacity lithium ion batteries

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Bird-mimetic Wing System of Flapping-wing Micro Air Vehicle with Autonomous Flight Control Capability

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Journal of Bionic Engineering 2016年第3期13卷 458-467页

作者： Sriyulianti Widhiarini Ji Hwan Park Bum Soo Yoon Kwang Joon Yoon ll-Hyun paik Jong Heon Kim Chan Yik Park Seung Moon Jun changho Nam Department of Aerospace Engineering Konkuk University Gwangjin-gu Seoul South Korea Deptartment of PGM Technology Hanwha Corp. R&D Center Daejeon South Korea Agency for Defense Development Daejeon South Korea Department of Engineering Technology Arizona State University Mesa Arizona

A micro air vehicle with a bird-mimetic up-down and twisting wing drive system was developed in this study. The Flap- ping-wing Micro Air Vehicle （FMAV）, with a 50 cm wingspan and a double-crank drive system, performed successful flights of up to 23 min. The performance and capabilities of the FMAV were enhanced by adapting a number of unique features, such as a bird-mimetic wing shape with a span-wise camber and an up-down and twisting wing drive mechanism with double-crank linkages, This lift-enhancing design by mimicking the flapping mechanism of a bird＇s wing enabled the 210 g FMAV to fly autonomously in an outdoor field under wind speeds of less than 5 m.s-1. Autonomous flight was enabled by installing a flight control computer with a micro-electro-mechanical gyroscope and accelerometers, along with a micro video camera and an ultralight wireless communication system inside the fuselage. A comprehensive wind tunnel test shows that the FMAV with a high-camber wing and double-crank mechanism generates more lift and less net thrust than the FMAV with a flat wing and single-crank mechanism, which confirms the improved performance of the developed FMAV, as well as the superior slow flying or hovering capabilities of the FMAV with a high-camber wing and double-crank wing drive system.

关键词： flapping-wing MAV autonomous flight biomimetic wing double crank wing

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METAL-ORGANIC FRAMEWORKS FOR HYDROGEN STORAGE AND CARBON DIOXIDE CAPTURE

METAL-ORGANIC FRAMEWORKS FOR HYDROGEN STORAGE AND CARBON DIO...

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第六届全国物理无机化学会议

作者： Myunghyun paik Suh Department of Chemistry Seoul National University

＜正＞Metal-organic frameworks（MOFs）possess well-defined pores and large internal surface areas,and thus they can be applied in gas storage and *** particular,MOFs can be applied in hydrogen storage and carbon dioxi...

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Tenofovir rescue therapy for chronic hepatitis B patients after multiple treatment failures

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World Journal of Gastroenterology 2012年第47期18卷 6996-7002页

作者： Yu Jin Kim Dong Hyun Sinn Geum-Youn Gwak Moon Seok Choi Kwang Cheol Koh Seung Woon paik Byung Chul Yoo Joon Hyeok Lee Department of Medicine Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 135-710South Korea

AIM:To evaluate the efficacy and safety of tenofovir disoproxil fumarate(TDF) for chronic hepatitis B(CHB) patients after multiple ***:A total of 29 CHB patients who had a suboptimal response or developed resistance to two or more previous nucleoside/nucleotide analogue(NA) treatments were *** subjects were treated with TDF alone(n = 13) or in combination with lamivudine(LAM,n = 12) or entecavir(ETV,n = 4) for ≥ 6 *** virologic response(CVR) was defined as an achievement of serum hepatitis B virus(HBV) DNA level ≤ 60 IU/mL by real-time polymerase chain reaction method during *** assessment was based on serum creatinine and phosphorus *** patients had histories of LAM and adefovir dipivoxil(ADV) treatment and 18 patients were exposed to LAM,ADV,and ***-seven patients(93.1%) were hepatitis B e antigen(HBeAg) positive and the mean value of the baseline serum HBV DNA level was 5.5 log IU/mL ± 1.7 log IU/*** median treatment duration was 16 mo(range 7 to 29 mo).RESULTS:All the patients had been treated with LAM and developed genotypic and phenotypic resistance to *** to ADV was present in 7 patients and 10 subjects had a resistance to *** patient had a resistance to both ADV and *** cumulative probabilities of CVR at 12 and 24 mo of TDF containing treatment regimen calculated by the Kaplan Meier method were 86.2% and 96.6%,*** one patient failed to achieve CVR,serum HBV DNA level decreased by 3.9 log IU/mL from the baseline and the last serum HBV DNA level during treatment was 85 IU/mL,achieving near *** patients in this study showed viral breakthrough or primary non-response during the follow-up *** cumulative probability of HBeAg clearance in the 27 HBeAg positive patients was 7.4%,12%,and 27% at 6,12,and 18 mo of treatment,*** efficacy of TDF containing regimen was not statistically different according to the presence of specific HBV mutatio

关键词： Tenofovir Chronic hepatitis B Treatment failure

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Clinical course of sub-centimeter-sized nodules detected during surveillance for hepatocellular carcinoma

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World Journal of Gastroenterology 2012年第21期18卷 2654-2660页

作者： Yang Won Min Geum-Youn Gwak Min Woo Lee Moon Seok Choi Joon Hyoek Lee Kwang Cheol Koh Seung Woon paik Byung Chul Yoo Department of Medicine Samsung Medical Center Sungkyunkwan University School of MedicineSeoul 135-710 South Korea Department of Radiology Samsung Medical Center Sungkyunkwan University School of MedicineSeoul 135-710 South Korea

AIM: To evaluate the outcome of sub-centimeter-sized nodules (SCSNs) detected during surveillance for hepatocellular carcinoma (HCC) in patients at risk. METHODS: We retrospectively analyzed a total of 142 patients with liver cirrhosis or chronic hepatitis B or C without a prior history of HCC in whom a SCSN was detected during HCC surveillance. We calculated the rate of HCC development from SCSNs in the study population and analyzed the differences in the baseline clinical characteristics and imaging features between the patients with SCSNs that eventually developed into HCC and patients with SCSNs that did not develop into ***: During 667 person-years of follow-up, HCC developed in 33 patients. The calculated HCC development rate was 4.9% per year. The cumulative one-, two-, three- and five-year HCC development rates were 5.6%, 10.6%, 14.1% and 20.4%, respectively. Upon baseline comparison, the HCC group was older (54.4 ± 8.3 years vs 48.9 ± 9.4 years; P = 0.003) and had lower albumin levels (3.56 ± 0.58 g/dL vs 3.84 ± 0.55 g/dL; P = 0.012) and higher baseline alpha-fetoprotein (AFP) levels (8.5 ng/mL vs 5.4 ng/mL; P = 0.035) compared to the non-HCC group. Nodule pattern and initial radiologic diagnosis also differed between the two groups. Multivariate analysis revealed that age [P = 0.012, odds ratio (OR) =1.075, 95% confidence interval (CI) =1.016-1.137], sex (P = 0.009, OR = 3.969, 95% CI: 1.403-11.226), and baseline AFP level (P = 0.024, OR = 1.039, 95% CI: 1.005-1.073) were independent risk factors for developing HCC. CONCLUSION: The overall risk of HCC development in patients with SCSNs is similar to that in liver cirrhosis patients. Patients with these risk factors need to be closely monitored during follow-up.

关键词： Chronic liver disease Hepatocellular carcinoma Risk factor Sub-centimeter-sized nodule

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