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Risk factors for complications associated with upper gastrointestinal foreign bodies

World Journal of Gastroenterology 2015年第26期21卷 8125-8131页

作者： Kyong Hee Hong Yoon jae kim jae hak kim Song Wook Chun Hee Man kim jae Hee Cho Division of Gastroenterology Department of Internal MedicineDongguk University Ilsan HospitalGraduate School Division of Gastroenterology Department of Internal MedicineGachon University Gil Medical Center Division of Gastroenterology Department of Internal MedicineMyongji Hospital Division of Gastroenterology and Hepatology Department of Internal MedicineYonsei University Wonju College of Medicine

AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal ***: We retrospectively reviewed the medical records of 194 patients with a diagnosis of foreign body impaction in the upper gastrointestinal tract,confirmed by endoscopy,at two university hospital in South *** demographic data,including age,gender,intention to ingestion,symptoms at admission,and comorbidities,were *** features of the foreign bodies,such as type,size,sharpness of edges,number,and location,were *** data those were analyzed included duration of foreign body impaction,duration of endoscopic performance,endoscopic device,days of hospitalization,complication rate,30-d mortality rate,and the number of operationsrelated to foreign body ***: The types of upper gastrointestinal foreign bodies included fish bones,drugs,shells,meat,metal,and animal *** locations of impacted foreign bodies were the upper esophagus(57.2%),mid esophagus(28.4%),stomach(10.8%),and lower esophagus(3.6%).The median size of the foreign bodies was 26.2 ± 16.7 *** 194 patients,endoscopic removal was achieved in 189,and complications developed in 51 patients(26.9%).Significant complications associated with foreign body impaction and removal included deep lacerations with minor bleeding(n = 31,16%),ulcer(n = 11,5.7%),perforation(n = 3,1.5%),and abscess(n = 1,0.5%).Four patients underwent operations because of incomplete endoscopic foreign body *** multivariate analyses,risk factors for endoscopic complications and failure were sharpness(HR = 2.48,95%CI: 1.07-5.72; P = 0.034) and a greater than 12-h duration of impaction(HR = 2.42,95%CI: 1.12-5.25,P = 0.025).CONCLUSION: In cases of longer than 12 h since foreign body ingestion or sharp-pointed objects,rapid endoscopic intervention should be provided in patients with ingested foreign bodies.

关键词： Emergency department Foreign body Upper gastrointestinal tract Endoscopy Complication

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Weekend and nighttime effect on the prognosis of peptic ulcer bleeding

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World Journal of Gastroenterology 2012年第27期18卷 3578-3584页

作者： Young Hoon Youn Yong Jin Park jae hak kim Tae Joo Jeon jae Hee Cho Hyojin Park Department of Internal Medicine Gangnam Severance HospitalYonsei University College of MedicineSeoul 135-720South Korea Department of Internal Medicine Dongguk University Ilsan HospitalDongguk University College of MedicineGyeonggi-do 410-773South Korea Department of Internal Medicine Inje University Sanggye Paik HospitalInje University College of MedicineSeoul 139-707South Korea Department of Internal Medicine Kwandong University Myungji HospitalKwandong University College of MedicineGyeonggi-do 412-270South Korea

AIM:To evaluate whether weekend or nighttime admission affects prognosis of peptic ulcer bleeding despite early ***:Retrospective data collection from four referral centers,all of which had a formal out-of-hours emergency endoscopy service,even at weekends.A total of 388 patients with bleeding peptic ulcers who were admitted via the emergency room between January 2007 and December 2009 were *** parameters included time from patients' arrival until endoscopy,mortality,rebleeding,need for surgery and length of hospital ***:The weekday and weekend admission groups comprised 326 and 62 patients,*** were no significant differences in baseline characteristics between the two groups,except for younger age in the weekend *** patients (97%) had undergone early endoscopy,which resulted in a low mortality rate regardless of point of presentation (1.8% overall vs 1.6% on the weekend).The only outcome that was worse in the weekend group was a higher rate of rebleeding (12% vs 21%,P = 0.030).However,multivariate analysis revealed nighttime admission and a high Rockall score (≥ 6) as significant independent risk factors for rebleeding,rather than weekend ***:Early endoscopy for peptic ulcer bleeding can prevent the weekend effect,and nighttime admission was identified as a novel risk factor for rebleeding,namely the nighttime effect.

关键词： Early endoscopy Nighttime effect Pepticulcer bleeding Rebleeding Weekend effect

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Endoscopic submucosal dissection for early gastric cancer:Quo vadis?

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World Journal of Gastroenterology 2011年第21期17卷 2623-2625页

作者： Won Young Cho Joo Young Cho Il Kwun Chung Jin Il kim Jin Seok Jang jae hak kim Institute for Digestive Research Digestive Disease CenterSoonchunhyang University College of Medicine Department of Internal Medicine Soonchunhyang University College of Medicine Department of Internal Medicine College of MedicineThe Catholic University of KoreaSeoul Department of Internal Medicine Dong-A University College of Medicine Department of Internal Medicine Dongguk University College of Medicine

The diagnosis of early gastric cancer(EGC) is of great interest because its endoscopic and surgical treatment presents the best chance for a *** technical development,endoscopic submucosal dissection(ESD) has been widely performed for the curative treatment of EGC in *** studies of ESD for EGC will be the next missions that overcome these limitations and global guidelines will be processed for ESD for EGC.

关键词： Endoscopic submucosal dissection Early gastric cancer

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When should we perform colonoscopy to increase the adenoma detection rate?

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World Journal of Gastrointestinal Endoscopy 2021年第12期13卷 619-627页

作者： Sang Hoon kim jae hak kim Department of Internal Medicine Dongguk University Ilsan HospitalGoyang 10326South Korea

The rate of adenoma detection is the most reliable quality indicator of *** have reported that colonoscopy performed in morning has a higher adenoma detection rate(ADR)than that performed in the *** studies have explained that several physician-related factors such as undergoing an emergency procedure the night before colonoscopy,accumulated workload,and increased fatigue level in the afternoon might have led to such ***,several opposing articles have indicated that the time of day and ADR is not quite *** confounding factors can impact study *** withdrawal time and bowel preparation quality are key ***,queue list numbers,participation of academic fellows,nurses'assistance,and the number of colonoscopies allocated per hour are also notable ***,an attempt has been made to homogenize the ADR in the morning and afternoon through artificial intelligence-assisted *** review article introduces the history of this long-debated topic,discusses points to consider in real-world practice,and suggests new ideas for planning future *** understanding this issue,the rate of adenoma detection during colonoscopy is expected to be improved further.

关键词： Colonoscopy Colorectal cancer Time of endoscopy Afternoon colonoscopy Adenoma detection rate

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Programmed death ligand-1 expression and its prognostic role in esophageal squamous cell carcinoma

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World Journal of Gastroenterology 2016年第37期22卷 8389-8397页

作者： Ryul kim Bhumsuk Keam Dohee Kwon Chan-Young Ock Miso kim Tae Min kim hak jae kim Yoon Kyung Jeon In Kyu Park Chang Hyun Kang Dong-Wan kim Young Tae kim Dae Seog Heo Department of Internal Medicine Seoul National University HospitalSeoul 03080South Korea Cancer Research Institute Seoul National University College of MedicineSeoul 03080South Korea Department of Pathology Seoul National University HospitalSeoul 03080South Korea Department of Radiation Oncology Seoul National University HospitalSeoul 03080South Korea Department of Thoracic and Cardiovascular Surgery Seoul National University HospitalSeoul 03080South Korea

AIM To investigate the expression and prognostic role of programmed death ligand-1(PD-L1) in locally advanced esophageal squamous cell carcinoma(ESCC).METHODS A total of 200 patients with ESCC who underwent radical esophagectomy with standard lymphadenectomy as the initial definitive treatment in Seoul National University Hospital from December 2000 to April 2013 were eligible for this analysis. Tissue microarrays were constructed by collecting tissue cores from surgical specimens, and immunostained with antibodies directed against PD-L1, p16, and c-Met. Medical records were reviewed retrospectively to assess clinical outcomes. Patients were divided into two groups by PD-L1 status, and significant differences in clinicopathologic characteristics between the two groups were assessed. RESULTS Tumor tissues from 67 ESCC patients(33.5%) were PDL1-positive. Positive p16 expression was observed in 21 specimens(10.5%). The H-score for c-Met expression was ≥ 50 in 42 specimens(21.0%). Although PDL1-positivity was not significantly correlated with any clinical characteristics including age, sex, smoking/alcoholic history, stage, or differentiation, H-scores for c-Met expression were significantly associated with PDL1-positivity(OR = 2.34, 95%CI: 1.16-4.72, P = 0.017). PD-L1 expression was not significantly associated with a change in overall survival(P = 0.656). In contrast, the locoregional relapse rate tended to increase(P = 0.134), and the distant metastasis rate was significantly increased(HR = 1.72, 95%CI: 1.01-2.79, P = 0.028) in patients with PD-L1-positive ESCC compared to those with PD-L1-negative *** PD-L1 expression is positively correlated with c-Met expression in ESCC. PD-L1 may play a critical role in distant failure and progression of ESCC.

关键词： Esophageal neoplasm Programmed death ligand-1 protein c-Met protein Prognosis p16INK4A protein

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Regulation of sleep by astrocytes in the hypothalamic ventrolateral preoptic nucleus

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Neural Regeneration Research 2025年第4期20卷 1098-1100页

作者： jae-Hong kim Ruqayya Afridi Il-Sung Jang Maan Gee Lee Kyoungho Suk Brain Korea 21 four KNU Convergence Educational Program of Biomedical Sciences for Creative Future Talents School of MedicineKyungpook National UniversityDaeguRepublic of Korea Department of Pharmacology School of MedicineKyungpook National UniversityDaeguRepublic of Korea Department of Pharmacology School of DentistryKyungpook National UniversityDaeguRepublic of Korea Brain Science&Engineering Institute Kyungpook National UniversityDaeguRepublic of Korea

Astrocytes are functionally dynamic cells that support neurons in multiple ways throughout an organism’s *** astrocytic regulation of neuronal activity has been increasingly recognized in recent *** are now recognized as playing a more complex role than mere bystanders in the central nervous ***,their role in regulating the sleep neurocircuitry is not well *** this perspective,we highlight the role of astrocytes in sleep modulation,with a particular focus on regulatory mechanisms related to the ventrolateral preoptic nucleus(VLPO)of the *** briefly discuss recent literature reporting the role of VLPO astrocytes in regulating sleep-associated behaviors.

关键词： sleep ventrolateral astrocytes

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Optimization of post-warranty sequential inspection for second-hand products

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Journal of Systems Engineering and Electronics 2017年第4期28卷 793-800页

作者： Dae-Kyung kim jae-hak Lim Dong Ho Park Department of Statistics Chonbuk National University Department of Management & Accounting Hanbat National University Industry Academic Cooperation Foundation Hallym University

This paper considers an optimal sequential inspection schedule for a second-hand product after that the free nonrenewable warranty is expired. The length of warranty is prespecified and during the warranty period, the product is minimally repaired by the dealer when it fails. Following the expiration of the non-renewing warranty, the product is inspected and upgraded sequentially a fixed number of times at the expenses of the *** each inspection, the failure rate of the product is reduced proportionally so that the product is upgraded. The product is assumed to deteriorate as it ages and the replacement of the product occurs when a fixed number of inspections are rendered. In addition,the intervals between two successive inspections are assumed to decrease monotonically. The main objective of this paper is to determine the optimal improvement level to upgrade the product at each inspection so that the expected maintenance cost during the life cycle of the product is minimized from the perspective of the customer. Under the given cost structures, we derive an explicit formula to obtain the expected maintenance cost incurred during the life cycle of the product and discuss the method to find the optimal level of the improvement analytically in case the failure times follow the Weibull distribution. Numerical results are analyzed to observe the impact of relevant parameters on the optimal solution.

关键词： second-hand product sequential inspection upgrade action life cycle of the product expected maintenance cost free non-renewable warranty

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Ni, Co-double hydroxide wire structures with controllable voids for electrodes of energy-storage devices

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Journal of Materials Science & Technology 2020年第20期52卷 126-135页

作者： Jin Kyu kim Chang Soo Lee jae Hun Lee Jung Tae Park Jong hak kim Department of Chemical and Biomolecular Engineering Yonsei University50 Yonsei-roSeodaemun-guSeoul 03722Republic of Korea Department of Chemical Engineering Konkuk University120 Neungdong-roGwangjin-guSeoul 05029Republic of Korea

We re port the facile synthesis of Ni,Co-double hydroxide wire(NCHW)-based electrodes directly grown on a conductive substrate via a hydrothermal *** NCHW nanostructures were grown on Ni foam,and the growth was controlled using different compositions of solvents(ethanol and water).With increasing volume ratio of ethanol to water,the density of the wires decreased,and the spatial voids between the wires *** formation of large empty spaces improved the electrochemical performance because the exposure of a large surface area of the structure to the electrolyte resulted in a large number of active sites and facile electrolyte penetration into the *** different NCHW structures were ascribed to the pivotal role of the solvent in the urea hydrolysis;the solvent triggered the formation of hydroxides during the hydrothermal *** electrochemical performance of the NCHW electrodes was investigated via galvanostatic charge/discha rge tests,cyclic voltammetry,and electrochemical impedance *** highest specific capacitance was 1694.7 m F/cm^2 at 2 mA/cm^2,with excellent capacitance retention of 81.5% after 5000 *** superior electrochemical performance of the NCHW electrodes is attributed to the large number of active sites and facile electrolyte diffusion into the structure,due to the well-organized structure with an optimized density of nanowires and large voids between the wires.

关键词： Ni,Co-double hydroxide Nanowire Electrode Energy-storage device Supercapacitor

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Down-scaled regional ocean modeling system (ROMS) for high-resolution coastal hydrodynamics in Korea

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Acta Oceanologica Sinica 2013年第9期32卷 50-61页

作者： LIM hak-Soo kim Chang S PARK Kwang-Soon SHIM jae Seol CHUN Insik Korea Institute of Ocean Science and Technology Konkuk University

A down-scaled operational oceanographic system is developed for the coastal waters of Korea using a re- gional ocean modeling system （ROMS）. The operational oceanographic modeling system consists of at- mospheric and hydrodynamic models. The hydrodynamic model, ROMS, is coupled with wave, sediment transport, and water quality modules. The system forecasts the predicted results twice a day on a 72 h basis, including sea surface elevation, currents, temperature, salinity, storm surge height, and wave information for the coastal waters of Korea. The predicted results are exported to the web-GIS-based coastal informa- tion system for real-time dissemination to the public and validation with real-time monitoring data using visualization technologies. The ROMS is two-way coupled with a simulating waves nearshore model, SWAN, for the hydrodynamics and waves, nested with the meteorological model, WRE for the atmospheric surface forcing, and externally nested with the eutrophication model, CE-QUAL-ICM, for the water quality. The op- erational model, ROMS, was calibrated with the tidal surface observed with a tide-gage and verified with current data observed by bottom-mounted ADCP or AWAC near the coastal waters of Korea. To validate the predicted results, we used real-time monitoring data derived from remote buoy system, HF-radar, and geostationary ocean color imager （GOCI）. This down-scaled operational coastal forecasting system will be used as a part of the Korea operational oceanographic system （KOOS） with other operational oceanographic systems.

关键词： down-scaled operational oceanographic system regional ocean modeling system wave coupledmodel real-time monitoring system

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Effects of honing treatment on AIP-TiN and TiAlN coated end-mill for high speed machining

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Transactions of Nonferrous Metals Society of China 2011年第A1期21卷 83-87页

作者： jae-Young HEO Sung-hak CHO Tae-Jin JE Kwang-Ho kim Hyung-Woo LEE Myung-Chang KANG National Core Research Center for Hybrid Materials Solution Pusan National University Nano Machining Laboratory Korea Institute of Machinery and Material (KIMM) 171 Jang-dong Yuseong-Gu Daejeon 305-343 Korea

The objective of this work is to compare the tool performance of TiN and TiA1N coated carbides end-mills deposited by an arc ion plating （ALP） method, using honing treatment to polish the cutting edge surface sleekly. The curve of surface roughness versus honing time showed a rapid improvement initially and thereafter became steady, manifesting a saturation effect. The optimal honing time related to surface roughness was determined to be approximately 20 s. As the surface roughness increased, the critical loads reduced. At an average surface roughness （Ra） of 0.028 p.m, the highest critical loads of TiN and TiAlN coating layers were 98 and 114 N, respectively. Tool performances of uncoated and coated tools were conducted under high speed machining （HSM） of AISI D2 cold-worked die steel （62 HRC）. Consequently, the TiAlN coated end-mill using honing treatment showed excellent tool life under HSM conditions.

关键词： TiA1N arc ion plating honing treatment high speed machining tool life

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