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Background/Aims: This study aimed to review the indications, methods, cooperation, complications, and outcomes of percutaneous endoscopic gastrostomy (PEG). Methods: Questionnaires were sent to 200 hospitals, of which 62 returned their questionnaires, with a response rate of approximately 30%. Descriptive statistics were calculated to analyze the responses to the questionnaires. Results: In 2019, a total of 1,052 PEGs were performed in 1,017 patients at 62 hospitals. The main group who underwent PEG was older adult patients with brain disease, particularly stroke. Nutritional supply was an important purpose of the PEG procedure. “The pull method” was the most commonly used for initial PEG insertion. The complications related to PEG were mostly mild, with leakage being the most common. Patients who underwent PEG procedures were primarily educated regarding the post-procedure management and complications related to PEG. Preoperative meetings were skipped at >50% of the institutions. Regarding the cooperation between the nutrition support team (NST) and the physician performing PEG, few endoscopists answered that they cooperated with NST before and after PEG. Moreover, the rate of NST certification obtained by physicians performing PEG and the frequency of attendance at NST-related conferences were relatively low. Conclusions: This study shows a similar trend to that found in the previous PEG guidelines. However, it covers new aspects, including team-based work for PEG procedure, nutrition support, and education for patients and guardians. Therefore, each medical institution needs to select an appropriate method considering the medical environment and doctor’s abilities.

Background Differentiating between bacterial and nonbacterial colitis remains a challenge. We aimed to evaluate the value of serum procalcitonin (PCT) and C-reactive protein (CRP) in differentiating between bacterial and nonbacterial colitis. Methods Adult patients with three or more episodes of watery diarrhea and colitis symptoms within 14 days of a hospital visit were eligible for this study. The patients’ stool pathogen polymerase chain reaction (PCR) testing results, serum PCT levels, and serum CRP levels were analyzed retrospectively. Patients were divided into bacterial and nonbacterial colitis groups according to their PCR. The laboratory data were compared between the two groups. The area under the receiver operating characteristic curve (AUC) was used to evaluate diagnostic accuracy. Results In total, 636 patients were included; 186 in the bacterial colitis group and 450 in the nonbacterial colitis group. In the bacterial colitis group, Clostridium perfringens was the commonest pathogen (n=70), followed by Clostridium difficile toxin B (n=60). The AUC for PCT and CRP was 0.557 and 0.567, respectively, indicating poor discrimination. The sensitivity and specificity for diagnosing bacterial colitis were 54.8% and 52.6% for PCT, and 52.2% and 54.2% for CRP, respectively. Combining PCT and CRP measurements did not increase the discrimination performance (AUC, 0.522; 95% confidence interval, 0.474–0.571). Conclusion Neither PCT nor CRP helped discriminate bacterial colitis from nonbacterial colitis.

Study Design Level III retrospective study. Purpose We investigated the impact of short-segment lumbar fusion on the restoration of global sagittal alignment and the correlations between spino-pelvic parameters and clinical outcomes. Overview of Literature Sagittal imbalance leads to energy consumption and pain in maintaining a standing position. For adult spinal deformity, it is critical to create optimal lumbar lordosis (LL) in order to achieve restoration of sagittal imbalance. However, surgeons do not pay attention to correcting LL in short-segment lumbar fusion. Methods A total of 69 patients with transforaminal lumbar interbody fusion (TLIF) for degenerative spinal disease were evaluated with a minimum 2-year follow-up. All patients underwent TLIF with hyper-lordotic angle cages to achieve higher LL. Radiological spino-pelvic parameters including sagittal vertical axis (SVA) and clinical outcomes using the Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) were evaluated. Results The average LL was 35.8°±9.9° before surgery, 42.3°±9.3° 1 year after surgery, and 40.3°±10.2° 2 years after surgery (p

In recent years, various studies have been conducted on oscillating-water-column-type wave energy converters (OWC-WECs) with multiple chambers with the objective of efficiently utilizing the limited space of offshore/onshore structures. In this study, a numerical investigation based on a numerical wave tank was conducted on single, dual, and triple OWC chambers to examine the hydrodynamic performances and the energy conversion characteristics of the multiple water columns. The boundary value problem with the Laplace equation was solved by using a numerical wave tank based on a finite element method. The validity of the current numerical method was confirmed by comparing it with the measured data in the previous experimental research. We undertook a series of numerical simulations and observed that the water column motion of sloshing mode in a single chamber can be changed into the piston motion of different phases in multiple OWC chambers. Therefore, the piston motion in the multiple chambers can generate considerable airflow at a specific resonant frequency. In addition, the division of the OWC chamber results in a reduction of the time-dependent variability of the final output power from the device. As a result, the application of the multiple chambers leads to an increase of the energy conversion performance as well as a decrease of the variability of the wave energy converter.

The present study uses an acceptability judgment experiment designed to explore the nature of Korean why-stripping with reference to voice. First, it investigates whether the acceptability of Korean why-stripping is affected by the voice mismatch between antecedent and ellipsis clauses. Second, it examines whether there is a difference in acceptability between passive antecedents with active ellipsis clauses (Passive-Active) and active antecedents with passive ellipsis clauses (Active-Passive). One finding indicates that Korean why-stripping prefers voice matches over voice mismatches: voice matches make it easier to link the remnant to its correlate in the antecedent clause. The other finding indicates that Passive-Active why-stripping is more acceptable than Active-Passive why-stripping. The study also evaluates whether the second finding supports Arregui et al.’s (2006) Recycling Hypothesis according to which passive clauses are more likely to be remembered as active than the other way around, creating an illusion of grammaticality or Poppels and Kehler’s (2019) hypothesis according to which there exists a penalty against passive ellipsis clauses, which applies to both matched and mismatched cases of English VP ellipsis. The results confirm the hypothesis of Poppels and Kehler in that Active-Active why-stripping is more acceptable than Passive-Passive why-stripping and that Passive-Active why-stripping is more acceptable than Active-Passive why-stripping [ABSTRACT FROM AUTHOR]