Comparative analysis of different surgical approaches for recurrent inguinal hernia: a single-center observational study.

Purpose: Managing recurrent inguinal hernias is complex, and choosing the right surgical approach (laparoscopic vs. open) is vital for patient outcomes. This study compared the outcomes of using the same vs. different surgical approaches for initial and subsequent hernia repairs. Methods: We retrospectively analyzed patients who underwent recurrent inguinal hernia repair at Seoul National University Bundang Hospital between January 2014 and May 2023. Patients were divided into the "concordant" and "discordant" groups, comprising patients who underwent same and different approaches in both surgeries, respectively. Preoperative baseline characteristics, index surgery data, postoperative outcomes, and recurrence rates were analyzed and compared. Results: In total, 131 patients were enrolled; the concordant and discordant groups comprised 31 (open, n = 19; laparoscopic, n = 12) and 100 patients (open to laparoscopic, n = 68; laparoscopic to open, n = 32), respectively. No significant differences were observed in the mean operation time (50.5 ± 21.7 minutes vs. 50.2 ± 20.0 minutes, P = 0.979), complication rates (6.5% vs. 14.0%, P = 0.356), or 36-month cumulative recurrence rates (9.8% vs. 9.8%; P = 0.865). The mean postoperative hospital stay was significantly shorter in the discordant than in the concordant group (1.8 ± 0.7 vs. 1.4 ± 0.6, P = 0.003). Conclusion: Most recurrent inguinal hernia repairs were performed using the discordant surgical approach. Overall, concordance in the surgical approach did not significantly affect postoperative outcomes. Therefore, the selection of the surgical approach based on the patient's condition and surgeon's preference may be advisable.

Seismic Performance Evaluation of Corrosion-Damaged Reinforced Concrete Columns Controlled by Shear Based on Experiment and FEA.

It is extremely important to investigate the effect of the seismic performance of corrosion-damaged reinforced concrete (RC) members, in terms of strength and deformability, on the seismic performance of the entire building. This will allow a more accurate assessment of the seismic performance of RC structures with corroded members, including beams and columns. However, current methods of evaluating the seismic performance of RC structures fail to fully consider the influence of reinforcement corrosion and other performance deterioration of RC members. The main objective of this study is to propose a practical method of evaluating the seismic performance of RC structures with corrosion-damaged members, identifying factors contributing to structural performance deterioration based on strength and deformability for direct, quantitative evaluation of seismic performance. To achieve the aforementioned objective, the authors examined the effects of reinforcement corrosion on the structural behavior of RC beams and factors contributing to structural performance deterioration. Past experiments verified the strong correlation between the half-cell potential (HCP) before and after reinforcement corrosion and the reduction factor based on energy absorption capacity. However, current research evaluates the correlation between the extent of corrosion and structural performance deterioration of RC beam members, which are not members that resist lateral force. As such, the results cannot be directly applied to the evaluation of the seismic performance of RC structures containing corrosion-damaged members. To achieve this study's main purpose of proposing a practical method of evaluating the seismic performance of RC structures comprised of corrosion-damaged members, analytical methods including structural experiments should be applied to corrosion-damaged lateral resisting members, namely, column members of the shear failure type with non-seismic details. This study performed cyclic loading tests on columns of the shear failure type having reinforcement corrosion to examine the correlation between HCP before and after corrosion and seismic performance deterioration. At the same time, finite element analysis (FEA) was carried out in consideration of the weakened bonding between steel and concrete, so as to analyze the correlation between structural performance deterioration before and after corrosion of shear columns. Through a comparison of the experimental findings and FEA results, this study proposed a seismic performance reduction factor in relation to the extent of corrosion of shear columns.

Prediction of Compressive Strength of Partially Saturated Concrete Using Machine Learning Methods.

The aim of this research is to recommend a set of criteria for estimating the compressive strength of concrete under marine environment with various saturation and salinity conditions. Cylindrical specimens from three different design mixtures are used as concrete samples. The specimens are subjected to different saturation levels (oven-dry, saturated-surface dry and three partially dry conditions: 25%, 50% and 75%) on water and water-NaCl solutions. Three parameters (P- and S-wave velocities and electrical resistivity) of concrete are measured using two NDT equipment in the laboratory while two parameters (density and water-to-binder ratio) are obtained from the design documents of the concrete cylinders. Three different machine learning methods, which include, artificial neural network (ANN), support vector machine (SVM) and Gaussian process regression (GPR), are used to obtain multivariate prediction models for compressive strength from multiple parameters. Based on the R-squared value, ANN results in the highest accuracy of estimation while GPR gives the lowest root-mean-squared error (RMSE). Considering both the data analysis and practicality of the method, the prediction model based on two NDE parameters (P-wave velocity measurement and electrical resistivity) and one design parameter (water-to-binder ratio) is recommended for assessing compressive strength under marine environment.

Investigation of Chirped Well Structures for Broad-Spectrum AlGaInP-Based Light Emitting Diodes.

We investigated broad-spectrum light emitting diodes appropriate for special lighting applications in terms of their optical behaviors and device performances according to the chirped multi-quantum well structures. As the well thickness was increased from 6 to 15 nm, the electroluminescent spectrum was broadened by 43%, the forward bias voltage was lowered by 7% and the light output power was showed similar values in comparison to light emitting diodes having conventional multiquantum well structures. In the case of the chirped multi-quantum well structures having sequentially decreasing the well thickness from 15 nm to 6 nm, the optical output power was decreased by 38% due to the spreading problems of holes into the n-side active region.

New Binary Locally Repairable Codes with Locality 2 and Uneven Availabilities for Hot Data.

In this paper, a new family of binary LRCs (BLRCs) with locality 2 and uneven availabilities for hot data is proposed, which has a high information symbol availability and low parity symbol availabilities for the local repair of distributed storage systems. The local repair of each information symbol for the proposed codes can be done not by accessing other information symbols but only by accessing parity symbols. The proposed BLRCs with k = 4 achieve the optimality on the information length for their given code length, minimum Hamming distance, locality, and availability in terms of the well-known theoretical upper bound.

The in vitro and in vivo protective effects of tannin derivatives against Salmonella enterica serovar Typhimurium infection.

In this study, we investigated the protective effects of tannin-derived components, gallic acid (GA) and tannic acid (TA), in vitro and in vivo against Salmonella infection in mice. Both GA and TA showed antibacterial effects against Salmonella (S.) Typhimurium as well as inhibitory effects on the adherence, invasion, and intracellular growth of the pathogens in macrophages. Following a lethal dose of Salmonella infection in mice, reduced virulence in both GA- and TA-treated groups was observed based on reduced mortality rates. In the non-infected groups, the average weights of the spleens and livers of GA- or TA-treated mice were not significantly different with the control group. In addition, the average weights of these organs in all of the Salmonella-infected groups were not significantly different but the numbers of bacteria in the spleens and livers in both GA- and TA-treated mice were significantly reduced. The levels of cytokine production in non-infected mice revealed that GA-treated and TA-treated mice elicited an increased level of IFN-γ, and both IFN-γ and MCP-1, respectively, as compared with the PBS-treated group. These findings highlight the potential of GA and TA as alternatives for the treatment of salmonellosis and as supplements to conventional antimicrobial food additives.

A Seismic Strengthening Technique for Reinforced Concrete Columns Using Sprayed FRP.

Conventional methods for seismic retrofitting of concrete columns include reinforcement with steel plates or steel frame braces, as well as cross-sectional increments and in-filled walls. However, these methods have some disadvantages, such as the increase in mass and the need for precise construction. Fiber-reinforced polymer (FRP) sheets for seismic strengthening of concrete columns using new light-weight composite materials, such as carbon fiber or glass fiber, have been developed, have excellent durability and performance, and are being widely applied to overcome the shortcomings of conventional seismic strengthening methods. Nonetheless, the FRP-sheet reinforcement method also has some drawbacks, such as the need for prior surface treatment, problems at joints, and relatively expensive material costs. In the current research, the structural and material properties associated with a new method for seismic strengthening of concrete columns using FRP were investigated. The new technique is a sprayed FRP system, achieved by mixing chopped glass and carbon fibers with epoxy and vinyl ester resin in the open air and randomly spraying the resulting mixture onto the uneven surface of the concrete columns. This paper reports on the seismic resistance of reinforced concrete columns controlled by shear strengthening using the sprayed FRP system. Five shear column specimens were designed, and then strengthened with sprayed FRP by using different combinations of short carbon or glass fibers and epoxy or vinyl ester resins. There was also a non-strengthened control specimen. Cyclic loading tests were carried out, and the ultimate load carrying capacity and deformation were investigated, as well as hysteresis in the lateral load-drift relationship. The results showed that shear strengths and deformation capacities of shear columns strengthened using sprayed FRP improved markedly, compared with those of the control column. The spraying FRP technique developed in this study can be practically and effectively used for the seismic strengthening of existing concrete columns.

Boron nitride nanosheets decorated with silver nanoparticles through mussel-inspired chemistry of dopamine.

Boron nitride nanosheet (BNNS) decorated with silver nanoparticles (AgNPs) was successfully synthesized via mussel-inspired chemistry of dopamine. Poly(dopamine)-functionalized BNNS (PDA-BNNS) was prepared by adding dopamine into the aqueous dispersion of hydroxylated BNNS (OH-BNNS) at alkaline condition. AgNPs were decorated on PDA-BNNS through spontaneous reduction of silver cations by catechol moieties of a PDA layer on BNNS, resulting in AgNP-BNNS with good dispersion stability. Incorporation of PDA on BNNS not only played a role as a surface functionalization method of BNNS, but also provided a molecular platform for creating very sophisticated two-dimensional (2D) BNNS-based hybrid nanomaterials such as metal nanoparticle-decorated BNNS.

Potential seismic risk assessment of urban cities based on macro-zonation concept

This paper describes a potential seismic risk of a city or a group of cities based on the "macro-zonation concept" in which regional macro information such as topography, number of active faults and historical earthquakes, population, accessibility from neighboring cities etc. is considered. In this study, typical cities in Japan are selected and their potential seismic risk is estimated based on statistical data related to macro information. Also the relationship between the estimated potential seismic risk and damage observed in Kobe districts damaged by 1995 Hyogoken-nambu earthquake are investigated. (AU)