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Prognosis factors of advanced gastric cancer according to sex and age

World Journal of Clinical Cases 2020年第9期8卷 1608-1619页

作者： Abdulaziz Alshehri Hussain Alanezi beom su kim Department of Gastric surgery Ulsan University School of MedicineAsan Medical CenterSeoul 05505South Korea General surgery Department King Fahad Military Medical ComplexDhahran 31932Saudi Arabia Department of General surgery Northern Area Armed Forces HospitalHafar Al Batin 31991Saudi Arabia

BACKGROUND Gastric cancer has a relatively high prevalence and is one of the most common causes of cancer-related death ***,the prognosis for gastric cancer remains poor,especially in the advanced stages,despite many improvements in diagnosis and *** To evaluate the outcomes regarding advanced gastric cancer development according to sex and *** We retrospectively reviewed 2005 patients who underwent curative gastrectomy for advanced gastric cancer between 2002 and 2007 at a single Korean *** and risk factors for nodal involvement were evaluated according to sex and *** In this retrospective cohort study,we examined the cases of 2005 patients[sex,1384 men(69%),621 women(31%)]with advanced gastric *** patients’age range was 22-87 years(mean age:57.7±12.3 years),with approximately 53.3%of the patients being≤60 years *** on a Cox proportional hazards model,overall survival was independently predicted by older age,larger tumour size,lymphovascular invasion,lymph node metastasis,deeper tumour invasion,moderately-to-poorly differentiated tubular adenocarcinoma,and signet ring cell *** same model revealed that relapse-free survival was independently predicted by advanced age,larger tumour size,lymphovascular invasion,deeper tumour invasion,poorly differentiated tubular adenocarcinoma,and signet ring cell *** Among patients with advanced gastric cancer,older age independently predicted poor overall survival and relapse-free ***,there were no significant sex-based differences in relapse-free and overall survival.

关键词： Carcinoma Prognosis Gastrectomy Risk factors Age Adenocarcinoma

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Optimal proximal resection margin distance for gastrectomy in advanced gastric cancer

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World Journal of Gastroenterology 2020年第18期26卷 2232-2246页

作者： Amy kim beom su kim Jeong Hwan Yook Byung Sik kim Division of Stomach surgery Department of SurgeryAsan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of surgery Korea University Medical Center Ansan HospitalAnsanGyeonggi-do 15355South Korea

BACKGROUND The conventional guidelines to obtain a safe proximal resection margin(PRM)of5-6 cm during advanced gastric cancer(AGC)surgery are still applied by many surgeons across the *** recent studies have raised questions regarding the need for such extensive resection,but without reaching *** study was designed to prove that the PRM distance does not affect the prognosis of patients who undergo gastrectomy for *** To investigate the influence of the PRM distance on the prognosis of patients who underwent gastrectomy for *** Electronic medical records of 1518 patients who underwent curative gastrectomy for AGC between June 2004 and December 2007 at Asan Medical Center,a tertiary care center in Korea,were reviewed retrospectively for the *** demographics and clinicopathologic outcomes were compared between patients who underwent surgery with different PRM distances using one-way ANOVA and Fisher’s exact test for continuous and categorical variables,*** influence of PRM on recurrence-free survival and overall survival were analyzed using Kaplan-Meier survival analysis and Cox proportional hazard *** The median PRM distance was 4.8 cm and 3.5 cm in the distal gastrectomy(DG)and total gastrectomy(TG)groups,*** cohorts in the DG and TG groups were subdivided into different groups according to the PRM distance;≤1.0 cm,1.1-3.0 cm,3.1-5.0 cm and>5.0 *** DG and TG groups showed nostatistical difference in recurrence rate(23.5%vs 30.6%vs 24.0%vs 24.7%,P=0.765)or local recurrence rate(5.9%vs 6.5%vs 8.4%vs 6.2%,P=0.727)according to the distance of *** both groups,Kalpan-Meier analysis showed no statistical difference in recurrence-free survival(P=0.467 in DG group;P=0.155 in TG group)or overall survival(P=0.503 in DG group;P=0.155 in TG group)according to the PRM *** analysis using Cox proportional hazard model revealed that in both groups,there was no significant differ

关键词： Stomach neoplasms Gastrectomy Margins of excision Prognosis Recurrence

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Q-Learning Based Routing Protocol for Congestion Avoidance

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Computers, Materials & Continua 2021年第9期68卷 3671-3692页

作者： Daniel Godfrey beom-su kim Haoran Miao Babar Shah Bashir Hayat Imran Khan Tae-Eung sung Ki-Il kim Department of Computer Science and Engineering Chungnam National UniversityKorea College of Technological Innovation Zayed UniversityAbu DhabiUAE Institute of Management Sciences PeshawarPakistan Department of Electrical Engineering University of Engineering and TechnologyPeshawarPakistan Department of Computer and Telecommunications Engineering Yonsei UniversityKorea

The end-to-end delay in a wired network is strongly dependent on congestion on intermediate *** lots of feasible approaches to avoid congestion efficiently,congestion-aware routing protocols tend to search for an uncongested path toward the destination through rule-based approaches in reactive/incident-driven and distributed ***,these previous approaches have a problem accommodating the changing network environments in autonomous and self-adaptive operations *** overcome this drawback,we present a new congestion-aware routing protocol based on a Q-learning algorithm in software-defined networks where logically centralized network operation enables intelligent control and management of network *** a proposed routing protocol,either one of uncongested neighboring nodes are randomly selected as next hop to distribute traffic load to multiple paths or Q-learning algorithm is applied to decide the next hop by modeling the state,Q-value,and reward function to set the desired path toward the destination.A new reward function that consists of a buffer occupancy,link reliability and hop count is ***,look ahead algorithm is employed to update the Q-value with values within two hops *** approach leads to a decision of the optimal next hop by taking congestion status in two hops into account,***,the simulation results presented approximately 20%higher packet delivery ratio and 15%shorter end-to-end delay,compared to those with the existing scheme by avoiding congestion adaptively.

关键词： Congestion-aware routing reinforcement learning Q-learning Software defined networks

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Totally laparoscopic total gastrectomy using the modified overlap method and conventional open total gastrectomy:A comparative study

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World Journal of Gastroenterology 2021年第18期27卷 2193-2204页

作者： Chang Seok Ko Nam Ryong Choi Byung Sik kim Jeong Hwan Yook Min-Ju kim beom su kim Department of surgery Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of Clinical Epidemiology and Biostatistics Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea

BACKGROUND Although several methods of totally laparoscopic total gastrectomy(TLTG)have been *** best anastomosis technique for LTG has not been *** To investigate the effectiveness and surgical outcomes of TLTG using the modified overlap method compared with open total gastrectomy(OTG)using the circular stapled *** We performed 151 and 131 surgeries using TLTG with the modified overlap method and OTG for gastric cancer between March 2012 and December *** and oncological outcomes were compared between groups using propensity score *** addition,we analyzed the risk factors associated with postoperative *** Patients who underwent TLTG were discharged earlier than those who underwent OTG[TLTG(9.62±5.32)vs OTG(13.51±10.67),Psurvival between *** analysis demonstrated that body mass index[odds ratio(OR),1.824;95%confidence interval(CI):1.029-3.234,P=0.040]and American Society of Anaesthesiologists(ASA)score(OR,3.154;95%CI:1.084-9.174,P=0.035)were independent risk factors of early ***,age was associated with≥3 Clavien-Dindo classification and EJrelated *** Although TLTG with the modified overlap method showed similar complication rate and oncological outcome with OTG,it yields lower pain score,earlier bowel recovery,and *** should perform total gastrectomy cautiously and delicately in patients with obesity,high ASA scores,and older ages.

关键词： Laparoscopic surgery Gastrectomy Anastomosis Stomach neoplasms Totally laparoscopic total gastrectomy

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Mechanical properties of Cu matrix composite fabricated by extrusion process

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Transactions of Nonferrous Metals Society of China 2016年第10期26卷 2679-2686页

作者： Ji-Hun PAK Gwi-Nam kim sung-Gu HWANG beom-su kim Jung-Pil NOH sun-Chul HUH Department of Mechanical and Precision Engineering Gyeongsang National University Department of Mechanical System Engineering Gyeongsang National University Department of Mechanical and Energy Engineering Gyeongsang National University

Carbon nanotube （CNT）was applied in various fields for itssuperior electrical, mechanical and thermal characteristics. After composites were fabricated by extrusion processusing ball-milledCu-CNT powders, mechanicalpropertiesofCu-CNT composites according to CNT fraction were reviewed. CNT （1%, 5% and 10%）,Cu （d=100 nm）, zirconia balls （90 g） and ethanol （20mL） were mixed and dispersed for5h at a speed of 500 r/minusing a planetary ball mill. A billet （d=50 mm, length=100 mm） was made with Cu, and the composite powderswerefilled up into billet using the uni-axial press. In the extrusion process, after the billet was heated at 880℃for1h, specimens were produced in the shape of a round bar using the billet by applying a load of 200 t. The composite powdersweremeasured for particle size byparticlesize distributionequipment. Then the specimen surface fabricated by extrusion was observed by SEM. Mechanicalpropertiesmeasured by the indentation equipment increased with increasing CNT content. The yield strength, tensile strength and hardness of theCu–CNTs composites canbeobviously improved.

关键词： extrusion milling indentation matrix mechanical properties microstructure

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Fabrication of heteroatom-doped cobalt oxide yolk–shell microsphere using recycled solution from waste materials and their excellent electrochemical properties as an anode material for lithium-ion batteries

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Rare Metals 2024年第10期43卷 4934-4947页

作者： Yeong beom kim Chanho kim Seung-Hyun kim Yun Chan Kang Dongju Lee Gi Dae Park Department of Advanced Materials Engineering Chungbuk National University Department of Materials Science and Engineering Korea University Research Institute YKSintering Co.Ltd.

Heteroatom-doped transition metal oxides have attracted great attention as advanced anode materials for lithium-ion batteries due to their high theoretical capacity and superior ***,the limited resource availability has led to a substantial rise in prices for valuable metals such as Ni and Co,posing a significant challenge for their *** address this issue,recycling of these metals from waste materials have gained prominence,and particularly the recovery of Co has been mostly focused on its economic ***,we introduced a novel recycling strategy for fabrication of heteroatomdoped CoOx（comprising mainly Co3O4with a minor CoO phase） anode with a yolk–shell structure for lithium-ion batteries,by separating Co from cemented tungsten carbide *** employing a simple leaching process and subsequent spray pyrolysis,the yolk–shell structured microsphere comprising CoOxwas successfully ***,the presence of other waste metals in the leachate facilitated multi-heteroatom doping during ***,the introduction of various dopants into CoOxinduced oxygen vacancy formation,thereby enhancing the electrochemical properties of the *** a result,compared with the phase-pure （undoped） CoOxyolk–shell,the heteroatom-doped CoOxyolk–shell exhibited robust cycling stability (602 mAh·g-1for 200 cycles at 1 A·g-1) and excellent rate capability(210 mAh·g-1at 10 A·g-1).

关键词： Anode Cobalt oxide Heteroatom doping Lithium-ion batteries Recycling

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Reevaluation of the expanded indications in undifferentiated early gastric cancer for endoscopic submucosal dissection

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World Journal of Gastroenterology 2022年第15期28卷 1548-1562页

作者： Jiyoung Yoon Seung-Yeon Yoo Young Soo Park Kee Don Choi beom su kim Moon-Won Yoo In Seob Lee Jeong Hwan Yook Ga Hee kim Hee Kyong Na Ji Yong Ahn Jeong Hoon Lee Kee Wook Jung Do Hoon kim Ho June Song Gin Hyug Lee Hwoon-Yong Jung Department of Gastroenterology Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of Pathology Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of surgery Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea

BACKGROUND Although the criteria for the indication of endoscopic submucosal dissection(ESD)for undifferentiated early gastric cancer(UD-EGC)have been recently proposed,accumulating reports on the non-negligible rate of lymph node metastasis(LNM)after indicated ESD raise questions on the reliability of the current *** To investigate the prevalence and risk factors of LNM in UD-EGC cases meeting the expanded indication for *** We retrospectively reviewed 4780 UD-EGC cases that underwent surgical resection between January 2008 and February 2019 at Asan Medical Center,a tertiary university hospital in *** identify the risk factors of LNM of UDEGC meeting the expanded criteria for ESD,we performed a case-control study by matching the cases with LNM to those without at a ratio of 1:*** reviewed the clinical,endoscopic,and histologic features of the cases to identify features with a significant difference according to the presence of *** and multivariate logistic regression analyses were performed to estimate the odds ratios(ORs).REsuLTS Of the 4780 UD-EGC cases,1240(25.9%)were identified to meet the expanded indication for *** the 1240 cases,14(1.1%)cases had *** the various clinical,endoscopic,and histopathological features that were evaluated,mixed histology(tumors consisting of 10%-90%of signet ring cells)had a marginally significant association(P=0.059)with the risk of ***,diffuse blurring of the muscularis mucosae(MM)underneath the tumorous epithelium,a previously unrecognized histologic feature,had a significant association with the absence of LNM(P=0.028).Multivariate logistic regression analysis showed that the blurring of MM was the only explanatory variable significantly associated with a reduced risk of LNM(OR:0.12,95%CI:0.02-0.95;P=0.045).CONCLUSION The risk of LNM is higher than expected when using the current expanded indication for *** evaluation could provide useful clues for reducing the

关键词： Gastric cancer Undifferentiated carcinoma Endoscopic submucosal dissection Lymph node metastasis

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Real-world utility of serological tests in patients with suspected scrub typhus in the Republic of Korea:A single-center,retrospective,observational study

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Asian Pacific Journal of Tropical Medicine 2024年第6期17卷 273-280,I0004,I0005页

作者： Seulki kim A Reum kim Seungjin Lim su Jin Lee Moonsuk Bae Division of Infectious Diseases Department of Internal MedicinePusan National University Yangsan HospitalYangsanRepublic of Korea Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan HospitalYangsanRepublic of Korea Department of Internal Medicine Pusan National University School of MedicineBusanRepublic of Korea

Objective:Serological tests are widely used for scrub typhus diagnosis;however,their limitations are *** study aims to assess their practical value in clinical ***:We analyzed the data of adult patients with suspected scrub typhus who visited a tertiary care hospital in the Republic of Korea from September to December from 2019 to *** included patients had an acute fever and at least one of the following ten secondary findings:myalgia,skin rash,eschar,headache,thrombocytopenia,increased liver enzyme levels,lymphadenopathy,hepatomegaly,splenomegaly,and pleural *** diagnoses were grouped as scrub typhus or other diseases by two infectious disease ***:Among 136 patients who met the eligibility criteria,109 had scrub typhus and 27 had different *** and paired total antibodies using immunofluorescence assay(IFA),and total antibodies using immunochromatography-based rapid diagnostic testing(ICT)were measured in 98%,22%,and 75%of all patients,*** using paired samples for scrub typhus was established at a median of 11[interquartile range(IQR)10-16]days following the first *** the 82 admitted patients,the median admission time was 9(IQR 7-13)*** to IFA,58(55%)patients with scrub typhus had total immunoglobulin titers≥1:320,while 23(85%)patients with other disease had titerssults were observed in 64(74%)patients with scrub typhus and 10(67%)patients with other diseases showed negative ICT ***:Serological testing for scrub typhus is currently insufficient for decision-making in clinical practice.

关键词： Scrub typhus Serological test Immunofluorescence assay Immunochromatography Rapid detecting test

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[001]-texturing of(K,Na)NbO_(3)-based piezoceramics with a pseudocubic structure and their application to piezoelectric devices

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Journal of Materiomics 2024年第3期10卷 632-642页

作者： su-Hwan Go Seok-Jung Park Seung-Hyun kim Seok-June Chae Eun-Ji kim Geun-su Lee Sahn Nahm Department of Materials Science and Engineering Korea UniversitySeoul02841Republic of Korea

0.96(K_(0.5)Na_(0.5-z)Li_(z))(Nb_(0.92)Sb_(0.08))O_(3)-0.04(Ca_(0.5)Sr_(0.5))ZrO_(3)[(KN_(0.5-z)L_(z))NS-CSZ]piezoceramics(0≤z≤0.04)were aligned in the[001]orientation using 3%(in mole)NaNbO_(3)templates with a large Lotgering factor(>97%).Their crystal structures transformed from the orthorhombic-pseudocubic(O-P)structure to the orthorhombic-tetragonal-pseudocubic(O-T-P)structure with an increasing *** P structure was interpreted as a rhombohedral R3m *** piezoelectricity of the compositions increased after[001]-texturing,and the enhancement was proportional to the O phase *** composition(z=0.03)exhibited the highest piezoelectric constant(d_(33);670 pC/N)and electromechanical coupling factor(k_(p);0.56).Piezoelectric energy harvesters were produced using the untextured and textured samples(z=0.03).The textured harvester delivered a large power density of 26.6 mW/mm^(3),which was larger than that of the untextured harvester owing to the enhanced kp and d_(33)×g_(33) of the textured piezoceramic.A multilayer actuator was produced using the textured sample(z=0.03),and it exhibited a large acceleration(44.2 G)and displacement(±3,730 mm)at±25 ***,the[001]-textured(KN_(0.47)L_(0.03))NS-CSZ piezoceramic is suitable for piezoelectric energy harvesters and actuators.

关键词： KNN-Based piezoceramic Lead-free Energy harvester Actuator Reactive template grain growth

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Long cycle-life aqueous Zn battery enabled by facile carbon nanotube coating on Cu current collector

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Carbon Energy 2024年第6期6卷 151-164页

作者： beom-Keun Cho sung-Ho Huh So Hee kim Seungho Yu Jong-Seong Bae Jung-Keun Yoo Seung-Ho Yu Department of Chemical and Biological Engineering Korea UniversitySeoulRepublic of Korea Advanced Analysis Center Korea Institute of Science and Technology(KIST)SeoulRepublic of Korea Energy Storage Research Center Korea Institute of Science and Technology(KIST)SeoulRepublic of Korea KIST School Division of Energy and Environment TechnologyKorea University of Science and TechnologySeoulRepublic of Korea Busan Center Korea Basic Science Institute(KBSI)BusanRepublic of Korea Carbon Composites Department Composites Research DivisionKorea Institute of Materials Science(KIMS)ChangwonRepublic of Korea

As an alternative to Li-ion batteries,aqueous Zn batteries have gained attention due to the abundance of Zn metal,low reduction potential(-0.76 V *** hydrogen electrode),and high theoretical capacity(820 mAh g^(-1))of multivalent Zn2+***,the growth of Zn dendrites and the formation of irreversible surface reaction byproducts pose challenges for ensuring a long battery lifespan and ***,the Cu foil coated with a single-walled carbon nanotube(SWCNT)layer using a facile doctor blade casting method is *** SWCNT-coated Cu foil demonstrates a significantly longer battery lifespan compared to the bare Cu in the half-cell *** operando optical microscopy imaging,we are able to provide intuitive evidence that Zn deposition occurs between the carbon nanotube(CNT)coating and Cu substrate,in agreement with the computational ***,with various imaging techniques,the flat morphology and homogeneous distribution of Zn beneath the SWCNT layer are *** addition,the full-cell using CNT-coated Cu exhibits a long cycle life compared to the control group,thereby demonstrating improved electrochemical performance with limited Zn for the cycling process.

关键词： aqueous Zn battery carbon nanotube operando imaging surface coating

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