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Characteristics of gastric cancer recurrence five or more years after curative gastrectomy

Chinese Journal of Cancer Research 2016年第5期28卷 503-510页

作者： chang-Hyun shin Woo-Yong Lee Seung-Woo hong Yeo-Goo chang Department of Surgery Ilsan Paik HospitalInje University College of Medicine Department of Surgery Seoul Paik HospitalInje University College of Medicine

Objective： To investigate the characteristics of recurrences that occurred 5 or more years after curative resection for gastric ***： We analyzed recurrences among 1,299 patients with gastric cancer who underwent curative operations at the Department of Surgery, Inje University Seoul Paik hospital between September 1998 and December 2002. Recurrences were classified as within 2 years （early）, 2-5 years （intermediate）, and more than 5 years （late） after gastrectomy. The clinicopathologic findings of the patients with late recurrence were compared with those of patients in the other two recurrence groups, with special reference to the patterns of recurrence. Both univariate and multivariate analyses were performed, incorporating factors such as operation type, T-stage, N-stage, stage, lymphatic invasion, neural invasion, histology, tumor size, and recurrence ***： At the time of last follow-up, recurrence occurred in 266 （20.5%） patients. Recurrence times were classified as 〈2 years （182 patients）, 2-5 years （61 patients）, or 〉5 years （23 patients）. The late recurrence rate was 8.6%. The occurrence of recurrence 〉5 years after gastrectomy was significantly correlated with age, operation type, T-stage, N-stage, stage, lymphatic invasion, neural invasion, histology, tumor size, location and recurrence site （P〈0.05）. The main recurrence patterns in the 23 patients with late recurrence were locoregional metastasis （10 patients, 43.5%）, peritoneal seeding （8 patients, 34.8%）, hematogenous metastasis （2 patients, 8.7%）, and multiple metastasis （3 patients, 13.0%）. A multivariate analysis showed that larger tumor size and younger age were independent prognostic factors for late recurrence. Additionally, locoregional and peritoneal recurrences were significantly more common than hematogenous recurrences. Conclusions： Although late recurrence was uncommon, younger age and larger tumor size were associated with high risk. Follow-up surveillance is recommended

关键词： Curative surgery gastric cancer gastrectomy late recurrence recurrence

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Enhanced efficiency in lead-free bismuth iodide with post treatment based on a hole-conductor-free perovskite solar cell

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Nano Research 2018年第12期11卷 6283-6293页

作者： Jongmoon shin Maengsuk Kim Sujeong Jung chang Su Kim Jucheol Park Aeran Song Kwun-Bum Chung Sung-ho Jin Jun Hee Lee Myungkwan Song Surface Technology Division Korea Institute of Materials Science (K/MS)797ChangwondaeroSungsan-GuChangwonGyeongnam642-83IRepublic of Korea School of Energy and Chemical Engineering Ulsan Nationallnstitute ofSdence &Technology(UNIST)Ulsan44919Republic of Korea Structure Analysis Group Gyeongbuk Science &Technology Promotion CenterFuture Strategy Research Institute17Cheomdangieop 1-roSangdong-myeonGumiGyeongbuk39171Republic of Korea Division of Physics andSemiconductorScience Dongguk UniversitySeou1100-715Repubfic of Korea Department of Chemistry Education Graduate Department of Chemical Materialsand Institute for Plastic Information and Energy MaterialsPusan National UniversityBusan 46241Republicof Korea

Despite the excellent merits of lead perovskite solar cells, their instability and toxicity still present a bottleneck for practical applications. Bismuth perovskite has emerged as a candidate for photovoltaic (PV) applications, because it not only has a low toxicity but is also stable in air. however, the power conversion efficiency (PCE) remains an unsolved problem. We performed band gap tuning experiments to improve the efficiency. The absorption of ABi3I10 structure films was extended within the visible region, and the optical band gap was decreased considerably compared to that for Cs3Bi2I9. Furthermore, we explained the correlation between the structure and the optical properties via a first-principles study. A device employing CsBi3I10 as a photoactive layer exhibits a PCE of 1.51% and an excellent ambient stability over 30 days.

关键词： solar cells perovskite band-gap engineering bismuth halide lead free

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Outcome of laparoscopic cholecystectomy is not influenced by chronological age in the elderly

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World Journal of Gastroenterology 2009年第6期15卷 722-726页

作者： Hyung Ook Kim Jung Won Yun Jun ho shin Sang Il Hwang Yong Kyun Cho Byung ho Son chang Hak Yoo Yong Lai Park Hungdai Kim Departments of Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of MedicineSeoul 110-746 South Korea Departments of Internal Medicine Kangbuk Samsung HospitalSungkyunkwan University School of MedicineSeoul 110-746South Korea

AIM:To evaluate the outcome of laparoscopic cholecystectomy(LC)in patients aged 80 years and older. METhoDS:A total of 353 patients aged 65 to 79 years(group 1)and 35 patients aged 80 years and older(group 2)underwent *** were further classified into two other groups:those with uncomplicated gallbladder disease(group A)or those with complicated gallbladder disease(group B). RESULTS:There were no significant differences between the age groups(groups 1 and 2)with respect to clinical characteristics such as age,gender,comorbid disease,or disease *** operative time,conversion rate,and the incidence of major postoperative complications were similar in groups 1 and ***,the percentage of high-risk patients was significantly higher in group 2 than in group 1 (20.0%vs 5.7%,Phospital stay(7.9±6.5 d vs 5.0±3.7 d, Pho underwent LC seem to be influenced by the severity of gallbladder disease,and not by chronologic *** octogenarians,LC should be performed at an earlier,uncomplicated stage of the disease whenever possible to improve perioperative outcomes.

关键词： Elderly Laparoscopic cholecystectomy Octogenarians Gallbladder Cholecystitis

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Attempts to enhance the eradication rate of helicobacter pylori infection

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World Journal of Gastroenterology 2014年第18期20卷 5252-5262页

作者： chang Seok Bang Gwang ho Baik Department of Internal Medicine Hallym University College of MedicineChuncheon 200-704South Korea

Increasing rates of antimicrobial resistance to clarithromycin and metronidazole present challenges in maintaining optimal eradication *** of local antibiotic resistance and consumption pattern is important in selecting a reliable *** addition,adverse effect profiles of therapeutic regimens are important and must be addressed to enhance compliance *** methods of enhancing the eradication rates of Helicobacter pylori(***)have been investigated,including changing combinations or durations of established drugs,adding adjuvant drugs,or development of new molecules or ***-containing quadruple,sequential,concomitant,and levofloxacin-based triple therapies are replacing the long-standing standard of the triple *** the encouraging results of these regimens,individualized approaches like treatment after antibiotics resistance test or CYP2C19genotyping would be the mainstream of future *** scientific,economic,and technical problems make these advance therapies unfit for widespread use,future development for *** therapy should be directed to overcome individualized antibiotic *** various novel regimens and additive agents have indicated favorable outcomes,more studies or validations are needed to become a mainstream *** therapy.

关键词： Helicobacter pylori Antimicrobial drug resistance Clarithromycin Metronidazole Microbial sensitivity tests

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Pathophysiology after pancreaticoduodenectomy

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World Journal of Gastroenterology 2015年第19期21卷 5794-5804页

作者： chang Moo Kang Jin ho Lee chang Moo Kang Jin Ho Lee Department of Hepatobiliary and Pancreatic Surgery Yonsei University College of Medicine Seoul 120-752 South Korea.

Pancreaticoduodenectomy （PD） will result in removalof important multiorgans in upper intestinal tract andsubsequently secondary physiologic change. In thepast, surgeons just focused on the safety of surgicalprocedure; however, PD is regarded as safe and widelyapplied to treatment of periampullary lesions. Practicalissues after PD, such as, effect of duodenectomy,metabolic surgery-like effect, alignment effect ofgastrointestinal continuity, and non-alcoholic fatty liverdisease were summarized and discussed.

关键词： Pancreaticoduodenectomy Delayed gastricemptying Metabolic surgery Exocrine insufficiency Fatty liver Postoperative pancreatic fistula

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Minimally invasive surgery for submucosal(subepithelial) tumors of the stomach

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World Journal of Gastroenterology 2014年第36期20卷 13035-13043页

作者： chang Min Lee Hyung-ho Kim Department of Surgery Seoul National University Bundang Hospital Seongnam 463-707 South Korea Colledge of Medicine Seoul National University Seoul 110-799 South Korea

Minimally invasive surgery has become common in the surgical resection of gastrointestinal submucosal tumors(SMTs). The purpose of this article is to review recent trends in minimally invasive surgery for gastric SMTs. Although laparoscopic resection has been main stream of minimally invasive surgery for gastrointestinal SMTs, recent advances in endoscopic procedures now provide various treatment modalities for gastric SMTs. Moreover, investigators have developed several hybrid techniques that include the advantages of both laparoscopic and endoscopic procedure. In addition, several types of reduced port surgeries, modification of conventional laparoscopic procedures, have been recently applied to the surgical resection of SMTs. Meanwhile, robotic surgery for SMTs requires further evidence and improvement.

关键词： Minimally invasive Surgery Submucosal tumor Gastrointestinal tract

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Process simulation and economic analysis of reactor systems for perfluorinated compounds abatement without HF effluent

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Frontiers of Chemical Science and Engineering 2016年第4期10卷 526-533页

作者： Boreum Lee Sunggeun Lee ho Young Jung shin-Kun Ryi Hankwon Lim Department of Advanced Materials and Chemical Engineering Catholic University of Daegu Gyeongbuk 38430 Korea Department of Environment and Energy Engineering C-honnam National University-Gwangju 61186 Korea Korea Institute of Energy Research Daejeon 34129 Korea

New and efficient proposed to treat perfluorinated reactor systems were compounds via catalytic decomposition. One system has a single reactor （S-1）, and another has a series of reactors （S-2）. Both systems are capable of producing a valuable CaF2 and eliminating toxic HF effluent and their feasibility was studied at various temperatures with a commercial process simulator, Aspen HYSYS. They are better than the conventional system, and S-2 is better than S-1 in terms of CaF2 production, a required heat for the system, natural gas usage and CO2 emissions in a boiler, and energy consumption. Based on process simulation results, preliminary economic analysis shows that cost savings of 12.37% and 13.55% were obtained in S-2 at 589.6 and 621.4℃compared to S-1 at 700 and 750 ℃, respectively, for the same amount of CaF2 production.

关键词： perfluorinated compounds (PFCs) CF4 pro-cess simulation economic analysis

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Kinematical system of breadth cam profile design

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Journal of Central South University 2011年第2期18卷 451-457页

作者： shin Joong-ho 李琳 YANG Hyun-dai KWON Soon-man Department of Mechanical Design & Manufacturing Changwon National University

The design solutions for breadth cam mechanism was presented. The main topics of the shape design for breadth cam was to calculate the coordinate at each contact point to determine the cam profile. The proposed method according to velocity and geometric relationships of instant velocity centers can easily determine each contact point at any instant moment. The cam profile was defined by contouring of the contact points. And also a program was developed by using Microsoft Visual C++ program,which can quickly and easily draw a 2D cam profile through the displacement diagram. Finally,the program was used to confirm the accuracy on the breadth cam profile design by computer animation graphically.

关键词： cam profile breadth cam reciprocating follower oscillating follower instant velocity center

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Synergetic analysis of springtime air pollution episodes over Gwangju,Korea

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Journal of Environmental Sciences 2017年第7期29卷 270-283页

作者： Sung-Kyun shin Kwon-ho Lee Seung-Shik Park Man Sing Wong Research Institute for Radiation-Satellite(RIRS) Gangneung-Wonju National University(GWNU)Gangneung 25457Republic of Korea Department of Atmospheric and Environmental Sciences(DAES) Gangneung-Wonju National University(GWNU)Gangneung 25457Republic of Korea Department of Environment and Energy Engineering Chonnam National UniversityGwangju 61186Republic of Korea Department of Land Surveying and Geo-Informatics The Hong Kong Polytech UniversityKowloonHong Kong

The characteristics of springtime aerosols,including their optical and microphysical properties,were analyzed for the months of March to May of 2009 in Gwangju（35.23°N,126.84°E）,Korea.A high Light Detection and Ranging（LIDAR）-derived aerosol depolarization ratio（δ） of 0.25 ± 0.04 was determined on dust particles during the observation ***？ngstr？m exponent values of the 440–870 nm wavelength pair（？_（440–870）） and single-scattering albedo at 675 nm（Ω_（675）） measured by a CIMEL sun/sky radiometer were 0.77 ± 0.19 and 0.95 ±0.01,*** elevated dust layers reached a maximum elevation of 4 km above sea ***/smoke particles that originated from highly populated/industrialized regions could be distinguished by their relatively smaller particle size（？_（440–870） ranged between1.33 and 1.36） and higher light-absorbing（Ω_（675） of 0.92 ± 0.01） *** aerosols are mostly distributed at altitudes 〈 1.2 *** root-mean-square deviation（RMSD） between the aerosol optical depth（AOD,τ） derived from LIDAR_（（τ_（LIDAR））） and from the CIMEL sun/sky radiometer_（（τ_（CIMEL））） varied with respect to the surface PM10 *** RMSD between τ_（LIDAR） and τ_（CIMEL） was as low as 13% under lower PM_（10） concentration levels（〈 100 μg/m^3）.In contrast,the RMSD between τ_（LIDAR） and τ_（CIMEL） increased three times（~31%） under high surface PM_（10） concentration levels（〉100 μg/m^3）.These results suggest that the accuracy of τ_（LIDAR） is influenced by specific atmospheric conditions,regardless of its uncertainty.

关键词： LIDAR Sun/sky radiometer MODIS Optical/microphysical properties Aerosol optical depth

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Acute esophageal obstruction after ingestion of psyllium seed husk powder:A case report

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World Journal of Clinical Cases 2022年第7期10卷 2336-2340页

作者： Sujeong shin Jung ho Kim You ho Mun Han Sol Chung Department of Emergency Medicine Yeungnam University School of Medicine and College of MedicineDaegu 42415South Korea

BACKGROUND Bezoar is a mass of hardened external material found in the gastrointestinal(GI)*** may form anywhere in the GI tract,but esophageal bezoar is rare because of the short esophageal transit *** seed husk is an indigestible natural derivative that is widely used as an herbal ***,we report a case of acute esophageal obstruction caused by a bezoar after ingestion of psyllium seed husk *** SUMMARY A 76-year-old male with Parkinson’s disease visited the emergency department with swallowing difficulty approximately 10 h after ingesting psyllium seed husk *** began a few hours after ingestion and progressed to severe *** were no abnormal findings on simple ***,a computed tomography scan revealed an approximately 2.0 cm×2.5 cm mass located near the gastro-esophageal *** grinding,the mass was removed using an endoscopic capture *** bezoars may cause life-threatening *** with Parkinson’s disease may have esophageal motility dysfunction,which may increase esophageal transit *** our patient had Parkinson’s disease,this effect may have contributed to the formation of the *** Attention should be paid to using bulk-laxatives,and an appropriate specified regimen will be needed when marketed as a dietary supplement.

关键词： Bezoar Esophagus Obstruction Parkinson’s disease Psyllium Case report

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