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Hepatobiliary scintigraphy for detecting biliary strictures after living donor liver transplantation

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World Journal of Gastroenterology 2011年第21期17卷 2626-2631页

作者： Yu Jin Kim Kyu Taek Lee Young Cheol Jo Kwang Hyuck Lee Jong Kyun Lee Jae-Won joh Choon Hyuck David Kwon Department of Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Department of Surgery Samsung Medical CenterSungkyunkwan University School of Medicine

AIM:To investigate the diagnostic accuracy of hepatobiliary scintigraphy(HBS) in detecting biliary strictures in living donor liver transplantation(LDLT) ***:We retrospectively reviewed 104 adult LDLT recipients of the right hepatic lobe with duct-toduct anastomosis,who underwent HBS and *** HBS results were categorized as normal,parenchymal dysfunction,biliary obstruction,or bile leakage without *** presence of biliary strictures was determined by percutaneous cholangiography or endoscopic retrograde cholangiopancreatography(ERCP).RESULTS:In 89 patients with biliary strictures,HBS showed biliary obstruction in 50 and no obstruction in 39,for a sensitivity of 56.2%.Of 15 patients with no biliary strictures,HBS showed no obstruction in 11,for a specificity of 73.3%.The positive predictive value(PPV) was 92.6%(50/54) and the negative predictive value(NPV) was 22%(11/50).We also analyzed the diagnostic accuracy of the change in bile duct *** sensitivity,NPV,specificity,and PPV were 65.2%,27.9%,80% and 95%,***:The absence of biliary obstruction on HBS is not ***,when post-LDLT biliary strictures are suspected,early ERCP may be considered.

关键词： Living donor liver transplantation Tc99m mebrofenin Radionucleotide imaging Hepatobiliary scintigraphy Biliary stricture

Highly dense and ultrathin gadolinia-doped ceria interlayer for enhanced performance of large-area anode-supported solid oxide fuel cell

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Progress in Natural Science:Materials International 2023年第5期33卷 733-741页

作者： Sang Woo Shin Amjad Hussain Muhammad Zubair Khan Dong Woo joh Tak-Hyung Lim Seung-Bok Lee Jong-Eun Hong Joon Hyung Shim Rak-Hyun Song Hydrogen Energy Research Division Korea Institute of Energy Research Department of Mechanical Engineering Korea University Department of Advanced Energy and System Engineering Korea University of Science and Technology(UST) 4. Department of Materials Science & Engineering Pak-Austria Fachhochschule: Institute of Applied Sciences and Technology

The fabrication of a highly dense and ultrathin Gd doped ceria(GDC) interlayer on a large-area, porous electrolyte-coated planar anode support using vacuum slurry coating is studied for application in solid oxide fuel cells(SOFCs). The electrolyte-coated planar anode support body is fabricated by tape casting and pre-sintering is performed at 1100, 1150, and 1200°C. The GDC interlayer is coated onto the pre-sintered electrolyte-coated anode support using a vacuum slurry coating process with different immersion times(30–60 s). A highly dense and ultrathin GDC interlayer with a thickness of 1.48 μm is produced after co-sintering at 1400°C. The 1200°C pre-sintered electrolyte-coated anode support showed a thin and highly dense GDC interlayer which is attributed to a lower shrinkage difference between the coated GDC interlayer and pre-sintered body. The electrochemical performance of a vacuum slurry-coated GDC interlayer cell is 38 % higher compared to that of the screen-printed GDC-coated cell at 700°C due to the greatly reduced Ohmic and electrode polarization resistances. The considerable improvement in the performance is attributed to the ultrahigh GDC density which has prevented the secondary phase formation between the cathode and electrolyte. This study presents the economical, scalable, and reproducible process for the fabrication of highly robust GDC interlayer for the large-area planar anode-supported SOFCs.

关键词： Solid oxide fuel cell Vacuum slurry coating GDC interlayer Sintering Performance

Surgical treatment outcomes of primary hepatic sarcomas: A singlecenter experience

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World Journal of Hepatology 2021年第5期13卷 584-594页

作者： Sang Jin Kim Jinsoo Rhu Jong Man Kim Gyu Seung Choi Jae-Won joh Department of Surgery Korea University College of MedicineSeoulRepublic of KoreaDivision of Hepatobiliopancreas and Transplant SurgeryKorea University Ansan HospitalAnsan 15355South Korea Department of Surgery Samsung Medical CenterSeoul 06351South Korea

BACKGROUND Primary hepatic sarcoma is a rare tumor originated from mesenchymal *** are various pathologic types of primary hepatic sarcoma and the treatment outcome of this tumor was usually *** hepatocellular carcinoma,outcome of primary hepatic sarcoma is not well-known due to it’s ***,with development of medical technology,surgical treatment may lead to better *** To investigate the surgical outcomes of primary hepatic sarcoma,we gathered and analyzed the cases of a single *** From August 2001 to September 2016,a total of nine patients were surgically treated for primary hepatic sarcoma after exclusion of cases with open and closure,early loss to follow-up and sarcomatoid hepatocellular carcinoma and sarcomatoid cholangiocellular *** characteristics,tumor characteristics such as tumor pathology,size and number,surgical and adjuvant treatments were *** recurrence,and patient survival were analyzed with retrospective *** The enrolled participants included five patients with angiosarcoma and four patients with undifferentiated *** patients experienced tumor recurrence at a median of 52 post-operative *** two patients survived and the 5-year survival rate was 29.6%.One patient with angiosarcoma who received central hepatectomy for primary tumor and received radiofrequency ablation for recurrent tumor still lives for 11 *** patient with undifferentiated sarcoma received *** for primary tumor followed by chemotherapy and radiation therapy still lives around 30 mo even though she got additional operation for recurrent *** patients who received living donor liver transplantation due to angiosarcoma *** adjuvant therapy was associated with survival gain(P=0.002).CONCLUSION Patients with primary hepatic sarcoma may gain survival benefit with surgical resection followed by adjuvant therapy,even though the outcome remains relatively poor

关键词： Liver Angiosarcoma Undifferentiated sarcoma Operation Survival Recurrence

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美国活动断层和火山附近的磁场和电场效应

世界地震译丛 1991年第6期22卷 1-9页

作者： joh.,MJS 郝锦绮

A dynamic infiltration technique to synthesize nanolayered cathodes for high performance and robust solid oxide fuel cells

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Journal of Energy Chemistry 2022年第7期31卷 201-210,I0006页

作者： Saeed Ur Rehman Ho-Seon Song Hye-Sung Kim Muhammad Haseeb Hassan Dong-Woo joh Rak-Hyun Song Tak-Hyoung Lim Jong-Eun Hong Seok-Joo Park Seung-Bok Lee High Temperature Energy Conversion Laboratory Korea Institute of Energy Research152Gajeong-roYuseong-gu.Daejeon34129.Republic of Korea Department of Advanced Energy and System Engineering University of Science and Technology.217 Gajeong-ro.Yuseong-gu.Daejeon 34113.Republicof Korea

Solution infiltration is a popular technique for the surface modification of solid oxide fuel cell(SOFC)***,the synthesis of nanostructured SOFC cathodes by infiltration is a tedious process that often requires several infiltration and high temperature(≥500℃)calcination ***,fabricating large-area nanostructured cathodes via infiltration still requires serious ***,we propose a facile and scalable urea assisted ultrasonic spray infiltration technique for nanofabrication of SOFC *** is demonstrated that by using urea as a precipitating agent,the calcination after each infiltration cycle can be omitted and the next infiltration can be performed just after a drying step(≤100℃).Finally,the precipitates can be converted into a desired catalyst phase in single calcination thus,a nanostructured cathode can be fabricated in a much faster *** is also shown that the low calcination temperature of the cathode(≤900℃)can produce highly durable SOFC performance even without employing a Ce_(0.9)Gd_(0.1)O_(2)(GDC)diffusion barrier layer which provides the ease of SOFC *** coupling with an ultrasonic spray technique,the urea assisted infiltration can be scaled up for any desired cathode ***_(0.6)Sr_(0.4)Co_(0.2)Fe_(0.8)O_(3) nanolayered cathode was fabricated and it was characterized by scanning electron microscope(SEM),X-ray diffraction(XRD),and transmission electron microscopy(TEM)*** showed the formation of a nanolayer cathode just after 5 cycles of the urea assisted infiltration while the XRD and TEM confirmed the phase and stoichiometric uniformity of the 100 nm cathode *** effectiveness of the newly developed technique was further verified by the stable operation of a GDC buffer layer free SOFC having an active cathode area of 25 cm^(2) during a 1200 h durability *** research outcomes propose urea assisted ultrasonic spray infiltration as a facile,scalable,and commercially viable method

关键词： Solid oxide fuel cell(SOFC) Cathode Infiltration Nanolayer Nanofabrication GDC barrier layer free SOFC

Hepatic resection vs percutaneous radiofrequency ablation of hepatocellular carcinoma abutting right diaphragm

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World Journal of Gastrointestinal Oncology 2019年第3期11卷 227-237页

作者： Kyoung Doo Song Hyo Keun Lim Hyunchul Rhim Min Woo Lee Tae Wook Kang Yong Han Paik Jong Man Kim Jae-Won joh Department of Radiology Samsung Medical Center Sungkyunkwan University School of Medicine Department of Radiology Samsung Medical Center Sungkyunkwan University School of Medicine Department of Health Sciences and Technology SAIHSTSungkyunkwan University Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine

BACKGROUND It is usually difficult to adequately conduct percutaneous ultrasound-guided radiofrequency(RF) ablation for hepatocellular carcinomas(HCCs) abutting the diaphragm. Our hypothesis was that the subphrenic location of HCC could have an effect on the long-term therapeutic outcomes after hepatic resection and RF *** To compare the long-term therapeutic outcomes of hepatic resection and percutaneous RF ablation for HCCs abutting the *** A total of 143 Child-Pugh class A patients who had undergone hepatic resection(n = 80) or percutaneous ultrasound-guided RF ablation(n = 63) for an HCC(≤ 3 cm) abutting the right diaphragm were included. Cumulative local tumor progression(LTP), cumulative intrahepatic distant recurrence(IDR), disease-free survival(DFS), and overall survival(OS) rates were estimated. Prognostic factors for DFS and OS were analyzed. Complications were *** The cumulative IDR rate, DFS rate, and OS rate for the hepatic resection group and RF ablation group at 5 years were "35.9% vs 65.8%", "64.1% vs 18.3%", and"88.4% vs 68.7%", respectively. Hepatic resection was an independent prognostic factor for DFS(P ≤ 0.001; hazard ratio, 0.352; 95%CI: 0.205, 0.605; with RF ablation as the reference category); however, treatment modality was not an independent prognostic factor for OS. The LTP rate was 46.6% at 5 years for the RF ablation group. The major complication rate was not significantly different between the groups(P = 0.630). The rate of occurrence of peritoneal seeding was higher in the RF ablation group(1.3% vs 9.5%, P = 0.044).CONCLUSION Although OS was not significantly different between patients who had gone hepatic resection or percutaneous RF ablation for HCCs abutting the diaphragm,DFS was better in the hepatic resection group.

关键词： Hepatic resection Radiofrequency ablation Hepatocellular carcinoma Diaphragm Treatment outcome

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构造磁学与构造电学

世界地震译丛 1990年第2期21卷 66-71页

作者： joh.,MJS 梁慧云

Case of pancreatic metastasis from colon cancer in which cell block using the Trefle^■ endoscopic scraper enables differential diagnosis from pancreatic cancer

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World Journal of Gastrointestinal Oncology 2018年第3期10卷 91-95页

作者： Akihisa Kato Itaru Naitoh Hiroyuki Kato Kazuki Hayashi Katsuyuki Miyabe Michihiro Yoshida Yasuki Hori Makoto Natsume Naruomi Jinno Takeshi Yanagita Shuji Takiguchi Satoru Takahashi Takashi joh Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Department of Experimental Pathology and Tumor Biology Nagoya City University Graduate School of Medical Sciences Department of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences

Endoscopic transpapillary brush cytology and forceps biopsy during endoscopic retrograde cholangiopancreatology are generally used to obtain pathological evidence of biliary strictures. Recently, the new endoscopic scraper Trefle~? has been reported and demonstrated high cancer detectability in malignant biliary strictures. This device is used to scrape the stricture over the guidewire, and, in the original method, the tissue and/or cell samples obtained are subjected to histological and/or cytological analysis separately. However, discrimination of chunks of tissue is hampered by the opacity of the surrounding fluid. We have developed a cell block technique for the Trefle~? device without dividing obtained specimens into tissue and cellular components, which is the simplest method and enables immunohistochemical analysis. We present a case of obstructive jaundice diagnosed immunohistochemically as pancreatic metastasis from colon cancer using cell block sections obtained with the Trefle~? device, which procedure is as easy as conventional brush cytology.

关键词： Trefle? Cell block Endoscopic scraper Pancreatic metastasis Biliary strictures

Factors associated with complicated erosive esophagitis: A Japanese multicenter, prospective, cross-sectional study

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World Journal of Gastroenterology 2017年第2期23卷 318-327页

作者： Masahiro Sakaguchi Noriaki Manabe Nobuo Ueki Jun Miwa Tomoki Inaba Norimasa Yoshida Kouichi Sakurai Masahiro Nakagawa Hajime Yamada Michiya Saito Koji Nakada Katsuhiko Iwakiri Takashi joh Ken Haruma Department of Gastroenterology Moriguchi Keijinkai Hospital Division of Endoscopy and Ultrasonography Department of Clinical Pathology and Laboratory MedicineKawasaki Medical School Department of Internal Gastroenterology and Hepatology Tokyo Rosai Hospital Department of Gastroenterology Toshiba General Hospital Department of Gastroenterology Kagawa Prefectural Central Hospital Department of Gastroenterology Japanese Red Cross Kyoto Daiichi Hospital Hattori Clinic Department of Endoscopy Hiroshima City Hospital Department of Gastroenterology and Hepatology Shinko Hospital1 Michiya Clinic1 Department of Laboratory Medicine Daisan Hospital Jikei University School of Medicine1 Department of Gastroenterology Nippon Medical School Graduate School of Medicine1 Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences1 Department of General Internal Medicine 2 Kawasaki Medical School General Medical Center

AIMTo assess the clinical characteristics of patients with complicated erosive esophagitis (EE) and their associated *** prospective, cross-sectional study included patients diagnosed with EE by upper gastrointestinal endoscopy between October 2014 and March 2015 at 106 Japanese hospitals. Data on medical history, general condition, gastrointestinal symptoms, lifestyle habits, comorbidities, and endoscopic findings were collected using a standard form to create a dedicated database. Logistic regression analysis was used to calculate adjusted odds ratios (aOR) and 95%CI for the association with complicated *** the study period, 1749 patients diagnosed with EE, 38.3% of whom were prescribed proton pump inhibitors (PPIs) were included. Of them, 143 (8.2%) had EE complications. Esophageal bleeding occurred in 84 (4.8%) patients, esophageal strictures in 45 (2.6%) patients, and 14 (0.8%) patients experienced both. Multivariate analysis showed that increased age (aOR: 1.05; 95%CI: 1.03-1.08), concomitant use of psychotropic agents (aOR: 6.51; 95%CI: 3.01-13.61), and Los Angeles grades B (aOR: 2.69; 95%CI: 1.48-4.96), C (aOR: 15.38; 95%CI: 8.62-28.37), and D (aOR: 71.49; 95%CI: 37.47-142.01) were significantly associated with complications, whereas alcohol consumption 2-4 d/wk was negatively associated (aOR: 0.23; 95%CI: 0.06-0.61). Analyzing associated factors with each EE complication separately showed esophageal ulcer bleeding were associated with increased age (aOR: 1.05; 95%CI: 1.02-1.07) and Los Angeles grades B (aOR: 3.60; 95%CI: 1.52-8.50), C (aOR: 27.61; 95%CI: 12.34-61.80), and D (aOR: 119.09; 95%CI: 51.15-277.29), while esophageal strictures were associated with increased age (aOR: 1.07; 95%CI: 1.04-1.10), gastroesophageal reflux symptom (aOR: 2.51; 95%CI: 1.39-4.51), concomitant use of psychotropic agents (aOR: 11.79; 95%CI: 5.06-27.48), Los Angeles grades C (aOR: 7.35; 95%CI: 3.32-16.25), and D (aOR: 20.34; 95%CI: 8.36-49.53) and l

关键词： Complication Erosive esophagitis Proton pump inhibitor Esophageal ulcer bleeding Esophageal stricture