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Does the discrepancy in histologic differentiation between a forceps biopsy and an endoscopic specimen necessitate additional surgery in early gastric cancer?

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World Journal of Gastrointestinal Oncology 2017年第8期9卷 319-326页

作者： Jae Seung Soh hyun lim Ho Suk Kang Jong Hyeok Kim Kab Choong Kim Department of Internal Medicine University of Hallym College of Medicine Hallym University Sacred Heart Hospital Department of Surgery University of Hallym College of Medicine Hallym University Sacred Heart Hospital

To investigate the clinicopathological variables in early gastric cancer (EGC) patients in relation to differentiation discrepancy. METHODSThe data of 265 specimens from 240 patients with EGC, who had undergone radical operation at Hallym University Sacred Heart Hospital from 2010 to 2015, were retrospectively analyzed. We evaluated clinical, endoscopic, and histopathological data according to histological discrepancy. RESULTSClinically significant discrepancy rate showed the difference in differentiated type (well and moderately differentiated) and undifferentiated type (poorly differentiated and signet ring cell) between endoscopic biopsies and postoperative specimens was 9.4% (25/265). There were no differences in tumor location, size, gross pattern, and number of biopsies. Specimens having histological discrepancy showed more submucosal invasion (72.0% vs 49.6%, P = 0.033) and lymph node involvement (24.0% vs 7.9%, P = 0.009) than specimens having non-discrepancy. The rate of a positive epidermal growth factor receptor status was higher in specimens having discrepancy than in specimens having non-discrepancy (81.0% vs 55.4%, P = 0.035). CONCLUSIONThe discordance of histologic differentiation is associated with higher submucosal invasion and lymph node metastases in EGC. Patients have histological discrepancy may require additional surgical treatments.

关键词： Early gastric cancer Histological discrepancy Differentiation Clinicopathological factor Endoscopic treatment Surgical treatment

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High-frequency magnetic stimulation attenuates beta-amyloid protein 1-42 neurotoxicity in organotypic hippocampal slices

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Neural Regeneration Research 2010年第18期5卷 1365-1372页

作者： Don-Kyu Kim Young chul Yoon Soo Ahn Chae Kyung Mook Seo Tai Ryoon Han Si-hyun Kang Department of Physical Medicine and Rehabilitation Chung-Ang University College of Medicine Department of Neurology Chung-Ang University College of Medicine Department of Pediatrics Chung-Ang University College of Medicine Department of Physical Medicine and Rehabilitation Seoul National University

Repetitive transcranial magnetic stimulation （rTMS） has been utilized as a therapeutic tool for neurodegenerative disorders including Alzheimer＇s disease. However, the precise mechanisms of its clinical effects remain unknown. β-amyloid （Aβ） exhibits direct neurotoxic effects and is closely related to neuronal degeneration in Alzheimer＇s disease. Therefore, it has been hypothesized that the neuroprotective effects of rTMS are related to the mechanisms of protection against Aβ neurotoxicity. Organotypic hippocampal slices were prepared from 8-day old, Sprague Dawley rats. The tissue slices were exposed to 100 μmol/L Al3142 since day 12 in vitro with and without high-frequency （20 Hz） magnetic stimulation. Magnetic stimulation efficacy was evaluated by measuring neuronal nuclei （NeuN） protein expression and by observing cultures following propidium iodide fluorescence staining and bromodeoxyuridine （BrdU） immunohistochemistry. Lactate dehydrogenase activity was detected in the culture media to evaluate hippocampal neuronal damage. Our results demonstrated that high-frequency magnetic stimulation significantly reversed the reduction of NeuN protein expression because of Aβ1-42 exposure （P 〈 0.05） and significantly reduced the number of damaged cells in the hippocampal slices （P 〈 0.05）. However, lactate dehydrogenase levels and anti-BrdU staining results did not reveal any statistical differences These findings indicate that high-frequency magnetic stimulation might have protective effect on hippocampal neurons from Aβ1-42 neurotoxicity.

关键词： organotypic hippocampus amyloid beta-protein magnetic stimulation nerve degeneration/metabolism nerve degeneration/pathology organ culture techniques rats, Sprague Dawiey

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Gallstone spillage caused by spontaneously perforated hemorrhagic cholecystitis

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World Journal of Gastroenterology 2007年第41期13卷 5525-5526页

作者： Young chul Kim Mi-Suk Park Yong Eun Chung Joon Suk lim Myeong-Jin Kim Ki Whang Kim Department of Diagnostic Radiology and Institute of Gastroenterology Severance HospitalResearch Institute of Radiological ScienceYonsei University College of MedicineSeoulSouth Korea

There are occasional incidences of gallstone spillage during laparoscopic cholecystectomy,and there have been frequent reports on such a topic in the literature. To the best of our knowledge,however,there have been no reports about spilled stones caused by spontaneously perforated hemorrhagic cholecystitis. Here,we report the radiologic findings of spilled stones caused by spontaneously perforated hemorrhagic cholecystitis in a 55-year-old man.

关键词： Gallbladder perforation Gallstone spillage, Hemorrhagic cholecystitis

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Scrub typhus hepatitis confirmed by immunohistochemical staining

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World Journal of Gastroenterology 2012年第36期18卷 5138-5141页

作者： Jong-Hoon Chung Sung-chul lim Na-Ra Yun Sung-Heui Shin Choon-Mee Kim Dong-Min Kim Department of Internal Medicine Chosun University College of MedicineGwangju 501-717South Korea Research Center for Resistant Cells Chosun UniversityGwangju 501-717South Korea Department of Pathology Chosun University College of MedicineGwangju 501-717South Korea Department of Microbiology Chosun University College of MedicineGwangju 501-717South Korea

Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi （0. tsutsugamushi）. We report herein the case of a woman who presented with fever and elevated serum levels of liver enzymes and who was definitively diagnosed with scrub typhus by his- topathological examination of liver biopsy specimens, serological tests and nested polymerase chain reaction. Immunohistochemical staining using a monoclonal an- ti-O. tsutsugamushi antibody showed focally scattered positive immunoreactions in the cytoplasm of some hepatocytes. This case suggests that scrub typhus hepatitis causes mild focal inflammation due to direct liver damage without causing piecemeal necrosis or interface hepatitis. Thus, scrub typhus hepatitis differs from acute viral hepatitis secondary to liver damage due to host immune responses, which causes severe Iobular disarray with diffuse hepatocytic degeneration, necrosis and apoptosis as well as findings indicative of hepatic cholestasis, such as hepatic bile plugs or brown pigmentation of hepatocytes.

关键词： Scrub typhus, Immunohistochemistry Ori-entia tsutsugamushi

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Clinical outcomes of endoscopic resection of superficial nonampullary duodenal epithelial tumors: A 10-year retrospective, single-center study

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World Journal of Gastrointestinal Surgery 2022年第4期14卷 329-340页

作者： Joon hyun Cho Ki Young lim Eun Jung Lee Si hyung Lee Division of Gastroenterology and Hepatology Department of Internal MedicineYeungnam University College of MedicineDaegu 42415South Korea

BACKGROUND Although premalignant duodenal lesions such as adenomas are uncommon,the incidences of these lesions have increased in recent times,and thus,the demand for minimally invasive treatments such as endoscopic resection(ER)has also ***,ER in the duodenum is more challenging than ER in other locations of the gastrointestinal *** To evaluate the safety and efficacy of ER for superficial nonampullary duodenal epithelial tumors(SNADETs)METHODS We performed a retrospective observational study on 56 consecutive patients(58 lesions)diagnosed with SNADETs that underwent ER from January 2011 to December 2020 at Yeungnam University *** demographics,lesion characteristics,and procedural and technical data were collected,and clinical outcomes,including procedure-related complications,completeness of resection,and recurrence were *** Median patient age was 57 years[range,26–77,30(53.6%)men].Endoscopic mucosal resection(EMR)was performed on 57 lesions(98.3%)and snare polypectomy on one(1.7%).Lesions consisted of 52 adenomas with low-grade dysplasia(89.7%),3 adenomas with high-grade dysplasia(5.2%),and 3 intramucosal adenocarcinomas(5.2%).There were 16 cases of intraprocedural bleeding(27.6%)and 1 case of delayed bleeding(1.7%),and all these 17 cases were successfully managed *** perforation or procedure-related death *** lesion size was associated with an increased risk of EMR-related bleeding(P=0.033).During a median follow-up period of 23 mo(range 6–100 mo),no local recurrence occurred,despite the fact one-third of the patients(19 lesions,32.8%)underwent piecemeal resection and 3 patients(3 lesions,5.2%)that underwent en bloc resection had a pathologically determined positive lateral *** patient died from a primary duodenal *** The majority of SNADETs can be safely and curatively resected by EMR,and thus,based on consideration of the high incidence of fatal complications attribut

关键词： Duodenum Adenoma Endoscopic mucosal resection Endoscopic resection Superficial nonampullary duodenal epithelial tumor

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Keystone design perforator island flap in facial defect reconstruction

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World Journal of Clinical Cases 2020年第10期8卷 1832-1847页

作者： Soo Yeon lim Chi Sun Yoon hyun Gun Lee Kyu Nam Kim Department of Plastic and Reconstructive Surgery Konyang University HospitalUniversity of Konyang College of MedicineMyunggok Medical Research CenterDaejeon 35365South Korea Department of Plastic and Reconstructive Surgery Wonkwang University HospitalWonkwang University School of MedicineIksan 54538South Korea

Facial defect coverage is a common subject in the field of reconstructive *** are many methods for facial defect reconstruction,and reconstructive surgeons should choose the most appropriate method on a case-by-case basis to achieve both functional and aesthetic *** various options for facial reconstruction,the local flap technique is considered the best reconstructive modality to provide good tissue matches of color and texture,which is consistent with the ideal goal of reconstruction(replacement of like-with-like).Keystone design perforator island flap(KDPIF),devised by Behan in 2003,has been applied to various fields of reconstructive surgery in the past decade due to its design simplicity,robust vascular supply,and *** studies have reported KDPIF reconstruction of facial defects,such as large parotid defects,small-to-moderate nasal defects,and eyelid ***,KDPIF has been used relatively less in facial defects than in other body regions,such as the trunk and *** purpose of this review is to provide an organized overview of facial KDPIF reconstruction including the classification of KDPIF,modifications,physiology,mechanism of flap movement,consideration of facial relaxed skin tension lines and aesthetics,surgical techniques,clinical applications,and precautions for successful execution of KDPIF reconstruction.

关键词： Keystone design perforator island flap Reconstructive surgery Facial defects Aesthetics Plastic surgery Flap surgery

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Gastric Cancer Disparities in the United States: Overcoming the Barriers

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International Journal of Clinical Medicine 2024年第1期15卷 19-30页

作者： chul hyun Dohyun Cho Englewood Hospital Medical Center Englewood NJ USA The Stomach Cancer Task Force Englewood Cliffs NJ USA

In this narrative review, we highlight the disparities in the incidence and mortality of gastric cancer across various racial and ethnic populations in the United States (US). Despite the low and decreasing trend in the incidence of gastric cancer in the US, the incidence remains significantly high among Asian and Hispanic Americans, showing a striking racial and ethnic disparity. The low survival rate of gastric cancer further accentuates the magnitude of this disparity. In addition, there is a marked funding disparity among different cancers in the US, reflecting the significantly lower level of support for cancers, such as gastric cancer, which are more prevalent in minority populations, compared to the cancers more prevalent among non-Hispanic Whites (NHW). Moreover, the economic burden from health disparities remains high. Although studies from the US and Asia suggest that screening for stomach cancer may be cost-effective, there is no currently available guideline for scree-ning high-risk populations in the US. A multidimensional framework involving the community, physicians, and policymakers is proposed to tackle these gastric cancer disparities and to develop population-based screening and surveillance programs to reduce the burden of gastric cancer.

关键词： Gastric (Stomach) Cancer Epidemiology Prevention Health Disparity Immigrants Minority Health Endoscopic Screening

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Hydrodynamics of air-kerosene bubble column under elevated pressure in homogeneous flow regime

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Chinese Journal of Chemical Engineering 2021年第5期34卷 190-202页

作者： Bay Van Tran Son Ich Ngo Young-Il lim Keon Bae Dong hyun Lee Kang-Seok Go Nam-Sun Nho Center of Sustainable Process Engineering(CoSPE) Department of Chemical EngineeringHankyong National UniversityGyeonggi-doAnseong-siJungang-ro 32717579Republicof Korea School of Chemical Engineering Sungkyunkwan University2066 Seobu-roJanganSuwon 16419Republic of Korea Center for Convergent Chemical Process(CCP) 141 Gajeong-roYuseong-guDaejeon 34114Republic of Korea

A multiphase computational fluid dynamics(CFD)model coupled with the population balance equation(PBE)was developed in a homogeneous air-kerosene bubble column under elevated pressure(P).The specific pressure drop(ΔP/L),gas holdup(α_(G)),and Sauter mean diameter(d_(32))were experimentally measured in the bubble column with 1.8 m height and 0.1 m inner diameter,which was operated at a superficial gas velocity of 12.3 mm·s^(-1),and P=1-35 bar(1 bar=10^(5) Pa).A modified drag coefficient model was proposed to consider the effect of bubble swarm and pressure on hydrodynamics of the bubble *** Luo breakage model was modified to account for liquid density,viscosity,surface tension and gas ***ΔP/L,α_(G),and d_(32) obtained from the CFD model were compared with experimental data,and the gas density-dependent parameters of the CFD model were *** increasing P from 1 to 35 bar,theα_(G) varied from 5.4%to 7.2% and the d32 decreased from 2.3 to 1.5 *** CFD-PBE model is applicable to predict hydrodynamics of pressurized bubble columns for gas-organic liquid in the homogeneous regime.

关键词： Bubble column Air-kerosene High pressure Homogenous regime Computational fluid dynamics (CFD) Population balance equation (PBE)

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Label-Free White Blood Cell Classification Using Refractive Index Tomography and Deep Learning

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Biomedical Engineering Frontiers 2021年第1期2卷 18-26页

作者： DongHun Ryu Jinho Kim Daejin lim hyun-Seok Min In Young Yoo Duck Cho YongKeun Park Department of Physics Korea Advanced Institute of Science and Technology(KAIST)Daejeon 34141Republic of Korea KAIST Institute for Health Science and Technology KAISTDaejeon 34141Republic of Korea Department of Health Sciences and Technology Samsung Advanced Institute For Health Sciences and TechnologySungkyunkwan UniversitySeoul 06355Republic of Korea Department of Health and Safety Convergence Science Korea UniversitySeoul 02841Republic of Korea Department of Laboratory Medicine and Genetics Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 06351Republic of Korea Tomocube Inc.Daejeon 34051Republic of Korea Department of Laboratory Medicine Seoul St.Mary’s HospitalCollege of MedicineThe Catholic University of KoreaSeoul 06591Republic of Korea Stem Cell&Regenerative Medicine Institute Samsung Medical CenterSeoul 06531Republic of Korea

Objective and Impact *** propose a rapid and accurate blood cell identification method exploiting deep learning and label-free refractive index(RI)*** computational approach that fully utilizes tomographic information of bone marrow(BM)white blood cell(WBC)enables us to not only classify the blood cells with deep learning but also quantitatively study their morphological and biochemical properties for hematology *** methods for examining blood cells,such as blood smear analysis by medical professionals and fluorescence-activated cell sorting,require significant time,costs,and domain knowledge that could affect test *** label-free imaging techniques that use a specimen’s intrinsic contrast(e.g.,multiphoton and Raman microscopy)have been used to characterize blood cells,their imaging procedures and instrumentations are relatively time-consuming and *** RI tomograms of the BM WBCs are acquired via Mach-Zehnder interferometer-based tomographic microscope and classified by a 3D convolutional neural *** test our deep learning classifier for the four types of bone marrow WBC collected from healthy donors(n=10):monocyte,myelocyte,B lymphocyte,and T *** quantitative parameters of WBC are directly obtained from the *** results show>99%accuracy for the binary classification of myeloids and lymphoids and>96%accuracy for the four-type classification of B and T lymphocytes,monocyte,and *** feature learning capability of our approach is visualized via an unsupervised dimension reduction *** envision that the proposed cell classification framework can be easily integrated into existing blood cell investigation workflows,providing cost-effective and rapid diagnosis for hematologic malignancy.

关键词： Blood diagnosis utilize

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Mononeuropathy multiplex associated with systemic vasculitis:A case report

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World Journal of Clinical Cases 2021年第7期9卷 1741-1747页

作者： hyun Jun Chae Jung Woo Kim Yae lim Lee Jeong Hwan Park Sang Yoon Lee Department of Rehabilitation Medicine Seoul National University College of MedicineSeoul National University HospitalSeoul 07061South Korea Department of Pathology Seoul National University College of MedicineSMG-SNU Boramae Medical CenterSeoul 07061South Korea Department of Rehabilitation Medicine Seoul National University College of MedicineSMG-SNU Boramae Medical CenterSeoul 07061South Korea

BACKGROUND Vasculitis,a systemic disorder with inflammation of blood vessel walls,can develop broad spectrum of signs and symptoms according to involvement of various organs,and therefore,early diagnosis of vasculitis is *** herein describe a patient who developed a special case of systemic vasculitis with mononeuropathy multiplex,rectal perforation and antiphospholipid syndrome(APS)presented with pulmonary *** SUMMARY A 61-year-old woman visited hospital with complaints of myalgia and occasional *** was initially diagnosed as proctitis and treated with antibiotics,however,there was no *** addition,she also complained right foot drop with hypesthesia,and left 2^(nd) and 3^(rd) finger tingling *** underwent nerve conduction study for evaluation,and it revealed sensorimotor polyneuropathy in the left arm and bilateral *** sural nerve biopsy strongly suggested vasculitic *** on nerve biopsy and clinical manifestation,she was diagnosed with vasculitis and treated with immunosuppressive *** treatment,sudden rectal perforation and pulmonary thromboembolism occurred,and further laboratory study suggested probable concomitant *** Hartmann operation was performed for rectal perforation,and anti-coagulation therapy was started for *** few cycles of immunosuppressive therapy,tingling sensation and weakness in her hand and foot had been partially recovered and vasculitis was considered to be *** Vasculitis can be presented with a variety of signs and symptoms,therefore,clinicians should always consider the possibility of diagnosis.

关键词： Systemic Vasculitis Peripheral nervous system diseases Mononeuropathies Antiphospholipid syndrome Pulmonary embolism Case report

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