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Helicobacter pylori infection is not associated with nonalcoholic fatty liver disease

World Journal of Gastroenterology 2016年第8期22卷 2592-2600页

作者： Myong Ki Baeg Seung Kew Yoon sun-Hye Ko Yong-sun Noh In-Seok Lee Myung-Gyu choi Department of Internal Medicine The Catholic University of Korea College of Medicine

AIM: To determine whether Helicobacter pylori (H. pylori) infection confers a higher risk of Nonalcoholic fatty liver disease (NAFLD).METHODS: Healthy people who underwent health screening were analyzed retrospectively. Inclusion criteria were age ≥ 20 years, history of H. pylori infection, and recorded insulin level. Participants were classified as H. pylori positive or negative according to 13C urea breath tests. NAFLD was defined using the hepatic steatosis index (HSI) and NAFLD liver fat score (NAFLD-LFS). Those with an HSI > 36 or NAFLD-LFS > -0.640 were considered to have NAFLD. Multivariable logistic regression was performed to identify risk factors for ***: Three thousand six hundred and sixty-three people were analyzed and 1636 (44.7%) were H. pylori positive. H. pylori infection was associated with older age, male gender, hypertension, higher body mass index, and a dyslipidemic profile. HSI differed significantly between H. pylori positive and negative subjects (median 33.2, interquartile range (IQR) 30.0-36.2 for H. pylori-positive vs median 32.6, IQR 29.8-36.0 for negative participants, P = 0.005), but NAFLD-LSF did not [median -1.7, IQR -2.4 - -0.7 vs median -1.8, IQR -2.4-(-0.7), respectively, P = 0.122]. The percentage of people with NAFLD did not differ between infected and uninfected groups: HIS, 26.9% vs 27.1%, P = 0.173; NAFLD-LFS, 23.5% vs 23.1%, P = 0.778. H. pylori infection was not a risk factor, but C-reactive protein concentration and smoking were significant risk factors for ***: H. pylori infection is not a risk factor for NAFLD as indicated by HSI or NAFLD-LFS. Prospective, large-scale studies involving liver biopsies should be considered.

关键词： Helicobacter pylori Nonalcoholic fatty liver disease Hepatic steatosis index Nonalcoholic fatty liver disease liver fat score Urea breath test

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Importance of Adaptive Photometric Augmentation for Different Convolutional Neural Network

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Computers, Materials & Continua 2022年第9期72卷 4433-4452页

作者： Saraswathi Sivamani sun Il Chon Do Yeon choi Dong Hoon Lee Ji Hwan Park AI Reliability Lab ThinkforBL Consultancy ServicesGangnamSeoulKorea Department of Biosystems Engineering Chungbuk National UniversityCheongju-siChungcheongbuk-do28644Korea

Existing segmentation and augmentation techniques on convolutional neural network(CNN)has produced remarkable progress in object ***,the nominal accuracy and performance might be downturned with the photometric variation of images that are directly ignored in the training process,along with the context of the individual CNN *** this paper,we investigate the effect of a photometric variation like brightness and sharpness on different *** observe that random augmentation of images weakens the performance unless the augmentation combines the weak limits of photometric *** approach has been justified by the experimental result obtained from the PASCAL VOC 2007 dataset,with object detection CNN algorithms such as YOLOv3(You Only Look Once),Faster R-CNN(Region-based CNN),and SSD(Single Shot Multibox Detector).Each CNN model shows performance loss for varying sharpness and brightness,ranging between−80%to 80%.It was further shown that compared to random augmentation,the augmented dataset with weak photometric changes delivered high performance,but the photometric augmentation range differs for each ***,we discuss some research questions that benefit the direction of the *** results prove the importance of adaptive augmentation for individual CNN model,subjecting towards the robustness of object detection.

关键词： Object detection photometric variation adaptive augmentation convolutional neural network

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Prognostic role of plasma level of angiopoietin-1,angiopoietin-2,and vascular endothelial growth factor in hepatocellular carcinoma

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World Journal of Gastroenterology 2021年第27期27卷 4453-4467页

作者： Gwang Hyeon choi Eun sun Jang Jin-Wook Kim Sook-Hyang Jeong Department of Internal Medicine Seoul National University Bundang HospitalSeoul National University College of MedicineSeongnam 13620South Korea

BACKGROUND Most hepatocellular carcinomas(HCCs)are hypervascular,with characteristic features of hepatic arterial supply to the *** factors involved in tumor angiogenesis include angiopoietin-1(Ang-1),angiopoietin-2(Ang-2),and vascular endothelial growth factor(VEGF).AIM To investigate the profiles of plasma levels of angiogenesis markers in patients with HCC and evaluate their roles in predicting overall survival(OS)and progression-free survival(PFS).METHODS Plasma samples from 240 prospectively enrolled HCC patients in the very early to advanced stages were used to measure the levels of Ang-1,Ang-2,and *** associations with clinical characteristics,OS,and PFS were *** The median plasma levels of Ang-1,Ang-2,and VEGF were 3216 pg/mL,1684 pg/mL,and 26.5 pg/mL,*** plasma level of Ang-2 showed a significant increase from early stage[Barcelona clinic liver cancer(BCLC)A]to intermediate(BCLC B)and advanced stage HCC(BCLC C/D),whereas Ang-1,VEGF,and alpha-fetoprotein(AFP)levels in the plasma did not show any such *** analysis,propensity score-matched analysis,and timedependent receiver operating curve analysis revealed that Ang-2 levels had the highest predictive power for OS and *** Ang-1 nor VEGF was significantly associated with OS or *** neutrophil-to-lymphocyte ratio was an independent factor for OS and *** The plasma levels of Ang-2 correlated with liver function,tumor stage,and tumor invasiveness,showing better performance in predicting OS and PFS than AFP,Ang-1,or VEGF.

关键词： Hepatocellular carcinoma Angiogenesis Biomarker Prognosis Survival

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Immunosuppressant treatment for IgG4-related sclerosing cholangitis: A case report

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World Journal of Clinical Cases 2021年第1期9卷 267-273页

作者： Jong-sun Kim Won Ho choi Kyung-Ann Lee Hyun-Sook Kim Department of Internal Medicine Soonchunhyang University Seoul HospitalSeoul 04401South Korea

BACKGROUND Immunoglobulin G4-related disease(IgG4-RD)is a multi-system fibroinflammatory disorder that can involve any organ,including the salivary glands,pancreas,and biliary *** of immunoglobulin G4-related sclerosing cholangitis(IgG4-SC)is similar to that for IgG4-RD,but progression is irreversible in some *** present a case of IgG4-SC in which an immuno-suppressant induced marked clinical and radiologic *** SUMMARY A 63-year-old male presented with a prominent itching sensation and wholebody *** showed obstructive-pattern jaundice,an elevated IgG4 level,and infiltration of a large number of IgG4-positive cells in the ampulla of *** imaging findings of intrahepatic duct(IHD)and common bile duct dilation,an elevated serum IgG4 level,and characteristic histological findings led to diagnosis of IgG4-SC that compatible with the 2019 ACR/EULAR classification *** planned to treat the patient with high-dose glucocorticoid(GC),followed by cyclophosphamide pulse *** treatment with high-dose GC and an immunosuppressant,imaging studies showed that IHD dilatation had completely *** Prompt diagnosis and appropriate treatment of IgG4-SC are *** there is a risk of relapse of IgG4-SC,the GC dose should be gradually reduced,and a maintenance immunosuppressant should be given.

关键词： Immunoglobulin G4-related disease Immunoglobulin G4-related sclerosing cholangitis Glucocorticoid Immunosuppressant Case report ACR/EULAR classification criteria

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COVID-19 Stay-At-Home Orders and Older Adults’ Cognitive Health — United States, June 2018–February 2022

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China CDC weekly 2022年第45期4卷 1002-1006,I0003页

作者： Nam sun choi Tianzi Li Jingxiang Pan Selena Yue Jing Li Department of Population Health Sciences Weill Cornell Medical CollegeCornell UniversityNew YorkNYU.S. The Comparative Health Outcomes Policy and Economics(CHOICE)InstituteSchool of PharmacyUniversity of WashingtonSeattleWAU.S.

What is already known about this topic?Lack of social activities is known to negatively impact cognitive functioning and increase risk of cognitive impairment,including dementia,among older *** is added by this report?Coronavirus disease 2019(COVID-19)stay-at-home orders implemented in the *** during the pandemic were not found to negatively affect cognitive functioning of older *** are the implications for public health practice?There may have been no severe,unintended consequences of the COVID-19 stay-at-home orders in terms of their impact on cognitive functioning and risk of dementia among older adults,lending further support to use of such orders.

关键词： impairment consequences COV

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Identification of Aristolactam Derivatives That Act as Inhibitors of Human Immunodeficiency Virus Type 1 Infection and Replication by Targeting Tat-Mediated Viral Transcription

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Virologica Sinica 2021年第2期36卷 254-263页

作者： Young Hyun Shin Chul Min Park Hong Gi Kim Dong-Eun Kim Min Suk choi Jeong-ah Kim Byeong-sun choi Cheol-Hee Yoon Division of Viral Disease Research Center for Infectious Disease ResearchKorea National Institute of HealthHeungdeok-guCheongju-siShungbuk 28159Republic of Korea Center for Convergent Research of Emerging Virus Infection Korea Research Institute of Chemical TechnologyYuseong-guDaejeon 34114Republic of Korea

Despite the success of antiretroviral therapy(ART),efforts to develop new classes of antiviral agents have been hampered by the emergence of drug ***-indole-bearing aristolactams are compounds that have been isolated from various plants species and which show several clinically relevant effects,including anti-inflammatory,antiplatelet,and antimycobacterial ***,the effect of these compounds on human immunodeficiency virus type 1(HIV-1)infection has not yet been *** this study,we discovered an aristolactam derivative bearing dibenzo[cd,f]indol-4(5 H)-one that had a potent anti-HIV-1 effect.A structure-activity relationship(SAR)study using nine synthetic derivatives of aristolactam identified the differing effects of residue substitutions on the inhibition of HIV-1 infection and cell *** the compounds tested,1,2,8,9-tetramethoxy-5-(2-(piperidin-1-yl)ethyl)-dibenzo[cd,f]indol-4(5 H)-one(Compound 2)exhibited the most potent activity by inhibiting HIV-1 infection with a half-maximal inhibitory concentration(IC50)of 1.03 lmol/L and a half-maximal cytotoxic concentration(CC50)of 16.91 lmol/L(selectivity index,16.45).The inhibitory effect of the compounds on HIV-1 infection was linked to inhibition of the viral replication ***-of-action studies showed that the aristolactam derivatives did not affect reverse transcription or integration;instead,they specifically inhibited Tat-mediated viral *** together,these findings show that several aristolactam derivatives impaired HIV-1 infection by inhibiting the activity of Tat-mediated viral transcription,and suggest that these derivatives could be antiviral drug candidates.

关键词： Human immunodeficiency virus type 1(HIV-1) Aristolactam Antiviral activity HIV-1 transcription

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A population-based case-crossover study of polyethylene glycol use and acute renal failure risk in the elderly

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World Journal of Gastroenterology 2011年第5期17卷 651-656页

作者： Nam-Kyong choi Yoosoo Chang sun-Young Jung Yu-Kyong choi Joongyub Lee Jin-Ho Lee Ju-Young Kim Byung-Joo Park Department of Preventive Medicine Seoul National University College of MedicineSeoul 110-799South Korea Medical Research Center Seoul National UniversitySeoul 110-799South Korea Department of Occupational Medicine Health Screening CenterKangbuk Samsung HospitalSungkyunkwan University College of MedicineSeoul 110-746South Korea National Evidence-Based Healthcare Collaborating Agency Seoul 110-450South Korea Department of Internal Medicine Gumi HospitalGumi 730-909South Korea Medical Research Collaborating Center Seoul National University Hospital Seoul National University College of Medicine Seoul 110-799South Korea Department of Internal Medicine Dongguk University Ilsan HospitalSchool of MedicineDongguk UniversityGoyang 410-733South Korea Department of Family Medicine Health Promotion CenterSeoul National University Bundang HospitalBundang 463-707South Korea

AIM:To evaluate the possibility of an association between polyethylene glycol(PEG) and acute renal failure(ARF) in elderly patients using a health insurance claims ***:We conducted a population-based casecrossover study using information obtained from Korean Health Insurance Review and Assessment Service(HIRA) claims from January 1,2005 to December 31,2005(Seoul,Korea).The study population consisted of elderly patients who received PEG prior to experiencing their first ARF-related hospitalization from April 1,2005 to December 31,*** each patient,one case and two control periods were *** use in a 2-or 4-wk window period prior to hospitalization for ARF was compared with PEG use in two earlier 2-or 4-wk control window *** logistic regression analysis was used to estimate odds ratios(ORs) and 95% CI,adjusting for concomitant uses of diuretics,angiotensin converting enzyme inhibitors,non-steroidal anti-inflammatory drugs,antibiotics,anti-cancer drugs,and contrast ***:Within the HIRA database which contained 1 093 262 elderly patients,1156 hospitalized ARF cases were *** these cases,PEG was prescribed to 17(1.5%) patients before *** adjusted ORs when applying the 2-and 4-wk window periods were 0.4(95% CI:0.03-5.24) and 2.1(95% CI:0.16-27.78),***:No increased risk of ARF was found in elderly PEG ***,based on the limited number of study subjects,further analysis should be performed to confirm these results.

关键词： Polyethylene glycol Acute renal failure Adverse drug reaction Health insurance claims data-base Case-crossover

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Spontaneous liver rupture in a patient with peliosis hepatis:A case report

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World Journal of Gastroenterology 2009年第43期15卷 5493-5497页

作者： sun-Keun choi Jun-Shuo Jin Soon-Gu Cho Suk-Jin choi Chul-Soo Kim Yun-Mee Choe Keon-Young Lee Department of Surgery Inha University School of MedicineIncheon 400-711South Korea Department of Radiology Inha University School of MedicineIncheon 400-711South Korea Department of Pathology Inha University School of MedicineIncheon 400-711South Korea Department of Internal Medicine Inha University School of MedicineIncheon 400-711South Korea

Peliosis hepatis is a rare pathological entity and may cause fatal hepatic hemorrhage and liver ***, we present a young male patient with aplastic anemia,who had received long-term treatment with *** patient suffered from sudden onset of intra-abdominal hemorrhage with profuse *** patient was treated successfully with a right hemihepatectomy and is in good health after 13 postoperative *** suggest that peliosis hepatis be considered in patients with hepatic parenchymal hematoma,especially in patients under prolonged synthetic anabolic steroid *** possibility of a potentially life-threatening complication of massive intra-abdominal bleeding should also be considered.

关键词： Peliosis hepatis Spontaneous rupture Liver

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Ultrasound cascade regulation of nano-oxygen hybrids triggering ferroptosis augmented sonodynamic anticancer therapy

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Nano Research 2023年第5期16卷 7280-7292页

作者： Yue sun Yihui Wang Ruyin Han Ziwei Ren Xin Chen Wenzhuo Dong Stephen choi Quanhong Liu Xiaobing Wang Key Laboratory of Medicinal Resources and Natural Pharmaceutical Chemistry National Engineering Laboratory for Resource Developing of Endangered Chinese Crude Drugs in Northwest ChinaCollege of Life SciencesShaanxi Normal UniversityXi’an 710119China Department of Ultrasound Medicine Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430000China Kerry Rehabilitation Medicine Research Institute Shenzhen 518000China

Sonodynamic therapy(SDT)has attracted great interest in the field of cancer therapy because of its non-invasiveness,deep penetration,spatiotemporal ***,the sonodynamic effect is severely hindered by hypoxia and a high glutathione(GSH)level in tumor *** this work,a new type of nanohybrid sonosensitizer is designed,which incorporates several prominent advantages of organic,inorganic,natural sonosensitizers for imaging-guided SDT and ferroptosis *** an endogenous transporter,hemoglobin(Hb)has dual functions of oxygen and iron ***,Hb can transport iron to the tumor site for Fe-dependent ferroptosis,yet this oxygen carrier is able to enhance the sensitivity of tumor cells to oxygen-driven *** innovatively hybridized Hb,sinoporphyrin sodium(DVDMS),titanium dioxide(TiO_(2))to prepare an integrated nano-oxygen carrier(designated as HDT)for multifarious cancer theranostics,which not only attained satisfactory sonosensitization of DVDMS/TiO_(2)but also achieved oxygen-boosted SDT and potent ferroptosis via *** ultrasound irradiation,the oxygenation of HDT markedly amplified the generation of reactive oxygen species(ROS)in hypoxic tumors,promoted the valence transition of Hb to accelerate Fenton reaction,led to *** strategy virtually eradicated tumors in situ and exhibited immunoregulatory potential for augmenting anti-tumor effects in vivo and in vitro through ROS formation,O_(2)self-supplement,GSH depletion,lipid ***,HDT demonstrated excellent dual-modal imaging performance,providing a valuable platform for photoacoustic/fluorescence-guided SDT and ferroptosis induction in tumor cells.

关键词： sonodynamic therapy nano-oxygen carrier sono-Fenton ferroptosis hypoxic tumor environment

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Primary duodenal dedifferentiated liposarcoma:A case report and literature review

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World Journal of Clinical Cases 2022年第6期10卷 2007-2014页

作者： Nah Ihm Kim Ji Shin Lee Chan choi Jong Hee Nam Yoo Duk choi Hee Joon Kim sung sun Kim Department of Pathology Chonnam National University HospitalGwangju 61469South Korea Department of Pathology Chonnam National University Hwasun HospitalHwasun 58128South Korea Department of Surgery Chonnam National University HospitalGwangju 61469South Korea

BACKGROUND Dedifferentiated liposarcoma(DDLPS)is an extremely rare neoplasm that exhibits various *** tumor is characterized by immunoreactivity to MDM2 and CDK4 and can be confirmed by detecting MDM2 amplification via fluorescence in situ hybridization(FISH).Herein,we report an unusual case of DDLPS arising from the *** SUMMARY A 64-year-old man presented with repeated abdominal pain and weight *** studies revealed a mass of the duodenum involving the *** patient was treated with pylorus-preserving ***,the tumor showed a high-grade *** demonstrated that the tumor cells were positive for MDM2 and CDK4 ***2 amplification was detected via FISH,leading to the final diagnosis of *** surgery,the patient was treated in the intensive care unit due to peritonitis,and died 60 d after *** To the best of the authors’knowledge,this is the first case of primary duodenal DDLPS in Korea and the third case in the English-language *** must be taken not to misdiagnose DDLPS as another high-grade *** should be in the differential diagnosis list.

关键词： Liposarcoma Primary Small bowel Duodenum Immunohistochemistry Case report

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