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Technical skills and training of upper gastrointestinal endoscopy for new beginners

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World Journal of Gastroenterology 2015年第3期21卷 759-785页

作者： Seung-Hwa lee Young-Kyu Park Sung-Min Cho joon-Koo Kang duck-joo lee Health Promotion Center Ajou University School of MedicineSuwon 443-380South Korea Health Promotion Center Bundang Jaesang HospitalKwandong University School of MedicineSeongnam 463-774South Korea Department of Gastroenterology Ajou University School of MedicineSuwon 443-380South Korea

The incidence of gastric cancer remains high in *** gastrointestinal(GI) endoscopy,i.e.,esophagogastroduodenoscopy(EGD),has a higher diagnostic specificity and sensitivity than the upper GI ***,EGD has the ability to biopsy,through taking a tissue of the pathologic *** training of EGD procedural skills require a few important things to be learned and remembered,including the posture of an examinee(e.g.,left lateral decubitus and supine) and examiner(e.g.,one-man standing method vs one-man sitting method),basic skills(e.g.,tip deflection,push forward and pull back,and air suction and infusion),advanced skills(e.g.,paradoxical movement,J-turn,and U-turn),and intubation techniques along the upper GI tract(e.g.,oral cavity,pharynx,larynx including vocal cord,upper and middle and lower esophagus,gastroesophageal junction,gastric fundus,body,and antrum,duodenal bulb,and descending part of duodenum).In the current review,despite several limitations,we explained the intubation method of EGD for *** hope this will be helpful to beginners who wish to learn the procedure.

关键词： Upper gastrointestinal endoscopy Esophagogastroduo

Comparison on colonoscopic parameters according to length of adult-colonoscope

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Chinese Medical Journal 2014年第1期127卷 85-91页

作者： Seung-Hwa lee duck-joo lee Center for Health Promotion Department of Family Practice andCommunity Health Ajou University School of Medicine SuwonRepublic of Korea

Background High success rate of intubation and short intubation time have been needed to endoscopists for a complete and comfortable coolonoscopy,if *** purpose of present study was to compare procedure efficiencies according to adult-colonoscope *** This was a prospective,randomized,single-blinded controlled trial.A total of 239 healthy Korean subjects were randomly assigned to two groups：one group receiving intermediate-length adult-colonoscope （n=119）,and the other group receiving long-length adult-colonoscope （n=120）.Cecal intubation time and rate,and terminal ileal intubation time and rate as well as other procedure-related outcomes （adenoma detection rate,withdrawal time,and total procedure time） were *** There were significant differences in cecal intubation time and terminal ileal intubation rate according to colonoscope *** time of cecal intubation was shorter in the intermediate-scope group than that in the long-scope group （（222.13±101.67） s vs.（253.85±109.40） s,P=-0.014）.However,the rate of terminal ileal intubation was higher in the long-scope group than that in the intermediate-scope group （94.2％ vs.83.2％,P=-0.007）.In addition,terminal ileal intubation time was also shorter in the long-scope group than that in the intermediate-scope group （（35.21±38.89） s vs.（44.09±33.87） s,P ＜0.001）.There were no significant differences in other procedure-related outcomes between the two *** The intermediate-length adult-colonoscope had an advantage over the long-length adult-colonoscope regarding cecal intubation time,whereas the long-scope had an advantage over the intermediate-scope regarding the rate and time of terminal ileal *** results suggest that it is rational to prepare and use these two types of colonoscope properly,instead of employing only one type of colonoscope.

关键词： colonoscopy intubation time intubation rate colonoscope length

Colonic mucosa-associated lymphoid tissue lymphoma identified by chromoendoscopy

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World Journal of Gastroenterology 2014年第48期20卷 18487-18494页

作者： Sang-Wook Seo Seung-Hwa lee duck-joo lee Kwang-Min Kim joon-Koo Kang Do-Wan Kim Jeong-Hun lee Center for Health Promotion Department of Family Practice and Community Health Ajou University School of Medicine Suwon 443-380 South Korea Department of Gastroenterology Ajou University School of Medicine Suwon 443-380 South Korea Department of Anesthesiology Ajou University School of Medicine Suwon 443-380 South Korea Department of Surgery Ajou University School of Medicine Suwon 443-380 South Korea

Colonic mucosa-associated lymphoid tissue (MALT) lymphomas are a rare occurrence and the definitive treatment has not been established. Solitary or multiple, elevated or polypoid lesions are the usual appearances of MALT lymphoma in the large intestine and sometimes the surface may reveal abnormal vascularity. Herein, we report a case of MALT lymphoma and review the relevant literature. Upon colonoscopy, a suspected pathologic lesion was observed in the proximal transverse colon. The lesion could be distinguished more prominently after using narrow-band imaging mode and indigo carmine-dye spraying chromoendoscopy. Histopathologic examination of this biopsy specimen revealed lymphoepithelial lesions with diffuse proliferation of atypical lymphoid cells effacing the glandular architecture and centrocyte-like cells infiltrating the lamina propria. Immunohistochemical analyses showed that tumor cells were positive for CD20 and Bcl-2e, and negative for CD10, CD23, and Bcl-6. According to Ann-Arbor staging system, the patient had stage IIE. A partial colectomy with dissection of the paracolic lymph nodes was performed. Until now, there is no recurrence of lymphoma at follow-up.

关键词： Chromoendoscopy Lymphoma Mucosa-associated lymphoid tissue Narrow-band imaging mode

Relationship of plasminogen activator inhibitor 1 gene 4G/5G polymorphisms to hypertension in Korean women

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Chinese Medical Journal 2012年第7期125卷 1249-1253页

作者： Kyu-nam Kim Kwang-min Kim Bom-taeck Kim Nam-seok joo Doo-yeoun Cho duck-joo lee Department of Family Practice and Community Health Ajou University School of MedicineSuwonRepublic of Korea

Background Hypertension （HTN） is a major determinant of various cardiovascular events. Plasma levels of plasminogen activator inhibitor 1 （PAl-l） modulate this risk. A deletion/insertion polymorphism within the PAl-1 loci （4G/4G, 4G/5G, 5G/5G） affects the expression of this gene. The present study investigated the association between PAl-1 loci polymorphisms and HTN in Korean women. Methods Korean women （n=1312） were enrolled in this study to evaluate the association between PAl-1 4G/5G gene polymorphisms and HTN as well as other metabolic risk factors. PAl-1 loci polymorphisms were investigated using polymerase chain reaction amplification and single-strand conformation polymorphism analysis. Results The three genotype groups differed with respect to systolic blood pressure （P=0.043）, and diastolic blood pressure （P=0.009） but not with respect to age, body mass index, total cholesterol, low or high density lipoprotein cholesterol, triglycerides, or fasting blood glucose. Carriers of the PAl-1 4G allele had more hypertension significantly （PAl-1 4G/5G vs. PAl-1 5G/5G, P=0.032; PAl-1 4G/4G vs. PAl-1 5G/5G, P=0.034）. When stratified according to PAl-1 4G/5G polymorphism, there was no significant difference in all metabolic parameters among PAl-1 genotype groups in patients with HTN as well as subjects with normal blood pressure. The estimated odds ratio of the 4G/4G genotype and 4G/5G for HTN was 1.7 （P=0.005）, and 1.6 （P=0.015）, respectively. Conclusion These findings might indicate that PAl-1 loci polymorphisms independently contribute to HTN and that gene-environmental interaction may be not associated in Korean women.

关键词： hypertension plasminogen activator inhibitor 1 polymorphism

Dynamical control of nanoscale light-matter interactions in low-dimensional quantum materials

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Light(Science & Applications) 2024年第2期13卷 236-253页

作者： Yeonjeong Koo Taeyoung Moon Mingu Kang Huitae joo Changjoo lee Hyeongwoo lee Vasily Kravtsov Kyoung-duck Park Department of Physics Pohang University of Science and Technology(POSTECH)Pohang37673Republic of Korea School of Physics and Engineering ITMO UniversitySaint Petersburg197101Russia

Tip-enhanced nano-spectroscopy and-imaging have significantly advanced our understanding of low-dimensional quantum materials and their interactions with light,providing a rich insight into the underlying physics at their natural length ***,various functionalities of the plasmonic tip expand the capabilities of the nanoscopy,enabling dynamic manipulation of light-matter interactions at the *** this review,we focus on a new paradigm of the nanoscopy,shifting from the conventional role of imaging and spectroscopy to the dynamical control approach of the tip-induced light-matter *** present three different approaches of tip-induced control of light-matter interactions,such as cavity-gap control,pressure control,and near-field polarization ***,we discuss the nanoscale modifications of radiative emissions for various emitters from weak to strong coupling regime,achieved by the precise engineering of the ***,we introduce recent works on light-matter interactions controlled by tip-pressure and near-field polarization,especially tunability of the bandgap,crystal structure,photoluminescence quantum yield,exciton density,and energy transfer in a wide range of quantum *** envision that this comprehensive review not only contributes to a deeper understanding of the physics of nanoscale light-matter interactions but also offers a valuable resource to nanophotonics,plasmonics,and materials science for future technological advancements.

关键词： quantum precise shifting

Formulation of Reduction Rate for Ultimate Compressive Strength of Stiffened Panel Induced by Opening

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China Ocean Engineering 2014年第4期28卷 557-568页

作者：于昌利 lee joo-sung School of Naval Architecture and Ocean Engineering Harbin Institute of Technology School of Naval Architecture and Ocean Engineering University of Ulsan

The main objective of this study is to numerically investigate the characteristics of ultimate compressive strength of stiffened panels with opening and also to fit the design-oriented formulae. For this purpose, three series of well executed experimental data on longitudinally stiffened steel plates with and without opening subjected to the uniform axial in-pane load which is carried out to study the buckling and post-buckling up to the final failure are chosen. Also, a nonlinear finite element method capable of efficiently analyzing the large elasto-plastic deflection behavior of stiffened panels is developed and used for simulation. The feasibility of the present simulation process is confirmed by a good agreement with the experimental results. More case studies are developed employing the simulation process to analyze the influence of various design variables on the reduction rate of ultimate strength of stiffened panel induced by opening. Based on the computed results, two design formulae are fitted and the accuracy of design formulae is studied. Furthermore, the viability of the design formulae for practical engineering is proved.

关键词： stiffened panel opening reduction rate non-linear analysis formulae fitting

8-Hydroxydeoxyguanosine:Not mere biomarker for oxidative stress,but remedy for oxidative stress-implicated gastrointestinal diseases

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World Journal of Gastroenterology 2012年第4期18卷 302-308页

作者： Chan-Young Ock Eun-Hee Kim duck joo Choi Ho Jae lee Ki-Baik Hahm Myung Hee Chung Lab of Translational Medicine Gachon University of Medicine and ScienceLee Gil Ya Cancer and Diabetes Institute Department of Gastroenterology Gachon Graduate School of MedicineGil Hospital Sungkyunkwan University Samsung Advanced Institute for Biomedical Research

Reactive oxygen species （ROS） attack guanine bases in DNA easily and form 8-hydroxydeoxyguanosine （8-OHdG）, which can bind to thymidine rather than cytosine, based on which, the level of 8-OHdG is gen- erally regarded as a biomarker of mutagenesis conse- quent to oxidative stress. For example, higher levels of 8-OHdG are noted in Helicobacter pylori-associated chronic atrophic gastritis as well as gastric cancer. However, we have found that exogenous 8-OHdG can paradoxically reduce ROS production, attenuate the nuclear factor-KB signaling pathway, and ameliorate the expression of proinflammatory mediators such as interleukin （IL）-I, IL-6, cyclo-oxygenase-2, and induc- ible nitric oxide synthase in addition to expression of nicotinamide adenine dinucleotide phosphate oxidase （NOX）-I, NOX organizer-1 and NOX activator-1 in vari- ous conditions of inflammation-based gastrointestinal （GI） diseases including gastritis, inflammatory bowel disease, pancreatitis, and even colitis-associated carci- nogenesis. Our recent finding that exogenous 8-OHdG was very effective in either inflammation-based or oxidative-stress-associated diseases of stress-related mucosal damage has inspired the hope that synthetic 8-OHdG can be a potential candidate for the treatment of inflammation-based GI diseases, as well as the pre- vention of inflammation-associated GI cancer. In this editorial review, the novel fact that exogenous 8-OHdG can be a functional molecule regulating oxidative- stress-induced gastritis through either antagonizing Rac-guanosine triphosphate binding or blocking the signals responsible for gastric inflammatory cascade is introduced.

关键词： 8-hydroxydeoxyguanosine Oxidative stress Inflammation Carcinogenesis Prevention

Stable carbon and nitrogen isotopic composition of gas hydrate-bearing sediment from Hydrate Ridge,Cascadia Margin

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Science China Earth Sciences 2006年第8期49卷 872-880页

作者： Young-joo lee Petroleum and Marine Resources Research Division Korea Institute of Geoscience and Mineral Resources Daejon 305-350South Korea

54 sediments were sampled at 5 sites, 1244, 1245, 1246,1250 and 1251 from ODPLeg 204, Hydrate Ridge, Cascadia Margin. The stable carbon and nitrogen isotopic composition,δ^(13)C of organic matter and δ^(15)N, have been used to characterize the depositional variationof sediments with gas hydrate bearing. Values of δ^(13)C of bulk organic matter range between-22.37 per thousand and -24.72 per thousand PDB, with a mean value of -23.54 ± 1.17 per thousandPDB; δ^(15)N of the same sedimentary samples range from 3.30 per thousand to 5.68 per thousand,with a mean value of 4.49 ± 1.19 per thousand; Values of C/N ratio range from 4.53 to 9.26, with amean value of 6.90 ± 2.37. The occurrence of gas hydrate changed the diagenetic evolution trend ofthe carbon and nitrogen in organic matter. The δ^(15)N and C/N ratio depletion suggest that thenitrogen fixation related with the bacteria/archaea maybe occurred in the sediments near thehydrate. The stable carbon and nitrogen isotopic composition could be used to evaluate thedepositional environment in the study area.

关键词： gas hydrate, carbon isotopes, nitrogen isotopes, C/N ratio, nitrogen fixation.

SUMS OF DUAL TOEPLITZ PRODUCTS ON THE ORTHOGONAL COMPLEMENTS OF FOCK-SOBOLEV SPACES

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Acta Mathematica Scientia 2024年第3期44卷 810-822页

作者：陈泳 Young joo lee Department of Mathematics Hangzhou Normal UniversityHangzhou311121China Department of Mathematics Chonnam National UniversityGwangju61186Korea

We consider dual Toeplitz operators on the orthogonal complements of the FockSobolev spaces of all nonnegative real ***,for symbols in a certain class containing all bounded functions,we study the problem of when an operator which is finite sums of the dual Toeplitz products is compact or ***,for bounded symbols,we construct a symbol map and exhibit a short exact sequence associated with the C^(*)-algebra generated by all dual Toeplitz operators with bounded symbols.

关键词： dual Toeplitz operators Fock-Sobolev spaces symbol map