检索结果-南通市图书馆

Assessing significant fibrosis using imaging-based elastography in chronic hepatitis B patients: Pilot study

World Journal of Gastroenterology 2019年第25期25卷 3256-3267页

作者： Hee Sun Park Won hyeok Choe hye seung han Mi hye Yu Young Jun Kim Sung Il Jung Jeong han Kim So Young Kwon Department of Radiology Konkuk University School of MedicineSeoul 05030South Korea Department of Internal Medicine Konkuk University School of MedicineSeoul 05030South Korea Department of Pathology Konkuk University School of MedicineSeoul 05030South Korea

BACKGROUND Accurate detection of significant fibrosis(fibrosis stage 2 or higher on the METAVIR scale)is important especially for chronic hepatitis B(CHB)patients with high viral loads but with normal or mildly elevated alanine aminotransferase(ALT)levels because the presence of significant fibrosis is accepted as the indication for antiviral *** biopsy is the reference standard for diagnosing significant fibrosis,but it is an invasive ***,noninvasive imaging-based measurements,such as magnetic resonance elastography(MRE)or two-dimensional shear-wave elastography(2DSWE),have been proposed for the quantitative assessment of liver *** To explore MRE and 2D-SWE to identify fibrosis stage,and to compare their performance with that of serum-based *** The study enrolled 63 treatment-na?ve CHB patients with high viral loads but with normal or mildly elevated ALT levels who underwent liver biopsy before a decision was made to initiate antiviral *** and 2D-SWE were performed,and serum-based indices,such as FIB-4 and aspartate transaminase to platelet ratio index(APRI),were *** diagnostic performances of MRE,2D-SWE,FIB-4,and APRI for assessing significant fibrosis(≥F2)and cirrhosis(F4)were evaluated with liver histology as the reference standard,using receiver operating characteristic *** The liver fibrosis stage was F0/F1 in 19,F2 in 14,F3 in 14,and F4 in 16 patients,*** significantly discriminated F2 from F0/1(P=0.022),whereas 2D-SWE showed a broad overlap in distinguishing those *** showed a higher correlation coefficient value with fibrosis stage than 2D-SWE with fibrosis stage(0.869 vs 0.649,Spearman test;P<0.001).Multivariate linear regression analyses showed that fibrosis stage was the only factor affecting the values of MRE(P<0.001),whereas body mass index(P=0.042)and fibrosis stage(P<0.001)were independent factors affecting 2D-SWE *** performance for diagnos

关键词： Antiviral therapy Chronic hepatitis B Liver fibrosis Magnetic resonance elastography Ultrasound elastography

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Intraductal papillary mucinous neoplasm of the ileal heterotopic pancreas in a patient with hereditary non-polyposis colorectal cancer: A case report

引用

World Journal of Gastroenterology 2015年第25期21卷 7916-7920页

作者： Sang Hwa Lee Wook Youn Kim Dae-Yong Hwang hye seung han Department of Pathology Konkuk University Medical Center Konkuk University School of Medicine Department of Surgery Konkuk University Medical Center

We report a case of intraductal papillary mucinous neoplasm(IPMN) originating from the ileal heterotopic pancreas in a patient with hereditary non-polyposis colorectal cancer(HNPCC). A 49-year-old woman had a past history of total colectomy and total hysterectomy with bilateral salpingo-oophorectomy due to colonic adenocarcinoma and endometrial adenocarcinoma 11 years ago. Her parents died from colonic adenocarcinoma and her sister died from colonic adenocarcinoma and endometrial adenocarcinoma. The clinician found an ileal mass with necrotic change and the mass increased in size from 1.7 cm to 2.2 cm during the past 2 years on computed tomography. It was surgically resected. Microscopically, the ileal mass showed heterotopic pancreas with IPMN high grade dysplasia. Immunohistochemical staining revealed positive reactivity for MLH1/PMS2 and negative reactivity for MSH2/MSH6. This is the first report of IPMN originating from the ileal heterotopic pancreas in a patient with HNPCC in the English literature.

关键词： Colorectal neoplasms Hereditary nonpolyposis Pancreatic neoplasms Choristoma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Does the antibody production ability affect the serum anti-Helicobacter pylori Ig G titer?

引用

World Journal of Gastrointestinal Pathophysiology 2016年第3期7卷 288-295页

作者： Hyun Ah Chung Sun-Young Lee Hee Won Moon Jeong Hwan Kim In-Kyung Sung Hyung Seok Park Chan Sup Shim hye seung han Department of Internal Medicine Konkuk University School of Medicine Department of Laboratory Medicine Konkuk University School of Medicine Department of Pathology Konkuk University School of Medicine

AIM: To investigate the relationship between serum titers of anti-Helicobacter pylori(***) immunoglobulin G(IgG) and hepatitis B virus surface antibody(HBsA b).METHODS: Korean adults were included whose samples had positive Giemsa staining on endoscopic biopsy and were studied in the hepatitis B virus surface antigen(HBsA g)/HBsA b serologic assay,pepsinogen(PG) assay,and *** serologic test on the same *** were excluded if they were positive for HBs Ag,had a recent history of medication,or had other medical condition(s).We analyzed the effects of the following factors on serum titers of HBsA b and the *** IgG : Age,density of *** infiltration in biopsy samples,serum concentrations of PG Ⅰ and PG Ⅱ,PG Ⅰ/Ⅱ ratio,and white blood cell ***: Of 111 included subjects,74(66.7%) exhibited a positive HBsA b *** serum *** IgG titer did not correlate with the serum HBsA b titer(P = 0.185); however,it correlated with the degree of *** infiltration on gastric biopsy(P < 0.001) and serum PG Ⅱ concentration(P = 0.042).According to the density of *** infiltration on gastric biopsy,subjects could be subdivided into those with a marked(median: 3.95,range 0.82-4.00)(P = 0.458),moderate(median: 3.37,range 1.86-4.00),and mild *** infiltrations(median: 2.39,range 0.36-4.00)(P < 0.001).Subjects with a marked *** infiltration on gastric biopsy had the highest serological titer,whereas in subjects with moderate and mild *** infiltrations titers were correspondingly lower(P < 0.001).After the successful eradication,significant decreases of the degree of *** infiltration(P < 0.001),serum *** IgG titer(P < 0.001),and serum concentrations of PG I(P = 0.028) and PG Ⅱ(P = 0.028) were ***: The *** IgG assay can be used to estimate the burden of bacteria in immunocompetent hosts with *** infection,regardless of the HBsA b titer after HBV vaccination.

关键词： Antibody Helicobacter pylori Hepatitis B Immunoglobulin G Pepsinogen

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Diagnosis of gastric epithelial neoplasia:Dilemma for Korean pathologists

引用

World Journal of Gastroenterology 2011年第21期17卷 2602-2610页

作者： Joon Mee Kim Mee-Yon Cho Jin Hee Sohn Dae Young Kang Cheol Keun Park Woo Ho Kim So-Young Jin Kyoung Mee Kim Hee Kyung Chang Eunsil Yu Eun Sun Jung Mee Soo Chang Jong Eun Joo Mee Joo Youn Wha Kim Do Youn Park Yun Kyung Kang Sun Hoo Park hye seung han Young Bae Kim Ho Sung Park Yang Seok Chae Kye Won Kwon Hee Jin Chang The Gastrointestinal Pathology Study Group of Korean Society of Pathologists Department of Pathology Inha University Hospital Department of Pathology Yonsei University Wonju College of Medicine Wonju Christian Hospital Department of Pathology Sungkyunkwan University School of MedicineKangbuk Samsung Medical Center Department of Pathology Chungnam National University College of Medicine Department of Pathology Sungkyunkwan University School of MedicineSamsung Medical Center Department of Pathology Seoul National University College of Medicine Department of Pathology Soonchunhyang University Hospital Department of Pathology Kosin University College of Medicine Department of Pathology University of Ulsan College of MedicineAsan Medical Center Department of Pathology The Catholic University of KoreaSeoul St.Mary's Hospital Department of Pathology Seoul National University Boramae Hospital Department of Pathology Eulji General Hospital Department of Pathology Inje University Ilsan Paik Hospital Department of Pathology Kyunghee University College of Medicine Department of Pathology Pusan National University College of Medicine Department of Pathology Inje University Seoul Paik Hospital Department of Pathology Korea Cancer Center Hospital Department of Pathology Konkuk University Medical Center Department of Pathology Ajou University School of Medicine Department of Pathology Chonbuk National University Medical School Department of Pathology Korea University College of Medicine Department of Pathology Bundang Jesaeng Hospital Department of Pathology National Cancer Center The Korean Society of Pathologists 4FThe Korean Medical Association BuildingSeoul 140-721South Korea

The histopathological diagnosis of gastric mucosal biopsy and endoscopic mucosal resection/endoscopic submucosal dissection specimens is important,but the diagnostic criteria,terminology,and grading system are not the same in the East and West.A structurally invasive focus is necessary to diagnose carcinoma for most Western pathologists,but Japanese pathologists make a diagnosis of cancer based on severe dysplastic cytologic atypia irrespective of the presence of *** the Vienna classification was introduced to reduce diagnostic discrepancies,it has been difficult to adopt due to different concepts for gastric epithelial neoplastic *** pathologists experience much difficulty making a diagnosis because we are influenced by Japanese pathologists as well as Western *** is geographically close to Korea,and academic exchanges are ***,Korean doctors are familiar with Western style medical *** a result,the terminology,definitions,and diagnostic criteria for gastric intraepithelial neoplasia are very heterogeneous in *** solve this problem,the Gastrointestinal Pathology Study Group of the Korean Society of Pathologists has made an effort and has suggested guidelines for differential diagnosis:(1) a diagnosis of carcinoma is based on invasion;(2) the most important characteristic of low grade dysplasia is the architectural pattern such as regular distribution of crypts without severe branching,budding,or marked glandular crowding;(3) if nuclear pseudostratification occupies more than the basal half of the cryptal cells in three or more adjacent crypts,the lesion is considered high grade dysplasia;(4) if severe cytologic atypia is present,careful inspection for invasive foci is necessary,because the risk for invasion is very high;and(5) other structural or nuclear atypia should be evaluated to make a final decision such as cribriform pattern,papillae,ridges,vesicular nuclei,high nuclear/cytoplasmic ratio,loss

关键词： Intraepithelial neoplasia Stomach Dysplasia Adenoma Carcinoma Japanese Western Consensus Vienna

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Anatomy of the anterolateral ligament of the knee joint

引用

World Journal of Clinical Cases 2022年第21期10卷 7215-7223页

作者： Jun-Gu Park seung-Beom han hye Chang Rhim Ok Hee Jeon Ki-Mo Jang Department of Orthopaedic Surgery Anam HospitalKorea University College of MedicineSeoul 02841South Korea rtment of Biomedical Sciences Korea University College of MedicineSeoul 02841South Korea

Despite remarkable improvements in clinical outcomes after anterior cruciate ligament reconstruction,the residual rotational instability of knee joints remains a major *** anterolateral ligament(ALL)has recently gained attention as a distinct ligamentous structure on the anterolateral aspect of the knee *** studies investigated the anatomy,function,and biomechanics of ALL to establish its potential role as a stabilizer for anterolateral rotational ***,controversies regarding its existence,prevalence,and femoral and tibial insertions need to be *** to a recent consensus,ALL exists as a distinct ligamentous structure on the anterolateral aspect of the knee joint,with some anatomic *** aim of this article was to review the updated anatomy of ALL and present the most accepted findings among the existing ***,ALL originates slightly proximal and posterior to the lateral epicondyle of the distal femur and has an anteroinferior course toward the tibial insertion between the tip of the fibular head and Gerdy’s tubercle below the lateral tibial plateau.

关键词： Knee joint Anatomy Anterolateral ligament Anterior cruciate ligament Anterolateral rotational instability Anterolateral ligament reconstruction

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effect of Plastic Anisotropy on the Formability of Aluminum 6016-T4 Sheet Material

引用

Chinese Journal of Mechanical Engineering 2017年第3期30卷 625-631页

作者： Young-Suk KIM seung-han YANG kyungpook national university Daegu 41566Republic of Korea

Sheet metal formed of lightweight materials such as aluminum sheeting has received great attention related to the reduction of vehicle emissions. This paper evaluates the anisotropic yield locus using Kuwabara＇s biaxial tensile tester and stretches formability using Hecker＇s hemispheri- cal punch stretching test for aluminum 6016-T4 sheet material. The anisotropic yield locus of the A16016-T4 sheet measured is fitted well by the modified Drucker yield func- tion. Moreover the best fitting to the experimental stress- strain curve from the tensile test was obtained by taking an appropriate hardening model. Analytical study to predict the stretch formability by using Hora＇s Modified Maximum Force Criterion （MMFC） was performed. The predicted forming limit curves （FLC） based on various yield functions were compared with the experiments and discussed.

关键词： Anisotropic yield function AluminumA16016-T4 Biaxial tensile test Forming limit curve

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Improving toughness of medium-Mn steels after friction stir welding through grain morphology tuning

引用

Journal of Materials Science & Technology 2022年第23期118卷 243-254页

作者： Mun Sik Jeong Tak Min Park Dong-Il Kim Hidetoshi Fujii hye Ji Im Pyuck-Pa Choi seung-Joon Lee Jeongho han Division of Materials Science and Engineering Hanyang UniversitySeoul 04763Republic of Korea Department of Advanced Materials Engineering Korea Polytechnic UniversitySiheung 15073Republic of Korea Joining and Welding Research Institute Osaka UniversityOsaka 567-0047Japan Department of Materials Science and Engineering Korea Advanced Institute of Science and TechnologyDaejeon 34141Republic of Korea Department of Materials Science and Engineering Northwestern UniversityEvanstonIL 60208USA

This work demonstrated the viability of friction stir welding for the welding of medium-Mn steels when used as cryogenic vessel materials for liquefied gas *** used an intercritically annealed Fe-7 Mn-0.2 C-3 Al(wt.%)steel with a dual-phase(α'martensite andγ_(R) retained austenite)nanolaminate structure as a base material and systematically compared its microstructure and impact toughness after friction stir and tungsten inert gas *** friction stir welded specimen exhibited a large amount ofγ_(R) phase owing to a relatively low temperature during welding,whereas the tungsten inert gas welded specimen comprised only theα'***,the friction stir welded steel exhibited a tuned morphology of nanoscale globular microstructure at the weld zone and did not exhibit any prior austenite grain boundary due to active recrystallization caused by deformation during *** preserved fraction ofγ_(R) and morphological tuning in the weldment improved the impact toughness of the friction stir welded steel at low *** the steel processed by tungsten inert gas welding,the notch crack propagated rapidly along the prior austenite grain boundaries-weakened by Mn and P segregations-resulting in poor impact ***,the friction stir welded steel exhibited a higher resistance against notch crack propagation due to the slow crack propagation along the ultrafine ferrite/ferrite(α/α)interfaces,damage tolerance by the active transformation-induced plasticity from the large amount ofγR,and enhanced boundary cohesion by suppressed Mn and P segregations.

关键词： Charpy impact test Transformation-induced plasticity Friction stir welding Phase stability Medium-Mn steel

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Long-term survival after gastrectomy and metastasectomy for gastric cancer with synchronous bone metastasis

引用

World Journal of Gastroenterology 2018年第1期24卷 150-156页

作者： Young Jin Choi Dae Hoon Kim hye Suk han Joung-Ho han seung-Myoung Son Dong Soo Kim Hyo Yung Yun Department of Surgery Chungbuk National University Hospital Chungbuk National University College of Medicine Department of Internal Medicine Chungbuk National University Hospital Chungbuk National University College of Medicine Department of Pathology Chungbuk National University Hospital Chungbuk National University College of Medicine Department of Orthopedics Chungbuk National University Hospital Chungbuk National University College of Medicine

Bone metastasis is a rare event in patients with gastric cancer, but pathologic fracture, paralysis, pain and hematological disorders associated with the bone metastasis may influence the quality of life. We report herein the case of a 53-year-old man who presented with primary remnant gastric cancer with bone metastasis. The patient requested further investigations after detection of a metastatic lesion in the 2 nd lumbar vertebra during evaluation for back pain that had persisted for 3 mo. No other metastatic lesions were detected. He underwent total gastrectomy and palliative metastasectomy to aid in reduction of symptoms, and he received combination chemotherapy with tegafur(S-1) and cisplatin. The patient survived for about 60 mo after surgery. Currently, there is no treatment guideline for gastric cancer with bone metastasis, and we believe that gastrectomy plus metastasectomy may be an effective therapeutic option for improving qualityof life and survival in patients with resectable primary gastric cancer and bone metastasis.

关键词： Stomach neoplasms Gastrectomy Bone neoplasms Neoplasm metastasis Metastasectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Multi-Aspect Incremental Tensor Decomposition Based on Distributed In-Memory Big Data Systems

引用

Journal of Data and Information Science 2020年第2期5卷 13-32页

作者： hye-Kyung Yang Hwan-seung Yong Department of Computer Software Korean Bible UniversitySeoul01757Republic of Korea Department of Computer Science and Engineering Ewha Womans UniversitySeoul03760Republic of Korea

Purpose:We propose In Par Ten2,a multi-aspect parallel factor analysis three-dimensional tensor decomposition algorithm based on the Apache Spark *** proposed method reduces re-decomposition cost and can handle large ***/methodology/approach:Considering that tensor addition increases the size of a given tensor along all axes,the proposed method decomposes incoming tensors using existing decomposition results without generating ***,In Par Ten2 avoids the calculation of Khari–Rao products and minimizes shuffling by using the Apache Spark ***:The performance of In Par Ten2 is evaluated by comparing its execution time and accuracy with those of existing distributed tensor decomposition methods on various *** results confirm that In Par Ten2 can process large tensors and reduce the re-calculation cost of tensor ***,the proposed method is faster than existing tensor decomposition algorithms and can significantly reduce re-decomposition *** limitations:There are several Hadoop-based distributed tensor decomposition algorithms as well as MATLAB-based decomposition ***,the former require longer iteration time,and therefore their execution time cannot be compared with that of Spark-based algorithms,whereas the latter run on a single machine,thus limiting their ability to handle large *** implications:The proposed algorithm can reduce re-decomposition cost when tensors are added to a given tensor by decomposing them based on existing decomposition results without re-decomposing the entire ***/value:The proposed method can handle large tensors and is fast within the limited-memory framework of Apache ***,In Par Ten2 can handle static as well as incremental tensor decomposition.

关键词： PARAFAC Tensor decomposition Incremental tensor decomposition Apache Spark Big data

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Macrophage activation syndrome in children with Kawasaki disease: diagnostic and therapeutic approaches

引用

World Journal of Pediatrics 2020年第6期16卷 566-574页

作者： seung Beom han Soo-Young Lee Department of Pediatrics Daejeon St.Mary's Hospital.College of MedicineThe Catholic University of Korea64 Daeheung-ro.Jung-guDaejeon 34943Republic of Korea Department of Pediatrics.Bucheon St.Mary's Hospital College of MedicineThe Catholic University of Korea327 Sosa-roWonmi-gu.Bucheon 14647Republic of Korea

Background Macrophage activation syndrome(MAS)is a rare,life-threatening complication of Kawasaki disease(KD).Early recognition and treatment of MAS are very important,but sometimes it is difficult to distinguish MAS from a severe form of *** sources A PubMed search was performed in Clinical Queries using the key terms“macrophage activation syndrome or secondary hemophagocytic lymphohistiocytosis(HLH)”and“Kawasaki disease”.Results KD patients with MAS show high intravenous immunoglobulin(IVIG)resistance and coronary *** is also as high as MAS in other *** fever greater than 10 days is highly associated with development of MAS in *** is observed in more than two-thirds of KD patients with *** is often the earliest laboratory finding of *** is highly specific and sensitive for detecting MAS in KD;so,ferritin levels should be checked if there are unexplained clinical exacerbations in KD *** the under-recognition of MAS in KD,it is prudent to consider resistant KD as occult/subclinical *** KD patients with MAS have good outcomes on immune ***,if KD patients fulfill the HLH-2004 diagnostic criteria,they may undergo longer and more intensive treatment than *** The possible existence of MAS should be taken into account when a KD patient shows persistent fever,splenomegaly,thrombocytopenia,hyperferritinemia,or IVIG *** under-diagnosis of MAS in patients with KD is an important issue to be ***,however,there is a possibility of over-treatment of MAS in patients with KD.

关键词： Macrophage activation syndrome Kawasaki disease Children

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：