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Acute respiratory distress syndrome and severe pneumonitis after atezolizumab plus bevacizumab for hepatocellular carcinoma treatment:A case report

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World Journal of Gastrointestinal Oncology 2023年第5期15卷 892-901页

作者： Su Hyeon Cho Ga Ram You Chan Park Sang-Geon Cho Jong Eun Lee Sung Kyu Choi Sung Bum Cho Jae hyun yoon Department of Gastroenterology and Hepatology Chonnam National University Hospital and Medical SchoolGwangju 61469South Korea Department of Gastroenterology and Hepatology Hwasun Chonnam National University Hospital and Medical SchoolHwasun 58128South Korea Department of Radiology Chonnam National University Hospital and Medical SchoolGwangju 61469South Korea Department of Nuclear Medicine Chonnam National University HospitalHwasun 58128South Korea

BACKGROUND Hepatocellular carcinoma(HCC)is one of the most common cancers worldwide and has a high ***,the treatment options for advanced HCC are limited to tyrosine kinase inhibitors,such as sorafenib and *** previous regimens have an insufficient efficacy,the combination therapy of atezolizumab and bevacizumab(Ate/Bev)has been investigated,which showed an improvement in progression-free and overall ***,the adverse events of this combination therapy in advanced HCC have not been ***,we report a novel case of an unresectable HCC and acute respiratory distress syndrome(ARDS)after a combination therapy of Ate/*** SUMMARY An 82-year-old male visited our outpatient clinic for an incidentally detected liver *** magnetic resonance imaging and enhanced chest computed tomography(CT)were performed,which showed arterial hyperenhancement with washout in delayed phase suggesting HCC,and a well-defined metastatic solid nodule,respectively.F-18 fluorodeoxyglucose positron emission tomography(PET)-CT exhibited multiple hypermetabolic lesions in the iliac bone,lumbar vertebrae,and *** of the high burden of the intrahepatic tumor,transarterial radioembolization was initially performed;after 37 d,a combination therapy of Ate/Bev was *** patient visited the emergency department three days after Ate/Bev treatment complaining of *** was diagnosed with severe pneumonitis based on *** administering oxygen via a high-flow nasal cannula,the P/F ratio was only 74;therefore,the patient was diagnosed with ARDS based on the overall examination *** tidal volume with high positive end-expiratory pressure,sedative agents combined with a neuromuscular blocker,and a systemic steroid were promptly applied to manage the ***,the patient did not recover from the hypoxia and expired 31 h after being *** Clinicians should be aware of severe pneumonitis due to the immune-

关键词： Hepatocellular carcinoma Systemic therapy Adverse events Pneumonitis Atezolizumab Acute respiratory distress syndrome

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Cambrian Reefs in the Western North China Platform,Wuhai,Inner Mongolia

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Acta Geologica Sinica(English Edition) 2016年第6期90卷 1946-1954页

作者： LEE jeong-hyun KIM Byeong-Jun LIANG Kun PARK Tae-yoon S. CHOH Suk-Joo LEE Dong-Jin WOO Jusun Department of Geology and Earth Environmental Sciences Chungnam National University Department of Geoenvironmental Sciences Kongju National University Nanjing Institute of Geology and Palaeontology Chinese Academy of Sciences Division of Polar Earth-System Sciences Korea Polar Research Institute Department of Earth and Environmental Sciences Korea University Department of Earth and Environmental Sciences Andong National University

Mid to late Cambrian thrombolites and maze-like maceriate reefs from the western North China Platform, Wuhai, Inner Mongolia, northwestern China, occur in the middle of a succession dominated by thin-bedded lime mudstone-shale/marlstone alternations, and are laterally surrounded by limestone conglomerate and/or grainstone. Thrombolite, characterized by meter-scale lenticular mounds composed of millimeter- to centimeter-scale mesoclots and wackestone matrix, occurs in the lower middle part of the sequence. Thrombolite mesoclots are composed of microstromatolites with alternating dark gray and light gray micritic laminae. The maze-like maceriate reefs occur in the middle to the upper part of the sequence, commonly forming lenticular mounds up to 1 m thick. They are characterized by centimeter- to decimeter-scale branched maze-like structures, whose biogenic portions （maceria） are selectively dolomitized. The maceriae are composed of poorly preserved microstromatolites and siliceous sponges. Inter-macerial sediments consist of lime mud and scattered bioclasts. These Wuhai reefs are generally similar to but older than various other Cambrian reefs previously reported from the Shandong region, northeastern China.

关键词： organosedimentary petrology reefal carbonate microbialite siliceous sponge Cambrian Series 3: Guzhangian North China Platform

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Performance evaluations on inner vs. outer decomposition first parallel join algorithms for two nested loop joins

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Journal of Central South University 2014年第10期21卷 3873-3882页

作者： Seo-Young NOH Heejun yoon Il-Yeon YEO yoon-su jeong hyungwoo PARK National Institute of Supercomputing and Networking Korea Institute of Science and Technology Information Department of Information Communication Engineering Mokwon University

Two popular traditional join algorithms and their parallel versions are introduced. When designing join algorithms in serial computing environment, decomposing inner relation is considered as the right direction to save disk I/Os. However, two different decomposition algorithms are compared, such as inner vs. outer decomposition first algorithms for tuple-based and block-based nested loop joins, showing that the proposed approach is 20% better than general approach. Also lemmas are proved, when we have to use the outer decomposition first parallel join algorithms.

关键词：并行连接算法分解算法环连接绩效评估嵌套计算环境串行磁盘

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Electrical characteristics and detailed interfacial structures of Ag/Ni metallization on polycrystalline thermoelectric SnSe

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Journal of Materials Science & Technology 2019年第5期35卷 711-718页

作者： Yeongseon Kim Younghwan Jin Giwan yoon In Chung Hana yoon Chung-Yul Yoo Sang hyun Park Separation and Conversion Materials Laboratory Korea Institute of Energy Research 152 Gajeong-ro Yuseong-gu Daejeon 34129 Republic of Korea School of Electrical Engineering Korea Advanced Institute of Science and Technology 291 Daehak-ro Yuseong-gu Daejeon 34142 Republic of Korea Department of Physics Chungnam National University 99 Daehak-ro Yuseong-gu Daejeon 34134 Republic of Korea School of Chemical and Biological Engineering Seoul National University 1 Gwanak-ro Gwanak-gu Seoul 08826 Republic of Korea

SnSe is a promising thermoelectric material with a high figure of merit in single crystal form, which has stimulated continuous research on polycrystalline SnSe. In this study, we investigated a metallization techniques for polycrystalline SnSe to achieve highly efficient and practical SnSe thermoelectric modules. The Ag/Ni metallization layers were formed on pristine polycrystalline SnSe using various deposition technique: sputter coating Ni, powder Niand foil Ni by spark plasma sintering. Structural analysis demonstrated that the microstructure and con tact resistance could be different according to the metallization process, despite using the same metals. The Ag/Ni metallization layer using foil Ni acted as an effective diffusion barrier and minimized electrical contact resistance (2.3×10^-4Ωcm^2). A power loss in the thermoelectric module of only 5% was demonstrated using finite element simulation.

关键词： Thermoelectric Metallization Electric contact material Interface microstructure SnSe

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Family history influences the early onset of hepatocellular carcinoma

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World Journal of Gastroenterology 2012年第21期18卷 2661-2667页

作者： Chung-Hwa Park Seung-Hee jeong Hyeon-Woo Yim Jin Dong Kim Si hyun Bae Jong Young Choi Seung Kew yoon Department of Internal Medicine The Catholic University of KoreaSeoul 137-701 South Korea Department of Preventive Medicine College of Medicine The Catholic University of KoreaSeoul 137-701 South Korea Clinical Research Coordinating Center of Catholic Medical Center The Catholic University of KoreaSeoul 137-701 South Korea

AIM: To evaluate the relationship between a positive family history of primary liver cancer and hepatocellular carcinoma (HCC) development in Korean HCC patients. METHODS: We studied a total of 2242 patients diagnosed with HCC between January 1990 and July 2008, whose family history of primary liver cancer was clearly described in the medical *** family history of HCC and 2077 (92.6%) did not. The male to female ratio was 3.6:1, and the major causes of HCC were chronic hepatitis B virus (HBV) infection in 75.1%, chronic hepatitis C virus infection in 13.2% and alcohol in 3.1%. The median ages at diag- nosis in the positiveand negative-history groups were 52 years (range: 29-79 years) and 57 years (range: 18-89 years), respectively (P < 0.0001). Furthermore, among 1713 HCC patients with HBV infection, the number of patients under 45 years of age out of 136 patients with positive family history was 26 (19.1%), whereas those out of 1577 patients with negative family history was 197 (12.5%), suggesting that a positive family history may be associated with earlier development of HCC in the Korean population (P = 0.0028). CONCLUSION: More intensive surveillance maybe recommended to those with a positive family history of HCC for earlier diagnosis and proper management especially when HBV infection is present.

关键词：原发性肝癌早期诊断家族史病毒感染发病乙型肝炎病毒肝细胞癌丙型肝炎

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What is the appropriate strategy for diagnosing NAFLD using ultrasonography in obese children?

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World Journal of Pediatrics 2017年第3期13卷 248-254页

作者： Jee hyun Lee Su Jin jeong Department of Pediatrics Ansan HospitalKorea University Medical CenterCollege of MedicineKorea University Department of Pediatrics Bundang CHA Medical CenterCHA University School of MedicineKorea

Background:The aim of this study is to identify obese children who are candidates for a potential diagnosis of non-alcoholic fatty liver disease (NAFLD).Methods:We enrolled 242 obese children (122 boys and 120 girls) aged 7-16 years who were examined with abdominal ultrasonography in our pediatric obesity *** compared patients in the normal group with those in the NAFLD group (mild disease,moderate to severe disease) and identified the optimal anthropometric parameters among height,weight,body mass index (BMI),waist circumference,hip circumference,waist to height ratio (WHtR),and waist to hip ratio to predict NAFLD using a receiver operating characteristic curve *** also investigated risk factors associated with NAFLD for the anthropometric parameters and the biochemical model using logistic ***:The high-and low-risk groups for hepatic steatosis relative to a WHtR of 0.56 as the standard point showed significant differences in hepatic steatosis severity grade (P0.56 (2.25,1.05-4.81),and waist circumference >90th percentile (20.22,9.21-44.36) in the anthropometric parameter model and elevated alanine aminotransferase levels (boys >25.8 U/L,girls >22.1 U/L) (6.93,2.52-19.03),hypertriglyceridemia (>110 mg/dL) (3.80,1.23-11.75),and triglyceride to HDL cholesterol ratio >3 (9.23,2.95-8.83) in the biochemical parameter ***:A diagnostic approach to hepatic steatosis is recommended as part of the proper screening and stratification of risk factors in obese *** is a simple and convenient method of effectively identifying obese children who are candidates for hep

关键词： hepatic steatosis non-alcoholic fatty liver disease obesity waist-to-height ratio

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Object-Oriented Modeling of the Variation of Acceleration and Deceleration Characteristics in Relation to Speed Bands for Railway Vehicles

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Energy and Power Engineering 2023年第8期15卷 277-290页

作者： hyun-Soo jeong Jong-Young Park Hanmin Lee Hyubwoojiyeu Engineering Co. Ltd. Seoul Korea Smart Electrical & Signaling Division Korea Railroad Research Institute Uiwang Korea

Automated operation and artificial intelligence technology have become essential for ensuring the safety, efficiency, and punctuality of railways, with applications such as ATO (Automatic Train Operation). In this study, the authors propose a method to efficiently simulate the kinematic characteristics of railroad vehicles depending on their speed zone. They utilized the function overloading function supported by a programming language and applied the fourth-order Lunge-Kutta method for dynamic simulation. By constructing an object model, the authors calculated vehicle characteristics and TPS and compared them with actual values, verifying that the developed model represents the real-life vehicle characteristics accurately. The study highlights potential improvements in automated driving and energy consumption optimization in the railway industry.

关键词： Railway Vehicle ATO Lunge-Kutta Method Object-Oriented Model Function Overloading

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Efficient and secure source authentication scheme for multicast user authentication

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Journal of Central South University 2013年第10期20卷 2741-2746页

作者： jeong yoon-su LEE Sang-hyuk SHIN Seung-soo Department of Information Communication Engineering Mokwon University Department of Electrical and Electronic Engineering Xi’an Jiaotong-Liverpool University Department of Information Security Tongmyong University

Multicast technology application has been widely utilized in broadband internet. Source authentication is one of the most needs for many multicast applications transferring real-time information such as stream video and online news. Because multicast current services provided to the group members are changed dynamically, data transferring by a group member is not used by the recipient. In order to verify the identity of the sender who sent the packet and to make sure that the data have not been tampered, an optimized source authentication scheme has been proposed to transfer the authentication information not to the next-door packet. The proposed method for multiple packets authenticates the source with a limited number of electronic signatures. The proposed method can reduce overhead compared to the method by adding a digital signature for every packet. In addition, by sending the generated electronic signature to the first packet and the last packet, it prevents the loss of consecutive packets, as well as a source authentication can be provided in real-time services.

关键词： multicast packet source authentication broadband Internet

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Treatment of intractable orbital implant exposure with a large conjunctival defect by secondary insertion of the implant after preceding dermis fat graft

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International Journal of Ophthalmology(English edition) 2013年第2期6卷 193-197页

作者： hyun Kyung Kim Tae yoon La Department of Ophthalmology St. Vincent's Hospital College of Medicine The Catholic University of Korea

AIM: To report a procedure and results of a two-stage operation to manage intractable extensive orbital implant exposure with a large conjunctival defect which was difficult to treat with dermis fat grafts due to repeated graft necrosis. METHODS: A retrospective chart review of four patients who had extensive orbital implant exposures with large conjunctival defects and had past histories of repeated autologous or preserved dermis graft failures was done. As a first-stage operation, the problematic pre-existing orbital implants were removed and autologous dermis fat grafts alone were performed on the defect area. Four months later, new orbital implants were secondarily inserted after confirmation of graft survival. The size of the conjunctival defects and state of the extraocular muscles were checked preoperatively. Success of the operations and complications were ***: The mean size of the conjuctival defects was 17.3mm×16.0mm, and the mean time from the initial diagnosis of orbital implant exposure to implant removal and autologous dermis fat graft was 20.8 months. After implant removal and autologous dermis fat graft, no graft necrosis was observed in any patients. Also, implant exposure or fornix shortening was not observed in any patients after new orbital implant insertion. CONCLUSION: The secondary insertion of a new orbital implant after pre-existing implant removal and preceding dermis fat graft is thought to be an another selective management of intractable orbital implant exposure in which dermis fat grafts persistently fail.

关键词： conjunctival defect dermis fat graft orbital implant exposure

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Characterization of Wollastonite Glass-ceramics Made from Waste Glass and Coal Fly Ash

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Journal of Materials Science & Technology 2013年第2期29卷 149-153页

作者： Soon-Do yoon Jong-Un Lee jeong-Hwan Lee Yeon-Hum Yun Wang-Jung yoon School of Biotechnology and Chemical Engineering Chonnam National University Department of Energy & Resources Engineering Chonnam National University

The crystallization behavior of wollastonite glass-ceramics was investigated by means of X-ray diffraction （XRD） analysis and surface morphological observations, and the chemical compositions were evaluated by field emission-scanning electron microscopy （FE-SEM） and energy dispersive X-ray spectroscopy （EDS）. Various heat treatment temperatures （850, 900, 950, 1000 and 1050 ℃） were used to obtain glass-ceramics of the ideal wollastonite crystal phase as well as optimum mechanical properties and chemical durability. From XRD, FE-SEM and EDS, the crystallization of acicular crystal phase in the matrix was achieved at heat treatment temperature of 1000 and 1050 ℃, and wollastonite （CaSiO3） was found in the acicular type main crystal phase in the glass-ceramics. Various properties, such as density, compressive strength, bending strength and chemical durability were also examined. The mechanical properties of glass-ceramics obtained at the heat treatment temperature of 1000 and 1050 ℃ were superior to those obtained at the heat treatment temperature of 850 ℃.

关键词： Coal fly ash Waste glass Mechanical properties Glass-ceramics

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