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Evidence from a familial case suggests maternal inheritance of primary biliary cholangitis

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World Journal of Gastroenterology 2017年第39期23卷 7191-7197页

作者： Saeam Shin In Ho Moh Young Sik Woo Sung won jung jin Bae Kim ji won Park Ki Tae Suk Hyoung Su Kim Mineui Hong Sang Hoon Park Myung Seok Lee Department of Laboratory Medicine Kangnam Sacred Heart Hospital Hallym University College of Medicine Division of Gastroenterology and Hepatology Department of Internal Medicine Kangnam Sacred Heart Hospital Hallym University College of Medicine Department of Pathology Kangnam Sacred Heart Hospital Hallym University College of Medicine

Primary biliary cholangitis(PBC) is an idiopathic autoimmune liver disease characterized by chronic cholestasis and destruction of the intrahepatic bile ducts. Similar to other autoimmune diseases, the pathogenesis of PBC is considered to be a complex etiologic phenomenon involving the interaction of genetic and environmental factors. Although a number of common variants associated with PBC have been reported from genome-wide association studies, a precise genetic mechanism underlying PBC has yet to be identified. Here, we describe a family with four sisters who were diagnosed with PBC. After the diagnosis of the index patient who was in an advanced stage of PBC, one sister presented with acute hepatitis, and two sisters were subsequently diagnosed with PBC. Notably, one half-sister with a different mother exhibited no evidence of PBC following clinical investigation. Our report suggests the possibility of a maternal inheritance of PBC susceptibility. Moreover, judging from the highpenetrance of the disease observed in this family, we inferred that a pathogenic genetic variant might be the cause of PBC development. We describe a family that exhibited diverse clinical presentations of PBC that included asymptomatic stages with mildly increased liver enzyme levels and symptomatic stages with acute hepatitis or advanced liver fibrosis. Additional studies are needed to investigate the role of genetic factors in the pathogenesis of this rare autoimmune disease.

关键词： Primary biliary cholangitis Family history Genetic susceptibility

CT and MR imaging findings of ocular adnexal mucosa-associated lymphoid tissue lymphoma associated with IgG4-related disease: multi-institutional case series

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International Journal of Ophthalmology(English edition) 2020年第8期13卷 1231-1237页

作者： Roh-Eul Yoo Sun-won Park jung Hyo Rhim ji Eun Kim Soo Chin Kim ji-Young Choe Ho-Kyung Choung Sang In Khwarg ji-hoon Kim Jeong Hyun Lee Bo Eun Lee Yeonah Kang Department of Radiology Seoul National University College of MedicineSeoul 03080Republic of Korea Department of Radiology Seoul National University HospitalSeoul 03080Republic of Korea Department of Radiology Seoul Metropolitan Government Seoul National University Boramae Medical CenterSeoul 07061Republic of Korea Department of Pathology Seoul Metropolitan Government Seoul National University Boramae Medical CenterSeoul 07061Republic of Korea Department of Pathology Seoul National University College of MedicineSeoul 03080Republic of Korea Department of Radiology Asan Medical CenterSeoul 05505Republic of Korea Department of Pathology Hallym University Sacred Heart HospitalAnyang14068Republic of Korea Department of Ophthalmology Seoul Metropolitan Government Seoul National University Boramae Medical CenterSeoul 07061Republic of Korea Department of Ophthalmology Seoul National University College of MedicineSeoul 03080Republic of Korea Department of Radiology Ulsan University College of MedicineSeoul 05505Republic of Korea Department of Radiology Inje University Haeundae Paik HospitalBusan 47392Republic of Korea

AIM:To report CT and MR imaging findings of ocular adnexal mucosa-associated lymphoid tissue lymphoma associated with IgG4-related disease(IgG4-MALT lymphoma),a rare but clinically important complication of ocular adnexal IgG4-related ***:We retrospectively reviewed all cases of histologically confirmed ocular adnexal IgG4-related disease at three ter tiary and one secondary referral centers,between February 2003 and December *** cases of histopathologically diagnosed IgG4-MALT lymphoma were *** and MR images were analyzed by consensus of two experienced head and neck ***:Lacrimal glands were the main site of involvement in all seven *** lesions typically showed well-demarcated margins,iso-to hyperattenuation on precontrast CT,T2 hypo-to isointensity,T1 isointensity,and homogenous internal architecture with homogenous enhancement *** were mostly hyperdense and isointense to normal extraocular muscles on postcontrast CT and MR images,***:Unlike in typical ocular adnexal IgG4-related disease,T2 isointensity and hyperattenuation on precontrast CT images were noted in some IgG4-MALT lymphoma *** the findings may be nonspecific,the possibility of accompanying MALT lymphoma may need to be considered,when ocular adnexal lesions in patients clinically suspected of having IgG4-related disease are refractory to glucocorticoids and show T2 isointensity and hyperattenuation on precontrast CT for the optimal management of the ***,this is a case series of a very rare complication of ocular adnexal IgG4-related disease,and thus caution is warranted to generalize the conclusion.

关键词： CT IgG4-related disease MR ocular adnexal mucosa-associated lymphoid tissue lymphoma

Efficacy of acupuncture on cardiovascular complications in patients with diabetes mellitus in Korea:A nationwide retrospective cohort

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Journal of Integrative Medicine 2023年第2期21卷 176-183页

作者： Hyejin jung Tiana won Ga-Yeon Kim Jowon Jang Sujung Yeo Sabina Lim Department of Meridian&Acupoint College of Korean MedicineKyung Hee UniversitySeoul02447Republic of Korea WHO Collaborating Center for Traditional Medicine East-West Medical Research InstituteKyung Hee UniversitySeoul02447Republic of Korea Department of Meridian and Acupoint College of Korean MedicineSang Ji UniversityWonju26339Republic of Korea

Objective The main aim of this study is to investigate whether acupuncture could be an effective complementary treatment for reducing the risk of macrovascular complications in diabetic patients currently taking antidiabetic medications using a nationwide population-based *** We conducted a retrospective cohort study to assess the efficacy of acupuncture on cardiovascular complications in diabetic patients using data from patients between 40 and 79 years of age,newly diagnosed with diabetes between 2003 and 2006,found in the National Health Insurance Service-National Sample Cohort(NHIS-NSC)in *** the data,we identified 21,232 diabetic patients who were taking antidiabetic medication between 2003 and *** selected patients were divided into two groups-those who received acupuncture at least three times and those who received no acupuncture(non-acupuncture)in the year following their diagnosis of *** 1:1 propensity score matching(PSM),each group had 3350 patients,and the observation ceased at the occurrence of a major adverse cardiovascular event(MACE),which was defined as either myocardial infarction,stroke,or death due to cardiovascular *** After PSM,the acupuncture group had a lower incidence of MACE(hazard ratio[HR]:0.87;95%confidence interval[CI]:0.81-0.94;P=0.0003)and all-cause mortality(HR:0.77;95%CI:0.70-0.84;P<0.0001)than the non-acupuncture group;the HRs for stroke-related mortality(HR:0.75;95%CI:0.56-1.00;P=0.0485),ischemic heart disease mortality(HR:0.53;95%CI:0.34-0.84;P=0.006)and circulatory system disease mortality(HR:0.67;95%CI:0.55-0.82;P<0.0001)were lower in the acupuncture group than in the non-acupuncture group in the secondary *** Our results indicate that diabetic patients receiving acupuncture treatment might have a lower risk of MACE,all-cause mortality and cardiovascular *** population-based retrospective study suggests beneficial effects of acupuncture in preventing macro

关键词： Acupuncture Diabetes Major adverse cardiovascular event Myocardial infarction Stroke Macrovascular complication

Protective effect of decursin and decursinol angelate-rich Angelica gigas Nakai extract on dextran sulfate sodium-induced murine ulcerative colitis

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Asian Pacific Journal of Tropical Medicine 2017年第9期10卷 864-870页

作者： Sa-Rang Oh Seon Ok Tae-Sung jung Sang-Ok Jeon ji-Min Park ji-wook jung Deok-Seon Ryu Department of Wellbeing Products Co. LtdGimhaeGyeongnam 50969Republic of Korea Department of Herbal Medicinal Pharmacology College of Herbal Bio-industryDaeguHaany UniversityKyungsanRepublic of Korea Department of Biomedical Laboratory Science College of Medical SciencesSoonchunhyang UniversityAsanRepublic of Korea

Objective: To investigate the anti-inflammatory effects of decursin and decursinol angelate-rich Angelica gigas Nakai(AGNE) on dextran sulfate sodium(DSS)-induced murine ulcerative colitis(UC).Methods: The therapeutic effect of an AGNE was analyzed in a mouse model of UC induced by DSS. Disease activity index values were measured by clinical signs such as a weight loss, stool consistency, rectal bleeding and colon length. A histological analysis was performed using hematoxylin and eosin staining. Key inflammatory cytokines and mediators including IL-6, TNF-a, PGE2, COX-2 and HIF-1 a were assayed by enzymelinked immunosorbent assay or western ***: Treatment with the AGNE at 10, 20, and 40 mg/kg alleviated weight loss,decreased disease activity index scores, and reduced colon shortening in mice with DSSinduced UC. AGNE inhibited the production of IL-6 and TNF-a in serum and colon tissue. Moreover, AGNE suppressed the increased expression of COX-2 and HIF-1 a and the increased production of PGE2 in colon tissue were observed in mice with DSSinduced UC. Additionally, histological damage was also alleviated by AGNE ***: The findings of this study verified that AGNE significantly improves clinical symptoms and reduces the activity of various inflammatory mediators. These results indicate the AGNE has the therapeutic potential in mice with DSS-induced UC.

关键词： Angelica gigas Nakai Ulcerative colitis Dextran sulfate sodium Anti-inflammatory effects Cytokine

Differential ligand binding/trafficking for distinct CTLA-4 fates: is it an expandable mechanism?

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Cellular & Molecular Immunology 2023年第1期20卷 1-2页

作者： ji Eon Kim Eunmi Kim jung Weon Lee Department of Pharmacy Research Institute of Pharmaceutical SciencesCollege of PharmacySeoul National UniversitySeoul08826Republic of Korea

In a recent issue of Nature Immunology,Kennedy et *** that CTLA-4(CD152)differentially targets two distinct ligands,CD80 and CD86,on antigen-presenting cells(APCs)for destruction or recycling following transendocytosis(TE),resulting in separate fates for CTLA-4 on T_(reg) cells and thereby regulating ***,whereas CTLA-4 tightly binds CD80 for TE and causes ubiquitination and trafficking to late endosomes and lysosomes for degradation,CTLA-4 weakly binds CD86 for TE,resulting in dissociation under acidic conditions(pH<6)and recycling of CTLA-4 to the plasma membrane for further CD86 ***,CD86 targeting by CTLA-4 regulates T-cell function in autoimmunity[1]and presumably immune surveillance of cancer cells(Fig.1).

关键词： thereby traffic weakly

Immunotherapy for pancreatic cancer

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World Journal of Clinical Cases 2021年第13期9卷 2969-2982页

作者： Jai Hoon Yoon Ye-ji jung Sung-Hoon Moon Department of Internal Medicine Hanyang University College of MedicineSeoul 04763South Korea Department of Internal Medicine Hallym UniversityAnyang 14068South Korea Department of Internal Medicine University of Hallym College of MedicineHallym University Sacred Heart HospitalAnyang 14068South Korea

Pancreatic cancer, a highly lethal cancer, has the lowest 5-year survival rate forseveral reasons, including its tendency for the late diagnosis, a lack of serologicmarkers for screening, aggressive local invasion, its early metastaticdissemination, and its resistance to chemotherapy/radiotherapy. Pancreaticcancer evades immunologic elimination by a variety of mechanisms, includinginduction of an immunosuppressive microenvironment. Cancer-associatedfibroblasts interact with inhibitory immune cells, such as tumor-associatedmacrophages and regulatory T cells, to form an inflammatory shell-like desmoplasticstroma around tumor cells. Immunotherapy has the potential to mobilizethe immune system to eliminate cancer cells. Nevertheless, althoughimmunotherapy has shown brilliant results across a wide range of malignancies,only anti-programmed cell death 1 antibodies have been approved for use inpatients with pancreatic cancer who test positive for microsatellite instability ormismatch repair deficiency. Some patients treated with immunotherapy whoshow progression based on conventional response criteria may prove to have adurable response later. Continuation of immune-based treatment beyond diseaseprogression can be chosen if the patient is clinically stable. Immunotherapeuticapproaches for pancreatic cancer treatment deserve further exploration, given theplethora of combination trials with other immunotherapeutic agents, targetedtherapy, stroma-modulating agents, chemotherapy, and multi-way combinationtherapies.

关键词： Pancreatic adenocarcinoma Pancreatic cancer Immunotherapy Immune checkpoint inhibitor

Recognition of walking environments and gait period by surface electromyography

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Frontiers of Information Technology & Electronic Engineering 2019年第3期20卷 342-352页

作者： Seulki KYEONG wonseok SHIN Minjin YANG Ung HEO ji-rou FENG jung KIM Department of Mechanical Engineering Korea Advanced Institute of Science and Technology (KAIST)

Recognizing and predicting the movement and intention of the wearer in control of an exoskeleton robot is very challenging. It is difficult for exoskeleton robots, which measure and drive human movements, to interact with humans. Therefore, many different types of sensors are needed. When using various sensors, a data design is needed for effective sensing. An electromyographic(EMG) signal can be used to identify intended motion before the actual movement, and the delay time can be shortened via control of the exoskeleton robot. Before using a lower limb exoskeleton to help in walking, the aim of this work is to distinguish the walking environment and gait period using various sensors, including the surface electromyography(sE MG) sensor. For this purpose, a gait experiment was performed on four subjects using the ground reaction force, human–robot interaction force, and position sensors with sEMG sensors. The purpose of this paper is to show progress with the use of sEMG when recognizing walking environments and the gait period with other sensors. For effective data design, we used a combination of sensor types, sEMG sensor locations, and sEMG features. The results obtained using an individual mechanical sensor together with sEMG showed improvement compared to the case of using an individual sensor, and the combination of sEMG and position information showed the best performance in the same number of combinations of three sensors. When four sensor combinations were used, the environment classification accuracy was 96.1%, and the gait period classification accuracy was 97.8%. Vastus medialis(VM) and gastrocnemius(GAS) were the most effective combinations of two muscle types among the five sEMG sensor locations on the legs, and the results were 74.4% in pre-heel contact(preHC) and 71.7% in pre-toe-off(preTO) for environment classification, and 68.0% for gait period classification, when using only the sE MG sensor. The two effective sE MG feature combinations were "me

关键词： Walking environment Gait Period Surface electromyography (sEMG) Exoskeleton

Pathologic etiology and predictors of malignancy in children with cervical lymphadenopathy

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World Journal of Pediatrics 2023年第3期19卷 283-287页

作者： Jee Woo Kim Jee Yeon Baek ji Young Lee Sung Min Lim ji-Man Kang won Kee Ahn Seung Min Hahn jung Woo Han Chuh Joo Lyu Jong Gyun Ahn Department of Pediatrics Severance Children's HospitalYonsei University College of Medicine50-1 Yonsei-RoSeodaemun-guSeoul 03722South Korea Institute for Immunology and Immunological Diseases Yonsei University College of MedicineSeoulSouth Korea Division of Pediatric Hematology and Oncology Department of PediatricsYonsei University College of MedicineYonsei University Health SystemSeoulSouth Korea Department of Pediatric Hemato-Oncology Yonsei Cancer CenterYonsei University Health SystemSeoulSouth Korea

Cervical lymphadenopathy in children is a common disease entity that is accompanied by a variety of processes,ranging from benign disease to *** the cause of cer-vical lymphadenopathy in children is often benign[1-4],the presence of enlarged lymph nodes can cause anxiety to parents because of its association with *** should be considered for the histologic diagnosis of persistent or unex-plained cervical lymphadenopathy in ***,biopsy is an invasive examination method,and it is difficult to clinically determine whether biopsy is needed in children with unexplained cervical ***,clini-cians should be aware of the differential diagnosis of lymph node enlargement in children and should identify situations in which malignancy may be *** this study,we aimed to identify the etiology of pediatric cervical lymphadenopathy using biopsy and to analyze the risk factors associated with malignancy in children with cervical lymphadenopathy.

关键词： malignancy cervical diagnosis

Improved Hybrid Precoding Technique with Low-Resolution for MIMO-OFDM System

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Computers, Materials & Continua 2021年第8期68卷 2205-2220页

作者： Seulgi Lee ji-Sung jung Young-Hwan You Hyoung-Kyu Song Department of Information and Communication Engineering and Convergence for Intelligent DroneSejong UniversitySeoul05006Korea Department of Computer Engineering Sejong UniversitySeoul05006Korea

This paper proposes an improved hybrid beamforming system based on multiple-input multiple-output orthogonal frequency division multiplexing(MIMO-OFDM)*** proposed beamforming system improves energy efficiency compared to the conventional hybrid beamforming *** sub-connected and full-connected structure are considered to apply the proposed *** the conventional hybrid beamforming,the usage of radio frequency(RF)chains and phase shifter(PS)gives high power and hardware *** this paper,the phase over sampling(POS)with switches(SW)is used in hybrid beamforming system to improve the energy *** POS-SW structure samples the value of analog beamformer to make lower resolution than conventional *** number of output data in POS is decided by the resolution of POS *** limited number of POS decides the resolution of antenna array and the values of POSs are designed from maximum and minimum phase angle antenna *** efficiency without the phase shifter is high although channel capacity is nearly similar with conventional ***,the amplifier with POS-SW system is proposed to improve the BER *** to the data bits,the output signals of POS are *** system with 2,3 and 4 bits is simulated to prove the proposed *** order to overcome the loss of low-resolution system,the amplifier with POS-SW system using channel information is *** average sum-rate of 4 bits system shows the similar performance with the conventional hybrid beamforming *** structure can play an important role by increasing the energy efficiency of the wireless communication system that many antennas are *** is shown that the BER,average sum rate and energy efficiency of the proposed scheme are more improved than the conventional hybrid beamforming system.

关键词： Hybrid beamforming MIMO-OFDM system analog precoding POS-SW