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Recurrence after endoscopic piecemeal mucosal resection for large sessile colorectal polyps

World Journal of Gastroenterology 2010年第22期16卷 2806-2811页

作者： Guh Jung Seo Dae kyung Sohn kyung su han Chang Won Hong Byung Chang Kim Ji Won Park Hyo Seong Choi Hee Jin Chang Jae Hwan Oh Center for Colorectal Cancer Research Institute and Hospital National Cancer Center

AIM: To evaluate the safety and outcomes of endoscopic piecemeal mucosal resection (EPMR) for large sessile colorectal polyps. METHODS: The patients enrolled in this study were 47 patients with 50 large sessile polyps (diameter, 2 cm or greater) who underwent EPMR using a submucosal saline injection technique between December 2002 and October 2005. All medical records, including characteristics of the patients and polyps, complications, and recurrences, were retrospectively reviewed. The first follow-up endoscopic examination was performed at 3-6 mo after initial endoscopic resection, and the second at 12 mo postEPMR. subsequent surveillance colonoscopic examinations were individualized, taking risk factors into account. REsuLTS: The patients were 23 men and 24 women,with a mean age of 60 years. Mean polyp size was 30.1 mm. Of 50 polyps identified, 34 (68%) were benign and 16 (32%) were malignant. There were 6 (12%) cases with EPMR-related bleeding: 5 intra-procedural and 1 early post-procedural bleeding. All bleeding episodes were managed by endoscopic clipping or argon beam coagulation. There were no perforations. Recurrence was identified in 5 cases (12.2%): 4 local recurrences detected at 3 mo post-EPMR and 1 local recurrence detected at 14 mo post-EPMR. The recurrence rate after EPMR was 3.1% for benign polyps and 33.3% for malignant polyps (P < 0.05). Median follow-up time was 37 mo. CONCLUSION: EPMR is safe, but should be applied carefully in malignant polyps. Close follow-up endoscopic examinations are necessary for early detection of recurrence.

关键词： Colonoscopy Colorectal neoplasm Endoscopic piecemeal mucosal resection Large sessile polyps

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Predictors for difficult cecal insertion in colonoscopy: The impact of obesity indices

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World Journal of Gastroenterology 2017年第13期23卷 2346-2354页

作者： Soo Yun Moon Byung Chang Kim Dae kyung Sohn kyung su han Bun Kim Chang Won Hong Bum Joon Park Kum Hei Ryu Ji Hyung Nam Center for Colorectal Cancer Research Institute and HospitalNational Cancer Center Department of surgery School of MedicineKyung Hee University Center for Cancer Prevention and Detection Research Institute and HospitalNational Cancer Center

AIM To identify the factors influencing cecal insertion time(CIT) and to evaluate the effect of obesity indices on CIT. METHODS We retrospectively reviewed the data for participants who received both colonoscopy and abdominal computed tomography(CT) from February 2008 to May 2008 as part of a comprehensive health screening program. Age, gender, obesity indices [body mass index(BMI), waist-to-hip circumference ratio(WHR), waist circumference(WC), visceral adipose tissue(VAT)volume and subcutaneous adipose tissue(SAT) volume on abdominal CT], history of prior abdominal surgery, constipation, experience of the colonoscopist, quality of bowel preparation, diverticulosis and time required to reach the cecum were analyzed. CIT was categorized as longer than 10 min(prolonged CIT) and shorter than or equal to 10 min, and then the factors that required a CIT longer than 10 min were *** A total of 1678 participants were enrolled. The mean age was 50.42 ± 9.931 years and 60.3% were men. The mean BMI, WHR, WC, VAT volume and SAT volume were 23.92 ± 2.964 kg/m2, 0.90 ± 0.076, 86.95 ± 8.030 cm, 905.29 ± 475.220 cm3 and 1707.72 ± 576.550 cm3, respectively. The number of patients who underwent abdominal surgery was 268(16.0%). Colonoscopy was performed by an attending physician alone in 61.9% of cases and with the involvement of a fellow in 38.1% of cases. The median CIT was 7 min(range 2-56 min, IQR 5-10 min), and mean CIT was 8.58 ± 5.291 min. Being female, BMI, VAT volume and involvement of fellow were significantly associated with a prolonged CIT in univariable analysis. In multivariable analysis, being female(OR = 1.29, P = 0.047), lower BMI(subgroup analyses for gender, lower BMI or higher BMI and fellow involvement were predictors for prolon

关键词： Visceral obesity Difficult colonoscopy Cecal insertion time Body mass index Female

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Deep eutectic solvents for separation and purification applications in critical metal metallurgy:Recent advances and perspectives

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International Journal of Minerals,Metallurgy and Materials 2025年第1期32卷 1-19页

作者： Shuo Chen Shengpeng su Yanfang Huang Bingbing Liu Hu sun Shuzhen Yang Guihong han School of Chemical Engineering Zhengzhou UniversityZhengzhou 450001China Zhongyuan Critical Metals Laboratory Henan ProvinceZhengzhou 450001China

Solvent extraction,a separation and purification technology,is crucial in critical metal *** solvents commonly used in solvent extraction exhibit disadvantages,such as high volatility,high toxicity,and flammability,causing a spectrum of hazards to human health and environmental *** solvents have been recognized as potential alternatives to these harmful organic *** the past two decades,several neoteric solvents have been proposed,including ionic liquids(ILs)and deep eutectic solvents(DESs).DESs have gradually become the focus of green solvents owing to several advantages,namely,low toxicity,degradability,and low *** this critical review,their classification,formation mechanisms,preparation methods,characterization technologies,and special physicochemical properties based on the most recent advancements in research have been systematically ***,the major separation and purification applications of DESs in critical metal metallurgy were comprehensively ***,future opportunities and challenges of DESs were explored in the current research *** conclusion,this review provides valuable insights for improving our overall understanding of DESs,and it holds important potential for expanding separation and purification applications in critical metal metallurgy.

关键词： deep eutectic solvents preparations properties separation and purification critical metal metallurgy

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Recombinant chitinase-3-like protein 1 alleviates learning and memory impairments via M2 microglia polarization in postoperative cognitive dysfunction mice

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Neural Regeneration Research 2025年第9期20卷 2727-2736页

作者： Yujia Liu Xue han Yan su Yiming Zhou Minhui Xu Jiyan Xu Zhengliang Ma Xiaoping Gu Tianjiao Xia Department of Anesthesiology Nanjing Drum Tower HospitalAffiliated Hospital of Medical SchoolNanjing UniversityNanjingJiangsu ProvinceChina Medical School Nanjing UniversityNanjingJiangsu ProvinceChina Jiangsu Key Laboratory of Molecular Medicine Nanjing UniversityNanjingJiangsu ProvinceChina State Key Laboratory of Pharmaceutical Biotechnology Nanjing UniversityNanjingJiangsu ProvinceChina Department of Anesthesiology Zhongshan HospitalFudan UniversityShanghaiChina

Postoperative cognitive dysfunction is a seve re complication of the central nervous system that occurs after anesthesia and surgery,and has received attention for its high incidence and effect on the quality of life of *** date,there are no viable treatment options for postoperative cognitive *** identification of postoperative cognitive dysfunction hub genes could provide new research directions and therapeutic targets for future *** identify the signaling mechanisms contributing to postoperative cognitive dysfunction,we first conducted Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses of the Gene Expression Omnibus GSE95426 dataset,which consists of mRNAs and long non-coding RNAs differentially expressed in mouse hippocampus3 days after tibial *** dataset was enriched in genes associated with the biological process"regulation of immune cells,"of which Chill was identified as a hub ***,we investigated the contribution of chitinase-3-like protein 1 protein expression changes to postoperative cognitive dysfunction in the mouse model of tibial fractu re *** were intraperitoneally injected with vehicle or recombinant chitinase-3-like protein 124 hours post-surgery,and the injection groups were compared with untreated control mice for learning and memory capacities using the Y-maze and fear conditioning *** addition,protein expression levels of proinflammatory factors(interleukin-1βand inducible nitric oxide synthase),M2-type macrophage markers(CD206 and arginase-1),and cognition-related proteins(brain-derived neurotropic factor and phosphorylated NMDA receptor subunit NR2B)were measured in hippocampus by western *** with recombinant chitinase-3-like protein 1 prevented surgery-induced cognitive impairment,downregulated interleukin-1βand nducible nitric oxide synthase expression,and upregulated CD206,arginase-1,pNR2B,and brain-derived neurotropic factor expr

关键词： Chil1 hippocampus learning and memory M2 microglia neuroinflammation postoperative cognitive dysfunction(POCD) recombinant CHI3L1

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Rapidly growing primary anal canal lymphoma:a case report and literature review

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Gastroenterology Report 2023年第1期11卷 582-584页

作者： Yu kyung Chung su Bum Park Department of Internal Medicine Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and TechnologyPusan National University Yangsan HospitalYangsanRepublic of Korea

Introduction Anal cancer is a rare cancer accounting for2%of all gastrointestinal tract malignancies[1].Among anal cancers,squamous cell cancer(SCC)is the most common and lymphoma is one of the least *** gastrointestinal tract is the most common site for extranodal non-Hodgkin’s lymphoma(NHL),and diffuse large B-cell lymphoma(DLBCL)is the most common histologic ***,primary colorectal lymphoma accounts for only 0.3%of all large intestinal malignancies and3%of all gastrointestinal lymphomas[2].Anal canal SCC and lymphomas are treated differently;thus,accurate diagnosis is crucial.

关键词： lymphoma gastrointestinal diagnosis

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Efective Object Identification and Association by Varying Coverage Through RFID Power Control

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Journal of Computer Science & Technology 2014年第1期29卷 4-20页

作者： Shung han Cho kyung Hoon Kim Sangjin Hong IEEE System LSI Business Samsung Electronics Department of Electrical and Computer Engineering Stony Brook University

This paper presents an effective power scheduling strategy for energy efficient multiple objects identification and association. The proposed method can be utilized in many heterogeneous surveillance systems with visual sensors and RFID （radio-frequency identification） readers where energy efficiency as well as association rate are critical Multiple objects positions and trajectory estimates are used to decide the power level of RFID readers. Several key parameters including the time windows and the distance separations are defined in the method in order to minimize the effects of RFID coverage uncertainty. The power cost model is defined and incorporated into the method to minimize energy consumption and to maximize association performance. The proposed method computes the power cost using the range of the outermost position for possible single association and group associations at every sampling time. An RFID reader is activated with the proper coverage range when the power cost for the current time is lower than the power cost for the next time sample. The simplicity of the power cost model relieves the problematic combinatorial comparisons in multiple object cases. The performance comparison simulation with the minimum and maximum energy consumption shows that the proposed method achieves fast single associations with less energy consumption. Finally, the realistic comparison simulation with the fixed range RFID readers demonstrates that the proposed method outperforms the fixed ranges in terms of single association rate and energy consumption.

关键词： object association RFID power control power scheduling visual sensor collaboration

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Determining node duty cycle using Q-learning and linear regression for WSN

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Frontiers of Computer Science 2021年第1期15卷 17-23页

作者： han Yao HUANG kyung Tae KIM Hee Yong YOUN College of Software Sungkyunkwan UniversitySuwon 440-746Korea

Wireless sensor network(WSN)is effective for monitoring the target environment,which consists of a large number of sensor nodes of limited *** efficient medium access control(MAC)protocol is thus imperative to maximize the energy efficiency and performance of *** most existing MAC protocols are based on the scheduling of sleep and active period of the nodes,and do not consider the relationship between the load condition and *** this paper a novel scheme is proposed to properly determine the duty cycle of the WSN nodes according to the load,which employs the Q-leaming technique and function approximation with linear *** allows low-latency energy-efficient scheduling for a wide range of traffic conditions,and effectively overcomes the limitation of Q-learning with the problem of continuous state-action ***3 simulation reveals that the proposed scheme significantly improves the throughput,latency,and energy efficiency compared to the existing fully active scheme and S-MAC.

关键词： wireless sensor network media access control duty-cycle scheduling Q-leaming linear regression

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Engineered plant extracellular vesicles for autoimmune diseases therapy

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Nano Research 2024年第4期17卷 2857-2873页

作者： Ruina han Yan Wu Yafei han Xiangfei Liu han Liu Jiacan su Institute of Translational Medicine Shanghai UniversityShanghai 200444China Organoid Research Center Shanghai UniversityShanghai 200444China National Center for Translational Medicine(Shanghai)SHU Branch Shanghai UniversityShanghai 200444China Department of Orthopedics Shanghai Zhongye HospitalShanghai 200941China Department of Orthopedics Xinhua HospitalShanghai Jiao Tong University School of MedicineShanghai 200092China

Autoimmune diseases(AID)encompass a diverse array of conditions characterized by immune system dysregulation,resulting in aberrant responses of B cells and T cells against the body’s own healthy *** extracellular vesicles(PEVs)are nanoscale particles enclosed by phospholipid bilayers,secreted by plant cells,which facilitate intercellular communication by transporting various bioactive *** to their nanoscale structure,safety,abundant sources,low immunogenicity,high yield,biocompatibility,and effective targeting of the colon and liver,PEVs are regarded as a promising platform for the treatment of *** review provides a comprehensive summary of PEV biogenesis,physicochemical and biological properties,internalization mechanisms,isolation methods,and their applications in various diseases,with a specific focus on their potential roles in ***,we propose engineering approaches and administration methods for ***,we present an overview of the advantages and challenges associated with utilizing PEVs for the treatment of *** gaining a comprehensive understanding of PEVs,we anticipate the development of innovative therapeutic strategies for *** and engineered PEVs hold substantial promise as a valuable resource for innovative technologies in AID treatment.

关键词： autoimmune diseases plant extracellular vesicles extracellular vesicles engineering modification

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Gastric ischemia after epinephrine injection in a patient with liver cirrhosis

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World Journal of Gastroenterology 2013年第3期19卷 411-414页

作者： su Young Kim Seung-Hee han kyung han Kim Sang Ock Kim Sang-Young han sung-Wook Lee Yang Hyun Baek Department of Internal Medicine Dong-A University College of MedicineBusan 602-715South Korea

Endoscopic epinephrine injection is relatively easy,quick and ***,it has a low rate of com-plications,and it is widely used for the management of nonvariceal upper gastrointestinal *** have been several case reports of gastric ischemia after en-doscopic injection *** intra-arterial in-jection may result in either spasm or thrombosis,leading to subsequent tissue ischemia or necrosis,although the stomach has a rich vascular supply and the vascular reserve of the intramural *** addition to endoscopic injection therapy,smoking,hypertension and atherosclerosis are risk factors of gastric ischemia. We report a case of gastric ischemia after submucosal epinephrine injection in a 51-year-old woman with hy-pertension and liver cirrhosis.

关键词： Hematemesis Epinephrine Gastric ischemia Liver cirrhosis Hypertension

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Pharmacokinetic characteristics of L-valyl-ara-C and its implication on the oral delivery of ara-C

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Acta Pharmacologica Sinica 2007年第2期28卷 268-272页

作者： Eun-pa CHEON Hyo-kyung han College of Pharmacy Chosun UniversityGwangju 501-759Korea

Aim:To evaluate the pharmacokinetic characteristics of L-valyl-ara-C,apeptidomimetic prodrug of ***:After the synthesis of L-valyl-ara-C,the in vitro stability of L-valyl-ara-C was examined in various biological *** pharmacokinetic profiles of ara-C and L-valyl-ara-C were also evaluated ***:The degradation of L-valyl-ara-C was negligible in fresh plasmaand also in the presence of plasmin over a 2 h incubation ***,L-valyl-ara-C appeared to be stable in the leukemia cell homogenates,andsubsequently,it was far less cytotoxic than the parent,ara-C in AML2 and *** chemical hydrolysis of L-valyl-ara-C was rather accelerated in *** an oral administration of L-valyl-ara-C,the appearance of ara-Cwas observed in plasma although the systemic exposure of the prodrug was muchhigher than that of *** bioavailability of ara-C was about 4% via ***:The amide bond of L-valyl-ara-C was stable againstthe enzymatic hydrolysis,and the utility of L-valyl-ara-C as an oral delivery sys-tem of ara-C appeared to be limited by its low metabolic conversion to ara-C in rats.

关键词： ara-C L-valyl-ara-C prodrug pharmacokinetics rats

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