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World Journal of Gastroenterology 2014年第5期20卷 1365-1370页

作者： Ji young lee Kyoung-mee Kim Byung-Hoon Min Jun Haeng lee Poong-Lyul Rhee Jae Jun Kim Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Department of Pathology Samsung Medical Center Sungkyunkwan University School of Medicine

Epstein-Barr virus (EBV)-associated lymphoepithelioma-like gastric carcinoma (LELC) is characterized by a lower lymph node (LN) metastasis rate and a higher survival rate than other forms of gastric cancer. Although current prognosis for LELC is favorable, the most common approach is radical gastrectomy involving an extensive D2 lymph node dissection. Here, we report four cases of EBV-associated early LELC that were treated by an alternative approach, endoscopic submucosal dissection (ESD). The long-term outcome of this procedure is discussed. All patients were treated by ESD en bloc, and all ESD specimens showed tumor-free lateral resection margins. None of the lesions showed lymphovascular invasion. A pathological examination of ESD specimens revealed submucosal invasion of more than 500 μm in all four cases. One patient underwent additional radical surgery post-ESD; no residual tumor or LN metastasis was noted in the surgical specimen. The other three patients did not undergo additional surgery, either because of severe comorbidity or their refusal to undergo operation, but were subjected to medical follow-up. None of the ESD-treated patients reported local recurrence or distant metastases during the 27-32 mo of follow-up after ESD.

关键词： Endoscopic submucosal dissection Epstein-Barr virus Lymph node Lymphoepithelioma-like gastric carcinoma Prognosis

Effects of ethanol on the tonicity of corporal tissue and the intracellular Ca^2＋ concentration of human corporal smooth muscle cells

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Asian Journal of Andrology 2010年第6期12卷 890-898页

作者： Sung Chul Kam mee Ree Chae Ji young Kim Seol Ho Choo Deok Hyun Han Sung Won lee Department of Urology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul 135-710 Korea

Heavy alcohol consumption is associated with an increased risk of erectile dysfunction （ED）; however, the acute effects of ethanol （EtOH） on penile tissue are not fully understood. We sought to investigate the effects of EtOH on corporal tissue tonicity, as well as the intracellular Ca^2＋ concentration （[Ca^2＋]i） and potassium channel activity of corporal smooth muscle. Strips of corpus cavernosum （CC） from rabbits were mounted in organ baths for isometric tension studies. Electrical field stimulation （EFS） was applied to strips precontracted with 10 μmol L^-1 phenylephrine as a control. EtOH was then added to the organ bath and incubated before EFS. The [Ca^2＋]i levels were monitored by the ratio of fura-2 fluorescence intensities using the fura-2 loading method. Single-channel and whole-cell currents were recorded by the conventional patch-clamp technique in short-term cultured smooth muscle cells from human CC tissue. The corpus cavernosal relaxant response of EFS was decreased in proportion to the concentration of EtOH. EtOH induced a sustained increase in [Ca^2＋]i in a dose-dependent manner, Extracellular application of EtOH significantly increased whole-cell K^＋ currents in a concentration-dependent manner （P 〈 0.05）. EtOH also increased the open probability in cell-attached patches; however, in inside-out patches, the application of EtOH to the intracellular aspect of the patches induced slight inhibition of Ca^2＋-activated potassium channel （KCa） activity. EtOH caused a dose-dependent increase in cavemosal tension by alterations to [Ca^2＋]i. Although EtOH did not affect KCa channels directly, it increased the channel activity by increasing [Ca^2＋]i. The increased corpus cavemosal tone caused by EtOH might be one of the mechanisms of ED after heavy drinking.

关键词： alcohol Ca^2+-activated potassium channel corporal smooth muscle penile erection

Pyogenic liver abscess secondary to gastric perforation of an ingested toothpick:A case report

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World Journal of Clinical Cases 2023年第23期11卷 5622-5627页

作者： Yeshong Park Ho-Seong Han Yoo-Seok Yoon Jai young Cho Boram lee mee young Kang Jinju Kim Hae Won lee Department of Surgery Seoul National University Bundang HospitalSeongnam-si 13620South Korea

BACKGROUND Liver abscess due to foreign body-induced gastrointestinal tract perforation is a rare event that could be misdiagnosed due to low *** than 100 cases have been reported to *** SUMMARY We report a case of a 53-year old female patient with pyogenic liver abscess secondary to ingestion of a toothpick with penetration through the lesser curvature of the *** patient presented with persistent epigastric *** computed tomography demonstrated the presence of a linear radiopaque object associated with abscess formation in the left liver *** changes in the lesser curvature of the stomach indicated gastric wall penetration by the *** the abscess was refractory to antibiotic treatment,laparoscopic liver resection was performed to remove the foreign body and adjacent liver *** surgery,symptoms fully resolved without any *** This rare case demonstrates the importance of considering foreign body penetration as a cause of pyogenic liver abscess,particularly in abscesses of unknown origin that are resistant to antibiotic *** suspicion,early diagnosis,and prompt removal of the foreign body could lead to improved outcomes in these patients.

关键词： Foreign body ingestion Liver abscess Pyogenic liver abscess Liver resection Case report

Effect of Doubling the Ensemble Size on the Performance of Ensemble Prediction in the Warm Season Using MOGREPS Implemented at the KMA

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Advances in Atmospheric Sciences 2013年第5期30卷 1287-1302页

作者： Jun Kyung KAY Hyun mee KIM young-Youn PARK Joohyung SON Department of Atmospheric Sciences Yonsei University Korea Meteorological Administration

Using the Met Office Global and Regional Ensemble Prediction System （MOGREPS） implemented at the Korea Meteorological Administration （KMA）, the effect of doubling the ensemble size on the performance of ensemble prediction in the warm season was evaluated. Because a finite ensemble size causes sampling error in the full forecast probability distribution function （PDF）, ensemble size is closely related to the efficiency of the ensemble prediction system. Prediction capability according to doubling the ensemble size was evaluated by increasing the number of ensembles from 24 to 48 in MOGREPS implemented at the KMA. The initial analysis perturbations generated by the Ensemble Transform Kalman Filter （ETKF） were integrated for 10 days from 22 May to 23 June 2009. Several statistical verification scores were used to measure the accuracy, reliability, and resolution of ensemble probabilistic forecasts for 24 and 48 ensemble member forecasts. Even though the results were not significant, the accuracy of ensemble prediction improved slightly as ensemble size increased, especially for longer forecast times in the Northern Hemisphere. While increasing the number of ensemble members resulted in a slight improvement in resolution as forecast time increased, inconsistent results were obtained for the scores assessing the reliability of ensemble prediction. The overall performance of ensemble prediction in terms of accuracy, resolution, and reliability increased slightly with ensemble size, especially for longer forecast times.

关键词： ensemble prediction ensemble size ensemble transform Kalman filter

Efficacy and safety of a patient-positioning device(EZ-FIX)for endoscopic retrograde cholangiopancreatography

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World Journal of Gastroenterology 2015年第19期21卷 5995-6000页

作者： Seungho lee Joung-Ho Han Hee Seung lee Ki Bae Kim In-kwang lee Eun-Jong Cha young Duck Shin Namgyu Park Seon mee Park Department of Internal Medicine College of Medicine Chungbuk National University Department of Biomedical Engineering Chungbuk National University College of Medicine Department of Anesthesiology Chungbuk National University College of Medicine

AIM: To assess the efficacy and safety of a patientpositioning device(EZ-FIX) for endoscopic retrograde cholangiopancreatography(ERCP).METHODS: A total of 105 patients were randomized to the EZ-FIX(n = 53) or non-EZ-FIX(n = 52) group in this prospective study. Midazolam and propofol,titrated to provide an adequate level of sedation during therapeutic ERCP, were administered by trained registered nurses under endoscopist *** outcome measures were the total dose of propofol and sedative-related complications, including hypoxia and hypotension. Secondary outcome measures were recovery time and sedation satisfaction of the endoscopist, nurses, and ***: There was no significant difference in the rate of hypoxia, but there was a statistical trend(EX-FIX group; n = 4, 7.55%, control group; n = 6, 11.53%,P = 0.06). The mean total dose of propofol was lower in the EZ-FIX group than in the non-EZ-FIX group(89.43 ± 49.8 mg vs 112.4 ± 53.8 mg, P = 0.025).In addition, the EZ-FIX group had a shorter mean recovery time(11.23 ± 4.61 mg vs 14.96 ± 5.12 mg, P< 0.001). Sedation satisfaction of the endoscopist and nurses was higher in the *** group than in the nonEZ-FIX group. Technical success rates of the procedure were 96.23% and 96.15%, respectively(P = 0.856).Procedure-related complications did not differ by group(11.32% vs 13.46%, respectively, P = 0.735).CONCLUSION: Using EZ-FIX reduced the total dose of propofol and the recovery time, and increased the satisfaction of the endoscopist and nurses.

关键词： EZ-FIX Patient-positioning device Propofol Sedation Endoscopic retrograde cholangiopancreaRandomizedtography

Celecoxib attenuates 5-fluorouracil-induced apoptosis in HCT-15 and HT-29 human colon cancer cells

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World Journal of Gastroenterology 2007年第13期13卷 1947-1952页

作者： Yun Jeong Lim Jong Chul Rhee young mee Bae Wan Joo Chun Department of Internal Medicine Dongguk University International Hospital Dongguk University College of Medicine Goyang Korea Division of Gastroenterology Department of Internal Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea Department of Parasitology Seoul National University College of Medicine Seoul Korea Department of Pharmacology Kangwon National University College of Medicine Chuncheon Korea

AIM： To investigate the combined chemotherapeutic effects of celecoxib when used with 5-FU in vitro. METHODS： Two human colon cancer cell lines （HCT-15 and HT-29） were treated with 5-FU and celecoxib, alone and in combination. The effects of each drug were evaluated using the MTT （3-（4, 5-dimethylthiazol-2-yl）-2, 5-diphenyltetrazolium bromide） assay, flow cytometry, and western blotting. RESULTS： 5-FU and celecoxib showed a dosedependent cytotoxic effect. When treated with 10-3 mol/L 5-FU （IC50） and celecoxib with its concentration ranging from 10.8 mol/L to 10.4 mol/L of celecoxib, cells showed reduced cytotoxic effect than 5-FU （10.3 mol/L） alone. Flow cytometry showed that celecoxib attenuated 5-FU induced accumulation of cells at subG1 phase. Western blot analyses for caspase-3 and poly （ADP-ribose） polymerase （PARP） cleavage showed that celecoxib attenuated 5-FU induced apoptosis. Western blot analyses for cell cycle molecules showed that G2/M arrest might be possible cause of 5-FU induced apoptosis and celecoxib attenuated 5-FU induced apoptosis via blocking of cell cycle progression to the G2/M phase, causing an accumulation of cells at the GI/S phase. CONCLUSION： We found that celecoxib attenuated cytotoxic effect of 5-FU. Celecoxib might act via inhibition of cell cycle progression, thus preventing apoptosis induced by 5-FU.

关键词： Antagonism Celecoxib Colorectal neoplasms Fluorouracil

Spontaneous liver rupture in a patient with peliosis hepatis:A case report

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World Journal of Gastroenterology 2009年第43期15卷 5493-5497页

作者： Sun-Keun Choi Jun-Shuo Jin Soon-Gu Cho Suk-Jin Choi Chul-Soo Kim Yun-mee Choe Keon-young lee Department of Surgery Inha University School of MedicineIncheon 400-711South Korea Department of Radiology Inha University School of MedicineIncheon 400-711South Korea Department of Pathology Inha University School of MedicineIncheon 400-711South Korea Department of Internal Medicine Inha University School of MedicineIncheon 400-711South Korea

Peliosis hepatis is a rare pathological entity and may cause fatal hepatic hemorrhage and liver ***, we present a young male patient with aplastic anemia,who had received long-term treatment with *** patient suffered from sudden onset of intra-abdominal hemorrhage with profuse *** patient was treated successfully with a right hemihepatectomy and is in good health after 13 postoperative *** suggest that peliosis hepatis be considered in patients with hepatic parenchymal hematoma,especially in patients under prolonged synthetic anabolic steroid *** possibility of a potentially life-threatening complication of massive intra-abdominal bleeding should also be considered.

关键词： Peliosis hepatis Spontaneous rupture Liver

Thermal Behavior and Crystal Transition of Biodegradable Poly(butylenes adipate)Revealed by Two-Dimensional Correlation Spectroscopy

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光谱学与光谱分析 2016年第S1期36卷 139-140页

作者： CHEN Yu-jing Isao Noda young mee Jung Department of Chemistry Kangwon National University Department of Materials Science and Engineering University of Delaware

In the present study,thermal behavior and crystal transition of pure poly(butylene adipate)(PBA)upon heating process were investigated by FTIR *** gain further insight into the thermal behavior alteration and the phase transition of PBA,we performed two-dimensional(2D)correlation *** found thatβ-form PBA crystal undergoes not only the melting process but also crystal transition upon the heating process.

关键词： Poly(butylene adipate) Thermal behavior Crystal transition Two-dimensional correlation spec-troscopy

Risk factors affecting pancreatic fistulas after pancreaticoduodenectomy

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World Journal of Gastroenterology 2008年第45期14卷 6970-6974页

作者： Yun-mee Choe Keon-young lee Cheong-Ah Oh Joung-Bum lee Sun Keun Choi Yoon-Seok Hur Sei-Joong Kim young Up Cho Seung-Ik Ahn Kee-Chun Hong Seok-Hwan Shin Kyung-Rae Kim Department of Surgery Inha University Hospital

AIM: To analyze the risk factors of pancreatic leakage after ***: We retrospectively reviewed 172 consecutive patients who had undergone pancreatico-duodenectomy at Inha University Hospital between April 1996 and March 2006. We analyzed the pancreatic fistula rate according to the clinical characteristics, the pathologic and laboratory findings, and the anastomotic ***: The incidence of developing pancreatic fistulas in patients older than 60 years of age was 21.7% (25/115), while the incidence was 8.8% (5/57) for younger patients; the difference was significant (P = 0.03). Patients with a dilated pancreatic duct had a lower rate of post-operative pancreatic fistulas than patients with a non-dilated duct (P = 0.001). Other factors, including clinical features, anastomotic methods, and pathologic diagnosis, did not show any statistical difference. CONCLUSION: Our study demonstrated that pancreatic fistulas are related to age and a dilated pancreatic duct. The surgeon must take these risk factors into consideration when performing a pancre-aticoduodenectomy.

关键词： Pancreaticoduodenectomy Pancreatic fistula Pancreatic leakage

TT virus and hepatitis G virus infections in Korean blood donors and patients with chronic liver disease

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World Journal of Gastroenterology 2003年第4期9卷 741-744页

作者： mee Juhng Jeon Jong Hee Shin Soon Pal Suh young Chai Lim Dong Wook Ryang Division of Medical Research Kwangju-Chonnan Red Cross Blood CenterChonnam National UniversityKwangju Republic of Korea Department of Clinical Pathology Chonnam National UniversityKwangju Republic of Korea Research Institute of Medical SciencesChonnam Nationa UniversityKwangjuRepublic of Korea Department of Pharmacology Medical SchoolChonnam National UniversityKwangjuRepublic of Korea Research Institute of Medical SciencesChonnam National UniversityKwangjuRepublic of Korea Department of Clinical Pathology Chonnam National UniversityKwangjuRepublic of Korea Research Institute of Medical Scienceschonnam National UniversityKwangjuRepublic of Korea

AIM:To determine the prevalences of TTV and HGV infections among blood donors and patients with chronic liver disease in Korea,to investigate the association of TTV and HGV infections with blood transfusion,and to assess the correlation between TTV and HGV viremia and hepatic damage. METHODS:A total of 391 serum samples were examined in this *** were obtained from healthy blood donors(n=110),hepatitis B surface antigen(HBsAg)-positive donors(n=112),anti-hepatitis C virus(anti-HCV)-positive donors(n=69),patients with type B chronic liver disease (n=81),and patients with type C chronic liver disease(n=19). Trv DNA was detected using the hemi-nested *** RNA was tested using RT-PCR.A history of blood transfusion and serum levels of alanine aminotransferase(ALT)and aspartate aminotransferase(AST)were also determined. RESULTS:TTV DNA was detected in 8.2%of healthy blood donors,16.1%of HBsAg-positive donors,20.3%of anti- HCV-positive donors,21.0%of patients with type B chronic liver disease,and 21.1%of patients with type C chronic liver *** RNA was detected in 1.8%of healthy blood donors,1.8%of HBsAg-positive donors,17.4%of anti-HCV-positive donors,13.6%of patients with type B chronic liver disease,and 10.5%of patients with type C chronic liver *** prevalence of TTV and HGV infections in HBV- or HCV-positive donors and patients was significantly higher than in healthy blood donors(P<0.05), except for the detection rate of HGV in HBsAg-positive donors which was the same as for healthy *** was a history of transfusion in 66.7%of TTV DNA-positive patients and 76.9%of HGV RNA-positive patients(P<0.05).No significant increase in serum ALT and AST was detected in the TTV or HGV-positive donors and patients. CONCLUSION:TTV and HGV infections are more frequently found in donors and patients infected with HBV or HCV than in healthy blood ***,there is no significant association between TTV or HGV infections and liver injury.

关键词： Blood Donors Blood Transfusion Chronic Disease DNA Virus Infections DNA, Viral Flaviviridae Infections GB virus C purification Hepatitis B Surface Antigens Hepatitis, Viral, Human Korea Liver Diseases Polymerase Chain Reaction Reference Values Reverse Transcriptase Polymerase Chain Reaction Torque teno virus