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Quality of survival in patients treated for malignant biliary obstruction caused by unresectable pancreatic head cancer: surgical versus non-surgical palliation

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Hepatobiliary & Pancreatic Diseases International 2008年第6期7卷 643-648页

作者： Hyung Ook Kim sang il hwang Hungdai Kim Jun Ho Shin Department of Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine

BACKGROUND:Appropriate palliation for unresectable pancreatic head cancer is most *** study was undertaken to compare the survival of patients with biliary obstruction caused by unresectable pancreatic head cancer after surgical and non-surgical palliation. METHODS:We retrospectively reviewed 69 patients who underwent palliative treatment for unresectable pancreatic head ***-two patients with locally advanced disease (local vascular invasion)and 17 with distant metastatic disease were *** patients were divided into two groups,surgical and non-surgical palliation. RESULTS:Thirty-eight patients underwent biliary bypass surgery and 31 had percutaneous transhepatic biliary drainage(PTBD).There was no significant difference in the early complications,successful biliary drainage, recurrent jaundice,and 30-day mortality between surgical palliation and ***,in 52 patients whose tumor was unresectable secondary to local vascular invasion,the rate of recurrent jaundice after successful surgical biliary palliation was lower than that in patients who had non- surgical palliation(P<0.05).The patients who underwent surgical palliation had a longer hospital-free survival rate(P<0.001),although they had a longer postoperative hospital stay(P=0.004)during the first admission ***:In patients with preoperative evaluations showing potentially resectable tumors and/or no metastatic lesions,surgical exploration should be ***,in patients who have unresectable cancer or limited metastatic disease on exploration,surgical palliation should be performed for longer survival and better quality of survival.

关键词： pancreatic cancer obstructive jaundice palliation

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Molecular approaches for the detection and monitoring of microbial communities in bioaerosols:A review

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Journal of Environmental Sciences 2017年第1期29卷 234-247页

作者： Keunje Yoo Tae Kwon Lee Eun Joo Choi Jihoon Yang Sudheer Kumar Shukla sang-il hwang Joonhong Park Department of Civil and Environmental Engineering Yonsei UniversitySeoul 03722South Korea Department of Environmental Engineering Yonsei UniversityWonju 26493South Korea Department of Systems Biology Yonsei UniversitySeoul 03722South Korea Department of Built and Natural Environment Caledonian College of EngineeringSultanate of Oman Division of Natural Resources Conservation Korea Environment InstituteSejong-si 30147South Korea

Bioaerosols significantly affect atmospheric processes while they undergo long-range vertical and horizontal transport and influence atmospheric chemistry and physics and climate *** evidence suggests that exposure to bioaerosols may cause adverse health effects,including severe *** of bioaerosols have primarily focused on their chemical composition and largely neglected their biological composition and the negative effects of biological composition on ecosystems and human ***,current molecular methods for the identification,quantification,and distribution of bioaerosol agents are *** developments in environmental microbiology technology would be favorable in elucidation of microbial temporal and spatial distribution in the atmosphere at high *** addition,these provide additional supports for growing evidence that microbial diversity or composition in the bioaerosol is an indispensable environmental aspect linking with public health.

关键词： Bioaerosol Airborne microbial community Molecular methods Metagenomics

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Surgical palliation of unresectable pancreatic head cancer in elderly patients

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World Journal of Gastroenterology 2009年第8期15卷 978-982页

作者： sang il hwang Hyung Ook Kim Byung Ho Son Chang Hak Yoo Hungdai Kim Jun Ho Shin Department of Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul 110-746 South Korea

AIM: To determine if surgical biliary bypass would provide improved quality of residual life and safe palliation in elderly patients with unresectable pancreatic head cancer. METHODS: Nineteen patients, 65 years of age or older, were managed with surgical biliary bypass (Group A). These patients were compared with 19 patients under 65 years of age who were managed with surgical biliary bypass (Group B). In addition, the results for group A were compared with those obtained from 17 patients, 65 years of age or older (Group C), who received percutaneous transhepatic biliary drainage to evaluate the quality of residual life. RESULTS: Five patients (26.0%) in Group A had complications, including one intraabdominal abscess, one pulmonary atelectasis, and three wound infections. One death (5.3%) occurred on postoperative day 3. With respect to morbidity, mortality, and postoperative hospitalization, no statistically significant difference was noted between Groups A and B. The number of readmissions and the rate of recurrent jaundice were lower in Group A than in Group C, to a statistically significant degree (P = 0.019, P = 0.029, respectively). The median hospital-free survival period and themedian overall survival were also signifi cantly longer in Group A (P = 0.001 and P < 0.001, respectively). CONCLUSION: Surgical palliation does not increase the morbidity or mortality rates, but it does increase the survival rate and improve the quality of life in elderly patients with unresectable pancreatic head cancer.

关键词： Adenocarcinoma Elderly Palliative surgery Pancreas neoplasms

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Outcome of laparoscopic cholecystectomy is not influenced by chronological age in the elderly

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World Journal of Gastroenterology 2009年第6期15卷 722-726页

作者： Hyung Ook Kim Jung Won Yun Jun Ho Shin sang il hwang Yong Kyun Cho Byung Ho Son Chang Hak Yoo Yong Lai Park Hungdai Kim Departments of Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of MedicineSeoul 110-746 South Korea Departments of Internal Medicine Kangbuk Samsung HospitalSungkyunkwan University School of MedicineSeoul 110-746South Korea

AIM:To evaluate the outcome of laparoscopic cholecystectomy(LC)in patients aged 80 years and older. METHODS:A total of 353 patients aged 65 to 79 years(group 1)and 35 patients aged 80 years and older(group 2)underwent *** were further classified into two other groups:those with uncomplicated gallbladder disease(group A)or those with complicated gallbladder disease(group B). RESULTS:There were no significant differences between the age groups(groups 1 and 2)with respect to clinical characteristics such as age,gender,comorbid disease,or disease *** operative time,conversion rate,and the incidence of major postoperative complications were similar in groups 1 and ***,the percentage of high-risk patients was significantly higher in group 2 than in group 1 (20.0%vs 5.7%,P<0.01).Group A comprised 322 patients with a mean age of 71.0±5.3 years,and group B comprised 51 patients with a mean age of 69.9±4.8 *** group B,mean operative time (78.4±49.3 min vs 58.3±35.8 min,P<0.01),mean postoperative hospital stay(7.9±6.5 d vs 5.0±3.7 d, P<0.01),and the incidence of major postoperative complications(9.8%vs 3.1%,P<0.05)were significantly greater than in group *** conversion rate tended to be higher in group B,but this difference was not significant. CONCLUSION:Perioperative outcomes in elderly patients who underwent LC seem to be influenced by the severity of gallbladder disease,and not by chronologic *** octogenarians,LC should be performed at an earlier,uncomplicated stage of the disease whenever possible to improve perioperative outcomes.

关键词： Elderly Laparoscopic cholecystectomy Octogenarians Gallbladder Cholecystitis

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Double-chambered left ventricle with a thrombus in an asymptomatic patient:A case report

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World Journal of Clinical Cases 2024年第2期12卷 460-465页

作者： Narae Kim In-Ho Yang Hui-Jeong hwang il-Suk Sohn Department of Medicine Kyung Hee UniversitySeoul 02447South Korea Department of Cardiology Kyung Hee University Hospital at GangdongSeoul 05278South Korea

BACKGROUND Double-chambered left ventricle(DCLV)is an extremely rare congenital disease in which the left ventricle(LV)is divided by abnormal muscle *** to its rarity,there is a lack of data on the disease,including its diagnosis,treatment,and ***,we report a case in which DCLV was diagnosed and followed *** SUMMARY A 45-year-old man presented to our hospital due to abnormal findings on an electrocardiogram recorded during a health *** had no specific cardiac symptoms,comorbidities or relevant past medical *** revealed that the LV was divided into two by muscle *** were no findings of ischemia on coronary angiography and coronary computed tomography angiography performed to exclude differential *** comprehensive analysis of the images,DCLV was *** it seemed to be asymptomatic DCLV,we decided the patient was to be observed without administering any ***,follow-up echocardiography revealed a thrombus in the accessory chamber(AC).Anticoagulant medication was initiated,the thrombus resolved,and the patient is currently undergoing follow-up without any specific *** Asymptomatic,uncomplicated DCLV was diagnosed through multimodal imaging;however,a thrombus in the AC occurred during the *** findings highlight that multimodal imaging is essential in diagnosing DCLV,and that anticoagulation is important in its management.

关键词： Double-chambered left ventricle Congenital heart disease Left ventricular aneurysm Echocardiography Coronary computed tomography angiography Contrast echocardiography Case report

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Light-Material Interactions Using Laser and Flash Sources for Energy Conversion and Storage Applications

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Nano-Micro Letters 2024年第12期16卷 468-514页

作者： Jung Hwan Park Srinivas Pattipaka Geon-Tae hwang Minok Park Yu Mi Woo Young Bin Kim Han Eol Lee Chang Kyu Jeong Tiandong Zhang Yuho Min Kwi-il Park Keon Jae Lee Jungho Ryu Department of Mechanical Engineering(Department of Aeronautics Mechanical and Electronic Convergence Engineering)Kumoh National Institute of Technology61Daehak-RoGumiGyeongbuk 39177Republic of Korea Department of Materials Science and Engineering Pukyong National University45Yongso-RoNam-GuBusan 48513Republic of Korea Energy Technologies Area Lawrence Berkeley National LaboratoryBerkeleyCA 94720USA Department of Materials Science and Engineering Korea Advanced Institute of Science and Technology(KAIST)291 Daehak-RoYuseong-GuDaejeon 34141Republic of Korea Division of Advanced Materials Engineering Jeonbuk National UniversityJeonju 54896JeonbukRepublic of Korea School of Electrical and Electronic Engineering Harbin University of Science and TechnologyHarbin 150080People’s Republic of China Key Laboratory of Engineering Dielectrics and Its Application Ministry of EducationHarbin University of Science and TechnologyHarbin 150080People’s Republic of China Department of Materials Science and Metallurgical Engineering Kyungpook National University80 Daehak-RoBuk-GuDaegu 41566Republic of Korea School of Materials Science and Engineering Yeungnam UniversityDaehak-RoGyeongsan-Si 38541Gyeongsangbuk-doRepublic of Korea

This review provides a comprehensive overview of the progress in light-material interactions(LMIs),focusing on lasers and flash lights for energy conversion and storage *** discuss intricate LMI parameters such as light sources,interaction time,and fluence to elucidate their importance in material *** addition,this study covers various light-induced photothermal and photochemical processes ranging from melting,crystallization,and ablation to doping and synthesis,which are essential for developing energy materials and ***,we present extensive energy conversion and storage applications demonstrated by LMI technologies,including energy harvesters,sensors,capacitors,and *** the several challenges associated with LMIs,such as complex mechanisms,and high-degrees of freedom,we believe that substantial contributions and potential for the commercialization of future energy systems can be achieved by advancing optical technologies through comprehensive academic research and multidisciplinary collaborations.

关键词： Light Light-material interaction Nanomaterials Energy conversion and storage devices

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Optimal sequential therapy using tyrosine kinase inhibitors as the first-line treatment in patients with metastatic renal cell carcinoma: A nationwide multicenter study

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Asian Journal of Urology 2024年第3期11卷 450-459页

作者： Jung Ki Jo Seong il Seo MinYong Kang Jinsoo Chung Cheol Kwak Sung-Hoo Hong Cheryn Song Jae Young Park Chang Wook Jeong Seok Hwan Choi Sung Han Kim Eu Chang hwang Chan Ho Lee Hakmin Lee Department of Urology Medical and Digital EngineeringCollege of MedicineHanyang UniversitySeoulRepublic of Korea Department of Urology Samsung Medical CenterSungkyunkwan University School of MedicineSeoulRepublic of Korea Department of Urology National Cancer CenterGoyangRepublic of Korea Department of Urology Seoul National University HospitalSeoulRepublic of Korea Department of Urology Kangnam St Mary’s HospitalSeoulRepublic of Korea Department of Urology Asan Medical CenterSeoulRepublic of Korea Department of Urology Korea University Ansan HospitalAnsanRepublic of Korea Department of Urology Kyungpook National University HospitalDaeguRepublic of Korea Department of Urology Chonnam National University Hwasun HospitalHwasunRepublic of Korea Department of Urology Inje University Busan Paik HospitalBusanRepublic of Korea Department of Urology Seoul National University Bundang HospitalSeongnamRepublic of Korea

Objective:The purpose of the study was to identify the best sequence of therapy beginning with a tyrosine kinase inhibitor(TKI)as the first-line therapy for patients with metastatic renal cell carcinoma(mRCC)in terms of overall survival(OS),progression-free survival(PFS),and rates of discontinuation and adverse effects during the treatment ***:This is a retrospective,nationwide multicenter study of patients with mRCC after diagnosis at 10 different tertiary medical centers in Korea from January 1992 to December *** focused on patients at either“favorable”or“intermediate”risk according to the International mRCC Database Consortium criteria,and they were followed up(median 335 days).Finally,a total of 1409 patients were selected as the study *** generated a Cox proportional hazard model adjusted for covariates,and the different therapy schemes were statistically tested in terms of OS as well as *** addition,frequencies of discontinuation and adverse events were compared among the therapy ***:Of the primary patterns of treatment sequences(24 sequences),“sunitinib epazopanib”and“sunitinibeeverolimuseimmunotherapy”showed the most beneficial results in both OS and PFS with significantly lower hazards than“sunitinib”,which is the most commonly treated agent in *** that the“TKIeTKI”structure showed relatively higher discontinuation rates with higher adverse effects,the overall beneficial sequence would be“sunitinibeeverolimuseimmunotherapy”.Conclusion:Among several sequential therapy starting with TKIs,“sunitinibeeverolimuse immunotherapy”was found to be the best scheme for mRCC patients with“favorable”or“intermediate”risks.

关键词： Tyrosinekinase inhibitor Metastaticrenalcell carcinoma Overall survival Progression-free survival

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Role of rice cytosolic hexokinase OsHXK7 in sugar signaling and metabolism

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Journal of Integrative Plant Biology 2016年第2期58卷 127-135页

作者： Hyun-Bi Kim Jung-il Cho Nayeon Ryoo Dong-Ho Shin Youn-il Park Yong-Sic hwang sang-Kyu Lee Gynheung An Jong-Seong Jeon Crop Biotech Institute & Graduate School of Biotechnology Kyung Hee University National Academy of Agricultural Science Rural Development Administration Center for Neuroscience Korea Institute of Science and Technology Department of Biology Chungnam National University Department of Bioscience and Biotechnology Konkuk University

We characterized the function of the rice cytosolic hexokinase OsHXK7 （Qryza sativa HexokindseZ）, which is highly upregulated when seeds germinate under O2- deficient conditions. According to transient expression assays that used the promoter：luciferase fusion construct, OsHXK7 enhanced the glucose （Glc）-dependent repression of a rice n-amylase gene （RAmy3D） in the mesophyll protoplasts of maize, but its catalytically inactive mutant alleles did not. Consistently, the expression of OsHXK7, but not its catalytically inactive alleles, complemented the Arabidopsis glucose insensitive2-1 （gin2-1） mutant, thereby resulting in the wild type characteristics of Glc-dependent repression, seedling development, and plant growth. Interestingly, OsHXK7-mediated Glc-dependent repression was abolished in the O2-deficient mesophyll protoplasts of maize. This result provides compelling evidence that OsHXK7 functions in sugar signaling via a glycolysis-dependent manner under normal conditions, but its signaling role is suppressed when O2 is deficient. The germination of two null OsHXK7 mutants, oshxk7-1 and oshxk7-2, was affected by O2 deficiency, but overexpression enhanced germination in rice. This result suggests the distinct role that OsHXK7 plays in sugar metabolism and efficient germination by enforcing glycolysis-mediated fermentation in O2-deficient rice.

关键词： Germination metabolism OsHXK7 O2 deficiency rice signaling sugar

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Effects of heavy rainfall on the composition of airborne bacterial communities

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Frontiers of Environmental Science & Engineering 2018年第2期12卷 117-126页

作者： Gwang il Jang Chung Yeon hwang Byung Cheol Cho Microbial Oceanography Laboratory School of Earth and Environmental Sciences and Research Institute of Oceanography Seoul National University Seoul 08826 Republic of Korea Division of Polar Life Sciences Korea Polar Research Institute Incheon 21990 Republic of Korea

Wet deposition scavenges particles and particle-associated bacteria from the air column, but the impact of raindrops on various surfaces on Earth causes emission of surface-associated bacteria into the air column. Thus, after rainfall, these two mechanisms are expected to cause changes in airborne bacterial community composition （BCC）. In this study, aerosol samples were collected at a suburban site in Seoul, Korea before and after three heavy rainfall events in April, May, and July 2011. BCC was investigated by pyrosequencing the 16S rRNA gene in aerosol samples. Interestingly, the relative abundance of non-spore forming Actinobacteria operational taxonomic units （OTUs） was always higher in post-rain aerosol samples. In particular, the absolute and relative abundances of airborne Propionibacteriaceae always increased after rainfall, whereas those of airborne Firmicutes, including Carnobacteriaceae and Clostridiales, consistently decreased. Marine bacterial sequences, which were temporally important in aerosol samples, also decreased after rainfall events. Further, increases in pathogen-like sequences were often observed in post-rain air samples. Rainfall events seemed to affect airborne BCCs by the combined action of the two mechanisms, with potentially adverse effects on human and plant health.

关键词： Aerosol BacteriaCommunity composition PyrosequencingRain

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UFC-Net with Fully-Connected Layers and Hadamard Identity Skip Connection for Image Inpainting

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Computers, Materials & Continua 2021年第9期68卷 3447-3463页

作者： Chung-il Kim Jehyeok Rew Yongjang Cho Eenjun hwang Korea Electronics Technology Institute Seongnam13488Korea School of Electrical Engineering Korea UniversitySeoul02841Korea

Image inpainting is an interesting technique in computer vision and artificial intelligence for plausibly filling in blank areas of an image by referring to their surrounding *** its performance has been improved significantly using diverse convolutional neural network(CNN)-based models,these models have difficulty filling in some erased areas due to the kernel size of the *** the kernel size is too narrow for the blank area,the models cannot consider the entire surrounding area,only partial areas or none at *** issue leads to typical problems of inpainting,such as pixel reconstruction failure and unintended *** alleviate this,in this paper,we propose a novel inpainting model called UFC-net that reinforces two components in *** first component is the latent networks in the middle of U-net to consider the entire surrounding *** second component is the Hadamard identity skip connection to improve the attention of the inpainting model on the blank areas and reduce computational *** performed extensive comparisons with other inpainting models using the Places2 dataset to evaluate the effectiveness of the proposed *** report some of the results.

关键词： Image processing computer vision image inpainting image restoration generative adversarial nets

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