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Necrotizing Pneumonia and Conservative Treatment: A Case Report and Review of the Literature

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Open Journal of Respiratory Diseases 2024年第3期14卷 69-76页

作者： Pedro Rogerio Magalhães Braga Eduarda Kipper Beck Carolina de Mello Viera Cecília Gatti Wolff Laura Gazal Passos Guilherme Bastos de Mello Luis Felipe Pilar Gomes Giacomo Farias Tramontin Taíse Rosa de Carvalho Department of Internal Medicine Hospital So Lucas da PUCRS Porto Alegre Brazil School of Medicine Pontifcia Universidade Catlica do Rio Grande do Sul Porto Alegre Brazil Department of radiology Hospital So Lucas da PUCRS Porto Alegre Brazil

We present a case of necrotizing pneumonia in an 87-year-old man without severe respiratory instability. Clinical suspicion arose due to the need for supplementary oxygen and persistent fever during treatment for community-acquired pneumonia. The diagnosis was confirmed by chest computed tomography. Although necrotizing pneumonia typically requires major surgical intervention upon diagnosis, we chose conservative management with antimicrobials and chest drainage alone. The patient experienced significant improvement and resolution of pneumonia with conservative management.

关键词： Respiratory Tract Infections Lung Disease Bacterial Pneumonia

Ezetimibe improves hepatic steatosis in relation to autophagy in obese and diabetic rats

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World Journal of Gastroenterology 2015年第25期21卷 7754-7763页

作者： Eugene Chang Lisa Kim se Eun Park Eun-Jung Rhee Won-Young Lee Ki-Won Oh sung-Woo Park Cheol-Young Park Department of Nutritional Science and Food Management Ewha Womans University Diabetes Research Institute Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Division of Endocrinology and Metabolism Department of Internal Medicine Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine

AIM: To investigate whether ezetimibe ameliorates hepatic steatosis and induces autophagy in a rat model of obesity and type 2 diabetes. METHODS: Male age-matched lean control LETO and obese and diabetic OLETF rats were administered either PBS or ezetimibe(10 mg/kg per day) via stomach gavage for 20 wk. Changes in weight gain and energy intake were regularly monitored. Blood and liver tissue were harvested after overnight fasting at the end of study. Histological assessment was performed in liver tissue. The concentrations of glucose, insulin, triglycerides(TG), free fatty acids(FFA), and total cholesterol(TC) in blood and TG, FFA, and TG in livertissue were measured. m RNA and protein abundance involved in autophagy was analyzed in the liver. To investigate the effect of ezetimibe on autophagy and reduction in hepatic fat accumulation, human Huh7 hepatocytes were incubated with ezetimibe(10 μmol/L) together with or without palmitic acid(PA, 0.5 mmol/L, 24 h). Transmission electron microscopy(TEM) was employed to demonstrate effect of ezetimibe on autophagy formation. Autophagic flux was measured with bafilomycin A1, an inhibitor of autophagy and following immunoblotting for autophagy-related protein ***: In the OLETF rats that received ezetimibe(10 mg/kg per day), liver weight were significantly decreased by 20% compared to OLETF control rats without changes in food intake and body weight(P rameters including TG, FFA, and TC in liver tissue of ezetimibe-administrated OLETF rats were dramatically decreased at least by 30% compared to OLETF controls(P serum glucose, insulin, HOMA-IR, and lipid profiles were also improved by ezetimibe(P sed in the liver in rats that received ezetimibe(P se, for hepatocytes cultured in vitro,

关键词： Autophagy Ezetimibe Hepatic steatosis Nonalcoholic fatty liver disease

Predictability of the East Asian Winter Monsoon Indices by the Coupled Models of ENseMBLES

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Advances in Atmospheric Sciences 2014年第6期31卷 1279-1292页

作者： se-Hwan YANG LU Riyu State Key Laboratory of Numerical Modelling for Atmospheric Sciences and Geophysical Fluid Dynamics Institute of Atmospheric Physics Chinese Academy of Sciences University of Chinese Academy of Sciences

The seasonal predictability of various East Asian winter monsoon （EAWM） indices was investigated in this study based on the retrospective forecasts of the five state-of-the-art coupled models from ENseMBLES for a 46-year period of *** was found that the ENseMBLES models predict five out of the 21 EAWM indices well,with temporal correlation coefficients ranging from 0.54 to *** five indices are defined by the averaged lower-tropospheric winds over the low latitudes （south of 30°N）.Further analyses indicated that the predictability of these five indices originates from their intimate relationship with ENSO.A cross-validated prediction,which took the preceding （November） observed Nifo3.4 index as a predictor,gives a prediction skill almost identical to that shown by the *** the other hand,the models present rather low predictability for the other indices and for surface air temperature in East *** addition,the models fail to reproduce the relationship between the indices of different categories,implying that they cannot capture the tropicalextratropical interaction related to EAWM ***,these results suggest that reliable prediction of the EAWM indices and East Asian air temperature remains a challenge.

关键词： East Asian winter monsoon dynamical index predictability ENSO ENseMBLES

Large colonic lipoma with a laterally spreading tumor treated by endoscopic submucosal dissection:A case report

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世界临床病例杂志 2023年第26期11卷 6194-6199页

作者： Jun Yong Bae Hun Kyu Kim Yee Jin Kim se Woong Kim Youngeun Lee Chang Beom Ryu Moon sung Lee Internal Medicine and Digestive Disease Center Seoul Medical CenterSeoul 02053South Korea Department of Pathology Seoul Medical CenterSeoul 02053South Korea Internal Medicine and Digestive Disease Center and Research Institute Soon Chun Hyang University of School of MedicineBucheon 14584South Korea

BACKGROUND Since fat does not transmit electrical energy well,delayed perforation and postpolypectomy syndrome due to electrical thermal injury are concerns in the endoscopic removal of colonic *** endoscopic submucosal dissection(ESD)technique concentrates electrical energy conducts to the submucosa,not the adipose *** helps to minimize electrical thermal injury,especially in the case of large colonic *** rare cases,such as colonic lipomas accompanied by mucosal lesions,it is difficult for endoscopists to decide how to safely remove *** SUMMARY A 78-year-old man underwent colonoscopy for colorectal cancer *** colonoscopy,a yellowish submucosal tumor with positive cushion sign was observed in the ascending colon measuring about 4.5 cm.A nodular mucosal lesion of about 2.5 cm was observed on the mucosal surface of the *** lipoma was so large that it occupied much of the inside of the colon,making it difficult to see the entire laterally spreading tumor(LST)at *** LST was confined to the surface of the lipoma,which had a semipedunculated shape with a wide *** margin of the LST was not observed at the neck of the *** was performed and the colonic lipoma with the LST was successfully removed without *** 3 d of hospitalization,the patient was discharged without any *** final pathology report showed that the lesion consisted of submucosal lipoma and tubulovillous adenoma with lowgrade *** ESD is effective and safe for treating a large colonic lipoma with an LST by minimizing electrical thermal injury.

关键词： Colonic lipoma Endoscopic submucosal dissection Laterally spreading tumor Tubulovillous adenoma Electrical injury Case report

Low-dose amitriptyline combined with proton pump inhibitor for functional chest pain

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World Journal of Gastroenterology 2013年第30期19卷 4958-4965页

作者： se Woo Park Hyuk Lee Hyun Jik Lee Jun Chul Park sung Kwan Shin Sang Kil Lee Yong Chan Lee Ji Eun Kim Department of Internal Medicine Institute of GastroenterologyYonsei University College of Medicine Biostatistics Collaboration Unit Yonsei University College of Medicine

AIM:To investigate the efficacy of amitriptyline with proton pump inhibitor(PPI)for the treatment of functional chest pain(FCP).METHODS:This was a randomized,open-label trial investigating the addition of low dose amitriptyline(10 mg at bedtime)to a conventional dose of rabeprazole(20 mg/d)(group A,n = 20)vs a double-dose of rabeprazole(20 mg twice daily)(group B,n = 20)for patients with FCP whose symptoms were refractory to *** primary efficacy endpoints were assessed by global symptom score assessment and the total number of individuals with > 50% improvement in their symptom ***:The between-group difference in global symptom scores was statistically significant during the last week of treatment(overall mean difference;3.75 ± 0.31 vs 4.35 ± 0.29,the between-group difference;P 50%,whereas only 26.3% of patients in group B had a similar treatment response(70.6% vs 26.3%,P = 0.008).Specifically,patients in group A had a significantly greater improvement in the domains of body pain and general health perception than did patients in group B(52.37 ± 17.00 vs 41.32 ± 12.34,P = 0.031 and 47.95 ± 18.58 vs 31.84 ± 16.84,P = 0.01,respectively).CONCLUSION:Adding amitriptyline to a PPI was more effective than a double-dose of PPI in patients with FCP refractory to a conventional dose of PPI.

关键词： Functional chest pain Proton pump inhibitor Amitriptyline

Chemotherapy beyond second-line in advanced gastric cancer

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World Journal of Gastroenterology 2015年第29期21卷 8811-8816页

作者： sung Min Kim se Hoon Park Division of Hematology-Oncology Department of Medicine Sungkyunkwan University Samsung Medical Center

Patients with advanced gastric cancer(AGC) can be treated with multiple lines of chemotherapy. Although several randomized trials have demonstrated the benefit of second-line chemotherapy compared with best supportive care, there is no evidence that further lines of chemotherapy will result in substantial prolongation of survival. Despite this, the practice of offering chemotherapy beyond second-line agents to AGC patients is not uncommon if their performance status is well-preserved and they are willing to receive subsequent active treatments. The choice of chemotherapeutic agents depends on the patient's prior regimens. However, there are important controversial issues in the salvage setting of AGC, including a subset of patients who may benefit from chemotherapy, that still remain unanswered. This report reviews the available evidence regarding the impact of third- and subsequent lines of chemotherapy on survival and quality of life in patients with AGC.

关键词： Chemotherapy Gastric cancer Salvage

Time-domain channel estimator based on cyclic correlationfor OFDM systems with guard interval

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The Journal of China Universities of Posts and Telecommunications 2008年第2期15卷 26-31页

作者： IM se-bin CHOI Hyung-jin Communication Research Center Harbin Institute of Technology

Channel impulse response （CIR） can be estimated on the basis of cyclic correlation in time-domain for orthogonal frequency division multiplexing （OFDM） systems, This article proposes a generalized channel estimation method to reduce the estimation error by taking the average of different CIRs. Channel impulse responses are derived according to the different starting points of cyclic correlation. In addition, an effective CIR length estimation algorithm is also presented. The whole proposed methods are more effective to OFDM systems, especialiy to those with longer cyclic prefix. The analysis and the simulation results verify that the mean square error performance is 4-5 dB better than the conventional schemes under the same conditions.

关键词： CIR OFDM channel estimation mean squareerror (Mse)

Deep Learning Approach for Cosmetic Product Detection and Classification

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Computers, Materials & Continua 2021年第10期69卷 713-725页

作者： se-Won Kim Sang-Woong Lee Department of IT Convergence Engineering Gachon UniversitySeongnam13120Korea Department of Software Gachon UniversitySeongnam13120Korea

As the amount of online video content is increasing,consumers are becoming increasingly interested in various product names appearing in videos,particularly in cosmetic-product names in videos related to fashion,beauty,and ***,the identification of such products by using image recognition technology may aid in the identification of current commercial *** this paper,we propose a two-stage deep-learning detection and classification method for cosmetic ***,variants of the YOLO network are used for detection,where the bounding box for each given input product is predicted and subsequently cropped for *** use four state-of-the-art classification networks,namely ResNet,InceptionResNetV2,DenseNet,and EfficientNet,and compare their ***,we employ dilated convolution in these networks to obtain better feature representations and improve *** experiments demonstrate that YOLOv3 and its tiny version achieve higher speed and ***,the dilated networks marginally outperform the base models,or achieve similar performance in the worst *** conclude that the proposed method can effectively detect and classify cosmetic products.

关键词： Cosmetic product detection cosmetic product classification deep learning

Association between Helicobacter pylori status and metachronous gastric cancer after endoscopic resection

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World Journal of Gastroenterology 2016年第44期22卷 9794-9802页

作者： sung Bum Kim Si Hyung Lee seung Il Bae Yo Han Jeong se Hoon Sohn Kyeong Ok Kim Byung Ik Jang Tae Nyeun Kim Department of Internal Medicine Yeungnam University College of Medicine

AIM To investigate the effect of Helicobacter pylori(H. pylori) status test and H. pylori eradication on the occurrence of metachronous gastric cancer(MGC) after endoscopic submucosal dissection(ESD) of early gastric cancer(EGC) and risk factors of MGC. METHODS The authors retrospectively reviewed the medical records of 433 patients(441 lesions) who underwent ESD for EGC from January 2005 to January 2015 in Yeungnam University Hospital. Patients were categorized into two groups; the H. pylori tested group(n = 257) and the H. pylori non-tested group(n = 176) based on performance of H. pylori status test after ESD of EGC. The H. pylori tested group was further categorized into three subgroups based on H. pylori status; the H. pylori-eradicated subgroup(n = 120), the H. pylori-persistent subgroup(n = 42), and the H. pylori-negative subgroup(n = 95). Incidences of MGC and risk factors of MGC were *** Median follow-up duration after ESD was 30.00 mo(range, 6-107 mo). Total 15 patients developed MGC during follow-up. MGC developed in 11 patients of the H. pylori tested group(7 in the H. pylori-negative subgroup, 3 in the H. pylori-eradicated subgroup, and 1 in the H. pylori-persistent subgroup) and 4 patients of the H. pylori non-tested group(P > 0.05). The risk factors of MGC were endoscopic mucosal atrophy in the H. pylori tested group and intestinal metaplasia in all patients. CONCLUSION H. pylori eradication and H. pylori status test seems to have no preventive effect on the development of MGC after ESD for EGC. The risk factors of MGC development were endoscopic mucosal atrophy in the H. pylori tested group alone and intestinal metaplasia in all patients.

关键词： Metachronous gastric cancer Endoscopic submucosal dissection Helicobacter pylori