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Long-term outcomes of endoscopic submucosal dissection and surgery for undifferentiated intramucosal gastric cancer regardless of size

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World Journal of Gastroenterology 2022年第8期28卷 840-852页

作者： Gil Ho Lee Eunyoung Lee Bumhee Park Jin Roh Sun Gyo Lim sung jae shin Kee Myung Lee Choong-Kyun Noh Department of Gastroenterology Ajou University School of MedicineSuwon 16499South Korea Department of Biomedical Informatics Ajou University School of MedicineSuwon 16499South Korea Department of Pathology Ajou University School of MedicineSuwon 16499South Korea

BACKGROUND The clinical outcomes of endoscopic submucosal dissection(ESD)for undifferentiated(UD)intramucosal early gastric cancer(EGC)compared with those of surgery,regardless of lesion size,are not well ***,there is a concern regarding the treatment plan before and after ESD in cases of UD intramucosal EGC within expanded *** To evaluate clinical outcomes of ESD compared with those of surgery in UD intramucosal EGC patients regardless of tumor *** We enrolled patients with UD intramucosal EGC after ESD with complete resection or surgery from January 2005 to August 2020 who met the within or beyond expanded indications with lesion size>2 cm(the only non-curative factor).Overall,123 and 562 patients underwent ESD and surgery,*** propensity-score matching,clinical and long-term outcomes,i.e.,recurrencefree survival(RFS)and overall survival(OS),were *** multivariable Cox proportional hazard model with treatment modality and ESD indication was used to evaluate the recurrence *** After matching,119 patients each were finally enrolled in the ESD and surgery *** median length of hospital stay was shorter in the ESD group than surgery group(4.0 vs 9.0 days,P<0.001).Four cases of recurrence after ESD were local recurrences,all of which occurred within 1 *** recurrence was seven(5.9%)and two(1.7%)in the ESD and surgery groups,*** difference was observed between the two groups with respect to OS(P=0.948).However,the ESD group had inferior RFS compared with the surgery group(P=0.031).ESD was associated with the risk of recurrence after initial treatment in all enrolled patients(hazard ratio,5.2;95%confidence interval:1.0-25.8,P=0.045).CONCLUSION Although OS was similar between the two groups,surveillance endoscopy was important for the ESD than for the surgery group because RFS was inferior and local recurrence was an issue.

关键词： Early gastric cancer Undifferentiated cancer Expanded indication Endoscopic submucosal dissection Surgery

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Comparative study of chitosan/fibroin–hydroxyapatite and collagen membranes for guided bone regeneration in rat calvarial defects: micro-computed tomography analysis

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International Journal of Oral Science 2014年第2期6卷 87-93页

作者： jae Min Song Sang Hun shin Yong Deok Kim jae Yeol Lee Young jae Baek Sang Yong Yoon Hong sung Kim Department of Oral and Maxillofacial Surgery School of Dentistry Pusan National University Yangsan Korea Department of Biomaterial Science Pusan National University Miryang Korea

This study aimed to utilize micro-computed tomography （micro-CT） analysis to compare new bone formation in rat calvarial defects using chitosan/fibroin-hydroxyapatite （CFB-HAP） or collagen （Bio-Gide） membranes. Fifty-four （54） rats were studied. A circular bony defect （8 mm diameter） was formed in the centre of the calvaria using a trephine bur. The CFB-HAP membrane was prepared by thermally induced phase separation. In the experimental group （n= 18）, the CFB-HAP membrane was used to cover the bony defect, and in the control group （n= 18）, a resorbable collagen membrane （Bio-Gide） was used. In the negative control group （n= 18）, no membrane was used. In each group, six animals were euthanized at 2, 4 and 8 weeks after surgery. The specimens were then analysed using micro-CT. There were significant differences in bone volume （BV） and bone mineral density （BMD）（P〈O.05） between the negative control group and the membrane groups. However, there were no significant differences between the CFB-HAP group and the collagen group. We concluded that the CFB-HAP membrane has significant potential as a guided bone regeneration （GBR） membrane.

关键词： chitosan/fibroin-hydroxyapatite collagen membrane guided bone regeneration micro-computed tomography rat calva rial defect

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Effect of CaF2 content in refining slag on formation behavior of spinel inclusion in Ni-Cr-V-alloyed special steel

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Journal of Iron and Steel Research International 2018年第2期25卷 157-163页

作者： jae-hong shin Joo-hyun Park Department of Materials Engineering Hanyang UniversityAnsan 426-791 Korea

The influence of CaF2 content on the formation behavior of spinel inclusions in the Ni-Cr-V-alloyed special steel was presented. The spinel was not formed at CaF2 content lower than 10 wt%. However, it was formed at early stage when the CaF2 content was greater than 30 wt%, followed by a modification to the aluminosilicate-type inclusions. Because the slag was saturated by MgO, the activity of MgO was unity irrespective of CaF2 content in the slag. Thus, Mg was transferred from slag to metal phase. Mg transferred to molten steel reacted with Al2O3-rich inclusions to form ***2O3 spinel. However, the spinel inclusion was modified to aluminosilicate-type inclusions by the reaction with Si and Ca transferred from slag to molten steel about 2-3 h later.

关键词： Spinel inclusion Refining slag CaF2 content Ni-Cr-V-alloyed special steel

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Rational strategy for power doubling of monolithic multijunction III-V photovoltaics by accommodating attachable scattering waveguides

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Light(Science & Applications) 2024年第11期13卷 2734-2744页

作者： shin Hyung Lee Hyo Jin Kim jae-Hyun Kim Gwang Yeol Park Sun-Kyung Kim sung-Min Lee School of Electrical Engineering Korea Advanced Institute of Science and Technology(KAIST)Daejeon 34141Republic of Korea Optoelectronic Convergence Research Center Korea Photonics Technology InstituteGwangju 61007Republic of Korea Department of Applied Physics Kyung Hee UniversityYongin 17104Republic of Korea Department of Electrical Engineering Hanyang UniversitySeoul 04763Republic of Korea Division of Materials Science and Engineering Hanyang UniversitySeoul 04763Republic of Korea

While waveguide-based light concentrators offer significant advantages,their application has not been considered an interesting option for assisting multijunction or other two-terminal tandem solar *** this study,we present a simple yet effective approach to enhancing the output power of transfer-printed multijunction InGaP/GaAs solar *** utilizing a simply combinable waveguide concentrator featuring a coplanar waveguide with BaSO4 Mie scattering elements,we enable the simultaneous absorption of directly illuminated solar flux and indirectly waveguided *** deployment of cells is optimized for front-surface photon collection in monofacial *** systematic comparisons across various waveguide parameters,supported by both experimental and theoretical quantifications,we demonstrate a remarkable improvement in the maximum output power of a 26%-efficient cell,achieving an enhancement of~93%with the integration of the optimal scattering ***,a series of supplementary tests are conducted to explore the effective waveguide size,validate enhancements in arrayed cell module performance,and assess the drawbacks associated with rear *** findings provide a comprehensive understanding of our proposed approach towards advancing multi-junction photovoltaics.

关键词： waveguide scattering power

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Memory-centric neuromorphic computing for unstructured data processing

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Nano Research 2021年第9期14卷 3126-3142页

作者： Sang Hyun sung Tae Jin Kim Hera shin Hoon Namkung Tae Hong Im Hee Seung Wang Keon jae Lee Department of Materials Science and Engineering Korea Advanced Institute of Science and Technology(KAIST)291 Daehak-roYuseong-guDaejeon 34141Republic of Korea

The unstructured data such as visual information,natural language,and human behaviors opens up a wide array of opportunities in the field of artificial intelligence(Al).The memory-centric neuromorphic computing(MNC)has been proposed for the efficient processing of unstructured data,bypassing the von Neumann bottleneck of current computing *** development of MNC would provide massively parallel processing of unstructured data,realizing the cognitive Al in edge and wearable *** this review,recent advances in memory-centric neuromorphic devices are discussed in terms of emerging nonvolatile memories,volatile switches,synaptic plasticity,neuronal models,and memristive neural network.

关键词： neuromorphic computing memory-centric memristor artificial synapses artificial neurons memristive neural network

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Advances in endoscopic management of biliary complications after living donor liver transplantation: Comprehensive review of the literature

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World Journal of Gastroenterology 2016年第27期22卷 6173-6191页

作者： Milljae shin jae-Won Joh Department of Surgery Konkuk University Medical Center Konkuk University School of Medicine Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine

Apart from noticeable improvements in surgical techniques and immunosuppressive agents, biliary complications remain the major causes of morbidity and mortality after living donor liver transplantation(LDLT). Bile leakage and stricture are the predominant complications. The reported incidence of biliary complications is 15%-40%, and these are known to occur more frequently in living donors than in deceased donors. Despite the absence of a confirmed therapeutic algorithm, many approaches have been used for treatment, including surgical, endoscopic, and percutaneous transhepatic techniques. In recent years, nonsurgical approaches have largely replaced reoperation. Among these, the endoscopic approach is currently the preferred initial treatment for patients who undergo duct-to-duct biliary reconstruction. Previously, endoscopic management was achieved most optimally through balloon dilatation and single or multiple stents placement. Recently, there have been significant developments in endoscopic devices, such as novel biliary stents, as well as advances in endoscopic technologies, including deep enteroscopy, the rendezvous technique, magnetic compression anastomosis, and direct cholangioscopy. These developments have resulted in almost all patients being managed by the endoscopic approach. Multiple recent publications suggest superior long-term results, with overall success rates ranging from 58% to 75%. This article summarizes the advances in endoscopic management of patients with biliary complications after LDLT.

关键词： Biliary complication Endoscopic retrograde cholangiography Endoscopic management Living donor Liver transplantation

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Current innovations and future prospects of metal oxide electrospun materials for supercapacitor technology:A review

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Journal of Materials Science & Technology 2023年第35期166卷 208-233页

作者： Sonali Ajay Beknalkar Aviraj Mahadev Teli jae Cheol shin Division of Electronics and Electrical Engineering Dongguk University-Seoul30Pildong-roJung-guSeoul 04620South Korea

Metal oxides with one-dimensional(1-D)nanostructures have shown promise as electrode materials for supercapacitors due to their unique properties,such as high aspect ratio,increased interaction between electrode and electrolyte,favourable mechanical strength,and short ion transportation pathways that im-prove the charge-discharge rates of electrons and *** is an effective technique for cre-ating 1-D metal oxide nanostructures that produce highly porous nanofibrous structures with exceptional specific surface areas,predictable pore size distributions,and tunable interconnected *** paper provides a comprehensive review of the literature on electrospun metal oxide nanostructures for superca-pacitors,including the principles and key parameters of electrospinning,an overview of supercapacitors,the charge storage mechanism of electrospun metal oxides,and recent developments in 1-D electrospun nanostructures,from binary to ternary metal *** review also discusses unresolved issues and future directions in this research ***,this paper offers valuable insights into the latest devel-opments,unresolved issues,and prospects of 1-D nanostructured metal oxides fabricated through elec-trospinning for supercapacitor applications,providing a critical analysis of their potential in this rapidly evolving field.

关键词： Electrospinning Supercapacitor Metal oxides New strategies Nanofibers

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Retroperitoneal desmoplastic small round cell tumor:Pediatric patient treated with multimodal therapy

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World Journal of Gastroenterology 2009年第33期15卷 4212-4214页

作者： Yong Seok Kim Seong jae Cha Yoo shin Choi Beom Gyu Kim sung Jun Park In Taik Chang Department of Surgery College of MedicineChung-Ang University

A desmoplastic small round cell tumor (DSRCT) is a rare, aggressive mesenchymal neoplasm. Although a DSRCT can develop at various sites, the intraabdominal site is the most common location. These tumors are found most commonly among young adolescents and the prognosis is extremely poor. Multimodal treatment with surgery, chemotherapy and radiotherapy is very important for these rare cases, and this treatment can improve patient survival. In this report, we describe the case of an 8-year-old boy diagnosed with DSRCT located in the retroperitoneal space. The patient has undergone surgical resection and adjuvant chemoradiation therapy, and is currently alive without disease recurrence.

关键词： Retroperitoneum Desmoplastic small round cell tumor Multimodal therapy

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Features of extrahepatic metastasis after radiofrequency ablation for hepatocellular carcinoma

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World Journal of Gastroenterology 2020年第32期26卷 4833-4845页

作者： jae H Yoon Young J Goo Chae-Jun Lim sung K Choi sung B Cho Sang S shin Chung H Jun Department of Gastroenterology Chonnam National University Hospital and Medical SchoolGwangju 61469South Korea Department of Gastroenterology Hwasun Chonnam National University Hospital and Medical SchoolHwasun 58128South Korea Department of Radiology Chonnam National University Hospital and Medical SchoolGwangju 61469South Korea Department of Internal Medicine Mokpo Hankook HospitalMokpo 58643South Korea

BACKGROUND Extrahepatic metastasis(EHM)of hepatocellular carcinoma(HCC)is associated with poor ***,the clinical features and risk factors of EHM of HCC after radiofrequency ablation(RFA)remain *** To elucidate the characteristics and risk factors of EHM after RFA for *** From January 2008 to December 2017,we retrospectively enrolled 661 patients who underwent RFA as first-line treatment for HCC at 2 tertiary *** inclusion criteria were age≥18 years,a diagnosis of HCC,and *** computed tomography(CT)or magnetic resonance imaging(MRI)and alpha-fetoprotein measurements were routinely performed at 1 mo after RFA and followed-up at intervals of 3-6 *** analyses were performed using the chi-squared test or Student’s t-test,and univariate and multivariate analyses were performed via logistic regression,as *** EHM was diagnosed in 44 patients(6.7%)during a median follow-up period of 1204 *** 10-year cumulative rate of HCC recurrence and EHM was 92.7%and 33.7%,*** recurrence was most often intrahepatic,and the rate of extrahepatic recurrence at initial recurrence was only 1.2%.The median time to the diagnosis of EHM was 2.68 years,and 68.2%of patients developed EHM within 2 years of the first recurrence,regardless of recurrence-free survival and 75.0%of patients developed EHM within 5 years after first *** was mostly diagnosed via abdominal CT/MRI in 33(75.0%)and 38 of 44 patients(86.4%)with EHM had either positive abdominal CT scan results or serum AFP level *** multivariate analysis,recurrence-free survival400 IU/mL were associated with a high EHM *** EHM occurs following multiple intrahepatic recurrences after RFA and combined contrast-enhanced abdominal CT and serum AFP were useful for *** especially with high-risk factors require close follow-up for

关键词： Hepatocellular carcinoma Metastasis Radiofrequency ablation Surveillance Risk factor

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Induction of vascular endothelial growth factor receptor expression in human umbilical vein endothelial cells after repeated bevacizumab treatment in vitro

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International Journal of Ophthalmology(English edition) 2017年第7期10卷 1064-1068页

作者： Ji Eun Lee Jin Young Kim jae Ho Jung Dong Hoon shin sung Who Park Department of Ophthalmology School of MedicinePusan National University Medical Research Institute Pusan National University Hospital Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan Hospital Department of Pathology School of MedicinePusan National University

AIM： To investigate the mechanism underlying the loss of responsiveness to anti-vascular endothelial growth factor（VEGF） treatment after repeated injections for choroidal neovascularization, VEGF and VEGF receptor（VEGFR） expressions were evaluated following repeated bevacizumab treatments in hypoxic human umbilical vein endothelial cells（HUVECs） in ***： HUVECs were incubated under hypoxic conditions in two media of different bevacizumab concentrations（1.0 or 2.5 mg/m L） for 17 h, and then in a new medium without bevacizumab for 7h. This procedure was repeated twice more. A culture with an identical volume of excipients served as the control. Cytotoxicity and cell proliferation were assessed using 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide and Ki-67 assays, respectively. Levels of VEGF and VEGFR were assessed using enzyme-linked immunosorbent assay and Western blot ***： Cytotoxic effects were not reported for either bevacizumab concentration. Cell proliferation was not reduced after anti-VEGF treatments. VEGF level after single treatment was significantly higher than that of the control and after repeated treatments. Phosphorylated VEGFR-2 expression increased significantly after singleand repeated bevacizumab treatments compared with the control. The 1.0 mg/m L bevacizumab induced significantly higher expressions of VEGFR-2 than the 2.5 mg/m L in single and repeated treatment ***： Bevacizumab treatment of HUVECs elevated VEGFR expression in both single and repeated treatments, indicating a mechanism for the reduced efficacy of anti-VEGF therapy in ocular neovascular disorders.

关键词： vascular endothelial growth factor vascular endothelial growth factor receptor choroidal neovascularization bevacizumab repeated treatments

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