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Prognosis factors of advanced gastric cancer according to sex and age

World Journal of Clinical Cases 2020年第9期8卷 1608-1619页

作者： Abdulaziz Alshehri Hussain Alanezi beom su kim Department of Gastric surgery Ulsan University School of MedicineAsan Medical CenterSeoul 05505South Korea General surgery Department King Fahad Military Medical ComplexDhahran 31932Saudi Arabia Department of General surgery Northern Area Armed Forces HospitalHafar Al Batin 31991Saudi Arabia

BACKGROUND Gastric cancer has a relatively high prevalence and is one of the most common causes of cancer-related death ***,the prognosis for gastric cancer remains poor,especially in the advanced stages,despite many improvements in diagnosis and *** To evaluate the outcomes regarding advanced gastric cancer development according to sex and *** We retrospectively reviewed 2005 patients who underwent curative gastrectomy for advanced gastric cancer between 2002 and 2007 at a single Korean *** and risk factors for nodal involvement were evaluated according to sex and *** In this retrospective cohort study,we examined the cases of 2005 patients[sex,1384 men(69%),621 women(31%)]with advanced gastric *** patients’age range was 22-87 years(mean age:57.7±12.3 years),with approximately 53.3%of the patients being≤60 years *** on a Cox proportional hazards model,overall survival was independently predicted by older age,larger tumour size,lymphovascular invasion,lymph node metastasis,deeper tumour invasion,moderately-to-poorly differentiated tubular adenocarcinoma,and signet ring cell *** same model revealed that relapse-free survival was independently predicted by advanced age,larger tumour size,lymphovascular invasion,deeper tumour invasion,poorly differentiated tubular adenocarcinoma,and signet ring cell *** Among patients with advanced gastric cancer,older age independently predicted poor overall survival and relapse-free ***,there were no significant sex-based differences in relapse-free and overall survival.

关键词： Carcinoma Prognosis Gastrectomy Risk factors Age Adenocarcinoma

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Optimal proximal resection margin distance for gastrectomy in advanced gastric cancer

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World Journal of Gastroenterology 2020年第18期26卷 2232-2246页

作者： Amy kim beom su kim Jeong Hwan Yook Byung Sik kim Division of Stomach surgery Department of SurgeryAsan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of surgery Korea University Medical Center Ansan HospitalAnsanGyeonggi-do 15355South Korea

BACKGROUND The conventional guidelines to obtain a safe proximal resection margin(PRM)of5-6 cm during advanced gastric cancer(AGC)surgery are still applied by many surgeons across the *** recent studies have raised questions regarding the need for such extensive resection,but without reaching *** study was designed to prove that the PRM distance does not affect the prognosis of patients who undergo gastrectomy for *** To investigate the influence of the PRM distance on the prognosis of patients who underwent gastrectomy for *** Electronic medical records of 1518 patients who underwent curative gastrectomy for AGC between June 2004 and December 2007 at Asan Medical Center,a tertiary care center in Korea,were reviewed retrospectively for the *** demographics and clinicopathologic outcomes were compared between patients who underwent surgery with different PRM distances using one-way ANOVA and Fisher’s exact test for continuous and categorical variables,*** influence of PRM on recurrence-free survival and overall survival were analyzed using Kaplan-Meier survival analysis and Cox proportional hazard *** The median PRM distance was 4.8 cm and 3.5 cm in the distal gastrectomy(DG)and total gastrectomy(TG)groups,*** cohorts in the DG and TG groups were subdivided into different groups according to the PRM distance;≤1.0 cm,1.1-3.0 cm,3.1-5.0 cm and>5.0 *** DG and TG groups showed nostatistical difference in recurrence rate(23.5%vs 30.6%vs 24.0%vs 24.7%,P=0.765)or local recurrence rate(5.9%vs 6.5%vs 8.4%vs 6.2%,P=0.727)according to the distance of *** both groups,Kalpan-Meier analysis showed no statistical difference in recurrence-free survival(P=0.467 in DG group;P=0.155 in TG group)or overall survival(P=0.503 in DG group;P=0.155 in TG group)according to the PRM *** analysis using Cox proportional hazard model revealed that in both groups,there was no significant differ

关键词： Stomach neoplasms Gastrectomy Margins of excision Prognosis Recurrence

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Q-Learning Based Routing Protocol for Congestion Avoidance

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Computers, Materials & Continua 2021年第9期68卷 3671-3692页

作者： Daniel Godfrey beom-su kim Haoran Miao Babar Shah Bashir Hayat Imran Khan Tae-Eung sung Ki-Il kim Department of Computer Science and Engineering Chungnam National UniversityKorea College of Technological Innovation Zayed UniversityAbu DhabiUAE Institute of Management Sciences PeshawarPakistan Department of Electrical Engineering University of Engineering and TechnologyPeshawarPakistan Department of Computer and Telecommunications Engineering Yonsei UniversityKorea

The end-to-end delay in a wired network is strongly dependent on congestion on intermediate *** lots of feasible approaches to avoid congestion efficiently,congestion-aware routing protocols tend to search for an uncongested path toward the destination through rule-based approaches in reactive/incident-driven and distributed ***,these previous approaches have a problem accommodating the changing network environments in autonomous and self-adaptive operations *** overcome this drawback,we present a new congestion-aware routing protocol based on a Q-learning algorithm in software-defined networks where logically centralized network operation enables intelligent control and management of network *** a proposed routing protocol,either one of uncongested neighboring nodes are randomly selected as next hop to distribute traffic load to multiple paths or Q-learning algorithm is applied to decide the next hop by modeling the state,Q-value,and reward function to set the desired path toward the destination.A new reward function that consists of a buffer occupancy,link reliability and hop count is ***,look ahead algorithm is employed to update the Q-value with values within two hops *** approach leads to a decision of the optimal next hop by taking congestion status in two hops into account,***,the simulation results presented approximately 20%higher packet delivery ratio and 15%shorter end-to-end delay,compared to those with the existing scheme by avoiding congestion adaptively.

关键词： Congestion-aware routing reinforcement learning Q-learning Software defined networks

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Totally laparoscopic total gastrectomy using the modified overlap method and conventional open total gastrectomy:A comparative study

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World Journal of Gastroenterology 2021年第18期27卷 2193-2204页

作者： Chang Seok Ko Nam Ryong Choi Byung Sik kim Jeong Hwan Yook Min-Ju kim beom su kim Department of surgery Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of Clinical Epidemiology and Biostatistics Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea

BACKGROUND Although several methods of totally laparoscopic total gastrectomy(TLTG)have been *** best anastomosis technique for LTG has not been *** To investigate the effectiveness and surgical outcomes of TLTG using the modified overlap method compared with open total gastrectomy(OTG)using the circular stapled *** We performed 151 and 131 surgeries using TLTG with the modified overlap method and OTG for gastric cancer between March 2012 and December *** and oncological outcomes were compared between groups using propensity score *** addition,we analyzed the risk factors associated with postoperative *** Patients who underwent TLTG were discharged earlier than those who underwent OTG[TLTG(9.62±5.32)vs OTG(13.51±10.67),Psurvival between *** analysis demonstrated that body mass index[odds ratio(OR),1.824;95%confidence interval(CI):1.029-3.234,P=0.040]and American Society of Anaesthesiologists(ASA)score(OR,3.154;95%CI:1.084-9.174,P=0.035)were independent risk factors of early ***,age was associated with≥3 Clavien-Dindo classification and EJrelated *** Although TLTG with the modified overlap method showed similar complication rate and oncological outcome with OTG,it yields lower pain score,earlier bowel recovery,and *** should perform total gastrectomy cautiously and delicately in patients with obesity,high ASA scores,and older ages.

关键词： Laparoscopic surgery Gastrectomy Anastomosis Stomach neoplasms Totally laparoscopic total gastrectomy

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Mechanical properties of Cu matrix composite fabricated by extrusion process

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Transactions of Nonferrous Metals Society of China 2016年第10期26卷 2679-2686页

作者： Ji-Hun PAK Gwi-Nam kim sung-Gu HWANG beom-su kim Jung-Pil NOH sun-Chul HUH Department of Mechanical and Precision Engineering Gyeongsang National University Department of Mechanical System Engineering Gyeongsang National University Department of Mechanical and Energy Engineering Gyeongsang National University

Carbon nanotube （CNT）was applied in various fields for itssuperior electrical, mechanical and thermal characteristics. After composites were fabricated by extrusion processusing ball-milledCu-CNT powders, mechanicalpropertiesofCu-CNT composites according to CNT fraction were reviewed. CNT （1%, 5% and 10%）,Cu （d=100 nm）, zirconia balls （90 g） and ethanol （20mL） were mixed and dispersed for5h at a speed of 500 r/minusing a planetary ball mill. A billet （d=50 mm, length=100 mm） was made with Cu, and the composite powderswerefilled up into billet using the uni-axial press. In the extrusion process, after the billet was heated at 880℃for1h, specimens were produced in the shape of a round bar using the billet by applying a load of 200 t. The composite powdersweremeasured for particle size byparticlesize distributionequipment. Then the specimen surface fabricated by extrusion was observed by SEM. Mechanicalpropertiesmeasured by the indentation equipment increased with increasing CNT content. The yield strength, tensile strength and hardness of theCu–CNTs composites canbeobviously improved.

关键词： extrusion milling indentation matrix mechanical properties microstructure

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Reevaluation of the expanded indications in undifferentiated early gastric cancer for endoscopic submucosal dissection

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World Journal of Gastroenterology 2022年第15期28卷 1548-1562页

作者： Jiyoung Yoon Seung-Yeon Yoo Young Soo Park Kee Don Choi beom su kim Moon-Won Yoo In Seob Lee Jeong Hwan Yook Ga Hee kim Hee Kyong Na Ji Yong Ahn Jeong Hoon Lee Kee Wook Jung Do Hoon kim Ho June Song Gin Hyug Lee Hwoon-Yong Jung Department of Gastroenterology Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of Pathology Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of surgery Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea

BACKGROUND Although the criteria for the indication of endoscopic submucosal dissection(ESD)for undifferentiated early gastric cancer(UD-EGC)have been recently proposed,accumulating reports on the non-negligible rate of lymph node metastasis(LNM)after indicated ESD raise questions on the reliability of the current *** To investigate the prevalence and risk factors of LNM in UD-EGC cases meeting the expanded indication for *** We retrospectively reviewed 4780 UD-EGC cases that underwent surgical resection between January 2008 and February 2019 at Asan Medical Center,a tertiary university hospital in *** identify the risk factors of LNM of UDEGC meeting the expanded criteria for ESD,we performed a case-control study by matching the cases with LNM to those without at a ratio of 1:*** reviewed the clinical,endoscopic,and histologic features of the cases to identify features with a significant difference according to the presence of *** and multivariate logistic regression analyses were performed to estimate the odds ratios(ORs).REsuLTS Of the 4780 UD-EGC cases,1240(25.9%)were identified to meet the expanded indication for *** the 1240 cases,14(1.1%)cases had *** the various clinical,endoscopic,and histopathological features that were evaluated,mixed histology(tumors consisting of 10%-90%of signet ring cells)had a marginally significant association(P=0.059)with the risk of ***,diffuse blurring of the muscularis mucosae(MM)underneath the tumorous epithelium,a previously unrecognized histologic feature,had a significant association with the absence of LNM(P=0.028).Multivariate logistic regression analysis showed that the blurring of MM was the only explanatory variable significantly associated with a reduced risk of LNM(OR:0.12,95%CI:0.02-0.95;P=0.045).CONCLUSION The risk of LNM is higher than expected when using the current expanded indication for *** evaluation could provide useful clues for reducing the

关键词： Gastric cancer Undifferentiated carcinoma Endoscopic submucosal dissection Lymph node metastasis

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Refractory lipoatrophy treated with autologous whole blood injection:A case report

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World Journal of Clinical Cases 2025年第2期13卷 33-38页

作者： Wonnam kim Jun su Park En Hyung kim Department of Pharmacology School of Korean MedicinePusan National UniversityYangsan 50612GyeongnamSouth Korea Department of Dermatology College of MedicineChungbuk National UniversityCheongju 28644ChungbukSouth Korea Department of Dermatology Chungbuk National University HospitalCheongju 28644ChungbukSouth Korea

BACKGROUND Intramuscular corticosteroid injection may cause adverse effects such as dermal and/or subcutaneous atrophy,alopecia,hypopigmentation,and *** cutaneous atrophy can spontaneously resolve,several treatment options have been suggested for this *** suMMARY In this paper,we report a case of corticosteroid injection induced lipoatrophy treated with autologous whole blood(AWB)injection,as the condition had been unresponsive to fractional laser therapy.A 29-year-old female patient visited the dermatology clinic complaining of skin depression on her right buttock area,which had appeared six months *** had been only subtle improvement at the margins after fractional CO_(2) laser treatment;therefore,after obtaining informed consent from the patient,AWB treatment was *** month after the first AWB injection,the size and depth of the lesion had noticeably improved,and a slight improvement was also observed in *** Close observation is the initial treatment of choice for steroid induced skin atrophy;however,for patients in need of immediate cosmetic improvement,AWB injection may be a safe and cost-effective alternative.

关键词： Atrophy Corticosteroid subcutaneous fat Autologous whole blood injection Laser therapy Case report

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Nanomolar concentration of alpha-synuclein enhances dopaminergic neuronal survival via Akt pathway

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Neural Regeneration Research 2013年第35期8卷 3269-3274页

作者： Ji-Young kim beom Seok Jeon Han-Joon kim Tae-beom Ahn Department of Neurology Inje University Seoul Paik Hospital Department of Neurology College of Medicine Seoul National University Hospital Department of Neurology Kyung Hee University Medical Center

Although alpha-synuclein is generally thought to have a pathological role in Parkinson＇s disease, accumulative evidence exists that alpha-synuclein has a neuroprotective effect. The aim of this study was to evaluate the effect of extracellular alpha-synuclein on dopaminergic cell survival. We assessed cell viability using the 3-（4,5-dimethyt-thiazol-2-yt）-2,5-diphenyltertazolium bromide （MTT） assay both in undifferentiated SH-SY5Y （SHSY） cells and neuronally-differentiated SH-SY5Y （ndSHSY） cells after 24 hour treatment with monomeric alpha-synuclein at various concentrations （0 [control], 50, 100 nmol/L, 1 IJmol/L）. To determine whether cell viability assessed by MTT assay was affected by cell proliferation, 5-bromo-2＇-deoxyuridine （BrdU） incorporation assay was per- formed. Level of both Akt and phosphorylated Akt was measured using western blot method in ndSHSY cells with or without 24 hour alpha-synuclein treatment. Cell viability was increased in ndSHSY cells at the nanomolar concentration of alpha-synuclein, but not in SHSY cells. Proportion of BrdU-positive ndSHSY cells was decreased in alpha-synuclein-treated group compared with control group. Level of phosphorylated Akt in alpha-synuclein-treated group was higher compared with the control group. Our study shows that extracellular alpha-synuclein at nanomolar concentra- tion benefits dopaminergic cell survival via Akt pathway.

关键词： neural regeneration alpha-synuclein neuronal survival nanomolar extracellular phosphorylatedAkt SH-SY5Y cell neuronal differentiation proliferation dopaminergic 5-bromo-2'-deoxyuridine grants-supported paper neuroregeneration

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Role of milk carbohydrates in intestinal health of nursery pigs: a review

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Journal of Animal Science and Biotechnology 2022年第3期13卷 628-641页

作者： Ki beom Jang sung Woo kim Department of Animal Science North Carolina State UniversityRaleighNC 27695USA

Intestinal health is essential for the resistance to enteric diseases and for nutrient digestion and absorption to support *** intestine of nursery pigs are immature and vulnerable to external challenges,which cause negative impacts on the structure and function of the *** nutritional interventions,the benefits of milk are significant for the intestinal health of *** coproducts have traditionally been used in starter feeds to improve the growth of nursery pigs,but their use is somewhat limited due to the high costs and potential risks of excessive lactose on the ***,understanding a proper feeding level of milk carbohydrates is an important start of the feeding *** nursery pigs,lactose is considered a highly digestible energy source compared with plant-based starch,whereas milk oligosaccharides are considered bioactive compounds modulating intestinal immunity and ***,milk carbohydrates,mainly composed of lactose and oligosaccharides,have essential roles in the intestinal development and functions of nursery *** proper feeding levels of lactose in starter feeds could be variable by weaning age,body weight,or genetic *** of lactose and milk oligosaccharides have been broadly studied in human health and animal ***,this review focuses on the mechanisms of lactose and milk oligosaccharides affecting intestinal maturation and functions through modulation of enterocyte proliferation,intestinal immunity,and intestinal microbiota of nursery pigs.

关键词： Intestinal health Lactose Milk carbohydrates Milk oligosaccharides Nursery pig

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Numerical Study on Air Turbines with Enhanced Techniques for OWC Wave Energy Conversion

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China Ocean Engineering 2017年第5期31卷 517-527页

作者： CUI Ying HYUN beom-Soo kim Kilwon Department of Ocean Engineering College of EngineeringOcean University of China Division of Naval Architecture and Ocean Engineering Korea Maritime and Ocean University

In recent years,the oscillating water column(OWC) wave energy converter,which can capture wave energy from the ocean,has been widely applied all over the *** the essential part of the OWC system,the impulse and Wells turbines are capable of converting the low pressure pneumatic energy into the mechanical shaft *** an enhanced technique,the design of endplate or ring attached to the blade tip is investigated numerically in this paper.3 D numerical models based on a CFD-software FLUENT 12.0 are established and validated by the corresponding experimental results from the reports of Setoguchi et al.(2004) and Takao et al.(2001).Then the flow fields and non-dimensional evaluating coefficients are calculated and analyzed under steady *** show that the efficiency of impulse turbine with ring can reach up to 0.49 when Ф=1,which is 4% higher than that in the cases for the endplate-type and the original *** the ring-type Wells turbine with fixed guide vanes shows the best performance with the maximal efficiency of 0.55,which is 22% higher than that of the original *** addition,the quasi-steady analysis is used to calculate the mean efficiency and output-work of a wave cycle under sinusoidal flow *** all together,this study provides support for structural optimization of impulse turbine and Wells turbine in the future.

关键词： OWC impulse turbine Wells turbine CFD endplate ring quasi-steady analysis

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