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Periportal thickening on magnetic resonance imaging for hepatic fibrosis in infantile cholestasis

World Journal of Gastroenterology 2020年第21期26卷 2821-2830页

作者： myung hwan lee Hyun Joo Shin Haesung Yoon Seok Joo Han Hong Koh Mi-Jung lee Department of Radiology Severance HospitalSeverance Pediatric Liver Disease Research GroupResearch Institute of Radiological ScienceYonsei University College of MedicineSeoul 03722South Korea Department of Surgery Severance HospitalSeverance Pediatric Liver Disease Research GroupYonsei University College of MedicineSeoul 03722South Korea Division of Gastroenterology Hepatology and NutritionDepartment of PediatricsSeverance Children’s HospitalSeverance Pediatric Liver Disease Research GroupYonsei University College of MedicineSeoul 03722South Korea

BACKGROUND Untreated neonatal cholestasis can progress to liver cirrhosis and end stage liver disease in infancy due to prolonged hepatocyte and biliary tree injury and may require liver ***,non-invasive evaluation of hepatic fibrosis is important in infants with *** To investigate the usefulness of periportal thickening(PT)measured on liver magnetic resonance imaging(MRI)for the assessment of hepatic fibrosis in infants with cholestasis including biliary atresia(BA).METHODS This retrospective study included infants less than 6 mo who underwent liver MRI and biopsy for the evaluation of infantile *** and spleen size were measured on *** assessment was based on aspartate transaminase to platelet ratio index(APRI).The grade of histopathologic fibrosis was assessed by the METAVIR grading *** and diagnostic performance of PT,normalized spleen size ratio(SR,using the upper normal size limit),and APRI for diagnosing hepatic fibrosis were obtained by receiveroperating characteristic(ROC)curve *** A total of 155 patients were included,110 of which were diagnosed with *** age at the time of MRI was 57.6±34.4 *** were positive correlations between fibrosis grade and PT and SR,even after adjusting age(all,P<0.001).For the diagnosis of significant fibrosis(METAVIR grade F2-F4),the area under the ROC curve was 0.899(95%CI:0.840–0.941)for PT(cutoff,4.2 mm),which was higher than 0.741(95%CI:0.664–0.808)for SR and 0.712(95%CI:0.634–0.782)for APRI(both,P<0.001).For the diagnosis of cirrhosis(F4),the area under the ROC curve was the highest with SR as 0.790(95%CI:0.718–0.852).CONCLUSION Liver MRI findings of PT and SR are useful to assess clinically significant hepatic fibrosis(F2 and higher)in infants with cholestasis including BA.

关键词： Infants Cholestasis Biliary atresia Liver Fibrosis Magnetic resonance imaging

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Early bile duct cancer

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World Journal of Gastroenterology 2007年第25期13卷 3409-3416页

作者： Jae myung Cha myung-hwan Kim Se Jin Jang Department of Internal Medicine University of Kyunghee College of Medicine East-West Neo Medical Center Seoul Korea Department of Internal Medicine University of Ulsan College of Medicine Asan Medical Center Seoul Korea Department of Pathology University of Ulsan College of Medicine Asan Medical Center Seoul Korea

Bile duct cancers are frequently diagnosed as advanced diseases. Over half of patients with advanced bile duct cancer present with unresectable malignancies and their prognosis has been very poor even after curative resections. Although there has been a need to diagnose bile duct cancer at its eady stage, it has been a difficult goal to achieve due to our lack of knowledge regarding this disease entity. Early bile duct cancer may be defined as a carcinoma whose invasion is confined within the fibromuscular layer of the extrahepatic bile duct or intrahepatic large bile duct without distant metastasis irrespective of lymph node involvement. Approximately 3%-10% of resected bile duct cancers have been reported to be early cancers in the literature. The clinicopathological features of patients with early bile duct cancer differ from those of patients with advanced bile duct cancer, with more frequent asymptomatic presentation, characteristic histopathological findings, and excellent prognosis. This manuscript is organized to emphasize the need for convening an international consensus to develop the concept of early bile duct cancer.

关键词： Early bile duct cancer Prognosis Histopathology

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Characteristics of damaged layer in micro-machining of copper material

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中国有色金属学会会刊：英文版 2009年第B9期19卷 295-300页

作者： Dong-Hee KWON Jeong-Suk KIM myung-Chang KANG Se-Hun KWON Jong-hwan lee School of Mechanical Engineering Pusan National University National Core Research Center for Hybrid Materials Solution Pusan National University Department of Mechatronics Busan College of Korea Polytechnic Ⅶ

The study on damaged layer is necessary for improving the machinability in micro-machining because the damaged layer affects the micro mold life and micro machine parts. This study examined the ultra-precision micro-machining characteristics, such as cutting speed, feed rate and cutting depth, of a micro-damaged layer produced by an ultra-high speed air turbine spindle. The micro cutting force, surface roughness and plastic deformation layer were investigated according to the machining conditions. The damaged layer was measured using optical microscope on samples prepared through metallographic techniques. The scale of the damaged layer depends on the cutting process parameters, particularly, the feed per tooth and axial depth of the cut. According to the experimental results, the depth of the damaged layer is increased by increasing the feed per tooth and cutting depth, also the damaged layer occurs less in down-milling compared with up-milling during the micro-machining operation.

关键词：机械加工性微观特征损伤层铜材样品制备技术微型机器切削速度切削深度

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Management of the complications of endoscopic submucosal dissection

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World Journal of Gastroenterology 2011年第31期17卷 3575-3579页

作者： Seong hwan Kim Jeong Seop Moon Young Hoon Youn Ki myung lee Sung Joon lee Division of Gastroenterology Department of Internal MedicineEulji University Division of Gastroenterology Department of Internal MedicineInje UniversitySeoul Paik Hospital Division of Gastroenterology Department of Internal MedicineYonsei University-ang Nam Severance Hospital Division of Gastroenterology Department of Internal MedicineAjou University Hospital Division of Gastroenterology Department of Internal Medicineang-on University Hospital

Endoscopic submucosal dissection(ESD) is currently widely accepted as a standard treatment option for early gastrointestinal neoplasms in ***,ESD has technical difficulties and a longer procedure time than conventional endoscopic *** it may have a higher risk of complications than conventional endoscopic resection ***,the ESD study group of Korean Society of Gastrointestinal Endoscopy,have experienced many complications,mostly treated by endoscopic or conservative ***,we introduce and share our experiences for managementof post ESD complications and review published papers on the topic.

关键词： Endoscopic submucosal dissection Complication Management

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Effect of Laser Parameters on Sintered Powder Morphology

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Journal of Materials Science & Technology 2010年第4期26卷 375-378页

作者： Byeong-Don Joo Jeong-hwan Jang Jae-Ho lee Young-myung Son Young-Hoon Moon Engineering Research Center for Net Shape and Die Manufacturing School of Mechanical EngineeringPusan National University

Selective laser sintering is a kind of rapid prototyping process whereby a three-dimensional part is built layerwise by laser scanning a powder. This process is highly inffuenced by powder and laser parameters such as laser power, scan rate, spot size and layer thickness. Therefore a study on fabricating a line with Fe-Ni-Cr powder on AISI H13 tool steel has been performed by selective laser sintering. In this study, fabrication was performed by experimental facilities consisting of a 200W fiber laser which can be focused to 0.08 mm and atmospheric chamber which can control atmospheric pressure with argon. The line was fabricated with various laser power, scan rate and layer thickness. Line width and surface quality were investigated. With power increase or layer thickness decrease, line width was decreased and line surface quality was improved with scan rate optimization.

关键词： Selective laser sintering Direct fabrication Fiber laser

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Selective laser melting of Fe-Ni-Cr layer on AISI H13 tool steel

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中国有色金属学会会刊：英文版 2009年第4期19卷 921-924页

作者： Byeong-Don JOO Jeong-hwan JANG Jae-Ho lee Young-myung SON Young-Hoon MOON School of Mechanical Engineering Pusan National University

An attempt to fabricate Fe-Ni-Cr coating on AISI H13 tool steel was performed with selective laser ***-Ni-Cr coating was produced by experimental facilities consisting of a 200 W fiber laser which can be focused to 80 μm and atmospheric chamber which can control atmospheric pressure with N2 or *** layer was fabricated with various process parameters such as laser power,scan rate and fill *** quality and coating thickness were measured and *** different surface patterns,such as typeⅠ,typeⅡand type Ⅲ,are shown with various test conditions and smooth regular pattern is obtained under the conditions as 10 μm of fill spacing,50-350 mm/s of scan rate and 40 μm of fill spacing,10-150 mm/s of scan *** maximum coating thickness is increased with power elevation or scan rate drop,and average thickness of 10 μm fill spacing is lower than that of 40 μm fill spacing.

关键词：镍铬涂层工具钢激光熔融社会扫描速度铁涂层厚度光纤激光器

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Laser surface hardening of AISI H13 tool steel

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中国有色金属学会会刊：英文版 2009年第4期19卷 917-920页

作者： Jae-Ho lee Jeong-hwan JANG Byeong-Don JOO Young-myung SON Young-Hoon MOON School of Mechanical Engineering Pusan National University

An attempt was made to improve the surface hardness and wear properties of AISI H13 tool steel through solid solution hardening and refinement of microstructures using a 200 W fiber laser as a heat generating *** hardness of laser melted zone was *** order to identify the effect of heat input on the laser melting zone,scanning conditions were *** results show that,the hardness of as-received AISI H13 tool steel is approximately Hv 240,and the hardness after laser surface heat treatment is around Hv *** hardening depth and width are increased with the increase in the heat input *** of experimental results will be considered in tooling industry.

关键词：激光表面硬化工具钢 H13 激光表面热处理表面硬度信息社会光纤激光器固溶强化

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Ethanol extract from Gynostemma pentaphyllum ameliorates dopaminergic neuronal cell death in transgenic mice expressing mutant A53T human alpha-synuclein

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Neural Regeneration Research 2020年第2期15卷 361-368页

作者： Hyun Jin Park Ting Ting Zhao Seung hwan Kim Chong Kil lee Bang Yeon hwang Kyung Eun lee myung Koo lee Department of Pharmacy College of PharmacyChungbuk National UniversityCheongjuRepublic of Korea 2Research Center for Bioresource and Health College of PharmacyChungbuk National UniversityCheongjuRepublic of Korea Department of Social Physical Education Songwon UniversityGwangjuRepublic of Korea

Gynostemma(G.) pentaphyllum(Cucurbitaceae) contains various bioactive gypenosides. Ethanol extract from G. pentaphyllum(GP-EX) has been shown to have ameliorative effects on the death of dopaminergic neurons in animal models of Parkinson’s disease(PD) induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-and 6-hydroxydopamine. PD patients exhibit multiple symptoms, so PD-related research should combine neurotoxin models with genetic models. In the present study, we investigated the ameliorative effects of GP-EX, including gypenosides, on the cell death of dopaminergic neurons in the midbrain of A53 T α-synuclein transgenic mouse models of PD(A53 T). Both GP-EX and gypenosides at 50 mg/kg per day were orally administered to the A53 T mice for 20 weeks.α-Synuclein-immunopositive cells and α-synuclein phosphorylation were increased in the midbrain of A53 T mice, which was reduced following treatment with GP-EX. Treatment with GP-EX modulated the reduced phosphorylation of tyrosine hydroxylase, extracellular signal-regulated kinase(ERK1/2), Bcl-2-associated death promoter(Bad) at Ser112, and c-Jun N-terminal kinase(JNK1/2) due to α-synuclein overexpression. In the A53 T group, GP-EX treatment prolonged the latency of the step-through passive avoidance test and shortened the transfer latency of the elevated plus maze test. Gypenosides treatment exhibited the effects and efficacy similar to those of GP-EX. Taken together, GP-EX, including gypenosides, has ameliorative effects on dopaminergic neuronal cell death due to the overexpression of α-synuclein by modulating ERK1/2, Bad at Ser112, and JNK1/2 signaling in the midbrain of A53 T mouse model of PD. Further studies are needed to investigate GP-EX as a treatment for neurodegenerative synucleinopathies, including PD. This study was approved by the Animal Ethics Committee of Chungbuk National University(approval No. CBNUA-956-16-01) on September 21, 2016.

关键词： A53T α-synuclein genetic mice ERK1/2 gynostemma pentaphyllum gypenosides Parkinson’s disease retention transfer latency time

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Diagnostic criteria for autoimmune chronic pancreatitis revisited

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World Journal of Gastroenterology 2006年第16期12卷 2487-2496页

作者： Kyu-Pyo Kim myung-hwan Kim Jong Cheol Kim Sang Soo lee Dong Wan Seo Sung Koo lee Department of Internal Medicine University of Ulsan College of MedicineAsan Medical CenterSeoulKorea

Autoimmune chronic pancreatitis （AIP） is increasingly being recognized worldwidely, as knowledge of this entity builds up. Above all, AIP is a very attractive disease to clinicians in terms of its dramatic response to the oral steroid therapy in contrast to ordinary chronic pancreatitis. Although many characteristic findings of AIP have been described, definite diagnostic criteria have not been fully established. In the year 2002, the Japan Pancreas Society published the diagnostic criteria of AIP and many clinicians around the world use these criteria for the diagnosis of AIP. The diagnostic criteria proposed by the Japan Pancreas Society, however, are not completely satisfactory and some groups use their own criteria in reporting AIP. This review discusses several potential limitations of current diagnostic criteria for this increasingly recognized condition. The manuscript is organized to emphasize the need for convening a consensus to develop improved diagnostic criteria.

关键词： Autoimmune chronic pancreatitis Diagnostic criteria

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Evaluation of esophageal function in patients with esophageal motor abnormalities using multichannel intraluminal impedance esophageal manometry

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World Journal of Gastroenterology 2006年第39期12卷 6349-6354页

作者： Yu Kyung Cho myung-Gyu Choi Jae myung Park Jung hwan Oh Chang Nyol Paik Joon Wook lee In Seok lee Sang Woo Kim In-Sik Chung Division of Gastroenterology Department of Internal Medicine The Catholic University of Korea Seoul Korea

AIM: To evaluate the functional aspect of esophageal motility in healthy subjects and in patients who were referred for esophageal function testing using multichannel intraluminal impedance-esophageal manometry (MII-EM), and to assess the clinical utility of MII-EM. METHODS: From September 2003 to January 2004, we performed the MII-EM on healthy volunteers and all the patients who were referred for esophageal function testing. Each patient received 10 liquid and 10 viscous swallows. We analyzed the results, the impedance and the manometric findings. Some of the subjects had additional ambulatory 24-h pH study performed to diagnose gastroesophageal reflux disease (GERD). RESULTS: Among 89 studied subjects, the MII-EM findings showed normal esophageal motility in 50 (56.17%), ineffective esophageal motility (IEM) in 17 (19.10%), nutcracker esophagus in 7 (7.86%), achalasia in 4 (4.49%), and scleroderma esophagus in 11 (12.35%) cases. The completeness and the speed of bolus transit were in the order of nutcracker esophagus, normal manometry and IEM. Some of the swallows showing normal manometry and IEM had incomplete transit. In the achalasia and scleroderma esophagus, almost all the swallows had incomplete transit. The body amplitudes were higher for the swallows with complete transit than for the swallows with incomplete transit. There was not a significant difference in the manometric and impedance findings between the subjects with and without GERD. CONCLUSION: MII-EM is a useful tool in assessing theesophageal function in the patients having esophageal motility abnormality. The primary factors influencing the bolus transit are the amplitude of the esophageal body and normal peristalsis.

关键词： Impedance manometry Esophageal function Motility Bolus transit

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