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| 1 | Lactobacillus plantarum inhibits epithelial barrier dysfunction and interleukin-8 secretion induced by tumor necrosis factor-a显示文摘AIM: To determine whether Lactobacillus plantarum can modify the deleterious effects of tumor necrosis factor-a (TNF-a) on intestinal epithelial cells. METHODS: Caco-2 cells were incubated with TNF-a alone or in the presence of L. plantarum. Transepithelial electrical resistance was used to measure epithelial barrier function. Interleukin 8 (IL-8) secretion by intestinal epithelial cells was measured using an ELISA. Cellular lysate proteins were immunoblotted using the anti-extracellular regulated kinase (ERK), anti-phospho- ERK and anti-IκB-a. RESULTS: A TNF-a-induced decrease in transepithelial electrical resistance was inhibited by L. plantarum. TNF- a-induced IL-8 secretion was reduced by L. plantarum. L. plantarum inhibited the activation of ERK and the degradation of IκB-a in TNF-a-treated Caco-2 cells. CONCLUSION: Induction of epithelial barrier dysfunction and IL-8 secretion by TNF-a is inhibited by L. plantarum. Probiotics may preserve epithelial barrier function and inhibit the inflammatory response by altering the signal transduction pathway. | Jae Sung Ko Hye Ran Yang Ju Young Chang Jeong Kee Seo | 2007 | World Journal of Gastroenterology2007，13，13： | 18 |
| 2 | 垃圾焚烧飞灰水泥固化体的抗压强度和浸出性研究显示文摘利用垃圾焚烧飞灰掺入普通硅酸盐水泥制备水泥固化体,通过浸出性实验,研究了飞灰掺量(0%、20%、40%与60%)、浸出液pH及水洗预处理对水泥固化体抗压强度及重金属(Zn、Pb、Cu、Cd、Cr、Ni)浸出的影响。结果表明:对于非水洗飞灰水泥固化体,pH为4.2和10.0下浸出84 d时,相同组成固化体抗压强度较为接近,飞灰掺量20%,40%和60%的固化体抗压强度分别为41、15和10 MPa左右;除掺量为40%和60%的固化体浸出液中重金属(pH为4.2时Ni和Pb,pH为10.0时Ni)超出生活饮用水卫生标准(GB 5749-2006)外,掺量为40%和60%的固化体的其余浸出液及掺量20%的固化体浸出液中测定的重金属浓度均符合生活饮用水卫生标准。对于水洗飞灰水泥固化体,pH为4.2和10.0下浸出84 d时,相同组成固化体抗压强度较为接近,飞灰掺量20%、40%和60%的固化体抗压强度分别为37、32和10 MPa左右;除掺量为60%的固化体浸出液(pH为4.2和10.0)中Ni和Pb均超出生活饮用水卫生标准外,掺量为60%的固化体的其余浸出液及飞灰掺量20%和40%的固化体浸出液中测定的重金属浓度均符合生活饮用水卫生标准。飞灰水洗预处理提高了飞灰掺量40%水泥固化体抗压强度,同时降低了重金属浸出性。 | 尚宁 王海洋 吴华南 Ko Jae Hac 徐期勇 | 2016 | 环境工程学报2016，10，6： | 15 |
| 3 | Noninvasive Parameters and hepatic fibrosis scores in children with nonalcoholic fatty liver disease显示文摘AIM:To evaluate the noninvasive parameters and hepatic fibrosis scores in obese children with nonalcoholic fatty liver disease(NAFLD).METHODS:A total of 77 children diagnosed with NAFLD via liver biopsy were included and divided into 2 subgroups according to the histopathologic staging of hepatic fibrosis:mild(stage 0-1)vs significant fibrosis(stage 2-4).Clinical and laboratory parameters were evaluated in each patient.The aspartate aminotransferase(AST)/alanine aminotransferase(ALT)ratio,AST/platelet ratio index(APRI),PGA index,Forns index,FIB-4,NAFLD fibrosis score,and pediatric NAFLD fibrosis index(PNFI)were calculated.RESULTS:No clinical or biochemical parameter exhibited a significant difference between patients with mild and significant fibrosis.Among noninvasive hepatic fibrosis scores,only APRI and FIB4 revealed a significant difference between patients with mild and significant fibrosis(APRI:0.67±0.54 vs 0.78±0.38,P=0.032 and FIB4:0.24±0.12 vs 0.31±0.21,P=0.010).The area under the receiving operating characteristic curve of FIB4 was 0.81,followed by Forns index(0.73),APRI(0.70),NAFLD fibrosis score(0.58),AST/ALT ratio(0.53),PGA score(0.45),and PNFI(0.41).CONCLUSION:APRI and FIB4 might be useful noninvasive hepatic fibrosis scores for predicting hepatic fibrosis in children with NAFLD. | Hye Ran Yang Hae Ryoung Kim Myung Jin Kim Jae Sung Ko Jeong Kee Seo | 2012 | World Journal of Gastroenterology2012，18，13： | 15 |
| 4 | Safety and efficacy of tenofovir in chronic hepatitis B-related decompensated cirrhosis显示文摘AIM To evaluate the safety and efficacy of tenofovir disoproxil fumarate(TDF) as a first-line therapy in decompensated liver disease. METHODS We enrolled 174 chronic hepatitis B-related liver cirrhosis patients treated with 300 mg/d TDF at six Korean centers. Of the 174 cirrhosis patients, 57 were assigned to the decompensated cirrhosis group and 117 were assigned to the compensated cirrhosis group. We followed the patients for 12 mo and evaluated clinical outcomes, including biochemical, virological, and serological responses. We also evaluated changes in hepatic and renal function and compared the decompensated and compensated cirrhosis groups. RESULTS The 1-year complete virological response(CVR) and Hepatitis B e antigen(HBe Ag) seroconversion were seen in 70.2% and 14.2% in the decompensated cirrhosis group, respectively. The rates of HBe Ag seroconversion/loss and ALT normalization at month 12 were similar in both groups. TDF treatment was also effective for decreasing the level of hepatitis B virus(HBV) DNA in both groups, but CVR was higher in the compensated group(88.9% vs 70.2%, P = 0.005). Tenofovir treatment for 12 mo resulted in improved Child-Turcotte-Pugh(CTP) and model for end-stage liver disease(MELD) scores in decompensated group(P < 0.001). Of the 57 decompensated patients, 39(68.4%) achieved CTP class A and 27(49.1%) showed improvement in the CTP score of 2 points after 12 mo of TDF. The observed rate of confirmed 0.5 mg/d L increases in serum levels of creatinine in the decompensated and compensated cirrhosis group were 7.0% and 2.5%, respectively(P < 1.000).CONCLUSION TDF therapy in decompensated cirrhosis patients was effective for decreasing HBV DNA levels and improving hepatic function with relatively lower CVR than in compensated cirrhosis. Thus, physicians should carefully monitor not only renal function but also treatment responses when using TDF in decompensated cirrhosis patients. | Soon Kyu Lee Myeong Jun Song Seok Hyun Kim Byung Seok Lee Tae Hee Lee Young Woo Kang Suk Bae Kim Il Han Song Hee Bok Chae Soon Young Ko Jae Dong Lee | 2017 | World Journal of Gastroenterology2017，23，13： | 14 |
| 5 | Genetically confirmed Wilson disease in a 9-month old boy with elevations of aminotransferases显示文摘Wilson disease (WD) is an autosomal recessive disorder of copper transport caused by alteration of the adenosine triphosphatase 7B gene. It is rare to diagnose WD below the age of three years. Molecular genetic testing is one of the most important diagnostic methods and may confirm the diagnosis in equivocal cases. We report a case of a 9-mo old boy with WD who presented as chronic hepatitis. Genetic analysis showed compound heterozygotes of p.G1186S and c.4006delA. | Joo Whee Kim Jong Hyun Kim Jeong Kee Seo Jae Sung Ko Ju Young Chang Hye Ran Yang Kyung Hoon Kang | 2013 | World Journal of Hepatology2013，5，3： | 11 |
| 6 | Comparison of postpolypectomy bleeding between epinephrine and saline submucosal injection for large colon polyps by conventional polypectomy:A prospective randomized,multicenter study显示文摘AIM:To evaluate and compare the clinical outcomes of prophylactic submucosal saline-epinephrine injection and saline injection alone for large colon polyps by conventional polypectomy. METHODS:A prospective study was conducted from July 2003 to July 2004 at 11 tertiary endoscopic centers. Large colon polyps (> 10 mm in diameter) wererandomized to undergo endoscopic polypectomy with submucosal saline-epinephrine injection (epinephrine group) or normal saline injection (saline group). Endoscopic polypectomy was performed by the conventional snare method,and early (< 12 h) and late bleeding complications (12 h-30 d) were observed. RESULTS:A total of 561 polyps in 486 patients were resected by endoscopic polypectomy. Overall,bleeding complications occurred in 7.6% (37/486) of the patients,including 4.9% (12/244) in the epinephrine group,and 10.3% (25/242) in the saline group. Early and late postpolypectomy bleeding (PPB) occurred in 6.6% (32/486) and 1% (5/486) of the patients,respectively,including 4.5% (11/244),0.4% (1/244) in the epinephrine group,and 8.7% (21/242),1.7% (4/242) in the saline group. No significant differences in the rates of overall,early and late PPB were observed between the 2 groups. Multivariate stepwise logistic regression analysis revealed that large size (> 2 cm) and neoplastic polyps were independently and significantly associated with the presence of PPB. CONCLUSION:The prophylactic submucosal injection of diluted epinephrine does not appear to provide an additional advantage over the saline injection alone for the prevention of PPB. | Suck-Ho Lee Il-Kwun Chung Sun-Joo Kim Jin-Oh Kim Bong-Min Ko Won-Ho Kim Hyun-Soo Kim Dong-IL Park Hyo-Jong Kim Jeong-Sik Byeon Suk-Kyun Yang Byeong Ik Jang Sung-Ae Jung Yoon-Tae Jeen Jai-Hyun Choi Hwang Choi Dong-Soo Han Jae Suk Song | 2007 | World Journal of Gastroenterology2007，13，21： | 9 |
| 7 | Peroxisome proliferator-activated receptor-delta agonist ameliorated inflammasome activation in nonalcoholic fatty liver disease显示文摘AIM: To evaluate the inflammasome activation and the effect of peroxisome proliferator-activated receptors(PPAR)-δ agonist treatment in nonalcoholic fatty liver disease(NAFLD) models.METHODS: Male C57BL/6J mice were classified according to control or high fat diet(HFD) with or without PPAR-δ agonist(GW) over period of 12 wk [control, HFD, HFD + lipopolysaccharide(LPS), HFD + LPS + GW group]. Hep G2 cells were exposed to palmitic acid(PA) and/or LPS in the absence or presence of GW.RESULTS: HFD caused glucose intolerance and hepatic steatosis. In mice fed an HFD with LPS, caspase-1 and interleukin(IL)-1β in the liver were significantly increased. Treatment with GW ameliorated the steatosis and inhibited overexpression of pro-inflammatory cytokines. In Hep G2 cells, PA and LPS treatment markedly increased m RNA of several nucleotide-binding andoligomerization domain-like receptor family members(NLRP3, NLRP6, and NLRP10), caspase-1 and IL-1β. PA and LPS also exaggerated reactive oxygen species production. All of the above effects of PA and LPS were reduced by GW. GW also enhanced the phosphorylation of AMPK-α.CONCLUSION: PPAR-δ agonist reduces fatty acidinduced inflammation and steatosis by suppressing inflammasome activation. Targeting the inflammasome by the PPAR-δ agonist may have therapeutic implication for NAFLD. | Hyun Jung Lee Jong Eun Yeon Eun Jung Ko Eileen L Yoon Sang Jun Suh Keunhee Kang Hae Rim Kim Seoung Hee Kang Yang Jae Yoo Jihye Je Beom Jae Lee Ji Hoon Kim Yeon Seok Seo Hyung Joon Yim Kwan Soo Byun | 2015 | World Journal of Gastroenterology2015，21，45： | 9 |
| 8 | 模拟生物反应器加速产甲烷过程研究显示文摘渗滤液原液回灌易导致填埋垃圾产甲烷过程的滞后,从而对甲烷收集利用产生不利影响。通过3根实验室模拟生物反应器,研究了原液回灌(C1)、渗滤液好氧预处理后回灌(C2)和原液回灌+垃圾层上部通风曝气(C3)3种填埋方式下的填埋气产气规律。结果表明,C1甲烷浓度经历短暂上升,达到19.5%后开始逐渐降低,产甲烷速率和产甲烷总量均很低;C2甲烷浓度逐渐上升,在第121天时甲烷浓度达到50%,产甲烷最高速率和产甲烷总量分别为0.31 L/(kg·d)和25.2 L/kg。在停止上部垃圾层通风曝气后,C3甲烷浓度迅速上升,在81 d时甲烷浓度便达到50%以上,最大产甲烷速率和产甲烷总量分别为0.22 L/(kg·d)和16.0 L/kg。对各模拟柱填埋气可回收性评价结果表明,C3填埋气可回收利用比例最高,C2略低,C1在实验期间内则无可回收利用气体产生。 | 马泽宇 金潇 Jae Hac Ko 徐期勇 | 2014 | 环境工程学报2014，8，4： | 6 |
| 9 | 市政污泥热解过程颗粒物中重金属分布显示文摘以深圳市某污水处理厂的污泥为原料,研究了污泥热解过程产生的颗粒物及其中8种重金属的分布规律.结果表明,颗粒物的生成速率分别在400~600℃和1000℃保温30min的两个区间内达到峰值.8种重金属的热挥发性由大到小依次为Cd>Zn>As>Pb>Mn>Ni>Cu>Cr,而其在颗粒物中富集能力大小顺序为Pb>As>Mn>Zn>Cd>Ni>Cr>Cu.颗粒物重金属在热解气中的体积浓度随热解过程呈上升趋势,Zn和Cd则在升温阶段(1000℃以前)达到峰值后开始降低.研究表明,污泥热解颗粒物富集的重金属超标,因而污泥热解尾气颗粒物的去除装置十分必要. | 王经臣 杨璐宁 Jae Hac Ko 徐期勇 | 2018 | 中国环境科学2018，38，10： | 6 |
| 10 | 模拟生活垃圾填埋反应器堆体底部抽气对污染气体排放的控制显示文摘在填埋作业期间,生活垃圾填埋场由于缺少覆盖材料和集气系统,导致填埋气排放缺乏有效控制。为探究垃圾堆体抽气操作对填埋气的减排作用,搭建了3个模拟反应器,包括不抽气的对照组(C)、低抽气量组(E1)和高抽气量组(E2)。在为期171 d的实验中,垃圾分3层填埋,使用静态通量箱法,探究了3个反应器中二氧化碳、甲烷及含硫恶臭气体(甲硫醇、二硫化碳、甲硫醚、乙硫醚和二甲二硫醚)排放通量随反应器运行时间和垃圾堆体抽气操作强度的变化情况。结果表明:E2组比C组更早产生甲烷,但其抽气后减排率可达100%;而E1一直未检测到甲烷,可能是因为甲烷化过程并未建立,或是其中甲烷被覆土中的甲烷氧化菌氧化。此外,与自身抽气前相比,E1和E2对5种硫化物具有不同程度的减排效果,但E2的效果更好。上述研究结果可为填埋场的温室气体和含硫恶臭气体减排策略的制定提供参考。 | 杜越 KO Jae Hac 黄丹丹 王前 向静雅 徐期勇 | 2020 | 环境工程学报2020，14，11： | 5 |
| 11 | Anxiety and depression propensities in patients with acute toxic liver injury显示文摘AIM:To investigate anxiety and depression propensities in patients with toxic liver injury.METHODS:The subjects were divided into three groups:a healthy control group(Group 1,n=125),an acute non-toxic liver injury group(Group 2,n=124),and a group with acute toxic liver injury group caused by noncommercial herbal preparations(Group 3,n=126).These three groups were compared and evaluated through questionnaire surveys and using the Hospital Anxiety-Depression Scale(HADS),Beck Anxiety Inventory(BAI),Beck Depression Inventory(BDI),and the hypochondriasis scale.RESULTS:The HADS anxiety subscale was 4.9±2.7,5.0±3.0 and 5.6±3.4,in Groups 1,2,and 3,respectively.The HADS depression subscale in Group 3 showed the most significant score(5.2±3.2,6.4±3.4 and 7.2±3.4in Groups 1,2,and 3,respectively)(P<0.01 vs Group 1,P<0.05 vs Group 2).The BAI and BDI in Group 3showed the most significant score(7.0±6.3 and 6.9±6.9,9.5±8.6 and 8.8±7.3,10.7±7.2 and 11.6±8.5in Groups 1,2,and 3,respectively)(BAI:P<0.01 vs Group 1,P<0.05 vs Group 2)(BDI:P<0.01 vs Group1 and 2).Group 3 showed a significantly higher hypochondriasis score(8.2±6.0,11.6±7.5 and 13.1±6.5in Groups 1,2,and 3,respectively)(P<0.01 vs Group 1,P<0.05 vs Group 2).CONCLUSION:Psychological factors that present vulnerability to the temptation to use alternative medicines,such as herbs and plant preparations,are important for understanding toxic liver injury. | Jeong Ill Suh Jeong Kyu Sakong Kwan Lee Yong Kook Lee Jeong Bae Park Dong Joon Kim Yeon Seok SeoDepartment of Internal Medicine Korea University Anam Hospital Korea University College of Medicine Seoul 136-705 South Korea Jae Dong Lee Soon Young Ko Byung Seok Lee Seok Hyun Kim Byung Seok Kim Young Seok Kim Heon Ju Lee In Hee Kim Joo Hyun Sohn Tae Yeob Kim Byung Min Ahn | 2013 | World Journal of Gastroenterology2013，19，47： | 5 |
| 12 | Single hepatocellular carcinoma ≤ 3 cm in left lateral segment:Liver resection or radiofrequency ablation?显示文摘AIM:To evaluate the long-term results of radiofrequency ablation(RFA)compared to left lateral sectionectomy(LLS)in patients with Child-Pugh class A disease for the treatment of single and small hepatocellular carcinoma(HCC)in the left lateral segments.METHODS:We retrospectively reviewed the data of133 patients with single HCC(≤3 cm)in their left lateral segments who underwent curative LLS(n=66)or RFA(n=67)between 2006 and 2010.RESULTS:The median follow-up period was 33.5mo in the LLS group and 29 mo in the RFA group(P=0.060).Most patients had hepatitis B virus-related HCC.The hospital stay was longer in the LLS group than in the RFA group(8 d vs 2 d,P<0.001).The 1-,2-,and 3-year disease-free survival and overall survival rates were 80.0%,68.2%,and 60.0%,and 95.4%,92.3%,and 92.3%,respectively,for the LLS group;and 80.8%,59.9%,and 39.6%,and 98.2%,92.0%,and 74.4%,respectively,for the RFA group.The disease-free survival curve and overall survival curve were higher in the LLS group than in the RFA group(P=0.012 and P=0.013,respectively).Increased PIVKA-Ⅱlevels and small tumor size were associated with HCC recurrence in multivariate analysis.CONCLUSION:Liver resection is suitable for single HCC≤3 cm in the left lateral segments. | Jong Man Kim Tae Wook Kang Choon Hyuck David Kwon Jae-Won Joh Justin Sangwook Ko Jae Berm Park Hyunchul Rhim Joon Hyeok Lee Sung Joo Kim Seung Woon Paik | 2014 | World Journal of Gastroenterology2014，20，14： | 4 |
| 13 | 无机材料对高效钙钛矿太阳能电池缺陷的钝化显示文摘用有机材料进行表面钝化是提高钙钛矿太阳电池稳定性和效率的有效策略之一.但是,有机分子和钙钛矿层之间不牢固的键合作用仍不足以钝化各种缺陷以保护钙钛矿层免受氧气和水的侵蚀.最近,由于无机材料更稳定的化学键和更有效的钝化效果而逐渐成为研究的热门.含铅物质、碱金属卤化物、过渡元素卤化物、氧化物、疏水性物质等材料已被应用于钙钛矿太阳能电池表界面缺陷的钝化.这些无机材料通过控制钙钛矿的成核结晶过程以及形成物理保护层显著提高了器件的稳定性和效率. | 亓文静 周芯 李佳乐 程健 李跃龙 Min Jae Ko 赵颖 张晓丹 | 2020 | Science Bulletin2020，65，23： | 4 |
| 14 | A facile one-step approach to hierarchically assembled core-shell-like MnO2@MnO2 nanoarchitectures on carbon fibers: An efficient and flexible electrode material to enhance energy storage显示文摘层次核心似壳的 MnO 2 nanostructures (NS ) 在碳布(CC ) 上习惯于六角形的 nanoplate 穿的锚 MnO 2(HNPA ) 纤维。NS 被一出新奇一步舞准备电气化学的免职方法。在为 30 min 的 -2.0 V 的外部 cathodic 电压下面,层次核心似壳的 MnO 2-NS-decorated MnO 2 HNPA (MnO 2 NSs@MnO 2 HNPA ) 一致地与可靠粘附在 CC 上被种。阶段纯净和样品的词法性质被各种各样的物理化学的技术描绘。在经常的外部 cathodic 电压, CC 上的 MnO 2 NSs@MnO 2 HNPA 的生长为不同时间时期被带。当为 pseudocapacitors 作为一个灵活、柔韧、没有文件夹的电极利用了时,显示出的 CC 上的层次核心似壳的 MnO 2 NSs@MnO 2 HNPA 清楚地在 1 M Na 2 那么 4 电解质答案。结果显示 CC 上的 MnO 2 NSs@MnO 2 HNPA 在 CC (在 0.5 A/g 当前的密度的 112.1 F/g ) 上与赤裸的 MnO 2 HNPA 的相比与优秀骑车稳定性在 0.5 A/g 的当前的密度有 244.54 F/g 的一个最大的特定的电容。我们相信 pseudocapacitive 电极的优异费用存储表演能主要被归因于有一个大特定的表面区域的层次 MnO 2 NSs@MnO 2 HNPA 积木,提供为有效电气化学的反应的另外的 electroactive 地点。纺织品上的层次 pseudocapacitive 材料的生长的灵巧、单个步的途径基于电极为高效的灵活精力存储设备的制造开创可能性。 | Goli Nagaraju Yeong Hwan Ko Sung Min Cha Sang Hyuk Im Jae Su Yu | 2016 | Nano Research2016，9，5： | 3 |
| 15 | 土聚水泥技术在飞灰资源化中的应用显示文摘固体废物焚烧处理技术在我国日益得到推广应用,这导致我国垃圾焚烧飞灰产量巨大。垃圾焚烧飞灰中含有浸出毒性较高的重金属,属危险废弃物。但飞灰中含有丰富的活性组分,可以作为合成材料的原料而加以综合利用。飞灰基土聚水泥作为一种新型碱激活胶凝材料,可以大大降低飞灰中重金属的浸出毒性,同时具有较高的抗压强度。本文在介绍土聚水泥聚合机理的基础上,从飞灰预处理、外加硅铝原料的添加、碱激发剂浓度和掺量、水灰比、骨料、养护条件等方面阐述了对飞灰基土聚水泥强度和重金属浸出毒性的影响,最后对飞灰基土聚水泥重金属浸出毒性方面研究提出了建议。 | 尚宁 Ko Jae Hac 徐期勇 | 2014 | 硅酸盐通报2014，33，3： | 3 |
| 16 | 好氧生物反应器加速渗滤液及垃圾稳定进程研究显示文摘针对垃圾厌氧生物反应器填埋中存在的酸化阶段过长、渗滤液氨氮积累等问题,采用实验室模拟填埋柱研究了上层曝气式生活垃圾好氧生物反应器在加速渗滤液污染物降解和加速垃圾稳定方面的效果。试验共设置4根填埋柱,其中厌氧生物反应器(C1)为对照,上层曝气式好氧生物反应器(C2、C3、C4)为实验组。各反应器每天回灌渗滤液,C2、C3、C4曝气时间分别设为2、4和8 h/d。结果表明,上层曝气式生物反应器能显著缩短酸化阶段所需时间,加速渗滤液有机污染物的降解。至实验结束时,各好氧生物反应器COD、BOD5均比实验开始时降低90%以上。此外,延长曝气时间,能够显著加速渗滤液含氮物质的的降解,至实验结束时,C3、C4渗滤液氨氮浓度分别降至99、39 mg/L,远低于同时期的C1和C2反应器。实验结束时,C1、C2、C3、C4垃圾沉降比分别为7.1%、8.6%、17.1%和21.4%,表明延长曝气时间有助于加速垃圾沉降,提高填埋场有效库容。 | 马泽宇 金潇 Jae Hac Ko 徐期勇 | 2013 | 环境科学与技术2013，36，10： | 3 |
| 17 | Early extrahepatic recurrence as a pivotal factor for survival after hepatocellular carcinoma resection:A 15-year observational study显示文摘BACKGROUND Surgical resection is one of the most widely used modalities for the treatment of hepatocellular carcinoma(HCC).Early extrahepatic recurrence(EHR)of HCC after surgical resection is considered to be closely associated with poor prognosis.However,data regarding risk factors and survival outcomes of early EHR after surgical resection remain scarce.AIM To investigate the clinical features and risk factors of early EHR and elucidate its association with survival outcomes.METHODS From January 2004 to December 2019,we enrolled treatment-naïve patients who were≥18 years and underwent surgical resection for HCC in two tertiary academic centers.After excluding patients with tumor types other than HCC and/or ineligible data,this retrospective study finally included 779 patients.Surgical resection of HCC was performed according to the physicians’decisions and the EHR was diagnosed based on contrast-enhanced computed tomography or magnetic resonance imaging,and pathologic confirmation was performed in selected patients.Multivariate Cox regression analysis was performed to identify the variables associated with EHR.RESULTS Early EHR within 2 years after surgery was diagnosed in 9.5%of patients during a median followup period of 4.4 years.The recurrence-free survival period was 5.2 mo,and the median time to EHR was 8.8 mo in patients with early EHR.In 52.7%of patients with early EHR,EHR occurred as the first recurrence of HCC after surgical resection.On multivariate analysis,serum albumin<4.0 g/dL,serum alkaline phosphatase>100 U/L,surgical margin involvement,venous and/or lymphatic involvement,satellite nodules,tumor necrosis detected by pathology,tumor size≥7 cm,and macrovascular invasion were determined as risk factors associated with early EHR.After sub-categorizing the patients according to the number of risk factors,the rates of both EHR and survival showed a significant correlation with the risk of early EHR.Furthermore,multivariate analysis revealed that early EHR was associated with substantially worse survival outcomes(Hazard ratio,6.77;95%confidence interval,4.81-9.52;P<0.001).CONCLUSION Early EHR significantly deteriorates the survival of patients with HCC,and our identified risk factors may predict the clinical outcomes and aid in postoperative strategies for improving survival. | Jae Hyun Yoon Sung Kyu Choi Sung Bum Cho Hee Joon Kim Yang Seok Ko Chung Hwan Jun | 2022 | World Journal of Gastroenterology2022，28，36： | 2 |
| 18 | Undiagnosed Borrmann type Ⅱ gastric cancer due to necrosis and regenerative epithelium显示文摘Endoscopic biopsy is essential to the proper diagnosis and treatment of gastric cancer.Unfortunately,the results of endoscopic biopsy are not always the same as what is expected based on gross endoscopic findings.The results of endoscopic biopsy can be negative for malignancy in Borrmann typeⅣadvanced gastric cancer(AGCa)or gastric lymphoma.However,in the case of typeⅡAGCa,repeated biopsies negative for malignancy have not been reported.A 49-year-old male patient underwent esophagogastroduodenoscopy three times due to large gastric ulcer suspected to be Borrmann typeⅡcancer.However,three repeat endoscopic biopsies with multiple specimens showed necrosis and superficial regenerative epithelium without malignant findings.The patient underwent laparoscopic distal gastrectomy with D2 lymph node dissection.The surgical specimen revealed that the mucosal layer was completely replaced with regenerative epithelium without cancer cells. | Joon Hur Jae Hyuck Chang Byung Kee Kim Hoon Young Ko Jong Hwan Lee Soo Jeong Kim Mi Ae Song Tae Ho Kim Chang Whan Kim Sok Won Han | 2014 | World Journal of Gastroenterology2014，20，28： | 2 |
| 19 | Ultimate shear strength of plate elements with pit corrosion wastage显示文摘 | Jeom Kee Paik Jae Myung Lee Man Ju Ko | 2004 | Thin-Walled Structures2004，，8： | 2 |
| 20 | 压力对填埋垃圾产甲烷的影响研究显示文摘压实作用被认为是影响填埋垃圾降解过程的一个重要因素,实验通过自制的压缩降解模拟填埋反应器装置,研究了阶梯增加式压力21k Pa→42 k Pa→84 k Pa(分别在垃圾填埋后的第75、103和131 d时施加)对填埋垃圾产甲烷这一资源化重要阶段的影响,包括产气特性、渗滤液性质及固体沉降等的变化.21 k Pa和42 k Pa分别恒定了4周,垃圾最后在84 k Pa恒定压力下降解,实验总共持续了170 d.结果表明,在初始21k Pa的压力作用下,由于接种物跟垃圾接触面积的增大,甲烷日产量从第75 d的1.85 L·d-1增加到了第76 d的2.95 L·d-1,产甲烷速率提高了59.82%,42 k Pa和84 k Pa时均有所增加,但增加程度均不明显.压力还使砾石层上部积留了一定水位高度的渗滤液,渗滤液的COD和含氮量在压力作用下都有了暂时的升高.压实作用还令垃圾体产生了较大的沉降,但压力进一步增大并没有使垃圾继续发生较多的沉降.实验结果有助于更好地了解压力对填埋垃圾降解过程的影响. | 李明英 杨帆 Jae Hac Ko 徐期勇 | 2015 | 环境科学学报2015，35，11： | 2 |
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