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Choi S, Yoon B, Yoon C, Kwon J, Jeong J, Park M, Yoon B. Dietary patterns and conversion from amnestic mild cognitive impairment to dementia: a credos study. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Han H, Chung J, Jeong Y, Choi M, Kwon J, Lee K, Ju G, Kim S. 1538 Anxiety and depression in patients with newly diagnosed metastatic gastrointestinal cancer. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30628-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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53
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Partain L, Kwon J, Rottmann J, Zentai G, Berbeco R, Boyd D. SU-E-J-56: Static Gantry Digital Tomosynthesis From the Beam's-Eye-View. Med Phys 2015. [DOI: 10.1118/1.4924143] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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54
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Ananthakrishnan AN, Kwon J, Raffals L, Sands B, Stenson WF, McGovern D, Kwon JH, Rheaume RL, Sandler RS. Variation in treatment of patients with inflammatory bowel diseases at major referral centers in the United States. Clin Gastroenterol Hepatol 2015; 13:1197-200. [PMID: 25460565 PMCID: PMC4440845 DOI: 10.1016/j.cgh.2014.11.020] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Revised: 10/16/2014] [Accepted: 11/03/2014] [Indexed: 02/07/2023]
Abstract
We performed a prospective study of patients with inflammatory bowel diseases to examine variations in treatment among medical centers. In a prospective cohort study of 1659 patients with Crohn's disease and 946 patients with ulcerative colitis seen at 7 high-volume referral centers, we collected data on demographics, disease characteristics, and medical and surgical treatments. We used logistic regression to determine differences in treatment among centers, controlling for potential confounders. We found significant variations among centers in the treatment of Crohn's disease with immunomodulators (odds ratio [OR], 3.34; 95% confidence interval [CI], 2.09-5.32) but not anti-tumor necrosis factor agents (OR, 1.64; 95% CI, 0.97-2.77). There was less variation in the treatment of ulcerative colitis; we found no difference in use of immunomodulators (OR, 1.83; 95% CI, 1.00-3.36) or anti-tumor necrosis factor therapy (OR, 0.81; 95% CI, 0.40-1.65). The development and implementation of evidence-based standards of care for inflammatory bowel disease may help reduce variation and improve outcomes.
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Augustine EF, Adams HR, Beck CA, Vierhile A, Kwon J, Rothberg PG, Marshall F, Block R, Dolan J, Mink JW. Standardized assessment of seizures in patients with juvenile neuronal ceroid lipofuscinosis. Dev Med Child Neurol 2015; 57:366-71. [PMID: 25387857 PMCID: PMC4610252 DOI: 10.1111/dmcn.12634] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/24/2014] [Indexed: 11/30/2022]
Abstract
AIM To evaluate seizure phenomenology, treatment, and course in individuals with juvenile neuronal ceroid lipofuscinosis (JNCL). METHOD Data from an ongoing natural history study of JNCL were analyzed using cross-sectional and longitudinal methods. Seizures were evaluated with the Unified Batten Disease Rating Scale, a disease-specific quantitative assessment tool. RESULTS Eighty-six children (44 males, 42 females) with JNCL were assessed at an average of three annual visits (range 1-11). Eighty-six percent (n=74) experienced at least one seizure, most commonly generalized tonic-clonic, with mean age at onset of 9 years 7 months (SD 2y 10mo). Seizures were infrequent, typically occurring less often than once every 3 months, and were managed with one to two medications for most participants. Valproate (49%, n=36) and levetiracetam (41%, n=30) were the most commonly used seizure medications. Myoclonic seizures occurred infrequently (16%, n=14). Seizure severity did not vary by sex or genotype. Seizures showed mild worsening with increasing age. INTERPRETATION The neuronal ceroid lipofuscinoses (NCLs) represent a group of disorders unified by neurodegeneration and symptoms of blindness, seizures, motor impairment, and dementia. While NCLs are considered in the differential diagnosis of progressive myoclonus epilepsy, we show that myoclonic seizures are infrequent in JNCL. This highlights the NCLs as consisting of genetically distinct disorders with differing natural history.
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Kim E, Kwon J, Byon W, Song B, Park C. P235 Prognostic and predictive value of tumor-infiltrating lymphocytes in triple negative breast cancer. Breast 2015. [DOI: 10.1016/s0960-9776(15)70267-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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57
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Byon W, Kim E, Kwon J, Song B, Park C. P123 FDG-PET, MRI and USG in the assessment of axillary lymph node metastases in breast cancer. Breast 2015. [DOI: 10.1016/s0960-9776(15)70165-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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58
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Lee KJ, Jung K, Kim J, Kwon J. Bone scan as a screening test for missed fractures in severely injured patients. Orthop Traumatol Surg Res 2014; 100:953-7. [PMID: 25459454 DOI: 10.1016/j.otsr.2014.09.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2012] [Revised: 07/04/2014] [Accepted: 09/11/2014] [Indexed: 02/02/2023]
Abstract
BACKGROUND In many cases, patients with severe blunt trauma have multiple fractures throughout the body. These fractures are not often detectable by history or physical examination, and their diagnosis can be delayed or even missed. Thus, screening test fractures of the whole body is required after initial management. We performed this study to evaluate the reliability of bone scans for detecting missed fractures in patients with multiple severe traumas and we analyzed the causes of missed fractures by using bone scan. HYPOTHESIS A bone scan is useful as a screening test for fractures of the entire body of severe trauma patients who are passed the acute phase. MATERIAL AND METHODS We reviewed the electronic medical records of severe trauma patients who underwent a bone scan from September 2009 to December 2010. Demographic and medical data were compared and statistically analyzed to determine whether missed fractures were detected after bone scan in the two groups. RESULTS A total of 382 patients who had an injury severity score [ISS] greater than 16 points with multiple traumas visited the emergency room. One hundred and thirty-one patients underwent bone scan and 81 patients were identified with missed fractures by bone scan. The most frequent location for missed fractures was the rib area (55 cases, 41.98%), followed by the extremities (42 cases, 32.06%). The missed fractures that required surgery or splint were most common in extremities (11 cases). In univariate analysis, higher ISS scores and mechanism of injury were related with the probability that missed fractures would be found with a bone scan. The ISS score was statistically significant in multivariate analysis. DISCUSSION Bone scan is an effective method of detecting missed fractures among patients with multiple severe traumas. LEVEL OF EVIDENCE Level IV, retrospective study.
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Brandt TD, McElwain MW, Turner EL, Mede K, Spiegel DS, Kuzuhara M, Schlieder JE, Wisniewski JP, Abe L, Biller B, Brandner W, Carson J, Currie T, Egner S, Feldt M, Golota T, Goto M, Grady CA, Guyon O, Hashimoto J, Hayano Y, Hayashi M, Hayashi S, Henning T, Hodapp KW, Inutsuka S, Ishii M, Iye M, Janson M, Kandori R, Knapp GR, Kudo T, Kusakabe N, Kwon J, Matsuo T, Miyama S, Morino JI, Moro-Martín A, Nishimura T, Pyo TS, Serabyn E, Suto H, Suzuki R, Takami M, Takato N, Terada H, Thalmann C, Tomono D, Watanabe M, Yamada T, Takami H, Usuda T, Tamura M. A STATISTICAL ANALYSIS OF SEEDS AND OTHER HIGH-CONTRAST EXOPLANET SURVEYS: MASSIVE PLANETS OR LOW-MASS BROWN DWARFS? ACTA ACUST UNITED AC 2014. [DOI: 10.1088/0004-637x/794/2/159] [Citation(s) in RCA: 118] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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60
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Kwon J, Belanger B. Factors Influencing Food Selection and Nutrient Intakes of Non-Trainee Army Dining Facility Patrons. J Acad Nutr Diet 2014. [DOI: 10.1016/j.jand.2014.06.251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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61
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Belanger B, Kwon J. Effectiveness and Feasibility of Healthy Menu Changes for Non-Trainee Military Dining Facilities. J Acad Nutr Diet 2014. [DOI: 10.1016/j.jand.2014.06.258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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62
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Kwon J, Sauer K, Wen H. Priorities and Strategies for Training School Foodservice Employees about Fresh Produce Safety. J Acad Nutr Diet 2014. [DOI: 10.1016/j.jand.2014.06.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Tebo CC, Evins AI, Christos PJ, Kwon J, Schwartz TH. Evolution of cranial epilepsy surgery complication rates: a 32-year systematic review and meta-analysis. J Neurosurg 2014; 120:1415-27. [DOI: 10.3171/2014.1.jns131694] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Object
Surgical interventions for medically refractory epilepsy are effective in selected patients, but they are underutilized. There remains a lack of pooled data on complication rates and their changes over a period of multiple decades. The authors performed a systematic review and meta-analysis of reported complications from intracranial epilepsy surgery from 1980 to 2012.
Methods
A literature search was performed to find articles published between 1980 and 2012 that contained at least 2 patients. Patients were divided into 3 groups depending on the procedure they underwent: A) temporal lobectomy with or without amygdalohippocampectomy, B) extratemporal lobar or multilobar resections, or C) invasive electrode placement. Articles were divided into 2 time periods, 1980–1995 and 1996–2012.
Results
Sixty-one articles with a total of 5623 patients met the study's eligibility criteria. Based on the 2 time periods, neurological deficits decreased dramatically from 41.8% to 5.2% in Group A and from 30.2% to 19.5% in Group B. Persistent neurological deficits in these 2 groups decreased from 9.7% to 0.8% and from 9.0% to 3.2%, respectively. Wound infections/meningitis decreased from 2.5% to 1.1% in Group A and from 5.3% to 1.9% in Group B. Persistent neurological deficits were uncommon in Group C, although wound infections/meningitis and hemorrhage/hematoma increased over time from 2.3% to 4.3% and from 1.9% to 4.2%, respectively. These complication rates are additive in patients undergoing implantation followed by resection.
Conclusions
Complication rates have decreased dramatically over the last 30 years, particularly for temporal lobectomy, but they remain an unavoidable consequence of epilepsy surgery. Permanent neurological deficits are rare following epilepsy surgery compared with the long-term risks of intractable epilepsy.
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Kwon SJ, Park JH, Park EJ, Lee SA, Lee HS, Kang SW, Kwon J. ATM-mediated phosphorylation of the chromatin remodeling enzyme BRG1 modulates DNA double-strand break repair. Oncogene 2014; 34:303-13. [PMID: 24413084 DOI: 10.1038/onc.2013.556] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Revised: 11/15/2013] [Accepted: 11/18/2013] [Indexed: 12/25/2022]
Abstract
ATP-dependent chromatin remodeling complexes such as SWI/SNF (SWItch/Sucrose NonFermentable) have been implicated in DNA double-strand break (DSB) repair and damage responses. However, the regulatory mechanisms that control the function of chromatin remodelers in DNA damage response are largely unknown. Here, we show that ataxia telangiectasia mutated (ATM) mediates the phosphorylation of BRG1, the catalytic ATPase of the SWI/SNF complex that contributes to DSB repair by binding γ-H2AX-containing nucleosomes via interaction with acetylated histone H3 and stimulating γ-H2AX formation, at Ser-721 in response to DNA damage. ATM-mediated phosphorylation of BRG1 occurs rapidly and transiently after DNA damage. Phosphorylated BRG1 binds γ-H2AX-containing nucleosomes to form the repair foci. The Ser-721 phosphorylation of BRG1 is critical for binding γ-H2AX-containing nucleosomes and stimulating γ-H2AX formation and DSB repair. BRG1 binds to acetylated H3 peptides much better after phosphorylation at Ser-721 by DNA damage. However, the phosphorylation of Ser-721 does not significantly affect the ATPase and transcriptional activities of BRG1. These results, establishing BRG1 as a novel and functional ATM substrate, suggest that the ATM-mediated phosphorylation of BRG1 facilitates DSB repair by stimulating the association of this remodeler with γ-H2AX nucleosomes via enhancing the affinity to acetylated H3. Our work also suggests that the mechanism of BRG1 stimulation of DNA repair is independent of the remodeler's enzymatic or transcriptional activities.
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Kwon J, Kim I, Kim T, Heo D. EP-1082: Involved-site radiotherapy based on FDG-PET/CT after R-CHOP chemotherapy in diffuse large B cell lymphoma. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)31200-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kwon J, Wu H, Yeo-Kyu Y, Lee K, Kim K, Park D. Role of Adjuvant Postoperative External Beam Radiation Therapy for Well-Differentiated Thyroid Cancer. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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67
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Kwon J, Sauer K, Wen H, Bisges E, Myers L. Dining Experiences of Customers with Food Allergies. J Acad Nutr Diet 2013. [DOI: 10.1016/j.jand.2013.06.198] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Hannam JA, Glass L, Kwon J, Windsor J, Stapelberg F, Callaghan K, Merry AF, Mitchell SJ. A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. BMJ Qual Saf 2013; 22:940-7. [DOI: 10.1136/bmjqs-2012-001749] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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69
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Park JH, Kwon J, Lee T, Lee H. P-235ANTI- EPIDERMAL GROWTH FACTOR RECEPTOR ANTIBODY THERAPY FOR OESOPHAGEAL SQUAMOUS CELL CARCINOMA. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Kim S, Park S, Kwon J, Kim J, Choi Q, Hwang S, Ahn K, Yoon S, Lee D. P-036 Genomic analysis of myelodysplastic syndrome: Comparative analysis of peripheral blood and bone marrow clonal cells. Leuk Res 2013. [DOI: 10.1016/s0145-2126(13)70085-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kwon J, Chie E, Oh D, Lee S, Kim D, Im S, Kim T, Heo D, Bang Y, Kim K. Prognostic Factors for Patients With Leptomeningeal Metastases From Solid Tumor. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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72
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Goodlin SJ, Wingate S, Albert NM, Pressler SJ, Houser J, Kwon J, Chiong J, Storey CP, Quill T, Teerlink JR. Investigating pain in heart failure patients: the pain assessment, incidence, and nature in heart failure (PAIN-HF) study. J Card Fail 2012; 18:776-83. [PMID: 23040113 DOI: 10.1016/j.cardfail.2012.07.007] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2011] [Revised: 06/23/2012] [Accepted: 07/25/2012] [Indexed: 01/21/2023]
Abstract
BACKGROUND Patients with advanced heart failure (HF) have high rates of pain and other symptoms that diminish quality of life. We know little about the characteristics and correlates of pain in patients with advanced HF. METHODS AND RESULTS We identified pain prevalence, location, character, severity, frequency, and correlates in 347 outpatients with advanced HF enrolled from hospices and clinics. We evaluated the correlation of pain with HF-related quality of life, mortality, symptoms and health problems, and current treatments for pain. Pain at any site was reported by 293 patients (84.4%), and 138 (39.5%) reported pain at more than one site. The most common site of pain was the legs below the knees (32.3% of subjects). Pain interfered with activity for 70% of patients. Pain was "severe" or "very severe" for 28.6% of subjects with chest pain, and for 38.9% of those with other sites of pain. The only medication reported to provide pain relief was opioids, prescribed for 34.1% of subjects (P = .001). The strongest predictors of pain were degenerative joint disease (DJD) (odds ratio [OR] 14.95, 95% confidence interval [CI] 3.9-56.0; P < .001), other arthritis (OR 2.8, 95% CI 1.20-6.62; P = .017), shortness of breath (OR 3.27, 95% CI 1.47-7.28; P = .004), and angina pectoris (OR 3.38, 95% CI 1.30-8.81; P = .013). CONCLUSIONS Pain occurred at multiple sites in patients with advanced HF. Pain correlated with DJD or other arthritis, shortness of breath, and angina. Only opioid analgesics provided relief of pain. Future research should evaluate the etiology of and interventions to manage pain in patients with HF.
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Kwon J, Meagher A. Crizotinib: A Breakthrough for Targeted Therapies in Lung Cance. J Adv Pract Oncol 2012; 3:267-72. [PMID: 25031955 PMCID: PMC4093347 DOI: 10.6004/jadpro.2012.3.4.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Park J, Park G, Kwon J, Choi J. 46. Diagnostic value of ultrasonography and sonoelastography in clinical lateral epicondylitis. Clin Neurophysiol 2012. [DOI: 10.1016/j.clinph.2011.11.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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75
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Kwon J, Chie E, OH D, Lee S, Kim D, Im S, Kim T, Bang Y, Kim K, Kim H. PO-0761 PROGNOSTIC FACTORS FOR PATIENTS WITH LEPTOMENINGEAL METASTASES FROM SOLID TUMOR. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)71094-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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