Parenchymal-sparing anatomical hepatectomy based on portal ramification of the right anterior section: A prospective multicenter experience with short-term outcomes

Truong Giang Nguyen,Thanh Khiem Nguyen,Ham Hoi Nguyen,Hong Son Trinh,Tuan Hiep Luong,Minh Trong Nguyen,Van Duy Le,Hai Dang Do,Kieu Hung Nguyen,Van Minh Do,Quang Huy Tran,Cuong Thinh Nguyen 한국간담췌외과학회 2024 Annals of hepato-biliary-pancreatic surgery Vol.28 No.1

Backgrounds/Aims: Parenchymal-sparing anatomical hepatectomy (Ps–AH) based on portal ramification of the right anterior section (RAS) is a new technique to avoid unnecessarily transecting too much liver parenchyma, especially in cases of major anatomical hepatectomy. Methods: We prospectively assessed 26 patients with primary hepatic malignancies having undergone major Ps–AH based on portal ramification of the RAS from August 2018 to August 2022 (48 months). The perioperative indications, clinical data, intra-operative index, pathological postoperative specimens, postoperative complications, and follow-up results were retrospectively evaluated. Results: Among the 26 patients analyzed, there was just one case that had intrahepatic cholangiocarcinoma The preoperative level of α– Fetoprotein was 25.2 ng/mL. All cases (100%) had Child–Pugh A liver function preoperatively. The ventral/dorsal RAS was preserved in 19 and 7 patients, respectively. The mean surgical margin was 6.2 mm. The mean surgical time was 228.5 minutes, while the mean blood loss was 255 mL. In pathology, 5 cases (19.2%) had microvascular invasion, and in the group of HCC patients, 92% of all cases had moderate or poor tumor differentiation. Six cases (23.1%) of postoperative complications were graded over III according to the Clavien–Dindo system, including in three patients resistant ascites or intra-abdominal abscess that required intervention. Conclusions: Parenchymal-sparing anatomical hepatectomy based on portal ramification of the RAS to achieve R0-resection was safe and effective, with favorable short-term outcomes. This technique can be used widely in clinical practice.

A Novel Approach for Accessing Semantic Data by Translating RESTful/JSON Commands into SPARQL Messages

Khiem Minh Nguyen,Hai Thanh Nguyen,Hiep Xuan Huynh 대한전자공학회 2016 IEIE Transactions on Smart Processing & Computing Vol.5 No.3

Linked Data is a powerful technology for storing and publishing the structures of data. It is helpful for web applications because of its usefulness through semantic query data. However, using Linked Data is not easy for ordinary users who lack knowledge about the structure of data or the query syntax of Linked Data. For that problem, we propose a translator component that is used for translating RESTful/JSON request messages into SPARQL commands based on ontology – a metadata that describes the structure of data. Clients do not need to worry about the structure of stored data or SPARQL, a kind of query language used for querying linked data that not many people know, when they insert a new instance or query for all instances of any specific class with those complex structure data. In addition, the translator component has the search function that can find a set of data from multiple classes based on finding the shortest paths between the target classes - the original set that user provide, and target classes- the users want to get. This translator component will be applied for any dynamic ontological structure as well as automatically generate a SPARQL command based on users’ request message.

Pancreaticoduodenectomy with superior mesenteric artery first-approach combined total meso-pancreas excision for periampullary malignancies: A high-volume single-center experience with short-term outcomes

Thanh Khiem Nguyen,Ham Hoi Nguyen,Tuan Hiep Luong,Kim Khue Dang,Van Duy Le,Duc Dung Tran,Van Minh Do,Hong Quang Pham,Hoan My Pham,Thi Lan Tran,Cuong Thinh Nguyen,Hong Son Trinh,Yosuke Inoue 한국간담췌외과학회 2024 Annals of hepato-biliary-pancreatic surgery Vol.28 No.1

Backgrounds/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results. There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178−540 min), the median intraoperative blood loss was 209 mL (30−1,600 mL). Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions: The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

High-Resolution Simulations for Vietnam - Methodology and Evaluation of Current Climate

Jack Katzfey,Kim Nguyen,John McGregor,Peter Hoffmann,Suppiah Ramasamy,Hiep Van Nguyen,Mai Van Khiem,Thang Van Nguyen,Kien Ba Truong,Thang Van Vu,Hien Thuan Nguyen,Tran Thuc,Doan Ha Phong,Bang Thanh Ng 한국기상학회 2016 Asia-Pacific Journal of Atmospheric Sciences Vol.52 No.2

To assist the government of Vietnam in its efforts to better understand the impacts of climate change and prioritise its adaptation measures, dynamically downscaled climate change projections were produced across Vietnam. Two Regional Climate Models (RCMs) were used: CSIRO’s variable-resolution Conformal-Cubic Atmospheric Model (CCAM) and the limited-area model Regional Climate Model system version 4.2 (RegCM4.2). First, global CCAM simulations were completed using bias- and variance-corrected sea surface temperatures as well as sea ice concentrations from six Coupled Model Intercomparison Project Phase 5 (CMIP5) global climate models. This approach is different from other downscaling approaches as it does not use any atmospheric fields from the GCMs. The global CCAM simulations were then further downscaled to 10 km using CCAM and to 20 km using RegCM4.2. Evaluations of temperature and precipitation for the current climate (1980-2000) were completed using station data as well as various gridded observational datasets. The RCMs were able to reproduce reasonably well most of the important characteristics of observed spatial patterns and annual cycles of temperature. Average and minimum temperatures were well simulated (biases generally less than 1oC), while maximum temperatures had biases of around 1oC. For precipitation, although the RCMs captured the annual cycle, RegCM4.2 was too dry in Oct.-Nov. (−60% bias), while CCAM was too wet in Dec.- Mar. (130% bias). Both models were too dry in summer and too wet in winter (especially in northern Vietnam). The ability of the ensemble simulations to capture current climate increases confidence in the simulations of future climate.

Inhomogeneous Ferromagnetism and Spin-Glass-Like Behavior in <inline-formula> <tex-math notation='TeX'> <tex> $({\rm Nd}_{1-x}{\rm Y}_{x})_{0.7}{\rm Sr}_{0.3}{\rm MnO}_{3}$ </tex> </tex-math></inline-formula> With <inline-formula> <tex-math notation='TeX

Phan, T. L.,Nguyen, V. D.,Ho, T. A.,Khiem, N. V.,Thanh, T. D.,Phuc, N. X.,Thang, P. D.,Yu, S. C. IEEE 2014 IEEE transactions on magnetics Vol.50 No.6

<P>The magnetic properties of polycrystalline ceramic samples (Nd1-xYx)(0.7)Sr0.3MnO3 with x = 0.21 - 0.35 were studied by means of dc magnetization and ac susceptibility measurements. Experimental results reveal a strong decrease of the ferromagnetic (FM)-paramagnetic phase-transition temperature (T-C) from 97 to 65 K as increasing x from 0.21 to 0.35, respectively. There is magnetic inhomogeneity associated with short-range FM order. Particularly, the samples undergo a spin-glass (SG) phase transition at the so-called blocking temperature (T-B) below T-C, which shifts toward lower temperatures with increasing the applied field, Hex; T-B -> T-g (the SG phase-transition temperature) as H-ex -> 0. The existence of the SG behavior in these samples was also confirmed by frequency (f) dependences of the ac susceptibility. For the in-phase/real component, chi' (T), it shows a frequency-dependent peak at the SG freezing temperature (T-f); T-f -> T-g as f -> 0. Dynamics of this process were analyzed by means of the slowing down scaling law, tau/tau(0) proportional to (T-f/T-g - 1)(-zv), where tau(0) and zv are the characteristic time and critical exponent, respectively. Fitting the experimental T-f(f) data to the scaling law gave the results of zv = 10.1-12.3 and tau(0) = 10(-21)-10(-15)s. These values are different from those expected for canonical SG systems with zv = 10 and tau(0) = 10(-13)s, revealing the cluster-SG behavior of (Nd1-xYx)(0.7)Sr0.3MnO3 samples. Notably, the increase in Y content leads to the shift of tau(0) and zv values toward those of canonical SG systems, which is ascribed to an expansion of SG clusters.</P>