检索结果-南通市图书馆

World Journal of Clinical Cases 2024年第22期12卷 5177-5183页

作者： Kyeong-Hoon Park Jeong-Ju Yoo Sang Gyune Kim young Seok Kim Department of Gastroenterology and Hepatology Soonchunhyang University School of MedicineBucheon 14584South Korea

BACKGROUND Atezolizumab/bevacizumab is emerging as the new standard for advanced hepatocellular carcinoma(HCC),with ongoing real-world implementation to study its *** the use of atezolizumab/bevacizumab increases,various side effects have been reported in clinical practice,most notably increased bleeding caused by *** SUMMARY In this case report,we present a rare and fatal case of intratumoral hemorrhage in a patient with advanced HCC following successful treatment with atezolizumab/bevacizumab.A 63-year-old male diagnosed with HCC initially underwent four cycles of intra-arterial ***,follow-up abdominal computed tomography(CT)revealed disease ***,the treatment plan was modified to atezolizumab/*** the fifth cycle of atezolizumab/bevacizumab,CT showed partial regression of *** week later,he visited the emergency room due to severe abrupt abdominal *** CT revealed focal rupture of HCC in the medial segment inferior portion with active bleeding and a large amount of *** was performed on the same day,and embolization of A4 and A8 branches using lipiodol and gelfoam was *** successful hemostasis,the patient subsequently developed liver failure and *** Atezolizumab/bevacizumab for advanced HCC suggests that intratumoral hemorrhage may be crucial despite good tumor response after immunotherapy,emphasizing the continuous monitoring of this side effect.

关键词： Adverse events Atezolizumab Bevacizumab Complication Hemorrhage Bleeding Hepatocellular carcinoma Case report

Evaluation of early-age strains and stresses in roller-compacted concrete pavement

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Traffic and Transportation Engineering(English Edition) 2022年第1期9卷 93-105页

作者： Tetsya Sok young Kyu Kim Jun young Park Seung Woo lee Public Infrastructure Department Ministry of Public Works and TransportPhnom Penh 12100Cambodia Institute for Disaster Prevention Gangneung-Wonju National UniversityGangneung-si 25457South Korea Korea Expressway Research Institute Korea Expressway CorporationHwaseong-si 18489South Korea Civil Engineering Department Gangneung-Wonju National UniversityGangneung-si 25457South Korea

In the structural design of a roller-compacted concrete pavement(RCCP), it is crucial to estimate strain and stress developments in the RCCP slab realistically. Since the RCCP mix uses less cement and lower amount of water, shrinkage strain and concrete temperature during the hardening stage are expected to be reduced as compared to those of conventional concrete mixture, resulting in a reduction of the concrete early-age deformation and stress developments in the RCCP slab. In this paper, early-age concrete strain and stress developments in RCCP slab subjected to environmental loads were evaluated. A full-scale test section of RCCP under real climatic conditions was monitored. The early-age total strains,stress-independent strains, shrinkage strains, and coefficient of thermal expansion(CTE) of the RCCP were measured and analyzed. Using the results of measured strains, in-situ CTE and shrinkage strain, and temperature, the early-age concrete stress development is computed by incorporating a viscoelastic property of the early-age concrete. The results revealed that the shrinkage strain of the RCCP is quite low as compared to that of conventional concrete. The early-age stress developments in the RCCP slab are strongly governed by the thermal-induced stresses. Shrinkage-induced stresses were quite small and might be negligible in a preliminary estimation of early-age stress developments in the RCCP slab.

关键词： Road engineering Roller-compacted concrete pavement Concrete strain Concrete stress Shrinkage strain Environmental loads

Evidence for distortion-induced local electric polarization in α-RuCl3

在线全文

学校读者我要写书评

暂无评论

Science China(Physics,Mechanics & Astronomy) 2024年第9期Mechanics & Astronomy) .卷 169-177页

作者： Xinrun Mi De Hou Xiao Wang Sabreen Hammouda Caixing Liu Zijian Xiong Han Li Yan Liu Guiwen Wang Aifeng Wang Yisheng Chai Yang Qi Wei Li Xiaoyuan Zhou Yixi Su D.I.Khomskii Mingquan He Zhigao Sheng young Sun College of Physics Center of Quantum Materials and DevicesChongqing University Anhui Key Laboratory of Condensed Matter Physics at Extreme Conditions High Magnetic Field LaboratoryHefei Institutes of Physical ScienceAnhuiChinese Academy of Sciences University of Science and Technology of China Jülich Centre for Neutron Scienceat Heinz Maier-Leibnitz Zentrum(JCNS-MLZ) Forschungszentrum Jülich GmbH School of Physics Beihang University Analytical and Testing Center Chongqing University State Key Laboratory of Surface Physics Department of PhysicsFudan University CAS Key Laboratory of Theoretical Physics Institute of Theoretical PhysicsChinese Academy of Sciences Ⅱ.Physikalisches Institut Universit?t zu K?ln

The spin-orbit assisted Mott insulator α-RuCl3is a prime candidate for material realization of the Kitaev quantum spin *** little attention has been paid to charge degrees of freedom, charge effects, such as electric polarization, may arise in this system. Here, we report distortion-induced local electric polarization in α-RuCl3as evidenced by single-crystal X-ray diffraction,second harmonic generation（SHG） and dielectric measurements. The SHG signal appears at room temperature and develops substantially in the Kitaev paramagnetic state when short-range spin correlations come into play. Despite sizable pyroelectric currents in the Kitaev paramagnetic state, the absence of hysteresis in the polarization-electric field（P-E） points to the shortrange nature of electric polarization. This localized electric polarization is likely the result of distortion-induced charge dimerization, achieved through virtual hopping-induced charge redistribution. In addition, the electric polarization is boosted by short-range spin correlations via spin-phonon coupling in the Kitaev paramagnetic state. Our results emphasize the importance of charge degrees of freedom in α-RuCl3, which establish a novel platform to investigate charge effects in Kitaev materials.

关键词： Mott insulator Kitaev quantum spin liquid electric polarization

1.45 GPa ultrastrong cryogenic strength with superior impact toughness in the in-situ nano oxide reinforced CrMnFeCoNi high-entropy alloy matrix nanocomposite manufactured by laser powder bed fusion

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Journal of Materials Science & Technology 2022年第2期97卷 10-19页

作者： young-Kyun Kim Min-Chul Kim Kee-Ahn lee Department of Materials Science and Engineering Inha UniversityIncheon 22212Republic of Korea Korea Atomic Energy Research Institute(KAERI) Daejeon 34057Republic of Korea

CrMnFeCoNi high-entropy alloys(HEAs)exhibit an excellent combination of tensile strength and ductility at cryogenic *** study led to the introduction of a new method for the development of high-performance CrMnFeCoNi HEAs at cryogenic temperatures by jointly utilizing additive manufacturing(AM)and the addition of interstitial *** interstitial oxygen present in the powder feedstock was transformed into beneficial nano-sized oxides during AM *** HEA nanocomposite fabricated using laser powder bed fusion(L-PBF)not only contains heterogeneous grains and substructures but also a high number density of nano-sized *** tensile results revealed that the L-PBF HEA nanocomposite has superior yield strengths of 0.77 GPa and 1.15 GPa,and tensile strengths of 0.92 GPa and 1.45 GPa at 298 K and 77 K,*** addition,the Charpy impact energies of the samples tested at 298 K and 77 K were measured as 176.2 J and 103.7 J,*** results indicate that the L-PBF HEA nanocomposite successfully overcomes the well-known strength-toughness *** tensile deformation microstructure contained a relatively large number of deformation twins(DTs)at cryogenic temperature,a possible consequence of the decrease in the stacking fault energy with decreasing *** the other hand,cracks were found to propagate along the grain boundaries at room temperature,whereas a transgranular crack was observed at cryogenic temperature in the specimens fractured as a result of the Charpy impact.

关键词： Laser powder bed fusion High-entropy alloy matrix nanocomposite Nano-oxide:cryogenic Tensile Impact toughness

Sigmoid-sigmoid colon fistula caused by diverticulitis

在线全文

学校读者我要写书评

暂无评论

Chinese Medical Journal 2022年第4期135卷 491-492页

作者： Jeonghun lee young Joo lee youngsun Kim Department of Internal Medicine Ye HospitalAnyangRepublic of Korea Department of Obstetrics and Gynecology Kyung Hee University HospitalKyung Hee University College of MedicineSeoulRepublic of Korea

To the Editor:Diverticular disease is common worldwide and the incidence of this disease increases with *** diverticulitis is serious and includes abscess,fistula,obstruction,and ***,surgical treatment is recommended to the patients with symptomatic *** these,colocolic fistula caused by diverticulitis is rare findings and especially,sigmoid-sigmoid fistula is an extremely rare *** present report describes a case of sigmoid-sigmoid colon fistula caused by *** results of this case may help physicians to recognize that multidisciplinary management and surgery are needed for the treatment of complicated diverticulitis with fistula.

关键词： fistula colon obstruction

Multiple flexor tendon ruptures due to osteochondroma of the hamate:A case report

在线全文

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2023年第13期11卷 3038-3044页

作者： Tae young Kwon young-Keun lee Department of Orthopedics Jeonbuk National University HospitalJeonju-si 54907South Korea Department of Orthopedic Surgery Research Institute of Clinical Medicine of Jeonbuk National University–Biomedical Research Institute of Jeonbuk National University HospitalJeonju 54896South Korea

BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate *** one case of a closed rupture of the finger flexor tendon caused by osteochondroma in the hamate has been ***,we present a case study to highlight the possibility of hamate osteochondroma as a rare cause of finger closed flexor tendon rupture based on our clinical experience and literature *** SUMMARY A 48-year-old man who had been a rice-field farmer for 7–8 h a day for the past 30 years visited our clinic due to the loss of right little finger and ring finger flexion involving both the proximal and distal interphalangeal *** patient was diagnosed with a complete rupture of the ring and little finger flexors because of the hamate and was pathologically diagnosed with an *** surgery was performed,and a complete rupture of the ring and little finger flexors due to an osteophyte-like lesion of the hamate was observed,which was pathologically diagnosed as an *** One should consider that osteochondroma in the hamate may be the cause of closed tendon ruptures.

关键词： Flexor tendon Finger Closed tendon rupture Hamate Osteochondroma Case report

Regional anesthesia in a patient with primary ciliary dyskinesia:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第17期12卷 3183-3187页

作者： Hyung Joon Park Ye Hwan Kim young Joon Yoon Sang Yun Cho Department of Anesthesiology and Pain Medicine Hanyang University Guri HospitalGuri-si 471-701Gyeonggi-doSouth Korea

BACKGROUND Primary ciliary dyskinesia(PCD)is an inherited autosomal-recessive disorder of impaired mucociliary clearance characterized by chronic respiratory diseases,otolaryngological diseases,central nervous system abnormalities,reproductive system abnormalities,and cardiac function *** anesthesia in these patients is associated with a higher incidence of respiratory complications than in patients without the *** SUMMARY A 16-year-old male patient was referred to the emergency room complaining of right ankle pain due to distal tibiofibular *** years prior,he had been diagnosed with *** that time,he had experienced several episodes of pneumonia,sinusitis,and chronic middle ear infections,for which he underwent surgical *** the current admission,he presented with cough and sputum but no other respiratory symptoms.A chest computed tomography scan revealed centrilobular ground-glass opacities in both lower lobes and a calcified nodule in the left lower *** the surgical procedure and postoperative pain management,combined spinal-epidural anesthesia was *** patient’s postoperative pain score was measured by the numerical rating scale(NRS).On the day of surgery,his NRS was 5 *** the second postoperative day,the NRS score had decreased to 2–3 *** epidural catheter was removed on the fourth day following the *** patient was subsequently discharged no respiratory *** We performed combined spinal-epidural anesthesia in a patient with *** patient experienced no additional respiratory complications and was discharged with a low NRS score for pain.

关键词： Primary ciliary dyskinesia Combined spinal-epidural anesthesia Patient controlled epidural analgesia Lower limb operation Case report

Nusinersen for spinal muscular atrophy types Ⅱ and Ⅲ:a retrospective single-center study in South Korea

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Pediatrics 2023年第5期19卷 450-459页

作者： Hui Jin Shin Ji-Hoon Na Hyunjoo lee young-Mock lee Department of Pediatrics Gangnam Severance HospitalYonsei University College of Medicine211 Eonju-RoGangnam-GuSeoul135-720Korea

Background This study investigated the efficacy and safety of nusinersen,an antisense oligonucleotide,in patients with spinal muscular atrophy(SMA)types II(OMIM:253,550)or III(OMIM:253,400),including those with severe scoliosis or requiring respiratory support via mechanical *** Data from 40 patients with genetically confirmed SMA who were treated with nusinersen at our institute from March 2019 to April 2022 were retrospectively *** these,30 patients with an age of onset<3 years and not on permanent ventilation were *** and genetic characteristics were investigated,and motor function was evaluated based on the Hammersmith Functional Motor Scale-Expanded(HFMSE)*** The mean age of symptom onset was 1.2 *** patients were diagnosed with SMA type II(27/30,90%).Nusinersen was administered via computed tomography-guided or direct intrathecal injection in 87%(26/30)and 13%(4/30)of the patients,*** the 6-,14-,22-,and 26-month follow-ups,72%,71%,88%,and 86%of patients showed motor improvement,respectively,with mean changes in HFMSE scores of 2.10,2.88,4.21,and 5.29,*** analysis showed that the use of noninvasive ventilation was associated with poorer outcomes of motor *** Patients with SMA type II or III who received nusinersen treatment showed significant improvement in motor function.A longer treatment duration led to a higher number of patients with improved motor *** significant side effects of nusinersen were *** with SMA,even those with severe scoliosis or on respiratory support,can be safely treated using nusinersen.

关键词： Hammersmith Functional Motor Scale Expanded Motor function Nusinersen South Korea Spinal muscular atrophy

LoRa Backscatter Network Efficient Data Transmission Using RF Source Range Control

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Computers, Materials & Continua 2023年第2期74卷 4015-4025页

作者： Dae-young Kim SoYeon lee Seokhoon Kim Department of Computer Software Engineering Soonchunhyang UniversityAsan31538Korea Department of Software Convergence Soonchunhyang UniversityAsan31538Korea

Networks based on backscatter communication provide wireless data transmission in the absence of a power source.A backscatter device receives a radio frequency(RF)source and creates a backscattered signal that delivers data;this enables new services in battery-less domains with massive Internet-of-Things(IoT)*** is highly energy-efficient in the context of massive IoT ***,long-range(LoRa)backscattering facilitates large IoT services.A backscatter network guarantees timeslot-and contention-based ***-based transmission ensures data transmission,but is not scalable to different numbers of transmission *** contention-based transmission is used,collisions are *** reduce collisions and increase transmission efficiency,the number of devices transmitting data must be *** control device activation,the RF source range can be modulated by adjusting the RF source power during LoRa *** reduces the number of transmitting devices,and thus collisions and retransmission,thereby improving transmission *** performed extensive simulations to evaluate the performance of our method.

关键词： Backscatter communication LoRa backscatter RF source range control activated device control internet of things

Arterial stiffness expressed as brachial–ankle pulse wave velocity and gait assessment independent of lower extremity strength:a cross-sectional study in the older men population

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Geriatric Cardiology 2023年第2期20卷 91-99页

作者： Tae Kyung Yoo Seunghee lee Sae-Jong Park Jong-young lee Department of Medicine MetroWest Medical CenterFraminghamUSA Department of Physical Education Korea UniversitySeoulSouth Korea Division of Sports Science Korea Institute of Sport ScienceSeoulSouth Korea Division of Cardiology Department of Internal MedicineKangbuk Samsung HospitalSungkyunkwan University School of MedicineSeoulSouth Korea

BACKGROUND Older men are more vulnerable to fatal falls than women,and gait disturbances contribute to the risk of *** have assessed the association between arterial stiffness and gait dysfunction,but the results have been *** study aimed to conduct a cross-sectional analysis to evaluate the association between brachial–ankle pulse wave velocity(baPWV)and gait assessment in older *** Data from the 2014–2015 Korea Institute of Sport Science Fitness Standards project were used for the *** inclusion criteria were men aged>65 years with gait assessment[the 30-s chair stand test(30s-CST),the timed up and go(TUG)test,the figure-of-8 walk(F8W)test,the 2-min step test(2MST),and the 6-min walk test(6MWT)]and baPWV measurement *** linear regression analysis was conducted with multiple confounding factor adjustments,including lower extremity isometric *** A total of 291 participants were included in the *** mean age was 71.38±4.40 *** mean values were as follows:(1)30s-CST,17.48±5.00;(2)TUG test,6.01±1.10 s;(3)F8W test,25.65±4.71 s;(4)2MST,102.40±18.83 per 2 min;and(5)6MWT,500.02±85.65 *** multivariable adjustment,baPWV was associated with the 6MWT(β=−0.037,95%CI:−0.072–−0.002),TUG test(β=0,95%CI:0.000–0.001),and F8W test(β=0.002,95%CI:0.000–0.004).baPWV was not associated with the 30s-CST and *** The current study showed a statistically significant association between gait assessments and arterial stiffness,independent of lower extremity ***,this association was *** prospective studies are needed to elucidate the complex relationship between arterial stiffness and gait dysfunction.

关键词： stiffness sectional pulse