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Comparative effectiveness of combined antiplatelet treatments in acute minor ischaemic stroke

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Stroke & Vascular Neurology 2022年第1期7卷 13-21页

作者： Shina kim Joon-Tae kim Ji Sung Lee Beom Joon kim Jong-Moo Park Kyusik Kang Soo Joo Lee Jae Guk kim Jae-Kwan Cha Dae-Hyun kim Tai Hwan Park Sang-Soon Park kyung Bok Lee Jun Lee Keun-Sik Hong Yong-Jin Cho Hong-Kyun Park Byung-Chul Lee kyung-Ho Yu Mi Sun oh Dong-Eog kim Wi-Sun Ryu Jay Chol Choi Jee-Hyun Kwon Wook-Joo kim Dong-Ick Shin Sung-Il Sohn Jeong-Ho Hong Man-Seok Park Kang-Ho Choi Ki-Hyun Cho Juneyoung Lee Hee-Joon Bae Department of Neurology Chonnam National University HospitalChonnam National University Medical SchoolGwangjuKorea Clinical Research Center Asan Institute for Life SciencesAsan Medical CenterUniversity of Ulsan College of MedicineSeoulKorea Department of Neurology Cerebrovascular CenterSeoul National University Bundang HospitalSeongnamKorea Department of Neurology Uijeongbu Eulji Medical CenterEulji University School of MedicineUijeongbu-siKorea Department of Neurology Nowon Eulji Medical CenterEulji UniversitySeoulKorea Department of Neurology Eulji University HospitalEulji UniversityDaejeonKorea Department of Neurology Dong-a UniversityBusanKorea Department of Neurology Seoul Medical CenterSeoulKorea Department of Neurology Soonchunhyang University HospitalSeoulKorea Department of Neurology Yeungnam University HospitalDaeguKorea Department of Neurology Inje University Ilsan Paik HospitalInje University College of MedicineGoyangKorea Department of Neurology Hallym University Sacred Heart HospitalAnyangKorea Department of Neurology Dongguk University Ilsan HospitalGoyangKorea Department of Neurology Jeju National University HospitalJeju National University School of MedicineJejuKorea Department of Neurology University of Ulsan College of MedicineUlsanKorea Department of Neurology Chungbuk National University HospitalCheongjuKorea Department of Neurology Keimyung University Dongsan Medical CenterDaeguKorea Department of Biostatistics Korea University College of MedicineSeoulKorea

Background No study has thoroughly compared the effectiveness of combined antiplatelet treatments(other than clopidogrel–aspirin)versus clopidogrel–aspirin or aspirin alone for early secondary prevention in acute ischaemic *** We identified patients with acute,minor,non-cardiogenic ischaemic stroke treated with aspirin alone,clopidogrel–aspirin or other combination *** scores considering the inverse probability of treatment weighting were used to adjust for baseline *** primary outcome was the composite of all strokes(ischaemic or haemorrhagic),myocardial infarction and all-cause mortality at 3 *** Among 12234 patients(male:61.9%;age:65.5±13 years)who met the eligibility criteria,aspirin,clopidogrel–aspirin and other combination treatments were administered in 52.2%,42.9%and 4.9%of patients,*** the crude analysis,the primary outcome event at 3 months occurred in 14.5%of the other combination group,14.4%of the aspirin group and 13.0%of the clopidogrel–aspirin *** the weighted Cox proportional hazards analysis,the 3-month primary outcome event occurred less frequently in the clopidogrel–aspirin group than in the other combination group(weighted HR:0.82(0.59–1.13)),while no association was found between the aspirin group(weighted HR:1.04(0.76–1.44))or other combination group and the 3-month primary *** Other combined antiplatelet treatment,compared with aspirin alone or clopidogrel–aspirin,was not associated with reduced risks of primary composite vascular events or recurrent stroke during the first 3 months after ***,the results suggest that other combination treatments,particularly the cilostazol-based combination,may not be effective alternatives for clopidogrel–aspirin to prevent early vascular events in patients with acute minor *** exploration in clinical trials will be needed.

关键词： prevention treatment alone

MICROMECHANICS OF ROUGH SURFACE ADHESION:A HOMOGENIZED PROJECTION METHOD

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Acta Mechanica Solida Sinica 2009年第5期22卷 377-390页

作者： kyung-Suk kim Division of Engineering Brown UniversityProvidenceRI 02912USA

A quasistatic homogenized projection is made to characterize the effective cohesive zone behavior for rough-surface adhesion. In the context of the homogenized projection, the traction versus separation relation for the homogenized cohesive zone （HCZ） of a rough interface can be highly oscillatory due to instabilities during microscopic adhesion and decohesion processes. The instabilities are found to occur not only individually but also collectively among the adhesive micro-asperity contacts, leading to extensive energy dissipation. Based on the behaviors of the HCZ relations, a framework for describing instability-induced energy dissipation in rough-surface adhesion is proposed to elucidate the effect of roughness on apparent interface adhesion. Two non- dimensional parameters, α related to roughness morphology and n related to flaw distribution, are identified to be most crucial for controlling the energy dissipation. For an interface with a shallow roughness and a strong intrinsic adhesive strength, the interface adhesion can be stronger if we make it rougher （reducing α） or lower its flaw density （increasing n）. The HCZ projection method can be potentially extended and employed to bridge the apparent adhesion from intrinsic adhesion properties for engineering surfaces with multi-scale shallow roughness.

关键词： homogenized cohesive zone interface adhesion roughness effect instability energy dissipation

In situ synthesis of chemically bonded NaTi2（PO4）3/rGO 2D nanocomposite for high-rate sodium-ion batteries

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Nano Research 2016年第6期9卷 1844-1855页

作者： Ha-kyung Roh Hyun-kyung kim Myeong-Seong kim Dong-Hyun kim kyung Yoon Chung Kwang Chul Roh Kwang-Bum kim Department of Material Science & Engineering Yonsei University 50 Yonsei-ro Seodaemun-gu Seou103722 Republic of Korea Department of Materials Science and Metallurgy University of Cambridge 27 Charles Babbage Road Cambridge CB30FS UK Center for Energy Convergence Korea Institute of Science and Technology 5 Hwarang-ro 14-gil Seongbuk-gu Seou102792 Republic of Korea Energy & Environmental Division Korea Institute of Ceramic Engineering & Technology 101 Soho-ro Jinju-si Gyeongsangnam-do 52851 Republic of Korea

A phase-pure NaTi2（PO4）3/reduced graphene oxide （rGO） nanocomposite was prepared using a microwave-assisted one-pot method and subsequent heat treatment. The well-crystallized NaTi2（PO4）3 nanoparticles （30-40 nm） were uniformly precipitated on rGO templates through Ti-O-C bonds. The chemical interactions between the NaTi2（PO4）3 nanoparticles and rGO could immobilize the NaTi2（PO4）3 nanoparticles on the rGO sheets, which might be responsible for the excellent electrochemical performance of the nanocomposite. The NaTi2（PO4）B/rGO nanocomposite exhibited a specific capacity of 128.6 mA-h.g-1 approaching the theoretical value at a 0.1 C-rate with an excellent rate capability （72.9% capacity retention at 50 C-rate） and cycling performance （only 4.5% capacity loss after 1,000 cycles at a high rate of 10 C）. These properties were maintained even when the electrodes were prepared without the use of an additional conducting agent. The excellent sodium storage properties of the NaTi2（PO4）B/rGO nanocomposite could be attributed to the nano-sized NaTi2（PO4）3 particles, which significantly reduced the transport lengths for Na＋ ions, and an intimate contact between the NaTi2（PO4）3 particles and rGO due to chemical bonding.

关键词： NaTi2(PO4)dreducedgraphene oxide (rGO)nanocomposite chemical bonding energy-efficiency in situ synthesis high-rate sodium-ion batteries

Diabetic factors associated with gastrointestinal symptoms in patients with type 2 diabetes

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World Journal of Gastroenterology 2010年第14期16卷 1782-1787页

作者： Jeong Hwan kim Hyung Seok Park Soon Young Ko Sung Noh Hong In-kyung Sung Chan Sub Shim Kee-Ho Song Dong-Lim kim Sook kyung kim Jeeyoung oh Department of Internal Medicine Digestive Disease Center Konkuk University School of Medicine Konkuk University Medical Center Seoul 143-729 South Korea Medical Immunology Center Institute of Biomedical Science and Technology Konkuk University School of Medicine Konkuk University Medical Center Seoul 143-729 South Korea Department of Internal Medicine Konkuk University School of Medicine Konkuk University Medical Center Seoul 143-729 South Korea Department of Neurology Konkuk University School of Medicine Konkuk University Medical Center Seoul 143-729 South Korea

AIM: To determine whether gastrointestinal (GI) symptoms are more frequent in type 2 diabetic patients and to examine which diabetic factors are associated with the symptoms. METHODS: Consecutive subjects with diabetes and age-/gender-matched normal controls were recruited for this study. GI symptoms were assessed using a structured questionnaire divided into two GI symptomcategories (upper and lower GI symptoms), and consisting of 11 individual symptoms. In the diabetic patient group, diabetic complications including peripheral neuropathy, nephropathy and retinopathy, glycosylated hemoglobin (HbA1c) level and diabetes duration were evaluated. RESULTS: Among the total 190 diabetic patients and 190 controls enrolled, 137 (72%) of the diabetic patients and 116 (62%) of the controls had GI symptoms. In the diabetic patient group, 83 (43%) had upper GI symptoms and 110 (58%) lower GI symptoms; in the control group, 59 (31%) had upper GI symptoms and 104 (55%) lower GI symptoms. This difference between the two groups was significant for only the upper GI symptoms (P = 0.02). Among the diabetic factors, the HbA1c level was the only independent risk factor for upper GI symptoms in the multiple logistic regression analysis (odds ratio = 2.01, 95% confidence interval: 1.02-3.95). CONCLUSION: Type 2 diabetes was associated with an increased prevalence of upper GI symptoms and these symptoms appeared to be independently linked to poor glycemic control, as measured by the HbA1c levels.

关键词： Diabetes HbA1c Upper gastrointestinal symptoms

Cavity-Suppressing Electrode Integrated with Multi-Quantum Well Emitter:A Universal Approach Toward High-Performance Blue TADF Top Emission OLED

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Nano-Micro Letters 2022年第4期14卷 75-89页

作者： Il Gyu Jang Vignesh Murugadoss Tae Hoon Park kyung Rock Son Ho Jin Lee WanQi Ren Min Ji Yu Tae Geun kim School of Electrical Engineering Korea UniversityAnam-ro 145Seongbuk-guSeoul 02841Republic of Korea

A novel device structure for thermally activated delayed fluorescence(TADF)top emission organic light-emitting diodes(TEOLEDs)that improves the viewing angle characteristics and reduces the efficiency roll-off is ***,we describe the design and fabrication of a cavity-suppressing electrode(CSE),Ag(12 nm)/WO_(3)(65 nm)/Ag(12 nm)that can be used as a transparent *** the TADF-TEOLED fabricated using the CSE exhibits higher external quantum efficiency(EQE)and improved angular dependency than the device fabricated using the microcavity-based Ag electrode,it suffers from low color purity and severe efficiency *** drawbacks can be reduced by using an optimized multi-quantum well emissive layer(MQW EML).The CSE-based TADF-TEOLED with an MQW EML fabricated herein exhibits a high EQE(18.05%),high color purity(full width at half maximum~59 nm),reduced efficiency roll-off(~46%at 1000 cd m^(−2)),and low angular *** improvements can be attributed to the synergistic effect of the CSE and MQW *** optimized transparent CSE improves charge injection and light outcoupling with low angular dependence,and the MQW EML effectively confines charges and excitons,thereby improving the color purity and EQE *** proposed approach facilitates the optimization of multiple output characteristics of TEOLEDs for future display applications.

关键词： Cavity suppression Multi-quantum well Viewing angle Efficiency roll-off Top emission OLED

Damping Identification of Bridges Under Nonstationary Ambient Vibration

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Engineering 2017年第6期3卷 839-844页

作者： Sunjoong kim Ho-kyung kim Department of Civil and Environmental Engineering Seoul National University Seoul 08826 Korea

本研究着重于使用非平稳的环境振动数据来识别桥梁的阻尼比。我们通常使用基于输入信号的静态白噪声假设的运行模态分析(OMA)来识别使用中的桥梁的阻尼比。然而,大多数桥梁在使用时通常会受到非平稳激励,而违反这种基本假设会导致阻尼... 详细信息

本研究着重于使用非平稳的环境振动数据来识别桥梁的阻尼比。我们通常使用基于输入信号的静态白噪声假设的运行模态分析(OMA)来识别使用中的桥梁的阻尼比。然而,大多数桥梁在使用时通常会受到非平稳激励,而违反这种基本假设会导致阻尼识别的不确定性。为了处理非平稳性,根据测量的响应来计算幅度调制函数,以消除由非平稳输入引起的整体趋势。采用自然激励技术(NExT)-特征系统实现算法(ERA)估算平稳过程中的阻尼比。为了提高基于OMA的阻尼估计的准确性,在提取的平稳过程和非平稳数据之间进行比较分析,以评估消除非平稳性的效果。在信号平稳化后,第一竖向模态的阻尼比的平均值和标准偏差会减小。

关键词：阻尼运行模态分析交通导致振动非平稳信号平稳化调幅大桥斜拉悬索

Metal stents placement for refractory pancreatic duct stricture in children

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World Journal of Gastroenterology 2018年第3期24卷 408-414页

作者： In Sook Jeong Sung Hee Lee Seak Hee oh Do Hyun Park kyung Mo kim Department of Pediatrics University of Ulsan College of MedicineAsan Medical Center Children’s Hospital Department of Internal Medicine University of Ulsan College of MedicineAsan Medical Center

AIM To evaluate the use of fully covered self-expandable metal stents(FCSEMSs) for pancreatic duct strictures in children with chronic *** Eight patients with refractory benign dominant stricture of the main pancreatic duct(MPD) were enrolled through chart reviews between December 2014 and June 2017 in a single center. Endoscopic retrograde cholangiopancreatography(ERCP) with placement of a 6-mm FCSEMS with dual flaps was performed. Endoscopic removal of FCSEMSs was performed with a snare or rat-tooth forceps. All procedures were performed by a pediatric gastroenterologist. For the assessment of outcomes, technical and clinical success, adverse events, and stent patency were evaluated *** The placement and removal of the FCSEMSs were successful in all 8 patients. Five patients were boys and 3 were girls. The median age at initial FCSEMS placement was 12 years(range, 5-18 years). The diameters of all the inserted stents were 6 mm, and the lengths were 4-7 cm. The median indwelling time was 6 mo(range, 3-10 mo). No pancreatic sepsis, pancreatitis, cholestasis, or mortality occurred. There was no proximal and distal migration. All subjects showed a patent stent. On follow-up ERCP, the mean diameter of the stricture improved from 1.1 mm to 2.8 mm(P < 0.05), whereas that of upstream dilation improved from 8.4 mm to 6.3 mm(P < 0.05).CONCLUSION This initial experience showed that temporary FCSEMS placement is feasible and safe for the management of refractory benign MPD stricture in children.

关键词： Chronic pancreatitis Pancreatic duct Selfexpandable metal stent Child Endoscopic retrograde cholangiopancreatography

Paradoxical vocal fold motion masquerading as post-anesthetic respiratory distress:A case report

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World Journal of Clinical Cases 2023年第10期11卷 2349-2354页

作者： Jongyoon Baek Dae-Lim Jee Yoon Seok Choi Sang Woo kim Eun kyung Choi Department of Anesthesiology and Pain Medicine Yeungnam University College of MedicineDaegu 42415South Korea Department of Otorhinolaryngology-Head and Neck Surgery Yeungnam University College of MedicineDaegu 42415South Korea Department of Neurosurgery Yeungnam University College of MedicineDaegu 42415South Korea

BACKGROUND Functional vocal cord disorders can be a differential diagnosis for postoperative upper airway obstruction requiring urgent ***,this may be unfamiliar to anesthesiologists who would favor inappropriate airway intervention and increased *** SUMMARY A 61-year-old woman underwent cervical laminectomy,followed by laparoscopic cholecystectomy 10 mo *** adequate reversal of neuromuscular blockade,the patient experienced repetitive respiratory difficulty with inspiratory stridor after *** the second operation,the patient was diagnosed with paradoxical vocal fold motion(PVFM)by an otolaryngologist based on the clinical features and fiberoptic bronchoscopy results,and the patient was successfully *** PVFM should be considered a differential diagnosis if a patient presents with stridor after general anesthesia.

关键词： Anesthesiology Vocal fold Paradoxical motion Postoperative respiratory distress Case report

Arrayed Lensed Fibers Collectively Fabricated Utilizing UV-Curable Fluorinated Polymer

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光学学报 2003年第S1期23卷 90-91页

作者： kyung-Rok kim Manjung Han Selee Chang K. oh Department of Information and Communications K-JIST 1 Oryong-dong Puk-gu Kwangju 500-712 Republic of KoreaDepartment of Information and Communications K-JIST 1 Oryong-dong Puk-gu Kwangju 500-712 Republic of KoreaLuvantix Co. ltd. 403-2 Moknae Ansan city Kyounggi Republic of KoreaDepartment of Information and Communications K-JIST 1 Oryong-dong Puk-gu Kwangju 500-712 Republic of Korea

A novel fabrication method for lensed fiber array has been proposed utilizing UV-curable fluorinated polymer, whose refractive index is matched to fused silica. The structure is composed of three segments; single mode fiber, coreless silica fiber and UV-curable polymer lens-tip. Flexible control of the curvature of lens-tip was realized by control of deposited volume of the liquid polymer and free-space interconnection performances are characterized.

关键词： UV in as of for were Arrayed Lensed Fibers Collectively Fabricated Utilizing UV-Curable Fluorinated Polymer CSF have mode