Publications by authors named "Sang-hwa Lee"

Background: This study aimed to evaluate the predictive ability of two widely used early warning scoring systems, the Modified Early Warning Score (MEWS) and the National Early Warning Score (NEWS), for predicting stroke occurrence in hospitalized patients.

Methods: The study enrolled 5,474 patients admitted to the intensive care unit from the general ward using data from the Smart Clinical Data Warehouse (CDW). MEWS and NEWS were calculated based on vital signs and clinical parameters within four hours of stroke onset.

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Background: This study aimed to explore the association between admission HbA1c and the risk of 1-year vascular outcomes stratified by age group in patients with acute ischemic stroke (AIS) and diabetes mellitus (DM).

Methods: This study analyzed prospective multicenter data from patients with AIS and DM. Admission HbA1C were categorized as:≤6.

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Microalgae are one of the promising feedstocks for biorefinery, contributing significantly to net-zero emissions through carbon capture and utilization. However, the disposal of microalgal byproducts from the manufacturing process causes additional environmental pollution, thus, a new application strategy is required. In this study, the Tetraselmis suecica byproduct from the carotenoid extraction process was carbonized and converted into biochar.

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Previous studies have highlighted the need for post-treatment of implants due to surface aging. This study investigated the effect of vacuum plasma (VP) treatment on the osseointegration of sandblasted, large grit, acid-etched (SLA) implant surfaces. The hypothesis was that VP might enhance implant stability, measured by implant stability quotient (ISQ) and histological osseointegration through bone-to-implant contact (BIC) and bone area ratio (BA) in rabbit models.

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  • This study examined how non-traditional lipid profiles, specifically the LDL/HDL ratio, affect the risk of vascular events within a year in stroke patients already on statins and with low LDL-C levels.
  • The analysis included 7028 patients with acute ischemic strokes and found a significant association between higher LDL/HDL ratios and increased risk of recurrent stroke, heart attack, or death after adjusting for other variables.
  • The results suggest that even with low LDL-C levels due to statin use, monitoring the LDL/HDL ratio is important to assess residual risk after a stroke.
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  • The report offers updated statistics on stroke patients in South Korea from a nationwide registry, revealing a male-to-female ratio of 1.5, with average ages of 67 for men and 73 for women.
  • Hypertension is the leading risk factor (67%), with notable rates of diabetes (35%) and smoking (21%), while atrial fibrillation is less common (19%) than in Western populations, indicating effective preventive measures.
  • There has been a decline in intravenous thrombolysis use, unchanged timing for treatment, and despite favorable outcomes at 3 months, there is a pressing need for improvements in acute stroke care.
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Background: Time perception is known to be distorted in patients with neuropsychiatric disorders. Therefore, this study aims to investigate the correlation between cognitive decline and time distortion by examining time perception in participants with neurocognitive impairment (Alzheimer's disease [AD], vascular dementia [VD], and Parkinson's disease dementia [PDD]) compared to those with subjective cognitive impairment (SCI).

Methods: Overall, 569 participants with cognitive decline complaints between 2013 and 2022 were investigated.

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Background: Clustering lifestyle risk behaviors is important for predicting cardiovascular disease risk. However, it is unclear which behavior mediates other ones to influence cardiovascular disease risk. We aimed to assess the causal inference of each lifestyle risk behavior for the atherosclerotic cardiovascular disease (ASCVD) risk of the general population.

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Background: Alzheimer's disease (AD) is a complex neurodegenerative disorder influenced by various factors, including liver function, which may impact the clearance of amyloid-β (Aβ) in the brain. This study aimed to explore how the apolipoprotein E () ε4 allele affects the relationship of liver function markers with AD pathology and cognition.

Methods: We analyzed data from two independent cohorts, including 732 participants from the Hallym University Medical Center and 483 from the Alzheimer's Disease Neuroimaging Initiative, each group consisting of individuals with and without the ε4 allele.

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  • Elevated blood viscosity (BV) plays a crucial role in cerebrovascular diseases, and this study examines its impact on regional white matter hyperintensity (WMH) volume in patients who have experienced an acute ischemic stroke.
  • Involving 302 patients, researchers measured BV and used advanced software to quantify WMH volumes, finding that higher systolic BV is linked to increased deep WMH volume, especially in older patients with specific health conditions.
  • The findings suggest that managing blood viscosity could be a potential therapeutic strategy to improve brain circulation for stroke patients.
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Introduction: Although white matter hyperintensity (WMH) shares similar vascular risk and pathology with small vessel occlusion (SVO) stroke, there were few studies to evaluate the impact of the burden of WMH volume on early and delayed stroke outcomes in SVO stroke.

Materials And Methods: Using a multicenter registry database, we enrolled SVO stroke patients between August 2013 and November 2022. The WMH volume was estimated by automated methods using deep learning (VUNO Med-DeepBrain, Seoul, South Korea), which was a commercially available segmentation model.

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  • The study focuses on the clinical features and treatment outcomes of idiopathic intracranial hypertension (IIH) specifically in Korean patients, as there is limited data on this in Asian populations.
  • A total of 59 patients were analyzed, with a majority being women and only a portion classified as obese; various headache types were reported, with chronic and episodic migraines being the most common.
  • Treatment results showed that after 3-6 months, intracranial pressure normalized in 25% of patients, and over half experienced significant headache improvement, indicating a positive response to medical management overall.
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The two commonest kelp-encrusting bryozoans, and , are difficult to distinguish morphologically. Molecular studies of should thus be helpful for the identification of both species because the mitogenome of was already sequenced. The complete mitogenome of collected from Sinjido was determined in this study through Illumina NovaSeq sequencing.

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  • - The study aims to examine factors influencing preoperative frailty in cancer patients and identify the tools available for measuring frailty.
  • - A total of 728 records were found, but only 24 studies were selected, revealing that factors like age, sex, body mass index, and physical status significantly relate to preoperative frailty, with postoperative complications being a common outcome.
  • - The findings emphasize the importance of choosing the right frailty screening tools to enhance postoperative care, as multiple instruments exist that focus on different aspects of frailty.
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Background: This study aimed to evaluate the efficacy and safety of anticoagulants (AC) and antiplatelets (APT) in patients with recent small subcortical infarctions (RSSI) and atrial fibrillation (AF).

Methods: We utilized a prospective multicenter stroke registry database to identify patients with RSSI with a concurrent diagnosis of AF. Propensity score matching analysis was used to balance baseline differences among the AC-only, APT-only, and their combination groups.

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Terahertz (THz) waves, known as non-ionizing radiation owing to their low photon energies, can actually ionize atoms and molecules when a sufficiently large number of THz photons are concentrated in time and space. Here, we demonstrate the generation of ionizing, multicycle, 15-THz waves emitted from large-area lithium niobate crystals via phase-matched optical rectification of 150-terawatt laser pulses. A complete characterization of the generated THz waves in energy, pulse duration, and focal spot size shows that the field strength can reach up to 260 megavolts per centimeter.

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  • - The study reviews how dual antiplatelet therapy (DAPT-AC) with aspirin and clopidogrel has been increasingly used among stroke patients who didn't qualify for major clinical trials, particularly after the CHANCE trial results became available in 2013.
  • - Analysis of data from over 32,000 patients from 2008 to 2022 showed that the usage of DAPT-AC rose significantly from 33% in 2008 to 78% in 2022, while the use of other antiplatelet medications decreased.
  • - Despite this increase in DAPT-AC usage, clinical outcomes, including stroke rates and mortality, improved only slightly, indicating ongoing efforts are needed to enhance recovery
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  • The study investigates the use of TTF1 and PAX8 as diagnostic markers to differentiate between pulmonary metastatic mesonephric adenocarcinoma (PMM) and primary lung adenocarcinoma (PLA).
  • Immunostaining results showed that PMMs had reduced TTF1 expression while PLAs displayed intense TTF1 expression, indicating their differences.
  • PAX8 expression was strong in PMMs but weak and focal in PLAs, further supporting the potential of these markers in accurately diagnosing lung lesions in patients with a history of mesonephric tumors.
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Diabetes mellitus (DM) predisposes individuals to vascular injury, leading to poor outcomes after ischemic stroke and symptomatic hemorrhagic transformation (SHT) after thrombolytic and endovascular treatment (EVT). Metformin (MET), an oral antidiabetic drug, has shown potential neuroprotective effects, but its impact on stroke prognosis in DM patients undergoing EVT remains unclear. In a multicenter study, 231 patients with DM undergoing EVT for acute ischemic stroke were enrolled.

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Multiple animal models of migraine have been used to develop new therapies. Understanding the transition from episodic (EM) to chronic migraine (CM) is crucial. We established models mimicking EM and CM pain and assessed neuropathological differences.

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Background/aim: Only a few studies have examined the expression of nucleosome remodeling and deacetylase complex in endometrial carcinoma (EC). The aim of this study was to analyze the expressions of histone deacetylase (HDAC1), HDAC2, and chromodomain helicase DNA-binding protein 4 (CHD4) in EC.

Patients And Methods: Sixty cases of EC were categorized into two clusters based on the expression levels of the three proteins.

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Objective: We evaluated the efficacy of endovascular thrombectomy (EVT) on the functional outcome of patients with acute basilar artery occlusion and low posterior circulation acute stroke prognosis early computed tomography score (PC-ASPECTS).

Methods: We identified patients with acute ischemic stroke due to basilar artery occlusion and PC-ASPECTS of 6 or less, presenting within 24 h between August 2008 and April 2022. The primary outcome was a favorable functional outcome, defined as a modified Rankin Scale (mRS) score of 0-3 at 90 days.

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  • Novel oral anticoagulants (NOACs) are recommended for stroke prevention in patients with acute ischemic stroke (AIS) and atrial fibrillation (AF), but their real-world effectiveness is unclear.
  • This study analyzed data from nearly 13,000 patients over eight years to examine trends in clinical outcomes related to AIS and AF, particularly looking at how NOAC prescriptions influenced these trends.
  • Results showed that NOAC prescriptions rose significantly from 0% to 75.6%, correlating with a decrease in 1-year incidences of major adverse outcomes from 28.3% to 21.7%, suggesting NOACs may play a key role in improving patient outcomes.
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Introduction: Detection of atrial fibrillation (AF) is crucial for preventing recurrence in patients with ischemic stroke. We aimed to examine whether the left atrial volume index (LAVI) and global longitudinal peak strain (GLPS) are associated with AF in patients with ischemic stroke.

Methods: We prospectively analyzed 678 consecutive patients with ischemic stroke.

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Background: Alzheimer's disease (AD) is characterized by amyloid-β (Aβ) plaque accumulation and neurofibrillary tangles in the brain. Emerging evidence has suggested potential interactions between the brain and periphery, particularly the liver, in regulating Aβ homeostasis.

Objective: This study aimed to investigate the association of serum liver enzymes with brain amyloidopathy and cognitive performance in patients with complaints of cognitive decline.

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