Publications by authors named "InKyung Jung"

Background: Acupuncture and epidural steroid injection (ESI) are frequently performed in patients with degenerative lumbar disease. The purpose of this study was to explore preoperative acupuncture and ESI as risk factors for postoperative infection after elective lumbar fusion.

Methods: Patients >50 years of age who underwent spinal fusion due to degenerative lumbar disease from 2010 to 2019 were identified by diagnostic and procedural codes using a nationwide database.

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  • * Our research examined heart disease risks, using data from over 3.3 million participants in Korea, focusing on the effects of vaccine type and COVID-19 infection within 21 days post-vaccination.
  • * Findings showed a higher heart disease risk in those receiving mRNA vaccines and in individuals infected with COVID-19, particularly among younger recipients of mRNA vaccines, suggesting a need for alternative vaccine options for this group and further research on the mechanisms involved.
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  • * Despite earlier dentist visits for preterm children (average around 2.5-2.8 years), 63.87% of them still had no dental visits, with more complex treatments needed compared to full-term peers.
  • * Early dental visits before age 1 are linked to less severe dental issues, highlighting the importance of regular dental screenings for managing oral health in preterm infants.
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  • A study aimed to investigate the incidence of metabolic dysfunction-associated steatotic liver disease (MASLD) and its progression to advanced fibrosis in individuals aged 60 and older, revealing a growing concern as this population expands.* -
  • Researchers analyzed data from 329,388 seniors, finding an overall MASLD incidence rate of 1.94 per 100 person-years, which increased significantly in people who were overweight or obese.* -
  • The results highlight that overweight/obesity is a strong predictor for both MASLD and advanced fibrosis in older adults, emphasizing the need to identify age-specific risk factors for better health outcomes in this demographic.*
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Chromatin loop identification plays an important role in molecular biology and 3D genomics research, as it constitutes a fundamental process in transcription and gene regulation. Such precise chromatin structures can be identified across genome-wide interaction matrices via Hi-C data analysis, which is essential for unraveling the intricacies of transcriptional regulation. Given the increasing number of genome-wide contact maps, derived from both in situ Hi-C and single-cell Hi-C experiments, there is a pressing need for efficient and resilient algorithms capable of processing data from diverse experiments rapidly and adaptively.

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  • * Researchers discovered that ARID1A, a protein linked to cancer, contains a prion-like domain that facilitates LLPS, particularly evident in Ewing's sarcoma patient samples.
  • * Disruption of ARID1A's LLPS impairs cancer cell growth and invasion, suggesting that targeting this mechanism could offer new treatment strategies for Ewing's sarcoma.
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Introduction: Depression has emerged as a modifiable risk factor for cardiovascular disease (CVD). However, evidence on whether depressive symptoms measured using a self-report questionnaire are associated with CVD incidence is scarce. Therefore, we aimed to investigate the association between depressive symptoms and CVD risk using data from national health examinations and insurance claim records.

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Immune-related adverse events (irAEs) caused by immune checkpoint inhibitors (ICIs) are rare but fatal, requiring systemic steroid use. Therefore, to examine the outcomes, incidence, timing, and risk factors of ICI-associated steroid-requiring severe irAEs, we conducted a nationwide, retrospective, cohort study utilizing the Korean Health Insurance and Review Assessment database. We identified 357,010 patients with lung cancer, bladder cancer, or skin melanoma, eligible for ICI reimbursement in Korea between January 2012 to June 2020.

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  • This study investigates the link between corticosteroid use and the development of osteonecrosis of the femoral head (ONFH), aiming to identify which patients are at risk and the factors influencing this condition.
  • It utilized data from a nationwide cohort study in South Korea, analyzing 3,500 ONFH cases matched with control patients based on demographics and health history.
  • Results showed that high cumulative corticosteroid use (≥1,800 mg) increases the risk of ONFH, but factors such as lipid profiles and corticosteroid dosage did not influence the chances of needing total hip arthroplasty (THA) after ONFH diagnosis, indicating a complex relationship needing further investigation.
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Objectives: Tuberculosis is a highly contagious disease that has a significant impact on global health. Emerging evidence suggests that tuberculosis can lead to an altered immune response. We investigated the association between tuberculosis and the onset of inflammatory arthritides (IA).

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  • The study analyzes the risks of subsequent primary cancers (SPCs) in cancer survivors, using data from South Korea's health database from 2009 to 2019, focusing on different types of first primary cancers (FPC) considering age and sex.
  • Results showed that out of over 266,000 cancer survivors, there was a 26% lower overall risk of developing SPCs, with variations in risk among different types of FPCs and between men and women.
  • Younger cancer survivors had a higher risk of SPCs compared to older survivors, with specific cancer types like lung and breast cancers being the most common subsequent cancers observed.
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Several statistical methods have been proposed to detect adverse drug reactions induced by taking two drugs together. These suspected adverse drug reactions can be discovered through post-market drug safety surveillance, which mainly relies on spontaneous reporting system database. Most previous studies have applied statistical models to real world data, but it is not clear which method outperforms the others.

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  • - The study investigated how non-pharmaceutical interventions (NPIs) during the COVID-19 pandemic affected the incidence of autoimmune inflammatory rheumatic diseases (AIRDs) and healthcare costs in South Korea from January 2016 to February 2021.
  • - Results showed a significant decline in the monthly incidence rates of systemic lupus erythematosus (SLE) after NPI implementation, while other AIRDs remained stable; healthcare utilization decreased for most diseases.
  • - Overall, NPIs reduced SLE incidence and modified healthcare usage patterns and costs for most AIRDs, indicating a broader impact of pandemic-related measures on autoimmune diseases.
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  • * Ruxolitinib treatment led to a significant reduction in the overexpression of inflammatory genes, particularly those related to interferon, improving the patient's autoimmune symptoms.
  • * Despite these improvements, epigenetic analysis indicated persistent accessibility of the gene regions associated with inflammation, suggesting that ruxolitinib did not fully correct the underlying epigenetic abnormalities even after treatment.
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  • Tuberculosis (TB) has a high global impact and is linked to increased risk of systemic vasculitides (SV), a type of autoimmune condition.
  • A study using data from the South Korean National Claims database found that patients with TB had a significantly higher incidence of SV compared to controls, with specific risk levels being 1.72 times greater overall and 4.28 times greater for those with extrapulmonary TB.
  • These results underline the importance of monitoring TB patients for early signs of SV to ensure timely treatment and management.
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Purpose: Clinical implications of neoadjuvant immunotherapy in patients with locally advanced but resectable head and neck squamous cell carcinoma (HNSCC) remain largely unexplored.

Patients And Methods: Patients with resectable HNSCC were randomized to receive a single dose of preoperative durvalumab (D) with or without tremelimumab (T) before resection, followed by postoperative (chemo)radiotherapy based on multidisciplinary discretion and 1-year D treatment. Artificial intelligence (AI)-powered spatial distribution analysis of tumor-infiltrating lymphocytes and high-dimensional profiling of circulating immune cells tracked dynamic intratumoral and systemic immune responses.

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Purpose: The study was to determine the activity and safety of the TGF-β inhibitor vactosertib in combination with imatinib in patients with desmoid tumors.

Patients And Methods: In this investigator-initiated, open-label, multicenter, phase Ib/II trial, patients with desmoid tumors not amenable to locoregional therapies (surgery and/or radiotherapy) or with disease progression following at least one treatment were enrolled. Participants were administered 400 mg imatinib daily in combination with vactosertib (5 days on and 2 days off, twice a day) every 28 days.

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  • The study investigated the effectiveness of combining pazopanib (an anti-VEGF receptor tyrosine-kinase inhibitor) with durvalumab (an anti-PD-L1 inhibitor) for treating metastatic or recurrent soft tissue sarcoma (STS).
  • Results showed a 30.4% overall response rate, with a median progression-free survival of 7.7 months, indicating the treatment works reasonably well.
  • Additionally, higher CD20 B cell infiltration in tumors was linked to better treatment outcomes, making it a potential predictor for patient response to this combined therapy.
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Background: Postpartum depression (PPD) can negatively affect infant well-being and child development. Although the frequency and risk factors of PPD symptoms might vary depending on the country and culture, there is limited research on these risk factors among Korean women. This study aimed to elucidate the potential risk factors of PPD throughout pregnancy to help improve PPD screening and prevention in Korean women.

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Background: Transplant recipients are immunocompromised and vulnerable to developing tuberculosis. However, active tuberculosis incidence is rapidly declining in South Korea, but the trend of tuberculosis infection among transplant recipients has not been elucidated. This study aimed to evaluate the risk of active tuberculosis after transplantation, including risk factors for tuberculosis and standardized incidence ratios, compared with that in the general population.

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Epigenetic dysregulation, particularly alterations in DNA methylation and hydroxymethylation, plays a pivotal role in cancer initiation and progression. Ten-eleven translocation (TET) proteins catalyze the successive oxidation of 5-methylcytosine (5mC) to 5-hydroxymethylcytosine (5hmC) and further oxidized methylcytosines in DNA, thereby serving as central modulators of DNA methylation-demethylation dynamics. TET loss of function is causally related to neoplastic transformation across various cell types while its genetic or pharmacological activation exhibits anti-cancer effects, making TET proteins promising targets for epigenetic cancer therapy.

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  • A retrospective study examined the impact of repeated intravenous iodinated contrast media (ICM) exposure on long-term kidney function in patients who had surgery for early gastric cancer, using data from the Korean Health Insurance and Review Assessment database.
  • The study included patients diagnosed with gastric cancer between 2010 and 2013, excluding those with pre-existing chronic kidney disease or previous chemotherapy/surgeries.
  • Findings indicated that increasing exposure to ICM during CT scans slightly raised the likelihood of developing chronic kidney disease two years post-diagnosis, suggesting that ICM may impair renal function over time.
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  • Correctly identifying spatial disease clusters is crucial for public health, but the common practice of using a default maximum cluster size can lead to inaccurate results.
  • The study introduces two versions of the Spatial Cluster Information Criterion (SCIC) to optimize this maximum size specifically for the multinomial model, potentially improving cluster detection.
  • Testing showed that SCIC enhances the accuracy of true cluster identification, particularly in analyzing health survey data, allowing for better detection of relevant disease subtypes.
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Many countries have implemented non-pharmaceutical interventions (NPIs) to prevent the spread of COVID-19. However, the impacts of NPIs on the epidemiology and treatment of chronic rhinosinusitis (CRS) remain unclear. We analyzed 671,216 patients to investigate changes in the incidence rate and treatment frequency of CRS using Korean nationwide health insurance data between 2017 and 2021.

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