Publications by authors named "Jong Man Kim"

Covalent organic nanotubes offer enhanced stability, robustness, and functionality, compared to their noncovalent counterparts. This study explores constructing polydiacetylene (PDA) nanotubes using a two-step process: self-assembly via noncovalent interactions followed by UV-induced polymerization of a diacetylene template. A promising building block consisting of a hydrogen-bonding headgroup, barbituric acid, linked to a linear diacetylene chain was prepared.

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Decompensated cirrhotic patients experience severely increased intestinal permeability and bacterial translocation. Thus, autologous blood salvaged during deceased donor liver transplantation (DDLT) may be contaminated with enteric bacteria. We aimed to evaluate bacterial contamination of autologous blood salvaged during DDLT and its association with post-transplant bacteremia.

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Article Synopsis
  • The study evaluated whether micro-flow imaging (MFI) is as effective as contrast-enhanced ultrasonography (CEUS) for identifying segmental congestion in patients who had living donor liver transplants.
  • Data from 63 patients who underwent the procedure were analyzed, focusing on imaging results and laboratory values to assess congestion, with postoperative CT scans serving as the reference standard.
  • Results indicated that MFI had comparable sensitivity (73.9%) and specificity (67.5%) to CEUS (sensitivity 78.3%, specificity 75.0%), suggesting that MFI could be a suitable alternative for detecting postoperative complications.
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Backgrounds/aims: While large-for-size syndrome is uncommon in liver transplantation (LT), it can result in fatal outcome. To prevent such fatality, we manufactured 3D-printed intra-abdominal cavity replicas to provide intuitive understanding of the sizes of the graft and the patient's abdomen in patients with small body size between July 2020 and February 2022.

Methods: Clinical outcomes were compared between patients using our 3D model during LT, and patients who underwent LT without 3D model by using 1 : 5 ratio propensity score-matched analysis.

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Background: Living-donor liver transplantation has been widely performed as an alternative to the scarce liver grafts from deceased donors. More studies are reporting favorable outcomes of left liver graft (LLG). This study compared the clinical outcomes between living-donor liver transplantation using LLG and right liver graft (RLG) with similar graft-to-recipient body weight ratios.

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Objectives: Sepsis is a leading global cause of mortality, and predicting its outcomes is vital for improving patient care. This study explored the capabilities of ChatGPT, a state-of-the-art natural language processing model, in predicting in-hospital mortality for sepsis patients.

Methods: This study utilized data from the Korean Sepsis Alliance (KSA) database, collected between 2019 and 2021, focusing on adult intensive care unit (ICU) patients and aiming to determine whether ChatGPT could predict all-cause mortality after ICU admission at 7 and 30 days.

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Purpose: The purpose of this study is to build a prediction model for estimating graft weight about different graft volumetry methods combined with other variables.

Methods: Donors who underwent living-donor right hepatectomy from March 2021 to March 2023 were included. Estimated graft volume measured by conventional method and 3-dimensional (3D) software were collected as well as the actual graft weight.

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The construction of functional materials via the co-assembly of multimolecular systems has recently emerged as a fascinating topic. The co-assembled multicomponent could promote the evolution of supramolecular assemblies into a high-order nanoarchitecture with improved functional properties. We report the successful preparation of a dual-functional polydiacetylene () having thermochromic and solvatochromic properties via facile co-assembly of and cyanuric acid () followed by ultraviolet-induced polymerization.

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Monitoring mechanical stresses in microchannels is challenging. Herein, we report the development of a mechanofluorescence sensor system featuring a fluorogenic single polydiacetylene (PDA) particle, fabricated using a co-flow microfluidic method. We construct a stenotic vessel-mimicking capillary channel, in which the hydrodynamically captured PDA particle is subjected to controlled fluid flows.

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Objectives: We assessed the value of the diffusion-weighted image (DWI) for predicting intrahepatic biliary complications (IHBC) after ABO-incompatible liver transplantation (ABOi-LT), potentially leading to refractory cholangitis.

Materials And Methods: In this retrospective study at a single center, 56 patients who underwent ABOi-LT from March 2021 to January 2023 were analyzed. All received magnetic resonance cholangiopancreatography (MRCP) and DWI during the postoperative hospitalization.

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Study Objective: To determine if single-injection bilateral posterior quadratus lumborum block (QLB) with ropivacaine would improve postoperative analgesia in the first 24 h after laparoscopic hepatectomy, compared with 0.9% saline.

Design: Prospective, double blinded, randomized controlled trial.

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Article Synopsis
  • The study assessed how preoperative MRI characteristics influence the outcomes of patients with large single hepatocellular carcinoma (HCC) undergoing surgery.
  • It analyzed data from 151 patients, focusing on tumor size, margins, and the degree of hypovascularity during MRI, finding that factors like larger tumor size and greater hypovascularity were linked to worse survival rates.
  • The results highlighted the need for careful management in patients with specific MRI findings, indicating that these features could help tailor treatment strategies post-surgery.
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Introduction: This study examined associations between the graft-to-recipient weight ratio (GRWR) for adult-to-adult living donor liver transplantation (LDLT) and hepatocellular carcinoma (HCC) outcomes.

Materials And Methods: Data from patients in the Korean Organ Transplantation Registry who underwent LDLT for HCC from 2014 to 2021 were retrospectively reviewed. Patients were categorized using the cutoff GRWR for HCC recurrence determined by an adjusted cubic spline (GRWR <0.

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Background: This study aimed to develop an automated segmentation system for biliary structures using a deep learning model, based on data from magnetic resonance cholangiopancreatography (MRCP).

Materials And Methods: Living liver donors who underwent MRCP using the gradient and spin echo technique followed by three-dimensional modeling were eligible for this study. A three-dimensional residual U-Net model was implemented for the deep learning process.

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The design of functional supramolecular assemblies from individual molecular building blocks is a fundamental challenge in chemistry and material science. We report on the fabrication of "honeycomb" films by light-induced coassembly of diacetylene derivatives and carbon dots. Specifically, modulating noncovalent interactions between the carbon dots, macrocyclic diacetylene, and anthraquinone diacetylene facilitates formation of thin films exhibiting a long-range, uniform pore structure.

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Purpose: Hepatocellular carcinoma (HCC) is a significant health concern, and the complexity of liver anatomy poses challenges in conveying radiologic findings and surgical plans to patients. This study aimed to evaluate the impact of a virtual reality (VR) education program on anxiety and knowledge in HCC patients undergoing hepatic resection.

Method: From 1 January 2022 to 28 February 2023, 88 patients were enrolled in a randomized controlled trial, divided into the VR group ( n =44) and the control group ( n =44).

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Functional supramolecular materials exhibit important features including structural versatility and versatile applications. Here, this study reports the construction of unique hierarchically organized nanotoroids exhibiting fluorescence, photocatalytic, and sensing properties. The nanotoroids comprise of macrocyclic diacetylenes (MCDA) and 8-anilino-1-naphthalene sulfonate (ANS), a negatively charged aromatic fluorescent dye.

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Background: Maintaining correct posture and optimal spine function has become an important issue due to the increased use of computers and smartphones.

Objective: To investigate the effect of a 4-week downhill treadmill exercise (DTWE) program on participants with thoracic kyphosis and forward head posture (FHP).

Methods: Twenty-eight male participants were randomly assigned to the DTWE (n= 14) or standard treadmill walking exercise (STWE) (n= 14) group.

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Purpose: To investigate the imaging features indicating portal vein invasion (PVI) of hepatocellular carcinoma (HCC) on gadoxetic acid-enhanced MRI and to create more accurate diagnostic criteria than the presence of portal vein tumor thrombosis (PVTT) on MRI.

Methods: This retrospective study included patients with surgically resected HCC larger than 5 cm, and the presence of PVI was investigated. On MRI, we evaluated the image findings of portal vein occlusion, the parenchymal signal change caused by hemodynamic alterations of the portal vein, and their combination showing the highest odds ratio (OR) to define the diagnostic criteria for radiological PVI detection (rPVI criteria).

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Article Synopsis
  • The study investigates the use of upper thigh skeletal muscle index (UT-SMI) as a method to diagnose sarcopenia in liver transplant (LT) patients, focusing on identifying optimal cut-off values for different genders.
  • A retrospective analysis of 332 LT patients revealed that 33.4% had sarcopenia, with specific cut-off values of 38.3 cm/m for females and 46.7 cm/m for males, demonstrating a strong correlation with patient and graft survival rates.
  • The findings suggest that UT-SMI is a reliable independent prognostic factor for survival outcomes in LT recipients and could be advantageous in clinical assessments of sarcopenia.
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Article Synopsis
  • Recent advancements in deep learning have improved medical image analysis, but there's a need for more practical tools specifically for surgeons during surgical planning.
  • This study introduces a deep learning model that automatically segments critical liver structures in MRI scans, aiding surgeons in understanding anatomy for better preoperative planning.
  • The model demonstrated high accuracy in segmenting the liver and associated structures, suggesting it can enhance surgical outcomes and patient safety.
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Objective: To compare graft survival after living donor liver transplantation (LDLT) in patients receiving graft-to-recipient weight ratio (GRWR) <0.8 versus GRWR≥0.8 grafts and identify risk factors for graft loss using GRWR<0.

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Small-for-size syndrome (SFSS) following living donor liver transplantation is a complication that can lead to devastating outcomes such as prolonged poor graft function and possibly graft loss. Because of the concern about the syndrome, some transplants of mismatched grafts may not be performed. Portal hyperperfusion of a small graft and hyperdynamic splanchnic circulation are recognized as main pathogenic factors for the syndrome.

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