Publications by authors named "Joo E"

Immunization rates of maternal influenza vaccination during pregnancy remain suboptimal, with concerns about potential harm to the mothers and their offspring. We conducted a population-based cohort study, using mother-child linked database in Korea: (a) maternal cohort between December 2019, and March 2022; (b) neonatal cohort between September 2020, and June 2021. Exposure was defined as influenza vaccination during pregnancy.

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Multivalued logic (MVL) systems, in which data are processed with more than two logic values, are considered a viable solution for achieving superior processing efficiency with higher data density and less complicated system complexity without further scaling challenges. Such MVL systems have been conceptually realized by using negative transconductance (NTC) devices whose channels consist of van der Waals (vdW) heterojunctions of low-dimensional semiconductors; however, their circuit operations have not been quite ideal for driving multiple stages in real circuit applications due to reasons such as a reduced output swing and poorly defined logic states. Herein, we demonstrate ternary inverter circuits with near rail-to-rail swing and three distinct logic states by employing vdW p-n heterojunctions of single-walled carbon nanotubes (SWCNT) and MoS where the SWCNT layer completely covers the MoS layer.

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Self-report questionnaires play a crucial role in healthcare for assessing disease risks, yet their extensive length can be burdensome for respondents, potentially compromising data quality. To address this, machine learning-based shortened questionnaires have been developed. While these questionnaires possess high levels of accuracy, their practical use in clinical settings is hindered by a lack of transparency and the need for specialized machine learning expertise.

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Background: Conventional metrics such as the apnea-hypopnea index (AHI) may not fully capture the diverse clinical manifestations of obstructive sleep apnea (OSA). This study aims to establish a novel OSA subtype classification based on the patterns of apneic and hypopneic hypoxic burden (HB), a potential biomarker that more accurately reflects the severity and duration of respiratory events. We further examined the associations of these HB-based subtypes with cardiometabolic risk and brain health outcomes.

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Purpose: This study evaluates the long-term efficacy of hippocampal deep brain stimulation (Hip-DBS) in patients with drug-resistant epilepsy (DRE), specifically focusing on bilateral temporal lobe epilepsy (BTLE) and posterior epilepsy (PE).

Methods: A retrospective analysis was conducted on 15 DRE patients (11 BTLE, 4 PE) who underwent bilateral Hip-DBS at Samsung Medical Center over an eight-year period. Medical records, seizure diaries, and neuropsychological assessments were reviewed.

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  • * Sixteen participants were treated with imeglimin over three months, but results showed no significant changes in their metabolic rates or body composition.
  • * However, levels of growth differentiation factor 15 (GDF15) increased, suggesting it may serve as a potential marker for imeglimin's effectiveness in treating type 2 diabetes.
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  • Oncogene amplification on extrachromosomal DNA (ecDNA) is linked to treatment resistance and poorer survival in cancer patients, particularly those with glioblastoma, contributing to genetic diversity in tumors.* ! -
  • The study used a new computational model called 'SPECIES' to analyze tumor samples from 94 glioblastoma patients, providing insights into how ecDNA evolves in time and space within tumors.* ! -
  • Findings reveal significant patterns in ecDNA copy number variation, indicating strong positive selection on certain oncogenes and suggesting that ecDNA accumulation occurs before major cell growth phases.* !
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Introduction: Recent studies have investigated the autonomic modulation method using closed-loop vibration stimulation (CLVS) as a novel strategy for enhancing sleep quality. This study aimed to explore the effects of CLVS on sleep quality, autonomic regulation, and brain activity in individuals with poor sleep quality.

Methods: Twenty-seven participants with poor sleep quality (Pittsburgh sleep quality index >5) underwent two experimental sessions using polysomnography and a questionnaire, one with CLVS (STIM) and the other without (SHAM).

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In patients with major depressive disorder, various functional areas are impaired, negatively impacting the quality of life. Remission can restore pre-depression functions; however, some patients may still have residual impairments. Distinguishing between near-normal recovery and residual impairment helps identify those at a high risk of relapse risk and helps tailor treatment.

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  • - This study explored what influences people’s perceptions of their sleep issues and the necessity for treatment, using data from a sleep clinic over four years.
  • - It found that insomnia symptoms, especially difficulties maintaining sleep, significantly impacted both how concerned patients were about their sleep and their desire for treatment, with younger individuals and those experiencing daily dysfunction being more ready to seek help.
  • - The study concluded that while personal experiences of sleep problems are crucial in managing sleep issues, actual sleep study results (polysomnography) didn’t correlate well with patients’ concerns or treatment needs, emphasizing the importance of addressing subjective sleep complaints.
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  • A study was conducted to evaluate the safety of COVID-19 treatments nirmatrelvir/ritonavir (NMVr) and molnupiravir (MOL) by comparing acute complications in treated versus untreated patients.
  • Data from nationwide databases were used to analyze results from over 700,000 NMVr users and over 150,000 MOL users, focusing on specific cardiac and neurological events.
  • The findings revealed that both NMVr and MOL users had a lower risk of certain serious side effects like atrial fibrillation and dysgeusia, suggesting these treatments may be effective in reducing acute complications linked to COVID-19.
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  • This study investigated how obstructive sleep apnea (OSA) impacts brain activity using EEG and machine learning techniques to analyze the data.
  • Participants were divided into two groups based on their apnea-hypopnea index (AHI), and various EEG analysis methods were employed to extract significant features.
  • The results showed that seven specific EEG features could effectively distinguish between groups, achieving high accuracy, sensitivity, and specificity, indicating the potential of EEG as a biomarker for functional changes in OSA.
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  • A systematic review and meta-analysis was conducted to assess the impact of low-carbohydrate diets on glycemic control in East Asian adults with type 2 diabetes, as previous studies mainly focused on Western populations.
  • The analysis included six randomized controlled trials that evaluated outcomes such as glycated hemoglobin levels, body mass index, and other health metrics over periods of 3 to 18 months.
  • Results indicated that low-carbohydrate diets significantly reduced glycated hemoglobin levels and body mass index compared to control diets, suggesting that these dietary changes could be effective in managing glycemic control for at least 6 months in East Asians.
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  • A study focused on identifying genetic variants linked to schizophrenia specifically in the Korean population, as previous large-scale studies mainly involved individuals of European ancestry.
  • Researchers recruited 1,670 schizophrenia patients and 2,271 healthy controls, testing over 6.6 million SNPs, and discovered a significant new variant (rs2423464) associated with the condition.
  • The polygenic risk scores (PRS) derived from a combination of East Asian and European GWASs were more effective in explaining the genetic variance in schizophrenia among Koreans than those from single-ancestry studies.
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Background And Purpose: The Karolinska Sleepiness Scale (KSS) is widely used for assessing current level of sleepiness, but it has not been validated in South Korea. This study aimed to validate the KSS using the Stanford Sleepiness Scale (SSS), polysomnography (PSG), and electroencephalography (EEG).

Methods: The sample consisted of 27 adult participants in this study aged 40.

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  • Genomic alterations in tumors significantly influence cancer progression and treatment response, with whole-genome sequencing (WGS) emerging as a viable alternative to traditional targeted panel sequencing (TPS) due to advancements in cost and technology.
  • A study involving 120 cancer patients evaluated the clinical utility of WGS and found that 79% received genomic reports quickly, with 72% of these reports offering clinically relevant information.
  • The insights gained from WGS helped in selecting tailored treatments and clinical trials based on identifying specific mutations, potentially enhancing precision oncology and suggesting routine integration of WGS in cancer management.
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Here we present the UCI Fluxtron, a cost-effective multi-enclosure dynamic gas exchange system that provides an adequate level of control of the experimental conditions for investigating biosphere-atmosphere exchange of trace gases. We focus on the hardware and software used to monitor, control, and record the air flows, temperatures, and valve switching, and on the software that processes the collected data to calculate the exchange flux of trace gases. We provide the detailed list of commercial materials used and also the software code developed for the Fluxtron, so that similar dynamic enclosure systems can be quickly adopted by interested researchers.

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Aims/introduction: Efficacy of long-term low-carbohydrate diets (LCD) to improve glycemic management for type 2 diabetes remains controversial. Thus, we investigated the association between long-term LCD and glycemic control in individuals with type 2 diabetes.

Materials And Methods: We searched PubMed, Embase and the Cochrane Database for articles published up to June 2023, and included randomized controlled trials conducted on LCD interventions for >12 months in adults with type 2 diabetes.

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Congenital hypothyroidism (CHT) is a diverse condition with various genetic etiologies. This study aimed to investigate the utility of next-generation sequencing (NGS) analysis in guiding treatment decisions and predicting prognosis for CHT patients with gland in situ (GIS). A retrospective analysis was conducted on 33 CHT patients with GIS who underwent NGS analysis at a single institution between 2018 and 2023.

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Background: The risks of invasive prenatal tests are reported in previous studies such as miscarriage, fetal anomalies, and bleeding. However, few compare short-term and long-term outcomes between invasive tests. This study aims to investigate obstetric, perinatal, and children's neurodevelopmental outcomes following chorionic villus sampling (CVS) or amniocentesis in singleton pregnancy.

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Introduction: Incretin-based drugs are extensively utilized in the treatment of type 2 diabetes (T2D), with remarkable clinical efficacy. These drugs were developed based on findings that the incretin effect is reduced in T2D. The incretin effect in East Asians, whose pancreatic β-cell function is more vulnerable than that in Caucasians, however, has not been fully examined.

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Background: Shift work disrupts circadian rhythms and alters sleep patterns, resulting in various health problems. To quantitatively assess the impact of shift work on brain health, we evaluated the brain age index (BAI) derived from sleep electroencephalography (EEG) results in night-shift workers and compared it with that in daytime workers.

Methods: We studied 45 female night shift nurses (mean age: 28.

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Screening and treating healthcare workers (HCWs) for latent tuberculosis infection (LTBI) are essential for tuberculosis (TB) infection control. Adverse drug reactions (ADRs) to anti-TB drugs present challenges to patient safety and treatment completion. This study investigated the association between human leukocyte antigen (HLA) alleles and the risk of ADRs, especially drug hypersensitivity (DHS) and hepatotoxicity, in HCWs with LTBI receiving isoniazid (INH) and rifampin (RIF) therapy.

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Hormone receptor-positive and HER2-negative breast cancer (HR+/HER2-BC) is the most common type with a favorable prognosis under endocrine therapy. However, it still demonstrates unpredictable progression and recurrences influenced by high tumoral diversity and microenvironmental status. To address these heterogeneous molecular characteristics of HR+/HER2-BC, we aimed to simultaneously characterize its transcriptomic landscape and genetic architecture at the same resolution.

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Background: Multiple genes might interact to determine the age at onset of bipolar disorder. We investigated gene-gene interactions related to age at onset of bipolar disorder in the Korean population, using genome-wide association study (GWAS) data.

Methods: The study population consisted of 303 patients with bipolar disorder.

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