Publications by authors named "Jung-Chul Kim"

Article Synopsis
  • This longitudinal study analyzed how serum Brain-Derived Neurotrophic Factor (sBDNF) levels and childhood adversities affect the development of Post-Traumatic Stress Disorder (PTSD) in individuals with physical injuries over two years.
  • Researchers assessed patients at a trauma center for sBDNF levels and childhood adversities using the ACE questionnaire and diagnosed PTSD at multiple intervals employing the Clinician-Administered PTSD Scale.
  • Results showed that lower sBDNF levels increased the risk of earlier-onset PTSD among those who experienced childhood adversities, highlighting the importance of both biological and environmental factors in PTSD development.
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  • * Out of 538 participants, 58 (10.8%) developed PTSD, with rates decreasing over time from 8.4% at 3 months to 2.5% at 24 months.
  • * Results showed that lower SDNN was linked to PTSD in patients who did not undergo surgery, suggesting that PTSD prevention strategies should take both SDNN levels and surgical status into account.
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Background: This study investigated the longitudinal associations between serum BDNF (sBDNF) levels measured early after injury and the onset of post-traumatic stress disorder (PTSD) across two years.

Methods: Patients with moderate to severe physical injuries were enrolled from a trauma center. At baseline, sBDNF levels were measured and a comprehensive socio-demographic and clinical data were collected.

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Article Synopsis
  • The Clinician-Administered PTSD Scale (CAPS-5) is a reliable tool for diagnosing PTSD and was used in this study to assess its predictive value for PTSD development in patients with moderate to severe physical injuries over a 2-year period.
  • 1,142 patients were evaluated for acute stress disorder at baseline, and follow-up assessments were conducted at multiple intervals using CAPS-5 to track PTSD development.
  • Results indicated that while baseline CAPS-5 diagnoses showed limited predictive ability, scores of 15 or higher effectively predicted later PTSD, with scores of 16 or higher further increasing accuracy, especially in patients with intentional injuries or prior trauma.
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  • The study investigated how serum cortisol levels and personality traits impact the risk of developing PTSD over two years in individuals with physical injuries.
  • It involved tracking 923 patients from a trauma center, measuring their cortisol levels and personality traits, while diagnosing PTSD at multiple intervals, showing that overall PTSD rates decreased over time.
  • A significant finding revealed that lower cortisol levels combined with higher Neuroticism increased PTSD risk, especially in the early months, highlighting the complex relationship between biological factors and personality in PTSD development.
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  • This study investigated how serum BDNF (sBDNF) levels and alcohol consumption status affect the risk of developing PTSD after a physical injury over a two-year period.
  • It involved 923 trauma center participants, with 12.1% developing PTSD, revealing that lower sBDNF levels were linked to PTSD in alcohol consumers, but not in non-drinkers.
  • The findings suggest a crucial interaction between sBDNF and alcohol consumption in predicting PTSD, emphasizing the importance of considering these factors in prevention strategies, although the study’s focus on a single trauma center may affect overall applicability.
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Background: We aimed to investigate the distinct immunological characteristics of the tumor immune microenvironment in epithelial ovarian cancer (EOC) according to mutations status and differential PD-1 expression levels.

Methods: Tumor-infiltrating lymphocytes (TILs) were collected from patients with newly diagnosed advanced-stage EOC (YUHS cohort, n=117). This YUHS cohort was compared with The Cancer Genome Atlas (TCGA) data for ovarian serous cystadenocarcinoma (n=482), in terms of survival outcomes and immune-related gene profiles according to status.

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Article Synopsis
  • - The study explored factors that predict early-onset (within 6 months) and delayed-onset (after 6 months) PTSD in patients following physical injuries over two years.
  • - Data was collected from 1142 patients in South Korea, assessing various personal, trauma-related, and psychological factors, with diagnoses made using the Clinician-administered PTSD Scale at multiple follow-up points.
  • - Results showed that early-onset PTSD was more likely in individuals with previous psychiatric issues and higher anxiety, while delayed-onset PTSD was associated with greater injury severity and life stressors, highlighting the need for tailored interventions.
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This study reviews the progress and recent advances in vaginal natural orifice transluminal endoscopic surgery (vNOTES) as a minimally invasive gynecologic procedure. The proposed advantages of vaginal natural orifice transluminal surgery include enhanced cosmesis due to a scarless procedure, better exposure compared with the pure vaginal approach, tolerable pain scores, fewer perioperative complications, and a shorter hospital stay. Recent advances in surgical instrumentation and technology have improved the feasibility of vNOTES as an innovative treatment option for gynecological conditions.

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  • PARP inhibitors (PARPis) are becoming the standard treatment for ovarian cancer, and research is focusing on their combination with anti-angiogenic agents and anti-PD-1 therapies in ongoing clinical trials.* -
  • A study analyzed the immune responses of T cells in ovarian cancer patients receiving either PARPi therapy or a newer triple therapy including PARPi, revealing that PARPi reduces regulatory T cells (Tregs) while anti-PD-1 therapy significantly decreases PD-1 expression on Tregs.* -
  • Results indicate that patients with a higher percentage of PD-1 expressing Tregs had worse progression-free survival (PFS) with PARPi alone, but the triple therapy improved PFS, highlighting the combination's effectiveness in managing
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Introduction: This study investigated the potential modifying effects of the serum brain-derived neurotrophic factor (sBDNF) level on the association between methylation status and long-term cardiovascular outcomes in acute coronary syndrome (ACS) patients.

Methods: From 2006 to 2012, hospitalized ACS patients were consecutively recruited. The sBDNF level and methylation status were assessed at baseline in 969 patients who were followed up for major adverse cardiac events (MACEs) over 5-12 years, until 2017 or death.

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This study investigated the potential modifying effects of the level of the serum interleukin-18 (IL-18) on the association between methylation status and long-term cardiovascular outcomes in patients with acute coronary syndrome (ACS). Hospitalized ACS patients were recruited sequentially from 2006 to 2012. At baseline, the IL-18 level and methylation status were evaluated in 969 patients who were followed for major adverse cardiac events (MACEs) for 5-12 years, until 2017 or death.

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Background: The spleen is a commonly injured intra-abdominal organ from blunt trauma. In cases of traumatic blunt spleen injury, immediate treatment is often required. This study aimed to investigate the prognostic impact of the establishment of a trauma center on the treatment of patients with blunt trauma injury to the spleen.

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This study investigated associations of anxiety at the acute phase with long-term outcomes of acute coronary syndrome (ACS) and stroke, and potential modifying effects of cardiovascular/cerebrovascular severity at onset. In 1152 ACS and 423 stroke patients with recent onset, long-term follow-up for cardio-cerebro-vascular outcomes was conducted. Acute-phase anxiety predicted long-term outcomes, but these associations were significant only in patients with great initial disease severities with significant interaction terms in both diseases after adjustment for relevant covariates.

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Background: In trauma patients, bleeding is an immediate major concern. At the same time, there are few cases of acute vascular occlusion after blunt trauma, and it is unclear what assessment and diagnosis should be considered for these cases. Herein, we describe a patient diagnosed with antiphospholipid syndrome after a hypercoagulable workup for acute renal and splenic vascular occlusion due to blunt trauma.

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Background: Multiple studies have investigated the association between hyperoxaemia following cardiac arrest (CA) and unfavourable outcomes; however, they have yielded inconsistent results. Most previous studies quantified oxygen exposure without considering its timing or duration. We investigated the relationship between unfavourable outcomes and supranormal arterial oxygen tension (PaO ), commonly defined as PaO  > 100 mmHg, at specific time intervals within 24 h following CA.

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Psychosocial stress stimulates the secretion of glucocorticoids (GCs), which are stress-related neurohormones. GCs are secreted from hair follicles and promote hair follicle regression by inducing cellular apoptosis. Moreover, the androgen receptor (AR) is abundant in the balding scalp, and androgens suppress hair growth by binding to AR in androgenetic alopecia.

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