Publications by authors named "Kyung-Min Shin"

Objectives: Insomnia, characterized by difficulty initiating or maintaining sleep, affects a significant portion of the global population. Bedtime procrastination, which is a voluntary delay in going to bed, is a major contributing factor to the prevalence of sleep deprivation in modern societies. Hwanglyeonhaedok-tang (HJD decoction) has shown promise in improving the symptoms of insomnia.

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Objective: Dual-layer CT (DLCT) can create virtual monochromatic images (VMIs) at various monochromatic X-ray energies, particularly at low keV levels, with high contrast-to-noise ratio. The purpose of this study was to assess the clinical feasibility of contrast-enhanced chest DLCT with a low keV VMI for preoperative breast cancer staging, in comparison to breast MRI.

Materials And Methods: A total of 152 patients with 155 index breast cancers were enrolled in the study.

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Purpose: This study aimed to investigate the impact of FDG PET/CT timing for biopsy site selection in patients with stage IV lung cancer regarding complications and diagnostic yield.

Methods: This retrospective analysis was performed on 1297 patients (924 men and 373 women with a mean age of 71.4 ± 10.

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Background: The efficacy of bronchial artery embolization (BAE) for bronchial Dieulafoy's disease (BDD) has not been well established.

Objective: This study aimed to evaluate the safety and efficacy of BAE in patients with clinically suspected BDD presenting with major hemoptysis, and to describe angiographic findings.

Methods: 17 patients (all men; mean age, 53.

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Article Synopsis
  • Necroptosis, a type of regulated cell death linked to cancer progression, was studied to see how genetic variants in its regulators affect survival rates in non-small cell lung cancer (NSCLC) patients after surgery.
  • Among 674 patients analyzed, two specific genetic variants (RIPK1 rs17548629C > T and MLKL rs877375G > C) showed a connection with improved overall and disease-free survival, particularly in those with adenocarcinoma.
  • The study's findings suggest that these genetic variants could serve as useful biomarkers for predicting survival outcomes in NSCLC patients who have undergone surgical treatment.
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Background: Ultrasound (US)-guided percutaneous core needle biopsy (PCNB) has been used to diagnose subpleural lung lesions with high diagnostic performance and acceptable complication rates. However, with regard to the role of US-guided needle biopsy for the diagnosis of small (≤2 cm) subpleural lesions, limited information is available.

Methods: From April 2011 to October 2021, a total of 572 US-guided PCNBs in 572 patients were retrospectively reviewed.

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Article Synopsis
  • Primary thymic mucinous adenocarcinoma is a rare and aggressive tumor with a poor prognosis, often presenting as a solid or cystic mass with calcifications, making diagnosis challenging.
  • A case study revealed a large anterior mediastinal mass through CT and MRI, with specific imaging characteristics identified that aided in diagnosis.
  • It is suggested that thymic mucinous adenocarcinoma should be considered in differential diagnoses of anterior mediastinal tumors, and distinct imaging features like high T2 signal intensity can assist in accurate identification.
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Fibromyalgia (FM) is a chronic pain sensitivity syndrome characterized by diffuse musculoskeletal pain and many other systemic manifestations. Low-dose naltrexone (LDN) has been increasingly used as an off-label treatment option in FM. However, current evidence on the safety and efficacy of LDN in patients with FM is not well known.

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Article Synopsis
  • - The study aimed to distinguish between thymic epithelial tumors (TETs) with and without transcapsular invasion using specific CT features in 116 patients.
  • - Key CT features such as lobular shape, capsule integrity, and vascularity grade were found to significantly correlate with the presence of transcapsular invasion, with various statistical analyses confirming these associations.
  • - The interobserver agreement for evaluating these CT features was generally high, indicating that the identified characteristics can reliably assist in diagnosing TETs regarding transcapsular invasion.
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Objective: Chronic nonspecific low back pain (CNLBP) is a serious medical and social problem resulting in functional decline and decreased work ability. Tuina, a form of manual therapy, has been sparsely used to treat patients with CNLBP. To systematically assess the efficacy and safety of Tuina for patients with CNLBP.

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Pemetrexed is an anti-folate agent which is one of the most frequently used chemotherapy agents for non-squamous non-small cell lung cancer (NSCLC) patients. However, clinical response to pemetrexed chemotherapy and survival outcome of patients varies significantly. We evaluated whether the genetic variants in miRNA target sites may affect the treatment outcome of pemetrexed chemotherapy in lung adenocarcinoma patients.

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Article Synopsis
  • This study explored how genetic variations in specific areas related to histone modification affect the effectiveness of PEM chemotherapy in lung adenocarcinoma patients.
  • Researchers analyzed 279 single nucleotide polymorphisms (SNPs) in 314 patients and found that 18 SNPs influenced chemotherapy response, while 28 impacted overall survival.
  • Notably, the SNP rs549794A>G was linked to poorer chemotherapy response and worse survival outcomes, with implications highlighting the role of the RPS3 gene in chemotherapy resistance.
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Article Synopsis
  • This study examined how genetic variations in the LKB1/AMPK/mTOR pathway affect treatment outcomes for non-small cell lung cancer (NSCLC) patients receiving chemotherapy.
  • It involved 379 patients treated with first-line paclitaxel-cisplatin chemotherapy, focusing on 19 specific genetic variants.
  • Two variants, AKT1 rs2494750G>C and TSC1 rs2809244C>A, were found to predict better chemotherapy response and overall survival, particularly in patients with adenocarcinoma.
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Unilateral pulmonary vein atresia (PVA) is a rare congenital cardiovascular anomaly occurring after the common pulmonary vein fails to incorporate into the left atrium. It is most commonly diagnosed in childhood, and diagnosis after reaching adulthood is extremely rare. Dyspnea on exertion and hemoptysis are common clinical features in adult PVA patients, whereas lung parenchymal abnormalities are indirect signs of PVA, which can manifest as interstitial lung disease.

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Pain is the most frequently encountered symptom by patients with fibromyalgia (FM). Dietary supplements (DSs) in particular have a proven impact as a possible adjunctive therapy for symptom management in FM. However, there is currently no conclusive review outlining the evidence for DSs in pain management in FM.

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Objectives: To analyze whether CT image normalization can improve 3-year recurrence-free survival (RFS) prediction performance in patients with non-small cell lung cancer (NSCLC) relative to the use of unnormalized CT images.

Methods: A total of 106 patients with NSCLC were included in the training set. For each patient, 851 radiomic features were extracted from the normalized and the unnormalized CT images, respectively.

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Background: Chronic fatigue syndrome (CFS) is a complex and often disabling chronic condition emerging worldwide, with no curative or definitive therapy yet identified. Ginseng has been widely used to treat fatigue in other patient groups and conditions; however, a systematic review focusing solely on the impact of ginseng on fatigue in patients with CFS has not been performed.

Objective: This study aimed to assess the current state of evidence regarding ginseng for CFS.

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Article Synopsis
  • The study aimed to identify factors that predict outcomes in patients with community-acquired complicated parapneumonic effusion (CPPE) or empyema.
  • Significant differences were found in length of stay (LOS), with CPPE or empyema patients staying longer (average 13 days) than the control group (8 days), but mortality rates were similar across both groups.
  • Independent predictors of prolonged LOS in these patients included high Pneumonia Severity Index classes, increased attenuation of extrapleural fat on CT, and the presence of pleural microbubbles.
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This study analyzed the risk factors for heel pressure injury in cardiovascular intensive care unit patients with the aim of laying the groundwork for preventive nursing interventions. We conducted a retrospective case-control study of 92 patients who were admitted to the cardiovascular surgical or medical intensive care unit of a university hospital in South Korea between January and December 2017. Of these patients, 31 and 61 were included to the heel pressure injury group and the non-heel pressure injury group, respectively.

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Article Synopsis
  • - The study explored how genetic variations in specific histone modification regions relate to the outcomes of lung adenocarcinoma patients after surgery, focusing on overall and disease-free survival rates.
  • - Researchers identified and analyzed 279 significant single nucleotide polymorphisms (SNPs), discovering that the SNP CAPN1 rs17583C>T correlated with improved patient survival, while LINC00959 rs4751162A>G was linked to worse disease-free survival.
  • - Additional experiments showed that these SNPs affect gene expression levels, indicating their roles in cancer prognosis and supporting the idea that genetic factors in histone modification may influence lung adenocarcinoma outcomes post-surgery.
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Introduction: Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) have represented the prototype of targeted therapy in NSCLC. Patients with EGFR-mutant lung adenocarcinoma extract an extraordinary clinical benefit from EGFR-TKIs. However, the extent and duration of these responses are heterogeneous, suggesting the existence of genetic modifiers affecting an individual's response to TKIs.

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Purpose: To validate the use of synthetic magnetic resonance imaging (SyMRI) volumetry by comparing with child-optimized SPM 12 volumetry in 3 T pediatric neuroimaging.

Methods: In total, 106 children aged 4.7-18.

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Background: The world is currently struggling with the Coronavirus disease 2019 (COVID-19) pandemic. Dietary supplements (DSs) and herbal medicine provide a potentially convenient and accessible method for its recovery, but direct evidence is limited.

Objective: This study aims to investigate the effectiveness of DSs and herbs in patients with COVID-19.

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Image registration-based local displacement analysis enables evaluation of respiratory motion between two computed tomography-captured lung volumes. The objective of this study was to compare diaphragm movement among emphysema, idiopathic pulmonary fibrosis (IPF) and normal subjects. 29 normal, 50 emphysema, and 51 IPF subjects were included.

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The clinical relevance of concomitant deep vein thrombosis (DVT) in patients with pulmonary embolism remains controversial. The aim of the present study was to assess clinical characteristics of patients with isolated pulmonary embolism, thereby investigating isolated pulmonary embolism related clinical factors. Patients hospitalized for pulmonary embolism who underwent DVT workup within 3 days of pulmonary embolism diagnosis were retrospectively classified into two groups: patients with isolated pulmonary embolism and patients with DVT-associated pulmonary embolism (DVT-PE).

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