Publications by authors named "Mi-kyung Kim"

Background: Cadaveric dissection is an essential practice for medical students to understand human anatomy and internalize professional attitudes toward death, such as empathy and respect for the deceased. Previous studies have focused on emotional responses such as shock, anxiety, and fear at the start of dissection practice. However, limited research exists on students' reflective thinking and perceptions before practice.

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Background: Physicians' job satisfaction and their relationships with patients are critical factors in modern healthcare. Understanding medical students' perceptions of these aspects is crucial for enhancing the quality of healthcare. Hence, this study examined medical students' perspectives on improving physician job satisfaction and the essential patient-oriented attitudes required for developing into skilled physicians.

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Background: Mammographic breast density has been suggested to play a role as a mediator between the risk factors for breast cancer (BC) and BC risk. We investigated the extent to which never breastfeeding is a risk factor for BC and how this risk is further mediated by increased mammographic breast density.

Methods: This retrospective cohort study included 4 136 723 women aged ≥40 years who underwent mammographic screening between 2009 and 2010 and were followed up until 31 December 2020.

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Obesity requires treatment as it is associated with health problems such as type 2 diabetes, hypertension, dyslipidemia, cardiovascular diseases, and some cancers, which increase mortality rates. Achieving sufficient weight loss to reduce obesity-related diseases requires a variety of interventions, including comprehensive lifestyle modification of diet and exercise, change in behavior, anti-obesity medications, and surgery. To date, anti-obesity agents with various mechanisms of action have been developed, and mostly reduce energy intake, resulting in weight loss of about 5% to 10% compared to baseline.

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Bandgaps and defect-state energies are key electrical characteristics of semiconductor materials and devices, thereby necessitating nanoscale analysis with a heightened detection threshold. An example of such a device is an InGaN-based light-emitting diode (LED), which is used to create fine pixels in augmented-reality micro-LED glasses. This process requires an in-depth understanding of the spatial variations of the bandgap and its defect states in the implanted area, especially for small-sized pixelation requiring electroluminescence.

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Background: Pancreatic cancer (PC), a highly malignant cancer with a poor diagnosis, may be influenced by diet-related inflammation. This study examined the association between dietary inflammatory index (DII) scores and the incidence and prognosis of PC in Korea.

Methods: A total of 55 patients with PC were matched with 280 healthy controls (HCs) by age and sex.

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Background: Dietary factors are well-known modifiable risk factors for type 2 diabetes (T2D), but many studies overlook the interrelationships between these factors, even though foods are often consumed together and contain a variety of nutrients.

Objectives: In this study, we employed a diet-wide association study approach to investigate the links between various dietary factors and T2D onset, taking into account complex dietary patterns.

Methods: We analyzed 16,666 participants without T2D from three Korean population-based cohorts: the Multi-Rural Communities Cohort ( = 8302), the Atherosclerosis Risk of a Rural Area Korean General Population cohort ( = 4990), and the Kanghwa cohort ( = 3374).

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  • The K-ABC study investigates the health effects of atomic bomb exposure on Korean survivors and their descendants to see if these impacts are genetically inherited.
  • From 2020 to 2024, 2,544 participants were involved, including 1,109 atomic bomb survivors (G1), their children (G2), and grandchildren (G3), with 71.9% completing health assessments and surveys.
  • The study collected exposure data through questionnaires and official records, while disease prevalence was assessed based on self-reported physician diagnoses, laying the groundwork for future research results.
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 Capsular contracture of breast implants is a major complication in breast surgery. Clinically, covering a breast implant with acellular dermal matrix (ADM) or autologous tissue is considered to be the most effective technique to prevent capsular contracture. This study was designed to compare the protective effects of ADM and latissimus dorsi (LD) muscle flap placement on capsular contracture by increasing the rate of capsular contracture through controlled radiation exposure in a rabbit model.

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  • * It's a phase II trial involving 30 patients with early to locally advanced MMRd endometrial cancer who will receive nivolumab every 4 weeks for up to 6 months, followed by surgery.
  • * The main goals of the trial are to measure the clinical and pathological complete response rates, along with secondary outcomes like survival rates and potential side effects, while also analyzing tumor characteristics and immune responses.
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  • The oral microbiome plays a vital role in health, with dysbiosis potentially influencing the development of oral cancer, though their exact relationship is not fully understood.
  • A study involving 1,022 saliva samples found four bacterial genera linked to oral cancer; certain bacteria were more abundant in patients while others were less so, alongside significant changes in fatty acid oxidation enzymes and immune response markers.
  • The research indicates that these bacterial and enzymatic shifts could be predictive indicators for diagnosing oral cancer and may impact patient survival outcomes.
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: Distal bile duct cancer is an aggressive malignancy. Tumor-infiltrating immune cells (TIICs) in the tumor microenvironment are crucial for predicting prognosis in various cancers. In this study, we analyzed TIICs based on CD11b, CD163, and CD8 expression, and evaluated their association with clinicopathologic factors and prognosis in distal bile duct cancer.

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Objectives: Dietary soy, known for its high phytoestrogen content, has been suggested to exhibit a sex-specific association with type 2 diabetes. However, evidence regarding the sex-specific associations of different legume subtypes with type 2 diabetes remains scarce. We aimed to evaluate whether habitual consumption of soy and non-soy legumes (beans and peanuts) was prospectively and sex-specifically associated with the risk of type 2 diabetes incidence, taking into considering significant sex-specific genetic factors beyond legume consumption.

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Purpose: This study aimed to investigate the association between total consumption of fruits (F), vegetables (V), and legumes (L) and their subgroups and hypertension risk in adults aged ≥ 40 years in the Cardiovascular Disease Association Study (CAVAS).

Methods: We analyzed data from 10,325 normotensive participants using cumulative average dietary consumption from repeated food frequency questionnaires during the follow-up. Incidence rate ratios (IRRs) were estimated with a modified Poisson regression model and a robust error estimator to evaluate the association between hypertension risk and total consumption of fruits, vegetables, and legumes, as well as their 17 subgroups.

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Background: The increasing complexity of the healthcare environment and the necessity of multidisciplinary teamwork have highlighted the importance of interprofessional education (IPE). IPE aims to enhance the quality of patient care through collaborative education involving various healthcare professionals, such as doctors, nurses, and pharmacists. This study sought to analyze how game-based IPE activities influence students' perceptions and reflective thinking.

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Background: Although two recent phase III randomized controlled trials showed survival benefits of undergoing secondary cytoreductive surgery for an initial relapse of ovarian cancer, patients who received a poly-ADP ribose polymerase inhibitor (PARPi) as the first-line maintenance treatment, which is currently the standard treatment for advanced ovarian cancer, were not included in those trials. Therefore, determining an optimal treatment strategy, including secondary cytoreductive surgery, in patients whose cancer progresses even with PARPi treatment, is needed.

Primary Objective: To determine whether secondary cytoreductive surgery is beneficial in patients who have progressed on PARPi maintenance treatment.

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  • - This study explored how preoperative factors, especially muscle fat infiltration (measured as the skeletal muscle fat index), affect the outcomes of bariatric surgery in patients with morbid obesity.
  • - In a group of 125 patients who underwent surgery, they found that those who lost at least 50% of excessive weight after one year had lower muscle fat infiltration and lower triglyceride and glycated hemoglobin levels before surgery.
  • - The findings suggest that assessing myosteatosis could be important in predicting who will respond well to bariatric surgery, with lower baseline muscle fat being linked to better outcomes.
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Objectives: This study aimed to examine the association between the food-based index of dietary inflammatory potential (FBDI) and the risk of mild cognitive impairment (MCI) in Korean older adults.

Methods: The subjects were 798 Korean adults aged 60 years and older. The FBDI was calculated based on the intake of 7 anti-inflammatory and 3 inflammatory food groups.

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Cancer cells use multiple mechanisms to evade the effects of glutamine metabolism inhibitors. The pathways that govern responses to alterations in glutamine availability within the tumor may represent therapeutic targets for combinatorial strategies with these inhibitors. Here, we showed that targeting glutamine utilization stimulated Yes-associated protein (YAP) signaling in cancer cells by reducing cyclic adenosine monophosphate/protein kinase A (PKA)-dependent phosphorylation of large tumor suppressor (LATS).

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Introduction: Post-mastectomy radiotherapy plays a crucial role in breast cancer treatment but can lead to an inflammatory response causing soft tissue damage, particularly radiation-induced capsular contracture (RICC), impacting breast reconstruction outcomes. Adipose-derived stem cells (ADSCs), known for their regenerative potential via paracrine capacity, exhibit inherent radiotolerance. The influence of tumor necrosis factor-alpha (TNF-α) on ADSCs has been reported to enhance the paracrine effect of ADSCs, promoting wound healing by modulating inflammatory responses.

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  • - The study assessed how well disease data from the Korean Atomic Bomb Survivor Cohort (K-ABC) survey matched with medical records from the NHIS and KCCR databases, focusing on 1,215 participants' lifetime health conditions from 2020 to 2022.
  • - Key indicators like sensitivity, specificity, and accuracy were analyzed for eleven diseases, with hypertension and cataracts being the most prevalent; many diseases showed strong agreement between survey and records, particularly in older adults.
  • - Results indicated high reliability in self-reported health data for major conditions like hypertension and cancer, implying that the survey method for collecting morbidity information is valid across different age groups.
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Objective: To evaluate the physiological and psychological changes in cancer survivors who engage in repeated forest therapy in a living environment.

Methods: This study included stay-based forest therapy for female cancer survivors aged ≥40 years. The program was conducted in two cycles, each spanning 3 weeks and consisting of a 2-night, 3-day stay, followed by daily life integration.

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Objectives: Only a few studies have investigated dietary patterns and intrinsic capacity (IC). This study examined the prospective associations between dietary patterns, IC, and IC sub-domains over 6 years in community-dwelling Korean older adults.

Design: A prospective cohort study.

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Objectives: This study constructed a comprehensive database of dietary antioxidants and total antioxidant capacity (TAC) to facilitate the estimation of daily antioxidant intake using a food frequency questionnaire (FFQ). This database was applied to 3 general population-based cohorts (n=195,961) within the Korean Genome and Epidemiology Study (KoGES).

Methods: To establish a database of 412 foods derived from recipes of a 106-item FFQ, we followed a pre-established standardized protocol.

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