486 results match your criteria: "Catholic University College[Affiliation]"

Risk of extrahepatic malignancies in patients with autoimmune hepatitis: a nationwide cohort study.

Am J Gastroenterol

December 2024

Department of Gastroenterology, Liver Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Introduction: Nationwide, population-based data on the risk of extrahepatic malignancy in patients with autoimmune hepatitis (AIH) in Asian countries are scarce. This study aimed to examine the risk of developing extrahepatic malignancies in a nationwide cohort of patients with AIH.

Methods: Using claims data from the Korean National Health Insurance Service database, patients diagnosed with AIH between 2007 and 2019 (n=7,382) were matched in a 1:8 ratio with an age- and sex-matched control population (n=58,320).

View Article and Find Full Text PDF
Article Synopsis
  • - The study explored the relationship between steatotic liver disease (SLD) and various comorbidities, analyzing how the duration of these conditions affects SLD occurrence and mortality using data from the Korea National Health and Nutrition Examination Survey.
  • - Findings indicated that shorter durations of diabetes mellitus (DM) and dyslipidemia, and longer durations of hypertension (HTN) were significant factors for developing SLD, with particularly high risks associated with DM lasting less than a year.
  • - The research concluded that considering the duration of comorbidities is crucial for assessing SLD risk and prognosis, highlighting that longer durations of HTN and DM correlate with higher mortality risks.
View Article and Find Full Text PDF

Background/objectives: The risk of depression in patients with non-arteritic anterior ischemic optic neuropathy (NAION) has yet to be thoroughly researched. This study aimed to investigate the association between NAION and the onset of depression using a large-scale nationwide cohort in South Korea.

Methods: This is a retrospective, nationwide cohort study involving 145,020 subjects without NAION and 29,004 individuals with a previous NAION diagnosis.

View Article and Find Full Text PDF
Article Synopsis
  • Patients undergoing complex high-risk PCI are still at high risk for adverse events despite standard dual antiplatelet therapy (DAPT).
  • The TAILORED-CHIP trial aims to compare a tailored antiplatelet strategy with an early escalation and late de-escalation approach against conventional DAPT.
  • The study's primary focus is on the net clinical outcome, measuring serious events like death, heart attack, stroke, and significant bleeding within 12 months after the procedure.
View Article and Find Full Text PDF

Impact of age at HBsAg seroclearance on hepatic outcomes and life expectancy in men with chronic HBV infection based on multi-state modeling of the natural history.

J Gastroenterol

January 2025

Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Room 522 No.17, Xuzhou Road, Zhongzheng, Taipei, 10055, Taiwan.

Background: The effects of age at HBsAg seroclearance on clinical outcomes and survival in chronic hepatitis B (CHB) have not been adequately assessed. We evaluated the impact of age at HBsAg seroclearance on long-term outcomes, along with how coexisting factors modified risks and life expectancy in CHB patients.

Methods: We used multi-state modeling approach to examine transitions through the CHB continuum in a longitudinal cohort study of male civil servants recruited in 1989-1992.

View Article and Find Full Text PDF

Background: Next-generation sequencing (NGS) has become widely available but molecular profiling-guided therapy (MGT) had not been well established in the real world due to lack of available therapies and expertise to match treatment. Our study was designed to test the feasibility of a nationwide platform of NGS-guided MGT recommended by a central molecular tumor board (cMTB) for metastatic solid tumors.

Patients And Methods: Patients with advanced or metastatic solid tumors with available NGS results and without standard treatment were enrolled.

View Article and Find Full Text PDF

Aim: To examine the dynamic change in hepatic steatosis status during repeated assessments over time, and its potential impact on the risk of developing cardiovascular disease (CVD).

Methods: We assessed trajectories of hepatic steatosis and other metabolic disorders in 3134 middle-aged adults undergoing longitudinal assessment of ultrasonography during a pre-baseline period (1993-2009) in a population-based cohort study of liver health. Subsequently, we determined the association of hepatic steatosis trajectories with the incidence of CVD among 2185 CVD-free individuals, followed until 2021.

View Article and Find Full Text PDF

Impact of Serum Creatinine- and Cystatin C-Based Sarcopenia Index on Renal Outcomes in Non-Dialysis-Dependent Chronic Kidney Disease Patients: Results From the KNOW-CKD Study.

Mayo Clin Proc

September 2024

Division of Nephrology, Department of Internal Medicine, Seoul St Mary's Hospital, The Catholic University College of Medicine, Seoul, Korea; Transplant Research Center, College of Medicine, The Catholic University College of Medicine, Seoul, Korea; Convergent Research Consortium for Immunologic Disease, Seoul St Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

Objective: To evaluate the impact of the serum creatinine- and cystatin C-based new sarcopenia index (SI) on renal outcomes in non-dialysis-dependent patients with chronic kidney disease (CKD).

Methods: In this observational Korean Cohort Study for Outcome in Patients With CKD (KNOW-CKD), 1957 patients with CKD stage 1 to stage 4 were analyzed from 2011 to 2019. Men and women were separately assigned to quartile groups according to their SI.

View Article and Find Full Text PDF

Chemotherapy-induced peripheral neuropathy (CIPN) is one of the most common side effects of chemotherapy, and effective treatments for CIPN are still lacking. For this reason, there is a growing interest in complementary and alternative medicine as a potential source of nonsurgical treatments for CIPN symptoms alongside pregabalin. One such option being explored is Chuna manual therapy (CMT), a traditional Korean manual therapy.

View Article and Find Full Text PDF

KCNQ4 is a voltage-gated K channel was reported to distribute over the basolateral surface of type 1 vestibular hair cell and/or inner surface of calyx and heminode of the vestibular nerve connected to the type 1 vestibular hair cells of the inner ear. However, the precise localization of KCNQ4 is still controversial and little is known about the vestibular phenotypes caused by KCNQ4 dysfunction or the specific role of KCNQ4 in the vestibular organs. To investigate the role of KCNQ4 in the vestibular organ, 6-g hypergravity stimulation for 24 h, which represents excessive mechanical stimulation of the sensory epithelium, was applied to p.

View Article and Find Full Text PDF

Background: This cohort study aims to examine the relationship between the occurrence of cranial nerve palsy (CNP) affecting the third, fourth, or sixth cranial nerve and the subsequent risk of stroke, with a particular focus on the modulating effect of age on this association.

Methods And Results: We established a cohort of individuals diagnosed with third, fourth, or sixth CNP who underwent national health screening within 2 years of diagnosis from 2010 to 2017. A control group was matched by sex and age at a ratio of 1:5.

View Article and Find Full Text PDF

Deep Learning Method for Precise Landmark Identification and Structural Assessment of Whole-Spine Radiographs.

Bioengineering (Basel)

May 2024

Department of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.

Article Synopsis
  • A study evaluated an automatic landmark detection model using 1017 lateral whole-spine radiographs collected between January 2020 and December 2021, splitting the data into training (819 images) and testing (198 images) sets, with additional external validation using 690 images from other institutions.
  • The model showed the best accuracy in detecting cervical landmarks (error of 1.5-2.4 mm), followed by lumbosacral landmarks (error of 2.1-3.0 mm), while thoracic landmarks had larger errors (2.4-4.3 mm).
  • The model's performance was highly reliable, with excellent agreement between the AI and expert measurements, evidenced by an intraclass correlation coefficient above
View Article and Find Full Text PDF

Risk stratification of best medical therapy for acute uncomplicated type B intramural hematoma.

Surgeon

June 2024

Section of Cardiovascular Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Trauma Surgery, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Article Synopsis
  • The study aims to evaluate the effectiveness of Best Medical Therapy (BMT) for patients with acute uncomplicated type B intramural hematoma (TBIMH) and identify factors linked to treatment failure.
  • Data from 61 patients over a 9-year period revealed a 57.4% failure rate for BMT, with specific risk factors such as a larger aortic diameter, thicker hematoma, and focal contrast enhancement correlating with higher chances of failure.
  • A predictive risk score was developed based on these factors, indicating that patients with scores below 4.12 had a significantly higher chance of avoiding treatment failure compared to those with higher scores.
View Article and Find Full Text PDF

Objectives: The global burden of non-alcoholic fatty liver disease (NAFLD) is rising. An alternative term, metabolic dysfunction-associated fatty liver disease (MAFLD), instead highlights the associated metabolic risks. This cohort study examined patient classifications under NAFLD and MAFLD criteria and their associations with all-cause mortality.

View Article and Find Full Text PDF

Is Prophylactic Antibiotic Use Necessary Before Dental Procedures in Primary and Revision TKA? A Propensity Score-matched, Large-database Study.

Clin Orthop Relat Res

March 2024

Department of Orthopedic Surgery, Korea University College of Medicine, Ansan Hospital, Ansan-si, Gyeongki-do, South Korea.

Background: The question of whether dental procedures increase the risk of periprosthetic joint infection (PJI) in patients who have undergone total joint arthroplasty (TJA) remains controversial.

Questions/purposes: (1) Are dental procedures associated with an increased incidence of PJI in the setting of either primary or revision TKA after controlling for relevant potentially confounding variables? (2) Is the administration of prophylactic antibiotics before dental procedures associated with any differences in this risk? (3) Which factors are associated with increased incidence of PJI after dental procedures?

Methods: This nationwide, retrospective, comparative, large-database study evaluated 591,602 patients who underwent unilateral primary or revision TKA between 2009 and 2019 using the Health Insurance Review and Assessment Service data in South Korea, in which all people in South Korea were registered and to which all medical institutions must charge any procedures they performed. The study population was divided into 530,156 patients with dental procedures and 61,446 patients without dental procedures based on whether the patients underwent a dental procedure at least 1 year after the index surgery.

View Article and Find Full Text PDF

To identify and appraise mobile-based application (mAPP) interventions that have been used to support cancer control and care in low- and middle-income countries (LMICs). Four electronic databases were systematically searched for studies that reported primary research findings related to mAPP interventions applied in oncology settings in LMICs. A narrative synthesis was performed using the Mhealth Index and Navigation Database as an analytical framework.

View Article and Find Full Text PDF

Cardiac rehabilitation is a comprehensive intervention recommended in international and Taiwanese guidelines for patients with acute myocardial infarction. Evidence supports that cardiac rehabilitation improves the health-related quality of life, enhances exercise capacity, reduces readmission rates, and promotes survival in patients with cardiovascular disease. The cardiac rehabilitation team is comprehensive and multidisciplinary.

View Article and Find Full Text PDF

Purpose: To evaluate the efficacy and safety of drug-coated balloon angioplasty compared to conventional balloon angioplasty in the treatment of dysfunctional arteriovenous grafts.

Materials And Methods: This prospective, multicenter, randomized clinical trial enrolled 190 patients with venous anastomotic stenosis in arteriovenous grafts at five participating hospitals. During pre-dilation, 4 patients dropped out due to ruptures requiring further treatment (n = 2) and residual stenosis of > 30% (n = 2).

View Article and Find Full Text PDF

Background: Mortality from cardiovascular diseases in Asian populations is considerable. Menopause is a risk-enhancing factor for cardiovascular disease, but it is unclear whether menopause is an independent risk factor for cardiovascular disease and mortality in Asian women.

Methods And Results: A total of 1 159 405 postmenopausal women, who had participated in the health examinations of the Korean National Health Insurance Service in 2009, were analyzed, and their reproductive histories were taken.

View Article and Find Full Text PDF

Objectives: Investigating the association between different definitions of axial involvement and syndesmophytes development over 2 years in patients with psoriatic arthritis (PsA).

Methods: Patients from a prospective multicentre cohort (Belgian Epidemiological Psoriatic Arthritis Study) involving 17 Belgian rheumatology practices were recruited between December 2012 and July 2014 and included when fulfilling the Classification Criteria for Psoriatic Arthritis. Axial involvement included six clinical and two radiographic oriented definitions.

View Article and Find Full Text PDF

The patch-based delivery system has been a promising therapeutic approach for treating various vascular diseases. However, conventional methods face several challenges, including labor-intensive and time-consuming processes associated with patch fabrication or factor incorporation, inadequate physical properties, and uncontrolled release of factors. These limitations restrict the potential applications in clinical settings.

View Article and Find Full Text PDF

The full spectrum of risks for the life course of inactive hepatitis B virus (HBV) carriers remains unclear. In this study, 995 untreated HBV carriers (median age: 42.8 years; median follow-up: 30.

View Article and Find Full Text PDF