8,983 results match your criteria: "Chonnam National University Hospital & Medical School[Affiliation]"

Clinical Impact of Sarcopenia Screening on Long-Term Mortality in Patients Undergoing Coronary Bypass Grafting.

J Cachexia Sarcopenia Muscle

December 2024

Department of Thoracic and Cardiovascular Surgery, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Background: Sarcopenia is an aging-related condition characterized by loss of skeletal muscle mass and is an indicator of subclinical atherosclerosis. The relationship between reduced muscle mass and long-term clinical outcomes in patients with advanced coronary artery disease who have undergone coronary artery bypass grafting (CABG) is not fully understood. This study is sought to evaluate the prognostic implications of sarcopenia screening in patients undergoing CABG.

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Lecanemab (product name Leqembi®) is an anti-amyloid monoclonal antibody treatment approved for use in Korea for patients with mild cognitive impairment (MCI) or mild dementia due to Alzheimer's disease. The Korean Dementia Association has created recommendations for the appropriate use of lecanemab to assist clinicians. These recommendations include selecting patients for administration, necessary pre-administration tests and preparations, administration methods, monitoring for amyloid related imaging abnormalities (ARIA), and communication with patients and caregivers.

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Background And Purpose: Dementia, particularly Alzheimer's disease, is a significant global health concern, with early diagnosis and treatment development being critical goals. While numerous cohorts have advanced dementia research, there is a lack of comprehensive data on ethnic differences, particularly for the Korean population. The Korea-Registries to Overcome Dementia and Accelerate Dementia Research (K-ROAD) aims to establish a large-scale, hospital-based dementia cohort to address this gap, with a focus on understanding disease progression, developing early diagnostics, and supporting treatment advancements specific to the Korean population.

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Frequency and characteristics of seizures precipitated by febrile urinary tract infections in neonates and infants.

Pediatr Neonatol

October 2024

Department of Pediatrics, Chonnam National University Medical School, Gwangju, South Korea; Department of Pediatrics, Chonnam University Children's Hospital, Gwangju, South Korea. Electronic address:

Background: A febrile urinary tract infection (UTI) is a minor febrile seizure (FS) determinant. Seizures precipitated by febrile UTIs in neonates and infants frequently surprise parents, as they are vulnerable to bacterial meningitis and younger than the usual ages of FS. However, their frequency and characteristics are relatively unknown.

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Eucalyptus oil is highly valued for its anti-inflammatory, antiviral, and antibacterial qualities. Research has shown that it is a powerful combatant against cancer cells, making it an extremely interesting area of research. For the first time, the present study proposes to extract 1,8-cineole from leaves using different extraction methodologies, namely, hydro-distillation (HD), Soxhlet (SE), ultrasonication (UE), and microwave (ME) extraction techniques.

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Background: Superficial temporal artery to middle cerebral artery (STA-MCA) bypass is a valuable treatment for preventing ischemia and hemorrhage in occlusive cerebrovascular disease. Anastomosis site dissection is rarely reported among the various bypass-related complications.

Case Summary: In this case report, we describe two patients, who were 63- and 59-years-old with middle cerebral artery occlusion treated by STA-MCA bypass.

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Purpose: Growth hormone (GH) stimulation tests are essential tools for diagnosing GH deficiency (GHD). We aimed to compare L-dopa, insulin, and arginine-induced stimulation tests based on response to GH replacement.

Methods: We retrospectively collected data from a review of patients who underwent the GH stimulation test.

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This study aims to investigate the association between serum calcium levels and acute coronary syndrome (ACS) risk, examining whether this relationship differs by sex, given the known differences in calcium metabolism and hormonal influences between males and females. Utilizing the Korean Genome Epidemiology Study (KoGES) prospective cohort data, our primary exposure variables were serum calcium level and sex. The incidence of ACS served as the main outcome of interest.

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  • Episodic ataxia type 2 (EA2) is a genetic disorder causing dizziness and coordination issues, linked to mutations in the calcium channel gene; this study focused on assessing intellectual abilities in affected individuals.
  • Researchers evaluated 13 patients in South Korea using the Wechsler Intelligence Scales and found that most had below-average IQ scores, with significant cognitive deficits across multiple areas.
  • The findings suggest that individuals with EA2 may experience hidden intellectual disabilities unrelated to epilepsy; therefore, early diagnosis and management are crucial to prevent further brain function decline and may benefit from genetic counseling.
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Prediction of menstrual recovery patterns in premenopausal women with breast cancer taking tamoxifen after chemotherapy: an ASTRRA Substudy.

Breast Cancer Res

November 2024

Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, South Korea.

Background: Chemo-endocrine therapy can lead to various side effects associated with ovarian dysfunction. Predicting menstrual recovery is necessary to discuss the treatment-related issues regarding fertility and premature menopause with patients.

Methods: In the ASTRRA trial, patients who resumed ovarian function within 2 years after chemotherapy were randomized to receive tamoxifen for 5 years or OFS with tamoxifen for 2 years.

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  • 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.
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Experimental validation of coronary stenosis severity and development of ischemic myocardium.

Rev Esp Cardiol (Engl Ed)

October 2024

Department of Internal Medicine and Cardiovascular Center, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea. Electronic address:

Introduction And Objectives: The current study aimed to evaluate the causal association between hemodynamically significant stenosis and the occurrence of ischemic myocardium using an experimental animal model of coronary artery stenosis.

Methods: In Yorkshire swine (n=10), coronary stenosis in the left anterior descending artery was induced using a customized vascular occluder to create varying degrees of occlusion severity (40%-99%). Serial changes in coronary pressure and flow velocity were measured in the left anterior descending artery before and after the implantation of the vascular occluder.

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Objectives: Balloon dilation of the Eustachian tube (BDET) is widely recognized as a minimally invasive treatment for obstructive Eustachian tube dysfunction (ETD). We employed a Delphi consensus methodology to develop recommendations for the clinical management of BDET in cases of obstructive ETD.

Methods: A Delphi panel consisting of 26 expert physicians specializing in otology participated in two rounds of anonymous, iterative questionnaires.

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  • The study investigates the long-term outcomes for cancer patients with improved heart function who discontinue cardioprotective therapy (CPT) after experiencing cancer treatment-related cardiac dysfunction (CTRCD).
  • Out of 134 patients analyzed, those who withdrew from CPT showed a significant decline in heart function (LVEF) compared to those who continued the therapy, especially in patients with initially low LVEF (<45%).
  • Overall, withdrawing from CPT was associated with a higher rate of major clinical events, indicating that continuing therapy may be beneficial for patients with improved CTRCD.
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The interactive pathway of the gut-liver axis underscores the significance of microbiome modulation in the pathogenesis and progression of various liver diseases, including hepatocellular carcinoma (HCC). This study aims to investigate the disparities in the composition and functionality of the hepatic microbiota between tumor tissues and adjacent normal liver tissues, and their implications in the etiology of HCC. We conducted a comparative analysis of the hepatic microbiome between adjacent normal liver tissues and tumor tissues from HCC patients.

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  • Researchers aimed to create and validate a prediction score for futile recanalization (FR) in patients with low Alberta Stroke Program Early Computed Tomography Scores (ASPECTS) who underwent endovascular thrombectomy (EVT) for large vessel occlusions (LVO).
  • The study analyzed data from 219 patients with anterior circulation LVO and identified key predictors of FR, resulting in the development of the SNAP score, which considers factors like the site of occlusion and patient age.
  • The SNAP score successfully predicted FR with an area under the curve of 0.79 in both training and validation cohorts, indicating its potential usefulness for guiding expectations in patients undergoing EVT for severe strokes.
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Clinical outcomes of Asian patients with newly diagnosed atrial fibrillation and previously diagnosed atrial fibrillation: Insights from the CODE-AF Registry.

Heart Rhythm

October 2024

Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea; Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Atrial fibrillation (AF) may have different clinical features in its early phase.

Objective: The purpose of this study was to compare the characteristics and clinical outcomes of early-phase AF with later-phase AF using a large multicenter prospective registry (CODE-AF [COmparison study of Drugs for symptom control and complication prEvention of Atrial Fibrillation]).

Methods: Patients enrolled between June 2016 and March 2021 were divided into 2 groups based on AF duration: (1) newly diagnosed (AF duration ≤90 days); and (2) previously diagnosed (AF duration >90 days).

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Background And Purpose: Nutritional status can influence the outcomes and mortality of various diseases. The association between initial nutritional status and ischemic stroke outcomes, however, remains poorly understood. This study investigated whether the Controlling Nutritional Status (CONUT) score at admission could predict functional recovery, complications, and survival following an ischemic stroke.

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  • * Mice were exposed to blue light and then treated with IIK7; results showed that the treatment decreased markers of autophagy and apoptosis, signifying less cell damage compared to untreated mice.
  • * The IIK7 treatment also improved ocular surface health, as indicated by better fluorescein staining scores and tear volume, while lowering inflammatory responses measured by CD4 IFN-γ T cells.
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  • Ultra-early diffusion-weighted MRI (DW-MRI) can predict poor neurological outcomes post-cardiac arrest, primarily when performed within 6 hours of achieving spontaneous circulation (ROSC).
  • In a study involving 206 patients, high-signal intensity (HSI) on ultra-early DW-MRI was linked to poor outcomes, with specific CPR factors affecting its presence.
  • Key findings highlighted that the timing between ROSC and DW-MRI scan significantly influences HSI results, particularly for patients with shorter low-flow times or those presenting with a shockable rhythm.
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: To date, population pharmacokinetic (PK) studies of vancomycin on healthy Korean adults have not been conducted. This study aimed to investigate the PK properties of vancomycin in healthy volunteers and to identify optimal dosing regimens based on the area under the concentration-time curve (AUC) in adult patients with normal renal function. : We conducted a prospective clinical study, analysing PK samples from 12 healthy participants using noncompartmental analysis and non-linear mixed-effects modelling.

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  • Cerebral ischemia causes poor blood flow and increases reactive oxygen species (ROS), which can be targeted by drug delivery systems to improve treatment outcomes and reduce side effects.
  • The study developed ROS-responsive chitosan-bilirubin (ChiBil) nanoparticles with atorvastatin to target stroke lesions in rats, comparing their effects to control treatments over a week.
  • Results showed that the ChiBil-Statin group significantly improved motor skills, reduced brain cell damage, and decreased harmful inflammation levels, indicating their potential as an effective therapy for ischemic stroke.
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  • Ischemic colitis (IC) is a condition caused by reduced blood flow to the colon, which can result in severe complications, including the need for surgery.
  • This study reviewed the cases of 141 patients diagnosed with IC at a hospital over nearly 20 years, finding key clinical features and risk factors affecting outcomes.
  • Significant findings included that patients with right-sided colon issues, fever, and lack of bleeding were at greater risk for needing surgery, highlighting the importance of a collaborative treatment approach for these patients.
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