94 results match your criteria: "Dongguk University Medical Center[Affiliation]"

Validity and reliability of the integrated palliative care outcome scale (IPOS) in Korea: a multicenter study of terminally ill cancer patients.

BMC Palliat Care

December 2024

National Cancer Survivorship Center, National Cancer Control Institute, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang-si Gyeonggi-do, 10408, Republic of Korea.

Background: The Integrated Palliative care Outcome Scale (IPOS) is a key tool for assessing the quality of palliative care using patient-reported outcomes. This study aimed to culturally adapt and translate the IPOS to Korean and verify its psychometric properties for use in palliative care settings.

Methods: The IPOS was translated and culturally adapted, followed by validation in 119 terminally ill cancer patients and 28 healthcare providers across six Hospice and Palliative Care Units from September 2023 to January 2024.

View Article and Find Full Text PDF
Article Synopsis
  • Delayed-onset post-stroke cognitive decline (PSCD) can provide insights into cognitive impairment and dementia, potentially linked to amyloid pathology and cerebral small vessel disease (cSVD).
  • The study assessed patients who were cognitively normal after a stroke and identified those who experienced cognitive decline using MMSE scores and various imaging techniques.
  • Among the 208 patients, few showed significant differences in cSVD, with white matter hyperintensities affecting cognitive scores in those who declined, while amyloid positivity was rare, though some non-amyloid decliners exhibited correlation patterns related to cognitive outcomes.
View Article and Find Full Text PDF

Accessory first lumbrical muscle within the carpal tunnel: a case report.

Case Reports Plast Surg Hand Surg

May 2024

Department of Plastic and Reconstructive Surgery, DongGuk University Medical Center, Goyang, South Korea.

Article Synopsis
  • Carpal tunnel syndrome is a common condition caused by nerve compression, primarily affecting the wrist area.
  • During a study involving cadaver dissection, researchers discovered an unusual version of the first lumbrical muscle that could potentially compress the median nerve in the carpal tunnel.
  • Surgeons need to recognize these anatomical variations to adjust their surgical strategies if necessary.
View Article and Find Full Text PDF

Objectives: This study systematically reviewed the literature on the effect of home-based supportive care (HbSC) programmes on the quality of life (QoL) of patients with advanced cancer.

Methods: The research question 'Do home-based supportive care programmes for patients with advanced cancer improve their QoL?' was addressed. After registering the plan with PROSPERO (CRD42022341237), literature published from 1 January 1990 to 30 May 2023 was searched on PubMed, Embase, Cochrane database, CINAHL and Web of Science, and reviewed for inclusion based on predefined criteria.

View Article and Find Full Text PDF

Background: Forehead osteoma is a commonly encountered benign facial bone tumor. Endoscopic excision of benign forehead masses is widely performed. Here, we report a rare case of recurrent forehead osteoma that disseminated after a previous osteoma excision.

View Article and Find Full Text PDF

Introduction: Deep sternal wound infection (DSWI) is a serious complication that may occur after median sternotomy, with potentially devastating consequences. By reporting our case and analyzing the existing literature, this article aimed to provide a thorough understanding of the role of negative-pressure wound therapy (NPWT) and the importance of flap choice in managing DSWI accompanied by severe heart injury and high hemodynamic risk.

Case Description: A 60-year-old woman with severe aortic stenosis, aortic valve regurgitation, and heart failure underwent redo sternotomy, which resulted in an intraoperative right ventricle injury.

View Article and Find Full Text PDF
Article Synopsis
  • The study examined nonhypertensive white matter hyperintensity (WMH) as a risk factor in acute ischemic strokes and transient ischemic attacks, involving over 3,000 patients, half with hypertension and half without.
  • Approximately 35% of nonhypertensive patients showed moderate-to-severe WMH, linked to factors like age and previous strokes, while hypertensive patients exhibited different WMH patterns and a stronger correlation to small vessel occlusions.
  • The findings indicated that WMH significantly affects functional outcomes after 3 months and is associated with cumulative risks of recurrent stroke and mortality, although its impact varied based on hypertension status.
View Article and Find Full Text PDF

Gouty tenosynovitis with compartment syndrome in the hand: A case report.

World J Clin Cases

October 2023

Department of Plastic and Reconstructive Surgery, DongGuk University Medical Center, GoYang 10326, South Korea.

Background: Gout is a common type of inflammatory arthritis caused by the deposition of monosodium urate crystals in the joints and surrounding tissues. It typically appears with abrupt and intense pain, redness, and swelling in the affected joint. It frequently targets the lower extremities, such as the big toe.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the use of upper thigh skeletal muscle index (UT-SMI) as a method to diagnose sarcopenia in liver transplant (LT) patients, focusing on identifying optimal cut-off values for different genders.
  • A retrospective analysis of 332 LT patients revealed that 33.4% had sarcopenia, with specific cut-off values of 38.3 cm/m for females and 46.7 cm/m for males, demonstrating a strong correlation with patient and graft survival rates.
  • The findings suggest that UT-SMI is a reliable independent prognostic factor for survival outcomes in LT recipients and could be advantageous in clinical assessments of sarcopenia.
View Article and Find Full Text PDF

This study evaluated changes in deep trunk muscle thickness and lower extremity muscle activities during bridge exercises with the abdominal drawing-in maneuver. Bridge exercises were conducted on an unstable surface at different knee flexion angles (60º, 90º and 120º), with the aim of identifying more effective angles for bridge exercises. This study included 21 healthy adults, aged 20-27 years.

View Article and Find Full Text PDF

Rationale: Reconstruction of wound complications in patients with advanced cancer with distant metastases is challenging for plastic surgeons. This may be due to the cancer patients' hypercoagulability and potential intolerance to general anesthesia. This article aimed to discuss the risk of free-flap reconstruction in such cases.

View Article and Find Full Text PDF

Objectives: We aimed to evaluate the efficacy and safety of metal stents compared with plastic stents when bilateral side-by-side stents were deployed for malignant hilar biliary obstruction (MHBO).

Methods: Fifty patients with unresectable advanced MHBO were randomly assigned to the metal stent (MS, n = 25) or plastic stent group (PS, n = 25). Fully covered self-expandable metal stents with 6 mm diameter and plastic stents with either 7F straight or double pigtail were used for MS and PS groups, respectively.

View Article and Find Full Text PDF

Background: Hemophilia, an uncommon yet consequential hereditary bleeding disorder, manifests as two clinically indistinguishable forms that hinder the normal functioning of the coagulation cascade. This impairment renders individuals more susceptible to excessive bleeding during significant surgical interventions. Moreover, individuals with severe hemophilia frequently encounter recurring hemarthrosis, resulting in progressive joint destruction and, subsequently, the need for hip and knee replacement surgeries.

View Article and Find Full Text PDF

Introduction: Trichilemmal cysts (TCs) are common benign cysts that form from the hair follicles in the skin. Proliferating trichilemmal cysts (PTCs) are rare types of TCs characterized by rapid cellular proliferation. Malignant transformation of PTC (MPTC) is a rare adnexal tumor that account for <0.

View Article and Find Full Text PDF

Objectives: The aim of the study was to evaluate the clinical outcomes of patients with lung cancer in whom left ventricular ejection fraction (LVEF) was reduced.

Methods: A total of 9814 patients with lung cancer who underwent pulmonary resection from 2010 to 2018 were included for the study. Fifty-six (0.

View Article and Find Full Text PDF

Background: Teledermatology (TD) is an evidence-based practice that may increase access to dermatologic care. We sought to evaluate implementation of TD at four Duke primary care practices.

Methods: We implemented a hybrid TD program where trained primary care providers (PCPs) sent referrals with clinical and dermatoscopic images to dermatology.

View Article and Find Full Text PDF

Towards a biomarker for acute arterial thrombosis using complete blood count and white blood cell differential parameters in mice.

Sci Rep

March 2023

Molecular Imaging and Neurovascular Research Laboratory, Department of Neurology, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.

There is no blood biomarker diagnostic of arterial thrombosis. We investigated if arterial thrombosis per se was associated with alterations in complete blood count (CBC) and white blood cell (WBC) differential count in mice. Twelve-week-old C57Bl/6 mice were used for FeCl-mediated carotid thrombosis (n = 72), sham-operation (n = 79), or non-operation (n = 26).

View Article and Find Full Text PDF

Background: Thermal injuries on free transferred or replanted tissues resulting from loss of sensibility are an infrequent occurrence. They require immediate and appropriate management before they progress to an irreversible condition. Although negative pressure wound therapy (NPWT) can prevent wound progression by increasing microcirculation, the inappropriate application of NPWT on complication-threatened transferred and replanted tissues can induce an adverse effect.

View Article and Find Full Text PDF

East asian herbal medicine for the treatment of children with attention deficit hyperactivity disorder: A Systematic Review and Meta-analysis.

Explore (NY)

May 2023

Department of Pediatrics of Korean Medicine, Korean Medicine Hospital, Dongguk University Medical Center, Dongguk-ro 27, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10326, Republic of Korea. Electronic address:

Background: Attention deficit hyperactivity disorder (ADHD) is a mental illness that can place a significant burden on individuals, their families, and society. East Asian Herbal Medicine (EAHM) has long been used in East Asian nations to treat mental illness in children. Nevertheless, the evidence for the effectiveness of EAHM for the treatment of ADHD is insufficient.

View Article and Find Full Text PDF

East Asian Herbal Medicine Combined with Conventional Therapy for Children with Autism Spectrum Disorder: A Systematic Review and Meta-analysis.

Explore (NY)

November 2022

Department of Pediatrics of Korean Medicine, Korean Medicine Hospital, Dongguk University Medical Center, Dongguk-ro 27, Ilsandong-gu, Goyang-si, Gyeonggi-do 10326, Republic of Korea. Electronic address:

Background: There is an increasing demand to improve personal health and reduce the social burden in children with autism spectrum disorder (ASD). A comprehensive review of ASD interventions from the point of view of efficacy, safety, and compliance is needed. The purpose of this study was to evaluate the efficacy and safety of East Asian Herbal Medicine (EAHM) in the treatment of ASD.

View Article and Find Full Text PDF

Geriatric assessment using the G8 to predict postoperative complications in patients undergoing major uro-oncologic surgery: Comparison with the Charlson Comorbidity Index.

J Geriatr Oncol

May 2022

Department of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea; Department of Urology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea. Electronic address:

Article Synopsis
  • The study aimed to compare the G8 assessment and the Charlson Comorbidity Index (CCI) in predicting postoperative complications for older adults (≥65 years) undergoing major uro-oncologic surgeries.
  • It analyzed data from 657 patients, showing that those with G8 scores ≤14 faced significantly higher complication rates than those with scores >14, indicating G8's effectiveness as a predictive tool.
  • The findings suggest that older patients with G8 scores <10 should be carefully counseled due to a very high risk of surgical complications, highlighting the need for detailed geriatric assessments prior to surgery.
View Article and Find Full Text PDF

Objective: To introduce a new surgical technique - double dome laminoplasty for decompression of the entire C2 lamina and preservation of an extensor muscle insertion.

Methods: Eleven consecutive cervical myelopathy patients due to ossification of the posterior longitudinal ligament involving the Axis (C2) area were contained at this study. Direct decompression was evaluated as an increasing rate in space available cord (%) and posterior cord shift (mm) at C2 level.

View Article and Find Full Text PDF

Chronic hand ischemia causes cold intolerance, intractable pain, and digital ulceration. If ischemic symptoms persist despite pharmacologic treatments, surgical interventions should be considered. This retrospective study evaluated the long-term results after ulnar and radial reconstruction using an interpositional deep inferior epigastric artery (DIEA) graft combined with periarterial sympathectomy.

View Article and Find Full Text PDF

Mechanical/physical stimulations modulate tissue metabolism, and this process involves multiple cellular mechanisms, including the secretion of growth factors and the activation of mechano-physically sensitive kinases. Cells and tissue can be modulated through specific vibration-induced changes in cell activity, which depend on the vibration frequency and occur via differential gene expression. However, there are few reports about the effects of medium-magnitude (1.

View Article and Find Full Text PDF

Endoscopic ultrasound (EUS)-guided tissue acquisition of pancreatic solid tumor requires a strict recommendation for its proper use in clinical practice because of its technical difficulty and invasiveness. The Korean Society of Gastrointestinal Endoscopy appointed a Task Force to draft clinical practice guidelines for EUS-guided tissue acquisition of pancreatic solid tumor. The strength of recommendation and the level of evidence for each statement were graded according to the Minds Handbook for Clinical Practice Guideline Development 2014.

View Article and Find Full Text PDF