1,967 results match your criteria: "Gyeongsang National University School of Medicine.[Affiliation]"

Article Synopsis
  • The study aimed to compare outcomes of laparoscopic primary repair (LPR) versus LPR combined with highly selective vagotomy (LPR-HSV) in patients with perforated duodenal ulcers.
  • A total of 184 patients were analyzed, revealing that LPR-HSV had a longer operation time but significantly shorter hospital stays and quicker recovery in starting soft diets compared to LPR.
  • The findings suggest that LPR-HSV could be a safe option for patients at high risk of ulcer recurrence, without significant differences in complication rates.
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False-positive supraclavicular lymph node detected on chest computed tomography in oncology patients: Clinical implication based on subsequent neck ultrasonography and ultrasonography-guided tissue sampling.

J Clin Ultrasound

November 2023

Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.

Purpose: The purpose of this study was to assess the prevalence and clinical implications of false-positive supraclavicular lymph node (LN) detected on chest computed tomography (CT), using subsequent neck ultrasonography (US) and US-guided tissue sampling.

Methods: Among 172 patients with suspected supraclavicular LNs identified on CT, 87 underwent neck US or US-guided tissue sampling. Receiver operating characteristic curve and logistic regression analyses were performed to determine the diagnostic performance of US and independent predictors of false-positive LNs.

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Objective: : To investigate the relationship between reduced glutathione (GSH), a key molecule of the antioxidant defense system in the blood, and glutathione reductase (GR), which reduces oxidized glutathione (glutathione disulfide [GSSG]) to GSH and maintains the redox balance, with the prevalence of Alzheimer's dementia and cognitive decline.

Methods: : In all, 20 participants with Alzheimer's dementia who completed the third follow-up clinical evaluation over 6 years were selected, and 20 participants with normal cognition were selected after age and sex matching. The GSH and GR concentrations were the independent variables.

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Background: Integrating a joint approach to chronic disease management within the context of a couple has immense potential as a valuable strategy for both prevention and treatment. Although spousal concordance has been reported in specific chronic illnesses, the impact they cumulatively exert on a spouse in a longitudinal setting has not been investigated. We aimed to determine whether one's cumulative illness burden has a longitudinal impact on that of their spouse.

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QFR Assessment and Prognosis After Nonculprit PCI in Patients With Acute Myocardial Infarction.

JACC Cardiovasc Interv

October 2023

Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:

Background: Complete revascularization using either angiography-guided or fractional flow reserve (FFR)-guided strategy can improve clinical outcomes in patients with acute myocardial infarction (AMI) and multivessel disease. However, there is concern that angiography-guided percutaneous coronary intervention (PCI) may result in un-necessary PCI of the non-infarct-related artery (non-IRA), and its long-term prognosis is still unclear.

Objectives: This study sought to evaluate clinical outcomes after non-IRA PCI according to the quantitative flow ratio (QFR).

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Purpose: Pegfilgrastim is a widely used long-acting granulocyte colony-stimulating factor (G-CSF) that prevents febrile neutropenia (FN) in patients with breast cancer receiving chemotherapy. This study aimed to evaluate the incidence of chemotherapy-related FN events and other adverse events (AEs) during chemotherapy in Korean patients with breast cancer treated with pegfilgrastim as secondary prophylactic support.

Materials And Methods: This was a multicenter, open-label, prospective, observational study.

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Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body.

Medicina (Kaunas)

August 2023

Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of Korea.

Cases of foreign body ingestion are encountered relatively often in clinical settings; however, serious complications are rare. In such cases, mediastinal abscess due to esophageal perforation can become a life-threatening complication. We encountered two cases of severe complications due to an esophageal fish bone foreign body.

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Article Synopsis
  • Recent advancements in molecular diagnostics allow for the simultaneous detection of respiratory viruses and bacteria using nasopharyngeal swab (NPS) specimens, which could improve testing efficiency among pediatric and adult patients.
  • In a study using 271 NPS samples from children and 173 from adults, a panel-based assay (Allplex RP4) showed that over half of pediatric specimens tested positive for various bacterial species, while only 22.5% of adult tests were positive, indicating a disparity in bacterial detection between the groups.
  • The correlation between the NPS-RP4 assay and a sputum-based test (sputum-Seeplex) was low in adults (39.3% agreement), highlighting the need for further research to enhance
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Osteosarcoma commonly occurs in the intramedullary cavity of long bones such as the femur, tibia, and humerus in children and adolescents. Osteosarcoma occurring as a primary tumor in the chest wall is rare. Only a limited number of such cases have been documented in the existing literature.

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Background: Mixed-phenotype acute leukemia (MPAL) is characterized by acute undifferentiated leukemia with blasts co-expressing myeloid and lymphoid antigens. However, consensus regarding the ideal management strategy for MPAL is yet to be established, owing to its rarity.

Case Summary: A 55-year-old male was diagnosed with T/myeloid MPAL.

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As the aging population increases, the number of patients with osteoporosis is gradually rising. Osteoporosis is a metabolic bone disease characterized by low bone mass and the microarchitectural deterioration of bone tissue, resulting in reduced bone strength and an increased risk of low-energy or fragility fractures. Thus, the use of anti-resorptive agents, such as bisphosphonates (BPs), to prevent osteoporotic fractures is growing annually.

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Article Synopsis
  • Diabetes mellitus (DM) is linked to increased platelet reactivity, which can lead to higher rates of adverse cardiac and cerebrovascular events in patients undergoing PCI with drug-eluting stents.
  • In a study involving over 11,000 patients, diabetic individuals exhibited significantly higher platelet reactivity compared to non-diabetics, and a greater proportion of them had high platelet reactivity (HPR).
  • The study found that for diabetic patients, HPR is a strong predictor of major adverse events, while in non-diabetic patients, HPR did not significantly increase the risk, highlighting the unique risks faced by those with diabetes.
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Purpose: The proper treatment sequence for administering abiraterone acetate plus prednisolone (AAP) and chemotherapeutic agents has not yet been elucidated for metastatic castration-resistant prostate cancer (mCRPC). Hence, this study evaluated the effectiveness and safety of AAP in pre- and post-chemotherapy settings using real-world data.

Materials And Methods: This prospective, multicenter, open-label, observational study included 506 patients with mCRPC.

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Standard- and large-sized eggs of Trichuris trichiura were found in the feces of schoolchildren in Yangon, Myanmar during epidemiological surveys and mass deworming with albendazole in 2017-2019. The standard-sized eggs were identified as those of T. trichiura, but it was necessary to exclude the possibility of the large-sized eggs belonging to Trichuris vulpis, a dog whipworm.

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Impact of height difference between coronary ostium and location of intracoronary pressure sensor on fractional flow reserve measurements.

PLoS One

August 2023

Division of Cardiology, Department of Internal Medicine, Gyeongsang National University School of Medicine, Gyeongsang National University Hospital, Jinju, Republic of Korea.

Background: During fractional flow reserve (FFR) measurements, distal coronary pressure (Pd) can be influenced by hydrostatic pressure changes resulting from the height difference (HD) between the coronary ostium and the location of the distal pressure sensor.

Aims: We investigated the effect of aortocoronary HD on the FFR measurements in each coronary artery.

Methods: In this retrospective cohort study, we analyzed 257 patients who underwent FFR measurements and coronary computed tomography (CCTA) within a year.

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High Platelet Reactivity Combined with CYP2C19 Genotype in Predicting Outcomes in East Asian Patients Undergoing Percutaneous Coronary Intervention.

Clin Pharmacol Ther

November 2023

Division of Cardiology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju Severance Christian Hospital, Wonju, South Korea.

Article Synopsis
  • Loss-of-function (LoF) alleles of CYP2C19 are found frequently in East Asians and are associated with high platelet reactivity (HPR), leading to worse outcomes after drug-eluting stent (DES) implantation.
  • A study involving 13,160 Korean patients sought to assess the additional predictive value of combining HPR with CYP2C19 genotype for long-term prognosis after DES treatment.
  • Results showed that patients with both HPR and CYP2C19 LoF/LoF had the highest rates of major adverse cardiac and cerebrovascular events (MACCE), and using both factors together significantly enhanced risk prediction for stent thrombosis.
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Background: Although bronchoscopic cryotherapy (BC) is a pragmatic modality for recanalization of central airway obstruction (CAO), the risk of complications, such as bleeding, remains a concern. This study aimed to present the clinical outcomes of BC and evaluate the factors associated with its complications.

Methods: In this retrospective study, we reviewed the medical records of patients who underwent BC for CAO at the Asan Medical Center, South Korea.

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Extrusion-based bioprinting technology is widely used for tissue regeneration and reconstruction. However, the method that uses only hydrogel as the bioink base material exhibits limited biofunctional properties and needs improvement to achieve the desired tissue regeneration. In this study, we present a three-dimensionally printed bioactive microparticle-loaded scaffold for use in bone regeneration applications.

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The study aimed to assess the risk of reoperations for strabismus in the pediatric population and to identify high-risk groups. This was a nationwide population-based study that used data from the Korean National Health Claims Database from 2008 to 2020. Two major cohorts were established based on initial strabismus: age-, sex-, and recruitment year-matched controls were randomly selected.

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: Biliary cast syndrome, which was first reported in 1975, is a rare disease that occurs after liver transplantation. The incidence is even lower in patients who have not undergone liver transplantation. This study reports a rare case of biliary cast syndrome with cholangiocarcinoma-like lesions in a patient who did not undergo liver transplantation.

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The human hand is a specialised organ for fine motion and sensation and has a relatively large representation in the homunculus. The pathway of sensation starts from information sent by mechanoreceptors in the hand. This study reports the topography of the Pacinian corpuscle in the fingertips of a human cadaver.

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Objective: To investigate the clinical features and associated underlying conditions of isolated tuberculous myositis (ITBM), a rare extrapulmonary tuberculosis (TB).

Methods: A systematic literature search and a multicenter survey were performed using a triangulation strategy. Data from the identified ITBM cases were extracted and analyzed to determine the underlying conditions, clinical presentations, treatments, and outcomes.

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Gene expression analysis in recurrent benign paroxysmal positional vertigo: a preliminary study.

Front Neurol

July 2023

Department of Neurology, Pusan National University School of Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.

Article Synopsis
  • - This study explored the causes of recurrent benign paroxysmal positional vertigo (BPPV) in young individuals by analyzing gene expression and using bioinformatics techniques.
  • - Researchers extracted RNA from blood samples of four young BPPV patients and four controls, identifying 39 differentially expressed genes (with more being upregulated) that are linked to metabolic and immune system processes.
  • - The study concluded that oxidative stress and inflammation-related extracellular matrix degradation might play roles in developing recurrent BPPV among young patients.
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Background: Acute myocardial infarction (AMI) is one of the leading causes of death worldwide, and approximately half of AMI-related deaths occur before the affected individual reaches the hospital. The present study aimed to identify and validate genetic variants associated with AMI and their role as prognostic markers.

Materials And Methods: We conducted a replication study of 29 previously identified novel loci containing 85 genetic variants associated with early-onset AMI using a new independent set of 2,920 Koreans [88 patients with early- and 1,085 patients with late-onset AMI, who underwent percutaneous coronary intervention (PCI), and 1,747 healthy controls].

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