61 results match your criteria: "Kyunghee University College of Medicine[Affiliation]"

Article Synopsis
  • This study compares adult living donor liver transplantation (LDLT) and deceased donor liver transplantation (DDLT) outcomes in patients with acute liver failure over a 14-year period.
  • The findings show no significant differences in in-hospital mortality, long-term survival, or graft survival rates between the two methods, although LDLT patients had shorter intensive care unit stays.
  • The research concludes that LDLT is a viable alternative for patients awaiting liver transplants, particularly when deceased donor organs are not accessible.
View Article and Find Full Text PDF

To investigate the influence of preoperative smoking history on the survival outcomes and complications in a cohort from a large multicenter database. Many patients who undergo radical cystectomy (RC) have a history of smoking; however, the direct association between preoperative smoking history and survival outcomes and complications in patients with muscle-invasive bladder cancer (MIBC) who undergo robot-assisted radical cystectomy (RARC) remains unexplored. We conducted a retrospective analysis using data from 749 patients in the Korean Robot-Assisted Radical Cystectomy Study Group (KORARC) database, with an average follow-up duration of 30.

View Article and Find Full Text PDF
Article Synopsis
  • A study evaluated how changes in glycated hemoglobin (HbA1c) affect mid-term health outcomes in diabetic patients after an acute myocardial infarction (AMI).
  • Among 967 patients, those with a decrease in HbA1c >1% had better clinical outcomes compared to those with increases, showing lower rates of major adverse cardiovascular events (MACE), cardiac death, and rehospitalization.
  • However, the findings suggest that while a decrease in HbA1c is beneficial, it did not serve as an independent predictor of improved outcomes over 24 months, emphasizing the need for consistent diabetic control instead.
View Article and Find Full Text PDF

Prognosis after discontinuing renin angiotensin aldosterone system inhibitor for heart failure with restored ejection fraction after acute myocardial infarction.

Sci Rep

March 2023

Division of Cardiology, Department of Internal Medicine and Cardiovascular Center, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Irwon-Dong, Gangnam-Gu, Seoul, 135-710, Korea.

Article Synopsis
  • The study assessed the impact of stopping renin-angiotensin-aldosterone-system inhibitors (RAASi) in heart failure patients after a heart attack who had improved cardiac function.
  • Of 726 patients who had their left ventricular ejection fraction (LVEF) restored, those who stopped RAASi had a significantly higher risk of adverse outcomes, including death, compared to those who continued taking RAASi.
  • Findings suggest that even after improvement in heart function, continuing RAASi is important for reducing the risk of mortality and rehospitalization in these patients.
View Article and Find Full Text PDF

Purpose: Robot-assisted radical cystectomy (RARC) optimizes patient recovery and has outcomes comparable with those of open surgery. This study aimed to compare the perioperative and oncologic outcomes of RARC in female and male patients.

Materials And Methods: A retrospective cohort study of the Korean Robot-Assisted Radical Cystectomy Study Group database from 2007 to 2019 identified 749 patients (111 females and 638 males).

View Article and Find Full Text PDF

Background: The clinical value of intracoronary imaging for percutaneous coronary intervention (PCI) guidance is well acknowledged. Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are the most commonly used intravascular imaging to guide and optimize PCI in day-to-day practice. However, the comparative effectiveness of IVUS-guided versus OCT-guided PCI with respect to clinical end points remains unknown.

View Article and Find Full Text PDF

Background/aims: Prokinetics such as mosapride citrate CR (conventional-release; Gasmotin) are commonly used in functional dyspepsia (FD). This study aims to evaluate the efficacy and safety of once-a-day mosapride citrate SR (DWJ1252), a sustained-release formulation of mosapride citrate, compared with mosapride citrate CR 3 times a day, in patients with FD.

Methods: In this multicenter, randomized, double-blind, active-controlled, non-inferiority study, 119 patients with FD (by the Rome III criteria, 60 for mosapride citrate SR and 59 for mosapride citrate CR) were randomly allocated to mosapride citrate SR once daily or mosapride citrate CR thrice daily for 4 weeks in 16 medical institutions.

View Article and Find Full Text PDF

Purpose: Literature regarding family stigma related to epilepsy is scarce. This study investigated the prevalence of family stigma and depressive symptoms and the associated factors among the family members of patients with epilepsy.

Methods: In a cross-sectional study, Stigma Scale-Revised score ≥ 4 and Patient Health Questionnaire-9 score ≥ 10 were considered indicative of moderate-to-severe stigma and depressive symptoms, respectively.

View Article and Find Full Text PDF

Purpose: The aim was to monitor aneurysms that show imaging evidence of minor recanalization 36 months after coil embolization and to determine the rate and related risk factors of major recanalization during more prolonged observation.

Methods: A total of 54 patients with 55 aneurysms showing minor recanalization at 36-month follow-up imaging between 2011 and 2013 were retrospectively reviewed. Medical records and radiological data accumulating in the course of extended monitoring (mean 83.

View Article and Find Full Text PDF
Article Synopsis
  • Complete revascularization is more effective than incomplete revascularization for STEMI patients with multi-vessel coronary artery disease, but there's uncertainty about the best timing for treating non-culprit lesions.
  • A study compared one-year outcomes of two approaches: single-staged (SS) and multi-staged (MS) percutaneous coronary intervention (PCI) in 606 patients.
  • Results indicated that MS PCI was linked to lower all-cause mortality and fewer major adverse events compared to SS PCI, especially in high-risk groups like older patients and those with cardiogenic shock, suggesting MS PCI may be a better option.
View Article and Find Full Text PDF

Background Data are limited regarding long-term outcomes in patients with ST-segment-elevation myocardial infarction and multivessel disease presenting with cardiogenic shock according to revascularization strategy. We sought to compare the 3-year clinical outcomes of patients with ST-segment-elevation myocardial infarction multivessel disease with cardiogenic shock and patients with multivessel percutaneous coronary intervention (PCI) and infarct-related artery (IRA)-only PCI. Methods and Results Of 13 104 patients from the nationwide, multicenter, prospective KAMIR-NIH (Korea Acute Myocardial Infarction Registry--National Institutes of Health) registry, we selected 659 patients with ST-segment-elevation myocardial infarction who had concomitant non-IRA stenosis and presented with cardiogenic shock.

View Article and Find Full Text PDF

The Korean Society of Gastrointestinal Endoscopy introduced the Accredited Endoscopy Unit Program to enhance endoscopy unit quality through systematic quality management in 2012. It was gradually expanded from training hospitals to institutions with 100+ beds, and the criteria for certification were applied according to the actual conditions of each institution. On the basis of the continuous communication with the institutions and feedback, the Accredited Endoscopy Unit Program certification criteria were revised in 2019 and introduced as follows: (1) the qualification criteria for endoscopy doctors and nurses; (2) facilities and equipment; (3) endoscopic examination process; (4) performance; (5) disinfection and infection control; and (6) endoscopic sedation.

View Article and Find Full Text PDF

Purpose: It is well known that hypertension is a significant factor in the formation, growth, and rupture of aneurysms and recanalization of coiled aneurysms is affected by hemodynamic stress. At present, however, the impact of hypertension on recanalization of coiled aneurysms has not been adequately investigated. This study examined the relation between hypertension and subsequent outcomes of coiled aneurysms, using a matched patient analysis.

View Article and Find Full Text PDF

Objective: Coiled aneurysms are known to recanalize over time, making follow-up evaluations mandatory. Although de novo intracranial aneurysms (DNIAs) are occasionally detected during routine patient monitoring, such events have not been thoroughly investigated to date. Herein, we generated estimates of DNIA development during long-term observation of coiled cerebral aneurysms, focusing on incidence and the risk factors involved.

View Article and Find Full Text PDF

Objective: The authors conducted a study to ascertain the long-term durability of coiled aneurysms completely occluded at 36 months' follow-up given the potential for delayed recanalization.

Methods: In this retrospective review, the authors examined 299 patients with 339 aneurysms, all shown to be completely occluded at 36 months on follow-up images obtained between 2011 and 2013. Medical records and radiological data acquired during the extended monitoring period (mean 74.

View Article and Find Full Text PDF
Article Synopsis
  • Proton pump inhibitors (PPIs) like omeprazole have limited effectiveness in treating non-erosive reflux disease (NERD), prompting a study to evaluate the alternative treatment AlbisD, which contains ranitidine hydrochloride, sucralfate hydrate, and tripotassium dicitrato bismuthate.
  • The study involved 126 patients and was designed to compare the efficacy and safety of AlbisD with omeprazole over 4 weeks, focusing on the percentage of patients experiencing complete heartburn cure at the end of the study.
  • Results show that AlbisD's effectiveness is comparable to omeprazole, with neither treatment showing significant differences in heartburn relief or safety, suggesting AlbisD could be
View Article and Find Full Text PDF
Article Synopsis
  • MINOCA (myocardial infarction with nonobstructive coronary arteries) and obstructive coronary artery disease have similar 2-year all-cause mortality rates (9.1% vs. 8.8%), indicating comparable prognosis.
  • Factors associated with all-cause death in MINOCA include the nonuse of renin-angiotensin system blockers and statins, suggesting these medications may improve survival.
  • MINOCA patients experienced lower rates of repeat vascular procedures compared to those with obstructive coronary artery disease (1.3% vs. 7.2%).
View Article and Find Full Text PDF

Background In patients with ST-segment-elevation myocardial infarction, timely reperfusion therapy with door-to-balloon (D2B) time <90 minutes is recommended by the current guidelines. However, whether further shortening of symptom onset-to-door (O2D) time or D2B time would enhance survival of patients with ST-segment-elevation myocardial infarction remains unclear. Therefore, the current study aimed to evaluate the prognostic impact of O2D or D2B time in patients with ST-segment-elevation myocardial infarction who underwent primary percutaneous coronary intervention.

View Article and Find Full Text PDF
Article Synopsis
  • The study analyzed 199 peri-internal carotid artery (ICA) bifurcation aneurysms out of 6777 treated, classifying them into three types based on their anatomical location.
  • The findings revealed that carotid-A1 junctional aneurysms are generally smaller, elongated, and have a challenging posteroinferior projection, complicating their surgical treatment compared to true ICA bifurcation aneurysms.
  • The researchers advocate for the use of a virtual surgical view in preoperative planning to enhance surgical outcomes and recommend specific strategies for addressing blind spots during surgery.
View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the efficacy of new oral P2Y12 inhibitors (prasugrel/ticagrelor) in Korean patients with myocardial infarction (MI) and diabetes compared to clopidogrel.
  • The results indicated no significant difference in the risk of cardiac death, recurrent MI, or stroke between the two groups, despite prasugrel/ticagrelor’s higher bleeding risk.
  • Major bleeding events were notably higher in patients with lower kidney function, hypertension, those who underwent trans-femoral procedures, and those diagnosed with NSTEMI.
View Article and Find Full Text PDF
Article Synopsis
  • The study analyzed 11,909 acute myocardial infarction patients from the KAMIR-NIH registry to assess the impact of β-blocker doses on cardiac death risk.
  • Both low-dose and high-dose β-blocker groups showed a significantly lower risk of cardiac death compared to the no β-blocker group.
  • However, there was no notable difference in cardiac death risk between the high-dose and low-dose groups, indicating that higher doses do not provide extra survival benefits beyond low doses.
View Article and Find Full Text PDF

Background And Aim: The diagnostic and therapeutic modalities of esophageal cancer have recently improved in Asia, and its prognosis is expected to change. This study provides a population-based report on the epidemiology of esophageal cancer in Korea.

Methods: Cancer incidence data from 1999 to 2013 were obtained from the Korea Central Cancer Registry, covering the entire population.

View Article and Find Full Text PDF

Background: There has been debate regarding the added benefit of high-intensity statins compared with low-moderate-intensity statins, especially in patients with acute myocardial infarction (AMI).

Methods and results: The Korea Acute Myocardial Infarction Registry-National Institutes of Health consecutively enrolled 13,104 AMI patients. Of these, a total of 12,182 patients, who completed 1-year follow-up, were included in this study, and all patients were classified into 3 groups (no statin; low-moderate-intensity statin; and high-intensity statin).

View Article and Find Full Text PDF