1,555 results match your criteria: "Samsung Changwon Hospital[Affiliation]"

Double entrapment neuropathy of the ulnar nerve at the elbow and the wrist : double crush syndrome?

BMC Musculoskelet Disord

June 2024

Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, 179, Gudeok-ro seo-gu, Busan, 49241, Republic of Korea.

Article Synopsis
  • Double crush syndrome occurs when a nerve is compressed in two locations, commonly affecting the ulnar nerve, and can be difficult to diagnose without specialized testing.
  • In a study of eight patients with suspected ulnar nerve compression, most had a history of trauma, and while some underwent surgery, others received conservative treatment, with varying levels of improvement in hand function.
  • The findings suggest that standard exams and EMG tests may not be sufficient for diagnosis, highlighting the importance of suspecting double crush syndrome when symptoms persist despite treatment.
View Article and Find Full Text PDF

Cardiogenic shock complicating acute myocardial infarction and multivessel disease: revascularization strategy according to ischemic territory.

Rev Esp Cardiol (Engl Ed)

May 2024

Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Article Synopsis
  • The study looked at patients with heart attacks and severe complications to see how different treatments affected their recovery.
  • Researchers compared two methods of treating blocked heart arteries: fixing just the main problem (culprit) versus fixing multiple issues at once.
  • They found that patients with more serious artery blockages did worse overall, but those with certain types of blockages had better outcomes when treated with multiple artery repair right away.
View Article and Find Full Text PDF

Introduction: Fine-needle aspiration cytology (FNAC) specimens are widely utilized for the diagnosis and molecular testing of various cancers. We performed a comparative proteomic analysis of three different sample types, including breast FNAC, core needle biopsy (CNB), and surgical resection tissues. Our goal was to evaluate the suitability of FNAC for in-depth proteomic analysis and for identifying potential therapeutic biomarkers in breast cancer.

View Article and Find Full Text PDF

Background: It is unclear whether the beneficial effects of intravascular imaging-guided stent optimization vary by clinical presentation during complex percutaneous coronary intervention (PCI).

Objectives: In this prespecified, stratified subgroup analysis from RENOVATE-COMPLEX-PCI (Randomized Controlled Trial of Intravascular Imaging Guidance versus Angiography-Guidance on Clinical Outcomes After Complex PCI), we sought to compare the outcomes between intravascular imaging vs angiography guidance according to clinical presentation.

Methods: Patients with complex coronary artery lesions were randomly assigned to undergo either intravascular imaging-guided PCI or angiography-guided PCI in a 2:1 ratio.

View Article and Find Full Text PDF

Objective: Human papillomavirus (HPV) is a double-stranded DNA virus that belongs to the papillomavirus family. High-risk (HR) genotypes of HPV are associated with cervical cancer. The combination of molecular HPV testing and cytology results in an increased detection of high-grade cervical lesions.

View Article and Find Full Text PDF

Biodegradable Polymer Versus Polymer-Free Ultrathin Sirolimus-Eluting Stents: Analysis of the Stent Arm Registry From the HOST-IDEA Randomized Trial.

Circ Cardiovasc Interv

July 2024

Cardiovascular Center, Seoul National University Hospital, Republic of Korea (J.-K.H., S. Yang, D.H., S.-H. Park, J. Kang, H.-M. Yang, K.W. Park, H.-J. Kang, B.-K.K., H.-S. Kim).

Article Synopsis
  • The study aimed to compare the clinical outcomes of two third-generation drug-eluting stents: the Coroflex ISAR and the Orsiro.
  • It was conducted as part of the HOST-IDEA trial, which originally involved dual antiplatelet therapy duration but shifted to a registry format for stent comparison, ultimately including 328 patients randomized between the two stents.
  • Results showed that patients with the Coroflex ISAR stent had a significantly higher rate of target lesion failure compared to those with the Orsiro stent, with revascularization being a major factor for this difference.
View Article and Find Full Text PDF

[Pharmacologic Treatment of Chronic Constipation].

Korean J Gastroenterol

May 2024

Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

Chronic constipation is a common disease that can impair the quality of life, with a prevalence of 14% globally and 16.5% in South Korea. Straining, hard stools, the sensation of incomplete evacuation, the sensation of anorectal blockage, and manual maneuvers to facilitate defecation are the related symptoms of chronic constipation.

View Article and Find Full Text PDF

We developed a prediction model for cefotaxime resistance in patients with bacteremia. Adult patients with bacteremia were grouped into derivation (from March 2018 to December 2019) and validation (from January 2020 to August 2020) cohorts. The prediction scoring system was based on factors associated with cefotaxime resistance identified by the logistic regression model.

View Article and Find Full Text PDF

Background: Atherosclerotic cardiovascular disease (ASCVD) is a major health concern, and lipoprotein(a) (Lp(a)) is an independent risk factor. However, there is limited evidence regarding Lp(a) and the risk of ASCVD in Asian populations. This study aimed to assess the predictive value of changes in coronary artery calcification (CAC) for ASCVD risk associated with Lp(a) level.

View Article and Find Full Text PDF

Excessive Blood Pressure Rise and Cardiovascular Remodeling in Marathon Runners.

Int J Sports Med

October 2024

Division of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea (the Republic of).

Exercise-induced hypertension (EIH) is thought to be associated with increased cardiovascular (CV) risks. However, no previous studies have investigated the effects of EIH on CV systems in marathon runners without CV risk factors using both 24-hr ambulatory blood pressure (BP) monitoring and exercise stress echocardiography (ESE). This study firstly described differences in CV adaptations according to EIH assessed by both exams.

View Article and Find Full Text PDF

Background: Little is known about the association between seasonal variation and prognosis in patients with CS caused by AMI.

Objectives: We investigated the 12-month clinical outcomes in patients treated with percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) according to season.

Methods: A total of 695 patients undergoing PCI for AMI complicated by CS was enrolled from 12 centers in South Korea.

View Article and Find Full Text PDF

Impact of Respiratory Bacterial Findings on Patients with Chronic Pulmonary Aspergillosis.

Int J Microbiol

April 2024

Department of Allergy, Pulmonology and Critical Care Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea.

Background: Distinct bacterial strains may affect the prognosis of patients with chronic respiratory diseases. However, little is known about the clinical significance of respiratory bacteria in patients with chronic pulmonary aspergillosis (CPA), a progressive and debilitating disease caused by spp.

Objectives: This study aimed to analyze data obtained from CPA patients and their sputum or bronchial washing samples and investigate the prevalence and composition of respiratory bacteria and clinical implications.

View Article and Find Full Text PDF

BiZact-Assisted Endoscopic Resection of a Sinonasal Tumor.

J Craniofac Surg

June 2024

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Kosin University, Busan, Korea.

The BiZact device, a bipolar electrosurgical scissor designed for tonsillectomy, minimizes thermal tissue damage and seals blood vessels <3 mm in diameter while dividing the soft tissue. This study describes the authors' experience with sinonasal tumor surgery using a BiZact and discusses its clinical utility and advantages. The authors analyzed BiZact-assisted endoscopic sinonasal tumor surgery cases between January 2021 and May 2023.

View Article and Find Full Text PDF

Clinical significance of residual ischaemia in acute myocardial infarction complicated by cardiogenic shock undergoing venoarterial-extracorporeal membrane oxygenation.

Eur Heart J Acute Cardiovasc Care

July 2024

Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea.

Aims: Although culprit-only revascularization during the index procedure has been recommended in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS), the reduction in residual ischaemia is also emphasized to improve clinical outcomes. However, few data are available about the significance of residual ischaemia in patients undergoing mechanical circulatory supports. This study aimed to evaluate the effects of residual ischaemia on clinical outcomes in patients with AMI undergoing venoarterial-extracorporeal membrane oxygenation (VA-ECMO).

View Article and Find Full Text PDF

Long-Term Comparison of Esthetic Outcomes Between Hatchet and Transposition Flaps in Facial-Defect Reconstruction.

Aesthetic Plast Surg

August 2024

Department of Plastic and Reconstructive Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.

Article Synopsis
  • Transposition flaps are commonly used for facial reconstruction after skin cancer excisions, but they can cause distortion at the donor site due to tension.
  • This study compared the esthetic outcomes of the hatchet flap and transposition flap in reconstructive procedures, with 50 patients evaluated after 6 months of follow-up.
  • Results showed that the hatchet flap group had significantly better scores in overall appearance, color, distortion, and texture compared to the transposition flap group, indicating its effectiveness in improving esthetic results for facial reconstruction.
View Article and Find Full Text PDF
Article Synopsis
  • * Results indicated that patients using NOACs had a significantly lower risk of ischemic stroke, systemic embolism, major bleeding, and death compared to those on warfarin, particularly among those taking standard doses of NOACs.
  • * The findings conclude that NOACs are more beneficial than warfarin in reducing the risk of secondary complications related to ischemic strokes in this patient population, whereas low
View Article and Find Full Text PDF

Diagnostic accuracy of clinical visual assessment using endoscopic images for nasal cavity mass lesions.

Sci Prog

April 2024

Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.

Discrimination of nasal cavity lesions using nasal endoscopy is challenging because of the differences in clinical manifestations and treatment strategies. We aimed to investigate the diagnostic accuracy of clinical visual assessment (CVA) of nasal cavity masses using endoscopic images and determine whether there is a difference according to pathologic class and the examiners' experience. We collected pathologically confirmed endoscopic images of normal findings, nasal polyp (NP), benign tumor, and malignant tumor (each class contained 100 images) randomly selected.

View Article and Find Full Text PDF

Anesthesia for a Patient with Undiagnosed Myotonic Dystrophy.

Niger J Clin Pract

April 2024

Department of Anesthesia and Pain Medicine Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.

Myotonic dystrophy (DM) is an autosomal dominant genetic disorder characterized by progressively worsening loss of muscle mass and weakness. Anesthesiologists face challenges in managing these patients due to risks such as prolonged intubation and delayed recovery associated with anesthesia in such conditions. We report a case of a 40-year-old male patient undergoing open total gastrectomy under general anesthesia.

View Article and Find Full Text PDF

Background: This study aimed to validate apparent diffusion coefficient (ADC) values and thresholds to predict poor neurological outcomes in out-of-hospital cardiac arrest (OHCA) survivors by quantitatively analysing the ADC values via brain magnetic resonance imaging (MRI).

Methods: This observational study used prospectively collected data from two tertiary academic hospitals. The derivation cohort comprised 70% of the patients randomly selected from one hospital, whereas the internal validation cohort comprised the remaining 30%.

View Article and Find Full Text PDF

Clinical outcomes and treatment necessity in patients with toxin-negative Clostridioides difficile stool samples.

Ann Clin Microbiol Antimicrob

April 2024

Division of Infectious Diseases, Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, 50 Hapseong-dong, Masanhoewon-gu, Changwon-si, 51353, Gyeongsangnam-do, Republic of Korea.

Purpose: The clinical significance of negative toxin enzyme immunoassays (EIA) for Clostridioides difficile infections (CDIs) is unclear. Our study aimed to investigate the significance of toxin EIA-negative in the diagnosis and prognosis of CDI.

Methods: All stool specimens submitted for C.

View Article and Find Full Text PDF

Characteristics and biomarkers associated with mortality in COVID-19 patients presenting to the emergency department.

Epidemiol Infect

April 2024

Division of Infectious Diseases, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.

This study aimed to investigate the diverse clinical manifestations and simple early biomarkers predicting mortality of COVID-19 patients admitted to the emergency department (ED). A total of 710 patients with COVID-19 were enrolled from 6,896 patients presenting to the ED between January 2022 and March 2022. During the study period, a total of 478 patients tested positive for COVID-19, among whom 222 (46.

View Article and Find Full Text PDF

Purpose: In this study, we evaluated 66 patients diagnosed with adenoid cystic carcinoma (ACC) enrolled in two Korean Cancer Study Group trials to investigate the response and progression patterns in recurrent and/or metastatic ACC treated with vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR-TKIs).

Materials And Methods: We evaluated 66 patients diagnosed with ACC who were enrolled in the Korean Cancer Study Group trials. The tumor measurements, clinical data, treatment outcomes, and progression patterns of therapy were analyzed.

View Article and Find Full Text PDF

Aims/hypothesis: This study compares the efficacy and safety of a tubeless, on-body automated insulin delivery (AID) system with that of a tubeless, on-body sensor-augmented pump (SAP).

Methods: This multicentre, parallel-group, RCT was conducted at 13 tertiary medical centres in South Korea. Adults aged 19-69 years with type 1 diabetes who had HbA levels of <85.

View Article and Find Full Text PDF

Background/aims: The reimbursement policy for cryptogenic stroke (CS) was expanded in November 2018 from recurrent strokes to the first stroke episode. No reports have demonstrated whether this policy change has affected trends in implantable loop recorder (ILR) utilization.

Methods: We identified patients who received an ILR implant using the Korea Health Insurance Review and Assessment Service database between July 2016 and October 2021.

View Article and Find Full Text PDF

Introduction And Objectives: There are no clinical data on the efficacy of intravascular imaging-guided percutaneous coronary intervention (PCI) compared with angiography-guided PCI in patients with acute myocardial infarction (AMI) and cardiogenic shock. The current study sought to evaluate the impact of intravascular imaging-guided PCI in patients with AMI and cardiogenic shock.

Methods: Among a total of 28 732 patients from the nationwide pooled registry of KAMIR-NIH (November, 2011 to December, 2015) and KAMIR-V (January, 2016 to June, 2020), we selected a total of 1833 patients (6.

View Article and Find Full Text PDF