589 results match your criteria: "Uijeongbu Eulji Medical Center[Affiliation]"

Article Synopsis
  • The report offers updated statistics on stroke patients in South Korea from a nationwide registry, revealing a male-to-female ratio of 1.5, with average ages of 67 for men and 73 for women.
  • Hypertension is the leading risk factor (67%), with notable rates of diabetes (35%) and smoking (21%), while atrial fibrillation is less common (19%) than in Western populations, indicating effective preventive measures.
  • There has been a decline in intravenous thrombolysis use, unchanged timing for treatment, and despite favorable outcomes at 3 months, there is a pressing need for improvements in acute stroke care.
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Article Synopsis
  • A nationwide study in South Korea explored the connection between statin use and migraine occurrence, utilizing data from nearly 39,000 migraine patients and over 155,000 controls.
  • Statin users showed a lower likelihood of experiencing migraines overall, particularly for those with aura (reduced risk by 25%) and without aura (reduced risk by 6%).
  • The effectiveness of statins varied based on the type (lipophilic vs. hydrophilic) and individual factors like weight and lifestyle habits, highlighting the need for personalized approaches in migraine treatment.
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Background: After carotid artery angioplasty with stenting (CAS), it is unclear which risk factors are related to long-term outcomes, including in-stent restenosis (ISR). This study aimed to assess the factors associated with restenosis after CAS with a median follow-up of 35.7 months.

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Association between glycemic status and all-cause mortality among individuals with dementia: a nationwide cohort study.

Alzheimers Res Ther

August 2024

Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam, 13620, South Korea.

Background: To examine the association between glycemic status and all-cause mortality risk among individuals with dementia.

Methods: We enrolled 146,832 individuals aged 40 and older with dementia as identified through the Korean National Health Insurance Service health screening test between 2008 and 2016. Mortality status was evaluated at the end of 2019.

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Article Synopsis
  • * Researchers analyzed data from over 42,000 patients, identifying key variables like age, sex, and health conditions that affect long-term survival.
  • * A predictive tool named SMART-M was developed, showing strong performance with C-statistics of approximately 0.806 for the training group and 0.803 for the validation group, indicating its reliability in mortality prediction.
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Handgrip strength (HGS) is suggested as an indirect assessment of nutritional status in chronic kidney disease (CKD) patients, but evidence is limited for non-dialysis-dependent CKD (NDD-CKD) patients. This cross-sectional study included 404 patients from the Phase II KoreaN Cohort Study for Outcome in Patients With CKD. HGS, measured twice in each hand, was the exposure, and malnutrition status was defined by a malnutrition-inflammation score (MIS) of 6 or higher.

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Context: The number of young Koreans using antidepressants and antianxiety medications is increasing.

Objective: Studies evaluating the association between these medications and weight gain are limited. We investigated this association among Korean young adults.

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Advancing predictive accuracy for shoulder replacement surgery.

Lancet Rheumatol

September 2024

Department of Orthopedic Surgery, Uijeongbu Eulji Medical Center, Eulji University, School of Medicine, Uijeongbu, Korea.

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Chronic myeloid leukemia (CML), caused by BCR::ABL1 fusion gene, is known to regulate disease progression by altering the expression of genes. However, the molecular mechanisms underlying these changes are largely unknown. In this study, we identified RNA Exonuclease 5 (REXO5/LOC81691) as a novel gene with elevated mRNA expression levels in chronic myeloid leukemia (CML) patients.

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Efficacy of Mobile App-Based Cognitive Behavioral Therapy for Insomnia: Multicenter, Single-Blind Randomized Clinical Trial.

J Med Internet Res

July 2024

Department of Psychiatry and Center for Sleep and Chronobiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.

Background: Cognitive behavioral therapy for insomnia (CBTi) is the first-line therapy for chronic insomnia. Mobile app-based CBTi (MCBTi) can enhance the accessibility of CBTi treatment; however, few studies have evaluated the effectiveness of MCBTi using a multicenter, randomized controlled trial design.

Objective: We aimed to assess the efficacy of Somzz, an MCBTi that provides real-time and tailored feedback to users, through comparison with an active comparator app.

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Objective: The purpose of this study was to evaluate the incidence of gonadal vein refluxes associated with lower-extremity varicose veins with Doppler ultrasonography (DUS).

Method: A total of 6279 patients with venous disease-related symptoms of the lower extremity were evaluated with DUS in the vascular lab. Gonadal vein reflux using abdominal ultrasound was further evaluated in patients with unusual varices, defined as varices in the inguinal, inner or upper thigh and the vulvar area without refluxes in the saphenofemoral junction (SPJ).

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Optimal fluid management during major surgery is of considerable concern to anesthesiologists. Although crystalloids are the first choice for fluid management, the administration of large volumes of crystalloids is associated with poor postoperative outcomes. Albumin can be used for fluid management and may protect renal function.

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Hot flashes (HF) are a common adverse event of prolonged tamoxifen use in women with estrogen receptor-positive breast cancer, impacting psychiatric health and quality of life. While desvenlafaxine does not interact with tamoxifen, its efficacy and safety in breast cancer patients remain unstudied. This phase 3, four-week, multi-center, three-arm, parallel-group, randomized, double-blind, placebo-controlled trial investigated the efficacy and safety of desvenlafaxine for treating HF in women with breast cancer taking tamoxifen, assessing potential differential effects in patients with psychiatric and inflammatory conditions.

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Deep learning-based measurement of split glomerular filtration rate with Tc-diethylenetriamine pentaacetic acid renal scan.

EJNMMI Phys

July 2024

Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Purpose: To develop a deep learning (DL) model for generating automated regions of interest (ROIs) on Tc-diethylenetriamine pentaacetic acid (DTPA) renal scans for glomerular filtration rate (GFR) measurement.

Methods: Manually-drawn ROIs retrieved from a Picture Archiving and Communications System were used as ground-truth (GT) labels. A two-dimensional U-Net convolutional neural network architecture with multichannel input was trained to generate DL ROIs.

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Automated Segmentation of MRI White Matter Hyperintensities in 8421 Patients with Acute Ischemic Stroke.

AJNR Am J Neuroradiol

December 2024

National Priority Research Center for Stroke and Department of Neurology (W.-S.R, J.C., S.-W.J., D.-S.G., D.-E.K.), Dongguk University Ilsan Hospital, Goyang, Republic of Korea

Article Synopsis
  • A study was conducted to develop deep learning algorithms for the automatic segmentation of white matter hyperintensity (WMH) lesions in patients with cerebral infarction, involving a large dataset of 8,421 patients from multiple hospitals in Korea.
  • Two models, 2D UNet and SE-Unet, were trained and validated using FLAIR MRI images, with performance measured against a human-segmented gold standard using various statistical metrics.
  • Results showed that while both models had good performance, the SE-Unet outperformed the UNet with higher average Dice Similarity Coefficients (DSCs) in both internal and external validations, indicating it was more reliable for WMH segmentation.
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Purpose: We assessed the differences in chemotherapy-induced nausea and vomiting (CINV) severity in patients with breast cancer, receiving neoadjuvant chemotherapy (NAC) and adjuvant chemotherapy (AC).

Methods: CINV severity in patients on anthracycline-based NAC (n = 203) and AC (n = 79) was assessed at baseline (C0) and after the first and fourth chemotherapy using a 10-point Likert scale. Group-by-time interaction term was used to evaluate the effect of the group on changes in CIN (cCIN) and CIV (cCIV) from C0 to the follow-up periods (C1, C4).

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The association between living arrangements and health-related quality of life in Korean older people: a nationwide repeated cross-sectional study.

Osong Public Health Res Perspect

June 2024

Department of Rehabilitation Medicine, Uijeongbu Eulji Medical Center, College of Medicine Eulji University, Uijeongbu, Republic of Korea.

Background: This study investigated the association between living arrangements and healthrelated quality of life (HRQoL) in older people.

Methods: A secondary analysis was conducted of 6,153 participants (aged ≥60 years) from the seventh Korean National Health and Nutrition Examination Survey (2016 to 2018). HRQoL was measured using the 3-level version of the EuroQol 5-dimensional questionnaire.

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Article Synopsis
  • The COVID-19 Vaccine Safety Research Center (CoVaSC) was created in South Korea to investigate potential links between COVID-19 vaccines and adverse events during the pandemic, with backing from health authorities.
  • Traditional methods for determining causality in medical events faced limitations, prompting an update of a causality assessment framework by the National Academies of Sciences, Engineering, and Medicine (NASEM) in 2024, which uses a weight-of-evidence approach.
  • This updated framework evaluates both epidemiological evidence from population studies and mechanistic evidence from biological studies, allowing for a comprehensive conclusion on causality, categorized from "convincingly supports" to "inadequate to accept or reject."
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Purpose: The aim of this study was to generate deep learning-based regions of interest (ROIs) from equilibrium radionuclide angiography datasets for left ventricular ejection fraction (LVEF) measurement.

Patients And Methods: Manually drawn ROIs (mROIs) on end-systolic and end-diastolic images were extracted from reports in a Picture Archiving and Communications System. To reduce observer variability, preprocessed ROIs (pROIs) were delineated using a 41% threshold of the maximal pixel counts of the extracted mROIs and were labeled as ground-truth.

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Successful open surgical treatment for persistent type II endoleak following thoracic endovascular aortic repair: a case report.

J Cardiothorac Surg

July 2024

Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.

Background: The occurrence of type II endoleaks after endovascular repair of aortic aneurysm has gradually gained increasing attention. We present a case of a patient with an expanding aneurysm after thoracic endovascular aortic repair (TEVAR) for a type II endoleak, in which successful direct ligations of the intercostal artery were performed using a sac incision without cardiopulmonary bypass (CPB) or graft replacement.

Case Presentation: A 62-year-old male patient, previously treated with TEVAR for a descending thoracic aortic aneurysm, presented with ongoing chest discomfort.

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Purpose: We conducted a randomized prospective trial (KLASS-07 trial) to compare laparoscopy-assisted distal gastrectomy (LADG) and totally laparoscopic distal gastrectomy (TLDG) for gastric cancer. In this interim report, we describe short-term results in terms of morbidity and mortality.

Methods And Methods: The sample size was 442 participants.

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Background And Objectives: Angiographic assessment of coronary stenosis severity using quantitative coronary angiography (QCA) is often inconsistent with that based on fractional flow reserve (FFR) or intravascular ultrasound (IVUS). We investigated the incidence of discrepancies between QCA and FFR or IVUS, and the outcomes of FFR- and IVUS-guided strategies in discordant coronary lesions.

Methods: This study was a post-hoc analysis of the FLAVOUR study.

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: Although extracorporeal membrane oxygenation (ECMO) is an essential life-saving technique for patients with refractory cardiopulmonary shock, it can be fatal in certain cases. : A 19-year-old girl treated with ECMO presented with acute limb ischemia 2 days after cannula removal. The decannulation was performed percutaneously by an interventional cardiologist, and the vascular surgery department was consulted after the patient developed symptoms.

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: This study aimed to elucidate the cytologic characteristics and diagnostic usefulness of endoscopic ultrasonography-fine needle aspiration cytology (EUS-FNAC) by comparing it with liquid-based preparation (LBP) and conventional smear (CS) in pancreas. : The diagnostic categories (I through VII) were classified according to the World Health Organization Reporting System for Pancreaticobiliary Cytopathology. Ten cytologic features, including nuclear and additional features, were evaluated in 53 cases subjected to EUS-FNAC.

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Clinical profile and treatment outcomes of idiopathic intracranial hypertension: a multicenter study from Korea.

J Headache Pain

June 2024

Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, 7 Keunjaebong-Gil, Hwaseong, 18450, Republic of Korea.

Article Synopsis
  • The study focuses on the clinical features and treatment outcomes of idiopathic intracranial hypertension (IIH) specifically in Korean patients, as there is limited data on this in Asian populations.
  • A total of 59 patients were analyzed, with a majority being women and only a portion classified as obese; various headache types were reported, with chronic and episodic migraines being the most common.
  • Treatment results showed that after 3-6 months, intracranial pressure normalized in 25% of patients, and over half experienced significant headache improvement, indicating a positive response to medical management overall.
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