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WoS SCOPUS Document Type Document Title Abstract Authors Affiliation ResearcherID (WoS) AuthorsID (SCOPUS) Author Email(s) Journal Name JCR Abbreviation ISSN eISSN Volume Issue WoS Edition WoS Category JCR Year IF JCR (%) FWCI FWCI Update Date WoS Citation SCOPUS Citation Keywords (WoS) KeywordsPlus (WoS) Keywords (SCOPUS) KeywordsPlus (SCOPUS) Language Publication Stage Publication Year Publication Date DOI JCR Link DOI Link WOS Link SCOPUS Link
Article Association between periodontal disease and hypertriglyceridemia: Propensity score matching analysis using the 7th Korea National Health and Nutrition Examination Survey The prevalence of periodontitis and dyslipidemia continues to increase, and several studies have reported an association between the 2. Therefore, we assessed the relationship between periodontitis and hypertriglyceridemia using propensity score matching to efficiently address confounding factors, as well as complex sample analysis with data from Korea National Health and Nutrition Examination Survey VII (2016-2018). To match the 1:1 ratio between the groups with and without periodontitis, the propensity scores of covariates, such as age, sex, education, income, smoking, drinking, obesity, and diabetes mellitus, were calculated using logistic regression. Both results of logistic regression analysis using complex sample design for whole and matched sample after propensity score matching demonstrated a significant association between hypertriglyceridemia and periodontitis, of which the adjusted odds ratio was 1.28 (95% confidence interval = 1.10-1.50) and 1.29 (95% confidence interval = 1.09-1.52), respectively. Our findings suggest that dental healthcare workers can help raise awareness among patients with periodontitis regarding the association between periodontitis and hypertriglyceridemia, which may help them manage the condition and receive treatment. Kim, Eun-Kyong; Cho, Ju-Yeon; Park, Eun Young Kyungpook Natl Univ, Coll Sci & Technol, Dept Dent Hyg, Sangju, South Korea; Keimyung Univ, Dongsan Hosp, Sch Med, Dept Dent, Daegu, South Korea; Yeungnam Univ, Coll Med, Dept Dent, 170 Hyeonchung Ro, Daegu 42415, South Korea 55915892100; 57224821270; 57188575494 jinha01@naver.com;cipher01@dsmc.or.kr;acidic@yu.ac.kr; MEDICINE MEDICINE 0025-7974 1536-5964 102 51 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.26 2025-06-25 1 1 hypertriglyceridemia; periodontitis; propensity score matching DYSLIPIDEMIA; ADULTS; TRIGLYCERIDE; CRITERIA; INDEX; RISK hypertriglyceridemia; periodontitis; propensity score matching Humans; Hypertriglyceridemia; Nutrition Surveys; Periodontal Diseases; Periodontitis; Propensity Score; Republic of Korea; Risk Factors; antihypertensive agent; antilipemic agent; hypocholesterolemic agent; adult; age; antihypertensive therapy; Article; controlled study; diabetes mellitus; disease association; drinking behavior; education; female; health survey; human; hypercholesterolemia; hypertension; hypertriglyceridemia; income; Korea; major clinical study; male; middle aged; nutritional health; obesity; periodontal disease; prevalence; propensity score; sex; smoking; young adult; article; awareness; dyslipidemia; health care personnel; hypertriglyceridemia; Korea; nutrition; periodontitis English 2023 2023-12-22 10.1097/md.0000000000036502 바로가기 바로가기 바로가기 바로가기
Article Be aware of the "o" sign in the bipolar cup dissociation during closed reduction of bipolar dislocation: A case report Rationale: Bipolar cup dissociation following hip hemiarthroplasty is a rare complication of which only a few cases have been reported, and it usually requires revision surgery because of difficulties in closed reduction. Patient concerns: We report the case of a 57-year-old man who underwent bipolar hemiarthroplasty 2 months ago caused by a left femoral neck fracture. Postoperatively, bipolar dislocation occurred thrice, and the patient showed bipolar cup dissociation during closed reduction maneuver at the recent visit. At the time of this event, no consideration was given to the shape of the prosthesis on the radiograph. Diagnoses: The patient was diagnosed with early bipolar cup dissociation. Interventions: The patient underwent revision surgery to replace and reassemble the femoral head component. Outcomes: No further dislocation occurred following the surgery. Lessons: To avoid dissociation of the components during closed reduction, it would be helpful to have knowledge of the "O" sign, a concentric circle shape of the prosthesis on the radiograph. Level of evidence: Level V, case report. © 2023 Lippincott Williams and Wilkins. All rights reserved. Sim, Seung-Bo; Son, Sang-Woo; Shim, Bum-Jin Department of Orthopedic Surgery, Kyungpook National University Hospital, Jung-gu, Daegu, South Korea; Department of Orthopedic Surgery, Kyungpook National University Hospital, Jung-gu, Daegu, South Korea; Department of Orthopaedic Surgery, Kyungpook National University, College of Medicine, Jung-gu, Daegu, South Korea, Department of Orthopedic Surgery, Kyungpook National University, Chilgok Hospital, Buk-gu, Daegu, South Korea 58587466700; 58588191300; 57201499293 redpross@naver.com; Medicine (United States) MEDICINE 0025-7974 1536-5964 102 37 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0 2025-06-25 0 bipolar; dislocation; dissociation; hemiarthroplasty; locking Artificial Limbs; Awareness; Femoral Neck Fractures; Femur Head; Femur Neck; Humans; Joint Dislocations; Male; Middle Aged; adult; Article; awareness; bipolar hemiarthroplasty; brain tumor; case report; clinical article; closed reduction (procedure); computer assisted tomography; emergency ward; femoral neck fracture; hemiplegia; hip pain; human; life expectancy; male; middle aged; open reduction (procedure); patient history of surgery; postoperative complication; prophylaxis; prosthesis dislocation; radiography; revision arthroplasty; weight bearing; diagnostic imaging; femoral head; femoral neck; femoral neck fracture; joint dislocation English Final 2023 10.1097/md.0000000000035234 바로가기 바로가기 바로가기
Article Clean mucosal area detection of gastroenterologists versus artificial intelligence in small bowel capsule endoscopy Studies comparing the detection of clean mucosal areas in capsule endoscopy (CE) using human judgment versus artificial intelligence (AI) are rare. This study statistically analyzed gastroenterologist judgments and AI results. Three hundred CE video clips (100 patients) were prepared. Five gastroenterologists classified the video clips into 3 groups (>= 75% [high], 50%-75% [middle], and < 50% [low]) according to their subjective judgment of cleanliness. Visualization scores were calculated using an AI algorithm based on the predicted visible area, and the 5 gastroenterologists' judgments and AI results were compared. The 5 gastroenterologists evaluated CE clip video quality as "high" in 10.7% to 36.7% and as "low" in 28.7% to 60.3% and 29.7% of cases, respectively. The AI evaluated CE clip video quality as "high" in 27.7% and as "low" in 29.7% of cases. Repeated-measures analysis of variance (ANOVA) revealed significant differences in the 6 evaluation indicators (5 gastroenterologists and 1 AI) (P < .001). Among the 300 judgments, 90 (30%) were consistent with 5 gastroenterologists' judgments, and 82 (91.1%) agreed with the AI judgments. The "high" and "low" judgments of the gastroenterologists and AI agreed in 95.0% and 94.9% of cases, respectively. Bonferroni's multiple comparison test showed no significant difference between 3 gastroenterologists and AI (P = .0961, P = 1.0000, and P = .0676, respectively) but a significant difference between the other 2 with AI (P < .0001). When evaluating CE images for cleanliness, the judgments of 5 gastroenterologists were relatively diverse. The AI produced a relatively universal judgment that was consistent with the gastroenterologists' judgements. Ju, Jeongwoo; Oh, Hyun Sook; Lee, Yeoun Joo; Jung, Heechul; Lee, Jong-Hyuck; Kang, Ben; Choi, Sujin; Kim, Ji Hyun; Kim, Kyeong Ok; Chung, Yun Jin Captos Co Ltd, Yangsan, South Korea; Gachon Univ, Sch Social Sci, Dept Appl Stat, Seongnam, South Korea; Pusan Natl Univ, Sch Med, Pusan Natl Univ Yangsan Hosp, Dept Pediat, Yangsan, South Korea; Kyungpook Natl Univ, Dept Artificial Intelligence, Daegu, South Korea; Kyungpook Natl Univ, Sch Med, Kyungpook Natl Univ Chilgok Hosp, Dept Pediat, Daegu, South Korea; Kangwon Natl Univ, Sch Med, Kangwon Natl Univ Hosp, Dept Internal Med, Chunchon, South Korea; Yeungnam Univ, Coll Med, Yeungnam Univ Med Ctr, Dept Internal Med, Daegu, South Korea; Kyungpook Natl Univ, Chilgok Hosp, Dept Internal Med, Daegu, South Korea; Pusan Natl Univ, Sch Med, Pusan Natl Univ Yangsan Hosp, Dept Pediat, Yangsan 50612, South Korea ; Lee, Yeoun Joo/AHA-7302-2022; 康, 奔/JMQ-0812-2023 55651859700; 36348442900; 34877162300; 55652175200; 57491056900; 57194823199; 57223972405; 57207436894; 53363798100; 57199411938 veryju@captos.co.kr;hoh@gachon.ac.kr;moonmissing@gmail.com;heechul@knu.ac.kr;jhlee@captos.co.kr;benkang@knu.ac.kr;sarang1706@nate.com;kokim@yu.ac.kr;gooddr76@gmail.com; MEDICINE MEDICINE 0025-7974 1536-5964 102 6 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 2.3 2025-06-25 7 9 artificial intelligence; bowel cleanness; capsule endoscopy; small bowel METAANALYSIS artificial intelligence; bowel cleanness; capsule endoscopy; small bowel Algorithms; Artificial Intelligence; Capsule Endoscopy; Gastroenterologists; Humans; Intestine, Small; adult; algorithm; analysis of variance; article; artificial intelligence; capsule endoscopy; controlled study; decision making; female; gastroenterologist; human; major clinical study; male; small intestine; algorithm; artificial intelligence; procedures; small intestine English 2023 2023-02-10 10.1097/md.0000000000032883 바로가기 바로가기 바로가기 바로가기
Article Clinical predictors and outcomes of non-expandable lung following percutaneous catheter drainage in lung cancer patients with malignant pleural effusion Non-expandable lung (NEL) often occurs during pleural fluid drainage in patients with malignant pleural effusion (MPE). However, data regarding the predictors and prognostic impact of NEL on primary lung cancer patients with MPE receiving pleural fluid drainage, compared to malignant pleural mesothelioma (MPM), are limited. This study was aimed to investigate the clinical characteristics of lung cancer patients with MPE developing NEL following ultrasonography (USG)-guided percutaneous catheter drainage (PCD) and compare the clinical outcomes between those with and without NEL. Clinical, laboratory, pleural fluid, and radiologic data and survival outcomes of lung cancer patients with MPE undergoing USG-guided PCD were retrospectively reviewed and compared between those with and without NEL. Among 121 primary lung cancer patients with MPE undergoing PCD, NEL occurred in 25 (21%). Higher pleural fluid lactate dehydrogenase (LDH) levels and presence of endobronchial lesions were associated with development of NEL. The median time to catheter removal was significantly extended in those with NEL compared to those without (P = .014). NEL was significantly associated with poor survival outcome in lung cancer patients with MPE undergoing PCD, along with poor Eastern Cooperative Oncology Group (ECOG) performance status (PS), the presence of distant metastasis, higher serum C-reactive protein (CRP) levels, and not receiving chemotherapy. NEL developed in one-fifth of lung cancer patients undergoing PCD for MPE and was associated with high pleural fluid LDH levels and the presence of endobronchial lesions. NEL may negatively affect overall survival in lung cancer patients with MPE receiving PCD. Kim, Chang Ho; Park, Ji Eun; Cha, Jung Guen; Park, Jongmin; Choi, Sun Ha; Seo, Hyewon; Yoo, Seung Soo; Lee, Shin Yup; Cha, Seung Ick; Park, Jae Yong; Lim, Jae Kwang; Lee, Jaehee Kyungpook Natl Univ, Sch Med, Dept Internal Med, Daegu, South Korea; Kyungpook Natl Univ, Sch Med, Dept Radiol, Daegu, South Korea; Kyungpook Natl Univ, Sch Med, Dept Internal Med, 680 Gukchaebosang Ro, Daegu 41944, South Korea Lee, Jun Young/CAI-2335-2022; Lee, Jaehee/S-1697-2018 7409873555; 57195437358; 57206855971; 57216463879; 57199723585; 55612130200; 56479781600; 49863712700; 35227126400; 58360293800; 55515341400; 13805476000 kimch@knu.ac.kr;jaeyong@knu.ac.kr;sicha@knu.ac.kr;sunha20@knu.ac.kr;seohw@knu.ac.kr;yooss@knu.ac.kr;jaelee@knu.ac.kr;limjk@knu.ac.kr; MEDICINE MEDICINE 0025-7974 1536-5964 102 26 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.26 2025-06-25 0 1 lung cancer; malignant pleural effusion; non-expandable lung; pleural drainage; survival UNEXPANDABLE LUNG; TALC PLEURODESIS; SURVIVAL; PNEUMOTHORAX; ULTRASOUND; CARCINOMA; DIAGNOSIS lung cancer; malignant pleural effusion; non-expandable lung; pleural drainage; survival Cardiac Catheters; Drainage; Humans; Lung; Lung Neoplasms; Pleural Effusion, Malignant; Retrospective Studies; antineoplastic agent; C reactive protein; lactate dehydrogenase; adult; aged; Article; bronchus tumor; cancer chemotherapy; cancer patient; cancer survival; catheter removal; clinical feature; clinical outcome; controlled study; distant metastasis; echography; ECOG Performance Status; female; human; human tissue; interventional radiology; laboratory test; lung adenocarcinoma; lung cancer; lung disease; major clinical study; male; malignant pleura effusion; non expandable lung; non small cell lung cancer; overall survival; percutaneous drainage; pleura fluid; pneumothorax; protein blood level; retrospective study; small cell lung cancer; squamous cell lung carcinoma; thoracocentesis; complication; diagnostic imaging; lung; lung tumor; malignant pleura effusion English 2023 2023-06-30 10.1097/md.0000000000034134 바로가기 바로가기 바로가기 바로가기
Review Coronavirus disease pandemic impact on emergency department visits for cardiovascular disease in Korea: A review The coronavirus disease (COVID-19) pandemic has affected patient visits to the hospital, including visits to the emergency department (ED). This study aimed to analyze the impact of the COVID-19 pandemic on the patterns of ED visits and treatment in hospitals for diseases requiring urgent diagnosis and treatment. We analyzed entries from the South Korea National Emergency Department Information System claims database between January 1, 2018 and December 31, 2020. We analyzed data of patients who visited the ED with acute myocardial infarction (AMI), acute ischemic stroke (AIS), and acute hemorrhagic stroke (AHS). We found that the COVID-19 pandemic had impacted ED utilization and fatality in patients with AMI, AIS, and AHS. Cho, Yeonjoo; Yeo, In Hwan; Lee, Dong Eun; Kim, Jong Kun Kyungpook Natl Univ, Chilgok Hosp, Sch Med, Dept Emergency Med, 807 Hoguk Ro, Daegu 41404, South Korea Kim, Joo/JAZ-0897-2023; Lee, Dong Eun/HTN-4501-2023; Yeo, Inhwan/GXZ-7024-2022 57219251787; 57216816807; 57202299238; 55915816900 yeonjoocho85@gmail.com;inani1113@gmail.com;delee@knu.ac.kr;kim7155@knu.ac.kr; MEDICINE MEDICINE 0025-7974 1536-5964 102 47 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.12 2025-06-25 1 1 coronavirus disease pandemic; emergency department; fatality rate; myocardial infarction; stroke UNITED-STATES; OUTBREAK coronavirus disease pandemic; emergency department; fatality rate; myocardial infarction; stroke Cardiovascular Diseases; COVID-19; Emergency Service, Hospital; Humans; Ischemic Stroke; Myocardial Infarction; Pandemics; Republic of Korea; Retrospective Studies; Stroke; acute heart infarction; acute ischemic stroke; adult; aged; anonymised data; brain arteriovenous malformation; brain artery aneurysm; brain hemorrhage; cardiovascular disease; coronavirus disease 2019; emergency ward; female; heart infarction; human; institutional review; intensive care unit; logistic regression analysis; major clinical study; male; middle aged; percutaneous transluminal angioplasty; retrospective study; Review; South Korea; statistics; cardiovascular disease; cerebrovascular accident; coronavirus disease 2019; heart infarction; hospital emergency service; ischemic stroke; pandemic English 2023 2023-11-24 10.1097/md.0000000000035992 바로가기 바로가기 바로가기 바로가기
Article Differences in clinical outcomes between HER2-negative and HER2-positive luminal B breast cancer The clinical features and prognosis of breast cancer can vary widely, depending on the molecular subtype. Luminal B breast cancers are usually either estrogen receptor-positive and/or progesterone receptor-positive with high proliferation of Ki67 index, or HER2 positive (HER2+). The authors compared the clinicopathologic factors and survival rates of different subtypes of luminal B breast cancer according to HER2 status. Between 2009 and 2013, 1131 cases of breast cancer were reviewed and characterized as 1 of 4 different molecular subtypes based on their immunohistochemical results: luminal A, luminal B, HER2+, or triple-negative breast cancer. From these, luminal B breast cancers were extracted and the clinical features and prognosis of the HER2- and the HER2 + subtypes were compared. Survival differed significantly based on the molecular subtype regardless of whether or not the patient received treatment with neoadjuvant chemotherapy. While patients with HER2- luminal B breast cancer who received neoadjuvant chemotherapy had better prognoses, patients with HER2 + luminal B breast cancer who did not receive neoadjuvant chemotherapy had better prognoses. Luminal B breast cancers showed different clinical outcomes and survival rates according to HER2 gene overexpression type. Physicians should consider these results when they establish a treatment strategy. Kang, Byeongju; Lee, Jeeyeon; Jung, Jin Hyang; Kim, Wan Wook; Keum, Heejung; Park, Ho Yong Kyungpook Natl Univ, Chilgok Hosp, Sch Med, Dept Surg, Daegu, South Korea; Kyungpook Natl Univ, Chilgok Hosp, Sch Med, Dept Surg, Daegu 41404, South Korea PARK, JUN-YOUNG/P-5981-2015 57279815300; 37079213100; 57209310173; 26023273400; 57221998716; 56564377200 phy123@knu.ac.kr; MEDICINE MEDICINE 0025-7974 1536-5964 102 34 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 1.28 2025-06-25 6 5 breast cancer; luminal B; survival MOLECULAR SUBTYPES; SURVIVAL; PATTERNS; ESTROGEN breast cancer; luminal B; survival Humans; Neoadjuvant Therapy; Physicians; Triple Negative Breast Neoplasms; antineoplastic agent; antineoplastic hormone agonists and antagonists; epidermal growth factor receptor 2; adjuvant chemotherapy; adjuvant radiotherapy; adult; Article; cancer hormone therapy; cancer patient; cancer prognosis; cancer survival; clinical feature; clinical outcome; female; gene overexpression; histopathology; human; human epidermal growth factor receptor 2 negative breast cancer; human epidermal growth factor receptor 2 positive breast cancer; immunohistochemistry; luminal A breast cancer; luminal B breast cancer; major clinical study; male; middle aged; neoadjuvant chemotherapy; survival rate; triple negative breast cancer; neoadjuvant therapy; physician; triple negative breast cancer English 2023 2023-08-25 10.1097/md.0000000000034772 바로가기 바로가기 바로가기 바로가기
Article Effect of cholesterol variability on the incidence of cataract, dementia, and osteoporosis A study using a common data model The effects of cholesterol variability on cataracts, dementia, and osteoporosis remain controversial. Using a common data model, we investigated the effects of variations in cholesterol levels on the development of cataracts, dementia, and osteoporosis. Patients who received statin therapy between 2011 and 2020 and those with 3 or more tests for total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglyceride (TG) levels were included. The patients were divided into those with a coefficient of variation (CV) of TC higher than the mean (high-CV group) and those with a lower CV of TC (low-CV group). Moreover, 1:1 propensity score matching was conducted based on demographic variables. Cataract, dementia, or osteoporosis was defined as having a diagnostic, drug, or surgical code based on the cohort definition. Of the 12,882 patients, cataracts, dementia, and osteoporosis were developed in 525 (4.1%), 198 (1.5%), and 438 (3.4%) patients, respectively. The stratified Cox proportional hazards model showed that the incidences of cataracts and osteoporosis were 1.38 and 1.45 times greater in the high-CV group than in the low-CV group, respectively. Our study revealed that TC variability is associated with developing cataracts and osteoporosis. Park, Jong Sung; Kim, Do-Hoon; Kim, Byong-Kyu; Park, Kyeong-Hyeon; Park, Dong Ho; Hwang, Yang Ha; Kim, Chang-Yeon Kyungpook Natl Univ Hosp, Dept Internal Med, Daegu, South Korea; Yonsei Univ, Coll Med, Severance Cardiovasc Hosp, Div Cardiol,Dept Internal Med, Seoul, South Korea; Kyungpook Natl Univ Hosp, Med Big Data Res Ctr, Daegu, South Korea; Eulji Univ, Daejeon Eulji Med Ctr, Dept Nucl Med, Sch Med, Daejeon, South Korea; Dongguk Univ, Gyeongju Hosp, Div Cardiol, Dept Internal Med,Coll Med, Gyeongju, South Korea; Yonsei Univ, Coll Med, Severance Childrens Hosp, Dept Orthoped Surg, Seoul, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Ophthalmol, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Neurol, Daegu, South Korea; Daegu Catholic Univ, Med Ctr, Sch Med, Dept Internal Med, Daegu, South Korea Park, KyeongHyeon/KEH-4919-2024 58363053000; 55624468392; 57193850420; 56969984400; 36676632900; 7402311308; 55887435100 sarasate2222@knu.ac.kr;tinki804@naver.com;yangha73@knu.ac.kr;tinki804@cu.ac.kr; MEDICINE MEDICINE 0025-7974 1536-5964 102 41 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.77 2025-06-25 2 3 ASSOCIATION Cardiovascular Diseases; Cataract; Cholesterol; Cholesterol, HDL; Dementia; Humans; Incidence; Osteoporosis; Triglycerides; cholesterol; high density lipoprotein cholesterol; hydroxymethylglutaryl coenzyme A reductase inhibitor; low density lipoprotein cholesterol; triacylglycerol; cholesterol; high density lipoprotein cholesterol; triacylglycerol; adult; Article; cataract; cholesterol blood level; cohort analysis; comparative study; controlled study; dementia; female; human; incidence; major clinical study; male; middle aged; model; observational study; osteoporosis; retrospective study; survival rate; triacylglycerol blood level; cardiovascular disease; cataract; dementia; osteoporosis English 2023 2023-10-13 10.1097/md.0000000000035548 바로가기 바로가기 바로가기 바로가기
Article Effect of within-endobag method during laparoscopic ovarian cystectomy of dermoid cyst: A retrospective study This study aimed to evaluate the effect of within-endobag cystectomy during and after laparoscopic ovarian cystectomy in patients with dermoid cysts. We retrospectively analyzed 84 patients with ovarian dermoid cysts who underwent laparoscopic ovarian cystectomy. In 30 patients, the affected ovary was placed in an endobag before cystectomy and cystectomy was performed within an endobag (within-endobag group), while the remaining 54 patients underwent standard cystectomy without this step (without-endobag group). After cystectomy, the cyst wall was placed in an endobag and was removed from the abdomen. Compared with the without-endobag group, the within-endobag group had a significantly lower rate of cyst content spillage (23.3% vs 72.2%, P < .001) and significantly shorter operation times when the cysts ruptured (23.4 +/- 8.6 minutes vs 51.2 +/- 28.6 minutes, P < .001). Whereas there was no significant difference in operation time in the absence of cyst rupture between 2 groups (21.2 +/- 8.8 minutes vs 31.1 +/- 17.4 minutes, P = .111). In patients with cyst rupture, according to the cyst size increase, the operation time was significantly prolonged without-endobag, whereas no significant prolongation was observed in within-endobag cystectomy. Except for operation time, there were no significant differences in cyst length, pain on the first day after surgery, hemoglobin loss, hospital stay, and inflammatory markers (C-reactive protein and white blood cell counts) in both ruptured and unruptured cases between the 2 groups. There were no postoperative complications in the within-endobag group, but 2 cases of perioperative complications occurred in the without-endobag group. No chemical peritonitis due to spillage of the cyst contents was observed in either group. Laparoscopic ovarian cystectomy performed within-endobag can reduce both the spillage rate of cyst contents and operation time regardless of cyst size in patients with ruptured cysts. Therefore, this technique is a good surgical option for the laparoscopic ovarian cystectomy of large dermoid ovarian cysts. Lee, Jisun; Kim, Hee Jeong; Heo, Yujin; Lee, Hyun Jung Kyungpook Natl Univ, Sch Med, Dept Obstet & Gynecol, Daegu, South Korea; Kyungpook Natl Univ Hosp, Dept Obstet & Gynecol, Daegu, South Korea; Kyungpook Natl Univ, Sch Med, Dept Obstet & Gynecol, 130 Dongdeok Ro,Jung Gu, Daegu 41944, South Korea Lee, Jisun/MUO-0140-2025 57216463710; 58022893500; 58107443800; 57202930844 hyunjunglee@knu.ac.kr;obgy02028@gmail.com;obgy5395@naver.com; MEDICINE MEDICINE 0025-7974 1536-5964 102 7 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.26 2025-06-25 2 1 cystectomy; dermoid cyst; endobag; laparoscopy REDUCE SPILLAGE; OPERATIVE TIME; MANAGEMENT; EXCISION cystectomy; dermoid cyst; endobag; laparoscopy Cystectomy; Dermoid Cyst; Female; Humans; Laparoscopy; Ovarian Neoplasms; Retrospective Studies; Teratoma; C reactive protein; hemoglobin; abdominal pain; adult; Article; clinical evaluation; computer assisted tomography; controlled study; cyst rupture; echography; enucleation; female; histology; hospital readmission; hospitalization; human; human tissue; laparoscopic ovarian cystectomy; leukocyte count; major clinical study; operation duration; ovarian cystic teratoma; paralytic ileus; pelvic examination; peroperative complication; postoperative complication; postoperative pain; preoperative evaluation; retrospective study; size; cystectomy; laparoscopy; ovary tumor; procedures; teratoma English 2023 2023-02-17 10.1097/md.0000000000033043 바로가기 바로가기 바로가기 바로가기
Article Efficacy and safety of CKD-495 in acute and chronic gastritis: A Phase III superiority clinical trial Background: Despite the availability of numerous treatment options, many patients with gastritis experience only partial symptom relief. CKD-495, a newly developed product with the active ingredient extracted from Cinnamomum cassia Presl., has demonstrated anti-inflammatory and antioxidant activity in vitro and an in vivo protective effect against gastric damage by stimulating mucus secretion. This study compared the efficacy and safety of CKD-495 with Artemisiae argyi folium (AAF) for the treatment of acute and chronic gastritis. AAF, a gastric mucosa protective agent that promotes gastric mucosa regeneration, has been used clinically for about 20 years.Methods: This phase III multicenter, randomized, double-blind, parallel-group trial (ClinicalTrials.gov; NCT04255589) assigned 242 patients with endoscopically-proven gastric mucosal erosions to receive CKD-495 75 mg (n = 122) or AAF 60 mg (n = 120), respectively, with placebo (for double-blind purposes) 3 times a day for 2 weeks. The primary efficacy endpoint was the erosion improvement rate. Secondary endpoints included erosion cure rates, and improvement rates for edema, redness, hemorrhage, and gastrointestinal (GI) symptoms. Drug-related adverse events were evaluated.Results: The erosion improvement rate was significantly higher in the CKD-495 group than in the AAF group for both the full analysis set (55.9% vs 39.4%, P = .0063) and per-protocol set (54.6% vs 38.2%, P = .0084). In addition, the erosion improvement rate in patients with acute or chronic gastritis showed that the CKD-495 group had better improvement of erosion than the AAF group, especially in patients with chronic gastritis. Analysis of secondary endpoints, which included erosion cure rate and the improvement rates of edema, redness, hemorrhage, and GI symptoms, showed that the CKD-495 group was more effective than the AAF group. There were no significant between-group differences in safety profiles. No serious adverse events or adverse drug reactions occurred.Conclusions: These results demonstrate that CKD-495 75 mg is superior to AAF 60 mg in terms of the endoscopic improvement rate of erosions in patients with acute or chronic gastritis. This new mucoprotective agent, CKD-495, can be considered the therapy of choice for symptomatic relief and healing of gastritis. Seo, Seung Young; Lee, Soo Teik; Kim, Sung Kook; Chun, Hoon Jai; Song, Geun Am; Lee, Dong Ho; Kim, Jae Jun; Kim, Jin Il; Lee, Young Chan; Kim, Tae Nyeun; Jee, Sam Ryong; Park, Seon-Young; Kim, Jae Gyu; Park, Jong-Jae; Kim, Sang Gyun; Park, Jae Myung; Park, Jung Ho; Park, Shin Jung; Lee, Oh Young Jeonbuk Natl Univ, Dept Internal Med, Res Inst Clin Med, Biomed Res Inst,Jeonbuk Natl Univ Hosp, Jeonju, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Internal Med, Daegu, South Korea; Korea Univ, Coll Med, Anam Hosp, Dept Internal Med, Seoul, South Korea; Pusan Natl Univ, Pusan Natl Univ Hosp, Sch Med, Dept Internal Med, Busan, South Korea; Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Seoungnam, South Korea; Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Med, Seoul, South Korea; Catholic Univ Korea, Yeouido St Marys Hosp, Coll Med, Dept Internal Med, Seoul, South Korea; Yonsei Univ, Coll Med, Severance Hosp, Dept Internal Med, Seoul, South Korea; Yeungnam Univ, Coll Med, Dept Internal Med, Daegu, South Korea; Inje Univ, Busan Paik Hosp, Coll Med, Dept Internal Med, Busan, South Korea; Chonnam Natl Univ, Med Sch, Dept Internal Med, Gwangju, South Korea; Chung Ang Univ, Coll Med, Dept Internal Med, Seoul, South Korea; Korea Univ, Coll Med, Guro Hosp, Dept Internal Med, Seoul, South Korea; Seoul Natl Univ Hosp, Dept Internal Med, Seoul, South Korea; Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Internal Med, Seoul, South Korea; Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Dept Internal Med, Seoul, South Korea; Chong Kun Dang Pharmaceut Corp, Chong Kun Dang Res Inst, Seoul, South Korea; Hanyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea; Hanyang Univ Hosp, Dept Internal Med, 222 Wangsimni Ro, Seoul 133791, South Korea Park, Jae Myung/AGK-6655-2022; Kim, Woo/D-2733-2015; Lee, Jee-Yon/GER-4141-2022; PARK, JUN-YOUNG/P-5981-2015; Kim, Min/ACN-6827-2022; Kim, Sang/J-5398-2012; Park, Jin-Young/HDN-0483-2022; Park, Jinkyeong/GLV-1649-2022; Lee, Si/ABH-1408-2020; Kim, Yeon Ji/AAE-1906-2022; Lee, Young/AAI-1932-2020; Lee, Dong-Ho/J-5576-2012 56883674300; 7601418502; 34770060400; 7202215162; 56803090800; 57222878418; 36067967700; 58252089900; 59133962200; 8449938100; 14621389400; 7501833800; 57486236700; 34668368400; 56371524600; 8548758100; 57206477427; 55889967400; 57252457600 bear7905@jbnu.ac.kr;leeoy@hanyang.ac.kr;harley1333@hanmail.net;drchunhj@gmail.com;gasong@pusan.ac.kr;srjee@inje.ac.kr;parksj@ckdpharm.com; MEDICINE MEDICINE 0025-7974 1536-5964 102 49 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.51 2025-06-25 2 2 acute gastritis; chronic gastritis; Cinnamomum cassia; erosion; mucoprotective agent ARTEMISIA-ASIATICA; DA-9601; EXTRACT; CLASSIFICATION; DAMAGE acute gastritis; chronic gastritis; Cinnamomum cassia; erosion; mucoprotective agent Double-Blind Method; Edema; Gastritis; Hemorrhage; Humans; Renal Insufficiency, Chronic; Treatment Outcome; alanine aminotransferase; Artemisiae argyi folium extract; ckd 495; gastrointestinal mucosa protective agent; plant extract; stillen; unclassified drug; acute disease; adult; Article; chill; chronic gastritis; comparative effectiveness; controlled study; Coronavirus infection; diarrhea; double blind procedure; drug efficacy; drug induced headache; drug safety; edema; female; gastritis; gastroesophageal reflux; gastrointestinal symptom; generalized edema; human; intestine polyp; major clinical study; male; multicenter study; parallel design; phase 3 clinical trial; randomized controlled trial; side effect; stomach erosion; stomach hemorrhage; superiority trial; treatment duration; bleeding; chronic kidney failure; clinical trial; complication; gastritis; treatment outcome English 2023 2023-12-08 10.1097/md.0000000000035926 바로가기 바로가기 바로가기 바로가기
Article Emergency contraceptive provision in the emergency department and risk analysis for delayed utilization in South Korea In certain nations, the emergency department (ED) has been designated as the primary center to provide emergency contraception (EC). However, analyses of ED visits for EC are limited. Moreover, ED-based research that focuses on time is limited to only a few surveys. The aims of this study were to examine the characteristics of ED visitors for EC and the interval between the coitus and arrival at the ED, and to analyze the factors associated with delays in visiting the ED. This retrospective cohort study involved patients at 2 urban tertiary academic hospitals in South Korea. All patients who presented to the ED for EC between January 2019 and December 2021 were analyzed. The median age of the participants was 26 years. The most common variables were age of 20 to 29 years (42.0%), evening visits (34.9%), weekends or public holidays (62.6%), single status (89.2%), and visits after contraceptive failure (79.1%). The mean time interval was 7.49 hours, and 77.4% of all patients visited the ED within 12 hours. Patients who received public sex education presented earlier (P 12 hours. Most patients received emergency contraceptive pill (ECP) within the recommended timeframe. In particular, nationwide school-based public sex education positively affected early ECP access. In contrast, ECP provision was delayed for patients who experienced nonconsensual coitus. Strategies for timely ECP access should account for possible concerns about stigmatization and privacy. Choi, Yoon Jung; Lee, Soo Hyung; Yi, Jeongsik; Nho, Woo Young CHA Gumi Med Ctr, Dept Emergency Med, Gumi, South Korea; CHA Univ, Sch Med, Dept Emergency Med, Pochon, South Korea; Kyungpook Natl Univ, Dept Emergency Med, Sch Med, Daegu 41404, South Korea ; Nho, Woo Young/JLN-0752-2023 58729411500; 57918534300; 58728615600; 57215831839 gsrdaa@naver.com;shlee@cha.ac.kr;dallmuli@naver.com;Wooyoung.nho@gmail.com; MEDICINE MEDICINE 0025-7974 1536-5964 102 47 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0 2025-06-25 0 0 emergency contraceptive; emergency department; South Korea; sexual education ULIPRISTAL ACETATE; SERVICES emergency contraceptive; emergency department; sexual education; South Korea Adult; Contraceptives, Postcoital; Emergency Service, Hospital; Female; Humans; Republic of Korea; Retrospective Studies; Risk Assessment; Young Adult; postcoitus contraceptive agent; adult; Article; clinical examination; clinical feature; clinical outcome; cohort analysis; coitus; comparative study; controlled study; data analysis; emergency care; emergency ward; epidemiological data; eveningness; female; health care utilization; hospital visit; human; incidence; leisure; major clinical study; nationwide school based public sex education; nonconsensual sexual coitus; observational study; patient selection; prescription; public sex; retrospective study; risk assessment; sexual education; sexual intercourse; single (marital status); South Korea; tertiary care center; therapy delay; treatment failure; university hospital; urban area; hospital emergency service; risk assessment; young adult English 2023 2023-11-24 10.1097/md.0000000000036195 바로가기 바로가기 바로가기 바로가기
Article Intranodal implantation of benign thyroid tissue as a late complication of ethanol ablation A case report Rationale: Ethanol ablation (EA) is recommended as the primary treatment for benign thyroid cysts and its use is increasing. Although complications, such as pain, hoarseness, and hematoma, have been reported after EA, implantation of benign thyroid tissue has not been previously reported. Here, we present a case of intranodal implantation of benign thyroid tissue as a late complication of EA. Patient concerns: A 46-year-old man underwent EA for a benign cystic nodule in the left thyroid lobe and developed a thyroid abscess after several days. The patient was treated with incision and drainage and was discharged without complications. Two years later, the patient presented with multiple masses in both cervical regions. Ultrasound (US) and computed tomography indicated metastatic papillary thyroid carcinoma (PTC) at bilateral levels III, IV, and VI. The results of US-guided fine-needle aspiration cytology (FNAC) indicated benign lesions; however, thyroglobulin levels in the needle washout fluid were >250,000 ng/mL. Diagnosis: Total thyroidectomy with neck dissection was performed to remove the thyroid and lymph node masses and confirm the diagnosis. Histopathological findings revealed multiple areas of benign thyroid tissue in the bilateral cervical lymph nodes, with no indication of metastatic PTC, even after a BRAF gene mutation study and immunohistochemical staining for HBME-1 and galectin-3. Outcomes: No recurrence or complications were observed during the follow-up for 29 months. Lessons: Complicated EA may be associated with the dissemination of benign thyroid tissue into lymph nodes, with a confusing clinical presentation mimicking metastatic PTC. Radiologists and thyroid surgeons should consider the risk of intranodal implantation of benign thyroid tissue as a late complication of EA. Ahn, Dongbin; Kawk, Ji Hye; Cho, Heungrae Kyungpook Natl Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Daegu, South Korea; Kyungpook Natl Univ, Dept Otolaryngol Head & Neck Surg, 130 Dongdeok Ro, Daegu 41944, South Korea 44761055400; 58177706900; 58177841300 godlikeu@naver.com;laugh112@naver.com;whghdfo0426@naver.com; MEDICINE MEDICINE 0025-7974 1536-5964 102 14 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.26 2025-06-25 1 1 ablation; ethanol; thyroid; thyroid inclusion; tumor seeding CERVICAL LYMPH-NODES; RADIOFREQUENCY ABLATION; INCLUSIONS; CARCINOMA; TRACK; HEAD; NECK ablation; ethanol; thyroid; thyroid inclusion; tumor seeding Carcinoma, Papillary; Humans; Lymph Nodes; Lymphatic Metastasis; Male; Middle Aged; Neck; Thyroid Cancer, Papillary; Thyroid Neoplasms; Thyroidectomy; alcohol; B Raf kinase; galectin 3; hbme 1; protein; thyroglobulin; unclassified drug; ablation therapy; abscess; adult; Article; aspiration; benign neoplasm; case report; cervical lymphadenopathy; clinical article; computer assisted tomography; echography; follow up; gene mutation; histopathology; hospital discharge; human; human tissue; immunohistochemistry; incision; male; middle aged; neck dissection; surgical drainage; swelling; thyroglobulin blood level; thyroid hyperplasia; thyroid lobe; thyroid mass; thyroid tumor; total thyroidectomy; ultrasound guided fine needle aspiration; adverse event; lymph node; lymph node metastasis; neck; papillary carcinoma; pathology; procedures; surgery; thyroid tumor; thyroidectomy English 2023 2023-04-07 10.1097/md.0000000000033381 바로가기 바로가기 바로가기 바로가기
Review Novel Insights into Exogenous Phytohormones: Central Regulators in the Modulation of Physiological, Biochemical, and Molecular Responses in Rice under Metal(loid) Stress Rice (Oryza sativa) is a research model for monocotyledonous plants. Rice is also one of the major staple foods and the primary crop for more than half of the world's population. Increasing industrial activities and the use of different fertilizers and pesticides containing heavy metals (HMs) contribute to the contamination of agriculture fields. HM contamination is among the leading causes that affect the health of rice plants by limiting their growth and causing plant death. Phytohormones have a crucial role in stress-coping mechanisms and in determining a range of plant development and growth aspects during heavy metal stress. This review summarizes the role of different exogenous applications of phytohormones including auxin, cytokinin, gibberellins, ethylene, abscisic acid, strigolactones, jasmonates, brassinosteroids, and salicylic acids in rice plants for mitigating heavy metal stress via manipulation of their stress-related physiological and biochemical processes, and alterations of signaling and biosynthesis of genes. Exogenous administration of phytohormones and regulation of endogenous levels by targeting their biosynthesis/signaling machineries is a potential strategy for protecting rice from HM stress. The current review primarily emphasizes the key mechanistic phytohormonal-mediated strategies for reducing the adverse effects of HM toxicity in rice. Herein, we have provided comprehensive evidence for the effective role of exogenous phytohormones in employing defense responses and tolerance in rice to the phytotoxic effects of HM toxicity along with endogenous hormonal crosstalk for modulation of subcellular mechanisms and modification of stress-related signaling pathways, and uptake and translocation of metals. Altogether, this information offers a systematic understanding of how phytohormones modulate a plant's tolerance to heavy metals and may assist in directing the development of new approaches to strengthen rice plant resistance to HM toxicity. Bilal, Saqib; Saad Jan, Syed; Shahid, Muhammad; Asaf, Sajjad; Khan, Abdul Latif; Lubna; Al-Rawahi, Ahmed; Lee, In-Jung; AL-Harrasi, Ahmed Univ Nizwa, Nat & Med Sci Res Ctr, Nizwa 616, Oman; Agr Res Inst, Khyber Pakhtunkhwa, Mingora, Pakistan; Univ Houston, Dept Engn Technol, Sugar Land, TX 77479 USA; Kyungpook Natl Univ, Coll Agr & Life Sci, Dept Appl Biosci, Daegu 41566, South Korea Shahid, Muhammad/Y-6565-2018; Lee, In-Jung/GLS-0432-2022; Khan, Abdul/H-5910-2011; Asaf, Sajjad/ABA-3647-2021; Ul-Hamid, Anwar/B-7297-2015 57031617400; 58137940300; 59577718600; 56595059900; 26639372800; 57200621537; 7801308442; 16425830900; 6506093146 ijlee@knu.ac.kr;aharrasi@unizwa.edu.om; METABOLITES METABOLITES 2218-1989 13 10 SCIE BIOCHEMISTRY & MOLECULAR BIOLOGY 2023 3.5 42.7 0.51 2025-06-25 7 9 rice (Oryza sativa) tolerance; heavy metals; plant hormone; biochemical processes; transcription factors; oxidative stress; metals uptake ORYZA-SATIVA L.; CELL-CYCLE GENES; ABSCISIC-ACID; METHYL JASMONATE; SALICYLIC-ACID; ROOT-GROWTH; SIGNALING PATHWAYS; ENZYME-ACTIVITIES; MEDIATED GROWTH; NITRIC-OXIDE biochemical processes; heavy metals; metals uptake; oxidative stress; plant hormone; rice (Oryza sativa) tolerance; transcription factors abscisic acid; auxin; cytokinin; ethylene; gibberellin; heavy metal; jasmonic acid; kinetin; metalloid; phytohormone; abiotic stress; Arabidopsis; Arabidopsis thaliana; auxin transport; biochemistry; contamination; enzyme activity; heat stress; leaf area; leaf senescence; nonhuman; oxidative stress; phenotype; photochemical efficiency; photosynthesis; physiological stress; physiology; plant defense; plant growth; plant height; plant root; Review; rice; root growth; root length; salt stress; salt tolerance; seedling; soil pollution; soybean; symbiosis; transcriptomics; upregulation English 2023 2023-10 10.3390/metabo13101036 바로가기 바로가기 바로가기 바로가기
Article Off-label use of an iliac branch device and a reversed iliac limb for a patient with a unilateral common iliac artery aneurysm and a narrow distal aorta: A case report Introduction:Current bifurcated aortic endografts are unsuitable for patients with a narrow distal aorta except AFX2, which is unavailable in South Korea. An iliac branch device (IBD) was introduced to exclude iliac aneurysms while preserving the pelvic circulation. With advancements in endovascular techniques, various attempts for outside instructions for use have been reported to be practicable in certain patients. Patient concerns:A 58-year-old man was referred to our emergency room with an incidentally found left common iliac artery aneurysm (CIAA) in a general checkup. Diagnoses:Computed tomography angiogram showed a narrow distal aorta that tapered from 20 mm just below the renal artery to 13 mm at aortic bifurcation and a left isolated CIAA with a maximal diameter of 40 mm and 70 mm in length. Interventions:After left hypogastric artery embolization, the Cook IBD was placed at the aortic bifurcation, and the Bard Covera Plus stent-graft was deployed from the IBD cuff to the left external iliac artery. Then, a reversed Medtronic Endurant iliac limb was implanted into the infrarenal aorta down to the proximal IBD. Outcomes:The stent grafts were patent without endoleak at the 6-month follow-up. Lessons:In selected patients with an isolated CIAA with a narrow distal aorta, IBD can be used as a main body at the aortic bifurcation for successful aneurysm exclusion. However, considering the application of outside instructions for use, special attention and careful planning must be taken before the procedure. Hwang, Deokbi; Yun, Woo-Sung; Kim, Hyung-Kee; Huh, Seung Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Dept Surg, Div Vasc & Endovasc Surg,Sch Med, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Dept Surg, Div Vasc & Endovascular Surg,Sch Med, 130 Dongduk Ro, Daegu 41944, South Korea Kim, Hyung-Kee/JBR-8125-2023 57194422879; 35070717000; 35169819900; 7101832929 db.surlife@gmail.com;wsyun@me.com;hkkim6260@knu.ac.kr;shuh@knu.ac.kr; MEDICINE MEDICINE 0025-7974 1536-5964 102 2 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.26 2025-06-25 2 1 aneurysm; aortoiliac vessels; branched-stent-graft; common iliac artery; off-label use STENT GRAFT; ENDOVASCULAR REPAIR; OUTCOMES; INSTRUCTIONS aneurysm; aortoiliac vessels; branched-stent-graft; common iliac artery; off-label use Aorta, Abdominal; Aortic Aneurysm, Abdominal; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Endovascular Procedures; Humans; Iliac Aneurysm; Iliac Artery; Male; Middle Aged; Off-Label Use; Risk Factors; Stents; Treatment Outcome; adult; aortic bifurcation; arterial embolization; Article; case report; clinical article; computed tomographic angiography; computer assisted tomography; emergency ward; endoleak; endovascular surgery; follow up; human; iliac artery aneurysm; iliac bone; internal iliac artery; male; middle aged; postoperative period; abdominal aorta; abdominal aortic aneurysm; blood vessel prosthesis; blood vessel transplantation; diagnostic imaging; endovascular surgery; iliac artery; iliac artery aneurysm; off label drug use; procedures; risk factor; stent; treatment outcome English 2023 2023-01-13 10.1097/md.0000000000032640 바로가기 바로가기 바로가기 바로가기
Article Optimization of Ultrasonic-Assisted Extraction of α-Glucosidase Inhibitors from Dryopteris crassirhizoma Using Artificial Neural Network and Response Surface Methodology Dryopteris crassirhizoma Nakai is a plant with significant medicinal properties, such as anticancer, antioxidant, and anti-inflammatory activities, making it an attractive research target. Our study describes the isolation of major metabolites from D. crassirhizoma, and their inhibitory activities on ff-glucosidase were evaluated for the first time. The results revealed that nortrisflavaspidic acid ABB (2) is the most potent alpha-glucosidase inhibitor, with an IC50 of 34.0 +/- 0.14 mu M. In addition, artificial neural network (ANN) and response surface methodology (RSM) were used in this study to optimize the extraction conditions and evaluate the independent and interactive effects of ultrasonic-assisted extraction parameters. The optimal extraction conditions are extraction time of 103.03 min, sonication power of 342.69W, and solvent-to-material ratio of 94.00 mL/g. The agreement between the predicted models of ANN and RSM and the experimental values was notably high, with a percentage of 97.51% and 97.15%, respectively, indicating that both models have the potential to be utilized for optimizing the industrial extraction process of active metabolites from D. crassirhizoma. Our results could provide relevant information for producing high-quality extracts from D. crassirhizoma for functional foods, nutraceuticals, and pharmaceutical industries. Phong, Nguyen Viet; Gao, Dan; Kim, Jeong Ah; Yang, Seo Young Kyungpook Natl Univ, Coll Pharm, Vessel Organ Interact Res Ctr VOICE MRC, Daegu 41566, South Korea; Kyungpook Natl Univ, Coll Pharm, BK21 FOUR Community Based Intelligent Novel Drug D, Daegu 41566, South Korea; Kyungpook Natl Univ, Res Inst Pharmaceut Sci, Daegu 41566, South Korea; China Acad Chinese Med Sci, Inst Chinese Mat Med, Beijing 100700, Peoples R China; Kyungpook Natl Univ, Res Inst Pharmaceut Sci, 83 Sangjidae Gil, Wonju 41566, South Korea Gao, Dan/GYU-9588-2022; Nguyen, Viet Phong/AAQ-4207-2021 57205196739; 57209913751; 24722570900; 57215036954 ngvietphong@gmail.com;dgao@icmm.ac.cn;jkim6923@knu.ac.kr;syyang@sangji.ac.kr; METABOLITES METABOLITES 2218-1989 13 4 SCIE BIOCHEMISTRY & MOLECULAR BIOLOGY 2023 3.5 42.7 1.18 2025-06-25 7 8 Dryopteris crassirhizoma; phloroglucinol; alpha-glucosidase; response surface methodology; artificial neural network PHLOROGLUCINOLS; UAE artificial neural network; Dryopteris crassirhizoma; phloroglucinol; response surface methodology; α-glucosidase alpha glucosidase; alpha glucosidase inhibitor; Dryopteris crassirhizoma extract; flavaspidic acid AP; nortrisflavaspidic acid ABB; nutraceutical; plant extract; solvent; unclassified drug; Article; artificial neural network; Box Behnken design; carbon nuclear magnetic resonance; chemical structure; drug industry; Dryopteris crassirhizoma; functional food; high performance liquid chromatography; IC50; process optimization; proton nuclear magnetic resonance; response surface method; rhizome; three-dimensional imaging; ultrasound; ultrasound assisted extraction English 2023 2023-04 10.3390/metabo13040557 바로가기 바로가기 바로가기 바로가기
Article Plasma cell myeloma initially diagnosed as light-chain deposition disease on liver biopsy: A case report and literature review Rationale:Light-chain deposition disease (LCDD) is a rare condition characterized by the abnormal deposition of monoclonal light chains (LCs) in multiple organs, leading to progressive organ dysfunction. Herein, we report a case of plasma cell myeloma initially diagnosed as LCDD on liver biopsy performed for prominent cholestatic hepatitis. Patient concerns:A 55-year-old Korean man complained of dyspepsia as the main symptom. On abdominal computed tomography performed at another hospital, the liver showed mildly decreased and heterogeneous attenuation with mild periportal edema. Preliminary liver function tests revealed abnormal results. The patient was treated for an unspecified liver disease; however, his jaundice gradually worsened, prompting him to visit our outpatient hepatology clinic for further evaluation. Magnetic resonance cholangiography revealed liver cirrhosis with severe hepatomegaly of unknown cause. A liver biopsy was performed for the diagnosis. Hematoxylin and eosin staining revealed diffuse extracellular amorphous deposits in perisinusoidal spaces with compressed hepatocytes. The deposits, which morphologically resembled amyloids, were not stained by Congo red but stained strongly positive for kappa LCs and weakly positive for lambda LCs. Diagnoses:Therefore, the patient was diagnosed with LCDD. Further systemic examination revealed a plasma cell myeloma. Interventions:Fluorescence in situ hybridization, cytogenetics, and next-generation sequencing tested in bone marrow showed no abnormalities. The patient initially received bortezomib/lenalidomide/dexamethasone as the treatment regimen for plasma cell myeloma. Outcomes:However, he died shortly thereafter because of coronavirus disease 2019 complications. Lessons:This case demonstrates that LCDD may present with sudden cholestatic hepatitis and hepatomegaly, and may be fatal if patients do not receive appropriate and timely treatment because of delayed diagnosis. Liver biopsy is useful for the diagnosis of patients with liver disease of unknown etiology. Jeong, Ji Yun; Yang, Hyeon Tae; Cho, Seung Hyun; Lee, Yu Rim; Kim, Jinhee; Kang, Min Kyu; Hong, Jihoon; Moon, Joon Ho; Seo, An Na Kyungpook Natl Univ, Kyungpook Natl Univ Chilgok Hosp, Sch Med, Dept Pathol, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Pathol, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Chilgok Hosp, Sch Med, Dept Radiol, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Chilgok Hosp, Sch Med, Dept Internal Med, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Chilgok Hosp, Sch Med, Dept Radiat Oncol, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Chilgok Hosp, Sch Med, Dept Hematol Oncol, Daegu, South Korea; Kyungpook Natl Univ, Kyungpook Natl Univ Chilgok Hosp, Sch Med, Dept Pathol, 807 Hogukno, Daegu 41404, South Korea KANG, MIN KYU/ACI-8824-2022; Kim, Ju-Hyoung/N-1450-2019 57205472984; 58170330200; 55686242700; 57194094753; 57789253600; 57201933342; 57215858314; 56568642700; 55804153700 jjiyun@gmail.com;ahtakekd0296@naver.com;shcho2405@gmail.com;deblue00@naver.com;kjheehi@naver.com;mkkang08@gmail.com;blushain@naver.com;jhmoon@knu.ac.kr;san_0729@naver.com; MEDICINE MEDICINE 0025-7974 1536-5964 102 13 SCIE MEDICINE, GENERAL & INTERNAL 2023 1.4 42.7 0.26 2025-06-25 0 1 cholestatic hepatitis; light-chain deposition disease; liver; plasma cell myeloma INVOLVEMENT cholestatic hepatitis; light-chain deposition disease; liver; plasma cell myeloma Biopsy; Bortezomib; COVID-19; Dexamethasone; Hepatomegaly; Humans; In Situ Hybridization, Fluorescence; Lenalidomide; Liver Diseases; Male; Middle Aged; Multiple Myeloma; alanine aminotransferase; alkaline phosphatase; amyloid; aspartate aminotransferase; beta 2 microglobulin; bilirubin; bilirubin glucuronide; bortezomib; CA 19-9 antigen; dexamethasone; gamma glutamyltransferase; hemoglobin; lenalidomide; bortezomib; dexamethasone; lenalidomide; adult; alanine aminotransferase blood level; alcohol consumption; alkaline phosphatase blood level; Article; ascites; aspartate aminotransferase blood level; bilirubin blood level; body weight loss; bone marrow biopsy; case report; cholangiography; cholestatic hepatitis; clinical article; computer assisted tomography; coronavirus disease 2019; cytogenetic analysis; disease severity; disse space; dyspepsia; dyspnea; erythrocyte count; erythrocyte sedimentation rate; fluorescence in situ hybridization; gamma glutamyl transferase blood level; hematocrit; hemoglobin blood level; hepatomegaly; herbal medicine; high throughput sequencing; human; human tissue; immunohistochemistry; jaundice; karyotype 46,XY; laboratory test; light chain deposition disease; liver biopsy; liver cell; liver cirrhosis; liver function test; male; middle aged; monoclonal immunoglobulinemia; multiple myeloma; positron emission tomography; protein electrophoresis; prothrombin time; seizure; transthoracic echocardiography; trephine biopsy; weakness; biopsy; complication; liver disease; multiple myeloma English 2023 2023-03-31 10.1097/md.0000000000033406 바로가기 바로가기 바로가기 바로가기
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Affiliation 저자들의 소속 기관 정보입니다. 대학, 연구소, 기업 등 저자가 소속된 기관명이 표시됩니다.
ResearcherID (WoS) Web of Science의 고유 연구자 식별번호입니다. 동명이인을 구분하고 연구자의 업적을 정확하게 추적할 수 있습니다.
AuthorsID (SCOPUS) SCOPUS의 고유 저자 식별번호입니다. 연구자의 모든 출판물을 추적하고 관리하는 데 사용됩니다.
Journal 논문이 게재된 학술지의 정식 명칭입니다.
JCR Abbreviation Journal Citation Reports에서 사용하는 저널의 공식 약어입니다. 저널을 간략하게 표기할 때 사용됩니다.
ISSN International Standard Serial Number. 국제표준연속간행물번호로, 인쇄본 저널에 부여되는 고유 식별번호입니다.
eISSN Electronic ISSN. 전자 버전 저널에 부여되는 고유 식별번호입니다.
Volume 저널의 권(Volume) 번호입니다. 보통 연도별로 하나의 권이 부여됩니다.
Issue 저널의 호(Issue) 번호입니다. 한 권 내에서 여러 호로 나누어 출판되는 경우가 많습니다.
WoS Edition Web of Science의 에디션입니다. SCIE(Science Citation Index Expanded), SSCI(Social Sciences Citation Index), AHCI(Arts & Humanities Citation Index) 등으로 구분됩니다.
WoS Category Web of Science의 주제 분류 카테고리입니다. 저널과 논문이 속한 학문 분야를 나타냅니다.
JCR Year 해당 저널의 JCR(Journal Citation Reports) 지표가 산출된 연도입니다.
IF (Impact Factor) 저널 영향력 지수. 최근 2년간 발표된 논문이 해당 연도에 평균적으로 인용된 횟수를 나타냅니다. 저널의 학술적 영향력을 나타내는 대표적인 지표입니다.
JCR (%) 해당 카테고리에서 저널이 위치하는 상위 백분율입니다. 값이 낮을수록 우수한 저널임을 의미합니다 (예: 5%는 상위 5%를 의미).
FWCI Field-Weighted Citation Impact. 분야별 가중 인용 영향력 지수입니다. 논문이 받은 인용을 동일 분야, 동일 연도, 동일 문헌 유형의 평균과 비교한 값입니다. 1.0이 평균이며, 1.0보다 높으면 평균 이상의 인용을 받았음을 의미합니다.
FWCI UpdateDate FWCI 값이 마지막으로 업데이트된 날짜입니다. FWCI는 인용이 누적됨에 따라 주기적으로 업데이트됩니다.
WOS Citation Web of Science에서 집계된 해당 논문의 총 인용 횟수입니다.
SCOPUS Citation SCOPUS에서 집계된 해당 논문의 총 인용 횟수입니다.
Keywords (WoS) 저자가 논문에서 직접 지정한 키워드입니다. Web of Science에 등록된 저자 키워드 목록입니다.
KeywordsPlus (WoS) Web of Science에서 자동으로 추출한 추가 키워드입니다. 논문의 참고문헌 제목에서 자주 등장하는 단어들로 생성됩니다.
Keywords (SCOPUS) 저자가 논문에서 직접 지정한 키워드입니다. SCOPUS에 등록된 저자 키워드 목록입니다.
KeywordsPlus (SCOPUS) SCOPUS에서 자동으로 추출하거나 추가한 색인 키워드입니다.
Language 논문이 작성된 언어입니다. 대부분 English이며, 그 외 다양한 언어로 작성된 논문이 포함될 수 있습니다.
Publication Year 논문이 출판된 연도입니다.
Publication Date 논문의 정확한 출판 날짜입니다 (년-월-일 형식).
DOI Digital Object Identifier. 디지털 객체 식별자로, 논문을 고유하게 식별하는 영구적인 식별번호입니다. 이를 통해 논문의 온라인 위치를 찾을 수 있습니다.