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Primary peritoneal carcinoma presented with abdominal pain in patient with kidney transplantation. 肾移植患者腹痛并发原发性腹膜癌。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 Epub Date: 2024-04-29 DOI: 10.3904/kjim.2023.254
Eunmi Jo, Sang Heon Song
{"title":"Primary peritoneal carcinoma presented with abdominal pain in patient with kidney transplantation.","authors":"Eunmi Jo, Sang Heon Song","doi":"10.3904/kjim.2023.254","DOIUrl":"10.3904/kjim.2023.254","url":null,"abstract":"","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"693-694"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Approaches and considerations in the endoscopic treatment of T1 colorectal cancer. T1 结直肠癌的内窥镜治疗方法和注意事项。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 Epub Date: 2024-05-14 DOI: 10.3904/kjim.2023.487
Yunho Jung
{"title":"Approaches and considerations in the endoscopic treatment of T1 colorectal cancer.","authors":"Yunho Jung","doi":"10.3904/kjim.2023.487","DOIUrl":"10.3904/kjim.2023.487","url":null,"abstract":"<p><p>The detection of early colorectal cancer (CRC) is increasing through the implementation of screening programs. This increased detection enhances the likelihood of minimally invasive surgery and significantly lowers the risk of recurrence, thereby improving patient survival and reducing mortality rates. T1 CRC, the earliest stage, is treated endoscopically in cases with a low risk of lymph node metastasis (LNM). The advantages of endoscopic treatment compared with surgery include minimal invasiveness and limited tissue disruption, which reduce morbidity and mortality, preserve bowel function to avoid colectomy, accelerate recovery, and improve cost-effectiveness. However, T1 CRC has a risk of LNM. Thus, selection of the appropriate treatment between endoscopic treatment and surgery, while avoiding overtreatment, is challenging considering the potential for complete resection, LNM, and recurrence risk.</p>","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"563-576"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimated pulse wave velocity as a forefront indicator of developing metabolic syndrome in Korean adults. 估计脉搏波速度是韩国成年人患代谢综合征的前沿指标。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 Epub Date: 2024-06-24 DOI: 10.3904/kjim.2024.015
Hyun-Jin Kim, Byung Sik Kim, Dong Wook Kim, Jeong-Hun Shin
{"title":"Estimated pulse wave velocity as a forefront indicator of developing metabolic syndrome in Korean adults.","authors":"Hyun-Jin Kim, Byung Sik Kim, Dong Wook Kim, Jeong-Hun Shin","doi":"10.3904/kjim.2024.015","DOIUrl":"10.3904/kjim.2024.015","url":null,"abstract":"<p><strong>Background/aims: </strong>The predictive value of the estimated pulse wave velocity (ePWV) for the development of metabolic syndrome has not yet been extensively explored. This study aimed to fill this gap by evaluating ePWV as a potential predictor of metabolic syndrome development in middle-aged Korean adults.</p><p><strong>Methods: </strong>Using prospective data obtained from the Ansan-Ansung cohort database, participants without metabolic syndrome at baseline were studied. ePWV was calculated using specific equations based on age and blood pressure. The primary outcome was the incidence of metabolic syndrome during a median follow-up period of 187 months.</p><p><strong>Results: </strong>Among the 6,186 participants, 2,726 (44.1%) developed metabolic syndrome during the follow-up period. ePWV methvalues were categorized into tertiles to assess their predictive value for the development of metabolic syndrome. An ePWV cut-off of 7.407 m/s was identified as a predictor of metabolic syndrome development, with a sensitivity of 0.743 and a specificity of 0.464. Participants exceeding this cut-off, especially those in the third tertile (8.77-14.63 m/s), had a notably higher risk of developing metabolic syndrome. Specifically, the third tertile exhibited a 52.8% cumulative incidence compared with 30.8% in the first tertile. After adjustments, those in the third tertile faced a 1.530-fold increased risk of metabolic syndrome (95% confidence interval, 1.330-1.761).</p><p><strong>Conclusion: </strong>ePWV is a significant predictor of the development of metabolic syndrome. This finding underscores the potential of ePWV as a cardiometabolic risk assessment tool and can thus provide useful information for primary prevention strategies.</p>","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"612-624"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inequalities in biologics utilization for rheumatoid arthritis according to socioeconomic status. 类风湿关节炎生物制剂使用的不平等与社会经济地位有关。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 DOI: 10.3904/kjim.2024.207
Oh Chan Kwon, Min-Chan Park
{"title":"Inequalities in biologics utilization for rheumatoid arthritis according to socioeconomic status.","authors":"Oh Chan Kwon, Min-Chan Park","doi":"10.3904/kjim.2024.207","DOIUrl":"10.3904/kjim.2024.207","url":null,"abstract":"","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":"39 4","pages":"545-546"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical course of asymptomatic duodenal subepithelial lesions. 无症状十二指肠上皮下病变的临床过程。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 Epub Date: 2024-06-13 DOI: 10.3904/kjim.2023.358
Seokin Kang, Kwangbeom Park, Do Hoon Kim, Yuri Kim, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
{"title":"Clinical course of asymptomatic duodenal subepithelial lesions.","authors":"Seokin Kang, Kwangbeom Park, Do Hoon Kim, Yuri Kim, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung","doi":"10.3904/kjim.2023.358","DOIUrl":"10.3904/kjim.2023.358","url":null,"abstract":"<p><strong>Background/aims: </strong>There is limited knowledge regarding the management of duodenal subepithelial lesions (SELs) owing to a lack of understanding of their natural course. This study aimed to assess the natural course of asymptomatic duodenal SELs and provide management recommendations.</p><p><strong>Methods: </strong>Patients diagnosed with duodenal SELs and followed up for a minimum of 6 months were retrospectively investigated.</p><p><strong>Results: </strong>Among the 443,533 patients who underwent esophagogastroduodenoscopy between 2008 and 2020, duodenal SELs were identified in 0.39% (1,713 patients). Among them, 396 duodenal SELs were monitored for a median period of 72.5 months (interquartile range, 37.7-111.3 mo). Of them, 16 SELs (4.0%) showed substantial changes in size or morphology at a median follow-up of 35.1 months (interquartile range, 21.7-51.4 mo). Of these SELs with substantial changes, tissues of two SELs were acquired using endoscopic ultrasound-guided fine needle aspiration biopsy: one was a lipoma and the other was non-diagnostic. Three SELs were surgically or endoscopically removed; two were diagnosed as gastrointestinal stromal tumors, and one was a lipoma. An initial size of 20 mm or larger was associated with substantial changes during follow-up (p = 0.016).</p><p><strong>Conclusion: </strong>While the majority of duodenal SELs may not exhibit substantial interval changes, regular follow-up with endoscopy may be necessary for cases with an initial size of 20 mm or larger, considering a possibility of malignancy.</p>","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"603-611"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy comparison of high-genetic barrier nucleos(t)ide analogues in treatment-naïve chronic hepatitis B patients: a network meta-analysis. 高遗传屏障核苷（t）ide 类似物对治疗无效的慢性乙型肝炎患者的疗效比较：一项网络荟萃分析。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 Epub Date: 2024-06-13 DOI: 10.3904/kjim.2023.311
Jaejun Lee, Ahlim Lee, Pil Soo Sung, Jeong Won Jang, Si Hyun Bae, Jong Young Choi, Seung Kew Yoon, Hyun Yang
{"title":"Efficacy comparison of high-genetic barrier nucleos(t)ide analogues in treatment-naïve chronic hepatitis B patients: a network meta-analysis.","authors":"Jaejun Lee, Ahlim Lee, Pil Soo Sung, Jeong Won Jang, Si Hyun Bae, Jong Young Choi, Seung Kew Yoon, Hyun Yang","doi":"10.3904/kjim.2023.311","DOIUrl":"10.3904/kjim.2023.311","url":null,"abstract":"<p><strong>Background/aims: </strong>Four high-genetic barrier nucleos(t)ide analogues (NAs) for chronic hepatitis B (CHB), namely entecavir (ETV), tenofovir disoproxil fumarate (TDF), tenofovir alafenamide (TAF), and besifovir dipivoxil maleate (BSV), have been established. The aim of this study is to investigate the efficacy of four high-genetic barrier NAs using a network meta-analysis of randomized trials and propensity score-matched cohorts.</p><p><strong>Methods: </strong>Systematic search was performed using PubMed, Cochrane library, and EMBASE and included randomized controlled trials and cohort studies that used propensity score matching. Studies on treatment-naïve CHB patients treated with ETV, TDF, TAF, or BSV were included. Outcomes included alanine aminotransferase normalization and hepatitis B e antigen seroclearance at week 48 and undetectable hepatitis B virus DNA at weeks 48 and 96. Network meta-analysis was performed to synthesize the results.</p><p><strong>Results: </strong>In total, 15,000 patients from 16 studies were included. In terms of 48- and 96-week virologic response (VR), TDF outperformed ETV with statistical significance (48 weeks: odds ratio [OR], 1.38; p < 0.001; 96 weeks: OR, 1.57; p = 0.004). ETV was ranked first for 48-week biochemical response (BR) and outperformed TDF (OR, 0.76; p = 0.028). In the sensitivity analyses, 48-week VR from randomized-controlled trials were compiled, and the same trend toward the superiority of TDF over ETV was found (OR, 1.51; p = 0.030).</p><p><strong>Conclusion: </strong>Four high-genetic barrier NAs were compared, and TDF was more likely to achieve a VR after 48 weeks, while ETV provided a superior BR after 48 weeks.</p>","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"577-589"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral leg pain and swelling with abnormal imaging findings in a patient with voriconazole. 一名使用伏立康唑的患者出现双侧腿部疼痛和肿胀，且影像学检查结果异常。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.3904/kjim.2024.070
Hyeon Mu Jang, Hyeonwoo Kwon, Yunsuk Choi, Sung-Han Kim
{"title":"Bilateral leg pain and swelling with abnormal imaging findings in a patient with voriconazole.","authors":"Hyeon Mu Jang, Hyeonwoo Kwon, Yunsuk Choi, Sung-Han Kim","doi":"10.3904/kjim.2024.070","DOIUrl":"10.3904/kjim.2024.070","url":null,"abstract":"","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"695-696"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An unusual cause of a huge abscess in the thigh. 大腿上有一个巨大的脓肿，原因很不寻常。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-05-01 Epub Date: 2023-11-30 DOI: 10.3904/kjim.2023.305
Dae Gon Ryu, Su Bum Park, Cheol Woong Choi, Su Jin Kim, Hyeong Seok Nam
{"title":"An unusual cause of a huge abscess in the thigh.","authors":"Dae Gon Ryu, Su Bum Park, Cheol Woong Choi, Su Jin Kim, Hyeong Seok Nam","doi":"10.3904/kjim.2023.305","DOIUrl":"10.3904/kjim.2023.305","url":null,"abstract":"","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":" ","pages":"537-538"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel strategy for predicting critical illness in hospital-acquired COVID-19. 预测医院感染 COVID-19 危重症的新策略。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-05-01 Epub Date: 2024-04-30 DOI: 10.3904/kjim.2024.127
Woo Hyun Cho
{"title":"A novel strategy for predicting critical illness in hospital-acquired COVID-19.","authors":"Woo Hyun Cho","doi":"10.3904/kjim.2024.127","DOIUrl":"10.3904/kjim.2024.127","url":null,"abstract":"","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":"39 3","pages":"371-372"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative and qualitative evaluation of antimicrobial usage: the first step for antimicrobial stewardship. 抗菌药物使用的定量和定性评估：抗菌药物管理的第一步。
IF 2.2 4区 医学
Korean Journal of Internal Medicine Pub Date : 2024-05-01 Epub Date: 2024-04-30 DOI: 10.3904/kjim.2023.506
Song Mi Moon, Bongyoung Kim, Hong Bin Kim
{"title":"Quantitative and qualitative evaluation of antimicrobial usage: the first step for antimicrobial stewardship.","authors":"Song Mi Moon, Bongyoung Kim, Hong Bin Kim","doi":"10.3904/kjim.2023.506","DOIUrl":"10.3904/kjim.2023.506","url":null,"abstract":"<p><p>The identification of antimicrobial use patterns is essential for determining key targets for antimicrobial stewardship interventions and evaluating the effectiveness thereof. Accurately identifying antimicrobial use patterns requires quantitative evaluation, which focuses on measuring the quantity and frequency of antimicrobial use, and qualitative evaluation, which assesses the appropriateness, effectiveness, and potential side effects of antimicrobial prescriptions. This paper summarizes the quantitative and qualitative methods used to evaluate antimicrobials, drawing insights from overseas and domestic cases.</p>","PeriodicalId":48785,"journal":{"name":"Korean Journal of Internal Medicine","volume":"39 3","pages":"383-398"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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