26
|
Chajra H, Garandeau D, Yeom M, Jung E, Frechet M. 693 Synchronized skin explant model to study circadian rhythm alterations. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
27
|
Yeom M, Han H, Shin S, Park D, Jung E. 754 PER3, a circadian clock component, mediates the suppression of MMP1 expression by cAMP in HaCaT keratinocytes. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
28
|
Repella TL, Lopez O, Abraham CZ, Azarbal AF, Liem TK, Mitchell EL, Landry GJ, Moneta GL, Jung E. Characterization of profunda femoris vein thrombosis. J Vasc Surg Venous Lymphat Disord 2018; 6:585-591. [PMID: 29681458 DOI: 10.1016/j.jvsv.2018.01.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Accepted: 01/16/2018] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The incidence of and risk factors for profunda femoris vein (PFV) thrombosis are poorly characterized. We prospectively identified patients with PFV deep venous thrombosis (DVT) to characterize the demographics and anatomic distribution of proximal DVT in patients with PFV DVT. METHODS A prospective study was conducted of patients at a tertiary care university hospital with DVT diagnosed by venous duplex ultrasound scanning between June 2014 and June 2015. DVT patients were categorized as having PFV involvement (yes or no), and the anatomic distribution of other sites of ipsilateral venous thrombi was further stratified to determine whether there was external iliac vein (EIV), common femoral vein (CFV), or femoropopliteal vein (FPV) DVT. Demographic characteristics of the patients were compared between groups, PFV DVT vs proximal DVT without PFV DVT. RESULTS Of 4584 lower extremity venous duplex ultrasound studies performed, 398 (8.7%) scans were positive for proximal DVT from 260 patients; 23.1% of patients with DVT (60/260) had DVT involving the PFV. Of 112 patients who had CFV DVT, 55 (49.1%) also had ipsilateral involvement of the PFV. Of 60 patients with PFV DVT, 55 (91.7%) had involvement of the ipsilateral CFV. Patients in the PFV DVT group were more likely to have a history of a hypercoagulable disorder (26.7% vs 14.5%; P = .029) and a history of immobility (58.3% vs 42%; P = .026) compared with those with proximal DVT without PFV DVT. There were no differences in smoking, recent surgery, personal or family history of DVT, other medical comorbidities, inpatient status, or survival. There was no difference in laterality of DVT between the PFV DVT and proximal DVT without PFV DVT groups (35% vs 41.5% left, 35% vs 33.5% right, 30% vs 25% bilateral; P = .619). There was a higher proportion of PFV DVT with EIV involvement (21.7% vs 2.5%; P < .00001) and a higher proportion of PFV DVT with CFV + FPV involvement (65.0% vs 19%; P < .00001) compared with proximal DVT without PFV DVT. There was no difference in survival between the PFV DVT and proximal DVT without PFV DVT groups. CONCLUSIONS Patients with PFV thrombosis tend to have more thrombus burden with more frequent concurrent DVT in the EIV and FPV. Patients with PFV DVT are also more likely to have a history of hypercoagulable disorder and immobility. Ultrasound protocols for assessment of DVT should include routine examination of the PFV as a potential marker of a more virulent prothrombotic state.
Collapse
|
29
|
Song M, Seo T, Park S, Chung H, Lee S, Jung E. Abstract No. 683 Effectiveness of arm positioning on evaluation of subclavian vein at upper extremity CT venography. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
|
30
|
Song M, Seo T, Park S, Kim Y, Cho S, Jung E. Abstract No. 699 Placement of biliary stent for triple hepatic duct drainage in hilar malignancy. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
31
|
Jung E. Geschichten über Pocken. AKTUELLE DERMATOLOGIE 2018. [DOI: 10.1055/s-0044-101169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
ZusammenfassungDie WHO erklärte die Welt als „pockenfrei“ ab 1980. Zuvor aber traten in Deutschland noch mehrere Kleinepidemien auf, von denen der Einzelfall in Hamburg 1957 der Kleinepidemie in Heidelberg gegenübergestellt wird mit 20 Pockenkranken, von denen zwei verstarben. Zur Verbesserung von Diagnose und Prozedere wurde eine mobile Pockenkommission gegründet, deren Einsatz hier dargestellt wird. Diese Bemühungen wurden beendet, weil die Welt ab 1980 pockenfrei geblieben ist.
Collapse
|
32
|
Amrock S, Abraham C, Jung E, Morris P, Shapiro M. Risk Factors for Mortality Among Individuals With Peripheral Arterial Disease. J Vasc Surg 2018. [DOI: 10.1016/j.jvs.2017.11.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
33
|
Landry GJ, Yarmosh A, Liem TK, Jung E, Azarbal AF, Abraham CZ, Mitchell EL, Moneta GL. Nonatherosclerotic vascular causes of acute abdominal pain. Am J Surg 2018; 215:838-841. [PMID: 29361271 DOI: 10.1016/j.amjsurg.2017.12.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 12/20/2017] [Accepted: 12/20/2017] [Indexed: 01/08/2023]
Abstract
BACKGROUND To examine the epidemiology, treatments, and outcomes of acute symptomatic non-atherosclerotic mesenteric vascular disease. METHODS Subjects were reviewed over a six year period. Categories included embolism (EM), dissection (DI), and aneurysm (AN). Presentation, demographics, treatment and outcomes were compared. RESULTS 46 patients were identified (EM:20, AN:15, DI:11). Age at presentation differed (EM: 66.3, AN 62.4, DI 54.6, p < .05). EM more likely affected the superior mesenteric artery (EM80%, AN20%, DI45%, p = .002), DI hepatic artery (EM20%, AN13%, DI55%, p < .05), and AN mesenteric branches (EM5%, AN47%, DI0%; p = .001). EM more likely had history of arrhythmia (EM40%, AN7%, DI0%, p,0.05) and diarrhea (EM30%, AN7%, DI0%, p < .05). Treatment was most often surgical in EM (EM85%, AN33%, DI9%, p < .001), endovascular in AN (EM5%, AN40%, DI 9%, p < .02), and conservative in DI (EM15%, AN 33%, DI82%, p < .05). In hospital mortality was infrequent (EM10%, AN7%, DI0%, p = ns). Mean hospital length of stay differed by mechanism (EM13.6days, AN9.2, DI2.3, p = .005). Median follow up was 61 months. Survival at 1, 3 and 5 years for emboli was 75%, 70% and 59%, for aneurysms 93%, 86%, and 77%, and for dissections 100% at all time points (p = .043 log rank). CONCLUSIONS Patients with EM, AN, and DI differ in age, anatomic distribution and method of treatment. The etiology significantly affects long term survival.
Collapse
|
34
|
Harris SK, Wilson DG, Jung E, Azarbal AF, Landry GJ, Liem TK, Moneta GL, Mitchell EL. Interhospital vascular surgery transfers to a tertiary care hospital. J Vasc Surg 2018; 67:1829-1833. [PMID: 29290493 DOI: 10.1016/j.jvs.2017.09.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 09/18/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Interhospital transfers (IHTs) to tertiary care centers are linked to lower operative mortality in vascular surgery patients. However, IHT incurs great health care costs, and some transfers may be unnecessary or futile. In this study, we characterize the patterns of IHT at a tertiary care center to examine appropriateness of transfer for vascular surgery care. METHODS A retrospective review was performed of all IHT requests made to our institution from July 2014 to October 2015. Interhospital physician communication and reasons for not accepting transfers were reviewed. Diagnosis, intervention, referring hospital size, and mortality were examined. Follow-up for all patients was reviewed. RESULTS We reviewed 235 IHT requests for vascular surgical care involving 210 patients during 15 months; 33% of requested transfers did not occur, most commonly after communication with the physician resulting in reassurance (35%), clinic referral (30%), or further local workup obviating need for transfer (11%); 67% of requests were accepted. Accepted transfers generally carried life- or limb-threatening diagnoses (70%). Next most common transfer reasons were infection or nonhealing wounds (7%) and nonurgent postoperative complications (7%). Of accepted transfers, 72% resulted in operative or endovascular intervention; 20% were performed <8 hours of arrival, 12% <24 hours of arrival, and 68% during hospital admission (average of 3 days); 28% of accepted patients received no intervention. Small hospitals (<100 beds) were more likely than large hospitals (>300 beds) to transfer patients not requiring intervention (47% vs 18%; P = .005) and for infection or nonhealing wounds (30% vs 10%; P = .013). Based on referring hospital size, there was no difference in IHTs requiring emergent, urgent, or nonurgent operations. There was also no difference in transport time, time from consultation to arrival, or death of patients according to hospital size. Overall patient mortality was 12%. CONCLUSIONS Expectedly, most vascular surgery IHTs are for life- or limb-threatening diagnoses, and most of these patients receive an operation. Transfer efficiency and surgical case urgency are similar across hospital sizes. Nonoperative IHTs are sent more often by small hospitals and may represent a resource disparity that would benefit from regionalizing nonurgent vascular care.
Collapse
|
35
|
Li K, Jung E, Wu B, Mousli A, Aoki S, Newton J, Able A, Cornell D, Lee N, Lo S. P3.14-008 Clinical Characteristics Matrix of Lung Tumor Under Stereotactic Ablative Body Radiotherapy (SABR). J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
36
|
Kim K, Jeong D, Jung E, Lee J, Kim C, Yoon T. LB988 Inhibition of collagen production by ICG-001, a small molecule inhibitor for Wnt/β-catenin signaling, in skin fibroblasts. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
37
|
Jung E, Park J, Park H, Holzapfel W, Hwang J, Lee C. 678 Integrated metabolome-microbiome analyses to evaluate the alleviating effects of short-term green tea supplementation for UVB-induced erythema. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
38
|
Choi S, Jung E, Choi BY, Hur YJ, Ki M. High reproduction number of Middle East respiratory syndrome coronavirus in nosocomial outbreaks: mathematical modelling in Saudi Arabia and South Korea. J Hosp Infect 2017; 99:162-168. [PMID: 28958834 PMCID: PMC7114943 DOI: 10.1016/j.jhin.2017.09.017] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 09/20/2017] [Indexed: 11/18/2022]
Abstract
Background Effective countermeasures against emerging infectious diseases require an understanding of transmission rate and basic reproduction number (R0). R0 for severe acute respiratory syndrome is generally considered to be >1, whereas that for Middle East respiratory syndrome (MERS) is considered to be <1. However, this does not explain the large-scale outbreaks of MERS that occurred in Kingdom of Saudi Arabia (KSA) and South Korean hospitals. Aim: To estimate R0 in nosocomial outbreaks of MERS. Methods R0 was estimated using the incidence decay with an exponential adjustment model. The KSA and Korean outbreaks were compared using a line listing of MERS cases compiled using publicly available sources. Serial intervals to estimate R0 were assumed to be six to eight days. Study parameters [R0 and countermeasures (d)] were estimated by fitting a model to the cumulative incidence epidemic curves using Matlab. Findings The estimated R0 in Korea was 3.9 in the best-fit model, with a serial interval of six days. The first outbreak cluster in a hospital in Pyeongtaek had an R0 of 4.04, and the largest outbreak cluster in a hospital in Samsung had an R0 of 5.0. Assuming a six-day serial interval, the KSA outbreaks in Jeddah and Riyadh had R0 values of 3.9 and 1.9, respectively. Conclusion R0 for the nosocomial MERS outbreaks in KSA and South Korea was estimated to be in the range of 2–5, which is significantly higher than the previous estimate of <1. Therefore, more comprehensive countermeasures are needed to address these infections.
Collapse
|
39
|
Landry G, Mostul C, McLafferty B, Ahn D, Mitchell E, Liem T, Jung E, Abraham C, Azarbal A, Moneta G. Causes and Outcomes of Finger Ischemia in Hospitalized Patients in the Intensive Care Unit. J Vasc Surg 2017. [DOI: 10.1016/j.jvs.2017.05.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
40
|
Amrock SM, Abraham CZ, Jung E, Morris PB, Shapiro MD. Risk Factors for Mortality Among Individuals With Peripheral Arterial Disease. Am J Cardiol 2017; 120:862-867. [PMID: 28734461 DOI: 10.1016/j.amjcard.2017.05.057] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 05/08/2017] [Accepted: 05/18/2017] [Indexed: 10/19/2022]
Abstract
Morbidity and mortality from peripheral arterial disease (PAD) continues to increase. Traditional cardiovascular risk factors are implicated in the development of PAD, yet the extent to which those risk factors correlate with mortality in such patients remains insufficiently assessed. Using data from the 1999 to 2004 National Health and Nutrition Examination Survey, Cox proportional hazards models were used to examine the association of cardiovascular risk factors and all-cause and cardiovascular mortality. A total of 647 individuals ≥40 years old with PAD (i.e., ankle-brachial index [ABI] ≤ 0.9) were followed for a median of 7.8 years. There were 336 deaths, of which 98 were attributable to cardiovascular disease. Compared with never smokers, current (hazard ratio [HR] 2.45, 95% confidence interval [CI] 1.62 to 3.71) and former (HR 1.62, 95% CI 1.14 to 2.29) smokers with PAD had higher rates of death. Moderate or vigorous physical activity of ≥10 minutes monthly was associated with lower death rates (HR 0.63, 95% CI 0.44 to 0.91). Also associated with increased rates of cardiovascular death were an ABI of <0.5 (HR 2.56, 95% CI 1.28 to 5.15, compared with those with an ABI of 0.7 to 0.9) and diabetes mellitus (HR 2.50, 95% CI 1.33 to 4.73). Neither C-reactive protein nor body mass index was associated with mortality. In conclusion, tobacco use increased the risk of all-cause and cardiovascular death, whereas physical activity was associated with a decreased mortality risk. A low ABI and diabetes were also predictive of cardiovascular death.
Collapse
|
41
|
Alabi O, Jung E, Liem T, Landry G, Moneta G, Mitchell E. SS24 Cryopreserved Vein vs Autologous Vein in Portomesenteric Reconstruction During Oncologic Surgery. J Vasc Surg 2017. [DOI: 10.1016/j.jvs.2017.03.255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
42
|
Chopra A, Jung E, Abraham C, Liem T, Landry G, Moneta G, Mitchell E. VESS21. Defining Predictors of Ambulation and Functional Outcome After Major Lower Extremity Amputation: A Contemporary Review. J Vasc Surg 2017. [DOI: 10.1016/j.jvs.2017.03.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
43
|
Landry G, Mostul C, Ahn D, McLafferty B, Liem T, Jung E, Mitchell E, Moneta G. PC052 Causes and Outcomes of Finger Ischemia in Hospitalized Patients in the Intensive Care Unit. J Vasc Surg 2017. [DOI: 10.1016/j.jvs.2017.03.290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
44
|
Jung E. Haut, Bedeutung in Wandlung. AKTUELLE DERMATOLOGIE 2017. [DOI: 10.1055/s-0043-106155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
45
|
Wiesinger I, Zausig N, Lück C, Salzberger B, Beyer L, Wiggermann P, Stroszczynski C, Jung E. Perkutane Behandlung bei malignen Leberläsionen: Evaluation des Therapieerfolgs mittels CEUS und Perfusionssoftware. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
46
|
Schleder S, Stroszczynski C, Schreyer A, Jung E. Präoperative Differenzierung von Schilddrüsenadenomen und Schilddrüsenkarzinomen mittels kontrastmittelgestütztem Ultraschall (CEUS). ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
47
|
Marticorena Garcia S, Schwabe J, Jung E, Fischer T. Quantitative Perfusionsanalyse mittels Kontrastmittelsonografie (CEUS) zur Differenzierung eines aggressiven Prostatakarzinoms. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
48
|
Wilson DG, Harris SK, Peck H, Hart K, Jung E, Azarbal AF, Mitchell EL, Landry GJ, Moneta GL. Patterns of Care in Hospitalized Vascular Surgery Patients at End of Life. JAMA Surg 2017; 152:183-190. [DOI: 10.1001/jamasurg.2016.3970] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
49
|
Repella T, Jung E, Britantchouk O, Afrose S, Liem T, Mitchell E, Landry G, Moneta G. Characterization of Profunda Femoris Vein Deep Venous Thrombosis. J Vasc Surg Venous Lymphat Disord 2017. [DOI: 10.1016/j.jvsv.2016.10.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
50
|
Crawford JD, Perrone KH, Jung E, Mitchell EL, Landry GJ, Moneta GL. Arterial duplex for diagnosis of peripheral arterial emboli. J Vasc Surg 2016; 64:1351-1356. [DOI: 10.1016/j.jvs.2016.04.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Accepted: 04/03/2016] [Indexed: 10/21/2022]
|