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Suh D, Barone J, Jang J, Jung Y, Kim M, Choi H. PCN78 Cost Comparison of Administering ORAL Compared to Intravenous paclitaxel for Patients with Advanced Gastric Cancer in South Korea: A MICRO-Costing Study. Value Health Reg Issues 2020. [DOI: 10.1016/j.vhri.2020.07.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kim JY, Choi H, Park JH, Jung HD, Jung YS. Effects of anti-resorptive drugs on implant survival and peri-implantitis in patients with existing osseointegrated dental implants: a retrospective cohort study. Osteoporos Int 2020; 31:1749-1758. [PMID: 32367226 DOI: 10.1007/s00198-019-05257-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 12/03/2019] [Indexed: 02/07/2023]
Abstract
UNLABELLED The effect of anti-resorptive drug (ARD) usage among patients with successful dental implant osseointegration is controversial. This study showed an increased risk of implant failure in ARD users. Risk factors included pre-existing marginal bone loss, overdenture, diabetes, and a short interval between implant placement and ARD administration. INTRODUCTION This retrospective study aimed to determine whether anti-resorptive drug (ARD) usage increased risk of implant failure among patients with successful implant osseointegration. Additionally, the study investigated risk factors that affected implant survival rate in ARD users. METHODS Eighty ARD users with 344 implants who had more than 12 months of follow-up from the initiation of ARD treatment during the period between 2008 and 2017 were included, along with 80 non-ARD users from the same period. The primary outcome was dental implant survival. Kaplan-Meier survival curves and Cox proportional hazard models were used for survival analysis. RESULTS Average follow-up was 85.3 months. Implant survival rates were 89.83% in ARD users and 96.03% in non-ARD users. In the univariate Cox proportional hazard model, risk of implant failure was significantly higher in patients with pre-existing marginal bone loss (MBL), diabetes, and concurrent bone augmentation. However, risk of implant failure was significantly lower when the interval between implant placement and ARD administration was < 36 months. Compared with overdenture, single crown and fixed splinted users had lower risk of implant failure. In multivariate analysis, variables including pre-existing MBL, diabetes, < 36-month interval between implant placement and ARD treatment, and usage of fixed splinted prosthesis were significantly associated with increased risk of implant failure. CONCLUSIONS ARD administration after implant osseointegration was correlated with a reduced implant survival rate. Pre-existing MBL, diabetes, type of final prosthesis, and the interval between implant placement and initiation of ARD administration influenced risk of implant failure.
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Affiliation(s)
- J Y Kim
- Department of Oral & Maxillofacial Surgery, Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - H Choi
- Department of Oral & Maxillofacial Surgery, Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - J H Park
- Department of Oral & Maxillofacial Surgery, Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - H D Jung
- Department of Oral & Maxillofacial Surgery, Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Y S Jung
- Department of Oral & Maxillofacial Surgery, Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
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Chan S, Chiang C, Lee S, Wong I, Choi H. P-259 Pembrolizumab as second-line therapy of hepatocellular carcinoma: A cost-effectiveness analysis. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Ogdie A, Love T, Takeshita J, Gelfand J, Scher J, Choi H, Fitzsimmons R, Ritchlin CT, Merola JF. FRI0355 IMPACT OF BIOLOGIC THERAPY ON THE INCIDENCE OF PSA AMONG PATIENTS WITH PSORIASIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.3337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:One of the strongest known risk factors for the development of psoriatic arthritis (PsA) is psoriasis. A key question is whether treatment of psoriasis may prevent or delay onset of PsA.Objectives:To compare the incidence of PsA among patients with psoriasis treated with a biologic compared to those treated with a non-biologic therapy for psoriasisMethods:We performed a retrospective cohort study in the Optum de-identified Electronic Health Record dataset between 2006-2017. Patients with two or more ICD codes for psoriasis between the ages of 16 and 90, who were initiating an oral medication, a biologic therapy, or phototherapy (defined as no preceding codes for the therapy in the prior 12 months) were identified. Covariates at baseline were determined in the 12 months prior to therapy initiation. The outcome of interest was PsA as defined by one ICD code. The incidence of PsA was described overall and within each therapy group. We analyzed the data in two ways: a) a multivariable Cox model using a time varying exposure (once the patient was exposed to a biologic, they were considered always exposed) derived from automated stepwise regression and b) propensity score matching (greedy matching, caliper 0.1) between biologic-exposed patients and oral/phototherapy exposed patients.Results:Among 215,386 patients with psoriasis without PsA at baseline, 9,848 were excluded for prior biologic exposure, and among the remaining, 60,258 initiated phototherapy, oral or biologic therapy during follow up. Among 22,461 new biologic initiations, 29,121 oral therapy and 8,676 phototherapy initiations, the mean age was lower in the biologics group compared to the non-biologic groups (46.9 vs 50.8), with a similar proportion of females and Caucasians. Observational time was also similar. A total of 1,643, 1,813, and 122 new PsA cases occurred over 60,739, 85,670, and 28,528 person/years (PY) of follow up, respectively (incidence 27.1, 21.2 and 4.2 per 1,000 person years respectively). Using a traditional multivariable adjustment approach with time varying exposure, the age and sex adjusted and fully adjusted HR (95% CI) for biologic users were 1.01 (0.99-1.04) and 0.93 (0.91-0.95), respectively. However, after propensity score matching, the HR (95% CI) was 1.64 (1.51-1.77). Survival curves cross, however, at approximately 8 years (Figure 1) and most of the new diagnoses of PsA occurred shortly after therapy initiation (Figure 2).Conclusion:Confounding by indication or protopathic bias may explain the observed association of biologic therapy with the development of PsA among patients with psoriasis. Some patients may be receiving therapy because they have both psoriasis and early symptoms of PsA or their PsA diagnosis is not recorded appropriately. Given the directional discrepancy in the results between traditional modeling and propensity score analysis, further work is needed to understand the nature of this relationship.FigureFigure 3.Directed Acyclic Graphdescribing potential confounders in relationship between therapy prescription and diagnosis of PsADisclosure of Interests:Alexis Ogdie Grant/research support from: Pfizer, Novartis, Consultant of: Abbvie, Amgen, BMS, Celgene, Corrona, Janssen, Lilly, Pfizer, Novartis, Thorvardur Love: None declared, Junko Takeshita: None declared, Joel Gelfand Grant/research support from: grants (to the Trustees of the University of Pennsylvania) from Abbvie, Boehringer Ingelheim, Janssen, Novartis Corp, Celgene, Ortho Dermatologics, and Pfizer Inc., Consultant of: BMS, Boehringer Ingelheim, Janssen Biologics, Novartis Corp, UCB (DSMB), Neuroderm (DSMB), Dr. Reddy’s Labs, Pfizer Inc., and Sun Pharma, Paid instructor for: received payment for continuing medical education work related to psoriasis that was supported indirectly by Lilly, Ortho Dermatologics and Novartis., Jose Scher Consultant of: Novartis, Janssen, UCB, Sanofi., Hyon Choi Grant/research support from: Ironwood, Horizon, Consultant of: Takeda, Selecta, Horizon, Kowa, Vaxart, Ironwood, Robert Fitzsimmons: None declared, Christopher T. Ritchlin Grant/research support from: UCB Pharma, AbbVie, Amgen, Consultant of: UCB Pharma, Amgen, AbbVie, Lilly, Pfizer, Novartis, Gilead, Janssen, Joseph F. Merola Consultant of: Merck, AbbVie, Dermavant, Eli Lilly, Novartis, Janssen, UCB Pharma, Celgene, Sanofi, Regeneron, Arena, Sun Pharma, Biogen, Pfizer, EMD Sorono, Avotres and LEO Pharma
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Marozoff S, Mccormick N, Choi J, Choi H. THU0020 NO CAUSAL ASSOCIATION OF SERUM URATE OR GOUT WITH ALZHEIMER’S DISEASE: A MENDELIAN RANDOMIZATION ANALYSIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.4999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Several epidmiologic studies have found a lower risk of Alzheimer’s disease (AD) among individuals with a history of gout1or high serum urate levels2, which are the precursor to gout. Serum urate may have neuroprotective benefits for AD, however it is possible that reverse causation and residual confounding could explain the observational evidence.Objectives:To study the causal associations of serum urate and gout with Alzheimer’s disease using Mendelian Randomization (MR) methods.Methods:Two-sample MR was performed to examine the causality of: 1) serum urate on Alzheimer’s disease and 2) gout on Alzheimer’s disease. Single nucleotide polymorphisms (SNP) identified from a genome-wide association study of 457,690 adults described 183 SNPs associated with serum urate and gout, which were used as instrumental variables3. Additional single-SNP analyses were conducted using SNPs from three genes identified as major determinants of urate levels (SLC2A9, SLC22A12, and ABCG2). SNPs for AD came from the International Genomics of Alzheimer’s Project, comprised of 35,274 AD cases and 59,163 cognitively normal elderly controls4. Inverse-variance weighted (IVW) models were the primary method used to examine the associations between each exposure and risk of AD. Additional analyses examined the potential impact of pleiotropy via MR-Egger models. Single-SNP analyses used the Wald ratio. All analyses were performed using R.Results:There was no evidence of a causal association between genetically-determined serum urate or gout and risk of AD from IVW analyses (both p>0.1) (Table 1). MR-Egger analyses yielded similar estimates (both p>0.1) and the intercepts of the MR-Egger regressions did not suggest the presence of directional pleiotropy (p=0.64 for serum urate exposure and p=0.98 for gout exposure) (Table 1). Additionally, none of the three individual SNPs were significantly associated with risk of AD (all p>0.05) (Table 2).Table 1.Association of combined SNPs for serum urate and gout with Alzheimer’s diseaseNumber of SNPsOR95% CIp valueMR-Egger intercept (p value)Serum urate exposure (per 1 mg/dL increase)IVW1581.040.98-1.110.187MR-Egger1581.060.96-1.170.228-0.001 (0.645)Gout exposure (gout vs. non-gout)IVW1581.030.99-1.060.161MR-Egger1581.030.98-1.070.2905.477 (0.976)Table 2.Association of individual SNPs for serum urate and gout with Alzheimer’s diseaseGeneSNPOR95% CIp-valueSerum urate exposure (per 1 mg/dL increase)SLC2A9rs37759471.121.00-1.260.059SLC22A12rs5317630.920.71-1.200.545ABDG2rs749049711.220.99-1.500.059Gout exposure (gout vs. non-gout)SLC2A9rs37759471.081.00-1.170.059SLC22A12rs5317630.940.77-1.150.545ABCG2rs749049711.061.00-1.130.059Conclusion:Using both serum urate and gout as instrumental variables in MR analysis, these findings suggest that serum urate and gout are not causal determinants for the development of AD. The inverse associations described in observational studies may in part be due to confounding or reverse causality.References:[1]Lu N, et al. Gout and the risk of Alzheimer’s disease: a population-based, BMI-matched cohort study.Annals of the Rheumatic Diseases, 2016.doi:10.1136/annrheumdis-2014-206917[2]Scheepers LEJM, et al. Urate and risk of Alzheimer’s disease and vascular dementia: A population-based study.Alzheimer’s & Dementia, 2019.doi:10.1016/j.jalz.2019.01.014[3]Tin A, et al. Target genes, variants, tissues and transcriptional pathways influencing human serum urate levels.Nature Genetics, 2019.doi:10.1038/s41588-019-0504-x[4]Kunkle BW, et al. Genetic meta-analysis of diagnosed Alzheimer’s disease identifies new risk loci and implicates Aβ, Tau, immunity and lipid processing.Nature Genetics, 2019. doi: 10.1038/s41588-019-0358-2Disclosure of Interests:Shelby Marozoff: None declared, Natalie McCormick: None declared, Jeewoong Choi: None declared, Hyon Choi Grant/research support from: Ironwood, Horizon, Consultant of: Takeda, Selecta, Horizon, Kowa, Vaxart, Ironwood
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D’silva K, Yokose C, Lu L, Zhang Y, Choi H. OP0015 SEX-SPECIFIC U-SHAPED RELATIONSHIP BETWEEN SERUM URATE AND MORTALITY IN THE UNITED STATES GENERAL POPULATION. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.2229] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:A U-shaped relationship may exist between serum urate (SU) and cardiovascular events, although the relationship between SU and mortality is unclear. The most recent EULAR recommendations for gout advise against maintaining SU <3 mg/dl for prolonged periods.Objectives:To examine the relationship between SU and all-cause and cause-specific mortality in large cohorts in the United States (US).Methods:We examined National Health and Nutrition Examination Survey (NHANES) data from 1988-1994 (NHANES III) and 1999-2007 including subjects aged ≥18 with an enrollment SU measurement. We used Cox proportional hazards regression models to estimate sex-specific mortality risk relative to a referent SU 5-6 mg/dL, adjusting for NHANES cycle, age, race, body mass index (BMI), education, alcohol use, smoking, hypertension, total cholesterol, estimated glomerular filtration rate (GFR), and competing risks, using age as a time scale for survival analysis.Results:Among 19,954 men and 21,853 women, there were 5,714 male deaths and 4,901 female deaths (median follow-up 14.2 ± 6.9 years). Among men, there was a 33% increased all-cause mortality risk at SU <4 mg/dL (HR 1.33, 95% CI 1.17-1.51) and 52% increased all-cause mortality risk at SU >8 mg/dL (HR 1.52, 95% CI 1.37-1.69) compared to subjects with SU 5-6 mg/dL, driven by cause-specific mortality from diabetes at low SU and chronic lower respiratory diseases and cardiovascular disease at high SU (Table). In women, there was no increased mortality risk at low SU and a 45% increased all-cause mortality risk at SU >7 mg/dL (HR 1.45, CI 1.31-1.61) compared to subjects with SU 5-6 mg/dL, driven by cause-specific mortality from diabetes. Mortality from Alzheimer’s disease was lower at high SU among men (HR 0.23, 95% CI 0.05-0.99) and women (HR 0.54, 95% CI 0.25-1.15).Table.Multivariable hazard ratios for all-cause and cause-specific mortality in NHANES III and 1999-2007.Conclusion:In large cohorts representative of the US population, there was a U-shaped relationship between SU and all-cause mortality in men but not women. In men with low SU, mortality was driven primarily by diabetes, which may be explained by the uricosuric effect of uncontrolled hyperglycemia in diabetes patients. The lower mortality from Alzheimer’s disease at high SU agrees with previously shown inverse associations between gout and Alzheimer’s disease. Further studies are needed to determine the presence of causality underlying these associations.Disclosure of Interests:Kristin D’Silva: None declared, Chio Yokose: None declared, Leo Lu: None declared, Yuqing Zhang: None declared, Hyon Choi Grant/research support from: Ironwood, Horizon, Consultant of: Takeda, Selecta, Horizon, Kowa, Vaxart, Ironwood
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Yokose C, Lu L, Mccormick N, Choi J, Zhang Y, Choi H. SAT0604 FAST FOOD HABITS AND SERUM URATE CHANGE IN YOUNG ADULTS: 15-YEAR PROSPECTIVE ANALYSIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.4512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Fast food consumption has strong positive associations with weight gain and insulin resistance.1Obesity and insulin resistance are in turn strongly associated with elevated serum urate (SU) levels, largely mediated by insulin’s anti-uricosuric ability.2Objectives:To investigate the relation between fast food consumption and changes in SU over a 15-year period among young black and white adults in the United States.Methods:Participants for the CARDIA study included 3,122 young (age 18-30 years in 1985-86) black and white adults in the United States who were followed up with repeated dietary and clinical assessments and had both baseline and year 15 SU measurement available. Frequency of fast food consumption (fast food frequency, FFF) was quantified on a semicontinuous scale and classified as <1, 1-2, or >2 times per week. We used multivariable linear regression models to investigate the association of FFF at baseline as well as change in FFF with 15-year changes in SU.Results:Our analysis included data from 3,122 subjects who had SU data available both at baseline and year 15 (Table 1). After adjustment for age, sex, education, baseline height and weight, and baseline SU, baseline FFF (defined as 3 times per week year 0 differences between participants) was independently associated with increases in SU among both black (beta=0.11, p=0.04) and white (beta=0.11, p=0.01) individuals (Table 2). Change in FFF (defined as 3 times a week 15-year change within participants) was also independently associated with increases in SU among white (beta=0.09, p=0.01) individuals but not blacks (beta=0.03, p=0.93) (Table 2). There was a significant correlation between weight change and SU change (correlation coefficient 0.34, p<0.001).Figure 1depicts the joint associations of year 0 FFF and 15-year changes in FFF with change in weight. Compared to the average 15-year SU change among participants with baseline FFF <1 time per week and 15-year FFF change <0 time per week, those with high FFF at both baseline and follow-up had an extra 0.21 mg/dL increase (i.e., 75% of overall population SU increase over 15 years [0.28 mg/dL]) in SU during that time. After adjusting for covariates in model 2, change in weight (beta=0.03, p<0.001) and homeostasis model for insulin resistance (HOMA) (beta=0.05, p<0.001) remained significantly associated with SU change.Table 1.Participant CharacteristicsCharacteristicBlacks (n=1468)Whites (n=1654)Age, years (year 0)24.4 (3.8)25.6 (3.3)Male (%)4448Weight, kg (year 0)72.8 (16.7)70.0 (14.0)Weight, kg (year 15)87.9 (20.9)80.7 (18.6)Serum urate, mg/dL (year 0)5.1 (1.4)5.4 (1.4)Serum urate, mg/dL (year 15)5.6 (1.4)5.5 (1.4)All values reported as mean (SD) unless otherwise noted.Table 2.Mean Adjusted Change in Serum Urate by Baseline and Change in Fast Food FrequencyFast Food VariableBlacksWhitesBeta (SE)pBeta (SE)pModel 1Baseline0.11 (0.04)0.010.11 (0.04)0.01Change0.003 (0.033)0.930.09 (0.04)0.01Model 2Baseline0.12 (0.04)0.010.09 (0.04)0.02Change0.004 (0.03)0.880.08 (0.04)0.03Model 1: age, sex, education, baseline height and weight, baseline SUModel 2: model 1 + alcohol, physical activity, and smoking (both baseline and year 15 change)Conclusion:Fast-food consumption has strong positive associations with SU, suggesting that fast food increases the risk of hyperuricemia and gout. The observed association is likely mediated by weight gain and resultant changes in insulin resistance.References:[1]Pereira MA, Kartashov AI, Ebbeling CB, et al. Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet 2005;365:36-42.[2]Mount DB MT, Mandal A. Insulin: Genetic and Physiological Influences on Human Uric Acid Homeostasis [abstract]. Arthritis Rheumatol 2018; 70 (suppl 10).Disclosure of Interests:Chio Yokose: None declared, Leo Lu: None declared, Natalie McCormick: None declared, Jeewoong Choi: None declared, Yuqing Zhang: None declared, Hyon Choi Grant/research support from: Ironwood, Horizon, Consultant of: Takeda, Selecta, Horizon, Kowa, Vaxart, Ironwood
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Mccormick N, Choi J, Marozoff S, Choi H. OP0171 MENDELIAN RANDOMIZATION SHOWS NO CAUSAL ASSOCIATION BETWEEN SERUM URATE OR GOUT AND TYPE-2 DIABETES. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.3238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Positive associations between gout1,2or serum urate (SU)3and risk of type-2 diabetes (T2D) have been reported in population-based observational studies, but may be due to residual confounding. As such, causal roles of SU and gout on development of T2D are unclear.Objectives:Use two-sample mendelian randomization to estimate the causal effects of SU and gout on T2D and glycemic traits.Methods:Aggregate data from three large genome-wide association studies were used to identify genetic variants (SNPs) associated with the exposures and outcomes. Exposure SNPs were sourced from Global Urate Genetics Consortium (> 140,000 individuals); outcome SNPs sourced from DIAbetes Genetics Replication And Meta-analysis consortium (DIAGRAM; > 34,000 T2D cases and > 114,000 controls) and Meta-Analyses of Glucose and Insulin-related traits Consortium (MAGIC; > 46,000 non-diabetics).We analysed SNPs associated with SU levels (n=28) and gout (n=6) for associations with T2D and three glycemic traits (insulin resistance, fasting insulin levels, and HbA1c) using inverse variance weighted meta-analysis methods. We also specifically examined two SNPs mapping to theSLC2A9gene, which encodes the GLUT9 transporter (for glucose and urate), estimating Wald ratios for these individual SNPs. Analyses were performed with TwoSampleMR package in R and mRnd power calculator.Results:Estimated effects of genetically-determined gout on each of the four outcomes (T2D, insulin resistance, fasting insulin levels, and HbA1c) were small and non-significant (p ≥ 0.18), as were the effects of changes in genetically-determined SU levels (Table).Although the two SNPs in theSLC2A9gene were strongly associated with SU (rs12498742: R2=2.7%, beta=0.37 per mg/dL, p < 10-700) and gout (rs4475146: odds ratio=0.63, p=4.1x10-26), neither was associated with T2D nor any of the glycemic traits (Table).Applying R2values ≥ 1.9%, we had ≥ 90% power to detect the increased odds of T2D (OR ≥1.151,3) from observational studies.All Risk SNPs (meta-analysis)OUTCOMEn SNPsGout (vs. non-gout)Serum urate (per 1 mg/dL increase)Effect size (95% CI)pEffect size (95% CI)pHbA1c (%)450.0046 (-0.0087 to 0.0179)0.50-0.0046 (-0.0275 to 0.0183)0.70Insulin resistance (HOMA-IR: log units)450.0108 (-0.0049 to 0.0265)0.180.0016 (-0.0240 to 0.0272)0.90Fasting insulin levels (log pmol/L)180.0046 (-0.0037 to 0.0129)0.28-0.0221 (-0.1035 to 0.0593)0.59Type 2 Diabetes: odds ratio430.98 (0.90 to 1.07)0.721.01 (0.88 to 1.16)0.84SNPs inSLC29AGene (single-SNP analysis)OUTCOMErs4475146Gout (vs. non-gout)rs12498742Serum urate (per 1 mg/dL increase)Effect size (95% CI)pEffect size (95% CI)pHbA1c (%)0.0032 (-0.0139 to 0.0203)0.710.0005 (-0.0205 to 0.0216)0.96Insulin resistance (HOMA-IR: log units)0.0128 (-0.0073 to 0.0328)0.210.0126 (-0.0121 to 0.0373)0.32Fasting insulin levels (log pmol/L)0.0038 (-0.0070 to 0.0147)0.490.0048 (-0.0088 to 0.0185)0.49Type 2 Diabetes: odds ratio0.98 (0.87 to 1.10)0.700.98 (0.85 to 1.13)0.75HOMA-IR=homeostasis model assessment of insulin resistanceConclusion:Evidence from this instrumental variable analysis suggests gout and SU are signals for future T2D, but neither SU or gout itself are causally associated with the development of this condition. As such, interventions targeting SU levels alone are unlikely to lower the risk of T2D.References:[1]Rho YH, Lu N, Peloquin CE, et al. Independent impact of gout on the risk of diabetes mellitus among women and men: a population-based, BMI-matched cohort study.Ann Rheum Dis. 2016;75(1):91-95.[2]Choi HK, De Vera MA, Krishnan E. Gout and the risk of type 2 diabetes among men with a high cardiovascular risk profile.Rheumatology. 2008;47(10):1567-1570.[3]Bhole V, Choi JWJ, Woo Kim S, De Vera M, Choi H. Serum Uric Acid Levels and the Risk of Type 2 Diabetes: A Prospective Study.Am J Med. 2010;123(10):957-961.Disclosure of Interests:Natalie McCormick: None declared, Jeewoong Choi: None declared, Shelby Marozoff: None declared, Hyon Choi Grant/research support from: HC reports research support from Ironwood and Horizon, Consultant of: HC reports consulting fees from Ironwood, Selecta, Horizon, Takeda, Kowa, and Vaxart.
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D’silva K, Lu L, Ogdie A, Aviña A, Choi H. OP0247 PERSISTENT PREMATURE MORTALITY GAP IN IDIOPATHIC INFLAMMATORY MYOPATHY: A GENERAL POPULATION-BASED COHORT STUDY. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.2230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Idiopathic inflammatory myopathy (IIM) is associated with significant premature mortality; however, whether the mortality gap has improved over recent years is unknown.Objectives:To determine trends in premature mortality in patients with IIM in a large cohort, representative of the United Kingdom (UK) general population.Methods:Using The Health Improvement Network (THIN), an electronic medical record database representative of the UK general population, we identified patients with incident IIM between 18 and 89 years of age (defined by at least one Read diagnosis code for dermatomyositis, polymyositis, or interstitial myositis with at least one year of continuous enrollment in THIN prior to the cohort entry date) and up to 10 controls without IIM matched on age, sex, birth year, and database entry year. The cohort was divided in two based on the year of IIM diagnosis: the early cohort (1999-2006) and the late cohort (2007-2014). We calculated adjusted hazard ratios for death using a multivariable Cox-proportional hazards model and adjusted rate differences using an additive hazard model.Results:The early cohort consisted of 355 patients with IIM and 3182 matched controls, while the late cohort consisted of 396 IIM patients and 3551 matched controls. In both cohorts, IIM patients had excess mortality compared to matched controls [57.4 vs. 15.2 deaths/1000 person-years (PY) in the early cohort and 43.2 vs. 14.1 deaths/1000 PY in the late cohort] (Table). The corresponding multivariate mortality hazard ratios were 2.73 (95% CI, 1.85 to 4.03) vs. 2.61 (95% CI, 1.75 to 3.89) in the early and late cohorts, respectively (p-value for interaction = 0.63) (Figure). The absolute multivariate mortality differences were 36.6 (95% CI, 20.4 to 52.8) and 25.8 (95% CI, 13.7 to 37.9) deaths/1000 PY, in the early and late cohorts, respectively (p-value for interaction = 0.24).Conclusion:In this general population-based cohort study, patients with IIM had over 2.5 times the risk of death compared to matched controls, even after adjusting for comorbidities and medications. Unlike trends seen in rheumatoid arthritis and granulomatosis with polyangiitis, there appears to be no improvement in mortality in IIM in recent years. This highlights the need for improved strategies for the management of patients with IIM and its comorbidities.Table.Association between idiopathic inflammatory myopathy (IIM) and all-cause mortality according to time period.1999-20062007-2014IIM cohort (n=355)Non-IIM cohort (n=3182)IIM cohort (n=396)Non-IIM cohort (n=3551)p-value for interactionFollow-up time, years (mean ± SD)2.6 ± 2.12.9 ± 2.13.2 ± 2.43.5 ± 2.4Number of deaths5314055177Death rate/1000 PY (95% CI)57.4 (43.0, 75.1)15.2 (12.7, 17.9)43.2 (32.5, 56.2)14.1 (12.1, 16.3)Age-, sex-, and entry year-matched hazard ratio (95% CI)4.02 (2.89, 5.59)1.00 (ref)3.43 (2.49, 4.73)1.00 (ref)0.50Multivariable-adjusted hazard ratio (95% CI)*2.73 (1.85, 4.03)1.00 (ref)2.61 (1.75, 3.89)1.00 (ref)0.63Age-, sex-, and entry year-matched rate difference/1000 PY (95% CI)42.2 (26.6, 57.9)0.0 (ref)29.1 (17.5, 40.7)0.0 (ref)0.24Multivariable-adjusted rate difference/1000 PY (95% CI)36.6 (20.4, 52.8)0.0 (ref)25.8 (13.7, 37.9)0.0 (ref)0.24* Multivariable models were adjusted for age, sex, entry year, number of GP visits, BMI, smoking status (i.e., non-smokers, ex-smokers, current smokers), alcohol consumption (i.e., non-drinkers, ex-drinkers, current drinkers), comorbidities, and medication use.PY, person-year; BMI, body mass index; GP, general practitionerFigure.Cumulative mortality of patients with idiopathic inflammatory myopathy and matched controls without IIM in early versus late cohorts (1999-2006 versus 2007-2014).Disclosure of Interests:Kristin D’Silva: None declared, Leo Lu: None declared, Alexis Ogdie Grant/research support from: Pfizer to Penn, Novartis to Penn, Amgen to Forward/NDB, Consultant of: Abbvie, Amgen, Bristol-Myers Squibb, Celgene, Corrona, Janssen, Eli Lilly, Novartis, Pfizer, Antonio Aviña: None declared, Hyon Choi Grant/research support from: Ironwood, Horizon, Consultant of: Takeda, Selecta, Horizon, Kowa, Vaxart, Ironwood
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Choi J, Mccormick N, Marozoff S, De Vera M, Choi H. FRI0532 THE IMPACT OF GENETICALLY DETERMINED SERUM URATE LEVELS ON THE DEVELOPMENT OF CARDIOVASCULAR DISEASES: A SYSTEMATIC REVIEW AND META-ANALYSIS OF MENDELIAN RANDOMIZATION STUDIES. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.6191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Conventional observational studies have identified serum urate (SU) as an independent risk factor for cardiovascular diseases (CVDs),1,2but the causal relationships remain unsettled, with potential confounding and reverse causality. When applied correctly, Mendelian randomization (MR) employing genetic variants as instrumental variables can eliminate these biases and allow for causal inference.Objectives:To conduct a systematic review and meta-analysis of English-language, peer-reviewed MR studies on the causal effects of SU on CVDs and assess validation of key MR assumptions.Methods:A research librarian conducted a search (inception to January 2020) of four databases (Medline, Embase, Cochrane Library, and Web of Science), which was supplemented by hand-search. Titles and abstracts were screened by two independent reviewers, who subsequently evaluated and extracted data from full-text of selected articles. Pooled meta-analysis was performed using random-effects weighting.Results:Of 1014 articles identified, 40 were selected for full-text review and 13 studies reporting on CVDs were included in the systematic review (Figure 1). The first was published in 2009 and five were published in 2018 or 2019 alone. The included studies were of varying quality in regards to satisfying the assumptions for MR design.Fig. 1: PRISMA flow diagram.Overall, there was little evidence for a causal association between SU and risk of CVDs (Table 1). Random-effects meta-analysis revealed that SU was not significantly associated with risk of CVDs (OR=1.04; 95% CI=0.99-1.09) (Figure 2). 11 of the 13 studies reported null estimates for the effects of genetically-determined SU levels on CVDs. Two studies with small numbers of cases (N=125 and 222) reported significant associations, but these pertained to highly-specific subgroups.Table 1.Summary of included studies. CAD: Coronary Artery Disease; CHD: Coronary Heart Disease; IHD: Ischaemic heart disease; MI: Myocardial Infarction; MR: Mendelian Randomization; PVD: Peripheral Vascular Disease; SNP: Single Nucleotide PolymorphismFirst author; yearNumber of SNPs analyzedOutcome(n cases)PowerMR criteria validated:1. relevance2. pleiotropy3. confoundingConclusionStark; 200910 separatelyCAD (1,473)30%-66%1, 3NullYang; 20108 combinedCHD (3,050)<80%1, 2, 3NullPalmer; 20131 (rs7442295)IHD (3,742)N/A1, 2*, 3NullKleber; 20158 combinedCAD (2,418)PVD (295)N/A1, 2, 3NullHan; 20152 separatelyCHD (1,146)80%1, 2*, 3NullTesta; 20151 (rs734553)CVD events (CVD death, stroke, MI) (222)N/A1, 2*Significant for CV eventsWhite; 201631 combinedCAD (65,877)83%1, 2, 3NullKeenan; 201614 combinedCHD (54,501)Stroke (14,779)>80%1, 2, 3NullLi; 201831 combinedIHD (9,467)MI (3,625)70%1, 2, 3NullLi; 201931 combinedCHD (60,801)MI (43,676)Stroke (10,307)N/A1, 2, 3NullMacias-Kauffer; 20192 separatelyCAD (704)N/A1, 2*, 3NullEfstathiadou; 201928 separatelyCHD (184,305)MI (54,162) Stroke (514,791)>80%1, 2, 3NullChiang; 20198 combinedCHD (125)Stroke (57)N/A1, 2, 3Significant for CHD* Risk of pleiotropy (assumption 2) is low when utilizing few well-established SNPsFig. 2: Pooled meta-analysis results.Conclusion:Evidence from this systematic review does not support a causal role for SU levels and CVDs. As such, interventions targeting SU levels alone are unlikely to lower the risk of CVDs.References:[1] Zhu Y, Pandya BJ, Choi HK. Comorbidities of gout and hyperuricemia in the US general population: NHANES 2007-2008. Am J Med 2012;125:679-87 e1.[2] Choi HK, Curhan G. Independent impact of gout on mortality and risk for coronary heart disease. Circulation 2007;116:894-900Disclosure of Interests:Jeewoong Choi: None declared, Natalie McCormick: None declared, Shelby Marozoff: None declared, Mary De Vera: None declared, Hyon Choi Grant/research support from: Ironwood, Horizon, Consultant of: Takeda, Selecta, Horizon, Kowa, Vaxart, Ironwood
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Lee E, Yoon I, Choi H. 0800 Posttraumatic Stress Disorder and REM Sleep Without Atonia in Veterans. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
In veterans, the prevalence of rapid eye movement (REM) sleep behavior disorder(RBD) is higher than the general population, and there is some evidence that this is related to posttraumatic stress disorder(PTSD). In addition, trauma related nightmares (TRNs) interfere with REM sleep and are often accompanied by motor activity. (rem sleep without atonia; RSWA). The purpose of this study is to determine whether the frequency of dream enactment behavior(DEB) and RSWA is different according to the presence of PTSD or trauma.
Methods
The patients (n = 2262) who underwent video assisted polysomnography (PSG) and sleep-related questionnaire surveys at Veteran Health Service Medical Center in Republic of Korea were reviewed retrospectively and cross-sectionally. Based on patients diagnosed with PTSD (N = 20; 100% male; 67.9 ± 8.5 years of age), those exposed to trauma but not diagnosed with PTSD (N = 23; 100% male; age 64.0 ± 13.4) and trauma unexposed controls (N = 21; 100% male; age 59.86 ± 10.9) were matched.
Results
In the PTSD group, patients who reported self-reported DEB tended to be more than the traumatic exposure group and the control group (P = 0.022). In-lab video assisted PSG showed no differences in DEB between the three groups, but RSWA. (p = 0.026) After adjusting for age, hypnotics, apnea hypopnea index (AHI), Beck depression inventory (BDI), and periodic limb movement (PLM) arousal factors, RSWA was significantly higher in the PTSD group than in the traumatic exposure group. (p = 0.006)
Conclusion
The result that RSWA was significantly higher in the PTSD group than in the traumatic exposure group suggests that there may be an associated pathophysiology between PTSD and RBD. Longitudinal studies are needed to establish the link between RBD with PTSD and neurodegenerative diseases associated with synucleinopathy.
Support
This study was supported by a VHS Medical Center Research Grant, Republic of Korea. (grant number: VHSMC 19033)
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Affiliation(s)
- E Lee
- Veteran Health Service Medical Center, Seoul, KOREA, REPUBLIC OF
| | - I Yoon
- Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, KOREA, REPUBLIC OF
| | - H Choi
- Veteran Health Service Medical Center, Seoul, KOREA, REPUBLIC OF
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Choi H, Bang Y, Yoon I. 0505 Insomnia: Entrapment of Binaural Auditory Beats on Subjects with Insomnia Symptoms. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
It has been reported that binaural beat stimulation, which has two different frequencies on both ears, is effective in increasing alertness, memory, reducing anxiety, and controlling mood. This study aims to clarify the brain wave entrainment effect of binaural beat and to identify the mechanism of action of the binaural beat.
Methods
Subjects with subclinical insomnia symptoms between 20 and 59 years of age were recruited from the community. Quantitative electroencephalography (EEG) was measured two times before and after the 2 weeks of binaural beat intervention period. An audio apparatus without the distortion of a sound source is set with theta (6 Hz) binaural beat. Participants used the apparatus for 30 minutes before going to bed for 2 weeks.
Results
When the music with binaural beat was played, the relative power of theta frequency increased (occipital, P=0.009). When the music only was played in the laboratory, the relative power of delta (temporal, P=0.004; parietal, P=0.005; occipital, P=0.006) and theta frequency (temporal, P=0.004; central, P=0.001; parietal, P=0.001; occipital, P=0.003) increased and the relative power of alpha decreased (frontal, P=0.008; temporal, P=0.012; central, P=0.008; parietal, P=0,004; occipital, P=0.005). After listening to music with binaural beat for two weeks, the difference of beta power before and after listening to music first in the laboratory was lower than the difference after using music-only devices (P=0.008).
Conclusion
When the binaural beat was played, the entrapment of theta wave appeared. And the music was presumed to have a nonspecific relaxation effect. After exposure to music with binaural beat for 2 weeks, beta power decreased compared to exposure to music alone. Continuous music with binaural beat exposure for 2 weeks is likely to reduce hyper-arousal state and contribute to sleep induction.
Support
None
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Affiliation(s)
- H Choi
- Veteran Health Service Medical Center, Seoul, KOREA, REPUBLIC OF
| | - Y Bang
- Dong-A University Hospital, Busan, KOREA, REPUBLIC OF
| | - I Yoon
- Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, KOREA, REPUBLIC OF
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Choi B, Jung H, Yu B, Choi H, Lee J, Kim D. Abstract No. 712 Sequential magnetic resonance imaging image-guided local immune checkpoint blockade immunotherapy using multifunctional carriers with cabazitaxel chemotherapy for the treatment of prostate cancer. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Bang J, Lee H, Choi H, Lee D, Kim Y, Kim DK. Analysis of the relationship between changes in the auditory brainstem response and prognosis in patients with sudden hearing loss. J Laryngol Otol 2019. [PMID: 31791435 DOI: 10.11735/j.issn.1671-170x.2019.12.b016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVE To analyse how the auditory brainstem response changes in patients with sudden sensorineural hearing loss. METHOD Data were collected via retrospective medical chart review. RESULTS Forty-three patients were included in this study. The mean latency of auditory brainstem response wave 1 was significantly longer for the affected side than for the unaffected side (p = 0.003). The mean latency of auditory brainstem response wave 1 was significantly shorter, and the mean amplitude of auditory brainstem response wave 1 was significantly larger, in the good response group compared to the poor response group. In forward conditional logistic regression analysis, auditory brainstem response wave 1 latency was an independent predictor of a good response (odds ratio = 34.37, 95 per cent confidence interval = 1.56-757.15, p = 0.025). CONCLUSION In patients with sudden sensorineural hearing loss, the latency of wave 1 of the auditory brainstem response was significantly increased and was related to prognosis.
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Affiliation(s)
- J Bang
- Department of Otolaryngology - Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
| | - H Lee
- Department of Otolaryngology - Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
| | - H Choi
- Department of Otolaryngology - Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
| | - D Lee
- Department of Otolaryngology - Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
| | - Y Kim
- Department of Otolaryngology - Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
| | - D-K Kim
- Department of Otolaryngology - Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
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Urtnasan E, Kim Y, Park J, Choi H, Lee K. Automatic screening of plms patient based on deep learning model using an electrocardiogram. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.1098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Chan W, Wong J, Ma T, Choi H, Lam K, Lee V, Yuen K, Luk M, Lee A. PROSPECTIVE EVALUATION OF THE G8 SCREENING TOOL FOR PREDICTING TREATMENT-RELATED TOXICITIES IN CHINESE ELDERLY CANCER PATIENTS. J Geriatr Oncol 2019. [DOI: 10.1016/s1879-4068(19)31298-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Chan W, Khoo U, Soong I, Hioe M, Choi H, Wong L, Chan S, Luk M, Cheung K. CLINICO-PATHOLOGICAL FEATURES AND TREATMENT PATTERNS OF PRIMARY BREAST CANCER IN OLDER WOMEN IN HONG KONG, WITH COMPARISON TO THEIR YOUNGER COUNTERPARTS. J Geriatr Oncol 2019. [DOI: 10.1016/s1879-4068(19)31204-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Choi H, Jung SK, Kim JS, Oh KB, Yang H, Lee G, Lee HC, Woo JS, Byun SJ. Chicken PRDX3 is required for proliferation of chicken embryo fibroblast cells. Br Poult Sci 2019; 61:22-25. [PMID: 31615265 DOI: 10.1080/00071668.2019.1680799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
1. This experiment investigated the influence of chicken PRDX3 on cell proliferation in chick embryo fibroblast cells using PRDX3 knockdown technology.2. A methyl thiazolyl tetrazolium (MTT) assay was performed to assess the effect of chPRDX3 knockdown on fibroblast proliferation. The antioxidant effect was investigated to determine if it directly mediated fibroblast cell proliferation.3. To determine the role of chPRDX3 on cell proliferation, an siRNA mediated knockdown was performed in chick fibroblast cells using an in vitro assay. The proliferation of fibroblast cells transfected with siPRDX3 #3 and siPRDX3 Mix was significantly decreased after 48 h (P < 0.01). In addition, the knockdown of chicken PRDX3 suppressed cell proliferation through an increase in oxidative stress.4. The results demonstrated that chPRDX3 is required for cell proliferation in chicken fibroblast cells. Such findings have important implications for the maintenance of chicken fibroblast cells.
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Affiliation(s)
- H Choi
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - S K Jung
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - J S Kim
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - K B Oh
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - H Yang
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - G Lee
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - H-C Lee
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - J-S Woo
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - S J Byun
- Animal Biotechnology Division, National Institute of Animal Science, RDA, Wanju-gun, Jeollabuk-do, Republic of Korea
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Bera K, Vaidya P, Velu P, Choi H, Fu P, Gupta A, Velcheti V, Madabhushi A. P2.17-34 Integrated Clinico-Radiomic Nomogram for Predicting Disease-Free Survival (DFS) in Stage I and II Non-Small Cell Lung Cancer. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.1945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Tae BS, Jeon BJ, Choi H, Park JY, Bae JH. Comparison of open and pneumovesical approaches for Politano-Leadbetter ureteric reimplantation: a single-center long-term follow-up study. J Pediatr Urol 2019; 15:513.e1-513.e7. [PMID: 31266684 DOI: 10.1016/j.jpurol.2019.05.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 05/30/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE To report our experience with the laparoscopic pneumovesical approach for Politano-Leadbetter ureteric reimplantation and to compare the results to those obtained using a traditional open approach. METHODS We retrospectively reviewed the medical records of 52 patients who underwent Politano-Leadbetter ureteral reimplantation between 2012 and 2017. The peri-operative parameters, postoperative outcomes, and complication rates of patients who underwent the open approach for the Politano-Leadbetter procedure and those who underwent the laparoscopic pneumovesical approach were compared. RESULTS During the study period, 52 ureteric reimplantation procedures were analyzed. Among these, 28 and 24 patients underwent surgery using the open and pneumovesical approaches, respectively. The mean operative time did not differ between the groups (143.64 min vs. 128.12 min, P = 0.092). However, the pneumovesical group had a shorter duration of hospital stay (5.08 days vs 7.43 days, P = 0.001) and required less morphine analgesic for pain than did the open group (7.7% vs 32.1%, P = 0.027). No significant differences in the success rates (94.9% vs 92.5%, P = 0.512) or procedure-related complications were noted between the pneumovesical and open techniques. CONCLUSIONS The transvesicoscopic Politano-Leadbetter technique with pneumovesicum is safe and effective for ureteric reimplantation and is comparable to the open approach.
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Affiliation(s)
- B S Tae
- Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea
| | - B J Jeon
- Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea
| | - H Choi
- Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea
| | - J Y Park
- Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea
| | - J H Bae
- Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea.
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Camarinho R, Garcia PV, Choi H, Rodrigues AS. Chronic exposure to non-eruptive volcanic activity as cause of bronchiolar histomorphological alteration and inflammation in mice. Environ Pollut 2019; 253:864-871. [PMID: 31349195 DOI: 10.1016/j.envpol.2019.07.056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 07/02/2019] [Accepted: 07/10/2019] [Indexed: 06/10/2023]
Abstract
It is estimated that 10% of the worldwide population lives in the vicinity of an active volcano. However, volcanogenic air pollution studies are still outnumbered when compared with anthropogenic air pollution studies, representing an unknown risk to human populations inhabiting volcanic areas worldwide. This study was carried out in the Azorean archipelago of Portugal, in areas with active non-eruptive volcanism. The hydrothermal emissions within the volcanic complex of Furnas (São Miguel Island) are responsible for the emission of nearly 1000 tons of CO2 per day, along with H2S, the radioactive gas - radon, among others. Besides the gaseous emissions, metals (e.g., Hg, Cd, Al, Ni) and particulate matter are also released into the environment. We test the hypothesis that chronic exposure to volcanogenic air pollution alters the histomorphology of the bronchioles and terminal bronchioles, using the house mouse, Mus musculus, as bioindicator species. Mus musculus were live-captured at three different locations: two villages with active volcanism and a village without any type of volcanic activity (reference site). The histomorphology of the bronchioles (diameter, epithelium thickness, smooth muscle layer thickness, submucosa thickness and the histological evaluation of the peribronchiolar inflammation) and of the terminal bronchioles (epithelium thickness and classification) were evaluated. Mice chronically exposed to volcanogenic air pollution presented bronchioles with increased epithelial thickness, increased smooth muscle layer, increased submucosa thickness and increased peribronchiolar inflammation. Similarly, terminal bronchioles presented structural alterations consistent with bronchodysplasia. For the first time we demonstrate that chronic exposure to non-eruptive volcanically active environments causes inflammation and histomorphological alterations in mice lower airways consistent with asthma and chronic bronchitis. These results reveal that chronic exposure to non-eruptive volcanic activity represents a risk factor that can affect the health of the respiratory system of humans inhabiting hydrothermal areas.
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Affiliation(s)
- R Camarinho
- Faculty of Sciences and Technology, University of the Azores, 9501-801 Ponta Delgada, Portugal; IVAR - Instituto de Vulcanologia e Avaliação de Riscos, University of the Azores, 9501-801 Ponta Delgada, Portugal.
| | - P V Garcia
- Faculty of Sciences and Technology, University of the Azores, 9501-801 Ponta Delgada, Portugal; CE3C - cE3c, Centre for Ecology, Evolution and Environmental Changes/Azorean Biodiversity Group, University of the Azores, 9501-801 Ponta Delgada, Azores, Portugal.
| | - H Choi
- University of Albany, Departments of Environmental Health Sciences, Epidemiology, and Biostatistics, University at Albany School of Public Health, One University Place, Rm 153, Rensselaer, NY 12144-3456, USA.
| | - A S Rodrigues
- Faculty of Sciences and Technology, University of the Azores, 9501-801 Ponta Delgada, Portugal; IVAR - Instituto de Vulcanologia e Avaliação de Riscos, University of the Azores, 9501-801 Ponta Delgada, Portugal.
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Lee E, Lee J, Hur M, Park HY, Yum H, Nam H, Oh MY, Choi H, Kim J, Cho B, Lim Y, Won J. MG1124, a novel CEACAM1-targeted monoclonal antibody, has therapeutic potential as a combination partner of PD-1 inhibitors in NSCLC patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz253.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kim S, Choi H, Jang YJ, Park SH, Lee H. Prevalence of and factors related to latent tuberculous infection among all employees in a referral hospital. Int J Tuberc Lung Dis 2019; 22:1329-1335. [PMID: 30355413 DOI: 10.5588/ijtld.18.0047] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
SETTING Referral hospital, South Korea. OBJECTIVE To investigate the prevalence of and factors related to latent tuberculous infection (LTBI) among all hospital employees. DESIGN A cross-sectional study of 479 health care workers (HCWs) undergoing LTBI screening. RESULTS Overall prevalence of LTBI was 15.7%, 43.1% of whom initiated and completed LTBI treatment. Compared with HCWs without LTBI, those with LTBI were more likely to be older (P < 0.001), male (P = 0.003), work in low-risk departments (P = 0.013) and have more years of employment (P < 0.001). LTBI prevalence was highest in physicians (27.8%), followed by HCWs without patient contact (23.4%), nurses (8.3%) and other HCWs in contact with patients (6.9%). In multivariate analysis, compared with HCWs aged <20 years, those aged 40 years were 4.08 times more likely to have LTBI (P = 0.007). In addition, compared with HCWs working for <1 year, those working for 1-5 years or for 5 years were respectively 7.55 (P = 0.014) and 13.69 (P = 0.001) times more likely to have LTBI. CONCLUSIONS Our results suggest that modified LTBI screening strategies, including HCWs with no patient contact and encouraging LTBI treatment participation, might be helpful in improving LTBI control in HCWs.
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Affiliation(s)
- S Kim
- Division of Pulmonary Medicine, Department of Internal Medicine, Hallym University Hangang Sacred Heart Hospital, Seoul
| | - H Choi
- Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul
| | - Y J Jang
- Infection Control Team, Hallym University Hangang Sacred Heart Hospital, Seoul
| | - S H Park
- Infection Control Team, Hallym University Hangang Sacred Heart Hospital, Seoul
| | - H Lee
- Division of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
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Philip N, Pugh T, Ye R, Hwang H, Wang X, Shah S, Choi S, Mahmood U, Nguyen Q, Chun S, Mayo L, Lee A, Tang C, Anscher M, Hoffman K, Kuban D, Davis J, Troncoso P, Choi H, Frank S. A Phase II trial of Hypofractionated Proton Therapy in Prostate Cancer: 3-year Physician and Patient Reported Outcomes. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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76
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Hwang J, Park N, Choi H, Hwang J, Lee S, Min D, Kim K, Park W. 564 Melasolv, a skin lightening compound with different mechanisms to regulate skin pigmentation. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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77
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Abstract
Parkinson’s disease (PD) is a neurodegenerative movement disorder involving the selective loss of dopamine-producing neurons in the substantia nigra (SN). Differences in disease presentation, prevalence, and age of onset have been reported between males and females with PD. The content and composition of the major glycosphingolipids, phospholipids, and cholesterol were evaluated in the SN from 12 PD subjects and in 18 age-matched, neurologically normal controls. Total SN ganglioside sialic acid content and water content (%) were significantly lower in the male PD subjects than in the male controls. The content of all major gangliosides were reduced in the male PD subjects to some degree, but the neuronal-enriched gangliosides, GD1a and GT1b, were most significantly reduced. The distribution of phosphatidylethanolamine, phosphatidylcholine, and phosphatidylinositol was also significantly lower in the male PD subjects than in the male controls. However, the distribution of myelin-enriched cerebrosides and sulfatides was significantly higher in the male PD subjects than in the male controls suggesting myelin sparing in the male PD subjects. No elevation was detected for astrocytosis-linked GD3. These neurochemical changes provide evidence of selective neuronal loss in SN of the males with PD without robust astrocytosis. In contrast to the SN lipid abnormalities found in the male PD subjects, no significant abnormalities were found in the female PD subjects for SN water content or for any major SN lipids. These data indicate sex-related differences in SN lipid abnormalities in PD.
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Affiliation(s)
- T N Seyfried
- 1 Department of Biology, Boston College, Chestnut Hill, MA, USA
| | - H Choi
- 1 Department of Biology, Boston College, Chestnut Hill, MA, USA
| | - A Chevalier
- 1 Department of Biology, Boston College, Chestnut Hill, MA, USA
| | - D Hogan
- 1 Department of Biology, Boston College, Chestnut Hill, MA, USA
| | - Z Akgoc
- 1 Department of Biology, Boston College, Chestnut Hill, MA, USA
| | - J S Schneider
- 2 Department of Pathology, Anatomy and Cell Biology, Thomas Jefferson University, Philadelphia, PA, USA
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78
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Su M, Chen L, Hitre E, Lee W, Bai L, Papai Z, Kang S, Dvorkin M, Lee M, Ludovic E, Choi H, Oh S, Bodoky G, Artru P, Hwang J, Bazin I, Bosc F, Bachet J, Horváth Z, Chang C, Lin J. EndoTAG-1 plus gemcitabine versus gemcitabine alone in patients with measurable locally advanced and/or metastatic adenocarcinoma of the pancreas failed on FOLFIRINOX treatment. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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79
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Kim E, Jeon H, Choi S, Kim S, Lee J, Choi H, Keum B, Chun H, Lee H, Kim C, Jang S. Endoscopic submucosal dissection using an detachable robotic assitive device in a live porcine model. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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80
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Mehring C, Akselrod M, Bashford L, Mace M, Choi H, Blüher M, Buschhoff AS, Pistohl T, Salomon R, Cheah A, Blanke O, Serino A, Burdet E. Augmented manipulation ability in humans with six-fingered hands. Nat Commun 2019; 10:2401. [PMID: 31160580 PMCID: PMC6547737 DOI: 10.1038/s41467-019-10306-w] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Accepted: 04/05/2019] [Indexed: 01/03/2023] Open
Abstract
Neurotechnology attempts to develop supernumerary limbs, but can the human brain deal with the complexity to control an extra limb and yield advantages from it? Here, we analyzed the neuromechanics and manipulation abilities of two polydactyly subjects who each possess six fingers on their hands. Anatomical MRI of the supernumerary finger (SF) revealed that it is actuated by extra muscles and nerves, and fMRI identified a distinct cortical representation of the SF. In both subjects, the SF was able to move independently from the other fingers. Polydactyly subjects were able to coordinate the SF with their other fingers for more complex movements than five fingered subjects, and so carry out with only one hand tasks normally requiring two hands. These results demonstrate that a body with significantly more degrees-of-freedom can be controlled by the human nervous system without causing motor deficits or impairments and can instead provide superior manipulation abilities.
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Affiliation(s)
- C Mehring
- Bernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany.
- Faculty of Biology, University of Freiburg, Freiburg im Breisgau, 79104, Germany.
| | - M Akselrod
- Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, 1005, Switzerland
- Cognition, Motion and Neuroscience Unit, Minded Programme, Fondazione Istituto Italiano di Tecnologia, Genova, 16152, Italy
| | - L Bashford
- Bernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany
| | - M Mace
- Department of Bioengineering, Imperial College of Science, Technology and Medicine, London, SW7 2AZ, UK
| | - H Choi
- Bernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany
| | - M Blüher
- Bernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany
| | - A-S Buschhoff
- Bernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany
| | - T Pistohl
- Bernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany
| | - R Salomon
- Gonda Brain Research Center, Bar Ilan University, Ramat Gan, 5290002, Israel
| | - A Cheah
- Department of Hand & Reconstruction Microsurgery, National University Hospital, Singapore, 119228, Singapore
| | - O Blanke
- Center for Neuroprosthetics, Swiss Federal Institute of Technology of Lausanne (EPFL), Geneva, 1202, Switzerland
| | - A Serino
- Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, 1005, Switzerland
| | - E Burdet
- Department of Bioengineering, Imperial College of Science, Technology and Medicine, London, SW7 2AZ, UK.
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81
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Roh J, Kim J, Choi H. Yes-associated protein (YAP) silencing as a new therapeutic strategy for ovarian cancer. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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82
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Choi H, Kim B, Lee Y. Bevacizumab plus chemotherapy versus combination chemotherapy only in metastatic, recurrent, and persistent cervical cancer. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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83
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Camarinho R, Garcia PV, Choi H, Rodrigues AS. Overproduction of TNF-α and lung structural remodelling due to chronic exposure to volcanogenic air pollution. Chemosphere 2019; 222:227-234. [PMID: 30708156 DOI: 10.1016/j.chemosphere.2019.01.138] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Revised: 01/16/2019] [Accepted: 01/23/2019] [Indexed: 06/09/2023]
Abstract
Volcanogenic air pollution studies and their effects on the respiratory system are still outnumbered by studies regarding the effects of anthropogenic air pollution, representing an unknown risk to human population inhabiting volcanic areas worldwide (either eruptive or non-eruptive areas). This study was carried in the archipelago of the Azores- Portugal, in two areas with active volcanism (Village of Furnas and Village of Ribeira Quente) and a reference site (Rabo de Peixe). The hydrothermal volcanism of Furnas volcanic complex is responsible for the release of 1000 t d-1 of CO2, H2S, the radioactive gas - radon, among others. Besides the gaseous emissions, particulate matter and metals (Hg, Cd, Zn, Al, Ni, etc.) are also released into the environment. We tested a hypothesis whether chronic exposure to volcanogenic air pollution causes lung structural remodelling, in the house mouse, Mus musculus, as a bioindicator species. Histopathological evaluations were performed to assess the amount of macrophages, mononuclear leukocyte infiltrate, pulmonary emphysema, and the production of pro-inflammatory cytokine TNF-α. Also, the percentage of collagen and elastin fibers was calculated. Mice chronically exposed to volcanogenic air pollution presented an increased score in the histopathological evaluations for the amount of macrophages, mononuclear leukocyte infiltrate, pulmonary emphysema and production of TNF-α; and also increased percentages of collagen and elastin. For the first time, we demonstrate that non-eruptive active volcanism has a high potential to cause lung structural remodelling. This study also highlights the Mus musculus as a useful bioindicator for future biomonitoring programs in these type of volcanic environments.
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Affiliation(s)
- R Camarinho
- Faculty of Sciences and Technology, University of the Azores, 9501-801, Ponta Delgada, Portugal; IVAR - Instituto de Vulcanologia e Avaliação de Riscos, University of the Azores, 9501-801, Ponta Delgada, Portugal.
| | - P V Garcia
- Faculty of Sciences and Technology, University of the Azores, 9501-801, Ponta Delgada, Portugal; CE3C - cE3c, Centre for Ecology, Evolution and Environmental Changes /Azorean Biodiversity Group, University of the Azores, 9501-801, Ponta Delgada, Azores, Portugal.
| | - H Choi
- University of Albany - Department of Environmental Health Sciences, University at Albany School of Public Health One University Place, Rm 153, Rensselaer, NY, 12144-3456, USA.
| | - A S Rodrigues
- Faculty of Sciences and Technology, University of the Azores, 9501-801, Ponta Delgada, Portugal; IVAR - Instituto de Vulcanologia e Avaliação de Riscos, University of the Azores, 9501-801, Ponta Delgada, Portugal.
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84
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Choi H, Cho E, Lee S, Bae I, Min D, Oh S, Marinho P, Kim H. 890 Development of pigmented reconstructed human epidermis model containing human melanoblasts from keratinocyte culture. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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85
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Choi H, Hong J, Kim M, Lee S, Kim J. Everolimus Immunosuppression in De Novo Heart Transplant Recipients: Clinical and Intravascular Ultrasound Study. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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86
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Castro FLS, Su S, Choi H, Koo E, Kim W. L-Arginine supplementation enhances growth performance, lean muscle, and bone density but not fat in broiler chickens. Poult Sci 2019; 98:1716-1722. [DOI: 10.3382/ps/pey504] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 10/12/2018] [Indexed: 12/25/2022] Open
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87
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Fleming AJ, Estes KA, Choi H, Barton BA, Zimmerman CA, Hanigan MD. Assessing bioavailability of ruminally protected methionine and lysine prototypes. J Dairy Sci 2019; 102:4014-4024. [PMID: 30852023 DOI: 10.3168/jds.2018-14667] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 01/11/2019] [Indexed: 11/19/2022]
Abstract
Met and Lys are essential AA that can limit lactational performance in dairy cattle fed protein-sufficient diets. Thus, there is industry demand for ruminally protected (RP) sources of Met and Lys. One method of providing ruminal protection for Met and Lys is lipid encapsulation. The objective of this work was to assess 3 lipid-encapsulated Met prototypes (P1, P2, and P3) and 1 Lys prototype (P4) to determine ruminal protection, small intestine absorption (experiment 1), and animal production responses (experiment 2). Ruminal protection was estimated from 8-h in situ retention during ruminal incubation and intestinal absorption from plasma appearance after an abomasal bolus of the in situ retentate. Blood samples were collected over time to determine plasma Met and Lys concentration responses compared with unprotected Lys and Met infused abomasally. The prototypes were not exposed to the total diet or subjected to typical feed handling methods before evaluation. The bioavailability of P1, P2, and P3 Met prototypes was found to be 14, 21, and 18% of the initial AA material, respectively. The RP-Lys prototype had a bioavailability of 45%. To evaluate production responses, 20 Holstein cows were randomly assigned to 2 trials (n = 10 each) in a replicated Latin square design with 14-d periods. The base diet was predicted to be deficient in metabolizable Met (-14.8 g/d) and Lys (-16.1 g/d) per the Cornell Net Carbohydrate and Protein System (version 6.55). In the Met trial, the base diet was supplemented with RP-Lys to meet Lys requirements, and treatments were as follows: no added RP-Met (NCM), NCM plus Smartamine M (SM; Adisseo, Alpharetta, GA), and NCM plus P1, P2, or P3 at 148% of the Met content of SM. In the Lys trial, the base diet was supplemented with RP-Met to meet the Met requirement, and treatments were as follows: no added Lys (NCL), NCL plus AjiProL (AL; Ajinomoto Heartland Inc., Chicago, IL), and NCL plus P4 at 55, 78, or 102% of the reported absorbed Lys in AL. All products were top dressed on the diet without prior mixing or extended exposure to the rest of the diet. Milk protein concentration significantly increased when diets were supplemented with P2, P3, or SM (3.12, 3.12, and 3.11%, respectively) compared with NCM (3.02%). Only P1 (3.04%) was significantly lower than SM. Prototype P2 had the greatest numerical milk protein output response among the 3 RP-Met prototypes, suggesting that it may have had the greatest efficacy when supplemented into these rations. There was a numerical milk protein concentration response to AL and a linear increase in milk protein concentration for P4. The P4 and AL treatments resulted in comparable milk protein production regardless of P4 dose.
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Affiliation(s)
- A J Fleming
- Department of Dairy Science, Virginia Tech, Blacksburg 24061
| | - K A Estes
- Department of Dairy Science, Virginia Tech, Blacksburg 24061
| | - H Choi
- Department of Dairy Science, Virginia Tech, Blacksburg 24061
| | - B A Barton
- Balchem Corporation, New Hampton, NY 10958
| | | | - M D Hanigan
- Department of Dairy Science, Virginia Tech, Blacksburg 24061.
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88
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Graves LR, Quach H, Choi H, Kim DW. Infinite deflectometry enabling 2π-steradian measurement range. Opt Express 2019; 27:7602-7615. [PMID: 30876322 DOI: 10.1364/oe.27.007602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Accepted: 02/17/2019] [Indexed: 06/09/2023]
Abstract
We present a novel deflectometry implementation termed Infinite Deflectometry. The technique provides a full aperture surface reconstruction sag map of freeform surfaces, including previously challenging to measure optics such as highly convex surfaces. The method relies on the creation of a virtual source enclosure around the tested optic, which creates a virtual 2π-steradian measurement range. To demonstrate the performance, a fast f/1.26 convex optical surface was measured with a commercial interferometer and with the Infinite Deflectometry system. After removing Zernike terms 1 through 37, the metrology tests resulted in absolute RMS surface values of 18.48 nm and 16.26 nm, respectively. Additionally, a freeform Alvarez lens was measured with the new technique and measured 22.34 𝜇m of surface sag RMS after piston, tip/tilt, and defocus had been removed. The result deviated by 488 nm RMS from a profilometer measurement while standard interferometry failed to measure the Alvarez lens due to its non-nulled wavefront dynamic range limitation.
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89
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Tae B, Jeon B, Choi H, Park J, Cheon J, Lee J, Bae J. Correlation of alpha blocker with dementia in patients with benign prostate hyperplasia: A nationwide population-based study using the National Health Insurance Service database. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/s1569-9056(19)30187-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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90
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Choi H, Jeong YJ, Park SH, Kwak MA, Kim KS, Lee Y, Park S. Abstract P1-11-16: Efficacy and safety of acupuncture for the hot flashes in breast cancer patients taking adjuvant tamoxifen: A multicenter study in Korean women. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p1-11-16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background : Tamoxifen is widely used in premenopausal patients with estrogen receptor positive (ER+) breast cancer. Among the side-effects of tamoxifen, hot flashes is a common and challenging one. Previous pilot study suggested the effectiveness of acupuncture for relief of symptoms. This study was performed to evaluate the efficacy and safety of acupuncture for treatment of hot flashes in Korean women breast cancer patients taking tamoxifen as adjuvant endocrine therapy.
Methods : Thirty(30) breast cancer patients taking tamoxifen and reported moderate to severe hot flashes were enrolled from two institutes. Patients were randomly assigned into acupuncture group(n=15) and control group(n=15). The acupuncture group received acupuncture 3 times a week for 4 consecutive weeks, at 5 predefined points(GV 20, M-HN-3, HT 8, KI 10 and LV 2) for 20 ± 5minutes at each session. Control group received no treatment. The score of hot flash visual analogue scale(VAS) and total hot flash score, EORTC QLQ-C30 and QLQ-BR 23 questionnaire were recorded before treatment, once every treatment week and 4 weeks after treatment for both groups.
Results : Acupuncture group showed significantly reduced severity of hot flashes during treatment assessed with either VAS and total hot flash score (p=0.000 and p=0.008, respectively). Also, acupuncture group showed improvement of global health status and physical functioning score assessed with EORTC QLQ-C30 (p=0.004 and p=0.027, respectively). Four weeks after the treatment, these trends were retained. No adverse events were notified
Conclusion : Acupuncture may have feasibility and safety for alleviate hot flashes of Korean women breast cancer patients taking tamoxifen as an adjuvant endocrine therapy. Long-term follow up results and further study with a larger sample size is required.
Citation Format: Choi H, Jeong Y-j, Park S-H, Kwak M-A, Kim K-S, Lee Y, Park S. Efficacy and safety of acupuncture for the hot flashes in breast cancer patients taking adjuvant tamoxifen: A multicenter study in Korean women [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P1-11-16.
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Affiliation(s)
- H Choi
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
| | - Y-j Jeong
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
| | - S-H Park
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
| | - M-A Kwak
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
| | - K-S Kim
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
| | - Y Lee
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
| | - S Park
- Catholic University of Daegu School of Medicine, Daegu, Korea; Daegu Haany University, College of Korean Medicien, Daegu, Korea; Comprehensive and Integrative Medicine Institute, Daegu, Korea
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91
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Cao J, Choi H, Pantel A, Kranseler D, Lee H, Mankoff D, Zhou R. Abstract PD4-11: [18F]Fluciclovine PET tracks cellular glutamine pool size in breast cancer and changes in response to metabolic inhibition. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-pd4-11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Some forms of triple negative breast cancer (TNBC) rely on glutamine (Gln) metabolism for survival and growth (1), therefore, targeting this metabolic pathway provides a viable strategy for managing TNBC. Drugs that inhibit glutaminase (GLS), a key enzyme of glutaminolysis, are being developed (1,2). [18F]Fluciclovine is a PET imaging agent that enters/exits cells via glutamine transporters and undergoes minimal metabolism. Therefore, we hypothesize, that akin to our prior work with [18F]fluoroglutamine (3), the distribution volume (VT) of fluciclovine obtained from dynamic PET can be used to estimate the cellular glutamine level (pool size) and to mark the effect of pharmacological inhibitors of tumor glutaminase (GLS). We tested this hypothesis in human TNBC and ER+ breast cancer xenograft exhibiting a high and low GLS activity, respectively.
Methods: To make [18F]fluciclovine preparation suitable for mouse imaging, citrate in the formulation was removed and replaced with PBS by eluting through a column (Bio-Rad). Cellular uptake was performed in the presence and absence of Gln transporter inhibitors and GLS inhibitor. In vivo dynamic PET imaging were performed on mice bearing HCC1806 (TNBC) and MCF-7 (ER+ BC) xenografts. Dynamic PET images were analyzed by Logan Plot (PMOD) to estimate VT.
Results: Cellular uptake of [18F]fluciclovine in HCC1806 and MCF-7 cells were sensitively inhibited by cold glutamine (Gln) and GPNA (a pharmacologic inhibitor of ASCT-2), confirming that the uptake is mediated by Gln transporters. The peak uptake in MCF-7 cells was 5-fold higher than HCC1806. In mouse models, VT from in vivo [18F]Fluciclovine PET in MCF-7 tumor is 1.4-fold of HCC1806. These data are consistent with a higher cellular Gln pool size in MCF-7 as the result of its lower GLS activity. After inhibition of tumor GLS activity, VT of [18F]fluciclovine in HCC-1806 tumors was increased by 56% from baseline values (n=2), whereas VT in MCF-7 tumors decreased 1% after treatment (n=2). Only a small change of FDG PET signal (5% decrease, n=5) was detected in TNBC tumors after GLS inhibitor treatment.
Discussions: These data suggest that VT obtained from [18F]fluciclovine PET is sensitive to changes of the Gln pool size induced by GLS inhibition whereas FDG PET is not. Since the Gln pool size is inversely related to the GLS activity, increased VT is consistent with the increased intracellular Gln level when metabolic conversion of Gln to glutamate by GLS is inhibited. Our results suggest that [18F]fluciclovine, an imaging agent approved for prostate cancer imaging, may be useful for assessing glutamine pool size in breast cancer and changes in response to GLS inhibition
Support: R21CA198563, R01CA211337, and Komen SAC130060. We thank Blue Earth Diagnostics for supplies of [18F]fluciclovine.
1.Gross MI, Demo SD, Dennison JB, et al. Mol Cancer Ther 2014;13(4):890-901.
2.Le A, Lane AN, Hamaker M, et al. Cell Metab 2012;15(1):110-21.
3.Zhou R, Pantel AR, Li S, et al. Cancer Res 2017;77(6):1476-84.
Citation Format: Cao J, Choi H, Pantel A, Kranseler D, Lee H, Mankoff D, Zhou R. [18F]Fluciclovine PET tracks cellular glutamine pool size in breast cancer and changes in response to metabolic inhibition [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr PD4-11.
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Affiliation(s)
- J Cao
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
| | - H Choi
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
| | - A Pantel
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
| | - D Kranseler
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
| | - H Lee
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
| | - D Mankoff
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
| | - R Zhou
- University of Pennsylvania, Philadelphia, PA; Medical College, Xiamen University, Xiamen, Fujian, China
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92
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Park J, Jeong DC, Yoo J, Jang W, Chae H, Kim J, Kwon A, Choi H, Lee JW, Chung NG, Kim M, Kim Y. Correction to: Mutational characteristics of ANK1 and SPTB genes in hereditary spherocytosis. Clin Genet 2019; 95:341. [PMID: 30633350 DOI: 10.1111/cge.13476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- J Park
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - D-C Jeong
- Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,The Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - J Yoo
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - W Jang
- Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,Division of Laboratory Medicine, Samkwang Medical Laboratories, Seoul, Republic of Korea
| | - H Chae
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - J Kim
- Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - A Kwon
- Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - H Choi
- Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - J W Lee
- Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - N-G Chung
- Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - M Kim
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Y Kim
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.,Catholic Genetic Laboratory Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
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93
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Yoo J, Lee JS, Kim S, Kim BS, Choi H, Song DY, Kim WB, Won CW. Length of hospital stay after hip fracture surgery and 1-year mortality. Osteoporos Int 2019; 30:145-153. [PMID: 30361752 DOI: 10.1007/s00198-018-4747-7] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 10/18/2018] [Indexed: 11/30/2022]
Abstract
UNLABELLED There is ongoing effort to discharge patients early after hip fracture surgery to reduce the medical and economic burden. We tried to find whether there is any related side effect, and discovered that early discharge, especially before 10 days after surgery, is associated with higher mortality. INTRODUCTION The aim of this study was to analyze the association between the length of hospital stay after hip fracture and 1-year mortality in older adults aged ≥ 65 years old. METHODS We conducted a retrospective cohort study using the Korean National Health Insurance Service data to identify patients who were discharged after hip fracture surgery from 2007 to 2009 among 487,460 older adults of age ≥ 65 years. The lengths of stay involving hip fracture surgery were categorized at 10-day interval, and analyzed in relation to 1-year mortality from the date of hospital discharge. RESULTS A total of 4213 patients were discharged after hip fracture surgery, of whom 604 (14.3%) died within 1 year of discharge. The average length of stay was 30.7 days (standard deviation 24.5 days). The 1-year mortality was the highest for the length of stay ≤ 10 days group at 21.7%, followed by 15.2%, 14.3%, 13.3%, and 12.4% for > 40, 21-30, 31-40, and 11-20 days groups, respectively (p value 0.05). On Cox proportional hazard regression, the adjusted hazard ratio for length of stay ≤ 10 days group was 1.56 (95% confidence interval 1.14-2.12) against the reference group (11-20 days), while other groups did not show statistical significance. Higher risk of death was associated with increasing age, male gender, Charlson comorbidity index ≥3, subtrochanteric fracture, and discharge to tertiary care hospitals and long-term care hospitals. CONCLUSION Older adults discharged within 10 days of hospital admission for hip fracture surgery have higher 1-year mortality after discharge.
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Affiliation(s)
- J Yoo
- Department of Family Medicine, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea
| | - J S Lee
- Clinical Research Center, Asan Medical Center, 88, 43-gil Olympic-ro, Songpa-gu, Seoul, South Korea
| | - S Kim
- Department of Family Medicine, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea
| | - B S Kim
- Department of Family Medicine, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea
| | - H Choi
- Department of Family Medicine, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea
| | - D Y Song
- Elderly Frailty Research Center, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea
| | - W B Kim
- Department of Medicine, Graduate School, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea
| | - C W Won
- Department of Family Medicine, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, South Korea.
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94
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Lee M, Park H, Heo J, Choi H, Seo S. 181 Multi-tissue transcriptomic analysis of the effects of supplementation of L- or D-methionine in acute heat stress-exposed broiler chickens. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Lee
- Chungnam National University,Daejon, South Korea
| | - H Park
- Chungnam National University,Daejon, South Korea
| | - J Heo
- Chungnam National University,Daejon, South Korea
| | - H Choi
- CJ Cheiljedang,Seoul, South Korea
| | - S Seo
- Chungnam National University,Daejon, South Korea
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95
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Han G, Kil D, Goo D, Park G, Kim J, Choi H, Kang H. PSIV-3 Late-Breaking: Transcriptomic analysis in the liver of aged brown-egg laying hens with different intensity of eggshell color. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- G Han
- Chung-Ang University,Anseong, South Korea
| | - D Kil
- Chung-Ang University,Anseong, South Korea
| | - D Goo
- Chung-Ang University,Anseong, South Korea
| | - G Park
- Chung-Ang University,Anseong, South Korea
| | - J Kim
- Chung-Ang University,Anseong, South Korea
| | - H Choi
- Chung-Ang University,Anseong, South Korea
| | - H Kang
- Chung-Ang University,Anseong, South Korea
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96
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Affiliation(s)
| | - H Choi
- University of Michigan Medical School
| | - K Langa
- University of Michigan Medical School, Institute for Social Research, and Center for Clinical Management Research at VA Ann Arbor Healthcare System
| | - T Iwashyna
- University of Michigan Medical School, Institute for Social Research, and Center for Clinical Management Research at VA Ann Arbor Healthcare System
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97
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Chung J, Lee T, Yim E, Choi H. BEHAVIORAL SYMPTOMS OF OLDER ADULTS WITH DEMENTIA: COMPARISON OF DAY CARE AND HOME CARE SERVICES. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Chung
- Virginia Commonwealth University School of Nursing
| | - T Lee
- Yonsei University College of Nursing
| | - E Yim
- Department of Nursing, Daegu Health College, Daegu, South Korea
| | - H Choi
- Department of Nursing, Youngsan University, Yangsan, South Korea
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98
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Han G, Choi H. IMPACT OF SOCIAL CONTACT AND PHYSICAL ACTIVITY ON DAILY EMOTION OF KOREAN URBAN OLDER ADULTS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Han
- Seoul National University
| | - H Choi
- Seoul National University
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99
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Lee G, Huh C, Kim H, Choi H. Comparison of Postoperative Re Adhesion Formation after Previous Laparoscopic Adhesiolysis or Laparotomic Adhesiolysis in Stage IV Endometriosis. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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100
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Choi H, Lam KO, Pang H, Tsang S, Ngan R, Lee A. Evaluation of the Global Pattern of Cancer Survival and the Correlation With Healthcare Expenditures. J Glob Oncol 2018. [DOI: 10.1200/jgo.18.26100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Cancer is a global health burden; the outcome varies widely across all countries. Sharing of experience in setting health policy (including health expenditure) is important. However, there is yet no comprehensive comparison of cancer outcome across all countries. Furthermore, comparison of cost-effectiveness of different systems is especially complex because the incidence of different cancers varies across countries, and their chances of curability differ substantially. Aim: We aims to provide the comparisons using available data and to stimulate global attention to the association of economic parameters with different outcomes. Methods: Cancer statistics from all 184 countries and 27 major cancers listed in GLOBOCAN 2012 were analyzed. The overall outcome of cancer patients was estimated by taking the complement of age-standardized mortality/incidence ratio [1 − (ASM/ASI)] as the proxy relative survival (RS). Taking into account the variation of country-specific cancer pattern, the proxy cancer site-standardized RS (SS-RS) of individual countries were calculated by weighting the proportion of specific cancer sites as compared with the global pattern of incidence. The overall economic parameters of different countries listed by the World Bank were correlated with the corresponding proxy SS-RS. Results: The unadjusted proxy RS among the 184 countries ranged from 0.111 to 0.702 (median = 0.386), the corresponding proxy SS-RS ranged from 0.124 to 0.622 (median = 0.359). The median total health expenditure per capita (HE) increased from US$37 for countries with proxy SS-RS < 0.2, to $4255 for countries with proxy SS-RS ≥ 0.5. Results from logarithmic regression model showed exponential increase in total HE for better outcome. The expenditure varied widely among different strata, but the widest difference was observed among countries with SS-RS ≥ 0.5 (with total HE ranging from US$962 to $9361). Conclusion: Similar to age-standardization, estimation of outcome with adjustment for variation in pattern of cancer incidence is suggested for comparison among different countries, especially for studies related to assessment of health systems. Cancer outcome correlated significantly with economic parameters; the amount of HE escalated exponentially and varied widely among countries with high SS-RS ≥ 0.5. Sharing of experience among different countries will be valuable for developing the most cost-effective health system.
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Affiliation(s)
- H. Choi
- University of Hong Kong, Department of Clinical Oncology, Pokfulam, Hong Kong, China
| | - K.-O. Lam
- University of Hong Kong, Department of Clinical Oncology, Pokfulam, Hong Kong, China
| | - H. Pang
- University of Hong Kong, Department of Clinical Oncology, Pokfulam, Hong Kong, China
| | - S. Tsang
- University of Hong Kong, Department of Clinical Oncology, Pokfulam, Hong Kong, China
| | - R. Ngan
- University of Hong Kong, Department of Clinical Oncology, Pokfulam, Hong Kong, China
| | - A.W.M. Lee
- University of Hong Kong, Department of Clinical Oncology, Pokfulam, Hong Kong, China
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