Publications by authors named "Hye Jung Shin"

Background: Breastfeeding has nutritional, immunolo-gical, and psychological benefits for infants. However, breastfeeding rates have recently declined in South Korea.

Purpose: This study aimed to investigate the breastfeed-ing trends and determinants in a nationwide birth cohort.

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Background: The longitudinal relationship between kidney and lung function remains poorly understood. We examined the longitudinal association between estimated glomerular filtration rate (eGFR) and lung function in a Korean population with normal kidney and lung function from 2005 to 2014.

Methods: We recruited participants from the Ansan and Ansung cohorts of the Korean Genome and Epidemiology Study.

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Objectives: To develop scoring systems to predict the need for selective lateral lymph node dissection (LLND) alongside total mesorectal excision (TME) in patients with locally advanced low rectal cancer after neoadjuvant chemoradiotherapy (nCRT), focusing on lateral local recurrence (LLR) and lateral lymph node (LLN) metastasis.

Materials And Methods: This retrospective study included 607 patients with mrT3/T4 rectal cancer located within 8 cm of the anal verge who underwent nCRT and TME. A development group was used to develop a scoring system predicting the necessity of LLND using logistic regression analysis, incorporating primary tumor and LLN features observed on rectal MRI.

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Pediatric hypertension (HTN) is a significant, growing health concern worldwide and also in Korea. Diagnosis, evaluation, and treatment of HTN in Korean children and adolescents are uncertain due to limitations in using the current international guidelines, since the recommendations by the American Academy of Pediatrics (AAP) and European Society of Hypertension (ESH) guidelines differ. Furthermore, these are guidelines for Western youth, who are racially and ethnically different from Koreans.

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Particulate matter (PM) contains various hazardous air pollutants (HAPs) that can adversely affect human health, highlighting the need for an integrated index to represent the associated health risks. In response, this study developed a novel index, the comprehensive air-risk index (CARI), for Ulsan, the largest industrial city in South Korea. This index integrates toxicity-weighted concentrations of polycyclic aromatic hydrocarbons (PAHs) and heavy metals using their inhalation unit risks.

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Background There are insufficient data comparing resorbable microspheres (RMs) with permanent trisacryl gelatin microspheres (TAGMs) for uterine artery embolization (UAE). Purpose To compare therapeutic efficacy and clinical outcomes in participants with symptomatic fibroids after UAE with RMs or TAGMs. Materials and Methods This randomized controlled trial included participants undergoing UAE for symptomatic fibroids at a single institution (from May 2021 to May 2023).

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  • The study focused on understanding steroid-induced ocular hypertension (SIOH) to minimize vision loss risk and improve safety for dexamethasone (DEX) injections.
  • Researchers conducted a retrospective study with 154 eyes to create a predictive nomogram that incorporates trabecular meshwork (TM) height as a new risk factor for SIOH.
  • The new nomogram showed significantly better accuracy in predicting SIOH risk compared to previous models, providing safety thresholds to identify individuals who may need more cautious approaches to DEX treatment.
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  • - The study investigated patterns of postoperative serum creatinine (sCr) changes in 3,436 patients after valvular heart surgery to understand their link to long-term outcomes, specifically mortality and major adverse kidney events (MAKEs).
  • - Four distinct sCr trajectories were identified: two clusters with minimal change (90.1% of patients), one with a significant and persistent increase (4.1%), and one with a transient increase (5.8%).
  • - Results indicated that patients in the clusters with sustained increases in sCr had a higher one-year mortality rate and greater risk of MAKEs compared to those with minimal changes, highlighting sCr patterns as significant predictors for these outcomes.
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  • * A study used machine learning, specifically random forest analysis, to estimate missing data from the Seoul Supersite and found that replacing missing carbon species led to minimal errors in source estimates, while other chemical species caused higher errors.
  • * The findings suggest that while carbon species can be accurately estimated and improve source apportionment, other missing values should be excluded to reduce overall bias, indicating a need for better machine learning techniques for non-carbon species.
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During the cold season in South Korea, NO concentrations are known to significantly increase, often causing PM to exceed air quality standards. This study investigated the formation mechanisms of NO in a suburban area with low anthropogenic emissions. The average PM was 25.

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Particulate matter (PM) is a major air pollutant in Northeast Asia, with frequent high PM episodes. To investigate the nationwide spatial distribution maps of PM and secondary inorganic aerosols in South Korea, prediction models for mapping SO and NO concentrations in PM were developed using machine learning with ground-based observation data. Specifically, the random forest algorithm was used in this study to predict the SO and NO concentrations at 548 air quality monitoring stations located within the representative radii of eight intensive air quality monitoring stations.

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Industrial cities are strongly influenced by primary emissions of PM from local industries. In addition, gaseous precursors, such as sulfur oxides (SO), nitrogen oxides (NO), and volatile organic compounds (VOCs), emitted from industrial sources, undergo conversion into secondary inorganic and organic aerosols (SIAs and SOAs). In this study, the spatial distributions of primary and secondary PM in Ulsan, the largest industrial city in South Korea, were visualized.

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  • The study focused on investigating the comorbidity of depression, migraine, insomnia, and fibromyalgia, which are often reported together but have not been collectively studied until now.
  • Data was collected from an online national survey with validated questionnaires to assess the presence and impact of these disorders on quality of life.
  • Results showed significant rates of comorbidity, with a notable increase in headache days, migraine-related disability, insomnia severity, and fibromyalgia severity as the number of conditions increased, highlighting the need for health professionals to consider these associations in patient care.
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Purpose: To examine the diagnostic performance for the longitudinal extent of extrahepatic bile duct (EHD) cancer on computed tomography (CT) after biliary drainage (BD) and investigate the appropriate timing of magnetic resonance imaging (MRI) acquisition.

Methods: This retrospective study included patients who underwent curative-intent surgery for EHD cancer and CT pre- and post-BD between November 2005 and June 2021. The biliary segment-wise longitudinal tumor extent was evaluated according to the 2019 Korean Society of Abdominal Radiology consensus recommendations, with pre-BD CT, post-BD CT, and both pre- and post-BD CT.

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Background: Pre-diabetes can develop into type 2 diabetes mellitus, but can prevented by regular exercise. However, the outcomes when combining unsupervised Kinect-based mixed-reality (KMR) exercise with continuous glucose monitoring (CGM) remain unclear. Therefore, this single-arm pilot trial examined changes in blood glucose (BG) concentrations over 672 hours (4 weeks), including a 2-week period of KMR exercise and CGM in individuals with pre-diabetes.

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  • - The study investigated ammonia (NH) concentrations across various source areas in South Korea to understand its role in secondary aerosol formation and PM emissions reduction strategies.
  • - NH levels were measured at 45 locations over about 35 weeks, revealing that local sources, particularly livestock, significantly influenced NH concentrations, which averaged below 20.91 ppb in most areas.
  • - Findings emphasized the need for focused NH management in urban environments, highlighting automobile and industrial emissions as key contributors, while underscoring the influence of livestock practices on NH levels.
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Introduction: Pheochromocytoma is a rare catecholamine-producing neuroendocrine tumor originating from the adrenal medulla chromaffin cells. Hemodynamic instability can occur during the induction of anesthesia and surgical manipulation of the tumor. This study investigated the effects of intraoperative dexmedetomidine administration on hemodynamic stability in patients undergoing laparoscopic adrenalectomy for pheochromocytoma.

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The contribution of ozonation to the formation of particulate nitrosodi-methylamine (NDMA) in the aqueous aerosol phase was investigated using measurement data from 2018 in Seoul, Republic of Korea and a box model. The correlation between the NDMA concentration and aerosol liquid water content and box model results showed that aqueous aerosol phase reactions, including nitrosation and ozonation, might contribute to the formation of NDMA. The concentration of NDMA and the ratio of O/dimethylamine exhibited a negative correlation, suggesting that the contribution of ozonation to NDMA formation may not be significant.

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Acute myocardial infarction is an acute-stage disease that requires prompt diagnosis and treatment. Primary percutaneous coronary intervention (pPCI) for ST-elevation myocardial infarction (STEMI) is a high-risk factor for post-contrast acute kidney injury (PC-AKI). This retrospective cohort study analyzed the data of 754 patients with STEMI who underwent pPCI and were integrated into the Fast Interrogation Rule for STEMI critical pathway program between 2015 and 2019.

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Background: Previous studies have focused on the non-inferiority of RPG compared with conventional port gastrectomy (CPG); however, we assumed that some candidates might derive more significant benefit from RPG over CPG.

Methods: We retrospectively analyzed the clinicopathological and perioperative parameters of 1442 patients with gastric cancer treated by gastrectomy between 2009 and 2022. The C-reactive protein level on postoperative day 3 (CRPD3) was used as a surrogate parameter for surgical trauma.

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We aimed to investigate the association between sarcopenia and incidence of pneumonia after endoscopic submucosal dissection (ESD) in patients aged ≥65 years. Patients with ( = 1571) and without sarcopenia ( = 1718) who underwent ESD for gastric neoplasm were included. Propensity score matching (PSM) was performed between the groups ( = 785) at a 1:1 ratio.

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The endotracheal tube (ETT) with laryngeal adhesive electrodes for intraoperative neural monitoring (IONM) may be related to laryngopharyngeal complications, such as postoperative sore throat (POST), hoarseness, and coughing. We aimed to evaluate the effects of the ETT with laryngeal adhesive electrodes for IONM on the occurrence of laryngopharyngeal complications during thyroidectomy. In this retrospective study, we included 176 patients who underwent thyroidectomy for thyroid cancer between September 2020 and February 2021.

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  • * The study involved 108 right-side colon cancer patients, assessing preoperative FDG PET/CT and postoperative MSI to evaluate the relationship between FDG uptake and metastasis incidence.
  • * Results indicated that while higher FDG uptake in MSI-stable tumors correlated with increased risk of distant metastasis, this correlation was not observed in MSI-high tumors, suggesting that MSI status is crucial in interpreting FDG uptake in colon cancer.
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  • - The study investigates how immediate postoperative serum syndecan-1 levels, a marker for endothelial glycocalyx damage, relate to serious complications and mortality in patients after robot-assisted esophagectomy.
  • - Analyzing 207 patients, researchers found that those with high syndecan-1 levels (≥48 ng/mL) faced more complications like return to surgery and longer hospital stays compared to those with lower levels.
  • - High syndecan-1 levels, along with factors like higher physical status ratings and being a current smoker, were linked to increased risk of major postoperative issues within 30 days.
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