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Effects of empagliflozin on progression of chronic kidney disease: a prespecified secondary analysis from the empa-kidney trial. Lancet Diabetes Endocrinol 2024; 12:39-50. [PMID: 38061371 PMCID: PMC7615591 DOI: 10.1016/s2213-8587(23)00321-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND Sodium-glucose co-transporter-2 (SGLT2) inhibitors reduce progression of chronic kidney disease and the risk of cardiovascular morbidity and mortality in a wide range of patients. However, their effects on kidney disease progression in some patients with chronic kidney disease are unclear because few clinical kidney outcomes occurred among such patients in the completed trials. In particular, some guidelines stratify their level of recommendation about who should be treated with SGLT2 inhibitors based on diabetes status and albuminuria. We aimed to assess the effects of empagliflozin on progression of chronic kidney disease both overall and among specific types of participants in the EMPA-KIDNEY trial. METHODS EMPA-KIDNEY, a randomised, controlled, phase 3 trial, was conducted at 241 centres in eight countries (Canada, China, Germany, Italy, Japan, Malaysia, the UK, and the USA), and included individuals aged 18 years or older with an estimated glomerular filtration rate (eGFR) of 20 to less than 45 mL/min per 1·73 m2, or with an eGFR of 45 to less than 90 mL/min per 1·73 m2 with a urinary albumin-to-creatinine ratio (uACR) of 200 mg/g or higher. We explored the effects of 10 mg oral empagliflozin once daily versus placebo on the annualised rate of change in estimated glomerular filtration rate (eGFR slope), a tertiary outcome. We studied the acute slope (from randomisation to 2 months) and chronic slope (from 2 months onwards) separately, using shared parameter models to estimate the latter. Analyses were done in all randomly assigned participants by intention to treat. EMPA-KIDNEY is registered at ClinicalTrials.gov, NCT03594110. FINDINGS Between May 15, 2019, and April 16, 2021, 6609 participants were randomly assigned and then followed up for a median of 2·0 years (IQR 1·5-2·4). Prespecified subgroups of eGFR included 2282 (34·5%) participants with an eGFR of less than 30 mL/min per 1·73 m2, 2928 (44·3%) with an eGFR of 30 to less than 45 mL/min per 1·73 m2, and 1399 (21·2%) with an eGFR 45 mL/min per 1·73 m2 or higher. Prespecified subgroups of uACR included 1328 (20·1%) with a uACR of less than 30 mg/g, 1864 (28·2%) with a uACR of 30 to 300 mg/g, and 3417 (51·7%) with a uACR of more than 300 mg/g. Overall, allocation to empagliflozin caused an acute 2·12 mL/min per 1·73 m2 (95% CI 1·83-2·41) reduction in eGFR, equivalent to a 6% (5-6) dip in the first 2 months. After this, it halved the chronic slope from -2·75 to -1·37 mL/min per 1·73 m2 per year (relative difference 50%, 95% CI 42-58). The absolute and relative benefits of empagliflozin on the magnitude of the chronic slope varied significantly depending on diabetes status and baseline levels of eGFR and uACR. In particular, the absolute difference in chronic slopes was lower in patients with lower baseline uACR, but because this group progressed more slowly than those with higher uACR, this translated to a larger relative difference in chronic slopes in this group (86% [36-136] reduction in the chronic slope among those with baseline uACR <30 mg/g compared with a 29% [19-38] reduction for those with baseline uACR ≥2000 mg/g; ptrend<0·0001). INTERPRETATION Empagliflozin slowed the rate of progression of chronic kidney disease among all types of participant in the EMPA-KIDNEY trial, including those with little albuminuria. Albuminuria alone should not be used to determine whether to treat with an SGLT2 inhibitor. FUNDING Boehringer Ingelheim and Eli Lilly.
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T, Tamori Y, Tamura R, Tamura Y, Tan CHH, Tan EZZ, Tanabe A, Tanabe K, Tanaka A, Tanaka A, Tanaka N, Tang S, Tang Z, Tanigaki K, Tarlac M, Tatsuzawa A, Tay JF, Tay LL, Taylor J, Taylor K, Taylor K, Te A, Tenbusch L, Teng KS, Terakawa A, Terry J, Tham ZD, Tholl S, Thomas G, Thong KM, Tietjen D, Timadjer A, Tindall H, Tipper S, Tobin K, Toda N, Tokuyama A, Tolibas M, Tomita A, Tomita T, Tomlinson J, Tonks L, Topf J, Topping S, Torp A, Torres A, Totaro F, Toth P, Toyonaga Y, Tripodi F, Trivedi K, Tropman E, Tschope D, Tse J, Tsuji K, Tsunekawa S, Tsunoda R, Tucky B, Tufail S, Tuffaha A, Turan E, Turner H, Turner J, Turner M, Tuttle KR, Tye YL, Tyler A, Tyler J, Uchi H, Uchida H, Uchida T, Uchida T, Udagawa T, Ueda S, Ueda Y, Ueki K, Ugni S, Ugwu E, Umeno R, Unekawa C, Uozumi K, Urquia K, Valleteau A, Valletta C, van Erp R, Vanhoy C, Varad V, Varma R, Varughese A, Vasquez P, Vasseur A, Veelken R, Velagapudi C, Verdel K, Vettoretti S, Vezzoli G, Vielhauer V, Viera R, Vilar E, Villaruel S, Vinall L, Vinathan J, Visnjic M, Voigt E, von-Eynatten M, Vourvou M, Wada J, Wada J, Wada T, Wada Y, Wakayama K, Wakita Y, Wallendszus K, Walters T, Wan Mohamad WH, Wang L, Wang W, Wang X, Wang X, Wang Y, Wanner C, Wanninayake S, Watada H, Watanabe K, Watanabe K, Watanabe M, Waterfall H, Watkins D, Watson S, Weaving L, Weber B, Webley Y, Webster A, Webster M, Weetman M, Wei W, Weihprecht H, Weiland L, Weinmann-Menke J, Weinreich T, Wendt R, Weng Y, Whalen M, Whalley G, Wheatley R, Wheeler A, Wheeler J, Whelton P, White K, Whitmore B, Whittaker S, Wiebel J, Wiley J, Wilkinson L, Willett M, Williams A, Williams E, Williams K, Williams T, Wilson A, Wilson P, Wincott L, Wines E, Winkelmann B, Winkler M, Winter-Goodwin B, Witczak J, Wittes J, Wittmann M, Wolf G, Wolf L, Wolfling R, Wong C, Wong E, Wong HS, Wong LW, Wong YH, Wonnacott A, Wood A, Wood L, Woodhouse H, Wooding N, Woodman A, Wren K, Wu J, Wu P, Xia S, Xiao H, Xiao X, Xie Y, Xu C, Xu Y, Xue H, Yahaya H, Yalamanchili H, Yamada A, Yamada N, Yamagata K, Yamaguchi M, Yamaji Y, Yamamoto A, Yamamoto S, Yamamoto S, Yamamoto T, Yamanaka A, Yamano T, Yamanouchi Y, Yamasaki N, Yamasaki Y, Yamasaki Y, Yamashita C, Yamauchi T, Yan Q, Yanagisawa E, Yang F, Yang L, Yano S, Yao S, Yao Y, Yarlagadda S, Yasuda Y, Yiu V, Yokoyama T, Yoshida S, Yoshidome E, Yoshikawa H, Young A, Young T, Yousif V, Yu H, Yu Y, Yuasa K, Yusof N, Zalunardo N, Zander B, Zani R, Zappulo F, Zayed M, Zemann B, Zettergren P, Zhang H, Zhang L, Zhang L, Zhang N, Zhang X, Zhao J, Zhao L, Zhao S, Zhao Z, Zhong H, Zhou N, Zhou S, Zhu D, Zhu L, Zhu S, Zietz M, Zippo M, Zirino F, Zulkipli FH. Impact of primary kidney disease on the effects of empagliflozin in patients with chronic kidney disease: secondary analyses of the EMPA-KIDNEY trial. Lancet Diabetes Endocrinol 2024; 12:51-60. [PMID: 38061372 DOI: 10.1016/s2213-8587(23)00322-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND The EMPA-KIDNEY trial showed that empagliflozin reduced the risk of the primary composite outcome of kidney disease progression or cardiovascular death in patients with chronic kidney disease mainly through slowing progression. We aimed to assess how effects of empagliflozin might differ by primary kidney disease across its broad population. METHODS EMPA-KIDNEY, a randomised, controlled, phase 3 trial, was conducted at 241 centres in eight countries (Canada, China, Germany, Italy, Japan, Malaysia, the UK, and the USA). Patients were eligible if their estimated glomerular filtration rate (eGFR) was 20 to less than 45 mL/min per 1·73 m2, or 45 to less than 90 mL/min per 1·73 m2 with a urinary albumin-to-creatinine ratio (uACR) of 200 mg/g or higher at screening. They were randomly assigned (1:1) to 10 mg oral empagliflozin once daily or matching placebo. Effects on kidney disease progression (defined as a sustained ≥40% eGFR decline from randomisation, end-stage kidney disease, a sustained eGFR below 10 mL/min per 1·73 m2, or death from kidney failure) were assessed using prespecified Cox models, and eGFR slope analyses used shared parameter models. Subgroup comparisons were performed by including relevant interaction terms in models. EMPA-KIDNEY is registered with ClinicalTrials.gov, NCT03594110. FINDINGS Between May 15, 2019, and April 16, 2021, 6609 participants were randomly assigned and followed up for a median of 2·0 years (IQR 1·5-2·4). Prespecified subgroupings by primary kidney disease included 2057 (31·1%) participants with diabetic kidney disease, 1669 (25·3%) with glomerular disease, 1445 (21·9%) with hypertensive or renovascular disease, and 1438 (21·8%) with other or unknown causes. Kidney disease progression occurred in 384 (11·6%) of 3304 patients in the empagliflozin group and 504 (15·2%) of 3305 patients in the placebo group (hazard ratio 0·71 [95% CI 0·62-0·81]), with no evidence that the relative effect size varied significantly by primary kidney disease (pheterogeneity=0·62). The between-group difference in chronic eGFR slopes (ie, from 2 months to final follow-up) was 1·37 mL/min per 1·73 m2 per year (95% CI 1·16-1·59), representing a 50% (42-58) reduction in the rate of chronic eGFR decline. This relative effect of empagliflozin on chronic eGFR slope was similar in analyses by different primary kidney diseases, including in explorations by type of glomerular disease and diabetes (p values for heterogeneity all >0·1). INTERPRETATION In a broad range of patients with chronic kidney disease at risk of progression, including a wide range of non-diabetic causes of chronic kidney disease, empagliflozin reduced risk of kidney disease progression. Relative effect sizes were broadly similar irrespective of the cause of primary kidney disease, suggesting that SGLT2 inhibitors should be part of a standard of care to minimise risk of kidney failure in chronic kidney disease. FUNDING Boehringer Ingelheim, Eli Lilly, and UK Medical Research Council.
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Roh M, Seo J, Kim J, Chung K. 459 Weight-bearing activity impairs nuclear membrane and genome integrity via YAP activation in plantar melanoma. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.473] [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: 11/19/2022]
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Kim J, Chung K, Lee J, Kim J. 611 Transcriptomic differences between surgical and non-surgical keloids. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.628] [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: 11/19/2022]
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Park S, Chung K, Cho H, Kim Y, Jhung K. Differential risk factors for prenatal and postpartum depression in South Korea. Eur Psychiatry 2021. [PMCID: PMC9480344 DOI: 10.1192/j.eurpsy.2021.1599] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Introduction Incidence for depression increases during the perinatal period. Risk factors for depression may differentially affect each time period. Objectives To assess demographic, psychological and obstetric risk factors that differentially affect prenatal and postpartum depression Methods A total of 169 subjects participated. Assessment was conducted during the first trimester, second trimester, third trimester, within a month after childbirth, and a month after childbirth. Demographic and obstetric measures, as well as psychological measures, including the Edinburgh Postnatal Depression Scale were conducted. Multiple regression and the Mann-Whitney U test were performed to examine the association between variables and depression scores. Results Depression score was higher during the postpartum period than the prenatal period. Younger age was associated with depression during the first trimester. In the second trimester, less education, a history of depression and having stress within a year significantly affected depression scores. Smoking, artificial abortion and lack of support from family and parents correlated with depression during the third trimester. Within a month after childbirth, psychiatric and depression history, smoking, stress level within a year and lack of family support were associated with depression. At a month after childbirth, those who were primiparous and not breastfeeding had significantly higher depression scores. Conclusions This study identifies various risk factors for each gestational and postpartum period and suggests differential interventions for different perinatal periods.
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Haldar D, Janmohamed A, Plant T, Davidson M, Norman H, Russell E, Serevina O, Chung K, Qamar K, Gunson B, Hansen B, Richter A, Trivedi PJ, Hirschfield GM. Antibodies to gp210 and understanding risk in patients with primary biliary cholangitis. Liver Int 2021; 41:535-544. [PMID: 33022821 DOI: 10.1111/liv.14688] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [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: 07/06/2020] [Revised: 09/26/2020] [Accepted: 09/28/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND AND AIMS A variety of auto-antibody assays are available as part of the clinical care of patients with liver disease. We sought to better understand the clinical utility of immune serological testing in patients with primary biliary cholangitis (PBC). METHODS We retrospectively analysed data from 2846 patients investigated for liver disease at a UK liver centre between 2001 and 2017. A total of 499 patients with PBC were identified. Immune serology results were examined for their diagnostic utility and prognostic significance to predict transplant-free survival. RESULTS Antimitochondrial antibodies (AMAs) were specific (94.5%) and sensitive (85.6%) for PBC; antinuclear antibodies (ANAs) against glycoprotein 210 (gp210) and sp100 were specific (>98%) but not sensitive (<25%). The disease-specific ANAs were detectable in 29.6% of AMA-negative patients. Anti-gp210 auto-antibodies were significantly associated with elevated serum aminotransferase activity, bilirubin and liver stiffness at presentation (P < .010). Anti-gp210 auto-antibodies predicted non-response to ursodeoxycholic acid (UDCA) by GLOBE criteria (39.3% vs 16.7%, P = .005). Moreover, anti-gp210 was independently associated with death or liver transplantation (HR 3.22, 95% CI 1.49-6.96; P = .003), after accounting for other significant baseline determinants of outcome. Serologic finding of anti-gp210 antibodies conferred an independent risk of death or transplantation (HR 4.13, 95% CI 1.85-9.22; P = .001) after accounting for treatment response. CONCLUSION In our single-centre cohort of patients with PBC, the presence of anti-gp210 was associated with an adverse presenting phenotype, predicted treatment non-response and independently predicted reduced transplant-free survival.
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Affiliation(s)
- Debashis Haldar
- National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK.,Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.,Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Ashnila Janmohamed
- National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK.,Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.,Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Tim Plant
- Department of Clinical Immunology, University of Birmingham, Birmingham, UK
| | - Matthew Davidson
- College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Hannah Norman
- College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Emily Russell
- Oxford Medical School, University of Oxford, Oxford, UK
| | - Olivia Serevina
- College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Kenneth Chung
- College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Kashif Qamar
- Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Bridget Gunson
- National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK.,Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK
| | - Bettina Hansen
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Alex Richter
- Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK
| | - Palak J Trivedi
- National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK.,Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.,Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Gideon M Hirschfield
- National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK.,Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.,Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.,Toronto Centre for Liver Disease, University Health Network, University of Toronto, Toronto, Canada
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Thakur A, Mallory H, Chung K, Vallabhaneni D, Dharmasiri U, Legmann R. Oncolytic virus scalability affinity chromatography process. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.271] [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: 11/27/2022]
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Thomas S, Woo I, Ho J, Jones T, Paulson R, Chung K, Bendikson K. Ovulation rates in a stair-step protocol with Letrozole vs clomiphene citrate in patients with polycystic ovarian syndrome. Contracept Reprod Med 2019; 4:20. [PMID: 31867117 PMCID: PMC6900839 DOI: 10.1186/s40834-019-0102-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 10/22/2019] [Indexed: 01/20/2023] Open
Abstract
Purpose To compare ovulation rates between Letrozole and Clomiphene Citrate (CC) using a stair-step protocol to achieve ovulation induction in women with Polycystic Ovarian Syndrome (PCOS). Methods This is a retrospective cohort of predominantly Hispanic PCOS women of reproductive age who completed ovulation induction (OI) comparing women who underwent Letrozole stair-step protocol to those who underwent OI with CC stair-step. All women had a diagnosis of PCOS based on the 2003 Rotterdam criteria. For both protocols, sequentially higher doses of Letrozole or CC were given 7 days after the last dose if no dominant follicles were seen on ultrasonography. The primary outcome was ovulation rate (determined by presence of a dominant follicle) between the two treatment groups. Secondary outcomes included time to ovulation, clinical pregnancy rates and side effects. Results 49 PCOS patients completed a Letrozole stair-step cycle and 43 completed a CC stair-step cycle for OI. Overall, demographics were comparable between both groups. Ovulation rates with the Letrozole stair-step protocol were equivalent to CC stair-step protocol (96% vs 88%, p = 0.17). Although the mean time (days) to ovulation was shorter in the Letrozole group (19.5 vs 23.1, p = 0.027), the pregnancy rates were similar for both groups. Conclusions This is the first study to date that has compared the efficacy of the stair-step protocol in PCOS patients using Letrozole and CC. Both Letrozole and CC can be prescribed in a stair-step fashion. Letrozole stair-step was as efficacious as CC stair-step; patients achieved comparable rates of ovulation and clinical pregnancy. Time to ovulation was shorter in the Letrozole protocol.
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Affiliation(s)
- S Thomas
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
| | - I Woo
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
| | - J Ho
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
| | - T Jones
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
| | - R Paulson
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
| | - K Chung
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
| | - K Bendikson
- University of Southern California, 2020 Zonal Avenue, IRD 534, California, Los Angeles 90033 USA
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Luke J, Fong L, Chung K, Tolcher A, Kelly K, Hollebecque A, Le Tourneau C, Subbiah V, Tsai F, Kao S, Cassier P, Khasraw M, Allaire K, Fan F, Fang H, Patel M, Henner W, Hayflick J, McDevitt M, Barlesi F. Phase I study evaluating safety, pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of ABBV-428, first-in-class mesothelin (MSLN)-CD40 bispecific, in patients (pts) with advanced solid tumours. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz253.046] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Radford J, Kahl B, Hamadani M, Carlo-Stella C, O'Connor O, Ardeshna K, Feingold J, He S, Reid E, Solh M, Chung K, Heffner L, Ungar D, Caimi P. ANALYSIS OF EFFICACY AND SAFETY OF LONCASTUXIMAB TESIRINE (ADCT-402) BY DEMOGRAPHIC AND CLINICAL CHARACTERISTICS IN RELAPSED/REFRACTORY DIFFUSE LARGE B-CELL LYMPHOMA. Hematol Oncol 2019. [DOI: 10.1002/hon.60_2629] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- J. Radford
- Department of Medical Oncology; University of Manchester and The Christie NHS Foundation Trust; Manchester United Kingdom
| | - B. Kahl
- Department of Medicine; Oncology Division, Washington University in St. Louis; St. Louis MO United States
| | - M. Hamadani
- Division of Hematology and Oncology; Medical College of Wisconsin; Milwaukee WI United States
| | - C. Carlo-Stella
- Department of Oncology and Hematology; Humanitas Cancer Center, Humanitas University; Milan Italy
| | - O.A. O'Connor
- Center for Lymphoid Malignancies; NewYork-Presbyterian/Columbia University Irving Medical Center; New York United States
| | - K.M. Ardeshna
- Department of Haematology; University College London Hospitals NHS Foundation Trust; London United Kingdom
| | - J. Feingold
- Clinical Development; ADC Therapeutics; Murray Hill NJ United States
| | - S. He
- Clinical Development; ADC Therapeutics; Murray Hill NJ United States
| | - E. Reid
- Division of Hematology/Oncology; University of California San Diego Health Moores Cancer Center; La Jolla CA United States
| | - M. Solh
- Blood and Marrow Transplant Program; Northside Hospital; Atlanta GA United States
| | - K. Chung
- Department of Hematology and Oncology; Greenville Health System; Greenville SC United States
| | - L. Heffner
- Department of Haematology and Medical Oncology; Winship Cancer Institute, Emory University; Atlanta GA United States
| | - D. Ungar
- Clinical Development; ADC Therapeutics; Murray Hill NJ United States
| | - P. Caimi
- University Hospitals Cleveland Medical Center; Case Western Reserve University (CWRU); Cleveland OH United States
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Mandelbaum R, Matsuo K, Awadalla M, Shoupe D, Chung K. Risk of ovarian torsion in patients with ovarian hyperstimulation syndrome. Fertil Steril 2019. [DOI: 10.1016/j.fertnstert.2019.02.116] [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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Mandelbaum R, Adams C, Shoupe D, Chung K, Roman L, Matsuo K. Utilization and outcomes of ovarian conservation at the time of hysterectomy for cervical cancer. Fertil Steril 2019. [DOI: 10.1016/j.fertnstert.2019.02.085] [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: 11/16/2022]
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Thomas S, Rhodes-Long K, Bendikson K, Chung K, Paulson R, McGinnis L, Ahmady A. Examining the effects of temperature on embryo growth. Fertil Steril 2019. [DOI: 10.1016/j.fertnstert.2019.02.090] [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: 11/16/2022]
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Qiu W, Kuang H, Nair J, Assis Z, Najm M, McDougall C, McDougall B, Chung K, Wilson AT, Goyal M, Hill MD, Demchuk AM, Menon BK. Radiomics-Based Intracranial Thrombus Features on CT and CTA Predict Recanalization with Intravenous Alteplase in Patients with Acute Ischemic Stroke. AJNR Am J Neuroradiol 2018; 40:39-44. [PMID: 30573458 DOI: 10.3174/ajnr.a5918] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Accepted: 10/21/2018] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Thrombus characteristics identified on non-contrast CT (NCCT) are potentially associated with recanalization with intravenous (IV) alteplase in patients with acute ischemic stroke (AIS). Our aim was to determine the best radiomics-based features of thrombus on NCCT and CT angiography associated with recanalization with IV alteplase in AIS patients and proximal intracranial thrombi. MATERIALS AND METHODS With a nested case-control design, 67 patients with ICA/M1 MCA segment thrombus treated with IV alteplase were included in this analysis. Three hundred twenty-six radiomics features were extracted from each thrombus on both NCCT and CTA images. Linear discriminative analysis was applied to select features most strongly associated with early recanalization with IV alteplase. These features were then used to train a linear support vector machine classifier. Ten times 5-fold cross-validation was used to evaluate the accuracy of the trained classifier and the stability of the selected features. RESULTS Receiver operating characteristic curves showed that thrombus radiomics features are predictive of early recanalization with IV alteplase. The combination of radiomics features from NCCT, CTA, and radiomics changes is best associated with early recanalization with IV alteplase (area under the curve = 0.85) and was significantly better than any single feature such as thrombus length (P < .001), volume (P < .001), and permeability as measured by mean attenuation increase (P < .001), maximum attenuation in CTA (P < .001), maximum attenuation increase (P < .001), and assessment of residual flow grade (P < .001). CONCLUSIONS Thrombus radiomics features derived from NCCT and CTA are more predictive of recanalization with IV alteplase in patients with acute ischemic stroke with proximal occlusion than previously known thrombus imaging features such as length, volume, and permeability.
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Affiliation(s)
- W Qiu
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - H Kuang
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - J Nair
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).,Department of Radiology (J.N.), McMaster University, Hamilton, Ontario, Canada
| | - Z Assis
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - M Najm
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - C McDougall
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - B McDougall
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - K Chung
- Calgary Stroke Program, Mechanical and Manufacturing Engineering (K.C.)
| | - A T Wilson
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.)
| | - M Goyal
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).,Radiology (M.D.H., A.M.D., M.G., B.K.M.).,Hotchkiss Brain Institute (M.D.H., A.M.D., M.G., B.K.M.), Calgary, Alberta, Canada
| | - M D Hill
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).,Radiology (M.D.H., A.M.D., M.G., B.K.M.).,Community Health Sciences (M.D.H., B.K.M.), University of Calgary, Calgary, Alberta, Canada.,Hotchkiss Brain Institute (M.D.H., A.M.D., M.G., B.K.M.), Calgary, Alberta, Canada
| | - A M Demchuk
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.).,Radiology (M.D.H., A.M.D., M.G., B.K.M.).,Hotchkiss Brain Institute (M.D.H., A.M.D., M.G., B.K.M.), Calgary, Alberta, Canada
| | - B K Menon
- From the Departments of Clinical Neurosciences (W.Q., H.K., J.N., Z.A. M.N., C.M., A.T.W., B.M., M.G., M.D.H., A.M.D., B.K.M.) .,Radiology (M.D.H., A.M.D., M.G., B.K.M.).,Community Health Sciences (M.D.H., B.K.M.), University of Calgary, Calgary, Alberta, Canada.,Hotchkiss Brain Institute (M.D.H., A.M.D., M.G., B.K.M.), Calgary, Alberta, Canada
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15
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Joo Y, Lee H, Lee S, Parahipta D, Kang D, Chung K, Kim D, Kim S. PSXIII-42 Effects of alkaloid rich potato by-product on in vitro rumen digestibility and fermentation characteristics. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.959] [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)
- Y Joo
- Gyeongsang National University,Jinju, South Korea
| | - H Lee
- Gyeongsang National University,Jinju, South Korea
| | - S Lee
- Gyeongsang National University,Jinju, South Korea
| | - D Parahipta
- Gyeongsang National University,Jinju, South Korea
| | - D Kang
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - K Chung
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - D Kim
- University of Florida,Gainesville, FL, United States
| | - S Kim
- Gyeongsang National University,Jinju, South Korea
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16
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Chung K, Chang S, Yang S, Hwang S, Kang D, Park B, Kwon E. PSXV-28 α-solanine induces myogenesis of bovine satellite cells but does not affect adipogenesis of adipocytes. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.526] [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)
- K Chung
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - S Chang
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - S Yang
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - S Hwang
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - D Kang
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - B Park
- Hanwoo Research Institute,Pyeongchang, South Korea
| | - E Kwon
- Hanwoo Research Institute,Pyeongchang, South Korea
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17
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Gajaweera C, Chung K, Cho S, Lee S. 346 Assessment of carcass and meat quality of Longissimus dorsi and semimembranosus muscle with Korean meat quality grading standards. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.376] [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)
- C Gajaweera
- Division of Animal and Dairy Science, Chungnam National University,Daejeon, Republic of Korea/ Department of Animal Science, Faculty of Agriculture, University of Ruhuna,Sri Lanka, Mapalana, Kamburupitiya, Sri Lanka
| | - K Chung
- Hanwoo Experiment Station, National Institute of Animal Science, RDA,Pyeong-Chang, Republic of Korea, Mapalana, Kamburupitiya, Sri Lanka
| | - S Cho
- Division of Animal Production, National Institute of animal Science, RDA,Wanju, Republic of Korea, Mapalana, Kamburupitiya, Sri Lanka
| | - S Lee
- Division of Animal and Dairy Science, Chungnam National University,Daejeon, Republic of Korea, Mapalana, Kamburupitiya, Sri Lanka
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18
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Rahmanian S, Chung K, Kokozian C, Knighten M, Flores J, Alcantara M. EDUCATING LATINO TERMINALLY-ILL PATIENTS USING SPANISH-LANGUAGE HOSPICE VIDEO: INCREASING HOSPICE ENROLLMENT. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2436] [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)
- S Rahmanian
- University of California, Los Angeles (UCLA)
| | - K Chung
- California State University, Northridge
| | | | | | - J Flores
- California State University, Northridge
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19
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Spira A, Chung K, Patnaik A, Tolcher A, Blaney M, Parikh A, Reddy A, Henner W, McDevitt M, Afar D, Powderly J. Safety, tolerability, and pharmacokinetics of the OX40 agonist ABBV-368 in patients with advanced solid tumors. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy288.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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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20
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Plummer R, Cook N, Arkenau T, Melear J, Redfern C, Spira A, Chung K, Haddad T, Ramalingam S, Wesolowski R, Dean E, Goddemeier T, Falk M, Shapiro G. Phase I dose expansion data for M6620 (formerly VX-970), a first-in-class ATR inhibitor, combined with gemcitabine (Gem) in patients (pts) with advanced non-small cell lung cancer (NSCLC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy292.059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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21
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Thomas S, Kitapci T, Campo D, Woo I, Bendikson K, Chung K, Paulson R, Ahmady A, McGinnis L. miRNA from follicular extracellular vesicles target cell proliferation in young women with diminished ovarian reserve. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.876] [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: 11/16/2022]
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22
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Chung K, Strange G, Naing P, Codde J, Celermajer D, Scalia GM, Playford D. P4541Assessing the cause of pulmonary hypertension on echo in the absence of tricuspid regurgitation - A NEDA (National Echo Database of Australia) study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4541] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- K Chung
- THE UNIVERSITY OF NOTRE DAME, SCHOOL OF MEDICINE, PERTH, Australia
| | - G Strange
- The University of Notre Dame, School of Medicine, Perth, Australia
| | - P Naing
- The University of Notre Dame, School of Medicine, Perth, Australia
| | - J Codde
- The University of Notre Dame, School of Medicine, Perth, Australia
| | | | - G M Scalia
- University of Queensland, Brisbane, Australia
| | - D Playford
- The University of Notre Dame, School of Medicine, Perth, Australia
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23
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Lee S, Oh Y, Nam K, Oh B, Roh M, Chung K. 575 Comparative single-institute analysis of slow Mohs micrographic surgery and frozen section Mohs micrographic surgery for dermatofibrosarcoma protuberans. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.583] [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: 11/27/2022]
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24
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Salem W, Ho J, McGinnis L, Chung K, Bendikson K, Paulson R. PGS utilization is higher in states without mandated coverage of IVF: a national cohort study. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.02.094] [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: 10/17/2022]
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25
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Thomas S, Chung K, Paulson R, Bendikson K. Barriers to conception: LGBT individuals have worse fertility health literacy than their heterosexual female peers. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.02.102] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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26
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Maggiore P, Bellinge J, Chieng D, White D, Lan N, Jaltotage B, Ali U, Gordon M, Chung K, Stobie P, Ng J, Hankey G, McQuillan B. Ischaemic Stroke and the Echo ‘Bubble Study’: Are we Screening the Right Patients? A Multicentre Experience from Western Australia. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.463] [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: 11/27/2022]
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27
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Hara K, Izumi N, Tsukioka T, Chung K, Komatsu H, Toda M, Miyamoto H, Kimura T, Suzuki S, Yoshida A, Higashiyama S, Kawabe J, Nishiyama N. P3.16-032 Prediction of Postoperative Lung Function in Patients with Lung Cancer by Lung Lobe. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1838] [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: 10/18/2022]
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28
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Tsukioka T, Izumi N, Chung K, Komatsu H, Toda M, Hara K, Miyamoto H, Nishiyama N. PUB062 Sarcopenia Is a Novel Predictor of Poor Prognosis in Male Patients with Pathological Stage I Non-Small Cell Lung Cancer. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1925] [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: 11/16/2022]
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29
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Filosso PL, Modlin I, Roffinella M, Lewczuk A, Chung K, Kolasinska-Cwikla A, Cwikla J, Kidd M. F-032BLOOD MEASUREMENT OF NEUROENDOCRINE GENE TRANSCRIPTS IS DIAGNOSTIC FOR BRONCHOPULMONARY CARCINOID AND IDENTIFIES THE EFFECTIVENESS OF SURGICAL RESECTION. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.032] [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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30
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Ciompi F, Chung K, van Riel SJ, Setio AAA, Gerke PK, Jacobs C, Scholten ET, Schaefer-Prokop C, Wille MMW, Marchianò A, Pastorino U, Prokop M, van Ginneken B. Corrigendum: Towards automatic pulmonary nodule management in lung cancer screening with deep learning. Sci Rep 2017; 7:46878. [PMID: 28880026 PMCID: PMC5588055 DOI: 10.1038/srep46878] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
This corrects the article DOI: 10.1038/srep46479.
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31
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Salem W, Krapp C, Paulson R, Chung K, Nowak R, Bartolomei M, McGinnis L. Imatinib may disrupt epigenetic regulation of placental development. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.962] [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: 10/18/2022]
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32
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Ho J, Gorman J, Whitcomb B, Bouknight J, Su I, Chung K. Factors associated with family building in cancer survivors. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.199] [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: 11/26/2022]
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33
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Chung K, Playford D, Celermajer D, Codde J, Scalia G, Strange G. P2590Pulmonary hypertension due to diastolic dysfunction: a predictive model using the national echo database of Australia (NEDA). Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p2590] [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: 11/13/2022] Open
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34
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Chung K, Cho S, Kim K. THE MOLECULAR BIOLOGIC STUDY ABOUT THE CIRCADIAN RHYTHMIC CONTROL OF MICTURITION FUNCTION. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.889] [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)
- K. Chung
- Gachon University, Incheon, Korea (the Republic of),
- Gil hospital, Incheon, Korea (the Republic of),
| | - S. Cho
- Kyung Hee University, Seoul, Korea (the Republic of)
| | - K. Kim
- Gachon University, Incheon, Korea (the Republic of),
- Gil hospital, Incheon, Korea (the Republic of),
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35
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Raine JC, Pietrock M, Willner K, Chung K, Turcotte D, Parrott JL. Parasitological Analysis and Gill Histopathology of Pearl Dace (Semotilus Margarita) and Brook Stickleback (Culaea Inconstans) Collected from the Athabasca Oil Sands Area (Canada). Bull Environ Contam Toxicol 2017; 98:733-739. [PMID: 28378278 DOI: 10.1007/s00128-017-2078-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 11/07/2016] [Accepted: 03/30/2017] [Indexed: 05/05/2023]
Abstract
Pearl dace (Semotilus margarita) and brook stickleback (Culaea inconstans) were collected from tributaries of the Athabasca River (Alberta, Canada), upstream (reference site) and downstream of oil sands deposits where fish were expected to be exposed to naturally occurring oil sands constituents. The objective was to determine if fish collected from these sites exhibited differences in the prevalence or intensity of infection by parasites or in gill histology. Dace did not display significant differences in these parameters. Alternately, upstream stickleback were predominantly infected by complex life history parasites, while downstream fish were primarily infected by parasites with simpler life histories. Moreover, downstream stickleback exhibited significantly more clubbing and aneurysms in secondary gill lamellae relative to upstream fish. This suggested a difference in habitat quality between upstream and downstream sites. However, based on basic body condition parameters of the fish, it would appear that any impacts upon the health of the fish due to the presence of naturally occurring oil sands associated chemical constituents would have been minor.
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Affiliation(s)
- J C Raine
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, S7N 5B3, Canada.
| | - M Pietrock
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, S7N 5B3, Canada
- Department of Veterinary Biomedical Sciences, University of Saskatchewan, Saskatoon, SK, Canada
- Institut für Binnenfischerei Potsdam-Sacrow, Potsdam, Germany
| | - K Willner
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, S7N 5B3, Canada
| | - K Chung
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, S7N 5B3, Canada
| | - D Turcotte
- National Hydrology Research Centre, Saskatoon, SK, S7N 3H5, Canada
| | - J L Parrott
- Environment and Climate Change Canada, 867 Lakeshore Road, Burlington, ON, L7S 1A1, Canada
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36
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Yu YB, Yeung W, Chung K. 0350 EFFECT OF MINDFULNESS-ORIENTED INTERVENTIONS FOR INSOMNIA: A META-ANALYSIS. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.349] [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: 11/13/2022] Open
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37
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Wong M, LAU K, Chung K, Rusak B, LAU E. 1091 YOUTH’S BEDTIME REGULARITY MEDIATES THE ASSOCIATION OF DEPRESSION AND ANXIETY WITH NEGATIVE ATTENTION BIAS. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.1090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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38
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Woo I, Ho J, Granat A, Jones T, Paulson R, Chung K, Bendikson K. Stair-step ovulation induction is not just for clomiphene citrate. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.02.040] [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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39
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Chung K, Playford D, Celermajer D, Codde J, Scalia G, Strange G. Pulmonary Hypertension (PH) Due to Left Heart Disease: A Predictive Model Using the National Echo Database of Australia (NEDA). Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.042] [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: 10/19/2022]
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40
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Naing P, Chung K, Htwe S, Pattani S, De Varona G, Stobie P, Bhullar D, Yeow W, McQuillan B. Contemporary Management of Acute Coronary Syndrome in a Large Urban Tertiary Referral Centre. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.072] [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: 10/19/2022]
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41
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Chung K, Yoo D, Lee S, Choi B, Lee S. A large dominant myotonia congenita family with a V1293I mutation in SCN4A. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.401] [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: 11/27/2022]
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42
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Ho J, Arrach N, Salem W, Ingles S, Bendikson K, Chung K, Paulson R, Ahmady A. Elevated mitochondrial DNA in embryos reflects aneuploidy and correlates with developmental arrest. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.430] [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: 12/01/2022]
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43
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Barnhart K, Guo W, Chung K, Takacs P, Senapati S, Sammel M. Human chorionic gonadotropin rise in early pregnancy differs by value at presentation. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.303] [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: 10/21/2022]
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44
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Mayfield K, Hession S, Weatherspoon L, Carolan M, Chung K, Caudell E, Hoerr S. Food Availability, Food Price and Food Quality: Associations with Race and Median Household Income in Flint, Michigan. J Acad Nutr Diet 2016. [DOI: 10.1016/j.jand.2016.06.174] [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: 11/27/2022]
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45
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Kim J, Seo J, Chung K. 466 Sebaceous carcinoma treated with Mohs micrographic surgery. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.488] [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: 11/26/2022]
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46
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Chung K, Strange G, Scalia G, Codde J, Celermajer D, Marwick T, Prior D, Keogh A, Steele P, Ilton M, Stewart S, Gabbay E, Playford D. The National Echo Database Australia (NEDA) and Pulmonary Hypertension (PHT). Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.290] [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: 10/21/2022]
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47
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Jade J, Chung K, Arendse M, Hussain Z, White D. Neuro-Behçet's disease presenting with tumour-like lesions and responding to rituximab. J Clin Neurosci 2016; 32:139-41. [PMID: 27320374 DOI: 10.1016/j.jocn.2016.03.020] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [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: 12/06/2015] [Accepted: 03/14/2016] [Indexed: 11/29/2022]
Abstract
We describe a patient with neuro-Behçets disease (NBD) that presented with symptoms of raised intracranial pressure including papilloedema. MRI revealed tumour-like lesions which, on biopsy, confirmed an active vasculitis. Treatment was commenced with prednisone and cyclophosphamide which proved unsuccessful with enlargement of the cerebral mass lesions. Infliximab and mycophenolate were trialled also without benefit. The patient required ventriculoperitoneal shunts to relieve the symptoms of hydrocephalus. Rituximab was then commenced with significant symptomatic and imaging improvement. The case is unique, in our experience, in the need for shunting to relieve the symptoms of hydrocephalus related to vasculitis.
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Affiliation(s)
- J Jade
- Waikato DHB, Hamilton 3204, New Zealand
| | - K Chung
- Sydney Adventist Hospital Clinic, Wahroonga, NSW 2076, Australia
| | - M Arendse
- Waikato DHB, Hamilton 3204, New Zealand
| | - Z Hussain
- Waikato DHB, Hamilton 3204, New Zealand
| | - D White
- Waikato DHB, Hamilton 3204, New Zealand; Waikato Clinical School, Waikato Hospital, University of Auckland, Pembroke Street, Private Bag 3200, Hamilton 3240, New Zealand.
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Ahn S, Chung K, Han Y, Park H. SU-F-T-661: Dependence of Gold Nano Particles Cluster Morphology On Dose Enhancement of Photon Radiation Therapy Apply for Radiation Biology Effect. Med Phys 2016. [DOI: 10.1118/1.4956847] [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: 11/07/2022] Open
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49
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Lee J, Lee J, Chung K, Chae B, Yoon K. Scaffold-Free Bead-Type Autologous Chondrocyte Implantation (CartiLife™) for Cartilage Repair: A Prospective 2-Year Follow-Up Study. Cytotherapy 2016. [DOI: 10.1016/j.jcyt.2016.03.133] [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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50
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Roh M, Rajadurai A, Kumar R, Chung K, Tsao H. 726 Role of β-catenin in collagen I production in keloid pathogenesis. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.02.769] [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: 11/30/2022]
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