Irritable bowel syndrome (IBS) is a chronic, disabling, and functional bowel disorder that significantly affects social functioning and reduces quality of life and increases social costs. The Korean Society of Neurogastroenterology and Motility published clinical practice guidelines on the management of IBS based on a systematic review of the literature in 2017, and planned to revise these guidelines in light of new evidence on the pathophysiology, diagnosis, and management of IBS. The current revised version of the guidelines is consistent with the previous version and targets adults diagnosed with or suspected of having IBS. These guidelines were developed using a combination of de novo and adaptation methods, with analyses of existing guidelines and discussions within the committee, leading to the identification of key clinical questions. Finally, the guidelines consisted of 22 recommendations, including 3 concerning the definition and risk factors of IBS, 4 regarding diagnostic modalities and strategies, 2 regarding general management, and 13 regarding medical treatment. For each statement, the advantages, disadvantages, and precautions were thoroughly detailed. The modified Delphi method was used to achieve expert consensus to adopt the core recommendations of the guidelines. These guidelines serve as a reference for clinicians (including primary care physicians, general healthcare providers, medical students, residents, and other healthcare professionals) and patients, helping them to make informed decisions regarding IBS management.

Purpose: This study analyzed the influence of dietary lifestyle and nutritional knowledge on the online food-purchasing behaviors of adults in Jeju. Methods: The study sampled 300 adults aged 18 to 69 years in Jeju, excluding incomplete responses or declined consent. The data were analyzed using the SPSS Win Program (ver 21.0), using principal component analysis, cluster analysis, frequency analysis, χ2-test, t-test, and analysis of variance. The significant results were examined using a Duncan’s multiplerange test. The survey questions assessed participants’ demographic information, dietary lifestyle, nutritional knowledge, and online food-purchasing habits. Results: Among the participants, dietary lifestyles could be classified into health-seeking, convenience-seeking, and taste-seeking clusters, with each showing distinct characteristics regarding nutrition knowledge and online food purchase behaviors. In particular, the ‘convenience-seeking’ cluster showed lower health-consciousness and nutrition knowledge and preferred convenience foods, while the ‘health-seeking’ cluster exhibited moderate nutrition knowledge and favored functional foods. The ‘diet-conscious’ cluster showed a higher level of nutritional awareness and made more frequent online purchases, particularly health and convenience foods. Furthermore, individuals with high nutrition knowledge were more focused on food labeling and verification. Moreover, dietary lifestyles significantly influenced consumer behaviors regarding online food purchases, including product preferences and the depth of food information reviewed. Conclusion This study underscores the fundamental role of dietary lifestyles and nutritional knowledge in shaping consumer behaviors regarding online food purchases among Jeju residents. These findings provide a foundation for developing tailored nutrition education materials that align with diverse dietary lifestyles. Furthermore, these insights can guide online food retailers in optimizing product information and marketing strategies to cater to the preferences of major consumer groups.

Purpose: Obesity refers to a condition in which there is excessive fat in the body and is caused by an imbalanced diet and a decrease in physical activity. Accordingly, regular exercise is reported to help improve and prevent obesity. Therefore, this study investigated the effects of short-term resistance training (RT) on weight loss, lipid profiles, blood pressure, atherogenic indices, and inflammation in middle-aged mice. Methods: Adult mice (7.5-month-old) were randomly divided into three groups comprising 7 mice per group: a normal diet group (NDC); a high-fat diet group (HDC, 45% total calories as fat); and a high-fat diet plus resistance training group (HDRT). The mice in the resistance training group performed climbing exercises using a ladder for the experimental period of 5 days/week for 4 weeks. The indicated intensity load was adjusted by individual % of animal body weight. The load gradually increased every week, and a total of 4 repetitions/set and 3 sets/day with 1 minute of rest provided between sets were performed. After sacrifice, analysis of serum and mRNA expression in the tissues were performed. Results: The HDC group showed a significant increase in systolic blood pressure (SBP) compared to the NDC group, while the HDRT group had a lower SBP relative to the HDC group. RT significantly improved blood lipid levels (triglycerides [TG], low-density lipoprotein [LDL], non-high-density lipoprotein [nonHDL], and very-low-density lipoprotein cholesterol [VLDL-C]). Arteriosclerosis improved through resistance training as observed in the changes in the arteriosclerosis indices (atherogenic index of plasma [AIP], Castelli risk index [CRI]-I, CRI-II, and atherogenic coefficient [AC]). In addition, the HDRT group showed decreased mRNA expression levels of tumor necrosis factor-alpha (Tnfa), interleukin-1 beta (Il-1b), and Il-6 in muscle tissue when compared with the HDC. Conclusion This study confirmed that RT improves blood lipids and inflammation profiles, regulates blood pressure, and improves atherosclerosis in obese mice.

Background: Epidermal growth factor receptor (EGFR) gene mutation testing is crucial for the administration of tyrosine kinase inhibitors to treat non–small cell lung cancer. In addition to traditional tissue-based tests, liquid biopsies using plasma are increasingly utilized, particularly for detecting T790M mutations. This study compared tissue- and plasma-based EGFR testing methods. Methods: A total of 248 patients were tested for EGFR mutations using tissue and plasma samples from 2018 to 2023 at Pusan National University Yangsan Hospital. Tissue tests were performed using PANAmutyper, and plasma tests were performed using the Cobas EGFR Mutation Test v2. Results: All 248 patients underwent tissue-based EGFR testing, and 245 (98.8%) showed positive results. Of the 408 plasma tests, 237 (58.1%) were positive. For the T790M mutation, tissue biopsies were performed 87 times in 69 patients, and 30 positive cases (38.6%) were detected. Plasma testing for the T790M mutation was conducted 333 times in 207 patients, yielding 62 positive results (18.6%). Of these, 57 (27.5%) were confirmed to have the mutation via plasma testing. Combined tissue and plasma tests for the T790M mutation were positive in nine patients (13.4%), while 17 (25.4%) were positive in tissue only and 12 (17.9%) in plasma only. This mutation was not detected in 28 patients (43.3%). Conclusions Although the tissue- and plasma-based tests showed a sensitivity of 37.3% and 32.8%, respectively, combined testing increased the detection rate to 56.7%. Thus, neither test demonstrated superiority, rather, they were complementary.

Background: and Purpose The Treat Stroke to Target (TST) was a randomized clinical trial involving French and Korean patients demonstrating that a lower low-density lipoprotein cholesterol (LDL-C, <70 mg/dL) target group (LT) experienced fewer cerebro-cardiovascular events than a higher target (90–110 mg/dL) group (HT). However, whether these results can be applied to Asian patients with different ischemic stroke subtypes remains unclear. Methods: Patients from 14 South Korean centers were analyzed separately. Patients with ischemic stroke or transient ischemic attack with evidence of atherosclerosis were randomized into LT and HT groups. The primary endpoint was a composite of ischemic stroke, myocardial infarction, coronary or cerebral revascularization, and cardiovascular death. Results: Among 712 enrolled patients, the mean LDL-C level was 71.0 mg/dL in 357 LT patients and 86.1 mg/dL in 355 HT patients. The primary endpoint occurred in 24 (6.7%) of LT and in 31 (8.7%) of HT group patients (adjusted hazard ratio [HR]=0.78; 95% confidence interval [CI]=0.45–1.33, P=0.353). Cardiovascular events alone occurred significantly less frequently in the LT than in the HT group (HR 0.26, 95% CI 0.09–0.80, P=0.019), whereas there were no significant differences in ischemic stroke events (HR 1.12, 95% CI 0.60–2.10, P=0.712). The benefit of LT was less apparent in patients with small vessel disease and intracranial atherosclerosis than in those with extracranial atherosclerosis. Conclusion In contrast to the French TST, the outcomes in Korean patients were neutral. Although LT was more effective in preventing cardiovascular diseases, it was not so in stroke prevention, probably attributed to the differences in stroke subtypes. Further studies are needed to elucidate the efficacy of statins and appropriate LDL-C targets in Asian patients with stroke.

Methods: Uropathogenic E. coli (UPEC) strains were analyzed for phylogenetic grouping polymerase chain reaction, AMR, transferable resistance plasmids, and multilocus sequence typing. Results: Sixty-seven UPECs were isolated from urine samples of dogs (n = 57) and cats (n = 10).Regarding age, the incidence of UTI was the highest in the 11 to 15 years range (46.3%, 31/67). Regarding sex, it accounted for 58.2% (n = 39) in female dogs and 11.9% (8/67) in female cats. Phylogroup B2 was the most frequent (n = 51, 75.0%) among all strains, followed by D (16.2%), A (7.4%), and B1 (1.5%). Thirty-seven (55.2%) UPECs were multidrugresistant (MDR), and 24 (35.8%) of them belonged to phylogroup B2. Extended-spectrum cephalosporin and carbapenemase genes were detected in 18 (26.9%) UPECs and plasmids carrying these resistance genes were conjugated between strains. Thirty sequence types (STs) were identified among the total strains. Among the UPECs (n = 51) with phylogroup B2, 23 STs were identified, with ST73 being the most frequent (n = 12, 17.9%), followed by ST131 (n = 9, 13.4%). Conclusions and Relevance: Phylogroup B2 strains, particularly ST73 and ST121, were most prevalent in UPECs from Korean companion dogs and cats. For MDR UPECs, appropriate antibiotic selection is essential for the treatment of UTIs.