1.Association Between Suicide Risk and Comorbidity of Mood Disorder and Alcohol Use Disorder:Using Common Data Model in Psychiatry
Yong Hyuk CHO ; Eunyoung LEE ; Eun Sil HER ; Gyubeom HWANG ; Ki-Young LIM ; Jai Sung NOH ; Yunmi SHIN ; Chang Hyung HONG ; Hyun Woong ROH ; Dongyun LEE ; Heirim LEE ; Doyeop KIM ; Rae Woong PARK ; Bumhee PARK ; Sang Joon SON
Journal of Korean Neuropsychiatric Association 2021;60(3):232-239
Objectives:
This study determines the effects of comorbidity of mood disorder and alcohol use disorder on suicide behavior.
Methods:
We converted data from the electronic medical records of one university hospital into a common data model and utilized it in our analysis. We selected 9551 patients with diagnosis codes of mood disorders or alcohol use disorders and divided them into three groups: mood disorder (MD) only, alcohol use disorder (AUD) only, and comorbidity of mood disorder and alcohol use disorder (MD+AUD). The mood disorder group was also subgrouped with depressive (DD) or bipolar affective disorder (BD) groups, and the comorbidity group was classified in the same way. Then, we applied logistic regression analysis to assess the risk of suicide attempts between the diagnostic groups. Subgroup analysis according to age also was conducted.
Results:
The MD+AUD group had 2.7 (odd ratio [OR]=2.70, 95% confidence intervals [CI]=1.91– 3.81, p<0.0001) and the DD+AUD group had 2.78 (OR=2.78, 95% CI=1.95–3.98, p<0.0001) times higher risk of suicide attempts than the MD only and DD only group, respectively. Furthermore, according to the age subgroup, the risk of suicide attempts was the highest (OR=5.17, 95% CI=2.35–11.40, p<0.0001) in the DD+AUD group for those aged 40–59. There were no significant results in BD.
Conclusion
The results showed that the comorbidity of mood disorder and alcohol use disorder could increase suicide risk. This study suggested that alcohol use behavior needs to be assessed as well as mood symptoms for suicide prevention.
2.Association Between Suicide Risk and Comorbidity of Mood Disorder and Alcohol Use Disorder:Using Common Data Model in Psychiatry
Yong Hyuk CHO ; Eunyoung LEE ; Eun Sil HER ; Gyubeom HWANG ; Ki-Young LIM ; Jai Sung NOH ; Yunmi SHIN ; Chang Hyung HONG ; Hyun Woong ROH ; Dongyun LEE ; Heirim LEE ; Doyeop KIM ; Rae Woong PARK ; Bumhee PARK ; Sang Joon SON
Journal of Korean Neuropsychiatric Association 2021;60(3):232-239
Objectives:
This study determines the effects of comorbidity of mood disorder and alcohol use disorder on suicide behavior.
Methods:
We converted data from the electronic medical records of one university hospital into a common data model and utilized it in our analysis. We selected 9551 patients with diagnosis codes of mood disorders or alcohol use disorders and divided them into three groups: mood disorder (MD) only, alcohol use disorder (AUD) only, and comorbidity of mood disorder and alcohol use disorder (MD+AUD). The mood disorder group was also subgrouped with depressive (DD) or bipolar affective disorder (BD) groups, and the comorbidity group was classified in the same way. Then, we applied logistic regression analysis to assess the risk of suicide attempts between the diagnostic groups. Subgroup analysis according to age also was conducted.
Results:
The MD+AUD group had 2.7 (odd ratio [OR]=2.70, 95% confidence intervals [CI]=1.91– 3.81, p<0.0001) and the DD+AUD group had 2.78 (OR=2.78, 95% CI=1.95–3.98, p<0.0001) times higher risk of suicide attempts than the MD only and DD only group, respectively. Furthermore, according to the age subgroup, the risk of suicide attempts was the highest (OR=5.17, 95% CI=2.35–11.40, p<0.0001) in the DD+AUD group for those aged 40–59. There were no significant results in BD.
Conclusion
The results showed that the comorbidity of mood disorder and alcohol use disorder could increase suicide risk. This study suggested that alcohol use behavior needs to be assessed as well as mood symptoms for suicide prevention.
3.Low Diastolic Blood Pressure and Cognitive Decline in Korean Elderly People: The Korean Longitudinal Study on Cognitive Aging and Dementia
Dongyun LEE ; Bong-Jo KIM ; Ji Won HAN ; Tae Hui KIM ; Kyung Phil KWAK ; Kayoung KIM ; Shin Gyeom KIM ; Jeong Lan KIM ; Tae Hyun KIM ; Seok Woo MOON ; Jae Young PARK ; Joon Hyuk PARK ; Seonjeong BYUN ; Seung Wan SUH ; Ji Young SEO ; Yoonseop SO ; Seung-Ho RYU ; Jong Chul YOUN ; Kyoung Hwan LEE ; Dong Young LEE ; Dong Woo LEE ; Seok Bum LEE ; Jung Jae LEE ; Ju Ri LEE ; Hyeon JEONG ; Hyun-Ghang JEONG ; Jin Hyeong JHOO ; Kyuhee HAN ; Jong Woo HONG ; Jong Bin BAE ; Ki Woong KIM
Psychiatry Investigation 2020;17(1):21-28
Objective:
Cardiovascular diseases are representative risk factors for the onset of cognitive decline. The purpose of this study was to confirm the relationship between diastolic blood pressure and cognitive function in elderly people in Korea.
Methods:
Data from subjects who were enrolled in the prospective Korean Longitudinal Study on Cognitive Aging and Dementia were used in this study. Data from 701 subjects whose diastolic blood pressure range did not change (≤79 mm Hg or ≥80 mm Hg) over 2 years were analyzed. To analyze the differences in cognitive function between the groups at the 2-year follow-up, an analysis of covariance was performed with covariates, which were significantly different between the two groups, and the baseline cognitive function.
Results:
Significant differences were observed between the two groups, and the mean scores on the constructional praxis (η2=0.010) and word list recall tests (η2=0.018) in the diastolic blood pressure ≥80 mm Hg group were higher than those in the diastolic blood pressure ≤79 mm Hg group at the 2-year follow-up.
Conclusion
These results indicate that maintaining a DBP below 79 mm Hg presents a greater risk of cognitive decline in Korean elderly people.
4.Generalized Pulp Stones of Primary Dentition in a Patient with Molar-Incisor Malformation : A Case Report
Journal of Korean Academy of Pediatric Dentistry 2020;47(3):337-343
Molar-incisor malformation (MIM) is a new type of root anomaly reported recently. The characteristics of MIM are dysplastic root formations, constriction of pulp chambers and presence of calcified matrices at the level of cementoenamel junction in permanent first molars and primary second molars. In some cases, permanent maxillary incisors are also affected. The permanent first molars of the patient in this case report were affected with MIM. Generalized pulp stones were observed in overall primary dentition. Micro-computed tomography (micro-CT) imaging and scanning electron microscope-energy dispersive X-ray spectrometer analysis were performed on the extracted mandibular first molar and maxillary primary second molar of the patient. Micro-CT images revealed the discontinuity of enamel directly connected to an accessory canal of the root.
5.Fluoride Release and Recharge Properties of Several Fluoride-Containing Restorative Materials
Dongyun LEE ; Jongsoo KIM ; Miran HAN ; Jisun SHIN
Journal of Korean Academy of Pediatric Dentistry 2020;47(2):196-204
The aim of the study is to compare the fluoride release and recharge properties of glass ionomer cements and ‘alkasite’.
Specimens of two glass ionomer cements (Fuji Ⅸ GP and Riva Self Cure), ‘alkasite’ restorative material (Cention N) and composite resin (FiltekTM Z350XT) were prepared. The fluoride release of each specimen was measured for 28 days. Thereafter, 1.23% acidulated phosphate fluoride (APF) gel was applied to experimental groups. No treatment was performed on control groups. The fluoride release was measured for additional 7 days to evaluate the fluoride recharge properties of each materials.
The fluoride release was highest in Riva Self Cure, followed by Fuji Ⅸ GP, Cention N (p < 0.05). Fluoride release of Cention N was measured to be approximately 49% of Fuji Ⅸ GP’s. After the application of 1.23% APF gel, increases in fluoride release were observed in Riva Self Cure, Fuji Ⅸ GP and Cention N (p < 0.05). Fluoride recharge was observed in Cention N as well as in glass ionomer cements. Further studies are required to evaluate the anti-cariogenic properties of Cention N at clinical conditions.
6.A New Neolignan Derivative, Balanophonin Isolated from Firmiana simplex Delays the Progress of Neuronal Cell Death by Inhibiting Microglial Activation.
Soo Young LIM ; Lalita SUBEDI ; Dongyun SHIN ; Chung Sub KIM ; Kang Ro LEE ; Sun Yeou KIM
Biomolecules & Therapeutics 2017;25(5):519-527
Excessive activation of microglia causes the continuous production of neurotoxic mediators, which further causes neuron degeneration. Therefore, inhibition of microglial activation is a possible target for the treatment of neurodegenerative disorders. Balanophonin, a natural neolignoid from Firmiana simplex, has been reported to have anti-inflammatory and anti-cancer effects. In this study, we aimed to evaluate the anti-neuroinflammatory effects and mechanism of balanophonin in lipopolysaccharide (LPS)-stimulated BV2 microglia cells. BV2 microglia cells were stimulated with LPS in the presence or absence of balanophonin. The results indicated that balanophonin reduced not only the LPS-mediated TLR4 activation but also the production of inflammatory mediators, such as nitric oxide (NO), prostaglandin E2 (PGE2), Interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α), in BV2 cells. Balanophonin also inhibited LPS-induced inducible nitric oxide synthase (iNOS), and cyclooxygenase-2 (COX2) protein expression and mitogen activated protein kinases (MAPKs), including extracellular signal-regulated kinase (ERK1/2), c-Jun N-terminal kinase (JNK), and p38 MAPK. Interestingly, it also inhibited neuronal cell death resulting from LPS-activated microglia by regulating cleaved caspase-3 and poly ADP ribose polymerase (PARP) cleavage in N2a cells. In conclusion, our data indicated that balanophonin may delay the progression of neuronal cell death by inhibiting microglial activation.
Apoptosis
;
Caspase 3
;
Cell Death*
;
Cyclooxygenase 2
;
Dinoprostone
;
JNK Mitogen-Activated Protein Kinases
;
Microglia
;
Mitogen-Activated Protein Kinases
;
Necrosis
;
Nerve Degeneration
;
Neurodegenerative Diseases
;
Neurons*
;
Neuroprotection
;
Nitric Oxide
;
Nitric Oxide Synthase Type II
;
p38 Mitogen-Activated Protein Kinases
;
Phosphotransferases
;
Poly(ADP-ribose) Polymerases
7.The Association between Suicidal Ideation, Anxiety, and Sleep Quality Among College Students in a City.
Shin Hyeong KIM ; Chul Soo PARK ; Bong Jo KIM ; Cheol Soon LEE ; Boseok CHA ; Dongyun LEE ; Ji Yeong SEO ; Jae Won CHOI ; In Young AHN ; So Jin LEE
Sleep Medicine and Psychophysiology 2017;24(1):55-61
OBJECTIVES: Suicide is one of the leading causes of death among young adults. We investigated whether anxiety level and sleep quality were related to suicide ideation among university students. METHODS: Questionnaires were distributed to 1094 students at a local college. The scale for suicide Ideation, the Hospital Anxiety-Depression scale, the Pittsburgh Sleep Quality Index, and Morningness-eveningness questionnaires were used. Multiple linear regression analysis was conducted to examine the relationship between these variables and suicide ideation. RESULTS: Among the 292 students who answered the suicide ideation questionnaire, 31 students had a high suicide ideation score and 261 patients had a low suicide ideation score. Demographic variables that showed significant differences between the two groups were gender, exercise, chronotype, sleep quality, depression and anxiety. The results of multiple linear regression analysis showed that suicidal ideation increased as the level of sleep quality decreased. There was no significant relationship between depression and suicidal ideation. Another multiple linear regression analysis was performed to evaluate the relationship between sleep quality sleep related factors. This suggested the quality of sleep decreased as weekend oversleep increased. CONCLUSION: The results of this study showed that when anxiety was higher and the quality of sleep was lower, the more suicide ideation increased. Therefore, improving sleep quality and reducing anxiety are important strategies for reducing suicidal ideation.
Anxiety*
;
Cause of Death
;
Depression
;
Humans
;
Linear Models
;
Suicidal Ideation*
;
Suicide
;
Young Adult
8.Embedded Earring in a 19-year-old Female.
Minseok LEE ; Jimyung SEO ; Dongyun SHIN ; Min Geol LEE ; Dae Suk KIM
Korean Journal of Dermatology 2016;54(5):404-406
No abstract available.
Body Piercing
;
Ear*
;
Female*
;
Humans
;
Young Adult*
9.A Case of Segmental Vitiligo with Generalized Morphea Stabilized by Antimalarial Medication.
Hee Jung KIM ; Dongyun SHIN ; Sang Ho OH
Annals of Dermatology 2016;28(2):249-250
No abstract available.
Scleroderma, Localized*
;
Vitiligo*
10.A Case of Segmental Vitiligo with Generalized Morphea Stabilized by Antimalarial Medication.
Hee Jung KIM ; Dongyun SHIN ; Sang Ho OH
Annals of Dermatology 2016;28(2):249-250
No abstract available.
Scleroderma, Localized*
;
Vitiligo*

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