2023-07-28 05:50:32
◇SGLT-2 inhibitor confirmed the effect of relieving symptoms of non-alcoholic steatohepatitis
▲ (From left) Professor Bong-soo Cha, Professor Yong-ho Lee, Professor Lee Min-young, and Professor Dae-hoon Han
Studies have shown that diabetes medications are effective in alleviating the symptoms of non-alcoholic steatohepatitis.
Severance Hospital’s endocrinology department professors Cha Bong-soo, Lee Yong-ho, and Lee Min-young and hepatobiliary and pancreas surgery professor Han Dae-hoon’s research team announced on the 28th that ‘SGLT-2 inhibitor’, which is prescribed to diabetic patients to drop blood sugar, reduces glucose accumulation in hepatocytes and alleviates hepatitis.
The results of this study were published in the latest issue of Metabolism: Clinical and Experimental (IF 9.8), an international journal in the field of endocrine metabolism.
If you suffer from non-alcoholic steatohepatitis, in which fat accumulates in the liver and becomes damaged and inflamed, the probability of developing cirrhosis within 10 years is up to 29%. When cirrhosis is present, the incidence of liver cancer rises to 27%.
Non-alcoholic fatty liver disease is a common liver disease with a prevalence of up to 20% of the world population, but there is no treatment approved by the US Food and Drug Administration (FDA) yet.
The research team analyzed the liver tissues of 29 patients with non-alcoholic fatty liver disease and 15 patients without non-alcoholic fatty liver disease among patients who underwent liver resection or cholecystectomy for liver cancer or cholecystitis at Severance Hospital for four years from 2015.
As a result, it was confirmed that SGLT-2, a protein that transports sugar into cells, and intracellular sugar-binding proteins increased in the liver with non-alcoholic steatohepatitis.
Accordingly, the research team hypothesized that the SGLT-2 inhibitor, a diabetes drug that lowers blood sugar, would alleviate non-alcoholic steatohepatitis by reducing excessive sugar intake into hepatocytes.
Subsequently, mice induced with non-alcoholic steatohepatitis were observed, and the mice showed the same protein changes as those in patients with actual non-alcoholic steatohepatitis.
In addition, it was confirmed that the autophagy of hepatocytes, which clean diseased tissues and wastes on their own, decreased in mice and the range of liver inflammation widened.
The research team interpreted this as a result of the additional sugar binding to the protein responsible for autophagy, resulting in a loss of original function.
Afterwards, when the SGLT-2 inhibitor was administered, the amount of SGLT-2 protein expression and sugar-linked protein decreased in the liver of mice, as well as the autophagy of hepatocytes was restored and the inflammatory response was alleviated. The research team explained that these changes were the process by which the symptoms of non-alcoholic steatohepatitis were alleviated.
Professor Bong-Soo Cha said, “This study is meaningful as it is the first study to suggest medical evidence and mechanism that SGLT-2 inhibitors for diabetes treatment alleviate the symptoms of non-alcoholic steatohepatitis.” It is expected to improve the prognosis of non-alcoholic steatohepatitis, which is on the rise, and prevent deterioration to liver cirrhosis and liver cancer.”
◇Korea University Guro Hospital Professor Chom Joon Cho received an appreciation plaque from the Health and Welfare Committee of the Seoul Metropolitan Council
▲ Professor Geum Joon Geum.
On the 27th (Thu), Professor Jom Joon Joon of the Department of Obstetrics and Gynecology at Korea University Guro Hospital received a plaque of appreciation from the Health and Welfare Committee of the Seoul Metropolitan Council (Chairman: Dr. Seok Ju Kang).
The ceremony was attended by officials such as Seoul Metropolitan Council Health and Welfare Committee member Kang Seok-joo and Professor Chom Joon Joon.
Professor Joon Geum Joon supported maternal care for pregnancy and childbirth for high-risk, multicultural families, single mothers, and adolescents residing in Seoul, and established the grounds for vaccination of pregnant women and prepared vaccination guidelines for safe pregnancy and childbirth in the COVID-19 pendemic situation. In recognition of her contribution to the low birth rate and the promotion of maternal health, she was awarded this plaque of appreciation.
Professor Chom Joon Joon said, “It seems that the efforts and activities to promote the health of high-risk and underprivileged mothers in Seoul and to create a safe childbirth environment have been well received.” I will do my best as a doctor.”
On the other hand, Professor Chom Joon Joon of the Department of Obstetrics and Gynecology at Korea University Guro Hospital has won various academic awards, as well as the Prime Minister Award, the Minister of Health and Welfare Award, the Seoul Metropolitan Government Award, and the National Assembly Gender Equality and Family Chairman Award. He is active as the TFT, the Korean Society of Maternal and Fetal Medicine Education Committee, the Korean Society of Ultrasound in Obstetrics and Gynecology, and the Korean Society of Perinatal Medicine, Finance Committee.
◇Incheon Sarang Hospital Chairman Kim Tae-wan received an appreciation plaque from the Health Insurance Review and Assessment Service
▲ Chairman Kim Tae-wan.
Incheon Sarang Hospital Chairman Kim Tae-wan announced on July 28 that he was the only person in Incheon to receive an appreciation plaque from the Health Insurance Review and Assessment Service.
On the occasion of its 23rd anniversary, HIRA awarded plaques of appreciation to those who contributed to the improvement of public health and the development of HIRA.
The appreciation plaque of the SIPA was delivered directly to Director Kim Tae-Wan, Director Gu Ja-Gun of Incheon Branch.
In addition to the Vice President of the Incheon Metropolitan Hospital Association, Kim Tae-Wan is currently serving as the Policy Vice President of the Korean Hospital Association, the Policy Vice President of the Korea Small and Medium Hospital Association, the Good Friends of Youth and Family, and the Korea Migrant Workers Human Rights Center. It contributes to medical development and public health promotion.
◇Health campaign held at Jeungsan Station and Jagalchi Station by the Busan Western Examination Center of the Korea Association of Health Care
▲ The Busan Western Examination Center of the Korea Health Care Association held a health campaign at Jeungsan Station on Subway Line 2 and Jagalchi Station on Subway Line 1.
The Korea Health Management Association Busan Western Examination Center (Director Youngho Koh) held a health campaign on the 20th (Thu) at Jeungsan Station on Subway Line 2 and on the 25th (Tue) at Jagalchi Station on Subway Line 1.
At this event, the Busan West Department of Gunhyup operated a health experience booth for subway users, such as electrocardiogram measurement and body fat measurement, informing the importance of health management through health examinations and encouraging early national health examinations.
Meanwhile, Gunhyup Busanseobu said that it will continue to fulfill its role as a public health and medical institution by increasing opportunities to communicate with local residents and publicize proper health care through various events.
◇Kyung Hee Medical Center, Dongdaemun District Nursing Association held first aid training for parents of infants and toddlers
▲ Kyung Hee Medical Center and the Dongdaemun District Nurses Association conducted first aid and CPR training for parents of infants and toddlers.
Kyung Hee Medical Center (Director Kim Seong-wan) and Dongdaemun-gu Nursing Association (Chairman Suh Hyun-ki, Head of Kyung Hee Medical Center Nursing Headquarters) held first aid and CPR training for parents of infants and toddlers at the Dongdaemun-gu Parenting Support Center on the 20th, ‘Parents can do it until 119 arrives’ proceeded.
This education was prepared to protect children’s lives and minimize wounds by learning emergency situations such as suffocation, burns, and cuts that occur in daily life and learning how to deal with them.
Kyung Hee Medical Center Pediatrics Department nurses and nursing team leaders qualified as CPR (BLS Provider) participated and provided theoretical education and practice opportunities.
In the theoretical education, we had time to learn about the Heimlich maneuver and CPR, which are performed in case of emergency and the danger of suffocation.
In the practice that followed, individual 1:1 education was conducted using an infant model so that parents could learn how to take first aid in an emergency.
Seo Hyeon-ki, chairman of the Dongdaemun District Nursing Association, said, “In an emergency, small actions by parents can save the golden time for children’s lives.” I will do it,” he said.
Meanwhile, Kyung Hee Medical Center plans to conduct ‘CPR education to save precious families’ from the second half of the year, which was suspended due to the corona pandemic.
◇Ban Geon-ho, professor at Kyung Hee University Hospital, published as a burnout woman in Female ADHD-Transparent Girl
▲ Professor Gunho Ban of the Department of Psychiatry at Kyung Hee University Hospital translated and published ‘Female ADHD-From Invisible Girl to Burnout Woman’.
Professor Ban Geon-ho of the Department of Psychiatry at Kyung Hee University Hospital, one of the leading experts in ADHD research in Korea, translated ADHD: Från duktig flicka till utbränd kvinna, a book written by Dr. Published ‘As a Burnout Woman’.
According to data from the Health Insurance Review and Assessment Service, the number of female ADHD patients in Korea has increased rapidly over the past five years, exceeding 30,000 per year. In particular, the number of female patients in their 20s and 30s increased noticeably.
The author explains the differences in ADHD according to gender and emphasizes the importance of research on female ADHD and differentiated approaches according to gender.
Looking at the representative differences, women may show symptoms ups and downs according to the menstrual cycle, and inattention symptoms may be more prominent than hyperactivity or impulsivity due to the characteristics of women.
Professor Geonho Ban of Kyung Hee University Hospital said, “ADHD can last from childhood to adulthood, and if proper diagnosis and treatment are not provided, it can lead to social maladjustment such as low self-esteem and depression.” , women), so that individual characteristics differences can be easily understood in the clinical field and treatment that reflects them can be preceded, further emphasizing the need for the development of ADHD treatment tailored to women.”
In 2009, Prof. Ban Geon-ho published the first ‘adult ADHD textbook’ in Korea, and worked as a research director in the development of Korean adult ADHD diagnostic tools and treatment guidelines.
In addition, he published ‘Why Can’t I Concentrate?’, a popular book on ADHD for adults, to relieve confusion and anxiety caused by uncertain information about ADHD that is prevalent online.
◇Gangdong Kyunghee University Hospital Professor Park Chang-beom published ‘Doctor Standing in Court’
▲ Professor Park Jeong-beom.
Kangdong Kyung Hee University Hospital Cardiovascular Medicine Professor Park Chang-beom published a medical law common sense book ‘Doctor Stands in Court’.
If you look at these two words, doctor and law, it is easy to think of lawsuits caused by medical malpractice. But doctors face legal challenges in more situations than you might think.
‘Doctor Standing in Court’ summarizes common sense of the law that doctors should know as medical personnel and members of society.
The part you need to know as a doctor contains most of the legal common sense necessary for doctors, from legal common sense you need to know while treating, to essential content such as medical advertisements and claims for medical care benefits, and sensitive content such as rebates and false medical treatment.
Not only medical workers, but also legal common sense that you need to know as a member of society, such as work with a superior during work, retirement, and profit-seeking hospitals, and a wide range of ethics-related content such as abortion and Good Samaritan issues.
Professor Park Chang-beom said, “Many doctors think that law is too difficult and do not look into it.” I wanted to show that it works,” he said.
He continued, “I hope that it will be of some help to doctors and medical personnel who live fiercely by treating patients every day.”
On the other hand, the author, Professor Park Chang-beom, received a bachelor’s degree in business administration and a master’s degree in law while serving as a professor of cardiovascular internal medicine at Kyunghee University Gangdong Hospital, and is constantly communicating with the public through numerous media contributions.
◇ In Jae-geun “non-face-to-face prescription with a hole, concerns about drugs and abuse”
In the case of non-face-to-face treatment, which was temporarily allowed in the Corona 19 situation, it was pointed out that there were not a few cases of illegal prescription despite the restriction on prescription of certain medicines such as narcotics and medicines of concern for abuse from November 2, 2021.
In addition to the Health and Welfare Committee of the National Assembly, Rep. In Jae-geun of the Democratic Party analyzed the data recently submitted by the Ministry of Health and Welfare, and revealed that certain drugs, such as narcotics and medicines concerned with misuse and abuse, that were banned from non-face-to-face prescription during the COVID-19 period were widely illegally prescribed.
From February 24, 2020, the Ministry of Health and Welfare temporarily allowed non-face-to-face treatment in consideration of the COVID-19 situation.
Since then, it has been pointed out that the temporary non-face-to-face treatment is not operated according to its original purpose, such as that it is possible to easily prescribe sexual function enhancers and diet pills in some non-face-to-face treatment platform applications.
Accordingly, from November 2, 2021, the Ministry of Health and Welfare restricted the prescription of ‘prescription-restricted medicines’ through non-face-to-face treatment.
However, as a result of Congressman In’s analysis of the data submitted by the Ministry of Health and Welfare, 46,650 examinees for about 14 months from November 2, 2021 to December 31, 2022 were prescribed ‘prescription-restricted medicines’ covered by health insurance benefits. appear.
The number of prescriptions reached 58,495, of which about 5% (2,993 cases) were prescribed to people under the age of 19.
By type, diazepam (28.0%) was the most common, followed by alprazolam (16.8%) and zolpidem tartrate (12.6%).
In this way, “limited prescription drugs” were prescribed indiscriminately, but there was only one case (March 2023) in which the Ministry of Health and Welfare actually detected a case and imposed a fine.
The Ministry of Health and Welfare’s position is that if it is confirmed that a medical institution has prescribed ‘prescription-restricted medicine’, the health insurance review and assessment service has completely reduced health insurance benefits through computerization and reviewer adjustment. It is pointed out that there is no change in the fact that it cannot be recovered.
Rep. In Jae-geun said, “Drugs that can cause serious side effects are prescribed too easily, and the cases confirmed through this data from the Ministry of Health and Welfare are limited to ‘prescription-restricted medicines’ to which health insurance benefits apply.” It is not even possible to check the prescription status of medicines,” he pointed out.
Then, “It was revealed that the Ministry of Health and Welfare was neglecting the management and supervision of non-face-to-face prescriptions.” We need to find ways to strengthen management and supervision,” he stressed.
◇ Cardiocerebrovascular disease center in Incheon, operated by Inha University Hospital, parody exhibition of famous subway paintings
▲ The Center for Cardiocerebrovascular Disease in the Incheon Area will hold the ‘Cardiocerebrovascular Disease Exhibition in 2023’.
The Center for Cardiocerebrovascular Disease in Incheon, operated by Inha University Hospital, will hold the ‘Cardiocerebrovascular Disease Exhibition in 2023’ at four stations of Incheon Subway Line 1 from the 1st of next month.
This exhibition is supervised by the Incheon Cardiocerebrovascular Disease Center and co-hosted by the Incheon Metropolitan City and the Incheon Metropolitan City Cardiocerebrovascular Disease Prevention and Management Project Support Group.
The exhibition will run for about two months, from August 1st to September 27th. Incheon Subway Line 1 runs through Arts Center Station (August 1-13), Dongchun Station (August 14-31), Incheon City Hall Station (September 1-15), and Galsan Station (September 16-27). way to do it
The theme of the work is ‘Representative symptoms of myocardial infarction and stroke and 9 life rules for prevention and management of cardiovascular and cerebrovascular diseases’.
On Incheon Subway Line 1, you can see about 20 parodies of popular paintings such as Vincent van Gogh’s ‘Self-Portrait’, Munch’s ‘The Scream’, and Kim Hong-do’s ‘Ssireum’.
Thanks to the positive response from citizens to the online and offline exhibitions last year, including the Metabus platform, the center will hold the exhibition in the same way this year.
The center’s YouTube channel continues to display the works in video. Even if you miss the exhibition period and cannot view the work, you can view the work without restrictions of time and place.
Na Jeong-ho, director of the center (professor of neurology at Inha University Hospital), said, “I hope that through this exhibition, Incheon citizens who are tired of daily life and heat can quench their cultural and artistic thirst and learn information about cardiovascular and cerebrovascular diseases.”
More information about the exhibition can be found on the center’s website (blog, Facebook, and Instagram).
◇Soonchunhyang University Cheonan Hospital, first aid and infectious disease education for health teachers in Chungcheongnam-do
▲ Soonchunhyang University Cheonan Hospital provided first aid and infectious disease control training to 700 health teachers in the Chungcheongnam-do region.
On the 25th and 27th, Soonchunhyang University Cheonan Hospital (Director Park Sang-heum) provided first aid and infectious disease control training to 700 health teachers in the Chungcheongnam-do region.
The education, which was held as part of the ‘2023 Health Teacher Job Training’ hosted by the Chungcheongnam-do Office of Education, was held on the 25th at the Chungcheongnam-do Transportation Training Center in Gongju City and at the Camcoin Redevelopment Center in Asan City on the 27th.
In the training, three professors from Soonchunhyang University Cheonan Hospital participated as lecturers, ▲First aid for safety accidents that frequently occur at school (Emergency Medicine, Professor Hyeonjeong Lee) ▲Understanding the latest infectious diseases and managing infectious diseases at school (Professors Sinae Yoo and Jeongwan Park, Department of Infectious Diseases) ), etc.
Park Sang-heum, director of the hospital, said, “It is very rewarding to be in charge of capacity building education for health teachers who are responsible for the health of future students.”
◇Gangnam Cha Hospital received an appreciation plaque for its contribution to responding to COVID-19
▲ Gangnam Cha Hospital of Cha University of Medicine received a plaque of appreciation for responding to COVID-19.
Cha University of Medicine Gangnam Cha Hospital (Director Noh Dong-young) received a plaque of appreciation for responding to COVID-19 at the ‘Corona 19 Crisis Overcoming Appreciation Event’ held by the Gangnam-gu Public Health Center in Seoul.
Gangnam Cha Hospital was recognized for its dedication to preventing and responding to the spread of infectious diseases at the forefront to overcome the COVID-19 situation that lasted for three years.
Gangnam Cha Hospital took the lead in preventing group infections in the hospital from the early stage, when the number of confirmed cases increased rapidly, by classifying patients, protecting medical staff, restricting visits, and strengthening infection control.
In addition, it was designated as a public safety hospital jointly operated by the Ministry of Health and Welfare and the Korea Hospital Association, and to block the possibility of infection in the hospital, a respiratory outpatient clinic was installed to treat general respiratory patients, a PCR test room was operated for hospitalized/surgery patients, and a dedicated corona ward to treat high-risk patients and strive for community safety.
Director Noh Dong-young said, “In the midst of the global difficulties of the pandemic, we were able to wisely overcome the COVID-19 situation thanks to the efforts of the hospital staff in particular.” We will do our best for you.”
◇Korea Medical Association held a briefing session on field investigation at the Jeollabuk-do Medical Association
▲ The Korean Medical Association held the ‘2023 Field Investigation Jeollabuk-do Medical Association Briefing’.
The Korean Medical Association (President Lee Pil-soo) held the ‘2023 Field Investigation Jeollabuk-do Medical Association Briefing Session’ at Jeonju University Star Center Onnuri Hall on the 27th to protect the members’ rights and interests for the field investigation.
This regional briefing was prepared to increase the understanding of medical members and share countermeasures by introducing actual cases of medical institution field investigations or visit confirmation systems.
The briefing sessions included ‘Understanding of Field Investigation’ by Hyeon-Ok Kim, Team Leader of Investigation Division 1 of Health Insurance Review and Assessment Service, ‘Case of Improper Claims for Medical Benefit Field Investigation’ by Eun-Ju Kim, Team Leader of HIRA 3 Investigation Division, and ‘Visit Confirmation System and Frequency by Insurance Director Jong-Min Kim of the Korean Medical Association. It was done in order of case.
Team leader Kim Hyeon-ok, who was in charge of the first lecture, addressed the curiosity of members in the Jeonbuk region with a lecture centered on cases of frequent false claims discovered during the field investigation.
Next, team leader Kim Eun-joo shared the recent on-site investigation issues and current status with the members through the case of unfair claims in the process of using a selective medical benefit institution, which is a frequent case.
The last lecturer, Kim Jong-min, insurance director of the Korea Medical Association, explained how to respond so that members do not suffer damage while guiding frequent cases related to health insurance company visit confirmation.
Kim Jong-min, director of insurance, said, “As members focus only on medical treatment, various records are poor and there are many cases where they are unable to understand the salary standards that are frequently changed. We hope that you will familiarize yourself with the relevant standards so that harm does not occur in good faith, and that you will pay a lot of attention to the videos related to field investigations produced in collaboration with Shim Pyeong-won on KMA-TV, a YouTube channel of the Medical Association.”
On the other hand, the Korean Medical Association plans to hold local briefing sessions for field surveys in other regions in the future, and plans to strengthen guidance for participants related to field surveys so that the right culture of claiming can be established and there will be no damage to the good faith caused by field surveys.
◇ Ajou University Hospital carried out the Korean-style surgery quality improvement project (K-NSQIP)
Ajou University Hospital is carrying out the Korean Surgical Quality Improvement Project (K-NSQIP) supported by the Korea Health Industry Development Institute and supervised by the Korea Surgical Research Foundation.
The Korean Surgery Quality Improvement Project aims to contribute to national health and the development of the health care industry in Korea by reducing complications, mortality, and medical costs through improved surgical quality.
Ajou University Hospital’s gastroenterology department professor Han Sang-wook’s team will oversee the major tasks related to gastric cancer surgery among the five major surgeries (gastrectomy, colon and rectal resection, liver resection and liver transplantation, pancreatectomy, and kidney transplantation).
A total of 47 institutions will participate in the research project titled ‘Development of AI System and CDSS for Prediction of Complications after Gastric Cancer Surgery’, and will receive approximately KRW 5.9 billion in research funding over the next six years.
The research is divided into stages 1 and 2, each lasting 3 years for a total of 6 years. Starting with the classification and standardization of complications after gastric cancer surgery in the first year, big data establishment of gastric cancer surgery, development of an artificial intelligence model for predicting complications, and support for clinical decision-making It aims to develop a system, standard treatment guidelines for each operation, and ultimately develop a feedback platform for evaluating the quality of gastric cancer surgery.
The research team said, “This project is expected to greatly contribute to the improvement of national research competitiveness by establishing a national big data set of the highest level on gastric cancer surgery for the third time after the United States and Japan.”
Research Director Han Sang-wook (Gastric Cancer Surgery K-NSQIP) said, “Recently, the age of gastric cancer patients is increasing, and the incidence of complications is expected to increase together.” will be developed to respond to postoperative complications at the preoperative stage.”
In particular, he added, “Currently, most of the gastric cancer cases are increasing the survival rate with minimal incision through minimally invasive surgery performed with a laparoscopic or robot.” .
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