Predicted and Observed Incidence of Thromboembolic Events among Koreans Vaccinated with ChAdOx1 nCoV-19 Vaccine

Huh Kyungmin,Na Yewon,Kim Young-Eun,Radnaabaatar Munkhzul,Peck Kyong Ran,Jung Jaehun 대한의학회 2021 Journal of Korean medical science Vol.36 No.27

We used the nationwide claims database to calculate the incidence of thrombotic events and predict their overall 2-week incidence. From 2006 to 2020, the incidence of deep vein thrombosis (DVT), pulmonary embolism (PE), and disseminated intravascular coagulation (DIC) tended to increase. Unlike intracranial venous thrombosis (ICVT) and intracranial thrombophlebitis (ICTP), which showed no age difference, other venous embolism, and thrombosis (OVET), DIC, DVT, and PE were significantly more common in over 65 years. The overall 2-week incidence of ICVT was 0.21/1,000,000 (95% confidence interval [CI], 0.11–0.32). ICTP, OVET, DIC, DVT and PE were expected to occur in 0.08 (95% CI, 0.02– 0.14), 7.66 (95% CI, 6.08–9.23), 5.95 (95% CI, 4.88–7.03), 13.28 (95% CI, 11.92–14.64), 14.09 (95% CI, 12.80–15.37) per 1,000,000, respectively. To date, of 8,548,231 patients vaccinated with ChAdOx1 nCoV-19 in Korea, two had confirmed thrombosis with thrombocytopenia syndrome within 2 weeks. The observed incidence of ICVT after vaccination was 0.23/1,000,000.

수락산에 서식하는 계곡산개구리(Rana huanrensis Fei, Ye & Huang, 1991) 유생의 서식지 면적에 따른 생장률 연구

나수미(Sumi Na),엄예원(Yewon Um),김현정(Hyun-jung Kim),안치경(Chi-Kyung An),이훈복(Hoonbok Yi) 응용생태공학회 2017 Ecology and resilient infrastructure Vol.4 No.2

본서식지의 면적이 계곡산개구리 (Rana huarenensis)에게 미치는 영향을 알아보기 위하여 서울시 노원구 상계동에 위치한 수락산 일대 계곡에서 연구를 실시하였다. 조사지역은 계곡을 계곡산개구리 서식지의 면적의 크기에 따라 가장 좁은 면적의 S1(3.91m²), 중간 면적의 S2(4.42m²), 가장 넓은 면적의 S3(38.37m²), 3곳으로 나눈 후 각 조사지역에서 3월부터 6월까지 주 2회 15개체의 계곡산개구리 유생을 무작위로 포획하여 개체의 길이를 측정하였으며, 계곡의 습도, 기온, 수온을 측정하였다. 부화율은 S2지점에서 세 개의 난괴를 채집하여 측정하였다. 실험구별 서식지의 면적을 측정한 결과, 실험기간 중 강우량이 적었기때문에 모든 실험구의 서식지 면적이 감소하였으며, S2지점은 눈에 띄게 줄어 들지 않았으나, S1은 원래 서식지의 4분의 1이 줄어들었으며 S3지점은 2분의 1이 감소하였다. 실험구별 평균대기습도와, 실험구별 평균기온, 실험구별 평균수온은 F-test결과 통계적으로 유의한 차이가 없었다. 부화율을 분석한 결과, 평균 부화율은 76.84 ± 18.23%으로 확인되었다. 실험구별 유생 개체의 길이를 측정 한 결과, 통계적으로 차이가 있었으며, 서식지의 면적이 넓어짐에 따라 개체의 길이가 증가하였다 (F-test p< 0.05). 발생기간을 측정한 결과, 서식지의 면적이 넓을수록 개체의 발생속도가 빨라짐을 확인하였다. 실험구별 아성체 개체의 평균길이를 분석한 결과, 통계적으로 차이가 있었으며, 개체의 길이는 S1, S3, S2순서로 증가하였다. 서식지 면적 변화가 없었던 S2의 개체의 크기가 가장 큰 것으로 보아 본 연구를 통해 계곡산개구리의 서식지 면적의 민감성을 알 수 있었다 (F-test p<0.05). 추후 본 연구의 결과를 바탕으로 고도의 차이가 계곡산개구리의 생장에 미치는 영향에 대한 실험을 진행한다면 계곡산개구리 개체군의 서식환경을 이해하는데 큰 도움을 줄 것으로 기대된다. This study was executed to know the effect of the habitat size on huanren brown frog (Rana huanrensis) larvae’s growth. We’ve conducted the study on Mt. Surak in Sanggye-dong, Nowon-gu, Seoul. Our study site was discriminated the huanren brown frog larvae’s habitat into the three different areas, such as small area (S1, 3.91 m²), middle area (S2, 4.42 m²), and large area (S3, 38.37m²) in the same water channel. We measured two times per a week the 15 huanren brown frog larvae’s body length, and developmental stages (foreleg, hind leg, tail length) including the environmental factors (humidity, air temperature and water temperature) of the study site from March 30 to June 28 in 2016. The only hatching rate was measured for the three egg sacs at the S2 study site. We found that the average hatching rate was 76.84 ± 18.23 (%) at S2. Generally, because of less precipitation during our study periods, all habitat areas for our study site were gradually decreased. The middle area, S2, was not reduced, the small area, S1, was reduced more than a fourth, and the largest area, S3, was drastically reduced more than half from initial area. There was no statistically difference among the three study sites for the three environmental factors (average humidity, average air temperature, and average water temperature) by F-test, but there were significant difference among the three site for the larvae’s body length (F-test p< 0.05). Therefore, the larger of habitat areas, the larger of the larvae length as well as the faster of the larvae’s developmental stages. When we measured the body lengths of immature huanren brown frogs, the immature frog of S1 was smallest, the immature frog of S3 was middle lenght, and the immature frog of S2 was largest. There were statistically different among the three study sites for the immature huanren brown frogs (F-test, p< 0.05). Because the S2 study site was relatively stable without rarely changing the study area, it meant that huanren brown frog was sensitive to habitat areas. Based on the results of this study, if we study on the effect of the altitude on the growth rate of huanren brown frog, it must be helpful in understanding the habitat environment of the population of huanren brown frog.

Analysis of the Occurrence of Diseases Following Gastrectomy for Early Gastric Cancer: a Nationwide Claims Study

Seo, Ho Seok,Na, Yewon,Jung, Jaehun The Korean Gastric Cancer Association 2021 Journal of gastric cancer Vol.21 No.3

Purpose: Various changes in nutrition, metabolism, immunity, and psychological status occur through multiple mechanisms after gastrectomy. The purpose of this study was to predict disease status after gastrectomy by analyzing diseases pattern that occur or change after gastrectomy. Materials and Methods: A retrospective cohort study was conducted using nationwide claims data. Patients with gastric cancer who underwent gastrectomy or endoscopic resection were included in the study. Eighteen target diseases were selected and categorized based on their underlying mechanism. The incidence of each target disease was compared by dividing the study sample into those who underwent gastrectomy (cases) and those who underwent endoscopic resection for early gastric cancer (controls). The cases were matched with controls using propensity score matching. Thereafter, Cox proportional hazard models were used to evaluate intergroup differences in disease incidence after gastrectomy. Results: A total of 97,634 patients who underwent gastrectomy (84,830) or endoscopic resection (12,804) were included. The incidence of cholecystitis (P<0.0001), pancreatitis (P=0.034), acute kidney injury (P=0.0083), anemia (P<0.0001), and inguinal hernia (P=0.0007) were higher after gastrectomy, while incidence of dyslipidemia (P<0.0001), vascular diseases (ischemic heart disease, stroke, and atherosclerosis; P<0.0001, P<0.0001, and P=0.0005), and Parkinson's disease (P=0.0093) were lower after gastrectomy. Conclusions: This study identifies diseases that may occur after gastrectomy in patients with gastric cancer.

Effect of Underlying Comorbidities on the Infection and Severity of COVID-19 in Korea: a Nationwide Case-Control Study

Ji Wonjun,Huh Kyungmin,Kang Minsun,Hong Jinwook,Bae Gi Hwan,이예린,Na Yewon,Choi Hyoseon,Gong Seon Yeong,Choi Yoon-Hyeong,Ko Kwang-Pil,Im Jeong-Soo,정재훈 대한의학회 2020 Journal of Korean medical science Vol.35 No.25

Background: The coronavirus disease 2019 (COVID-19) pandemic is an emerging threat worldwide. It remains unclear how comorbidities affect the risk of infection and severity of COVID-19. Methods: This is a nationwide retrospective case-control study of 219,961 individuals, aged 18 years or older, whose medical costs for COVID-19 testing were claimed until May 15, 2020. COVID-19 diagnosis and infection severity were identified from reimbursement data using diagnosis codes and on the basis of respiratory support use, respectively. Odds ratios (ORs) were estimated using multiple logistic regression, after adjusting for age, sex, region, healthcare utilization, and insurance status. Results: The COVID-19 group (7,341 of 219,961) was young and had a high proportion of female. Overall, 13.0% (954 of 7,341) of the cases were severe. The severe COVID-19 group had older patients and a proportion of male ratio than did the non-severe group. Diabetes (odds ratio range [ORR], 1.206–1.254), osteoporosis (ORR, 1.128–1.157), rheumatoid arthritis (ORR, 1.207–1.244), substance use (ORR, 1.321–1.381), and schizophrenia (ORR, 1.614–1.721) showed significant association with COVID-19. In terms of severity, diabetes (OR, 1.247; 95% confidential interval, 1.009–1.543), hypertension (ORR, 1.245–1.317), chronic lower respiratory disease (ORR, 1.216–1.233), chronic renal failure, and end-stage renal disease (ORR, 2.052–2.178) were associated with severe COVID-19. Conclusion: We identified several comorbidities associated with COVID-19. Health care workers should be more careful while diagnosing and treating COVID-19 when patients have the abovementioned comorbidities.

The review of the clinical usefulness and price of currently listed drugs in South Korea

CHO Jung Sook,KIM Jung Ock,PARK Eun Yeong,LIM Min Kyoung,LEE Jin Hee,LEE Jong Hwan,SUNG Ye Na,YOON Sang-heon,NA Yewon,KIM Ji Yeon,LEE Seung Yeon,LEE Sook Hyun,LEE Yeun Hee,SO Soo Mi,KIM Byung Soo,LEE 대한약학회 2012 大韓藥學會 總會 및 學術大會 Vol.2012 No.1