Adult invasive pneumococcal disease in the Republic of Korea: Risk medical conditions and mortality stratified by age group

Kim, Jong Hun,Baik, Seung Hee,Chun, Byung Chul,Song, Joon Young,Bae, In-Gyu,Kim, Hyo Youl,Kim, Dong-Min,Choi, Young Hwa,Choi, Won Suk,Jo, Yu Mi,Kwon, Hyun Hee,Jeong, Hye Won,Kim, Yeon-Sook,Kim, Jeong Elsevier 2018 INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES Vol.74 No.-

<P><B>Abstract</B></P> <P><B>Objectives</B></P> <P>This study aimed to characterize the risk factors for mortality in adult patients with invasive pneumococcal disease (IPD) stratified by age groups, after implementation of the national immunization program of 23-valent polysaccharide vaccine (PPSV23) for those aged ≥65 years in the Republic of Korea (ROK).</P> <P><B>Methods</B></P> <P>Clinical data and pneumococcal isolates from adult patients with IPD (≥18 years of age) were collected prospectively from 20 hospitals through the nationwide surveillance program from March 2013 to October 2015.</P> <P><B>Results</B></P> <P>A total of 319 patients with IPD were enrolled. Median age was 69 years. Overall in-hospital mortality was 34.2%: 17.1% in those aged 18–49 years, 23.7% in those aged 50–64 years, 33.0% in those aged 65–74 years, and 51.0% in those aged ≥75 years (<I>p<</I> 0.001). In particular, early death within 7days of hospitalization accounted for 60.6% (66/109). While old age (≥65 years), higher Pitt bacteremia score (≥4), and bacteremic pneumonia were independently associated with IPD mortality in all age groups, an additional mortality risk factor of immunocompromised status was identified for patients aged 50–64 years. PPSV23 serotypes accounted for 64.4% (122/189) of the pneumococcal isolates serotyped.</P> <P><B>Conclusions</B></P> <P>This study suggests that vaccine-type IPD continues to place a substantial burden on older adults in the ROK, necessitating an effective vaccination strategy for those at higher risk.</P> <P><B>Highlights</B></P> <P> <UL> <LI> National immunization of the elderly with the 23-valent polysaccharide vaccine (PPSV23) was implemented in Korea in 2013. </LI> <LI> Overall in-hospital mortality was 34.2% for adult invasive pneumococcal disease (IPD) and 51.0% for patients ≥75 years of age. </LI> <LI> Mortality risks were older age, higher bacteremia score, and immunocompromised status. </LI> <LI> An effective vaccination strategy for those at higher risk of IPD is needed. </LI> </UL> </P>

고식적 체외수정시술과 난자 세포질내 정자주입술에 의해 태어난 아이의 주산기 결과 및 선천성 기형 발생빈도의 비교 연구

임정은,유근재,이종표,이문섭,현우영,전진현,홍수정,송지홍,송인옥,백은찬,최범채,손일표,궁미경,강인수,전종영,박인서,Lim, Jeong-Eun,Yoo, Keun-Jai,Lee, Jong-Pyo,Lee, Moon-Seob,Hyun, Woo-Young,Jun, Jin-Hyun,Hong, Soo-Jeong,Song, Ji-Hong,Song, In-Ok,Paik, 대한생식의학회 1998 Clinical and Experimental Reproductive Medicine Vol.25 No.3

The safety of ICSI as a novel procedure of assisted fertilization may be assessed by the health of the baby born. In order to evaluate the safety of ICSI, perinatal outcome and congenital anomaly of the babies born after ICSI were compared with those of babies born after IVF (control group). We analysed the clinical data from the obstetric and pediatric records, including the information obtained through telephone. The results are as follows; Mean gestational age $({\pm}SEM)$ and birth weight in singleton pregnancy were $38.8{\pm}1.9$ weeks and $3209.7{\pm}501.9gm$ in IVF group, $39.0{\pm}2.2$ weeks and $3289.9{\pm}479.5gm$ in ICSI group, respectively. Mean gestational age and birth weight in twins were $36.8{\pm}2.1$ weeks and $2512.8{\pm}468.0gm$ in IVF group, $36.5{\pm}2.8$ weeks and $2492.7{\pm}537.1gm$ in ICSI group. In IVF group, perinatal mortality rates were 8.5 in singletons and 56.6 in twins; for the ICSI singletons and ICSI twins, the perinatal mortality rates were 11.6 and 49.0, respectively. The incidence of congenital malformations was 3.6% (8/224) in IVF group and 2.1% (4/188) in ICSI group, there was no statistical difference (p>0.05, Fisher's exact test). The incidence of major congenital anomalies was 0.9% (2/224; pulmonary artery hypoplasia, renal cystic dysplasia) in IVF group and 1.1% (2/188; holoprosencephaly, Cri du chat syndrome) in ICSI groups (p>0.05, Fisher's exact test). Similarly, there was no significant difference in incidence of minor congenital anormalies 2.7% (6/224) in IVF group and 1.1% (2/188) in ICSI group respectively (p>0.05, Fisher's exact test). In conclusion, there was no difference in the perinatal outcome and the incidence of congenital anomalies between the babies born after ICSI and those after conventional IVF.

韓國에 있어서 肝吸蟲症 分布에 관한 疫學的 硏究

宋寅喆,李駿商,林漢鐘 고려대학교 의과대학 1983 고려대 의대 잡지 Vol.20 No.1

Korea, a total number of 19,758 stool specimens were collected from the inhabitants who lived in the basins of main 6 rivers, i.e. the Han River, the Gum River, the Nakdong River, the Mangyong River, the Yongsan River and the Seomjin River. The specimens were examined both by cellophane thick smear method and Stoll's egg counting technique during the period from March 1973 to October 1982. The distribution and infection rates were compared in those of river and non-river sides, and the epidemiological statrs was analysed statistically by the regression equations and catalytic curves with the results obtained from two endemic areas. The results are as follows: 1. High egg positive rates were revealed among the inhabitants in the areas of all above river basins, whereas low egg positive rates were obtained among the inhabitants in the areas apart from the riversides. However, in some areas which are not directly connected with the rivers, relatively high rates of Clonorchis infection were also observed. 2. The infection rates of Clonorchis sinensis by sex age were shown significantly different among the population in the most of these studied areas. The rates for males were significantly higher than that for females, and the rates were increased by the higher age groups up to 40 to 59 years old. However in the high endemic areas such as Kimhae the infection rates of both sexes were almost parallel and practically similar high rates revealed in all age groups for 20 to 60 years old. 3. The mean E.P.G. count of Clonorchis infection in the surveyed areas was found higher in the areas which shown as higher infection rates. The degree of the intensity of Clonorchis infection by E,P.G. counts was evenly distributed to heavy and very heavy infections as well light and moderate infections in the areas showed high infection rates. 4. The intensity of endemicity in all surveyed areas was compared with the regression equations calculated with the cumulative percentages of E.P.G. counts. 5. For the quantitative analysis of epidemiology of clonorchiasis in Kimhae and Pyongtrek areas, special type of simple catalytic model was applied to the age prevalence rates revealed through stool examination for Clonorchis eggs and intradermal test for the detection of positive reactors. 6. It was suggested that the two-stage catalytic was well fitted to the prevalince rates by sex and age in the egg positive cases in Kimhae and Pyongtaek areas, and the calculation lead to the equation y=1.042(e-^(0.003t)-e^(-0.074t), a=0.074〉b=0.003 in Kimhae area, and y=1.412(e^(-0.024t)-e^(-0.041t), a=0.024〈b=0.041 in Pyongtaed area. 7. In the high endemic area such as Kimhae, the tendency of familial aggregation was not recognized by statistical analysis. In this area, the mean E.P.C. obtained from same persons in 1973 were compared and descussed statistically.

도축부산물로부터 회수한 단백질의 물리화학적 성질 및 석시닐화 ( Succinylation )

송인상(In Sang Song),유익종(Ick Jong Yoo),강통삼(Tong Sam Kang),송계원(Kae Won Song) 한국축산학회 1984 한국축산학회지 Vol.26 No.3

For the utilization of protein isolates from swine liver, lung and bone in food, biochemical properties and microbiological safety of the alkaline-extracted protein isolates were examined. Chemical modification (succinylation) was attempted in order to increase the functional properties of protein isolates. The results obtained were summarized as follows: 1. The amino acids composition of the liver protein isolates was quite excellent except valine and isoleucine but other protein isolates had generally lower amino acids contents than FAO/WHO recommended chemical score. Especially, sulfur-containing amino acids were found to be a limiting amino acid. 2. During the extraction, protein seemed to undergo non-covalent interaction and disulfide bond formation bt in-vitro pepsin digestibility of the protein isolates was found to be 80-98%. The protein isolates had a very low amount of calcium and riboflavin. 3. Through succinylation of protein by succinic anhydride during alkaline extraction, the protein recovery, the solubility of the protein in distilled water, emulsion capacity, the oil absorption, the water hydration and whippability of the protein isolates were increased in some degrees. 4. The number of microorganisms in liver and lung were decreased dramatically during the alkaline extraction and protein isolates could be stored for longer than 15 days at-15℃.

Functional dissection of astrocyte-secreted proteins: Implications in brain health and diseases

Jha, Mithilesh Kumar,Kim, Jong-Heon,Song, Gyun Jee,Lee, Won-Ha,Lee, In-Kyu,Lee, Ho-Won,An, Seong Soo A.,Kim, SangYun,Suk, Kyoungho Elsevier 2018 Progress in neurobiology Vol.162 No.-

<P><B>Abstract</B></P> <P>Astrocytes, which are homeostatic cells of the central nervous system (CNS), display remarkable heterogeneity in their morphology and function. Besides their physical and metabolic support to neurons, astrocytes modulate the blood-brain barrier, regulate CNS synaptogenesis, guide axon pathfinding, maintain brain homeostasis, affect neuronal development and plasticity, and contribute to diverse neuropathologies via secreted proteins. The identification of astrocytic proteome and secretome profiles has provided new insights into the maintenance of neuronal health and survival, the pathogenesis of brain injury, and neurodegeneration. Recent advances in proteomics research have provided an excellent catalog of astrocyte-secreted proteins. This review categorizes astrocyte-secreted proteins and discusses evidence that astrocytes play a crucial role in neuronal activity and brain function. An in-depth understanding of astrocyte-secreted proteins and their pathways is pivotal for the development of novel strategies for restoring brain homeostasis, limiting brain injury/inflammation, counteracting neurodegeneration, and obtaining functional recovery.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Astrocytes are important regulators of brain functions, and crucial functions are executed via astrocyte-secreted proteins. </LI> <LI> Astrocyte-secreted proteins play key roles in physiological processes and execute both detrimental and beneficial actions in CNS disorders. </LI> <LI> Understanding the many functions of astrocyte-secreted proteins under specific spatiotemporal conditions may lead to major advancements in astrocyte biology. </LI> <LI> Functional dissection of astrocyte-secreted proteins can facilitate the development of novel diagnostic and therapeutic strategies for neurological disorders. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

공단지역 및 청정지역 식물 잎권의 잎표면세균 및 내산성세균의 분포

안종훈,방숙진,한남정,송왕영,황소영,이인수,박성주 대전대학교 이과대학 기초과학연구소 1997 自然科學 Vol.- No.-

산성강하물의 영향을 받는 대천공단지역과 영향을 받지 않는 청정지역인 대전 계족산 자연휴양림에서 자라는 밤나무(Castanea crenat)의 잎표면에서 서식하는 총세균수, 생존세균수, 종속영양세균수, 내산성세균수를 1996년 8월부터 1997년 8월까지 5회에 걸쳐 조사하였다. 공단지역 잎표면 평균 총세균수, 생존세균수 및 종속영양세균수는 각각 9.9×10^(5) cell/㎠, 1.6×10⁴cell/㎠, 7.1×10³cell/㎠,로서 청정지역에 비하여 각각 1.5배, 2배, 2.6배 정도로 관찰되었다. MPN법으로 측정한 pH 5.6애서의 잎표면 내산성세를수는 공단지역 3.3×10⁴, 청정지역 3.4×10⁴MON/㎠로 거의 같았고, pH 4.0에서의 내산성세균수는 공단지역애서 1.9×10^-(-1)MPN/㎠인 반면 청정지역에서는 전혀 검출되지 않았다. pH 3.0에서의 내산성 잎표면세균수는 공단지역과 청정지역의 잎권 어느 곳에서도 검출되지 않았다. 한편 계절별 잎표면세균수의 분포는 대체로 잎이 나기 시작하여 크기가 가장 작은 5월에 최대를, 그리고 낙엽이 지는 11월에 최소를 나타내었다. 이런 결과는 공단지역의 대기오염물질의 침적이 주변의 식물 잎표면 세균수를 감소시키지는 않으며, 특히 산성강하물의 영향으로 내산성세균수가 증가함을 보여주고 있다. Total, direct viable count, and acid-tolerant epiphytic bacterial population sizes were quantified on leaves of chestnut tree (Castanea crenata S. et Z.) near Taejon Industrial Estate affected by acid precipitation and deposition as well as in the clean natural forest area, Mt. Kyejok, in Taejon city from August 1996 to August 1997. Geometric mean numbers of total, direct viable count, and acid-tolerant epiphytic bacteria were 9.9×10^(5) cell/㎠, 1.6×10^(6)cell/㎠, and 7.1×10³cfu/㎠ respecfvely, being 1.5, 2, and 2.6 times those in the clean area. Acid-to-lerant epiphytic bfcterial numbers at pH 5.6 by MPN method were 3.3×10" in the industrial area, about the same as the number,3.4×104 MPNicni, of the clean area. Acid-tolerant bacterial number at pH 4.0 was 1.9×10^(-1)MPN/㎠ in the industrial area, whereas none was detected in the clean area. Acid-tolerant bacteria at pH 3.0 were not detected at all in the industrial area as well as in the clean area. Epiphytic bacterial population sizes were generally the greatest in May when leaves are emerged and grew but the lowest in November when defoliation occurs. These results showed that air pollutant deposition on leaves did not cause a deuease of epiphytic bacteria at least and acid deposition on leaves did cause an increase of acid-tolerant bacteria.

白鼠感染 肝吸蟲幼蟲에 대한 Praziquantel(Biltricide^(�))의 殺蟲效果에 대하여

林漢鍾,梁元容,宋寅喆,金洙鎭 최신의학사 1981 最新醫學 Vol.24 No.4

The Clinical Profile of Patients with Psoriasis in Korea: A Nationwide Cross-Sectional Study (EPI-PSODE)

( Hae Jun Song ),( Chul Jong Park ),( Tae Yoon Kim ),( Yong Beom Choe ),( Seok-Jong Lee ),( Nack In Kim ),( Jae We Cho ),( Jie Hyun Jeon ),( Min Soo Jang ),( Jai Il Youn ),( Myung Hwa Kim ),( Joonsoo 대한피부과학회 2017 Annals of Dermatology Vol.29 No.4

Background: Psoriasis is an immune-mediated, chronic in-flammatory disease affecting multiple aspects of patients` lives. Its epidemiology varies regionally; however, nation-wide epidemiologic data on psoriasis depicting profile of Korean patients has not been available to date. Objective: To understand nationwide epidemiologic characteristics and clinical features of adult patients with psoriasis visited uni-versity hospitals in Korea. Methods: This multicenter, non-in-terventional, cross-sectional study recruited 1,278 adult pa-tients with psoriasis across 25 centers in Korea in 2013. Various clinical data including PASI, BSA, DLQI, SF-36 and PASE were collected. Results: A total of 1,260 patients com-pleted the study (male:female=1.47:1). The mean age was 47.0 years with a distribution mostly in the 50s (24.9%). Early onset (<40 years) of psoriasis accounted for 53.9% of patients. The mean disease duration was 109.2 months; mean body mass index was 23.9 kg/m2; and 12.7% of patients had a family history of psoriasis. Plaque and guttate types of psoriasis accounted for 85.8% and 8.4%, respectively. Patients with PASI ≥10 accounted for 24.9%; patients with body surface area ≥10 were 45.9%. Patients with DLQI ≥6 accounted for 78.8%. Between PASI <10 and PASI ≥10 groups, significant difference was noted in age at diagnosis, disease duration, blood pressure, waist cir-cumference of female, and treatment experiences with pho-totherapy, systemic agents, and biologics. Conclusion: This was the first nationwide epidemiologic study of patients with psoriasis in Korea and provides an overview of the epidemio-logic characteristics and clinical profiles of this patient population. (Ann Dermatol 29(4) 462∼470, 2017)

Screening with the Korean Version of the Mood Disorder Questionnaire for Bipolar Disorders in Adolescents: Korean Validity and Reliability Study

Se-Hoon Shim,Jong-Hun Lee,Jye-Heon Song,Beomwoo Nam,Bo-Hyun Yoon,Ha-young Jin,Hyung-Mo Sung,Jong Hyun Jeong,Sae-Heon Jang,Duk-In Jon,Young Sup Woo,Won-Myong Bahk 대한정신약물학회 2018 CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE Vol.16 No.3

Objective: This study aimed to evaluate the validity and reliability of a Korean version of the Mood Disorder Questionnaire-Adolescent version (K-MDQ-A) as a screening instrument for bipolar disorders in adolescents. Methods: One hundred two adolescents with bipolar disorders and their parents were recruited from November 2014 to November 2016 at 7 training hospitals. One hundred six controls were recruited from each middle school in two cities of South Korea. The parent version of the original MDQ-A was translated into Korean. The parents of all participants completed the K-MDQ-A. The diagnoses of bipolar disorders were determined based on the Korean version of K-SADS-PL. The test-retest reliability with a 10-month interval was investigated in 33 bipolar adolescents. Results: K-MDQ-A yielded a sensitivity of 0.90 and a specificity of 0.92 when using a cut-off score of endorsement of 5 items, indicating that symptoms occurred in the same time period and caused moderate or serious problems. The internal consistency of the K-MDQ-A was good. The correlations between each item and the total score ranged from 0.40 to 0.76 and were all statistically significant. Factor analysis revealed 3 factors that explained 61.25% of the total variance. The mean total score was significantly higher in bipolar adolescents (7.29) than in controls (1.32). The Pearson correlation coefficient for the total test-retest score was 0.59 (p<0.001). Conclusion: The K-MDQ-A completed by parents showed the excellent validity and reliability and may be a useful screening tool for adolescents with bipolar disorders attending in- and outpatient psychiatric clinics.

폐암환자의 객담에서 Melanoma Antigen Gene(MAGE)과 Synovial Sarcoma on X chromosome (SSX)의 발현

정언섭,김송명,김종인 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Background : MAGE and SSX genes have been recently discovered as number of cancer/testis antigen, which are showed useful potential for anti-tumor immunotherapy and tumor mark. Expression rates of MAGE genes are disclosed in many cancer cases. Study of expression rate of MAGE and SSX genes in same time in lung cancer cases are rare. We studied about expression of both genes in sputum of lung cancer patients simultaneously. Material and method :Total 75 cases of patients studied, control group was 32 cases of benign lung disease, 43 cases of lung cancer patients were divided into two groups of non small cell lung cancer and small cell lung cancer groups. Patients sputum collected before treatment and extracted mRNA and identify MAGE genes and SSX genes by nested PCR method. Expression rates of both genes werestudied according to cell types, gender, LN metastasis and cancer stage. Results : In benign lung disease cases, expression rates of MAGE and SSX genes were 40.6% and 37.5% respectively. and was 12.5% in both genes. The expression rate of MAGE genes is higher inmale patients and expression rate of SSX genes is higher in female patients ( p < 0.01 ). Expression rate of MAGE genes in NSCLC group was 61.8%, and this is higher than that of control group. In squamous carcinoma, expression rate of MAGE genes is 76.9% and this is higher than that of adenocarcinoma. Expression rate in adenocarcinomaand small cell cancer are lower than control and squamous cell cancer.Expression rate of SSX genes in NSCLC group is 17.6% and is 11.1% in SCLC group. It is lower than that of control group. Expression rate of SSX genes is lower than MAGE genes in lung cancer cases and not found any relationship of expression of between both genes. No significant gene expressions between gender was observed. The present study suspect lymphnode involvement and cancer stage influence on expression of both genes in this study, but not significant statistically. Co-expression rate of both genes are 14.7% in NSCLC group, 11.1% in SCLC group and 12.5% in control group. Conclusion : MAGE genes are more applicable to diagnosing squamous cell cancer than SSX genes, but it's role seems to be still lim-ted to additive as a mark, because of expression in benign lung disease cases and lower expression rate in small cell carcinoma and adenocarcinoma. Not found any relationship on both gene expression in this study.