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Estimated incidence of juvenile-onset recurrent respiratory papillomatosis in Korea
Jin-Kyoung Oh,Hwa Young Choi,Minji Han1,Yuh-Seog Jung,Sang Joon Lee,Moran Ki 한국역학회 2021 Epidemiology and Health Vol.43 No.-
OBJECTIVES: Recurrent respiratory papillomatosis (RRP) is caused by human papillomavirus (HPV) types 6 and 11 and is potentially preventable through vaccination. This study estimated the incidence of juvenile-onset RRP before the implementation of the national HPV vaccination program in Korea. METHODS: We conducted a cohort study using claims data provided by a mandatory insurance program to estimate the incidence of RRP and associated healthcare use. Patients with juvenile RRP were defined as those aged ≤12 years with ≥2 admissions or ≥2 outpatient visits during which they received the International Classification of Diseases, 10th revision code for benign neoplasms of the larynx (D14.1). RESULTS: During 2002-2014, 123 children (74 boys and 49 girls) were diagnosed with RRP. The patients had a mean of 6.5 person-years of follow-up. The incidence was estimated at 0.30/100,000 person-years. The median age at diagnosis was 4.0 years (mean, 4.3). Thirty-six (29.3%) patients underwent surgery, including 23 patients (18.7%) who underwent 2 or more surgical procedures. Severe disease, measured by more frequent surgical procedures and shorter time intervals between consecutive operations, was associated with a younger age at diagnosis. CONCLUSIONS: The estimated incidence of juvenile-onset RRP in Korea was similar to that reported in other countries. The RRP burden should continue to be monitored using National Health Insurance Service claims data.
Han Ah Lee,Hyun Gil Goh,Tae Hyung Kim,Young-Sun Lee,Sang Jun Suh,Young Kul Jung,Hyuk Soon Choi,Eun Sun Kim,Ji Hoon Kim,Hyunggin An,Yeon Seok Seo,Hyung Joon Yim,Sung Bum Cho,Yoon Tae Jeen,Jong Eun Yeon 거트앤리버 소화기연관학회협의회 2020 Gut and Liver Vol.14 No.1
Backgrounds/Aims: Rebleeding of gastric varices (GVs) after endoscopic variceal obturation (EVO) can be fatal. This study was performed to evaluate the usefulness of computed tomography (CT) for the prediction of rebleeding after EVO GV bleeding. Methods: Patients who were treated with EVO for GV bleeding and underwent CT before and after EVO were included. CT images of the portal phase showing pretreatment GVs and feeding vessels, and nonenhanced images showing posttreatment cyanoacrylate impaction were reviewed. Results: Fifty-three patients were included. Their mean age was 60.6±11.6 years, and 40 patients (75.5%) were men. Alcoholic liver disease was the most frequent underlying liver disease (45.3%). Complete impaction of cyanoacrylate in GVs and feeding vessels were achieved in 40 (75.5%) and 24 (45.3%) of patients, respectively. During the follow-up, GV rebleeding occurred in nine patients, and the cumulative incidences of GV rebleeding at 3, 6, and 12 months were 11.8%, 18.9%, and 18.9%, respectively. The GV rebleeding rate did not differ significantly according to the complete cyanoacrylate impaction in the GV, while it differed significantly according to complete cyanoacrylate impaction in the feeding vessels. The cumulative incidences of GV rebleeding at 3, 6, and 12 months were 22.3%, 35.2%, and 35.2%, respectively, in patients with incomplete impaction in feeding vessels, and there was no rebleeding during the follow-up period in patients with complete impaction in the feeding vessels (p=0.002). Conclusions: Abdominal CT is useful in the evaluation of the treatment response after EVO for GV bleeding. Incomplete cyanoacrylate impaction in feeding vessels is a risk factor for GV rebleeding.
A Geochemical Boundary in the East Sea (Sea of Japan): Implications for the Paleoclimatic Record
Han, Sang-Joon,Hyun, Sang-Min,Huh, Sik,Chun, Jong-Hwa Korea Institute of Ocean ScienceTechnology 2002 Ocean and Polar Research Vol.24 No.2
Sediment from six piston cores from the East Sea (Sea of Japan) was analyzed for evidence of paleoceanographic changes and paleoclimatic variation. A distinct geochemical boundary is evident in major element concentrations and organic carbon content of most cores near the 10-ka horizon. This distinctive basal Holocene change is interpreted to be largely the result of changing sediment sources, an interpretation supported by TiO_2/Al_2O_3$ ratios. Organic carbon and carbonate contents also differ significantly between the Holocene and glacial intervals. The C/N ratio of organic matter is greater than 10 during the glacial period, but is less than 10 for the Holocene, suggesting that the influx of terrigenous organic matter was more volumetrically important than marine organic matter during glacial times. The chemical index of weathering (CIW) is higher for the Holocene than the glacial interval, and changes markedly at the basal Holocene geochemical boundary. Silt fractions are higher in the glacial interval, suggesting a strong effect of climate on silt particle transportation: terrigenous aluminosilicates and continental organic carbon transport were higher during glacial times than during the Holocene. Differences in sediment composition between the Holocene and glacial period are interpreted to have been climatically induced.
Sung-Min Ko,Young-Whan Kim,Seong-Wook Han,Joon-Beom Seo 대한영상의학회 2007 Korean Journal of Radiology Vol.8 No.2
Objective: The purpose of this study was to describe the myocardial enhancement patterns in patients with myocardial infarction using two-phase contrastenhanced multidetector-row computed tomography (MDCT). Materials and Methods: Twenty-three patients with clinically proven myocardial infarction (17 acute myocardial infarction [AMI] and 6 chronic myocardial infarction [CMI]) were examined with two-phase contrast-enhanced ECG-gated MDCT. The presence, location, and patterns of myocardial enhancement on twophase MDCT images were compared with infarcted myocardial territories determined by using electrocardiogram, echocardiography, thallium-201 single photon emission computed tomography, catheter and MDCT coronary angiography. Results: After clinical assessment, the presence of myocardial infarctions were found in 27 territories (19 AMI and 8 CMI) of 23 patients. Early perfusion defects were observed in 30 territories of all 23 patients. Three territories not corresponding to a myocardial infarction were detected in three patients with AMI and were associated with artifacts. Fourteen of perfusion defects were in the left anterior descending artery territory, four in the left circumflex artery territory, and nine in the right coronary artery territory. Delayed enhancement was observed in 25 territories (17 AMI and 8 CMI) of 21 patients. Delayed enhancement patterns were variable. Transmural early perfusion defects (n =12) were closely associated with transmural late enhancement (n = 5) and subendocardial residual defect with subepicardial late enhancement (n = 5). Conclusion: Myocardial infarction showed early perfusion defects and variable delayed enhancement patterns on two-phase contrast-enhanced MDCT. Delayed enhancement technique of MDCT could provide additional information of the location and extent of infarcted myocardium, and could be useful to plan appropriate therapeutic strategies in patients with AMI.