http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
A Case of Solitary Fibrous Pleura Tumor Associated with Severe Hypoglycemia: Doege-Potter Syndrome
Jang, Jong Geol,Chung, Jin Hong,Hong, Kyung Soo,Ahn, June Hong,Lee, Jae Young,Jo, Jae Ho,Lee, Dong Won,Shin, Kyeong Cheol,Lee, Kwan Ho,Kim, Mi Jin,Lee, Jung Cheul,Lee, Jang Hoon,Lee, Jae Kyo The Korean Academy of Tuberculosis and Respiratory 2015 Tuberculosis and Respiratory Diseases Vol.78 No.2
Solitary fibrous tumor of the pleura (SFTP) is a rare primary intrathoracic tumor that arises from mesenchymal tissue underlying the mesothelial layer of the pleura. It usually has an indolent clinical course. The hypoglycemia that accompanies SFTP was first described by Doege and Potter independently in 1930, hence the eponym Doege-Potter syndrome (DPS). The incidence of DPS is reported to be ~4%. In this report, we present a typical case of DPS that was cured through complete surgical resection.
Jang, Jong Geol,Hong, Kyung Soo,Choi, Eun Young The Korean Academy of Tuberculosis and Respiratory 2014 Tuberculosis and Respiratory Diseases Vol.77 No.2
Hyaluronic acid is widely used in medical procedures, particularly in cosmetic procedures administered by physicians or nonmedical personnel. The materials used for cosmetic procedures by physicians as well as illegally by non-medical personnel can cause nonthrombotic pulmonary embolism (NTPE). We report the case of a woman with acute respiratory failure, neurologic symptoms and petechiae after an illegal procedure of hyaluronic acid dermal filler performed by an unlicensed medical practitioner 3 days before symptom onset. Although a few cases of NTPE after injection of hyaluronic acid have been reported yet, this is the first typical case showing a NTPE manifestation after the facial injection of hyaluronic acid.
( Jong Geol Jang ),( June Hong Ahn ) 대한결핵 및 호흡기학회 2020 Tuberculosis and Respiratory Diseases Vol.83 No.2
Background: Limited studies have been performed to assess readmission following hospitalization for community-acquired pneumonia (CAP) in an Asian population. We evaluated the rates, reasons, and risk factors for 30-day readmission following hospitalization for CAP in the general adult population of Korea. Methods: We performed a retrospective observational study of 1,021 patients with CAP hospitalized at Yeungnam University from March 2012 to February 2014. The primary end point was all-cause hospital readmission within 30 days following discharge after the initial hospitalization. Hospital readmission was classified as pneumonia-related or pneumonia-unrelated readmission. Results: During the study period, 862 patients who survived to hospital discharge were eligible for inclusion and among them 72 (8.4%) were rehospitalized within 30 days. In the multivariable analysis, pneumonia-related readmission was associated with para/hemiplegia, malignancy, pneumonia severity index class ≥4 and clinical instability ≥1 at hospital discharge. Comorbidities such as chronic lung disease and chronic kidney disease, treatment failure, and decompensation of comorbidities were associated with the pneumonia-unrelated 30-day readmission rate. Conclusion: Rehospitalizations within 30 days following discharge were frequent among patients with CAP. The risk factors for pneumonia-related and -unrelated readmission were different. Aspiration prevention, discharge at the optimal time, and close monitoring of comorbidities may reduce the frequency of readmission among patients with CAP.
Jang Jong Geol,Hur Jian,Hong Kyung Soo,이원화,안준홍 대한의학회 2020 Journal of Korean medical science Vol.35 No.25
Background: The case fatality rate of coronavirus disease 2019 (COVID-19) is estimated to be between 4.3% and 11.0%. Currently there is no effective antiviral treatment for COVID-19. Thus, early recognition of patients at high risk is important. Methods: We performed a retrospective observational study of 110 patients with severe acute respiratory syndrome coronavirus 2 infection. We compared the effectiveness of three scoring systems: the Systemic Inflammatory Response Syndrome (SIRS), quick Sequential Organ Failure Assessment (qSOFA), and National Early Warning Score (NEWS) systems, for predicting the prognosis of COVID-19. The area under the receiver operating characteristic curve (AUROC) was used for these assessments, and Kaplan-Meier survival curves were used to identify the cumulative risk for 28-day mortality according to the NEWS stratification. Results: For predicting 28-day mortality, NEWS was superior to qSOFA (AUROC, 0.867 vs. 0.779, P < 0.001), while there was no significant difference between NEWS and SIRS (AUROC, 0.867 vs. 0.639, P = 0.100). For predicting critical outcomes, NEWS was superior to both SIRS (AUROC, 0.918 vs. 0.744, P = 0.032) and qSOFA (AUROC, 0.918 vs. 0.760, P = 0.012). Survival time was significantly shorter for patients with NEWS ≥ 7 than for patients with NEWS < 7. Conclusion: Calculation of the NEWS at the time of hospital admission can predict critical outcomes in patients with COVID-19. Early intervention for high-risk patients can thereby improve clinical outcomes in COVID-19 patients.
( Jong Geol Jang ),( June Hong Ahn ),( Kwan Ho Lee ),( Jin Hong Chung ),( Kyeong Cheol Shin ),( Hyun Jung Jin ),( Eun Young Choi ),( Kyung Soo Hong ) 대한결핵 및 호흡기학회 2020 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.128 No.-
Purpose Severe acute exacerbations of chronic obstructive pulmonary disease (AECOPD) that require hospitalizations and emergency department visits are associated with considerable morbidity and mortality. Respiratory viral infection is an important cause of severe AECOPD. The aim of this study is to evaluate the incidence and prognostic factor of viral infection in severe AECOPD. Method We performed a retrospective study of 252 cases of severe AECOPD from 192 patients who required hospitalization and emergency department visits at a tertiary teaching hospital in Daegu, Korea. Multiplex polymerase chain reaction panel using nasopharyngeal swab sample was performed for detection of viral infection. Result Viral infection was detected in 108 events (41.2%) from 96 patients. The most common virus was rhinovirus/enterovirus (27.5%), followed by influenza virus (22.5%), respiratory syncytial virus (13.3%), parainfluenza virus (12.5%), coronavirus (12.5%), metapneumovirus (7.5%), and adenovirus (4.2%). Compared to virus-negative exacerbation, virus-positive exacerbation had a higher frequency of symptoms of rhinopharyngitis, higher neutrophil count and C-reactive protein level (CRP), and lower eosinophil count. Multivariable analysis demonstrated that elevated CRP (odds ratio (OR), 2.86; 95% confidence interval (CI), 1.30-6.27), symptoms of rhinopharyngitis (OR, 2.09; 95% CI, 1.13-3.87), low eosinophil count (OR, 1.84; 95% CI, 1.12-3.04), and inhaled corticosteroid use (OR, 1.70; 95% CI 1.04-2.80) was associated with viral infection in severe AECOPD. Conclusion The incidence of viral infection in severe AECOPD was 41.2% and most commonly detected virus was rhinovirus/enterovirus. Increased CRP level, symptoms of rhinopharyngitis, low eosinophil count and inhaled corticosteroid use was associated with viral infection in severe AECOPD.
Assessment of Inhaler Satisfaction and Determinants of High Satisfaction Among Korean COPD Patients
Jang Jong Geol,Lee Kwan Ho,Chung Jin Hong,Shin Kyeong-Cheol,Choi Eun Young,Jin Hyun Jung,Ahn June Hong 대한의학회 2022 Journal of Korean medical science Vol.37 No.46
Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines for chronic obstructive pulmonary disease (COPD) recommend considering patient preference when choosing an inhaler device. However, few studies have assessed both inhaler satisfaction and factors associated with high inhaler satisfaction. Therefore, we assessed inhaler satisfaction and determinants of high satisfaction in Korean COPD patients. Methods: COPD patients were prospectively enrolled from January 2018 to November 2019. The 308 inhalers used by the 261 participants in this study included dry powder inhalers (Turbuhaler, Breezhaler, Ellipta, Diskus, and Genuair), a soft mist inhaler (Respimat), and pressurized metered dose inhalers (pMDIs). Inhaler satisfaction was assessed by the Feeling of Satisfaction with Inhaler (FSI-10) questionnaire. High inhaler satisfaction was defined as an FSI-10 ≥ 43. Results: Among 261 COPD patients, 163 (62.5%) were highly satisfied with their inhaler device. The rates of high inhaler satisfaction for Turbuhaler, Breezhaler, Ellipta, Diskus, Genuair, Respimat, and pMDI usage were 40.0%, 67.2%, 66.7%, 50.0%, 55.6%, 63.4%, and 45.0%, respectively (P = 0.215). In univariate analyses, higher body mass index, non-current smoker, GOLD grades I and II, a modified Medical Research Council (mMRC) score < 2, lower inhaler puff burden, once daily usage of inhaler, and good inhaler adherence were associated with high inhaler satisfaction. In multivariate analyses, an mMRC score < 2, and good inhaler adherence were independently associated with high inhaler satisfaction. Conclusion: High inhaler satisfaction was associated with dyspnea symptom and good inhaler adherence in COPD patients. Effective strategies are needed including appropriate inhaler device selection, consideration of patient preference, and repeated inhaler education to improve patient satisfaction of inhalers.
( Jong Geol Jang ),( Kyung Soo Hong ),( Dong Won Lee ),( Hyun Jung Jin ),( Eun Young Choi ),( Kyeong Cheol Shin ),( Jin Hong Chung ),( Kwan Ho Lee ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: The isolation of non-tuberculous mycobacteria (NTM) has been increasing worldwide. The aim of this study is to investigate the isolation rate of NTM and clinical significance of NTM during recent 2 years. Methods: We retrospectively analyzed all acid-fast bacilli (AFB) culture positive specimens collected at Yeungnam university hospital, between January 2012 and December 2013. Results: During the recent 2 years, culture of 11,672 specimens were requested from 6685 patients. Total of 1314 (11.3%) specimens resulted in culture-positive for AFB, among which 587 (44.7%) specimens from 382 patients revealed NTM. (six of the specimens were non-respiratory specimen, such as joint fiuid, Cerebrospinal fiuid) Among the NTM culture positive patients, 50.5% (193/382) were female and the average age was 65.3 years. Identification of NTM species was con. rmed in 172 patient. The most frequently isolated species were mycobacterium avium complex (MAC) which was derived from 123 patient (71.5%). M. intracellulare was isolated in 99 patients and M. avium in 24 patients, followed by M. abscessus (20 patient, 11.6%), M. kansasii (12 patient, 7.0%), M. fortuitum (10 patient, 5.8%), M. gordonae (9 patient, 5.2%). Among 382 patients, 167 (43.7%) patients were diagnosed with NTM lung disease and 66 (39.5%) of them were treated. Conclusions: The recovery rate of NTM isolate was relatively high during very recent 2 years in our hospital. This result refiect the increasing tendency of NTM isolation.
( Jong Geol Jang ),( Jin Hong Chung ),( Kyung Soo Hong ),( June Hong Ahn ),( Jae Young Lee ),( Jae Ho Jo ),( Dong Won Lee ),( Kyeong Cheol Shin ),( Kwan Ho Lee ),( Mi Jin Kim ),( Jung Cheul Lee ),( Ja 대한결핵 및 호흡기학회 2015 Tuberculosis and Respiratory Diseases Vol.78 No.2
Solitary fibrous tumor of the pleura (SFTP) is a rare primary intrathoracic tumor that arises from mesenchymal tissue underlying the mesothelial layer of the pleura. It usually has an indolent clinical course. The hypoglycemia that accompanies SFTP was first described by Doege and Potter independently in 1930, hence the eponym Doege-Potter syndrome (DPS). The incidence of DPS is reported to be ~4%. In this report, we present a typical case of DPS that was cured through complete surgical resection.
( Jong Geol Jang ),( Kyung Soo Hong ),( Eun Young Choi ) 대한결핵 및 호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.77 No.2
Hyaluronic acid is widely used in medical procedures, particularly in cosmetic procedures administered by physicians or nonmedical personnel. The materials used for cosmetic procedures by physicians as well as illegally by non-medical personnel can cause nonthrombotic pulmonary embolism (NTPE). We report the case of a woman with acute respiratory failure, neurologic symptoms and petechiae after an illegal procedure of hyaluronic acid dermal filler performed by an unlicensed medical practitioner 3 days before symptom onset. Although a few cases of NTPE after injection of hyaluronic acid have been reported yet, this is the first typical case showing a NTPE manifestation after the facial injection of hyaluronic acid.