Publications by authors named "Dae W Park"

Objectives: This study compared the current smoking prevalence among adults with human immunodeficiency virus (HIV) infection to that of the general Korean population and analyzed changes in smoking prevalence and cessation rates from 2009 to 2020.

Methods: The study included a total of 10,980 adults with HIV infection who underwent a health screening examination (National Health Insurance Service-National Health Information Database; NHIS-NHID), 1,230 individuals with HIV infection who participated in the Korea HIV/AIDS Cohort (KoCosHIV), and 76,783 participants from the Korea National Health and Nutrition Examination Survey (KNHANES). We estimated the current smoking prevalence and the quit ratio, defined as the ratio of former smokers to ever-smokers.

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Background: Despite recent advances and global improvements in sepsis recognition and supportive care, mortality rates remain high, and adherence to sepsis bundle components in Korea is low. To address this, the Korean Sepsis Alliance, affiliated with the Korean Society of Critical Care Medicine, developed the first sepsis treatment guidelines for Korea based on a comprehensive systematic review and meta-analysis.

Methods: A de novo method was used to develop the guidelines.

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  • - The study assessed COVID-19 patients 6 and 18 months after discharge, focusing on their CT scans, lung function, and antibody levels to understand the long-term effects of the virus.
  • - Out of the patients assessed, a slight decrease in CT abnormalities was observed from 32.4% at 6 months to 31.0% at 18 months, with significant improvements in lung function (FVC) over time.
  • - Age and higher levels of SARS-CoV-2 antibodies were identified as significant factors related to ongoing CT abnormalities, with improvements in lung function and lesion volume noted between the two assessments.
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var. (ES), which our research group had confirmed inhibits influenza A and SARS-CoV-2 viruses, was investigated to identify new potent and selective inhibitors of herpes simplex virus-1 (HSV-1) replication. To clarify the optimal condition for ES extract (ESE), ES was extracted at different concentrations of 0, 30, 50, 70, and 100%, to screen for its anti-HSV-1 effect.

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  • - Biomarkers are increasingly utilized in antimicrobial stewardship to help evaluate suspected bacterial infections and guide decisions on starting, stopping, or repeating antibiotic therapy in a variety of diseases.
  • - Conditions benefiting from biomarker use include sepsis, lower respiratory tract infections, COVID-19, and more, with specific cut-off values aiding in the decision-making process for antibiotic initiation and discontinuation.
  • - Common biomarkers in this context are procalcitonin (PCT) and C-reactive protein (CRP), with their cut-off values varying across diseases, indicating a need for further research to refine the selection of appropriate antibiotics.
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Objective: The accurate measurement of the wall shear rate (WSR) plays a crucial role in the early diagnosis of cardiovascular disease progression and acute events such as aneurysms and atherosclerotic plaque ruptures. To address this need, the speckle decorrelation (SDC) technique has been used to measure WSR based on the 2-D out-of-plane blood flow speed. This technique is particularly advantageous because it enables the use of a 1-D array transducer to measure WSR over the entire luminal area.

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Background: Since the emergence of hypervirulent strains of , the incidence of infections (CDI) has increased significantly.

Methods: To assess the incidence of CDI in Korea, we conducted a prospective multicentre observational study from October 2020 to October 2021. Additionally, we calculated the incidence of CDI from mass data obtained from the Health Insurance Review and Assessment Service (HIRA) from 2008 to 2020.

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  • This study investigates how vaccination affects the ability to neutralize different variants of SARS-CoV-2, particularly delta and omicron, in COVID-19 infected individuals.
  • Data from 97 confirmed COVID-19 cases revealed that vaccinated individuals had significantly better neutralizing activity against various variants compared to unvaccinated individuals.
  • The findings suggest that vaccination, especially when followed by breakthrough infections, enhances the immune response and may inform strategies for optimizing vaccination against evolving viral strains.
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  • RSV is a highly infectious virus that causes respiratory infections, with significant effects on older adults, and a candidate vaccine (RSVPreF3 OA) showed promising efficacy rates of 71.7% for ARIs and 82.6% for LRTD in adults 60 and older.
  • In a phase 3 trial, participants aged 60 and above either received the RSVPreF3 OA vaccine or a placebo, with patient-reported outcomes evaluated through various health questionnaires.
  • Results indicated that those vaccinated had significantly fewer RSV-ARI episodes and experienced milder symptoms compared to the placebo group, suggesting the vaccine can both prevent infections and lessen symptom severity.
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  • * COVID-19 patients had a slightly lower organ failure score but a higher mortality rate compared to non-COVID-19 patients at 28 days (37.5% vs. 9.5%), though the difference was not statistically significant.
  • * In survival analysis, COVID-19 did not show a significant impact on hospital mortality when adjusted for other risk factors, indicating that careful patient selection is important in treatment decisions.
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  • A study investigated the impact of vitamin D deficiency on sepsis in 129 patients, primarily elderly, with a median age of 74.
  • Results indicated that severe vitamin D deficiency was linked to higher mortality rates at 14 days (aHR 2.57), 28 days (aHR 2.28), and during hospital stay (aHR 2.11).
  • The findings suggest that monitoring vitamin D levels in sepsis patients could be crucial for improving outcomes, highlighting the need for further research on potential benefits of vitamin D supplementation.
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Activated stellate cells play a role in fibrosis development in the liver, pancreas, and kidneys. The fusion protein R-III, which consists of retinol-binding protein and albumin domain III, has been demonstrated to attenuate liver and renal fibrosis by suppressing stellate cell activation. In this study, we investigated the efficacy of R-III against bleomycin-induced lung fibrosis in mice.

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Long-standing scarcity of efficacious treatments and tumor heterogeneity have contributed to triple-negative breast cancer (TNBC), a subtype with a poor prognosis and aggressive behavior that accounts for 10-15% of all new cases of breast cancer. TNBC is characterized by the absence of progesterone and estrogen receptor expression and lacks gene amplification or overexpression of HER2. Genomic sequencing has detected that the unique mutational profile of both the somatic and germline modifications in TNBC is staggeringly dissimilar from other breast tumor subtypes.

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Ultrasound imaging is the preferred noninvasive technique to measure blood flow to diagnose cardiovascular disease such as heart failure, carotid stenosis, and renal failure. Conventional ultrasound techniques such as Doppler ultrasound, ultrasound imaging velocimetry, vector Doppler and transverse oscillation beamforming have been used for blood flow velocity profile measurement. However, these techniques were limited to measuring blood flow velocities within the 2-D lateral (across the ultrasound beam) plane of a vessel, and the blood flow velocity profile was derived by assuming that blood vessels have a circular cross-section with axis symmetry.

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Background: Owing to antiretroviral therapy (ART), acquired immune deficiency syndrome (AIDS)-related mortality has significantly decreased. Retaining in care is an essential step for human immunodeficiency virus (HIV) care cascade. This study investigated the incidence of and risk factors for loss to follow-up (LTFU) in Korean people living with HIV (PLWH).

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Background: Scrub typhus is a mite-borne infectious rickettsial disease that can occur in rural and urban areas, with an especially high prevalence in older populations. This disease causes systemic vasculitis that can invade the central nervous system. Considering these characteristics, here we examined whether scrub typhus was associated with the occurrence of dementia, using large population-based cohort data.

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Recently, non-diphtheriae Corynebacterium spp. have been increasingly reported in patients. In addition, several novel species of Corynebacterium isolated from humans.

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Reducing antibiotics overuse is essential to minimize antibiotics related side effects and to prevent the emergence of multidrug-resistant bacteria. Procalcitonin (PCT) guided antibiotics therapy has been reported to be safe in patients with acute respiratory infections and sepsis, improving clinical outcomes as well as reducing the duration of antibiotics use. However, there is still no universal agreement on clinical guidelines in Korea for optimal PCT applications.

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Article Synopsis
  • * By the end of the study, 12% of participants had died, with significant survival probabilities (96.2% at 1 year, 79.6% at 15 years), and major causes of death including AIDS (59.0%) and other health issues.
  • * HIV-infected individuals experienced mortality rates 5 to 6 times higher than the general population, even after accounting for deaths related to HIV, indicating a notable increase in risk from non-AIDS-related causes as well.
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Background: Despite high vaccination coverage, measles outbreaks have been reported in measles elimination countries, especially among healthcare workers in their 20 and 30 s. This study was designed to identify measles-susceptible individuals and to evaluate whether primary or secondary vaccine failure occurred during measles outbreak response immunization (ORI) activities.

Methods: The study population was divided into three groups as follows: natural immunity group (Group 1), vaccine-induced immunity group (Group 2), and vaccine failure group (Group 3).

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Severe fever with thrombocytopenia syndrome (SFTS) and scrub typhus are endemic zoonotic diseases that pose significant public health threats in East Asia. As these two diseases share common clinical features, as well as overlapping disease regions, it is difficult to differentiate between SFTS and scrub typhus. A multiplex reverse-transcription loop‑mediated isothermal amplification (RT-LAMP) assay was developed to detect large segments and GroES genes for SFTS virus (SFTSV) and Orientia tsutsugamushi (OT).

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  • This study explored the effectiveness of presepsin as a diagnostic and prognostic tool among patients with organ failure, particularly in sepsis cases, following the Sepsis-3 guidelines.
  • The research involved 420 patients categorized into three groups—non-infectious organ failure, sepsis, and septic shock—to evaluate optimal presepsin cut-off values for distinguishing between these conditions and predicting mortality.
  • Results showed that higher presepsin levels were associated with increased mortality risks in sepsis patients, identifying 821 pg/mL as the critical level for predicting 30-day mortality.*
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Ethnopharmacological Relevance: Elaeocarpus sylvestris var. ellipticus (ES), a plant that grows in Taiwan, Japan, and Jeju Island in Korea. ES root bark, known as "sanduyoung," has long been used in traditional oriental medicine.

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Ethnopharmacological Relevance: Zanthoxylum piperitum has been used as a traditional Asian medicine to treat hypertension, stroke, bruise and muscle pain. It has been known to induce detoxification; affect anti-bacterial, anti-oxidant, and tyrosinase activity; inhibit osteosarcoma proliferation; anti-osteoarthritis inflammation. In this study, we aim to identify the therapeutic effect of Z.

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Background/objectives: Premenstrual syndrome (PMS) is a disorder characterized by repeated emotional, behavioral, and physical symptoms before menstruation, and the exact cause and mechanism are uncertain. Hyperprolactinemia interferes with the normal production of estrogen and progesterone, leading to PMS symptoms. Thus, we judged that the inhibition of prolactin hypersecretion could mitigate PMS symptoms.

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