Publications by authors named "Gwang-Cheon Jang"

Article Synopsis
  • Researchers found a new way to help diagnose wheat allergies in kids without doing as many food tests.
  • They studied 231 children aged 0-7 years across various hospitals between 2018 and 2022.
  • The new method uses special blood test numbers (cutoff values) to tell if a child has a wheat allergy, making it easier for doctors to help them.
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Noncystic fibrosis bronchiectasis is a chronic respiratory disease that carries high socioeconomic and medical burdens and is caused by diverse respiratory illnesses. To improve clinical outcomes, early recognition, active treatment of exacerbations, and prevention of further exacerbations are essential. However, evidence for the treatment and prevention of acute exacerbation of noncystic fibrosis bronchiectasis, especially in children, is lacking.

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Background: Asthma is a heterogeneous disease with different outcomes. For children with asthma at the age of 7 years, 67-75% are symptom-free as adults. Data on the important link between childhood and adult asthma are sparse.

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Background And Objective: Preterm birth or fetal growth has been associated with reduced lung function and asthma during childhood in the general population. We aimed to elucidate whether prematurity or fetal growth has a significant influence on lung function or symptoms in children with stable asthma.

Methods: We included children with stable asthma who participated in the Korean childhood Asthma Study cohort.

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Article Synopsis
  • The study investigated how asthma symptoms and medication use develop over time in children, focusing on exacerbation frequency from birth to age 12.
  • Researchers followed 531 children aged 7 to 10 to identify distinct asthma patterns based on their exacerbation rates and medication needs.
  • Four asthma clusters were found, highlighting different characteristics and risk factors, which can help improve understanding and treatment of childhood asthma.
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Purpose: Anaphylaxis is a severe allergic reaction that is potentially life-threatening, but post-traumatic stress symptoms (PTSS) in the caregivers of children with anaphylaxis have not been evaluated. This study aimed to investigate the psychological burden on mothers of children with recent anaphylaxis.

Methods: A total of 188 children with recent anaphylaxis was recruited from 13 hospitals in Korea.

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Background: Asthma exacerbation (AE) leads to social and economic costs and long-term adverse outcomes. We aimed to predict exacerbation-prone asthma (EPA) in children.

Methods: The Korean childhood Asthma Study (KAS) is a prospective nationwide pediatric asthma cohort of children aged 5-15 years followed every 6 months.

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Background: Atopic dermatitis (AD) is a heterogeneous disease with different age of onset, disease course, clinical symptoms, severity, and risk of comorbidity. The characteristics of children with AD also vary by age or country. However, little is known about the clinical characteristics of AD in Korean school-aged children and adolescents.

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is a major causative pathogen of community-acquired pneumonia in children, and the treatment of choice is macrolides. There is an increasing trend in reports of refractory clinical responses despite macrolide treatment due to the emergence of macrolide-resistant . Early discrimination of macrolide-refractory pneumonia (MrMP) from macrolide-sensitive pneumonia (MSMP) is vital; however, testing for macrolide susceptibility at the time of admission is not feasible.

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Recurrent bacterial infection causes frequent bronchiectasis (BE) exacerbations. The effectiveness and safety of long-term administration of macrolides in BE remain controversial, especially in children who require minimal treatment to prevent exacerbation. We conducted this meta-analysis to determine the usefulness of long-term macrolide use in pediatric BE.

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Background: Preschool-age children in hospitals are at a high risk of unexpected incidents. Safety incidents in hospitals can cause serious damage to the children.

Objective: To determine the effectiveness of the mobile-type mHealth Safe Kids Hospital (SKH) application (app) for the prevention of hospitalized child safety incidents.

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Background And Objective: Global Lung Function Initiative (GLI) 2012 equations were developed to resolve the age-related disparity in interpreting spirometry results. Local validation of the equation is needed, especially in Northeast Asian children. This study evaluated the GLI equation in Korean children.

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In the era of novel coronavirus epidemics, vaccines against coronavirus disease 2019 (COVID-19) have been recognized as the most effective public health interventions to control the pandemic. An adverse event following immunization (AEFI) is defined as any untoward occurrence following immunization, and the majority of AEFIs are caused by protective immune responses stimulated by vaccines. Most of the reported AEFIs are not serious, and many are not immunologically mediated or even reproducible on re-exposure.

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Article Synopsis
  • This study aimed to identify different asthma phenotypes in school-aged Korean children to improve management and predict outcomes.
  • Researchers analyzed 674 children with asthma, ultimately focusing on 447 for cluster analysis, which revealed four distinct asthma phenotypes based on factors like gender, age of onset, and presence of allergies.
  • The findings highlight the complexity of asthma in this population and suggest that long-term research is necessary to better understand the prognosis and treatment responses associated with each phenotype.
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Background: Although the prevalence of anaphylaxis is increasing worldwide, the large-scale studies in Asia evaluating anaphylaxis in all age groups are limited. We aimed to collect more precise and standardized data on anaphylaxis in Korea using the first multicenter web-based registry.

Methods: Twenty-two departments from 16 hospitals participated from November 2016 to December 2018.

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Background: The effect of diet on allergic rhinitis (AR), its severity in children, and whether it modifies AR depending on genetic susceptibility are unknown. We investigated the association between dietary patterns and AR in school children and the influence of diet on AR according to a genetic risk score (GRS).

Methods: Totally, 435 7-year-old school children were recruited from the Panel Study on Korean Children.

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Background: Community-acquired pneumonia (CAP) is one of the leading worldwide causes of childhood morbidity and mortality. Its disease burden varies by age and etiology and is time dependent. We aimed to investigate the annual and seasonal patterns in etiologies of pediatric CAP requiring hospitalization.

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Background: It is challenging to diagnose asthma in preschool children. The asthma predictive index (API) has been used to predict asthma and decide whether to initiate treatment in preschool children.

Purpose: This study aimed to investigate the association between questionnaire-based current asthma with API, pulmonary function, airway hyperreactivity (AHR), fractional expiratory nitric oxide (FeNO), and atopic sensitization in preschool children.

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Purpose: Childhood asthma has a considerable social impact and economic burden, especially in severe asthma. This study aimed to identify the proportion of childhood asthma severity and to evaluate associated factors for greater asthma severity.

Methods: This study was performed on 667 children aged 5-15 years with asthma from the nationwide 19 hospitals in the Korean childhood Asthma Study (KAS).

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Purpose: Data are lacking on the association between the allergic rhinitis (AR) phenotype and sensitization to specific allergens or bronchial hyperresponsiveness (BHR) in children. We here investigated risk factors and comorbidities, including sensitization to specific allergens and BHR, for the AR phenotype by AR and its Impact on Asthma (ARIA) classification in a general population-based birth cohort study.

Methods: We enrolled 606 children aged 7 years from the Panel Study of Korean Children.

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Background: Sensitization is associated with the exacerbation, severity, and prognosis of allergic diseases in children.

Objective: We characterized the association between sensitization patterns and allergic diseases.

Methods: A cohort of 548 children was enrolled from Panel Study of Korean Children (PSKC) study.

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Various numerical asthma control tools have been developed to distinguish different levels of symptom control. We aimed to examine whether the asthma control test (ACT) is reflective of objective findings such as lung function, fractional exhaled nitric oxide (FeNO) and laboratory data in patients with stable asthma. We included patients who were enrolled in the Korean Childhood Asthma Study.

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Article Synopsis
  • Bronchiectasis is a chronic lung disease in children marked by irreversible airway dilation, with a study focusing on its causes and features in Korean kids from 2000 to 2017.
  • Out of 387 cases, children were diagnosed at an average age of 9.2 years, predominantly boys, with respiratory infections being the leading cause (55.3%).
  • The study highlights common symptoms like chronic cough and recurrent pneumonia, emphasizing the need for further research to improve management and outcomes for these patients.
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