Publications by authors named "Hanki Park"

Background: Recently, cough reflex hypersensitivity has been proposed as a common underlying feature of chronic cough in adults. However, symptoms and clinical characteristics of cough hypersensitivity have not been studied amongst phenotypes of chronic cough. This study aimed to compare symptom features, such as cough triggers and associated throat sensations, of cough hypersensitivity in patients with asthmatic chronic cough and those with refractory chronic cough (RCC).

View Article and Find Full Text PDF

Background: Anti-type 2 (T2) biologic therapies (biologics) improve exacerbation rates, lung function, and asthma-related quality of life (QoL) in patients with severe T2 asthma. However, studies comparing different biologics are lacking. We evaluated the QoL in patients with severe asthma comprehensively and compare the efficacy of different T2-directed biologics using QoL questionnaires.

View Article and Find Full Text PDF

The diagnosis of anaphylaxis is based on the clinical history. The utility of tryptase measurements in clinical setting is limited. Mas-related G protein-coupled receptor-X2 (MRGPRX2) is expressed in mast cells and is involved in the degranulation of these cells.

View Article and Find Full Text PDF
Article Synopsis
  • - The study evaluated the effectiveness of codeine for treating chronic cough in patients who didn't respond to standard treatments, finding that about 40.7% had identifiable causes while the rest didn't.
  • - Out of 305 patients, only 16.7% experienced a quick and notable improvement with codeine, while 59.3% remained non-responsive after the treatment.
  • - The results highlight that although codeine helps some patients, the majority still struggle with chronic cough, emphasizing the need for developing new antitussive medications.
View Article and Find Full Text PDF

Background: Despite the increasing use of biologics in severe asthma, there is limited research on their use in asthma-chronic obstructive pulmonary disease overlap (ACO). We compared real-world treatment responses to biologics in ACO and asthma.

Methods: We conducted a multicenter, retrospective, cohort study using data from the Precision Medicine Intervention in Severe Asthma (PRISM).

View Article and Find Full Text PDF

Background: Carboplatin administration poses a risk of immediate hypersensitivity reactions (IHRs) that tend to increase with repeated administration and are mostly IgE-mediated.

Objective: This study evaluated the usefulness of carboplatin-prescreening intradermal skin tests (IDTs).

Methods: Carboplatin-prescreening IDTs were routinely conducted in patients with a history of receiving six or more carboplatin cycles beginning in January 2021.

View Article and Find Full Text PDF
Article Synopsis
  • A study assessed the best strategies to prevent hypersensitivity reactions (HSR) in patients with a history of immediate HSR to low-osmolar iodinated contrast media (LOCM), examining factors like premedication and LOCM substitutions.
  • The research included 3800 LOCM exposures in 1066 patients, finding that premedication with corticosteroids significantly reduced the chance of HSR recurrence, while using different LOCM without common side chains was notably effective.
  • The results emphasized that switching to alternative LOCM, especially those without shared side chains, significantly decreased HSR occurrences, particularly in patients who previously had moderate to severe reactions.
View Article and Find Full Text PDF
Article Synopsis
  • The Korean Chronic Cough Registry study aims to better understand patients with chronic cough (CC) by analyzing their profiles and treatment outcomes in real-world settings.
  • The study included 610 patients from 18 centers, revealing that a significant portion had a longer duration of cough, especially those with refractory or unexplained chronic cough (RUCC).
  • Findings indicate that chronic cough often starts in adulthood, lasts for years, and significantly impacts patients' quality of life, highlighting the need for better treatment methods and follow-up research.
View Article and Find Full Text PDF
Article Synopsis
  • An AI-based cough counting system was tested in a study involving patients experiencing acute asthma exacerbations, utilizing a smartphone app called Coughy to record cough sounds over a week.
  • The study involved 24 asthmatic patients, who recorded a total of 1,417.6 hours of cough, with the AI cough counts showing a strong correlation to manual counts by expert evaluators during both sleep and awake periods.
  • While AI cough counts related to various asthma-related factors like symptom severity and medication use, there was no significant correlation between cough counts and peak expiratory flow rate (PEFR).
View Article and Find Full Text PDF

Background: Iodinated contrast media (ICM) are a common cause of drug-induced immediate hypersensitivity reaction (IHR). Repeated use of ICM is often necessary; therefore, a standardized protocol to prevent recurrence of IHR is required.

Objective: We aimed to propose an intradermal skin test (IDT)-guided strategy for previous reactors to prevent recurrence of IHR.

View Article and Find Full Text PDF

Purpose: Chronic cough (CC) is associated with health-related quality of life (HRQoL) impairment. However, the determinants of HRQoL are under-investigated.

Methods: Patients aged 19-80 years with CC were prospectively recruited from 10 referral clinics.

View Article and Find Full Text PDF

Background: Accumulating evidence suggests that the gut microbiome is associated with asthma. However, altered gut microbiome in adult asthma is not yet well established. We aimed to investigate the gut microbiome profiles of adult asthmatic patients with symptomatic eosinophilic inflammation.

View Article and Find Full Text PDF

Growing evidence suggests that there is an essential link between the gut and lungs. Asthma is a common chronic inflammatory disease and is considered a heterogeneous disease. While it has been documented that eosinophilic asthma affects gut immunity and the microbiome, the effect of other types of asthma on the gut environment has not been examined.

View Article and Find Full Text PDF

Background And Aim: Current therapeutic strategies for infections (CDI), including oral vancomycin, metronidazole and fecal microbial transplantation, have limited efficacy and treatment failure may occur in as many as one- third of cases. Recent studies have reported that lower concentrations of 25-hydroxyvitamin D are associated with CDI severity and recurrence. However, there have been no studies on microbiota composition after the administration of vitamin D in patients with CDI.

View Article and Find Full Text PDF

Background: Probiotics have been shown to prevent various allergic diseases by producing extracellular vesicles (EVs). However, the role of EVs in allergic asthma has not yet been completely determined.

Methods: Gut microbial composition, mainly genera related to probiotics, was investigated in allergic asthmatic mice.

View Article and Find Full Text PDF

Introduction: Although factors initiating the inflammatory response to monosodium urate crystals have been identified, the role of the gut microbiota and their metabolites on gout remains unknown. This study aimed to investigate the changes in both gut microbiota and short-chain fatty acids (SCFAs) according to inflammatory states of gout in the same patients.

Methods: This study enrolled 20 patients with gout in the acute state who had active joints and were followed up until the recovery state with no active joints.

View Article and Find Full Text PDF

Background: Staphylococcus aureus (SA) nasal carriage (SA carriage) and IgE-sensitization to SA enterotoxin (SE IgE-sensitization) are known to be associated with chronic airway disease.

Objective: This study aimed to evaluate the differences in risk factors, type 2 inflammation and respiratory symptoms between SA carriage and SE IgE-sensitization.

Methods: We conducted a cross-sectional study of a community-based adult population to evaluate the environmental exposure and health impact of the Pohang Industrial Complex, Korea.

View Article and Find Full Text PDF

Background: The associations between long-term changes in body mass composition and decline in lung function in healthy adults are unknown.

Methods: Using a well-defined health check-up database, we first assessed individual longitudinal changes in muscle mass (MM) and fat mass (FM) measured via bioelectrical impedance analyses. Then we classified the enrolled individuals into five body composition groups according to their MM index (MMI) [MM (kg)/height (m) ] or FM index (FMI) [FM (kg)/height (m) ] change rate quartiles.

View Article and Find Full Text PDF
Article Synopsis
  • Severe asthma causes patients to have serious attacks called exacerbations, making it hard for them to breathe.
  • Patients often take oral corticosteroids (OCSs) to manage these attacks since other treatments aren’t working well for them.
  • The study found that many patients feel scared, helpless, and don’t know enough about their illness and the side effects of OCSs, so they need better support and education.
View Article and Find Full Text PDF

ST-segment elevation myocardial infarction (STEMI) is characterized by thrombotic coronary artery occlusions caused by atherosclerotic plaque rupture. The gut microbiome potentially contributes to the pathogenesis of coronary artery diseases. This study investigated the microbial diversity and composition of coronary thrombi in STEMI patients and the composition of the thrombus microbiome relative to that of the oral and gut microbiomes.

View Article and Find Full Text PDF

Background: Vancomycin-resistant Enterococcus (VRE) has become more common in nosocomial infections, especially in urine samples. However, until now, no treatment regimen has been proven to effectively eradicate urine VRE colonization. Therefore, to evaluate the efficacy of doxycycline in eradicating urine VRE and shortening VRE isolation period, we compared VRE colony detection period between doxycycline-treated and untreated patients.

View Article and Find Full Text PDF