Publications by authors named "Jun Yong Choi"

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 (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: Gongjin-dan (GJD, also known as Gongchen-dan) and Ssanghwa-tang (SHT, also known as Shuanghe-tang or Souwa-to) are herbal medicines that are widely used in Korea for treating fatigue. However, few studies have evaluated the efficacy and safety of GJD and SHT in the treatment of chronic fatigue.

Methods: In this randomized, double-blind, placebo-controlled clinical trial, 90 individuals with persistent (≥6 months) chronic fatigue of unknown cause and a Fatigue Severity Scale (FSS) score of ≥4 were randomly assigned to GJD group, SHT group, and control group in a 1:1:1 ratio.

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  • The study examines how immunity to COVID-19 has evolved from the pandemic to endemic phases, focusing on the updated XBB.1.5 monovalent vaccine (MonoV).
  • Researchers tracked 327 healthcare workers over three years, assessing various immunity responses through blood samples collected at different times.
  • Findings reveal that while antibody levels declined initially, they were maintained and even enhanced in the endemic phase, with the MonoV showing significantly improved neutralization against new virus strains compared to previous vaccines.
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Backgrounds: The association between weight change in patients with diabetes, and the development of infective endocarditis (IE) has never been studied. Therefore, we evaluated the associations of weight changes in patients with diabetes with the development of IE.

Methods: In this Korean population-based cohort study, we included patients with diabetes aged ≥20 years who underwent health screenings twice in a 2-year interval between 2009 and 2012.

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  • Renal replacement therapy (RRT) is critical for treating sepsis-related acute kidney injury (AKI), but its ideal timing is debated; this study focused on the effects of starting continuous kidney replacement therapy (CKRT) within 6 hours of AKI onset.
  • Analyzing data from the MIMIC-IV database, the study found that patients who received early CKRT had a significantly lower 28-day mortality rate compared to those who started later (26.7% vs. 43.9%).
  • Additionally, early CKRT patients experienced more days without needing mechanical ventilation or vasopressors, indicating better overall clinical outcomes despite no significant difference when comparing CKRT initiation within 12 hours versus later.
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  • A study was conducted to compare the health-screening rates of people living with HIV (PLWH) to the general population using data from Korea’s National Health Insurance system from 2010-2020.
  • While screening uptake increased among PLWH from 2010 to 2019, it dropped in 2020, and overall rates were lower compared to the general population, particularly for gastric and colorectal cancer.
  • Factors like older age and longer duration since HIV diagnosis correlated with higher screening rates, but PLWH on medical aid programs had lower screening uptake than those paying higher premiums.
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Background: While people with HIV (PWH) start antiretroviral treatment (ART) regardless of CD4 count, CD4 measurement remains crucial for detecting advanced HIV disease and evaluating ART programmes. We explored CD4 measurement (proportion of PWH with a CD4 result available) and prevalence of CD4 <200 cells/µL at ART initiation within the International epidemiology Databases to Evaluate AIDS (IeDEA) global collaboration.

Methods: We included PWH at participating ART programmes who first initiated ART at age 15-80 years during 2005-2019.

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  • A study investigated the long-term effects of COVID-19 on lymphoma patients to understand the frequency, risk factors, and mortality associated with prolonged COVID-19.
  • Among 583 lymphoma patients analyzed, 19.7% were diagnosed with COVID-19, with 24 of those experiencing prolonged symptoms, particularly linked to specific treatments like rituximab after bendamustine and rituximab therapy.
  • Prolonged COVID-19 significantly increased the risk of hospitalization and was identified as an independent risk factor for higher mortality within a year.
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  • Severe fever with thrombocytopenia syndrome (SFTS) is caused by the SFTS virus (SFTSV) and is transmitted by ticks.
  • CP-COV03 is a new antiviral drug that improves the availability of niclosamide, which has shown effectiveness against over 30 viruses in testing.
  • The study tested CP-COV03 on SFTSV-infected Vero cells and found that it significantly reduced viral effects, suggesting it could be a promising treatment for SFTS.
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  • Korea is experiencing a steady increase in newly diagnosed HIV cases, with women living with HIV making up 6.4% of the population, yet research on this group is limited.
  • A study analyzed data from 443 women living with HIV, identifying heterosexual contact as the primary risk factor, with 91.2% receiving antiretroviral therapy.
  • Findings showed significant health outcomes, including 118 pregnancies and various health issues such as breast and cervical cancer, indicating the need for focused health strategies for women with HIV in Korea.
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Patients with diabetes mellitus (DM) are at a higher risk of infectious diseases, and exercise is an important treatment modality for DM. Despite their susceptibility to infection in diabetic patients, the association between the amount of physical activity and the incidence of infective endocarditis (IE) is unclear. We attempted to demonstrate risk reduction by physical activity in diabetic patients with IE.

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  • Lenacapavir is a new type of medicine for people with a tough form of HIV that doesn't respond to many other treatments.
  • A 43-year-old man who has struggled with HIV since 2005 finally got help when he tried lenacapavir along with other medicines, and it worked!
  • After taking lenacapavir, his viral levels dropped and his immune system started to get better for 8 months, showing it can be a good option for patients with very few choices.
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  • A study in South Korea assessed the effectiveness of the XBB.1.5 COVID-19 vaccine against symptomatic infections, hospitalizations, and the need for oxygen therapy during late 2023.
  • A total of 5,516 subjects were analyzed, revealing that the vaccine had absolute effectiveness rates of 65.2% for COVID-19 infection, 77.3% for hospitalization, and 85.3% for oxygen therapy, compared to unvaccinated individuals.
  • The results suggest significant short-term effectiveness of the XBB.1.5 vaccine, but further long-term studies are needed to monitor ongoing effectiveness.
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Background: malaria has been one of the most troublesome diseases in the Democratic People's Republic of Korea (DPRK). Given that a majority of malaria cases are concentrated near the demilitarized zone, concerted elimination efforts from both the Republic of Korea (ROK) and DPRK are essential for a malaria-free Korean Peninsula. This study assessed the impact of rapid diagnostic tests (RDTs) and tafenoquine on malaria incidence in DPRK.

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This guideline aims to promote the prudent use of antibacterial agents for managing carbapenem-resistant Enterobacterales (CRE) infections in clinical practice in Korea. The general section encompasses recommendations for the management of common CRE infections and diagnostics, whereas each specific section is structured with key questions that are focused on antibacterial agents and disease-specific approaches. This guideline covers both currently available and upcoming antibacterial agents in Korea.

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With advancements in antiretroviral therapy (ART), the average lifespan of people with human immunodeficiency virus (HIV) is increasing, as is the number of older adults with HIV. Accordingly, the number of patients with HIV who undergo surgery or require critical care for various reasons is increasing. Since the prognosis of people with HIV depends on the continuous and effective maintenance of ART, there is a need to consider effectively maintaining ART in people with HIV in these conditions.

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Background: Increasing numbers of people with HIV have received prolonged antiretroviral therapy (ART). We assessed long-term immunological and survival outcomes among people with HIV from Asia (TAHOD) and Australia (AHOD).

Methods: People with HIV receiving ART for ≥10 years were included.

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  • This study aimed to explore how the use of contrast mediums during CT scans impacts long-term mortality and kidney function in patients suffering from septic acute kidney injury (AKI).
  • It analyzed data from 1,521 patients with septic shock, comparing outcomes of those who received contrast vs. non-contrast CT scans, focusing on mortality and dialysis rates within 90 days.
  • The results showed no significant differences in 90-day mortality, dialysis rates, or worsening kidney function between the two groups, suggesting that using intravenous contrast does not negatively affect patients with septic AKI.
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HCV RNA test determines current active infection and is a requirement prior to initiating HCV treatment. We investigated trends and factors associated with post-diagnosis HCV RNA testing rates prior to HCV treatment, and risk factors for first positive HCV RNA among people living with HIV (PLHIV) with HCV in the Asia-Pacific region. PLHIV with positive HCV antibody and in follow-up after 2010 were included.

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Background: Lung cancer, especially non-small cell lung cancer (NSCLC), poses a significant health challenge globally due to its high mortality. Afatinib, a second-generation epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI), has shown superior efficacy over traditional chemotherapy in NSCLC treatment. However, issues like secondary resistance and adverse effects call for alternative therapies.

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Background: Age-dependent immune responses to coronavirus disease 2019 (COVID-19) vaccinations and breakthrough infections (BIs) in young and middle-aged individuals are unclear.

Methods: This nationwide multicenter prospective cohort study analyzed immune responses in participants of the ChAdOx1 (ChAd)-ChAd-mRNA vaccine group using cytometry by time-of-flight, anti-spike protein antibody (Sab) and anti-nucleocapsid antibody (Nab) titers, plaque reduction neutralization tests (PRNTs), and interferon-gamma (IFN-γ) release assays at various time points.

Results: We evaluated 347 participants with an average age of 38.

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Background: The ongoing, observational BICSTaR (BICtegravir Single Tablet Regimen) cohort study is evaluating real-world effectiveness and safety of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) in people with HIV across 14 countries over 24 months. We present 12-month data from the BICSTaR Asia cohort.

Methods: Data were pooled from retrospective and prospective cohorts of antiretroviral therapy (ART)-naïve (hereafter, TN) and ART-experienced (hereafter, TE) people with HIV (aged ≥21 years) receiving B/F/TAF in routine clinical care in the Republic of Korea, Singapore, and Taiwan.

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This study aimed to evaluate the differences in the baseline characteristics and patterns of antibiotic usage among hospitals based on their participation in the Korea National Antimicrobial Use Analysis System (KONAS). We obtained claims data from the National Health Insurance for inpatients admitted to all secondary- and tertiary-care hospitals between January 2020 and December 2021 in Korea. 15.

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