1.Epidemiological Characteristics and Risk Factors of Dengue Infection in Korean Travelers.
Sungmo JE ; Wonjun BAE ; Jiyeon KIM ; Seung Hyeok SEOK ; Eung Soo HWANG
Journal of Korean Medical Science 2016;31(12):1863-1873
Dengue viral infection has rapidly spread around the world in recent decades. In Korea, autochthonous cases of dengue fever have not been confirmed yet. However, imported dengue cases have been increased since 2001. The risk of developing severe dengue in Korean has been increased by the accumulation of past-infected persons with residual antibodies to dengue virus and the remarkable growth of traveling to endemic countries in Southeast Asia. Notably, most of imported dengue cases were identified from July to December, suggesting that traveling during rainy season of Southeast Asia is considered a risk factor for dengue infection. Analyzing national surveillance data from 2011 to 2015, males aged 20–29 years are considered as the highest risk group. But considering the age and gender distribution of travelers, age groups 10–49 except 20–29 years old males have similar risks for infection. To minimize a risk of dengue fever and severe dengue, travelers should consider regional and seasonal dengue situation. It is recommended to prevent from mosquito bites or to abstain from repetitive visit to endemic countries. In addition, more active surveillance system and monitoring the prevalence asymptomatic infection and virus serotypes are required to prevent severe dengue and indigenous dengue outbreak.
Antibodies
;
Asia, Southeastern
;
Asymptomatic Infections
;
Culicidae
;
Dengue Virus
;
Dengue*
;
Humans
;
Korea
;
Male
;
Prevalence
;
Risk Factors*
;
Seasons
;
Serogroup
;
Severe Dengue
2.An Urgent Need for Global Preparedness against the Reemergence of “Forgotten” Infectious Diseases in Korea.
Jung Heon KIM ; Wonjun BAE ; Jiyeon KIM ; Eung Soo HWANG
Journal of Korean Medical Science 2018;33(17):e125-
No abstract available.
Communicable Diseases*
;
Korea*
3.Changes of Epidemiological Characteristics of Japanese Encephalitis Viral Infection and Birds as a Potential Viral Transmitter in Korea
Wonjun BAE ; Jung Heon KIM ; Jiyeon KIM ; Jungyun LEE ; Eung Soo HWANG
Journal of Korean Medical Science 2018;33(9):e70-
Japanese encephalitis (JE) cases have been increasingly reported recently especially in Seoul and its vicinity. Pigs are known as amplifying host of JE virus (JEV), but do not play an important role in these recent events because pig-breeding is not common in Seoul. The distribution and the density of migratory birds are correlated with JE cases in cities and they might be highly potential hosts contributing to transmit JEV in metropolitan areas. JE genotype and sero-prevalence in birds should be determined for the verification of the transmission route of JEV in the recent sporadic occurrence of JE cases in Seoul.
Asian Continental Ancestry Group
;
Birds
;
Encephalitis, Japanese
;
Genotype
;
Humans
;
Korea
;
Seoul
;
Swine
4.The Preparedness for Re-emerged and Emerging Infectious Diseases: A Lesson Through Outbreak of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in South Korea.
Sungmo JE ; Wonjun BAE ; Jiyeon KIM ; Seung Hyeok SEOK ; Eung Soo HWANG
Journal of Bacteriology and Virology 2015;45(4):339-353
The Middle East respiratory syndrome coronavirus (MERS-CoV) causes severe acute respiratory disease and systemic dysfunction that may eventually lead to the death of the patients. After MERS-CoV was first diagnosed in the South Korea, in May 2015, it affected 186 individuals and claimed 37 lives in short span of time (case fatality rate = 19.9%). Compared to MERS-CoV in the Middle East, MERS-CoV in South Korea appeared to be more transmissible, and induced multiple human-to-human transmission. These knowledge gaps caused the failure of early prevention, and disseminated MERS-CoV brought out a great loss of lives and economy. The MERS-CoV outbreak revealed the potential weakness of public health system in South Korea, and promoted the reestablishment of preventive strategies for imported infectious diseases. In these regards, we analyzed the potential for additional import of re-emerged and emerging infectious diseases, such as dengue fever, malaria, chikungunya fever and hepatitis A, from Africa or South-East Asia. Then we suggest the investment expansion and the administration of global networks for effective research and control for newly or re-emerged infectious diseases. In conclusion, it is required to expect and prepare for the surveillance of the importation of foreign pathogens, and constitute the internal collaborative systems for rapid detection and risk communication. In addition, we should take an active part in the global networks to perform rapid preparedness and control for re-emerged or emerging infectious diseases.
Africa
;
Asia
;
Communicable Diseases
;
Communicable Diseases, Emerging*
;
Coronavirus*
;
Dengue
;
Fever
;
Hepatitis A
;
Humans
;
Investments
;
Korea*
;
Malaria
;
Middle East*
;
Public Health
5.A morphological study of vomeronasal organ of Korean black goat (Capra aegagrus hircus).
Changnam PARK ; Wonjun YANG ; Yeonji BAE ; Yongduk LEE ; Wanchoul KANG ; Meejung AHN ; Taekyun SHIN
Korean Journal of Veterinary Research 2013;53(1):55-60
The vomeronasal organ (VNO) plays an important role in reproduction and social activities in ruminants including goats. A morphological study on the structure of VNO and its epithelial cells was carried out in Korean black goats. Grossly, the VNO of Korean goats opens into mouth through incisive ducts. Microscopically, the epithelium of VNO consisted of medial sensory epithelium and lateral non-sensory epithelium. Several blood vessels and nerve bundles were observed in the lamina propria encased by vomeronasal cartilage. Immunohistochemical staining showed that protein gene product (PGP) 9.5 was immunostained in the receptor cells of the sensory epithelium and in some cells of the non-sensory epithelium. Galectin-3 was mainly observed in the supporting cells of sensory and non-sensory epithelium. Lectins including wheat germ agglutinin, Ulex europaeus agglutinin, Bandeiraea simplicifolia lectin Isolectin B4, Dolichos biflorus agglutinin and soybean agglutinin used in this study were bound in VNO sensory, non-sensory epithelia as well as in the lamina propria with varying intensity. Collectively, this is a first descriptive morphological study of VNO of Korean black goat with special reference to lectin histochemistry.
Blood Vessels
;
Cartilage
;
Dolichos
;
Epithelial Cells
;
Epithelium
;
Galectin 3
;
Goats
;
Immunohistochemistry
;
Lectins
;
Mouth
;
Mucous Membrane
;
Plant Lectins
;
Reproduction
;
Ruminants
;
Soybean Proteins
;
Soybeans
;
Triticum
;
Ulex
;
Vomeronasal Organ
6.GAB2 Amplification in Squamous Cell Lung Cancer of Non-Smokers.
Yu Rang PARK ; Soo Hyeon BAE ; Wonjun JI ; Eul Ju SEO ; Jae Cheol LEE ; Hyeong Ryul KIM ; Se Jin JANG ; Chang Min CHOI
Journal of Korean Medical Science 2017;32(11):1784-1791
Lung squamous cell cancer (SCC) is typically found in smokers and has a very low incidence in non-smokers, indicating differences in the tumor biology of lung SCC in smokers and non-smokers. However, the specific mutations that drive tumor growth in non-smokers have not been identified. To identify mutations in lung SCC of non-smokers, we performed a genetic analysis using arrays comparative genomic hybridization (ArrayCGH). We analyzed 19 patients with lung SCC who underwent surgical treatment between April 2005 and April 2015. Clinical characteristics were reviewed, and DNA was extracted from fresh frozen lung cancer specimens. All of copy number alterations from ArrayCGH were validated using The Cancer Genome Atlas (TCGA) copy number variation (CNV) data of lung SCC. We examined the frequency of copy number changes according to the smoking status (non-smoker [n = 8] or smoker [n = 11]). We identified 16 significantly altered regions from ArrayCGH data, three gain and four loss regions overlapped with the TCGA lung squamous cell carcinoma (LUSC) patients. Within these overlapped significant regions, we detected 15 genes that have been reported in the Cancer Gene census. We also found that the proto-oncogene GAB2 (11q14.1) was significantly amplified in non-smokers patients and vice versa in both ArrayCGH and TCGA data. Immunohistochemical analyses showed that GAB2 protein was relatively upregulated in non-smoker than smoker tissues (37.5% vs. 9.0%, P = 0.007). GAB2 amplification may have an important role in the development of lung SCC in non-smokers. GAB2 may represent a potential biomarker for lung SCC in non-smokers.
Biology
;
Carcinoma, Squamous Cell
;
Censuses
;
Comparative Genomic Hybridization
;
DNA
;
Epithelial Cells*
;
Genes, Neoplasm
;
Genome
;
Humans
;
Incidence
;
Lung Neoplasms*
;
Lung*
;
Neoplasms, Squamous Cell
;
Proto-Oncogenes
;
Smoke
;
Smoking
7.Protective effect of ethyl acetate extract of Ishige okamurae against carbon tetrachloride-induced acute liver injury in rats.
Sohi KANG ; Wonjun YANG ; Hanseul OH ; Yeonji BAE ; Meejung AHN ; Min Chul KANG ; Ryeo Kyeong KO ; Gi Ok KIM ; Jun Hwa LEE ; Jin Won HYUN ; Changjong MOON ; Taekyun SHIN
Korean Journal of Veterinary Research 2011;51(4):259-265
Several compounds and extracts isolated from a brown alga, Ishige (I.) okamurae, exhibit anti-oxidant and anti-inflammatory effects. The present study investigated whether the ethyl acetate (EtOAc) fraction of I. okamurae (EFIO) could ameliorate carbon tetrachloride (CCl4)-induced hepatotoxicity in rats. Sprague-Dawley rats were intraperitoneally (i.p.) administered with EFIO at 10 or 50 mg/kg per day for 2 consecutive days before CCl4 injection (3.3 mL/kg, i.p.). Twenty four hours later, the rats were anesthesized with diethyl ether and dissected. Pretreatment with EFIO significantly reduced the increased serum levels of alanine aminotransferase and aspartate aminotransferase in CCl4-treated rats. Pretreatment with EFIO also significantly inhibited the reduced activities of superoxide dismutase and catalase in the CCl4-injured liver. Histopathological evaluations showed that hemorrhage, hepatocyte necrosis, inflammatory cell infiltration, and fatty degeneration induced by CCl4 treatment were ameliorated by the administration of EFIO. Additionally, liver immunohistochemical analyses revealed the marked reduction in ED1-positive monocyte-like macrophages in EFIO-pretreated rats given CCl4. These results suggest that EFIO ameliorates CCl4-induced liver injury, possibly through the inhibition of oxidative stress.
Acetates
;
Alanine Transaminase
;
Animals
;
Aspartate Aminotransferases
;
Carbon
;
Carbon Tetrachloride
;
Catalase
;
Ether, Ethyl
;
Hemorrhage
;
Hepatocytes
;
Liver
;
Macrophages
;
Necrosis
;
Oxidative Stress
;
Rats
;
Rats, Sprague-Dawley
;
Superoxide Dismutase
8.Effect of Underlying Comorbidities on the Infection and Severity of COVID-19 in Korea: a Nationwide Case-Control Study
Wonjun JI ; Kyungmin HUH ; Minsun KANG ; Jinwook HONG ; Gi Hwan BAE ; Rugyeom LEE ; Yewon NA ; Hyoseon CHOI ; Seon Yeong GONG ; Yoon-Hyeong CHOI ; Kwang-Pil KO ; Jeong-Soo IM ; Jaehun JUNG
Journal of Korean Medical Science 2020;35(25):e237-
Background:
The coronavirus disease 2019 (COVID-19) pandemic is an emerging threat worldwide. It remains unclear how comorbidities affect the risk of infection and severity of COVID-19.
Methods:
This is a nationwide retrospective case-control study of 219,961 individuals, aged 18 years or older, whose medical costs for COVID-19 testing were claimed until May 15, 2020. COVID-19 diagnosis and infection severity were identified from reimbursement data using diagnosis codes and on the basis of respiratory support use, respectively. Odds ratios (ORs) were estimated using multiple logistic regression, after adjusting for age, sex, region, healthcare utilization, and insurance status.
Results:
The COVID-19 group (7,341 of 219,961) was young and had a high proportion of female. Overall, 13.0% (954 of 7,341) of the cases were severe. The severe COVID-19 group had older patients and a proportion of male ratio than did the non-severe group. Diabetes (odds ratio range [ORR], 1.206–1.254), osteoporosis (ORR, 1.128–1.157), rheumatoid arthritis (ORR, 1.207–1.244), substance use (ORR, 1.321–1.381), and schizophrenia (ORR, 1.614–1.721) showed significant association with COVID-19. In terms of severity, diabetes (OR, 1.247; 95% confidential interval, 1.009–1.543), hypertension (ORR, 1.245–1.317), chronic lower respiratory disease (ORR, 1.216–1.233), chronic renal failure, and end-stage renal disease (ORR, 2.052–2.178) were associated with severe COVID-19.
Conclusion
We identified several comorbidities associated with COVID-19. Health care workers should be more careful while diagnosing and treating COVID-19 when patients have the abovementioned comorbidities.