1.Survey of Experts’ Opinions on the Diagnosis and Management of Pancreatic Cystic Neoplasms
Jeong Hee YOON ; In Rae CHO ; Won CHANG ; Bohyun KIM ; Siwon JANG ; Yeun-Yoon KIM ; Jeong Woo KIM ; Sang Hyub LEE ; Jeong Min LEE
Korean Journal of Radiology 2024;25(12):1047-1060
Objective:
To survey experts’ opinions in abdominal radiology (radiologists) and pancreas-specialized gastroenterology (pancreatologists) in South Korea regarding diagnosing and managing pancreatic cystic neoplasms (PCNs).
Materials and Methods:
Between August 25, 2023, and October 5, 2023, an online survey was conducted among members of the Korean Society of Abdominal Radiology and the Korean Pancreatobiliary Association via email invitation.
Results:
The responses from 100 radiologists and 41 pancreatologists were analyzed. Of the respondents, 55.3% (78/141) reported seeing more than 50 patients or reading more than 50 exams related to PCN each month. The most common and preferred diagnostic modality for PCN was contrast-enhanced computed tomography (CECT), favored by 87.8% (36/41) of pancreatologists. When discrepancies arose between CECT or magnetic resonance imaging (MRI) and endoscopic ultrasound, 31.2% (44/141) of the respondents opted for multidisciplinary team discussion, whereas 29.1% (41/141) chose short-term follow-up using CECT or MRI. A total of 88.7% (125/141) of the respondents adhered to the 2017 International Association of Pancreatology (IAP) guidelines in their practice. Among the radiologists, 51.0% (51/100) endorsed a cut-off value of 5 mm for enhancing mural nodules, and 22.0% (22/100) supported a 5 mm/2 yr growth rate in the IAP guidelines v.2017.Additionally, 73.0% (73/100) of radiologists favored discontinuing surveillance, whereas 41.5% (17/41) of pancreatologists disagreed with stopping surveillance.
Conclusion
The survey underscores the clinical burden PCN poses and identifies CECT as the foremost diagnostic tool.Variability was noted in the terminology, differential diagnosis, approaches for resolving discrepancies between imaging examinations, and opinions on surveillance discontinuation among the respondents as a whole, as well as between radiologists and pancreatologists. Although the 2017 IAP guidelines are primarily followed, there remains a level of dissatisfaction with risk stratification among radiologists. This highlights the need for more standardized diagnostic algorithms and improved consensus among specialists to address these challenges.
2.Epidemiology and Characteristics of Scabies Infections in the Ulsan City:A 10-Year Retrospective Study
Doo Rae CHA ; Chan Hui JANG ; Jin Soo KIM ; Ho Seok SUH
Korean Journal of Dermatology 2024;62(9):510-515
Background:
The prevalence of scabies, a contagious parasitic skin disease, has decreased to <1% in South Korea.However, an increase in the elderly population has led to occasional outbreaks. This study aimed to analyze the epidemiological changes and clinical features of scabies diagnosed in Ulsan over the past decade.
Objective:
This study aimed to analyze the epidemiological changes and clinical features of scabies infections diagnosed at a tertiary hospital in Ulsan over the past decade.
Methods:
We conducted a retrospective study at Ulsan University Hospital that reviewed 235 cases from 2013 to 2022.We analyzed the medical records of patients diagnosed with scabies by dermoscopy and microscopic examination.
Results:
Among 55,430 patients, 235 were confirmed to have scabies, with an overall prevalence of 0.42%. The highest annual incidence was in 2018 (35 cases), with a subsequent decrease but a gradual increase from 2019 to 2022. The most common infection route was through nursing facilities (32.3%). The elderly (≥70 years) comprised 32.3% cases, and typical clinical manifestations were papules (80.4%) of the trunk and extremities. Eosinophilia was observed in 31.4% inpatients. The mean treatment duration was 29.15 days.
Conclusion
We report a declining but significant prevalence of scabies in Ulsan, with many cases occurring among the elderly in nursing facilities. This study underscores the need for continued surveillance and education regarding the diagnosis and management of scabies in healthcare and community facilities.
3.Survey of Experts’ Opinions on the Diagnosis and Management of Pancreatic Cystic Neoplasms
Jeong Hee YOON ; In Rae CHO ; Won CHANG ; Bohyun KIM ; Siwon JANG ; Yeun-Yoon KIM ; Jeong Woo KIM ; Sang Hyub LEE ; Jeong Min LEE
Korean Journal of Radiology 2024;25(12):1047-1060
Objective:
To survey experts’ opinions in abdominal radiology (radiologists) and pancreas-specialized gastroenterology (pancreatologists) in South Korea regarding diagnosing and managing pancreatic cystic neoplasms (PCNs).
Materials and Methods:
Between August 25, 2023, and October 5, 2023, an online survey was conducted among members of the Korean Society of Abdominal Radiology and the Korean Pancreatobiliary Association via email invitation.
Results:
The responses from 100 radiologists and 41 pancreatologists were analyzed. Of the respondents, 55.3% (78/141) reported seeing more than 50 patients or reading more than 50 exams related to PCN each month. The most common and preferred diagnostic modality for PCN was contrast-enhanced computed tomography (CECT), favored by 87.8% (36/41) of pancreatologists. When discrepancies arose between CECT or magnetic resonance imaging (MRI) and endoscopic ultrasound, 31.2% (44/141) of the respondents opted for multidisciplinary team discussion, whereas 29.1% (41/141) chose short-term follow-up using CECT or MRI. A total of 88.7% (125/141) of the respondents adhered to the 2017 International Association of Pancreatology (IAP) guidelines in their practice. Among the radiologists, 51.0% (51/100) endorsed a cut-off value of 5 mm for enhancing mural nodules, and 22.0% (22/100) supported a 5 mm/2 yr growth rate in the IAP guidelines v.2017.Additionally, 73.0% (73/100) of radiologists favored discontinuing surveillance, whereas 41.5% (17/41) of pancreatologists disagreed with stopping surveillance.
Conclusion
The survey underscores the clinical burden PCN poses and identifies CECT as the foremost diagnostic tool.Variability was noted in the terminology, differential diagnosis, approaches for resolving discrepancies between imaging examinations, and opinions on surveillance discontinuation among the respondents as a whole, as well as between radiologists and pancreatologists. Although the 2017 IAP guidelines are primarily followed, there remains a level of dissatisfaction with risk stratification among radiologists. This highlights the need for more standardized diagnostic algorithms and improved consensus among specialists to address these challenges.
4.Survey of Experts’ Opinions on the Diagnosis and Management of Pancreatic Cystic Neoplasms
Jeong Hee YOON ; In Rae CHO ; Won CHANG ; Bohyun KIM ; Siwon JANG ; Yeun-Yoon KIM ; Jeong Woo KIM ; Sang Hyub LEE ; Jeong Min LEE
Korean Journal of Radiology 2024;25(12):1047-1060
Objective:
To survey experts’ opinions in abdominal radiology (radiologists) and pancreas-specialized gastroenterology (pancreatologists) in South Korea regarding diagnosing and managing pancreatic cystic neoplasms (PCNs).
Materials and Methods:
Between August 25, 2023, and October 5, 2023, an online survey was conducted among members of the Korean Society of Abdominal Radiology and the Korean Pancreatobiliary Association via email invitation.
Results:
The responses from 100 radiologists and 41 pancreatologists were analyzed. Of the respondents, 55.3% (78/141) reported seeing more than 50 patients or reading more than 50 exams related to PCN each month. The most common and preferred diagnostic modality for PCN was contrast-enhanced computed tomography (CECT), favored by 87.8% (36/41) of pancreatologists. When discrepancies arose between CECT or magnetic resonance imaging (MRI) and endoscopic ultrasound, 31.2% (44/141) of the respondents opted for multidisciplinary team discussion, whereas 29.1% (41/141) chose short-term follow-up using CECT or MRI. A total of 88.7% (125/141) of the respondents adhered to the 2017 International Association of Pancreatology (IAP) guidelines in their practice. Among the radiologists, 51.0% (51/100) endorsed a cut-off value of 5 mm for enhancing mural nodules, and 22.0% (22/100) supported a 5 mm/2 yr growth rate in the IAP guidelines v.2017.Additionally, 73.0% (73/100) of radiologists favored discontinuing surveillance, whereas 41.5% (17/41) of pancreatologists disagreed with stopping surveillance.
Conclusion
The survey underscores the clinical burden PCN poses and identifies CECT as the foremost diagnostic tool.Variability was noted in the terminology, differential diagnosis, approaches for resolving discrepancies between imaging examinations, and opinions on surveillance discontinuation among the respondents as a whole, as well as between radiologists and pancreatologists. Although the 2017 IAP guidelines are primarily followed, there remains a level of dissatisfaction with risk stratification among radiologists. This highlights the need for more standardized diagnostic algorithms and improved consensus among specialists to address these challenges.
5.Epidemiology and Characteristics of Scabies Infections in the Ulsan City:A 10-Year Retrospective Study
Doo Rae CHA ; Chan Hui JANG ; Jin Soo KIM ; Ho Seok SUH
Korean Journal of Dermatology 2024;62(9):510-515
Background:
The prevalence of scabies, a contagious parasitic skin disease, has decreased to <1% in South Korea.However, an increase in the elderly population has led to occasional outbreaks. This study aimed to analyze the epidemiological changes and clinical features of scabies diagnosed in Ulsan over the past decade.
Objective:
This study aimed to analyze the epidemiological changes and clinical features of scabies infections diagnosed at a tertiary hospital in Ulsan over the past decade.
Methods:
We conducted a retrospective study at Ulsan University Hospital that reviewed 235 cases from 2013 to 2022.We analyzed the medical records of patients diagnosed with scabies by dermoscopy and microscopic examination.
Results:
Among 55,430 patients, 235 were confirmed to have scabies, with an overall prevalence of 0.42%. The highest annual incidence was in 2018 (35 cases), with a subsequent decrease but a gradual increase from 2019 to 2022. The most common infection route was through nursing facilities (32.3%). The elderly (≥70 years) comprised 32.3% cases, and typical clinical manifestations were papules (80.4%) of the trunk and extremities. Eosinophilia was observed in 31.4% inpatients. The mean treatment duration was 29.15 days.
Conclusion
We report a declining but significant prevalence of scabies in Ulsan, with many cases occurring among the elderly in nursing facilities. This study underscores the need for continued surveillance and education regarding the diagnosis and management of scabies in healthcare and community facilities.
6.Survey of Experts’ Opinions on the Diagnosis and Management of Pancreatic Cystic Neoplasms
Jeong Hee YOON ; In Rae CHO ; Won CHANG ; Bohyun KIM ; Siwon JANG ; Yeun-Yoon KIM ; Jeong Woo KIM ; Sang Hyub LEE ; Jeong Min LEE
Korean Journal of Radiology 2024;25(12):1047-1060
Objective:
To survey experts’ opinions in abdominal radiology (radiologists) and pancreas-specialized gastroenterology (pancreatologists) in South Korea regarding diagnosing and managing pancreatic cystic neoplasms (PCNs).
Materials and Methods:
Between August 25, 2023, and October 5, 2023, an online survey was conducted among members of the Korean Society of Abdominal Radiology and the Korean Pancreatobiliary Association via email invitation.
Results:
The responses from 100 radiologists and 41 pancreatologists were analyzed. Of the respondents, 55.3% (78/141) reported seeing more than 50 patients or reading more than 50 exams related to PCN each month. The most common and preferred diagnostic modality for PCN was contrast-enhanced computed tomography (CECT), favored by 87.8% (36/41) of pancreatologists. When discrepancies arose between CECT or magnetic resonance imaging (MRI) and endoscopic ultrasound, 31.2% (44/141) of the respondents opted for multidisciplinary team discussion, whereas 29.1% (41/141) chose short-term follow-up using CECT or MRI. A total of 88.7% (125/141) of the respondents adhered to the 2017 International Association of Pancreatology (IAP) guidelines in their practice. Among the radiologists, 51.0% (51/100) endorsed a cut-off value of 5 mm for enhancing mural nodules, and 22.0% (22/100) supported a 5 mm/2 yr growth rate in the IAP guidelines v.2017.Additionally, 73.0% (73/100) of radiologists favored discontinuing surveillance, whereas 41.5% (17/41) of pancreatologists disagreed with stopping surveillance.
Conclusion
The survey underscores the clinical burden PCN poses and identifies CECT as the foremost diagnostic tool.Variability was noted in the terminology, differential diagnosis, approaches for resolving discrepancies between imaging examinations, and opinions on surveillance discontinuation among the respondents as a whole, as well as between radiologists and pancreatologists. Although the 2017 IAP guidelines are primarily followed, there remains a level of dissatisfaction with risk stratification among radiologists. This highlights the need for more standardized diagnostic algorithms and improved consensus among specialists to address these challenges.
7.Epidemiology and Characteristics of Scabies Infections in the Ulsan City:A 10-Year Retrospective Study
Doo Rae CHA ; Chan Hui JANG ; Jin Soo KIM ; Ho Seok SUH
Korean Journal of Dermatology 2024;62(9):510-515
Background:
The prevalence of scabies, a contagious parasitic skin disease, has decreased to <1% in South Korea.However, an increase in the elderly population has led to occasional outbreaks. This study aimed to analyze the epidemiological changes and clinical features of scabies diagnosed in Ulsan over the past decade.
Objective:
This study aimed to analyze the epidemiological changes and clinical features of scabies infections diagnosed at a tertiary hospital in Ulsan over the past decade.
Methods:
We conducted a retrospective study at Ulsan University Hospital that reviewed 235 cases from 2013 to 2022.We analyzed the medical records of patients diagnosed with scabies by dermoscopy and microscopic examination.
Results:
Among 55,430 patients, 235 were confirmed to have scabies, with an overall prevalence of 0.42%. The highest annual incidence was in 2018 (35 cases), with a subsequent decrease but a gradual increase from 2019 to 2022. The most common infection route was through nursing facilities (32.3%). The elderly (≥70 years) comprised 32.3% cases, and typical clinical manifestations were papules (80.4%) of the trunk and extremities. Eosinophilia was observed in 31.4% inpatients. The mean treatment duration was 29.15 days.
Conclusion
We report a declining but significant prevalence of scabies in Ulsan, with many cases occurring among the elderly in nursing facilities. This study underscores the need for continued surveillance and education regarding the diagnosis and management of scabies in healthcare and community facilities.
8.Change of utilization of emergency department in children after lifting mask mandates in a single center in Korea
Chaeho SHIN ; Jong Seung LEE ; Hyung-Rae CHO ; Heejin JANG ; Jun Sung PARK ; Dahyun KIM ; Min Kyo CHUN ; Jeeho HAN ; Jeong-Min RYU
Pediatric Emergency Medicine Journal 2024;11(1):39-47
Purpose:
We aimed to investigate changes in visiting patterns after the lifting of mask mandates in a single pediatric emergency medical center in Seoul, Korea.
Methods:
This retrospective study was based on the data of patients’ (≤ 18 years) visits to the emergency department (ED) of the center from January 1, 2022 through June 30, 2023. Clinical characteristics, Korean Triage and Acuity Scale (KTAS) level, ED outcomes, and length of stay were compared between before (March 20-June 30, 2022) and after (March 20-June 30, 2023) the lifting of mask mandates. The comparisons were iterated in the patients with infectious disease.
Results:
During the study period, a total of 18,654 children visited the ED. After the lifting of mask mandates, ED visits increased from 7,146 to 11,508 (61.0%; 95% confidence interval, 59.5-62.6; P < 0.001). The increase was more prominent in the age of 2-5 years (82.9%), infectious diseases (175.3%), KTAS level 3 (127.7%), and length of stay shorter than 3 hours (78.8%-92.6%). The number of patients per hour increased by 151.2% for 5 patients or more and over 3,000% for 10 or more. Median length of stay decreased (2.3 hours [interquartile range, 1.2-4.1] to 1.9 hours [1.1-3.5]; P < 0.001). The patients with infectious disease (n = 7,139) showed similar patterns of increase in the age of 2-5 years, KTAS level 3, and length of stay shorter than 3 hours, with an additional increase in the age of 6-18 years.
Conclusion
After the lifting of mask mandates, pediatric visits increased by 61%, with the highest increase in children with mild infectious diseases on weekends and at night, and the proportion of more than 10 visits per hour significantly increased. We need urgent and realistic support measures from health authorities.
9.Epidemiology and Characteristics of Scabies Infections in the Ulsan City:A 10-Year Retrospective Study
Doo Rae CHA ; Chan Hui JANG ; Jin Soo KIM ; Ho Seok SUH
Korean Journal of Dermatology 2024;62(9):510-515
Background:
The prevalence of scabies, a contagious parasitic skin disease, has decreased to <1% in South Korea.However, an increase in the elderly population has led to occasional outbreaks. This study aimed to analyze the epidemiological changes and clinical features of scabies diagnosed in Ulsan over the past decade.
Objective:
This study aimed to analyze the epidemiological changes and clinical features of scabies infections diagnosed at a tertiary hospital in Ulsan over the past decade.
Methods:
We conducted a retrospective study at Ulsan University Hospital that reviewed 235 cases from 2013 to 2022.We analyzed the medical records of patients diagnosed with scabies by dermoscopy and microscopic examination.
Results:
Among 55,430 patients, 235 were confirmed to have scabies, with an overall prevalence of 0.42%. The highest annual incidence was in 2018 (35 cases), with a subsequent decrease but a gradual increase from 2019 to 2022. The most common infection route was through nursing facilities (32.3%). The elderly (≥70 years) comprised 32.3% cases, and typical clinical manifestations were papules (80.4%) of the trunk and extremities. Eosinophilia was observed in 31.4% inpatients. The mean treatment duration was 29.15 days.
Conclusion
We report a declining but significant prevalence of scabies in Ulsan, with many cases occurring among the elderly in nursing facilities. This study underscores the need for continued surveillance and education regarding the diagnosis and management of scabies in healthcare and community facilities.
10.Survey of Experts’ Opinions on the Diagnosis and Management of Pancreatic Cystic Neoplasms
Jeong Hee YOON ; In Rae CHO ; Won CHANG ; Bohyun KIM ; Siwon JANG ; Yeun-Yoon KIM ; Jeong Woo KIM ; Sang Hyub LEE ; Jeong Min LEE
Korean Journal of Radiology 2024;25(12):1047-1060
Objective:
To survey experts’ opinions in abdominal radiology (radiologists) and pancreas-specialized gastroenterology (pancreatologists) in South Korea regarding diagnosing and managing pancreatic cystic neoplasms (PCNs).
Materials and Methods:
Between August 25, 2023, and October 5, 2023, an online survey was conducted among members of the Korean Society of Abdominal Radiology and the Korean Pancreatobiliary Association via email invitation.
Results:
The responses from 100 radiologists and 41 pancreatologists were analyzed. Of the respondents, 55.3% (78/141) reported seeing more than 50 patients or reading more than 50 exams related to PCN each month. The most common and preferred diagnostic modality for PCN was contrast-enhanced computed tomography (CECT), favored by 87.8% (36/41) of pancreatologists. When discrepancies arose between CECT or magnetic resonance imaging (MRI) and endoscopic ultrasound, 31.2% (44/141) of the respondents opted for multidisciplinary team discussion, whereas 29.1% (41/141) chose short-term follow-up using CECT or MRI. A total of 88.7% (125/141) of the respondents adhered to the 2017 International Association of Pancreatology (IAP) guidelines in their practice. Among the radiologists, 51.0% (51/100) endorsed a cut-off value of 5 mm for enhancing mural nodules, and 22.0% (22/100) supported a 5 mm/2 yr growth rate in the IAP guidelines v.2017.Additionally, 73.0% (73/100) of radiologists favored discontinuing surveillance, whereas 41.5% (17/41) of pancreatologists disagreed with stopping surveillance.
Conclusion
The survey underscores the clinical burden PCN poses and identifies CECT as the foremost diagnostic tool.Variability was noted in the terminology, differential diagnosis, approaches for resolving discrepancies between imaging examinations, and opinions on surveillance discontinuation among the respondents as a whole, as well as between radiologists and pancreatologists. Although the 2017 IAP guidelines are primarily followed, there remains a level of dissatisfaction with risk stratification among radiologists. This highlights the need for more standardized diagnostic algorithms and improved consensus among specialists to address these challenges.

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