Publications by authors named "Sungmin Zo"

Purpose: A higher prevalence of sarcopenia has been demonstrated in individuals with airflow limitation (AFL). However, data on the impact of sarcopenia on quality of life, utilization of healthcare, and mental health in individuals with AFL are limited.

Patients And Methods: We used data from the 2014-2019 Korea National Health and Nutrition Examination Survey (KNHANES), and participants with AFL were included.

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Background: Acute lung injury (ALI) is one of the most serious pulmonary complications following lung resection. Despite the known beneficial effects of corticosteroid treatment for postoperative ALI, limited data are available regarding corticosteroid treatment duration. This study aimed to evaluate the beneficial effects of a short-course corticosteroid in patients with postoperative ALI following lung resection surgery for lung cancer.

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Despite the importance of comorbid ischemic heart disease (IHD) in the prognosis of asthma, the long-term impact of coronavirus disease 2019 (COVID-19) on IHD in adults with asthma remains unclear. This study investigated the long-term effects of COVID-19 on the risk of IHD in individuals with asthma, particularly regarding COVID-19 severity. Using the Korean National Health Insurance Service claims database, we identified individuals with asthma who had recovered from COVID-19 between October 8, 2020, and December 31, 2021 (n = 8,011) and 1:1 propensity score-matched controls (n = 8,011).

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  • * The study involved 1,526 COPD patients who began MVPA and 4,516 who did not, revealing significant decreases in future inhaled corticosteroid (ICS) usage (HR 0.83) and severe exacerbations (HR 0.81) for those who engaged in MVPA over a median follow-up of 3 years.
  • * Results were consistent across various demographics, suggesting that adding MVPA to their treatment could enhance health outcomes for
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  • Some patients with complex pulmonary disease (MAC-PD) still experience treatment failure despite following guidelines; an analysis of 271 patients showed that 51% needed retreatment after stopping therapy.
  • Patients were divided into retreatment and stable groups, with several factors like elevated erythrocyte sedimentation rates, presence of lung cavities, and extent of bronchiectasis linked to the need for retreatment.
  • This study highlights that about half of the patients who stopped antibiotics may eventually require them again, suggesting that the severity of lung damage influences treatment decisions.
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Bronchiectasis is a chronic respiratory disease characterized by abnormal dilation of the bronchi that causes cough, sputum, and recurrent infections. As it may be associated with various respiratory or systemic diseases, a critical aspect of managing bronchiectasis is to identify the underlying cause. Immunodeficiency is a rare but important cause of bronchiectasis, and its treatability is a significant trait for bronchiectasis management.

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  • Mycobacterium avium complex pulmonary disease (MAC-PD) shows varied clinical outcomes, which are linked to different immune profiles in patients.
  • A study of 21 MAC-PD patients identified three clinical groups based on disease progression, revealing that group C (progressive disease) had fewer natural killer (NK) cells and more classical monocytes compared to groups A (spontaneous culture conversion) and B (stable without treatment).
  • Specific genes and immune markers were found to be up-regulated or down-regulated in different groups, providing insights into how immune responses may affect the progression of MAC-PD, potentially leading to new treatment strategies.
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Background/aim: Although the importance of low-dose computed tomography (LDCT) screening is increasingly emphasized and implemented, many lung cancers continue to be incidentally detected during routine medical practices, and data on incidentally detected lung cancer (IDLC) remain scarce. This study aimed to investigate the clinical characteristics and prognosis of IDLCs by comparing them with screening-detected lung cancers (SDLCs).

Patients And Methods: In this retrospective study, subjects with cT1 (≤3 cm) pulmonary nodules detected on baseline computed tomography (CT), later pathologically confirmed as primary lung cancer in 2015, were included.

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  • Hypersensitivity pneumonitis (HP) is an immune reaction in the lungs caused by various antigens, but its clinical features and outcomes in South Korea are not well known.
  • This study retrospectively analyzed data from 43 patients with pathologically confirmed HP over 24 years, comparing their clinical characteristics, causes, treatments, and outcomes.
  • The findings indicate that patients with fibrotic HP were older and exhibited different symptoms compared to those with nonfibrotic HP, with household mold being the most common trigger, and most patients received corticosteroid treatment.
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Limited data are available regarding the activity of SPR719, a derivative of benzimidazole, against diverse nontuberculous mycobacteria (NTM) species. We investigated the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of SPR719 against clinical NTM isolates, including clarithromycin- and amikacin-resistant strains. NTM isolates were obtained from patients with NTM-pulmonary disease caused by various NTM species, including complex, (subspecies and ), , and .

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Objectives: This study investigated whether radiomic features extracted from radial-probe endobronchial ultrasound (radial EBUS) images can assist in decision-making for subsequent clinical management in cases with indeterminate pathologic results.

Methods: A total of 494 patients who underwent radial EBUS biopsy for lung nodules between January 2017 and December 2018 were allocated to our training set. For the validation set, 229 patients with radial EBUS biopsy results from January 2019 to April 2020 were used.

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Background: Despite the importance of influenza vaccination, its rates in subjects with asthma are suboptimal, especially in the young population.

Methods: Among 72,843 adults aged ⩾18 years from the Korea National Health and Nutrition Examination Survey conducted between 2010 and 2019, 1643 with asthma were included. The yearly trends and factors associated with influenza vaccination were analyzed in subjects with asthma.

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  • A study analyzed the effects of the antibiotic maintenance period on the redevelopment of nontuberculous mycobacteria-pulmonary disease (NTM-PD) in 631 patients who had achieved microbiological cure of Mycobacterium avium complex (MAC)-PD from 1994 to 2021.
  • Out of these patients, 33% experienced redevelopment of NTM-PD, with a median maintenance period of 15 months, and a higher percentage of those with the nodular bronchiectatic form of MAC-PD redeveloped the condition compared to others.
  • The research found no significant difference in redevelopment rates between patients with maintenance periods longer than 12 months and those with shorter periods, indicating that extending
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  • The study evaluated the impact of short-term bronchodilator therapy on COPD patients' health status using the COPD assessment test (CAT) in a group of 148 newly diagnosed individuals.
  • Results showed that while the overall CAT score didn't significantly improve, specific symptoms like phlegm, chest tightness, and breathlessness did show notable improvement after therapy.
  • Patients who experienced an improvement in their CAT scores during treatment had a significantly lower rate of severe COPD exacerbations compared to those whose scores did not improve.
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  • The study aimed to analyze the distribution of each item in the COPD assessment test (CAT) among stable COPD patients, focusing on how severity groups affect health status.
  • A total of 815 patients were analyzed, finding that those in the high impact group had worse lung function and exacerbation histories, with higher scores in "extra-pulmonary" items like activity and confidence.
  • The research highlights the importance of addressing not just dyspnea, but also activity limitations in COPD patients, indicating that each item in the CAT provides valuable insights into their symptom burden.
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The next diagnostic step in cases of indeterminate radial probe endobronchial ultrasound (radial EBUS)-guided biopsy results remains uncertain. This study aimed to identify risk factors for malignancy based on clinical findings, chest computed tomography (CT), and radial EBUS images, and to estimate the risk of malignancy in lung nodules that showed indeterminate radial EBUS-guided biopsy results by constructing a nomogram. This retrospective study included 157 patients with indeterminate results on an initial radial EBUS biopsy performed at the Samsung Medical Center from January 2017 to December 2018, but with a definitive final diagnosis.

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Tracheobronchopathia osteochondroplastica (TPO) is an idiopathic disease involving the cartilage rings of the large airway, characterized by submucosal calcified nodules. Localized tracheobronchial amyloidosis (TBA) is another rare disease with localized amyloid deposits in the tracheobronchial tree. The two diseases rarely coincide, and only a few case reports and series have been reported.

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Tracheobronchopathia osteochondroplastica (TPO) is an idiopathic disease involving the cartilage rings of the large airway, characterized by submucosal calcified nodules. Localized tracheobronchial amyloidosis (TBA) is another rare disease with localized amyloid deposits in the tracheobronchial tree. The two diseases rarely coincide, and only a few case reports and series have been reported.

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Malignant pulmonary granular cell tumor (GCT) is extremely rare and difficult to distinguish from benign GCT. Most GCTs are neural-type and express S-100. However, a small subset of tumors sub-classified as the non-neural type do not express S-100.

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Bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree. Herein, we report a patient with persistent air leak after necrotizing pneumonia, where tract of BPF was not apparent in computed tomography (CT). Despite control of infection, watchful observation, repetitive procedures, and surgery, air leak was not resolved.

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