2.Clinical effects of yeast derived recombinant methionyl growth hormone in children with growth hormone deficiency during therapy of 3 years.
Byung Churl LEE ; Kyu Jin BANG
Journal of the Korean Pediatric Society 1993;36(1):113-118
Sine the success of human growth hormone (GH) synthesis by DNA recombinant technology, these GH products are widely used in the treatment of children with growth hormone deficiency. Recently, methionyl-GH has been produced in the yeast, Saccaromyces cerevisiae 2150, by the use of a DNA recombinant method in Korea. The purpose of this study was to investigate the clinical efficacy, side effect and immunogenicity of this GH product during therapy of 3year in 22 children with naive GH deficiency. The subjects of this study are aged 4.5~17.9 years, diagnosed by the failure of plasma GH to respond to insulin induced hypoglycemia, arginine and/or clonidine loading and height below -2 standard deviation of mean for their chronological age. Each subjcct received GH 0.45IU/kg/week, intramusculary in 3 devided dose, During treatment, vital signs, height and body weight checked before and every 3 months. Blood count urinalysis, blood chemistry, bone age and measurement of thyroid hormone were performed before, every 3months in year 1, and every 6 months in year 2 and 3. Assay of antibody against GH were performed before, year 1,2 and 3. The height velocity was significantly increased from an average baseline level of 2.9+/-1.1cm/year to 7.9+/-1.9cm/year after the first year, 6.6+/-1.1cm/year during the second year, and 5.9+/-1.2cm/year during the third year of GH treatment. The height standard deviation score for chronological age was decreased from an average baseline of 3.5+/-1.3 to 2.9 1.2 after the first year, 2.7 +/-1.1 during the second year, and 2.5+/-1.2 during the year of GH treatment. The increment in height age was significantly increased from an average baseline of 0.6+/-0.2 year to 1.3+/-0.3 year in year 1, 1.1+/-0.3 year in year 2, and 1.0+/-0.2 year in year 3. The increment in bone age was significantly increased from an average baseline of 0.6+/-0.2 year to 1.2+/-0.2 in year 1, 1.3+/-0.3 year in year , 2, and 1.1+/-0.3 year in year 3. Antibody against hGH was observed in 3 of the 22 patients(13.5%) in year 1 and 1 and in 2 of the 17 patients(17.7%) in year 3. And unwanted side effects were not observed in any of the 22 patients. These results suggest that this yeast derived recombinant methionyl growth hormone appears to be a safe very effective product for treating of children with GH deficiency.
Arginine
;
Body Weight
;
Chemistry
;
Child*
;
Clonidine
;
DNA
;
Growth Hormone*
;
Human Growth Hormone
;
Humans
;
Hypoglycemia
;
Insulin
;
Korea
;
Plasma
;
Thyroid Gland
;
Urinalysis
;
Vital Signs
;
Yeasts*
3.The Simplifed Hair Baiting Technique and its Practical Application.
Korean Journal of Dermatology 1982;20(5):695-702
In order to avoid contamination attributed to Vanbreuseghem hair haiting technique in the laboratory, the author contrived the following modified method. After adding 100ml of antibiotics solution (mixture of 500mg of Cyclohexamide, 20, 000u of Penicillin and 40mg of Streptomycin in 1,000ml of distilled water) in PVC phial containing 100gm of soil, it was gently agitated for an hour and lefted to be settled for 12 hours. The suspended solution obtained and a batch of horse hair were randomly distributed on a Petri dishfitted with blue cloths, then cultured at 24C'. The overall results obtained from this modified method were not as satisfying as that of the Vanbreuseghem method but a few advantages such as simplicity of the procedure and significantly lower laboratory contamination implicated its practicality. Furthermore, this method was also found to be useful in the first isolation of infected animal hairs, hair perforation tests and as a substitution for artificial media. For the cross mating, a patch of blue cloths was laid on top cf moist sterilized soil evenly spreaded on a Petri dish. Then hair-baiting procedure was performed and good results were obtained.
Animals
;
Anti-Bacterial Agents
;
Dihydroergotamine
;
Hair*
;
Horses
;
Penicillins
;
Soil
;
Streptomycin
4.The Double Papilla of Vater.
Byung Kun LEE ; Jin KIM ; Hyoun Joo KIM ; Byung Hoon HAN ; Byung Chae PARK
Korean Journal of Gastrointestinal Endoscopy 1996;16(2):277-283
The common bile duct and the duct of Wirsung cojoin at the level of the duodenum, forming the major. papilla of Vater. Existence of a double major papilla, i.e., two neighboring independent papillary structure:, is infrequent. In our endoscopy unit we have experienced one case of double papilla of Vater wherein canulation of the common bile duct and pancreatic duct could be accom plished through either orifice independently.
Common Bile Duct
;
Duodenum
;
Endoscopy
;
Pancreatic Ducts
5.A clinical study of upper gastrointestinal bleeding.
Seung Suck LEE ; Jin Hyun PARK ; Byung Chul LEE
Journal of the Korean Surgical Society 1993;45(3):359-370
No abstract available.
Hemorrhage*
6.A clinical study of splenectomy.
Choon Gon SHIN ; Jin Hyun PARK ; Byung Chul LEE
Journal of the Korean Surgical Society 1991;41(1):93-99
No abstract available.
Splenectomy*
7.A various usefulness of auricular chondrocutaneous graft.
Yoon Ho LEE ; Weon Jin PARK ; Byung Gun KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(3):553-560
No abstract available.
Transplants*
8.Bronchioloalveolar carcinoma: a variety of radiographic patterns.
Eun Young KANG ; Min Jin LEE ; Kyoo Byung CHUNG
Journal of the Korean Radiological Society 1992;28(1):89-94
Bronchioloalveolar carcinoma may present with a variety of radiographic and clinical appearances. The authors reviewed the radiographs of 17 patients with pathologically proven bronchioloalveolar carcinoma, retrospectively. Seven cases were of the localized form. Among the seven five showed a localized mass and two showed localized consolidation. Ten cases were of the diffuse form. Among the ten, three showed diffuse nodules, two showed diffuse consolidation, and five showed a combined pattern of nodules and consolidations. Progression of disease was observed in 9 patients. In these cases, localized forms progressed to a diffuse forms and nodular patterns progressed to a consolidation pattern. Seven cases of the diffuse form were given antituberculous medications on hospital admission. In summary, bronchioloalveolar carcinoma has varied radiographic patterns, and often mimicks other pulmonary diseases such as pulmonary tuberculosis.
Adenocarcinoma, Bronchiolo-Alveolar*
;
Humans
;
Lung Diseases
;
Retrospective Studies
;
Tuberculosis, Pulmonary
9.Kobayashi procedure for esophageal variceal bleeding.
Sung Hoon RHEU ; Jin Hyun PARK ; Byung Chul LEE
Journal of the Korean Surgical Society 1991;40(2):146-152
No abstract available.
Esophageal and Gastric Varices*
10.Two Cases of Onychomycosis due to Aspergillus repens.
Byung Jin LEE ; In Ju KIM ; Soon Bong SUH
Korean Journal of Dermatology 1981;19(6):881-886
Onychomycosis caused by the genus aspergillus is extremely rare in Korea and only one case due to A. sydowi has been reported. We experienced two casea of onychomycosis infected with A. repens, which were healthy adults. The first case was a 29 year-old male who developed thickening and dark discoloratian of 1st, and, 3rd and 5th toe-nails of left foot from about 5 months on. The second case was a 27 year-old male who developed thickening and yellow-whitish discoloration of the nail of right thumb from about 3 rnonths on. In both cases, direct examination of the affected nails showed many thick bluish hyphae and spore chains, and A. repens was isolated. Our cases were first reported through the Korean literature.
Adult
;
Aspergillus*
;
Foot
;
Humans
;
Hyphae
;
Korea
;
Male
;
Onychomycosis*
;
Spores
;
Thumb