1.The Clinical Characteristics According to the Risk Factors of Idiopathic Nonhemolytic Hyperbilirubinemia.
Sookhyun PARK ; Jihyun KANG ; Soonhak KWON ; Hengmi KIM ; Yongsun KIM
Journal of the Korean Society of Neonatology 2010;17(2):224-231
PURPOSE: Hospital readmissions have recently increased due to early hospital discharge and increased trends in breast-feeding. Neonatal hyperbilirubinemia can lead to fatal permanent neurological sequelae without appropriate management. Early detection and intervention are critical. We evaluated the clinical features, risk factors, and brain MRI findings of Korean newborns with idiopathic nonhemolytic hyperbilirubinemia to determine the optimal management policy. METHODS: A retrospective review of the medical records of 79 newborns with idiopathic nonhemolytic hyperbilirubinemia was performed at the NICU of the Kyungpook National University Hospital from January 2006 to September 2009. All patients were 35 or more weeks of gestation, and their peak level of serum total bilirubin was more than 20 mg/dL. RESULTS: The mean gestational age was 38(+3)+/-1(+4) weeks, and the mean age on admission was 8.8+/-4.0 days. The mean body weight (3,105+/-479 g) was decreased by 2.8+/-6.4 percent compared to the mean birth weight (3,174+/-406 g). There were no statistically significant differences for the peak serum bilirubin level or the duration and effects of phototherapy between the patients with and without risk factors, which included: breastfeeding, cephalohematoma, subdural hemorrhage, and/or ABO incompatibility. Patients were grouped according to change of body weight. Group I consisted of patients that gained weight compared to birth weight, and group II of patients that lost weight compared to birth weight. There were significant differences in the peak serum total bilirubin level between the two groups. Thirty nine patients had brain MRI evaluation; 21 patients had bilateral symmetric signal intensity increases in the globus pallidus compared to adjacent corticospinal tract and putamen on T1-weighted images. CONCLUSION: Bilirubin encephalopathy is preventable with early screening and proper management. Parents require instruction on feeding practices and follow-up to prevent complications from idiopathic nonhemolytic hyperbilirubinemia.
Bilirubin
;
Birth Weight
;
Body Weight
;
Brain
;
Breast Feeding
;
Follow-Up Studies
;
Gestational Age
;
Globus Pallidus
;
Hematoma, Subdural
;
Humans
;
Hyperbilirubinemia
;
Hyperbilirubinemia, Neonatal
;
Infant, Newborn
;
Kernicterus
;
Mass Screening
;
Medical Records
;
Parents
;
Patient Readmission
;
Phototherapy
;
Pregnancy
;
Putamen
;
Pyramidal Tracts
;
Retrospective Studies
;
Risk Factors
2.The Clinical Characteristics According to the Risk Factors of Idiopathic Nonhemolytic Hyperbilirubinemia.
Sookhyun PARK ; Jihyun KANG ; Soonhak KWON ; Hengmi KIM ; Yongsun KIM
Journal of the Korean Society of Neonatology 2010;17(2):224-231
PURPOSE: Hospital readmissions have recently increased due to early hospital discharge and increased trends in breast-feeding. Neonatal hyperbilirubinemia can lead to fatal permanent neurological sequelae without appropriate management. Early detection and intervention are critical. We evaluated the clinical features, risk factors, and brain MRI findings of Korean newborns with idiopathic nonhemolytic hyperbilirubinemia to determine the optimal management policy. METHODS: A retrospective review of the medical records of 79 newborns with idiopathic nonhemolytic hyperbilirubinemia was performed at the NICU of the Kyungpook National University Hospital from January 2006 to September 2009. All patients were 35 or more weeks of gestation, and their peak level of serum total bilirubin was more than 20 mg/dL. RESULTS: The mean gestational age was 38(+3)+/-1(+4) weeks, and the mean age on admission was 8.8+/-4.0 days. The mean body weight (3,105+/-479 g) was decreased by 2.8+/-6.4 percent compared to the mean birth weight (3,174+/-406 g). There were no statistically significant differences for the peak serum bilirubin level or the duration and effects of phototherapy between the patients with and without risk factors, which included: breastfeeding, cephalohematoma, subdural hemorrhage, and/or ABO incompatibility. Patients were grouped according to change of body weight. Group I consisted of patients that gained weight compared to birth weight, and group II of patients that lost weight compared to birth weight. There were significant differences in the peak serum total bilirubin level between the two groups. Thirty nine patients had brain MRI evaluation; 21 patients had bilateral symmetric signal intensity increases in the globus pallidus compared to adjacent corticospinal tract and putamen on T1-weighted images. CONCLUSION: Bilirubin encephalopathy is preventable with early screening and proper management. Parents require instruction on feeding practices and follow-up to prevent complications from idiopathic nonhemolytic hyperbilirubinemia.
Bilirubin
;
Birth Weight
;
Body Weight
;
Brain
;
Breast Feeding
;
Follow-Up Studies
;
Gestational Age
;
Globus Pallidus
;
Hematoma, Subdural
;
Humans
;
Hyperbilirubinemia
;
Hyperbilirubinemia, Neonatal
;
Infant, Newborn
;
Kernicterus
;
Mass Screening
;
Medical Records
;
Parents
;
Patient Readmission
;
Phototherapy
;
Pregnancy
;
Putamen
;
Pyramidal Tracts
;
Retrospective Studies
;
Risk Factors
3.Use of stem-cell sheets expressing bone morphogenetic protein-7 in the management of a nonunion radial fracture in a Toy Poodle.
Jaeyong SONG ; Yongsun KIM ; Oh Kyeong KWEON ; Byung Jae KANG
Journal of Veterinary Science 2017;18(4):555-558
A 12-year-old castrated Toy Poodle was referred to the Kangwon National University Animal Hospital with an oligotrophic nonunion fracture in the distal 1/3 of the left radius and an intact ulna. After fixation by a locking plate and screws, adipose-derived mesenchymal stem-cell sheets expressing bone morphogenetic protein 7 (BMP-7) were transplanted to the fracture site to enhance the healing activity. The fracture was healed at 9 weeks after surgery. In the present case, the mesenchymal stem-cell sheets expressing BMP-7 promoted bone regeneration and healing in a nonunion fracture.
Animals
;
Bone Morphogenetic Protein 7
;
Bone Regeneration
;
Child
;
Dogs
;
Fractures, Ununited
;
Gangwon-do
;
Hospitals, Animal
;
Humans
;
Play and Playthings*
;
Radius
;
Ulna
4.Effect of serum-derived albumin scaffold and canine adipose tissue-derived mesenchymal stem cells on osteogenesis in canine segmental bone defect model.
Daeyoung YOON ; Byung Jae KANG ; Yongsun KIM ; Seung Hoon LEE ; Daeun RHEW ; Wan Hee KIM ; Oh Kyeong KWEON
Journal of Veterinary Science 2015;16(4):397-404
Composite biological and synthetic grafts with progenitor cells offer an alternative approach to auto- or allografts for fracture repair. This study was conducted to evaluate osteogenesis of autologous serum-derived albumin (ASA) scaffolds seeded with canine adipose tissue-derived mesenchymal stem cells (Ad-MSCs) in a canine segmental bone defect model. ASA scaffold was prepared with canine serum using cross-linking and freeze-drying procedures. Beta-tricalcium phosphate (beta-TCP) was mixed at the cross-linking stage. Ad-MSCs were seeded into the scaffold and incubated for one day before implantation. After 16 weeks, the grafts were harvested for histological analysis. The dogs were divided into five groups: control, ASA scaffolds with and without Ad-MSCs, and ASA scaffolds including beta-TCP with and without Ad-MSCs. ASA scaffolds with Ad-MSCs had a significantly larger area of increased opacity at the proximal and distal host cortex-implant interfaces in radiographs 16 weeks after implantation compared to the groups with beta-TCP (p < 0.05). Histomorphometric analysis showed that ASA scaffolds with Ad-MSCs had significantly greater new bone formation than other groups (p < 0.05). These results suggest that Ad-MSCs seeded into ASA scaffolds enhanced osteogenesis in the bone defect model, but that beta-TCP in the ASA scaffold might prevent penetration of the cells required for bone healing.
Allografts
;
Animals
;
Dogs
;
Mesenchymal Stromal Cells*
;
Osteogenesis*
;
Stem Cells
;
Transplants
5.Species Specific Antiviral Activity of Porcine Interferon-α8 (IFNα8).
Eunhye KIM ; Hyunjhung JHUN ; Joohee KIM ; Unjoo PARK ; Seunghyun JO ; Areum KWAK ; Sinae KIM ; Tam T. NGUYEN ; Yongsun KANG ; Insoo CHOI ; Joongbok LEE ; Heijun KIM ; Younghyun KIM ; Siyoung LEE ; Soohyun KIM
Immune Network 2017;17(6):424-436
Interferons (IFNs) have been known as antiviral genes and they are classified by type 1, type 2, and type 3 IFN. The type 1 IFN consists of IFNα, IFNβ, IFNτ, and IFNω whereas the type 2 IFN consists of only IFNγ, which is a key cytokine driving T helper cell type 1 immunity. IFNλ belongs to the type 3 IFN, which is also known as IL-28 and IL-29 possessing antiviral activities. Type 1 IFN is produced by viral infection whereas type 2 IFN is induced by mitogenic or antigenic T-cell stimuli. The IFNτ of bovine was first discovered in an ungulate ruminant recognition hormone. IFNτ belongs to the type 1 IFN with the common feature of type 1 IFN such as antiviral activity. IFNs have been mostly studied for basic research and clinical usages therefore there was no effort to investigate IFNs in industrial animals. Here we cloned porcine IFNα8 from peripheral blood mononuclear cells of Korean domestic pig (Sus scrofa domestica). The newly cloned IFNα8 amino acid sequence from Korean domestic pig shares 98.4% identity with the known porcine IFNα8 in databank. The recombinant porcine IFNα8 showed potent antiviral activity and protected bovine Madin-Darby bovine kidney epithelial (MDBK) cells from the cytopathic effect of vesicular stomatitis virus, but it failed to protect human Wistar Institute Susan Hayflick (WISH) cells and canine Madin-Darby canine kidney epithelial-like (MDCK) cells. The present study demonstrates species specific antiviral activity of porcine IFNα8.
Amino Acid Sequence
;
Animals
;
Clone Cells
;
Humans
;
Interferons
;
Kidney
;
Ruminants
;
Sus scrofa
;
T-Lymphocytes
;
T-Lymphocytes, Helper-Inducer
;
Vesicular Stomatitis