1.Prevalence of Malnutrition and Obesity Among Children and Adolescents From Immigrant Families Living in Korea
Seong-Woo CHOI ; So-Yeong KIM ; Kyung-Ae PARK
Journal of Korean Maternal and Child Health 2025;29(1):29-35
		                        		
		                        			 Purpose:
		                        			This study assessed the prevalence of malnutrition and obesity among children and adolescents from immigrant families living in Korea. 
		                        		
		                        			Methods:
		                        			A total of 436 subjects (age: <18 years) from immigrant families were examined. The 2017 Korean National Growth Charts for Children and Adolescents were used to assess the malnutrition and obesity status of the subjects. Subjects with a height-for-age of <3rd percentile, weight-for-age of <5th percentile, body mass index (BMI)-for-age of <5th percentile, and BMI-for-age of ≥95th percentile were defined as stunted, underweight, wasted, and obese, respectively. 
		                        		
		                        			Results:
		                        			The overall prevalence of stunted, underweight, wasted, and obese subjects was 5.5%, 9.0%, 8.8%, and 18.6%, respectively. Comparison of first- and second-generation immigrants revealed that the prevalence of malnutrition was higher in first-generation immigrants than in second-generation immigrants. Moreover, the prevalence of malnutrition and obesity in first-generation immigrants living in Korea for <5 years was not significantly different from that in first-generation immigrants living in Korea for ≥5 years. In addition, comparisons by family origin showed that children from Central Asian families had a higher prevalence of malnutrition than other children. 
		                        		
		                        			Conclusion
		                        			Children and adolescents from immigrant families still suffer from malnutrition after resettling in Korea. Therefore, nutritional programs should be provided to improve their malnutrition status. 
		                        		
		                        		
		                        		
		                        	
2.Prevalence of Malnutrition and Obesity Among Children and Adolescents From Immigrant Families Living in Korea
Seong-Woo CHOI ; So-Yeong KIM ; Kyung-Ae PARK
Journal of Korean Maternal and Child Health 2025;29(1):29-35
		                        		
		                        			 Purpose:
		                        			This study assessed the prevalence of malnutrition and obesity among children and adolescents from immigrant families living in Korea. 
		                        		
		                        			Methods:
		                        			A total of 436 subjects (age: <18 years) from immigrant families were examined. The 2017 Korean National Growth Charts for Children and Adolescents were used to assess the malnutrition and obesity status of the subjects. Subjects with a height-for-age of <3rd percentile, weight-for-age of <5th percentile, body mass index (BMI)-for-age of <5th percentile, and BMI-for-age of ≥95th percentile were defined as stunted, underweight, wasted, and obese, respectively. 
		                        		
		                        			Results:
		                        			The overall prevalence of stunted, underweight, wasted, and obese subjects was 5.5%, 9.0%, 8.8%, and 18.6%, respectively. Comparison of first- and second-generation immigrants revealed that the prevalence of malnutrition was higher in first-generation immigrants than in second-generation immigrants. Moreover, the prevalence of malnutrition and obesity in first-generation immigrants living in Korea for <5 years was not significantly different from that in first-generation immigrants living in Korea for ≥5 years. In addition, comparisons by family origin showed that children from Central Asian families had a higher prevalence of malnutrition than other children. 
		                        		
		                        			Conclusion
		                        			Children and adolescents from immigrant families still suffer from malnutrition after resettling in Korea. Therefore, nutritional programs should be provided to improve their malnutrition status. 
		                        		
		                        		
		                        		
		                        	
3.High-Dose Rifampicin for 3 Months after Culture Conversion for Drug-Susceptible Pulmonary Tuberculosis
Nakwon KWAK ; Joong-Yub KIM ; Hyung-Jun KIM ; Byoung-Soo KWON ; Jae Ho LEE ; Jeongha MOK ; Yong-Soo KWON ; Young Ae KANG ; Youngmok PARK ; Ji Yeon LEE ; Doosoo JEON ; Jung-Kyu LEE ; Jeong Seong YANG ; Jake WHANG ; Kyung Jong KIM ; Young Ran KIM ; Minkyoung CHEON ; Jiwon PARK ; Seokyung HAHN ; Jae-Joon YIM
Tuberculosis and Respiratory Diseases 2025;88(1):170-180
		                        		
		                        			 Background:
		                        			This study aimed to determine whether a shorter high-dose rifampicin regimen is non-inferior to the standard 6-month tuberculosis regimen. 
		                        		
		                        			Methods:
		                        			This multicenter, randomized, open-label, non-inferiority trial enrolled participants with respiratory specimen positivity by Xpert MTB/RIF assay or Mycobacterium tuberculosis culture without rifampicin-resistance. Participants were randomized at 1:1 to the investigational or control group. The investigational group received high-dose rifampicin (30 mg/kg/day), isoniazid, and pyrazinamide until culture conversion, followed by high-dose rifampicin and isoniazid for 12 weeks. The control group received the standard 6-month regimen. The primary outcome was the rate of unfavorable outcomes at 18 months post-randomization. The non-inferiority margin was set at <6% difference in unfavorable outcomes rates. The study is registered with ClinicalTrials.gov (NCT04485156) 
		                        		
		                        			Results:
		                        			Between 4 November 2020 and 3 January 2022, 76 participants were enrolled. Of these, 58 were included in the modified intention-to-treat analysis. Unfavorable outcomes occurred in 10 (31.3%) of 32 in the control group and 10 (38.5%) of 26 in the investigational group. The difference was 7.2% (95% confidence interval, ∞ to 31.9%), failing to prove non-inferiority. Serious adverse events and grade 3 or higher adverse events did not differ between the groups. 
		                        		
		                        			Conclusion
		                        			The shorter high-dose rifampicin regimen failed to demonstrate non-inferiority but had an acceptable safety profile. 
		                        		
		                        		
		                        		
		                        	
4.Microplastics Accumulation Induces Kynurenine-Derived Neurotoxicity in Cerebral Organoids and Mouse Brain
Sung Bum PARK ; Jeong Hyeon JO ; Seong Soon KIM ; Won Hoon JUNG ; Myung-Ae BAE ; Byumseok KOH ; Ki Young KIM
Biomolecules & Therapeutics 2025;33(3):447-457
		                        		
		                        			
		                        			 Microplastics (MP) are pervasive environmental pollutants with potential adverse effects on human health, particularly concerning neurotoxicity. This study investigates the accumulation and neurotoxic effects of MP in cerebral organoids and mouse brains. Utilizing in vitro cerebral organoids and in vivo mouse models, we examined the penetration of MP, revealing that smaller MP (50 nm) infiltrated deeper into the organoids compared to larger ones (100 nm). Exposure to 50 nm MP resulted in a significant reduction in organoid viability. Furthermore, total RNA sequencing indicated substantial alterations in neurotoxicity-related gene expression.In vivo, MP-treated mice exhibited notable DNA fragmentation in the hippocampus and cortex, alongside elevated levels of inflammatory markers and neurotoxic metabolites, such as kynurenine (KYN) and 3-hydroxykynurenine (3-HK). Our findings suggest that MP may promote neurotoxicity through the kynurenine pathway, leading to heightened levels of neurotoxic compounds like quinolinic acid. This research highlights the potential for MP to induce neuroinflammatory responses and disrupt normal brain function, underscoring the need for further investigation into the long-term effects of MP exposure on neurological health. 
		                        		
		                        		
		                        		
		                        	
5.High-Dose Rifampicin for 3 Months after Culture Conversion for Drug-Susceptible Pulmonary Tuberculosis
Nakwon KWAK ; Joong-Yub KIM ; Hyung-Jun KIM ; Byoung-Soo KWON ; Jae Ho LEE ; Jeongha MOK ; Yong-Soo KWON ; Young Ae KANG ; Youngmok PARK ; Ji Yeon LEE ; Doosoo JEON ; Jung-Kyu LEE ; Jeong Seong YANG ; Jake WHANG ; Kyung Jong KIM ; Young Ran KIM ; Minkyoung CHEON ; Jiwon PARK ; Seokyung HAHN ; Jae-Joon YIM
Tuberculosis and Respiratory Diseases 2025;88(1):170-180
		                        		
		                        			 Background:
		                        			This study aimed to determine whether a shorter high-dose rifampicin regimen is non-inferior to the standard 6-month tuberculosis regimen. 
		                        		
		                        			Methods:
		                        			This multicenter, randomized, open-label, non-inferiority trial enrolled participants with respiratory specimen positivity by Xpert MTB/RIF assay or Mycobacterium tuberculosis culture without rifampicin-resistance. Participants were randomized at 1:1 to the investigational or control group. The investigational group received high-dose rifampicin (30 mg/kg/day), isoniazid, and pyrazinamide until culture conversion, followed by high-dose rifampicin and isoniazid for 12 weeks. The control group received the standard 6-month regimen. The primary outcome was the rate of unfavorable outcomes at 18 months post-randomization. The non-inferiority margin was set at <6% difference in unfavorable outcomes rates. The study is registered with ClinicalTrials.gov (NCT04485156) 
		                        		
		                        			Results:
		                        			Between 4 November 2020 and 3 January 2022, 76 participants were enrolled. Of these, 58 were included in the modified intention-to-treat analysis. Unfavorable outcomes occurred in 10 (31.3%) of 32 in the control group and 10 (38.5%) of 26 in the investigational group. The difference was 7.2% (95% confidence interval, ∞ to 31.9%), failing to prove non-inferiority. Serious adverse events and grade 3 or higher adverse events did not differ between the groups. 
		                        		
		                        			Conclusion
		                        			The shorter high-dose rifampicin regimen failed to demonstrate non-inferiority but had an acceptable safety profile. 
		                        		
		                        		
		                        		
		                        	
6.High-Dose Rifampicin for 3 Months after Culture Conversion for Drug-Susceptible Pulmonary Tuberculosis
Nakwon KWAK ; Joong-Yub KIM ; Hyung-Jun KIM ; Byoung-Soo KWON ; Jae Ho LEE ; Jeongha MOK ; Yong-Soo KWON ; Young Ae KANG ; Youngmok PARK ; Ji Yeon LEE ; Doosoo JEON ; Jung-Kyu LEE ; Jeong Seong YANG ; Jake WHANG ; Kyung Jong KIM ; Young Ran KIM ; Minkyoung CHEON ; Jiwon PARK ; Seokyung HAHN ; Jae-Joon YIM
Tuberculosis and Respiratory Diseases 2025;88(1):170-180
		                        		
		                        			 Background:
		                        			This study aimed to determine whether a shorter high-dose rifampicin regimen is non-inferior to the standard 6-month tuberculosis regimen. 
		                        		
		                        			Methods:
		                        			This multicenter, randomized, open-label, non-inferiority trial enrolled participants with respiratory specimen positivity by Xpert MTB/RIF assay or Mycobacterium tuberculosis culture without rifampicin-resistance. Participants were randomized at 1:1 to the investigational or control group. The investigational group received high-dose rifampicin (30 mg/kg/day), isoniazid, and pyrazinamide until culture conversion, followed by high-dose rifampicin and isoniazid for 12 weeks. The control group received the standard 6-month regimen. The primary outcome was the rate of unfavorable outcomes at 18 months post-randomization. The non-inferiority margin was set at <6% difference in unfavorable outcomes rates. The study is registered with ClinicalTrials.gov (NCT04485156) 
		                        		
		                        			Results:
		                        			Between 4 November 2020 and 3 January 2022, 76 participants were enrolled. Of these, 58 were included in the modified intention-to-treat analysis. Unfavorable outcomes occurred in 10 (31.3%) of 32 in the control group and 10 (38.5%) of 26 in the investigational group. The difference was 7.2% (95% confidence interval, ∞ to 31.9%), failing to prove non-inferiority. Serious adverse events and grade 3 or higher adverse events did not differ between the groups. 
		                        		
		                        			Conclusion
		                        			The shorter high-dose rifampicin regimen failed to demonstrate non-inferiority but had an acceptable safety profile. 
		                        		
		                        		
		                        		
		                        	
7.Microplastics Accumulation Induces Kynurenine-Derived Neurotoxicity in Cerebral Organoids and Mouse Brain
Sung Bum PARK ; Jeong Hyeon JO ; Seong Soon KIM ; Won Hoon JUNG ; Myung-Ae BAE ; Byumseok KOH ; Ki Young KIM
Biomolecules & Therapeutics 2025;33(3):447-457
		                        		
		                        			
		                        			 Microplastics (MP) are pervasive environmental pollutants with potential adverse effects on human health, particularly concerning neurotoxicity. This study investigates the accumulation and neurotoxic effects of MP in cerebral organoids and mouse brains. Utilizing in vitro cerebral organoids and in vivo mouse models, we examined the penetration of MP, revealing that smaller MP (50 nm) infiltrated deeper into the organoids compared to larger ones (100 nm). Exposure to 50 nm MP resulted in a significant reduction in organoid viability. Furthermore, total RNA sequencing indicated substantial alterations in neurotoxicity-related gene expression.In vivo, MP-treated mice exhibited notable DNA fragmentation in the hippocampus and cortex, alongside elevated levels of inflammatory markers and neurotoxic metabolites, such as kynurenine (KYN) and 3-hydroxykynurenine (3-HK). Our findings suggest that MP may promote neurotoxicity through the kynurenine pathway, leading to heightened levels of neurotoxic compounds like quinolinic acid. This research highlights the potential for MP to induce neuroinflammatory responses and disrupt normal brain function, underscoring the need for further investigation into the long-term effects of MP exposure on neurological health. 
		                        		
		                        		
		                        		
		                        	
8.Prevalence of Malnutrition and Obesity Among Children and Adolescents From Immigrant Families Living in Korea
Seong-Woo CHOI ; So-Yeong KIM ; Kyung-Ae PARK
Journal of Korean Maternal and Child Health 2025;29(1):29-35
		                        		
		                        			 Purpose:
		                        			This study assessed the prevalence of malnutrition and obesity among children and adolescents from immigrant families living in Korea. 
		                        		
		                        			Methods:
		                        			A total of 436 subjects (age: <18 years) from immigrant families were examined. The 2017 Korean National Growth Charts for Children and Adolescents were used to assess the malnutrition and obesity status of the subjects. Subjects with a height-for-age of <3rd percentile, weight-for-age of <5th percentile, body mass index (BMI)-for-age of <5th percentile, and BMI-for-age of ≥95th percentile were defined as stunted, underweight, wasted, and obese, respectively. 
		                        		
		                        			Results:
		                        			The overall prevalence of stunted, underweight, wasted, and obese subjects was 5.5%, 9.0%, 8.8%, and 18.6%, respectively. Comparison of first- and second-generation immigrants revealed that the prevalence of malnutrition was higher in first-generation immigrants than in second-generation immigrants. Moreover, the prevalence of malnutrition and obesity in first-generation immigrants living in Korea for <5 years was not significantly different from that in first-generation immigrants living in Korea for ≥5 years. In addition, comparisons by family origin showed that children from Central Asian families had a higher prevalence of malnutrition than other children. 
		                        		
		                        			Conclusion
		                        			Children and adolescents from immigrant families still suffer from malnutrition after resettling in Korea. Therefore, nutritional programs should be provided to improve their malnutrition status. 
		                        		
		                        		
		                        		
		                        	
9.High-Dose Rifampicin for 3 Months after Culture Conversion for Drug-Susceptible Pulmonary Tuberculosis
Nakwon KWAK ; Joong-Yub KIM ; Hyung-Jun KIM ; Byoung-Soo KWON ; Jae Ho LEE ; Jeongha MOK ; Yong-Soo KWON ; Young Ae KANG ; Youngmok PARK ; Ji Yeon LEE ; Doosoo JEON ; Jung-Kyu LEE ; Jeong Seong YANG ; Jake WHANG ; Kyung Jong KIM ; Young Ran KIM ; Minkyoung CHEON ; Jiwon PARK ; Seokyung HAHN ; Jae-Joon YIM
Tuberculosis and Respiratory Diseases 2025;88(1):170-180
		                        		
		                        			 Background:
		                        			This study aimed to determine whether a shorter high-dose rifampicin regimen is non-inferior to the standard 6-month tuberculosis regimen. 
		                        		
		                        			Methods:
		                        			This multicenter, randomized, open-label, non-inferiority trial enrolled participants with respiratory specimen positivity by Xpert MTB/RIF assay or Mycobacterium tuberculosis culture without rifampicin-resistance. Participants were randomized at 1:1 to the investigational or control group. The investigational group received high-dose rifampicin (30 mg/kg/day), isoniazid, and pyrazinamide until culture conversion, followed by high-dose rifampicin and isoniazid for 12 weeks. The control group received the standard 6-month regimen. The primary outcome was the rate of unfavorable outcomes at 18 months post-randomization. The non-inferiority margin was set at <6% difference in unfavorable outcomes rates. The study is registered with ClinicalTrials.gov (NCT04485156) 
		                        		
		                        			Results:
		                        			Between 4 November 2020 and 3 January 2022, 76 participants were enrolled. Of these, 58 were included in the modified intention-to-treat analysis. Unfavorable outcomes occurred in 10 (31.3%) of 32 in the control group and 10 (38.5%) of 26 in the investigational group. The difference was 7.2% (95% confidence interval, ∞ to 31.9%), failing to prove non-inferiority. Serious adverse events and grade 3 or higher adverse events did not differ between the groups. 
		                        		
		                        			Conclusion
		                        			The shorter high-dose rifampicin regimen failed to demonstrate non-inferiority but had an acceptable safety profile. 
		                        		
		                        		
		                        		
		                        	
10.Microplastics Accumulation Induces Kynurenine-Derived Neurotoxicity in Cerebral Organoids and Mouse Brain
Sung Bum PARK ; Jeong Hyeon JO ; Seong Soon KIM ; Won Hoon JUNG ; Myung-Ae BAE ; Byumseok KOH ; Ki Young KIM
Biomolecules & Therapeutics 2025;33(3):447-457
		                        		
		                        			
		                        			 Microplastics (MP) are pervasive environmental pollutants with potential adverse effects on human health, particularly concerning neurotoxicity. This study investigates the accumulation and neurotoxic effects of MP in cerebral organoids and mouse brains. Utilizing in vitro cerebral organoids and in vivo mouse models, we examined the penetration of MP, revealing that smaller MP (50 nm) infiltrated deeper into the organoids compared to larger ones (100 nm). Exposure to 50 nm MP resulted in a significant reduction in organoid viability. Furthermore, total RNA sequencing indicated substantial alterations in neurotoxicity-related gene expression.In vivo, MP-treated mice exhibited notable DNA fragmentation in the hippocampus and cortex, alongside elevated levels of inflammatory markers and neurotoxic metabolites, such as kynurenine (KYN) and 3-hydroxykynurenine (3-HK). Our findings suggest that MP may promote neurotoxicity through the kynurenine pathway, leading to heightened levels of neurotoxic compounds like quinolinic acid. This research highlights the potential for MP to induce neuroinflammatory responses and disrupt normal brain function, underscoring the need for further investigation into the long-term effects of MP exposure on neurological health. 
		                        		
		                        		
		                        		
		                        	
            
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