Publications by authors named "Hwanhee Park"

Background: Human inborn errors of immunity (IEIs) include disorders characterized by aberrant function or development of the immune system. Recently, interest in the immune and endocrine systems has increased. We aimed to investigate endocrine disorders in patients with IEIs.

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Treatment with eculizumab increases the risk of invasive meningococcal infection (IMI). We evaluated tetravalent meningococcal vaccine responses in pediatric hematopoietic cell transplant (HCT) recipients with eculizumab for veno-occlusive disease (eculizumab group, n=4) and compared to patients with asplenia/polysplenia (asplenia/polysplenia group, n=2). Among the eculizumab group, two patients had a partial and full antibody response, respectively; two had no response.

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  • A study analyzed the impact of an antimicrobial stewardship program (ASP) on pediatric patients' bacteremia, antimicrobial use, and mortality rates between 2001 and 2019.
  • The results showed a significant increase in the proportion of ESBL-producing bacteria from 17% to 35% after the ASP was implemented, but overall antimicrobial use decreased.
  • Importantly, the 30-day mortality rate for patients with bacteremia remained stable at 10% in both pre- and post-intervention periods, indicating that the ASP was effective in reducing medication usage without increasing death rates.
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  • * Ruxolitinib treatment led to a significant reduction in the overexpression of inflammatory genes, particularly those related to interferon, improving the patient's autoimmune symptoms.
  • * Despite these improvements, epigenetic analysis indicated persistent accessibility of the gene regions associated with inflammation, suggesting that ruxolitinib did not fully correct the underlying epigenetic abnormalities even after treatment.
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Background: A regimen of gemcitabine, cisplatin, and nab-paclitaxel (GPA) has shown promising results in patients with advanced biliary tract cancer (aBTC).

Objectives: This study aimed to evaluate the benefit of GPA compared to a regimen of gemcitabine plus cisplatin (GP) in patients with aBTC.

Design: Retrospective study.

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We report the first case of a critically ill pediatric patient coinfected with coronavirus disease 2019 (COVID-19) and Pneumocystis jirovecii pneumonia (PCP). Instances of coinfection of COVID-19 and PCP are being increasingly reported as the COVID-19 pandemic continues. Because the combination can be life-threatening, timely diagnosis and treatment for PCP is necessary in cases where an immunocompromised patient contracts COVID-19.

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Background: Pediatric urinary tract infection (UTI) caused by extended-spectrum β-lactamase (ESBL)-positive gram-negative bacilli (GNB) has limited options for oral antibiotic treatment. The purpose of this study was to investigate the susceptibility of ESBL-positive and isolates from pediatric urine samples to two oral antibiotics (fosfomycin and nitrofurantoin).

Methods: From November 2020 to April 2022, ESBL-positive and isolates from urine samples were collected at Samsung Medical Center, Seoul, Korea.

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Background: In pediatric patients, the common cold coronavirus (ccCoV) usually causes mild respiratory illness. There are reports of coronavirus causing central nervous system (CNS) infection in experimental animal models. Some immunocompromised patients have also been reported to have fatal CNS infections with ccCoV.

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Mesenchymal stem cells (MSCs) are known to be able to modulate immune responses, possess tissue-protective properties, and exhibit healing capacities with therapeutic potential for various diseases. The ability of MSCs to secrete various cytokines and growth factors provides new insights into autoimmune-diseases such as rheumatoid arthritis (RA). RA is a systemic autoimmune disease that affects the lining of synovial joints, causing stiffness, pain, inflammation, and joint erosion.

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Background And Objectives: Human mesenchymal stem cells (MSCs) are emerging as a treatment for atopic dermatitis (AD), a chronic inflammatory skin disorder that affects a large number of people across the world. Treatment of AD using human umbilical cord blood-derived MSCs (hUCB-MSCs) has recently been studied. However, the mechanism underlying their effect needs to be studied continuously.

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Objectives: To assess the validity and reliability of the Korean version of the reflux symptom score (K-RSS).

Materials And Methods: The English version of the RSS was translated into Korean and completed by 77 people (44 and 33 people in the patient group and control group, respectively). They completed the K-RSS (K-RSS-1) and reflux symptom index (RSI) questionnaires and answered questions about age, sex, underlying disease, smoking history, and alcohol and coffee consumption.

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Background: Human mesenchymal stem cells (hMSCs) therapy has recently been considered a promising treatment for atopic dermatitis (AD) due to their immunomodulation and tissue regeneration ability. In our previous studies, we demonstrated that hMSCs alleviate allergic inflammation in murine AD model by inhibiting the activation of mast cells and B cells. Also our phase I/IIa clinical trial showed clinical efficacy and safety of hMSCs in moderate-to-severe adult AD patients.

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Background: Korean health authority plans to vaccinate adolescents against coronavirus disease 2019 (COVID-19) starting high school seniors during the summer vacation of 2021. However, the myocarditis/pericarditis following COVID-19 vaccine has been reported recently in adolescents and young adults. This study was performed to answer the urgent questions about the basic epidemiology and clinical course of myocarditis/pericarditis in hospitalized patients prior to the introduction of COVID-19 vaccines in pediatric population.

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Background: Data on severe acute respiratory syndrome coronavirus-2 transmission from a pediatric index patient to others at the school setting are limited. Epidemiological data on pediatric coronavirus disease 2019 (COVID-19) cases after school opening are warranted.

Methods: We analyzed data of the pediatric patients with COVID-19 collected from the press release of the Korea Centers for Disease Control and Prevention.

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Data on transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from preschool-age children to children and adults are limited. We investigated SARS-CoV-2 exposure at a childcare center in South Korea. A 4-year-old child, probably infected by his grandmother, attended the center during the presymptomatic period (February 19-21, 2020).

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Article Synopsis
  • Chronic urticaria (CU) negatively impacts children's academic performance and social development, prompting a study on its natural progression in Korean children.
  • The study involved 253 children, analyzing their medical history and identifying factors linked to a poor prognosis, concluding that allergic sensitization worsens CU outcomes.
  • Results showed a median remission time of 10.2 months, with 33.4%, 53.0%, and 71.2% of children achieving remission at 6, 12, and 24 months, respectively.
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Results of recent studies on gut microbiota have suggested that obesogenic bacteria exacerbate obesity and metabolic dysfunction in the host when fed a high fat diet (HFD). In order to explore obesity-associated bacterial candidates and their response to diet, the composition of faecal bacterial communities was investigated by analyzing 16S rRNA gene sequences in mice. Dietary intervention with probiotics and Garcinia cambogia extract attenuated weight gain and adipocyte size in HFD-fed mice.

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Bovine embryonic stem cells have potential for use in research, such as transgenic cattle generation and the study of developmental gene regulation. The Nanog may play a critical role in maintenance of the undifferentiated state of embryonic stem cells in the bovine, as in murine and human. Nevertheless, efforts to study the bovine Nanog for pluripotency-maintaining factors have been insufficient.

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