Publications by authors named "Hyun-Mi Kang"

Background: Influenza remains a significant public health challenge, with vaccination being a substantial way to prevent it. Cell-cultured influenza vaccines have emerged to improve on the drawbacks of egg-based vaccines, but there are few studies focusing on T cell immunity with both types of vaccines. Therefore, we studied the following 2022-2023 seasonal influenza vaccines with a standard dose and high dose: cell-based (C_sd and C_hd) and egg-based (E_sd and E_hd) vaccines.

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Background: Varicella can lead to severe complications in immunocompromised children, including those undergoing hematopoietic stem cell transplantation (HSCT) or chemotherapy. Preventing primary varicella zoster virus (VZV) infection is crucial in these populations to mitigate morbidity and mortality. This study aimed to evaluate the immunogenicity and safety of the live attenuated MAV/06 varicella vaccine in pediatric patients post-HSCT and post-chemotherapy.

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Vaccination is a cornerstone of public health, preventing infectious diseases with significant contribution to human health. In South Korea, the Korea Expert Committee on Immunization Practices (KECIP) plays a pivotal role in guiding national vaccination policies. In this comprehensive review, we investigated the history, legal basis, operation, and achievements of the KECIP, highlighting its critical role in shaping the country's successful vaccination program.

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Introduction: This study aimed to investigate the associations among seizures, clinical characteristics, and brain injury on Magnetic Resonance Imaging (MRI) in infants with Hypoxic Ischemic Encephalopathy (HIE), and to determine whether these findings can predict unfavorable neurodevelopmental outcomes.

Method: Clinical and electrographic seizures were assessed by amplitude-integrated electroencephalogram, and the extent of brain injury was evaluated by using MRI. At 12‒24 months of age, developmental impairment or death was assessed.

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Background: This study aimed to investigate the epidemiological characteristics and outcomes of myocarditis/pericarditis after BNT162b2 vaccination in Korean adolescents.

Methods: This was a retrospective cohort analysis of adolescents aged 12-19 years old diagnosed with myocarditis/pericarditis within 42 days of BNT162b2 mRNA vaccination. All reported cases were investigated by city or government epidemiologists and the diagnostic certainty and causality was determined by the Korea Disease Control and Prevention Agency's Adverse Event Following Immunization Expert Advisory Committee according to the modified version of Brighton Collaboration Myocarditis/Pericarditis Working group's case definitions.

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Pediatric patients who have undergone hematopoietic stem cell transplantation (HSCT) or chemotherapy are at increased risk for severe influenza complications, necessitating annual vaccination. This study evaluated the immunogenicity and antibody persistence of the 2021-2022 seasonal quadrivalent influenza vaccine in pediatric patients post-HSCT or chemotherapy, compared to healthy controls. A prospective cohort study included 80 pediatric participants divided into three groups: chemotherapy ( = 33), HSCT ( = 27), and healthy controls ( = 20).

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Objective: This study aimed to compare the efficacy and tolerability of azithromycin and clarithromycin in pediatric enterocolitis.

Methods: A prospective, randomized, controlled trial was conducted at a single center. Patients with confirmed enterocolitis were randomly assigned to receive either a 3-day course of azithromycin or a 5-day course of clarithromycin.

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Unlabelled: Methicillin-resistant (MRSA) is a drug-resistant pathogen causing subclinical and clinical bovine mastitis. This study examined the molecular properties, biofilm formation, virulence genes, and antimicrobial susceptibility of MRSA isolates from mastitis-infected dairy cow milk in South Korea. Whole-genome sequencing of an ST22-SCC IV MRSA strain positive for Panton-Valentine leukocidin (PVL) and toxic shock syndrome toxin-1 (TSST-1) was also performed.

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Several perinatal factors influence the intestinal microbiome of newborns during the first days of life, whether during delivery or even in utero. These factors may increase the risk of developing necrotizing enterocolitis (NEC) by causing dysbiosis linked to a NEC-associated microbiota, which may also be associated with other gastrointestinal problems. The objective of our study was to evaluate the potential risks associated with microbial shifts in newborns with gastrointestinal symptoms and identify the intestinal microbiota of neonates at risk for NEC.

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The incidence of myocarditis and pericarditis has been documented in adolescents after COVID-19 vaccinations. This study aims to assess the risk of myopericarditis in adolescents following COVID-19 vaccination, using a meta-analysis of the published cases. We performed a comprehensive literature search of the following databases on July 5, 2023: MEDLINE, EMBASE, PubMed, and the Cochrane Library.

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Staphylococcus spp. are one of the most predominant isolates in milk samples of dairy cows with mastitis worldwide. The aims of this study were to investigate the prevalence of bacterial pathogens in bovine mastitis milk samples in South Korea and the antimicrobial resistance profiles of staphylococcal isolates.

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Article Synopsis
  • A resurgence of Mycoplasma pneumoniae (MP) infections, mainly causing pneumonia in kids, was noted after the COVID-19 pandemic, leading to a study on its clinical features and treatment in late 2023.
  • Out of 474 patients screened, 374 met criteria for MP pneumonia, with most presenting fever and a common radiological sign being lobar consolidation, while macrolide resistance was high at 87%.
  • The study underscores the challenge of treating MP pneumonia due to high macrolide resistance rates, as these antibiotics, along with corticosteroids, are still frequently used despite their ineffectiveness in improving radiological outcomes.
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Objectives: This study aimed to identify the specific vaccine strain associated with herpes zoster (HZ) in children following a series of diagnosed cases and to explore whether differences in single nucleotide polymorphisms (SNPs) among various vaccine strains are linked to an increased incidence of herpes zoster after vaccination.

Methods: From February 2021 to March 2024, children <12 years old suspected of vaccine-related varicella-like rash or HZ were included. Varicella zoster virus DNA isolated from the patients were sequenced to differentiate vaccine type versus wild-type.

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  • An in-house enzyme-linked immunosorbent assay (ELISA) was developed and validated for measuring mouse humoral immunogenicity using a standard curve from an international reference serum.
  • During validation, the study confirmed key aspects like precision, dilution linearity, and specificity while comparing two calculation methods (RFL and PLL) and found no significant differences between them.
  • The final results achieved appropriate coating concentrations and strong signal to noise ratios, meeting necessary accuracy criteria, indicating that the ELISA is a reliable tool for immunogenicity testing in mice.
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Key Points: cells exist long term during kidney homeostasis and become activated upon injury, contributing to regeneration. cells and their progeny emerge during tubulogenesis and contribute to proximal tubule and inner medullary collecting duct development. cells expand and differentiate into a mature nephron lineage in response to AKI to repair the proximal tubule.

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  • The study investigates antibiotic resistance in Acinetobacter baumannii (AB) and non-baumannii Acinetobacter complex (NB-ACB) in invasive infections among Korean children.
  • A total of 67 isolates were collected, with a high percentage of AB (73.1%) demonstrating significant multi-drug resistance, especially within the clonal complex 92.
  • The research emphasizes the necessity for continued monitoring and analysis of resistance genes to effectively manage drug-resistant infections, particularly those involving CC92 AB.
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  • - The Korea Expert Committee on Immunization Practices (KECIP) advises the government on immunization policies, aiming to improve its recommendations in light of advancing vaccine science and diseases like COVID-19
  • - A recent study evaluated KECIP's current operations, gathering feedback from 40 expert panel members, with most agreeing on the need for a subcommittee but differing on aspects such as term length and how to represent vaccine manufacturers
  • - The findings highlight KECIP's critical role in shaping immunization policies in South Korea and suggest that enhancing its capacity is essential for addressing ongoing public health challenges and maintaining successful vaccination efforts
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  • Recent advancements in organoid technology are pushing for its use instead of animal testing in research.
  • Organoids are particularly useful for testing the toxicity of drugs and chemicals.
  • The paper aims to establish basic guidelines for using human kidney organoids from stem cells as a model for evaluating toxicity.
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Purpose: Pertussis bacteria have many pathogenic and virulent antigens and severe adverse reactions have occurred when using inactivated whole-cell pertussis vaccines. Therefore, inactivated acellular pertussis (aP) vaccines and genetically detoxified recombinant pertussis (rP) vaccines are being developed. The aim of this study was to assess the safety profile of a novel rP vaccine under development in comparison to commercial diphtheria-tetanus-acellular pertussis (DTaP) vaccines.

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  • Vaccines are essential for public health, yet there are ongoing concerns about potential side effects like myocarditis and pericarditis linked to COVID-19 vaccines, which this study aims to investigate using national safety data.
  • The research examined 190 medical records of individuals who claimed to have developed myo/pericarditis after vaccination, categorizing the cases based on the Brighton Collaboration criteria.
  • The findings revealed that the majority of cases (70%) were classified as Level 2, with higher hospitalization rates in Level 1 cases, providing insights into the potential effects of the COVID-19 vaccine on heart health.
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This study aimed to investigate national data for a quantitative evaluation of antibiotic usage in Korean children during the pre- and early COVID-19 period. This was a cross-sectional study from 2016 to 2021 of children <18 years, grouped by age (0, 1, 2-4, 5-11, and 12-17 years) and city/province. Systemic antibiotic prescriptions, days of administration, and population by age and region were collected.

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  • Blood culture proven sepsis can cause serious health problems and more deaths in very premature babies, especially those with infected catheters.
  • This study looked at two different times in a hospital: before and after a Quality Improvement (QI) program, checking how often catheters were used and how it affected the babies' health.
  • They found that after the QI program, babies had better outcomes, like a lower chance of severe lung disease and slightly higher birth weights.
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Since the 2000s, sporadic outbreaks of whooping cough have been reported in advanced countries, where the acellular pertussis vaccination rate is relatively high, and in developing countries. Small-scale whooping cough has also continued in many countries, due in part to the waning of immune protection after childhood vaccination, necessitating the development of an improved pertussis vaccine and vaccination program. Currently, two different production platforms are being actively pursued in Korea; one is based on the aP (acellular pertussis) vaccine purified from containing pertussis toxoid (PT), filamentous hemagglutin (FHA) and pertactin (PRN), and the other is based on the recombinant aP (raP), containing genetically detoxified pertussis toxin ADP-ribosyltransferase subunit 1 (PtxS1), FHA, and PRN domain, expressed and purified from recombinant .

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Universal varicella vaccination (UVV), as a single dose to children aged 12 to 15 months, was introduced in Korea in 2005. A seroprevalence study is required to upgrade this UVV strategy. The fluorescent antibody to membrane antigen (FAMA) assay is the gold standard for varicella-zoster virus (VZV) immunity testing.

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