The Association between Helicobacter pylori Infection and Body Weight among Children

Choi, Jun Sik,Ko, Kyung Og,Lim, Jae Woo,Cheon, Eun Jeong,Lee, Gyung Min,Yoon, Jung Min The Korean Society of Pediatric Gastroenterology 2016 Pediatric gastroenterology, hepatology & nutrition Vol.19 No.2

Purpose: We performed to reveal the association between the Helicobacter pylori infection and body weight among children. Methods: Out retrospective study included patients who underwent the H. pylori immunoglobulin G testing at Konyang University Hospital between March 2011 and June 2014. These patients were classified as seropositive (28 boys, 27 girls; mean age: $9.89{\pm}3.28years$) or seronegative (55 boys, 54 girls; mean age: $9.84{\pm}3.02years$). Next, we compared various characteristics between the seropositive and negative groups, as well as between obese children (body weight ${\geq}90th$ percentile) and non-obese children (body weight <90th percentile). Furthermore, we compared the change in body weight after 2 months of treatment with amoxicillin, clarithromycin and omeprazole among the 55 seropositive children (14 treated children and 41 non-treated children). Results: There were no differences in the weights and laboratory data for the 55 seropositive children and 109 seronegative children (weight; $40.96{\pm}18.11kg$ vs. $36.85{\pm}13.72kg$, respectively; p=0.14). And, there was no difference in the prevalence of H. pylori infection among the 29 obese and 135 non-obese children (p=0.581). However, after 2 months of eradication, the 14 treated patients exhibited a significant weight gain ($+0.91{\pm}0.52kg$), compared to the 41 non-treated patients ($-0.29{\pm}1.16kg$, p=0.025). Conclusion: Our findings present that obesity was not associated with the H. pylori infection, although H. pylori eradication led to significant increase in body weight.

The Association between Helicobacter pylori Infection and Body Weight among Children

Jun Sik Choi,Kyung Og Ko,Jae Woo Lim,Eun Jeong Cheon,Gyung Min Lee,Jung Min Yoon 대한소아소화기영양학회 2016 Pediatric gastroenterology, hepatology & nutrition Vol.19 No.2

Purpose: We performed to reveal the association between the Helicobacter pylori infection and body weight among children.Methods: Out retrospective study included patients who underwent the H. pylori immunoglobulin G testing at Konyang University Hospital between March 2011 and June 2014. These patients were classified as seropositive (28 boys, 27 girls; mean age: 9.89±3.28 years) or seronegative (55 boys, 54 girls; mean age: 9.84±3.02 years). Next, we com-pared various characteristics between the seropositive and negative groups, as well as between obese children (body weight ≥90th percentile) and non-obese children (body weight <90th percentile). Furthermore, we compared the change in body weight after 2 months of treatment with amoxicillin, clarithromycin and omeprazole among the 55 seropositive children (14 treated children and 41 non-treated children).Results: There were no differences in the weights and laboratory data for the 55 seropositive children and 109 sero-negative children (weight; 40.96±18.11 kg vs. 36.85±13.72 kg, respectively; p=0.14). And, there was no difference in the prevalence of H. pylori infection among the 29 obese and 135 non-obese children (p=0.581). However, after 2 months of eradication, the 14 treated patients exhibited a significant weight gain (+0.91±0.52 kg), compared to the 41 non-treated patients (−0.29±1.16 kg, p=0.025).Conclusion: Our findings present that obesity was not associated with the H. pylori infection, although H. pylori erad-ication led to significant increase in body weight.

The Relationships between Respiratory Virus Infection and Aminotransferase in Children

Jun Suk Oh,Jun Sik Choi,Young Hyuk Lee,Kyung Og Ko,Jae Woo Lim,Eun Jung Cheon,Gyung Min Lee,Jung Min Yoon 대한소아소화기영양학회 2016 Pediatric gastroenterology, hepatology & nutrition Vol.19 No.4

Purpose: We sought to examine the relationship between the clinical manifestations of nonspecific reactive hepatitis and respiratory virus infection in pediatric patients.Methods: Patients admitted to the pediatric unit of Konyang University Hospital for lower respiratory tract disease between January 1, 2014 and December 31, 2014 and who underwent reverse transcriptase polymerase chain re-action tests were examined. The patients were divided into those with increased levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) and those with normal ALT or AST levels. Further, patients with increased ALT and AST levels were individually compared with patients in the normal group, and the blood test results were compared according to the type of respiratory virus.Results: Patients with increased ALT or AST levels had one more day of hospital stay, on average, compared with patients in the normal group (5.3±3.1 days vs. 4.4±3.0 days, p=0.019). Patients in the increased ALT level group were younger and had a longer mean hospital stay, compared with patients in the normal group (p=0.022 and 0.003, respectively). The incidences of increased ALT or AST were the highest in adenovirus infections (6/24, 25.0%), fol-lowed by enterovirus (2/11, 18.2%) and respiratory syncytial virus A (21/131, 16.0%) infections.Conclusion: Nonspecific reactive hepatitis is more common among patients with adenovirus, enterovirus and respira-tory syncytial virus infection, as well as among those infected at a younger age. Compared with AST levels, ALT levels are better indicators of the severity of nonspecific reactive hepatitis.

Effect of adenotonsillar hypertrophy on right ventricle function in children

Lee, Jin Hwan,Yoon, Jung Min,Lim, Jae Woo,Ko, Kyung Og,Choi, Seong Jun,Kim, Jong-Yeup,Cheon, Eun Jung The Korean Pediatric Society 2014 Clinical and Experimental Pediatrics (CEP) Vol.57 No.11

Purpose: Chronic upper airway obstruction causes hypoxemic pulmonary vasoconstriction, which may lead to right ventricle (RV) dysfunction. Adenotonsillar hypertrophy (ATH) is the most common cause of upper airway obstruction in children. Therefore, we aimed to evaluate RV function in children with ATH. Methods: Twenty-one children (male/female, 15/6; mean age, $92.3{\pm}39.0$ months; age range, 4-15 years) with ATH and 21 healthy age- and gender-matched controls were included in this study. Tricuspid annular plane systolic excursion and RV myocardial performance index were measured by transthoracic echocardiography. Further, the plasma level of N-terminal of probrain natriuretic peptide (NT-proBNP), an indicator of RV function, was determined. Results: The snoring-tiredness during daytime-observed apnea-high blood pressure (STOP) questionnaire was completed by the patients' parents, and loud snoring was noted in the ATH group. The plasma NT-proBNP level was significantly higher in the ATH group than that in the controls ($66.44{\pm}37.63pg/mL$ vs. $27.85{\pm}8.89pg/mL$, P=0.001). The echocardiographic parameters were not significantly different between the groups. Conclusion: We were unable to confirm the significance of echocardiographic evidence of RV dysfunction in the management of children with ATH. However, the plasma NT-proBNP level was significantly higher in the ATH group than that in the control, suggesting that chronic airway obstruction in children may carry a risk for cardiac dysfunction. Therefore, more patients should be examined using transthoracic echocardiography. In addition, pediatricians and otolaryngologists should consider cardiologic aspects during the management of children with severe ATH.

The Relationships between Respiratory Virus Infection and Aminotransferase in Children

Oh, Jun Suk,Choi, Jun Sik,Lee, Young Hyuk,Ko, Kyung Og,Lim, Jae Woo,Cheon, Eun Jung,Lee, Gyung Min,Yoon, Jung Min The Korean Society of Pediatric Gastroenterology 2016 Pediatric gastroenterology, hepatology & nutrition Vol.19 No.4

Purpose: We sought to examine the relationship between the clinical manifestations of nonspecific reactive hepatitis and respiratory virus infection in pediatric patients. Methods: Patients admitted to the pediatric unit of Konyang University Hospital for lower respiratory tract disease between January 1, 2014 and December 31, 2014 and who underwent reverse transcriptase polymerase chain reaction tests were examined. The patients were divided into those with increased levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) and those with normal ALT or AST levels. Further, patients with increased ALT and AST levels were individually compared with patients in the normal group, and the blood test results were compared according to the type of respiratory virus. Results: Patients with increased ALT or AST levels had one more day of hospital stay, on average, compared with patients in the normal group ($5.3{\pm}3.1$ days vs. $4.4{\pm}3.0$ days, p=0.019). Patients in the increased ALT level group were younger and had a longer mean hospital stay, compared with patients in the normal group (p=0.022 and 0.003, respectively). The incidences of increased ALT or AST were the highest in adenovirus infections (6/24, 25.0%), followed by enterovirus (2/11, 18.2%) and respiratory syncytial virus A (21/131, 16.0%) infections. Conclusion: Nonspecific reactive hepatitis is more common among patients with adenovirus, enterovirus and respiratory syncytial virus infection, as well as among those infected at a younger age. Compared with AST levels, ALT levels are better indicators of the severity of nonspecific reactive hepatitis.

Differences of Zebrin II Expression Pattern Between Normal Balb/C and Ataxic Pogo Mouse Cerebellum

이남섭(Nam-Seob Lee),김철태(Chul-Tae Kim),김기형(Ki-Hyung Kim),김선경(Sun-Kyung Kim),정승혁(Seung-Hyuk Chung),고경옥(Kyong Og Ko),Kazuhiko Sawada, Yoshihiro Fukui, 현병화(Byung-Wha Hyun),원무호(Moo-Ho Won),정영길(Young-Gil Jeon 대한해부학회 2003 Anatomy & Cell Biology Vol.36 No.6

zebrin II는 소뇌 Purkinje 세포에서 발현되는 36-kDa의 호흡효소(respiratory isoenzyme aldolase C)로 지금까지 알려진 가장 대표적인 소뇌구획표지자(cerebellar compartmentation marker)로 알려져 있다. 본 연구는 국내 최초로 발견된 선천성 운동실조 마우스인 pogo 마우스와 Balb/C 마우스 소뇌에서 zebrin II 발현양상의 차이를 확인하기 위하여 시행되었다. zebrin II 면역반응은 pogo 마우스와 Balb/C 마우스 소뇌 Purkinje 세포의 세포질과 수상돌기에서 관찰되었다. pogo 마우스와 Balb/C 마우스 소뇌 zebrin II 면역반응 Purkinje 세포들은 zebrin II에 면역반응을 보이지 않는 Purkinje 세포들과 서로 교대로 위치하여 소뇌의 앞-뒤를 연결하는 parasagittal band 형태로 관찰되었다. 소뇌 전체에 걸쳐 pogo 마우스와 Balb/C 마우스 소뇌 zebrin II 면역반응 Purkinje 세포들의 분포양상은 거의 유사하였다. 그러나, 소뇌 앞부분(anterior zone, AZ)의 lobule III에서는 pogo 마우스와 Balb/C 마우스 소뇌 zebrin II 면역반응 Purkinje 세포들의 분포양상에 차이가 관찰되었다. Balb/C 마우스 소뇌의 lobule III에서는 10~15개 정도의 zebrin II 면역반응 Purkinje 세포들이 모여 parasagittal band를 형성하지만, pogo 마우스의 경우 lobule III의 정중에 위치한 P1 band는 유사하나 P1 band의 양쪽에 위치한 P2 band의 경우 50~60개의 zebrin II 면역반응 Purkinje 세포들이 모여 parasagittal band를 형성한다. 이와 같은 lobule III의 zebrin II 면역반응 Purkinje 세포들의 분포차이는 pogo 마우스와 Balb/C 마우스의 유전적 차이에서 기원하는 것으로 생각되며 본 연구의 결과는 운동실조 pogo 마우스의 소뇌 형태적 연구의 기초적 자료로 이용될 수 있다고 생각된다. The purpose of this study is to identify the differences of zebrin II expression between ataxic pogo and normal Balb/C mouse cerebellum. Zebrin II is expressed by subsets of Purkinje cells that form an array of parasagittal bands that extend rostrocaudally throughout the cerebellar cortex, separated by similar bands of Purkinje cells that do not express zebrin II. Zebrin II immunoreactivity was localized in the perikarya of Purkinje cells, and the dendrites. Distribution of zebrin II-immunoreactive Purkinje cells were very similar pattern in pogo and Balb/C mouse cerebellum. But, in the lobule III, distribution of zebrin II expression was different between pogo and Balb/C mouse cerebellum. In lobule III of Balb/c mouse cerebellum, 10~15 zebrin II-immunoreactive Purkinje cells were observed and clustered to form a parasagittal bands. On the other hand, zebrin II expressions of lobule III in pogo mouse cerebellum showed a little different patterns. In lobule III of pogo mouse cerebellum, three bilateral zebrin IIimmunoreactive parasagittal band were observed. P1 band was almost same with lobule III of Balb/C mouse cerebellum. But, P2 bands were composed of 50~60 Purkinje cells which were immunoreactive with zebrin II. These kind of thickening in zebrin II expression of pogo mouse cerebellum may be due to the genetical difference. Furthermore, these results may provide useful information with further ataxic pogo mice cerebellum studies.