Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist’s Perspective

The survival rate of children admitted in the neonatal intensive care unit (NICU) after birth is on the increase; hence, proper evaluation and care of their neurodevelopment has become an important issue. Neurodevelopmental assessments of individual domains regarding motor, language, cognition, and sensory perception are crucial in planning prompt interventions for neonates requiring immediate support and rehabilitation treatment. These assessments are essential for identifying areas of weakness and designing targeted interventions to improve future functional outcomes and the quality of lives for both the infants and their families. However, initial stratification of risk to select those who are in danger of neurodevelopmental disorders is also important in terms of cost-effectiveness. Efficient and robust functional evaluations to recognize early signs of developmental disorders will help NICU graduates receive interventions and enhance functional capabilities if needed. Several age-dependent, domain-specific neurodevelopmental assessment tools are available; therefore, this review summarizes the characteristics of these tools and aims to develop multidimensional, standardized, and regular follow-up plans for NICU graduates in Korea.

Compound Heterozygous Pathogenic Variants of the 15-Hydroxyprostaglandin Dehydrogenase Gene in a Patient With Hypertrophic Osteoarthropathy: First Case in Korea

No abstract available.

Ethical Guidelines for Use of Experimental Animals in Biomedical Research

Increasing concerns on animal welfare, the discussion about the necessity and the ethical acceptability of animal experiments is getting important. In this article, we describe ethical issues between the benefits of the animal experiments and the suffering of the animals. If there are no alternatives for animal experiments, the ethical guidelines, 3Rs (Reduction, Replacement, Refinement) by Russell and Burch for humane animal experiments should be considered. Moreover, Institutional Animal Care and Use Committee (IACUC) and Institutional Biosafety Committee (IBC) assist researchers to perform animal testing humanely and safely. We point out three important aspects in support of humane animal experiments; 1) the development of diverse scientific alternatives on the animal testing, 2) the ethical education of animal experiments for researchers, 3) the productive interactions among various social groups on ethics and safety of animal experiments.