• 제목/요약/키워드: Birth defects

검색결과 90건 처리시간 0.024초

A Rare and Often Unrecognized Brain Meningitis and Hepatopneumonic Congestion are a Major Cause of Sudden Death in Somatic Cloned Piglets

  • 박미령;조성근;임여정;박종주;김진회
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2003년도 학술발표대회 발표논문초록집
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    • pp.18-18
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    • 2003
  • In human, sudden infant death syndrome(SIDS) is synonyms for the sudden, unexpected and unexplained death of an infant. The incidence of SIDS has been estimated to be from 1 to 3%. Cloning has a relatively high rate of late abortion and early postnatal death, particularly when somatic cells are used as donors of nuclei and rates as high as 40 to 70% have been reported. However, the mechanisms for SIDS in cloned animals are not known yet. To date, few reports provide detailed information regarding phenotypic abnormality of cloned pigs. In this study, most of the cloned piglets were alive at term and readily recovered respiration. However, approximately 82% of male cloned piglets (81/22) died within a week after birth. Significant findings from histological examinations showed that 42% of somatic cloned male piglets died earlier than somatic cloned female piglets, most probably due to severe congestion of lung and liver or neutrophilic inflammation in brain, which indicates that unexpected phenotypes can appear as a result of somatic cell cloning. No anatomical defects in cloned female piglets were detected, but three of the piglets had died by diarrhea due to bacterial infection within 15 days after birth. Although most of male cloned piglets can be born normal in terms of gross anatomy, they develop phenotypic anomalies that include leydig cell hypoplasia and growth retardation post-delivery under adverse fetal environment and depigmentation of hair- and skin-color form puberty onset. This may provide a mechanism for development of multiple organ system failure in some cloned piglets. Th birth weights of male cloned pig in comparison with those of female cloned piglets are significantly reduced(0.8 vs 1.4kg) and showed longer gestational day(120 vs 114). In conclusion, brain meningitis and hepatopneumonic congestion are a major risk factor for SIDS and such pregnancy in cloned animals requires close and intensive antenatal monitoring.

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임신 분기별 모체의 혈장 호모시스테인 농도와 임신결과 (Maternal Plasma Homocysteine Levels and Pregnancy Outcomes)

  • 안홍석
    • 대한지역사회영양학회지
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    • 제9권4호
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    • pp.483-490
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    • 2004
  • Elevated maternal plasma homocysteine concentrations have been associated with adverse pregnancy outcomes, including birth defects, low birth weight, preeclampsia, spontaneous abortion, placental abruption, and other maternal or fetal complications. The purpose of this study was to assess the maternal plasma homocysteine level during pregnancy and to investigate the relationship between the plasma homocysteine concentrations and pregnancy outcomes. Venous blood samples were drawn from 82 pregnant women who were grouped with gestational age, 1st trimester (n = 26), 2nd trimester (n = 27) and 3rd trimester (n = 29). The concentration of plasma homocysteine was analyzed by HPLC, and pregnancy outcomes including gestational length, maternal weight gain, infant birth weight, and Apgar score were collected with the medical records of the pregnant women. The levels of plasma homocysteine of the pregnant women at the 1st, 2nd, and 3rd trimester were 5.7 $$\pm$ 3.7\mu㏖/L,\;5.6 \pm4.1\mu㏖/L\; and\; 7.0\pm 4.5\mu㏖/L$, respectively, which had not showed any significant difference. The result of this study showed that in case of the pregnant women at the 1st trimester, the maternal plasma homocysteine level of the pregnant women whose gestational length was less than 38 weeks was significantly high (p < 0.01) compared to that of the pregnants whose gestational length was more than 38 weeks. And also, the level of homocysteine of the pregnant women at the 2nd trimester was significantly low when the maternal weight gain was high (p < 0.05). These findings suggest that maternal plasma homocysteine level at early stage of gestation will be a predicter of gestational length and maternal weight gain.

방사선조사가 백서 구치 법랑질형성에 미치는 영향에 관한 주사전자현미경적 연구 (A SEM STUDY OF RADIATION EFFECTS ON THE RAT MOLAR ENAMEL FORMATION)

  • 이경호;박태원
    • 치과방사선
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    • 제25권2호
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    • pp.409-422
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    • 1995
  • The purpose of this study was to investigate the effects of radiation on the formation of rat molar enamel at the developmental stage. The experimental animals were divided into five groups and were irradiated single dose of 396cGy ; 1 st group on 14th day of gestation, 2nd group on 19th day of gestation, 3rd group on 3 days after birth, 4th group on 8 days after birth, 5th group on 28 days after birth. The control and 1, 2, 3, and 4th experimental groups were sacrificed on 2, 4, and 6 weeks and the 5th groups were sacrificed on 1 day and 2 weeks after irradiation. Distal 1/2 and occlusal 1/3 enamel surface of lingual side of lingual cusp, and fractured surface of lingual side of lingual cusp in a longitudinal direction of the mandibular first molar were examined using scanning electron microscope. The following results were obtained. 1. The roughness of enamel surface and enamel hypoplasia were increased in a sequence of 4th, 1st, 2nd, and 3rd experimental group, and the enamel cracks were increased in the 1st and 2nd experimental group. 2. The pattern of enamel hypoplasia had a network form on the 1st and 2nd experimental group, and appeared a linear shape on the 3rd experimental group, and then the crator-like enamel defects were observed in all experimental groups (especially 1st and 2nd experimental group) except 5th. 3. Dentinoenamel junction showed the clear-cut and straight appearance except 5th experimental group. 4. There was no significant difference between 5th experimental and control group.

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기관 삽관을 시행한 조산아에서 발생한 상악 유전치의 발육이상 : 증례보고 (DEVELOPMENTAL DISTURBANCE OF PRIMARY INCISORS IN PRETERM INFANTS WITH ENDOTRACHEAL INTUBATION : A CASE REPORT)

  • 임소영;김성오;이제호;김익환
    • 대한장애인치과학회지
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    • 제15권1호
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    • pp.89-93
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    • 2019
  • 본 증례 보고는 기관 삽관 경험이 있는 조산아에서 상악 유전치의 발육장애가 나타난 증례이다. 본 증례들에서는 기관 삽관으로 인해 치관 형태 이상, 법랑질 결함, 맹출 지연이 나타났다. 또한 치배의 변위로 인한 맹출 경로 이상, 치근 만곡, 후속 영구치의 비정상적인 치근 형성도 나타났다. 이환 치아에 대해서는 예방적 수복치료 및 관리, 적절한 시기에 발치를 고려해야 한다. 소아치과의사는 삽관 경험이 있는 조산아에서 나타날 수 있는 상황에 대해 이해하고, 적절한 개입을 통해 구강 건강 증진을 도모해야 한다.

저체중 출생아의 심기형 수술의 성적 (The Outcome of Cardiac Surgery in Low Birth Weight Infants)

  • 성시찬;김시호;이영석
    • Journal of Chest Surgery
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    • 제35권6호
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    • pp.430-438
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    • 2002
  • 저체중은 많은 심기형의 수술에 있어 위험인자로 알려져 있다. 이에 저체중 출생환아에 있어서의 동맥관 개존증을 제외한 여러 심기형에 대한 외과적 치료의 결과를 조사하였다. 대상 및 방법: 1994년 9월부터 2002년 2월까지 31명의 저체중 출생아를 대상으로 하였다. 심폐기를 이용한 개심술 환아(OHS군)가 12명, 비개심술환아(CHS군)가 19명이었다. 이들 환아에 대하여 술 후 중단기 성적을 알아보기 위해 환아의 병력지를 기초로 후향적 조사를 시행하였다. 태내주수는 36.9주(32.3∼42 주)였고 수술당시 평균 나이는 32.1일(0∼87 일), 출생시 체중은 1972g(1100∼2500g), 수술시 체중은 2105g(1450∼2500g)으로 OHS군과 CHS군에 차이가 없었다. 심기형은 OHS군에서는 심실중격결손증(VSD) (n=3), VSD와 대동맥궁이상(n=2), 총폐정맥환류이상(n=2), 대혈관전위증(n=2), 동맥간증(truncus arteriosus)(n=2), 삼심방증을 동반한 단심실증(n=1) 등이었고 CHS군은 대동맥축착증(n=7), 활로 4징증(n=3),활로 4징증 및 폐동맥폐쇄증(n=3), 다발성 근성 심실중격결손(n=1), 양대혈관 우심실기시증(n=1), 온전한 심실중격이 폐동맥판폐쇄증(n=2), 삼첨판폐쇄증(n=1), 대혈관전위증 및 다발성 심실중격결손(n=1) 등이었다. 13명(41.9%)의 환아에서 술 전 인공호흡이 필요하였다. 결과: 전체적으로 4례의 조기사망(30일 이내)이 발생하였다. OHS군에서 1례(8.3%), CHS군에서는 3례(15.8%)였다. 이 조기사망의 모든 예가 폐동맥교약술을 한 환아였고 완전교정이 가능하였던 환아나 폐동맥교약술을 제외한 고식적 수술에서는 수술사망이 없었다. 지연흉골봉합이 3례에서 필요하였고 술 후 7일 이상 장기간 인공호흡이 필요하였던 경우가 OHS군과 CHS 군에서 각각 7례로 58.3%, 38.8%의 빈도였다. 만기사망이 3례 발생하였는데 이 중 2례는 심장과 관련이 없는 사망이었다. OHS군 1명에서 술 후 뇌합병증이 발견되었다. 2명을 제외한 모든 생존자에서 현재 NYHA class I의 상태로 성장하고 있다. 결론: 저체중 출생 환아에서의 심기형은 완전교정술이 가능한 경우와 폐동맥교약술을 제외한 고식적 수술이 필요한 경우 낮은 수술사망률로 교정될 수 있었으며 중기성적도 양호하였다. 그러나 술 후 비교적 높은 빈도에서 장기간의 인공호흡이 필요하였다.

다이옥신의 인체 독성에 영향을 미치는 물리화학적 인자에 대한 이론적 접근 (Theoretical Approach for Physicochemical Factors Affecting Human Toxicity of Dioxins)

  • 황인철;박형석
    • Environmental Analysis Health and Toxicology
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    • 제14권1_2호
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    • pp.65-73
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    • 1999
  • Dioxins refer to a family of chemicals comprising 75 polychlorinated dibenzo-p-dioxin (PCDD) and 135 polychlorinated dibenzo-p-furan (PCDF) congeners, which may cause skin disorder, human immune system disruption, birth defects, severe hormonal imbalance, and cancer. The effects of exposure of dioxin-like compounds such as PCBs are mediated by binding to the aryl hydrocarbon receptor (AHR), which is a ligand-activated transcription factor. To grasp physicochemical factors affecting human toxicity of dioxins, six geometrical and topological indices, eleven thermodynamic variables, and quantum mechanical descriptors including ESP (electrostatic potential) were analyzed using QSAR and semi-empirical AM1 method. Planar dioxins with high lipophilicity and large surface tension show the probability that negative electrostatic potential in the lateral oxygen may make hydrogen bonding with DNA bases to be a carcinogen.

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UNIFICATION OF THERMO-PHYSICS OF MATERIALS AND MECHANICS OF STRUCTURES - TOWARD A LIFE SPAN SIMULATOR OF STRUCTURAL CONCRETE -

  • Maekawa, K.;Ishida, T.
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1999년도 학회창립 10주년 기념 1999년도 가을 학술발표회 논문집
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    • pp.29-46
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    • 1999
  • The performance based design obligates quantitative assessment of required performances by means of transparent and objective science. In this design scheme, simulation of both macro and micro-scale structural behaviors is thought to be a powerful tool. This paper proposes a way how to unify the structural safety and serviceability check method and durability assessment of RC structures. Though component chemical-physical processes are crudely assumed, system dynamics of micro-scale pore structure formation and macro-scale defects and deformation of structures was shown as possible and promising approach in future. The authors understand that the unification of structural and durability design has just started. For further progress and development, predictive tool of structural behaviors from birth to death of concrete under any specified environment and load serves as an essential technicality.

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임파부종 환자의 보존적 치료법 (Conservative Treatment of Lymphedema)

  • 김성중;황지혜
    • 한국전문물리치료학회지
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    • 제6권1호
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    • pp.62-73
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    • 1999
  • The purpose of this article was to provide basic knowledge and treatment principles of patient with lymphedema, which was usually not treated at all, or the treatment given didn't work efficiently. Lmphedema is defined as an abnormal accumulation of protein-rich fluid, edema, and chronic inflammation within an extremity. Lmphedema may be classified as either primary results from defects with aplasia, hypoplasia, and hyperplasia in the lymphatic system at birth or secondary is caused by known precipitating factors such as cancer, infection, inflammation, radiation, surgery, or trauma etc. There are essentially several conservative treatment methods which has been utilized successfully to treat lymphedema in Samsung Medical Center. We used following procedures: CPT (Complex Physical therapy) or CDP (Complex Decongesitive Physical therapy) such as skin care, MLD (Manual Lymph Drainage), compression with short-stretch bandage, exercise, elevation, elastic stocking, and pneumatic compression. Our experiences shows that conservative treatments can significantly reduce lymphedema and prevent different complications.

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