• 한국수정란이식학회지
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• 제21권3호
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• pp.207-216
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• 2006

Shit-tzu견에서 발정 주기, 교배 적기 및 배란 시기를 정확하게 추정하기 위한 질 세포 검사를 확립하기 위하여 Shih-tzu 견 12두를 대상으로 발정 주기동안 질 세포 검사 및 estradiol-$17{\beta}$와 progesterone 농도를 측정하여 다음과 같은 결과를 얻었다. 발정주기별 질 세포상의 특징적인 변화로서 발정 전기에는 무핵 세포와 적혈구, 발정기에는 표층 세포와 무핵 세포 및 적혈구가 주종을 이루는 세포였으며 발정 휴지기에는 소형 중간 세포와 대형 중간 세포, 무발정기에는 부기저 세포와 소형 중간 세포 및 백혈구가 주종을 이루는 세포이었다. 또한 CI는 발정 전기와 발정기에 높게 나타났으나, 발정 휴지기와 무발정기에는 감소하여 각 기간별 비교에서 발정 전기와 발정기에 유의성 있게 높았다. 발정주기 중 첫 수컷 허용일(Day 0)을 기준으로 하였을 때 CI는 발정 전기 개시일 전후인 Day -9에 $72.4{\pm}2.9%$, Day -4에 $84.0{\pm}3.9%$로 80% 이상으로 증가하였으며 Day 0에 $97.0{\pm}1.1%$로 증가하여 Day 2에는 $98.2{\pm}0.5%$로 최고치를 나타내었으며 CI가 80% 이상을 나타낸 기간은 Day -4에서 Day 6까지(11일간)이었고, 90% 이상을 나타낸 기간은 Day -1에서 Day 5까지(7일간)이었다. 또한 임신 Shih-tzu 견 12두에서 혈장 progesterone 농도가 최초로 4.0 ng/ml 이상으로 증가한 날을 기준(Day 0)으로 발정 주기 중 혈장 progesterone과 estradiol-$17{\beta}$ 및 CI의 관계를 살펴보면 estradiol-$17{\beta}$가 Day -2에 최고치를 나타내었고, CI가 Day -1에 최고치를 나타낸 후 Day 0에 혈장 progesterone 농도가 $5.2{\pm}0.3ng/ml$로 최초로 4.0 ng/ml 이상으로 증가하였다. CI가 최초로 80 % 이상으로 증가하여 지속한 날은 estradiol-$17{\beta}$ peak 5일전인 Day -7이었고, Day -7부터 Day 3까지 11일 동안 80% 이상으로 지속되었다. CI가 최초로 90% 이상으로 증가한 날은 estradiol-$17{\beta}$ peak 2일전인 Day -4이었으며, Day -4부터 Day 2까지 7일 동안 90% 이상으로 지속되었다. 이상의 결과를 종합하여 보면 Shih-tzu 견에서 첫 수컷 허용일(Day 0)을 기준으로 하였을 때 CI 최고치는 Day 2에 나타났으며 이 때가 최상의 교배 적기로 사료되며, 혈장 progesterone농도가 4.0 ng/ml 이상으로 증가한 날(Bay 0)을 기준으로 하였을 때부터 CI는 혈장 estradiol-$17{\beta}$ peak 후 1일째인 최고치를 나타내었고, CI peak 후 1일째인 Day 0에 혈장 progesterone 농도가 최초로 4.0 ng/ml 이상으로 증가하여 CI가 90% 이상으로 지속된 시기가 최상의 교배 적기임이 확인되었다. 따라서 혈장 progesterone농도 측정으로 정확한 배란 시기 및 교배 적기를 판정할 수 있으나, 시설비가 저렴하고 검사 방법이 간단한 질 세포 검사가 Shih-tzu 견에서 발정 주기, 교배 적기 및 배란 시기의 판정에 응용될 수 있음을 시사하는 결과라고 사료된다.

• 대한지역사회영양학회지
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• 제14권3호
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• pp.327-339
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• 2009

It is known that Korean pregnant women take iron supplements at a higher than the recommended level. This study was designed to provide data on current iron intake levels both from food sources and supplement to better guide iron supplement use during pregnancy. We also explored associations of iron supplement intake levels with various sociocultural factors and pregnancy outcomes. Dietary intakes of 510 pregnant women were assessed by a validated 102-item food frequency questionnaire, and information on types and amounts of nutritional supplement intakes were also attained. While dietary intake levels of most nutrients exceeded the KDRIs (Korea Dietary Reference Intakes: EAR: Estimated Average Requirements), folate fell short of the KDRIs. A total of 428 women (83.9%) reported to take iron supplement. The pregnant women were divided into the three groups (group I: Fe supplement intake ${\le}$ EAR, group II: EAR < Fe supplement intake ${\le}$ 3 times of EAR, group III: 3 times of EAR < Fe supplement intake). The mean dietary intake of iron was 24% of the total iron intake for pregnant women. Iron intake from food was not significantly different among I, II, and III. In case of iron intake from supplements, the most frequent dose (34.1%) was 90-100 mg/day, and the mean iron supplement intake was 362% of the EAR. The study findings showed that those with higher levels of iron supplements had better meal quality measured by NAR (Nutrient Adequacy Ratio) and INQ (Index of Nutrient Quality). In addition iron supplement intake levels were significantly related to age (20s: 66.5 ${\pm}$ 38.6 mg/day, 30s: 77.3 ${\pm}$ 47.8 mg/day, p < 0.0116) and experience of childbirth (1st pregnancy: 70.9 ${\pm}$ 41.2 mg/day, 2nd pregnancy: 64.5 ${\pm}$ 39.5 mg/day, ${\ge}$ 3rd pregnancy: 94.4 ${\pm}$ 63.8 mg/day, p < 0.005). However, no significant difference was found between iron supplement intake levels and various pregnancy outcomes including birth weight, birth height, gestational age, weight gain during pregnancy, and jaundice. It is worrisome that iron intake by supplement use greatly exceeded the EAR, suggesting the need of appropriate guidelines for iron supplement intake during pregnancy. Thus iron overdose from supplements in pregnancy should be considered as a serious condition.

• 한국발생생물학회지:발생과생식
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• 제3권1호
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• pp.95-100
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• 1999

Growth/differentiation factor-9 (GDF-9)은 transforming growth factor $\beta$ (TGF-$\beta$) superfamily의 member로서 난소의 난자에서만 특이적으로 발현되며 정상적인 난포발달에 있어 필수적인 성숙인자로 최근에 알려졌다. 본 연구는 RT-PCR을 통해 생쥐의 원시난포에서의 GDF-9 mRNA의 발현 여부와 함께 난포의 발달단계에 따른 상대적인 발현량을 분석하고자 실시하였다. 본 실험에는 ICR 생쥐를 사용하여 질전 (vaginal plug)이 확인된 날을 1일로 하여 임신 19일의 태아와 태어난 날을 1일로 하여 생후 1일, 10일, 21일, 28일된 생쥐 난소를 실험에 사용하였다. 각 발달단계의 난소조직으로부터 total RNA를 추출하여 GDF-9 유전자 발현 여부를 확인하였으며 이들을 $\beta$-actin에 대해 상대적인 정량분석을 하였다. GDF-9 유전자 발현은 아직은 성장을 시작하지 않은 임신 19일의 태아의 난소, 대부분이 원시난포로 이루어진 태어난 날의 생쥐 난소에서도 확인되었으며, 성장이 왕성하게 진행되고 있는 난포 즉, antrum 형성 이전의 growing follicles이 주를 이루는 생후 10일째의 난소에서 가장 높은 GDF-9 유전자 발현이 관찰되었다. 나머지 단계의 난소에서는 거의 비슷한 정도로 발현함을 관찰할 수 있었다. 본 연구의 결과는 생쥐의 원시난포에도 GDF-9 transcript가 존재한다는 것을 확실하게 증명하였으며, GDF-9이 생쥐의 초기 난포발달에 중요한 역할을 할 것이라는 가능성을 시사한다.

• Child Health Nursing Research
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• 제23권3호
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• pp.353-363
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• 2017

Purpose: Oral glucose and pH are known as critical indicators for the growth of microorganism inside the oral cavity. This study was performed to identify oral glucose and pH variances in the early postnatal days of newborns. Methods: An explorative study which included 67 newborns was conducted to measure the oral glucose and pH during the first three days of life. Oral secretions were collected every 8 hours for three days or 6 to 9 times immediately after birth up to discharge. Oral glucose and pH variances during the three days were analyzed using the SPSS 22.0. Results: Oral glucose was $30.66{\pm}22.01mg/dl$ at birth then increased to $54.77{\pm}27.96mg/dl$ at the third day of life (F=8.04, p<.001) while oral pH decreased from $7.35{\pm}0.36$ to $5.53{\pm}0.39$ during the three days (F=113.35, p<.001). Oral glucose and pH were related to gestational age, regurgitation, and maternal diabetic mellitus. A negative correlation was found between oral glucose and pH (r=-.34, p<.001). Conclusion: Oral glucose and pH can be utilized for oral health assessment in newborns. Further study is needed to explore the factors which influence oral glucose and pH in high-risk newborns.

• Advances in pediatric surgery
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• 제1권2호
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• pp.177-180
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• 1995

A 2-day-old male (Premie, Large for gestational age(LGA), Intrauterine period(IUP) 33 weeks, birth weight 2,955 gram) was transferred with marked abdominal distention, bilious return via the orogastric tube, respiratory difficulty, and generalized edema (hydrops fetalis). He was born by cesarean section to a 36 year-old mother. Antenatal ultrasonogram at IUP 31 weeks demonstrated multiple dilated bowel loops suggestive of intestinal obstruction. There was no family history of cystic fibrosis. Simple abdominal films disclosed diffuse haziness and suspicious fine calcifications in the right lower quadrant. Barium enema demonstrated a microcolon. Sweat chloride test was not available in our institution. At laparotomy, there noted 1) a segmental volvulus of the small bowel with gangrenous change, associated with meconium peritonitis, 2) an atresia of the ileum at the base of the volvulus, and 3) the terminal ileum distal to the volvulus was narrow and impacted with rabbit pellets-like thick meconium. These findings appeared to be very similar to those of a complicated meconium ileus. In summary, the ileal atresia and meconium peritonitis seemed to be caused by antenatal segmental volvulus of the small intestine in a patient with probable meconeum ileus.

• Journal of Chest Surgery
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• 제36권10호
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• pp.766-771
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• 2003

저체중 출생아는 선천성 심장 기형의 수술 시 위험요소가 많은 것으로 알려져 있으며, 동맥간은 매우 불량한 자연경과를 갖고 있는 비교적 희귀한 심장기형이다. 제태기간 32주의 생후 13일된, 수술 당시체중 1.5 kg이었던 저체중 조산아에서 우심실 유출로 재건에 무판막 자가심낭도관을 사용하여 동맥간을 성공적으로 완전교정하고 술 후 약 20개월간의 양호한 추적결과를 경험하였기에 보고하는 바이다.

• Neonatal Medicine
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• 제16권1호
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• pp.89-93
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• 2009

저자들은 당뇨병이 임신 초기부터 진단된 산모에서 출생한 신생아에서 작은 악안면, 우측소이증, 오른손의 손가락다지증, 오른쪽 눈물샘의 위치 이상이 동반된 상검판 기형, 근위부 공장폐쇄증을 지닌 사례와 수술 후 공장 부위의 협착증을 중재적 방사선 시술로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

• Clinical and Experimental Reproductive Medicine
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• 제39권4호
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• pp.187-192
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• 2012

Heterotopic pregnancy is rare event and the risk is increased with assisted reproductive technology procedures. Heterotopic cervical pregnancy is even more unusual. We report a rare case of heterotopic cervical pregnancy that was managed successfully. A 36-year-old women who conceived by IVF-ICSI was diagnosed with heterotopic cervical pregnancy. She visited the emergency room with vaginal bleeding at 5 weeks of gestation and underwent careful intracervical gestational sac reduction with forceps under abdominal guidance the next day. The postoperative course was uneventful and with regular check-ups, the intrauterine pregnancy (IUP) progressed unremarkably through 41 weeks with delivery of a healthy newborn. We reviewed a total of 37 cases of heterotopic pregnancy that have been reported in the English language literature. There have been many attempts to eliminate the cervical embryo while preserving the IUP, and complete cervical evacuation is important in order to avoid infection, bleeding, and premature birth.

• 여성건강간호학회지
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• 제22권4호
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• pp.297-307
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• 2016

Purpose: This study was to estimate salt preference and sodium intake of pregnant women, and identify the relationship between salt preference and sodium intake. Methods: Research design was a cross sectional correlational survey with 197 pregnant women who visited outpatient clinics for antenatal care. The sodium intake levels were estimated by the amounts of sodium intake using the 24-hour recall method and sodium concentration in spot urine. The data were analyzed using descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: Sodium intake using 24-hour recall method was $3,504{\pm}1,359mg$. Sodium intake levels had statistically significant differences depending on income. The average amount of sodium in spot urine was $2,882{\pm}878mg/day$. Sodium excretion levels had statistically significant differences depending on whether participants had preexisting hypertension in their family history and Body Mass Index (BMI) pre-conception. Salt preference was $62.61{\pm}20.96$ out of 180 points. Salt preference had significant differences depending on income, parity, gestational age, BMI pre-conception and showed negative correlation with sodium quantity in spot urine. Conclusion: Sodium intake in pregnant women recommended by World Health Organization recommended is 175%. Salt preference was not significantly different between sodium intake levels, however it was negatively correlated with sodium quantity in spot urine among pregnant women.

• Child Health Nursing Research
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• 제4권2호
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• pp.305-313
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• 1998

The purpose of study was to examine the effect of nonnutritive sucking(NNS) on behavioral state in preform infants. Fourteen infants (gestational age 28-35 weeks, M=31.86 ; birth weights 1095-2275g, M=1694g) admitted to NICU, serving as their controls were randomly administered 5 min of nonnutritive sucking and a control condition. Behavioral state was measured using the Anderson Behavioral State Scale(ABSS). Heart rates were obtained for each infant before and during NNS and bottle feeding. Data collecction was done by 3 experienced nurses in NICU 2 times a day for conseculive 4 days for each subject. Interrater reliability were .80-.90. The findings were as follows : 1. Preform infants averaged active restless states 58.93% in the prointervention phase and 27.32% in the NNS phase. Inactive awake states were 3.57% in the preintervention phase and 34.64% in the NNS phase. 2. There were significantly more positive changes to inactive awake states for the NNS intervention, Z=-2.35, p=.01. 3. There was no statistically significant difference in heart rate change between NNS intervention and control condition, z=-1.15, p=.24. 4. The rates of feeding success determined by finishing prescribed amount of milk by bottle feeding within 15 minutes were 83.94% in NNS intervention and 89.29% in control condition. The findings from this study confirmed that NNS is effective for behavioral state modulation and inducing optimal state for feeding in preform infant. The NNS intervention in nursing practice may help the transition of preform infants for nipple feeding.