• 부모자녀건강학회지
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• 제9권2호
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• pp.128-139
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• 2006

The purpose of this study was to compare the differences of anxiety-depression and maternal fetal attachment between pregnant women with preterm labor and normal pregnant women. The number of subjects was 132 convenienced sample. The sample were 66 pregnant women with preterm labor admitted in clinics and 66 normal pregnant women visited OB outpatient department at 1 general hospital in Busan. The data were collected by a self-reported questionnaire from Aug. 1st to Oct, 31th. 2006 and were analyzed with t-test, ANOVA, chi-square test using SPSS/Win PC+ 12.0. The research results were as follows: 1. The general characteristics between normal and preterm pregnancy were homogeneous. 2. It was significantly differed according to anxiety-depression between two groups, but it was not significantly differed according to maternal fetal attachment. 3. There were negative correlations with anxiety-depression and maternal fetal attachment. In conclusion, the special program should be created for each pregnant women and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal fetal attachment, and needed the development of professional and educational nursing intervention on anxiety-depression and maternal fatal attachment enhancement in prenatal health care.

• 대한소아치과학회지
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• 제29권1호
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• pp.51-56
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• 2002

러셀-실버 증후군(Russell-Silver syndrome)은 출생시 저신장, 편측성 비대칭과 성기관 발육의 다양성 및 그 외 cafe-aulait 반점, 만지증 등의 특징과 태아기부터 발현되는 성장지연을 보이는 질환이다. 이 신드롬과 관련된 안면 특징은 작고 삼각형의 얼굴과 짧은 안면고경, 구각부가 아래로 쳐진 입모양(shark's mouth) 작은 하악골과 흔히 좌우 비대칭이 있는 것이다. 현재까지 보고되고 있는 러셀-실버 증후군의 주요한 구강내 소견은 높은 구개궁(high-arched palate), 맹출 지연, 왜소치와 총생이다. 현재까지 세계적으로 약 150 증례가 보고되고 있으나 치의학적으로는 극히 드물다. 본 증례는 출생전 성장지연, 저신장, 저체중 등 임상소견을 통해 러셀-실버 증후군으로 진단받았고 성장호르몬 치료를 받았고, 현재 치료 중이다. 이 두 증례를 통해 러셀-실버 증후군의 구강내 특징을 보고하고, 관련 문헌을 고찰해 보고자 한다.

• 혜화의학회지
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• 제9권1호
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• pp.469-501
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• 2000

In the literature study on the cerebral palsy, the results were as follows : 1. Cerebral palsy is defined as a disorder of movement and posture due to a defect or lesion of the immature brain. For practical purposes it is useful to exclude from cerebral palsy those disorders of posture and movement which are of short duration, due to a progressive disease due solely to mental deficiency. 2. Cerebral Palsy is classified with quadriplegia, diplegia, hemi plegia, triplegia, and monoplegia or spastic CP, athetoid CP, ataxic CP, and combined classifications 3. Causes of Cerebral Palsy is any damage to the developing brain, whether caused by genetic or developmental disorders. And it is classified with prenatal.natal and postnatal causes. 4. Management consists of helping the child achieve maximum potential in growth and development. This should be started as early as possible with identification of the very young child who may have a developmental disorder. Certain medications, surgery, and braces may be used to improve nerve and muscle coordination and prevent dysfunction. 5. The aim of treatment is to encourage children and adults to learn to be as independent as possible. Some children and adults who have mild cerebral palsy will have no problems in achieving independence 6. Oji(五遲), Oyeon(五軟) and Okyeong(五硬) have the simmiar concepts with the cerebral palsy. 7. Oji(五遲) Oyeon(五軟) and Okyeong(五硬) are caused by seoncheon-pumbu-bujok(先天稟賦不足) and related with gan(肝), bi(脾) and sin(腎). 8. The treatment is achieved by the method of bogansin(補肝腎), ganggeungol(强筋骨) and boiungikki(補中益氣). And jihwanghwan(地黃丸) has been used most frequently.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1993년도 추계학술대회
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• pp.40-43
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• 1993

Electronic fetal monitoring system is an easier ar d usual method in various prenatal and labor period fetal surveilence methods currently in use. But there haven't been enough cases of using the central monitoring system despite the fact that the bedside fetal monitoring system have already been widely in use in Korea as an essential medical equipment item. We have developed more efficient central fetal monitoring system based on the personal computer with the visual maternal monotoring device using infrared camera which processes the signals from existing bedside fetal monitoring systems such as H/P's 8040 series. And we have performed the clinical application on 41 pregnant women and the results were satisfactory. In conclusion, more efficient and familial fetal monitoring is possible with our PC based central fetal monitoring system which provides the medical personnel with the view of a selected pregnant woman on the same screen where the electronic waveforms and data are displayed.

• Journal of Korean Medical Science
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• 제33권50호
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• pp.318.1-318.10
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• 2018

Background: In this prospective cohort study, we investigated the association between fatty acid ethyl esters (FAEEs) in meconium as biomarkers of prenatal ethanol exposure and growth deficits, as birth outcomes, that constitute several of the key cardinal features of fetal alcohol syndrome. Methods: A total of 157 meconium samples were collected from enrolled infants within 24 hours of birth, and nine FAEEs were quantified using liquid chromatography/tandem mass spectrometry. The relationships between cumulative concentrations of nine species of FAEEs in meconium and birth parameters of growth (age-sex-specific centiles of head circumference [HC], weight, and length) and respective and combined birth outcomes of growth deficits (HC ${\leq}10th$ centile, weight ${\leq}10th$ centile, and length ${\leq}10th$ centile) were determined. Results: Multivariate logistic regression analysis demonstrated that higher cumulative concentrations of meconium FAEEs correlated with elevated risks for HC and length, both, 10th percentile or less (adjusted odds ratio [aOR], 2.94; 95% confidence interval [CI], 1.12-7.74; P = 0.029) and HC and weight and length, all of them, 10th percentile or less (aOR, 3.27; 95% CI, 1.12-9.59; P = 0.031). Conclusion: The elevated cumulative FAEEs in meconium were associated with combined growth deficits at birth, specifically HC and length, both, 10th percentile or less, which might be correlated with detrimental alcohol effects on fetal brain and bone development, suggesting a plausible alcohol-specific pattern of intrauterine growth restriction.

• 한국보육지원학회지
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• 제17권5호
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• pp.83-103
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• 2021

Objective: This study aimed to develop a longitudinal predictive model that identifies first-grade children who are at risk for ADHD and to investigate the factors that predict the probability of belonging to the at-risk group for ADHD by using machine learning. Methods: The data of 1,445 first-grade children from the 1st, 3rd, 6th, 7th, and 8th waves of the Korean Children's Panel were analyzed. The output factors were the at-risk and non-risk group for ADHD divided by the CBCL DSM-ADHD scale. Prenatal as well as developmental factors during infancy and early childhood were used as input factors. Results: The model that best classifies the at-risk and the non-risk group for ADHD was the LASSO model. The input factors which increased the probability of being in the at-risk group for ADHD were temperament of negative emotionality, communication abilities, gross motor skills, social competences, and academic readiness. Conclusion/Implications: The outcomes indicate that children who showed specific risk indicators during infancy and early childhood are likely to be classified as being at risk for ADHD when entering elementary schools. The results may enable parents and clinicians to identify children with ADHD early by observing early signs and thus provide interventions as early as possible.

• Animal Bioscience
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• 제35권6호
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• pp.847-857
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• 2022

Objective: The effects of maternal undernutrition during midgestation on muscle fiber histology, myosin heavy chain (MyHC) expression, methylation modification of myogenic factors, and the mammalian target of rapamycin (mTOR) signaling pathway in the skeletal muscles of prenatal and postnatal goats were examined. Methods: Twenty-four pregnant goats were assigned to a control (100% of the nutrients requirement, n = 12) or a restricted group (60% of the nutrients requirement, n = 12) between 45 and 100 days of gestation. Descendants were harvested at day 100 of gestation and at day 90 after birth to collect the femoris muscle tissue. Results: Maternal undernutrition increased (p<0.05) the fiber area of the vastus muscle in the fetuses and enhanced (p<0.01) the proportions of MyHCI and MyHCIIA fibers in offspring, while the proportion of MyHCIIX fibers was decreased (p<0.01). DNA methylation at the +530 cytosine-guanine dinucleotide (CpG) site of the myogenic factor 5 (MYF5) promoter in restricted fetuses was increased (p<0.05), but the methylation of the MYF5 gene at the +274,280 CpG site and of the myogenic differentiation (MYOD) gene at the +252 CpG site in restricted kids was reduced (p<0.05). mTOR protein signals were down-regulated (p<0.05) in the restricted offspring. Conclusion: Maternal undernutrition altered the muscle fiber type in offspring, but its relationship with methylation in the promoter regions of myogenic genes needs to be elucidated.

• 한국약용작물학회지
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• 제24권5호
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• pp.341-350
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• 2016

Background: Prenatal exposure to infectious and/or inflammatory insults can increase the risk of developing neuropsychiatric disorder such as bipolar disorder, autism, and schizophrenia later in life. We investigated whether Valeriana fauriei (VF) treatment alleviates prepulse inhibition (PPI) deficits and social interaction impairment induced by maternal immune activation (MIA). Methods and Results: Pregnant mice were exposed to polyriboinosinic-polyribocytidilic acid (5 mg/kg, viral infection mimic) on gestational day 9. The adolescent offspring received daily oral treatment with VF (100 mg/kg) and injections of clozapine (5 mg/kg) for 30 days starting on the postnatal day 35. The effects of VF extract treatment on behavioral activity impairment and protein expression were investigated using the PPI analysis, forced swim test (FST), open field test (OFT), social interaction test (SIT), and immunohistochemistry. The MIA-induced offspring showed deficits in the PPI, FST, OFT, and SIT compared to their non MIA-induced counterparts. Treatment with the VF extract significantly recovered the sensorimotor gating deficits and partially recovered the aggressive behavior observed in the SIT. The VF extract also reversed the downregulation of protein expression induced by MIA in the medial prefrontal cortex. Conclusions: Our results provide initial evidence of the fact that the VF extract could reverse MIA-induced behavioral impairment and prevent neurodevelopmental disorders such as schizophrenia.

• Applied Microscopy
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• 제28권2호
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• pp.139-158
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• 1998

The development of the superior cervical ganglion was studied by electron microscopic method in human fetuses ranging from 40 mm to 260 mm of crown-rump length (10 to 30 weeks of gestational age). At 40 mm fetus, the superior cervical ganglion was composed of clusters of undifferentiated cell, primitive neuroblast, primitive supporting cell, and unmyelinated fibers. At 70mm fetus, the neuroblasts and their processes were ensheated by the bodies or processes of satellite cells. The cytoplasm of the neuroblast contained rough endoplasmic reticulum, mitochondria, Golgi complex, Nissl bodies and dense-cored vesicles. As the neuroblasts grew and differentiated dense-cored vesicles moved away from perikaryal cytoplasm into developing processes. Synaptic contacts between the cholinergic axon and dendrites of postganglionic neuron and a few axosomatic synapses were first observed at 70 mm fetus. At 90 mm fetus the superior cervical ganglion consisted of neuroblasts, satellite cells, granule-containing cells, and unmyelinated nerve fibers. The ganglion cells increased somewhat in numbers and size by 150 mm fetus. Further differentiation resulted in the formation of young ganglion cells, whose cytoplasm was densely filled with cell organelles. During next prenatal stage up to 260 mm fetus, the cytoplasm of the ganglion cells contained except for large pigment granules, all intracytoplasmic structures which were also found in mature superior cervical ganglion. A great number of synaptic contact zones between the cholinergic preganglionic axon and the dendrites of the postganglionic neuron were observed and a few axosomatic synapses were also observed. Two morphological types of the granule-containing cells in the superior cervical ganglion were first identified at 90 mm fetus. Type I granule-containing cell occurred in solitary, whereas type II tended to appeared in clusters near the blood capillaries. Synaptic contacts were first found on the solitary granule-containing cell at 150 mm fetus. Synaptic contacts between the soma of type I granule-containing cells and preganglionic axon termials were observed. In addition, synaptic junctions between the processes of the granule- containing cells and dendrites of postganglionic neuron were also observed from 150 mm fetus onward. In conclusion, superior cervical ganglion cells and granule-containing cells arise from a common undifferentiated cell precursor of neural crest . The granule-containg cells exhibit a local modulatory feedback system in the superior cervical ganglion and nay serve as interneurons between the preganglionic and postganglionic cells.

• 생명과학회지
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• 제30권1호
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• pp.45-57
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• 2020

동물의 근섬유는 배아기와 태아기를 거치며 형성하게 되며 출생 후에는 상처 치유를 위한 것 외에 근섬유 수를 늘리는 순수한 근섬유 형성은 없으며, 이미 존재하고 있는 근섬유의 비대로 근육의 성장이 이뤄진다. 따라서 태아기의 근육의 성장과 발달이 성체의 근육량 및 조성에 미치는 영향이 매우 크며 이 시기에 발현되는 유전자 및 기능을 구명하는 것은 최종적으로 육질, 육량에 개선시키기 위한기초 자료로 활용될 수 있을 것이다. 하지만 한우에서의 연구는 전무한 실정이다. 본 연구는한우 태아기 성장 단계별 근육의 성장과 발달에 관여하는 유전자를 찾기 위한 전사체 분석을 수행하였다. 한우 태아기 6, 9개월령 등심 조직 시료에서 생산한 전사체 자료를 대상으로 DESeq2와 edgeR을 활용하여 성장단계별 유전자의 발현량을 분석하여 차등발현유전자군을 추출했으며, 2개 소프트웨어서 공통적으로 추출된 유전자군(6개월령 특이 발현 유전자 913개, 9개월령 특이 발현 유전자 233개)을 차등발현유전자로 구명 하였다. 차등발현유전자군으로 분류하였다. 차등발현유전자군을 활용하여공발현 유전자 네트워크 분석을 구성하였으며, 유사한 발현 양상을 보이는 유전자들을 그룹화하여 6개월령 특이 발현 유전자군 5개, 9개월령 특이 발현 유전자군 2개의 모듈로 분류했다. 각 모듈은 Gene Ontology (GO) 및 KEGG pathway 분석으로 유의한 기능을 확인하였다. 그 결과, 한우 태아기 6, 9개월령 특이 발현 유전자 네트워크 중, 근육과 지방생성 대사회로와 관련된 2개의 모듈에 대해 네트워크 내에 허브 유전자를 선정할 수 있었다. STRING을 활용하여 단백질 상호작용 네트워크를 구성하고, MCC (maximal clique centrality) 점수를 활용하여 상위 10%의 유전자들을 공발현 분석의 모듈내 허브 유전자로 선정하였다. 그 결과 6개월령 특이 발현 유전자군의 모듈에서는 axin1(AXIN1) 유전자, 9개월령 특이 발현 유전자군 모듈에서는 succinate-CoA ligase ADP-forming beta subunit(SUCLA2) 유전자가 허브 유전자로 확인되었다. AXIN1 유전자는 선행 연구를 통해 6개월령에서 9개월령으로 넘어가면서 근섬유 수의 증식이 억제되고 지방생성이 활발히 이뤄지는 것에 핵심적인 역할을 하는 것으로 추정할 수 있었다. 또한, 시트르산 회로의 중요 요소인 SUCLA2 유전자는 소의 태아기 지방 조직 성장단계에 따라 유전자의 발현이 증가된다는 보고에 따라, 지방 대사와 관련된 유전자임을 알 수 있었다. 추후 한우 태아기 6, 9개월령에 특이적으로 발현된 유전자들을 대상으로 근육 및 지방 형성 관련 기능을 검증하는 후속 연구가 필요할 것이다.