• Title/Summary/Keyword: 임신 전

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Risk Factors for the Probability of Pregnancy Following Synchronization Protocols in Dairy Cows (젖소에서 배란동기화 프로그램 적용 후 임신율에 영향을 미치는 요인 분석 연구)

  • Jeong, Jae-Kwan;Kang, Hyun-Gu;Jung, Young-Hun;Hur, Tai-Young;Kim, III-Hwa
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.382-388
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    • 2014
  • The objective of this study was to determine the risk factors associated with pregnancy following 3 synchronization protocols in dairy cows. Data were collected on 1,952 cows from 22 dairy farms, including synchronization protocols ($PGF_{2{\alpha}}$ + estradiol benzoate [PG+EB], Ovsynch, and CIDR-ovsynch), cow parity, body condition score (BCS), and dates of previous calving, insemination and conception. The odds ratio (OR) for pregnancy were analyzed by logistic regression using the LOGISTIC procedure in SAS. The analysis revealed that farm (p = 0.005), cow parity (p = 0.0001), BCS (p < 0.005), and AI season (p < 0.05) significantly affected and calving to AI interval tended to affect (p < 0.1) the probability for pregnancy. Although synchronization protocols did not affect the probability for pregnancy (p > 0.05), cow parity and synchronization protocols showed a significant interaction (p < 0.005); the OR (0.60) was significantly lower (p < 0.0001) for multiparous cows compared to primiparous cows using PG+EB, whereas the OR (1.44) tended to be higher (p < 0.1) for multiparous cows compared to primiparous cows using the Ovsynch, and the probability for pregnancy did not differ between multiparous and primiparous cows using the CIDR-ovsynch (p > 0.05). Cows with BCS ${\geq}$ 3.00 were more likely pregnant (OR: 1.41) compared with cows having BCS ${\leq}$ 2.75, whereas cows inseminated during summer had a lower OR (0.73) compared with those inseminated during spring. Cows with a calving to AI interval > 150 days were more likely to be pregnant (OR: 1.20) compared with cows with a calving to AI interval ${\leq}$ 150 days. In conclusion, the OR for pregnancy following synchronization protocols in dairy cows was affected by farm, parity, BCS, calving to AI interval of the cow, and AI season, and there was a significant interaction between cow parity and synchronization protocols; the OR for pregnancy was lower for multiparous cows compared with primiparous cows using the PG+EB protocol.

Solitary Pulmonary Metastasis of Gestational Choriocarcinoma -Three Cases of Different Types- (임신성 융모상피암의 고립성 폐전이 -3가지 유형-)

  • Yoo, Se-Hwa;Yoo, Zin-Mock;Cho, Jae-Yeon;In, Kwang-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.1
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    • pp.79-82
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    • 1992
  • Gestational choriocarcinoma is a highly malignant tumor which arises from the trophoblast of human pregnancy. This tumor develops early pulmonary metastasis and the most common pattern of pulmonary metastasis is discrete multiple nodules. But occasionally solitary pulmonary metastasis occurs. Authors presented three cases of choriocarcinoma presented with different types of solitary pulmonary metastases with review of literatures. We emphasize the importance of careful obstetric history taking and screening of serum gonadotropin level in differential diagnosis of solitary pulmonary lesion especially among women who are from areas of high prevalence of trophoblastic neoplasia.

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노무연재 ⑱ - 출산·육아휴직 근로자의 연차휴가, 퇴직금, 출산·육아휴직급여 등

  • Hong, Su-Gyeong
    • 월간 기계설비
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    • s.320
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    • pp.66-69
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    • 2017
  • 매년 사업주와 근로자로부터 상담한 내용을 돌아보면 우리 사회 노동시장의 현안이 무엇인지, 인권수준은 어떠한지, 노동행정의 방향이 어떠한지를 확연히 체감하게 된다. 그 중 하나가 육아휴직제도이다. 20년 전만 하더라도 육아휴직은 거의 허용되지 않았다. 결혼 또는 임신하면 퇴직이 관행이던 시절이었다. 관행에도 불구하고 임신한 근로자가 퇴직하지 않으면 출 퇴근이 어려운 지방으로 배치전환하거나, 직무를 변경하고, 담배연기 가득한 방 가운데 여성근로자를 근무시키는 비인간적인 처사도 행해졌다. 2~3년 전만 하더라도 "우리 회사는 육아휴직은 안된대요. 그럴바엔 그만두래요. 아이 맡길 곳도 만만치 않은데 어쩌면 좋아요"라는 여성근로자들의 상담이 한달에도 몇 건씩 쏟아져 나왔었다. 초기 여성노무사가 소수이다 보니 워킹맘들의 노동법률상담을 할 기회가 많았다. 때론 사업주들을 설득하고, 중재하고, 처벌조항을 들어 압박하기도 하면서 육아휴직을 권장했지만 기존의 관행과 문화가 일시에 변화하기는 어려운 일이다. 여성의 경제활동율이 늘어나고 출산율이 줄어들면서 정책적으로 출산 및 육아휴직을 장려하는 정부의 감독행정 강화, 그간 노동계 및 시민사회단체의 노력 등으로 인해 법률에 규정된 육아휴직제도가 비로소 현실적으로 보장되어가고 있음을 목도한다. 이즈음에 육아휴직자의 연차휴가 사용, 퇴직금, 육아휴직급여 등에 대한 문의가 많은데 그만큼 육아휴직자가 늘어났다는 것을 반증하는 결과이다. 따라서 이번호에서는 출산휴가 및 육아휴직자들의 연차휴가 사용과 퇴직금 산정방법, 출산 육아휴직급여에 대해 알아보고자 한다.

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Development of Preconception Health Behavior Scale (임신 전 건강행위 측정도구 개발)

  • Yeom, Gye Jeong;Kim, Il-Ok
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.31-45
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    • 2019
  • Purpose: This study was designed to develop a valid and reliable scale for the evaluation of preconception health behavior in women preparing for pregnancy. Methods: The initial strategy included a literature review, interviews, and construction of a conceptual framework. The preliminary items were evaluated twice for content validity by experts, and modified two preliminary investigations. Participants in the 2 main investigations and the confirmation investigation were tested for reliability and validity of the preliminary scale in women preparing for pregnancy. The data were analyzed for different items exploratory and confirmatory factors. Results: The 5-point Likert scale consisted of 6 factors and 27 items. The 6-factors included 'hazardous substance factor,' 'medical management factor,' 'rest and sleep factor,' 'stress management factor,' 'information acquisition factor,' and 'resource preparation factor.' Goodness of fit of the final research model was very appropriate and based on the following measures: Q=1.98, comparative fit index=.91, Tucker-lewis index=.89, standardized root mean square residual=.07, and root mean square error of approximation=.07. The criterion validity was .64. The reliability coefficient was .92 and the test-retest reliability was .61. Conclusion: The study findings indicate that the scale can be used for the development of nursing interventions to promote preconception health behavior in women preparing for pregnancy.

Studies on the Cyclic AMP Concentration and Uterine Tissue Differentiation During the Early Pregnancy of Rats (초기 임신기간중 흰쥐의 자궁조직 분화와 Cyclic AMP 농도에 관하여)

  • Kim, Sung-Rye;Ryu, Kyung-Za;Cho, Wan-Kyoo
    • Clinical and Experimental Reproductive Medicine
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    • v.11 no.2
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    • pp.41-49
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    • 1984
  • It has been well known that ovarian steroids, estradiol and progesterone play an important role in the endometrial preparation for the implantation process. The present investigation was undertaken to correlate function of ovarian steroids with cAMP concentrations in uterine tissues of rat during the various stages of the preimplantation period. Rats ovariectomized on day 2 were treated with estradiol or/and progesterone on day 3 or on day 4 and cAMP concentrations in uterine tissues were determined by competitive protein - binding assay in control - and steroid treated - ovariectomized rats. The results obtained are as follows; 1. In control rats, cAMP concentrations in uterine tissues were decreased with preimplantation period proceeded whereas cAMP concentrations were increased and showed the highest levels on day 6 in ovariectomized rats. 2. In rats treated with progesterone only or progesterone with estradiol after ovariectomy, cAMP concentrations on day 6 were lower than those of ovariectomized control but higher than those of intact control rats while estradiol only treatment decreased cAMP concentrations on day 3 and day 6, compared with those from intact- and ovariectomized-controls. It is, therefore, concluded that the concentrations of cAMP in uterine tissues were lower in estrogen-treated rats than in ovariectomized rats, suggesting the involvement of cAMP in the regulation of uterine tissue differentiation.

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A Study on Married Women's Experiences in Family Constellation against Induced Abortion (기혼 여성의 임신중절에 대한 가족세우기 경험 연구)

  • Choi, Kum-Og;Oh, Kyu-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.9
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    • pp.294-307
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    • 2018
  • The aim of this study is to find out how married women who had had an abortions experience a change through Family Constellation. The consequent changes will occur in the perception of an abortion experience and in the relation between married women themselves and their family. The participants in the study were 9 married women aged 40~60 who have experienced an abortion, and data collection was carried out over 3 periods which were before, right after and one month after the Family Constellation experience through individual in-depth interviews. The chief methodology of this study is based on the one by Colaizzi's phenomenological research, and by using the methodology to analyze the data 15 theme collections and 3 categories were deducted. According to the result of the analysis, the experience of abortion was having negative influence on the whole spectrum of the life of married women who experienced an abortion even though they did not consciously recall the relevant experiences. In the married women's Family Constellation, the agent visualizes the restrained relation which is hidden in unconsciousness and thereby offers an opportunity for married women to untie "knot". Moreover through this opportunity, married women are able to have new perception of their abortion experience and the relation between their family. Furthermore, not only will they be able to recover the relationship with their family, but also emotional stability.

수의학강좌 I: 최근 젖소의 산욕기질병관리, 임신진단요령과 번식률제고 방안

  • Ryu, Il-Seon
    • Journal of the korean veterinary medical association
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    • v.46 no.11
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    • pp.1011-1025
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    • 2010
  • 국내 젖소 우군 사육규모의 다두화, 고능력우의 증가에 따라 발정발견의 실패, 미약발정와 건유기 및 이행기에 영양관리, 건강관리, 생리적 또는 환경적인 스트레스의 증가에 따라 번식률이 저하되고 있는 실정에 있다. 또한 우군 규모가 대규모화로 젖소에서 발생하는 질병의 대부분이 분만을 중심으로 100일간에 집중되어 발생하고 있어, 우군 질병의 제어가 중요하다. 또한 분만 전 후의 산욕기에 대사성 질병의 증가에 따라 번식장애를 초래하는 경우가 많으므로 이에 대한 예방관리가 중요하다 하겠다. 따라서 소에서 산욕기의 생리 및 질병예방프로그램, 소 임신 진단요령과 번식률 제고를 위한 발정과 배란의 control의 처치에 응용되고 있는 최근의 프로그램에 관한 응용의 실제를 소개하고자 한다.

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Fertility Issues in Patients with Myoma (자궁근종과 생식력)

  • Kim, So-Ra;Chae, Hee-Dong
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.3
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    • pp.191-198
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    • 2010
  • Uterine myomas are heterogeneous tumors in composition, size, location, and number; variation in any of these factors could possibly alter the effect on a woman's fertility status. The effect of myomas on fertility has been the subject of many studies. However, a definitive answer is still missing. The location and size of the myomas are the two parameters that influence the success of a future pregnancy. Subserosal myomas seem to have little effect on reproductive outcome. Myomas that compress the uterine cavity with an intramural portion and submucosal myomas significantly reduce pregnancy rates, and should be removed before assisted reproductive techniques are performed. Patients with intramural myomas also may have a poorer reproductive outcome, but the lacks of quality evaluations make this conclusion tenuous at best. Removal of myomas with an intra-cavitary component seems to be of benefit. However there are as yet no data to support myomectomy in the treatment of intramural myomas to improve fertility outcomes. Treatment modality for myomas located at intramural sites should be determined according to clinical status of the patient and doctor's experience.

Outcome of Gonadotropin Therapy for Infertile Men with Hypogonadotropic Hypogonadism (저성선자극호르몬 성선저하증 (Hypogonadotropic Hypogonadism)으로 진단된 남성불임 환자에서 성선자극호르몬 (Gonadotropin) 치료가 정자형성 및 임신에 미치는 영향)

  • Joo, Young-Min;Kim, Tae-Hong;Seo, Ju-Tae
    • Clinical and Experimental Reproductive Medicine
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    • v.36 no.3
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    • pp.219-224
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    • 2009
  • Objective: Hypogonadotropic hypogonadism (HH) is an uncommon cause of male infertility. We investigated the outcome of gonadotropin therapy for restoring fertility and pregnancy outcomes in patients with HH. Methods: Medical charts of 10 infertile male patients with HH treated with gonadotropin were reviewed. Initial testicular volume were estimated. Semen analysis parameters (semen volume, sperm counts, motility), serum leutenizing hormone (LH), follicle stimulating hormone (FSH), total testosterone were determined before and after human chorionic gonadotropin/human menopausal gonadotropin (hCG/hMG) treatment. Differences were analyzed statistically. Results: Of 10 patients, 7 (70%) succeed at pregnancy (nature pregnancy in 4). Semen analysis parameters, serum FSH, and testosterone were increased significantly after treatment. The population was stratified according to initial testicular volume into a small testis subset (testicular volume less than 10 cc in 4) and a large testis subset (testicular volume 10 cc or greater in 6). Semen analysis parameters and serum testosterone were increased significantly after treatment in large testis subset. Conclusion: Infertile men with HH initiate and maintain spermatogenesis with gonadotropin (hCG/hMG alone or combined) therapy, thus gonadotropin therapy is good choice in infertile men with HH.

Effect of Cryopreservation Day on Pregnancy Outcomes in Frozen-thawed Blastocyst Transfer (동결 해동한 포배 이식에 있어서 동결시기가 임신결과에 미치는 영향)

  • Kim, Hyun-Jung;Kim, Chung-Hyon;Lee, Joong-Yeup;Kwon, Jae-Hee;Hwang, Do-Yeong;Kim, Ki-Chul
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.1
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    • pp.57-64
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    • 2010
  • Objectives: Likewise fresh cycle, it is also important to select right blastocysts for transfer in purpose of improving the pregnancy and implantation rates in frozen-thawed embryo transfer (ET) cycles. To investigate the relationship between the developmental velocity at the time of cryopreservation and pregnancy rates, we compared pregnancy rates between the day 5 cryopreservation group and the day 6 cryopreservation group. Methods: Transfers of frozen-thawed blastocysts which had been cryopreserved by vitrification on day 5 or day 6 were performed between January 2006 and June 2007. Ethylene glycol, DMSO, and pull and cut straws were used for vitrification and artificial shrinkage was done in expanded blastocysts. Thawing was performed on the day before transfer and thawed blastocysts were cultured in for 15~18 hrs in Quinn's blastocyct media. Blastocyst survival was assessed before transfer and post-thaw survival was defined as >50% of cells remaining intact and blastocoele re-expansion by the time of transfer. Results: Transfers of thawed blastocyst had been cryopreserved on day 5 were 52 cycles and 41 transfer cycles were cryopreserved on day 6. Patient characteristics, the number of transferred embryos and the survival rate of thawed blastocysts were not different in each cryopreservation day. But the biochemical pregnancy, clinical pregnancy, ongoing pregnancy, and implantation rate were significantly high in transfer of frozen-thawed blastocyst which were cryopreserved on day 5. Conclusions: The clinical pregnancy and implantation rate of day-5 blastocyst showed significantly higher than those of day-6 blastocyst in frozen-ET cycles. This result indicated that developmental rate of blastocyst at cryopreservation time in frozen-thawed cycle is discriminative marker of pregnancy outcome as like in fresh cycle.