• Journal of Chest Surgery
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• v.32 no.12
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• pp.1078-1086
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• 1999

배경 :폐포내 fibronectin(FN)의 분포와 역할은 많은 연구자에 의하여 연구되어왔다. 흰주에서 폐의 분화시 FN은 태자에서 폐포의 기저막에 주로 분포되고 간엽조직에서도 관찰되면 분화가 진행되면 폐포막의 간질조직에 FN의 함량이 높아진다. 또 FN은 일반적으로 폐포대식세포(alveolar macrophage)에서 분비되고 폐에 질병이 발생하였을 때 다량의 FN이 폐포대식세포에서 분비된다고 보고되어 있다(Schoenberger 등 1984: Ozaki 등 1990; Rom 등 1987 ; Cordier 등 1990) 저자는 흰쥐의 폐포발생이 진행중인 폐포기 후반에서의 폐포막내 정상적인 FN이니 분포의 변화와폐포를 구성하는 큰 폐포세포(type II pneumocyte)에서의 FN의 분비여부를 면역조직염색법과 전자현미경을 이용하여 추적하고자하였다 실험대상 및 방법: 청정동물실에서 사육한 SPF 흰쥐(Sprague-Dawley 계)를 임신시켜 질도말법을 이용하여 태령을 정한 뒤 태아제 17일 및 20일 출생 제 1일, 2일, 3일, 5일, 및 7일의 신생흰쥐를 실험동물로 사용하였으며 대조군의 흰쥐는 체중 200ㅎ의 건강한 수컷을 사용하였다 흰쥐의 폐조직은 면역조직염색을 위해 rabbit anti rat fibronectin polyclonal antibody를 일차항체로 biotinylated goat anti rabbit IgG를 이차항체로 사용하여 폐실질세포내 FN의 분포를 LM으로 관찰하였고 한편 폐포막을 구성하는 세포 중 큰폐포세포가 FN을 분비하는 세포인지를 추적하기 위해 금과립을 첨가한 항체를 사용하여 큰 폐포세포내 FN의 분포를 EM을 이용해서 추적한 결과 다음과 같은 결과를 얻었다 결과 : 제 17일 및 20일 태아시기의 폐에서의 혈관주위에 강한 FN반응이 관찰되었다 출생후 폐포막의 FN의 활성은 출생후 5일 및 7일에 최고주에 달했다. 출생직후 1-2일경에 혈관의 조직내 FN의 활성이 양성을 나타내지만 3일이후 활성이감소되었다. 폐포대식세포내 FN의 활성은 출생후 증가되었다. 폐조직내 소기관지의 FN의 활성은 출생후 완만하게 상승되었다. 큰 폐포세포는 출생 1-3일에 일정량의 FN 반응이 세포질과 미세융모내에 관찰되었다. 결론 : 이상과 같은 결과로 흰쥐의 폐포의 분화과정이 계속되는 출생후 폐에서 FN의 분비는 7일이내에 성숙흰쥐의 폐포내 반응과 비슷한 반응으르 보이며 이때 폐의 실질조직은 분화가 거의 완료되었을 것으로 사료되었고 큰 폐포세포에서도 FN이 분비되는 것으로 결론지울수 있다.

• Clinical and Experimental Pediatrics
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• v.48 no.11
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• pp.1179-1186
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• 2005

Purpose : A universal standard of the birth weight for gestational age cannot be made since girth weight distribution varies with race and other sociodemographic factors. This report aims to establish the birth weight distribution curve by gestational age, specific for Korean live births. Methods : We used the national birth certificate data of all live births in Korea from January 2001 to December 2003; for live births with gestational ages 24 weeks to 44 weeks(n=1,509,763), we obtained mean birth weigh, standard deviation and 10th, 25th, 50th, 75th and 90th percentile values for each gestational age group by one week increment. Then, we investigated the birth weight distribution of each gestational age group by the normal Gaussian model. To establish final standard values of Korean birth weight distribution by gestational age, we used the finite mixture model to eliminate erroneous birth slights for respective gestational ages. Results : For gestational ages 28 weeks 32 weeks, birth weight distribution showed a biologically implausible skewed tail or bimodal distribution. Following correction of the erroneous distribution by using the finite mixture model, the constructed curve of birth weight distribution was compared to those of other studies. The Korean birth weight percentile values were generally lower than those for Norwegians and North Americans, particularly after 37 weeks of gestation. The Korean curve was similar to that of Lubchenco both 50th and 90th percentiles, but generally the Korean curve had higher 10th percentile values. Conclusion : This birth weight distribution curve by gestational age is based on the most recent and the national population data compared to previous studies in Korea. We hope that for Korean infants, this curve will help clinicians in defining and managing the large for gestational age infants and also for infants with intrauterine growth retardation.

• Clinical and Experimental Reproductive Medicine
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• v.37 no.1
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• pp.33-39
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• 2010

Objective: Birth sex ratio (BSR) with human IVF-ET program is an interesting subject of social and scientific issue but very little information is available in Korea. This study was performed to assess the BSR with IVF-ET and to suggest the effective factors on the BSR. Methods: The national data from 1991~2008 were obtained from governmental Statistics Korea and the delivery data of human IVF-ET program on 2007 and 2008 were provided from the Ministry for Health, Welfare and Family Affairs. The BSR were statistically analyzed according to methods of IVF and to transferred embryos from fresh or frozen-thawed cycles. Results: The BSRs of Korean populations were over 1.10 up to 2002, and then it declined and maintained to 1.06 as balance BSR on 2007 and 2008. In human IVF-ET program, the BSRs were 1.07 on 2007 and 1.06 on 2008, respectively. Conventional IVF on 2008 showed the highest BSR as 1.10, and ICSI the lowest on 2008 as 1.01. There was no significant difference of BSRs related to the methods of in vitro fertilization and the feature of transferred embryos. Conclusion: The BSR of Korea showed 1.06~1.07 as normal and balanced state on 2007 and 2008 both general populations and human IVF-ET program. To the best of our knowledge, this is the first study to evaluate the BSR of human IVF-ET in Korea. There is a need to expand the further studies for national statistics and influencing factors on the BSR with IVF-ET.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.4 no.1
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• pp.46-53
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• 1993

To find some involvement of environmental factors in autism, season of birth, birth order, and maternal age at birth of autistic children were investigated Total number of clinical outpatient autistic children was 357, which consisted of 319 male and 38 female, then male-to-female sex ratio was 8.4 to 1, and all subjects were born during $1986{\sim}1988.$ These data were compared with those of controlled general populations. The results were as follows : 1) In monthly and seasonal distributions of birth, autistic children were not different from normal control 2) Comparing with control group by Slater's and Greenwood-Yule's birth order calculation methods, there was no significant difference in birth order of autistic children 3) The maternal ages at birth in autistic group were significantly higher than those of control group(P<01) 4) High-risk pregnancies were significantly frequent in autistic group compared with control group(p<01)Our study supported the idea that at least some environmental factors, especially at-risk pregnancy, are involved in autism causation.

• Journal of Yeungnam Medical Science
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• v.18 no.2
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• pp.287-292
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• 2001

Background: To determine mean clitoral and glans size of Korean female newborn. Materials and Methods: The size of glans and clitoris of 68 Korean female newborns born at Yeungnam University Medical Center were measured from May in 1999 to August in 1999. Results: The mean size of the 68 newborns were $2.38{\pm}1.14$ mm in glans length, $2.55{\pm}1.48$ mm in glans width and $4.66{\pm}1.93$ mm in clitoral length. In the premature infants the mean clitoral size was $1.92{\pm}1.58$ mm in glans length, $1.78{\pm}1.24$ mm in glans width and $3.86{\pm}2.16$ mm in clitoral length. In the full term infants $2.53{\pm}1.12$ mm in glans length, $2.75{\pm}1.58$ mm in glans width and $4.94{\pm}1.89$ mm in clitoral length. In low birth weight infants clitoral size was measured $1.55{\pm}1.10$ mm in glans length, $2.04{\pm}2.03$ mm in glans width and $3.29{\pm}1.87$ mm in clitoral length. In normal birth weight infants $2.53{\pm}1.13$ mm in glans length, $2.68{\pm}1.48$ mm in glans width and $4.92{\pm}1.91$ mm in clitoral length. In high birth weight infants $1.54{\pm}0.50$ mm in glans length, $1.63{\pm}0.53$ mm in glans width and $3.18{\pm}1.04$ mm in clitoral length. Conclusion: There was no significant correlation between gestational age and clitoral size or glans size, but significant negative correlation was found between birth weight and clitoral size or glans size.

• Journal of the Korean association of regional geographers
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• v.17 no.1
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• pp.75-95
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• 2011

A birth cohort approach to the Household life-cycle model could be an alternative to cross-sectional data. In this study, each residential mobilities of birth cohorts' is traced by the cohort data from repeated cross-section in the case of Jinju city. Because of the differences in fertilities by era, the volume of each cohort as a consumer in housing has varied and the condition of housing stock also has changed as the time goes by. These changes in housing make not only age effect stressed in Rossi's model, but also cohort and period effect. Due to theses effects of time, every residential mobility trajectories of generations' is different especially in earlier life stages. As households get older, it is found that the age effect reduces and the probability of residential mobility is lower. As this result, the residential succession and filtering between the earlier and latter generations is weakened and the residential segregation could be happened by birth cohort.

• The Journal of the Korea Contents Association
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• v.15 no.3
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• pp.265-271
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• 2015

This study is the analysis about materials (from 2012 to 2014) which was stored in the data made from the 397 infants subjects who were born in 2012, with the basis of the preventive injection management, public health care information system by using SPSS win 18.0 program. After we analyzed the present non-injection state and the non-injection reasons with the basis of each birth month, each vaccine, each injection period, we found out that 89 infants(22.4%) were the ones who were not computerized. Except the 20 infants-the ones having uncertain phone numbers and addresses, and computerization errors, 69 infants (17.4%) were the ones that didn't get injection. We guided protective injection to them by sending SMS text message and we could inject 39 infants (9.8%) of them. We could achieve the high 92.4% injection rate. we want this research to be used to try wipe out the infectious diseases in this district and be utilized as the basic materials of protective injection cost support and health care policies, etc.

• Journal of Convergence for Information Technology
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• v.10 no.3
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• pp.92-103
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• 2020

This study agrees with the seriousness of the low birth phenomenon in our country and discusses the analysis of the causes of low birth and the establishment of the policy measures for early childhood education and child care in relation to the low birth phenomenon. In particular, the purpose of the policy is to establish a policy plan for up-to-down early childhood education and child care that can be reflected in the policy by members related to early childhood education, breaking away from the existing one for top-down child education and child care. To this end, the research was conducted using Delphi technique and 20 experts in the field of early childhood education and child care were organized into expert panels. In this study, seven policies were proposed for opportunity compliance, eleven policies for service compliance, eight policies for compliance with goods/gift certificates/tax reduction, seven policies for compliance with cash benefits, and five policies for compliance with power. We hope that the bottom-up education and childcare policy measures proposed in this study will provide specific implications and suggestions for resolving the low birth rate.

• Neonatal Medicine
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• v.18 no.1
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• pp.89-95
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• 2011

Purpose: Hypernatremia most frequently occurs in the immature newborn and be severe in association with intraventricular hemorrhage (IVH). This study examined the frequency, onset and risk factors of hypernatremia, and the relationship between hypernatremia and IVH in very low birth weight (VLBW; <1,250 g) infants. Methods: We retrospectively reviewed the medical records of 55 VLBW infants admitted between January 2006 and December 2009 to the neonatal intensive care unit of Wonkwang University Hospital and who survived over 7 days. Serum sodium concentration, sodium intake, fluid and weight loss, as suggested risk factors of hypernatremia, and the incidence of IVH were evaluated. The infants were divided into a hypernatremia group (${\geq}$150 mEq/L) and nonhypernatremia group, and were compared. Results: Incidence of hypernatremia in the VLBW infants was 52.7%, and mean starting time of hypernatremia was 2.8${\pm}$1.3 days. There were no differences in the sodium and fluid intake between the two groups. Weight loss at day 3 after birth was significantly higher in the hypernatremia compared to the nonhypernatremia group (P<0.05); thereafter weight loss was non-significantly higher. The incidence of IVH in VLBW infants was 38.2%, and the difference between the two groups was not significant. Conclusion: Hypernatremia occurs commonly in VLBW infants and is most commonly caused by weight loss in the early days after birth. Incidence of IVH is not likely influenced by hypernatremia with marginally elevated sodium concentration.

• Neonatal Medicine
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• v.16 no.2
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• pp.205-212
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• 2009

Purpose: The purpose of this study was to evaluate the differences according to the hospitals of antenatal care in premature infants. Methods: We retrospectively reviewed the medical records of premature infants with gestational ages <37 weeks and very low birth weights who were admitted immediately after birth to the neonatal intensive care unit (NICU) at the Dongguk University Ilsan Hospital between March 2007 and February 2009. The hospitals of antenatal care were divided into two levels (primary antenatal care hospital: hospitals with less than a level 2 NICU, secondary antenatal care hospital: hospitals with a level 3 NICU) based on the level of NICU in hospitals. In addition, total infants were divided into two groups (Immediate group: infants born within 24 hours of maternal admission, Delayed group: infants born after 24 hours of maternal admission). The differences between maternal and neonatal variables in each groups were studied. Results: Neonates in secondary antenatal care hospitals comprised 11.0% of the study neonates (10 of 91). We compared with two groups (primary antenatal care hospital and secondary antenatal care hospital), but there were no differences in all subjects. However, the 1 minute Apgar score ($\leq3$) was lower in the immediate group than the delayed group. Conclusion: Shorter duration of maternal admission to delivery was associated with a lower 1 minute Apgar score of neonates. These findings suggest that if maintenance of pregnancy is difficult when high-risk gravidas are transferred, clinicians must prepare for emergencies of neonates.