• Clinical and Experimental Pediatrics
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• 제52권3호
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• pp.289-294
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• 2009

목 적 : 언어 발달 지연아들에게 흔히 시행되는 검사들로서 뇌 자기공명 영상, 염색체 핵형분석, 뇌 전위 유발검사, 뇌파, Tandem mass 선별검사 및 6종 선천성 대사질환 선별검사가 원인 질환의 진단에 유용한 지를 알아보고자 본 연구를 시행하였다. 방 법 : 2000년 1월부터 2007년 6월까지 언어 발달 지연을 주소로 영남대학교 부속병원 소아신경클리닉에서 신경심리검사와 원인 질환에 대한 검사를 받았던 122명의 환아를 대상으로 의무 기록을 검토하여 증례별로 현상학적 질환의 범주로 나누고 원인/연관 추정 소견 여부를 확인한 후 검사의 양성률과 원인 질환의 진단에서의 유용성을 분석하는 후향적 연구를 시행하였다. 결 과 : 대상 환아 122예에서 정신지체 47예(38.5%), 발달성 언어장애 40예(32.8%), 경계선 지능이 23예(18.9%) 그리고 자폐 범주 질환이 12예(9.8%)였다. 원인/연관 추정 소견은 26예(21.3 %)에서 찾을 수 있었으며 이형 증후군이 5예, 소두증이 4예, 미숙아 분만 및 신생아 가사의 병력을 가진 경우가 3예, 저출생 체중아가 3예, 양육된 환경적인 요인이 문제였던 경우가 3예 등의 순으로 많았다. 검사 소견으로 자기공명 영상 77예 중 8예(10.4%), 뇌파 75예 중 6예(8.0%)에서 이상 소견이 관찰되었고 뇌 전위 유발검사 80예 중 양측 이상을 보인 경우가 4예(5%)있었으나 2예에서는 추적 관찰시 정상화되었다. 염색체 핵형분석 80예, Tandem mass 선별검사 67예와 대사질환에 대한 신생아 선별검사 15예에서 이상 소견이 관찰된 경우는 없었다. 검사 소견 중 뇌 자기공명 영상은 대뇌 겉질 형성 이상 1예의 확진과 뇌량 형성 부전 3예와 뇌연화증 1예의 원인 질환 추정에, 그리고 뇌 전위 유발검사는 청각 장애 2예의 확진에 도움이 되었다. 결 론 : 언어 발달 지연의 원인 질환의 진단 시 흔히 시행되는 검사들은 유용성이 크지 않으며 검사의 시행은 증례의 특징에 따라 선별적으로 시행하는 것이 바람직하다. 그러나 원인 질환의 진단에는 도움이 되지 않는다고 하더라도 검사에서 이상 소견이 관찰되는 경우가 적지 않으므로 언어 발달 지연의 전체적인 평가에는 이들 검사의 의미에 대해서는 좀 더 연구가 필요하다.

• 환경생물
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• 제33권4호
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• pp.361-374
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• 2015

내분비계장애물질 (endocrine disruptors)은 포유류에서 축적되어 내분비계를 교란하며, 특히 수정능, 초기발생 등에 악영향을 미치고 암을 유발할 수 있는 것으로 잘 알려져 있다. 이러한 내분비계장애물질은 그 내분비계 교란 효과에 대한 지식이 부족하여 페인트, 코팅, 세제, 플라스틱 등에 활발히 사용되어 왔다. 특히 가정에서 내분비계장애물질은 음식 용기, 물병, 세탁용 세제 등에 사용되어 인체에 쉽게 노출되었다. 이후 내분비계장애물질의 위험성을 인식하면서 세계 각국에서는 내분비계장애물질의 생산 및 사용을 규제하고 대체재를 발굴하기 시작하였다. 그러나 현재까지 보고된 대체재의 안전성 또한 불확실하며, 이들의 인체에 대한 악영향을 완전히 파악하지 못한 채 사용하고 있다. 최근 이러한 대체재들 중 기존의 내분비계장애물질과 구조적으로 유사하고 내분비계 교란 효과를 갖는 물질이 있음이 밝혀졌으며, 이에 본 소고에서는 기존에 알려진 대표적인 내분비계장애물질인 bisphenol-A, phthalates, nonylphenols 및 이들의 대체재가 인체에 미치는 영향을 파악하고, 나아가 일부 대체재들에 대한 in-silico 분석을 수행함으로써 현존하는 대체재의 안전성에 의문을 제기하고 바람직한 소재 발굴을 위한 가이드를 제시하고자 하였다.

• 대한장애인치과학회지
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• 제13권2호
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• pp.67-72
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• 2017

The purpose of study was to analyze the types of dental treatment and their frequencies in a charity dental clinic for the disabled people, and to figure out baseline data for developing oral health policies. This study was based on the 141 patient records who visited the charity free dental clinic between 2011 and 2016. Data were evaluated according to gender, types of disability, types of treatment, and the average number of caries. The number of dental treatment according to sex was 70% for men and 30% for women. Patients were classified according to types of disability. The most common type of disability is intellectual disabilities (53.9%). After that, developmental disabilities were 37.5%, and brain lesions were 8.51%. The highest frequency of dental treatment is preventive treatment (45.1%). The mean number of dental caries was higher than the number of initial dental caries in all types of disability. Preventive oral care education and regular oral screening are necessary for the oral health of patients with disabilities.

• 한국잡초학회지
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• 제4권1호
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• pp.96-106
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• 1984

Changes in weed floras and development of plant resistance to herbicides seemed to be closely related with increased and repeated use of herbicides. Herbicide use increased from 5% of the total consumption of pesticide in 1950 to 45% in 1976 in world basis. About 200 herbicides have been introduced to agriculture so as to control about 206 weed species which have been recorded important to human beings. In Korea, there was about 351 times in increased use of herbicides from 1966 to 1982. Interspecific selection by herbicide is mainly responsible for changes in weed floras and resulted in varying tolerance or susceptibility to herbicides, together with the changes of agricultural practices. The present trend toward continuous cereal cultivation throughout world will lead to type of changes in weed floras favorable to therophyte which can survive under unfavorable conditions as seeds rather than the types of geophyte which can survive unfavorable seasons as buds placed below soil surface. However, geophyte such as Sagitaria pygmaea, and Scirpus jurtcoides, and Cyperus rotundus and Cynodon dactylon in temperate warm climate become severe paddy weeds, presumably because of the removal of annual weeds by herbicides. Since differential tolerance to 2,4-D was firstly reported in Agrostis stolofera, about 30 species of weeds in 18 genera are presently known to have developed resistance to triazine herbicides. Resistance of weed biotypes to triazine herbicide is not mainly due to limited absorption and translocation or to the difference in metabolism, but is the result of biochemical changes at the site of metabolic activity, such as a loss of herbicide affinity for triazine binding site in the photosystem II complex of the chloroplast membrane. Genetical study showed that plastid resistance to triazine was wholly inherited through cytoplasmic DNA in the case of Brassica campestris. Plant tissue culture method can be utilized as an alternate mean of herbicide screening and development of resistance variants to herbicides as suggested by Chaleff and Parsons. In this purpose, one should be certain that the primary target process is operational in cell culture. Further, there are a variety of obstacles in doing this type of research, particularly development of resistance source and it's regeneration because cultured cells and whole plants represent different developmental state.

• 지역사회간호학회지
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• 제13권4호
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• pp.795-807
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• 2002

Objectives: The purpose of this study was to develop a community-based nursing center model that can provide health promotion for infants and toddlers as well as a research and practice site for nursing faculty and students. Methods: Review of current health care system and health promotion programs, and workshops with brain-storming were carried out to identify needy areas of services to be provided by the nursing center. Finally, the community nursing center model was developed through expert consultation and filed visits. Results: The services and programs were developed for infants and toddlers residing in Seoul area. These services and programs include growth and developmental screening, environment and health problem assessment, infant stimulation and parent education, and self-help group. Full-time and part-time staff nurses and nurse practitioners will provide those services and offer home visiting if needed. Database system, health information system, and trainers' training programs were developed as well. Conclusion: The nursing center model developed in this study will ensure clients direct access to nursing care and increase of autonomy and accountability of nursing practices. The nursing center model focused on disease prevention and health promotion will enhance the quality of life of the infants, toddlers and their families as well as to decrease national health care expenditure.

• Reproductive and Developmental Biology
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• 제35권1호
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• pp.1-8
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• 2011

Techniques to evaluate gene expression profiling, such as sufficiently sensitive cDNA microarrays or real-time quantitative PCR, are efficient methods for monitoring human pluripotent stem cell (hESC/iPSC) cultures. However, most of these high-throughput tests have a limited use due to high cost, extended turn-around time, and the involvement of highly specialized technical expertise. Hence, there is an urgency of rapid, cost-effective, robust, yet sensitive method development for routine screening of hESCs/hiPSCs. A critical requirement in hESC/hiPSC cultures is to maintain a uniform undifferentiated state and to determine their differentiation capacity by showing the expression of gene markers representing all three germ layers, including ectoderm, mesoderm, and endoderm. To quantify the modulation of gene expression in hESCs/hiPSC during their propagation, expansion, and differentiation via embryoid body (EB) formation, we developed a simple, rapid, inexpensive, and definitive multimarker, semiquantitative multiplex RT-PCR platform technology. Among the 9 gene primers tested, 5 were pluripotent markers comprising set 1, and 3 lineage-specific markers were combined as set 2, respectively. We found that these 2 sets were not only effective in determining the relative differentiation in hESCs/hiPSCs, but were easily reproducible. In this study, we used the hES/hiPS cell lines to standardize the technique. This multiplex RT-PCR assay is flexible and, by selecting appropriate reporter genes, can be designed for characterization of different hESC/hiPSC lines during routine maintenance and directed differentiation.

• Reproductive and Developmental Biology
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• 제35권1호
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• pp.47-54
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• 2011

Endocrine disruptors bind to hormone receptors on sperm membrane, therefore spermatozoa are potentially a useful model for examining estrogenic activities of endocrine disruptors. The objective of this study was to compare the effects of two xenoestrogenic compounds [genistein (Gen) and 4-tert-octylphenol (OP)] to those of two steroids [estrogen ($E_2$) and progesterone ($P_4$)] on boar sperm % motility and motion kinematics of in vitro. Porcine spermatozoa were incubated with various concentrations ($0.001{\sim}100\;{\mu}M$) of each chemical for 15 or 30 min, and then assessed % motility and sperm motion kinematics using computer assisted sperm analyzer (CASA). Each chemical decreased sperm % motility, and OP decreased VSL and VAP compared with untreated control(p<0.05). $E_2$ stimulated the motion kinematic changes except VCL. Moreover, Gen had effects on VCL and VAP alterations after 30 min incubation. In summary, since all chemicals studied effectively altered sperm % motility and motion kinematics, it was concluded that porcine spermatozoa could be a useful model for in vitro screening of potential endocrine disruptors.

• 영재교육연구
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• 제11권1호
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• pp.99-117
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• 2001

본 연구에서는 만 6세 미만의 유아기 아동을 대상으로 영재판별의 필요성과 가능성을 살펴보고 지적 영재성을 진단할 수 있는 세부적인 방법들과 과제를 논의하였다. 6세미만의 유아기부터 지적 영재성은 더 나이든 아동의 특성과 유사한 행동특성으로 나타난다는 것이 부모의 관찰과 연구자들의 보고에 의해 밝혀져 있다. 단지 유아기에는 아동의 현재 수행보다 앞으로 보일 수행가능성 즉 잠재성의 측정이 중요하며 특히 유아의 여러 기능들이 서로 잘 분화되지 않은 점을 감안할 때 보다 과학적이고 포괄적인 판별이 필요하다는 것을 주장하였다. 구체적인 영재유아의 판별방법은 부모나 교사의 일상행동관찰에 의한 의뢰, 영재아 행동평가지, 간편 검사 그리고 개인별 세부 검사 등을 통한 종합적인 평가와 단계적 방법이 효율적임을 주장하였다. 특히 어린 유아의 경우 발달과정에서의 변이성이 크기 때문에 반복적 평가가 중요하다. 본 연구에서는 국내에서 사용하는 영재판별방법들의 종류와 검사자의 자질, 실시상의 주의점을 살펴보았으며 특히 영재아의 여러 특성을 올바로 진단할 수 있는 전문가와 다양한 검사방법이 개발이 중요하다는 것을 정리하였다. 끝으로 영재판별이 영재아에 대한 최적 교육환경의 제공이라는 점에서 조기 발견이 무엇보다 중요하다는 점을 강조하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권18호
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• pp.7785-7792
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• 2014

Background: Valproic acid (VPA) is a potent anticancer and antiangiogenic agent. However, design and synthesis of chemical derivatives with improved antiangiogenic and anticancer activities are still necessary. In this study a library of novel derivatives of VPA was synthesized and tested. Methods: A human liver cancer cell line (HepG2) and a human normal embryonic kidney cell line (HEK 293) were exposed to various concentrations of VPA derivatives for 24 hours and cell viability was checked by MTT colorimetric assay. Anti-angiogenic properties were evaluated in transgenic zebrafish embryos. Results: N-valproylglycine derivatives suppressed survival almost 70% (p value 0.001) in HepG2 cells but only 10-12% in HEK 293 cells (p value 0.133). They also suppressed angiogenic blood vessel formation by 80% when used between $2-20{\mu}M$ in zebrafish embryos. Valproic acid hydrazides showed moderate level of anticancer activity by affecting 30-50% (p value 0.001) of cell viability in HepG2 cells and 8-10% in HEK293 cells (p value 0.034). Conclusion: The majority of compounds in this study showed potent and stronger antiangiogenic and anticancer activity than VPA. They proved selectively toxic to cancer cells and safer for normal cells. Moreover, these compounds inhibited developmental angiogenesis in zebrafish embryos. Based on the fact that liver is a highly vascularized organ, in case of liver carcinoma these compounds have the potential to target the pathological angiogenesis and could be an effective strategy to treat hepatocellular carcinoma.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제19권3호
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• pp.156-161
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• 2008

Objectives: The purpose of this study was to investigate the prevalence of sleep problems in Korean elementary school children and the differences in sleep problems elated to their school grade and gender. Methods : One public elementary school in Dae-gu, Korea as randomly selected. And, parents who agreed to participate this study were asked to complete a modified version of Tucson Children's Assessment of Sleep Apnea screening questionnaire (TuCASA). Results: The most common sleep problem was 'falling asleep in vehicle (44.2%)' and the prevalence rate of this problem differed by school grade. The prevalence rate of falling asleep while watching TV before 8 P.M. (8.0%), daytime fatigue (21.9%) and nocturnal enuresis during the past 6 months (5.3%) were significantly differed by school grade. The prevalence rate of falling asleep while doing home work, falling sleep during a lesson, snoring and bruxism were 12.6%, 1.0%, 26.7% and 13.2% respectively. Although these rates did not show any differences between grades, snoring as more in boys and daytime fatigue was more in girls. Conclusion: This study demonstrates that many elementary school children may have various sleep problems. Lower grade elementary schoolers had sleep problems which related to euro-developmental factors, whereas higher grade elementary schoolers had sleep problems related to sleep deprivation and stress. Finally, more female schooler showed signs of fatigue or sleepiness than male schoolers.