• 대한간호학회지
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• 제16권2호
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• pp.29-35
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• 1986

The Purposes of this study are for the assessment of anxiety level and for identification for factors relating to the anxiety of the normal Pregnant women who are impendign or entering labor. The State-Trait Anxiety Inventory is used as the measure of anxiety. The results of the study are as follows: 1. The correlation between state-anxiety and trait-anxiety is 0.459 and the linear regression is y(State-anxiety) : 0.251$\chi$(Trait -anxiety)＋29.27. 2. The maternal state-anxiety is not related to the variables of the age, the educational level, the occupation, the prenatal care, parity, show, labor pain and delivery type except for the premature or early rupture of the fetal membranes. 3. The maternal trait-anxiety is not related to the above-mentioned variables.

• 대한수의학회지
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• 제23권1호
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• pp.1-8
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• 1983

The purpose of the present study is to determine variations in synthesis of DNA in the nuclei of various elements of the golden hamster (Mesocricetus auratus) placenta with increasing gestational age from the eighth day post coitus to parturition. The method employed for such determination was autoradiography following injection of pregnant animals with tritiated thymidine. From the results reported, the following points are concluded. The mitotic activities of the endodermal cells of the visceral yolk sac and of the parietal yolk sac, the trophoblastic cells of the labyrinth and the trophospongium and the giant cells were decreased with increasing gestational age, The placentation was nearly completed by day 13 of pregnancy and the increase in size of labyrinth was by appositional growth from the trophospongial cells. It was considered that the inner trophoblastic cells in the vicinity of the fetal blood vessels were originated from the pure chorion. The interrelation among the various cells and the polyploidal giant cells in the placenta were discussed.

• Clinical and Experimental Pediatrics
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• 제45권12호
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• pp.1512-1518
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• 2002

목 적 : 쌍태 임신에서 일측 태아가 자궁내 사망한 경우 생존아의 사망률이 높고 범발성 혈관내 응고병증, 패혈증 및 뇌손상 등을 증가시킨다고 알려져 있다. 본 연구는 일측 태아의 자궁내 사망 후 생존아들의 주산기 합병증 및 이와 연관된 위험 인자들에 대해 알아보고자 하였다. 방 법 : 1995년 1월부터 2000년 12월까지 쌍태 임신 중 일측 태아가 자궁내 사망한 후 생존 출생한 15례의 의무 기록지를 후향적으로 분석하였다. 생존아에서는 말초 혈액과 혈액 응고계 검사, 두부 초음파 및 뇌 자기공영상 검사를, 그리고 산모에서는 말초 혈액과 혈액 응고계 검사 및 임신과 관련된 합병증에 대해 의무 기록지를 통하여 후향적으로 조사하였고, 생존아에서 주산기 합병증에 대한 위험 인자로 융모막 상태, 출생 체중, 재태 주령 및 일측 태아의 자궁내 사망 후 분만까지의 기간에 대해 관찰하였다. 결 과 : 1) 일측 태아의 자궁내 사망 후 생존 출생아 15례의 재태 주령은 $33.7{\pm}3.2$주, 출생 체중은 $1,992{\pm}592g$, 분만까지의 기간은 $32.4{\pm}29.5$일이었고, 조산아 11례(73.3%), 만삭아 4례(26.7%)로 조산의 원인은 조기 진통과 조기 양막 파수가 주였다. 2) 산모에서 시행한 혈액 검사상 범발성 혈관내 응고병증은 1례도 없었고, 산모의 말초 혈액 검사(백혈구수, 혈소판수, PT, aPTT, fibrongen, FDP) 소견과 생존아의 범발성 혈관내 응고병증 및 뇌연화증 발생과는 연관이 없었다. 3) 생존아 총 15례 중 6례(40.0%)는 정상이었고, 범발성 혈관내 응고병증 3례(20.0%), 뇌연화증 3례(20.0%), 자궁내 발육 지연 1례, 쌍태아간 수혈 증후군(recepient) 1례, 선천성 심장기형(심방 중격 결손 및 폐동맥 협착)이 동반된 경우 1례 있었다. 4) 생존 출생아에서 범발성 혈관내 응고장애 및 뇌연화증의 발생은 융모막 상태, 출생 체중, 재태 주령 및 일측 태아의 자궁내 사망 후 생존아 분만까지의 기간과 통계학적 유의성이 없었다. 결 론 : 본 연구에서는 자궁내에서 일측 태아가 사망한 경우 산모에서 혈액학적 이상은 발견할 수 없었고 생존아에서 주산기 합병증을 예측할 수 있는 의의 있는 위험 인자를 발견할 수 없었지만 약 20.0%에서 뇌연화증 및 범발성 혈관내 응고병증이 발생하였기에 쌍태 임신 중 임신 제2, 3기에 일측 태아가 자궁내 사망한 경우 생존 출생아에 대한 면밀한 혈액학적 및 신경학적 검사가 필요하다고 사료되었다.

• Applied Microscopy
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• 제21권2호
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• pp.39-56
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• 1991

The development of notochordal cells of nucleus pulposus was studied with electron microscope in human fetuses ranging from 30 mm to 260 mm crown-rump length. At 30 mm fetus, primitive notochordal cells were large with central nucleus, few organelles, and their cytoplasm usually contained dense glycogen and fine filaments. Notochordal cells at all ages contained bundles of fine filaments of indeterminate nature. One unusual feature of fetal notochordal cells was the consistent presense of rough endoplasmic reticulum surrounding poorly developed mitochondria. At 50 mm fetus, notochordal cells formed dense masses with interdigitating cell membranes connected by a variety of cell to cell junctions. With increasing age, the cell connections became slender threaded cytoplamic extending from cell and enclosed large extracellular space. Chondrocyte-like cells appeared to be separated by large volumes of extracellular matrix. Viable notochordal and condrocyte-like cells existed in specimen from all age. The extracellular spaces were filled with fibrillar and granular material by 90 mm fetus. Necrotic cells were distinguished by loss of their membrane integrity, vacuolization of their organelles, and the presence of dense osmiophilic masses. In adult tissue, notochordal cells became rounded or irregular in shape and developed a pericellular matrix consisting of collagen fibrile, and dense particle. The structure of notochordal cells and their persistance in the nucleus pulposus after fetal life suggested that they may have a significant role in the formation and maintenance of the nucleus pulposus. The presence of Golgi complex and well-developed endoplasmic reticulum in chondrocyte-like cells suggested that they are capable of producing and maintaining the extracellular matrix.

• Journal of Yeungnam Medical Science
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• 제38권1호
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• pp.34-38
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• 2021

Background: We aimed to determine whether routine second trimester complete blood cell (CBC) count parameters, including neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), and platelet-lymphocyte ratio (PLR), could predict obstetric outcomes. Methods: We included singleton pregnancies for which the 50-g oral glucose tolerance test and CBC were routinely performed between 24 and 28 weeks of gestation in our outpatient clinic from January 2015 to December 2017. The subjects were divided into three groups according to their pregnancy outcomes as follows: group 1, spontaneous preterm births, including preterm labor and preterm premature rupture of membranes; group 2, indicated preterm birth due to maternal, fetal, or placental causes (hypertensive disorder, fetal growth restriction, or placental abruption); and group 3, term deliveries, regardless of the indication of delivery. We compared the CBC parameters using a bivariate correlation test. Results: The study included 356 pregnancies. Twenty-eight subjects were in group 1, 20 in group 2, and 308 in group 3. There were no significant differences between the three groups in neutrophil, monocyte, lymphocyte, and platelet counts. Although there was no significant difference in NLR, LMR, and PLR between the three groups, LMR showed a negative correlation with gestational age at delivery (r =-0.126, p =0.016). Conclusion: We found that a higher LMR in the second trimester was associated with decreased gestational age at delivery. CBC parameters in the second trimester of pregnancy could be used to predict adverse obstetric outcomes.

• Perinatology
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• 제29권4호
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• pp.147-152
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• 2018

Objective: This study examines whether maternal group B Streptococcus (Streptococcus agalactiae, GBS) infection was associated with preterm births and premature neonatal outcomes. Methods: Maternal and neonatal outcomes were examined among singleton pregnant women with preterm birth (from $24^{+0}weeks$ to $36^{+6}weeks$) who were tested for GBS (n=203) during the pregnancy. Data were collected retrospectively from the medical records of women who delivered at our hospital from January 2015 to February 2017. We compared obstetrical factors (causes of preterm birth) and neonatal (gestational age at delivery, birth weight, Apgar score 1 min/5 min, hospitalization period, duration of mechanical ventilation, neonatal C-reactive protein within three days, and other complication [respiratory distress syndrome, neonatal deaths]) outcomes between GBS-infected and non-infected pregnant women. Results: There were 203 singleton pregnant women included in the study, 25 of whom were confirmed to have a GBS infection during the pregnancy. There was no difference in neonatal outcomes by GBS status. Preterm premature rupture of membranes (pPROM), as an obstetric factor, was associated with GBS infection (P=0.022). GBS infection raised the risk of pPROM by 3.6 times (odds ratio 3.648, 95% confidence interval 1.476-9.016, P=0.005). Conclusion: GBS infection in preterm birth was associated with pPROM but did not result in adverse neonatal outcomes. Continuous attention and evaluation of GBS infection, a major cause of neonatal sepsis and pneumonia, are needed.

• Journal of Microbiology and Biotechnology
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• 제17권11호
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• pp.1797-1804
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• 2007

Lycopene, an acyclic carotenoid found in tomatoes (Lycopersicon esculentum) and a number off fruits, has shown various biological properties, but its antifungal effects remain poorly understood. The current study investigated the antifungal activity of lycopene and its mode of action. Lycopene showed potent antifungal effects toward pathogenic fungi, tested in an energy-independent manner, with low hemolytic effects against human erythrocytes. To confirm the antifungal effects of lycopene, its effects on the dimorphism of Candida albicans induced by fetal bovine serum (FBS), which plays a key role in the pathogenesis of a host invasion, were investigated. The results showed that lycopene exerted potent antifungal activity on the serum-induced mycelia of C. albicans. To understand the antifungal mode of action of lycopene, the action of lycopene against fungal cell membranes was examined by FACScan analysis and glucose and trehalose-release test. The results indicated that lycopene caused significant membrane damage and inhibited the normal budding process, resulting from the destruction of membrane integrity. The present study indicates that lycopene has considerable antifungal activity, deserving further investigation for clinical applications.

• Asian-Australasian Journal of Animal Sciences
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• 제24권4호
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• pp.479-484
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• 2011

The study was conducted on 20 Holstein X Sahiwal cross bred dairy cows, with an average milk production of $2,752{\pm}113.79$ liters in $284{\pm}5.75$ days during a single lactation, that were divided in to two groups of 10 animals. We investigated the oxidative stress and antioxidant status during the transition period in dairy cows. In this study, plasma level of MDA was considered as an indicator of lipid peroxidation and SOD, catalase, GSH and GSHPx as antioxidants. The lipid peroxidation was significantly (p<0.001) higher in cows during early lactation as compared to the cows in advanced pregnancy. A significant positive correlation (r = +0.831, p<0.01) was determined between MDA and catalase in early lactating cows. In early lactating cows, blood glutathione was significantly lower than in advanced pregnant cows. However, early lactating cows showed non-significant negative correlation for all antioxidant enzymes with lipid peroxidation. In conclusion, dairy cows seemed to have more oxidative stress and low antioxidant defense during early lactation or just after parturition than advanced pregnant cows, and this appears to be the reason for their increased susceptibility to production diseases (e.g. mastitis, metritis, retention of fetal membranes etc.) and other health problems.

• Journal of Animal Science and Technology
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• 제51권6호
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• pp.471-484
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• 2009

The peri-implantation period in mammals is critical with respect to survival of the conceptus (embryo/fetus and associated extraembryonic membranes) and establishment of pregnancy. During this period of pregnancy, reciprocal communication between ovary, conceptus, and endometrium is required for successful implantation and placentation. At this time, interferon tau (IFNT) is synthesized and secreted by the mononuclear trophectodermal cells of the conceptus between days 10 and 21~25. The actions of IFNT to signal pregnancy recognition and induce or increase expression of IFNT-stimulated genes (ISGs), such as ISG15 and OAS, are mediated by the Type I IFN signal transduction pathway. This article reviews the history, signaling pathways of IFNT and the uterine expression of several IFNT-stimulated genes during the peri-implantation period. Collectively, these newly identified genes are believed to be critical to unraveling the mechanism(s) of reciprocal fetal-maternal interactions required for successful implantation and pregnancy.

• Clinical and Experimental Reproductive Medicine
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• 제48권4호
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• pp.303-310
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• 2021

Decorin (DCN) is a proteoglycan belonging to the small leucine-rich proteoglycan family. It is composed of a protein core containing leucine repeats with a glycosaminoglycan chain consisting of either chondroitin sulfate or dermatan sulfate. DCN is a structural component of connective tissues that can bind to type I collagen. It plays a role in the assembly of the extracellular matrix (ECM), and it is related to fibrillogenesis. It can interact with fibronectin, thrombospondin, complement component C1, transforming growth factor (TGF), and epidermal growth factor receptor. Normal DCN expression regulates a wide range of cellular processes, including proliferation, migration, apoptosis, and autophagy, through interactions with various molecules. However, its aberrant expression is associated with oocyte maturation, oocyte quality, and poor extravillous trophoblast invasion of the uterus, which underlies the occurrence of preeclampsia and intrauterine growth restriction. Spatiotemporal hormonal control of successful pregnancy should regulate the concentration and activity of specific proteins such as proteoglycan participating in the ECM remodeling of trophoblastic and uterine cells in fetal membranes and uterus. At the human feto-maternal interface, TGF-β and DCN play crucial roles in the regulation of trophoblast invasion of the uterus. This review summarizes the role of the proteoglycan DCN as an important and multifunctional molecule in the physiological regulation of oocyte maturation and trophoblast migration. This review also shows that recombinant DCN proteins might be useful for substantiating diverse functions in both animal and in vitro models of oogenesis and implantation.