• 제목/요약/키워드: Maternal age

검색결과 686건 처리시간 0.026초

저반응군의 체외수정에서 한 개의 배아 이식 시 임신에 영향을 주는 요인 (Predictor of IVF Outcomes Following Single Embryo Transfer in Poor Responder Patients)

  • 김혜옥;김민지;연명진;차선화;궁미경;송인옥
    • Clinical and Experimental Reproductive Medicine
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    • 제35권3호
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    • pp.213-221
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    • 2008
  • 목 적: 난소기능이 저하된 저반응군 불임 여성에서 한 개의 배아를 이식할 때 임신율에 영향을 주는 요인에 대해 알아보고자 한다. 연구방법: 본원에서 1996년 6월부터 2006년 4월까지 시험관 시술을 받은 환자 중, basal FSH가 12 mIU/mL 이상, 획득된 난자가 4개 이하, hCG 투여일에 혈청 $E_2$가 500 pg/ml 미만인 저반응군 총 919주기에서 한 개의 배아만을 이식한 235주기를 대상으로 하였다. 여성의 연령, hCG 투여일에 혈청 $E_2$, basal FSH, 3일째 배아 이식 시 할구수, 과배란 유도 방법, 이식 횟수에 따른 임신율과 생존아 출생률을 비교하였으며, 통계학적인 방법은 Chi-square를 이용하여 p-value 0.05 이하인 경우를 유의하게 평가하였다. 결 과: 총 919주기 중 난자채취 취소율은 25.6% (235주기), 난자채취 실패율은 18.5% (170주기), 배아 이식 취소율은 14.0% (129주기)였다. 한 개의 배아를 이식한 군의 전체 임신율은 8.1% (19주기), 생존아 출생률은 4.7% (11주기)였고, 35세 미만의 여성에서 35세 이상의 여성보다 임신율과 생존아 출생률이 통계적으로 유의하게 높았다 (20% vs. 3.5% p<0.0001, 12.3% vs. 1.8%, p=0.002). hCG 투여일에 혈청 $E_2$, basal FSH, 3일째 배아 이식 시 할구수, 과배란 유도 방법에 따른 임신율과 생존아 출생률은 차이가 없었다. 이식 횟수에 따른 누적 임신율은 1회에 8.1%, 2회에 9.2%, 3회에 9.7%, 4회에 9.0%, 5회에 9.5%였다. 결 론: 저반응군의 체외수정에서 한 개의 배아를 이식할 때, 불임 여성의 연령이 35세 미만에서 임신율과 생존아출생률이 유의하게 증가함을 확인하였고, 이식 횟수에 따른 누적 임신율은 차이가 없었다. 이는 체외수정을 시도하려고 하는 난소기능 저하의 불임 여성에서 구체적인 상담 자료로 사용할 수 있겠다.

한국재래닭 깃털 성감별 계통에 있어 조우성과 만우성이 개체의 생산능력에 미치는 영향 (Influence of Early- and Late-feathering Phenotype on Productive Performance in the Feather-sexing Strains of Korean Native Chicken)

  • 손시환;김나영;박단비;송혜란;조은정;최성복;허강녕;최희철
    • 한국가금학회지
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    • 제40권3호
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    • pp.263-270
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    • 2013
  • 일반적으로 병아리의 성감별은 생식돌기 감별법이나 반성 유전 형질을 이용한 자가 성별법으로 이루어지고 있다. 이들 중 우모 발생 속도에 관여하는 만우성 유전자를 이용한 깃털 성감별법이 산업적으로 가장 널리 이용되고 있는데, 이는 발생 시 깃털의 형태적 차이로 쉽게 판별이 가능하기 때문이다. 그러나 깃털 자가 성별종의 계통 조성을 위하여 반드시 모계가 만우성이어야 하므로 깃털의 조만성이 생산 능력에 미치는 영향을 구명할 필요가 있다. 따라서 본 연구에서는 깃털 자가 성감별 계통으로 조성 중인 한국 재래닭 적갈색종 만우성 개체들과 조우성 개체들을 대상으로 이들 간의 생산능력의 차이를 비교 분석하였다. 조우성과 만우성 개체들의 번식 능력 분석 결과, 수정율과 부화율 모두에서 이들 간에 차이가 없는 것으로 나타났고, 발생 후 60주령까지 생존율에서도 두 집단 간에 차이가 없었다. 또한 성장 능력의 비교 분석에서 발생 시부터 50주령까지 모든 주령에서 집단 간 평균 체중의 차이는 없는 것으로 나타났다. 깃털의 조만성이 산란능력에 미치는 영향으로 초산 일령의 경우 조우성 개체들의 시산 일령이 만우성 개체들에 비해 평균 3일 정도 빨랐으나, 일계 산란율에 있어서는 조우성 개체와 만우성 개체 간에 차이가 없었다. 깃털의 조만성이 난질에 미치는 영향에 대해서도 난각색을 비롯한 난중, 난백 높이, 하우유니트, 난황색, 난각 두께, 난각 무게 및 난각 밀도 등 모든 난질 지표의 차이는 없는 것으로 나타났다. 결론적으로 한국 재래닭에 있어 깃털 조만성에 따른 생산 능력의 차이는 없는 것으로 사료되어, 이를 이용한 자가 성감별 계통 조성 시 깃털 조만성에 따른 생산능력의 영향은 고려하지 않아도 되는 것으로 판단된다.

조기경험이 노인 정신건강에 미치는 영향 (Effect of the Early Traumatic Experience on the Mental Health of the Elderly)

  • 이광헌;이중훈;이종범;박병탁;정성덕
    • Journal of Yeungnam Medical Science
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    • 제7권2호
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    • pp.67-77
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    • 1990
  • 1988년 대구시내 거주하는 노인 278명을 대상으로 하여 불안우울통합척도(CADS)와 조기경험척도(PTES)로 평가한 성적은 다음과 같다. l. CADS로 평가한 성적이 49점이하는 대조군, 50점 이상은 실험군으로 나누었으며 이들 양군의 성적은 대조군 $40.15{\pm}6.19$, 실험군이 $57.75{\pm}6.37$로 실험군이 유의하게 높았다 (p<0.001). 2. 실험군과 대조군이 각각 평가한 불안우울 항목은 성욕감퇴(Decreased libido) 피로감(Fatigue) 정신적 혼란(Mental disintegration) 정신운동지연(Psychomotor retardation) 및 이상감각과 전신통증(Paresthesis and Body-ache & pain)등이 있다. 3. 실험군은 대조군보다 다음과 같은 조기경험 항목이 유의하게 높은 의미를 보였다. 식생활 곤란(Dietary life difficulty), 가족중 과음주자(Alcoholism among family members), 부모간의 불화(Disunion between husband and wife), 부자간의 불화(Trouble between mother and children), 모친상실(Early maternal loss), 부모의 무관심(Patent's indifference), 원치 않는 출생(Unwanted birth)등이었다(p<0.001). 그리고, 거부적 부모태도 항목중 주워 온 자식이란 부모의 위협(Threat of parent's rejection), 차라리 죽어버리라는 위협(Threat of my parent desiring my early death), 부모의 과잉간섭, 심한징벌(Severe punishment by parent), 잡일 시키기(Parent's demand of doing domestic chores) 및 기타 정신 사회적요인 항목중 도깨비나 귀신의 위협(Fear of devil or ghost)등이었다. 4. 실험군과 대조군을 비교했을 때 실험군에서 조기경험성적이 유의하게 높은 사회 정신의학적 요인은 다음과 같다. 성별, 연령별, 결혼 상태별 및 성장지별성적은 실험군에서 모두 높았다(p<0.001). 노인자신이 무직, 중류 및 하류계층일 경우와 부모가 농업 및 상업일 경우 그리고 무종교나 불교일 경우에 조기경험성적이 높았다(p<0.001). 형제자매가 많거나 자녀가 많을 경우 노인자신이 자녀와 동거할 때 조기경험성적이 높았다(p<0.001).

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일개 도시지역 임신부의 영양섭취에 관한 조사연구 -간이식 영양조사법 이용- (A Nutrition Intakes Survey of Pregnant Women in a Urban Area -Application of Convenient Method for the Study of Nutritionial Status-)

  • 김인숙
    • Journal of Preventive Medicine and Public Health
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    • 제16권1호
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    • pp.99-104
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    • 1983
  • Aiming at the total 200 pregnant women including 150 ones registered with the Health Center of Chung Ku District and 50 ones registered with the Health Center of Mapo District, we have conducted a research study of the socio-medical characteristics, maternal child health, and the status of nutritional intake which has utilized the application of convenient method for the study of nutritional status, during the period of April 20 to May 25, 1983. And we have obtained the following conclusions: 1. Regarding age distribution, the pregnant women aged from 26 to 30 were most numerous, which was 54.0%. The percentage of women who experienced the first pregnancy was 12.0% and the percentage of those who experienced the second pregnancy was 37.0%, which was the highest. Regarding the weeks of pregnancy of the pregnant women, the first trimesterr was 11.5%, the second trimester 30.0%, and the third trimester 58.6%. 2. Regarding academic achievements, the pregnant women who graduated from middle schools reached 43.5%, which was the highest percentage. Regarding economic status, the pregnant women who owned their own houses were only 21.0%. And the pregnant women whose monthly income was from 300,000 won to 400,000 won were 40%, which was the most numerous. 5. The women above 15 years old who experienced the first menstruation were 84.0%. And those who experienced abortion were totally 54.4%. and 35.5% among those women experienced artificial abortion. 4. 70.5% of the pregnant women said that their health condition was excellent, 24.5% felt subjective complaints, and 5.0% specially received medical consultation for their diseases. 5. 82.0% received prenatal care, but 60.5% regularly received prenatal care. 68.0% received the education for nutrition and only 19.5% regularly received the education for nutrition. 6. Regarding the family composition, the families consisting of two generations were 47.0%, which was the most numerous. 97.5% of the preparation for meals was conducted by housewives. They said that they did not lack time for meal preparation. 7. 94.9% of the pregnant women said that they had eaten as in ordinary times during their pregnancy. 25.5% said that there were tabooed foods. Tabooed foods are chiefly pork, chicken, milk, and eggs. 68.0% don't drink milk during pregnancy, 32.5% take the intake of vitamins, and 20.5% take iron supplement. 8. The average amounts of the intake of protein, fat, and carbohydrate of a pregnant women are 49.3gm, 29.4gm, and 205.1gm respectively, which showed the phenomenon in which the amount of the intake of nutrition increased as the weeks of pregnancy increased. The average amount of the intake of salt was 14.2gm. 9. Regarding the hemoglobin value of all pregnant women, those whose hemoglobin value was less than 11.0gm were 66.5%, those whose hemoglobin value was 11 to 12 gm were 16.5%. and those whose hemoglobin value was above 12gm were 17.0%. The pregnant women whose hemoglobin value was less than 11.0gm in the first trimester of pregnancy, in the second trimester, and in the trimester were 81.8%, 62.8%, and 64.9% respectively. This shows that the phenomenon of anemia increased as the weeks of pregnancy increased 10. Regarding physical development of a pregnant woman during prenatal period, the height and weight were $156.7cm{\pm}14.1$ and $51.1kg{\pm}58$ respectively. When the standard increase of a prenatal weigt gain is set as 100%, the women over the range of 100% were 28.0% and the women under the range of 80% were 37.0%.

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토종닭의 산란능력 개량을 위한 이면교배조합 검정시험 (Diallel Cross Combination Test for Improving the Laying Performance of Korean Native Chickens)

  • 손시환;김기곤;신가빈;이슬기;이준호;장수용;허정민;추효준
    • 한국가금학회지
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    • 제50권3호
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    • pp.133-141
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    • 2023
  • 본 연구는 산란능력이 우수한 토종 산란형 종계를 개발하기 위하여 토착 로드종(Rhode-C, -D), 토착 레그혼종(Leghorn-F, -K) 및 한국재래계 황갈색종(KNC-Y), 총 5계통을 이용하여 5 × 5 이면교배조합(diallel cross-mating) 검정시험을 실시하였다. 생산능력의 검정은 10개 교배조합 1,060수를 대상으로 생존율, 체중, 초산일령, 난중 및 산란율을 조사하고, 조합별 생산능력 및 결합능력을 분석하였다. 분석 결과, 발생 후부터 48주령까지 전체 조합의 평균 생존율은 72.1±24.0%이고, 조합 간 유의적 차이를 보이며 YC조합의 생존율이 가장 높았고, DK조합의 생존율이 가장 낮았다(P<0.01). 결합능력 분석 결과, YC조합의 일반결합능력이 가장 높게 추정되었고, YD조합은 두 계통 간 특정결합능력이 가장 높았다. 체중의 경우, 모든 측정 주령에서 조합 간 유의한 차이가 있었는데 토착 Leghorn종과의 조합 자손들이 토착 Rhode종 및 한국재래계와의 조합 자손들보다 낮은 체중을 보였다(P<0.01). 초산일령 또한 조합 간 유의한 차이를 보이며 KNC-Y와의 교잡 자손들이 토착 Rhode종과의 교잡 자손들 보다 대체로 빠른 초산을 나타내었다(P<0.01). 산란율에 있어, 평균 일계산란율은 70.7±12.0%로써, 조합 간에 유의한 차이를 보이며 이들 중 CK조합이 86%로 가장 높은 산란율을 나타내었다(P<0.01). 산란율의 일반결합능력과 특정결합능력이 조합가에 미치는 영향은 거의 비슷한 것으로 일반결합능력은 Rhode-C가 가장 우수하였고, 교배조합 간 특정결합능력은 YD조합이 가장 높게 나타났다. 시산 및 40주령 난중 모두 조합 간의 유의한 차이를 보였고(P<0.01), 토착 Rhode종과 토착 Leghorn종 간 교잡 자손의 달걀이 KNC-Y 교잡 자손들의 달걀보다 무거웠다. 이상의 결과에 따라 산란형 토종닭 종계로서 부계는 생존율이 우수하고 산란율이 양호한 YC나 YD조합이, 모계는 산란능력이 우수하며 적절한 난중을 지닌 CF와 CK조합이 가장 바람직한 조합으로 사료된다.

산욕기 초산모의 간호요구와 만족도에 관한 연구 (A student on the Nursing Needs and Satisfaction of Primipara During the Early Postpartum Period)

  • 전영자
    • 여성건강간호학회지
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    • 제3권1호
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    • pp.5-27
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    • 1997
  • This study was carried out to identify the difference between nursing needs and levels of satisfaction of primiparae during the early postpartum period. The goal of the study was to obtain data needed to develope maternal education programs and to improve the nursing quality for primipara. The subjects were 111 primiparae who had normal delivery at 2 general hospitals in the Seoul area. The data was gathered using an 81 items questionnaire which was developed by the researcher from Nov. 30, 1995 to Feb. 5, 1996. Results found are as follows : 1. The characteristics of subjects : The majority of subjects were aged 26-30yrs(60.4%), high school graduated(49.5%), jobless(52.3%), had no religion(49.5%), no antenatal(74.5%), and postnatal education on self and infant care(55.9%). A large proportion of primiparae intended to feed breast milk(49.5%) but in fact only 7.2% fed breast milk while in the hospital. Many subjects perceived that they had reasonable self confidence about self care(46.8%), and infant care(36%). 2. The level of nursing needs of overall nursing care was relatively high(Mn 3.98) but the level of satisfaction was of average level(Mn 3.09). Therefore, difference between the level of nursing needs and satisfaction was significant(p=0.0001). 3. The nursing needs by category of nursing care the highest need was on the education of infant care(4.29), the lowest was on physical care(3.80). The level of satisfaction was higher on environmental care(3.40) and physical care(3.32). But the category that showed the lowest satisfaction was education of infant care(2.67). Hence, difference of categories between the level of nursing needs and satisfaction was significant(p=0.0001). 4. Among items of physical care, observation of primiparas' conditions(4.21), accurate medication and treatment(4.18), care of breast engorgement(4.07) and control of postpartal hemorrage(4.01) showed high nursing needs. On the other hand, only the level of satisfaction was higher on accurate medication and treatment(3.82). The rest of items revealed only average level of satisfactions. Difference of items between the level of nursing needs and satisfaction was significant(p=0.0001) except items of dietary care. 5. Among items of psychological care, 8 items of nursing needs were high(3.72-4.29), expecially detailed explanation on which mothers want to know(4.29), treatment and nursing care they receive(4.23), kind and faithful care(4.22), early contacts with their baby(4.20), and adequate draping during the care and treatment(4.18). Among items of psychological care higher satisfactions were shown on items of kind and faithful care(3.80), personal treatment(3.70), and detailed explanation to mothers, but the least satisfied items was early contact with baby(2.13). Difference between the level of nursing needs and satisfaction was significant(p=0.0001). 6. Among items of environmental care, the highest level of need and satisfaction was on the items of neat bedding and pajamas(3.54). The difference was significant (p=0.0001). 7. Among the items of educational needs on self care, all of 22 items revealed higher educational needs(3.50-4.33) but the levels of satisfaction varied with a range of 2.63-3.42. Among the items the satisfactions were high on items of breast care including massages(3.42), perineal care(3.36) and expression of breast milk(3.32). Less satisfied items were drugs not be taken by breast milk feeder(2.63), maintenance of breast figure(2.76) and postpartum exercise(2.80) and so on. The difference was significant(p=0.0001). maintain 8. Among the items of educational needs on infant care, 19 items revealed higher educational needs(3.28-4.54). And the highest need were on the 3 items of normal growth and development of infant, safety and emergency care, symptoms of sick(4.45) and the meaning of crying of the baby(4.52). The level of satisfaction among items of education of infant care ranged from 2.47 to 3.16. Most satisfied items were buriping(3.16), bathing(3.11) and diapering(3.09). The items of which the mother's needs were high revealed the lowest satisfaction level. The difference was significant (p=0.0001). 9. Relationship between nursing needs and levels of satisfaction among primiparae of different characteristics were as follows : 1) Nursing needs of physical and psychological areas were significantly different among different age levels but no relationship was found on other categories regardless of the level of satisfaction. 2) With regard to different levels of education, some relationship was found in nursing needs of psychological area(p=0.007), educational needs on infant care(p=0.04) and environmental care(p=0.01). Also, the difference of satisfaction level was significant. 3) Working mothers had higher nursing needs and were more satisfied on items of physical care(p=0.05), education on self care and infant care. Difference were significant between nursing needs and level of satisfaction. 4) With regards to different religion a moderate relation was found between nursing needs of environmental care infant care education but no relationship was found on levels of satisfaction. 5) With regards to antenatal education, the mothers who have had no antenatal education revealed higher nursing needs on physical care but those who had antenatal education were more satisfied with education on self care and infant care. The difference was significant. (p=0.0001). 6) With regards to postpartum education, the mothers who have had some sort of postpartum education revealed higher nursing needs on physical and self care. And they were more satisfied with nursing of every category except infant care than mothers who had not any postpartum education. Differences was significant between the nursing needs and levels of satisfaction.(p=0.0001). 7) With regards to breast feeding experience during the hospitalization, those who had no experience of breast feeding revealed higher nursing needs on physical care in contrast to breast feeders, who had higher educational needs on infant care. And breast feeder were more satisfied with all categories. Differences was significant(p=0.0001). 8) With regards to perception of self confidence on self care and infant care, no relationship was found on nursing needs and level of satisfaction in every category of nursing.

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