• 여성건강간호학회지
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• 제17권1호
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• pp.21-30
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• 2011

Purpose: This study was done to investigate the types of breastfeeding visits by mothers twenty-four months after birth and to identify the factors that increased breast feeding rates. Methods: The subjects of this study totaled seven hundred and seventy-four mothers with infants aged 2 years or less who had visited national medical institutions including Sanhujori service facilities, breastfeeding care service facilities, and community health centers. Data was collected from June 22 to July 31, 2009. Data was analyzed using descriptive statistics, $x^2$ test, ANOVA with a post hoc Scheffe test, and multiple logistic regression. Results: Major findings of this study were significant differences of planned length of breastfeeding and breastfeeding self-efficacy in relation to the differing types of breast feeding community visits by mothers. In multivariate logistic regression, baby's age, exclusive breastfeeding at hospital, utilization of breastfeeding care service facility, planned length of breastfeeding, and breastfeeding self-efficacy were independent predictors of the feeding type. Conclusion: In order to increase breastfeeding rates, programs provided by public health care services and medical facilities should start education on breast feeding in the hospital before mothers are discharged and then continue through the use of Sanhujori service facilities and workplace at 3 month and 6 month postpartum.

• Animal Bioscience
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• 제35권11호
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• pp.1649-1655
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• 2022

Objective: The primary objective of this study was to determine the genetic parameters for reproductive traits among Large White pigs, including the following traits: total number born (TNB), number born alive (NBA), litter birth weight (LBW), average birth weight (ABW), gestation length (GL), age at first service (AFS) and age at first farrowing (AFF). Methods: The dataset consisted of 19,036 reproductive records from 4,986 sows, and a multi-trait animal model was used to estimate genetic variance components of seven reproductive traits. Results: The heritability estimates for these reproductive traits ranged from 0.09 to 0.26, with the highest heritability for GL and AFF, and the lowest heritability for NBA. The repeatabilities for TNB, NBA, LWB, ABW, and GL were ranged from 0.16 to 0.34. Genetic and phenotypic correlations ranged from -0.41 to 0.99, and -0.34 to 0.98, respectively. In particular, the correlations between TNB, NBA and LBW, between AFS and AFF, exhibited a strong positive correlation. Furthermore, for TNB, NBA, LBW, ABW, and GL, genetic correlations of the same trait between different parities were moderately to strongly correlated (0.32 to 0.97), and the correlations of adjacent parities were higher than those of nonadjacent parities. Conclusion: All the results in the present study can be used as a basis for the genetic assessment of the target population. In the formulation of dam line selection index, AFS or AFF can be considered to combine with TNB in a multiple trait swine breeding value estimation system. Moreover, breeders are encouraged to increase the proportion of sows at parity 3-5 and reinforce the management of sows at parity 1 and parity ≥8.

• 스마트미디어저널
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• 제12권3호
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• pp.38-48
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• 2023

온/오프라인상으로 개인이 적격성 증명을 해야 하는 경우, 자격 충족 여부를 알 수 있으면 충분함에도, 기존 어떤 방식도 개인정보 제공 과정에서 어쩔 수 없이 소유자 신원을 드러내거나 불필요한 추가 정보를 노출하게 된다. 본 논문에서는, 개인정보의 성별, 생년, 출생지 등 불변인 항목 중, 소유자가 적격성 검증자에게 꼭 필요한 항목(들)만을 각각 다수 선택지 중 하나의 값을 지정하여 제공하는 방식을 제안한다. 이 방식에서, 적격성 검증자는 정보 소유자의 동의로 블록체인에 저장된 개인정보 항목들 조합에 접근할 수 있으며, 접근 내역을 다시 블록체인에 기록 요청하여 안전하게 저장할 수 있다. 제안 방식을 통해 사용자는 자신의 신원이 드러나거나 개인정보가 과다하게 노출될 것을 우려하지 않으며, 적격성 검증자는 필요한 정보만을 확인하되 그 기록을 별도 저장하지 않고도 추후 기록을 조회할 수 있게 된다.

• Neonatal Medicine
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• 제15권1호
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• pp.89-93
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• 2008

염색체 12번 단완의 중복(첨가)는 매우 드문 질환이며 선천성 기형과 발육 장애를 동반하는 것으로 생각된다. 저자들이 경험한 증례는 다발성 이형성 특색과 선천성 기형을 가지고 태어난 남아로 핵형은 46,XY,add(12) (p13.3)이었다. 출생 시 자궁내 성장부진과 소두증, 소하악증, 구개열, 낮은 변형 귀와 같은 비정상 두개 안면소견을 보였으며, 소음경증, 양발의 rocker bottom 변형 소견을 보였다. 추후 확인한 검사에서 심장 및 신장기형, 신경성 난청 등의 다발성 기형을 보였으며 이후 경련성 질환과 발달 지연 소견으로 외래에서 추적 관찰중이다. 염색체 12번의 첨가에 관련된 증례를 경험하였기에 저자들은 문헌고찰과 함께 보고하는 바이다.

• Animal Bioscience
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• 제36권12호
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• pp.1785-1795
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• 2023

Objective: This study was to estimate heritabilities, additive genetic correlations, and phenotypic correlations between number of piglets born alive (NBA), litter birth weight (LTBW), number of piglets weaned (NPW) and litter weaning weight (LTWW) in different parities of Landrace (L), Yorkshire (Y), Landrace×Yorkshire (LY), and Yorkshire×Landrace (YL) sows in a commercial swine operation in Northern Thailand. Methods: Two models were utilized, a single trait repeatability model (RM) and a multiple trait animal model (MTM). The RM assumed reproductive records from different parities to be repeated values of the same trait, whereas the MTM assumed these records to be different traits. The two models accounted for the fixed effects of farrowing year-season, genetic group of the sow, heterosis, and age at first farrowing, and the random effects of sow, boar, and residual. Results: Heritability estimates from RM were 0.02±0.01 for NBA, 0.10±0.01 for LTBW, 0.04±0.01 for NPW, and 0.11±0.01 for LTWW. Heritability estimates from MTM fluctuated across parities, ranging from 0.04±0.01 in parity 2 to 0.09±0.02 in parity 4 for NBA, 0.07±0.02 in parity 2 to 0.16±0.02 in parity 3 for LTBW, 0.04±0.02 in parity 4 to 0.08±0.01 in parity 1 for NPW, and 0.16±0.02 in parity 1 to 0.20±0.02 in parity 2 for LTWW. Additive genetic correlation estimates from MTM were also variable, ranging from 0.29±0.24 between NBA in parity 1 and NBA in parity 2 to 0.99±0.05 between LTWW in parity 3 and LTWW in parity 4. Conclusion: The findings of this study highlight the advantage of using MTM for the genetic improvement of reproductive traits in swine and contribute to the development of sustainable swine breeding programs in Thailand.

• 대한유전성대사질환학회지
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• 제16권2호
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• pp.70-78
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• 2016

선천성 부신 과형성증 중 가장 흔한 21-hydroxy-lase deficiency (21-OHD)는 신생아 선별검사에서 17-hydroxyprogesterone (17-OHP)의 증가로 조기 진단이 가능하다. 17-OHP가 애매하게 증가되는 경우에는 ACTH 자극 검사가 필요하며, 이 검사는 nonclassical (NC형) 21-OHD 진단의 gold standard이다. 전형적인 임상 증상이 없는 경우, 예를 들어 남성화가 심하지 않은 여아, 경한 simple virilizing (SV)형 남아나 신생아 선별 검사에서 발견되지 않을 수 있는 NC형 환자의 경우, 분자유전학적 검사가 진단에 도움을 줄 수 있으며, 이는 예후 에측 및 유전 상담에도 도움이 된다. 미숙아와 저체중 출생아의 경우는 17-OHP가 위양성을 보이기 쉬우므로 출생 주수나 출생 체중에 따른 cutoff 값 설정이 필요하다. 높은 위양성률을 극복하기 위해 기존 RIA방법에 비해 최근 LC-MS/MS가 민감도와 특이도를 높이는 검사로 주목 받고 있다. 21-OHD 신생아 선별 검사의 효율성을 높이기 위해서는 SW형 남아를 조기에 발견하고, 여아에서 성별 결정을 조기에 올바르게 하고, NC형 환자를 찾아내고, 미숙아/저체중 출생아/아픈 신생아에서 위양성률을 낮추어서 불필요한 재검 및 경제적/심리적 부담을 최소화 하기 위한 노력이 필요하다. 무엇보다 21-OHD가 임상적으로 확실하게 의심되는 경우에는 확진 검사에 앞서 적절한 치료가 조기에 시작되어야 한다. 저자들은 본 종설에서 21-OHD의 신생아 선별 검사 후 진단 알고리즘에 대해 최신 문헌들에 근거하여 가이드라인을 제시하는 바이다.

• 대한환경공학회지
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• 제30권2호
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• pp.207-212
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• 2008

본 연구에서는 seed 물질을 첨가함으로써 struvite 결정핵의 생성 및 성장단계를 단축시키고자 하였다. 본 연구에서는 seed 물질의 성상(모래, 안트라사이트, struvite)별, 입자의 크기(44$\sim$63 $\mu$m, 63$\sim$88 $\mu$m, 88$\sim$114 $\mu$m)별, 교반조건($G{\cdot}t_d$)에 따라 결정핵의 생성속도론에 미치는 영향을 관찰하였다. 모래와 안트라사이트는 seeding 하지 않은 경우에 비하여 암모니아성 질소제거효율이 각각 9%, 11%로 향상되었으며, struvite로 seed한 경우는 암모니아성 질소제거효율은 20% 이상 향상되었다. Seeding에 따른 struvite 결정화 효율은 seed 입자의 비표면적과 밀접한 상관관계가 있다. Seed 물질입자의 비표면적이 클수록 struvite 핵생성 및 성장을 향상시켰다. 또한 struvite 결정화 반응시 동질의 seed 물질(struvite seeds)을 사용하여 2차 핵생성을 유도하면 struivte 결정의 핵생성 및 성장을 위한 $G{\cdot}t_d$값을 단축시킬 수 있는 것으로 나타났다. 본 연구에서 고려한 입자크기에 대해서는 seed 입자크기에 대한 영향은 확인되지 않았다. Struvite 결정핵 생성속도론에서 $G{\cdot}t_d$값은 매우 중요한 인자로써 작용하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권6호
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• pp.460-465
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• 2010

Introduction: A cleft palate is a common birth defect in humans with an incidence of 1/500 to 1/1,000 births. It appears to be caused by multiple genetic and environmental factors during palatogenesis. Many molecules are involved in palate formation but the biological mechanisms underlying the normal palate formation and cleft palate are unclear. Accumulating evidence suggests that transforming growth factor $\beta$/bone morphogenetic proteins (TGF-$\beta$/BMP) family members mediate the epithelial-mesenchymal interactions during palate formation. However, their roles in palatal morphogenesis are not completely understood. Materials and Methods: To understand the roles of TGF-$\beta$/BMP signaling in vivo during palatogenesis, mice with a palatal mesenchyme- specific deletion of Smad4, a key intracellular mediator of TGF-$\beta$/BMP signaling, were generated and analyzed using the Osr2Ires-Cre mice. Results: The mutant mice were alive at the time of birth with open eyelids and complete cleft palate but died within 24 hours after birth. In skeletal preparation, the horizontal processes of the palatine bones in mutants were not formed and resulted in a complete cleft palate. At E13.5, the palatal shelves of the mutants were growing as normally as those of theirwild type littermates. However, the palatal shelves of the mutants were not elevated at E14.5 in contrast to the elevated palatal shelves of the wild type mice. At E15.5, the palatal shelves of the mutants were elevated over the tongue but did not come in contact with each other, resulting in a cleft palate. Conclusion: These results suggest that mesenchymal Smad4 mediated signaling is essential for the growth of palatal processes and suggests that TGF-$\beta$/BMP family members are essential regulators during palate development.

• Asian-Australasian Journal of Animal Sciences
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• 제13권2호
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• pp.149-154
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• 2000

The objectives of this study of Hanwoo (Korean Cattle) were 1) to estimate genetic parameters for direct and maternal genetic effects for birth weight, weaning weight, and six months weight which can be used for genetic evaluations and 2) to compare models with and without grandmatemal effects. Data were obtained from the National Livestock Research Institute in Rural Development Administration (RDA) of Korea and were used to estimate genetic parameters for birth weight (BW, n=10,889), weaning weight at 120-d (WW, n=8,637), and six month weight (W6, n=8,478) in Hanwoo. Total number of animals in pedigrees was 14,949. A single-trait animal model was initially used to obtain starting values for multiple-trait animal models. Estimates of genetic parameters were obtained with MTDFREML using animal models and derivative-free REML (Boldman et al., 1995). Estimates of direct heritability for BW, WW, and W6 analyzed as single-traits were 0.09, 0.03, and 0.02 from Model 3 which included direct and maternal genetic, maternal permanental environmental effects, and effects due to sire ${\times}$ region ${\times}$ year-season interaction, respectively. Ignoring sire ${\times}$ region ${\times}$ year-season interaction effect in the model (Model 2) resulted in larger estimates for direct heritability than for Model 3. Estimates of maternal heritability for BW, WW and W6 were 0.04, 0.05, and 0.07 from Model 3, respectively. The estimates of direct-maternal genetic correlation were positive for BW, WW, and W6 with Model 3 but were negative with Model 2 for WW and W6. Estimates of direct genetic correlations between BW and WW, BW and W6, and WW and W6 were large: 0.52, 0.45, and 0.90, respectively. Genetic correlations were also large and positive for maternal effects for BW with maternal effects for WW and W6 (0.69 and 0.74), and even larger for WW with W6 (0.97). The log likelihood values were the same for models including grandmatemal effects as for models including maternal effects for all traits. These results indicate that grandmatemal effects are not important for these traits for Hanwoo or that the data structure was not adequate for estimating parameters for a grandmatemal model.

• Neonatal Medicine
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• 제17권1호
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• pp.84-93
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• 2010

목 적 : 병원 감염 패혈증에 취약한 극소 저출생 체중아에서 병원 감염 패혈증의 발생빈도, 위험인자 분석을 통해서 병원 감염 패혈증의 감소 방안을 모색하고자 하였다. 방 법: 2002년 1월부터 2009년 6월까지 7년 6개월동안 을지의과대학교 대전을지병원과 노원을지병원 신생아 중환자실에 입원한 출생체중 1,500 g 미만의 극소 저출생 체중아 중 출생후 72시간 이상 입원치료를 받았던 총 341명을 대상으로 의무기록을 후향적으로 분석하여, 병원 감염 패혈증의 발생빈도, 원인균, 위험인자, 결과 등을 조사하였다. 결 과:병원 감염 패혈증의 발생빈도는 16.1% 였고, 평균 발병시기는 21.5$\pm$15.9일이었으며, 원인균으로는 Staphylococcus aureus (21.3%), Klebsiella pneumoniae (14.7%), Coagulase negative staphylococcus (9.8%), Enterococcus spp. (9.8%) 순이었다. 위험인자의 다변량 분석에서 의미 있는 위험요인으로 재태기간(odds ratio [OR], 0.87; 95% CI, 0.83-0.91), 5일 이상 UAC를 삽입하는 경우(OR, 2.2; 95% CI, 1.15-4.46), 5일 이상 UVC를 삽입하는 경우(OR, 2.1;95% CI, 1.11-4.16), 말초동맥관을 삽입하는 경우 (OR, 2.1; 95% CI, 1.14-4.04), 정맥관 지방유제 투여(OR, 4.3; 95% CI, 1.13-14.32)로 나타났다. 결 론 : 극소 저출생 체중아의 병원 감염 패혈증을 줄이기 위해서는 제대관을 통한 카테터 삽입을 비롯한 침습적 시술을 최대한 줄이고, 정맥영양을 통한 영양공급을 최대한 단시간에 마치기 위한 방안을 모색해야 할 것으로 사료된다.