• Title/Summary/Keyword: Postnatal

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Evidence for adverse effect of perinatal glucocorticoid use on the developing brain

  • Chang, Young Pyo
    • Clinical and Experimental Pediatrics
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    • v.57 no.3
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    • pp.101-109
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    • 2014
  • The use of glucocorticoids (GCs) in the perinatal period is suspected of being associated with adverse effects on long-term neurodevelopmental outcomes for preterm infants. Repeated administration of antenatal GCs to mothers at risk of preterm birth may adversely affect fetal growth and head circumference. Fetal exposure to excess GCs during critical periods of brain development may profoundly modify the limbic system (primarily the hippocampus), resulting in long-term effects on cognition, behavior, memory, co-ordination of the autonomic nervous system, and regulation of the endocrine system later in adult life. Postnatal GC treatment for chronic lung disease in premature infants, particularly involving the use of dexamethasone, has been shown to induce neurodevelopmental impairment and increases the risk of cerebral palsy. In contrast to studies involving postnatal dexamethasone, long-term follow-up studies for hydrocortisone therapy have not revealed adverse effects on neurodevelopmental outcomes. In experimental studies on animals, GCs has been shown to impair neurogenesis, and induce neuronal apoptosis in the immature brains of newborn animals. A recent study has demonstrated that dexamethasone-induced hypomyelination may result from the apoptotic degeneration of oligodendrocyte progenitors in the immature brain. Thus, based on clinical and experimental studies, there is enough evidence to advice caution regarding the use of GCs in the perinatal period; and moreover, the potential long-term effects of GCs on brain development need to be determined.

Immunoreactivity of PCNA in the Cerebellum of Developing Guinea Pig

  • Kim, Dong-joon;Jun, Yonghyun
    • International Journal of Oral Biology
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    • v.43 no.2
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    • pp.93-100
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    • 2018
  • The investigation of the embryonic development of the cerebellum has a long history. The postnatal normal development of the cerebellum in rodents and other animals became a popular topic for morphological investigations nearly a century ago. However, surprisingly, only a few studies are available regarding the prenatal normal development of the rodent cerebellum, especially in guinea pigs. Cell proliferation is essential for the development of the nervous system. The assessment of cell proliferation can be achieved by using various methods. In this study, we investigated the cell proliferation of the cerebellar cortex in guinea pigs at different stages of pregnancy and in postnatal life. Fetuses were obtained by cesarean section at 50 or 60 days of gestation (dg). Immunohistochemistry was performed with proliferating cell nuclear antigen (PCNA) antibody in the cerebellum. Strong PCNA immunoreactivity was observed in the external granular layer (EGL), which is a neurogenic zone in the cerebellum. The proportion of PCNA-IR cells was greater at 1 week than at 60 dg in lobule I, but not lobule VIII. After 50 dg, the width of the EGL continued to decline until 1 week, due to the maturation of the EGL cells. These results demonstrate the pattern of PCNA immunoreactivity in the developing cerebellum of guinea pigs. This serves as a guideline to study abnormal cerebellum development.

Reproductive Toxicity of SM-101(sulbactam.metampicillin): Peri- and Postnatal Study in Rats (복합항생제 SM-101(설박탐-메탐피실린)의 생식독성연구: 랫트 주산기 및 수유기시험)

  • 정문구;김종춘;노정구
    • Biomolecules & Therapeutics
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    • v.4 no.4
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    • pp.339-348
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    • 1996
  • A new composite antibiotic, SM-101 (sulbactam·metampicillin), was at dose levels of 0, 250, 500 and 1000 mg/kg/day administered intravenously to pregnant and subsequently delivered Sprague-Dawley rats from day 17 of gestation to day 21 of lactation. Effects of test agent on dams and growth, behaviour and mating performance of Fl offspring were examined. In dams, one death occurred at 1000 mg/kg. The increase in kidney weight of the 250, 500 and 1000 mg/kg group was found. In F1 offspring, both delayed incisors eruption and decreased body weight were observed in females of the 1000 mg/kg group. The increase in the weights of liver and kidney was found in males of the 1000 mg/kg group. No treatment-related abnormalities were observed in each treated group in terms of behaviour and reproductive performance. In F1/F2 fetuses, no drug-induced abnormalities occurred at all doses tested. The results show that the no effect dose level (NOEL) of SM-101 is under 250 mg/kg/day for dams and 500 mg/kg/day for F1 offspring, and over 1000 mg/kg/day for F1/F2 fetuses.

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A Clinical Report of a postpartum depression patient who treated by Giungoroen-therapy and IiGyeungByunQi-therapy (지언고론요법 및 이정변기요법으로 호전된 산후 우울증 환자 치험 1례)

  • Seo, Young-Min;Seo, Deok-Won;Ryu, Ho-Sun;Ahn, Hyo-Jin;Park, Se-Jin;Lee, Pil-Jae
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.3
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    • pp.151-161
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    • 2010
  • Objectives : Postpartum depression is a kind of serious problem which influences on the parturients, her family. In this case we tried psychotherapy to postpartum depression patient. Methods : We treated the patient with Oriental psychotherapy. And then we compared postpartum depression before treatment with on after treatment by Korean version of Edinburgh Postnatal Depression Scale(K-EPDS). Results : After treatments, the clinical symptoms were improved and K-EPDS was reduced 16 to 6. Conclusions : Oriental psychotherapy is effective on postpartum depression.

Effects of Angelicae Gigantis Radix on Noise Stress-induced c-Fos Expression in Rats

  • Lee, Jae-Gab;Kim, Youn-Sub
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.2
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    • pp.523-527
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    • 2007
  • Previous studies reported that exposure to noise during pregnancy adversely influenced the development of the fetus and neonate. In Oriental medicine, medications based on Angelicae gigantis radix have been known to be of efficacy in the treatment of various diseases. c-Fos, an immediate early gene whose expression is sometimes used as a marker for stimulus-induced changes in the metabolic activity of neurons. In the present study, the influence of postnatal Angelicae gigantis radix administration on c-Fos expression in the each region of hippocampus of offspring rats with prenatal noise stress during pregnancy was investigated. From the present results, exposure to the prenatal stress during pregnancy enhanced c-Fox expression, whereas exposure to postnatal Angelice gigantis radix suppressed c-Fos expression in the offsprings with prenatal noise stress during pregnancy. Based on the present study, Angelicae gigantis radix may provide new therapeutic opportunities as an agent to counteract the effects of prenatal noise stress- induced hippocampal dysfunction, and may be useful in the treatment of psychiatric problems in children of mothers who have experienced noise stress during pregnancy.

Histological and histochemical study on the growth plate of the axis in developing Miniature Schnauzers (성장중인 소형개 (Miniature Schnauzers)에 있어서 축추골의 골성장판에 대한 조직학적, 조직화학적 연구)

  • Kim, Soo-myung
    • Korean Journal of Veterinary Research
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    • v.33 no.2
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    • pp.189-198
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    • 1993
  • The present study was undertaken to provide basic data on endochondral ossification for the axis in developing Miniature Schnauzers. This study was determined to the morphological features and development of growth plast in the axis of this experimental animals by histological and histochemical methods. The axis from 2 healthy Miniature Schnauzers(postnatal 6hr, 5week) was used. The obtained results were as follows : 1. In 5-week-old Miniature Schnauzer, the axis consisted of 4 separate ossification centers : centrum l, intercentrum 2, centrum 2 and epiphysis. Intercentrum 2 was intercalated between centrum 1 cranially, centrum 2 caudally. 2. The space of centrum 1 was more broader than the other ossification centers. 3. The zone of reserved chondrocytes was more extensive than the zone of proliferative chondrocytes, trabeculation was weakly observed, however, the proximal epiphyseal plate of axis was actively trabeculation observed in the zone of calcified chondrocytes. 4. Eighteen columns of chondrocytes were observed in the centrum 1 and five to seven columns of chondrocytes were observed in the centrum 2 of Miniature Schnauzer(postnatal 5 week) 5. A positive reaction to alcianophility was observed in all the territorial matrix at the zone of hypertrophic chondrocytes in this experimental animals.

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Enteral Feeding for Preterm Infants-Benefits and Risks (미숙아의 장관영양)

  • Sin, Jong-Beom
    • Neonatal Medicine
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    • v.16 no.2
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    • pp.121-130
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    • 2009
  • Over the past 20 years, neonatal mortality rates for preterm infants, particularly those born extremely preterm and with a very low birth weight, have decreased steadily. As more very immature preterm infants survive, provision of enteral feeding has become a major focus of concern. According to many experts on neonatal nutrition, the goal for the nutrition of preterm infants should be to achieve a postnatal growth rate approximating that of a normal fetus of the same gestational age. Total parenteral nutrition for maintaining nutritional integrity is mandatory before successful transition to enteral feeding. Early initiation of trophic enteral feeding is vital for postnatal adaptation. Recently published randomized controlled trials provide no evidence to support the practice of postponing enteral feeding to reduce the incidence of necrotizing enterocolitis. Early trophic feeding yields demonstrable benefits and there is currently no evidence of any adverse effects following early feeding. Preterm milk from the infant's own mother is the milk of choice, which can always be supplemented with a human milk fortifier. Here we review over 50 randomized controlled trials and over seven systematic reviews published on neonatal parenteral and enteral feeding of preterm infants. Neonatologists must make use of the evidence from these studies as a reference for feeding protocols for preterm infants in their NICUs are to be based.

Ultrastructural Study on Morphogenesis of Rat Retina (흰쥐 망막의 형태형성에 관한 미세구조적 연구)

  • Deung, Y.K.;Kim, W.J.
    • Applied Microscopy
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    • v.15 no.1
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    • pp.59-70
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    • 1985
  • Morphogenesis of rat retina was studied by light and electron microscope from day 14 of gestation to 55 days after birth. The results indicate as follows: 1. At the outer border of the neuroblastic layer at the 14th day of gestation, cells she wed active mitotic figures which result in the increases of thickness and differentiations of this layer. 2. At birth, rat retina is still in a premature state. But, it is begining to approach its adult condition in appearance till the 9th postnatal day. Particulary photosensitive cells are fully developed by the 14th postnatal day, so they are functional from now on. 3. It is observed that the pigment epithelium begins differentiation at the fetal period, but is not functional urtil birth 4. The pigment epithelium differentiates earlier than the neuroblastic layer. It is suggested that these two layers are so closely associated that the pigment epithelium takes part in the differentiations of the neuroblastic layer. In conclusion, rat retina is differentiated soon after the optic cup formation before the 14th day of gestation, but even new born rat retina is not functional, and then it has function as photoreceptors coincided with the eye opening.

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A case report of the postpartum depression with Hominis Placenta Herbal acupuncture therapy (산후(産後) 우울증(憂鬱症)을 자하거(紫河車) 약침(藥鍼)을 활용하여 치료(治療)한 1례(例))

  • Lee, Cheol-Woong;Kim, Jin-Woo;Cho, Jin-Hyung;Lee, Soon-Yee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.2
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    • pp.282-294
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    • 2006
  • Purpose : The purpose of this study is to report the effect of oriental treatments to postpartum depression Methods : We treated the patient who had postpartum depression and visited Joong-hwa oriental hospital. The patient in this case, 36-years-old female, was admitted for 15days(161th/May/2005-30th/May/2005) due to postpartum depression which was measured by EPDS(Edinburgh Postnatal Depression Scale) and BDI(Beck's depression Inventory). The symptoms of patient are insomnia, anxiety, palpitation, chest discomfort and depression. This patient was treated with Hominis Placenta Herbal acupuncture at CV4(Kwanwon, Guanyuan), CV6(Kihae, Qihai), B23(Shinsu, shenshu), GVl5(Amun, Yamen), herb medication, acupuncture, auricular acupuncture, moxa treatment, and so forth. Results : As a result, symptoms are remarkably alleviated. Conclusions : Hominis Placenta Herbal acupuncture is expected to have an effect on postpartum depression. After this, further approach and study on postpartum depression might be needed.

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Identification of Genes Differentially Expressed in Wild Type and Purkinje Cell Degeneration Mice

  • Xiao, Rui;Park, Youngsook;Dirisala, Vijaya R.;Zhang, Ya-Ping;Um, Sang June;Lee, Hoon Taek;Park, Chankyu
    • Molecules and Cells
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    • v.20 no.2
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    • pp.219-227
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    • 2005
  • Purkinje cell degeneration (pcd) mice are characterized by death of virtually all cerebellar Purkinje cells by postnatal day 30. In this study, we used DNA microarray analysis to investigate differences in gene expression between the brains of wild type and pcd mice on postnatal day 20, before the appearance of clear-cut phenotypic abnormalities. We identified 300 differentially expressed genes, most of which were involved in metabolic and physiological processes. Among the differentially expressed genes were several calcium binding proteins including calbindin-28k, paravalbumin, matrix gamma-carboxyglutamate protein and synaptotagamins 1 and 13, suggesting the involvement of abnormal $Ca^{2+}$ signaling in the pcd phenotype.