• Title/Summary/Keyword: Postnatal

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Lipopolysaccharide 항원에 노출된 발생초기의 림프절내 B 및 T 림프구의 면역학적 변화 (Immunological Change of the Lymph Node and Lymph Follicles, Stimulated LPS in the Popliteal Lymph Node of the Early Postnatal Mice)

  • 안금선
    • 한국산학기술학회논문지
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    • 제12권2호
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    • pp.775-782
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    • 2011
  • 가슴샘 비의존성 항원이며 B 림프구의 분열원로 알려져 있는 lipopolysaccharide(LPS)를 발육초기의 C57BL/6계 생쥐에 투여한 후 림프조직의 성숙과정에 따른 면역반응의 양상을 발생학적인 측면에서 형태학적으로 규명하고자 본 실험을 시행하였다. 1. 생후 0일과 3일에 LPS를 주사한 군에서는 주사 후 시간경과에 따라서 림프소절의 총수가 대조군에 비하여 증가되지 않았다. 2. 생후 5일과 7일에 LPS를 주사한 후 2-4주가 경과되었을 때 림프소절의 총수는 대조군에 비하여 유의성있게 증가하였다. 3. 생후 0일에서부터 1주 사이에 LPS를 주사한 후 1-4주가 경과된 실험군에서는 모든 림프절과 심층피질의 면적이 대조군에 비하여 약 1.5-3배정도 커졌다. 4. 생후 3일, 5일 및 1주에 LPS를 주사한 후 2-4주가 경과된 실험군에서는 면적이 0.1 mm2 이상인 림프소절들이 대조군에 비하여 증가하였다. 5. 생후 5일과 1주에 LPS를 주사한 후 2-4주가 경과된 실험군에서는 면적이 0.01 mm2 미만인 림프소절들이 대조군에 비하여 증가하였다. 이상의 실험결과로 미루어 볼 때 LPS의 자극에 의한 새로운 림프소절의 형성능력은 생후 5일-1주에 이루어지며, 또한 새로 생성되는 림프소절들은 면적이 0.01 mm2 미만인 작은 림프소절들일 것으로 예측된다.

산욕초기 산모의 산후우울에 자기효능감, 신체상, 가족지지가 미치는 영향 (Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers)

  • 이지원;어용숙;문은혜
    • 한국산학기술학회논문지
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    • 제16권6호
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    • pp.4011-4020
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    • 2015
  • 본 연구는 산욕초기 산모의 산후우울 정도를 확인하고, 산후우울에 자기효능감, 신체상 및 가족지지가 미치는 영향을 파악하여 산후우울 예방을 위한 프로그램 개발의 기초자료를 제공하고자 시도되었다. 연구대상은 B광역시에 소재한 산부인과 전문병원에 입원하여 출산한 지 1주일 이내의 산욕초기 산모를 근접모집단으로 하였으며, 최종 대상자는 306명이었다. 2013년 1월부터 4월까지 자기효능감, 신체상, 가족지지 및 산후우울에 대한 자료를 수집하였고, 통계검정은 SPSS 20.0을 이용하여 실수와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson correlation coefficient, stepwise multiple regression을 수행하였다. 연구결과 대상자의 산후우울 점수는 평균 6.09점(30점 만점)이었고, 산후우울은 일반적 특성 및 산과적 특성 중 월평균, 결혼만족도, 임신계획여부, 임신 중 정서상태, 수유형태, 남편의 가사보조에 따라 차이가 있었다. 산후우울은 자기효능감, 신체상, 가족지지와 부적상관관계가 있으며, 산후우울에 영향을 미치는 요인은 신체상, 임신중 정서상태, 가족지지이었고, 이들이 산후우울을 38.4% 설명하였다. 결론적으로 산욕초기 산모의 산후우울을 예방하기 위해서는 긍정적 신체상을 갖도록 도와주고, 가족지지 체계를 강화할 것이 요구된다. 특히 임신 중 정서상태가 불안했던 산모의 산후우울을 면밀히 사정하여 적절한 중재를 제공할 필요가 있다.

신생아 수신증의 원인과 임상 경과에 대한 고찰 (Causes and Clinical Outcomes of Congenital Hydronephrosis)

  • 강현영;장미영;이재호
    • Childhood Kidney Diseases
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    • 제9권1호
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    • pp.69-75
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    • 2005
  • 목 적 :본 연구자는 초음파로 진단된 신생아 수신증의 원인을 규명하고 임상 경과 등을 후향적으로 추적 관찰하여 수신증 환아를 효과적으로 관리하는 방법을 모색하고자 하였다. 방 법 1998겪부터 2003년까지 충남대학교병원 신생아중환자실에 입원하였던 환아 중 신초음파로 진단된 수신증 환아 54명을 분석하였다. 결 과 :신초음파로 진단된 수신증 환아는 전체 신생아중환자실에 입원하였던 환자 2,539명중 54명(2.1%)이었으며, 남녀비는 3.5:1이었다. 54명에서의 77신단위의 수신증은 경증 33신단위(42.8%), 중등도 24신단위(31.1%), 중증 20신단위(26.1%)이었으며, 평균 추적관찰 기간은 9.31개칙(0-30)이었다 수신증의 원인으로는 46신단위 중에서 요관 신우 이행부 협착이 15신단위(32.6%), 다낭성 이형성 신이 3단위(6.5%), 요관 방광 이행부 협착과 거대요관이 각각 2단위(4.3%), 방광요관역류 1단위(2.1%), 중복 신장이 1단위 (2.1%)이었다. 수신증의 자연경과와 수술적 치료에서는 33신단저의 경증 수긴증 중에서 25신단위(75.8%), 24신단위의 중등도 수신증 중에서 14신단위(58.3%). 20신단위의 중증 수신증 중에서 1신단위(5%)께서 자연 경감되었다. 수술적 치료를 받은 중증 수신증 12신단위 중 9신단위가 요관 신우 이행부 협착으로 가장 많았으며 진단에서 수술까지의 평균 기간은 10.3개월이었다. 결 론 :신생아 수신증을 추적 관찰하는 동안 수신증의 정도가 심할 수록 낮은 자연 경감률을 나타내므로, 신생아 수신증에서 요로 폐색이 있거나 중등도 이상의 수신증이 있을 경우에는 일정한 주기로 초음파 검사와 배설성 신주사 추적검사를 시행하여 질병의 경과와 신장기능을 평가함으로써 효과적인 수술 시기를 결정해야 한다.

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Experiences and efficacy of noninvasive prenatal test using maternal plasma in single center: 1,591 cases

  • Hong, So Yeon;Shim, So Hyun;Park, Hee Jin;Shim, Sung Shin;Kim, Ji Youn;Cho, Yeon Kyung;Kim, Soo Hyun;Cha, Dong Hyun
    • Journal of Genetic Medicine
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    • 제17권1호
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    • pp.11-15
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    • 2020
  • Purpose: The objective of this study was to analyze the results of several noninvasive prenatal tests (NIPTs) from a single center and confirm their efficacy and reliability. In addition, we aimed to confirm the changes in the number of invasive tests performed after introducing NIPT. Materials and Methods: NIPT data from a large single center from March 2014 to November 2018 were analyzed. Karyotyping was confirmed based on chorionic villus sampling, amniocentesis, or postnatal cord/peripheral blood sampling. Data on maternal age, gestational age, fetal fraction, and ultrasonographic results were analyzed. As the secondary outcome, the number of amniocentesis cases before and after the introduction of NIPT was compared. Results: Overall, 1,591 single pregnancy cases that underwent NIPT were enrolled. The mean maternal age was 36.05 (22-45) years. The average gestational age and fetal fraction were 12+1 (9+3 to 27+1) weeks and 10.95% (3.6% to 31.3%), respectively. A total of 1,544 cases (97.0%) were reported to have negative NIPT results and 40 (2.5%) had positive NIPT results. The sensitivity and specificity of the overall abnormalities in NIPT were 96.29% and 99.36%, respectively. The positive predictive value (PPV) and negative predictive value were 72.22% and 99.93% respectively. The mean number of amniocentesis cases were 21.7 per month (21.7±3.9), which significantly decreased from 31.5 per month (31.5±4.8) before conducting NIPT as a screening test. Conclusion: NIPT is currently a useful, powerful, and safe screening test. In particular, trisomy 21 is highly specific due to its high PPV. NIPT can reduce the potential risks of procedure-related miscarriages during invasive testing.

고위험산모와 일반산모의 산후 6주간 증상에 대한 전향적 관찰 연구 - 일개 한방병원 산후조리원을 이용한 산모를 중심으로 (A Prospective Observational Study on Symptoms of the High Risk Group and Normal Group Used Postpartum Care Center during Six Weeks after Childbirth in Korean Medicine Hospital)

  • 정종관;정서윤;김안나;장현철;김평화;이은희
    • 대한한방부인과학회지
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    • 제32권4호
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    • pp.116-131
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    • 2019
  • Objectives: The aim of this study was to observe the changes of women's postpartum symptoms, the quality of life and depression scale over the first six weeks after childbirth. Methods: Twenty seven mothers who received Korean medical treatment in the outpatient department treatment (from September 27th, 2017 to January 5th, 2018) were evaluated for Verbal numerical rating scale (VNRS), edema index, EuroQol Visual Analogue Scale (EQ-VAS), and Edinburgh Postnatal Depression Scale (EPDS). Results: There were 17 high risk participants (63.0%) and 10 normal participants (37.0%). The VNRS of edema is the highest in the first week, and the VNRS of joint pain is the highest from the second week to the sixth week in all patients. The Extra Cellular Water/Total Body Water (ECW/TBW) of high risk group significantly decreased from $0.403{\pm}0.011$ to $0.387{\pm}0.006$(p<0.05) in the first 2 weeks. The ECW/TBW of normal group significantly decreased from $0.393{\pm}0.070$ to $0.383{\pm}0.011$ (p<0.05) in the first 2 weeks. The EQ-VAS of high risk group increased from $64.12{\pm}13.941$ to $69.35{\pm}18.155$ (p<0.05) in the first 2 weeks. But this difference was not significant statistically (p=0.234). The EQ-VAS of normal group significantly increased from $62.50{\pm}21.763$ to $74.00{\pm}9.661$ (p<0.05) in the first 2 weeks. The difference of EPDS was not statistically significant between the first week and the sixth week in every participants. Conclusions: VNRS was the highest in edema in the first week, joint pain was the highest from the second week to six week. The edema index of high risk groups was higher than that of the normal group in the first week (p<0.05). The EQ-VAS of normal group significantly increased (p<0.05) in the first 2 weeks but high risk group didn't. In the EPDS, the ratio of nine or more points of high risk group was more than twice than normal group in the first 2 weeks.

쥐의 초기 난포 발달에 관여하는 Cell Size Growth 및 CCN Family 유전자에 관한 연구 (Characterization of Genes Related to the Cell Size Growth and CCN Family According to the Early Folliculogenesis in the Mouse)

  • 김경화;박창은;윤세진;이경아
    • Clinical and Experimental Reproductive Medicine
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    • 제32권3호
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    • pp.269-277
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    • 2005
  • Objectives: Previously, we sought to compile a list of genes expressed during early folliculogenesis by using cDNA microarray to investigate follicular gene expression and changes during primordialprimary follicle transition and development of secondary follicles (Yoon et al., 2005). Among those genes, a group of genes related to the cell size growth was characterized during the ovarian development in the present study. Methods: We determined ovarian expression pattern of six genes related to the cell size growth (cyr61, emp1, fhl1, socs2, wig1 and wisp1) and extended into CCN family (${\underline{c}}onnective$ tissue growth factor/${\underline{c}}ysteine$-rich 61/${\underline{n}}ephroblastoma$-overexpressed), ctgf, nov, wisp2, wisp3, including cyr61 and wisp1 genes. Expression of mRNA and protein according to the ovarian developmental stage was evaluated by in situ hybridization, and/or semiquantitative reverse transcriptase polymerase chain reaction (RT-PCR), and immunohistochemistry, respectively. Results: Among 6 genes related to the cell size growth, cyr61 and wisp1 mRNA was detected only in oocytes in the postnatal day5 mouse ovaries. cyr61 mRNA expression was limited to the nucleolus of oocytes, while wisp1 was expressed in the cytoplasm and nucleolus of oocytes, except nucleus. cyr61 mRNA expression, however, was found in granulosa cells from secondary follicles. The rest 4 genes in the cell size growth group were detected in oocytes, granulosa and theca cells. Cyr61 and Wisp1 proteins were expressed in the oocyte cytoplasm from primordial follicle stage. Especially, Cyr61 protein was detected in pre-granulosa cells, Wisp1 protein was not. By using RT-PCR, we evaluated and decided that Cyr61 protein is produced by their own mRNA in pre-granulosa cells that was not detected by in situ hybridization. cyr61 and wisp1 genes are happen to be the CCN family members. The other members of CCN family were also studied, but their expression was detected in oocytes, granulose and theca cells. Conclusions: We firstly characterized the ovarian expression of genes related to the cell size growth and CCN family according to the early folliculogenesis. Cyr61 protein expression in the pre-granulosa cells is profound in meaning. Further functional analysis for cyr61 in early folliculogenesis is under investigation.

우울증의 후성유전기전: BDNF 유전자의 히스톤 변형 및 DNA 메틸화의 역할 (Epigenetic Mechanisms of Depression: Role of Histone Modification and DNA Methylation in BDNF Gene)

  • 박성우
    • 생명과학회지
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    • 제28권12호
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    • pp.1536-1544
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    • 2018
  • 우울증은 심각하며 재발하는 흔한 정신질환이다. 우울증은 환경 요인과 유전 요인, 그리고 신경생물학적 체계의 구조 및 기능의 변화로 발병한다. 후성유전학적 변화가 우울증과 관련 된다는 여러 연구들이 보고되었다. 후성 유전은 환경 요인이 크로마틴 구조를 변화시켜 DNA 염기 서열 변화 없이 유전자 발현을 조절하는 기전으로 설명된다. DNA 메틸화와 히스톤 아세틸화 및 메틸화를 포함하고 있는 히스톤 변형이 주요 후성유전기전으로 알려져 있다. 우울증 동물모델연구에서는 생애 초기 스트레스 같은 스트레스 환경이 게놈에 지속적으로 후성유전표지를 남기게 되고 이로 인해 유전자 발현이 변화되고 결국 성체가 되었을 때 신경 기능이나 행동 기능에 영향을 미치게 된다고 설명하고 있다. BDNF는 우울증과 관련된 대표적인 유전자로 알려져 있다. 설치류가 출생 전, 후, 그리고 성체 기간에 스트레스에 노출되면 해마에서 BDNF 유전자의 히스톤 변형과 DNA 메틸화 패턴이 변화되고 이로 인해 BDNF 발현이 변화된다. 이러한 과정은 불안과 우울 행동에도 영향을 미치게 된다. 본 종설에서는 BDNF 유전자의 히스톤 변형 및 DNA 메틸화와 같은 우울증 발병에 관여하는 후성유전기전의 최신 지견에 대해 논의하여 우울증 치료의 새로운 타겟 개발에 도움이 되고자 한다.

남성 근로자의 생식보건 역학연구 (Epidemiologic Studies of Reproductive Health in Male Workers)

  • 최병주;이상길;김성규;성정민;예신희
    • 한국산업보건학회지
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    • 제31권3호
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    • pp.202-212
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    • 2021
  • Objectives: The reproductive health of female workers has been extensively investigated in South Korea and other countries worldwide. However, few studies have discussed the reproductive health of male workers. In this study, we reviewed the recent literature that reports on the effects of occupational exposure on the reproductive health of male workers and the health of their children. Methods: In May 2020 we used the PubMed search engine to search the literature over the last 10 years and chose case-control, cohort, and cross-sectional studies and reviews. We selected epidemiological studies that investigated the association between pre-pregnant occupational exposure and the reproductive health of male workers and the health of their children. We excluded case reports, non-epidemiological studies (animal experiments, cellular-level experiments, and similar articles), and studies that described postnatal occupational exposure. Results: We eventually selected 23 studies. The studies that included exclusively male workers reported that those employed in the agricultural sector or those exposed to pesticides showed lower blood levels of reproductive hormones and a high risk of lympho-hematopoietic system cancer in their children. Male workers exposed to complex organic solvents and organic compounds showed a high risk of poor semen quality, increased time to pregnancy, decreased blood levels of reproductive hormones, and a high risk of lympho-hematopoietic system cancer in their children. Male workers employed in occupations that involved significant social contact, or in the leather and livestock industries, and in occupations with high levels of exposure to lead and organic solvents showed a high risk of malignancies, including lympho-hematopoietic system cancer, neuroblastoma, and central nervous system tumors in their children. Studies that investigated both male and female workers reported that children of male smelters showed a high risk of premature birth, and children of male workers exposed to metals showed a high risk of hypospadias and cryptorchidism. Children of male welders and workers employed in the glass, ceramic, and tile industries showed a high risk of premature birth. Conclusion: The findings of this study will serve as basic data for further research on male workers' reproductive health and provide a scientific basis for the development of strategies to protect the reproductive health of males employed in high-risk occupations. Moreover, the results of this study may provide guidelines to improve the understanding of and knowledge on male workers' reproductive health.

김제 지역 한우 송아지의 크립토스포리듐, 지알디아 발생 현황 (Prevalence of cryptosporidiosis and giardiasis in Korean native calves in Gimje area)

  • 이한경;소경민;오상익;노재희;김미숙;강명금;정숙한;정영훈;조아라;이한규;류재규;허태영;최창용
    • 한국동물위생학회지
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    • 제44권2호
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    • pp.85-91
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    • 2021
  • This study was performed to identify the prevalence of cryptosporidiosis and giardiasis in diarrhea feces of Korean native calves raised in Gimje, Jeollabuk-do, with a rapid diagnostic kit. The prevalence of both diseases were classified according to the age of calf, season of sampling period, and sampled farm where diarrheic calf is commonly observed. In diarrhea feces of 431 calves, cryptosporidiosis had a high incidence rate between 1 and 3 weeks of age, whereas giardiasis showed a high incidence between 4 and 6 weeks of age. It is thought that the incidence of protozoan diseases is markedly influenced by the calf's postnatal age. Regarding with the sampling season, the prevalence of cryptosporidiosis and giardiasis in calves was significantly higher in spring and summer than in autumn and winter (P<0.05). Among the sampled farms where both diseases are commonly observed, cryptosporidiosis was more frequently detected than giardiasis in calves. Particularly, in farms where cryptosporidiosis is common, it tends to be a disease that is difficult to eradicate as it occurs continuously throughout the year. Hygiene management such as regular cleaning and disinfection of the livestock and the surrounding environments is considered necessary to reduce and prevent damage from these protozoal diseases.

Lectin histochemistry of the olfactory mucosa of Korean native cattle, Bos taurus coreanae

  • Sungwoong, Jang;Bohye, Kim;Jeongmin, Lee;Sohi, Kang;Joong-Sun, Kim;Jong-Choon, Kim;Sung-Ho, Kim;Taekyun, Shin;Changjong, Moon
    • Journal of Veterinary Science
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    • 제23권6호
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    • pp.88.01-88.14
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    • 2022
  • Background: The olfactory mucosa (OM) is crucial for odorant perception in the main olfactory system. The terminal carbohydrates of glycoconjugates influence chemoreception in the olfactory epithelium (OE). Objectives: The histological characteristics and glycoconjugate composition of the OM of Korean native cattle (Hanwoo, Bos taurus coreae) were examined to characterize their morphology and possible functions during postnatal development. Methods: The OM of neonate and adult Korean native cattle was evaluated using histological, immunohistochemical, and lectin histochemical methods. Results: Histologically, the OM in both neonates and adults consists of the olfactory epithelium and the lamina propria. Additionally, using periodic acid Schiff and Alcian blue (pH 2.5), the mucus specificity of the Bowman's gland duct and acini in the lamina propria was determined. Immunohistochemistry demonstrated that mature and immature olfactory sensory neurons of OEs express the olfactory marker protein and growth associated protein-43, respectively. Lectin histochemistry indicated that numerous glycoconjugates, including as N-acetylglucosamine, mannose, galactose, N-acetylgalactosamine, complex type N-glycan, and fucose groups, were expressed at varied levels in the different cell types in the OMs of neonates and adults at varying levels. According to our observations, the cattle possessed a well-developed olfactory system, and the expression patterns of glycoconjugates in neonatal and adult OMs varied considerably. Conclusions: This is the first study to describe the morphological assessment of the OM of Korean native cattle with a focus on lectin histochemistry. The findings suggest that glycoconjugates may play a role in olfactory chemoreception, and that their labeling properties may be closely related to OM development and maturity.