• Child Health Nursing Research
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• 제20권1호
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• pp.11-19
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• 2014

목적 본 연구는 결혼이민자 산모를 대상으로 가정방문을 통한 간호중재 프로그램을 제공하고 그 효과를 규명하기 위한 것이다. 방법 편의표출 및 눈덩이표출을 통해 서울과 수원 지역의 중국, 베트남, 필리핀 결혼이민자 임부를 파악하여 비동등성 대조군 전후설계로 실험군 20명, 대조군 19명을 대상으로 하였다. 출산 후 퇴원하면 일주일 이내 가정방문하여 사전조사를 실시 후 실험군에 대한 중재를 제공하였으며, 산후 6주와 3개월에 다시 두 군 모두 가정방문을 통해 자료를 수집하고 실험군에는 중재를 제공하였다. 결과 실험군과 대조군의 영아돌보기 자신감에 대한 그룹과 시간 간의 상호작용 효과가 유의하여 실험군은 대조군보다 퇴원 후 5일 이내의 사전조사에 비해 산후 6주와 3개월 영아돌보기 자신감이 유의하게 더 증가하였다. 또한 실험군은 대조군보다 산후 3개월 영아 발달에 필요한 양육환경을 더 긍정적으로 조성하였으며 생후 6주와 3개월의 영아기질을 더 긍정적으로 인식하였다. 그러나 산후우울과 남편의 지지는 두 군 간에 유의한 차이를 보이지 않았다. 결론 본 연구를 통해 결혼이민자 산모에 대한 가정방문 간호중재 프로그램이 영아돌보기와 양육환경 조성에 긍정적인 효과가 있는 것으로 확인되었다. 현재 진행하고 있는 맞춤형 방문건강관리사업에서 결혼이민자 산모에 대한 중재 프로그램을 활성화할 것을 제언한다.

• Clinical and Experimental Reproductive Medicine
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• 제3권1호
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• pp.27-32
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• 1976

In recent years, explosive increase in population has been damaging mankind in terms of deprivation of natural resources and more of economical demands. Therefore, we have thought about problems as to counter-balance the increasing population, and reached a resolution of artificial methods of controlling birth. In the past, though now used in some of contraceptive methods, extravaginal ejaculation, condom were commonly used. But recently, pills, IUD and several kinds of operative procedures are quite popular. Though the recent methods are known to be effective compared with the traditional methods, a certain unwanted side effects as well as limited value of usages now must be discussed. On this aspect, we are trying to research for a ideal methods such as symptom free, more of natural way of family planning and try to zero the failure rate. And also it has been suggested that only if those scientific methods of controlling birth can be base on religious concepts of moral being, it will be enlightened. At the Happy Family Planning Clinic of St. Mary's Hospital, we apply Billing's ovulation method to out-patients who want contraception and usually advise them to use it on a self-care basis. For a retrospective study of the presurvey data analysis and use-effectiveness of the ovulation method from April 1, 1975 to Nov., 30, 1975, we have dealt with a total of 1,383 women (urban areas 465, rural areas 918). The results of preliminary survey were as follows; 1) Among 465 women in Seoul areas, the failure rate was 10.3, which signified unplanned pregnancies of 32 women. 27 of the 32 women were pregnant due to the users own failure and the remaing 5 due to the failure of the method. Therefore, the failure of the method accounted for 1.6. 2) Among 918 women in rural areas, the failure rate was 15.2 signifing unplanned pregnancies in 93 women. The cause of the failure in 81 of the 93 women was attributable to the user's own mistake and that in the remaing 12 to the default of the method. Therefore, the failure attributable to the method accounted for 2.0.

• Clinical and Experimental Reproductive Medicine
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• 제30권4호
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• pp.261-269
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• 2003

목 적:본 연구에서는 생쥐 난소 주기에 따른Dazla 유전자의 발현 조절 양상을 관찰하고자 하였다. 연구재료 및 방법: 생후 27일된 암컷 미성숙 생쥐 (total 33EA; each 3 EA)로 부터 Pregnant Mare Serum Globulin (PMSG) 투여전, PMSG 투여 3시간, 6시간, 12시간, 24시간, 48시간 후 난소 조직과 hCG 투여 3시간, 6시간, 12시간, 24시간, 48시간 후 난소 조직을 획득하였다. 암컷 성숙 생쥐 난소와 (n=3) 수컷 성숙 생쥐 (n=3)로부터 고환 조직을 획득하여 대조군으로 사용하였다. 각각의 획득된 조직에서 Dazla mRNA 의 발현 여부를 RT-PCR과 in situ hybridization (ISH) 방법으로 확인하였다. 호르몬 투여 시기에 따른 Dazla 유전자의 발현 강도를 ISH 방법으로 비교하여 정상 난소주기에서 PMSG와 PMSG+hCG 에 의한 Dazla 유전자의 발현 조절 양상을 관찰하였다. 결 과: 미성숙 생쥐, 성숙 생쥐 난소 내 난자 모두에서Dazla 유전자의 발현이 관찰되었다. 성숙 생쥐 고환 내 정자에서도 Dazla 유전자의 발현이 관찰되었다. 미성숙 및 성숙 생쥐의 난포에서는 난포의 성장에 따라 Dazla 유전자의 발현 강도가 강하게 관찰되었다. 미성숙 생쥐에 투여된 PMSG와 PMSG+hCG에 의한 유전자의 발현 강도는 난포의 크기가 같을 경우 호르몬 투여전과 비교하여 차이가 없었다. 결 론: Dazla 유전자는 난소내 난자에서 특이하게 발현되며, 난포의 크기에 따라 난자에서의 dazla유전자 발현의 강도도 증가한다. 그러나 PMSG와 PMSG+hCG에 의하여 유전자 발현이 조절되지 않은 것으로 보아 난소의 배란주기에 따른 유전자의 발현 양상에 변화가 없는 것으로 생각된다.

• Clinical and Experimental Reproductive Medicine
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• 제24권3호
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• pp.377-383
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• 1997

The effects of embryo number and incubation volume on the development of mouse embryos were evaluated. The growth rate of two-cell mouse embryos to attached blastocyst stage and the growth rate of blastocysts to early somite stage were assessed after culture in different incubation volumes and embryo densities. Embryos were collected from ICR female mice superovulated with pregnant mare serum gonadotropin and human chorionic gonadotropin and mated by ICR males. In experiment 1, groups of one, five, ten, twenty 2-cell embryos were cultured in 10-, 50-, 500-, 1000-${\mu}l$ drops of BWW media under mineral oil at $37^{\circ}C$ in a humidified atmosphere of 5% $CO_{2}$ and 95% air. As the incubation volume decreased, significantly (p<0.05) higher rates of embryos reached morular and blastocyst stage on day 3 and 4 culture, respectively. In experiment 2, groups of one, five, ten, twenty blastocysts were cultured in 1- and 2-ml volumes of CMRL 1066 media under same condition as in experiment 1. However the reverse was the result. Decreasing the number of embryos incubated per volume from 1 to 20 significantly (p<0.05) increased the number of blastocysts reaching the late egg cylinder (LEC) and early somite (ES) stage on day 6 and 8 culture, respectively, regardless of incubation volume. Blastocysts cultured in 2ml had higher (p<0.05) development rates to LEC and ES stage on day 6 and 8 culture, respectively, than embryos cultured in 1ml. Our results suggest that the effects of embryo number and incubation volume on the development of mouse embryos are stage specific and the shifting point was between hatching and EEC stage.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.23-43
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• 2002

Purpose: The purpose of this study is to examine and analyse factors related to the actual status and practice of breast-feeding during an infant period to grasp elements detrimental to breast-feeding and, therefore, provide basic information useful for its effective practice and encouragement. Method: From April 1 to June 30, 2001, this study was carried out with the mothers of 337 who were 6 months old, as of the surveyed date, of infants born in 2002 and registered in Seongju-gun Public Health Center, Gyeongsangbug-do Province. The method for its survey included both of the visiting and telephone interviews, and questions were mainly about the mothers' general characteristics(3 questions), infants' general characteristics(3 questions), environmental characteristics of infant delivery( 4 questions), support to breast-feeding(4 questions), understanding of breast-feeding(5 questions), and feeding type during the 1 to 6-month period after birth. Result: 1. The feeding type during the I-month period after birth showed that the breast-feeding accounted for 42.4%, which was higher than dry milk-feeding(30%) or mixed milk-feeding(26.8%). However, it began to be lower than the dry milk-feeding from the 2-month period after birth. During the 6-month period, the breast-feeding accounted for 28.6% which was lower than 56.5% of the dry milk-feeding. 2. The mothers who were encouraged by their delivery clinic to and were educated to breast-feed infants accounted for 55.4% and 41.4%, respectively, which were relatively low. The understanding of breast-feeding indicated that the responses were positive from the view point of mother ＆ infant health, but negative from mother's physical form. 3. It was shown that the lower the educational background of mother(p〈0.05) and the higher the unemployment of mother(p〈0.001), the higher the positive understanding of breast-feeding, and that the higher the entire support to breast-feeding, the more positive their understanding. 4. It was also shown that the lower the educational background of mother(p〈0.05), the higher the unemployment of mother(p〈0.001), the more the experience in breast-feeding at a delivery clinic(p〈0.01) and the faster the initial feeding(p〈0.001), the higher the rate of breast-feeding. 5. The factor having an effect on breast-feeding included a delivery clinic's encouragement to breast-feed(p〈0.001), understanding of breast-feeding(p〈0.01), father's comment on feeding method(p〈0.05) and mother's employment(p〈0.05). Discussion: In order to encourage the breast-feeding, as shown above, it is required, fist of all, to offer pregnant women an education about importance and excellence of breast-feeding and its appropriate method before delivery in advance to result in a positive comprehension of the breast-feeding. To do that, both the publicity activities and program development designed to encourage the breast-feeding must be performed in advance at the government level. In addition to that, the mother-infant space as ‘rooming-in’ available for breast-feeding immediately after delivery must be prepared on the basis of legal and administrative support. Finally, female employees' leave after childbirth must be performed for the purpose of productive welfare and circumstances also be prepared for breast-feeding, such as a children's home at work.

• 대한의용생체공학회:의공학회지
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• 제25권6호
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• pp.589-598
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• 2004

산모의 흉부와 복부로부터 측정된 다채널 심전도에서 태아 심전도를 추출하는 새로운 알고리듬을 제안한다. 산모의 복부 심전도로부터 태아 심전도를 추출하기 위하여, 시간 영역에서 특이값 분해를 근간으로한 방법이 일반적으로 사용되었다. 그러나 이 방법은 산모와 태아의 심전도 벡터 방향이 서로 직교해야 하는 가정과 많은 연산량을 요구하는 단점이 있다. 제안한 알고리듬은 이산연현변환 영역에서 특이값 분해를 이용하여 이러한 단점을 극복한다. 적은 연산량으로 특이값 분해를 하기 위하여 이산여현변환 계수의 특성과 태아 심전도의 주파수 특성에 기초하여 고주파 수 성분에 해당하는 이산여현변환 계수를 제거하였다. 또한 산모와 태아의 심전도 벡터 방향에 의한 영향을 덜 받으면서 순수한 태아 심전도를 추출하기 위하여, 산모 복부 심전도에서 산모 심전도가 억압된 새로운 세 개의 채널을 만들고 이들을 다채널 심전도에 추가하였다. 모의 신호와 실제 신호를 이용하여 기존의 시간 영역에서 특이값 분해를 근간으로한 방법과 제안한 알고리듬의 성능을 비교하였다. 제안한 알고리듬은 기존 방법보다 적은 연산량으로 순수한 태아 심전도를 얻을 수 있음을 실험적으로 확인되었다.

• 한국수정란이식학회지
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• 제12권3호
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• pp.229-246
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• 1997

Implantation is a most important biological process during pregnancy whereby conceptus establishes its survival as well as maintenance of pregnancy. During the periimplantation period, both uterine endometriurn and conceptus synthesize and secrete a host of growth factors and cytokines which mediate the actions of estrogen and /or progesterone and also exert their steroid-independent actions. Growth factors expressed by the materno-conceptal unit en masse have important roles in cell migration, stimulation or inhibition of cell proliferation, cellular differentiation, maintenance of pregnancy and materno-conceptal communications in an autorcrine /paracrine manner. The present review focuses on the role of the intrauterine IGF system during periimplantation conceptus development. The IGF system comprises of IGF- I and IGF- II ligands, types I and II IGF receptors and six or more IGF-binding proteins(IGFBPs). IGFs and IGFBPs are expressed and secreted by uterine endometrium with tissue, pregnancy stage and species specificities under the influence of estrogen, progesterone and other growth factor(s). Conceptus also synthesizes components of the IGF system beginning from a period between 2-cell and blastocyst stages. Maternal IGFs are utilized by both maternal and conceptal tissues; conceptus-derived growth factors are believed to be taken up primarily by conceptus. IGFs enhance the development of both maternal and conceptal compartments in a wide range of biological processes. They stimulate proliferation and differentiation of endometrial cells and placental precursor cells including decidual transformation from stromal cells, placental formation and the synthesis of some steroid and protein hormones by differentiated endometrial cells or placenta. It is also well-documented in a number of experimental settings that both IGFs stimulate preimplantation embryo development. In slight contrast to these, prenatal mice carrying a null mutation of IGF and /or IGF receptor gene do not exhibit any apparent growth retardation until after implantation. Reason (s) for this discrepancy between the knock-out result and the in vitro ones, however, is not known. IGFBPs, in general, are believed to inhibit IGF action within the materno-conceptal unit, thereby allowing endometrial stromal cell differentiation as well as dampening ex cessive placental invasion into maternal tissue. There is evidence, however, indicating that IGFBP can enhance IGF action depending on environrnental conditions perhaps by directioning IGF ligand to the target cell. There is also a third possibility that certain IGFBPs and their proteolytic fragments may have their own biological activities independent of the IGF. In addition to IGFBPs, IGFBP proteases including those found within the uterine tissue or lumen are thought to enhance IGF bioavailability by degrading their substrates without affecting their bound ligand. In this regard, preliminary results in early pregnant pigs suggest that a partially characterized IGFBP protease activity in uterine luminal fluid enhances intrauterine IGF bioavailability during conceptus morphological development. In summary, a number of in vitro results indicate that IGFs stimulates the development of the rnaterno-conceptal unit during the periimplantation period. IGFBPs appear to inhibit IGF action by sequestering their ligands, whereas IGFBP proteases are thought to enhance intrauterine bioavailability of IGFs. Much is remaining to be clarified, however, regarding the roles of the individual IGF system components. These include in vivo evidence for the role of IGFs in early conceptus development, identification of IGF-regulated genes and their functions, specific roles for individual IGFBPs, identification and characterization of IGFBP proteases. The intrauterine IGF club house thus will be paying a lot of attention to forthcoming results in above and other areas, with its door wide-open!

• 한국수정란이식학회지
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• 제24권4호
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• pp.289-292
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• 2009

Mongolia has 80% livestock of total agriculture industry, 170,000 farms are engaged, 2,500,000 of cows that were beef and dairy cows are raised. Despite of Mongolian has great application with milk, there are not clear differences between cow and dairy cattle, and the production of milk is also low. But the milk suppliers are varied (horse, sheep, goat, etc), so that the total milk production is 500 thousand ton per year. It's really considerable to improve the breed of owing to many problems with big differences among milk qualities. For carrying out for first year project, artificial insemination project was operated with 3rd grade Holstein semen that were imported from S. Korea, and initiation and field training were also carried out through appropriate AI technique we developed for Mongolia environment. Local information research and MOU conclusion were done with professor D. Altangerel in May $10^{th}{\sim}13^{th}$, 2009, and development for AI technique and AI equipments were supplied for Mongolia breeding and natural environment in July $10^{th}{\sim}17^{th}$ in 2009. All cows were treated by synchronization for AI. To do this, $PGF_{2\alpha}$ injection were treated for luteal phase cow, if it wouldn't work, try again after 11 days. After confirmation of estrus, AI and AI training were carried out with sperm injection in the uterus or cervix by rectum-vagina method which is common worldwide, the most effective artificial insemination technique. If cows were return to next estrus cycle, second AI was carried out about approximately 21 days after artificial insemination. After 2 months, all cows not showing return estrus should be taken pregnancy test. Every pregnant cow will be cared thoroughly. Total 48 cows administrated by $PGF_{2\alpha}$ for synchronization and after 48 hours 45 cows (93.8%) showing estrus were detected and then artificial inseminate them within who 8 cows (27.8%) showed return estrus. Therefore, Using $PGF_2{\alpha}$ for synchronization is effective to use for Mongolia breeding conditions. There are possibility of base for food production after all, including increase of livestock production in Mongolia by improvement of breeding cow with AI and embryo transfer project.

• 한국가축번식학회지
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• 제26권2호
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• pp.95-104
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• 2002

본 연구는 사람의 조혈촉진 유전자(hEPO)가 도입된 형질전환 돼지를 생산하기 위해 사계절동안 수행하였다. 약 8∼15개월령의 순종의 랜드레이스 경산돈 및 미경산돈 42두는 유전자 미세주입을 위한 1세포기 단계의 수정란 채란 및 이식을 위해 사용하였으며, 발정동기화 및 과배란 방법은 PG 600 주입 후 9일간 매일 20mg의 altrenogest를 사료에 첨가하여 급여하였다. Altrenogest를 9일간 급여 후 1,500IU의 PMSG와 500IU의 hCG를 주입하므로서 과배란을 유도하였다. 미세주입을 위한 유전자는 mouse whey acidic protein(mWAP) 프로모터에 hEPO 유전자를 연결하여 준비하였으며, 호르몬 처리후 23두의 공란돈으로 부터 650개의 난자를 회수하였으며, 이 중 83.1%(540/650)는 DNA 미세주입을 위해 전핵을 관찰할 수 있는 1-세포기의 수정란이었다. 이중 유전자가 미세주입 된 543개의 난자를 19두의 수란돈에 이식하였으며 7두의 임신돈으로부터 47두의 자돈을 생산하였다. 생산된 자돈 47두로부터 꼬리조직으로부터 분리된 DNA의 PCR 검정 결과 수컷 1두가 형질전환 양성반응을 나타내어 2.13%의 형질전환율을 나타내었으며, 이러한 연구의 결과는 생체반응기(bioreactor)연구에 있어서 형질전환 돼지생산의 성공적이며 유용한 정보를 제공할 것으로 사료된다.

• 한국가축번식학회지
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• 제26권2호
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• pp.87-94
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• 2002

본 연구는 섬유소분해효소 유전자(CelD)가 도입된 형질전환 돼지를 생산하기 위해 사계절동안 수행하였다. 약 8∼15개월령의 순종의 랜드레이스경산돈 및 미경산돈 126두는 유전자 미세주입을 위한 1세포기 단계의 수정란 채란 및 이식을 위해 사용하였으며, 발정동기화 및 과배란 방법은 PG600 주입 후 9일간 매일 20mg의 altrenogest를 사료에 첨가하여 급여하였다. Altrenogest를 9일간 급여 후 1000IU의 PMSG와 750IU의 hCG를 주입하므로서 과배란을 유도하였다. 미세주입을 위한 유전자는 Rat elasterase promoter에 CelD유전자를 연결하여 준비하였으며, 호르몬 처리후 91두의 공란돈으로부터 1,422개의 난자를 회수하였으며 이중 95.6% (1,359/1,422)는 DNA미세주입을 위해 전핵을 관찰 할 수 있는 1세포기의 수정란이었다. 이중 유전자가 미세주입된 725개의 난자를 35두의 수란돈에 이식하였으며 13두의 임신돈으로부터 65두의 자돈을 생산하였다. 한편 수란돈당 수정란 이식수가 임신율에 미치는 영향을 조사한 결과 약 21∼24개의 수정란을 이식한 구에서 임신율이 50%로 타구의 20.0%(20개 이하)와 33.3%(25개 이상)보다 높았으며, 꼬리조직으로부터 분리된 DNA의 PCR검정결과 65두중 5두가 형질전환 양성 반응을 나타내어 7.69%의 형질전환율을 나타내었다 따라서 본 연구는 생체반응기를 통한 형질전환 돼지생산을 위한 유용한 정보를 제공하게 될 것이다.