• 한국산학기술학회논문지
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• 제16권4호
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• pp.2505-2510
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• 2015

본 연구는 사춘기 전, 중, 후의 스트레스저항력의 차이를 알아보고자 하는 목적이다. 연구는 2012년 10월부터 12월까지 두달간 진행했다. 대상자로 사춘기 전과 중은 Y시 초등학교와 중학교 학생들을 대상으로 설문지를 통해 사춘기 전 28명, 중 35명 두 집단으로 나누고 사춘기 후 집단은 한국 정신과학 연구소의 전국 대학생 33명 뇌파로 사춘기 전, 중, 후 세 집단의 항 스트레스 차이를 알아보았다. 연구결과는 좌뇌 사춘기 전 평균값 77.11, 중 79.14, 후 84.93, 우뇌의 전 평균값 77.24, 중 79.89, 후 84.43으로 점차 항 스트레스지수가 증가됨을 볼 수 있었다. 이는 사춘기의 심리적 특성이 설문방식뿐만 아니라 과학적인 뇌파에 의해서도 입증될 수 있다는데 의미가 있다.

• 한국발생생물학회지:발생과생식
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• 제10권4호
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• pp.215-225
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• 2006

사춘기 조숙증은 여아에서 8세 이전에 유방 발육이 있거나 남아에서 9세 이전에 고환이 4 mL 이상 커지는 것으로 정의되는데 최근 사춘기 발현 연령이 점차 낮아지고 있다. 사춘기를 시작하는 gonadotrophin releasing hormone(GnRH)의 활성화에는 흥분성 및 억제성 아미노산, 성장인자, 전사조절인자, 아디포카인 등 많은 인자들이 복합적으로 작용한다. 특발성 사춘기 조숙증의 원인으로서 유전인자, 영양상태(특히 체지방 증가), 환경호르몬 노출 등 여러 가지 원인이 추정되고 있다. 사춘기 조숙증은 정서적 스트레스뿐 아니라 성장판의 조기폐쇄로 인한 저신장을 초래할 수 있다. 사춘기 조숙증은 진성 성조숙증과 가성 성조숙증으로 분류할 수 있으며 gonadotrophin이 활성화되는 진성 성조숙증에서는 적절한 시기에 GnRH 길항제를 치료하였을 때 사춘기 지연 및 최종 성인 신장을 호전시키는 것으로 보고되고 있으나 그 효과 및 장기적 부작용에 대해서는 좀더 연구가 필요하리라 사료된다.

• 대한한방소아과학회지
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• 제31권1호
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• pp.63-73
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• 2017

Objectives The purpose of this study is to analyze recent clinical studies on treatment for precocious puberty. Methods 28 clinical studies from January 2009 to December 2016 about precocious puberty from the China Academic Journal (CAJ), China National Knowledge Infrastructure (CNKI), were selected and reviewed: 22 case control studies and 6 case series. Results The main traditional Chinese medicine (TCM) treatment was the herbal decoctions and granules. The frequently used herbs were root of Bupleurum falcatum (柴胡), fruit of Prunella vulgaris var. aleutica (夏枯草), root stem of Anemarrhena asphodeloides (知母), dried fungus nucleus of Poria cocos (茯苓), Rehmannia glutinosa var. purpurea (生地黃), peony Paeonia suffruticosa Andrews (牧丹皮), bark of Phellodendron amurense (黃柏), roots of a plant Paeoniae lactiflora (白芍藥). On the other hand, the main western medicine (WM) for precocious puberty was Gonadotropin-releasing hormone agonist (GnRHa). Total effective rate of the TCM group was 62.96-100%, that of the WM group was 36.6-93.3% and that of the TCM-WM group was 77.8-93.75%. Conclusions Traditional Chinese medicine has been shown as an effective treatment for precocious puberty. These research results can be utilized in other clinical studies and in treatment of precocious puberty.

• 대한한방부인과학회지
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• 제30권3호
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• pp.20-28
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• 2017

Objectives: This review aims to report the efficacy of Oriental herbal medicine for Female Idiopathic Precocious Puberty Methods: We searched clinical study about precocious puberty from Pubmed, OASIS, Korea Traditional Knowledge Portal and National Assembly Library up to July 2017. Results: Four case reports have been identified. Six cases in total were found. And in the four cases where estradiol (E2) levels were above the normal levels in pre-treatment, the figures dropped to the normal levels in post-treatment. In the three cases with breast development and breast pain in pre-treatment, symptoms improved after the treatment. And, the sustained growth of height was reported in the four cases with the treatment duration of 30 days or more. Conclusions: It has been identified that oriental medicine assisted improvements of hormone levels and breast pain and growth of height on patients with precocious puberty, yet more case reports and well-designed studies would be necessary to guide better oriental herbal medicine treatment of precocious puberty.

• 한국동물생명공학회지
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• 제36권1호
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• pp.25-34
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• 2021

Kisspeptin is a key player in the central control of reproductive axis. Central administration of kisspeptin has been shown to advance puberty in rats. Stimulation of hypothalamic GnRH pulse generating mechanism by kisspeptin has been proposed to be the mechanism behind the onset of puberty. We hypothesized that chronic high doses of kisspeptin administration suppresses the reproductive axis and hence delays the pubertal onset. Hence, we investigated the effect of peripheral administration of chronic high doses of kisspeptin on pubertal onset, feed intake and body weight in female rats. Rats were treated with saline or kisspeptin (100 nmoles per day; intraperitoneal) for 26 days (day 25 to day 50 postnatal) and the day of vaginal opening was marked as day of puberty. Kisspeptin treated rats had delayed pubertal onset and reduced feed intake and body weight. Gonadal GPR54 mRNA was reduced suggesting that chronic high doses of kisspeptin may suppress the reproductive functions possibly by downregulation of GPR54 receptor. However, delay in puberty due to reduction in feed intake and body weight could not be ruled out in this study. Further, our study emphasizes the importance of dosage and duration of kisspeptin administration in the manipulation of reproductive axis. Our study, for the first time, suggests that kisspeptin and its analogues, if proven beneficial, could be used to treat precocious puberty in children. It appears that, though a promising tool for enhancing fertility, kisspeptin acts as a double-edged sword and has to be cautiously used to manipulate reproduction.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.653-662
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• 2017

본 연구 목적은 우리나라 성조숙증 여아들의 신체상 부모특성 및 행동특성이 성조숙증에 미치는 관련성을 파악하여 성조숙증 예방 및 관리를 위한 기초 자료를 제공하는 것이다. 연구대상 조사기간은 2016년 6월 1일부터 2017년 2월 25일까지였으며, 연구의 대상자는 서울시 소재 어린이전문 H한의원과 S한의원에 성조숙증으로 내원한 환자군 여아 104명과 대조군 A그룹 104명, 지방 군단위 소재 초등학교 여아의 대조군 B그룹 104명으로, 성별과 연령을 짝지은 총 312명과의 비교를 통해 성조숙증 여아와 정상 발달 여아의 신체상 부모특성 및 행동특성을 파악하고자 집단 간 특성을 t-test, $X^2test$, ANOVA 분석을 통해 비교하고, 성조숙증의 영향요인은 이항로지스틱(Multinomial logistic)회귀분석으로 분석하였다. 연구결과 성조숙증에 미치는 주요 영향요인은 첫째, 신체 및 부모특성에서 본인 신장과 어머니 초경연령이 도출되었다. 둘째, 행동특성의 식습관에서 고기류 섭취횟수와 외식빈도가 도출되었다. 셋째, 행동특성의 일상생활에서 TV시청과 스마트폰 사용시간, 수강학원 수가 도출되었다. 따라서 증가하는 여아의 성조숙증에 대해 부모와 학교 나아가 사회적 관심이 중요하며 성조숙증에 대한 발생원인과 발생빈도를 밝히는 광범위한 연구수행이 필요하다.

• 한국발생생물학회지:발생과생식
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• 제13권3호
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• pp.183-190
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• 2009

In mammals, puberty is a dynamic transition process from infertile immature state to fertile adult state. The neuroendocrine aspect of puberty is started with functional activation of hypothalamus-pituitary-gonadal hormone axis. The timing of puberty can be altered by many factors including hormones and/or hormone-like materials, social cues and metabolic signals. For a long time, attainment of a particular body weight or percentage of body fat has been thought as crucial determinant of puberty onset. However, the precise effect of high-fat (HF) diet on the regulation of hypothalamic GnRH neuron during prepubertal period has not been fully elucidated yet. The present study was undertaken to test the effect of a HF diet on the puberty onset and hypothalamic gene expressions in immature female rats. The HF diet (45% energy from fat, HF group) was applied to female rats from weaning to around puberty onset (postnatal days, PND 22-40). Body weight and vaginal opening (VO) were checked daily during the entire feeding period. In the second experiment, all animals were sacrificed on PND 36 to measure the weights of reproductive tissues. Histological studies were performed to assess the effect of HF diet feeding on the structural alterations in the reproductive tissues. To determine the transcriptional changes of reproductive hormone-related genes in hypothalamus, total RNAs were extracted and applied to the semi-quantitative reverse transcription polymerase chain reaction (RT-PCR). Body weights of HF group animals tend to be higher than those of control animals between PND 22 and PND 31, and significant differences were observed PND 32, PND 34, PND 35 and PND 36 (p<0.05). Advanced VO was shown in the HF group (PND $32.8{\pm}0.37$ p<0.001) compared to the control (PND $38.25{\pm}0.25$). The weight of ovaries (p<0.01) and uteri (p<0.05) from HF group animals significantly increased when compared to those from control animals. Corpora lutea were observed in the ovaries from the HF group animals but not in control ovaries. Similarly, hypertrophy of luminal and glandular uterine epithelia was found only in the HF group animals. In the semi-quantitative RT-PCR studies, the transcriptional activities of KiSS-1 in HF group animals were significantly higher than those from the control animals (p<0.001). Likewise, the mRNA levels of GnRH (p<0.05) were significantly elevated in HF group animals. The present study indicated that the feeding HF diet during the post-weaning period activates the upstream modulators of gonadotropin such as GnRH and KiSS-1 in hypothalamus, resulting early onset of puberty in immature female rats.

• 동의생리병리학회지
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• 제16권5호
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• pp.888-892
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• 2002

Nae-Kyung says the puberty is corresponded to the age of 16～24(male) and 14～21 (female). And that time they are promoted the growth. However, Kidney qi doesn't make average situation during that time. So, the function of five viscera and six entrails fails to be perfect and symptoms appear. I came to the conclusion through the survey of about 200 high school students(male and female) and the theory of oriental medicine the distinctive features (like migraine, amnesia, depression, dysphoria, inappetence, irregular menstruation) came out that time. I defined this distinctive symptoms in boys and girls at puberty ‘synthetic symptoms of puberty’. For the medical cure and prevention I prescribed ‘Sachun-Nyung’ and that has medical benefits for ‘Replenishing qi and relieving the spleen, Soothing the liver and promoting blood circulation’

• Molecules and Cells
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• 제22권1호
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• pp.30-35
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• 2006

Munc18, a mammalian homolog of C. elegans Unc, is essential for neurotransmitter release. The aim of this study was to identify estrogen-dependent expression of Munc18-1 and its role in the regulation of glutamate release for puberty onset. Hypothalamic munc18-1 mRNA levels were significantly increased by estrogen treatment in ovariectomized, immature female rats. During pubertal development, the munc18-1 mRNA levels dramatically increased between the juvenile period and the anestrous phase of puberty. Intracerebroventricular administration of an antisense oligodeoxynucleotide against munc18-1 mRNA significantly decreased glutamate release and delayed the day of puberty onset. These results suggest that Munc18-1, expressed in an estrogen-dependent manner, plays an important role in the onset of female puberty via the regulation of glutamate release.

• The International Journal of Costume Culture
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• 제9권1호
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• pp.39-51
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• 2006

The purpose of this study is to investigate the fit of ready-to-wear garment for girls at the age of puberty and to find out the respective differences by age and locality. For this study, a questionnaire survey was conducted to 547 girls in Seoul and Gyeonggi-do. As a whole. the largest parts of complaints for unfitness were height, waist circumference and, next hip circumference. According to the result of comparing the fit of ready-to-wear garment by items, the fit of clothing for girls at the age of puberty gets relatively worse with the increase of age in all items except one-piece. As for the fit by parts of ready-to-wear garment, significant differences were observed according to age in the length of sleeve, crotch and the length of upper garments. That is, girls at the age of 10${\sim}$11 were found to think that their clothes are long in the three measures.