• Clinical and Experimental Pediatrics
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• v.53 no.3
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• pp.294-299
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• 2010

Although the increasing incidence of central precocious puberty (CPP) in Korea has recently raised public concerns about health and growth problems, there are many areas of uncertainty regarding the pathogenesis, diagnosis, and management of CPP. In this paper, we review the definition of precocity, the assessment of CPP, and the hormonal abnormalities that support the diagnosis. In addition, we review the practical guidelines regarding the clinical use of gonadotropin-releasing hormone analogs in children with CPP. Indications for treatment, determination of dosage, monitoring during treatment, and discontinuation of therapy are discussed.

• The Korean Nurse
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• v.3 no.1 s.9
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• pp.52-58
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• 1964

• The Journal of Korean Obstetrics and Gynecology
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• v.29 no.3
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• pp.10-22
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• 2016

Objectives: The aim of the study was to investigate the characteristics of the autonomic innervation of the heart in Precocious Puberty (PP) Girls.Methods: We studied 87 girls visiting Dongshin University Suncheon Oriental Medicine hospital from first Januarty 2013 to 31th December 2015. Among the 87 girls who were selected 14 people under the age of 8. The subjects were categorized in two groups, 2 PP girls and 12 healthy controls. We studied the difference of Heart rate variability (HRV) between two groups by Independent samples T-test using SPSS for windows (version 22.0).Results: The Standard deviation of all normal R-R intervals (SDNN), The spuare root of the sum of the spuare of difference between adjacent normal R-R intervals (RMS-SD) of PP group was non-significantly lower than non-PP group. Total power (TP), Very low frequency power (VLF), High frequency power (HF), Low frequency power (LF) of PP group was non-significantly lower than non-PP group, LF/HF ratio of PP group was significantly higher than non-PP group. Normalized high frequency power (HF norm) of PP group was non-significantly lower than non-PP group. Normalized low frequency power (LF norm) of PP was non-signficantly higher than non-PP group.Conclusion: The results suggest that imbalance of sympathetic and parasympathetic nervous system from girls of precocious puberty can be seen.

• Development and Reproduction
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• v.4 no.1
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• pp.109-114
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• 2000

The present study was undertaken to examine the effects of ethanol on the ovarian steroidogenic acute regulatory protein(StAR) gene expression during prepubertal and onset of puberty. From day 25, each rat began receiving either a control saline or ethanol. Animals were sacrificed on day 27 and 32, and their ovaries and blood were collected. In the present results, ethanol treatment significantly decreased serum luteinizing hormone contents at both time points. Uterine weights of ethanol-treated group were significantly lighter than control group at early time point while there was no noticeable discrepancy at late time point. Vaginal openings, a marker of onset of puberty, also clearly delayed in ethanol-treated group. Using an in situ hybridization histochemistry, we determined the expression of mRNAs encoding StAR. Ovaries from ethanol-treated rats showed a suppresed expression of StAR mRNA. These results demonstrate that ethanol can disturb the prepubertal ovarian function and onset of puberty, at least in part, through the inhibition of ovarian StAR gene expression.

• Korean Journal of Veterinary Research
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• v.32 no.2
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• pp.275-280
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• 1992

To investigate the age at puberty and the seasonal breeding in Korean native goats, progesterone concentrations were measured in blood. Blood samples were collected from 8 goats at 10 day intervals from 2 months of age until the first estrus after birth, and then every 5 days for a further estrous cycle and the seasonal breeding. The mean age and weight at puberty were $195{\pm}57$ days($mean{\pm}S.D.$, range : 107~260 days) and $11.1{\pm}0.9kg$(range : 9.8~12.0kg), respectively. The mean age at first pregnancy after birth was $241{\pm}109$ days(range : 107~273 days). The estrus was observed 47.6% from October to December, and was highest in fall(38.1%) and lowest in spring and summer(14.3%). However, the estrus was observed every season. About 67% of total conception occurred form October to January. The parturition occurred 41.7% in spring, 25.0% in summer and winter, and 8.3% in fall, respectively. These results suggest that Korean native goats do not have a breeding season, but the reproductive activity is influenced by the season.

• Development and Reproduction
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• v.14 no.1
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• pp.35-41
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• 2010

Mammalian reproduction is regulated by a feedback circuit of the key reproductive hormones such as GnRH, gonadotropin and sex steroids on the hypothalamic-pituitary-gonadal axis. In particular, the onset of female puberty is triggered by gain of a pulsatile pattern and increment of GnRH secretion from hypothalamus. Previous studies including our own clearly demonstrated that genistein (GS), a phytoestrogenic isoflavone, altered the timing of puberty onset in female rats. However, the brain-specific actions of GS in female rats has not been explored yet. The present study was performed to examine the changes in the activities of GnRH neurons and their neural circuits by GS in female rats. Concerning the drug delivery route, intracerebroventricular (ICV) injection technique was employed to eliminate the unwanted actions on the extrabrain tissues which can be occurred if the testing drug is systemically administered. Adult female rats (PND 100, 210-230 g BW) were anaesthetized, treated with single dose of GS ($3.4{\mu}g$/animal), and sacrificed at 3 hrs post-injection. 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). ICV infusion of GS significantly raised the transcriptional activities of enhanced at puberty1 (EAP-1, p<0.05), glutamic acid decarboxylase (GAD67, p<0.01) which are known to modulate GnRH secretion in the hypothalamus. However, GS infusion could not change the mRNA level of nitric oxide synthase 2 (NOS-2). GS administration significantly increased the mRNA levels of KiSS-1 (p<0.001), GPR54 (p<0.001), and GnRH (p<0.01) in the hypothalami, but decreased the mRNA levels of LH-$\beta$ (p<0.01) and FSH-$\beta$ (p<0.05) in the pituitaries. Taken together, the present study indicated that the acute exposure to GS could directly activate the hypothalamic GnRH modulating system, suggesting the GS's disrupting effects such as the early onset of puberty in immature female rats might be derived from premature activation of key reproduction related genes in hypothalamus-pituitary neuroendocrine circuit.

• Asian-Australasian Journal of Animal Sciences
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• v.18 no.10
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• pp.1469-1474
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• 2005

The objective of this study was to determine the levels of nutritionally related blood metabolites, age and body weight at puberty in gilts fed on corn cob-based diet in Mukota and Landrace${\times}$Mukota crossbred gilts. Ten gilts of each of Mukota and crossbred genotypes were fed two diets for 14 weeks in a 2${\times}$2 (breed${\times}$diet) factorial treatment arrangement. A corn-cob based diet, designed to contain 2,304 kcal ME/kg, and a standard pig grower diet, were used. The corn cob constituted 20 percent of the total ration. Fortnightly, bodyweights and feed conversion ratios (FCR) were recorded. Blood samples were collected to determine blood glucose, urea and creatinine levels. The average daily bodyweight gain (ADG) in the Mukota was lower (p<0.05) than in the crossbred gilts. Crossbred gilts fed on the corn cob-based diet had lower (p<0.05) urea values from eight weeks from the start of the experiment (p<0.05) compared to Mukota gilts fed the same diet. There were no differences in blood glucose and creatinine concentrations between diets and genotypes. The lack of differences in the nutritionally-related blood metabolites suggest that corn cobs could be incorporated at 20 percent inclusion without compromising blood metabolite concentrations and age at puberty of the Mukota and Landrace${\times}$Mukota gilts.

• Development and Reproduction
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• v.20 no.2
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• pp.91-99
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• 2016

Lipopolysaccharide (LPS), an endotoxin, elicits strong immune responses in mammals. Several lines of evidence demonstrate that LPS challenge profoundly affects female reproductive function. For example, LPS exposure affects steroidogenesis and folliculogenesis, resulting in delayed puberty onset. The present study was conducted to clarify the mechanism underlying the adverse effect of LPS on the delayed puberty in female rats. LPS was daily injected for 5 days ($50{\mu}g/kg$, PND 25-29) to treated animals and the date at VO was evaluated through daily visual examination. At PND 39, animals were sacrificed, and the tissues were immediately removed and weighed. Among the reproductive organs, the weights of the ovaries and oviduct from LPS-treated animals were significantly lower than those of control animals. There were no changes in the weights of uterus and vagina between the LPS-treated and their control animals. immunological challenge by LPS delayed VO. Multiple corpora lutea were found in the control ovaries, indicating ovulations were occurred. However, none of corpus luteum was present in the LPS-treated ovary. The transcription level of steroidogenic acute regulatory protein (StAR), CYP11A1, CYP17A1 and CYP19 were significantly increased by LPS treatment. On the other hand, the levels of $3{\beta}$-HSD, $17{\beta}$-HSD and LH receptor were not changed by LPS challenge. In conclusion, the present study demonstrated that the repeated LPS exposure during the prepubertal period could induce multiple alterations in the steroidogenic machinery in ovary, and in turn, delayed puberty onset. The prepubertal LPS challenge model used in our study is useful to understand the reciprocal regulation of immune (stress) - reproductive function in early life.

• Journal of IKEEE
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• v.22 no.3
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• pp.680-692
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• 2018

Children's health is interesting to parents and society. A system that assists to monitor the development of their children and gives nutritional advices is an interesting of parents. In this study, we present a system that allows to track the heights and weights of a child since he/she was born up to adulthood, to predict his age of puberty, and to provide nutritional advice. Particularly, it predicts the height in near future and the adult stature for detecting the child with abnormal development. We applied Sager's model for predicting the height in near future by using interpolation and regression techniques before puberty. After determining the puberty time, we proposed a model for predicting the height. Then we applied fuzzy logic for evaluating the health status and providing nutritional advice. Our system predicted stature in near future with error bound of $1.7361{\pm}0.0397cm$ in girls and $2.4020{\pm}0.0799cm$ in boys. Our model also gave a reliable adult stature prediction with error bound of $0.3507{\pm}0.2808cm$ in girls and $1.3414{\pm}0.7024cm$ in boys. At the same time, the nutrition was provided appropriately in terms of protein, lipid, glucid. We implemented a program based on this research. Our system promises to improve the health of every child.

• The Journal of Pediatrics of Korean Medicine
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• v.20 no.3
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• pp.161-169
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• 2006

Objectives : Patients who visit oriental medical hospital for growth treatment are increasing. So we aimed to classify the tendency of the patients. Methods : We studied 231 patients who visited Oriental medical hospital for growth treatment from January 2004 to August 2005. We classified sex ratio, height percentile, symptom form of the Oriental medicine, age ratio and developed complication of patients. We used X-ray, endoscope for nasal cavity, blood sample, the Standard Growth Table made by the Korean Association of Pediatrics, 1998. Results : The results which were classified as follows; boys were 50.2 percentile, girls were 49.8 percentile. The classification according to age stage resulted as follows; infant stage 1.3 percentile, preschool age 13.4%, school age 28.6%, rapid growth stage 22.9 percentile, puberty 33.8 percentile. The classification according to height percentile resulted as follows; 3 percentile or under 12.1%, 25 percentile or under 48.9%, 50 percentile or under 25.6%, 75 percentile or under 10.8%, 75 percentile excess 2.6%. The classification according to disease resulted as follows; paranasal sinusitis 12.1 percentile, allergic rhinitis 10 percentile, atopic dermatitis 5.6 percentile, nocturia 3 percentile, convulsion or tic disorder 2.2 percentile, precocious puberty 1.3 percentile, Tuner syndrome 0.9 percentile, developmental disability 0.4 percentile. Conclusions : Sex ratio of children patients who visited Orienatal medical hospital were nearly the same. 13.4% of hospital visit children patients were taller than average. Most of the male children patients were school ages while the female were in puberty. 35.5% of them have developed complication as follows; paranasal sinusitis, allergic rhinitis, atopic dermatitis, nocturia, convulsion or tic disorder, precocious puberty, Tuner syndrome and developmental disability.