본 연구는 저출산 현상이 가속화 되고 있는 상황에서 임신･출산･육아 의료 서비스의 현황과 지역적 불균형을 탐색하되 행정구역 내 변이를 고려하여 분석하는 것을 목적으로 한다. 이를 위해 공간분석 단위를 세분화하여 행정구역 내에서도 의료기관의 접근성에 격차가 있는지를 확인하였다. 가임연령 여성 및 0~5세 인구를 수요로 간주하고, 임신･출산･육아를 진료 과목으로 하는 전문의 및 응급병상의 규모와 분포를 수요와의 공간적 배치를 고려한 공간적 접근성을 산출하였다. 분석 결과 수요에 비해 임신･출산 인프라의 지역간 공급이 불균등하게 분포하고 있음을 확인할 수 있었고 접근성이 취약한 지역은 특정 지역으로 수렴되는 것을 확인할 수 있었다.

Physiological changes caused by pregnancy promote the formation of gallstones, increasing the risk of acute cholecystitis, cholangitis, and cholelithiasis that occur during pregnancy. Since these diseases can be fatal to both mother and fetus, active treatment is critical. Biliary gallstones are preferably treated using endoscopic retrograde cholangiopancreatography (ERCP), even during pregnancy. While there is no alternative, safer and easier treatment method, complications from ERCP are lethal; therefore, several risks and benefits must be considered. First, various tests should be conducted and considered to determine whether ERCP is necessary. The risk of congenital disabilities from radiation exposure to the fetus during ERCP should be considered and minimized. Furthermore, clinicians should be aware of and use safe anesthetic agents and antibiotics that are safe to use during pregnancy. Finally, ERCPists should be familiar with various technical methods, such as the recently introduced ERCP technique without radiation exposure, stent drainage without complete removal of gallstones in the case of large biliary stones, and removal of biliary stones after childbirth. Pregnancy is not a contraindication for ERCP; as a lifesaving procedure, it should be performed when necessary. Even though the safety of ERCP is considered an acceptable risk in pregnancy, clinicians should continue to try and find safer ways for pregnant women and fetuses being treated for cholelithiasis.

현재 한우에서는 영양대사물질 수준에 대한 연구가 미흡한 수준이다. 따라서 본 연구는 한우 번식우에 있어서 임신과 비임신 상태에 있어서 혈액내 주요 영양대사물질을 분석하였다. 한우 번식우 54두를 방목을 하였을 경우에는 혈액내 주요대사물질 6개 항목(AST, ALT, Cholesterol, Glucose, BUN, NEFA)을 분석하였다. 사육방법과 관련된 NEFA수준 조사에서 방목우 임신우 평균은 221±105 uEq/L이고, 사사 사육 임신우 평균 240±121 uEq/L로 나타났으나 유의적인 차이는 없었다. 콜레스테롤 수준은 사사 사육시 임신우 113.33±17.03 mg/dL이었고, 비임신우는 137.25±21.77 mg/dL로 비임신우에서 유의적으로(p<0.05) 높은 결과를 보였다. 사사 사육시 NEFA 수준(임신우 204±119 uEq/L과 비임신우 286±215 uEq/L)도 콜레스테롤 수준과 동일한 경향을 보였다. 분만 전ㆍ후 AST 수치는 각각 105.53±24 IU/L와 81.59±12.55 IU/L으로 분석되어 분만 후에서 유의적으로(p<0.05) 감소한 결과를 보였다. NEFA 수준에서는 분만 전 122±52 uEq/L, 분만 후 497±239 uEq/L 로서 분만 후에서 유의적으로(p<0.05) 높은 결과를 보였다. 이러한 NEFA 수준의 증가는 분만 후 번식우가 필요로 하는 영양대사물질이 증가하였기 때문인 것으로 사료된다. 이러한 결과를 종합하면 한우 번식우의 적정한 영양수준 관리는 생산성을 향상 시킬 수 있을 것으로 사료되며 한우 번식우에 대한 영양수준 연구는 추가적으로 연구가 이루어져야 할 것으로 사료된다.

The purpose of this study was to determine the optimal digestible energy levels on pregnancy mares. Physical changes and fecal microorganism in pregnant horse and changes in birth characteristics of neonatal foals were investigated. The experiment was conducted by 18 mares (Jeju corssed bred, older than 36 months) into three treatment groups. The experimental diet consisted of 80%, 100%, 120% digestible energy levels based on NRC. The average daily intake was lower in the 120% (8.75±1.01) than the 100% (9.34±0.92), 80% (9.14±0.88) and there was significant difference (p<0.05). The feed efficiency was lower in the 120% than 80%, 100% (p<0.05). Total cholesterol, HDL-cholesterol, LDL-cholesterol and triglyceride was higher in 120% than others (p<0.05). However there were no health problem and there was no difference between the treatment groups in the birth characteristics of neonatal foals. At the phylum level, Fibrobactres was difference by digestible energy levels, 80% (8.53%) was higher than 100%, 120%. At the genus level, Bacteroides and Kineothrix increased in fecal proportions with increasing digestible energy levels (p<0.05). Fibrobacter showed higher composition at 80% than 100% and 120% (p<0.05).

Background: Pregnancy-related low back pain (PLBP) has fewer systematic guidelines than pregnancy-related pelvic girdle pain, previous studies have not evaluated physical therapy for this ailment in Korea. Objects: We aimed to provide a detailed account of clinical decision making by Korean physiotherapists while treating PLBP. Methods: In total, 955 questionnaires were distributed mainly in places of continuing education held by the Korean Physical Therapy Association from April to July 2019. The same questionnaire was posted on a website used by physiotherapists. We collected subject information, a specific Vignette typically represent symptoms of PLBP, and responses to multiple questions about decision making, subjective recognition and interest level in the field of women’s health physiotherapy (WHPT). Results: The overall response rate was 56% (n = 537); of these, responses to 520 questionnaires were analyzed. Most respondents chose various combinations of physical therapy methods. There were significant differences in subjective recognition levels of WHPT according to gender (p < 0.05), age (p < 0.01), education level (p < 0.01), and clinical experience (p < 0.05). There were significant differences in interest according to gender (p < 0.01) and education level (p < 0.01). With respect to the types of treatment, significant differences were noted in selective rates for “manual therapy”, “pain control”, and “supportive devices” based on gender. Manual therapy tended to be chosen more with increasing age and clinical experience. With increased education level, there were fewer choices for the use of pain control. Conclusion: This is the first data on how Korean physiotherapists manage PLBP patients using the vignette method. We were able to recognize the Korean physical therapist's decision on PLBP patients, and observed statistically significant correlations. This may aid in developing future research and education plans in the WHPT field.

목적 : 임신이 각막 두께에 미치는 영향에 관한 문헌들을 선별하여 연구의 특성을 파악하고 메타분석을 통해 효과 크기를 확인하였다. 방법 : 2001년 1월부터 2017년 12월까지 국내·외 데이터 베이스에서 검색어를 ‘임신’, ‘각막 두께’, ‘Pregnancy’, ‘Pregnant women’, ‘Pachymetry’, ‘Corneal thickness’하였으며, 연구 종류와 언어에 제한을 두지 않았다. 결과 : 총 7편의 문헌이 선정되었으며, 임신 전과 임신 중 각막 두께 변화에 대한 효과 크기는 1.013[95% CI: 0.743~1.282]이며, 각막 두께가 증가하는 것으로 나타났다. 임신 중과 출산 후 각막 두께 변화에 대한 효과 크기 는 -0.539[95% CI: -0.746~-0.332]이며, 각막 두께가 감소하는 것으로 나타났다. 결론 : 임신으로 인해 각막 두께에 영향을 미칠 수 있으므로 임신 전, 후 각막 두께가 변화할 수 있으므로 콘택 트렌즈 피팅 시 세심한 주의를 기울여야 할 것이다.

본 연구는 2006년부터 2016년 사이에 강원도 축산기술연구소에서 출생한 한우 송아지 1,069두로부터 조사된 이유시 체중과 임신기간, 생시체중 및 포유기 일당증체량 및 이유시 체중을 이용하여 단순상관, 다중 회귀 및 경로분석 등을 통해 이유시 체중과 임신기간, 생시체중 및 포유기 일당증체량 간의 상관 관계를 규명하였다. 통계분석은 조사된 원 성적을 이용하여 실시하는 동시에 조사된 원 성적을 송아지 출생 연도-계절, 송아지의 성, 어미의 산차 및 이유일령(포유기 일당증체량과 이유시 체중에만 해당) 등과 같은 환경효과에 대해 보정한 값인 잔차를 이용해서도 실시하였다. 조사된 형질들 간의 상관계수는 모두 양수였는데, 임신기간은 생시체중과의 잔차상관계수가 +0.315로서 중정도 크기였던 반면 포유 기 일당증체량이나 이유시 체중과의 잔차상관계수는 각각 +0.039와 +0.130으로서 작거나 0에 가까운 값이었다. 이유시 체중은 포유기 일당증체량과의 잔차상관계수가 +0.949로서 생시체중과의 상관계수인 +0.323보다 컸다. 잔차를 이용한 경로분석 결과 이유시 체중의 변이에 미치는 임신기간, 생시체중 및 포유기 일당증체량의 전체 기여도는 각각 0, 0.095 및 0.892로 나타났다. 본 연구 결과, 임신기간, 생시 체중 및 포유기 일당증체량 중에서 포유기 일당증체량이 이유시 체중의 변이에 가장 큰 영향력을 미치는 형질인 것으로 나타났다.

담관낭종은 담도가 비가역적으로 확장된 선천성 질환으로 담도암의 발생 위험으로 인해 수술적 절제를 시행하는 것이 원칙이다. 임신 중에는 호르몬의 영향 및 확대된 자궁, 증가된 복압 등으로 담관낭종이 증상을 일으킬 수 있다. 그러나 임신 중에는 생리적 변화로 나타나는 임신 자체의 증상과 낭종에 의한 증상을 구분하기가 어렵고, 임신 중 시행할 수 있는 영상 검사가 제한되어 있어 담관낭종의 진단이 지연됨으로써 산모와 태아에게 치명적인 결과를 초래할 수 있다. 또한 수술로 인한 태아와 산모의 이환율과 사망률을 고려할 때, 즉각적인 외과 수술보다는 담관낭종으로 인한 합병증을 예방하고 출산 시까지 산모와 태아를 안전하게 보호하기 위한 단계적인 치료 전략이 중요하다. 저자들은 임신 중 담관낭종에 의해 발생한 황달 및 복통으로 내원한 26세 산모에서 투시 조영술 도움 없이 내시경 초음파를 이용한 담도 배액술을 시행하여 증상 완화와 함께 최대한 임신을 유지할 수 있었다. 이후 성공적인 출산 및 산후 회복기를 거쳐 담관낭종을 수술적으로 제거한 1예 를 경험하였기에 문헌고찰과 함께 보고하고자 한다.

The objective of this study was to determine the effect of different pregnancy stages on the eating and ruminating behavior of Hanwoo heifers (Bos taurus coreanae). A total of twelve Hanwoo heifers were divided into four groups depending on pregnancy stage: C: before pregnancy, 9 months old, T1: 3 months pregnant, 16 months old, T2: 6 months pregnant, 19 months old, T3: 9 months pregnant, 22 months old (3 replicates per group). Concentrate of 1% of the body weight was fed to them. Roughage was provided at ad libitum to all treatments. Our results revealed that the intake of roughage was the highest in the T3 group (at 3.68 kg) and the lowest in the C group (at 1.02 kg, p<0.05). Total intake in the order from high to low was: T3 > T2 > T1 > C (p<0.05). The rate of dry matter intake compared to body weight (DMI/BW, %) from high to low order was: T3 > T2 > T1 > C (p<0.05). Eating time, ruminating time, and chewing time were the highest in T3 group (p<0.05). Resting time was the highest in C group (p<0.05). The number of bolus and the number of total chews were significantly higher in T3 compared to those in other groups. However, ruminating time per bolus was not significantly difference among groups. The number of chews per bolus from high to low order was: C > T1 > T3 > T2 (p<0.05). The number of bolus per minute was not significantly different among groups. The number of drinking and the number of defecating were significantly higher in C and T1, respectively (p<0.05). However, the number of urinating had no effect according to pregnancy stage. Eating rate and chewing efficiency were significantly higher (p<0.05) in accordance with pregnancy stage (T3 > T2 > T1 > C). Ruminating efficiency was significantly (p<0.05) higher T1 than that in other groups.

This study analyzes gestation stall structures with high strength concrete. The ANSYS program described in this paper is effective not only because it shows good accuracy but also it shows the goodness of parameter studies by using APDL(ANSYS Parametric Design Language). We have performed the various parameter studies by thickness change. The results is presented by using contours and tables. The analysis results showed that it was effective to increase the height thickness(tz) rather than longitudinal thickness(tx).

This study suggests designs of maternity clothes wearable after childbirth and aims at confirming that maternity wear is continuously wearable during a post-natal period. As for research methods, theoretical and empirical studies with research on a production of work were conducted, focusing on the design development of the maternity dress which may be worn even after childbirth. The results of theoretical and empirical studies possibly presented various designs which require fashionability going with the trend of time. The maternity wear also requires the adaptability for a changing body shape to enable a woman to wear it during a pregnancy period and after childbirth. Besides, the convenience of dressing and undressing with wearing comfort is considered. 6 sets of one-piece dress were made as the result of the study and three factors of fashionability, adaptability and convenience were considered. The conclusions are as follows : Firstly, it verified that the maternity wear is fashionable clothes not to cover protruded abdomen but to satisfy women's desire of self expression. Secondly, it overcame the limit of dress design through fitting it to completely different two body sizes and shapes with design factors and patterns. Lastly, it suggested a research model of maternity wear corresponding to economical, environmental and ethical principles as giving an effect of “two” dresses with one. This study presented a new direction of design study with meaningful actions of fashion designing in the aspects of economical, environmental and ethical consumption unlike artificial disposal on SPA brands.

본 연구는 종부한 다음에 개별 스톨에서 사육하고 3주 후 임신진단을 하여 임신을 한 경산돈을 개별 스톨 시설과 Shoulder length barrier 시설에서 각각 계절별 30두씩 12주 동안 사육한 후 분만 1주일 전에 분만사의 분만틀 시설로 옮겨 4주 동안 사육하고 산자수, 생시체중, 이유두수, 이유체중 및 체평점 등을 평가함으로써, 임신돈사의 개별 스톨 시설과 Shoulder length barrier 시설이 분만모돈의 분만성적에 미치는 영향을 규명하고자 수행되었다. 그 결과 동일 계절에서 시설 간의 분만모돈의 생산성은 차이가 없었으나(p>0.05), 봄, 가을 및 겨울에 비하여 여름에 더위 스트레스로 인하여 산자수와 이 유두수가 낮은 경향이 나타났다. 결론적으로 임신기간 동안 임신돈을 사육하는 개별 스톨 시설과 Shoulder length barrier 시설이 분만모돈의 분만성적에 영향을 미치지 않는 것으로 나타났다.

To describe the macroscopic anatomy and ovarian-physiological difference of the genital organs of the female Korean water deer, organs from captured animals in a wild area of Korea were dissected. The ovary of estrus group was about 1.10 ± 0.02 mm long and weighed about 0.50 ± 0.02 g. And pregnant group was about 1.3 ± 0.10 mm long and weighed about 0.40 ± 0.05 g. And the crowns of corpora lutea were found in the estrus group, but we couldn't find crowns at the pregnant group. Especially, the estrus ovaries tended (p=0.04) to be heavier than the ovaries during pregnancy. The MMP-9 activity was higher at the Graafian follicles of pregnant group than that in estrus group. However, with regard to follicles of estrus group, MMP-2 level was higher than that in pregnant group. Furthermore, apoptosis detection marker (Casp-3) was highly expressed in Graafian follicle of the pregnant group and the corpora lutea of estrus group. Thus, the differential expression of MMPs observed in this study suggests that the reflected the mechanisms underlying of monovulatory in estrus and/or pregnancy. Our results may be very useful as it provides with information that may be considered for the development of reproductive biotechnologies in endangered animals.

The aim of this study was to investigate the effects of dietary supplementation of pelleted-Italian Ryegrass (IRG) as a source of fiber on reproduction performance in pregnant sows. A total of 24 pregnant sows were randomly assigned to four dietary treatments, which was given a corn-soybean diet with 0%, 10%, 20%, and 30% pelleted-IRG from 105 days prepartum to 7 days postpartum. During experimental period, the sows fed the IRG supplemented diet showed the lower feed intake than the sows fed the control diet (p<0.05). The changes of body weight in sows from initial to pre- and/or post-partum was significantly smaller in sows fed the IRG supplemented diet than control group. It is thought that the lower weight gain in IRG supplemented groups is caused by low feed intake. Although there was no significant difference, sows fed the IRG supplemented diet tended to increase the litter size and birth weight in piglets compared with sows fed the control diet. This result suggests that the dietary supplementation of IRG has the positive effects to improve the reproductive performance in sows. But, the excessive feeding of IRG to sows might cause to retard the days of return to estrus, and decrease the contents of solid, milk protein, and milk fat in colostrum. Thus, the addition of about 10% IRG is desirable to increase the reproductive performance. Meanwhile, the feeding energy diet is better effective than feeding the fiber diets to improve overall productivity in sows after postpartum.

Cho Nam-min 2012. A Study on The Emergence of Terms for Female Body, and Changes in Perspectives - with focus on female words such as pregnancy, delivery, and womb. The Sociolinguistic Journal of Korea 20(2). pp. 425-446. This research studies emergence and changes of female words, especially about pregnancy, delivery, and womb, through analysis of medical books and female literature in Chosun dynasty and modern enlightenment era. It studies how females recognized their bodies and gender differently from Chosun dynasty’s patriarchal system to rapidly changing modern enlightenment period. Birth (and delivery) is one of the indispensable steps of human life, and the whole process of pregnancy and delivery is closely related to pregnant mother. Through pregnancy and delivery, infants and mothers attain new social status, and, at the same time, experience significant changes in family relationship. As a consequence, while related literatures such as medical books published in Chosun dynasty were focused on being pregnant and delivering infant, those published in modern era paid more attention to pregnant mothers’ body and health. It was thanks to the import of western medicine and enhanced scientific understanding of pregnancy and delivery. More frequent mention about female health and body were found in modern female and family literature, and it was found that perspective on and understanding about pregnancy, delivery, and infant care were changed. It was the results of changes in social and cultural understanding of females given that perception on bodies are developed and defined in social and cultural ways.

The purpose of this study was to examine the effect of growing stages of the Korean Native Striped Bull (KNSB) on the freezability and fertility of frozen-thawed semen. First, we investigated the total motility (TM) and progressive motility (PM) according to the diluent used for semen freezing. Second, we examined the effect of the age of KNSB on semen volume, TM and PM of fresh and frozen-thawed semen. Third, we examined the effect of frozen semen from the different age of KNSB on the fertilization rate, and the artificial insemination pregnancy rate. The diluents used in this experiment were Triladyl and Tris-egg yolk extender (EYE). Semen was collected from 5 KNSB in the growing stage (15 months) and 5 adult KNSB (36 months). When Triladyl or Tris-EYE extender was used for semen freezing, there was no difference of the mean TM and the mean PM. However, the mean TM was significantly higher in Bull No. 1885 than Bull No. 4283 ( <0.05). The mean volume of semen collected from the 15-month-old bulls (2.3 ml) was significantly lower ( <0.05) than that from the 36-month-old bulls (5.0 ml). The mean semen concentration was similar for the 15-month-old ( spermatozoa/ml) and 36-month-old ( spermatozoa/ml) bulls. For the 15-month-old and 36-month-old bulls, the mean TM of fresh semen were 93.7% and 88.3%, respectively, and the mean PM were 97.0% and 88.3%, respectively; the 15-month-old bulls showed a particularly high PM ( <0.05). For the 15-month-old and 36-month-old bulls, the mean TM (56.0% and 58.0%, respectively) and the mean PM (64.0% and 70.7%, respectively) of frozen-thawed semen did not differ. The development rates of embryos after fertilization and the pregnancy rate after artificial insemination using frozen-thawed semen did not differ according to the bull's age. In summary, semen volume differed according to the bull's age, but semen concentration and survival rate, the fertilization rate, and the pregnancy rate did not differ according to the stripe bull's age. Accordingly, semen from bulls in the growing stage can be collected and frozen for the preservation and multiplication of rare livestock.