• Title/Summary/Keyword: Birth order

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The Effects of Universal Child Care Subsidy on Female Labor Supply and Fertility (보편적 보육료 지원정책이 여성 노동공급과 출산율에 미친 영향)

  • Min, Gyuryang;Lee, Chulhee
    • Journal of Labour Economics
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    • v.43 no.4
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    • pp.143-177
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    • 2020
  • This paper investigates how the provision of full child care subsidy to infants and toddlers differently affected female labor supply and fertility rate depending on the level of supply of child care centers in the place of residence. Our results on labor supply show that the higher the supply rate of childcare centers in residential areas, the higher the probability of career maintenance for multi-child mothers who are more likely to be admitted to a childcare facility. The results on the fertility rate show that the first child's fertility rate has increased since the support of childcare expenses in areas with higher rates of childcare centers. In the places where the supply rate of publicly-funded childcare centers is high, the second child's fertility rate has also increased significantly since the support of childcare expenses. This suggests that the quality of child care is an essential factor in determining the birth rate. Our results suggest that the effects of child care support on women's labor supply and fertility rate may differ depending on the priority of entering child care centers according to birth order and the degree of quantitative and qualitative supply of child care centers in the place of residence.

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A Diagnostic Algorithm after Newborn Screening for 21-hydroxylase Deficiency (선천성 부신 과형성증(21-hydroxylase 결핍)의 신생아 선별 검사 후 진단 알고리즘)

  • Cho, Sung Yoon;Ko, Jung Min;Lee, Kyung-A
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.2
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    • pp.70-78
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    • 2016
  • 21-hydroxylase deficiency (21-OHD), most common form of congenial adrenal hyperplasia, is categorized into classical forms, including the salt-wasting (SW) and the simple virilizing (SV) types, and nonclassical (NC) forms based on the severity of the disease. Newborn screening for 21-OHD has been performed in Korea since 2006. $17{\alpha}$-hydroxyprogesterone (17-OHP) is a marker for 21-OHD and is measured using a radioimmunoassay or a fluoroimmunoassay. Premature and low birth weight infants are likely to give false positive 17-OHP findings, therefore, cutoff values for these infants should be determined based on gestational weeks or birth weight. ACTH simulation test is helpful when the 17-OHP shows equivocal increase, and it is gold standard for diagnosis of NC type. Recently, liquid chromatography linked with tandem mass spectrometry was developed for rapid, highly specific, and sensitive analysis of multiple analytes. Molecular analysis of CYP21A2 is useful for confirming diagnosis of mild SV or NC type, predicting prognoses, and genetic counseling. In order to make newborn screening for 21-OHD more efficient, early detection of boy with SW type, early determination of girl with ambiguous genitalia, detection of NC type, and overcoming of false positive in premature and low birth weight infants should be considered. Above all, early treatment should be started when the patient is suspected as having 21- OHD clinically before confirming the diagnosis to prevent adrenal crisis. Here, author reviewed recent articles of guideline and proposed guideline for 21-OHD.

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Studies on the Small Body Size Mouse Developed by Mutagen N-Ethyl-N-nitrosourea

  • Zhang, Qian-Kun;Cho, Kyu-Hyuk;Cho, Jae-Woo;Cha, Dal-Sun;Park, Han-Jin;Yoon, Seok-Joo;Zhang, ShouFa;Song, Chang-Woo
    • Toxicological Research
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    • v.24 no.1
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    • pp.69-78
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    • 2008
  • Mutant mouse which show dwarfism has been developed by N-ethyl-N-nitrosourea (ENU) mutagenesis using BALB/c mice. The mutant mouse was inherited as autosomal recessive trait and named Small Body Size (SBS) mouse. The phenotype of SBS mouse was not apparent at birth, but it was possible to distinguish mutant phenotype from normal mice 1 week after birth. In this study, we examined body weight changes and bone mineral density (BMD), and we also carried out genetic linkage analysis to map the causative gene(s) of SBS mouse. Body weight changes were observed from birth to 14 weeks of age in both affected (n = 30) and normal mice (n = 24). BMD was examined in each five SBS and normal mice between 3 and 6 weeks of age, respectively. For the linkage analysis, we produced backcross progeny [(SBS${\times}$C57BL/6J) $F_1{\times}$ SBS] $N_2$ mice (n = 142), and seventy-four microsatellite markers were used for primary linkage analysis. Body weight of affected mice was consistently lower than that of the normal mice, and was 43.7% less than that of normal mice at 3 weeks of age (P < 0.001). As compared with normal mice at 3 and 6 weeks of age, BMD of the SBS mice was significantly low. The results showed 15.5% and 14.1 % lower in total body BMD, 15.3% and 8.7% lower in forearm BMD, and 29.7% and 20.1% lower in femur BMD, respectively. The causative gene was mapped on chromosome 10. The map order and the distance between markers were D10Mit248 - 2.1 cM - D10Mit51 - 4.2 cM - sbs - 0.7 cM - D10Mit283 - 1.4cM - D10Mit106 - 11.2cM - D10Mit170.

Study on the Actual State of Breast-feeding - Centering Sungju-gun, Kyongbuk - (모유수유 실태에 관한 조사연구 -경상북도성주군을 중심으로-)

  • 박천만;김규종;이종렬;김혜진
    • Korean Journal of Health Education and Promotion
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    • v.17 no.1
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    • pp.61-79
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    • 2000
  • This study to study and analyze the current state of infancy breast-feeding & practice and related factors and to provide basic data for the effective practice of breast-feeding and breast-feeding percentage improvement. For the object, 474 mothers of the infants who were born between Jan. 1, 1998 and Dec. 31, 1998 were selected, and the survey period & method were from Oct. 15, 1999 through Nov. 14, 1999 (1 month period) and telephone interview, respectively. To examine by month breast-feeding type, the average breast-feeding percentage in 1 month after a child's birth was 42.4%, but after 6 month it decreased to 23.0%. To see breast-feeding percentage by academic background, the breast-feeding of elementary school graduated mothers was 33.3%, which was highest, and it decreased as the academic background of mothers went better (p〈0.01). By employment state, the percentage for the mothers who were not employed was higher (24.6%) than that of those who were employed at the time, which was 8.0% (p〈0.001). There was no meaningful difference found in breast-feeding percentage by infant mothers age, delivery place, infant sex, child order in family, weight at the time of birth. To examine breast-feeding percentage by delivery method, natural delivery was 27.0% which was higher than 13.1% of Caesarean section (p〈0.01), and by breast-feeding experience before leaving the hospital, 35.6% of those who have breast-fed were breast-feeding while it was 16.4% for those who never did it while in the hospital (p〈0.001). After conducting logistics multi return analysis having breast-feeding percentage as a variable at the time of 6 months after babys birth, I found that infant mothers employment state, delivery method, and breast-feeding experience before leaving the hospital become meaningful variables. As unemployed mothers (p〈0.05), as chose natural delivery (p〈0.05), as experienced breast-feeding before leaving the hospital (p〈0.001), there was more tendency to do breast-feeding. Summing the above results, I would like to suggest the following to raise breast-feeding percentage. Firstly, systematic education about the importance and advantages of breast-feeding and correct breast-feeding method should be practised for women. Secondly, vacation before and after childbirth for working women should be practised and the support of systems for working womens breast-feeding such as installation of nursery in work place are needed. Thirdly, continuous publicity and education for natural delivery inducement is necessary, and for the ones who chose Caesarean section, recommendation of breast-feeding is also needed. Fourth, for breast-feeding within fastest time after delivery, rooming-in required and legal and systematic support is also needed. Lastly, in the governmental level, publicity for breast-feeding and breast-feeding recommending programs that promotes 10 rules for successful breast-feeding bringing-up, provided by UNISEF and WHO, are to be provided.

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A Study on the Status of Maternal and Child Health (MCH) and Family Planing (FP) in a Rural Area (Yeoju), 1984 (일부 농촌지역의 모자보건 및 가족계획실태에 관한 연구)

  • Kim, Yang-Soo;Yum, Yong-Tae;Song, Dong-Bin;Kim, Soon-Duck
    • Journal of agricultural medicine and community health
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    • v.12 no.1
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    • pp.54-62
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    • 1987
  • This study was performed as a part of survey for the operation and interim evaluation of the on-going pilot project of community health in Jeomdong-Myon, Yeoju-Gun, Kyunggi-Province since 1982. Seven Villages (Ri) were selected purposively for the survey from a total of 26 villages in Jeomdong-Myon, target area, under the consideration of the socio-economic background and the distribution of health resources. The target population was the women in age group of 15-44 years in that area and a total of 156 women were interviewed. This study was done by the interview survey using questionnaire which was composed with questions about MCH and FP. The results were as follows; 1) ln the status of maternal health, (1) the proportion of receiving antenatal care was relatively high (67.1%) in this area, but the starting time of antenatal care was delayed to 7 months or more of gestational period in 22 percent. Therefore some intervention would be necessary for advancing the time of antenatal care. (2) The proportion of home delivery was decreased according to the rank of birth-order. And more than 50 percent of delivery attendants were mothers-in-law or neighbors. The fact indicates that the health education for non-professional delivery attendents would be necessary for improving home delivery and the content of education would be preferable to focussing to the method of hygienic delivery attending. (3) The comprehensive health service and education would be recommended for the postnatal care, because of the extremely low rate of postnatal care in this area. 2) In the status of child health, (1) the pro-portion of breast feeding was 90.2 percent, and the weaning started after 12 months of birth in 12.7 percent. This indicates the necessity of education about the weaning program. (2) The proportion of completed basic vaccination was 39.6% and the main reason of missing vaccination was poor accessibility in terms of time. For that, the supply of vaccine to primary health care units (health subcenters) should be continuous, not infrequent nor occassional. 3) The proportion of respondants who were using contraceptive methods currently was 79.8 percent and in 44.7 percent they accepted the permanent contraceptive methods. Those results are distinct in this area. But it seems a serious health problem that 53.2 percent of respondants were experienced the induced abortion for birth control.

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Effects of Heat Input and Bead Generation Methods on Finite Element Analysis of Cylindrical Multi-Pass Welding Process of Metals (열원 입력과 비드 생성 방법이 원통형 다층 금속 용접 과정의 유한요소해석에 미치는 영향)

  • Park, Won Dong;Bahn, Chi Bum;Kim, Ji Hoon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.6
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    • pp.455-467
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    • 2017
  • In this study, a finite element analysis of a cylindrical multi-pass weldment for dissimilar metals was performed. The effects of the heat input method and weld bead generation method were considered. We compared two heat input methods: the heat flux method and the temperature method. We also compared two weld bead generation methods: the element birth method and the quiet element method. Although the results of the thermal analysis show deviations between the two heat input methods, the welding residual stresses were similar. Because the areas exposed to high temperature were similar and the strength of the material was very low in high temperature (above the $1000^{\circ}C$), the effects of the weld bead temperature were insignificant. The distributions of the welding residual stress were similar to each other. However, gaps and overlaps occurred on the welding boundary surfaces when the element birth method was applied. The quiet element method is more suitable for a large deformation model in order to simulate a more accurate weld shape.

Clinical Observation on Apgar Score Changing of the Newborn Infants (신생아 Apgar Score의 시간적 변동에 관한 임상적 관찰)

  • 박희정
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.57-66
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    • 1974
  • This study was attempted for clinical investigation regarding with Apgar score changing phase of newborns and their sucking power related the score and weight. The data for this study obtained from 545 newborns who were born at Dept. of obstetric WooSok Hospital, Korea University from Jan. to Sept.. 1373. It is hoped that this study will contribute to nursing care planning of newborns in nursery. The Apgar score was checked in the delivery room at 1 minute after delivery by Doctor and rechecked at 30 minutes and 1 hour after delivery by nurses. The results obtained were as follows: 1. The total newborn numbers at 1 minute after delivery were 545, at 30 minutes were 542 (3 dead) and at 1 hour were 540. The babies were divided into 3 groups by the Apgar score. The frequency of group 1 (score 1 to 4) at each times were 5.0%, 0.9%, 0.4%, group 2 (score 5 to 7) 11.2%, 4.1%, 1.7% and group 3 (score 8 to 10) 83.8%, 95.0%, 97.9%. 2. The group I was found most frequently among the cases of less than 2, 500g and group 3 was found among the cases over 2.500g. It was found that there was a tendency of delaying in recovery process of low score among the premature and low birth weight newborns. 3. The type of delivery, breech and other I e was found worst and C-Section was the second, however normal spontaneous delivery was found the best. 4. In observation of sucking power of the newborn related its score and weight, good, fair, poor marks were given. But for convenience of statistical analysis. good and fair was collected together and poor alone evaluated. The result of group 1.2 examined statistically by F.E.T shown no relation between newborn weight and sucking power. however group 3, examined by X$^2$test shown very significant relation between newborn weight and sucking power. 5. The mortality rate of newborn while they were in hospital was found 2.6% to 545 of birth and all cases of dead belonged to group 1 at 1 minutes after delivery. 64.3% of the dead was found among the cases less than 2, 500g. 6. It was found that in this observation premature and Newborn asphyxia had influence to low score at birth. Conclusively, good anthemata carr should be emphasized in order to prevent main causes of these and should avoid abnormal delivery as possible.

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A Study on Factors Related to the Practice of Breast-feeding (모유수유 실천과 관련 요인)

  • 박천만
    • Korean Journal of Health Education and Promotion
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    • v.19 no.2
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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.

Factors influencing Fertility intentions of unmarried men and women - Application of theory of planned behavior (미혼 남녀의 출산의도 영향요인 - 계획적 행위이론(Theory of Planned Behavior: TPB) 적용)

  • Kim, Jeong-Yeon;Kim, Young-Ju
    • Journal of Industrial Convergence
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    • v.20 no.5
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    • pp.93-100
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    • 2022
  • This study is a descriptive survey study that applies the planned behavior theory to identify the factors influencing the childbirth intention of unmarried men and women. Data were collected from April 05 to April 23, 2021 for 168 unmarried men and women. As a result of the study, in general characteristics, male, old, highly educated, occupational, and non-regular workers had statistically significantly higher childbirth intentions. As a result of examining the correlation between the variables constituting the theory of planned behavior(TPB), it was found that the more positive the attitude toward childbirth, the greater the subjective norm, and the greater the perceived behavior control, the higher the intention to give birth. Multiple regression analyses showed that the factors affecting fertility intention on men and women. The factors affecting fertility intention in men was attitude, with an explanatory power of 62.2% and the factors affecting fertility intention in women were attitudes and perceived behavioral control, and the explanatory power of these variables on fertility intention was 69.0%. In order to increase the intention to give birth, a comprehensive approach is needed, and the research is meaningful in that the results of this study provided basic data in the development of policies and education programs related to low birth rates in the future.

A Study on the Application of Classic Astrology to Predict Occupational Integrity (직업적성 예측을 위한 고전 점성학 활용방안)

  • Do-Yeon Kim;Ki-Seung Kim
    • Industry Promotion Research
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    • v.8 no.4
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    • pp.221-227
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    • 2023
  • This study is a study to analyze Nativity's occupational aptitude by examining the functions and structures of the planets that make up the Nativity birth chart of Classic Astrology. If the occupation that appears in the birth chart is viewed as an individual's natural occupation, it is analyzed through the strength and weakness of the sign and planets, and the aspect (relationship with the planet). In Classic Astrology's nativity birth chart, there are three major planets when judging occupations: Venus (♀). Mars (♂). It was thought to be determined by Mercury (☿). However, in order to meet the diversity of jobs required in today's highly developed knowledge and information society, there are some shortcomings, so Saturn (♄), Jupiter (♃), Sun (☉), Moon (☽) was added to apply the aptitude for the job. Thus, the native's ASC vocational aptitude could be applied more diversely and broadly based on the relationship between planets and their aspects. As a result, Venus (♀. Venus) means enjoying artistic work that people think is beautiful and making it a pleasure in life, while Mars (♂) means work that requires physical strength and strength, such as working days. Mercury (☿) means using knowledge and brains, and the Sun (☉) plays a role in giving authority to jobs and talents. The Moon (☽) helps the native gain people's trust in his or her profession and talents, Jupiter (♃) helps the native to revive his or her profession and talents through faith, sincerity, fairness, and generosity, and Saturn (♄) can appear as an obstacle that blocks career and talent due to greed, sadness, poverty, etc. As a result of the study, it was found that the native's occupations vary depending on the strengths and weaknesses of the planets and their aspect relationships.