• Korea journal of population studies
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• v.32 no.1
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• pp.139-164
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• 2009

The first demographic transition refers to the historical decline in mortality and fertility, as shown from the 18th Century in several European populations, and continuing present in most developing countries. The end point of the first demographic transition(FDT) was supposed to be a stationary and stable population corresponding with replacement fertility and zero population growth. In addition, households in all parts of the world would converge toward the nuclear and conjugal types, composed of married couples and their offspring. The second demographic transition(SDT), on the other hand, sees no such equilibrium as the end-point. Rather, new developments bring sub-replacement fertility, a multitude of living arrangements other than marriage, and the disconnection between marriage and procreation. Populations would face declining sizes if not complemented by new migrants. Over the last decades birth rates have been on the decline in all countries of the world, and it is estimated that already more than half of he world's population has below replacement level fertility. Measured in terms of the Total Fertility Rate (TFR), currently 34 countries have fertility levels of 1.5 or less. Similarly, Korea has been below lowest-low fertility for eight consecutive years since 2001 and below the replacement level for more than twenty years. In explaining the low fertility in Korea, some researchers explain the low fertility as revenge against a male-dominated society and institution, while others focus the impact of the employment instability. These studies share the basic ideas (spread of individualism, delayed marriage and childbearing, high divorce rate etc.) of a second demographic transition in order to explain the low fertility in Korea.

• Journal of Preventive Medicine and Public Health
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• v.34 no.4
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• pp.427-436
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• 2001

Objective : To estimate the prevalence of congenital heart disease from the 1990 student heart disease screening program. Methods : The heart disease screening program for elementary students was conducted in Kyonggi-do, in 1998. The subjects of the present study comprised the 40,402 students who attended the schools in the catchment area of a collaborative university hospital and who participated in the primary examination. The congenital heart disease (CHD) patients were initially identified through a questionnaire about prior medical history, and further through diagnostic tests & medical examinations in the secondary & the tertiary examinations. Certain assumptions were used in the estimation of the number of CHD cases among non-participants of the secondary & tertiary examinations. The overall prevalence of CHD was estimated by adding the CHD detection rates of the participants and the estimated prevalence of the non-participants. Results : Among the 40,402 primary participants, 1,655 were referred further, of whom 79.1% (1,309) participated in the secondary examination. Of these, 121 were referred to the tertiary examination, with a participation rate at this last stage of 80.2%. The positive predictive value (PPV) of the screening tools was the highest when the results of both EKG and the questionnaire were positive. Because 85.9% of the detected cases had a past history of CHD, PPV was higher when the selection criteria in the questionnaire included past CHD history than when it didnt. The CHD defection rate among the participants was 1.76 cases/1,000 and the presumed number of cases among the non-participants was 31; giving an estimated final CHD prevalence of 2.52 cases/1,000 (95% CI : 2.06-3.06). Among the identified cases of CHD, VSD (52.8%) was the most common, followed by PDA (9.7%), TOF (9.7%) & PS (9.7%). Conclusion : Because the characteristics of the non-participants differed from those of the participants, the estimation of prevalence was influenced by the participation rate. Of the detected cases, 85.9% had a past history of diagnosis or operation for CMD. These findings suggested that the prevalence estimated in this study may be an underestimation of the actual condition. Therefore, a birth cohort study is required in order to more accurately estimate the prevalence and the effects of the program.

• Journal of Korean Medical Science
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• v.33 no.47
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• pp.296.1-296.7
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• 2018

Background: Antepartum, intrapartum, and postpartum preventive measures with antiretroviral drugs, appropriate delivery methods, and discouraging breastfeeding significantly decrease the risk of mother-to-child transmission of human immunodeficiency virus (HIV) infection. Herein, we investigated the pregnancy outcomes in HIV-infected Korean women. Methods: We retrospectively reviewed medical records of childbearing-age HIV-infected women between January 2005 and June 2017 at four tertiary care hospitals in Korea. Results: Among a total of 95 HIV infected women of child-bearing age with 587.61 years of follow-up duration, 15 HIV-infected women experienced 21 pregnancies and delivered 16 infants. The pregnancy rate was 3.57 per 100 patient-years. Among the 21 pregnancies, five ended with an induced abortion, and 16 with childbirth including two preterm deliveries at 24 and 35 weeks of gestation, respectively. The two preterm infants had low birth weight and one of them died 10 days after delivery due to respiratory failure. Among the 14 full-term infants, one infant was small for gestational age. There were no HIV-infected infants. Conclusion: The pregnancy rate of HIV-infected women in Korea is lower than that of the general population. Although several adverse pregnancy outcomes were observed, mother-to-child transmission of HIV infection was successfully prevented with effective preventive measures.

• The Journal of the Korea Contents Association
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• v.19 no.8
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• pp.525-534
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• 2019

Korea is facing one of the fastest aging population problems in the world due to the extension of life expectancy and low birth rates due to economic development and the development of health care. It has become difficult to take care of elderly people in need of long-term care at home, and social problems such as dementia and the increase in stroke cases are serious problems. The government is enacting and implementing the Long-Term Care Insurance Act for the purpose of improving the quality of life for senior citizens subject to long-term care and alleviating the burden of family support in order to solve such social structure and problems for senior citizens. However, as a result of the implementation of the long-term care insurance system for the elderly, the privatization of the facilities and the disorder are causing widespread requests for public accountability of the services and the enhancement of the quality of the facilities. In addition, various arrangements are needed for the production of low-wage medical care workers, tasks for quality improvement, problems regarding financing methods, and so on. In order to maintain and develop the long-term care insurance system for the elderly, the government will consider seeking ways to improve the legal and institutional aspects according to changes in the social environment of the age, as well as seeking mental and psychological measures for the stabilization of old life as well as physical health.

• Journal of the Korean Association of Geographic Information Studies
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• v.25 no.3
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• pp.29-58
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• 2022

Recently, Korea has been experiencing a problem of population decline, therefore the transition to a compact spatial structure is being urged. However, what is required is not just physical compression, but a compact city that also considers connectivity, in view of the changes in today's demographic and industrial structure. From this point of view, this study measures the compressibility of domestic cities suffering from extinction risk due to low birth rates, aging population, and population decline, and examined the spatial structure characteristics. In addition to the compressibility evaluation index used in previous studies, the compressibility of six indicators (population, land use, service accessibility, transport accessibility, connectivity, and concentration) was compared and analyzed, and a comprehensive compression index was calculated. The analysis results, based on the comprehensive compression index, classified 2.3% cities in the first grade, 4.6% in the second grade, 16.09% in the third grade, 43.68% in the fourth grade, and 33.33% in the fifth grade areas. Currently, the urban characteristics affecting the compactness index differ from region to region. Therefore, it is necessary to establish measures and policies for extinction risk considering the influence of each region's compactness index. This study is meaningful in that connectivity was considered using spatial syntax, and the compactness of cities at risk of extinction was compared and analyzed quantitatively. It is expected that this study will be used as basic data to establish the direction and action strategy for extinction risk cities.

• The Journal of Sustainable Design and Educational Environment Research
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• v.22 no.4
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• pp.9-17
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• 2023

This study explores school location, school environment, educational conditions, and appropriate scale of schools in the context of Sejong City's development area and identifies effective school establishment plans based on the analysis of the needs of the educational community. The research questions for this study include, first, what is the change trend in the number of students as a result of the opening of schools in the development area of Sejong City to the present, and what differences are there between Sejong and other new cities? Second, what challenges arise in school location due to the occurrence of oversized schools and undergraduate institutions? Third, what challenges arise in school location that would limit the ability to create a safe school environment? Fourth, what aspects need to be improved in school location decisions to promote proper placement? A survey was conducted among parents and faculty members to collect data. The findings revealed that first, when establishing a school, identifying an appropriate location for the school was the top priority of the respondents. The second was the proximity of the school to dense housing, with a parent drop zone next to the school site. Third, to address the issue of lack of playgrounds and special class and care classes, respondents called for various measures such as securing school sites within a certain area. Finally, integrated operation schools and school facilities are required in preparation for decreasing school-age populations due to low birth rates.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.795-799
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• 2023

The Canadian military participated in World War I and felt the limitations of the recruitment system through the continuous shortage of troops caused by the prolonged war, therefore expanded the role and scope of female manpower. The use of female manpower, which began with medical support for the first time, increased its necessity and importance as medical support personnel were dispatched overseas and women's manpower was expanded to combat support missions for the Army, Navy, and Air Force. Since then, the proportion of female manpower has been limited to 1.5% of the total number of employees at the end of the Second World War and the reduction of troops and the dismantling of the women's unit. In this situation, the Austrian Defence Force gradually accepts the recommendation of the Royal Canadian Women's Status Committee to improve the service conditions of women, marking a turning point in expanding the role of women in the Canadian military. The the Austrian Defence Force conducted long-term combat experiments to increase the proportion and role of female manpower, increasing reliability through observation and analysis to prove whether female manpower is suitable for combat troops. Korea also wants to draw implications for the future direction by comparing the history and current appearance of the Canadian military's use of female manpower with the Korean military at a time when the problem of a shortage of troops is emerging due to the recent decline in fertility and low birth rates.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.729-736
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• 2023

Traditionally, Germany, a conservative welfare state, has pursued a male breadwinner model based on gender division of labor. For a long time, Germany tried to address low fertility through economic support centered on cash benefits, but it was not successful. In 2007, the German government began to shift the paradigm of family policy for work-life balance under the slogan of "A mix of time policy, income transfer, and infrastructure." When the issue of low birth rates emerged as a national concern in Germany, there was a growing social sentiment that not only the government but also private companies should contribute to increasing fertility by providing family-friendly personnel policies and working conditions. Private companies have been voluntarily improving family-friendly working conditions beyond legal obligations, aiming to secure personnel and prevent turnover. Germany's fertility rate is currently rising toward the European average level in 2023, which can be attributed to the government's work-life balance policies and the participation of private companies. In terms of improving work-life balance policies in Korea, it has been proposed to change the perception of the need for fathers to participate in child care, to make parental leave compulsory for men, to guarantee employment for women after childbirth, to expand child care facilities, and to revitalize family-friendly policies in companies.

• Journal of Cadastre & Land InformatiX
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• v.54 no.1
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• pp.49-61
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• 2024

South Korea faces a declining population and rural areas vanishing due to urbanization. Infrastructure, especially medical facilities, may not be sustainable for a long-term. This may impact vulnerable groups like children, teens, and the elderly, worsened by an aging population and low birth rates. Gangwon-do, notably Chuncheon-si, suffers from rural depopulation and poor healthcare self-sufficiency. In this paper, using 2SFCA(Two-Step Floating Catchment Area), we analyze healthcare access in Chuncheon-si, identifying gaps and vulnerable areas. LISA analysis helps map medical vulnerability, considering patient demand and supply. The Gini coefficient assesses spatial inequality. We propose distributing healthcare services and personnel based on age and region. The aim is to identify locations for additional hospitals catering to the elders, Infants, Children, and Adolescents,considering spatial accessibility.

• Journal of the Korea Society of Computer and Information
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• v.29 no.4
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• pp.73-82
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• 2024

In 2017, the United Nations reported that the population aged 60 and above was increasing more rapidly than all younger age groups worldwide, projecting that by 2050, the population aged 60 and above would constitute at least 25% of the global population, excluding Africa. The world is experiencing a decline in the rate of increase in the working-age population due to global aging, and the younger generation tends to avoid difficult and challenging occupations. Although theoretically, AI equipped with artificial intelligence can replace humans in all fields, in the realm of practical information security, human judgment and expertise are absolutely essential, especially in ethical considerations. Therefore, this paper proposes a method to retrain and reintegrate IT professionals aged 50 and above who are retiring or seeking career transitions, aiming to bring them back into the industry. For this research, surveys were conducted with 21 government/public agencies representing demand and 9 security monitoring companies representing supply. Survey results indicated that both demand (90%) and supply (78%) unanimously agreed on the absolute necessity of such measures. If the results of this research are applied in the field, it could lead to the strategic development of senior information security professionals, laying the foundation for a new market in the Korean information security industry amid the era of low birth rates and longevity.