• 한국인구학
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• 제34권3호
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• pp.139-155
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• 2011

본 연구는 정부의 출산장려정책들이 기혼여성의 둘째 아 출산의도에 미치는 영향을 탐색하기 위해 수행되었다. 연구를 위해 2010년 9월 1일부터 10월 31일까지 서울시에 거주하면서 6세 미만의 한 자녀를 둔 여성 322명을 대상으로 조사하였다. 분석방법으로는 비모수 분석 방법인 ${\chi}^2$ 분석과 Mann-whitney's U 검정 그리고 로지스틱 회귀분석을 수행하였다. 취업여성의 둘째 아 출산의도에 유의미한 영향을 미치는 변수는 연령과 주당 근로일수 그리고 출산지원정책이 유의한 영향을 미치는 것으로 나타났다. 그러나 비취업 여성의 경우 연령과 출산장려정책의 유의한 영향이 없었다. 이러한 연구결과를 고려해 볼 때, 출산장려정책은 취업여성과 비취업여성의 특성에 따른 차별화된 정책이 개발되어 제시될 필요가 있음을 시사한다. 마지막으로 이러한 연구 결과와 함께 본 연구의 의의와 제한점에 대해 논의하였다.

• 수산해양교육연구
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• 제28권5호
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• pp.1329-1338
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• 2016

South Korea's total fertility rate dropped to 1.2 in 2014, which was far below the population replacement level of 2.07. Parental satisfaction of mothers contribute to secondary childbirth intention as well as child outcome. This study was to identify the factors affecting parental satisfaction particularly in mothers with one child. The survey conducted in five daycare centers in B city from September to October in 2015. The data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient and stepwise multiple regression analyses using SPSS/Win 21 software. 42.7% of variance in parental satisfaction was accounted for by co-parenting(t=5.566, p<.001), value of children(t=3.575, p=.001), and perception of childbirth(t=2.906, p=.005). The explain power was significant(F=21.581, p<.001). This study revealed that the perception of childbirth last long enough to affect mothers of children up to the age of 6. Midwifes and nurses working with laboring women should try to give them positive experience of delivery.

• 여성건강간호학회지
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• 제8권1호
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• pp.55-68
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• 2002

While the survival rate of preterm infants and employment rates of mothers with infants have been dramatically increasing, little is known about the impact of maternal employment and having premature infants on maternal health recovery after delivery. The purpose of this longitudinal study was to examine differences in postpartum health by mother's employment and infant's prematurity over time during the first 3 months postpartum. The study used a longitudinal design and was secondary data analysis from a large study. A convenience sample of 132 mothers was recruited with mothers who had fullterm or preterm infants through the postpartum unit. They were followed up for 3 times (at 1-2 days, 6 weeks, and 3 months) during the first 3 months postpartum period. Level of fatigue and hysical symptoms were indicators for postpartum physical health; Positive affect and negative affect were assessed for postpartum mental health, and role functional status after childbirth was for role performance. Finding indicated that health indicators changed significantly over time but there was no main or interaction effect for maternal employment status. There were main effects of infant's prematurity on positive affect, negative affect, and role functional status (self-care and social and community activities). This study enhanced the understanding of postpartum health of mothers with preterm infants as well as those with fullterm infants during the postpartum period.

• 대한간호학회지
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• 제33권8호
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• pp.1111-1118
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• 2003

Background. A midwife is a medical professional who has a nursing license, and is also licensed as a midwife with one additional year of education. In this globalization era, a midwife's role is increasing in importance for women and children's health care worldwide. Purpose. The primary purpose was to analyze midwifery education programs in Korea and other nations. The secondary purpose was to define strategies to improve midwifery education and practice, and to extend the role of a midwife women and children's health care in Korea. Methods & Results. 1) The definition of a midwife and midwifery practice recognized internationally by World Health Organization (WHO) and International Council of Nurse Midwives (ICNM) was identified. 2) Midwifery education programs of Korea, U.S.A., Sweden, Australia, and Japan, were investigated and discussed. 3) Core competencies for the basic midwifery practice suggested by ACNM of the U.S.A. were reviewed as standard of midwifery practice. 4) As for the midwifery education system, a Masters degree program in a college of nursing is suggested. 5) The role of a midwife includes not only health care of childbirth women and newborn babies, but also a lifelong health care of women as well as her family and children. Conclusion. An effort to extend the midwife's role and to improve service is imperative. The Laws/Acts related to midwives should be revised in regard to education, and practices, and the national examination for midwifery licensure needs revision to qualify for international approval. Also, midwifery curriculum and standards of practice need to be evaluated periodically, and an effective system needs to be established to renew midwife licenses.

• 한국응용약물학회:학술대회논문집
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• 한국응용약물학회 1997년도 춘계학술대회
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• pp.69-69
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• 1997

In the screening of tropical medicinal plants using PAE receptor binding assay, the ether extract of Ardisia crispa showed the potent antagonistic activity. Ardisia crispa have been used to heal the scurf, earache, orchitis, fever and diarrhoea, cough and given to the mother after childbirth to ‘wash out dirty blood’ in Malaysia. By means of activity guided isolation, compound AC7-1 was isolated as the potent PAF antagonist. In this study, antiplatelet effects of compound AC7-1 were examined in vitro platelet aggregation assay using the chronolog aggregometer. Compound AC7-1 inhibited PAF-, collagen-, ADP-, thrombin-induced platelet aggregation in human, rabbit and rat platelet rich plasma. In vitro rabbit platelet aggregation, the IC$\_$50/ value of compound AC7-1 was 5 ${\times}$ 10$\^$-6/ M against PAF(5 ${\times}$ 10$\^$-7/M)-induced aggregation. The IC$\_$50/ values of AC7-1 on PAF-induced platelet aggregation increased with increase of the concentration of PAF used. This result suggested the competitive nature of the AC7-1 antagonism. In vitro rat platelet aggregation, the IC$\_$50/ values of AC7-1 on collagen-, ADP-induced platelet aggregation were 4 ${\times}$ 10$\^$-6/ M, 2 ${\times}$ 10$\^$-5/ M, respectively. Also in vitro human platelet aggregation, AC7-1 potently inhibited both the primary phase and secondary phase of thrombin-induced aggregation.

• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.505-512
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• 2000

Objective : To estimate the significance of the Pap smear as a screening tool for cervical cancer. Methods : A total of 79,840 Pap smear results peformed at Pusan Paik Hospital over the 20 year period from 1979 to 1998 were collected and analyzed. Results : The number of Pap smear cases increased markedly during this period, and the results as a whole were classified as of 96.4% normal and benign cytology, 2.2% pre-cancerous cytology, and 1.4% cervical cancer. The relative frequency of cervical cancer decreased from 1.6% in 1979 to 0.7% in 1998. About 64% of the Pap smears were distributed within the age range of 30 to 49 years, and the rate of cervical cancer increased with age, age of marriage and experience of childbirth (p<0.01). The overall agreement of Pap smear results with histologic diagnosis by one histologic degree was 92.7%(1,128/1,217) with 73 overestimated cases and 16 underestimated cases of Pap smear compared to histologic diagnosis. Conclusion : This result implies that the Pap smear is an excellent screening tool for cervical cancer with respect to both its scale and validity. Periodic and active Pap smear testing would be helpful for the secondary prevention of cervical cancer.

• 여성건강간호학회지
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• 제27권4호
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• pp.368-378
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• 2021

Purpose: The purpose of this study was to explore the association between breastfeeding and the prevalence of breast, thyroid, and cervical cancer among Korean adult women. Methods: The study was a secondary analysis of data from the Korea Genome and Epidemiology Study. The final samples were 113,944 Korean women among 173,205 urban-based cohort participants collected between 2004 and 2013 for adults aged forty and over. To determine the association between female cancers and breastfeeding experience, the number of childbirth, and total breastfeeding duration, logistic regression analysis was done. The demographic characteristics, health behavior, and female history were adjusted. Results: The prevalence of breast cancer was 1.37 times higher in the non-breastfeeding group than in the breastfeeding group. Compared to having breastfed for more than 36 months, the prevalence of thyroid cancer was 1.68 times higher at breastfeeding for 13 to 36 months, 1.67 times higher at breastfeeding for 6 to 12 months, and 2.06 times higher at breastfeeding less than 6 months. Also, the prevalence of cervical cancer was 1.54 times higher at breastfeeding for 13 to 36 months, compared to breastfeeding for more than 36 months. Conclusion: The study found that breastfeeding experience and a longer breastfeeding duration are associated with reduced risk of breast, thyroid, and cervical cancer in Korean women. It can be used as a basis for encouraging breastfeeding, and suggests further research on modifiable factors that reduce cancer risks.

• Journal of Preventive Medicine and Public Health
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• 제56권1호
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• pp.41-49
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• 2023

Objectives: Rwanda reported a stunting rate of 33% in 2020, decreasing from 38% in 2015; however, stunting remains an issue. Globally, child deaths from malnutrition stand at 45%. The best options for the early detection and treatment of stunting should be made a community policy priority, and health services remain an issue. Hence, this research aimed to develop a model for predicting stunting in Rwandan children. Methods: The Rwanda Demographic and Health Survey 2019-2020 was used as secondary data. Stratified 10-fold cross-validation was used, and different machine learning classifiers were trained to predict stunting status. The prediction models were compared using different metrics, and the best model was chosen. Results: The best model was developed with the gradient boosting classifier algorithm, with a training accuracy of 80.49% based on the performance indicators of several models. Based on a confusion matrix, the test accuracy, sensitivity, specificity, and F1 were calculated, yielding the model's ability to classify stunting cases correctly at 79.33%, identify stunted children accurately at 72.51%, and categorize non-stunted children correctly at 94.49%, with an area under the curve of 0.89. The model found that the mother's height, television, the child's age, province, mother's education, birth weight, and childbirth size were the most important predictors of stunting status. Conclusions: Therefore, machine-learning techniques may be used in Rwanda to construct an accurate model that can detect the early stages of stunting and offer the best predictive attributes to help prevent and control stunting in under five Rwandan children.

• 한국가정과교육학회지
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• 제32권2호
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• pp.141-157
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• 2020

이 연구는 우리나라의 초등학교 및 중등학교에서 전개되고 있는 학교 인구교육을 전반적으로 검토하기 위해 국가수준의 총론 및 각론 수준의 교육과정 문서에 대한 내용분석을 실시하였고, 그 결과에 터하여 학교 인구교육의 미래 방향을 도출하는데 연구의 목적을 두었다. 그 결과, 2007 개정 교육과정과 2009 개정 교육과정에는 총론 교육과정의 '범교과학습주제'로 저출산·고령사회 대응의 인구교육 내용이 반영되어 있었으나, 현행의 2015 개정 교육과정에는 반영되어 있지 않았다. 각론 교육과정 분석의 결과(제7차 교육과정에서 제안한 '국민공통기본교육과정'에 해당하는 10개의 공통 교과 교육과정 문서 분석함), 중등의 기술·가정교과의 가정과 교육과정, 그리고 초등 및 중등의 사회과 교육과정에서만 교과의 성격이나 목표, 또는 내용요소나 성취기준에 저출산·고령사회 대응의 인구교육 내용이 반영되어 있었다. 교육과정 분석 결과를 바탕으로 다음의 5가지 학교 인구교육의 방향을 도출하였다. 첫째, 학교 인구교육의 목적은 출산에 개입하는 것이 아님을 분명하게 확인하며, '저출생·초고령사회 대응'의 양성평등한 용어를 적용한다. 둘째, 인구교육을 교과의 목표와 내용요소, 그리고 성취기준으로 직접 다루는 교과에 인구교육의 주도교과로서 사명을 부여한다. 셋째, 융합학문적 특성의 인구교육을 융합교육의 적극적 소재로 활용한다. 넷째, 선택중심의 교육과정이 적용되는 고등학교에서는 인구교육의 주요 내용을 다루는 주도교과의 선택을 정책적으로 지원해준다. 다섯째, 교원의 인구 인식을 향상시키기 위한 교사교육을 강화한다. 민주시민의 역량은 사회의 기본적 집단인 가족의 사회화를 통해 출발한다는 점을 고려하면, 삶을 기반으로 하는 가정과교육에서 인구교육을 주도하여 삶, 즉 생활과 연계된 실천적 인구교육으로 학교 사회에 인구교육이 확대되는 데 기여할 수 있을 것이다. 이처럼 학교 인구교육의 주도교과로서의 사명을 가정과교육에 맡겨서 이를 잘 수행해 내도록 하기 위해서는, 우리나라의 전체 교육과정에서 가정과교육의 이수를 강화시키는 교육정책이 뒷받침되어야 할 것이다.

• Kidney Research and Clinical Practice
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• 제37권4호
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• pp.356-365
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• 2018

Background: Woman kidney donors face obstetric complication risks after kidney donation, such as gestational hypertension and preeclampsia. Studies on childbirth-related complications among Asian women donors are scarce. Methods: This retrospective cohort study included woman donors aged 45 years or younger at the time of kidney donation in a single tertiary hospital between 1985 and 2014. Pregnancy associated complications were investigated using medical records and telephone questionnaires for 426 pregnancies among 225 donors. Matched non-donor controls were selected by propensity score and the maternal and fetal outcomes were compared with those of donors. Primary outcomes were differences in maternal complications, and secondary outcomes were fetal outcomes in pregnancies of the donor and control groups. Results: A total of 56 cases had post-donation pregnancies. The post-donation pregnancies group was younger at the time of donation and older at the time of delivery than the pre-donation pregnancies group, and there were no differences in primary outcomes between the groups except the proportion receiving cesarean section. Comparison of the complication risk between post-donation pregnancies and non-donor matched controls showed no significant differences in gestational hypertension, preeclampsia, or composite outcomes after propensity score matching including age at delivery, era at pregnancy, systolic blood pressure, body weight, and estimated glomerular filtration ratio (odds ratio, 0.63; 95% confidence interval, 0.19-2.14; P = 0.724). Conclusion: This study revealed that maternal and fetal outcomes between woman kidney donors and non-donor matched controls were comparable. Studies with general population pregnancy controls are warranted to compare pregnancy outcomes for donors.