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A STUDY ON THE ETIOLOGIC FACTORS OF EARLY CHILDHOOD CARIES IN 18-MONTH OLD INFANTS (18개월 유아 조기 우식의 원인 고찰)

  • Lee, Chang-Han;Kim, Jae-Moon;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.174-184
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    • 2005
  • For the purpose of investigating the etiologic factors of early childhood caries in 18-month old infants which is an important period in pediatric dentistry, 234 infants of 18-month age and their first care-givers (mothers in most cases) who visited Ilsin Christian Hospital in Busan for the baby-care counseling and vaccination were examined. The oral examination was performed on the infants and their care-givers were individually interviewed about various items, and the data was statistically processed to yield the results as follows : 1. The prevalence rate of early childhood caries was 27.4%. 2. The percentage of the eldest child, the education level of the mother and monthly income were revealed lower in caries group infants. 3. The percentage of prolonged breast-feeding and the frequency of daily nursing was higher in early childhood caries group. 4. In early childhood caries group, the between-meal snacks were tend to be provided irregularly without predetermined time, and sugar containing snacks such as chocolates and candies were ranked in higher order whereas the fruits and milks were in lower ranks. 5. In early childhood caries group, the percentage of those performing the oral hygienic care was lower and the timing to start the toothbrushing was comparatively later. From the above results, it can be concluded that prolonged breast-feeding, poor snack habits and lower socioeconomic status act an important role in early childhood caries in 18-month old infants.

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The Characteristics of Unmarried Mother in some Shelters (일부 보호시설에 등록된 미혼모의 특성)

  • Ju, Yeon-Ok;Kim, Sang-Sun;Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.337-346
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    • 1997
  • To know the characteristics of the unmarried mother. We need to investigate what kind of circumstances the unmarried mother comes from and under which conditions created her situation. This investigation's purpose is to provide general information on how to prevent this situation. There are many unmarried mothers registered in support groups for single mothers in A City. We surveyed 67 single mothers registered from Nov. 1 '96 - April 30 '97. The questions of the survey asked for general characteristics, family background, friendship, attitude and knowledge toward sex and the relationship with the baby's father. We analysed this research data into a percentages.

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A Comparative Experimental Study on the Vital signs, Crying Fluid Intake and Excretion of the Full-term newborn Infant kept in the Prone or Lateral Position (복위 및 측위에 따른 신생아의 활력증상, 울음회수, 수유량 및 배설횟수의 비교연구)

  • 한경자
    • Journal of Korean Academy of Nursing
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    • v.5 no.1
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    • pp.133-143
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    • 1975
  • Most of mothers place their babies in either supine or prone position without change of position. Studies comparing supine and prone position of the newborn infants -have already been performed with the result that the prone position is relatively better than the supine position. However, one kind of position recommended to the mothers is not sufficient for the good rearing practice of children, because the same position placed for period long of time may bring out physical, mental tension and fatigue, and deformities of the skull and the thorax. For this reason nurses have to find out other position which has identical or more advantages than prone position so as to perform the position change for the babies. Main purpose of this study is to identify the differences of vital signs, the number of urination, defecation, diaper rash, crying and amount of feeding of the newborn infants with prone position or lateral position during the first three days of life. Sixty two newborn infants who were delivered at Seoul National University Hospital during the period from July 1 to September 5, 1974 were chosen as subjects for this study. The criteria for the choice of subjects were the babies born with vaginal delivery; body weight 2.5kg or over at birth; Apgar score Seven or over; and gestation period between thirty-eight months ana forty- two months. Of these subjects, by random sampling, thirty-one newborn infants were placed in the prone position and the other thirty-one in the lateral position. The results of this study reviewed in a statistical analysis of the t-test to obtain the following findings : 1. The heart rates of babies in the prone position were the mean heart rates of 135.03 and those in the lateral position 135.98 without any statistically significant difference. 2. There was no significant difference of respiration rate between two groups : a group in the prone position showed the mean respiration rates of 45,57 and the other in the lateral position 46.49. 3. There was no significant difference of body temperature between two groups: the mean body temperature of a group placed in the prone position was 98$^{\circ}$18'F(36$^{\circ}$77'C) and that of the other group 98$^{\circ}$20'F(36$^{\circ}$78'C). 4. One baby showed diaper rash only in a group of infants in the prone position. 5. The number of crying of the babies in the prone position were 23.70 and those in the lateral position 30.00 with a statistical difference at 5 percent level. 6, There was no difference of frequency of urination between two groups: the mean frequency of a group placed in tile prone position was 5.44 and that of the other group 5.06, 7. There was no significant difference of frequency of defecation between two groups : the mean frequency of a group placed in the prone position was 4.20 and that of tile other group 4.21, 8. There was no significant difference of feeding amount between two groups : the average amount of a group in the prone position showed 325.03 and that of the other group in the lateral position 291.51. All the above results mean that we may substitute tile lateral position for the Prone position or utilize both position for tile rearing practice of the babies.

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A study on Knowledge, Attitude and Practice about women who experienced induced abortion (인공임신 중절 경험 부인에 대한 지식, 태도 및 실천에 관한 조사연구)

  • 김상혜
    • Journal of Korean Academy of Nursing
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    • v.8 no.2
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    • pp.51-61
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    • 1978
  • Important object of this survey is for promoting of maternal health and popularizing a right recognition which analyzed and study about knowledge, Attituded and Practice about women who experienced induced abortion. This surveyed materials obtained from total 300 wome (each 150 cases) who experienced induced abortion at Obstetrics and Gynecological Department in K university hospital and D health center in Seoul for 1 month. (1978. 9. 1.-1978. 9. 30) Their Results are as follows: A. General characteristics of surveyed cases, The highest age distribution was between 30-34 (29.3%) in health center, upper than 40 (32.7%) in University hospital. B. Knowledge 1. Knowledge about the induced abortion obtained mainly from their friends in 36.4% and Hospital in 20.7%. 2. The rate of Women who have dangerous thinking about induced abortion was 63.3%. C. Attitude 1. The rate of women who gained guilt feeling after induced abortion was 52.7%, out of total 41.4% was responsed careless thinking if they have a proper reason. 2. Attitude about induced abortion when they have unwanted baby was absolutely necessary in 57.3%, relatively necessary in 30.6%, that is, most of women showed to want induced abortion if necessary. D. Practice 1. The women who have experienced induced abortion was only one times in 44.7%, two times in 22.0%, three times in 17.7%, total average times were 2.3. 2. The reason for induced abortion was highest due to limitation of family (38.0%), next failure of Contraception (15.8%). 3. The operating sites of induced abortion were local clinics in 93.0%, universal hospital in 7.0%. The difference was remakable. 4. The rate of complicated cases after induced abortion was 54.7%, among them, general weakness in 32.3%, vaginal bleeding or spotting in 23.8% and abdominal discomfortness or lumbago in 17.7%. When symptom appeared, the rate of treated Cases was 74.4%, their sites were general hospitals in 54.1%, local clincis in 18.0%, Herb medications in 15.6% and pharmaceutics in 12.3 in that order. 5. The average times of induced abortion follows by educational level were 2.6 in graduated elimentary school group, each 2.4 in graduated middle school and College group, 2.2 in graduated high school in that order. 6. The average times of induced abortion follows by ages were most with 3.3% in upper than 40 years old. The average times of all surveyed cases were 2.3.

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A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns (제왕절개분만 산욕부와 신생아의 가정간호 사례분석)

  • 김혜숙;최연순;전은미
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.696-705
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    • 1994
  • This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

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A case of two sisters births from mother with phenylketonuria lacking mental retardation (정신 지체가 아닌 페닐케톤뇨증 산모에서 출생한 자매 1례)

  • Ki, Chang-Seok;Kim, Jin Kyung
    • Clinical and Experimental Pediatrics
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    • v.51 no.5
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    • pp.546-550
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    • 2008
  • In this untreated classic phenylketonuria (PKU) case, mental retardation is severe; however, there have been individuals- like the mother of this case- who have escaped mental retardation and all the other potential sequelae of phenylketonuria, despite having high blood phenylalanine levels, and very poor dietary control. It appears that they have nearly normal brain phenylalanine levels despite high blood phenylalanine (Phe) levels. A number of studies have now demonstrated considerable variability in blood vs. brain phenylalanine levels in phenylketonuria patients. Outcome of phenylketonuria appears to be related to brain phenylalanine levels. We report a case of "undiagnosed" maternal phenylketonuria syndrome. A female infant had low birth weight (2,400 g) with microcephaly. We examined her family and discovered that her mother was an undiagnosed phenylketonuria patient with a borderline intelligence quotient (IQ). The infant's sister, six years old, was diagnosed with phenylketonuria at the age of four years was mentally retarded and had received an operation for cleft lip and palate. the sister had also had a low birth weight (2,300 g). Her sister and mother were compound heterozygotes (mother: R243Q/Y325X; sister: Y325X/P407S). The infant and father were heterozygous carriers (baby: R243Q/ -; father: P407S/ - ).

The Significance of SDF-1α-CXCR4 Axis in in vivo Angiogenic Ability of Human Periodontal Ligament Stem Cells

  • Bae, Yoon-Kyung;Kim, Gee-Hye;Lee, Jae Cheoun;Seo, Byoung-Moo;Joo, Kyeung-Min;Lee, Gene;Nam, Hyun
    • Molecules and Cells
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    • v.40 no.6
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    • pp.386-392
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    • 2017
  • Periodontal ligament stem cells (PDLSCs) are multipotent stem cells derived from periodontium and have mesenchymal stem cell (MSC)-like characteristics. Recently, the perivascular region was recognized as the developmental origin of MSCs, which suggests the in vivo angiogenic potential of PDLSCs. In this study, we investigated whether PDLSCs could be a potential source of perivascular cells, which could contribute to in vivo angiogenesis. PDLSCs exhibited typical MSC-like characteristics such as the expression pattern of surface markers (CD29, CD44, CD73, and CD105) and differentiation potentials (osteogenic and adipogenic differentiation). Moreover, PDLSCs expressed perivascular cell markers such as NG2, ${\alpha}-smooth$ muscle actin, platelet-derived growth factor receptor ${\beta}$, and CD146. We conducted an in vivo Matrigel plug assay to confirm the in vivo angiogenic potential of PDLSCs. We could not observe significant vessel-like structures with PDLSCs alone or human umbilical vein endothelial cells (HUVECs) alone at day 7 after injection. However, when PDLSCs and HUVECs were co-injected, there were vessel-like structures containing red blood cells in the lumens, which suggested that anastomosis occurred between newly formed vessels and host circulatory system. To block the $SDF-1{\alpha}$ and CXCR4 axis between PDLSCs and HUVECs, AMD3100, a CXCR4 antagonist, was added into the Matrigel plug. After day 3 and day 7 after injection, there were no significant vessel-like structures. In conclusion, we demonstrated the perivascular characteristics of PDLSCs and their contribution to in vivo angiogenesis, which might imply potential application of PDLSCs into the neovascularization of tissue engineering and vascular diseases.

Cryopreservation of Human Embryos for Assisted Reproductive Technology (인간 배아의 동결보존에 관한 연구)

  • Moon, Shin-Yong;Kim, Chung-Hoon;Kim, Seok-Hyun;Choi, Young-Min;Shin, Chang-Jae;Kim, Jung-Gu;Lee, Jin-Yong;Chang, Yoon-Seok
    • Clinical and Experimental Reproductive Medicine
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    • v.21 no.2
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    • pp.137-147
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    • 1994
  • Controlled ovarian hyperstimulation(COH) for in vitro fertilization and embryo transfer(IVFET) often results in the production of more embryos than can be efficaciously transferred at one time. However, embryo cryopreservation provides a mechanism by which additional embryos can be stored for later thawing and transfer. From November, 1990 to October, 1992, we completed 42 transfer cycles of cryopreserved pronucleus(PN) l-cell embryos using the fixed protocol of hormonal replacement therapy in a physiological manner regardless of individual ovarian function. Artificial endometrial stimulation was performed with only exogenous estradiol and progesterone(E-P) in 36 transfer cycles (Group I) and with gonadotropin-releasing hormone agonist(GnRHa) and exogenous estradiol and progesterone(GEEP) in 6 transfer cycles(Group II ). The results were as follows. 1. The Survival rate of total cryopreserved-thawed embryos was 64.9%(198/305): 64.9% (172/265) in Group I and 65.0% (26/40) in Group II. 2. Total 168 embryos were transferred with an average of 4.7 per ET in Group I and total 26 embryos were transferred with an average of 4.3 per ET in Group II. 3. The pregnancy rate(PR) per cryopreserved-thawed ET and the implantation rate was 33.3 %(14/42) and 6.7%(13/194), respectively. The PRs per cryopreserved-thawed ET were 30.6% (11/36) in Group I and 50.0% (3/6) in Group II without significant difference. 4. The take home baby rate was 11.1%(4/36) in Group I and 33.3% (2/6) in Group II.

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Changes in Suckling Behavioral Pattern in Fox Cubs (새끼 여우의 수유기 행동패턴 변화)

  • Chung, Chul-Un;Kim, Young-Chae;Lee, Hwa-Jin;Kim, Sung-Chul;Lee, Bae-Keun
    • Korean Journal of Environment and Ecology
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    • v.27 no.6
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    • pp.690-694
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    • 2013
  • The aim of the present study is to obtain ecological data necessary for increasing the survival rate and effective individual management of fox cubs by analyzing the behavioral pattern during the lactation period. The subjects of the present study were baby foxes born in 2013 and taken care of at the species restoration technology institute, Korea National Park Service. Our analysis on the lactation of fox cubs and their appearance pattern outside the burrow revealed that the frequency and duration of lactation decreased with the growth of the cubs, whereas the frequency of the cubs venturing outside the den, activity time, and distance ventured increased. By the $30^{th}$ day after birth, in particular, the lactation behavior of the vixens largely decreased, and the activity of the cubs outside the den increased accordingly. Thus, for future management of the propagation of fox individuals for securing the original breed, it is necessary to increase the living food source. In addition, while capturing foxes for individual marking of cubs born in the wild, it is desirable to capture cubs older than 30 days not only for easy capture but also to minimize negative influence on the growth of the cub.

The Labor Force and Employment Outlook in Korea:2000-2005 (21세기 노동력 수급전망(2000년~2005년))

  • 최강식
    • Korea journal of population studies
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    • v.23 no.2
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    • pp.113-141
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    • 2000
  • The aim of this paper is to project the state of the labor farce and employment in Korea from 2000 to 2005. The labor market in Korea is experiencing significant changes with the rapid development of Information and Telecommunication Technology (ICT) and the transition of the Korean economy into a knowledge-based economy. On the labor supply side, it is expected that the growth of the labor force will be sluggish; baby boomers will become the middle-aged, while the proportion of senior citizens, the highly educated and the female labor force will grow fast. These changes will alter the human resources management system in business sectors. Moreover, the permanent employment relationship, the hierarchy system and the seniority-based wage system are all expected to change. On the labor demand side, the employment share in highly skilled. knowledge-intensive industries will grow faster than the rest of the economy in tandem with the quickly growing output share of these industries. Especially, more jobs will be created in the ICT industries. The proportion of labor in highly skilled and professional occupations will also grow faster than in other occupations. At the same time, the employment share of female workers will grow more quickly than that of the male workers. These changes, however, may worsen income inequalities and/or increase the unemployment rate when workers do not have the suitable skills or knowledge required by the knowledge-based economy. To avoid this, it is necessary for the government to build up a lifetime learning system for workers.

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