• 가정과삶의질연구
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• 제8권1호
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• pp.83-100
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• 1990

The purposes of the study are to understand of rural family life cycle(FLC) and to get a FLC model for the twentieth in rural area. Data for the study were collected from 603 farm households in rural area. The major findings are as follows; 1) The age of first marriage was 21.5 years old(urban : 22.4), the first bearing 23.2(24.2), the last bearing 31.7(32.6), the first child marriage 47.2(46.5), and the last child marriage 59.7(52.7). The number of child and interval were 3.9 persons and 2.9 years respectively. From the survey results, the rural family life cycle was established. Establishment stage(from the marriage to the 1st child birth) : 21-23 yrs. Extension stage(from the 1st child birth to the last child birth) : 23-32 yrs. Complete extension stage(from the last child birth to the 1st child's marriage) : 32-47 yrs. Shrinking stage(from the 1st child's marriage to the last child's marriage) : 47-60 yrs. Complete shrinking stage(from the last child's marri ge to the death of husband) : 60-63 yrs. Dissolution stage(from the death of husband to the death of wife) : 53-75 yrs. 2) In general, the older the age, the younger the first marriage age, the greater the number of child, and the longer the interval of child bearing. The last child's marriage was too last to have the period of recovery stage. In terms of FLC by marital chorts, the later the year of marriage, the older the age of the first marriage and first baby bearing, the smaller the number of child, and the faster the launching stage. The higher the educational level, the older age of the first marriage and the first baby bering, the smaller the number of child, and the shorter the interval of child bearing. 3) Two types of rural FLC model for the twentieth were formulated. Type A was formulated based on the survey results and type B was formulated based on 『'88 population dynamics survey』 of Economic Planning Board(EPB). 「TYPE A」*Establishment stage(from the marriag to the 1st child birth) : 22.5-23.5 yrs. one child : the 1st child's marriage(49.5yrs), the death of husband(64.2yrs), the death of wife(71.7yrs) two children : the last child's birth(25.7yrs), the last child's marriage(51.7 yrs) three children : the last child's birth(27.9yrs) the last child's marriage(53.9yrs) 「TYPE B」*Establishment stage(from the marriage to the 1st child birth) : 25.3-26.3 yrs. one child : the lst child's marriage(52.3yrs), the death of husband(67.0yrs), the death of wife(74.5yrs) two children : the last child's birth(27.8yrs), the last child's marriage(53.8 yrs.) three children : the last child's birth(29.3yrs), the last child's marriage(55.3yrs).

• Journal of Preventive Medicine and Public Health
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• 제21권2호
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• pp.207-216
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• 1988

Premature rupture of membrane is the most frequent cause of low birth weight infant delivery which increase the maternal and fetal morbidity and perinatal mortality. A retrospective case-control study was performed on 315 mothers who delivered low birth weight infants($\leq$2.5kg) with premature rupture of membrane and as control group 546 mothers who delivered normal birth weight infants(2.9-3.7kg) without premature rupture of membrane were chosen. The results obtained from this study were as follows: 1. The proportion of low birth weight infants due to premature rupture of membrane among all low birth weight infant deliveries was 14.5%, and this is equivalent to 1.1% among all deliveries. 2. The most significant maternal risk factor of low birth weight infant deliveries with premature rupture of membrane was infections on vagina, cervix and uterus during pregnancy. Compared with control, adjusted odds ratio was 7.61(95% confidence interval(CI) 1.88-30.88, p=0.004). Other significant maternal risk factors were the history of induced abortion, spontaneous abortion, and the experience of premature delivery. The risk ratios were 1.82, 2.07, 4.42, respectively. 3. Breech presentation did increase the risk of low birth weight infant delivery with premature rupture of membrane compared with control(Adjusted Odds ratio=2.66, 95% CI 1.35-5.26, p=0.005). 4. Mothers who had not taken antenatal care were having higher risk of low birth weight infant delivery with premature rupture of membrane against control(Adjusted odds ratio=1.73, 95% CI 1.19-2.53, p=0.004). These study results show that maternal factors such as the infection of genital organs during pregnancy, the history of induced abortion and breech presentation are significantly associated with the premature rupture of membrane in the low birth weight deliveries, and that most of these risk factors are controllable ones through proper antenatal cares.

• Journal of Preventive Medicine and Public Health
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• 제37권4호
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• pp.300-305
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• 2004

Objectives : The exposure to particulate air pollution during the pregnancy has reported to result in adverse pregnancy outcome such as low birth weight, preterm birth, still birth, and intrauterine growth retardation (IUGR). We aim to assess whether prenatal exposure of particulate matter less than 10 (m in diameter ($PM_{10}$) is associated with preterm birth in Seoul, South Korea. Methods : We included 382,100 women who delivered a singleton at 25-42 weeks of gestation between 1998 and 2000. We calculated the average PM10 exposures for each trimester period and month of pregnancy, from the first to the ninth months, based on the birth date and gestational age. We used three different models to evaluate the effect of air pollution on preterm birth; the logistic regression model, the generalized additive logistic regression model, and the proportional hazard model. Results : The monthly analysis using logistic regression model suggested that the risks of preterm birth increase with PM10 exposure between the sixth and ninth months of pregnancy and the highest risk was observed in the seventh month (adjusted odds ratio=1.07, 95% CI=1.01-1.14). We also found the similar results using generalized additive model. In the proportional hazard model, the adjusted odds ratio for preterm births due to PM10 exposure of third trimester was 1.04 (95% CI=0.96-1.13) and PM10 exposure between the seventh month and ninth months of pregnancy was associated with the preterm births. Conclusions : We found that there were consistent results when we applied the three different models. These findings suggest that air pollution exposure during the third trimester pregnancy has an adverse effect on preterm birth in South Korea.

• Journal of Preventive Medicine and Public Health
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• 제36권2호
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• pp.117-124
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• 2003

Objectives : This study was performed to examine the relationship between maternal exposure to environmental tobacco smoke (ETS) and pregnancy outcomes (low birth weight or preform baby) in a prospective cohort study. Methods : We made a pregnant women's cohort, and followed the pregnancy outcomes, between May 1st 2001 and August 31st 2002. We surveyed 2,250 women who visited our hospital during their 35th gestational week, with a self-administered questionnaire. The final total of mother-infant pairs analyzed in this study was 1,712. We used a multiple logistic regression analysis to analyze the effect of maternal ETS on the incidence of preform or low birth weight, and a linear regression analysis for the birth weight and gestational age. Results : Higher exposure to ETS (>=1 hours/day) during pregnancy was more negatively associated with the gestational age and birth weight, than no exposure to ETS (no or less than 1 hour). Maternal exposure to ETS was associated with preform baby(adjusted odds ratio (AOR) 1.7; 95% confidence interval (CI) 0.9, 3.3) and low birth weight (AOR 2.3; 95% CI 0.9, 5.5). In addition, we found that maternal ETS may reduce the birth weight by 70g after adjusting for potential confounding factors. Conclusions : This study suggests that maternal exposure to ETS during pregnancy may increase the frequency of low birth weights and preform births.

• Journal of Preventive Medicine and Public Health
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• 제43권5호
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• pp.369-376
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• 2010

Objectives: The purpose of this study was to examine the associations of current body weight and body mass index (BMI) at age three and birth weight in developing chronic respiratory illness in childhood and identify possible interaction underlying its mechanism. Methods: The study was carried out with 422 children who were enrolled in a hospital-based birth cohort. Birth related anthropometric data were collected at birth. At age 3 years, the presence of respiratory symptoms was evaluated by using the Korean version of core questionnaire for wheezing and asthma from the International Study of Asthma and Allergies in Childhood (ISAAC). Physical examination was carried out to measure the child's weight and height. Results: Children in the lowest birth weight tertile (aOR = 3.97, 95% CI = 0.94-16.68) or highest BMI tertile (aOR = 3.68, 95% CI = 1.24-10.95) at three years of age were at an increased risk of chronic respiratory illness. Children who were initially in the lowest birth weight tertile but now belong in the highest weight tertile had higher risk of chronic respiratory illness compared to those who had remained in the middle tertile (OR=16.35, 95% CI=1.66-160.57). Conclusions: Children with lower birth weight or higher BMI were at an increased risk of chronic respiratory illness. In addition, children who were initially in the lowest birth weight tertile but are now in the highest weight tertile had higher risk of chronic respiratory illness compared to those who remained in the middle tertile.

• Journal of Yeungnam Medical Science
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• 제4권2호
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• pp.97-103
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• 1987

1983년 5월부터 1987년 2월까지 만 3년 8개월 간 본원에서 출생한 신생아 3,803명중 저출생체중아 186명에 대한 관찰 결과 다음과 같은 결론을 얻었다. (1) 출생빈도는 4.9%였고 성별출생빈도는 남녀비 1.02:1이었다. (2) 산모의 연령이 19세이하, 30~39세에서 25~29세에 비해 발생율이 높았다. (3) 초산모와 경산모에서는 113:73으로 차이는 없었다. (4) 산과적 합병증은 multiple pregnancy가 가장 많았고 그 다음 임신중독증, PROM순으로 많았다. (5) 출생후 볼 수 있었던 문제점으로는 Jaundice, RDS, asphyxia 및 metabolic derangement가 많았다.

• Asian-Australasian Journal of Animal Sciences
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• 제21권4호
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• pp.478-483
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• 2008

Records of a Northeastern Thai indigenous cattle line population were used to estimate genetic parameters and annual trends for calf weights. The data set comprised records of 1,922 and 1,489 animals for birth and weaning weight, respectively born from 1993 to 2004. A bivariate analysis was carried out for variance and covariance components estimations using average information restricted maximum likelihood procedure. Average estimated breeding value and maternal breeding value of the animals born in 1993 were set to zero as a base group. Genetic trends of each trait were calculated by regressing average estimated breeding values and maternal breeding values on birth year of calves. Phenotypic trends for each trait were calculated by regressing the yearly adjusted weight on birth year of calves. The results revealed that the estimate of direct heritability, maternal heritability and maternal permanent environmental variance as a proportion of phenotypic variance for birth and weaning weight was 0.40, 0.14 and 0.04; 0.27, 0.05 and 0.23, respectively. Direct heritability was moderately heritable and genetic improvement through selection can be achieved. The estimate of phenotypic, direct genetic, maternal genetic and maternal permanent environmental correlation between birth and weaning weight was 0.48, 0.65, 0.98 and 0.73, respectively. The phenotypic trend, genetic trends of estimated breeding value and maternal breeding value for birth weight was 0.18, 0.04 and 0.01 kg/year, respectively. The phenotypic trend, genetic trends of estimated breeding value and maternal breeding value for weaning weight was -1.36, 0.32 and 0.03 kg/year, respectively. As maternal genetic effect was considerably less important than direct genetic effect, selection for improved weaning weight of this Northeastern Thai indigenous cattle line can place more emphasis on the direct genetic effect.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.23.1-23.6
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• 2016

Objectives A stable follow-up participation rate is a very important factor for validity in a cohort study. This study analyzed the factors that affect the participation rate at one hospital-based birth cohort in South Korean. Methods The participants were recruited from the Mothers' and Children's Environmental Health study between 2006 and 2010. The analysis targeted 1751 mothers who participated in a birth cohort. We conducted analyses of general characteristics during pregnancy and those of infants at birth that affect the participation rate of the 6-month follow-up survey. Results The participation rate for the 6-month follow-up survey was 60.4%. The participation rate in the follow-up of the subsequent period decreased within a 5% to 10% range compared to the number of subjects. The participation rate of premature infants was 16.9% lower than that of a full-term infant (52.6% vs. 69.5%). Analysis showed a 16.7% difference between the participation rate of low-birthweight infants in follow-ups (53.7%) and the participation rate of infants with normal weight (70.4%). The participation rate of mothers who were employed during pregnancy was significantly lower for the 6-month follow-up compared to the participation rate of mothers who were unemployed during pregnancy. Conclusions In this study, factors such as premature birth, low-birthweight, and the employment status of the mother during pregnancy affected the participation rate of the follow-up survey for the birth cohort at six months. A specific strategy is needed to encourage survey participation for the high risk groups in the follow-ups.

• Asian-Australasian Journal of Animal Sciences
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• 제24권7호
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• pp.952-956
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• 2011

The objective of the study was to evaluate the effect of passive transfer status, determined by measuring serum immunoglobulin (Ig) concentration 24 hours after parturition, on growth performance in buffalo calves allowed to nurse the dam during the first month of life. Serum Ig concentration 24 hours after birth ranged from 28.1 to 35.9 mg/ml, birth weight ranged from 29 to 41 kg, body weight 30 days after birth ranged from 48.5 to 62.9 kg. The Average Daily Gain (ADG) from birth to day 30 ranged from 448 to 1,089 g/d. Significant linear associations were detected between serum Ig concentration 24 hours after birth and day-30 weight (p< 0.05; $R^2$ = 0.31) and between serum Ig concentration 24 hours after birth and ADG from birth to day 30 (p<0.001; $R^2$ = 0.72). Results indicated that passive transfer status was a significant source of variation in growth performance when buffalo calves nursed the dam. Maximizing passive transfer of immunity by allowing calves to nurse the dam can increase growth performance during the first month of life.

• Journal of Preventive Medicine and Public Health
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• 제37권1호
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• pp.11-16
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• 2004

Objective : In this study, we aimed to produce basic data on the prenatal environmental risk factors of low birth weight infants at a community level. Methods : In 2000, we conducted the direct interview using questionnaire about prenatal environmental risk factors with low birth weight infant-delivered mothers and normal weight infant-delivered mothers in Asan-city, Chungcheongnamdo Province, Korea. The questionsgiven to the mothers included past pregnancy history, menstrual status, disease history before and during the pregnancy, family history, environmental risk factors and exposure history. The responses of the twogroups were compared to calculate the prenatal environmental risk factors of each group. Results : Mothers' smoking was significantly associated with low birth weight infants (adjusted odds ratio(AOR) 3.27; 95% confidence interval (CI) 1.25-8.56) and preterm baby (AOR 4.20; 95% CI, 1.21-14.61). Other environmental risk factors were not significantly different between the two groups. Conclusion: Smoking of mothers can be a risk factor for the delivery of low birth weight infants. These results could provide the basic data on prenatal environmental risk factors of mothers of low birth weight infants and suggest research topics for further community-based evaluation.