• Health Policy and Management
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• v.28 no.3
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• pp.210-216
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• 2018

National Health Insurance Service (NHIS) has put a great effort on extending life expectancy, for last 40 years. The system has also made remarkable outcomes in achieving universal health coverage. However, it is facing challenges of low health insurance benefits and sustainability risk due to low birth rate and aging society at the same time. To overcome the difficulties and build a lifelong health security system for the nation, it is required for NHIS to make multilateral changes in its roles. Based on the quantitative growth achieved so far, NHIS needs to strive for the growth in quality by not only increasing coverage and reforming contribution imposition system, but also reorganizing the relevant systems such as lifelong health management support, rational adjustment to the medical fee, and benefit costs monitoring. In addition, it's important for NHIS to restructure the organizational culture by having specialty and communicating with people for high quality of administration and health insurance sustainability.

• The Journal of the Korea Contents Association
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• v.16 no.1
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• pp.558-567
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• 2016

In the case of France which was successful in improving the ultra-low fertility rates of birth and South Korea, from the late 1980s, the birth rate fell continuously. In 1994, total fertility rate fell 1.66, but thanks to the active family policy of the government in the mid 1990s, it grew and maintained 2.0 average since the year 2008 until now. This study examined carefully how France was not classified as advanced welfare state, overcame the obstacles of low fertility problem in the socio-economic and institutional side and trying to get some suggestions from South Korea in which it of such problems in the field of low fertility.

• Women's Health Nursing
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• v.8 no.3
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• pp.424-434
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• 2002

Background & purpose Since the 1970's the rate of breast-feeding has decreased significantly. The Korean National Institute of Health reported that the rate of breastfeeding was 68.9% in 1982 and 14.1% in 1997. There are many influencing factors including: the lack of education and information on breast feeding, lack of faith in breast feeding, increment of the rate of working, lack of encouragement by supporters in difficult situations, and nurses' low level of knowledge about breast feeding. Such a lack of knowledge and support of breast-feeding at home by family members create another dilemma to the problem of breast-feeding. If problems arise and family members are unable to provide assistance due to the deficiency of knowledge, mothers show a tendency to abandon breast-feeding. The purpose of this research is to find out the rate of breast-feeding practice by time sequence of 1 week, 6 weeks and 12 weeks after birth and influencing factors on breast-feeding practice centered on the postpartal women who were 3discharged from one hospital, which is located in Seoul and provides simple breast-feeding education and continuous postnatal telephone consultation. Methodology The subjects of this research were 54 women who gave birth in a hospital located in Seoul from 1 March 2000 to 31 April 2000. After birth the subjects were educated individually about breast-feeding and telephone consultations were conducted. On the 1st week, 6th week, and 12th week, the subjects were surveyed about their breast-feeding practice rates and methods by telephone. Results 1) Complete breast-feeding rate: Within one week after birth, the subjects showed 64.2% complete breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks, 34.1%. 2) Partial breast-feeding rate: Within one week after birth, the subjects showed 32.1% partial breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks 15.1%. 3) Complete bottle-feeding rate Within one week after birth, the subjects showed 1.9% complete bottle-feeding rate. Within 6 weeks of giving birth 15.1%, and 12 weeks 17.0%. These results show that individual education about breast-feeding and continuous postnatal telephone consultation influenced on the practice of breast-feeding. On considering the reality of the hospital situation in which nurses could not operate education program due to the work-load, it is necessary to find out selectively those mothers who are unable to breast feed and provide education individually and continuous support by telephone follow up. Futhermore, the active role of lactation nurse specialist and their efficient management of breast-feeding for the successful practice is required.

• Clinical and Experimental Pediatrics
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• v.45 no.7
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• pp.828-835
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• 2002

Purpose : The outcomes of infants weighing less than 1,500 gm(very low birth weight infant : VLBWI) reflect recent progress in neonatal intensive care. In this study, we analyzed changes over time in survival rate and morbidity of VLBWIs during the past seven years. Methods : A retrospective review of medical records was analyzed for VLBWIs admitted to the neonatal intensive care unit of Samsung Medical Center within three days from birth. We compared the outcomes of previous corresponding data(period I : Oct. 1994 to Sept. 1996), with the outcomes of period II(Oct. 1996 to Dec. 1998) and period III(Jan. 1999 to Dec. 2000). Results : As shown in Tables 1 and 3, the distribution of birth weight, gestational age(GA), gender, and inborn admissions did not change during the 7-year study. The overall survival rate of VLBWI increased significantly over time(period I : 72% vs period III : 88.3%, P<0.05). Between period I and period II, the birth weight-specific survival rate increased by 23.6%(75% vs 92.7%, P<0.05) for infants 1,000 to 1,249 gm. Between period II and period III, the birth weight-specific survival rate increased three times(20% vs 66.7%, P<0.05) for infants <750 gm. The survivors of lowest birth weight included infants at 624 gm(GA : $26^{+5}$ weeks), 667 gm(GA : $25^{+6}$ weeks) and 480 gm(GA : $26^{+2}$ weeks) in each period. The gestational age-specific survival rate in period III increased significantly in GA 25-26 weeks and 29-30 weeks(vs period I & period II, P<0.05). The survivors of lowest gestational age included infants at GA 26 weeks(970 gm), GA $23^{+5}$ weeks(791 gm) and GA $24^{+1}$ weeks(740 gm) in each period. The incidence of severe IVH(grade III, IV) and the early death rate(< seven days) decreased in period III(vs period I; P<0.05), reflecting improvements in neonatal intensive care. Conclusion : The survival rate of VLBWI continues to increase, particularly for BW < 750 gm, GA < 26 weeks. This increase in survival is not associated by any increase in major morbidities.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.2
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• pp.300-305
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• 2005

As the current level of birth rate of Korea has dramatically declined, it is obvious that pediatric dentistry will also be affected by this change. This study was performed for the purpose of understanding on the current fertility levels of Korea. The formal data on the number of live births(NLB), crude birth rate(CBR), and total fertility rate(TFR) published annually from the National Statistical Office of Korea from 1992 to 2000 were used as materials for this study. The TFR values from 1990 to 2002 of Korea were compared with those of some western countries with similar history of decreased birth and the CBR values of the metropolitan cities and the capital city Seoul in 2003 were compared domestically, yielding to results as follows. 1. Recent birth rate of Korea was decreased continuously. NLB was about 490,000 CBR was 10.2 and TFR was 1.19. 2. TFR of Korea in 2002 was 1.17, the lowest in the world. 3. There was a large difference in the NLB and CBR between local prefectures and towns of Seoul domestically. Additional population studies and medico-economical studies to exactly predict the demands of pediatric dentistry and proper supplies of manpower in the future was thought urgently required.

• Journal of Christian Education in Korea
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• v.72
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• pp.49-70
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• 2022

The purpose of this study is to suggest a response and solution through Christian educational care to the crisis and change of the era of low birth rate faced by Korean society and the Korean church. This study proposes to find an alternative to the biblical aspect of pregnancy, childbirth, and parenthood as God's blessing for the demographic cliff and low birth rate problem that have become a reality in Korean society and churches. Being a parent in an age of low birth rate is very difficult, but on the other hand, it gives happiness and joy. Being a parent is a blessing from God, and is the most important and valuable thing in life. However, modern society emphasizes the right and necessity to choose one's own parenthood status. In the nuclear family, the decrease in the number of children, and the development of child research, parents feel more responsibility and economic burden for raising children than ever before. Therefore, it is a reality that the number of people who delay becoming parents or voluntarily do not have children is gradually increasing. To improve the perception of becoming a parent due to a decrease in responsibility for raising children, it is necessary to shed light on marriage, pregnancy, childbirth, and childrearing from a Christian educational point of view. In addition, it is necessary to understand the recognition of being a parent and the characteristics of childbirth and rearing, and to analyze past and present value changes. This study will also discuss the causes of low birthrate and try to provide Christian educational care for childcare including solving the low birthrate problem.

• The Korean Journal of Applied Statistics
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• v.32 no.2
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• pp.229-263
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• 2019

The Korean fertility rate has been declining rapidly since 2000 with the fertility rate among provinces following a uniform tendency. In particular, the province-specific fertility rate is an essential tool for local governments to prepare local policies for low fertility aging policy, education and welfare policies. However, there is limitation on how to reflect different trends on the province-specific fertility rate because the KOSTAT's (2017) province-specific fertility rate projection estimates information use the national average birth rate date of vital statistics for the last 10 years (5 years). In this study, we propose an improvement plan that simultaneously considers important stable pattern maintenance and provincial fertility rate differentiation for an annual birth rate estimation. The method proposed in this study (proposal 1 and 2) can reflect birth rate changes from past to present and national and provincial differences by age that use time series data of the annual fertility rate. Proposal 3 also reflects the unique fertility rate trend from the past to the present by age according to province regardless of the relationship with the national trend. Therefore, it is preferable to use a relationship to the national rate when predicting the birth rate, as in proposals 1 and 2 because the national and the provincial fertility rate pattern are similar. These proposals show improved stability in terms of age-specific fertility rates.

• Asian-Australasian Journal of Animal Sciences
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• v.13 no.4
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• pp.435-439
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• 2000

Records of weight, age, body condition at calving and udder characteristics scores of 425 beef cows and birth weights and periodical weights of their offspring from birth to weaning were analyzed to study the effect of body weight, condition and udder characteristic scores of dams on birth weight and Preweaning growth of their offspring. Dam's body condition (fat reserve) at calving were scored on a scale of 1 to 5 (1=extremely thin and 5=extremely fat) and dam's udder characteristics were scored on a scale of 1 to 7 (l=udder well attached with small teats and 7=at least one quarters not functional). Dams were from three distinct breed groups and were mated in single sire mating groups within each breed group for 45 days. Within each breed group and year, the dams were classified into high, medium and low based on their weights at the time of parturition. The data were analysed using covariance analysis. In general, calves born to heavier dams were heavier at birth and had higher rate of Preweaning growth. The effect of dam's body condition score on the calf birth weight was not significant. However, cows with average body condition score of 2.5 or 3.0 gave birth to calves that had higher pre weaning growth rates up to weaning than those born to calves with higher body condition score. The udder characteristics score did not affect calf birth weight as expected; however, cows with udder score of 3 (udder well attached with large teats) produced calves with higher preweaning growth rate than those with smaller teats. Based on the results, it can be concluded that maintaining animals with average body condition and weight would result in more efficient calf production. In addition, cows with well attached udder and large teats would provide a better maternal environment for Preweaning growth rates of their calves.

• The Journal of Economics, Marketing and Management
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• v.5 no.2
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• pp.33-39
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• 2017

As the aging population geworsened by the a of the low fertility rate in the wake of the birth of the low birth rate, the rapid increase in the retirement age of the baby boomers in the wake of the birth of the Korean War is a significant indication of the separation of the aged and the role of the economically rich and the role of the role of the economically rich. Therefore, this study aims to address issues and countermeasures. The study aims to provide basic data for the future life of the baby boom generation by examining the problems and responses to the economic activity after the retirement activity of the baby boomers. The research suggests that the limit was limited to the retirement age of the baby boomer generation in order to boost the employment of the elderly. Due to the lack of exploration of the exploratory research, the lack of analysis of exploratory facts is the biggest limitation of the analysis. So, further analysis of this will lead to meaningful studies. Looking at the composition of this study, the introduction of the study included the necessity and purpose of the study. The focus on the point was on the concepts and characteristics of the baby boomer, and analyzed the characteristics of the economic activity and analyses and analyses of domestic and international cases. In conclusion, the issue was drawn up and the alternatives were sought.

• Journal of Family Resource Management and Policy Review
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• v.11 no.1
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• pp.53-63
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• 2007

This study analyzes the contents of low birthrate measures by the government and their effectiveness. The discussion on the measures being promoted by the government is conducted by considering the analysis on the cause of low birthrates, introduction of overseas policies and government policy propositions, etc. The evaluation on effectiveness is conducted by considering the recognition of the policies by women who are the subject of childbirth and preceding studies. Low birth rates are not the problem of an individual anymore, but a task that the whole of society has to resolve. The comprehensive measures should be made including the elements that influence birth rate such as reducing the cost of raising a child, creating a favorable environment in society and worksite, and improving the nurturing environment, etc.