• 한국인구학
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• 제32권1호
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• pp.1-23
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• 2009

본 논문에서는 설문조사자료를 이용하여 1940년대 이후 출생한 우리나라 여성들의 연령별 출산율, 연령별 누적출산율, 결혼연령을 5개의 출생코호트별로 살펴보고 위험도 모형을 이용하여 결혼연령 및 결혼 이후 초산까지의 간격에 영향을 미치는 요인을 각각 분석하였다. 먼저 연령별 출산율을 보면 출생시기가 늦은 코호트일수록 출산율이 최고수준에 이르는 연령이 높아지는 것으로 나타났다. 한편 연령별 누적출산율은 50년대 코호트와 60년대 코호트의 경우 각각 직전 코호트에 비해 누적출산율이 크게 하락하였으나 70년대 코호트나 80년대 코호트는 60년대 코호트에 비해 누적출산율에 있어서 별다른 차이를 보이지 않았다. 결혼연령을 보면 최근의 출생코호트로 올수록 결혼연령이 높아졌다. 한편, 결혼 위험도 모형을 추정한 결과에 의하면 여성의 출생시기가 늦을수록 그리고 교육수준이 높을수록 결혼연령이 높아지는 것으로 나타났으며 특히 출생시기의 영향은 그간 진행된 여성의 취업기회의 확대와 여성의 상대적 지위의 향상 등 경제적 및 사회문화적 변화를 종합적으로 반영하는 것으로 해석된다. 다음으로 결혼 이후 첫 자녀의 출산 위험도의 경우에는 출생시기나 결혼시기 모두 유의한 영향을 미치지 않는 것으로 분석되었다. 한편, 결혼 이후에도 상당기간 취업상태를 유지한 여성의 경우 출산 위험도가 크게 낮았으며 또한 중졸 이하 학력을 가진 여성은 여타 수준의 학력을 가진 여성에 비해 출산 위험도가 낮은 것으로 나타났다. 이는 여성의 취업이나 낮은 가구소득이 출산율을 낮추는 중요한 요인임을 의미하는 것으로 중요한 정책적 시사점을 가진다.

• 한국시스템다이내믹스연구
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• 제17권1호
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• pp.107-134
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• 2016

Accelerated ageing with low fertility is one of the most critical problems in Korea. Because of ageing via low fertility, Korea will face a serious demographic cliff. This research primarily focus on the analyzing the dynamics of the marginal ageing state and decreasing population especially in Eup and Myeon region. This study based on the system dynamics approaches for finding causal loop structure of marginal ageing and critical mass of population disappearing. The results of this study are summarized as follows. First, demographic marginalization trends have already begun in the Eups and Myons of Gun. Second, marginal aging speed in Eup/Myeon areas is causing an population disappearing in the near future. Third, critical mass of population disappearing will begin when the rate of marginal aging is exceed 82% after 2023.

• 한국주조공학회지
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• 제38권2호
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• pp.27-31
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• 2018

The lack of industrial manpower that Korean companies have been suffering in 21st century is largely responsible for the low-fertility phenomenon. This research suggests an alternative solution with a program for fostering foreign laborers with technical skills in casting industry. Industrial manpower growth is feasible through accepting migrants who have had official education on the fundamental industrial technologies provided by Korean government. These technically trained migrants who can keep economical self-perpetuating ability are can help to effectively address the problem of the declining working-age population and the decreasing potential growth rate in Korea.

• 한국인구학
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• 제11권1호
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• pp.32-49
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• 1988

The social conditions in Koreas until 1950s were similar to the model phenomena of low level eqilibrium trap which was named by Prof. Nelson, with the continuation of high population growth rate and low economic growth rate. To escape from the trap, Korean government adopted two different policies, one is economic development plans and the other is family planning programs. Theses policies were successful in both increasing the national products and decreasing the population growth rate. In 1985 per capita GNP increased to over two thousand dollars, fertility rate reduced to replacement level(2.1) and unemployment rate was stabilized at 4 percent level. From various prospects, we were successfully escaped from the Malthusian trap and many economists, who studied developed countries, belive that population growth has positive effects on technological progress, economies of scale, specialization, individual attitude on work, and economic growth. Therefore we need to reexamine the anti-natalistic population policy of Korea in this situation.

• 기독교교육논총
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• 제65권
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• pp.55-80
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• 2021

본 연구는 국가적, 사회적 문제가되고있는 저출산 문제의 심각성에 대한 기독교 종교적 대안과 대안을 모색하고자 하였다. 대한민국은 저출산 국가이다. 저출산과 출산 기피 현상은 국가적인 문제뿐 아니라 한국교회에도 심각한 문제가 발생하고 있는 것이 현실이며, 계속해서 영향을 줄 것이다. 크게 네 가지로 교회에 영향을 미칠 것이다. 첫째 교인 수의 급격한 감소이다. 둘째 이로 인해서 교회학교의 쇠퇴이다. 셋째 다양한 가족 문제와 세대 갈등이 생길 것이다. 그리고 교인들의 신앙 위기 등의 문제를 가져온다. 오늘을 사는 젊은이들은 결혼과 출산 그리고 자녀 양육에 대해 얽매이지 않으려는 태도를 가지고 있다. 그러나 기독교인에게 자녀 출산은 하나님께서 '생육하고 번성하며 땅에 충만 하라.' 축복하신 것을 삶으로 실천하는 것이다. 즉, 자녀 출산은 인간이 결정할 수 있는 것이 아니라 하나님의 축복임을 인식해야 한다. 따라서 태아가 하나님 앞에서 얼마나 소중한 존재로 귀한 생명인 줄 알아야 한다. 그리하여 주신 생명을 어떻게 잘 양육할 것인지 관심 갖도록 해야 한다. 그러기 위해서는 성경적 관점에서 생명의 가치를 형성하도록 교회의 역할은 교육이다. 그러므로 결혼과 출산 그리고 자녀 양육을 앞두고 있는 청년과 기혼 부부의 기독교 신앙이 자녀의 출산과 양육에 어떠한 영향을 미치는지 확인해 볼 필요가 있다. 그리고 저출산 문제를 해결하기 위해 교회와 기독교 교육의 역할은 무엇인지에 대해서 연구하고 대처 방안을 제시할 필요가 있다. 이 연구를 위하여 먼저 저출산의 요인들을 확인해 볼 것이다. 그런 다음에 자녀의 출산과 하나님의 축복임을 성경을 통해서 확인할 것이다. 끝으로 저출산을 교회의 역할과 교육적인 대안들을 제시하게 될 것이다.

• 한국인구학
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• 제16권2호
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• pp.1-23
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• 1993

Korea fertility level has dropped since the 1960's and speed of decline has accelerated in the 1980's. In the resuls, the growth rate reached to less then 1 percent in 1990 and will be $\ulcorner$0 $\lrcorner$ percent growth in 2021. The total population will increase to 50, 586 thousand persons in 2021 then will decrease. With the rapid fertility decline the age structure of Korean population has changed : while the proportion of child population aged 0-14 is decreasing sharply, that of old-age population aged 65 and over is increasing. Because of the recent increase of sex ratio at birth, the sex structure among the young generation has been destorted; the sex ratio at age 0-4 was as high as high as 112.0 in 1990. The effects of these population phenomena on Korean society are the followings: 1) Old age dependency ratio is increasing rapidly and continuously and will be about 40.0 from the 2050's. 2) Because of the rapid decline of the number of births, the absolute number of the major labour force at age 25-34 will decrease after around 2000 and then from the 2010's become less than that in 1990. 3) Since the large fertility defferentials by womens's educational level have continued and the relation between the educational levels of mothers and children are very strong, level has dropped among higher educated women first when the average fertility level has declined in Korea, the average educational level of the children is may be expected to be relatively low and then the future productivity is will be also low, which causes the decline of 'quality of population. 4) When the high sex ratio at birth (over 110 since 1986) continues, number of brides will be short by over 20 percent from the 2010s, which will bring various kinds of social prblems. Therefore, the counter measures in concrete to relieve the heavy problems are recommended as follows: 1) The extention of the birth intervals, which helps to drop the population growth rate at the same level of number of children per women. 2) The positive supports for out-migrants, which helps to reduce the population size without any destortion of age-sex structure. 3) The defferent supports of family planning for the higher and lower classes, which helps to reduce the gaps between different ferility levels of the classes and to keep and improve the quality of population. 4)population education for both students and adults, which helps to minimize the gap between the private and public requirements.

• Clinical and Experimental Reproductive Medicine
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• 제44권4호
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• pp.232-238
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• 2017

Objective: To determine whether reducing the cetrorelix dose in the antagonist protocol to 0.125 mg had any deleterious effects on follicular development, the number and quality of retrieved oocytes, or the number of embryos, and to characterize its effects on the affordability of assisted reproductive technology. Methods: This randomized controlled study was conducted at the Fertility Unit of Tanta Educational Hospital of Tanta University, the Egyptian Consultants' Fertility Center, and the Qurrat Aien Fertility Center, from January 1 to June 30, 2017. Patients' demographic data, stimulation protocol, costs, pregnancy rate, and complications were recorded. Patients were randomly allocated into two groups: group I (n = 61) received 0.125 mg of cetrorelix (the study group), and group II (n = 62) received 0.25 mg of cetrorelix (the control group). Results: The demographic data were comparable regarding age, parity, duration of infertility, and body mass index. The dose of recombinant follicle-stimulating hormone units required was $2,350.43{\pm}150.76$ IU in group I and $2,366.25{\pm}140.34$ IU in group II, which was not a significant difference (p= 0.548). The duration of stimulation, number of retrieved oocytes, and number of developed embryos were not significantly different between the groups. The clinical and ongoing pregnancy rates likewise did not significantly differ. The cost of intracytoplasmic sperm injection per cycle was significantly lower in group I than in group II (US $ $494.66{\pm}4.079$ vs. US $ $649.677{\pm}43.637$). Conclusion: Reduction of the cetrorelix dose in the antagonist protocol was not associated with any significant difference either in the number of oocytes retrieved or in the pregnancy rate. Moreover, it was more economically feasible for patients in a low-resource country.

• 한국인구학
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• 제29권1호
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• pp.241-268
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• 2006

본 연구는 출산율이 세계 최저수준으로 낮아진 한국사회의 적정인구를 사회복지적 관점에서 논의한다. 이는 인구규모의 급격한 감소와 인구구조외 불균형이 예측되어 결과적으로 국가발전에 부정적인 영향을 줄 것으로 전망되기 때문이다. 사회복지적 측면에서의 적정인구는 1인당 복지수준 또는 사회전체의 복지수준, 곧 사회적 후생(social welfare)의 크기 또는 복지성장률이 극대화되는 지점이다. 적정 인구구조는 전체인구대비 노인인구 약 $15{\sim}17%$, 생산인구 약 $64{\sim}69%$, 그리고 고령화지수 약 $72{\sim}104$ 수준이다. 또한 현재의 인구규모 및 인구구조를 감안한 한국의 적정 인구규모는 약 $4,850{\sim}4,950$만 명인 것으로 나타났다. 따라서 저출산의 원인제거로 출산율을 회복하여야 함과 동시에 외국인력을 유입할 수 있는 준비를 갖추어야 할 것이다. 아울러 아동들이 좋은 환경에서 성장할 수 있도록 노력하고 여성과 노인이 노동시장에 참여할 수 있는 조건을 제공하여야 할 필요가 있다.

• Clinical and Experimental Reproductive Medicine
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• 제39권4호
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• pp.144-152
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• 2012

Objective: Concerns are growing about the decrease in male reproductive health. Caffeine is one of the popular nutrients that has been implicated as a risk factor for infertility. In the present study, we examined whether in utero and lactational exposure to caffeine affects the reproductive function of the offspring of rats. Methods: Pregnant rats received caffeine via drinking water during gestation (26 and 45 mg/kg) and lactation (25 and 35 mg/kg). Body and reproductive organ weight, seminiferous tubule diameter, germinal epithelium height, sperm parameters, fertility rate, number of implantations, and testosterone level of the offspring were assessed from birth to adulthood. Results: Significant dose-related decreases were observed in the body and reproductive organ weight, seminiferous tubule diameter, and germinal epithelium height of the offspring. Sperm density had declined significantly in offspring of the low-dose and high-dose groups, by 8.81% and 19.97%, respectively, by postnatal day 150. The number of viable fetuses had decreased significantly in females mated with male offspring of the high-dose group at postnatal days 60, 90, 120, and 150. There were also significant reductions in testosterone levels of high-dose group offspring from birth to postnatal day 150. Conclusion: It is concluded that maternal caffeine consumption impairs gonadal development and has long-term adverse effects on the reproductive efficiency of male offspring rats.

• 가정∙방문간호학회지
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• 제14권1호
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• pp.11-17
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• 2007

The purpose of this study was to describe the policy agenda and alternatives for the home health care system in Korea. The home health care system development was not fully integrated while the medical laws were established in 2000, community health law in 1995, and elderly long-term health insurance law in 2007. Because of the increasing population of people over the age of 65 and dramatically decreasing fertility rate, the burden of various health-care expenses has become a great obstacle for the Korean government. Under these circumstances, the home of home health care system in has taken on an important role under the mandate of the national health care system. The types of home health care system in Korean shows a greater contrast from those utilized in other more industrialized countries, such as, U.S. or Japan. In conclusion, the strategy in overcoming the obstacles to enhance home health care system under the national health system would be developing it as a comprehensive and exchangeable consumer-focused organization.