• 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.

• 대한지리학회지
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• 제51권6호
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• pp.837-851
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• 2016

이 연구는 우리나라 대표적인 기업도시 중 하나인 광양시를 사례로 2001~2010년간 인구이동과 인구 구조의 변화를 고찰하였다. 광양시 인구는 1981년 이후 지속적으로 증가해 2001년 138,468명에서 2010년 145,512명으로 늘어났다. 인구증가로 2010년 인구구조에서 30대와 40대 비중이 전체의 35%를 차지하였다. 2001~2010년 동안 순이동은 -2,925명으로 전출초과를 보였지만, 2008년 이후에는 19세 이하 연령층을 제외한 모든 연령층에서 전입초과를 나타냈고 전입 사유는 직업(49.5%)이 가장 많았다. 광양시 인구증가와 전입 초과에 영향을 미친 요인은 광양제철소와 제철관련 기업의 입지, 광양컨테이너부두 건설과 개항, 광양만권경제 자유구역 지정과 관련된 개발사업, 이들 대형 국책사업과 연계되어 추진한 광양시의 지역정책 등이었다. 결과적으로 광양시에서 행해진 각종 지역개발사업으로 제조업 관련 사업체가 증가하였고, 사업체 증가는 젊은 전입자 증가와 출생자 증가로 전이되어 광양시 인구가 증가하였다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권3호
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• pp.265-272
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• 2021

Purpose: Hypertrophic pyloric stenosis (HPS) is the most common cause of gastric obstruction in newborns. Extra-mucosal pyloromyotomy can be performed through a small laparotomy or laparoscopy. The aim of this study was to compare the two surgical techniques. We also analyzed the incidence of HPS in infants in the last 10 years in relation to the demographic trend of our province. Methods: We analyzed all the cases of HPS treated at our Unit between January 2010 and December 2019. The data were obtained from operating systems. Data about the demographic trends, in particular, the number of births and the population residing in the province of Verona from 2010 to 2019, were also retrieved. Results: During the study period, 60 patients were treated for HPS and met the inclusion criteria. Of these, 56 males and 4 females with an average age of 38±14 days at surgery were included. No differences were found in terms of the duration of surgery, post-operative complications, duration of hospitalization, and weight at the time of surgery. The only statistically significant data was the chlorine level in cases with and without post-operative vomiting (97±3.5 vs. 102±3.3 mmol/L, p<0.05). There was a lower incidence of HPS from 2014 to 2019; however, there was no significant evidence regarding the correlation between this and the reduced birth rate recorded in the province of Verona during the same period. Conclusion: Although laparoscopic pyloromyotomy is a highly complex procedure, it is a feasible alternative to the classic open technique.

• Journal of Preventive Medicine and Public Health
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• 제10권1호
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• pp.142-149
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• 1977

To use basic data for health planning and evaluation of Kangwha community health project of Yonsei University, a study on death rates and causes of death were investigated in two townships (Naega and Sunwon Myuns) in Kangwha County from April 1, 1975 to March 31, 1977 All death was identified and reported by family health workers who are living in each village and 2 trained public health nurses confirmed the death. The causes of death were investigated by 2 public physicians. Total number of deaths for 2 years was 230 and the followings are brief summary of the study. 1. Age-adjusted crude death rates of study area were 8.69 per 1,000 population in 1975 and 7.18 per 1,000 population in 1976. Age-adjusted crude death rates for male were 9.18 in 1975 and 6.38 in 1976 and for female were 8.33 and 7.80 per 1,000 population 2. Age specific death rate curves by year and sex showed 'U' shapes. 3. Infant and neonatal death rates were 30.08 and 22.56 per 1,000 live births in 1975, and the rates in 1976 were 18.18 and 13.64. 4. The most common cause of death was cerebrovascular disease and average cause specific death rate for the disease was 215.5 per 100,000 population. 5. Four leading causes of death were non-infectious origin; cerebrovascular disease, malignant neoplasms, senility and suicide. Pulmonary tubeculosis and pneumonia occupied 5th and 9th causes of death. 6. Stomach cancer and hepatoma occupied 61.3% of total death due to malignant neoplasms. 7. Most frequent cause of neonatal death was birth injury. Two deaths due to tetanus were found in 1975, but no death due to this disease was found in 1976. 8. About half of deceased received care from physician before death.

• 한국병원경영학회지
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• 제3권1호
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• pp.219-237
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• 1998

Economists have identified informed consumer choice as one element of a better-functioning health care market, and thus increased attention is directed to the role of information in the health care system. In this country, however, little work has been done for understanding consumers' search behavior in health care market. Based upon this observation, expectant mothers' information search for the choice of delivery care institution was investigated. In doing so, two hypotheses were proposed: 1) Those women who were more active in the search for information would make choice of a delivery care institution with more confidence and would feel greater subsequent satisfaction. 2) The activeness of expectant mothers in information search would depend upon their various personal characteristics, such as socio-economic status, obstetric conditions, and knowledge and attitudes in relation to delivery and health care. The data used for the analysis were collected through face-to-face interviews with those women who had childbirth during the period from January 1, 1996 to the date of interview in February 1998. The survey was conducted using prepared structured questionnaire in Seoul. The sample was drawn from each of arbitrarily defined four regions of Seoul, Northeast, Northwest, Southeast and Southwest, in proportion to the number of births reported in 1996 in each of them. The distribution of the interviewed women by educational level was made similar to that of mothers of new babies reported in 1996. The sample size was planned to be about 300, but ended up with 319. The results of analysis were generally consistent with the proposed hypotheses. Apparently, information increased expectant mothers' confidence in selecting a delivery care institution and subsequent satisfaction with the institution. Indication is that policy efforts should be strengthened to produce and disseminate relevant, comprehensible and credible information that can aid patient decision making. Also, attention should be directed to motivate patients to actively engage in information search from adequate sources.

• Journal of Preventive Medicine and Public Health
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• 제35권4호
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• pp.305-312
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• 2002

Objectives : The reproductive history of women has been suggested to have a possible influence on the risk of osteoporotic fractures. The purpose of this study was to assess the association between reproductive history and hip fractures in the elderly women. Methods : The study subjects were drawn from women members of the Korean Elderly Pharmacoepidemiologic Cohort (KEPEC), aged 65 years or over, whose reproductive histories were available, and who were beneficiaries of the Korea Medical Insurance Corporation (KMIC) in 1993 and lived in Busan city, Korea. The information on reproductive histories, and possible confounders, were collected from mailed questionnaires. Potential hip fracture cases were collected from the claims data obtained between 1993 and 1998, with a hospital survey conducted to confirm the final diagnoses. Rate ratios and their 95% confidence intervals, were calculated using a Cox's proportional hazard model. Results : Following up 5,215 women for 6 years, 51 cases were confirmed with hip fractures. When adjusted for age, weight and physical activity, the rate ratio of hip fractures in women who had given birth three or more times was 0.56 (95% CI: 0.25-1.25), compared with those who had given birth two or less times. When adjusted for age, number of births, weight and physical activity, the rate ratio in women who first gave birth when younger than 22 years was 0.60 (95% CI: 0.34-1.08) compared with those who had giving birth at 22 years or older. Conclusions : According to these findings, an early age when first giving birth might decrease the risk of hip fractures in elderly Korean women.

• 보건의료산업학회지
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• 제8권3호
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• pp.137-145
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• 2014

The objective of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in extramarital birth by analyzing 2008-2012 birth certificated data (2,328,719 births) from Korea Statistics. Odds ratio and 95% confidence intervals (95% CI) were calculated from logistic regression analyses to describe the associations between PTB & LBW and extramarital birth adjusted for maternal age, maternal occupation & education, infantile sex, birth order and number of child birth (singleton & multiple birth). The rate of extramarital birth was 1.8 percent and 2.1 percent in 2010-11. The incidence of LBW was 8.1 percent in extramarital birth and 5.0 percent in marital birth. The incidence of PTB in extramarital birth were 8.2 percent and 5.8 percent in marital birth. Compared with marital birth, the odds ratio (OR) for PTB were 1.48 (95% CI: 1.43-1.54) for extramarital birth. Risk of LBW was higher in extramarital birth (OR: 1.70, 95% CI: 1.64-1.76) than that of marital birth. Among mothers younger than 20 years, the odds ratio of PTB among extramarital birth, relative to married birth was 1.69 (1.49-1.91). Among unmarried mothers, those at a higher risk of LBW was aged 20-29 years (1.69: 1.59-1.79). Maternal unmarried status was associated with increased risk of PTB and LBW.

• 대한수의학회지
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• 제32권2호
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• pp.267-273
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• 1992

The purpose of present study was to investigate the progesterone concentrations throughout gestation and peripartum period, and the return to the first estrus postpartum for improvement of reproductive efficiency in Korean native goats. The average length of gestation was 148 days(range : 144~154 days) and the average number of live births was 2 kids(range : 1~5 kids) in 12 Korean native goats. Progesterone concentrations were measured in blood samples taken from 12 goats every 5 days during gestation period. Plasma progesterone concentrations were 0.10 ng/ml at Day 0 of pregnancy and increased gradually until Day 20(6.58 ng/ml). Then they decreased slightly from Day 30 to 40(range : 4.32~4.82 ng/ml), increased again after Day 40 and remained thereafter until Day 140(range : 4.32~10.36 ng/ml). The progesterone levels declined sharply to basal levels at parturitum. Plasma progesterone concentrations during the pestpartum were 6.98 ng/ml at 10 days, 4.86 ng/ml at 6 days 3.18 ng/ml at 2 days before parturition, and 0.10 ng/ml at parturition, respectively. The basal levels were maintained until the first estrus postpartum. The mean intervals from parturition to the first estrus postpartum on the basis of progesterone determination and estrus detection were $100{\pm}64(mean{\pm}S.D.)$ days in 7 Korean native goats.

• 응용통계연구
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• 제30권4호
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• pp.529-538
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• 2017

Ghosh와 Kim에 의해 소개된 영 변환 모형은 0이 많거나 적을 때 계수형 자료(count data)를 분석하는 모형이다. 이 모형의 산포형태모수는 평균과 분산, 0 확률로 구성되며 ${\mu}$와 ${\sigma}^2$의 관계에 따라 2가지 형태를 가진다. 본 논문에서는 ${\sigma}^2{\geq}{\mu}$일 때, Ghosh와 Kim 영 변환확률 모형의 모수 ${\delta}$에 대한 영향함수를 도출하였다. 도출한 영향함수의 타당성을 검증하기 위해서 인구주택총조사 자료를 이용해 관측치가 제거된 경우에서 영향함수로 도출한 ${\delta}$ 추정치 변화값과 직접 계산한 ${\delta}$ 추정치 변화값을 비교하였다. 그 결과 영향함수는 ${\delta}$의 변화를 매우 정확히 추정하였다.

• 한국융합학회논문지
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• 제12권8호
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• pp.369-379
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• 2021

본 연구는 임신성 당뇨병 임부와 정상 임산부의 스트레스, 우울, 피로 및 수면의 질을 비교하기 위한 서술적 조사연구이다. 연구대상은 연령, 임신주수, 출산 횟수가 일치하는 임신성 당뇨병 임부 49명과 정상 임부 51명이었다. 자료수집은 구조화된 설문지, 숫자 척도, Canopy9 RSA(IEMBIO, Gangwondo, Korea)장비를 사용하여 측정하였다. 자료 분석은 SPSS for window version 24.0을 이용하여 빈도, 백분율, 평균과 표준편차 Independent two sample t-test, Fisher's exact test, x²-test로 분석하였다. 본 연구 결과 임신성 당뇨병 임부는 임신 전 체중(t=3.698, p<.001)이 높고 임신 중 스트레스(t=4.505, p<.001), 우울(t=4.564, p<.001), 피로(t=3.709, p<.001)가 높았기 때문에 임신 전 체중 관리가 중요하며, 임신성 당뇨병 임산부의 스트레스, 피로, 우울을 완화하는 간호가 필요하다.