• 한국건축시공학회:학술대회논문집
• /
• 한국건축시공학회 2018년도 추계 학술논문 발표대회
• /
• pp.96-97
• /
• 2018

Facilities used by senior citizens, infants, and disabled people have characteristics that make it difficult to escape on their own or require a lot of evacuation time. Therefore, to ensure safety in case of fire, clear measures for securing safety of facilities, fire response methods, and training are required in accordance with the regulations. In case of postnatal care center facilities, newborn babies and mothers reside 24 hours a day, and as they are located in high-rise and multi-use facilities, measures for fire safety are necessary, but the domestic manual lacks. Accordingly, a field survey for security of the manual revealed that the establishment of awareness and facilities on temporary waiting areas and smoke control, which are easy for evacuation and fire safety, was a problem.

• 보건행정학회지
• /
• 제1권1호
• /
• pp.54-71
• /
• 1991

Health of a nation is quite often represented by the statistics such as infant death rate and maternal mortality rate. It is indisputable that maternal child health(MCH) is the basis of health of a nation. MCH is also one of the cardinal component of primary health care. The importance of MCH is conspicuous especially in the developing countries. In Korea, People in the rural communities still have high access barrier to basic health care needs, including MCH services. Access to quality care during pregnancy and delivery seems to be the crucial factor in preventing deaths in women and children. The beneficial effects of prenatal and postnatal care on the outcome of pregnancy for mother and child, and those of health professional-attended institutional delivery on the health of mother and child have been well documented in many studies. Recognizing these effects, the government of Korea received IBRD loan of $30 million in 1979 for th purpose of constructing 89 rural MCH centers. The construction is complete now and all 89 MCH centers are under operation ti imporve primary health care for mothers and children in Korea. However, it has been observed over time that overall performance of public MCH centers is declining. The decline has been attributed partly to low quality services by public MCH centers, poor management by health center mangers, competition with for-profit private clinics, and to the development of national health insurance. This study investigates the utilization by rural communities in Korea of MCH services provided by public sector health centers deemed to be physically and financially accessible to the community but suboptimally used. It seeks also to determine the factors that influence people's utilizations. This study sets out to discover a desirable form of MCH center from among alternative forms of centers, thereby to construct a MCH model.

• Child Health Nursing Research
• /
• 제17권2호
• /
• pp.69-73
• /
• 2011

Purpose: This study was designed to identify mother and infant related factors that influence child-care stress among the mother of newborn infants. Methods: Data were collected through self-administered questionnaires and descriptive statistics, correlation and multiple regression were used to analyze the data. The data survey was conducted with 957 conveniently selected mothers of infants when they visited a public health center in Seoul to have their children immunized. Results: The average item score for the Childcare Stress Inventory was 38.03, for the Edinburgh Postnatal Depression Scale, 9.31 and for the Degree of Bother Inventory, 23.42. The CSI was positively correlated to EPDS (r=.44, p<.001) and DBI (r=.40, p<.001). Also these two variables explained 30.0% of CSI in infants' mothers. Conclusion: These findings are expected to expand the understanding about postpartum mothers' child-care stress and can contribute to the development of comprehensive interventions based on community health nursing.

• 대한간호학회지
• /
• 제49권2호
• /
• pp.137-148
• /
• 2019

Purpose: This study aimed to investigate the effects of a reinforcement program for behavioral skills in postpartum care for couples with their first baby. Methods: The study used a non-equivalent control group and pretest-posttest design. It was conducted from January 14 to April 10, 2016 at a postpartum care center in D city. It analyzed 43 couples (22 in the experimental group and 21 in the control group.) For data analysis, descriptive statistics, test of homogeneity in pretest, independent t-tests, and repeated measures ANOVA were used. Results: For maternal fulfillment of postpartum care and postpartum fatigue, there was no significant difference in the interaction between group and time. In terms of parent-newborns attachment, the interaction between group and time showed a significant difference for mothers (F=13.63, p=.001) and fathers (F=6.51, p=.001). In marital intimacy, the interaction between group and time showed a significant difference for mothers (F=14.40, p<.001) and fathers (F=9.46, p=.004). In parenting stress, the interaction between group and time showed a significant difference for mothers (F=31.8, p<.001) and fathers (F=11.69, p=.001). A significant difference was found for the mothers' postpartum sleeping hours (F=0.14 p=.004). Conclusion: This program for behavioral skills in postpartum care, which is based on the information-motivation-behavioral skills model, improves postpartum care, parent-newborn attachment, marital intimacy, parenting stress, and maternal postpartum sleeping, by reinforcing behavioral skills required for postpartum care.

• 부모자녀건강학회지
• /
• 제16권1호
• /
• pp.11-16
• /
• 2013

Purpose: Ethiopia is one of the sub-Saharan countries most affected by high maternal and infant mortality. The government has trained health extension workers (HEWs), the community health workers, to deliver preventive and basic curative health services to community residents in Ethiopia. Very few studies have investigated on-the-job educational effects for HEWs on improvement of their knowledge and performance confidence in maternal and child health care (MCH). This study aimed at identifying the educational effects for HEWs in one health center in Tigray, Ethiopia on improvement of their knowledge in MCH. Methods: Twelve HEWs from 6 health posts participated in this study. A health center officer provided a total of 5 educational sessions on antenatal and postnatal care, family planning, and newborn care from August, 2012 to April, 2013. Ten to 12 items regarding the topics were tested before and after each education. Wilcoxon signed rank test was used to analyze the data. Results: All the HEWs were female with average 4-year working experience. Their knowledge significantly increased after education, except the first session. Their satisfaction on education was greater than 45 points out of 50. Conclusion: This study suggests a focused education for HEWs should continue to improve their capacity on MCH.

• Neonatal Medicine
• /
• 제25권1호
• /
• pp.23-28
• /
• 2018

Purpose: Abdominoperineal solid tumors presenting in neonates often require surgical intervention during the neonatal period. Although we report our single-center experience, this study would be meaningful to understand the clinical implications of these neoplasms. Methods: We retrospectively reviewed and analyzed the clinical data and characteristics of 22 patients (${\leq}28$ days old) diagnosed with histopathologically confirmed abdominoperineal solid neoplasms (benign or malignant) after surgical resection. Results: The mean gestational age and postnatal age at the time of operation were $38.3{\pm}1.8weeks$ and $13.5{\pm}8.3days$, respectively. Most patients (18/22, 81.8%) were diagnosed during antenatal care visits; however, 4 (18.2%) were identified after birth. The mean tumor size was $6.4{\times}5.3cm$ (3.5-17.0 cm), and tumors occurred most frequently within the sacrococcygeal region (8/22, 36.4%). Histopathologically, 14 patients (63.6%) demonstrated benign tumors and 8 (36.4%) demonstrated malignant tumors. Germ cell tumors and hepatoblastomas were the most commonly observed tumors. Fortunately, all patients showed a localized pattern of tumor involvement without distant metastasis. No recurrence or mortality was observed during the follow-up period (mean $66.4{\pm}44.2months$). Conclusion: Abdominoperineal solid tumors occurring in neonates show variable clinical patterns during the antenatal and postnatal monitoring/screening periods. We conclude that aggressive and multidisciplinary approaches could achieve good clinical results in these patients.

• 한국주거학회논문집
• /
• 제26권1호
• /
• pp.31-41
• /
• 2015

Korea has shown the lowest birth rate among OECD countries for over 10 years. This caused various social tensions and problems including negative impacts on national economy. To deal with these problems and to cope with future risk, diverse strategies must be actively explored. The purpose of this research is to delineate the characteristics of Toronto Birth Centre in Canada which was established currently to support families. Field visit study was the major methodology which includes interview with a staff and walk-through guided observation accompanied by visual recording. As a result, the specific functions and the logic of utilizing the center along with its spatial characteristics were delineated. The result has significant implication in developing coping strategies to release the social tension. The birth center can be an efficient strategy to include as a public strategy to Korean Society who has suffered from long lasting lowest birth rate.

• 한국환경보건학회지
• /
• 제46권4호
• /
• pp.359-367
• /
• 2020

Objectives: Exposure to mold is strongly associated with adverse health effects (development or exacerbation of allergic diseases). We reviewed the health effects of mold exposure and explored to determine the annual distribution of indoor mold in facilities with susceptible populations. Methods: The health effects of mold exposure were mainly summarized by reviewing related papers and WHO research reports. We selected 10 facilities, including daycare centers, postpartum care centers, medical institutions, and elderly care facilities within the Seoul Metropolitan. Mold sampling was performed once every week or once every quarter from February 2016 to 2017. In addition, fungal species analyses was performed, and distribution status by month and facility was analyzed in the same manner as concentration. Results: Adverse health effects attributed to fungal exposure are largely divided into allergic symptoms, toxic effects, and infectious effects. Monthly mean concentrations of mold indoors and outdoors was 368.8 CFU/㎥ (geometric mean 213.4 CFU/㎥) and 496.0 CFU/㎥ (327.9 CFU/㎥), respectively. The indoor concentration has begun to increase in February, peaked in July, declined in August, increased again until October, and then decreased in November. About 36 genera of indoor fungal species were found in each facility. Cladosporium sp., Penicillium sp., Fusarium sp., Aspergillus sp., Alternaria sp., and Arthrinium sp. were observed as the dominant species. Conclusions: Our findings showed that the overall level of indoor mold was below the 500 CFU/㎥ level recommended by the Ministry of Environment. The development of DNA-based assessment and expanding facilities to be monitored for mold would be necessary for preventive aspects.

• Neonatal Medicine
• /
• 제16권2호
• /
• pp.154-162
• /
• 2009

목 적 : 최근 신생아집중치료술의 발전으로 신생아 중환자실의 생존률은 매우 향상되었으나 아직도 신생아 중환자실 입원환아들의 사망은 지속적으로 발생하고 있다. 본 연구는 지난 10년간 서울아산병원 신생아 중환자실에 입원한 환아들 중 사망한 환아들을 분석하여 사망률, 사망원인 및 사망의 특징에 대하여 알아보고자 하였다. 방 법 : 1998년 1월부터 2007년 12월까지 10년간 서울아산병원 신생아중환자실에 입원했던 환아들을 대상으로 의무기록을 후향적으로 조사하여 사망률, 사망원인질환 및 출생 후 사망까지의 시간을 분석하였다. 결 과 : 조사기간 동안 총 입원환아는 6,289명이었고 총 사망환아는 264명으로 사망률은 4.2%였다. 총 사망환아 중 극소 저출생 체중아는 103명, 초극소 저출생 체중아는 80명이 사망하여 사망률은 각각 10.6%, 21.4%였다. 10년간 연도별 사망률의 유의한 변화추세는 보이지 않았다. 사망관련 주요질환으로 미숙아 관련 사망이 102명(38.7%)으로 가장 많았고, 선청성 기형, 패혈증, 원발성 폐동맥 고혈압, 신생아가사 순으로 나타났다. 미숙아 관련 합병증 중에서는 패혈증이 가장 많은 수를 차지하였고, 선천성 기형 중에서는 선천성 심기형으로 인한 사망이 가장 많았다. 생후 첫 1주 이내에 66명(37.1%)이 사망하여 가장 높은 사망률을 보였고, 178명(67.4%)이 생후 28일 이내의 신생아기에 사망하였다. 결 론 : 신생아 중환자 치료의 방전에도 불구하고 지난 10년간 사망률은 크게 변화하지 않았다. 미숙아관련 합병증과 패혈증이 사망원인 중 많은 부분을 차지하므로 이를 줄이는 노력이 필요할 것으로 생각된다. 또한 생후 첫 1주 이내에 사망하는 경우가 많으므로 이 시기에 신생아 중환자 치료에 있어 세심한 주의 필요할 것으로 생각된다.

• Journal of Korean Neurosurgical Society
• /
• 제66권3호
• /
• pp.228-238
• /
• 2023

Intraventricular hemorrhage (IVH) is a serious concern for preterm infants and can predispose such infants to brain injury and poor neurodevelopmental outcomes. IVH is particularly common in preterm infants. Although advances in obstetric management and neonatal care have led to a lower mortality rate for preterm infants with IVH, the IVH-related morbidity rate in this population remains high. Therefore, the present review investigated the pathophysiology of IVH and the evidence related to interventions for prevention. The analysis of the pathophysiology of IVH was conducted with a focus on the factors associated with cerebral hemodynamics, vulnerabilities in the structure of cerebral vessels, and host or genetic predisposing factors. The findings presented in the literature indicate that fluctuations in cerebral blood flow, the presence of hemodynamic significant patent ductus arteriosus, arterial carbon dioxide tension, and impaired cerebral venous drainage; a vulnerable or fragile capillary network; and a genetic variant associated with a mechanism underlying IVH development may lead to preterm infants developing IVH. Therefore, strategies focused on antenatal management, such as routine corticosteroid administration and magnesium sulfate use; perinatal management, such as maternal transfer to a specialized center; and postnatal management, including pharmacological agent administration and circulatory management involving prevention of extreme blood pressure, hemodynamic significant patent ductus arteriosus management, and optimization of cardiac function, can lower the likelihood of IVH development in preterm infants. Incorporating neuroprotective care bundles into routine care for such infants may also reduce the likelihood of IVH development. The findings regarding the pathogenesis of IVH further indicate that cerebrovascular status and systemic hemodynamic changes must be analyzed and monitored in preterm infants and that individualized management strategies must be developed with consideration of the risk factors for and physiological status of each preterm infant.