• Title/Summary/Keyword: 고출산

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Analysis on the Occurrence Factors of High-Risk Diseases of Pregnant Women by the Degree of Obesity (산모의 비만정도에 따른 고위험 질환 발생요인 분석)

  • Kim, Su-Min;Ye, Soo-Young
    • Journal of the Institute of Convergence Signal Processing
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    • v.19 no.3
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    • pp.118-124
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    • 2018
  • Obecity in pregnancy causes many problems and increases risk of pregnancy complications at the time of childbirth. But there is a lack of comprehensive analysis of factors that are negatively affected during pregnancy. Therefore, this study is intended to analyze seven factors of high-risk maternal diseases by the degree of obesity using body mass index(BMI). We conducted a cross tabulation analysis and regression analysis to analisized relationship between variables : Gestational Hypertension(GH), Gestational Diabetes Mellitus(GDM), Thyroid Stimulation Hormone(TSH), Age, Blood Urea Nitrogen Test(BUN), Total-Cholesterol(T-C), and newborn's weight. As a result, the more the obesity level of mothers increases, the more the proportion of mothers with GH, GDM, TSH increases. And there was a positive relationship between the BMI of mothers and their age, T-C, and Newborn weight, and a negative relationship to the BUN.

Maternal Folate Status and Its Influencing Factors in Early Pregnancy (임신초기 모체의 엽산영양상태와 동 영향인자)

  • 이정아;이종임;임현숙
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.2
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    • pp.331-338
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    • 2004
  • Folate nutrition in early pregnancy is crucial in order to prevent neural tube defects (NTDs) in the fetus and maternal folate deficiency in late pregnancy If the influencing factors on maternal folate status are identified we may be able to detect the women at most risk of folate deficiency. This study intends to determine folate intakes, assess the levels of serum folate, erythrocyte folate, and plasma homocysteine, and reveal theinfluencing factors on maternal folate status in early pregnancy. A total of 151 healthy women in their first trimester volunteered for this study. The average length of gestation period was 9.1$\pm$ 2.3 weeks and seventy subjects were primipara. They consumed 1599$\pm$589 ㎉/day of energy and 230.8$\pm$145.2 $\mu\textrm{g}$/day of folate. This represented 72.5% and 46.2% of the Korean RDA respectively for pregnant women in the first half of Pregnancy. Results show that they consume less folate and energy due to morning sickness. Morning sickness correlated negatively with the intakes of energy, folate, ana Kimchi also. Their levels of serum folate, erythrocyte folate, and plasma homocysteine were 5.5$\pm$1.9 ng/mL, 266.6$\pm$75.0 ng/mL, and 7.0$\pm$1.8 $\mu$mol/L, respectively. Results indicate that 7.8% were deficient and 60.3% were borderline deficient in serum folate, 4.3% were deficient in erythrocyte folate, however, all had normal levels of plasma homocysteine. Results indicate that the folate status was not poor Contributing factors influencing serum folate concentrations ($R^2$= 0.724, p = 0.0001) were self-reported health status (+), folate intake (+), age (-), length of gestation (-), and homocysteine levels (-). Factors influencing erythrocyte folate concentrations ($R^2$ = 0.570, p = 0.0029) were the infant birth height of the last pregnancy (+), energy intake (+), age (-), plasma homocysteine concentration (-), and education level (-). Factors influencing plasma homocysteine concentrations ($R^2$= 0.450, p = 0.0051) were income level (+), prepregnancy weight (+), serum folate concentration (-), and the infant birth weight of the last pregnancy (-). These results indicate that pregnant women are likely to have a folate deficiency if they are in poor health status, having a history of delivering small infant and low energy and/or folate intake, and/or are older. And folate status is likely to decline as pregnancy progresses.

Factors Related to Poor School Performance of Elementary School Children (국민학교아동의 학습부진에 관련된 요인)

  • Park, Jung-Han;Kim, Gui-Yeon;Her, Kyu-Sook;Lee, Ju-Young;Kim, Doo-Hie
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.4 s.44
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    • pp.628-649
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    • 1993
  • This study was conducted to investigate the factors related to the poor school performance of the elementary school children. Two schools in Taegu, one in the affluent area and the other in the poor area, were selected and a total of 175 children whose school performance was within low 10 percentile (poor performers) and 97 children whose school performance were within high 5 percentile (good performers) in each class of 2nd, 4th and 6th grades were tested for the physical health, behavioral problem and family background. Each child had gone through a battery of tests including visual and hearing acuity, anthropometry (body weight, height, head circumference), intelligence (Kodae Stanford-Binet test), test anxiety (TAI-K), neurologic examination by a developmental pediatrician and heavy metal content (Pb, Cd, Zn) in hair by atomic absorption spectrophotometry. A questionnaire was administered to the mothers for prenatal and prenatal courses of the child, family environment, child's developmental history, and child's behavioral and learning problems. Another questionnaire was administered to the teachers of the children for the child's family background, arithmatic & language abilities and behavioral problem. The poor school performance had a significant correlation with male gender, high birth order, broken home, low educational and occupational levels of parents, visual problem, high test anxiety score, attention deficit hyperactivity disorder (ADHD), poor physical growth (weight, height, head circumference) and low I.Q. score. The factors that had a significant correlation with the poor school performance in multiple logistic regression analysis were child's birth order (odds ratio=2.06), male gender(odds ratio=5.91), broken home(odds ratio=9.29), test anxiety score(odds ratio=1.07), ADHD (odds ratio=9.67), I.Q. score (odds ratio=0.85) and height less than Korean standard mean-1S.D.(odds ratio=11.12). The heavy metal contents in hair did not show any significant correlation with poor school performance. However the lead and cadmium contents were high in males than in females. The lead content was negatively correlated with child's grade(P<0.05) and zinc was positively correlated with grade (P<0.05). among the factors that showed a significant correlation with the poor school performance, high birth order, short stature and ADHD may be modified by a good family planning, good feeding practice for infant and child, and early detection and treatment of ADHD. Also, teacher and parents should restrain themselves from inducing excessive test anxiety by forcing the child to study and over-expecting beyond the child's intellectual capability.

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여성(女性) 고비문제(雇備問題)에 대한 제도적(制度的) 접근(接近)

  • Lee, Ju-Ho
    • KDI Journal of Economic Policy
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    • v.18 no.1
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    • pp.73-147
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    • 1996
  • 본고(本稿)에서는 고용구조조사(雇傭構造調査) 1986년 및 1992년 테이프를 활용하여 여성(女性)의 학력별(學歷別) 연령별(年齡別) 경제활동(經濟活動)및 실업(失業)과 취업구조(就業構造)에 대하여 분석하였는바, 여기서 확인된 우리나라 여성 고용문제는 크게 세가지로 요약할 수 있다. 첫째, 여성의 연령별 경제활동참가율이 중졸 이하 학력 여성의 경우 M자형(字型), 고졸 이상 학력 여성의 경우 단봉형(單峰型)으로 나타나 연령에 따라 큰 기복을 보이고 있다. 둘째, 여성 중에서도 고학력 고연령층(경제활동참가율과 고용률의 악화)과 저학력 저연령층(실업률의 증가)의 고용문제가 심화되고 있다. 셋째, 저학력 여성의 제조업(혹은 생산직) 취업이 고령화(高齡化)되고 서비스업 취업이 전통적 부문(도 매소 음식 숙박업)에 집중되고 있으며, 고학력 여성의 사회 개인서비스업, 관리 전문직, 파트타임 등에서의 취업이 활성화(活性化)되지 못하는 등 여성 취업구조(就業構造) 고도화(高度化)의 한계(限界)를 보이고 있다. 본고(本稿)에서는 이렇게 실증적으로 확인된 문제점들이 결국 우리나라 여성 대부분이 '생애직업경력(生涯職業經歷)(lifetime job career)'을 가지지 못하는 제도적(制度的) 문제점(問題點)으로 귀시(歸蓍)되는 것에 주목하고 이러한 제도적 문제를 해소하기 위한 제도(制度) 개선(改善)의 방향을 제시하고자 하였다. 여성 고용문제 해소를 위한 바람직한 '제도건설(制度建設)(institution building)'의 방향으로 본고에서는 (1)여성을 위한 고교 교육 및 직업훈련의 개편, (2)여성을 위한 전문대학 및 대학 교육의 개선, (3)여성을 위한 고용서비스의 강화, (4)출산 및 육아에 따른 여성 부담의 경감, (5)여성에 대한 고용주로서의 정부 역할 재정립 등을 강조하였다.

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Trend and Differentials in Youth's Labor Force Participation and Employment over the Last Two Decades (청소년 인구의 경제활동참여와 고용구조)

  • 방하남
    • Korea journal of population studies
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    • v.22 no.1
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    • pp.5-36
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    • 1999
  • 본 논문은 우리나라 청소년 인구의 장기적 경제활동참여율 변동추이와 고용(실업)구조에 있어서의 변화에 관한 연구이다. 청소년층의 경제활동참여와 취업은 학교교육의 이수, 군복무, 결혼·출산을 통한 자신의 가족형성 등 일련의 생애전이과정(life-course transitin)과의 긴밀한 연계속에서 이루어지며 따라서 집단적으로는 연령단계에 따라서 큰 변화를 보인다. 본 논문에서는 먼저 지난 20여년간(1980년대-1990대) 청소년층의 연령단계별 경제활동참여 및 취업률이 어떻게 변화해 왔는가를 살펴본다. 청소년기에는 학교에서 노동시장으로의 진입과정(school-to-work transition)을 포함하고 있기 때문에 청소년층의 경제활동참여율 및 취업률은 무엇보다 동 연령집단의 취학률 및 진학률의 변화와 직접적으로 연결되어 있다. 본 논문에서 제시되는 자료에 의하면 지난 20여년간 우리나라 청소년층의 고등학교 및 대학진학률은 지속적이고 급격하게 상승하고 있었던 것으로 나타나고 있으며, 따라서 이러한 변화가 그들의 경제활동참여율 및 고용구조에 있어서의 변화에 미친 영향을 경험적 자료를 통하여 살펴본다. 1980년대 초반이후 우리나라 학교교육체제에 있어서의 변화가 청소년층의 취업구조에 미친 가장 주요한 영향 중의 하나는 높은 대학진학률에 따른 청소년 노동력의 고학력화와 그에 따른 고(高)실업의 문제이다. 본 논문에서는 사회구조적 요인과 고실업을 낳는 노동시장에 있어서의 불평등한 기회구조에 관한 이론적 논의와 경험적 증거들을 제시한다.

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The risk of MTHFR variants, folate and vitamin B$_{12}$ deficiencies and hyperhomocysteinaemia during pregnancy associated with short gestational age and reduced birth weight (임산부에서의 Methylenetetrahydrofolate reductase (MTHFR) 유전자 변이, 엽산 및 비타민 B$_{12}$ 결핍과 고호모시스틴 혈증이 재태기간과 출산아의 체중에 미치는 영향)

  • 박혜숙;김영주;하은희;이화영;장남수;홍윤철;김우경
    • Environmental Mutagens and Carcinogens
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    • v.23 no.1
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    • pp.1-6
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    • 2003
  • The purpose of this study was to evaluate whether the MTHFR variants, folate and vitamin $B_{12}$ deficiencies increase the risk of hyperhomocysteinaemia and adverse pregnancy outcome such as short gestational age or reduced birth weight. Healthy pregnant women (n=136; 24-28 gestational weeks; 20-40 years old), who visited Ewha Womans University Hospital for prenatal care, participated in this study. At the time of delivery, trained nurses recorded the pregnancy outcome from medical chart. We determined maternal MTHFR polymorphisms (C to T subsitution at nucleotide 677) and measured serum homocyteine, vitamin $B_{12}$, and folate concentrations. We compared serum homocysteine level by MTHFR genotype, serum folate and serum vitamin B12 levels using ANOVA. To evaluate the association between serum homocysteine level and pregnancy outcome, we compared the gestational age and birth weight by serum homocysteine levels using multiple regression analysis, adjusting for other potential predictors. Mean level of serum homocysteine was highest among pregnant women of the MTHFR variants with low levels of serum folate and vitamin $B_{12}$. Regarding association with birth outcome, we found the relationship between homocysteine levels and increased gestational age (p=0.03) and reduced birth outcome (p>0.05). Our data demonstrates that serum level of folate and vitamin $B_{12}$ among pregnant women affects significantly serum homocysteine levels, and the genetic polymorphism of MTHFR modulates the relationship between them. However, we did not have conclusive evidence of association between high homocysteine level and adverse pregnancy outcome such as preterm or low birth weight.

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Construction of Thoughts and Roles of Parents with Multiple Children (다자녀의 부모로 살아가기: 세 자녀 부모의 다자녀 양육에 대한 생각과 역할 형성)

  • Kwon, Youngin;Choi, Jieun
    • Journal of Families and Better Life
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    • v.33 no.4
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    • pp.83-104
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    • 2015
  • The purpose of this study is to provide diverse points of view to understand the low fertility issue of Korean society. For this phenomenological qualitative study, in-depth interviews were conducted with 14 married couples(28 persons) all raising three children. Participants were asked about overall family and work life, child care role performance, thoughts about child rearing, and their sociocultural context. Interview data were explored based on 6 analyzing steps offered by S, J, Talyor and R. Bogdan(1984). Most participants of this study were formed positive perceptions about having three children. Parents' positive perception was closely related with their attitude of not worrying too much about their children's future as well as child caring contexts around them. Parents' perception about having three children was also linked with their child care role construction process. In detail, parents with more positive perceptions tended to increase their level of child care involvement. This was particularly true for fathers. Mother and father's job situation emerged as an important factor to shape their child care involvement. In addition, child care attitude of people around them explained father's child care involvement. Applying these qualitative results, we first expect to provide detailed ideas about lives with three children in Korea. Second, based on our study findings, a more realistic and helpful policy to help the low fertility problem could be developed. Lastly, we also hope to provide helpful phenomenological qualitative research about low fertility issues of Korea.

Obstetric Complications by the Accessibility to Local Obstetric Service (지역별 분만서비스 접근도에 따른 산과적 합병증 비교)

  • Choi, Young Hyun;Na, Baeg Ju;Lee, Jin Yong;Hwang, Ji Hye;Lim, Nam Gu;Lee, Seong Ki
    • Journal of agricultural medicine and community health
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    • v.38 no.1
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    • pp.14-24
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    • 2013
  • Objectives: Pregnant women in rural areas do not have access to sufficient obstetric services in their own communities due to the shortage of obstetricians. Therefore, most of these women must seek obstetrician outside of their communities. The purpose of this study was to investigate the relationship between obstetric complications and accessibility to local obstetric care in Korea. Methods: This study was an ecological study in which the unit of analysis was an administrative district. Using Korea National Health Insurance Corporation data, the total number of deliveries and the delivery proportion within and outside of the community from 2001 to 2008 were calculated for 232 administrative districts nationwide. Three outflow levels were categorized based on each district's out-of-community delivery proportion: high outflow (upper one third), moderate outflow (middle one third), and low outflow (lower one third). In addition, three obstetric complication rates (the rate of complications following abortion, ectopic and molar pregnancy, the abortion rate, and the eclampsia rate) were calculated for the 232 districts. One-way ANOVA and multivariate linear regression were used to evaluate obstetric complications among the three outflow levels. Results: The high outflow districts had higher rates of eclampsia and complications following abortion, ectopic, and molar pregnancy compared to the other districts (ANOVA, p<0.05). However, there was no significant difference in the abortion rate among the three groups. Multiple linear regression analysis showed that high outflow districts were statistically significant in the rate of complications following abortion, ectopic and molar pregnancy and eclampsia rate after adjusting for local tax per capita (p<0.01). Conclusion: These results indicate that poor access to local obstetric care correlate with poor obstetric outcomes (delayed or excessive bleeding, embolism, genital tract or pelvic infection, shock or other complications following abortion and ectopic or molar pregnancy, or eclampsia).

The Design and Implementation of A Video Geographic Information System (비디오 지리 정보 시스템의 설계 및 구현)

  • 유재준;주인학;남광우;이종훈
    • Proceedings of the Korean Information Science Society Conference
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    • 2002.10c
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    • pp.274-276
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    • 2002
  • 최근에 지리 정보를 검색, 관리, 분석할 수 있는 지리 정보 시스템(Geographic information System)의 사용이 확대됨에 따라 단순한 수치지도 정보 이외에 좀 더 현실적이고. 사실적인 정보를 제공해 줄 수 있는 시스템에 대한 요구가 커지고 있다 이러한 요구에 부응하는 한 방향으로써 차량에 부착된 카메라 등등 사용하여 획득한 비디오 데이터와 수치지도 정보를 연계하여 특정 수치지도 객체의 영상을 제공함으로써 수치지도 객체에 대한 자세한 현장의 정보를 쉽게 파악할 수 있도록 하는 비디오 지리 정보 시스템이 등장하였다. 하지만 기존의 비디오 지리 정보 시스템은 획득한 비디오 데이터를 수치지도의 한 속성으로서 표현하거나, 수치지도에서 비디오 데이터로의 단순한 링크를 사용하여 수치지도와 연계함으로써 수치지도의 검색을 통한 영상 정보의 출력이라는 단방향 검색만을 지원한다. 즉, 비디오 데이터에 존재하는 수치지도 객체의 검색을 통한 수치지도의 검색 및 관리, 분석은 지원해 주지 못하고 있다. 본 논문에서는 비디오 데이터와 수치지도의 양방향 검색 및 관리를 지원하는 비디오 지리 정보 시스템을 설계하고 구현한다. 이를 위해 1) 비디오 데이터와 수치지도 정보를 효율적으로 연계하기 위한 데이터 모델을 제안하고, 2) 비디오 데이터와 수치지도 정보의 연계 정보를 추출 및 구축하는 과정을 제안하며, 3) 비디오 데이터의 출력 및 검색, 수치지도의 출력 및 검색, 연계 정보를 통한 비디오 데이터와 수치지도 정보의 연동 등을 효율적으로 지원하기 위한 시스템을 컴포넌트(Component) 구조를 사용하여 설계한다. 이해성 및 이를 기반으로 하는 교육용 애플리케이션 개발의 용이성의 증대를 기대할 수 있으며, 모델의 재사용성을 보장할 수 있다. 제안한다.수행하였다. 분석에서는 제품의 효율성뿐만 아니라 보안성을 중요하게 생각하였으며, 앞으로 보안 관련 소프트웨어 개발에 사용될 수 있는 도구들이 가이드 라인에 대한 정보를 제공한다.용할 수 있는지 세부 설계를 제시한다.다.으로서 hemicellulose구조가 polyuronic acid의 형태인 것으로 사료된다. 추출획분의 구성단당은 여러 곡물연구의 보고와 유사하게 glucose, arabinose, xylose 함량이 대체로 높게 나타났다. 점미가 수가용성분에서 goucose대비 용출함량이 고르게 나타나는 경향을 보였고 흑미는 알칼리가용분에서 glucose가 상당량(0.68%) 포함되고 있음을 보여주었고 arabinose(0.68%), xylose(0.05%)도 다른 종류에 비해서 다량 함유한 것으로 나타났다. 흑미는 총식이섬유 함량이 높고 pectic substances, hemicellulose, uronic acid 함량이 높아서 콜레스테롤 저하 등의 효과가 기대되며 고섬유식품으로서 조리 특성 연구가 필요한 것으로 사료된다.리하였다. 얻어진 소견(所見)은 다음과 같았다. 1. 모년령(母年齡), 임신회수(姙娠回數), 임신기간(姙娠其間), 출산시체중등(出産時體重等)의 제요인(諸要因)은 주산기사망(周産基死亡)에 대(對)하여 통계적(統計的)으로 유의(有意)한 영향을 미치고 있어 $25{\sim}29$세(歲)의 연령군에서, 2번째 임신과 2번째의 출산에서 그리고 만삭의

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Postpartum Galactocele in Augmented Breast after Using Breast Pump Mimicking Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report (유방확대술 받은 수유 중인 여성에서 유축기를 사용한 뒤 발생한 유방 보형물 관련 역형성 거대 세포 림프종 모방 산후 젖낭종: 증례 보고)

  • Ga Young Lee;Gi Won Shin;Young Mi Park;Anbok Lee;Ha Young Park;Yoo Jin Lee;Ji-Yeon Han
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1570-1574
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    • 2021
  • Post-partum galactocele is a common benign disease among breastfeeding women, whereas retromammary and peri-implant galactocele are relatively rare conditions. Herein, a 34-year-old, 1 month-postpartum female, who had augmentation mammoplasty and a 1-month history of breast pump use, presented with left breast enlargement for 2 weeks. An initial left breast US revealed hyperechoic peri-implant fluid collection. Additional US-guided fine needle aspiration was done using a 21G-needle, draining the milk component in the process, and cytologic results revealed numerous crystals, suggestive of galactocele. Various diseases, especially breast implant-associated anaplastic large cell lymphoma, can cause peri-implant fluid collection in an augmented breast. Thus, correlating imaging features with clinical information and cytologic analysis plays an important role in appropriate management.