• 제목/요약/키워드: Birth Plan

검색결과 108건 처리시간 0.025초

국내 어린이 기획전시공간의 전시연출 특성에 관한 연구 (A Study on Production of Domestic Special Exhibitions for Children)

  • 이경화
    • 한국디지털건축인테리어학회논문집
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    • 제9권2호
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    • pp.17-24
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    • 2009
  • Recently people show interest in cultural exhibition space targeting on children from the birth of children to play and education. Accordingly, lately the necessity of professional special exhibition space, which is composed of changeable program fit to the children trend of a growth period, and shows relatively more freedom and adaptability in directing the theme than permanent exhibition, have increased rapidly. Today the social importance of special exhibition for children is emphasized as an alternative that can provide efficiently the expression of freedom and the environment of experimental space which is not filled in existing academy or school. The necessity of special exhibition space for children is raising to the climax at this moment, this study has the meaning to analyze the direction of domestic special exhibition for children progressed in last 1 year, and then to suggest basic guide and direction for future plan of special exhibitions.

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A Study on a Plan for Improving the Added Value of the Medical Service Industry

  • Cho, Hak-Rae
    • 한국정보컨버전스학회:학술대회논문집
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    • 한국정보컨버전스학회 2008년도 International conference on information convergence
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    • pp.121-124
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    • 2008
  • One field that the information society has recently taken much interest in and has continuously implemented is medical services. Health tourism services which emphasize today's patient-oriented management rather than the past hospital-oriented management are highly value-added. As interest in physical fitness increases in keeping with such trends of the society at large as the declining birth rate and increasing life expectancy, and the medical market is opened, the added value of medical services that attract and manage domestic and foreign patients from the global market and satisfy their diverse desires with domestic medical competitiveness such as excellent medical staff and technology is on the spotlight. Hereupon, this study intends to suggest the possibility of developing competitive domestic medical services into a highly value-added industry in keeping with changing environment.

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Respiratory Severity Score as a Predictive Factor for the Mortality of Congenital Diaphragmatic Hernia

  • Ahn, Ja-Hye;Jung, Young Hwa;Shin, Seung Han;Kim, Hyun-Young;Kim, Ee-Kyung;Kim, Han-Suk
    • Neonatal Medicine
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    • 제25권3호
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    • pp.102-108
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    • 2018
  • Purpose: Congenital diaphragmatic hernia (CDH) is rare but potentially fatal. The overall outcome is highly variable. This study aimed to identify a simple and dynamic parameter that helps predict the mortality of CDH patients in real time, without invasive tests. Methods: We conducted a retrospective chart review of 59 CDH cases. Maternal and fetal information included the gestational age at diagnosis, site of defect, presence of liver herniation, and lung-to-head ratio (LHR) at 20 to 29 weeks of gestational age. Information regarding postnatal treatment, including the number of days until surgery, the need for inhaled nitric oxide (iNO), the need for extracorporeal membrane oxygenation (ECMO), and survival, was collected. The highest respiratory severity score (RSS) within 24 hours after birth was also calculated. Results: Statistical analysis showed that a younger gestational age at the initial diagnosis (P<0.001), a lower LHR (P=0.001), and the presence of liver herniation (P=0.003) were prenatal risk factors for CDH mortality. The RSS and use of iNO and ECMO were significant factors affecting survival. In the multivariate analysis, the only remaining significant risk factor was the highest preoperative RSS within 24 hours after birth (P=0.002). The area under the receiver operating characteristic curve was 0.9375, with a sensitivity of 91.67% and specificity of 83.87% at the RSS cut-off value of 5.2. The positive and negative predictive values were 82.14% and 92.86%, respectively. Conclusion: Using the RSS as a prognostic predictor with simple calculations will help clinicians plan CDH management.

보건진료소 가족계획 및 모자보건사업(1980년~2009년) (Family Planning and Maternal-Child Health Services that Disciplined Itself in Primary Health Care Post from 1980 to 2009)

  • 손계순
    • 한국농촌간호학회지
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    • 제3권2호
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    • pp.104-115
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    • 2008
  • Purpose: A study of the family planning and Maternal-Child Health Services that disciplined itself in primary health care post form 1980 to 2009. Method: Investigation studies family planning in primary health care post and a change process of a Maternal-Child Health Services into case by case until 2009 from 1980. Results: Our country family planning business began at economic development dimensions in order to solve a poverty issue. This business goal were childbirth decrease of pregnancy possibility couple aged 19~49 and improve to mother and child health. For this goal, all kinds of health education included sex education and contraception education, contraception service, comprehensive maternal and child health service that management of front and back of childbirth etc. are provided. According to fail down a birthrate from 6.0(1962) to 1.25(2009), the nation reached to a dilemma called childbirth encouragement policy. Conclusions: Decrease of labor supply by low birthrate, decrease numerical an employed person by aging was brought a labor shortage and decrease of productivity of labor of industrial manpower. Deterioration phenomenon of financial income and expenditure by consumption and investment contraction caused decrease of slowdown of economic growth and potential growth rate, and a social cost burden is increased by deterioration financial old man support burden increase by this and pensions and health insurance, a sharp increase of social welfare cost etc. Now, in order to solve a low birth issue, the government establishes a whole nation forwarding system and establishes basic plan social low birth and advanced age, and to prepare for childbirth fault factors removal and advanced age society shall endeavor.

극소저출생체중아에서 신생아 패혈증의 원인균 및 항생제 감수성의 변화 (Changes in Pathogens and Antibiotic Sensitivities in very Low Birth Weight Infants with Neonatal Sepsis)

  • 김경남;박호진
    • Neonatal Medicine
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    • 제15권1호
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    • pp.54-60
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    • 2008
  • 목 적 : 신생아 패혈증의 원인균 및 항생제 감수성의 변화를 조사하여 극소 저출생 체중아 및 미숙아의 이환율 및 사망률 증가와 관련된 패혈증에 대하여 가능한 신속하고 적절한 치료 방침을 세우는데 도움을 주고자 하였다. 방 법 : 2000년 1월부터 2006년 6월까지 을지대학병원 신생아집중치료실에 입원한 출생체중 1,500 g 미만의 극소 저출생 체중아를 대상으로 의무기록을 후향적으로 분석하여 패혈증의 원인균과 항생제 감수성에 대해 조사하여 시기별 분포를 비교하였다. 결 과 : 대상 환아 164명 중 균이 증명된 환아는 19명(11.6%)이었다. 균이 증명된 19명의 환아에서 총 26례의 패혈증 발생을 보였으며, 후기 지발형 패혈증의 발생빈도가 제일 높았다. K. pneumoniae가 가장 흔한 원인균이였으며, 그 뒤로 Streptococcus spp., CNS, Enterobacter spp.의 순으로 배양되었고, 대부분이 경험적 항균제에 내성을 나타내었다. 결 론 : 과거 연구나 타 의료기관에서 증명된 흔한 원인균과 항생제 감수성 결과에 의존하여 광범위 경험적 항생제를 사용하기보다는 주기적으로 원인균 및 항균제 감수성의 변화를 파악하고 적절한 항생제를 사용하는 것이 신생아 패혈증의 치료의 효과뿐만 아니라, 다제내성균의 출현을 막을 수 있을 것으로 사료된다.

출산과 여성의 사회경제적 상태 변화: 성향점수매칭과 이중차이를 활용한 분석 (Childbirth and Socioeconomic Status Changes in Korean Women: Using Propensity Score Matching and Difference-in-Differences Method)

  • 정윤선;유창훈;권영대
    • 한국콘텐츠학회논문지
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    • 제19권10호
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    • pp.667-676
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    • 2019
  • 이 연구의 목적은 한국의료패널 자료를 이용하여 출산 여부에 따른 여성의 사회경제적 상태 변화의 차이를 파악하고자 하는 것이다. 이를 위해 성향점수 매칭방법을 이용해 출산 여성과 유사한 특성을 갖는 비교집단을 구성하고, 이중차이분석과 이중차이를 활용한 회귀분석을 통해 출산이 여성의 사회경제적 상태 변화에 미치는 영향을 분석하였다. 분석 결과, 출산은 저축액의 감소, 여성의 경제활동 중단, 종사상 지위 변화에 유의한 영향을 미치는 것으로 나타나 출산이 가정경제와 여성의 사회경제적 지위에 부정적인 영향을 미치는 것으로 나타났다. 이 같은 결과는 여성의 경제활동이 출산에 의해 중단되지 않고 직종과 지위에 관계없이 출산 이후에도 안정적으로 가정 경제를 꾸려나갈 수 있다는 믿음과 이를 실현하기 위한 장기적이고 지속적인 지원 방안이 마련되어야 함을 시사한다.

Comparison of infant mortality and associated factors between Korean and immigrant women in Korea: an 11-year longitudinal study

  • Kim, Kyung Won;Nho, Ju-Hee;Kim, Sooyoung;Park, Byeongje;Park, Sanghee;Kang, Bobae;Kim, Sun-Hee
    • 여성건강간호학회지
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    • 제27권4호
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    • pp.286-296
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    • 2021
  • Purpose: This study compared infant mortality and its associated factors between Korean and immigrant women using vital statistics gathered by Statistics Korea. Methods: Birth and death statistics from the period between 2009 and 2019 were extracted from the census of population dynamics data of the Microdata Integrated Service, Korea. Statistical data were derived from a complete survey and infant mortality was analyzed from mortality statistics data. Descriptive statistics were used for comparison. Results: The average infant mortality rate (IMR) of Korean women was 2.7 in Korea, which did not change significantly between 2009 and 2019; however, the IMR of immigrant women increased significantly in 2018 to 4.2 and subsequently decreased to 2.6 in 2019. Moreover, the age of Korean and immigrant women at the time of infant death gradually increased from 31.1 years and 25.9 years in 2009 to 32.8 years and 30.9 years in 2019, respectively. The gestational age was lower for deceased infants born to immigrant women (mean, 31.04 weeks; standard deviation [SD], 6.42; median, 30.00) compared to infants born to Korean women (mean, 31.71 weeks; SD, 6.48; median, 32.00). Immigrant women (91.7%) received slightly fewer antenatal care visits compared to Korean women (93.1%). Conclusion: It is vital to devise a plan to lower the IMR of immigrant women in Korea. Moreover, it is necessary to explore the factors related to infant mortality among immigrant women within the context of Korean societal situation, culture, and home environment.

인구구조 변화에 따른 노인복지법적 대응 방안 (A study on the Improvement Approaches of the Elderly Welfare Law according to change the Population Structure)

  • 이척희;노재철
    • 산업진흥연구
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    • 제5권4호
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    • pp.73-79
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    • 2020
  • 본 연구는 저출산·고령사회에 따른 인구구조 변화에 능동적으로 대응하고, 노인복지에 대한 정책수립에 기여하도록 하기 위해 「노인복지법」에 대한 검토가 필요하다는 점을 전제로 하여, 「노인복지법」의 문제점을 찾아 이를 개선하는 방안을 제시하였다. 첫째, 「노인복지기본법」의 제정이다. 「노인복지법」 개선을 위한 제안으로서 노인복지법을 전면 개편하여 고령사회 노인복지에 관한 최상위법이자 기본법으로서의 지위를 부여하는 방안이다. 둘째, 노인 보건·복지 조치 및 노인복지시설 등에 관한 법률의 정비가 필요하다. 「노인복지법」을 재정비하여 노인의 보건복지 조치 및 노인복지 시설에 관한 법으로 그 법적 성격을 명확하게 개정하는 방안이다. 셋째, 「노인복지법」의 법률 체계를 재정비해야 한다. 현행 「노인복지법」에서 담고 있는 주요한 복지정책들의 내용을 그래도 유지하되 앞서 언급한 체계상의 문제점에 초점을 맞추어 개정하자는 방안이다. 결론적으로 현행 「노인복지법」은 제정 당시의 시대적 상황과 노인에 대한 기본적인 예우차원에서 이루어진 것으로, 저출산·고령사회에 대처하기에는 미흡한 점이 많다. 따라서, 본 연구는 인구구조의 변화에 따른 시대적 요청을 받아들일 수 있는 「노인복지법」의 개정 및 보완을 제시하는 바이다.

우리나라의 각종 출산력지표에 의한 출산력 추이에 관한 분석 (An Anaysis on the Change of Fertility Rates According to Various Fertility Indices in Korea)

  • 이준협
    • 한국인구학
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    • 제9권2호
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    • pp.67-78
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    • 1986
  • With Economic Development Plan, the Korean National Family Plan Program was introduced in early 1960's. The program, which has been a way for constraining population increase, has obtained excellent results. In other word, it has had an important role in controlling the increase in population. The purpose of this study is to analyze the change of fertility rates since 1970 and the lever of completed fertility of Korean women since 1960. There are Age-specific Fertility Rate(ASFR), Total Fertility Rate(TFR), Gross Reproduction Rate(GRR) and Net Reproduction Rate(NRR) etc. in indices of period fertility. It is also possible to be seen the completed fertility rates by using Parity Progression Ratio. The data necessary for this study were obtained from Population & Housing Census Report from the year of 1960 to 1980 and Vital Statistics from 1980 to 1984, which conducted by Economic Planning Board, Republic of Korea. The summarized results of this study were as follows : 1. Age-specific Fertility Fertility Rate(ASFR) has been continuously decreasing till now. The ASFR for the women aged 25 to 29 was higher than those of any other groups and the ASFR for the women aged 20 to 24 was higher than that of the women aged 30 to 34 since the mid 1970's. 2. There are Total Fertility Rate(TFR), Gross Reproduction Rate(GRR) and Ney Reproduction Rate(NRR) etc. in reproduction rates. First of all, TFR and GRR have been declining except late of 1970's and TFR showed 2.23 per ever-married women, GRR was 1.05 in 1982. Next, the change of NRR could not be found without life table by year and only NRR for the time of census was to be found. In 1980, NRR showed 1.27 per ever-married women and the level was still out of reach at replacement level of population. 3. Specific Fertility Rate by Birth Order(SFRBO) showed to be declined continually since 1972. Especially the SFRBO of the third live birth was decreased from about 22 per 1,000 ever-married women in 1972 to 12 or so in 1982. 4. To know the level of completed fertility, the mean number of completed live births per ever-married women was calculated from 1960 to 1980. The number of completed live births was more than 5 per ever-married women by the year of 1975 but have been declining and resulted in 4.69 in 1980.

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자녀의 초등학교 입학 전후 어머니의 양육불안에 미치는 영향요인 분석 (An Analysis of the Influential Factors on Mother's Child-rearing Anxiety Before and After Their Children's Entrance into Elementary School)

  • 신수희
    • 한국보육지원학회지
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    • 제15권6호
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    • pp.21-40
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    • 2019
  • Objective: The purpose of this study is to find the tendencies and differences of mother's child-rearing anxiety before and after their children enter into elementary school, to analyze the factors influencing child-rearing anxiety at each time, and thereby to seek a support plan at the time of transition. Methods: The subjects of this study were 181 mothers who participated in two surveys which were conducted before and after their child entered into elementary school. Results: Firstly, mother's child-rearing anxiety before and after their children's entrance into elementary school was at a middle level, but increased significantly when they experienced their children's transition to elementary school. Secondly, mother's child-rearing anxiety, before their children's entrance into elementary school, was influenced by private education, the collection of educational information, cognitive ability, whether or not to develop a work status change plan, and birth order sequentially. Thirdly, child-rearing anxiety after their children's entrance into elementary school was significantly influenced by child-rearing anxiety before their children's entrance into elementary school and the mother's employment. Conclusion/Implications: This study is meaningful in the point that it suggested the necessity for the cooperation between multiple systems, such as systematic and stepwise parenting education, the importance of offering information to educational institutions and local governments, and for work- family support policy to prioritize children in order to support children's successful transition into elementary school.