• Title/Summary/Keyword: First Childbirth

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A Study on the Korean Vernacular Script Medical Classic Danbang-Biyo-Gyeongheom-Shinpyeon Written during the Period of the Japanese Occupation (일제강점기 언해한의서 『단방비요경험신편』 연구)

  • Ku, Hyun-Hee
    • The Journal of Korean Medical History
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    • v.29 no.1
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    • pp.89-101
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    • 2016
  • Hae-Yong Shin was a renowned merchant during the transitional period from Korean Imperialism to Japanese Occupation, and devoted his life during the period of Japanese Occupation as a proponent of patriotic enlightenment movement and translator. He also authored many medical and scientific works; in particular, he integrated the modern Western medicine into the Korean herbal medicine in his writings. His early works include New Edition of Natural History (1907), Physiology published in six series in the YaRoe, a magazine for the patriotic enlightenment movement, and the New Edition of Zoology (1908). These writings are assumed to have deepened Shin's knowledge of and insights into human and animal physiologies and anatomies. In the Danbang-Biyo-Gyeongheom-Shinpyeon (1913), he sought to incorporate the aspects of the Western medicine while mainly adopting the approach of the Korean herbal medicine. While keeping the contents and formations of Donguibogam, he recorded many empirical prescriptions and deleted theories incomprehensible for the general population, shamanic prescriptions, and poisonous and deadly ingredients. Its most salient features are the use of the Korean vernacular script for explications and simple ingredients for prescriptions. As medicinal materials, he presented commonly found low-cost native ingredients easily obtainable and affordable for. In the disciplines of childbirth, childbearing, and first aid, he adopted Western medical treatments. Danbangshinpyeon is particularly significant in that it contributed to public health by spreading practical basic medical knowledge in the vernacular script easily applicable at home in difficult situations for obtaining medical services under the Japanese colonial rule.

A Study on the Size Planning of Parking-Block for Pregnant Women (임산부를 위한 주차구획의 규모설정에 관한 연구)

  • Shin, Hyun Soo;Kim, Sung Hyun;Yang, Nae Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.4
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    • pp.47-57
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    • 2018
  • Purpose and Methods: Currently, Korea has the lowest fertility rate among OECD countries. It is also true that from the aspect of encouraging childbirth policy, as the use of automobiles has increased, the interest in securing parking spaces has also become more important. However, there are efforts and researches on the supplying parking spaces for the general public in society not to the positive discrimination such as elders or pregnant women. On the other hand, there is a growing need for a dedicated parking space for pregnant women due to the changing social environment and increasing number of female drivers. At this point, proper design of the maternity parking spaces is essential. Therefore, this study is analyzing the characteristics of pregnant women such as measurements and certain actions and case studies of domestic and oversea. Through the analysis of these factors, the following results were derived. Results: First, it was determined that the important factor in the planning of the parking-block for pregnant women was the human body size of pregnant women. And the required dimensions of movement of pregnant women were derived. Second, the dimensions of automobile were analyzed and applied from the most used vehicles in the family composition. Third, after the observations, the status of the parking spaces of the pregnant women and observations showed that the drivers not only the pregnant women but others were using the spaces improperly. Fourth, at certain conditions of the parking spaces, in order to improve the efficiency of the parking spaces, it is necessarily considered that the usage of designated accessible parking spaces can be used together by not only the disabled but also to the passengers who are classified as 'transportation weak' such as pregnant women. Implications: In this study, the researcher will propose the shape and size of the parking-block for pregnant women considering the elements derived above.

A Study on the Responses to the Change of Health and Medical Finance and Sustainability of the Influencing Foreigners (외국인 유입에 따른 보건의료재정 변화 및 지속가능성 제고를 위한 대응방안 연구)

  • Jung, YongJu
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.38-47
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    • 2020
  • Purposes: The problem in the recent immigration policy and social policy changes for foreigners is that the preliminary analysis or research on the actual impact of the influx of foreigners has not been done enough in Korea yet.. This study is to examine the impact of the Korean health insurance finances on the influx of foreigners. Approach: This study analyzed the health insurance statistics for foreigners and overseas Koreans of the Health Insurance Corporation from 2013 to 2017. The data is the "Status of Health Insurance Premiums for Nationals, Foreigners, and Overseas Koreans from 2013 to 2017" submitted by the National Health Insurance Service to the Health and Welfare Committee during the 2018 National Audit Period. Findings: To summarize the analysis, first, the proportion of foreigners was only 1% of all subscribers (1.7% at work, 1.9% in regions) until 2017. Second, employees at work have a lower pay-to-pay ratio, and local subscribers have a higher pay-to-pay rate, regardless of nationality. Third, as immigrants are mostly concentrated in younger ages, they are healthy and use of hospitals is relatively low. Fourth, in terms of gender distribution, there are many women of childbearing age due to marriage immigration among foreign local subscribers, and more men use hospitals than workers who have a high proportion of males due to childbirth. In conclusion, the impact of immigration on health insurance finances is not large, and has a positive effect on finances. Practical Implications: If we simply consider the financial aspect, encouraging foreigners to subscribe to health insurance has a positive effect on finances. In particular, the more foreign workers are enrolled, the greater the financial gain. In particular, increasing the employment of foreign women through language education, vocational training, and employment support will help finance health insurance. One of the reasons foreign subscribers have a positive impact on health insurance finance is the low medical utilization rate. It can be said that young and healthy foreigners use fewer hospitals and clinics, but another aspect means that foreigners have difficulty using health insurance for various reasons. Therefore, various supports must be accompanied so that foreign subscribers can use medical services when necessary.

Development and application of a couple-centered antenatal education program in Korea

  • Koh, Minseon;Kim, Jisoon;Yoo, Hyeji;Kim, Sun A;Ahn, Sukhee
    • Women's Health Nursing
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    • v.27 no.2
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    • pp.141-152
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    • 2021
  • Purpose: This study was conducted to develop a couple-centered antenatal education program and to test the program's feasibility. Methods: With a preliminary-experimental study design, 33 pregnant couples who were expecting their first child participated in this study. The program consisted of four sessions (1 hour/session/week) of education and counseling. Data were collected before and after the intervention from September 2018 to April 2019 at a women's hospital in Daejeon, Korea, with demographic data forms, the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Maternal-Fetal Attachment Scale, Korean Newborn Care Confidence Scale, Wijma Delivery Expectancy/Experience Questionnaire, and Dyadic Adjustment Scale-10. Results: The pregnant women and their husbands were on average 32.30±3.10 and 33.21±6.25 years old, respectively. The mean marriage duration was 2.34±1.63 years, the gestational age was 31.30±2.66 weeks, and 78.8% of the couples had a planned pregnancy. After the program, both the pregnant women and their husbands showed significant improvements in attachment to the fetus and confidence in providing infant care. Prenatal depression, prenatal stress, and fear of childbirth in pregnant women significantly decreased after completing the program. However, the dyadic adjustment score did not change significantly either in the pregnant women or their husbands. Conclusion: A couple-centered antenatal education program seems to be effective for couples adjusting to parenthood, but further studies should explore ways to have a positive impact on couples' relationships.

Comparison of Breast Milk Minerals' Concentration between Gestational Diabetes Mothers and Healthy Mothers (임신성 당뇨 산모와 건강한 산모 간 모유 무기질 농도 비교)

  • Min, Deulle;Park, Seungmi
    • Journal of Korean Biological Nursing Science
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    • v.23 no.3
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    • pp.180-187
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    • 2021
  • Purpose: This study aimed to compare breast milk minerals between mothers with gestational diabetes mellitus (GDM) and healthy mothers. Methods: This study was a short-term prospective study to determine the difference in milk minerals of 30 GDM mothers and 30 healthy mothers. Mineral concentrations in breast milk were measured for Na, K, Ca, Mg, and P. The first breast milk was collected on the 5th day after childbirth, while the second one was collected on the 14th day. For the variation of mineral content of breast milk over time between groups, generalized estimation equations were used. Results: The mean age of the GDM group and healthy mother group was 32.56 and 31.17 years old, respectively. Na was significantly higher in GDM mother group (Wild 𝛘2=4.35, p=.037) over time (Wild 𝛘2=21.59, p<.001), and Ca was significantly higher in healthy mother group (Wild 𝛘2=1.77, p=.018) over time (Wild 𝛘2=19.09, p<.001). Mg, P, and K showed a significant difference in time (Wild 𝛘2=18.12, p<.001; Wild 𝛘2=7.73, p=.005; Wild 𝛘2=7.10, p=.008). P was significantly higher in GDM mother group on 5th day of delivery (t=2.08, p=.042). Conclusion: There was a difference in the mineral composition of breast milk between GDM mothers and healthy mothers. Therefore, it is necessary to develop and apply intervention programs such as effective prenatal blood sugar management and postpartum breast massage considering the characteristics of GDM mothers.

A Practical Exploration of Comprehensive Sexuality Education by Home Economics Teachers Based on an Ecological Model of Teacher Agency (교사 행위자성(teacher agency)에 기반한 가정과교사의 포괄적 성교육 실천 탐구)

  • Lee, Hyewon;Park, Mi Jeong
    • Human Ecology Research
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    • v.60 no.3
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    • pp.359-376
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    • 2022
  • Based on an ecological model of teacher agency, the purpose of this study was to examine the relevance of HE (home economics) subjects and CSE (comprehensive sexuality education) for HE teachers, and their implementation in HE classes. To achieve this, a survey was conducted with HE teachers nationwide for which 243 responses were collected, and interviews were conducted with five HE teachers who were actively practicing CSE. The results of the survey and interview were as follows. First, HE teachers strongly recognized the relevance of HE subjects and the topic of CSE with an average score of 4.63 (out of 5 points), and practiced CSE at an average of 72.23% (97.12%~43.21%) in their class. Second, based on the ecological approach model of teacher agency, the factors facilitating the CSE practice of HE teachers included: childbirth and parenting experienced as parents, experiences of students encountering sexual problems in school, the philosophy and content of HE subjects, positive feedback from students and support from fellow teachers, and intention to help students in their lives. Conversely, HE teachers cited a lack of sexual education experience as learners, complaints from parents, weakness of HE teacher networks, lack of specific statements in curriculum and textbooks, insufficient class content and teacher training, and lack of absolute class time. This study is significant in revealing that CSE is highly relevant to the contents of HE subjects and is already being practiced in HE classes.

A study on the mediating effect of self-esteem in caring stress and parenting efficacy for children with disabilities during the COVID-19 period (코로나19 시기 장애자녀 돌봄스트레스와 양육효능감에서 자아존중감의 매개효과에 관한 연구)

  • Seo, Bo-seok;Choi, Jong-soon;Kim, hyun-hwa
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.175-181
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    • 2023
  • This study verified the mediating effect of self-esteem in the interrelationship between caring stress perceived by parents raising children with disabilities during the COVID-19 period and parenting efficacy. This survey study conducted a regression analysis using survey data conducted on 140 parents of disabled children in Y, Jeollanam-do. The main results of the study are as follows. First, it was found that the higher the caring stress of parents of disabled children during the COVID-19 period, the lower the self-esteem. Second, it was found that self-esteem had an mediating effect on the effect of care stress on the parenting efficacy of parents of disabled children. Based on these findings, a convergence practice strategy has been proposed to reduce and improve the care stress of parents of disabled children, and parenthood efficacy at embraces them as part of a new family without discrimination in pregnancy, childbirth, and childcare.

Factors influencing pregnancy stress in pregnant women in Korea: a cross-sectional study (임부의 임신스트레스에 영향을 미치는 요인에 관한 단면연구)

  • Kang, Sook Jung;Yang, Min Ji
    • Women's Health Nursing
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    • v.28 no.1
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    • pp.27-37
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    • 2022
  • Purpose: The purpose of this study was to investigate the association between maternal knowledge and social support on pregnancy stress among pregnant women in Korea. Methods: The participants in this study were 148 pregnant women in Korea, recruited from online communities on pregnancy and/or childbirth, from June 2019 to April 2020. The collected data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression. Results: Participants were at average 18.25±8.28 weeks gestation, 56% were in the second trimester, 31% had one or more health issues in the current pregnancy (e.g., hyperemesis gravidarum), and 76% were first-time mothers. Participants had moderate levels of pregnancy stress (mean, 23.09±7.11 points out of 48) and maternal knowledge (mean, 14.42±4.67 points out of 21), whereas social support was somewhat high (mean 45.88±7.81 points out of 60). Pregnancy stress was weakly negatively correlated with social support (r=-.37, p<.001). Main source of pregnancy information (β=-.21, p=.011), marital satisfaction (β=-.18, p=.036), and social support (β=-.19, p=.038) were identified as significant factors affecting pregnancy stress, and these variables had an explanatory power of 22.7% for pregnancy stress. Conclusion: Based on these findings, nurses should assess pregnancy-related stress during pregnancy and consider main source of pregnancy information and marital satisfaction when providing education or counseling. Moreover, strategies to reduce pregnancy stress through social support are needed to improve the quality of life for pregnant women.

Automatic Feeding Bottle Washing Machine Usability Evaluation : Infant Product (자동 젖병 세척기 사용성평가 : 영유아 제품)

  • Park, Hye Jin;Kim, Jong Geun;Lee, Seok Jae
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.507-514
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    • 2022
  • This study is to compare and analyze the evaluation of cleaning cleanliness and usability according to the muscle activity and cleaning method in the wrist rotation motion when using a bottle washer for women with childbirth experience. To this end, when using an automatic bottle washer and a manual bottle washer, the muscle activity and cleaning cleanliness of the forearm muscles were quantitatively evaluated using equipment, and the effects of variables were analyzed and the following conclusions were obtained. First, it was found that the muscle activity was lower than that of the automatic baby bottle cleaner when using a manual bottle cleaner. Second, the cleanliness was judged to be the best in automatic washing (forward + reverse direction), followed by automatic washing (forward direction) and manual washing. Third, the usability evaluation of the use of the baby bottle washing machine showed higher satisfaction than that of the automatic baby bottle washing machine. Through these conclusions, this study can be used as basic data for product advancement in the future by proving the effectiveness of using an automatic bottle washer.

Analysis of Regional Fertility Gap Factors Using Explainable Artificial Intelligence (설명 가능한 인공지능을 이용한 지역별 출산율 차이 요인 분석)

  • Dongwoo Lee;Mi Kyung Kim;Jungyoon Yoon;Dongwon Ryu;Jae Wook Song
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.47 no.1
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    • pp.41-50
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    • 2024
  • Korea is facing a significant problem with historically low fertility rates, which is becoming a major social issue affecting the economy, labor force, and national security. This study analyzes the factors contributing to the regional gap in fertility rates and derives policy implications. The government and local authorities are implementing a range of policies to address the issue of low fertility. To establish an effective strategy, it is essential to identify the primary factors that contribute to regional disparities. This study identifies these factors and explores policy implications through machine learning and explainable artificial intelligence. The study also examines the influence of media and public opinion on childbirth in Korea by incorporating news and online community sentiment, as well as sentiment fear indices, as independent variables. To establish the relationship between regional fertility rates and factors, the study employs four machine learning models: multiple linear regression, XGBoost, Random Forest, and Support Vector Regression. Support Vector Regression, XGBoost, and Random Forest significantly outperform linear regression, highlighting the importance of machine learning models in explaining non-linear relationships with numerous variables. A factor analysis using SHAP is then conducted. The unemployment rate, Regional Gross Domestic Product per Capita, Women's Participation in Economic Activities, Number of Crimes Committed, Average Age of First Marriage, and Private Education Expenses significantly impact regional fertility rates. However, the degree of impact of the factors affecting fertility may vary by region, suggesting the need for policies tailored to the characteristics of each region, not just an overall ranking of factors.