• Clinical and Experimental Pediatrics
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• v.51 no.11
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• pp.1133-1135
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• 2008

The ultimate goal of the term alteration to pediatrics is that not only infants and children but also adlescents are subjet to pediatrics. At 27, June, 2007 the term pediatrics was altered to pediatrics (children and aoldescent medicine). From now on the roles of pediatricians for adolescents are needed and adolescent medicine should be reorganized in Korea. Although the numbers of children are decreased in the times of low birth rate, the efforts of pediatricians try to enlarge the range of treatment for adolescents are need.

• Asian-Australasian Journal of Animal Sciences
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• v.15 no.4
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• pp.477-484
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• 2002

Ninety pre-puberal (6-7 months) female and 15 pre-puberal male Black Bengal goats were collected on the basis of their phenotypic characteristics from different parts of Bangladesh. Goats were reared under semi-intensive management, in permanent house. The animals were vaccinated against Peste Des Petits Ruminants (PPR), drenched with anthelmentics and deeped in 0.5% Melathion solution. They were allowed to graze 6-7 h along with supplemental concentrate and green forages. Concentrates were supplied either 200-300 g/d (low level feeding) or quantity that supply NRC (1981) recommended nutrient (high level of feeding). Different physiological, productive and reproductive characteristics of the breed were recorded. At noon (temperature=$95^{\circ}F$ and light intensity=60480 LUX) rectal temperature and respiration rate of adult male and female increased from 100.8 to $104.8^{\circ}F$ and 35 to 115 breath/min, indicated a heat stress situation. Young female attain puberty at an average age and weight of 7.2$\pm$0.18 months and 8.89$\pm$0.33 kg respectively. Mean age and weight at 1st kidding were 13.5$\pm$0.49 months and 15.3$\pm$0.44 kg respectively. It required 1.24-1.68 services per conception with an average gestation length of 146 days. At low level of feeding the postpartum estrus interval was 37$\pm$2.6 days, which reduced (p<0.05) with high feeding level to 21$\pm$6.9 days. Kidding interval also reduced (p<0.05) from 192 d at low feeding level to 177 d at high feeding level. On an average there were two kiddings/doe/year. Average litter sizes in the 1st, 2nd, 3rd and 4th parity were 1.29, 1.71, 1.87 and 2.17 respectively. Birth weights of male and female kids were 1.24 and 1.20 kg respectively, which increased (p<0.05) with better feeding. Although kid mortality was affected (p<0.05) by dam's weight at kidding, birth weight of kid, milk yield of dam, parity of kidding, season of birth, but pre-netal dam's nutrition found to be the most important factor. Kid mortality reduced from 35% at low level of feeding to 6.5% at high level of feeding of dam during gestation. Apparently, this was due to high (p<0.05) average daily milk yield (334 vs. 556 g/d) and heavier and stronger kid at birth at high feeding level.

• Clinical and Experimental Pediatrics
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• v.52 no.8
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• pp.881-887
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• 2009

Purpose : The survival rate of very low birth weight infant (VLBWI) had increased as a result of advances in neonatal intensive care. We evaluated the changes in outcomes of VLBWI who admitted to the neonatal care unit of Hallym University Kangnam Sacred Heart Hospital. Methods : Retrospective review of 339 VLBWI who were born from 1st January 1997 to 31th December 2008 were performed. Outcomes including survival rate, birth weight (BW), gestational age (GA), morbidities, and mortality between period I (1997- 2003) and period II (2004-2008) were compared. Results : Overall incidence of VLBWI was 2.3% and it was significantly higher in period II(3.3%). Mean BW and GA were significantly decreased in period II (P<0.001, P=0.01). The survival rate increased from period I (59.1%) to period II (74.2%). BW-specific survival rate increased in 1,000-1,249 gm and GA-specific survival rate significantly increased in 27-28 weeks and 29-30 weeks. The incidences of respiratory distress syndrome (RDS), retinopathy of prematurity (ROP), sepsis, bronchopulmonary dysplasia (BPD), intraventricular hemorrhage, periventricular leukomalacia, and necorotizing enterocolitis were same except patent ductus arteriosus. Conclusion : The survival rate of VLBWI was increased in period II, especially in less than 1,000 gm and below 27 weeks. This may be due to recent dramatic improvement of neonatal care. But more efforts are needed to improve outcome during initial phase and to reduce long term complication such as BPD and ROP.

• Journal of Nutrition and Health
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• v.43 no.2
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• pp.141-151
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• 2010

Gestational age and infant birth weight are influenced by gestational weight gain. This study was aimed to examine the effects of gestational weight gain on pregnancy outcomes. Pregnant women were recruited at two hospitals in Seoul area. Characteristics and dietary intakes of pregnant women were obtained using 24-hour recall questionnaires. Gestational weight gain was categorized as less (Under-gain) than, within (Recommended gain), or greater (Over-gain) than the Institute of Medicine guidelines. Maternal height and pre-pregnancy weight in the over-gain group significantly higher than under-gain and recommended gain group. Mini dietary assessment score of eating bean has significantly higher in under-gain group than recommended gain group and eating kimchi has significantly higher in undergain group than over-gain group. Score of eating fruit was significantly higher in over-gain group than other groups. The mean intake of carbohydrate in the recommended gain group were significantly higher than under-gain group, and mean intake of potassium in the over-gain group were significantly higher than under-gain group. Under-gain group showed the high rate of the preterm delivery and low birth weight infant delivery. However recommended gain group showed 46% reduced risk of preterm delivery (OR = 0.54 CI = 0.30-0.98). Risk of macrosomia increased with increasing gestational weight gain (p for trend < 0.05). In conclusion, pregnancy outcomes were influenced by gestational weight gain. Therefore, these finding suggested adequate gestational weight gain according to BMI for reducing the risk of preterm delivery, low birth weight and macrosomia.

• The Journal of the Korea Contents Association
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• v.16 no.8
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• pp.59-70
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• 2016

This study aimed to find effective policies to cope with low birth rate in local authorities. It was analyzed the variables-a number of child-care facilities, paid parental leave, labor force participation, and total working hours-using panel analysis from 2005 to 2014. The results were as follows. First, after testing the whole years, we found that the fittest model was the fixed-effects model of 2 models(fixed-effects model, random effects model). A number of child-care facilities had positive effects, and a number of child-care facilities, and total working hours in women influenced negative effects on total fertility rate. Second, during the former time and the period of plan for low birth rate and aging society, a number of child-care facilities influenced negative effects on total fertility rate. Third, a number of child-care facilities had negative effects on total fertility rate in Busan, Daegu, and Kwangju. Paid parental leave influenced positively on total fertility rate in 5 cities and a province. Women's total working hours were a significant variable of total fertility rate in Jeju. This study found that the variables which influenced on total fertility rate were different by local authorities, and a number of child-care facilities and paid parental leave were very important variables on total fertility rate.

• Korea journal of population studies
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• v.33 no.2
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• pp.137-163
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• 2010

This study examines how individual, familial, and social factors are associated with persistent very low fertility in Busan Metropolitan City and contemplates family-friendly environments and social strategies for fertility increase. Fertility decline in Busan Metropolitan City recorded the lowest birth rate nationwide recent years among metropolitan cities and provinces in Korea. Birthrates are low partly because of multiple factors such as high age at childbearing and at marriage, decline in marriage, high divorce rate, the phenomena of marriage avoidance among unmarried women, traditional gender role attitude of men, low domestic work participation of husbands among dual career couples, low marital satisfaction and family life satisfaction, abortion, and more broader attiributes such as family policy, availability of childcare, education expenses, and family-friendlyness of a society. In addition, women of dual career couples in Busan strained from domestic work overload under traditional norms of gender role, and marital satisfaction recorded below average nationwide along with espeacially low marital satisfaction of wives compared to that of husbands. Major aspects of implications and considerations for higher birth rate and family friendly policy in Busan are discussed.

• Asian-Australasian Journal of Animal Sciences
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• v.19 no.10
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• pp.1390-1393
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• 2006

Data spread over 11 years (1986-1996) pertaining to a synthetic population developed by inter se mating of half-breds of Corriedale and Russian Merino with Nali maintained at CCS Haryana Agricultural University, Hisar were utilized for the estimation of genetic parameters for growth traits. The means for birth weight (BWT), weaning weight (WWT), six month body weight (SWT), yearling weight (YWT), preweaning daily gain (PRW) and post weaning daily gain (POW) were 3.35 kg, 10.79 kg, 13.28 kg, 18.96 kg, 82.6 gm and 27.6 gm, respectively. The effects of year and season of birth and sex of lamb were significant for all the traits under study except the effect of season of birth for WWT, SWT and PRW. No definite trend was observed over the years for the averages of body weight and gain. Lambs born during the spring season performed better for BWT, WWT and PRW while the performance of lambs born during autumn was better for the other traits included in the study. The male lambs were heavier than the females for body weight at all stages and gain in weight. The heritability estimates for WWT and PRW were low; for BWT and SWT were moderate and for YWT and POW were high. Birth weight had high heritability and high genetic correlations with subsequent body weights and gains but due to the presence of a maternal effect on BWT and WWT, a sequential selection procedure is recommended for the improvement of growth rate in sheep.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.23 no.4
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• pp.377-387
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• 2020

Purpose: To compare between sodium acetate (SA) and sodium chloride (SC) in parenteral nutrition (PN) with associated metabolic acidosis and neonatal morbidities in preterm infants. Methods: Preterm infants below 33 weeks gestational age, and with a birth weight under 1,301 g were enrolled and further stratified into two groups: i) <1,000 g, or ii) ≥1,000 g in birth weight. The subjects were randomized to receive PN containing SA or SC within the first day of life. The results of routine blood investigations for the first 6 days of PN were collated, and the neonatal outcomes were recorded upon discharge or demise. Results: Fifty-two infants entered the study, with 26 in each group: 29 infants had extremely low birth weight (ELBW). There were no significant differences in birth weight, gestation, sex, exposure to chorioamnionitis and antenatal steroids, surfactant doses and duration of mechanical ventilation between groups. The SA group had significantly higher mean pH and base excess (BE) from days 4 to 6 than the SC (mean pH, 7.36 vs. 7.34; mean BE -1.6 vs. -3.5 [p<0.01]), with a two-fold increase in the mean BE among ELBW infants. Significantly fewer on SA required additional bicarbonate (n=4 vs. 13, p=0.01). The rate of bronchopulmonary dysplasia (BPD) was approximately four-fold lower in SA than SC (n=3 vs. 11, p<0.01). No significant differences were observed in necrotizing enterocolitis, patent ductus arteriosus, retinopathy of prematurity, cholestatic jaundice, and mortality between groups. Conclusion: The use of SA in PN was associated with reduced metabolic acidosis and fewer BPD.

• Journal of Nutrition and Health
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• v.38 no.7
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• pp.578-585
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• 2005

Maternal zinc deficiency is relatively common worldwide, but its consequences for pregnancy outcome are not established. The purpose of this study was to examine the effect of zinc status in the second trimester on pregnancy outcome. Subjects were 248 pregnant Korean women (25-28 wk gestation). Cord blood was collected from subgroup of 69 women and pregnancy outcome data were obtained from 185 babies. Anthropometry measurement, dietary intake, and biochemical characteristics of pregnancy and cord serum substances were measured. The subjects were divided into quartiles on the basis of maternal serum Zn concentration; $ZnQ_1$ (< 25 percentile), $ZnQ_2$ ($26\~50$ percentile), $ZnQ_3$ ($51\~75$ percentile), and $ZnQ_4$ ($76\~100$ percentile). Zn groups were compared in terms of various maternal factors, concentrations of cord serum substances, and pregnancy outcome. Maternal serum Zn concentration was $118.4\;{\pm}\;35.5\;{\mu}g/dl$ as mean. Intake of Zn was lower than Korean RDA. The rate of Zn deficiency among all subjects was $8.5\%$. Maternal serum Zn levels belonged to normal range. Cord serum Zn level was about $154.7\%$ of maternal serum level. Intakes of energy, calcium, iron, folic acid, and riboflavin did not meet the Korean RDA for pregnant women by gestational age. The mean birth weight of neonates is 3083 $\pm$ 697 g, of whom $9.1\%$ were of low birth weight (< 2,500 g). Maternal serum Zn level was positively correlated with pre-pregnancy weight, pre-pregnancy body mass index, and vitamin C intake (p < 0.05). $ZnQ_1$ group had significantly lower maternal serum iron concentration and higher cord serum cholesterol than those in other groups. Maternal serum Zn level, cord serum Zn level, and dietary Zn intake were no related to the pregnancy outcome. The birth weight had a correlation with the maternal hemoglobin and albumin concentration. In conclusion, at this study, we could not find the association with maternal Zn status in 2nd trimester and pregnancy outcome.

• Child Health Nursing Research
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• v.20 no.3
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• pp.185-195
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• 2014

Purpose: The purpose of this study was to identify whether hearing a recording of mother's voice affected physiological reactions, behavioral state related to sleep and weight of very low birth weight (VLBW) infants. Methods: This was a nonequivalent control group pre-post test quasiexperimental design. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group, a recording of mother's voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in the incubator. Results: For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differences between the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In the daily weight change, there was no significant difference between the experimental and control groups. Conclusion: The findings suggest that, for VLBW infants, the intervention of hearing a recording of mother's voice had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state and improve VLBW infants' growth.