• Journal of Preventive Medicine and Public Health
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• 제39권1호
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• pp.74-80
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• 2006

Objectives: The purpose of this study is to examine the factors affecting the rate and duration of breastfeeding. Methods: We analyzed the data from the year 2000 Korea National Fertility Survey that was collected through direct interviews. In particular, the mothers who delivered their last child and the child was under 1 year of age from January 1998 to June 2000 (N=1,066) were analyzed via a logistic model to assess the factors affecting the breastfeeding rate. Among the study subjects, those who had initiated breastfeeding (N=740) were analyzed through Cox's proportional hazard model to evaluate the factors affecting the duration of breastfeeding. Results: The multivariate logistic model showed that the delivery type and the baby's birth-weight have a statistically significant influence on the breastfeeding rate. Women who delivered their babies through Cesarean section were less likely than others to breastfeed. In contrast, the women whose babies weighed 2.5Kg or more were more likely than others to breastfeed. The results obtained from the survival analysis are as follows: the higher the mother's education level, the shorter is the breastfeeding duration. The mother's work status played a significant role in the early termination of breastfeeding. Women aged 35 or older showed a longer breastfeeding duration than the younger age groups, whereas the maternal age was not a significant factor in affecting whether or not a mother would breastfeed. Conclusions: Reducing the cases of operative delivery (Cesarean section) and low weight births, enlightening young and highly educated women on breastfeeding and improving the environment for breastfeeding on the job are important strategies to encourage women to breastfeed.

• 보건행정학회지
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• 제25권3호
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• pp.149-151
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• 2015

United Nations (UN) adopted 17 global sustainable development agenda to the year 2030 in the 68th general assembly on september, 2015. The global agendas and goals are important for 3 reasons: (1) to adopt the international standard for determining the health status; (2) to identify areas in need of attention; and (3) to advance international cooperation regarding health issues. In the area of infectious diseases, our goals include the eradication of human immunodeficiency virus infection and acquired immune deficiency syndrome, tuberculosis, and malaria as well as a substantial reduction of hepatitis by the year 2030. In the area of non-communicable diseases, our goal is to reduce premature mortality (${\leq}70years$) at least 30% by the year 2030. Preventive activities such as smoking cessation, alcohol abstinence, nutritional measures, and physical activities, should also be promoted intensively nationwide. It is also necessary to establish stringent policies for control hypertension, diabetes, obesity, and hypercholesterolemia. Additionally, environmental health, injury by traffic accident, mental health, and drug and alcohol abuse are important health policies. Furthermore, in the area of international health and cooperation, maternal and child health remain important areas of support for underdeveloped countries. Education and training towards the empowerment of health professionals in underdeveloped countries is also an important issue. The global agenda prioritize resources(manpower and budget) allocation of international organizations such as UN, World Health Organization, United Nations Development Programme, and World Bank. The global agenda also sets the contribution levels of Official Developmental Assistance donor countries. Health professionals such as professors and researchers will have to turn their attention to areas of vital international importance, and play an important role in implementation strategies and futhermore guiding global agenda.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.649-658
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• 2019

본 연구의 목적은 국내에서 수행된 산후우울 중재프로그램의 현황을 파악하고 효과를 알아보기 위함이다. 2018년 11월까지 보고된 국내 학술지 논문 중, 13편의 실험연구를 선별하여 최종 분석에 사용하였다. 연구대상자의 평균 연령은 26.9~34.4세로, 산모 또는 산모와 배우자를 대상으로 하였다. 표본크기는 실험군 6~39명 (평균 20.4), 대조군 5~40명 (평균 20.0)이었고, 중재프로그램의 구성은 0.5~12주/2~14회기/1회 당10~120분으로 이루어졌다. 모든 연구의 설계는 비동등성 대조군전후실험설계였다. 주요 종속변수인 산후우울, 피로도, 모성역할자신감은 메타분석 결과 모두 통계적으로 유의미한 중간 수준 이상의 효과크기를 가지는 것으로 확인되었다. 본 연구는 국내에서 산후우울을 중재하기 사용되는 다양한 실험연구들의 구성과 효과를 확인하였다. 이는 최적의 산후우울 중재프로그램을 구성하기 위한 구체적인 근거기반자료로 활용될 수 있을 것이다.

• 한국가족관계학회지
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• 제22권4호
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• pp.31-52
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• 2018

Objectives: The purpose of this study is to examine whether the maternal and paternal value of children mediates the relationship between the marital relationship satisfaction and the parental sense of competence in the longitudinal dyadic approach. Method: The data were obtained from the Panel Study on Korean Children (PSKC) conducted by the Korea Institute of Child Care and Education. Using the Actor-Partner Interdependence Model（APIM), the author analyzed three waves (from 5th to 7th year) of the data, and the sample size was 1,773. The average age was 34.79 for mothers, and 37.26 for fathers. Their average length of marriage was 95.3 months, and their children were 51.03 months old on average. Results: The marital relationship satisfaction influenced the parental sense of competence with both the actor effect and the partner effect of mothers and fathers. The marital relationship satisfaction also influenced the value of children, with the actor effect from both mothers and fathers and with the partner effect only from mothers. The value of children influenced the parental sense of competence with the actor effect only from mothers and fathers. Also, the value of children mediated the relationship between the marital relationship satisfaction and the parental sense of competence with the actor effect from both mothers and fathers. For the partner effect, only the mediation path from fathers' marital relationship satisfaction to mothers' value of children to mothers' parental sense of competence was significant. Conclusions: These results suggest the importance of highlighting the marital relationship satisfaction and the value of children to improve the parental sense of competence.

• 예술경영연구
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• 제55호
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• pp.155-184
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• 2020

본 논문은 여성독립운동의 역사를 다루는 전시가 예술작품을 매개로 주제에 접근하고자 하는 방식을 정신분석학적 페미니즘 관점에서 이론적으로 검증하고, 전시기획 단계에서 의도했던 주제가 최종적으로 작품과 전시 전반에 걸쳐 설득적으로 구현되었는가를 살펴보는 것을 그 목적으로 한다. 이를 위해 뤼스 이리가레이와 줄리아 크리스테바의 이론을 중심으로 작품과 전시를 해석함으로써 전시의 공과를 밝히고자한다. 그리고 여성독립운동이라는 주제에 대한 보다 더 근원적인 접근을 위해서는 기존 독립운동 전시 방식과 같은 남성적 언어가 아닌 여성 고유의 주체성을 담아낼 수 있는 여성적 언어에 대한 모색이 필요함을 주장하고 그러한 여성적 언어를 찾는 방법으로 여성적 말하기, 예술과 시적 언어, 모성의 계보학과 여성들의 연대를 제시하고 그에 관한 이론을 바탕으로 전시내용을 분석하였다. 역사를 다루는 전시에서 예술작품이 어떠한 역할을 할 수 있는가를 실제 전시 사례에 대한 이론적 검증을 통해 밝히고 있는 이 논문은 이론과 현장 간의 소통으로서의 의의를 갖는다.

• Journal of Yeungnam Medical Science
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• 제40권3호
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• pp.268-275
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• 2023

Background: With the establishment of international guidelines and changes in insurance policies in Korea, the role of targeted ultrasonography has increased. This study aimed to identify the rates and clinical course of anomalies detected using prenatal targeted ultrasonography. Methods: This study was a retrospective analysis of all pregnancies with targeted ultrasonography performed in a single secondary medical center over 5 years. Results: Fetal anomalies were detected by targeted ultrasonography in 137 of the 8,147 cases (1.7%). The rates of anomalies were significantly higher in female fetuses (2.0% vs. 1.3%). In cases of female fetuses, the rate of anomalies was significantly higher in the advanced maternal age group (2.4% vs. 1.2%). In cases of male fetuses, the rate of anomalies was significantly higher in nulliparous (2.4% vs. 1.5%) and twin (5.7% vs. 1.9%) pregnancies. Pulmonary anomalies were significantly more common in the multiparity group (17.6% vs. 5.8%). Among the 137 cases, 17.5% terminated the pregnancy, 16.8% were diagnosed as normal after birth, and 42.3% were diagnosed with anomalies after birth or required follow-up. Conclusion: Through the first study on the rates and clinical course of anomalies detected by targeted ultrasonography at a single secondary center in Korea, we found that artificial abortions were performed at a high rate, even for relatively mild anomalies or anomalies with good prognosis. We suggest the necessity of a nationwide study to establish clinical guidelines based on actual incidences or prognoses.

• Journal of Preventive Medicine and Public Health
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• 제56권3호
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• pp.272-281
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• 2023

Objectives: Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions. Methods: This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression. Results: The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88). Conclusions: In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers' mental health. The healthcare system needs to involve families to support young mothers' mental health from pregnancy until the postpartum period.

• 치위생과학회지
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• 제23권4호
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• pp.312-319
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• 2023

Background: Parental attention is crucial for preventing childhood oral diseases. Mothers play a significant role in maintaining their families' oral health, and their educational level influences their children's oral health behaviors. This study investigates the impact of mothers' educational levels on adult oral health behaviors using data from a national survey. Methods: This study employed a cross-sectional analysis of secondary data. The data used were obtained from the 8th Korea National Health and Nutrition Examination Survey. Descriptive statistics were calculated to identify participant characteristics. Next, t-tests and one-way analysis of variance were conducted to examine the effects of the explanatory variables on the distribution of the dependent variable. Finally, logistic regression analysis was used to investigate the influence of the explanatory variable on the dependent variable, using "no education" as the reference value, and calculate the odds ratios. Results: Children of mothers with a college education or higher had a 1.13 times higher likelihood of receiving oral examinations than those whose mothers had no education. Children whose mothers graduated from college or higher had a 2.23 times higher probability of receiving preventative dental treatment than those whose mothers had no education. Children whose mothers graduated from college or higher had a 1.92 times higher probability of receiving scaling than those whose mothers had no education. Children whose mothers graduated from high school had a 1.35 times higher probability of receiving scaling than those whose mothers had no education. Conclusion: Developing oral health programs is important for low-educated and low-income parents to change theirs and their children's oral health behaviors/attitudes. This will help reduce oral health disparities among adults raised by parents of higher and lower socioeconomic statuses. Therefore, a comprehensive approach is essential for adults to maintain good oral health, regardless of variations in their parental educational levels during childhood.

• 한국발생생물학회지:발생과생식
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• 제4권1호
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• pp.45-52
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• 2000

Membrane-type matrix metalloproteinase(MT-MMP)는 세포막에 부착된 채로 작용하는 단백질 가수분해효소로서 최근들어 정상 및 암세포 등 각종 조직세포의 재구성에 중요한 역할을 하는 것으로 알려지고 있다. 본 연구에서는 RT-PCR 방법을 사용하여 생쥐 난자와 초기배아에서의 MT1-MMP와 MT2-MMP 유전자 발현 양상을 조사하였다. 생후 3주 및 8주된 생쥐의 난소로부터 얻은 미성숙난자와 체외 및 체내에서 성숙시킨 난자에서의 MTl-MMP와 MT2-MMP mRMA의 발현을 조사하였다. 그 결과 미성숙난자와 체외 및 체내에서 성숙시킨 난자 모두에서 MT1-MMP 및 MT2-MMP의 mRNA가 발현되었으나 미성숙난자에서는 매우 약하게 발현되는 것이 관찰되었다. 2세포기 배아, 4세포기 배아, 상실배, 포배 및 탈각한 포배를 대상으로 MT2-MMP mRNA의 발현양상을 조사한 결과 2세포기에서는 발현이 일어나지 않았고 4세포기에 이르러서야 뚜렷한 발현이 관찰되었다. 상실배와 포배에서는 현저히 강한 발현이 관찰되었다. 생쥐의 난소조직에서도 MT1-과 MT2-MMP모두 발현되는 것이 관찰되었는데 각각은 배란을 전후로 한 시기에 상관없이 항상 같은 정도의 mRNA발현을 나타내었다. 생쥐의 수란관조직도 난소조직과 유사하게 배란시기에 상관없이 같은 수준의 MT1-과 MT2-MMP mRNA 발현양상을 보여주었다. 이러한 결과들로 미루어 생쥐 배아에서 발현되는 MT2-MMP는 초기배아의 분화과정에서 중요한 역할을 할 것으로 사료된다. 난소와 수란관의 조직재구성과 관련한 MT1-과 MT2-MMP의 역할은 앞으로 더 연구되어야 할 것이다.

• 한국발생생물학회지:발생과생식
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• 제19권4호
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• pp.243-252
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• 2015

The pregnancy and abortion process involves a complex mechanism with various immune cells present in the implantation sites and several hormones associated with pregnancy, such as leptin, ghrelin and nesfatin-1. However, the mechanism underlying spontaneous abortion by maternal T helper 17 (Th17) present in the implantation sites and nesfatin-1, which is of anorexigenic hormones, is not fully understood so far. Therefore, the purpose of this study was to examine the possible roles of Th17 cells present in the implantation sites and nesfatin-1 expressed in the uterus on spontaneous abortion using the $CBA/j{\times}DBA/2$ mouse model. Th17 transcription factor, ROR-${\gamma}t$ mRNA expression was significantly increased in the abortion sites compared with the implantation sites of abortion model mice on day 14.5 and 19.5 of pregnancy. In addition, the expression levels of IL-17A mRNA were significantly higher in abortion sites than in implantation sites on day 14.5 and 19.5. Moreover, the nesfatin-1/NUCB2 protein and mRNA levels were increased in abortion sites compared with levels in implantation sites of both normal pregnant and abortion model mice on day 14.5 of pregnancy. Interestingly, nesfatin-1/NUCB2 serum levels were not changed throughout the whole pregnancy in abortion model mice, but its serum level was dramatically increased on day 14.5, and then rapidly decreased on day 19.5 in normal pregnant mice. In this study, we showed for the first time the expression of nesfatin-1/NUCB2 mRNA and protein in implantation sites during pregnancy. The present results suggest that Th17 cells in the uterus may play an important role in the period of implantation and for maintenance of pregnancy. Furthermore, the present results suggest that Th17 cells in implantation sites may be a key regulator for maintenance of pregnancy and provides evidence that activation of these cells may be regulated by nesfatin-1/NUCB2. Further study is needed to elucidate the role of nesfatin-1 expressed in the uterus during pregnancy.