• Journal of Preventive Medicine and Public Health
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• v.11 no.1
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• pp.24-30
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• 1978

This study was designed to analyse effects of Family Health Workers' activities on the performance of a child immunization program as part of the evaluative research in the community health demonstration project in Kang Wha. Frequent shortcomings of evaluative research are problems in setting evaluative indices, difficulties in interpreting influences of socioeconomic changes due to lack of control and failure of demonstrating association between activity input and program performance. Specific objectives of this study was to improve the frequent shortcoming of evaluative research by isolating the effects of Family Health Workers' activities on the performance of the program through controlling other variables which also influenced the program performance. The target population consisted of 1240 children who were born between Jan. 1971 and Dec. 1975 in Sunwon Myun, and Naega Myun in Kwang Wha Gun, Kyonggi Province. The data were collected in part through 20 Family Health Workers who interviewed the mothers of these children in their villages during Nov. 1977. Part of the data were obtained by summarizing Family Health Workers daily activity records. All data were grouped for each birth cohort according to the 20 villages. Dependent variable of the model is the measle immuinization rate of each village and the independent variables are characteristics of baby, mother, household, travel time to the health subcenter, to Kang Wha Town, and the mean member of visits to the household by Family Health Workers as well as their other related activities and the year of birth of children according to village. The model was analysed by stepwise multiple regression technique. The summarized results show that overall $R^2$ were 39.3% and mean number of Family Health Worker household visits, mean age of mother and mean economic status were significant variables in explaining the immunization rate. Therefore Family Health Workers' activities are one of the significant variables in influencing the increased immunization rate of children in villages of the project area.

• Journal of Families and Better Life
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• v.18 no.3 s.47
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• pp.129-146
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• 2000

The purpose of this study was to investigation the variables that affected the generational transmission of household work form mothers to their married daughter. The subjects were 415 married daughters and their mothers living in Seoul and metropolitan areas. Statistical techniques used for this study included descriptive statistics and multiple regression analysis. The results of this study were as follows : First, married daughters; value of household work was significantly affected by total periods of marriage of daughters, daughter's perceived similarity to their mothers' household work. Second, married daughters' preference for household work was significantly affected by mother's occupation (managerialㆍprofessional), mother's perceived similarity, daughter's experience of living with mother-in-law, daughter's sex-role attitude, and daughter's perceived similarity. Third, married daughters' ability to do household work was significantly affected by total periods of marriage for mothers, mother's perceived similarity, and daughter's perceived similarity. Fourth, married daughters' standard of household work was significantly affected by mother's perceived similarity, daughter's occupation (techniciansㆍclerk), daughter's monthly income, and daughter's perceived similarity. Fifth, married daughters' usage level of home equipments was significantly affected by mother's birth order, mother's education, mother's occupation (managerialㆍprofessional), daughter's birth order, daughter's education, and daughter's monthly income. Sixth, Mother related variables had greater power than daughter related ones in explaining daughters' values and preference for household work value and preferences and usage of home equipments. In conclusion, married daughter's consciousness and performance of household work were significantly influenced by their mothers. It was especially so in daughter's usage level of hoe equipments. Accordingly, the results of this study support the existence of generational transmission of household work from mothers to their married daughters with regard to its consciousness and performance. Findings of this study have implications for counsellors, practitioners and educators.

• Clinical and Experimental Pediatrics
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• v.60 no.5
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• pp.138-144
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• 2017

Purpose: Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. Methods: We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment. Interview questions examined participants' experiences in pregnancy and childbirth and concerns regarding their child's health status. Initial data analysis involved all researchers' immersion in the entire collection of transcripts. We then noted recurrent topics and themes and identified similar issues. Results: At the time of giving birth, 5 participants were asylum seekers and one had undocumented status. The following barriers impeded their access to maternal child healthcare: socioeconomic factors (unstable social identity, low economic status, difficulty obtaining health insurance), language barriers (lack of linguistically appropriate health information, limited access to translation services), and cultural barriers (religious and cultural differences). Weak social support also hindered access to healthcare soon after migration; however, social links with the community emerged as a key coping strategy following settlement. Conclusion: We identified barriers to maternal and child healthcare and coping strategies among African refugee mothers in Korea. Future research should assess refugees' health status and improve health access and literacy among refugee mothers.

• Advances in pediatric surgery
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• v.3 no.2
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• pp.117-125
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• 1997

Seventy neonates with congenital intestinal atresia and stenosis who were treated at pediatric surgical service. Hanyang University Hospital from September 1979 to December 1996 were analyzed retrospectively. The lesion occurred in 27 cases at the duodenum, in 26 cases at the jeiunum, in 13 cases at the ileum and in 2 cases at the pylorus and colon each. There were 10 multiple atresias and 7 apple-peel anomaly cases. The atresia predominated over the stenosis by the ratio of 4 : 1. Male to female ratio was 1.3 : 1. The average gestational age was 38 weeks, and the average birth weight was 2,754 grams. Though 22.9 % were borne prematurely and 34.3 % had low birth weight, 92.3 % of them had a weight appropriate for gestational age. Polyhydramnios(40 %) was more frequently observed in duodenal and jeiunal atresia while microcolon in ileal atresia(58.3 %). Weight loss and electrolyte imbalance occurred more frequently in the duodenal stenosis cases because of delayed diagnosis. Twenty(55.6 %) of 37 jeiunoileal atresia cases had evidence of intrauterine vascular accident : 4 intrauterine intussusception, 3 intrauterine volvulus and 3 strangulated intestine in gastroschisis, and 10 cases of intrauterine peritonitis. There were one or more associated anomalies in 45 patients (64.3 %). Preoperatively proximal loop volvulus developed in 3 cases and proximal loop perforation in 5 cases and one case each of distal loop perforation, duodenal perforation and midgut volvulus occurred in the jeiunoileal atresia. Overall mortality rate was 20 %.

• Clinical and Experimental Pediatrics
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• v.59 no.2
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• pp.74-79
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• 2016

Purpose: Febrile seizure, the most common type of pediatric convulsive disorder, is a benign seizure syndrome distinct from epilepsy. However, as epilepsy is also common during childhood, we aimed to identify the prognostic factors that can predict epilepsy in children with febrile seizures. Methods: The study comprised 249 children at the Korea University Ansan Hospital who presented with febrile seizures. The relationship between the subsequent occurrence of epilepsy and clinical factors including seizure and fever-related variables were analyzed by multivariate analysis. Results: Twenty-five patients (10.0%) had additional afebrile seizures later and were diagnosed with epilepsy. The subsequent occurrence of epilepsy in patients with a history of febrile seizures was associated with a seizure frequency of more than 10 times during the first 2 years after seizure onset (P<0.001). Factors that were associated with subsequent occurrence of epilepsy were developmental delay (P<0.001), preterm birth (P =0.001), multiple seizures during a febrile seizure attack (P =0.005), and epileptiform discharges on electroencephalography (EEG) (P =0.008). Other factors such as the age at onset of first seizure, seizure duration, and family history of epilepsy were not associated with subsequent occurrence of epilepsy in this study. Conclusion: Febrile seizures are common and mostly benign. However, careful observation is needed, particularly for prediction of subsequent epileptic episodes in patients with frequent febrile seizures with known risk factors, such as developmental delay, history of preterm birth, several attacks during a febrile episode, and epileptiform discharges on EEG.

• Korean Journal of Childcare and Education
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• v.8 no.4
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• pp.97-111
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• 2012

This goal of this study was to find relationships between variables that have an influences on young children's leadership. The subjects of the study were 251 five year old children enrolled in childcare programs located in Seoul & Gyeonggi-do, Korea, the methods for analyzing children's leadership were t-tests, a correlation analysis and the multiple regression analysis which was used to recognize what factor affected the leadership of young children the most. The result of this study was that there was a difference between the sub-factor and leadership of playfulness according to the gender and birth order of young children and whether their mother was working out or not. In other words, there was a difference in the leadership and temperament according to gender and birth order and whether their mother was working out or not. Secondly, there was partial correlation between the temperament of young children, playfulness, and leadership according to the testing of the low-level variable factor. Thirdly, the strongest predictor of children's leadership wad the social independence among playfulness.

• Asian-Australasian Journal of Animal Sciences
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• v.15 no.9
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• pp.1232-1236
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• 2002

Direct and service sire genetic parameters for total number of pigs born (TNB), number of pigs born alive (NBA), total pig weight at birth (TWB), and average pig birth weight (ABW) were estimated by DF-REML under a multiple trait animal model. Data on 3,078 litters of the Yorkshire from Jan, 1975 to Dec, 1998 at National Livestock Research Institute were obtained. The animal model included fixed contemporary group effects and random additive direct, service sire, and residual effects. Additive genetic relationships among animals were included. A separate relationship matrix for service sires and their sire was also included. Additive direct heritability estimates for TNB, NBA, TWB, and ABW were 0.19, 0.18, 0.25 and 0.39, respectively. Service sire heritability estimates for TNB, NBA, TWB, and ABW were 0.02, 0.01, 0.02 and 0.01, respectively. The genetic and phenotypic correlations of TNB with NBA estimated in this study were 0.81 and 0.81, respectively, and the genetic and phenotypic correlations of TNB with TWB estimated were 0.82 and 0.76, respectively. Results indicate that service sires account for 1 to 2% of the total variation for TNB, NBA, TWB, and ABW. Further investigation is needed to determine whether the service sire effect is primarily genetic or environmental.

• Clinical and Experimental Pediatrics
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• v.61 no.3
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• pp.78-83
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• 2018

Purpose: Frequent desaturation due to immature incoordination of suck-swallow-breathing in preterm infants can influence multiple organs such as the heart, lungs, and brain, which can then affect growth and development. Most notably in preterm infants, feeding desaturation may even affect pulmonary function during gavage feeding. Because respiratory muscle activities may reflect the work required during respiration, we evaluated the differences in these activities between full-term and preterm infants with feeding desaturation, and investigated the correlations with clinical variables. Methods: Nineteen preterm infants with feeding desaturation (group 1) and 19 age-matched full-term infants (group 2) were evaluated. Oromotor function was evaluated using video recording. The root-mean-square (RMS) envelope of the electromyography signal was calculated to quantify the activities of muscles involved in respiration. The differences in RMS between both groups and the correlation with clinical variables including gestational age (GA), birth weight (BW), and Apgar scores (AS) at 1 and 5 minutes after birth were evaluated. Results: The RMS values of the diaphragm (RMS-D) and rectus abdominis (RMS-R) were significantly greater in group 1 compared to group 2, and the 1- and 5-min AS were significantly lower in group 1 compared to group 2. RMS-D and RMS-R were inversely correlated with GA, BW, 1- and 5-min AS in all infants. Conclusion: This study showed that respiratory muscle activities were augmented during feeding in preterm infants compared to full-term infants. Additionally, respiratory muscle activities were inversely correlated with all clinical variables.

• The Korean Journal of Community Living Science
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• v.16 no.2
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• pp.75-91
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• 2005

The purpose of this study was to examine the relationship between parenting stress, social support and the social development of preschool children in rural areas. The subject included 114 preschool children, along with their mothers, selected from kindergartens and day care centers in rural areas. The instruments included the parenting stress index, social support inventory and the social maturity scale. The statistics used from this data were t-test, one-way ANOYA(Scheffe test), correlation analysis and multiple regression analysis. This study showed that maternal parenting stress was influenced significantly by the related variables; gender of child, birth order of child, age of mother, educational attainment of mother, family income, religion, family type. And also, social support was influenced significantly by the above variables. The child's social development was influenced significantly by the variables that related child and the family. Correlation analysis indicated that parenting stress and social development of the child were relatively negative high correlation coefficients. And social support and social development of the child were relatively positive high correlation coefficients. The important factors on predicting social development of the child were found to be birth order of child, age of mother, educational attainment of mother, family income, religion, family type, daily stress, stress of difficult child, stress of parent-child dysfunctional interaction, educational distress, husband support, and other support. Especially stress of difficult child and husband support were important variables that predicted the social development of the preschool children.

• Journal of Preventive Medicine and Public Health
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• v.45 no.4
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• pp.227-234
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• 2012

Objectives: The object of this study was to determine the relationship between body mass index (BMI) and early menarche in adolescent girls in Seoul. Methods: A retrospective study was conducted with 144 middle school students in Seoul who provided informed consent. We measured their body composition, and used the questionnaire survey method for data collection from November to December 2008. Past elemental body composition data were collected from elementary school health records of first year of middle school. Results: The early menarcheal group was taller and heavier than the late menarcheal group (p<0.05 from 8-12 years old). The body fat percentage (%), BMI were higher in the early menarcheal girls than the late-menarcheal girls (p<0.05, age at 13). In the result of multiple logistic regression, the BMI at the age of 8 and 9 was associated with early menarche after adjusting for birth weight, breast feeding and age at menarche of the mother (BMI at the age of 8: p for trend=0.01, BMI at the age of 9: p for trend=0.04). An increase in BMI from 7 to 8 year was associated with early menarche after adjusting for birth weight, breast feeding, age at menarche of the mother (p for trend=0.048). Conclusions: The BMI at the age of 8 and 9 was associated with the early menarche of girls and increase in BMI from 7 to 8 year was associated with the early menarche of girls. These results suggest that BMI and increase in BMI before menarche cause early menarche. Although this study does not represent all Korean adolescent girls, it is one of the few studies that have investigated the temporal relationship between BMI and early menarche.