• 디지털융복합연구
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• 제10권3호
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• pp.241-250
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• 2012

저출산은 생산인구의 감소와 함께 보험료 부담을 가중시키는 문제 뿐 아니라, 종국에는 국가의 존립을 위협하는 묵과할 수 없는 국가적인 정책과제가 되었다. 이에 본 연구는 현 정부의 출산장려정책 중 경제적 지원인 고운맘 카드의 실효성을 알아보고 산모들의 인식조사를 바탕으로 도출된 문제점에 대한 개선안을 제언하고자 한다. 분석방법은 인식도 조사를 위해서는 빈도분석을 이용했으며, 출산장려정책에 대한 선호도를 파악하기 위해 다중응답분석, 고운맘 카드 사용에 대한 만족도와 재출산 의사정도를 알아보기 위한 카이제곱 테스트를 시행했다. 분석결과, 고운맘 카드 사용으로 인한 산모들의 만족도와 재출산 의사간에는 유의한 관련성을 보였다. 또한, 산모들은 정부기관 및 의료기관과 구전으로 전파된 내용에 의해 해당 정책에 접근하는 것으로 나타났다. 그리고 정부의 지원금액 범위 내에서 병원 청구할인서비스 정도만 활용하는 것으로 나타났다. 그러나 지원금액 및 l일 사용 한도금액과 같은 금전적 요인에서 주로 불만을 표출했다. 그에 따른 상향 조정된 희망 개선안을 요구했다. 위의 결과를 토대로, 정부는 정책시행의 궁극적 목적인 출산률의 상승을 위해 고운맘 카드를 개선 발전시켜나가야 할 것이다.

• Child Health Nursing Research
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• 제20권4호
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• pp.247-254
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• 2014

목적 본 연구의 목적은 산전 임부를 대상으로 태아애착, 태교실천, 피로 및 사회적 지지 정도를 확인하고 태아애착에의 영향 요인을 파악하는 데 있다. 방법 대상자는 월평균 분만 100건 이상의 여성전문병원에 산전관리를 위해 외래를 방문한 임부 중 임신합병증을 동반하지 않은 건강한 임부 211명이다. 일반적 특성에 따른 태아애착의 차이를 비교하였으며 태아 애착을 평가하기 위한 Maternal-Fetal Attachment Scale, 태교실천은 Mun과 Choi (2002)의 도구, 피로를 측정하기 위해 Milligan 등(1997)이 개발한 Fatigue Symptom Checklist 및 Curry 등(1994)의 사회적지지 측정도구를 사용하였다. 수집된 자료는 SPSS WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficients, Stepwise multiple regression analysis를 이용하여 분석하였다. 결과 임부의 태아애착 정도는 $93.74{\pm}13.69$점(점수범위 25-125점)이었으며 산과력, 모유수유 경험 및 태교 경험에 따라 유의한 차이를 보였으며, 초임부, 모유수유 경험이 없는 경우, 태교 경험이 있는 경우 태아애착 정도가 유의하게 더 높았다. 임부의 태아애착은 태교실천(r=.71, p < .001), 피로(r=.15, p =.032), 사회적 지지(r=.38, p <.001)와 정적 상관관계에 있었고 태교 실천 정도는 사회적 지지 정도와 유의한 정적 상관관계를 보였다(r=.40, p <.001). 임부의 태아애착에 영향을 미치는 요인으로는 태교실천(${\beta}=.67$), 피로(${\beta}=.21$), 사회적 지지(${\beta}=.13$) 순으로 나타났으며 설명력은 55.2%였다. 결론 임부의 태아애착 증진을 위해 태교실천 및 태교실천 프로그램 효과를 입증하는 하나의 근거자료로 활용될 수 있을 것이며 임부의 피로를 단순히 임신증상으로 인식하는 수준에서 벗어나 이를 태교실천을 통해 중재하는 것이 필요할 것이다. 또한 사회적 지지를 통해 태교실천을 더욱 더 잘 실천함으로 태아애착이 증진될 수 있을 것이다.

• Journal of Genetic Medicine
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• 제10권1호
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• pp.38-42
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• 2013

Purpose: The purpose of this study was to assess the characteristics of achondroplasia (ACH) diagnosed in fetuses or neonates and to evaluate the usefulness of a molecular genetic testing to confirm ACH. Materials and Methods: The medical and ultrasonographic records of 16 pregnant women, who had molecular genetic testing for ACH performed on their fetus or neonate at the Cheil General Hospital between February 1999 and April 2013, were retrospectively analyzed. Detection of G1138A and G1138C mutations of the fibroblast growth factor receptor 3 (FGFR3) gene was accomplished by polymerase chain reaction - restriction fragment length polymorphism analysis. Results: Of the eight fetuses and two neonates who were suspected of having ACH during pregnancy, four fetuses and one neonate was confirmed to have ACH and they all carried the heterozygous G1138A mutation. Out of 6 cases which had a history of ACH in prior pregnancies, three had genetic information for the previous fetuses while the other three did not. All six fetuses had no mutations at G380R. However, the one fetus of pregnant woman with non-confirmed ACH showed shortened long bone on ultrasound thereafter and the fetus was identified as having oto-spondylo-megaepiphyseal dysplasia after birth. Conclusion: Korean patients with achondroplasia have the heterozygous G1138A mutation that is most commonly defined in other countries. Molecular genetic evaluations of ACH are helpful not only for establishing diagnosis but for appropriate counseling with subsequent pregnancies.

• 대한방사선기술학회지:방사선기술과학
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• 제29권1호
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• pp.39-46
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• 2006

진단용 방사선발생장치의 안전관리에 관한 규칙과 원자력법에서 사용되는 용어들이 일부 상이하게 기술됨으로서, 실무종사자들의 혼란을 막기 위해 본 연구를 실시하였다. 우리니라의 원자력법은 국제방시선방어위원회(ICRP)의 권고에 띠라 우리나라의 실정에 맞게 지속적으로 수정, 발전한 반면에, 진단용 방시선발생장치의 안전관리에 관한 규칙은 부분적인 수정함으로서, 용어의 혼란을 초래하게 되었다. 진단용 방사선발생장치의 안전관리에 관한 규칙과 원자력법을 비교하면 수정해야 할 사항들은 다음과 같았다. 1. 진단용 방사선발생장치의 안전관리에 관한 규칙과 원자력법에서 사용되는 용어와 단위가 다르다. 업무의 특성상 사용되는 특별한 용어를 제외하고, 공통으로 시용되는 용어의 통일은 반드시 필요하다. 비록 이원화된 방사선안전관리 체계일지라도 규제와 지도의 기준은 일원화되어야 할 뿐 아니라 방사선업무에 종사하는 자나 방사선안전관리 실무에 종사하는 자에게 혼란을 주어서는 바람직하지 못하다. 2. 진단용 방사선발생장치의 안전관리에 관한 규칙에는 다음의 규정이 추가되어야 한다. 1) 환자와 병원 방문객에 대한 방사선방어 2) 임신중인 여성환자의 방사선피폭제한 3) 의료상피폭으로 인정되지 않는 자의 방사선피폭제한 4) 임신 중인 여성 의료관계종사자의 피폭관리

• 모자간호학회지
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• 제3권2호
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• pp.142-152
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• 1993

In recent days, most of mothers prefer bottle feeding to breast feeding. Even mothers who started with breast feeding, change to bottle feeding in a short period. Many factors were reported causing the trend, but a significant influencing latter was revealed the mothers' perception that their breast milk wasn't enough for their babies. The purpose of this study were to identify how mothers of 30 years ago kept breastfeeding longer period for their child, and what were the diet they used in order to keep adequate breast milk secretion. The subjects of this study were 95 women who are over 60 years or older. Data were gathered by 13 authors by interview using structured questionnare. There were 16 questions related to subject's demographic informations and the specific recipe which they used, and 7 questions related to breast feeding techniques they used. Data were analyzed by SPSS/PC and content analysis. Results were as follows. 1. The subjects reflected that their milk secretion was enough to feed their tables. 2. More than half of the subject started breast feeding on the 3rd day after delivery and had continued breast feeding until they were pregnant again. 3. The subjects tried to eat as much rice and seaweed (MiYuk) soup as possible and didn't take any other specific diet during the breast feeding period. 4. The subjects didn't pay specific attention to the breast, general health. emotion, home environment. The only thing they did was being careful not to press breast when not feed. 5. Many subjects perceived that breast feeding made them healthy, and only 7% of subjects responded that they had some health problem during the breast feeding period.

• 대한한방내과학회지
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• 제21권5호
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• pp.697-704
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• 2000

According to herbalogical bibligraphy and literature, therapeutic effects of Achyranthis Radix on arthritis was as follows, 1. Achyranthis Radix of Amaranthaceae is divided into five species-Achyranthes japonica, A. bidentata, A. longifolia, A. fauriei, Cyathula capitata, C. officialis and the characteristic, taste, channel entry, effects and main treatments were alike. 2. Winefrying stood for repairing treatement method for Achyranthis Radix Before repairing treatment method, Achyranthis Radix had three tastes(bitter, sour, and sweet) and calm and not poisoning characteristic. After repairing treatment method, the bitter taste was disappeared, and calm and not poisoning characteristic was changed into warm characteristic. 3. Effects of Achyranthis Radix were quicking the blood and dispelling stasis, liver-kidney supplement and strengthening musculo-skeletal system. Main treatments were relief of lumbar and knee joint pain, static menstrural block and wind-cold- damp impediment. 4. Contraindication of Achyranthis Radix was sympthom caused by spleen-kidney yang vacuity, upper burner disease and lower burner hemorrhage etc. Being used in pregnant woman, it could incur abortion. 5. Contraindication of Achyranthis Radix was beef, milk and mutton. It's fear was Radix Cynanchi Stauntonii and Semen Plantaginis. It's aversion was the firefly. Herba Taraxaci, Carapax Amydae, Carapax Testudinis and Radix Cynanchi Stauntonii. From above results, I suppose Achyranthis Radix has enough herbalogical foundation and could be used to treat arthritis and it is necessary to make a profound study of it.

• Archives of Plastic Surgery
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• 제43권2호
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• pp.153-159
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• 2016

Background The prenatal ultrasound detection of cleft lip with or without cleft palate (CL/P) and its continuous management in the prenatal, perinatal, and postnatal periods using a multidisciplinary team approach can be beneficial for parents and their infants. In this report, we share our experiences with the prenatal detection of CL/P and the multidisciplinary management of this malformation in our institution's Congenital Disease Center. Methods The multidisciplinary team of the Congenital Disease Center for mothers of children with CL/P is composed of obstetricians, plastic and reconstructive surgeons, pediatricians, and psychiatrists. A total of 11 fetuses were diagnosed with CL/P from March 2009 to December 2013, and their mothers were referred to the Congenital Disease Center of our hospital. When CL/P is suspected in the prenatal ultrasound screening examination, the pregnant woman is referred to our center for further evaluation. Results The abortion rate was 28% (3/11). The concordance rate of the sonographic and final diagnoses was 100%. Ten women (91%) reported that they were satisfied with the multidisciplinary management in our center. Conclusions Although a child with a birth defect is unlikely to be received well, the women whose fetuses were diagnosed with CL/P on prenatal ultrasound screening and who underwent multidisciplinary team management were more likely to decide to continue their pregnancy.

• Clinical and Experimental Reproductive Medicine
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• 제21권1호
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• pp.131-135
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• 1994

A 27-year-old pregnant woman who had one son with mental and growh retardation and dysmorphic features, was referred for genetic counselling. Cytogenetic investigations revealed 4/22 translocation in the mother(46, XX, t(4;22)(p14;P11)), partial trisomy 4p in son(46, XY, -22, +der(22), t(4;22)(p14;p11)mat). The father had normal karyotype. Amniocentesis and chorionic villi sampling were performed in 3 successive pregnancies. The karyotypes of fetus in 3rd, 4th pregnancies by amniocentesis were 46, XX, t(4;22)(p14;p11) and 46, XX, t(4;22) (p14;p11), and the karyotype of fetus in 5th pregnancy by chorionic villi sampling was found to be 46, XX, -22, +der(22) t(4;22)(p14;p11)mat. We report 3 succesive prenatally diagnosed familial partial trisomy 4p and 4/22 translocation of maternal origin with review of literature.

• 대한의료기공학회지
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• 제11권1호
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• pp.284-325
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• 2009

This study aims to investigate the educational significance in modern education by analysis on the contents of taboo in the Korean traditional prenatal education. For this study, the concrete matters are prepared for investigation as follows: First, the contents of prenatal education are analyzed with special reference to the Chinese bibliography and the Korean bibliography related to its own traditional prenatal education. Second, the contents of taboo in prenatal education are broadly classified into Chun-ki(天忌), Chi-ki(地忌), and In-ki(人忌), and in turn, In-ki is classified into taboo related to clothing, taboo related to food, Taboo related to housing, and man's taboo, and all of them are interpreted. Third, the characteristics of taboo in the Korean traditional prenatal education and its principle are analyzed, and its significance is researched from the modern educational point of view. This study attempts to classify the contents of taboo into Chun-ki, Chi-ki, In-ki, and man's taboo based upon analysis of the documentary records related to the traditionary prenatal education in China and Korea for the successful investigation. The characteristic such as common discipline, the time limit and prevention are induced on the basis of this investigation, and its modern educational significance as follows: First, prenatal education must be conduced as a part of youth education and preparatory parents education for the married couple. Second, man or husband plays a very important role of practising taboo in prenatal education. Third, taboo in prenatal education is very suggestive in the aspect of human relationship and mental health of the pregnant woman. Fourth, it prevents her obesity and strain. Fifth, the scientific proof and education of taboo related to food must be needed.

• Journal of Genetic Medicine
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• 제11권1호
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• pp.16-21
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• 2014

A 31-year-old woman, who was pregnant with twins, underwent chorionic villus sampling because of increased nuchal translucency in one of the fetuses. Cytogenetic analysis showed a normal karyotype in the fetus with increased nuchal translucency. However, the other fetus, with normal nuchal translucency, had a derivative X chromosome (der(X)). For further analysis, fluorescence in situ hybridization (FISH) and additional molecular studies including fragile X analysis were performed. FISH analysis confirmed that the Y chromosome was the origin of extra segment of the der(X). The X-chromosome breakpoint was determined to be at Xq27 by FMR1 CGG repeat analysis, and the Y-chromosome breakpoint was determined to be at Yq11.23 by the Y chromosome microdeletion study. To predict the fetal outcome, the X-inactivation pattern was examined, and it revealed non-random X inactivation of the der(X). To the best of our knowledge, the identification of an unbalanced Xq;Yq translocation at prenatal diagnosis has never been reported. This study was performed to identify precise breakpoints and the X-inactivation pattern as well as to provide the parents with appropriate genetic counseling.