• 제목/요약/키워드: fertility rate

검색결과 551건 처리시간 0.025초

가족문화와 가치관 교육의 관점에서 본 저출산의 원인 및 극복 방안 탐색 (Exploring the causes and overcoming of low fertility in terms of family culture and value education)

  • 전세경
    • 한국가정과교육학회지
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    • 제29권4호
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    • pp.85-100
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    • 2017
  • 이 연구는 한국사회가 처해있는 저출산의 문제에 대하여 그 원인과 대책을 진단하고 논의하는 과정에서 '가족문화와 가치관'의 중요성을 제기하고자 한 것이다. 아울러 가족문화와 가치관 정립을 위한 교육적 접근의 관점에서 저출산의 원인 및 극복의 방안을 모색하고자 하였다. 구체적으로 이 연구에서는 첫째, 저출산 관련 정책에 대한 평가를 고찰하여 저출산 원인을 재인식, 재평가하고, 둘째, 저출산 관련 가족문화와 가치관의 실태 및 변화를 고찰하며, 셋째, 저출산 대책과 관련된 '교육'의 문제를 쟁점화하여 교육적 개입의 타당성, 개입의 실태, 제도교육에서의 교육내용 검토, 교육의 필요성과 효과 검증, 교육내용의 구성, 교육적 접근으로 가능한 정책들과 논거 등을 살펴보았다. 저출산의 문제는 현대 한국사회가 갖고 있는 국가사회적 당면 과제로서 그 원인과 대책을 동시에 고려할 때, 경제적인 요인과 더불어 가족문화와 가치관에 대한 요인에 주목하여 볼 필요가 있으며, 이 요인들을 고려한 해결책으로서 성평등하고 가족친화적인 가족문화와 가치관 형성을 위한 교육적 접근을 더욱 강조하여야 한다.

Application of serum anti-Müllerian hormone levels in selecting patients with polycystic ovary syndrome for in vitro maturation treatment

  • Seok, Hyun Ha;Song, Haengseok;Lyu, Sang Woo;Kim, You Shin;Lee, Dong Ryul;Lee, Woo Sik;Yoon, Tae Ki
    • Clinical and Experimental Reproductive Medicine
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    • 제43권2호
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    • pp.126-132
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    • 2016
  • Objective: The purpose of this study was to identify useful clinical factors for the identification of patients with polycystic ovary syndrome (PCOS) who would benefit from in vitro maturation (IVM) treatment without exhibiting compromised pregnancy outcomes. Methods: A retrospective cohort study was performed of 186 consecutive patients with PCOS who underwent human chorionic gonadotropin-primed IVM treatment between March 2010 and March 2014. Only the first IVM cycle of each patient was included in this study. A retrospective case-control study was subsequently conducted to compare pregnancy outcomes between IVM and conventional in vitro fertilization (IVF) cycles. Results: Through logistic regression analyses, we arrived at the novel finding that serum $anti-M{\ddot{u}}llerian$ hormone (AMH) levels and the number of fertilized oocytes in IVM were independent predictive factors for live birth with unstandardized coefficients of 0.078 (95% confidence interval [CI], 1.005-1.164; p=0.037) and 0.113 (95% CI, 1.038-1.208; p=0.003), respectively. Furthermore, these two parameters were able to discriminate patients who experienced live births from non-pregnant IVM patients using cut-off levels of 8.5 ng/mL and five fertilized oocytes, respectively. A subsequent retrospective case-control study of patients with PCOS who had serum AMH levels ${\geq}8.5ng/mL$ showed that IVM had pregnancy outcomes comparable to conventional IVF, and that no cases of ovarian hyperstimulation syndrome were observed. Conclusion: Serum AMH levels are a useful factor for predicting pregnancy outcomes in PCOS patients before the beginning of an IVM cycle. IVM may be an alternative to conventional IVF for PCOS patients if the patients are properly selected according to predictive factors such as serum AMH levels.

저출산 대응 정책 비교분석 (육아휴직과 아동수당의 비정형 데이터 중심으로) (Comparative Analysis of Low Fertility Response Policies (Focusing on Unstructured Data on Parental Leave and Child Allowance))

  • 금은영;김도희
    • 문화기술의 융합
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    • 제9권5호
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    • pp.769-778
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    • 2023
  • 본 연구는 현재의 심각한 저출산 문제의 해결방안 중 두 가지 주요정책인 육아휴직과 아동수당의 비정형 데이터를 활용하여 비교분석하고 이를 토대로 관련 대응 정책의 향후 방향과 시사점을 모색하였다. 수집 키워드는 "저출산+육아휴직", "저출산+아동수당"으로 하였으며, 자료분석은 텍스트 빈도분석, 중심성 분석, 네트워크 시각화, CONCOR 분석 순으로 진행하였다. 분석 결과 첫째, 육아휴직은 아동수당 보다 다각적이고 체계적인 논의들이 데이터 분석상 나타남으로써 저출산 대응 정책에 있어 현실적이고 실질적인 정책임을 알 수 있었다. 둘째, 아동수당은 데이터 분석상 아동수당을 포함한 현금지원급여제도에 대한 정보와 관심도는 높은 것으로 나타났으나 그 이외의 특이점이나 적극적인 논의는 이루어지지 않았다. 향후 개선방안으로 두 정책 모두 기존 제도의 활용에 있어 첫째, 육아휴직은 제도의 확산을 위한 근로환경과 사각지대의 개선이 필요하며, 둘째 아동수당은 지급에 있어 획일적이고 편중된 것에서 벗어난 형식의 변화가 모색되어야 하며, 수급연령 확대를 제안하였다.

한국 3개 지역의 결혼, 결혼년령 및 출산력에 관한 연구 (AGE AT MARRIAGE AND FERTILITY OF WOMEN IN THREE SELECTED AREAS IN KOREA, 1970)

  • 김모임
    • 대한간호학회지
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    • 제3권3호
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    • pp.1-14
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    • 1973
  • This study is designed to meet the following objectives: (1) To study attitude and behavior regarding marriage and age at marriage, (2) To learn correlates of age at marriage and to examine their relations, (3) To measure relative importance of the correlates of age at marriage, and (4) To study relations of age at marriage and family planning practice to fertility and their relative importance as correlates of fertility. The data are obtained by an independent cross-sectional survey in three study areas purposively selected to represent metropolitan. semihuman. rural population. The study population is confined to women age 17-50 as of survey. The overall response rate is 90%. Reliability of data is measured by . individual and aggregate inconsistency based upon a 15% subsample of the original interviews. The individual inconsistency (31%) is found to be high compared to the aggregate inconsistency (6%) for all 85 variables. However, the magnitude of differences between means is small, and the mean absolute shifts and proportional shifts are also small on the whole. In a word respondents did not change their answers too extremely or radically. The study populations of each study area are compared on some basic characteristics. It is found that the three study populations have more dissimilarities than similarities. The findings on seven different attitudinal positions of women toward marriage indicate that there have been tremendous changes in all study areas Iron "traditional" attitudes which have been prevalent for a long time in Korean society to "liberalized" or "modernized" attitudes. An apparent tendency is that women generally take a position of a "golden mean" attitude by not preferring either extreme of marriage attitudes. Nevertheless, the young, single, educated, and urbanite appears more "liberalized. " There has been some increase in ideal age at marriage from 1958 to 1970 for both sexes. No age group, marital status, or study area differentials in ideal age at marriage are found, the average ideal age at marriage in every sub-group being 24-25. Awareness of existing legal marriageable ages is low; only 4.4% are aware that "with parental permission: minimum age for males is 18 years and for females 16 years,"and only 3.7% are aware that "without parental permission: 27 years for males and 23 years for females." People in Korra tend to marry spouses who are in various social ways like themselves: the similarities include (a) education, occupational status of father, (c) economic status, (d) usual residence before marriage, and (e) religion. Both singulars and actual mean ages at marriage in this study confirm the trend of rising age at marriage previously established by other independent studies. The urban-rural differential in age at marriage is observed, but the differential narrows down gradually from 1935 to 1970. All socio-economic, demographic, and other variables pertaining to wife before and at first marriage, excluding (a) religion, (b) father′s of occupation, and (c) as: of menarche, are correlated with respondent's age at first marriage, whereas only three variables out of all socio-economic variables relating to husband before and at wife′s first marriage, viz., (a) education, (b) usual residence, and (c) economic level of his old home, are correlated with respondent′s age at marriage. Among socio-economic and modernity variables related to either husband or wife at the time of survey, only education and duration of residence are correlated with wife′s age at first marriage. Among the correlates of respondent′age at first marriage, education is in general the most important variable. However, it is found that wife′s education is more important than husband′s. The combined effects or the correlates studied explain no more than about 40% of variance for any of the selected groups of variables. Points which might counteract the effects of late marriage on fertility are not serious in Korea. For each of the correlates of the three fertility indices chosen for this study. namely, (a) number of living children, (b) number of live births, and (c) number of pregnancies, age at marriage is the major contributor to the variance in all age groups except the age group of 20-29 in which the index of family planning practice is the major contributor. The proportion of variability in fertility indices accounted for by the correlates is never more than 40% of the total variance in any age group. Based upon the findings from this study, it could be concluded that in the foreseeable future (a) celibate group will no! be increased to a point that would slow down population growth rate in Korea, (b) age at marriage will not increase continually, (c) although education stands out as the major contributing variable which independently explains the variation in age at marriage, it seems probable that education may not be the major variable in the near future, and (d) despite the fact found by this study that age at marriages has been the major contributor to the variance of each of the fertility indices used, family planning practice will play a more important role in the reduction of fertility in the Korean society. Therefore, factors interrupting practice of family planning must be eliminated and family planning program should be strengthened if further fertility reduction is needed.

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저출산수준과 강한 남아선호관이 사회에 미치는 영향 -성.연령별 인구 구조의 변화를 중심으로- (The Effects of Fertility and Strong Son Preference on Korean Society - On the basis of the changes of age and sex structure -)

  • 김태헌
    • 한국인구학
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    • 제16권2호
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    • pp.1-23
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    • 1993
  • Korea fertility level has dropped since the 1960's and speed of decline has accelerated in the 1980's. In the resuls, the growth rate reached to less then 1 percent in 1990 and will be $\ulcorner$0 $\lrcorner$ percent growth in 2021. The total population will increase to 50, 586 thousand persons in 2021 then will decrease. With the rapid fertility decline the age structure of Korean population has changed : while the proportion of child population aged 0-14 is decreasing sharply, that of old-age population aged 65 and over is increasing. Because of the recent increase of sex ratio at birth, the sex structure among the young generation has been destorted; the sex ratio at age 0-4 was as high as high as 112.0 in 1990. The effects of these population phenomena on Korean society are the followings: 1) Old age dependency ratio is increasing rapidly and continuously and will be about 40.0 from the 2050's. 2) Because of the rapid decline of the number of births, the absolute number of the major labour force at age 25-34 will decrease after around 2000 and then from the 2010's become less than that in 1990. 3) Since the large fertility defferentials by womens's educational level have continued and the relation between the educational levels of mothers and children are very strong, level has dropped among higher educated women first when the average fertility level has declined in Korea, the average educational level of the children is may be expected to be relatively low and then the future productivity is will be also low, which causes the decline of 'quality of population. 4) When the high sex ratio at birth (over 110 since 1986) continues, number of brides will be short by over 20 percent from the 2010s, which will bring various kinds of social prblems. Therefore, the counter measures in concrete to relieve the heavy problems are recommended as follows: 1) The extention of the birth intervals, which helps to drop the population growth rate at the same level of number of children per women. 2) The positive supports for out-migrants, which helps to reduce the population size without any destortion of age-sex structure. 3) The defferent supports of family planning for the higher and lower classes, which helps to reduce the gaps between different ferility levels of the classes and to keep and improve the quality of population. 4)population education for both students and adults, which helps to minimize the gap between the private and public requirements.

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Effect of MEM Vitamins Supplementation of In vitro Maturation Medium and In vitro Culture Medium on the Development of Porcine Embryos

  • Kim, J.Y.;Lee, E.J.;Park, J.M.;Park, H.D.
    • Asian-Australasian Journal of Animal Sciences
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    • 제24권11호
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    • pp.1541-1546
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    • 2011
  • This study was carried out to examine the influence of minimum essential medium (MEM) vitamins supplementation to in vitro maturation medium and in vitro culture medium on the development of porcine embryos. Porcine embryo development was investigated following cultivation in both in vitro maturation and culture medium with the supplementation of MEM vitamins (0, 0.1, 0.2 and 0.4%) using immature oocytes collected from the ovary of prepubertal gilts. Embryo development was observed and the total cell number in each blastocyst generated under the culture conditions was quantified following supplementation of the medium. The embryonic development rate of the blastocyst and hatched blastocyst was higher, but not significantly so, when 0.4% MEM vitamins were supplemented to the in vitro maturation medium of the porcine oocyte. Interestingly, the total number of cells in the blastocyst was significantly higher in the in vitro maturation MEM vitamins supplemented group compared to either the untreated group or the group which had MEM vitamins supplemented to both in vitro maturation and in vitro culture medium simultaneously (p<0.05). Therefore, the supplementation of 0.4% MEM vitamins to the in vitro mature medium has a beneficial effect on the embryonic development of in vitro produced blastocysts derived from the immature porcine oocytes.

Effect of Induced Hypothyroidism on the Fertility of Male Goats

  • Reddy, I.J.;Varshney, V.P.;Sanwal, P.C.;Agarwal, N.;Pande, J.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제11권1호
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    • pp.55-59
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    • 1998
  • To study the effect of induced hypothyroidism on fertility status of male Black Bengal goats, 10 adult healthy mature males were divided into control and treated groups. Hypothyroidism was induced successfully by injecting thiourea subcutaneously initially for 15 days at the rate of 100 mg/kg body weight, followed by 66.7 mg/kg body weight for the subse quent 15 days. This resulted in a decrease (p < 0.01) in plasma tri-iodothyronine, thyroxine and testosterone levels, with increasing duration of thiourea treatment. It also adversely affected semen quality, ejaculate volume, sperm concentration, motility and viability. Live percentage declined to 75% for treated and control remained at 90%. Artificial insemination fo female goats with semen of thiourea-treated goats, resulted in failure of conception. However, females inseminated with semen of male goats of control group showed 100% conception. These observations indicate that, thyroid hormones play a key role in maintaining the normal reproductive processes of male goats.

Maternal caffeine consumption has irreversible effects on reproductive parameters and fertility in male offspring rats

  • Dorostghoal, Mehran;Majd, Naeem Erfani;Nooraei, Parvaneh
    • Clinical and Experimental Reproductive Medicine
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    • 제39권4호
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    • pp.144-152
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    • 2012
  • Objective: Concerns are growing about the decrease in male reproductive health. Caffeine is one of the popular nutrients that has been implicated as a risk factor for infertility. In the present study, we examined whether in utero and lactational exposure to caffeine affects the reproductive function of the offspring of rats. Methods: Pregnant rats received caffeine via drinking water during gestation (26 and 45 mg/kg) and lactation (25 and 35 mg/kg). Body and reproductive organ weight, seminiferous tubule diameter, germinal epithelium height, sperm parameters, fertility rate, number of implantations, and testosterone level of the offspring were assessed from birth to adulthood. Results: Significant dose-related decreases were observed in the body and reproductive organ weight, seminiferous tubule diameter, and germinal epithelium height of the offspring. Sperm density had declined significantly in offspring of the low-dose and high-dose groups, by 8.81% and 19.97%, respectively, by postnatal day 150. The number of viable fetuses had decreased significantly in females mated with male offspring of the high-dose group at postnatal days 60, 90, 120, and 150. There were also significant reductions in testosterone levels of high-dose group offspring from birth to postnatal day 150. Conclusion: It is concluded that maternal caffeine consumption impairs gonadal development and has long-term adverse effects on the reproductive efficiency of male offspring rats.

새로운 안트라사이클린계 항암제 DA-125의 생식독성연구: (II) 랫트 수태능력시험 (Reproductive Toxicity Study of DA-125, A New Anthracycline Anticancer Agent: (II) Fertility Study in Rats)

  • 정문구;김종춘;김원배;노정구
    • Biomolecules & Therapeutics
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    • 제2권1호
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    • pp.94-101
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    • 1994
  • DA-125, a new anthracycline antitumor antibiotic, was at dose levels of 0, 0.03, 0.1 and 0.3 mg/kg/day administered intravenously to Sprague-Dawley male rats from premating to mating period and to females from premating to early gestation period. Effects of test agent on general findings and reproductive performance of parent animals and embryonic development were examined. No treatment-related changes in clinical signs, body weight, food consumption and necropsy findings were observed in all groups of both sexes. At 0.3 mg/kg, a decrease in the weight of spleen was found only in male rats. Mating performance and fertility of parent animals were not adversely affected by all doses tested. Fl fetuses showed no changes related to treatment of DA-125, except that at 0.3 mg/kg, an increase in the resorption rate was seen. The results show that the no effect dose levels (NOELS) for general toxicity of parent animals and fetal development are 0.1 mg/kg/day and NOELS for reproductive capability are over 0.3 mg/kg/day.

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저 출산 고령 사회에 대비한 재가 간호사업 정책 과제와 대안 (Agenda and Alternatives for Home Health Care Policy in Low Fertility and High Aged Society of Korea)

  • 유호신
    • 가정∙방문간호학회지
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    • 제14권1호
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    • pp.11-17
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    • 2007
  • The purpose of this study was to describe the policy agenda and alternatives for the home health care system in Korea. The home health care system development was not fully integrated while the medical laws were established in 2000, community health law in 1995, and elderly long-term health insurance law in 2007. Because of the increasing population of people over the age of 65 and dramatically decreasing fertility rate, the burden of various health-care expenses has become a great obstacle for the Korean government. Under these circumstances, the home of home health care system in has taken on an important role under the mandate of the national health care system. The types of home health care system in Korean shows a greater contrast from those utilized in other more industrialized countries, such as, U.S. or Japan. In conclusion, the strategy in overcoming the obstacles to enhance home health care system under the national health system would be developing it as a comprehensive and exchangeable consumer-focused organization.

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