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Prof. Ju Hee Kim
College of Nursing Science, Kyung Hee University, Seoul, Korea

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0 Air Pollution
0 Environmental Health
0 Maternal-Child Health
0 Women's Health
0 endocrine disrupting chemicals

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endocrine disrupting chemicals

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Journal article
Published: 23 June 2021 in International Journal of Hygiene and Environmental Health
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In this study, a web-based behavioral intervention was designed, which aimed to reduce exposure to phthalate metabolites, bisphenol A, triclosan, and parabens in mothers with young children. A randomized controlled design with two groups was used to verify the effects of the intervention pre- and post-test. In total, 51 mothers participated in the study, categorizing 26 and 25 in the intervention and control groups, respectively. The web-based behavioral intervention focused on changes in diet, personal care products, and health behavior and reinforced behavior through encouragement. This program included an educational video, a game for locating endocrine disruptors at home, a method for locating facilities potentially emitting endocrine disruptors, resources, and a questions and answers mode. Data were collected from May 18 to June 30, 2020. Participants allocated to the intervention group were provided access to the behavioral intervention website via a computer or smartphone. Participants allocated to the control group were sent written information about endocrine disruptors via mail. For both the intervention and control groups, questionnaire results and maternal urine samples were assessed at baseline, during the intervention, and after one month. After the intervention, the urinary concentrations of mono (2-ethylhexyl) phthalate (MEHP), mono (2-ethyl-5-oxohexyl) phthalate (MEOHP), bisphenol A (BPA), methylparaben (MP), ethylparaben (EP), and propylparaben (PP) were found to be significantly decreased in the intervention group. Compared with the control group, the intervention group showed significantly decreased urinary geometric mean values of MEHP, MEOHP, BPA, MP, and PP after one month compared with those during the intervention (3.8%, 16.3%, 28.4%, 9.2%, and 24.4%, respectively). Hence, the web-based behavioral intervention was effective at reducing the exposure to endocrine disruptors in mothers with young children.

ACS Style

Ju Hee Kim; Jung Min Kwak; Hyunjin Kang. Web-based behavioral intervention to reduce exposure to phthalate metabolites, bisphenol A, triclosan, and parabens in mothers with young children: A randomized controlled trial. International Journal of Hygiene and Environmental Health 2021, 236, 113798 .

AMA Style

Ju Hee Kim, Jung Min Kwak, Hyunjin Kang. Web-based behavioral intervention to reduce exposure to phthalate metabolites, bisphenol A, triclosan, and parabens in mothers with young children: A randomized controlled trial. International Journal of Hygiene and Environmental Health. 2021; 236 ():113798.

Chicago/Turabian Style

Ju Hee Kim; Jung Min Kwak; Hyunjin Kang. 2021. "Web-based behavioral intervention to reduce exposure to phthalate metabolites, bisphenol A, triclosan, and parabens in mothers with young children: A randomized controlled trial." International Journal of Hygiene and Environmental Health 236, no. : 113798.

Journal article
Published: 22 April 2021 in International Journal of Environmental Research and Public Health
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Previous human and animal studies have reported an association between endocrine-disrupting chemicals (EDCs) and anxiety/depression. This study aimed to determine how the concentrations of phthalate metabolites, bisphenol A, triclosan, and parabens in breast milk are associated with the risk of developing postpartum depression (PPD) in Korean mothers. We recruited 221 mothers who were receiving lactation coaching at breastfeeding clinics between July and September 2018. The breast milk samples were collected along with responses to the Edinburgh Postnatal Depression Scale. The multivariable logistic regression results revealed that the phthalate, bisphenol A, parabens, and triclosan levels in the breast milk were not significantly associated with the risk of PPD. This study was the first attempt to analyze the association between the levels of EDCs in breast milk and the risk of PPD. Considering that PPD is a condition that affects not only the women diagnosed with it, but also their children and families, the results of this study may have great relevance to populations in environmentally sensitive periods.

ACS Style

Ju-Hee Kim; Hye-Sook Shin; Woo-Hyoung Lee. Impact of Endocrine-Disrupting Chemicals in Breast Milk on Postpartum Depression in Korean Mothers. International Journal of Environmental Research and Public Health 2021, 18, 4444 .

AMA Style

Ju-Hee Kim, Hye-Sook Shin, Woo-Hyoung Lee. Impact of Endocrine-Disrupting Chemicals in Breast Milk on Postpartum Depression in Korean Mothers. International Journal of Environmental Research and Public Health. 2021; 18 (9):4444.

Chicago/Turabian Style

Ju-Hee Kim; Hye-Sook Shin; Woo-Hyoung Lee. 2021. "Impact of Endocrine-Disrupting Chemicals in Breast Milk on Postpartum Depression in Korean Mothers." International Journal of Environmental Research and Public Health 18, no. 9: 4444.

Journal article
Published: 13 March 2021 in Environmental Research
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Several studies have indicated that prenatal exposure to ambient air pollution is associated with an increased risk of gestational diabetes mellitus, hypertensive disorder during pregnancy, preterm birth, and stillbirth. However, no previous study has focused on the association between the number of pregnancy complications and exposure to ambient air pollution. To investigate the association between prenatal exposure to ambient air pollutants and the number of pregnancy complications in high-risk pregnancies. We collected data on gestational diabetes mellitus, hypertensive disorder during pregnancy, preterm birth, and stillbirth from the National Health Information Databases, provided by the Korean National Health Insurance Service.R To assess individual-level exposure to air pollutants, a spatial prediction model and area-averaging approach were used. From 2015 to 2018, data of 789,595 high-risk pregnancies were analyzed. The ratio of gestational diabetes mellitus in the country was the highest, followed by preterm birth, hypertensive disorder during pregnancy, and stillbirth. Approximately 71.7% of pregnant women (566,143) presented with one pregnancy complication in identical pregnancies, 27.5% (216,714) presented with two, and 0.9% (6738) presented with three or more. Multiple logistic regression models with adjustments for age, residence, and income variables indicated that the risk of having two or more pregnancy complications was positively associated with the exposure to higher levels of PM10 (odds ratio [OR], 1.11; 95% confidence interval [CI], 1.09–1.12) and PM2.5 (OR, 1.14; 95% CI, 1.12–1.15). The highest quartile presented higher odds of two or more pregnancy complications compared with the lower three quartiles of PM10, PM2.5, CO, NO2, and SO2 exposures (p < 0.001). The results indicate that the risk of pregnancy complications is positively associated with the exposure to the high concentrations of PM10, PM2.5, CO, NO2, and SO2.

ACS Style

Ju Hee Kim; Yoon Young Choi; Soo-In Yoo; Dae Ryong Kang. Association between ambient air pollution and high-risk pregnancy: A 2015–2018 national population-based cohort study in Korea. Environmental Research 2021, 197, 110965 .

AMA Style

Ju Hee Kim, Yoon Young Choi, Soo-In Yoo, Dae Ryong Kang. Association between ambient air pollution and high-risk pregnancy: A 2015–2018 national population-based cohort study in Korea. Environmental Research. 2021; 197 ():110965.

Chicago/Turabian Style

Ju Hee Kim; Yoon Young Choi; Soo-In Yoo; Dae Ryong Kang. 2021. "Association between ambient air pollution and high-risk pregnancy: A 2015–2018 national population-based cohort study in Korea." Environmental Research 197, no. : 110965.

Journal article
Published: 31 January 2021 in Journal of The Korean Society of Maternal and Child Health
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Purpose: High-risk pregnancy, resulting in major complications, such as abortion, gestational hypertension, and preterm labor, are on the rise, requiring intervention. Increased concentration of particulate matter that is 10 μg per cubic meter or less in diameter (PM10) due to increased air pollution and industrialization has recently been noted as a risk factor for health problems, and prior studies have reported that PM10 is related to abortion, gestational hypertension, and preterm labor.Methods: This study used data from the Korean medical panel between 2008 and 2016 to identify 879 women with normal pregnancies and 301 women diagnosed with high-risk pregnancies. The association between high-risk pregnancy and PM10 was analyzed using the annual average regional concentration during the same period by the Korea Environment Corporation.Results: At 35 years of age or older, the risk of abortion (p3, the probability of preterm labor was 2.2 times higher in groups exposed to particulate matter concentration of ≥50 μg/m3 (p10 was related to preterm labor, and the risk of preterm labor was high if the average annual concentration of PM10 in the individual’s residential area exceeded 50 μg/m3.

ACS Style

Soo-In You; Ju Hee Kim; Hye Sook Shin; Dae Ryong Kang. Risk Factors of the High-Risk Pregnancy and Association with Particulate Matter. Journal of The Korean Society of Maternal and Child Health 2021, 25, 48 -54.

AMA Style

Soo-In You, Ju Hee Kim, Hye Sook Shin, Dae Ryong Kang. Risk Factors of the High-Risk Pregnancy and Association with Particulate Matter. Journal of The Korean Society of Maternal and Child Health. 2021; 25 (1):48-54.

Chicago/Turabian Style

Soo-In You; Ju Hee Kim; Hye Sook Shin; Dae Ryong Kang. 2021. "Risk Factors of the High-Risk Pregnancy and Association with Particulate Matter." Journal of The Korean Society of Maternal and Child Health 25, no. 1: 48-54.

Journal article
Published: 15 October 2020 in Sustainability
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Concentrations of toxic chemicals in mothers highly correlate with those in their children; moreover, the levels are higher in children than in mothers. Non-persistent chemicals with a short half-life including phthalate metabolites, bisphenol A (BPA), triclosan (TCS), and parabens are metabolized and excreted through urine. Therefore, we assessed the urine concentrations of phthalate metabolites, BPA, TCS, and parabens; correlated the concentrations with exposure levels; and assessed the within-individual variability of these chemicals in mothers and their infants. We collected 225 and 71 samples from 45 mothers and 36 infants, respectively. For the variability analysis, 189 and 42 samples were collected from nine mothers and their infants, respectively. The median concentrations of phthalate metabolites in the mothers and infants were 0.53–26.2 and 0.81–61.8 μg/L, respectively, and those of BPA, TCS, and parabens were 0.24–76.3 and 2.06–12.5 μg/L, respectively. The concentrations of monoethyl phthalate (MEP), mono-N-butyl phthalate (MnBP), mono-isobutyl phthalate (MiBP), and BPA in the mothers were positively correlated with those in infants (0.45, 0.62, and 0.89, respectively; p < 0.05), whereas toxic chemical concentrations in infants were higher than those in the mothers. With respect to the within-individual intraclass correlation coefficient (ICC), the first morning void (FMV) of the mothers had high ICCs for all chemicals (range: 0.72–0.99), except for BPA, monobenzyl phthalate (MBzP), and monocarboxyoctyl phthalate (MCOP). The ICC values of most chemicals were moderate to high (range: 0.34–0.99) in the first morning void. However, there were different patterns of ICCs in the infants. These findings indicate the importance of mother–infant pair studies and the necessity of research in infants, as they have different exposure sources and pathways from adults.

ACS Style

Ju Hee Kim; Dae Ryong Kang; Jung Min Kwak; Jung Kuk Lee. Concentration and Variability of Urinary Phthalate Metabolites, Bisphenol A, Triclosan, and Parabens in Korean Mother–Infant Pairs. Sustainability 2020, 12, 8516 .

AMA Style

Ju Hee Kim, Dae Ryong Kang, Jung Min Kwak, Jung Kuk Lee. Concentration and Variability of Urinary Phthalate Metabolites, Bisphenol A, Triclosan, and Parabens in Korean Mother–Infant Pairs. Sustainability. 2020; 12 (20):8516.

Chicago/Turabian Style

Ju Hee Kim; Dae Ryong Kang; Jung Min Kwak; Jung Kuk Lee. 2020. "Concentration and Variability of Urinary Phthalate Metabolites, Bisphenol A, Triclosan, and Parabens in Korean Mother–Infant Pairs." Sustainability 12, no. 20: 8516.

Journal article
Published: 11 August 2020 in Journal of Professional Nursing
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The transition phase from student to nurse is an important time when new graduates grow and develop as professional nurses. Globally, the attrition rate of new graduate nurses is reported to range from 24.5 to 70%. The study aimed to explore the barriers to, and facilitators of new graduate nurses' successful transition. A convergent mixed methods design was used. Newly graduated nurses (n = 212) were recruited from two K university medical centers. The quantitative research used a cross-sectional study, and the qualitative research used a focus group interview design. The survey and focus group interview were conducted from October to December 2017. The questionnaire comprised items on demographic characteristics (age, gender, employment duration, orientation duration, etc.) and items on transition experience, job satisfaction, self-efficacy, nursing work stress, and structural empowerment. This qualitative study found that significant factors affecting transition (R2 = 0.41, F = 35.29, p < .05) included self-efficacy (β = 0.27, p < .01), job satisfaction (β = 0.11, p < .01), nursing stress (β = −0.04, p < .05), and structural empowerment (β = 0.41, p < .01). The qualitative findings supported the quantitative results and also identified the barriers to and facilitators of a successful transition. The barriers were fears, workload, excessive role expectations, and emotional difficulties resulting from bullying. And, the facilitators are self-confidence, interaction with colleagues, positive and supportive work environments, and a phase transition program. This study showed that formal and informal strategies, to strengthen organizational factors (structural empowerment, phase transition program, etc.) and enhance individual factors (self-efficacy, self-confidence, interaction, etc.), are important for new graduate nurses' successful transition into their professional roles.

ACS Style

Ju Hee Kim; Hye Sook Shin. Exploring barriers and facilitators for successful transition in new graduate nurses: A mixed methods study. Journal of Professional Nursing 2020, 36, 560 -568.

AMA Style

Ju Hee Kim, Hye Sook Shin. Exploring barriers and facilitators for successful transition in new graduate nurses: A mixed methods study. Journal of Professional Nursing. 2020; 36 (6):560-568.

Chicago/Turabian Style

Ju Hee Kim; Hye Sook Shin. 2020. "Exploring barriers and facilitators for successful transition in new graduate nurses: A mixed methods study." Journal of Professional Nursing 36, no. 6: 560-568.

Communication
Published: 31 July 2020 in Sustainability
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The recent innovation of IoT-based sensor technologies facilitates real-time monitoring of indoor air pollutants, such as particulate matter (PM), but its dynamic impacts on the level of endocrine disruptors in human body remain understudied. This feasibility study analyzed if the constant measurements of indoor PM concentrations collected at every five minutes are meaningfully associated with the levels of 15 types of endocrine disruptors in urine samples collected three times a day from nine new breastfeeding mothers in Seoul, Korea. Some promising results are observed in terms of detecting cumulative effects of PM10 and PM2.5 on some phthalate metabolites (MnBP, MiBP, MiNP, MCOP, MEOHP and MEHHP), BPA and TCS, at least for some participants. The findings from this study are expected to provide valuable directions for guiding future studies that discover potential associations between indoor PM concentrations and exposure to endocrine disruptors, which is still far from the consensus in the literature. Such efforts should offer empirical and scientific evidences for designing technology-based early warning/alarm services and evidence-based interventions to mitigate the level of exposure to PM and endocrine disruptors in their living environments.

ACS Style

Dohyeong Kim; Ju Kim; Sungchul Seo. Real-Time Measurement of Indoor PM Concentrations on Daily Change of Endocrine Disruptors in Urine Samples of New Mothers. Sustainability 2020, 12, 6166 .

AMA Style

Dohyeong Kim, Ju Kim, Sungchul Seo. Real-Time Measurement of Indoor PM Concentrations on Daily Change of Endocrine Disruptors in Urine Samples of New Mothers. Sustainability. 2020; 12 (15):6166.

Chicago/Turabian Style

Dohyeong Kim; Ju Kim; Sungchul Seo. 2020. "Real-Time Measurement of Indoor PM Concentrations on Daily Change of Endocrine Disruptors in Urine Samples of New Mothers." Sustainability 12, no. 15: 6166.

Journal article
Published: 13 March 2020 in Journal of Professional Nursing
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Career education in nursing can affect career search efficacy, career preparation behavior, career maturity, perception of the nursing profession, and decision-making style. Reflection is essential for an in-depth approach to learning, and plays an important role in professional practice as well as in improving learning. The aim is to investigate the effects of a self-reflection-focused career course, and what could improve a self-reflection-focused career course. An explanatory sequential mixed methods design was used. The career search efficacy, career maturity, and career adaptability were measured three times in both the experimental and the control group. After the class ended, a focus group interview was conducted with the students in the experimental group. The quantitative results suggested that the self-reflection focused career course was more effective on career adaptability than the general career course (F = 4.60, p < .001). The qualitative findings supported the quantitative results and also provided new information, in which nursing students became acquainted with themselves through the self-reflection-focused career course, developed a positive mind about nursing, had realized that they were well-connected to nursing care, and that they would prepare the future nurse. The self-reflection-focused career course was effective tools in the career development of nursing students.

ACS Style

Ju Hee Kim; Hye Sook Shin. Effects of self-reflection-focused career course on career search efficacy, career maturity, and career adaptability in nursing students: A mixed methods study. Journal of Professional Nursing 2020, 36, 395 -403.

AMA Style

Ju Hee Kim, Hye Sook Shin. Effects of self-reflection-focused career course on career search efficacy, career maturity, and career adaptability in nursing students: A mixed methods study. Journal of Professional Nursing. 2020; 36 (5):395-403.

Chicago/Turabian Style

Ju Hee Kim; Hye Sook Shin. 2020. "Effects of self-reflection-focused career course on career search efficacy, career maturity, and career adaptability in nursing students: A mixed methods study." Journal of Professional Nursing 36, no. 5: 395-403.

Journal article
Published: 07 February 2020 in Chemosphere
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The toxicity of endocrine disruptors depends on the synergistic interactions of biological, environmental, and behavioral factors. The specific effects of diet, consumer product use, and behaviors, however, are debated in the literature, particularly with regard to endocrine disruptors found in breast milk. This study aimed to measure the levels of phthalate metabolites, bisphenol A, parabens, and triclosan in breast milk and to investigate their associations with various lifestyle factors. The breast milk samples as well as surveys were collected from 221 first-time mothers throughout South Korea and each sample was analyzed for the presence of 15 endocrine disruptors. Phthalate metabolites were detected in 5.4–83.3% of the samples, with median concentrations of 0.08–1.72 μg/L, while bisphenol A, parabens, and triclosan were detected in 25.8–88.2% of the samples, with median concentrations of 0.12–1.47 μg/L. High levels of endocrine disruptors were associated with frequent consumption of fish and cup noodles; the use of plastic and disposable food containers; the use of air fresheners, lotions and make-up; the purchase of new furniture; and socioeconomic status. We also observed the potential role of moderate walking activity on the reduction of these chemicals in breast milk. Our data provide evidence of the potential effects of diet, consumer products, and behavior on the presence of phthalate metabolites, bisphenol A, parabens, and triclosan in breast milk. Future studies should include community or regional impact on a mothers’ exposure to endocrine disruptors, to assess the joint contribution of both individual and neighborhood factors.

ACS Style

Ju Hee Kim; Dohyeong Kim; Seung-Min Moon; Eun Jung Yang. Associations of lifestyle factors with phthalate metabolites, bisphenol A, parabens, and triclosan concentrations in breast milk of Korean mothers. Chemosphere 2020, 249, 126149 .

AMA Style

Ju Hee Kim, Dohyeong Kim, Seung-Min Moon, Eun Jung Yang. Associations of lifestyle factors with phthalate metabolites, bisphenol A, parabens, and triclosan concentrations in breast milk of Korean mothers. Chemosphere. 2020; 249 ():126149.

Chicago/Turabian Style

Ju Hee Kim; Dohyeong Kim; Seung-Min Moon; Eun Jung Yang. 2020. "Associations of lifestyle factors with phthalate metabolites, bisphenol A, parabens, and triclosan concentrations in breast milk of Korean mothers." Chemosphere 249, no. : 126149.

Journal article
Published: 01 January 2018 in Korean Journal of Women Health Nursing
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ACS Style

So Yeon Kim; Ju Hee Kim. Development and Preliminary Evaluation of Smartphone Application-Based Nutrition Education Material for Twin Pregnancy. Korean Journal of Women Health Nursing 2018, 24, 1 .

AMA Style

So Yeon Kim, Ju Hee Kim. Development and Preliminary Evaluation of Smartphone Application-Based Nutrition Education Material for Twin Pregnancy. Korean Journal of Women Health Nursing. 2018; 24 (1):1.

Chicago/Turabian Style

So Yeon Kim; Ju Hee Kim. 2018. "Development and Preliminary Evaluation of Smartphone Application-Based Nutrition Education Material for Twin Pregnancy." Korean Journal of Women Health Nursing 24, no. 1: 1.

Journal article
Published: 01 June 2017 in Asian Nursing Research
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This study was to examined the moderated mediation effect of self-esteem on the relationship between parenting stress and depression among married women with children using longitudinal data from the 3rd to 6th Panel Studies on Korean.The data from the Panel Study of Korean Children (Korea Institute of Child Care and Education) was collected as part of a longitudinal inquiry of babies born in 2008, their parents and their community environments. Only the data collected from the married women over the age of 20 who participated in the maternal survey was used for this study.The initial level of married women's parenting stress affects the initial level and the rate of change in self-esteem; the initial level of self-esteem, the initial level and rate of change in depression; and the initial level of parenting stress, the initial level of depression. However, the impact of the rate of change in parenting stress on that of self-esteem was significant only in employed women while the impact of the rate of change in self-esteem on that of depression was significant only in unemployed women.It is necessary to manage parenting stress among married women through various programs and education that increase self-esteem in order to reduce their level of depression.

ACS Style

Jeongwon Han; Ju Hee Kim. Moderated Mediation Effect of Self-esteem on the Relationship Between Parenting Stress and Depression According to Employment Status in Married Women: A Longitudinal Study Utilizing Data from Panel Study on Korean Children. Asian Nursing Research 2017, 11, 134 -141.

AMA Style

Jeongwon Han, Ju Hee Kim. Moderated Mediation Effect of Self-esteem on the Relationship Between Parenting Stress and Depression According to Employment Status in Married Women: A Longitudinal Study Utilizing Data from Panel Study on Korean Children. Asian Nursing Research. 2017; 11 (2):134-141.

Chicago/Turabian Style

Jeongwon Han; Ju Hee Kim. 2017. "Moderated Mediation Effect of Self-esteem on the Relationship Between Parenting Stress and Depression According to Employment Status in Married Women: A Longitudinal Study Utilizing Data from Panel Study on Korean Children." Asian Nursing Research 11, no. 2: 134-141.

Journal article
Published: 01 January 2017 in Journal of Korean Academy of Nursing
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This study aimed to identify the actor and partner effects of self-efficacy, marital adjustment, and social support on the health promoting behavior of Korean pregnant couples.Participants were 132 couples who met the eligibility criteria. Data were collected from June to November, 2016 at a community health center. The Actor-Partner Interdependence Model was used for analyzing the actor and partner effects of self-efficacy, marital adjustment, and social support on health promoting behavior.The fitness indices for the model were GFI=0.90, NFI=0.92, CFI=0.91, TLI=0.90, and RMSEA=0.04, which satisfied the criteria. Self-efficacy had actor and partner effect on health promoting behavior of wives, but had only actor effect of on health promoting behavior of husbands. Marital adjustment showed actor and partner effect on the health promoting behavior of pregnant couples. Social support only had an actor effect on the health promoting behavior of wives. And, marital adjustment and social support had a mutual effect.This study indicates that the partner involvement is needed to develop health promotion programs for pregnant couples.

ACS Style

Ju Hee Kim; Young-A Song. Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis. Journal of Korean Academy of Nursing 2017, 47, 467 -475.

AMA Style

Ju Hee Kim, Young-A Song. Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis. Journal of Korean Academy of Nursing. 2017; 47 (4):467-475.

Chicago/Turabian Style

Ju Hee Kim; Young-A Song. 2017. "Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis." Journal of Korean Academy of Nursing 47, no. 4: 467-475.

Journal article
Published: 01 January 2014 in Korean Journal of Women Health Nursing
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ACS Style

Juhyae Oh; Ju Hee Kim. Validity and Reliability of a Korean version of Polycystic Ovary Syndrome Questionnaire. Korean Journal of Women Health Nursing 2014, 20, 1 .

AMA Style

Juhyae Oh, Ju Hee Kim. Validity and Reliability of a Korean version of Polycystic Ovary Syndrome Questionnaire. Korean Journal of Women Health Nursing. 2014; 20 (4):1.

Chicago/Turabian Style

Juhyae Oh; Ju Hee Kim. 2014. "Validity and Reliability of a Korean version of Polycystic Ovary Syndrome Questionnaire." Korean Journal of Women Health Nursing 20, no. 4: 1.