• Clinical and Experimental Pediatrics
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• v.52 no.5
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• pp.513-518
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• 2009

In childhood tuberculosis, it is possible to clearly distinguish among three basic stages: exposure, infection, and disease. The incidence of tuberculosis in children is low compared with that in adults, but latent infection is a major concern because children, who are exposed to Mycobacterium tuberculosis especially early in childhood, are at increased risk of developing the disease. Younger children particularly infants have a high relative risk of miliary or meningeal disease. The clinical manifestations of childhood tuberculosis differ noticeably from those of the disease seen in adults. Adolescents with tuberculosis have different demographic and clinical features from those of adults or children. Tuberculosis in adolescents has become relatively more important as the incidence of infection in childhood has decreased.

• Korean Journal of Human Ecology
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• v.14 no.1
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• pp.15-25
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• 2005

The purpose of this study is to investigate the relationship between emotional competence and social adjustment among Korean children and adolescents. The subjects of this study were 380 children between fifth and sixth grade ages and 579 middle school students. Their emotional competence was assessed by 'Korean Emotional Competence Scale (Kim et al., 2004),' and also their social adjustment by 'Social Adjustment Scale (Lee, 1994).' The data were analyzed by ANOVA, the Pearson's Correlation, and Regression, using SPSS. The results of this study are as follows: (1) Children's and adolescents' emotional competence and social adjustment had a meaningful difference according to SES, gender, and grade. (2) There was a significant, positive relationship between their emotional competence and social adjustment. Their social adjustment was related more strongly to factors, such as Self-expressiveness, Assertion, and Positive thinking, and also their emotional competence more to Self-adjustment and Emotional adjustment. (4) Social adjustment of children and adolescents was predicted best by Self-expressiveness and Assertion, Positive Thinking, Awareness and Understanding of Emotion, and Consideration factors of emotional competence.

• Korean Journal of Child Studies
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• v.34 no.4
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• pp.83-104
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• 2013

The purpose of this study is to develop assessment tools to diagnose the child friendly level in a given community. To develop such assessment tools, the literature related to this issue was reviewed, and in order to reflect Korea specific social and cultural characteristics, 198 children and adolescents and 104 parents were interviewed in depth. The questionnaires were classified as objective tools and subjective tools by means of a content validity test by experts and a verification by preliminary survey. Objective tools are defined as those which are used by professionals to check facts based on laws and institutions. 20 objective questionnaires were created and completed. In contrast, subjective tools were used to check the subjective perceptions of children, adolescents and parents on their community environments. Subjective tools were collected as the basis for the data for construct validity and was calculated to verify the validity. For this purpose, 432 children and adolescents between 11 and 18 and 201 parents living in Seoul, Daejeon and Hwaseong (n=633) were surveyed. Subjective tools, 33 questions in 6 areas were created and completed for parents and for children and adolescents, 30 questions in 5 areas were created and completed.

• Nutrition Research and Practice
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• v.1 no.2
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• pp.84-88
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• 2007

The purpose of this study was to identify dietary patterns among children and adolescents in Korea and to examine their associations with obesity and some blood profiles. One day food consumption data measured by 24-hour recalls on 2704 subjects aged 1 to 19 were used from 2001 Korea National Health and Nutrition Survey. The data of blood profiles available in the ages of 10 or older was also used. After categorizing each food consumed into 29 food or food groups, five dietary patterns were derived through a factor analysis and subjects were classified into three major dietary patterns via a cluster analysis using the factor scores. Three dietary patterns were identified as 'traditional diet' (25.6%), 'westernized-fast food' (6.2%), and 'mixed diet' (68.2%). The 'traditional diet' pattern had a higher percentage in boys. Both the 'traditional diet' and the 'westernized-fast food' had higher proportions of adolescents (12-19 y) than younger children, while the 'mixed diet' had a higher percentage of preschool children (1-5 y). Obesity rate analyzed within each age group showed no differences among 3 dietary pattern clusters. Blood pressure and all plasma profiles were not different among dietary patterns when adjusted with age and gender. Conclusively, children and adolescents in Korea had three distinct dietary patterns, which were associated with gender and age. These patterns could be useful to plan nutrition interventions for teenager health promotion.

• The Korean Journal of Pain
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• v.11 no.1
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• pp.69-73
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• 1998

Background: The postoperative pain in children and adolescents is most commonly managed by intramuscular injections of NSAIDs or opioids. This approach may result in fluctuating plasma drug levels and cycles of pain, comfort, and sedation. Patient-controlled analgesia(PCA) is a method of analgesia administration that consists of a computer-driven pump with a button that the patient may press to administer a small dose of analgesic drug. Materials & Methods: Forty ASA physical status 1 or 2 children and adolescents were divided into two groups. In the PRN group, patients received intramuscularly diclofenac(Valentac$^{(R)}$) on a p.r.n. basis. The PCA group patients received a mixture of nalbuphine and ketorolac by WalkMed$^{(R)}$PCA infusor. Analgesic efficacy was evaluated with NRS(numerical rating scale) and Faces Pain Rating Scale. The side effects were evaluated. Results: The patients of PCA group had less pain than those of PRN group. Complications were similar in both group. Conclusions: PCA with nalbuphine and ketorolac is a safe and effective methods of pain relief in children and adolescents after surgery, and is better accepted than intramuscular injections.

• Journal of Preventive Medicine and Public Health
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• v.46 no.4
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• pp.173-182
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• 2013

Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

• Journal of Korean society of Dental Hygiene
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• v.22 no.6
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• pp.531-539
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• 2022

Objectives: This study aimed to design a CRA questionnaire specifically for Korean children and adolescents based on the results of two Delphi survey completed by dental professionals. Methods: Based on the CAMBRA^® CRA tool, updated in 2019, we constructed a questionnaire on the oral environment and behavior of children and adolescents. Then, the CVR and I-CVI were evaluated using the results of the first and second Delphi surveys involving 20 professionals. Results: After the first Delphi survey, six items were considered invalid because their CVR and I-CVI were below the recommended values of 0.42 and 0.78, respectively. After receiving feedback from the professional panels, nine items were removed. In the second Delphi survey, the questionnaire contained a total of 21 items, all of which showed good CVR and I-CVI. After modifications based on the opinions of professional panels, the questionnaire was finalized to have 21 questions. Conclusions: The finalized questionnaire with 21 items, based on the opinions of professional panels, showed excellent CVR and I-CVI for all the items. Structured programs with updated guidelines must be developed for Korean children and adolescents in further studies.

• Korean Journal of Clinical Laboratory Science
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• v.46 no.3
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• pp.79-84
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• 2014

Children and adolescents normally have higher Alkaline phosphatase levels than adults. This study was conducted to provide basic data about pediatric reference intervals for ALP. The data from the 2011 Korean National Health and Nutrition Examination Survey was used. Analysis was done for 847 Children and Adolescents (443 boys and 404 girls) aged 10 to 19. The method of p-NPP & EAE buffer was used to get the data. The highest ALP levels were found in boys aged 12 to 13, the reference interval being 653~1,518 IU/L; the levels decreased for those over 13 years old. In the case of girls, the highest ALP levels were found with those aged between 11 and 12, the reference interval being 463~1,598 IU/L; the levels decreased after 12 years of age. The mean difference in all age groups was statistically significant, except for those aged 10 to 11 and 11 to 12. Therefore, it is suggested that pediatric reference intervals should be divided into three groups according to gender. Complementing data about children and adolescents below 10 years old were not included in this study and will be much needed in the next trial.

• Journal of Chest Surgery
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• v.57 no.4
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• pp.360-368
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• 2024

Background: The left pulmonary artery (LPA) may be kinked and stenotic, especially in tetralogy of Fallot, because of ductal tissue and anterior deviation of the conal septum. If LPA stenosis is not effectively treated during total correction, surgical angioplasty is occasionally performed. However, whether pulmonary artery (PA) angioplasty in adolescents or adults improves perfusion in the ipsilateral lung remains unclear. Methods: This retrospective review enrolled patients who underwent PA angioplasty for LPA stenosis between 2004 and 2019. Among patients who underwent a lung perfusion scan (LPS) or cardiac magnetic resonance imaging (cMRI) pre- and post-pulmonary angioplasty, those aged >13 years with <40% left lung perfusion (p-left) in the pre-angioplasty study were included. Preoperative and postoperative computed tomography, LPS, and cMRI data were collected. The perfusion ratio was analyzed according to the LPA's anatomical characteristics. Results: Seventeen adolescents and 16 adults (≥18 years old) were finally included (median age, 17 years). The most common primary diagnosis was tetralogy of Fallot (87.9%). In all patients, LPA angioplasty was performed concomitantly with right ventricular outflow tract reconstruction. No patients died. Preoperative p-left was not significantly different between adolescents and adults; however, adolescents had significantly higher postoperative p-left than adults. P-left significantly increased in adolescents, but not in adults. Seven patients had significant stenosis (z-score <-2.0) confined only to the proximal LPA and demonstrated significantly increased p-left. Conclusion: PA angioplasty significantly increased ipsilateral lung perfusion in adolescents. If focal stenosis is confined to the proximal LPA, PA angioplasty may improve ipsilateral lung perfusion, regardless of age.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.4
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• pp.222-228
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• 2023

There are two categories of online crimes related to children and adolescents: those committed by adolescents and those committed against children and adolescents. While recent trends in criminal law show consensus on strengthening punishment in cases of crimes against children and adolescents, there are mixed stances in cases of juvenile delinquency. One perspective emphasizes strict punishment, whereas the other emphasizes dispositions aligned with human rights. While various forms of online crime share the commonality in that the main part of the criminal act occurs online, they can be categorized into three types: those seeking financial gain, those driven by sexual motives, and those engaged in bullying. Among these, crimes driven by sexual motives are the most serious. Second-hand trading fraud and conditional (sexual) meeting fraud fall under the category of seeking financial gain and occur frequently. Crimes driven by sexual motives include obscenity via telecommunication, filming with discrete cameras, child and adolescent sexual exploitation material, fake video distribution, and blackmail/coercion using intimate images/videos ("sextortion"). These crimes lead to various legal issues such as whether to view vulgar acronyms or body cams that teenagers frequently use as simple subcultures or crimes, what criteria should be applied to judge whether a recorded material induces sexual desire or shame, and at what stage sexual grooming becomes punishable. For example, sniping posts, KakaoTalk prisons, and chat room explosions are tricky issues, as they may or may not be punished depending on the case. Particular caution should be exercised against the indiscriminate application of a strict punishment-oriented approach to the juvenile justice system, which is being discussed in relation to online sexual offenses. In the punishment case of online crime, juvenile offenders with a high potential for future improvement and reform must be treated with special consideration.