• Title/Summary/Keyword: Children under 6 years old

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The Diagnostic Distribution of Psychiatric Disorders among the Population Under 19 Years Old: Based on the National Insurance Data (19세 미만 인구의 정신장애 진단 분포: 국민건강보험 자료를 중심으로)

  • Hwangbo, Ram;Chang, Hyejung;Hong, Minha;Cho, Seongwoo;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.2
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    • pp.139-145
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    • 2016
  • Objectives: As a preliminary study on the prevalence of mental disorders in Korean children and adolescents, we investigated the diagnosis distribution of mental disorders in people under 19 years of age using the health insurance data. Methods: From the 2011 health insurance data of 1,375,842 people, the data of 286,465 people under 19 years old were extracted. Among them, we selected 10,778 with psychiatric diagnoses; male 6,453 (59.9%) and female 4,325 (40.1%). The frequency of psychiatric diagnoses in the males was 10,140 (62.7%) cases, which was significantly higher than that (6,031; 37.3%) in the females. We categorized the groups into 3 year intervals. Results: In the males under 3 years old, F80 was the most prevalent diagnosis, followed by F98. F90 and F41 were the most prevalent in the 4-15 and above 16 years old groups, respectively. In the females, F98 was the most prevalent in the children up to 3 years old, while F80 was the second most prevalent. In the 4-6 years of age group, F98 was the most prevalent, followed by F93. F90 and F41 were predominant in the 7-12 and above 12 years old groups, respectively. Conclusion: In the analysis of the frequency of diagnosis of mental disorders in the population under 19 years old, there were significant differences in the distribution based on age and gender.

The Relationship Between Zema 21 and Inbody Based on the Sasang Constitutional Differences of Children (소아의 사상체질별 신체 특성의 차이에 관한 연구 -Zema21을 통한 체질분석 및 체성분검사와의 상관관계를 중심으로-)

  • Seo, Jung-Min;Lee, Yu-Jin;Yun, Hye-Jin;Kang, Mi-Sun;Baek, Jung-Han
    • The Journal of Pediatrics of Korean Medicine
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    • v.23 no.1
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    • pp.173-193
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    • 2009
  • Objectives The purpose of this research is to find out the relationship between Zema 21 and in body based on the Sasang Constitutional difference of children. Methods We collected 1050 children from 5 years old to 15 years old who had been tested for both Zema21 and Inbody in OO oriental hospital from the period of September 1, January 1999 to August 31, 2008. This research investigated the Constitutional differences based on the relationship between Zema21 and Inbody. Results 1. It turned out that the children's height does not have a significant relationship between their age and gender. 2. Generally, Taeumin's weights were significantly high than those of Soyangin's and Soumin's in certain ages in children over 9 years old and in all genders. 3. The percentage of the body fat in Taeumin were significantly high than Soyangin and Soumin in certain ages in children over 10 years old and in all genders. 4. Waist-Hip ratio in Taeumin were significantly high than Soyangin and Soumin in male over 10 years old and in female over 13 years old of children. On the other hand, there was no relationship to the Soyangin and Soumin. 5. The obesity degree in Taeumin were significantly high in all female and male who were over 10 years old. Soyangin were the next highest group and Soumin follows. 6. Body Mass Index in Taeumin were significantly high in all genders who were over 10 years old. The second is Soyangin, and the lowest groupis Soumin. 7. The Basal Metabolic Rate resulted as significant in all age, although this does not have any relationship between age and gender. 8. Abdomen out in Taeumin were significantly high in ages over 10 and genders. The second is Soyangin and the lowest is Soumin. 9. Hip circumference Abdomen out in Taeumin were significantly high in ages over 10 and genders. Specially, Taeumin shows highest value, then the second is Soyangin, and the lowest is Soumin who were over 12 years old. Conclusions The results of Inbody were not significant to the children who were under 9 years old. Taeumin became significantly fat after over 10 years old. The results of Body Composition except height and Basal Metabolic Rate(MBR) were the highest in Taeumin, and Soyangin and Soumin were the second, and the third respectively.

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A Study on Garment Sizing Systems for Infants and Children (유아복과 아동복의 치수 규격에 관한 연구)

  • 이지연;천종숙
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.6
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    • pp.1046-1056
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    • 2001
  • For the purpose of standardizing sizing systems for infants and children's clothing, the researchers surveyed 20 different apparel manufacturers in Korea. The apparel production sizing systems used in the industry were analysed. The researchers also compared standard apparel sizing systems developed for infants and children's clothing in Korea. ISO, Japan, and U.S.A. The followings are the results of this study. 1. As survey findings of companies's views about sizing systems, boys or girls sizing system needed to be developed for 3 years old and over. The plus sizes are needed to be developed and children 9 years old and over need the plus size. 2. The body size specification in most sizing systems collected shows that chest circumference was increased 2cm for every infants sizes, and 3cm for boys and girls'sizes, from size 100 to size 130. However, the chest and waist circumference measurements were increased 4 to 8cm for large sizes, from size 130 to size 170. 3. There are similarity and dissimilarity among the standard sizing systems of ISO, Japan(JIS), U.S.A(ASTM), and Korea(KS). The ASTM developed infants'garment sizes for the babies who are 24months old and under. The most national standards, however, developed infant apparel sizing system for the babies under 105cm tall or 4 years old. 4. The range of body measurements covered by boys/girls sizing system were different by the nation. The U.S. system (ASTM) is for boys and girls who are taller than 120cm. The Japanese system(JIS) is for the children who are taller than 90cm.

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Higher Morbidity of Monogenic Inflammatory Bowel Disease Compared to the Adolescent Onset Inflammatory Bowel Disease

  • Kim, Kwang Yeon;Lee, Eun Joo;Kim, Ju Whi;Moon, Jin Soo;Jang, Ju Young;Yang, Hye Ran;Ko, Jae Sung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.1
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    • pp.34-42
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    • 2018
  • Purpose: Monogenic inflammatory bowel disease (IBD) patients do not respond to conventional therapy and are associated with a higher morbidity. We summarized the clinical characteristics of monogenic IBD patients and compared their clinical outcomes to that of non-monogenic IBD patients. Methods: We performed a retrospective cohort study of all children <18 years old who were diagnosed with IBD between 2005 and 2016. A total of 230 children were enrolled. Monogenic IBD was defined as a presentation age less than 6 years old with confirmation of a genetic disorder. We subdivided the groups into monogenic IBD (n=18), non-monogenic very early-onset IBD (defined as patients with a presentation age <6 years old without a confirmed genetic disorder, n=12), non-monogenic IBD (defined as all patients under 18 years old excluding monogenic IBD, n=212), and severe IBD (defined as patients treated with an anti-tumor necrosis factor excluding monogenic IBD, n=92). We compared demographic data, initial pediatric Crohn disease activity index/pediatric ulcerative colitis activity index (PCDAI/PUCAI) score, frequency of hospitalizations, surgical experiences, and height and weight under 3rd percentile among the patients enrolled. Results: The initial PCDAI/PUCAI score (p<0.05), incidence of surgery per year (p<0.05), and hospitalization per year (p<0.05) were higher in the monogenic IBD group than in the other IBD groups. Additionally, the proportion of children whose weight and height were less than the 3rd percentile (p<0.05 and p<0.05, respectively) was also higher in the monogenic IBD group. Conclusion: Monogenic IBD showed more severe clinical manifestations than the other groups.

Children of Divorced Families (이혼 가족 아동)

  • Park, Kyung-Ja;Choi, Hye-Yeong;Han, Jun-Ah
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.323-336
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    • 2009
  • There has been a significant increase in the number of divorced families during the past 10 years in Korea. Divorce imposes a great impact on their children as well as divorcees. As many as 1.41 million children under 20 years-old have experienced their parents' divorce in past 10 years. Children are faced with much difficulty in adjustment after the parental divorce. Issues of the research and policy on the divorced family are discussed in this study. For future studies, a longitudinal research model, father-custody and grandparent-custody families, custody parents's gender, a theoretical model for Korean divorced families should be considered. New legislations have been recently enacted to enhance children's well-being, but further efforts such as the involvement of child development specialists in the divorce process should be followed in the pursuit of the best interest of the children.

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Effects of auditory and visual presentation on phonemic awareness in 5- to 6- year-old children (청각적 말소리 자극과 시각적 글자 자극 제시방법에 따른 5, 6세 일반아동의 음소인식 수행력 비교)

  • Kim, Myung-Heon;Ha, Ji-Wan
    • Phonetics and Speech Sciences
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    • v.8 no.1
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    • pp.71-80
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    • 2016
  • The phonemic awareness tasks (phonemic synthesis, phonemic elision, phonemic segmentation) by auditory presentation and visual presentation were conducted to 40 children who are 5 and 6 years old. The scores and error types in the sub-tasks by two presentations were compared to each other. Also, the correlation between the performances of phonemic awareness sub-tasks in two presentation conditions were examined. As a result, 6-year-old group showed significantly higher phonemic awareness scores than 5-year-old group. Both group showed significantly higher scores in visual presentation than auditory presentation. While the performance under the visual presentation was significantly lower especially in the segmentation than the other two tasks, there was no significant difference among sub-tasks under the auditory presentation. 5-year-old group showed significantly more 'no response' errors than 6-year-old group and 6-year-old group showed significantly more 'phoneme substitution' and 'phoneme omission' errors than 5-year-old group. Significantly more 'phoneme omission' errors were observed in the segmentation than the elision task, and significantly more 'phoneme addition' errors were observed in elision than the synthesis task. Lastly, there are positive correlations in auditory and visual synthesis tasks, auditory and visual elision tasks, and auditory and visual segmentation tasks. Summarizing the results, children tend to depend on orthographic knowledge when acquiring the initial phonemic awareness. Therefore, the result of this research would support the position that the orthographic knowledge affects the improvement of phonemic awareness.

An Epidemiologic Study on the Seropositive Rate of Hepatitis A Virus in Children of Gwangju and Jeonnam (광주, 전남 지역 소아의 A형 간염 항체 보유율에 대한 연구)

  • Jung, Ji;Ahn, Young-Joon;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.14 no.1
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    • pp.67-73
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    • 2011
  • Purpose: Recently, the incidence of acute hepatitis A has increased nationwide and is related to a low rate of IgG anti-HAV production. To establish effective measures for preventing hepatitis A virus infection, an epidemiologic study on the seroprevalence of anti-HAV is needed. Thus, we investigated the seroprevalence of IgG anti-HAV in children living in Gwangju and Jeonnam. Methods: IgG anti-HAV levels were measured in a total of 1,435 patients who visited Chosun University Hospital between January 2009 and December 2009. Results: The overall seropositve rate was 40.8% (586/1,435). The seropositive rates were 41% among children under the age of 1 year, 49.9% for children 1~5 years old, 51.1% among individuals 5~10 years old, 12.9% for individuals 10~15 years old, and 8.2% for subjects over 15 years old. There was no significant difference between genders in any group. The seropositive rates in Gwangju and Jeonnam were 57.3% and 32.9% for children under the age of 1 year, 52.5% and 44.3% for children 1~5 years old, 60.2% and 33.9% among children 5~10 years old, 14.1% and 9.7% for children 10~15 years old, and 10.8% and 4.2% for individuals over 15 years old. Conclusion: The results demonstrated the low rates of IgG anti-HAV, particularly among subjects over 10 years old, which suggests the possibility of increasing clinical HAV infection rates among adults in the near future. We should actively prevent the spread of hepatitis A virus. Vaccination is the most effective means of preventing hepatitis A virus transmission among persons at risk for infection. Hepatitis A vaccination is recommended for children who have low IgG anti-HAV seropositive rates.

A Survey of Nutritional-Immunologic Interactions in the Children Under 6 Years Old in the Suburbs of Seoul (6세미만 도시 주변거주 어린이의 면역능력에 따르는 영양상태 판정에 관한 연구)

  • Lee, In-Sil;Kim, Yun-Chung;Kim, Wha-Young;Kim, Sook-He;Hong, Young-Ja
    • Journal of Nutrition and Health
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    • v.16 no.3
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    • pp.193-199
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    • 1983
  • Clinical and epidemiologic data point to a causal interrelationship between nutritional deficiency and infectious illness. Both are major contributors to childhood morbidity and mortality, particulary in underprivileged population groups. Protein-calorie malnutrition depress a variety of immune funtions. Delayed hypersensitivity and number of T-lymphocytes are consistently reduced. The interrelationship between nutritional status and immune response was studied in 80 children aged under 6 years. According to the anthropometric assessment based on weight for height for age, 36 children were classified as normal, 22 as morderate malnutrition, and 22 as severe malnutrition. The following determinations were made : hemeglobin, hematocrit, serum albumin, immunoglobulin G, complement 3, and WBC levels. Results indicate that levels of Hb, Hct, serum albumin, and C3 concentration were decreased in moderate and severe malnutrition children. However, levels of IgG and WBC were not affected by the nutritional status. It is suggested that nutritional status has more profound effects on complement system than humoral immunity.

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Prevalence of Antibody for Hepatitis A Virus among Hospital Workers

  • Cho, Byung-Chul;Park, Bok-Ja;Kim, Yoo-Hyun
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.1
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    • pp.1-6
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    • 2012
  • Hepatitis A virus (HAV) is an epidemiologically important virus with a worldwide distribution. It causes acute hepatitis in humans. HAV infection is often subclinical or asymptomatic in children; however, symptomatic acute infections become more common with age. In this study, we investigated the prevalence of anti-HAV among hospital workers in Jeonbuk province. 447 (127 males, 320 females) persons were included in the study from January to June, 2011. Anti-HAV (total and IgM) in the sample serum was measured by VIDAS Hepatitis A (bioMerieux, France), and IgM positive samples were tested in terms of their serum alanine aminotransferase (ALT) levels by a HITACHI 7600-010 automatic analyzer (HITACHI, Japan). The overall prevalence of total anti-HAV was 45.9% (205/447), and rate for males (60.6%) was higher than that for females (40%). According to the age group, the prevalence rates of total anti-HAV were 20% (1/5) in those under 20 years old, 11.3% (18/160) in those 20-29 years, 49.7% (71/143) in those 30-39 years, 86.5% (83/96) in those 40-49 years, 92.9% (26/28) in those 50-59 years, and 40% (6/15) in those over 60 years old. The total prevalence of anti-HAV IgM was 0.8% (4/447), and rate for males (1.6%) was higher than that for females (0.6%). Through this study, we determined the prevalence of anti-HAV among hospital workers in Jeonbuk province. The prevalence of the HAV antibody overall was low in hospital workers under 40 years old and in those over 60 years old. Therefore, an improvement in sanitary conditions and hygiene and vaccinations against HAV in this population are recommended.

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A Study of the Reasons for Wanting Children Among Women Under Thirty Five Years of Age Residing in the Yonsei Community Health Area (일부 연세지역 부인들의 자녀를 원하는 이유의 분석에 대한 기초연구)

  • 이정숙
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.81-90
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    • 1973
  • Since there is nothing in the literature regarding how Koreans value their children, this is an exploratory study attempting to (1) generate ideas as to why women of child- bearing age want children and (2) discover aspects of the interaction between the value of children and the fertility behavior according to socio-economic class and level of education. Fifty women from the Yonhee A Citizen′s Apartment and 50 women from the slum area surrounding the Yonhee Apartment were interviewed by the investigator during the period of October 10 to October 25, 1972. All of the women interviewed were under 35 years of age and had more than one child. The questionnaire consisted of questions regarding the general characteristics of the respondents, the status of current family planning practice, the number of induced abortions and the reasons for wanting children. An open ended question followed by a forced choice question was the method used to determine the reasons for wanting children. The results of the study were as follows: 1. Half of all the respondents were between 30 and 34 years of age. 2. Four percent of the respondents had no schooling, 51 percent had graduated from primary school, and 45 percent were educated beyond middle school. 3. The most important reasons tot wanting children given by the respondents were categorized as follows: (1) carrying on the family name, (2) old age security, (3) value of life, (4) fun of rearing children, (5) avoidance of loneliness, (6) responsibility of women. 4. The number of consistent answers between the open ended and forced choice questions regarding reasons for wanting children was significantly different. Only 30 women among the total respondents gave consistent answers. Carrying on the family name was the category in which there was the highest rate of consistency. 5. The reasons for wanting children were not significantly different for age, educational level, and number of living children for all of the respondents. 6. In response to the question "If you want to have only one child, which sex , would you prefer\ulcorner" 96 percent of the respondents said they would select a son. 7. Major suggestions for further study were to differentiate. (1) between reasons women want children and reasons women have children and (2) between reasons men want children and reasons women want children.

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