• Advances in pediatric surgery
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• v.15 no.2
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• pp.121-131
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• 2009

Intestinal malrotation presents with different clinical characteristics, depending upon the age of the patient. The medical records of 44 patients treated for intestinal malrotation with/without midgut volvuls between January 2002 and August 2009 at Seoul National University Children's Hospital were reviewed retrospectively. Patients were grouped by the age criteria of 1 and 12 months. Fourteen patients were under 1 month of age (31.8 %), 9 patients between 1 month and 12 months (20.5 %) and 21 patients over 12 months (47.7 %). Twenty patients (45.5 %) presented with volvulus. Vomiting (66 %) and abdominal pain (20 %) were the most common symptoms. UGIS (68.2 %) was the most frequent diagnostic tool. Mean postoperative hospital stay was 13.7 days. There were 7 mild postoperative complications. Volvulus was more frequent in patients under 1 month (p=0.025) than over 1 month. The interval between diagnosis and operation was shorter in patients under 1 month (p=0.003) than in patients over one month of age. In the age between under and over 12 months, volvulus was more common in those under 12 months of age, but the difference was not significant. The interval from diagnosis to operation was shorter in patients under 12 months than over 12 months of age (p=0.001). Vomiting was the most frequent symptom in patients under 12 months. On the other hand, abdominal pain was the most frequent symptom in patients over 12 months. In conclusion, patients with intestinal malrotation had age-related differences in the presence of midgut volvulus, the interval between diagnosis and operation, and clinical symptoms. The age of the patient should be considered in order to determine adequate treatment of malrotation.

• Neonatal Medicine
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• v.28 no.3
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• pp.99-107
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• 2021

Purpose: Studies have been conducted on the prevalence and infant mortality rate of congenital anomalies; however, studies on child mortality are rare. Therefore, we evaluated the characteristics of deaths associated with congenital anomalies among children born in Korea who died within 5 years of age. Methods: Birth-to-death cohort linked data of children under the age of 5 years from 2010 to 2013, and statistical data on the cause of death by age from 1999 to 2019, both provided by the Korea National Statistical Office's Microdata Integrated Service, were retrospectively investigated. We investigated the trends and characteristics of mortality associated with congenital anomalies. Results: Among 1,858,945 children, 6,510 children who died were under 5 years of age, and among them, 1,229 deaths were associated with congenital anomalies, while 5,281 deaths were due to other causes. Deaths associated with congenital anomalies accounted for 18.9% of all deaths. When comparing congenital anomalies by systems, anomalies of the cardiovascular system (52.6%) were the most common. The mortality rate associated with congenital anomalies and those of other causes showed similar declining trends in 21 years. Conclusion: The mortality rate of congenital anomalies during the first 5 years of life did not increase differently from the prevalence of congenital anomalies but rather decreased. Deaths associated with congenital anomalies accounted for 20.5% of all infant deaths and 12.1% of child deaths, since the major causes of death in infants and children are slightly different, continuous and careful monitoring is required.

• Korean Journal of Child Studies
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• v.36 no.5
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• pp.135-153
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• 2015

The purpose of this study was to investigate false belief understanding and justification reasoning according to information of reality amongst children aged 3, 4 and 5. Children aged 3 to 5 years (N = 176) participated in this study. Each child was interviewed individually and responded to questions designed to measure his/her false belief understanding. Every child responded to the false belief task under two different information conditions of reality(reality known vs reality unknown). For more specific analysis, children's reasoning responses were also recorded. The major findings of this study are as follows. Children could understand false belief more easily under reality unknown conditions. Specifically, the influences of information conditions were crucial to 3-year-olds but not to 4- and 5-year-olds. Although 3 year olds were able to avoid the systematical errors inherent in the false belief task, they still did not understand the false belief itself. This study provides specific aspects of false belief understanding and its relevance to general changes in cognitive development.

• Child Health Nursing Research
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• v.21 no.2
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• pp.183-193
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• 2015

Purpose: The purpose of this study was to identify the influence of parental media use, parents' educational needs regarding media use, and parents' media guidance for children on the children's media use. Methods: The participants were 161 parents of elementary school children in the 1st and 4th grades. Data were collected through self-report questionnaires, and analyzed using the SPSS/WIN 19.0 IBM program. Results: The average times for watching television and using the internet in the children were 11.44 hours and 5.89 hours per week, respectively. Children's time watching television was influenced by parents' time watching television, children's gender (girl), and parents' educational needs. Children's television dependency was influenced by parents' educational needs, parents' time watching television, and parents' age (under 36 years). Time using the internet and internet dependency in the children were influenced by parents' educational needs, family monthly income (under 3 million won), and parents' guidance for children on watching television. Conclusion: The findings indicate that elementary school children's media use is influenced by parental media use, parents' educational needs, and parents' media guidance for children. Therefore parental factors should be considered in developing approaches to provide education programs to prevent media overuse in children.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.5
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• pp.1085-1092
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• 2010

This paper describes the development of estimating equation for under 16 aged children's exposure to habitat's magnetic field for 24 hours by using particle swarm optimization(PSO) algorithm, which was carried out by using the measured database collected from the exposure survey to Korean habitat's magnetic field as to under 16 aged Korean students such as preschooler, children in elementary school, and children in middle school. Sex, age, residence type, size of habitation site, distance from power line, and power transmission voltage are used as the input data of estimating 24 hour's personal exposure to magnetic field. And distribution of 24 hour's personal exposure to magnetic field, exposure characteristic to magnetic field, and exposure characteristic to magnetic field according to special conditions, are analyzed for under 16 aged children.

• Journal of Preventive Medicine and Public Health
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• v.50 no.3
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• pp.201-209
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• 2017

Objectives: The aim of this study was to assess the socioeconomic inequality in malnutrition in under-5 children in Iran in order to help policymakers reduce such inequality. Methods: Data on 8443 under-5 children were extracted from the Iran Multiple Indicator Demographic and Health Survey. The wealth index was used as proxy for socioeconomic status. Socioeconomic inequality in stunting, underweight, and wasting was calculated using the concentration index. The concentration index was calculated for the whole sample, as well as for subcategories defined in terms of categories such as area of residence (urban and rural) and the sex of children. Results: Stunting was observed to be more prevalent than underweight or wasting. The results of the concentration index at the national level, as well as in rural and urban areas and in terms of children's sex, showed that inequality in stunting and underweight was statistically significant and that children in the lower quintiles were more malnourished. The wasting index was not sensitive to socioeconomic status, and its concentration index value was not statistically significant. Conclusions: This study showed that it can be misleading to assess the mean levels of malnutrition at the national level without knowledge of the distribution of malnutrition among socioeconomic groups. Significant socioeconomic inequalities in stunting and underweight were observed at the national level and in both urban and rural areas. Regarding the influence of nutrition on the health and economic well-being of preschool-aged children, it is necessary for the government to focus on taking targeted measures to reduce malnutrition and to focus on poorer groups within society who bear a greater burden of malnutrition.

• Journal of Microbiology and Biotechnology
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• v.28 no.4
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• pp.652-662
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• 2018

Diarrhea is a global disease with a high morbidity and mortality rate in children. In this study, 25 fecal samples were collected from children under 5 years old. Seven samples had been taken from healthy children without diarrhea and marked as the healthy control group; eight samples had been sampled from children with diarrhea caused by dyspepsia and defined as the non-infectious group; and ten samples had been taken from children with diarrhea induced by intestinal infections and identified as the infectious group. We detected the microbial communities of samples by using high-throughput sequencing of 16S rRNA genes. The proportion of aerobic and facultative anaerobic microbes in samples of the infectious group was much higher than in the non-infectious group. In addition, the relative abundance of Enterococcus in the healthy control group was significantly higher than in the non-infectious group and infectious group. This can be used as a potential diagnostic biomarker for diarrhea.

• 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.

• Korean Journal of Clinical Pharmacy
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• v.25 no.4
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• pp.273-279
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• 2015

Objective: Codeine may result in death or respiratory depression in children, particularly who are rapid metabolizer of CYP2D6, therefore it should be used cautiously among children under 12 years of age. This study was to investigate the prescribing pattern of codeine among children according to the age group, prescribed diagnosis, type of medical service and medical specialties. Method: We used Korea Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) database. Study subjects included inpatients or outpatients, who were prescribed codeine between January, 1, 2011 and December, 31, 2011. Contraindicated use of codeine was defined as the use of codeine at least one times under aged 12. Age groups were subclassified according to the <2 years, 2-4 years, 5-8 years, and 9-11 years. Frequently prescribed diagnosis (ICD-10), type of medical service, and medical specialties were also described among codeine users under aged 12. Results: Codeine users were 6,411 inpatients (9,958 prescriptions), and 3,397 outpatients (6,258 prescriptions), respectively. Codeine prescription under 12 years of age were 2.1% (210 prescriptions) among inpatients, and 12.3% (776 prescriptions) among outpatients (p-value<0.05). Outpatient prescriptions of codeine under 12 aged were issued mostly from primary care clinics and frequent diagnosis were unspecified bronchopneumonia (51.6%), and vasomotor rhinitis (23.7%). Conclusion: This study found prescribing of codeine under 12 aged is common in outpatient and primary clinics. Nationwide and community-based efforts should be needed to reduce inappropriate prescribing among children.

• Korean Journal of Community Nutrition
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• v.12 no.2
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• pp.123-132
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• 2007

The purpose of this study was to compare the nutritional status of children aged 5 or under and women aged 20 to 34 years between the Republic of Korea (South Korea) and the Democratic Peoples' Republic of Korea (DPRK: North Korea). For the source of nutritional status of North Koreans, the DPRK 2004 Nutrition Assessment-Report of Survey Results was used. As the comparable data of South Koreans, the anthropometric data for children and women were obtained from the reports of the Korean Pediatric Society and the Korean Agency for Technology and Standards, respectively. The blood hemoglobin data of South Korean women were obtained from the data file of the 2001 National Health and Nutrition Survey and analyzed. In regard to the North Korea, the Prevalence of underweight (weight for age Z-score < -2.0) in children under 12 months was about $10\sim15%$, and thereafter progressively increased until 30 to 35 months reaching 30%. In South Korea, the prevalence of underweight was less than 3% in most age groups both in boys and girls. In North Korea, the prevalence of stunting (height for age Z-score < -2.0) reached 20% in children under 12 months and increased with age over the level of 50% in children aged 54 to 59 months. In South Korea, the prevalence of stunting was less than 3% in children under 12 months and was less than 10% throughout the age groups. Maternal protein-energy malnutrition and anemia were assessed for the women aged 20 to 34 years using mid-upper arm circumference (< 22.5 cm) and blood hemoglobin level (< 12g/DL), respectively. The prevalence of protein-energy malnutrition was 39.6%, 30.7%, 31.7% in North Korea and 12.5%, 5.0%, 1.5% in South Korea fir the women in $20\sim24,\;25\sim29,\;30\sim34$ years, respectively. The prevalence of anemia in the North Korean women was about $34\sim36%$ while that in the South Korean women was $15\sim18%$. In conclusion, the disparity of nutritional status in early childhood and maternity between South Korea and North Korea is so huge that active and well-planned nutrition support policy and programs for women and children in North Korea is imperative to prepare for the future unified nation.