• Title/Summary/Keyword: 3세 미만

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One province, under 3 age infants National vaccination Analysis (일개 행정구역 3세 미만 영유아의 국가예방접종 분석)

  • Kim, Jeong-Hee;Lim, Cheong-Hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.159-160
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    • 2015
  • 본 연구는 어린이 국가예방접종과 관련하여 정기예방접종 감염병 대상 13종으로 C도 7개시, 2개구, 7개군으로 2012년 3세 미만 영유아의 총출생아로 C도 보건소에서 예방접종을 실시하고 예방접종등록관리 보건정보시스템에 전산등록된 예방접종 기록을 근거로 예방접종력을 확인하고 미접종아의 백신별 미접종력과 미접종률을 파악하여 C도 2012년 3세 미만 영유아의 완전접종과 적기예방접종을 목표로 하며, 어린이 국가예방접종사업 추진에 기초자료를 활용하고 보건정책 방안을 마련하기 위한 것이다.

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Comparison of Acute Clinical Features and Coronary Involvement in Patients with Kawasaki Disease between Those Younger and Older than One Year of Age (1세 미만과 1세 이상의 가와사끼병 환아에서 급성기 임상양상 및 관상동맥 변화에 대한 비교)

  • Kim, So Young;Lim, Seong Joon;Yun, Sin Weon;Lee, Dong Keun;Choi, Eung Sang
    • Clinical and Experimental Pediatrics
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    • v.45 no.6
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    • pp.773-782
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    • 2002
  • Purpose : To identify the necessity of more reasonable diagnostic criteria and the possibility of early prediction of coronary involvement in the higher risk group, we investigated and compared clinical and laboratory findings in the acute phase and coronary involvements in those younger (n=17) and older(n=53) than one year of age in Kawasaki disease(KD). Methods : Retrospective chart reviews were performed on 70 patients with KD who were admitted to the Chung-Ang University Hospital from April 1997 to May 2001. Results : Male were significantly higher in the younger age group(M : F ratio 3.3 : 1 vs. 1.0 : 1, P=0.004). Fever durations before intravenous immunoglobulin(IVIG) and echocardiography were significantly shorter in the younger group($4.6{\pm}1.3$ vs. $6.2{\pm}2.5$, P=0.004 vs. 0.01, respectively). Cases meeting typical diagnostic criteria were significantly less in the younger group(P=0.006). In the laboratory findings, serum albumin, BUN and $K^+$ levels in the acute febrile phase were significantly higher in the younger group(P=0.002, 0.006, <0.001, respectively) and incidences of coronary artery dilatation in the acute phase were significantly higher in the younger group(P=0.01). Conclusion : Although less met the typical diagnostic criteria of KD, infants younger than one year of age are more susceptible to coronary artery change in the acute febrile phase. Therefore, KD should be entertained as a diagnostic possibility in young infants with prolonged fever without distinct fever focus, and echocardiography should be considered as part of the evaluation of these patients, and then early diagnosis and prompt IVIG should be conducted.

A test of Visual Acuity and Refractive error to Kindergarten's Children (유치원 어린이 나안시력과 굴절이상 측정)

  • Kang, I.S.
    • Journal of Korean Ophthalmic Optics Society
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    • v.3 no.1
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    • pp.87-92
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    • 1998
  • Unaided visual acuity was tested by ACP-7 TOPCON chart projector on 376 kindergarteners and objective refraction error was measured by NIDEK ARK-700A auto-refractokeratometer on 554 eyes aged 3 to 5. The results were as follows ; The average unaided visual acuity of children aged 3 was 0.82, aged 4 was 0.90 and aged 5 was 0.92 respectively theerfore children s visual acuity has been gradually developed with their age. The kind of refractive error was 1% for hyperopia, 14% for hyperopic astigmatism, 3% for myopia, 50% for myopic astigmatism, 18% for mixed astigmatism and 14% for emmetropia respectively.

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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.

Change of Prevalence and Clinical Features of Mycoplasma Pneumonia in Infants Younger than 2 Years (2세 미만아에서의 Mycoplasma 폐렴의 발생 비율 변화 및 임상 양상)

  • Kim, Ji Young;Lee, Eun Ho;Park, Ho Jin;Lee, Su Jin;O, Sung Hee;Jung, Ji Young
    • Pediatric Infection and Vaccine
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    • v.12 no.1
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    • pp.86-94
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    • 2005
  • Purpose : Recently, it has been reported that the prevalence of mycoplasam pneumonia in infants is increasing. We studied the change of prevalence and clinical features in infants for recent three years. Methods : We evaluated the clinical records of 206 patients diagnosed as mycoplasma pneumonia during Mar. 2000~Feb. 2003. We retrospectively analyzed epidemiologic, clinical, serologic and radiologic difference between children younger than 24 months and others. Results : Among 206 patients, 111 were boys and 95 were girls. Mean age of onset was $5.12{\pm}2.91$ years and lowered annually(P>0.05). 28 patinets(13.6%) were younger than 24 months and annual prevalence in this group increased(P<0.05). Main clinical features included cough, fever, coarse breathing sound(=sputum), rhinorrhea and dyspnea. There was no clinical difference between children younger than 24 months and others, except for rhinorrhea and dyspnea which more developed frequently in children younger than 24 months (P<0.05). There was also no serologic and radiologic difference for these groups. Conclusion : Annual mean age of onset lowered and annual prevalence of younger than 24 months increased with mycoplasma pneumonia. Therefore, we need careful attention to differentiate Mycoplasma pneumoniae as causal organism of pneumonia in children younger than 24 months.

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Visual Acuity and Spectacles-wearing Rate of Students of an Elementary School in Gwang Ju City (광주지역 초등학생들의 시력과 안경 착용률에 관한 연구)

  • Ryu, Geun-Chang;Yoon, Young;Kim, In-Suk
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.93-96
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    • 2007
  • Research was taken its place in Dong wun elementary school in Gwang ju city. Subject ages were somewhere around 9 to 13. Among total number of 1,196, subjects with emmetropia were 384 people (32.1%), with 22.56% of 9 year old students, 16.01% of 10 year old student, 36.45% of 12 year old student, 39.11% of 13 year old. When age increases, the rate of emmetropia increase as well. Gender dependence of emmetropia rato was 31.07% for boys and 33.33% for girls, which proves girls with higher emmetropia ratio than boys. Among subjects with binocular vision acuity lower than 0.7, those require spectacles, only 37.5% of 9 years old students, 30.3% of 10 year old students, 44.64% of 12 year old students, and 30% of 9 year old students were wearing glasses. It shows that spectacle-wearing ratio is very low in spite of visual acuty lower than 0.7.

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윤리적 갈등과 관련된 소매점 판매원의 특성에 관한 실증적 연구

  • Lee, Seon-Su
    • Journal of Global Scholars of Marketing Science
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    • v.3
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    • pp.137-153
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    • 1999
  • 본 연구는 판매원이 업무를 수행하면서 경험하게 되는 윤리적 갈등과 관련을 지니고 있는 개인적 특성에는 어떠한 것들이 있는가를 살펴보는데 그 목적을 두고 있다. 이를 위하여 판매원의 개인적 특성에 따른 윤리적 갈등정도를 백화점과 쇼핑센터에서 판매업무를 담당하고 있는 판매원 332명을 대상으로 하여 실증적으로 고찰하였다. 수집된 자료를 분석한 결과에 의하면 윤리적 의사결정상황에서 판매원들이 경험하는 윤리적 갈등정도는 성별, 연령, 교육수준, 근무경력에 따라 다른 것으로 나타났다. 구체적으로 윤리적 의사결정 상황에서 남성이 여성에 비하여 윤리적 갈등을 보다 많이 경험하고 있는 것으로 나타났으며, 대졸이상의 학력을 지닌 판매원이 그렇지 않은 판매원에 비해 윤리적 갈등정도가 높은 것으로 분석되었다. 그리고 연령에 따른 윤리적 갈등정도에 있어서는 21세 미만과 26세${\sim}$31세 미만의 집단이 유의적인 차이를 보여주었으며, 근무경력에 있어서는 1년 미만의 판매원 집단과 1년${\sim}$5년 미만, 그리고 1년 미만과 5년 이상${\sim}$10년 미만의 판매원 집단이 다른 것으로 나타났다.

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Clinical Characteristics of Endobronchial Tuberculosis that Develops in Patients over 70 Years of Age (70세 이상의 고령에서 발생한 기관지 결핵의 임상적 특징)

  • Kim, Hwi Jong;Kim, Hyeon Sik;Ma, Jeong Eun;Lee, Seung Jun;Ham, Hyoun Seok;Cho, Yu Ji;Jeong, Yi Yeong;Jeon, Kyoung-Nyeo;Kim, Ho Cheol;Lee, Jong Deok;Hwang, Young Sil
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.5
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    • pp.412-416
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    • 2007
  • Background: The possibility of developing pulmonary tuberculosis usually increases with increasing age. Therefore, the incidence of endobronchial tuberculosis in older people may increase. We evaluated the clinical characteristics in patients with endobronchial tuberculosis above the age of 70 years. Methods: We enrolled 74 patients (12 males and 62 females; mean age $64.6{\pm}16.2 $years) that were diagnosed with endobronchial tuberculosis from March 2003 to July 2006 at Gyeongsang University Hospital. We retrospectively evaluated the clinical characteristics of endobronchial tuberculosis for patients 70 years or older (older group) and for patients below the age of 70 years (younger group). Results: The number of patients in the older group was 41 (55%). Cough was the most common symptom in the two groups of patients and dyspnea on exertion was more common in the older group of patients than in the younger group of patients (31.7% vs. 12.1%). The actively caesating type of disease was more common in the younger group of patients than in the older group of patients (66.7% vs. 39%). The edematous type of disease was more common in the older group of patients than in the younger group of patients (53.7% vs. 27.2%) (p<0.05). Tracheal and main bronchial involvement of lesions were more common for the younger group of patients than for the older group of patients (30.3% vs. 9.7%) (p<0.05). Conclusion: Endobronchial tuberculosis was commonly observed in patients older than 70 years and this group of patients had some clinical characteristics that were different from the younger group of patients.

Life Expectancy and Causes of Death for the elderly of Korea, USA, and Japan (한미일 노인의 기대여명과 사망원인)

  • 박경애
    • Korea journal of population studies
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    • v.22 no.2
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    • pp.97-119
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    • 1999
  • 한국, 일본, 미국의 생명표, UN의 인구연감, WHO의 세계보건통계연감 등 공식통계를 활용하여, 한국 노인의 기대여명 및 사망원인별 사망력을 미국 및 일본과 비교하여 파악하고 있다. 한국 노인의 기대여명은 미일보다 빠른 속도로 증가하고 있는데, 1970년대 중반 이후는 미국처럼 여자보다 남자 노인의 기대여명 증가가 빠르면서, 남녀 노인의 기대여명 차가 감소하고 있다. 1997년 현재 65세시 기대여명은 남자 13.64세, 여자 17.26세로 남녀간 3.62세 차이를 보이며, 출생후 남자 72%, 여자 88%가 65세까지 생존한다. 노인의 주요 사인은 미일과 마찬가지로 순환기계질환 및 악성신생물인데, 순환기계질환중 한일은 뇌혈관질환이, 미국에서는 허혈성 심장질환이 노인의 주된 사망원인이 된다. 한국 남녀 노인의 연령층과 상관없이 허혈성 심장질환 및 폐렴 사망률은 미일보다 낮고, 뇌혈관질환, 고혈압성질환, 위암, 간암, 결핵, 당뇨병, 정신 및 행동장애, 간질환 및 교통사고 사망률은 미일보다 높다. 대부분의 사망원인에서 남자사망률이 여자사망률보다 높지만, 한국의 고혈압성 질환, 간암, 폐암 및 간질환에 의한 성별 사망률 격차가 미일보다 크며, 한미일 모두 75세 이상 노인의 정신 및 행동장애에 의한 여자 사망률보다 남자사망률보다 높게 나타난다. 사망원인 생명표 작성결과를 보면, 1997년 현재 한국의 65세 남성과 여성은 순환기계질환 제거시 각각 3.47년과 2.7년을, 악성신생물 제거시 각각 3.87년과 1.58세의 기대여명 증가를 예상할 수 있고, 일본에 비해 특정 사인을 제거시 상대적으로 많은 기대여명 증가를 기대할 수 있는 사망원인은 남자 노인의 간질환 및 교통사고를 들 수 있다.

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Clinical characteristics and outcomes of status epilepticus as an initial seizure in children (첫 경련으로 발현된 소아기 간질지속상태(status epilepticus)의 임상 특성과 예후)

  • Kim, Mi Jeong;Kim, Young Ok;Kim, Sun Hee;Choi, Woo Yeon;Byun, Hyung Suk;Kim, Chan Jong;Woo, Young Jong
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.659-664
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    • 2006
  • Purpose : To evaluate the morbidity and mortality of children with status epilepticus(SE) as an initial seizure and to compare these according to age groups. Methods : The 78 cases(38 cases <2 years and 38 cases ${\geq}2$ years) with SE as an initial seizure admitted to the Chonnam national university hospital from Jan. 2000 to Jan. 2004 were reviewed. Developmental profiles, laboratory findings, etiologies and seizure types of SE and outcomes were compared in between two age groups, under and over 2 years. Results : SE occurred predominantly in less than 5 years old. Febrile causes were the most common, which is significantly more in those under 2 years than over 2 years(P<0.05). whereas idiopathic and acute symptomatic causes were more common in those over 2 years(P<0.05). Generalized tonic-clonic seizures was the most common type. The mortality rate was 6.4 percent(5 cases : 1 case <2 years and 4 cases ${\geq}2$ years). The estimated occurrence of epilepsy after SE was 24.4 percent(19 cases : 8 cases <2 years and 11 cases ${\geq}2$ years). The neurologic sequelae after SE in cases that had developed normally before SE(62 cases : 32 cases <2 years and 30 cases ${\geq}2$ years) were observed in 20 cases(32.3 percent), and were more frequent over 2 years(21.9 percent vs. 43.3 percent, P<0.05). Conclusion : In this study death was less common and the neurologic sequelaes of SE as an initial seizure were less severe in children under 2 years of age. The reason seemed to be the difference in the etiology of SE with age.