Publications by authors named "Jeewon Shin"

Introduction: Febrile seizures, the most common childhood seizures, raise concerns about their impact on neurodevelopment due to their overlap with central nervous system development. This study examined the influence of febrile seizures on neurodevelopment.

Methods: Data were analyzed from the Korean National Health Insurance System for children born between 2009 and 2011.

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Respiratory viral infections are a major cause of asthma exacerbations. However, studies examining the association between symptoms, signs, treatments, outcomes of asthma exacerbations, and various respiratory viruses in children are limited. This study aims to investigate the association between respiratory viral infections and clinical symptoms and signs, treatment, and hospital admission in children with asthma exacerbations visiting the pediatric emergency department.

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Background: There is little known about the association of Kawasaki disease with autoimmune diseases. This 12-year follow-up study determined the risk for an autoimmune disease in children who had Kawasaki disease.

Methods: All individuals born in South Korea between 2002 and 2005 were identified using the National Health Insurance Service's (NHIS) database.

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Background: Understanding the trends of anaphylaxis and risk factors associated with its recurrence is essential for the effective management and prevention of this condition.

Objective: This study aimed to analyze the prevalence trends of anaphylaxis and identify risk factors for recurrence, with a focus on the influence of neighborhood deprivation and comorbidities, across all age groups.

Methods: We conducted a retrospective administrative cohort study on anaphylaxis utilizing the National Health Insurance-National Sample Cohort (NHIS-NSC) database in Korea (2002-2019).

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Background: Acute bronchiolitis is a common cause of hospitalization during infancy that carries significant morbidity and mortality rates.

Purpose: This study compared the efficacy of different treatment modalities for infants with bronchiolitis in terms of hospital stay and clinical severity scores.

Methods: The PubMed database was searched for relevant studies.

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Background/objectives: Understanding the impact of early-life nutritional choices on neurodevelopment in children is a growing area of research. To investigate the association between dietary patterns at multiple timelines and neurodevelopmental outcomes in 6-year-old children.

Subjects/methods: This administrative observational study utilized a merged data from the national health insurance database and the health screening program for children.

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Article Synopsis
  • Wheezing in early life, often due to viral infections, may lead to an increased risk of autoimmune diseases in children.
  • A study in Korea compared 34,959 children with early wheezing to similarly matched controls, finding that those with wheezing had higher incidence rates of autoimmune diseases over 15 years.
  • The research highlights specific autoimmune conditions linked to wheezing, indicating a need for further understanding of how early respiratory issues can impact long-term health.
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  • This study analyzes data from over 19,000 Korean children hospitalized for severe respiratory infections and compares them to 191,690 unexposed children to investigate the link between early respiratory viral infections and asthma development.
  • Findings indicate that children who experienced severe respiratory infections, including those caused by specific viruses like rhinovirus and influenza, had higher rates of asthma exacerbation and new asthma cases over nearly 8 years of follow-up.
  • The research emphasizes that multiple hospitalizations for lower respiratory tract infections significantly increase the risk of asthma complications later in life.
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  • The study highlights the risks associated with using first-generation antihistamines in children, especially concerning their potential link to seizure events.
  • Researchers analyzed a comprehensive dataset from Korea, focusing on children who experienced seizures from 2002 to 2005, to explore the relationship between antihistamine prescriptions and seizures.
  • The findings revealed that a significant number of children who had seizures had also been prescribed antihistamines, particularly those aged 6 months to 6 years, suggesting a need for caution when prescribing these medications.
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Introduction: This study examined the association between sugar-sweetened beverage consumption before the first 24 months of life and attention-deficit/hyperactivity disorder (ADHD).

Methods: A population administrative cohort study was conducted in Korea (2008-2019) using linked national insurance data and a health screening survey. The cohort included 25,305 children in the exposed group with high sugar-sweetened beverage drinks (≥200 mL) and 339,931 in the reference groups (<200 mL) at 24 months of age.

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Background: Mycoplasma pneumoniae causes community-acquired pneumonia in children and increases asthma risk, but large studies are lacking.

Objective: To assess the link between M. pneumoniae infection and to asthma exacerbation, in children with allergies, and age of infection impact.

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Rotavirus is linked to severe childhood gastroenteritis and neurological complications, but its impact on neurodevelopment remains uncertain. We examined data from 1 420 941 Korean children born between 2009 and 2011, using the Korean National Health Insurance System. We assessed neurodevelopmental outcomes at age 6 years using the validated Korean Developmental Test, covering 6 major domains, with propensity score-based inverse probability weighting including consideration of covariates sex, birth weight, changes in body weight from birth to 4-6 months of age, head circumference at 4-6 months of age, residence at birth, economic status, infant feeding types, and birth year.

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Article Synopsis
  • The study analyzed 9,400 children with ventricular septal defect (VSD) to investigate the risk of developing community-acquired pneumonia (CAP) or asthma.
  • Researchers used a Cox proportional hazard model with treatment weighting over a mean follow-up period of 6.67 years, beginning 12 months after birth.
  • Results showed that 2,100 CAP admissions occurred in exposed children with an incidence rate of 33.2 per 1000 person-years, compared to 20,109 admissions in unexposed children, leading to a hazard ratio of 1.09, indicating a slightly higher risk for those with VSD.
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Background: Atopic dermatitis and autoimmune diseases are highly heritable conditions that may co-occur from an early age.

Methods: The primary study is a national administrative cohort study involving 499,428 children born in 2002, tracked until 2017. Atopic dermatitis was defined as five or more principal diagnoses of atopic dermatitis and two or more topical steroid prescriptions.

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Background: We investigated the correlation between urine VOC metabolites and airway function in children exposed to anthropogenic volatile organic compounds (VOCs), notable pollutants impacting respiratory health.

Methods: Out of 157 respondents, 141 completed skin prick tests, spirometry, IOS, and provided urine samples following the International Study of Asthma and Allergies in Childhood (ISAAC)-related questions. Allergic sensitization was assessed through skin prick tests, and airway functions were evaluated using spirometry and impulse oscillometry (IOS).

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Article Synopsis
  • The study examines how atopic dermatitis in children leads to the development of other health conditions over time.
  • Researchers analyzed health insurance data from Korea to identify 53 comorbidities linked to atopic dermatitis, tracking 67,632 affected children and 270,528 controls from infancy into adolescence.
  • Findings suggest that conditions like febrile seizures and asthma appear early, while food allergies and psychiatric disorders develop later, indicating a chain of related health issues that can assist in better managing and treating atopic dermatitis.
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Article Synopsis
  • * It focuses on children diagnosed with cardiovascular events, comparing their H1-antihistamine usage shortly before the events to usage during longer periods prior, to assess risk levels.
  • * Results show a 20% increased risk of cardiovascular events associated with first-generation H1-antihistamine use, highlighting a significant concern for pediatric patients.
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The timing of complementary food (CF) introduction is closely related to childhood health, and it may vary depending on the region, culture, feeding type, or health condition. Despite numerous studies on the benefits of breastfeeding and the optimal timing of CF introduction, there have been limited investigations regarding delayed CF introduction in exclusively breastfed children. We compared an exposed group (CF introduction ≥7 months) with a reference group (CF introduction at 4 -< 7 months) regarding hospital admission, disease burden, and growth until age 10.

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Article Synopsis
  • Rotavirus infection is a well-known cause of gastroenteritis in children, and it may trigger autoimmune diseases, but the relationship between these two is not fully understood.
  • A population-matched cohort study in South Korea analyzed data from over 86,000 children hospitalized for rotavirus from 2002 to 2017 to assess the risk of later developing autoimmune conditions.
  • The findings indicated that children who were hospitalized for rotavirus had a 24% higher risk of developing autoimmune diseases compared to those who were not exposed, with a follow-up period of around 12 years.
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Background: Although atopic dermatitis (AD) in children affects diverse stages of life, no studies have reported on the association between school readiness and AD.

Methods: This study used Korean National Health Insurance data and the Health Screening Program for Infants and Children. Among all children born between 2008 and 2012 in Korea, those who were assessed for school readiness through questionnaires in a health screening program performed at 54 and 60 months old were enrolled.

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(1) Background: Feeding behavior habits have a pattern with a certain tendency during infancy. We aimed to identify the associations between feeding patterns in infancy and the subsequent 10-year childhood disease burden. (2) Methods: Data from 236,372 infants were obtained from the national health insurance and screening program records in South Korea.

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Context: The link between congenital hypothyroidism (CH) and neurodevelopment is suggested, yet studies applying quantifiable measures are lacking. Moreover, socioeconomic disparities and subtle variation in timing of approach make the relationship difficult to detect.

Objective: To evaluate associations between CH and abnormalities in neurodevelopment and growth and determine the critical period for intervention.

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