• Archives of Plastic Surgery
• /
• 제47권6호
• /
• pp.590-596
• /
• 2020

Background The introduction of the partial second toe pulp free flap has enabled superior aesthetic and functional results for fingertip reconstruction in adults. Children undergoing fingertip amputation for various reasons have limited options for reconstruction. Conventional treatment could shorten the finger, leading to poor cosmesis and function. We report 18 years of our experiences with fingertip reconstruction using partial second toe pulp free flaps in patients in early childhood. Methods Medical charts of children who had undergone fingertip reconstruction using partial second toe pulp free flaps from 2001 to 2018 were retrospectively reviewed. The surgical procedures were identical to those for adults, except for the usage of 11-0 nylon sutures. Patients' demographic data, vessel size, flap dimensions, length of the distal phalanx, and functional outcomes over the course of long-term follow-up were documented. The statistical analysis was performed with the Student t-test, the Mann-Whitney U test, and Pearson correlation analysis. Results Eighteen toe pulp flaps in 17 patients (mean age, 3.0 years) were identified. All the flaps survived without any major complications. In long-term follow-up, the flap-covered distal phalanges showed growth in line with regular development. There was no donor-site morbidity, and all children adapted to daily life without any problems. In two-point discrimination tests, the fingertip sensation recovered to almost the same level as that in the contralateral finger. Conclusions Partial second toe pulp free flaps are an excellent option for fingertip reconstruction in young children, as well as in adults.

• 한국지하수토양환경학회지:지하수토양환경
• /
• 제28권6호
• /
• pp.33-44
• /
• 2023

A risk assessment on the heavy metals including arsenic (As), cupper (Cu), lead (Pb), and zinc (Zn) was investigated by setting exposure routes in agricultural fields. Moreover, the factors requiring improvement in risk assessment were also discussed through a review of the dermal absorption slope factor (SF_abs) and total amount of suspended particles (TSP) in the current risk assessment guidelines. Assessment results show that the total cancer risk (TCR) of As through crop and soil ingestion was 1.51E-03 in adults and 6.37E-4 in children, which indicated a carcinogenic risk (exceeding 1E-05). On the other side, the harzard index (HI) was 3.37 in adults and 1.41 in children, which was evaluated as having a non-carcinogenic risk (>1). The carcinogenic purification targets for As were calculated to be 6.84 mg/kg in adults and 6.86 mg/kg in children, while the non-carcinogenic purification targets were calculated to be 13.43 mg/kg for adults and 22.54 mg/kg for children. When applying SF_abs 61 of the current guidelines, it appears that there is a carcinogenic risk even though the As exposure concentration is below the area of concern 1 standard (25 mg/kg), which suggestes that additional research on this factor is required for the risk assessment. In order to apply the measured suspended particle concentration to risk assessment, TSP should be derived from PM10 using an appropriate correlation equation. As a result, it is suggested to improve the risk assessment guidelines so that the mesured PM10 value measured in the field can be used directly.

• 치위생과학회지
• /
• 제23권4호
• /
• pp.312-319
• /
• 2023

Background: Parental attention is crucial for preventing childhood oral diseases. Mothers play a significant role in maintaining their families' oral health, and their educational level influences their children's oral health behaviors. This study investigates the impact of mothers' educational levels on adult oral health behaviors using data from a national survey. Methods: This study employed a cross-sectional analysis of secondary data. The data used were obtained from the 8th Korea National Health and Nutrition Examination Survey. Descriptive statistics were calculated to identify participant characteristics. Next, t-tests and one-way analysis of variance were conducted to examine the effects of the explanatory variables on the distribution of the dependent variable. Finally, logistic regression analysis was used to investigate the influence of the explanatory variable on the dependent variable, using "no education" as the reference value, and calculate the odds ratios. Results: Children of mothers with a college education or higher had a 1.13 times higher likelihood of receiving oral examinations than those whose mothers had no education. Children whose mothers graduated from college or higher had a 2.23 times higher probability of receiving preventative dental treatment than those whose mothers had no education. Children whose mothers graduated from college or higher had a 1.92 times higher probability of receiving scaling than those whose mothers had no education. Children whose mothers graduated from high school had a 1.35 times higher probability of receiving scaling than those whose mothers had no education. Conclusion: Developing oral health programs is important for low-educated and low-income parents to change theirs and their children's oral health behaviors/attitudes. This will help reduce oral health disparities among adults raised by parents of higher and lower socioeconomic statuses. Therefore, a comprehensive approach is essential for adults to maintain good oral health, regardless of variations in their parental educational levels during childhood.

• Clinical and Experimental Pediatrics
• /
• 제53권10호
• /
• pp.872-879
• /
• 2010

Obstructive sleep apnea (OSA) in children is a frequent disease for which optimal diagnostic methods are still being defined. Treatment of OSA in children should include providing space, improving craniofacial growth, resolving all symptoms, and preventing the development of the disease in the adult years. Adenotonsillectomy (T&A) has been the treatment of choice and thought to solve young patient's OSA problem, which is not the case for most adults. Recent reports showed success rates that vary from 27.2% to 82.9%. Children snoring regularly generally have a narrow maxilla compared to children who do not snore. The impairment of nasal breathing with increased nasal resistance has a well-documented negative impact on early childhood maxilla-mandibular development, making the upper airway smaller and might lead to adult OSA. Surgery in young children should be performed as early as possible to prevent the resulting morphologic changes and neurobehavioral, cardiovascular, endocrine, and metabolic complications. Close postoperative follow-up to monitor for residual disease is equally important. As the proportion of obese children has been increasing recently, parents should be informed about the weight gain after T&A. Multidisciplinary evaluation of the anatomic abnormalities in children with OSA leads to better overall treatment outcome.

• 한국노년학
• /
• 제37권2호
• /
• pp.475-496
• /
• 2017

본 연구의 주된 목적은 한국 어린이의 노인에 대한 태도를 명시적 태도와 암묵적 태도로 나누어 그 현황을 탐색하는 것이다. 자기보고식 척도로 측정하는 명시적 연령차별 태도는 사회적 바람직성에 의한 영향으로 인하여 과소 보고될 가능성이 크기 때문에, 본 연구에서는 명시적 태도 측정과 더불어 암묵적 태도 측정 조사를 병행하여 어린이의 연령차별적 태도에 대해 입체적인 이해를 시도하였다. 명시적 태도는 기존연구들에서 사용하는 방식의 자기기입식 조사인 선호도척도, 웃는 얼굴 5점 척도를 통하여 수집하였으며, 암묵적 태도는 아동용 암묵적 연령 연합검사(Children Implicit Age-association Test)를 사용하여 수집하였다. 서울 및 수도권의 초등학교 4~6학년 초등학생 503명을 대상으로 수집한 자료를 기술통계, t-test, 일원분산분석 방법으로 분석하였다. 분석결과, 아동의 노인에 대한 명시적 태도와 암묵적 태도에 차이가 발견되어, 노인에 대한 암묵적 태도는 뚜렷한 부정성을 보였으나 명시적 태도는 그보다 낮은 부정적 성향이 관찰되었다. 이러한 결과는 초등학교 고학년 시기에 이미 노인에 대한 부정적인 이미지를 내면화 하였다는 점, 그러나 편견에 대한 교육, 효 사상 등에 기인하는 사회적 바람직성의 영향으로 인해 명시적 태도 표현이 조절되었을 가능성을 시사한다. 한편 암묵적 태도와 명시적 태도간의 차이는 명시적 태도의 측정 방식에 따라 그 크기가 다른 것으로 나타났다. 노인과 비노인 집단에 대해 독립적으로 응답이 가능한 측정에서는 중립적인 태도를 보인 반면, 독립적인 응답이 불가능한 양자택일의 상황이 주어진 경우에는 노인에 대한 상대적인 선호가 낮은 경향이 발견되었다. 본 연구결과는 아동의 노인에 대한 연령차별적 태도 측정방식의 정교화와 다양화가 요구됨을 의미한다. 또한 아동의 노인에 대한 명시적 태도와 암묵적 태도에 영향을 미치는 요인의 탐색과 함께, 유아와 초등학교 저학년 등 보다 어린아동을 대상으로 하는 후속연구가 필요하다고 본다.

• Archives of Reconstructive Microsurgery
• /
• 제9권1호
• /
• pp.23-26
• /
• 2000

From Jan. 1998, 28 young children patients with complete amputations at zone I or II were replanted using a microscopic technique. Children's average age was 4.5 years and the amputation levels were zone I in 12 cases and zone II in 16 cases. Overall survival rate was 57%(16 cases). In children, the advantages of the replantation for distal digital amputations are nearly normal length, good soft tissue coverage with nail and cosmetically high patient satisfaction but surgical technical difficulties are much greater than in adults.

• 한국보육지원학회지
• /
• 제13권6호
• /
• pp.127-141
• /
• 2017

Objective: The purpose of this study was to figure out early childhood teachers' perception on rights of young children and what they do to implement the perceived rights of young children in early childhood settings. Methods: Two individual and two group interviews were conducted. First, individual interviews were held with one childcare center teacher, and then interviews were held with one kindergarten teacher. Both group interviews were conducted with three different kindergarten teachers. All interviews were held two times. Recorded and transcribed interview data were analyzed. Results: The results are as follows. First, participants perceived rights as natural, protective, expressive, equally respectful, and joyful but understood differently from that of adults due to developmental status of young children, which included rights to life, equality, participation, protection, and happiness. Second, teachers remarked that they used strategies to project young children's emotions to implement perception on rights to life and happiness, discern deprivation from violation for rights to protection and equality, and set rules and have double standards utilizing resources around, for rights to participation. Conclusion/Implications: These results have implication for organizing contents for rights education for early childhood teachers.

• 한국심리학회지 : 문화 및 사회문제
• /
• 제24권2호
• /
• pp.153-192
• /
• 2018

이 연구의 주된 목적은 중년 성인 원가족의 부모자녀관계가 성인의 자기효능감, 자녀양육과 노부모부양 및 행복에 미치는 영향을 분석하는데 있다. 분석대상은 초, 중, 고, 대학생 자녀를 둔 성인 2,632명(남 1,275명, 여 1,357명)이었으며, 평균 연령은 45.44세(남 46.96세, 여 44.10세)였다. 분석 결과, 원가족의 부모자녀관계는 성인의 자기효능감과 자녀양육에 직접적인 영향이 있었고, 행복에 대해 간접적인 영향이 있었다. 즉 원가족의 부모자녀관계를 긍정적으로 지각할수록 자기효능감이 높고, 자녀양육에 헌신적이었으며, 높아진 자기효능감은 행복감을 증진하였다. 원가족의 부모자녀관계가 노부모부양에 미치는 영향은 성별로 차이가 있었다. 남자는 원가족의 부모자녀관계를 긍정적으로 지각할수록 노부모부양에 적극적이었으나, 여자는 직접적인 영향이 없었다. 이러한 결과에 토대하여 원가족의 부모자녀관계가 중년 성인의 심리특성 및 가족관계에 미치는 영향에 대해 논의하였다.

• 대한구순구개열학회지
• /
• 제11권2호
• /
• pp.59-63
• /
• 2008

Craniofacial Centre at Children's Hospital Boston is a worldwide leader in the care of children and adolescents with craniofacial anomalies especially with cleft lip and/or cleft palate, which provides a team approach to the evaluation, diagnosis and treatment of children and adults with congenital (present at birth) or acquired facial deformities. This is staffed by an experienced team of clinicians, such as in oral and maxillofacial surgery, plastic surgery, neurosurgery, dentistry, audiology, speech and language pathology, genetics, psychiatry, otolaryngology, and social work, all with specialized training in the care of children with craniofacial anomalies. Here, there is a short introduction of history, attending surgeons, works, and sequential treatment for cleft lip/palate patients about this institution.

• Pediatric Infection and Vaccine
• /
• 제30권1호
• /
• pp.39-46
• /
• 2023

기쿠치-후지모토병(Kikuchi-Fujimoto disease, KFD)은 주로 소아 및 젊은 성인에서 발생하는 급성 발열성 질환이며, 주로 조직구증성 괴사성 림프선염을 특징으로 한다. KFD는 조직검사를 통한 병리학적 검증이 어려울 경우 진단이 제한적일 수 있다. 본 논문에서는 복통과 복강내 림프선염 등으로 진단이 늦어졌던 11세 남아의 사례를 보고한다. 추가로 체계적인 문헌고찰을 수행하였으며, KFD 질병의 범위, 치료 및 예후를 기술하고자 하였다. 본 체계적 문헌고찰에서는 미국, 유럽 및 아시아에서 출간된 장관막 림프선염과 유사한 증상을 보이는 KFD 증례 15건을 분석하였다. 대부분의 환자는 남성이었으며, 백혈구 감소증(leukopenia)과 염증 표지자 상승이 나타났으며, 대부분 중대한 후유증이나 합병증 없이 회복되었다. 복강내 림프선염을 동반한 발열을 주소로 내원하는 소아에 대해서 KFD 가능성을 검토하는 것이 필요할 수 있다.