• Clinical and Experimental Pediatrics
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• 제56권4호
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• pp.182-185
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• 2013

Children have a natural tendency to explore objects with their mouths; this can result in the swallowing of foreign objects. Most ingested foreign bodies pass uneventfully through the gastrointestinal tract. However, some foreign bodies cause obstruction or perforation of the gastrointestinal tract, requiring surgical intervention. Perforation of the gastrointestinal tract may be associated with considerable morbidity and mortality. The most common sites of intestinal foreign body perforation are the ileocecal and rectosigmoid regions. Foreign body perforation of the duodenum is relatively uncommon. We report the first Korean case of duodenal perforation by an ingested 8-cm lollipop stick. Lollipops are popular with the children and fairly accessible to them, as most parents are not aware of their potential harm. Pediatric clinicians should be aware of the risks associated with lollipop stick ingestion. Our report also describes the feasibility and safety of laparoscopic diagnosis and management of pediatric patients with peritonitis induced by the ingestion of foreign bodies.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.168-174
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• 2016

Purpose: The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body. Methods: Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications. Results: Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with ingested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p<0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p<0.001). No complication due to ingested fishbone or procedure occurred. Conclusion: Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권2호
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• pp.132-141
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• 2019

Foreign body (FB) ingestion of children is a common pediatric emergency requiring medical attention. Pediatric emergency physicians and gastroenterologists often encounter nervous and distressed situations, because of children presenting with this condition in the common clinical practice. When determining the appropriate timing and indications for intervention, physicians should consider multiple patient- and FB-related factors. The utilization of a flexible endoscopy is considered safe and effective to use in these cases, with a high success rate, for the effective extraction of FBs from the gastrointestinal tract of a child. Additionally, a Foley catheter and a magnet-attached Levin tube have been used for decades in the case of FB removal. Although their use has decreased significantly in recent times, these instruments continue to be used for several indications. Using a Foley catheter for this purpose does not require special training and does not necessarily require sedation of the patient or fluoroscopy, which serve as advantages of utilizing this method for foreign object retrieval. An ingested magnet or iron-containing FB can be retrieved using a magnet-attached tube, and can be effective to retrieve an object from any section of the upper gastrointestinal tract that can be reached. Simple and inexpensive devices such as Foley catheters and magnetattached tubes can be used in emergencies such as with the esophageal impaction of disk batteries if endoscopy cannot be performed immediately (e.g., in rural areas and/or in patients presenting at midnight in a facility, especially in those without access to endoscopes or emergency services, or in any situation that warrants urgent removal of a foreign object).

• 대한기관식도과학회지
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• 제8권2호
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• pp.36-42
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• 2002

Aspirated and ingested foreign bodies continue to present challenges to otolaryngologists. The major discussions were the accurate diagnosis and speedy, safe removal of foreign body. Many diagnostic tools have been tried and removal of foreign bodies has been facilitated by technical improvements with rod lens telescope, video endoscope, flexible fiberoendoscope and safer anesthesia. In spite of these advances, more than 3000 children's death occur per year in the world because of foreign bodies and untold number of parients survive with variable sequelae. In these study, 59 consecutive cases of children and adults with tracheobronchial foreign bodies were reviewed from 1992 to 2001. We studied the history, symptoms, ausculatory radiologic, bronchoscopic finding and post operative complications. 71% (42 cases in 59 cases) of patients had foreign body aspiration history or choking crisis. In 64% (38cases) cough was observed. 81% (48cases) had abnormal finding in chest auscultation and 78% in chest X-ray. Computed tomography was done in 12 cases, all were founded foreign body shadow. Main site of foreign body was right main bronchus (41%, 24cases) and most frequent foreign body was peanut (36% , 21cases) . 4 experienced ICU(intensive care unit) care. 2 cases were failed to remove foreign. In these cases 1 cases was improved by steroid therapy and physical therapy and the other was treated with thoracotomy. We concluded the morbidity and motality were much correlated with speedy decision making and experienced skill of operator.

• 대한기관식도과학회지
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• 제1권1호
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• pp.164-167
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• 1995

Foreign holies in the upper aerodigestive tract are an important cause of morbity and mortality in older adults and children under 3 years of age. Fish and chicken bones are the usual foreign bodies lodged in the hypopharynx, and most of them lodge In the lower pole of a tonsil, at the base of the tongue, at the lateral wall of the pharynx, or in a vallecula. Recently, the authors experienced a case of aspiration pneumonia caused by chronic local inflammatory reaction of the posterior wall of the hypopharynx originated from a special foreign body.

• 대한음성학회지:말소리
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• 제52호
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• pp.85-99
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• 2004

The aim of this study is to show developmental characteristics of vocabulary of Korean children. In this study, words were classified according to the origin of words: pure Korean, sino-Korean and foreign words. The results of the present study are as follows: In common nouns, the rate of sino-Korean was 33.6% in 3 year-old children but 50.7% in 8 year-old children. Adverb and prenouns showed the similar rate. The rate of words with foreign origin was 10 ～ 11 % in all age groups.

• 대한치과의사협회지
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• 제10권6호
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• pp.347-349
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• 1972

The authors selected fifty children aged 2 to 4 years who had normal occlusion from the patients admitted at the Pedodontic Department in the Infirmary of Dental College, S.N.U. Study casts were taken and observed on the primate spaces and terminal planes which are characteristics of primary dentition. The results were as follows: 1. The percentages of terminal planes were 56%±7.02 in mesial step type, 38.0%±6.86 in straight step type, 6.0%±3.36 in distal step type, respectively. 2. The percentages of primate space were 80%±5.09 in maxillary dental arch and 5.0%±7.06 in mandibular dental arch. 3. The percentage of mesial step type in korean children was higher in comparison with that in foreign children and the percentage of the primate space was about the same in korean & foreign children.

• 복식문화연구
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• 제29권3호
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• pp.328-345
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• 2021

The aim of this study is to investigate morphological characteristics of Hanbok images in children's books and propose a direction for the modernization and globalization of traditional culture. This study examines 43 children's books by contemporary foreign illustrators that contain Hanbok illustrations and analyzes them from postcolonial perspective. The results include the following three attributes: first, the transformation of clothing structure and donning method that confuse fundamentals of Korean costume; second, the Westernization of silhouette drawing with tailored garments analogous to Western dress; and third, extension to East Asian dress that represents Hanbok mixed with Chinese or Japanese costume and use what is considered to be the East Asian patterns instead of Korean traditional ones. These attributes are based on Eurocentrism, which expresses and interprets the East from the Western view point with continuously distorted image of the East. Korean illustrators also painted Hanbok incorrectly, which could influence foreign illustrators. Nevertheless, traditional dress illustrated in various ways has artistic value and has a popular global impression. Further, it enables children to experience either own or other cultures through dress illustrations. Thus, the outsider requires an in-depth understanding of other cultures, while the insider needs a critical perception of their own culture as described by others while revisiting the original resources. Furthermore, we suggest follow-up research on Hanbok for subsequent generations; publishing translated books on various topics, producing and disseminating a primer for diverse readers, and essentially receiving counsel from experts.

• 한국콘텐츠학회논문지
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• 제12권3호
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• pp.470-479
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• 2012

본 연구는 만 3세 - 5세 유아 255명을 대상으로 연령별 성별에 따른 애니메이션 캐릭터의 선호도를 조사하여 분석하고자 한다. 유아가 선호하는 애니메이션 캐릭터를 그림으로 표상하고, 캐릭터 선호 이유에 대해 개별 면접하여 자료를 수집하고, SPSS 18.0 Window 통계 프로그램의 $x^2$검증을 통해 선호도 차이를 검증하였다. 분석 결과, 만 3 - 5세 유아들은 국내 제작 애니메이션을 35.7%, 국외 제작 애니메이션을 64.3%로 국외에서 제작된 애니메이션의 선호도가 높았다. 또한, 국내 캐릭터 22.4%, 국외 캐릭터 77.6%를 선호하는 경향을 보였다. 유아의 선호하는 애니메이션 캐릭터는 연령에 따라 유의미한 차이를 보였으며($x^2=302.474^{***}$, P<.001), 만 3세 유아는 뽀롱뽀롱 뽀로로의 '뽀로로', 만 4세 유아는 꼬마버스 타요의 '타요'와 캐릭캐릭 체인지의 '아무', 만 5세 유아는 짱구는 못말려의 '짱구' 캐릭터의 높은 선호도를 보였다. 유아의 선호하는 애니메이션 캐릭터는 성별에 따라 유의미한 차이를 보였으며($x^2=120.864^{***}$, P<.001), 남아는 뽀롱뽀롱 뽀로로의 '뽀로로', 도라에몽의 '도라에몽', 토마스와 친구들의 '토마스', 꼬마버스 타요의 '타요' 순으로 선호하였으며, 여아는 뽀롱뽀롱 뽀로로의 '뽀로로', 리틀 프릿의 '사과', 캐릭캐릭 체인지의 '아무', 뽀롱뽀롱 뽀로로의 '루피' 순으로 선호하였다. 본 연구는 국내에서 제작되는 유아용 애니메이션의 개발이 좀 더 발전되길 기대하며, 이를 위한 기초 자료로 활용되길 바란다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제4권2호
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• pp.148-154
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• 2001

목적: 소아의 위장관 이물은 일상 생활에서 흔히 경험하는 질환으로 대개의 경우는 합병증 없이 자연 배출된다. 저자들은 내시경과 Foley 도관을 이용한 위장관 이물 적출술에 관한 최근 경향을 알아보고자 한다. 방법: 1996년 1월부터 1999년 12월까지 4년간 원주기독병원 소아과에 위장관 이물로 내원한 60례를 대상으로 하였으며 성별, 연령, 임상 증상, 이물의 종류와 위치, 이물의 치료 및 제거 방법, 합병증 등에 대하여 후향적으로 조사하였다. 결과: 위장관 이물 환자의 연령은 7개월에서 13세까지였으며, 5세 이하가 57례(95.0%)를 차지하였으며, 남녀비는 1.07:1이었다. 임상 증상은 무증상이 45례(75.0%)로 가장 많았고 연하곤란 8례(13.3%), 인후통 5례(8.3%), 구토, 복부 불쾌감이 각각 1례(1.7%)였다. 이물의 종류는 동전이 43례(71.7%)로 가장 많았고 구슬, 바둑알, 반지 등이 각각 3례(5.0%), 수은 건전지가 2례(3.3%)였으며 그 외 금속 clip, 나사못, 커튼핀, 머리핀, 오디오 열쇠, 스티커 등이 각각 1례(1.7%)씩 있었다. 이물의 위치는 식도 31례(51.6%), 위 25례(41.7%), 소장 3례(5.0%), 인후 1례(1.7%)였고, 이 중 식도 이물은 경부식도 24례(40.0%), 원위식도 5례(8.3%), 흉부식도 2례(3.3%)에서 관찰되었다. 유연성 내시경적 이물 제거를 시행한 경우가 22례(36.7%)로 가장 많았고, Foley 도관을 이용한 경우가 18례(30.0%), Forcep를 이용한 경우가 1례(1.7%)였다. 18례(30.0%)에서는 자연 배출되었고, 1례(1.7%)에서는 수술을 시행하였다. 결론: 소아에서 상부 위장관 이물은 조기에 제거하여 이환율과 합병증을 감소시켜야 하며, 식도이물의 제거시 X-선 투시하의 Foley 도관과 내시경은 소아에서 안전하고, 효과적인 이물적출방법이다. 얇고, 날카로운 이물은 주위 깊은 관찰을 요하며, 하부 위장관에 위치시 장천공에 대한 주위 깊은 관찰을 요한다.