No abstract available.
Sturge-Weber Syndrome*

No abstract available.

The aim of this study was to compare widely used quantitative sensory tests to evaluate the diabetic neuropathy(DN). We tested plantar sensation of 40 patients with diabetes mellitus(Group I: 20 with neuropathic symtom, Group II: 20 without symptom) using Semmes-Weinstein monofilament(touch sensation), Biothesiometer(vibration sensation) and EMG. This result was also compared with that of the control group. Eighty percent of Group I and thirty percent of Group II had abnormal EMG findings. Group I had decreased vibration and touch sensation. Comparison of vibration perception threshold(Biothesiometer) with touch pressure sensation(Semmes-Weinstein monofilament) showed that the test with Biothesiometer was relatively accurate, however it was complicated, time consuming and that the test with monofilament was simple and easily performed in the field even though it was relatively crude. 5.07 monofilament could be very effective in the eearly detection of diabetic neumpathy. In conclusion, we recommend 5.07 monofilament as a screening method of diabetic neuropathy and biothesiometer as its follow-up method.
Diabetic Neuropathies ; Follow-Up Studies ; Humans ; Mass Screening ; Methods ; Peripheral Nervous System Diseases ; Sensation ; Vibration

Background: Korea National Health Insurance Service (NHIS) is operated as a social insurance system in which people pay a portion of their monthly income as insurance premiums and receive benefits when they experience illness or injury. Since 2005, the national health insurance remained surplus accumulating cumulative reserves each year. However, as of 2018, NHIS revenue recorded 62.11 trillion won and spending of 62.29 trillion won. The deterioration of NHIS finances is expected to accelerate with the aging population, income growth, new medical technology development, and enhanced security policies. Methods: To examine the financial health and sustainability of NHIS, we estimated the future revenue and spending until 2030 using the data from Korea Health Insurance Review and Assessment Service statistical yearbook. 2004–2018 average percentage change in NHIS revenue and spending was calculated. We estimated the future NHIS financial status using two methods. In the first method, we calculated the revenue and spending of the future NHIS by applying the 2004–2018 average percentage change to the subsequent years consecutively. In the second method, we estimated the future NHIS financial status after adjusting for the predicted demographic changes such as the aging population and declining birth rate in South Korea. Results: The estimates from this study suggest that the NHIS’s cumulative reserves will run out by 2024. Conclusion In terms of spending on current health insurance, there should be a search for ways of more efficient spending and funding options.

Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture. Results: Participants had a mean age of 28.90±5.38 years, and the mean score for person-centered care was 3.65±0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F=13.36, p<.001, Adj. R2=.324). Conclusion Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers’ active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance.

Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture. Results: Participants had a mean age of 28.90±5.38 years, and the mean score for person-centered care was 3.65±0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F=13.36, p<.001, Adj. R2=.324). Conclusion Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers’ active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance.

Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture. Results: Participants had a mean age of 28.90±5.38 years, and the mean score for person-centered care was 3.65±0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F=13.36, p<.001, Adj. R2=.324). Conclusion Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers’ active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance.

PURPOSE: The aim of this study was to compare the color stability, water sorption and cytotoxicity of thermoplastic acrylic resin for the non-metal clasp dentures to those of thermoplastic polyamide and conventional heat-polymerized denture base resins. MATERIALS AND METHODS: Three types of denture base resin, which are conventional heat-polymerized acrylic resin (Paladent 20), thermoplastic polyamide resin (Bio Tone), thermoplastic acrylic resin (Acrytone) were used as materials for this study. One hundred five specimens were fabricated. For the color stability test, specimens were immersed in the coffee and green tee for 1 and 8 weeks. Color change was measured by spectrometer. Water sorption was tested after 1 and 8 weeks immersion in the water. For the test of cytotoxicity, cell viability assay was measured and cell attachment was analyzed by FE-SEM. RESULTS: All types of denture base resin showed color changes after 1 and 8 weeks immersion. However, there was no significant difference between denture base resins. All specimens showed significant color changes in the coffee than green tee. In water sorption test, thermoplastic acrylic resin showed lower values than conventional heat-polymerized acrylic resin and thermoplastic polyamide resin. Three types of denture base showed low cytotoxicity in cell viability assay. Thermoplastic acrylic resin showed the similar cell attachment but more stable attachment than conventional heat-polymerized acrylic resin. CONCLUSION: Thermoplastic acrylic resin for the non-metal clasp denture showed acceptable color stability, water sorption and cytotoxicity. To verify the long stability in the mouth, additional in vitro studies are needed.
Cell Survival ; Coffee ; Denture Bases ; Dentures* ; Immersion ; Mouth ; Nylons ; Water*

PURPOSE: To evaluate the clinical characteristics of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures and assess the surgical outcomes of a novel, closed intramedullary nailing surgical approach designed to minimize fixation failure. MATERIALS AND METHODS: Between May 2013 and April 2017, 31 patients with intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures treated with closed intramedullary nailing or long proximal femoral nail antirotation (PFNA) were enrolled in this study. Preoperative data included age, sex, injury severity score, body mass index, location of shaft fracture, injury mechanism, accompanying traumatic injury, walking ability before injury, and surgical timing. Perioperative outcomes, including follow-up period, types of intramedullary nails, number of blocking screws used, operation time, and blood loss were assessed. Radiologic outcomes, including union rate, time from surgery to union, and femoral shortening, and clinical outcomes, including hip flexion, walking ability, and Harris hip score were also evaluated. RESULTS: A total of 29 unions (93.5%) were achieved. The time to union was 16.8 months (range, 11–25 months) for hip fractures (15.7 weeks for intertrochanteric fractures and 21.7 weeks for subtrochanteric fractures) and 22.8 months for femoral shaft fractures. There were no significant differences in surgical outcomes between the two groups except for type of intramedullary nail. CONCLUSION: Closed intramedullary nailing in the treatment of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures may be a good surgical option. However, fixation of femoral shaft fractures might not be sufficient depending on the implant design.
Body Mass Index ; Follow-Up Studies ; Fracture Fixation, Intramedullary ; Hip ; Hip Fractures ; Humans ; Injury Severity Score ; Walking

PURPOSE: To investigate the different types of anatomical connection between the lacrimal sac and the canaliculi using digital subtraction dacryocystography (DCG) in Koreans. METHODS: The authors of the present study performed digital subtraction DCG in Korean patients who presented with epiphora from January 2010 until December 2010. The 248 patients (496 eyes) who achieved a satisfactory DCG image were classified as follows: 1) type I: visible common canaliculus (CC), 2) type II: no visible CC and the canaliculi entering the sac at the point where they meet on the sac wall (common opening), 3) type III: no visible CC and common opening, and each canaliculus entering the sac from different points. RESULTS: Out of a total of 496 eyes, CC was observed in 449 eyes (type I: 90.5%). In 41 eyes (8.3%), the CC was absent (type II), but the upper and lower canaliculi joined at the wall of the lacrimal sac. In 6 eyes (1.2%), the upper and lower canaliculi entered the sac separately (type III). Eighteen patients (7.3%) showed different types of lacrimal drainage system between the 2 eyes. CONCLUSIONS: The CC may not exist in all patients, and the type of anatomical connection between the lacrimal sac and the canaliculi may be different between the eyes in the same individuals. Although such patients comprise a minority, anatomical knowledge of the lacrimal drainage system could be helpful to assess and manage patients with lacrimal drainage disorder.
Drainage ; Eye ; Humans ; Lacrimal Apparatus Diseases