BACKGROUND: We prospectively evaluated the incidence and possible factors causing intramuscular injection during lumbar sympathetic ganglion block and compared the multiple needle technique to the single technique to obtain a profound and complete block effect. METHODS: Among 83 patients, 58 patients (group A, n = 27, multiple needle technique and group B, n = 31, single needle technique) were reevaluated for the changes of skin temperature (Ts) and mean segment of longitudinal contrast spread. After injecting the contrast agent, the incidence of psoas muscle injection and the change of Ts was compared between two groups. RESULTS: The incidence of psoas muscle injection was 21.3% (46/216) and it was associated with the level of injection (L2) significantly (chi-square = 14.773, P = 0.001). DT(post) (postblock temperature difference between ipsilateral and contralateral great toe, 4.6 +/- 2.8degrees C, 1.8 +/- 1.6degrees C, P < 0.001 for group A and B) and DT(net) (DT(post) - DT(pre), 3.9 +/- 2.7degrees C, 1.5 +/- 1.5degrees C, P < 0.001 for group A and B) was significantly higher in group A. The mean segment of longitudinal contrast spread was 8.1 +/- 0.9 for group A and 3.2 +/- 1.6 for group B (P < 0.001). CONCLUSIONS: The LSGB at the L2 level showed the lowest incidence of psoas muscle injection of contrast. Multiple needle approach showed more significant increase of DT(net) and DT(post).
Ganglia, Sympathetic ; Humans ; Incidence ; Injections, Intramuscular ; Needles ; Prospective Studies ; Psoas Muscles ; Skin Temperature ; Toes

No abstract available.
Foreign Bodies* ; Foreign-Body Reaction ; Granuloma ; Granuloma, Foreign-Body* ; Squalene*

No abstract available.
Apocrine Glands ; Hidrocystoma*

No abstract available.
Humans ; Siblings*

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Implant fixed prosthesis for the complete edentulous maxilla provides significant benefits in the aspects of functions and esthetics compared with the conventional denture. Implant supported fixed prosthesis are totally supported by implant, and thus stabilizes the prosthesis to the maximum degree as possible. Also, the improved retention and stability of fixed prosthesis enhance patients' psychological and psychosocial health. This clinical presentation describes a maxillary full arch implant-supported fixed prosthesis in complete maxillary edentulous patient who showed vertical and horizontal alveolar bone resorption in the anterior ridge. To rehabilitate the esthetics and proper lip support, the zirconia framework was fabricated and the pink porcelain was veneered to reproduce the natural gingival tissue. After 9 months of follow up, the restorations were maintained without complications and the patient was satisfied with the restoration both functionally and esthetically.
Alveolar Process* ; Bone Resorption ; Dental Porcelain ; Dentures ; Esthetics ; Follow-Up Studies ; Humans ; Lip ; Maxilla* ; Prostheses and Implants*

The progressive attrition of teeth is a normal process by aging. However, excessive tooth wear with decreased vertical dimension of occlusion and collapse of occlusal plane may cause pathologic pulpal condition, occlusal disharmony, functional disorders and esthetic problems. The change of vertical dimension is required in case that there is no sufficient clearance for restoration or in case that the occlusal relationship is modified. For gaining the vertical dimension, a careful diagnosis is essential prior to starting the restoration treatment. After evaluating adaptation of neuromuscular system of patient during provisional phase, the final restorations can be fabricated. In this case, a 78 year old male with severely worn down dentition was treated. To improve the esthetic appearance and to achieve the ideal occlusal relationship, the full mouth rehabilitation with minimal increase of vertical dimension is planned and diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated and routine clinical assessments were made. After 1 year, the restorations with newly established occlusal scheme are well maintained without significant complications and esthetically and functionally satisfactory results were obtained.
Aging ; Dental Occlusion ; Dentition* ; Diagnosis ; Humans ; Male ; Mouth Rehabilitation* ; Mouth* ; Tooth ; Tooth Wear ; Vertical Dimension*