PURPOSE: The purpose of this study was to measure the anteroinferior changes and the degree of vertical changes to facilitate the prediction of treatment outcome in patients undergoing genioplasty only, genioplasty with bilateral sagittal split ramus osteotomy (BSSRO), genioplasty, or BSSRO and Lefort I osteotomy. MATERIALS AND METHODS: Serial cephalometry was performed on 25 patients at 1-year follow-up after genioplasty, to assess skeletal changes and relapse. Surgery was performed using conventional techniques. RESULTS: The mean ratio was 0.9 : 1 of soft tissue to skeletal movement at pogonion, but the average difference between hard and soft tissue was large; thus, the prediction of anteroposterior soft tissue changes was quite inaccurate. CONCLUSION: We observed a good correlation between the amount of hard versus soft tissue change with surgery in the horizontal direction, but a poor correlation in the vertical plane.
Adolescent ; Adult ; Female ; Humans ; Male ; Malocclusion, Angle Class III/pathology/*surgery ; Mandible/pathology/*surgery ; Osteotomy/methods ; Osteotomy, Le Fort/methods ; Reconstructive Surgical Procedures/*methods ; Treatment Outcome ; Young Adult

No abstract available.
Cyclosporine* ; Scleroderma, Localized*

No abstract available.
Cyclosporine* ; Scleroderma, Localized*

Rehmannia glutinosa is a perennial medicinal plant belonging to the family Scrophulariaceae with more than 300 species known in the world, especially in temperate regions. Its roots have been used widely in Korea for medicinal purposes. However, it is commonly infected by various pathogens during storage, causing great damage to the roots, and impedes the intensive farming of the crop. Therefore, an attempt has been made to isolate and screen a resistance gene against the pathogen Fusarium oxysporum using differential display. We treated salicylic acid (SA), and isolated a resistance gene that responds to SA. As a result, we found that SA was involved in plant defense mechanism in pathogenicity tests with SA treated and non-treted plants, and we isolated a partial PR-la gene through differential display polymerase chain reaction (DD-PCR) method.
Fusarium ; Humans ; Korea ; Plants ; Plants, Medicinal ; Polymerase Chain Reaction ; Rehmannia* ; Salicylic Acid* ; Scrophulariaceae ; Virulence

A 26-year-old man with a one-year history of asthma and sinusitis presented with bilateral pleural effusions, patch basilar infiltrates on a chest x-ray and a pericardial effusion on an echocardiogram. The peripheral blood showed marked eosinophilia. An obstructive pattern was also observed during the pulmonary fuction test, which was responsive to bronchodilator inhalation. Nerve conduction studies showed right sural neuropathy. Thoracentesis yielded an acidotic exudative effusion with low glucose, low C3 and eosinophilia. An open lung biopsy revealed an eosinophilic interstitial pneumonitis associated with a necrotizing eosinophilic vasculitis, and granulomatous inflammation foci. In the literature, pleural effusions were reported in 29 percent of Churg-Strauss patients, but the number of effusions was low and their characteristics have not been well described. This report describes the characteristic findings of pleural fluid and its histologic features in a case of classical Churg-Strauss syndrome.
Adult ; Asthma ; Biopsy ; Churg-Strauss Syndrome* ; Eosinophilia ; Eosinophils ; Glucose ; Humans ; Inflammation ; Inhalation ; Lung ; Lung Diseases, Interstitial ; Neural Conduction ; Pericardial Effusion ; Pleural Effusion* ; Sinusitis ; Thorax ; Vasculitis

One case of renal infarction due to trauma in a 26 years old male patient, which was treated with partial nephrectomy, was presented with the brief review of literature.
Adult ; Humans ; Infarction* ; Male ; Nephrectomy

A clinical observation was made on 26 cases of bladder rupture (16 patient had intraperitoneal rupture and 10 patient had extraperitoneal rupture) in the Department of Urology, Catholic Medical College from Jan. 1972 to Feb. 1981. The following results were obtained: 1. The bladder rupture was 26 cases (12.0%) of 217 urogenital injuries. 2. The 26 patient comprised 20 males and 6 female cases. Nine patients were belong to the age group of 31 to 40 years old, 8 Cases were 41 to 50 years old and 5 cases were 21 to 30 years old. 3. Traffic accidents were responsible for the injury in 10 patients, direct blow in 6 patients, industrial accidents in 5 patients and spontaneous bladder ruptures were seen in 2 patients. 4. The major clinical manifestations of bladder rupture were hematuria (20 patients, 76.9%) and abdominal pain and distension(12 patients, 46.2%). 5. Of the 26 patients, 15 had associated fractured pelvis, 7 had fractured extremity, 6 had urethral rupture, 3 had intestinal injury and 3 had skull fracture. 6. Diagnosis was made by retrograde cystography, laparatomy and cystoscopy. Twenty cases (76.9%) was diagnosed by retrograde cystography. 7. Four patients with intraperitoneal rupture and 6 patients with extraperitoneal rupture were treated by operative repair Of the defect with suprapubic cystostomy and drainage of the perivesical space. Twelve patients with intraperitoneal rupture and 2 patients with extraperitoneal rupture were treated by operative repair of the defect with indwelling urethral catheter and drainage of the perivesical space. The remaining 2 patients of extraperitoneal bladder rupture were treated by indwelling urethral catheter for7 to 10 days. 8. There was a 7.7% mortality rate.
Abdominal Pain ; Accidents, Occupational ; Accidents, Traffic ; Adult ; Cystoscopy ; Cystostomy ; Diagnosis ; Drainage ; Extremities ; Female ; Hematuria ; Humans ; Male ; Middle Aged ; Mortality ; Pelvis ; Rupture* ; Skull Fractures ; Urinary Bladder* ; Urinary Catheters ; Urology

Toxic shock syndrome (TSS) is a rare but life-threatening illness that is mainly caused by toxigenic strains of Staphylococcus aureus. Although TSS is classically known to be associated with tampon use, the number of TSS cases with non-menstrual causes such as skin and soft tissue infection has been increasing. Tattooing can result in several complications such as localized and systemic infections, inflammatory skin eruptions and neoplasms. We recently experienced a 26-year-old man diagnosed with typical TSS following tattooing. He complained of fever, chills and erythematous rash at tattoo site. Subsequently, the patient developed sign of shock. The skin cultures on the tattoo site were positive for methicillin-sensitive Staphylococcus aureus. The patient was successfully treated with vasopressor infusion and intravenous antibiotics and was discharged without complications. On discharge from the hospital 7 days later, desquamations on the tattoo site, fingers and toes were observed.
Adult ; Anti-Bacterial Agents ; Chills ; Exanthema ; Fever ; Fingers ; Humans ; Shock ; Shock, Septic* ; Skin ; Soft Tissue Infections ; Staphylococcus aureus ; Tattooing* ; Toes

PURPOSE: To develop end-of-life care training programs for nurses who provide in a tertiary hospital, we examined the mediating effects of empathy and resilience on the relationship between their stress and job performance. METHODS: This study was conducted with 218 participants at a hospital in B city in South Korea from August 15 through August 30, 2017. Data collected from the participants were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using the IBM SPSS/WIN 21.0 software. RESULTS: Terminal care stress was found to be negatively correlated with empathy competence (r=−0.345, P < 0.001), resilience (r=−0.223, P=0.001) and terminal care performance (r=−0.260, P < 0.001), whereas empathy (r=0.467, P < 0.001) and resilience (r=0.358, P < 0.001) were positively correlated with terminal care performance. Empathy had a complete mediating effect (β=0.409, P < 0.001) on the relationship between terminal care stress and performance, and resilience a partial mediating effect (β=0.294, P < 0.001). CONCLUSION: Based on the findings of this study, development of training programs with a focus on empathy and resilience are highly recommended to improve job performance of nurses who provide terminal care in a tertiary hospital.
Education ; Empathy* ; Korea ; Mental Competency ; Negotiating* ; Terminal Care* ; Tertiary Care Centers* ; Work Performance

No abstract available.
Esophagus* ; Rupture*