Purpose: The purpose of this study was to identify the effects of ego-resilience, nursing professionalism and empathy on clinical competency and to suggest strategies for improving the clinical competency of general hospital nurses. Methods: Data collection was performed from Jan. 18th, 2019 to Feb. 14th. A total of 194 nurses from four general hospitals participated in this study. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Scheffe test, Pearson's correlation and stepwise multiple regression analysis using SPSS 23.0. Results: The factors affecting the clinical competency of general hospital nurses included ego-resilience (β=.28, p<.001), nursing professionalism (β=.20, p=.011), empathic concern (β=.19, p=.003), working department (β=-.17, p=.008), total clinical career (β=.15, p=.011), and number of beds (β=.13, p=.033). These factors accounted for 33.0% of the clinical competency (p<.001). Conclusion It is important to find ways to improve the level of empathy of general hospital nurses and there is a need to include education programs or practical interventions to strengthen empathy at the clinical level.

We report a case of successful heart transplantation after 67 days of support with venoarterial extracorporeal membrane oxygenation (ECMO) in a patient who underwent surgery for type A aortic dissection and myocardial infarction complicated by irreversible myocardial damage and a deep sternal wound infection. During ECMO support, left heart vent and distal limb perfusion were performed. Mediastinitis was treated with mediastinal washout and irrigation. Multiple complications from peripheral ECMO were successfully managed.
Cardiomyopathies ; Extracorporeal Membrane Oxygenation* ; Extremities ; Heart Transplantation* ; Heart* ; Humans ; Mediastinitis* ; Myocardial Infarction ; Perfusion ; Shock ; Transplantation ; Wound Infection

Purpose: Dental implant-associated medication-related osteonecrosis of the jaw has been frequently reported in patients administered bisphosphonates (BPs) to prevent osteoporosis. The aim of this study was to investigate the effect of intermittent administration of parathyroid hormone (PTH) on peri-implant bone in the maxillae of ovariectomized rats systemically administered BPs. Methods: Thirty 8-week-old female Sprague-Dawley rats were randomly divided into 3 groups. The OVX-ZP group included ovariectomized rats administered 60 μg/kg of zoledronate once a week for 6 weeks and 30 μg/kg PTH after implant installation. The OVX-Z group included ovariectomized rats administered 60 μg/kg of zoledronate once a week for 6 weeks and saline after implant installation, and the control group included rats that underwent a sham operation and were then administered saline. Rats were sacrificed 4 weeks after implant placement for histomorphometric and micro-computed tomography (CT) analyses. Results: The average bone area percentage was greater in the OVX-ZP group than in the OVX-Z group (53.4%±4.0% vs. 28.9%±9.5%, P=0.01). The bone-to-implant contact ratio was 50.8%±1.4% in the OVX-ZP group and 16.9%±2.4% in the OVX-Z group (P=0.012). The average bone volume ratio as shown on micro-CT was 31.3%±19.8% in the OVX-ZP group and 19.4%±9.3% in the OVX-Z group (P=0.045). The OVX-ZP and OVX-Z groups displayed similar trabecular thickness (0.06±0.004 mm vs. 0.06±0.002 mm) (P>0.05) and trabecular separation (0.21±0.02 mm vs. 0.29±0.13 mm) (P>0.05). However, the number of trabeculae in the OVX-ZP group was significantly higher than that in the OVX-Z group (4.3±1.33/mm3 vs. 2.2±0.19/mm3) (P=0.024). Conclusions The present findings indicate that intermittently-administered PTH can promote peri-implant bone formation and suggest that PTH administration may aid in effective treatment for medication-related osteonecrosis of the jaw after dental implantation.

This retrospective study aims to analyze the incidence and characteristics of sportsrelated dental injuries in pediatric patients, providing foundational data for the prevention and management of such injuries. Medical records of 2,382 patients aged 3 – 18 who visited Chosun University Dental Hospital between January 2018 and January 2024 were reviewed. Of these, 308 patients who experienced sportsrelated dental trauma were analyzed. Data collected included patient demographics, type of sport, cause of injury, time and location of the trauma, and type of injury. Sports-related dental injuries accounted for 12.9% of all trauma cases in the study population. Males (74.4%) were more commonly affected than females. The most common cause of injury was cycling (21.0%), followed by contact group sports (16.2%) and kickboard (15.5%). Tooth injuries, particularly affecting the maxillary anterior teeth, were the most prevalent type of trauma (63.6%). The presence of a supervisor significantly reduced the time to initial management, indicating the importance of prompt response to dental injuries. Sports-related dental trauma represents a significant public health concern among pediatric and adolescent populations. Increased supervision during sports activities and preventive measures, including the use of protective gear like mouthguards, are essential to reducing the incidence and severity of injuries.

This retrospective study aims to analyze the incidence and characteristics of sportsrelated dental injuries in pediatric patients, providing foundational data for the prevention and management of such injuries. Medical records of 2,382 patients aged 3 – 18 who visited Chosun University Dental Hospital between January 2018 and January 2024 were reviewed. Of these, 308 patients who experienced sportsrelated dental trauma were analyzed. Data collected included patient demographics, type of sport, cause of injury, time and location of the trauma, and type of injury. Sports-related dental injuries accounted for 12.9% of all trauma cases in the study population. Males (74.4%) were more commonly affected than females. The most common cause of injury was cycling (21.0%), followed by contact group sports (16.2%) and kickboard (15.5%). Tooth injuries, particularly affecting the maxillary anterior teeth, were the most prevalent type of trauma (63.6%). The presence of a supervisor significantly reduced the time to initial management, indicating the importance of prompt response to dental injuries. Sports-related dental trauma represents a significant public health concern among pediatric and adolescent populations. Increased supervision during sports activities and preventive measures, including the use of protective gear like mouthguards, are essential to reducing the incidence and severity of injuries.

This retrospective study aims to analyze the incidence and characteristics of sportsrelated dental injuries in pediatric patients, providing foundational data for the prevention and management of such injuries. Medical records of 2,382 patients aged 3 – 18 who visited Chosun University Dental Hospital between January 2018 and January 2024 were reviewed. Of these, 308 patients who experienced sportsrelated dental trauma were analyzed. Data collected included patient demographics, type of sport, cause of injury, time and location of the trauma, and type of injury. Sports-related dental injuries accounted for 12.9% of all trauma cases in the study population. Males (74.4%) were more commonly affected than females. The most common cause of injury was cycling (21.0%), followed by contact group sports (16.2%) and kickboard (15.5%). Tooth injuries, particularly affecting the maxillary anterior teeth, were the most prevalent type of trauma (63.6%). The presence of a supervisor significantly reduced the time to initial management, indicating the importance of prompt response to dental injuries. Sports-related dental trauma represents a significant public health concern among pediatric and adolescent populations. Increased supervision during sports activities and preventive measures, including the use of protective gear like mouthguards, are essential to reducing the incidence and severity of injuries.

Acrodermatitis continua of Hallopeau (ACH) is a rare form of acropustular eruption characterized by a presence of aseptic pustules on inflammatory periungual or subungual regions. Frequently accompanied by paronychia, atrophic skin changes, onychodystrophy, and osteolysis of distal phalanges of the digits, it is considered to be a variant of pustular psoriasis with a chronic relapsing course and refractoriness to many therapeutic modalities. Here, we present a case of a 45-year-old female who presented with multiple pustules pathologically diagnosed as pustular psoriasis on her left thumb. She suffered from ACH for over a decade, and in the process experienced frequent relapses and showed poor response to numerous treatment modalities such as narrow band UVB, topical steroid, steroid intralesional injection, oral retinoids, 308 nm excimer laser, and oral immune suppressants. However, the patient showed dramatic clinical improvements to administration of etanercept (TNF-alpha antagonist, twice a week) for a period of one month. The cessation of etanercept led to recurrence of symptoms and marked deterioration of the skin lesion within a month again, but the re-initiation of treatment soon relieved the problem. After completion of a three months trial of etanercept, the cutaneous lesion subsided, and the patient is now successfully controlled with topical steroid maintenance therapy. Hereby, we report a patient with ACH successfully treated with etanercept.
Acrodermatitis ; Female ; Humans ; Immunoglobulin G ; Injections, Intralesional ; Lasers, Excimer ; Middle Aged ; Osteolysis ; Paronychia ; Psoriasis ; Receptors, Tumor Necrosis Factor ; Recurrence ; Retinoids ; Skin ; Thumb ; Etanercept

BACKGROUND: We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation. METHODS: This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interviewing with or without supplement drugs. The findings include continuous smoking abstinence rate, which was evaluated at 6, 12 and 24 weeks, and the factors associated with continuous abstinence for 6 months or longer. RESULTS: The patients with only motivational interviewing accounted for 57.9%, while the nicotine patch therapy was applied to 30.2%; and varenicline was prescribed to 11.9%. The smoking cessation success rates of at 6, 12, and 24 weeks were 55.6%, 47.6%, and 33.3%, respectively. However, even in the failure group at six months, tobacco consumption was decreased under 10 cigarettes per day in 42.1% (53/126). In multivariate logistic regression analysis, degree of Fagerstom Test for Nicotine Dependence (p=0.034; odds ratio, 3.607; 95% confidence interval [CI], 1.102-1.807), the absence of smoking-related lung disease (p=0.008; odds ratio, 4.693; 95% CI, 1.497-14.707), and education level (p=0.001; odds ratio, 181.420; 95% CI, 8.414-3,911.502) were the predictors of successful smoking cessation. CONCLUSION: An improved continuous smoking abstinence rate can be obtained by motivational interviewing, regardless of the association with pharmacotherapy.
Adult ; Drug Therapy ; Education ; Humans ; Logistic Models ; Lung Diseases ; Motivational Interviewing* ; Odds Ratio ; Outpatients ; Pulmonary Medicine ; Retrospective Studies ; Smoke ; Smoking ; Smoking Cessation* ; Tobacco Products ; Tobacco Use ; Tobacco Use Cessation Products ; Tobacco Use Disorder ; Varenicline