Sarcoidosis is an inflammatory condition affecting multiple systems in the body, distinguished by the presence of noncaseating granulomas. It is believed that specific exposures to external antigens in individuals with genetic predisposition lead to the development of these granulomas. When diagnosing sarcoidosis, tuberculosis (TB) is a potential alternative explanation for the symptoms. Our case describes a rare coexistence of cutaneous sarcoidosis and TB pleurisy in a 75-year-old male. He was diagnosed with cutaneous sarcoidosis on his face. During the investigation for possible involvement of other organs, pleural effusion was discovered, and it was determined to be caused by mycobacterial infection. The patient received a 6-month course of anti-TB drugs to treat the TB pleurisy, while a topical calcineurin inhibitor was applied to the cutaneous sarcoidosis. This case serves as a reminder to dermatologists that the coexistence of TB with sarcoidosis is possible, not just as a differential diagnosis.

Purpose: To investigate effects of client violence and supervision on burnout of mental health professionals working in communities. Methods: This was a descriptive study. Data from 170 participants were collected through a self-reported online survey using a convenience sampling method. The survey was conducted from November 2023 to March 2024. Results: Multiple regression analysis revealed that client violence (β=.22, p=.006) was a predictor of burnout, whereas supervision had no significant effect. Conclusion Findings of this study revealed that factors exacerbating burnout, such as client violence, significantly affected the burnout of community mental health professionals. In contrast, factors mitigating burnout, such as supervision, did not have a significant impact. Accordingly, strategies aimed at mitigating and eliminating factors that contribute to increased burnout must be prioritized to alleviate burnout among professionals working in community mental health facilities.

Purpose: To investigate effects of client violence and supervision on burnout of mental health professionals working in communities. Methods: This was a descriptive study. Data from 170 participants were collected through a self-reported online survey using a convenience sampling method. The survey was conducted from November 2023 to March 2024. Results: Multiple regression analysis revealed that client violence (β=.22, p=.006) was a predictor of burnout, whereas supervision had no significant effect. Conclusion Findings of this study revealed that factors exacerbating burnout, such as client violence, significantly affected the burnout of community mental health professionals. In contrast, factors mitigating burnout, such as supervision, did not have a significant impact. Accordingly, strategies aimed at mitigating and eliminating factors that contribute to increased burnout must be prioritized to alleviate burnout among professionals working in community mental health facilities.

Sarcoidosis is an inflammatory condition affecting multiple systems in the body, distinguished by the presence of noncaseating granulomas. It is believed that specific exposures to external antigens in individuals with genetic predisposition lead to the development of these granulomas. When diagnosing sarcoidosis, tuberculosis (TB) is a potential alternative explanation for the symptoms. Our case describes a rare coexistence of cutaneous sarcoidosis and TB pleurisy in a 75-year-old male. He was diagnosed with cutaneous sarcoidosis on his face. During the investigation for possible involvement of other organs, pleural effusion was discovered, and it was determined to be caused by mycobacterial infection. The patient received a 6-month course of anti-TB drugs to treat the TB pleurisy, while a topical calcineurin inhibitor was applied to the cutaneous sarcoidosis. This case serves as a reminder to dermatologists that the coexistence of TB with sarcoidosis is possible, not just as a differential diagnosis.

Sarcoidosis is an inflammatory condition affecting multiple systems in the body, distinguished by the presence of noncaseating granulomas. It is believed that specific exposures to external antigens in individuals with genetic predisposition lead to the development of these granulomas. When diagnosing sarcoidosis, tuberculosis (TB) is a potential alternative explanation for the symptoms. Our case describes a rare coexistence of cutaneous sarcoidosis and TB pleurisy in a 75-year-old male. He was diagnosed with cutaneous sarcoidosis on his face. During the investigation for possible involvement of other organs, pleural effusion was discovered, and it was determined to be caused by mycobacterial infection. The patient received a 6-month course of anti-TB drugs to treat the TB pleurisy, while a topical calcineurin inhibitor was applied to the cutaneous sarcoidosis. This case serves as a reminder to dermatologists that the coexistence of TB with sarcoidosis is possible, not just as a differential diagnosis.

Purpose: To investigate effects of client violence and supervision on burnout of mental health professionals working in communities. Methods: This was a descriptive study. Data from 170 participants were collected through a self-reported online survey using a convenience sampling method. The survey was conducted from November 2023 to March 2024. Results: Multiple regression analysis revealed that client violence (β=.22, p=.006) was a predictor of burnout, whereas supervision had no significant effect. Conclusion Findings of this study revealed that factors exacerbating burnout, such as client violence, significantly affected the burnout of community mental health professionals. In contrast, factors mitigating burnout, such as supervision, did not have a significant impact. Accordingly, strategies aimed at mitigating and eliminating factors that contribute to increased burnout must be prioritized to alleviate burnout among professionals working in community mental health facilities.

Sarcoidosis is an inflammatory condition affecting multiple systems in the body, distinguished by the presence of noncaseating granulomas. It is believed that specific exposures to external antigens in individuals with genetic predisposition lead to the development of these granulomas. When diagnosing sarcoidosis, tuberculosis (TB) is a potential alternative explanation for the symptoms. Our case describes a rare coexistence of cutaneous sarcoidosis and TB pleurisy in a 75-year-old male. He was diagnosed with cutaneous sarcoidosis on his face. During the investigation for possible involvement of other organs, pleural effusion was discovered, and it was determined to be caused by mycobacterial infection. The patient received a 6-month course of anti-TB drugs to treat the TB pleurisy, while a topical calcineurin inhibitor was applied to the cutaneous sarcoidosis. This case serves as a reminder to dermatologists that the coexistence of TB with sarcoidosis is possible, not just as a differential diagnosis.

Purpose: To investigate effects of client violence and supervision on burnout of mental health professionals working in communities. Methods: This was a descriptive study. Data from 170 participants were collected through a self-reported online survey using a convenience sampling method. The survey was conducted from November 2023 to March 2024. Results: Multiple regression analysis revealed that client violence (β=.22, p=.006) was a predictor of burnout, whereas supervision had no significant effect. Conclusion Findings of this study revealed that factors exacerbating burnout, such as client violence, significantly affected the burnout of community mental health professionals. In contrast, factors mitigating burnout, such as supervision, did not have a significant impact. Accordingly, strategies aimed at mitigating and eliminating factors that contribute to increased burnout must be prioritized to alleviate burnout among professionals working in community mental health facilities.

Purpose: This study evaluated the effect of the a good sleep program on sleep quality, stress, and functional health in old-old women, that is women over the age of 75 years, who had insomnia. Methods: This quasi-experimental study used a non-equivalent control group pretest-posttest design. The participants were 35 old-old women with insomnia: 18 in the experimental group and 17 in the control group. Data were collected from August 24 and October 12, 2020. The experimental group, participated in a six-session good sleep program consisting of multiple components, including sleep health education, aromatherapy (lavender scent inhalation), abdominal breathing, sleep hygiene, and walking exercises was conducted. The Good Sleep Program was developed based on Cox’s interaction model of client health behavior. The control group received only a booklet on good sleep. The scales used for pre and post-intervention measurements were the Pittsburgh Sleep Quality Index, Perceived Stress Scale, and Functional Health Pattern Assessment Screening Tool. Results: Compared to the control group, the experimental group exhibited significant improvements in the quality of sleep (t=-3.92, p<.001), perceived stress (t=-3.35, p=.002), and functional health (t=2.97, p=.005). Conclusion The Good Sleep Program can be used to reduce stress and improve sleep and overall health in old-old women.

This study aimed to enhance the physicochemical properties of sodium iodide-based root filling materials, particularly solubility. In earlier developmental stages, the iodoformcontaining paste exhibited high antibacterial efficacy but failed to meet only the solubility requirement among the ISO 6876 criteria. Therefore, this study focused on enhancing the physicochemical properties of the paste under development, particularly centering on reducing its solubility. Four experimental groups were established, including three control group. The previously developed D30 paste was named the Oil 33 group, and the control group was named the Vitapex® group. The Oil 50 group, in which the oil content was increased, and the Oil 45L group, in which lanolin was incorporated. The physical properties (solubility, pH, flowability, and film thickness) of the four pastes were evaluated according to the ISO 6876 standards. No significant differences were observed between the Oil 45L and Vitapex® groups in any of the physical property evaluations. While the Oil 33 and Oil 50 groups met the ISO 6876 standards for flowability and film thickness, the Oil 45L group met all the physical properties. However, reducing the overall oil content may be necessary to enhance the antimicrobial properties. The result of the physicochemical experiments showed that the Oil 45L group with the newly formulated composition and incorporated lanolin exhibited low solubility meeting the ISO 6876 standard of ≤ 3%. We were able to develop a paste with more stable solubility than previous iodide-based root-filling materials. Therefore, the oil content must be further adjusted to improve its antimicrobial properties. If other physical properties also meet the ISO 6876 standards and demonstrate excellent results in cytotoxicity tests, this root filling material could potentially replace existing options.