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Alveolar Ridge Augmentation Using Titanium Reinforced Goretex (TRG) and Titanium Mesh in Severe Alveolar Bone Loss Area: Case Report (심하게 흡수된 치조제에 Titanium 강화 Gore-Tex (TRG) 및 Titanium Mesh로 수직적 골증대술을 실시한 증례보고)

  • Kim, Won-Jik;Yoon, Kyung-Sun;Hong, Su-Ryun;Choi, Jin-Kyung;Lee, Yong-Uk;Kim, Dong-Suk;Hyun, Jong-Oh;Cho, Hyo-Won;Choi, Ji-Hye;Jung, Tae-Woong;Bae, Yoon-Ki;Kwon, Sun-Kyu;Choi, Hyun-Joon;Lee, Hyun-Su;Yang, Su-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.66-72
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    • 2011
  • A severely vertical resorbed ridge is a significant challenge in implant dentistry. To solve this problem, several augmentation techniques, such as guided bone regeneration (GBR), onlay bone grafts, distraction osteogenesis, and ridge splitting techniques, have been proposed and used for several years. Among these methods, vertical ridge augmentation using guided bone regeneration aims to build space and guide osteoblasts to this space to promote osteogenesis. The aim of guided bone regeneration is to maintain and stabilize the space and block the proliferation of adjacent soft tissue. In our hospital, we encountered a case of a woman in her forties with an atrophied mandible, who underwent implant surgery in the right mandible. Titanium reinforced Gore-Tex (TRG) was used to augment the mandible and titanium mesh was used in the left mandible. Favorable results were obtained. This report compares the two methods and reviews the relevant literature.

Relationship between Job Stress and Compassion Satisfaction, Compassion Fatigue, Burnout for Nurses in Children's Hospital (어린이병원 간호사의 업무 스트레스와 공감만족, 공감피로, 소진 간의 관계)

  • Choi, Heekang;Park, Jisun;Park, Mijeong;Park, Bobae;Kim, Yeseul
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.459-469
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    • 2017
  • Purpose: Nurses experience burnout related to various factors. For this descriptive research job stress, compassion satisfaction, and compassion fatigue were examined as to their relationship to burnout in nurses from children's hospital. Methods: The participants were 305 nurses working in children's hospital. Self-report questionnaires were used to measure job stress, compassion satisfaction, compassion fatigue and burnout. Results: Nurses in children's hospital experienced a greater than moderate degree of job stress, compassion satisfaction, compassion fatigue and burnout, whereas differences existed according to general characteristics. Job stress, compassion fatigue and burnout showed a significant positive correlation and results of compassion fatigue and burnout were similar. Also, job stress, compassion satisfaction and compassion fatigue were associated with burnout in nurses working in children's hospital. Conclusion: Findings indicate that as longer work experience is accompanied by higher job stress and burnout, it is necessary to develop intervention programs to reduce burnout among career nurses exposed to greater job stress in children's hospital.

Occult Gastric Cancer Presenting as Hypoxia from Pulmonary Tumor Thrombotic Microangiopathy

  • Mandaliya, Rohan;Farhat, Salman;Uprety, Dipesh;Balla, Mamtha;Gandhi, Apurva;Goldhahn, Richard;Auerbach, Herbert;Christensen, Chris;Reed, Conrad;Cohen, Sidney
    • Journal of Gastric Cancer
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    • v.14 no.2
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    • pp.142-146
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    • 2014
  • Pulmonary tumor thrombotic microangiopathy (PTTM) causing fatal pulmonary hypertension is a rare presentation of malignancy. In general, patients with PTTM rapidly succumb to death due to severe hypoxia. To date, very few cases of PTTM have been reported in the literature; and most of these cases were from gastric cancer and were diagnosed on post mortem autopsy, as it is extremely challenging to make an ante mortem diagnosis. We here report on a case of undiagnosed diffuse gastric cancer, presenting as worsening hypoxia. The clinical, radiographic, and echocardiographic features, and laboratory and pathological results were consistent with PTTM from gastric cancer. The patient was started on anticoagulation therapy, corticosteroids, and high-flow oxygen. However, her hypoxia worsened to the extent that she required ventilator support, and she died soon after intubation due to cardiac arrest. Since diffuse gastric cancer is associated with hereditary diffuse gastric cancer syndrome, cadherin 1 gene mutation analysis was performed to estimate the risk to her daughters. The test came back negative.

Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision

  • Nicoli, Fabio;Ciudad, Pedro;Lim, Seong Yoon;Lazzeri, Davide;D'Ambrosia, Christopher;Kiranantawat, Kidakorn;Chilgar, Ram M;Sapountzis, Stamatis;Sacak, Bulent;Chen, Hung-Chi
    • Archives of Plastic Surgery
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    • v.42 no.4
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    • pp.478-483
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    • 2015
  • Due to the fact that it reliably results in positive outcomes, lymph node flap transfer is becoming an increasingly popular surgical procedure for the prevention and treatment of lymphedema. This technique has been shown to stimulate lymphoangiogenesis and restore lymphatic function, as well as decreasing infection rates, minimizing pain, and preventing the recurrence of lymphedema. In this article, we investigate possible additional benefits of lymph node flap transfer, primarily the possibility that sentinel lymph nodes may be used to detect micrometastasis or in-transit metastasis and may function as an additional lymphatic station after the excision of advanced skin cancer.

Necrotizing Pneumonia Complicated by Streptococcus Pyogenes Bacteremia in Patient with COPD (만성 폐쇄성 폐질환 환자에서 Streptococcus Pyogenes 에 의한 균혈증을 동반한 괴사성 폐렴 1예)

  • Jung, In Sung;Bang, Do Seok;Park, Yol;Kim, Jae Su;Lee, Sung Hoon;Yoon, Young Gul;Bag, Beom Cheol;Kang, Ki Man;Na, Dong Jib
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.5
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    • pp.536-541
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    • 2004
  • Streptococcus pyogenes 는 지역 사회 폐렴의 드문 원인균으로 독감, 홍역, 만성 폐쇄성 폐질환등의 합병증으로 대부분 발생하고 진행 경과가 빠르며, 고령 및 패혈증을 동반한 경우 특히 사망률이 높다고 알려져 있다. 저자들은 만성 폐쇄성 폐질환 환자에서 균혈증을 동반한 Streptococcus pyogenes 폐렴 1 예를 보고한다.

A Case of Neuro-Behest's Disease: Comparison of Neurological Symptoms with PET, SPECT, and MRI Findings (신경 베체트병 1례: 신경학적 증상과 뇌 PET, SPECT, MRI 소견의 비교)

  • Kim, Jin-Wook;An, Min;Kim, So-Yon;Kim, Young-Jung;Cho, Min-Koo;Lee, Gwon-Jun;Lim, Sang-Moo;Hong, Sung-Woon;Choi, Chang-Woon
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.6
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    • pp.534-541
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    • 1998
  • We describe a 27-year-old man who developed gait disturbance and dysarthria 2 years after the onset of cardinal symptoms of Behcet's disease. Positron emission tomography with $^{18}F$-fluorodeoxyglucose revealed severe hypometabolisrn in the cerebellum, in accordance with cerebellar symptoms and signs of the patient. However, single-photon emission tomography with $^{99m}Tc$-HMPAO and $^{99m}Tc$-ECD did not disclose significant perfusion abnormalities in the brain. Routine brain magnetic resonance imaging did not show signal abnormalities. The findings of imaging studies compared with neurological manifestations of the patient are discussed.

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Intrafamilial Spread of Diarrhea-associated Hemolytic Uremic Syndrome (가족 내에서 전파된 설사-연관형 용혈성 요독 증후군)

  • Han, Kyoung-Hee;Lee, Hyun-Kyung;Lee, Sung-Ha;Cho, Hee-Yeon;Cheong, Hae-Il;Choi, Yong;Bae, Hyun-Mi;Kim, Suhng-Gwon;Ha, Il-Soo
    • Childhood Kidney Diseases
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    • v.10 no.2
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    • pp.249-256
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    • 2006
  • Diarrhea-associated hemolytic uremic syndrome(D+ HUS) is induced by enterohemorrhagic Escherichia coli(EHEC) and is characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. The disease is usually transmitted by meat and water contaminated by excreta of domestic animals. We report a son and his mother with diarrhea-associated hemolytic uremic syndrome that spread within the family.

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