Purpose
We aimed to assess the clinical efficacy of transcatheter arterial embolization (TAE) for treating hemothorax caused by chest trauma.
Materials and Methods
Between 2015 and 2019, 68 patients (56 male; mean age, 58.2 years) were transferred to our interventional unit for selective TAE to treat thoracic bleeding. We retrospectively investigated their demographics, angiographic findings, embolization techniques, technical and clinical success rates, and complications.
Results
Bleeding occurred mostly from the intercostal arteries (50%) and the internal mammary arteries (29.5%). Except one patient, TAE achieved technical success, defined as the immediate cessation of bleeding, in all the other patients. Four patients successfully underwent repeated TAE for delayed bleeding or increasing hematoma after the initial TAE. The clinical success rate, defined as no need for thoracotomy for hemostasis after TAE, was 92.6%. Five patients underwent post-embolization thoracotomy for hemostasis. No patient developed major TAE-related complications, such as cerebral infarction or quadriplegia.
Conclusion
TAE is a safe, effective and minimally invasive method for controlling thoracic wall and intrathoracic systemic arterial hemorrhage after thoracic trauma. TAE may be considered for patients with hemothorax without other concomitant injuries which require emergency surgery, or those who undergoing emergency TAE for abdominal or pelvic hemostasis.
The purpose of this study was to examine the developmental trajectories of adolescent depression and delinquency, to explore the longitudinal relationship between depression and delinquency, and to investigate the effects of parental abuse, parent neglect, delinquent peer association, and teacher relationships on the longitudinal relationship between depression and delinquency. Methods: The participants of this study were 2,179 students from the second to sixth waves of longitudinal data from the Panel Study on Korean Children. The data were analyzed using latent growth modeling. Results: First, the trajectory of adolescent depression decreased slightly, whereas delinquency increased across time. Second, the initial level of depression indicated a significant negative effect on the slope of delinquency. Third, the intercept of depression was affected by parental abuse, parental neglect, and teacher relationships. Further, the slope of depression was only influenced by parental abuse. Fourth, the intercept of delinquency was affected by parental abuse, delinquent peer association, and teacher relationships. Further, the slope of delinquency was influenced by parental abuse, parental neglect, and delinquent peer association. Conclusion: These findings suggest the importance of interventions targeting parental abuse and neglect to prevent adolescent depression and delinquency.
Objectives: This study aimed to identify the role of teachers' emotion-related socialization behaviors in the development of an infant's emotional intelligence and the moderating role of their negative emotionality on it. Methods: Data were collected from 198 two-year-old infants (boys = 88, girls = 110) and their child care teachers. Descriptive statistics were computed, and Pearson's correlation and PROCESS macro (model 1) was used for data analysis.
Results:The study found that the relationship between teachers' emotion-related socialization behaviors and infants' emotional intelligence could be deteriorated by the infants' emotionality. More specifically, their low levels of emotionality showed a significant moderating effect on the relationship between the teachers' minimization or punitive reactions and the infants' emotional intelligence.
Conclusion:These results indicate that infants' negative emotionality and the teachers' response to it could hamper the development of infants' emotional intelligence, and provide a basis for relevant education and programs for preventive interventions.