No abstract available.
Twins, Conjoined*

PURPOSE: The purpose of this study was to evaluate food carving among hemodialysis patients and to identify factors affecting the food carving. METHODS: hemodialysis between March 15 and April 15, 2017. Measurement instruments included the general food craving questionnaire trait, the center for epidemiological studiesdepression scale, and stress response inventory-modified form. The statistical analysis included t-test, analysis of variance, pearson correlation analysis, and stepwise multiple regression analysis. RESULTS: Mean food craving score was 53.00±12.36. Food craving was higher in patients younger than 40 years (F=4.36 p=.006) and having occupation (t=2.18 p=.031). Patients receiving hemodialysis demonstrated higher levels of depression (21.37±9.62) and stress (39.68±15.95). Factors influencing food craving were depression (β=.52, p<.001), stress (β=.65, p<.001), and age 50~59 years old (β=−.28, p=.001) and 60~69 years old (β=−.19, p=.026), which accounted for 25.6% of total variance. CONCLUSION: Food craving among hemodialysis patients was influenced by patients' depression, stress and age. Assessment and management of depression and stress needs to be incorporated as a nursing strategy for dietary management for hemodialysis patients.
Craving ; Depression ; Humans ; Nursing ; Occupations ; Renal Dialysis ; Stress, Psychological

A common goal in reconstructing the umbilicus is to achieve an aesthetically pleasing result. This single-subject study demonstrates the outcome of managing an umbilical keloid scar using a single excisional line. A patient presented with a large, oval keloid scar at the center of his abdomen. The scar, measuring 4×3 cm in diameter, was deformed to the extent that it completely obscured the umbilicus. The patient frequently experienced intermittent inflammation at the site of the scar. We planned a triangular incision around the keloid. The umbilical keloid was excised and reconstructed using a flap anchored along the lower edge of the triangle. The triangular flap was elevated and the deep dermis of its cephalic portion was attached to the linea alba. The remainder of the flap was sutured at the center to create a conical shape. Eleven months post-procedure, the umbilicus maintained an aesthetically pleasing appearance with proper depth, superior hooding, and a concave shape without protrusion. An advantage of this straightforward surgical method is that it allows for simultaneous resection and reconstruction without the need for additional flap design. This method is expected to be a useful option for reconstructing umbilical keloids the size of a fully developed umbilicus.

No abstract available.
Thanatophoric Dysplasia*

Purpose: Elderly people are particularly susceptible to burn injuries due to physiological and anatomical aging processes. As the elderly population is expected to grow, the number of burn injuries among this group is also likely to increase. Researchers and health professionals must analyze the causes of geriatric burn injuries, establish targeted preventive policies, and provide education on strategies to minimize burns. Methods: To understand the epidemiological causes of burns in the elderly, we retrospectively reviewed the medical records of patients admitted to our burn center in Korea between January 2019 and December 2021. Of 1,082 patients admitted with burn injuries, 323 (29.9%) were aged 65 years or older and were included in further examination. Results: The elderly patients included more women (64.1%) than men (35.9%), and the causes of burns differed according to gender. Flame burns were more common among men than women, and only men experienced electrical burns. Most older people live alone (54%); accordingly, the most common place of injury for these patients was home (77%), followed by the workplace (14%), with the causes of burns differing between those locations. Sixteen patients (4.9%) started medical treatment at least 2 weeks post-injury, while 29 patients (8.9%) began burn treatment after 1 month. Scalding (55.4%) was the most common cause of burn injury. Most injuries were deep second-(35%) or third-(39%) degree burns, and the most common treatment method was surgery (64.7%). The most frequently affected areas were the legs (24%) and feet (23%). Conclusion Through this analysis of the clinical profile of burns in the elderly, we endeavored to help establish suitable preventive policies.

PURPOSE: Currently, the two most influential gastric stem cell marker candidates are CD44 and CD133. The aim of this study was to make a comparison and determine the appropriate marker for use in gastric cancer stem cell research. MATERIALS AND METHODS: We analyzed the expressions of CD44, CD133, and CD24 from the gastric cancer cell lines MKN45, MKN74, KATO-III, NCI-N87, SNU-1, SNU-216, SNU-601, SNU-638, and SNU-688 using flow cytometry. In addition, we measured the change in viability after applying 5 fluorouracil (5-FU) to the MKN45, MKN74, KATO-III, and NCI-N87 cell lines using a Cell Counting Kit 8. RESULTS: CD133 expression was above moderate in the KATO-III, SNU-216, SNU-601 cell lines, whereas it was below 1% in the remaining cell lines. CD44 was expressed at levels above 5% in all gastric cancer cell lines. The effect of 5-FU on viability and CD133 or CD44 expression in the cell lines were not related. CONCLUSIONS: Expression of CD133 positive cells was insufficient in the gastric cancer cell lines. Therefore, of the cell lines tested, CD44 was the most appropriate tumor maker for research on gastric cancer stem cells.
Cell Count ; Cell Line ; Flow Cytometry ; Fluorouracil ; Neoplastic Stem Cells ; Stem Cell Research ; Stem Cells ; Stomach Neoplasms

A debridement method that causes minimal damage to normal tissue during the removal of necrotic tissue is important for chronic wound healing. A new instrument based on low-frequency ultrasound, the Misonix SonicOne O.R. System ® (Bioventus, Farmingdale, NY, USA), creates 22.5 kHz ultrasound waves that cause cavitation or oscillating micro-gas bubbles to debride unhealthy tissue. The device was used for debridement on nine patients with chronic wounds of varying etiology: two patients with decubitus ulcers, one patient with a crush injury, and seven patients with burns. The eschar and unhealthy granulation tissue were removed effectively with no damage to normal skin and soft tissue. No bleeding complications occurred and postoperative analgesics were not required. Compared to surgical debridement, the low-frequency ultrasound device was effective, easy and safe to use, and caused less pain and bleeding. It can be recommended as a treatment method for chronic wounds, comparable to surgical wound debridement.

Facial paralysis was first described in a hypertensive patient by Moxon in 1869. Subsequently, there have been reports and facial palsy is mentioned as a rare feature of hypertension. Recently, we experienced a case of recurrent facial paralysis in a severe hypertensive child. A 13-month-old boy was admitted because of right peripheral facial paralysis. Two months ago, transarterial embolization of his left renal aneurysm with coils was performed due to left renal dysplasia and renal artery aneurysm. On admission, his blood pressure was 200/110 mmHg. He was treated conservatively with antihypertensive agents and his facial paralysis completely resolved during the next two months. One year later, he experienced facial paralysis again. He was admitted and treated with antihypertensive agents. And his paralysis resolved in the next two months. After his left nephrectomy, performed three years later, there was no additional episode of facial paralysis during the next seven years. We report this case with a brief review of literatures.
Aneurysm* ; Antihypertensive Agents ; Blood Pressure ; Child ; Facial Paralysis* ; Humans ; Hypertension* ; Infant ; Kidney* ; Male ; Nephrectomy ; Paralysis ; Renal Artery*

BACKGROUND: Aging brings organic change and functional decline in men. An example of those functional declines is the functional change of autonomic nervous system, which is usually experienced as having postural hypotension as a typical symptom, and many other related symptoms as well. Thus, in order to study the autonamic dysfunctian caused by aging, we surveyed the occurring frequency of postural hypotension and its related symptoms, and investigated the relationship between such symptoms and the influence of external factors, in order care and treat the aged patients. METHODS: 396 people over the age of 65 years who visited the geriatric clinic located in Kwangju Park, during the period from April 1996 to August 1996, were investigated their characteristics, the related symptoms and external factors through interview, and examination to determine the presence of postural hypotension, checking the blood pressure and pulse rate in a recombent position after resting, one minute later when seated and then one minute later when standing. After in put of the data with SPSS/PC+, the statistical analysis was carried out using the Chi square and t-test. RESULTS: The 369 subjects consisted of 267 males and 129 females. The 93(23.5%) subjects showed postural hypotension, which appeared to have significant relationship with growing age but no significant relationship with the external factors such as sex, drinking, smoking, disease, medications, etc. However, under the pathological factors like disease and medication, the occurrence of postural hypotension were found to be somewhat high. The most frequent symptoms in order of seguence were postural symptoms (60.6%), impotence(58.8%), incantinence(21.0%), constipation(17.7%), diplopia(17.2%), decreased sweating(12.9%) and swallowing difficulty(7.3%), and all of these symptoms showed the significant relation with growing age. Postural symptoms were significantly related to postural hypotension, but other symptoms were not. And, postural symptoms had significant relationship with cerebrovascular disease. Also, postural symptoms showed the significant relationship with impotence, incontinence, constipation, diplopia and swallowing difficulty, but other symptoms were found to have no such relationship with each other and with the external factors. CONCLUSIONS: The aged people generally report symptoms caused by autonomic dysfunction. Especially postural symptoms are the most commonly experienced symptoms and, for the most part, accompanied by other symptoms, thus, the evaluation of autonomic dysfunction, especially on postural hypotension is important. And, since risk factors such as disease and medication influences the occurrence of postural hypotension, it should be appropriately considered when diagnosing and treating aged people. We think that continuous research on other risk factors and study to establish the proper guidelines to assess the autonomic dysfunction should be conducted in the future.
Aged* ; Aging ; Autonomic Nervous System ; Blood Pressure ; Constipation ; Deglutition ; Diplopia ; Drinking ; Erectile Dysfunction ; Female ; Gwangju ; Heart Rate ; Humans ; Hypotension, Orthostatic* ; Male ; Risk Factors ; Smoke ; Smoking

XX male has a male phenotype with testes or gonads of testicular type and a female chromosomal constitution of 46, XX with no evidence of either ovarian tissue or female genital organs. Generally, they have normal male genitalia and all are infertile. We experienced a neonate with anophthalmia, hypospadia, small penis, and normal testes, whose chromosomal analysis demonstrated 46, XX. Polymerase chain reaction revealed the existence of a sex-determining region of Y (SRY). These findings suggest that the translation of an SRY on the X chromosome led to the development of a male phenotype. We report the case with a review of the related literature.
46, XX Testicular Disorders of Sex Development* ; Anophthalmos ; Constitution and Bylaws ; Female ; Genitalia, Female ; Genitalia, Male ; Gonads ; Humans ; Hypospadias ; Infant, Newborn ; Male ; Penis ; Phenotype ; Polymerase Chain Reaction ; Testis ; X Chromosome