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Penetrating sacral injury with a metallic pipe: a case report and literature review

  • Ha, Mahnjeong;Nam, Kyoung Hyup;Kim, Jae Hun;Han, In Ho
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.131-138
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    • 2022
  • Other than gunshot injuries, sacral penetrating injuries with a foreign body exiting to the other side are extremely rare. We encountered a case of sacral injury in which a long metallic pipe penetrated from the anus into the lower back of a patient. Since the pelvis contains various organs, management of a penetrating injury requires multidisciplinary treatment involving several medical specialties. Due to the infrequency of this type of injury, there are no definitive guidelines for effective management. We described our experience surgically treating a sacral penetrating injury and conducted a literature review. On this basis, we suggest a surgical strategy for treating this type of injury.

Management of multiple odontogenic keratocysts associated with nevoid basal cell carcinoma syndrome: a case report of 11-year follow-up

  • Hoon-Min, Kim;Se-Jeong, Lim;Yeong-Cheol, Cho;Iel-Yong, Sung;Jang-Ho, Son
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.6
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    • pp.386-389
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    • 2022
  • Multiple odontogenic keratocysts (OKC) are a distinguishing feature of nevoid basal cell carcinoma syndrome (NBCCS). Owing to the high recurrence rate of syndromes associated OKCs, complete surgical resection is generally recommended as a definitive treatment. Herein, we report the management of multiple OKCs with marsupialization followed by excision with peripheral ostectomy in an NBCCS patient. We then discuss lesion progression over 11 years of annual follow-ups.

Experience and successful treatment of craniocerebral gunshot injury at a regional trauma center in Korea: a case report and literature review

  • Mahnjeong, Ha;Seunghan, Yu;Jung Hwan, Lee;Byung Chul, Kim;Hyuk Jin, Choi
    • Journal of Trauma and Injury
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    • v.35 no.4
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    • pp.277-281
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    • 2022
  • Craniocerebral gunshot injuries is gradually increasing in the civilian population with a worse prognosis than closed head trauma. We experienced a case of craniocerebral gunshot injury which a bullet penetrating from the submandibular area into the clivus of a patient. The patient did not show any symptom. However, serial laboratory findings showed an increase in blood lead level. We removed foreign bodies without any problems using an endoscopic transnasal transclival approach. Due to the extremely low frequency, guidelines for definitive management of gunshot injuries have not been presented in Korea yet. We introduce our surgical experience of a craniocerebral gunshot injury with an unusual approach for removing intracranial foreign bodies.

A Case of Bilateral Bronchial Foreign Body

  • Sungchul, Ko;Jaeha, Lee;Sothearith, Loek;Ki Nam, Park
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.3
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    • pp.179-182
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    • 2022
  • Foreign body (FB) aspiration remains a serious health problem, particularly in children. The complications due to occlusion by FB or related to procedures for removal can lead to morbidity and mortality. Most of the FBs are located in the unilateral bronchus, however, the organic FB can be multiple or bilaterally located when children chewed the FB. Here, we present a case of successful retrieval of bilateral bronchial FBs. Preoperatively, FB in the left main bronchus was diagnosed, however, FB of the right upper bronchus was not definitive on X-ray and CT scan. During the rigid bronchoscopy, occult FB in the right upper bronchus was detected and successfully removed.

Eight cases of canine thelaziosis found in two localities in Korea

  • Seongjun Choe;Sunmin Kim;Tilak Chandra Nath;Jeong-Ho Kim
    • Parasites, Hosts and Diseases
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    • v.61 no.3
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    • pp.325-331
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    • 2023
  • Thelazia callipaeda, a parasitic nematode that causes thelaziosis in various mammals, including humans, is known to be endemic in Korea. However, life cycle-related information on the parasite, primarily from human infection and a few dog cases, is limited. This study reports additional cases of T. callipaeda infections in dogs from both rural and urban areas in Korea, indicating the potential for transmission to humans and other animals. We collected 61 worms from 8 infected dogs from Paju and Cheongju Cities and observed their morphological characteristics under a light microscope. The findings indicate that T. callipaeda infections in animals in Korea may be underestimated and are distributed close to human environments. Our results contribute to the growing knowledge of the reservoir hosts of T. callipaeda in Korea and highlight the importance of continued surveillance and research to prevent and control this emerging zoonotic disease.

Hyaluronic Acid and Platelet-Rich Plasma Injections in Foot and Ankle Disorders (족부족관절 질환에서 히알루론산과 혈소판 풍부 혈장 주사치료)

  • Gun-Woo Lee;Joonkyoo Kang
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.3
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    • pp.79-86
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    • 2023
  • Numerous nonoperative treatments have been used to reduce pain and improve the clinical outcomes of patients with foot and ankle disorders. Among these treatments, hyaluronic acid and platelet-rich plasma (PRP) injections have been used increasingly. This review analyzes the recent literature reporting the efficacy and indications for hyaluronic acid and PRP injections. Hyaluronic acid and PRP can be used safely as adjuncts. Hyaluronic acid injections have shown efficacy and have a promising role as an adjuvant treatment method. In addition, its indication has expanded to various foot and ankle diseases over osteoarthritis. On the other hand, the efficacy of PRP injection has not yet been clarified, and the lack of standardization of procedures for the preparation and administration of PRP makes it difficult to establish definitive treatment indications.

β-ureidopropionase Deficiency

  • Jun Hwa Lee
    • Journal of Interdisciplinary Genomics
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    • v.5 no.1
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    • pp.5-11
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    • 2023
  • β-ureidopropionase (β-UP) is an enzyme that catalyzes the final step in the pyrimidine degradation pathway, which converts β-ureidopropionate and β-ureidoisobutyrate into β-alanine and β-aminoisobutyrate, respectively. β-UP deficiency (UPB1D; OMIM # 613161) is an extremely rare autosomal recessive inborn error disease caused by a mutation in the UPB1 gene on chromosome 22q11. To date, approximately 40 cases of UPB1D have been reported worldwide, including one case in Korea. The clinical manifestations of patients with UPB1D are known to be diverse, with a very wide range of manifestations being previously reported; these manifestations include completely asymptomatic, urogenital and colorectal anomalies, or severe neurological involvement, including global developmental delay, microcephaly, early onset psychomotor retardation with dysmorphic features, epilepsy, optic atrophy, retinitis pigmentosa, severely delayed myelination, and cerebellar hypoplasia. Currently, diagnosis of UPB1D is challenging as neurological manifestations, MRI abnormalities, and biochemical analysis for pyrimidine metabolites in the urine, plasma, and cerebrospinal fluid also need to be confirmed by UPB1 gene mutations. Overall, treatment of patients with UPB1D is palliative as there is still no definitive curative treatment available.

Identification of the competency gaps of the employees: DMRC

  • Kumari, Neeraj
    • The Journal of Economics, Marketing and Management
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    • v.5 no.1
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    • pp.38-43
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    • 2017
  • Purpose - The paper aims to study competency mapping in the organization and how does HR department focuses to provide a definitive road map to understand, design and implement competency models in the organization. Research Design, Data and Methodology - Descriptive research design has been used in the study. The sample size of the study is 75 consisting of employees working at DMRC, barakhamba road. A structured questionnaire was designed to collect the primary data. SPSS has been used to analyze the responses of the questionnaires. Results- DMRC frequently employs some form of competency mapping to understand how to most effectively employ the competencies of strengths of workers. Conclusion - To conclude, it was found that the company has cost effective system to recruit and select people which is working satisfactorily.

Importance of Early Diagnosis and Screening, Lessons from Gastric Cancer and Colorectal Cancer

  • Seun Ja Park
    • Journal of Digestive Cancer Research
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    • v.2 no.1
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    • pp.5-7
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    • 2014
  • Screening and early diagnosis of cancer is important. Screening lead to detect disease earlier, and earlier treatment of disease cause to yield a better outcome than treatment at the onset of symptoms. Some studies suggest that gastric cancer screening may be associated with a reduced risk of mortality from gastric cancer, although there are no definitive data from large controlled trials. Regular colorectal cancer screening or testing is one of the most powerful weapons for preventing colorectal cancer, because some polyps, or growths can be found and removed before they have the chance to turn into cancer. Screening can also result in finding colorectal cancer early, when it is highly curable. In conclusion, to increase utilization of screening is important to decrease gastric and colorectal cancer morbidity and mortality.

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QUANTITATIVE ANALYSIS ON PROJECT PERFORMANCE ANALYSIS AND DELIVERY METHODS

  • Seta Ohanesian;Jin-Lee Kim;Tang-Hung Nguyen;Ok-Kyue Kim
    • International conference on construction engineering and project management
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    • 2013.01a
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    • pp.332-337
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    • 2013
  • Various project delivery methods have been utilized by owners over the years to maximize project performance. The design-build delivery method is being increasingly used due to the advantages it can offer to an engineering construction industry. Numerous studies have advocated the use of design/build over the traditional design/bid/build delivery approach. This study represents comprehensive analysis of 40 projects from the construction industry and shows that design/build method may not provide all the benefits to project performance. This study found timesaving was a definitive advantage of design/build project delivery, but the positive effects of cost changes was not convincing. Based on the results of the study, the project management expertise and experience of the contractor may have a greater impact on project performance outcomes than focusing on project delivery strategy only.

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