Suboptimal Doses of Antimalarials Relative to Increasing Body Weight and the Risk of Recurrence in the Republic of Korea Armed Forces, 2012-2021.

Background: We aimed to analyze the epidemiology, clinical characteristics, and outcomes of malaria caused by among military members of the Republic of Korea (ROK).

Methods: We reviewed the medical records of patients diagnosed with malaria in 16 military hospitals in the ROK between 2012-2021, excluding other types of malaria, as well as imported cases and those treated in civilian hospitals.

Results: In total, 653 patients were treated for malaria.

Metamorphosis of Aged Women Into a Yokai () From the Viewpoint of Plastic Surgery and Gerontophobia.

The aim of this study is to analyze the transformation of aged women into yokai in Japanese literature, examining this metamorphosis from the perspectives of plastic surgery and gerontophobia. The Noh play "Adachigahara" explores the transformation of an outcast into a monstrous figure, highlighting how poverty, isolation, and aging can lead to a person's demonization, both metaphorically and literally. In "Rokujō no Miyasudokoro", Lady Rokujō's transformation into a vengeful spirit is tied to themes of aging, abandonment, and the societal devaluation of women as they grow older.

Why Cosmetic Surgery is Prevalent in Korea: A Perspective Grounded in Basic Values.

The aim of this review is to explore the reasons behind the prevalence of cosmetic surgery in Korea from the viewpoint of "basic values." In societies characterized by high levels of prejudice, the hierarchy of values from highest to lowest is as follows: (1) political, (2) economic, (3) religious, (4) social, (5) theoretical, and (6) aesthetic. Conversely, in societies with low levels of prejudice, the ranking of values from highest to lowest is: (1) aesthetic, (2) social, (3) religious, (4) theoretical, (5) economic, and (6) political.

Advancing laparoscopic skills training in Namibia: Implementation of the Global Laparoscopic Advancement Program (GLAP) of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).

Background: In low- and middle-income countries (LMICs), laparoscopic surgery is challenging to implement due to limited resources and lack of expert surgeons as teachers. The Global Laparoscopic Advancement Program (GLAP) was developed by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) to deliver sustainable and effective methods for teaching safe laparoscopic surgery. GLAP aims to train surgical leaders and trainees with the goal of eventual in-country replication of GLAP programming.

Spontaneous transvaginal evisceration of small intestine in a case of long-standing uterine and rectal prolapse.

Spontaneous transvaginal small bowel evisceration, without recent trauma or surgery, is extremely rare. Complications include bowel obstruction, perforation, gangrene, septicaemia and death, requiring urgent surgical intervention. We report a case of a woman in her late 60s, who presented with 70-75 cm of small intestine eviscerated through the vagina, alongside a long history of uterine and rectal prolapse.

Differential Exercise Requirements for Nonalcoholic Fatty Liver Disease Resolution Across Age Groups: A Longitudinal Study of Korean Military Officers.

Background: Nonalcoholic fatty liver disease (NAFLD) is a global health concern, and despite its high prevalence, lifestyle modifications such as exercise play a pivotal role in resolving this condition. This study aims to identify factors associated with NAFLD resolution, with a focus on the role of exercise, in different age groups.

Methods: Longitudinal data from Korean military officers, during the period 2019-2021, were obtained from the National Health Information Database.

Yearning for Youth and Vitality: A Plastic Surgeon's View of "The House of the Sleeping Beauties" by Yasunari Kawabata.

The aim of this study was to analyze "The House of the Sleeping Beauties" (れる) by Yasunari Kawabata from the perspectives of plastic surgery, and psychiatry/psychology. The central theme of the novel focuses on aging, desire, and the human connection to beauty and mortality. The protagonist, Eguchi, frequents a brothel where elderly men lie next to young women who are drugged and remain unconscious.

Reviving medical tourism in Pakistan - A narrative review.

Medical and health care traverse geographical boundaries in the form of "Medical Tourism" with patients travelling from low and middle-income countries to developed nations and vice versa as well. Affordable medical care is also attracting patients from developed nations to countries like India, Thailand, UAE and others with international accreditation playing a key role. This also yields economic benefits for the recipient countries.

Factors associated with unplanned intensive care unit readmission among trauma patients in Republic of Korea.

Background: In trauma patients, unplanned intensive care unit (ICU) readmission (UIR) is associated with poor clinical outcomes. In this study, we aimed to analyze associated factors for UIR in trauma patients.

Methods: This retrospective study was conducted on trauma patients admitted to the ICU at a trauma center from January 2016 to December 2022.

Facial Fractures at the Armed Forces Capital Hospital of Korea: A 10-Year Study From 2013 to 2022.

The aim of this study was to analyze facial bone fractures at the Armed Forces Capital Hospital of Korea (AFCH) from 2013 to 2022. This review included individuals who visited AFCH for treatment. The inclusion criteria for the study were fractures resulting from external trauma, specifically coded as S02.

Makeup, An Attempt to Reach Eternal Beauty; Plastic Surgeon's View.

In this paper, the authors aim to explore the reasons behind human makeup from both medical and literary perspectives. In a PubMed search for "makeup and cosmetics," 509 titles were identified. Of these, 64 abstracts were reviewed, and ultimately, 8 full texts were referenced.

Surgeon's Journey and Pilgrim's Progress.

I read "The Pilgrim's Progress," by John Bunyan, and this book echoes the journey I have taken from medical school to the present. Christian's journey symbolizes the spiritual path of a believer in the pursuit of salvation. This narrative serves as an allegory for the Christian life, highlighting themes such as faith, redemption, and perseverance through trials.

Learning Curve of Autologous Arteriovenous Fistula Formation for Junior Vascular Surgeons.

Purpose: Autologous arteriovenous fistulas (AVFs) are considered the gold standard for hemodialysis access, with outcomes largely dependent on the surgeon's experience. Nevertheless, few studies have been conducted on the learning curve of junior vascular surgeons in AVF creation. This study aims to address this by examining the development of surgical skills among junior vascular surgeons.

Cutaneous Manifestations in Patients on Hemodialysis and Assessment of the Changes in Quality of Life After 12 Weeks of Treatment by a Dermatologist.

Background: Cutaneous manifestations are frequently observed in end-stage kidney disease (ESKD) and affect the quality of life (QoL) of patients undergoing maintenance hemodialysis (HD). Even patients undergoing HD who frequently visit hospitals do not receive active dermatological care. The aims of this study were to assess the cutaneous manifestations of patients undergoing HD and investigate changes in their QoL before and after active treatment by dermatologists.

Electroconvulsive therapy (ECT) and Psychiatric rehospitalization rates: a retrospective study.

Background: Electroconvulsive therapy (ECT) induces a generalized seizure under anesthesia with an electrical current for treatment-resistant patients and may be underutilized. To our knowledge, no large-scale, American, nationwide hospital system retrospective study has examined how ECT affects psychiatric rehospitalization chances.

Methods: We analyzed initial inpatient encounters for adults aged > 18 years at HCA Healthcare Behavioral Health Units from 2016 to 2021 with diagnoses of major depressive disorder with/without psychosis, bipolar disorder with/without psychosis, schizoaffective disorder, and schizophrenia.

Depictions of Aging in a Self-Portrait by David Bailly (1584-1657).

I present a case involving a portrait of David Bailly, containing 2 images portraying changes over a period of ∼40 years, and I compare the facial features that illustrate the aging process. He was 67 years old when he painted "Self-Portraits With Vanitas Symbols" (1651). By juxtaposing past representations with present reality, the painting suggests that the young artist is contemplating his future aging.

Endoscopic transorbital approach for resection of mediobasal temporal lesions using an optic radiation-sparing strategy.

Objective: The endoscopic transorbital approach (ETOA) has emerged as a promising minimally invasive technique for resection of lesions in the mediobasal temporal region (MTR) due to its potential to preserve the integrity of the optic radiation (OR). This study evaluated the safety and efficacy of ETOA using an OR-sparing surgical strategy for mediobasal temporal lesions.

Methods: A retrospective review was conducted of the medical records of 15 patients (7 females and 8 males) who underwent ETOA for lesions in the MTR between November 2017 and November 2022.

The causes and numbers of hospital admissions and deaths during the Korean War.

Purpose: The aim of this study is to present the causes and numbers of hospital admissions and deaths at hospital of Korean soldiers including civilian worker during the Korean War.

Methods: The published in 1955 by the Republic of Korea Army Headquarters was reviewed.

Results: During the war, 397,519 patients were admitted to hospitals (wounded in action, 53.

Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study.

Purpose: Traumatic peripheral nerve injury (PNI), which occurs in up to 3% of trauma patients, is a devastating condition that often leads to permanent disability. However, knowledge of traumatic PNI is limited. We describe epidemiology and clinical characteristics of traumatic PNI in Korea and identify the predictors of traumatic complete PNI.

Experience of vascular injuries at a military hospital in Korea.

Purpose: Vascular injuries require immediate surgical treatment with standard vascular techniques. We aimed to identify pitfalls in vascular surgery for trauma team optimization and to suggest recommendations for trauma and vascular surgeons.

Methods: We reviewed 28 victims and analyzed the patterns of injuries, methods of repair, and outcomes.