Adenomyosis-associated uterine rupture and pulmonary endometriosis mimicking advanced-stage uterine malignancy in an adolescent female: A case report.

Background: Uterine adenomyosis and pulmonary endometriosis are exceptionally rare in adolescents and can pose significant diagnostic challenges due to their nonspecific clinical presentation and imaging features, which may mimic malignancy. Here, we describe a case of adenomyosis-associated uterine rupture (secondary to hemorrhagic necrosis) and concurrent pulmonary endometriosis in a 16-year-old girl initially suspected of having advanced uterine cancer.

Case Summary: A 16-year-old girl presented with acute abdominal pain and oliguria.

Enhancing the accuracy of preoperative and intraoperative evaluation of malignant ovarian germ cell tumors with a focus on fertility preservation in young women.

Objective: To analyze and improve the accuracy of preoperative assessment and intraoperative frozen-section analysis (FSA) for malignant ovarian germ cell tumors (MOGCTs), especially in the context of fertility preservation.

Methods: A retrospective review of 48 women aged under 40 years, diagnosed with MOGCTs, and treated at Chonnam National University Hospital between July and December 2022 was conducted. The results of preoperative magnetic resonance imaging (MRI), measurement of serum tumor markers (α-fetoprotein [AFP], β-human chorionic gonadotropin, lactate dehydrogenase [LDH], cancer antigen [CA] 125, CA 19-9, CA 72-4, carcinoembryonic antigen), and intraoperative FSA were compared with the final pathology diagnosis.

Impact of snoring on the risk of stroke in patients with diabetes mellitus.

Background: The impact of snoring and diabetes on stroke risk is unclear. This study examined the association between snoring and stroke risk and how it varies with diabetes mellitus (DM) status.

Methods: This research was conducted as a prospective cohort study.

Interaction Effect of Shift Work and Insomnia on Stroke Risk: A 19-Year Prospective Cohort Study in Korea.

Objectives: Our study aimed to investigate the association between shift work and stroke and determine whether this association varies depending on the presence of insomnia.

Methods: Utilizing the KoGES prospective cohort data, our primary exposure variables were shift work and insomnia. The occurrence of stroke was the main outcome of interest.

Willingness to take responsibility: Self-sacrifice versus sacrificing others in takeover decisions during autonomous driving.

In Level-3 autonomous driving, drivers are required to take over in an emergency upon receiving a request from an autonomous vehicle (AV). However, before the deadline for the takeover request expires, drivers are not considered fully responsible for the accident, which may make them hesitant to assume control and take on full liability before the time runs out. Therefore, to prevent problems caused by late takeover, it is important to know which factors influence a driver's willingness to take over in an emergency.