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Journal of the Chinese Medical Association: JCMA

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https://www.readbyqxmd.com/read/28606742/recurrence-rate-of-the-paine-retinaculotome-carpal-tunnel-release-in-diabetic-and-non-diabetic-patients-at-long-term-follow-up
#1
Pai-Han Wang, Hui-Kuang Huang, Jung-Pan Wang, Yu-An Liu, Yi-Chao Huang, Ming-Chau Chang
BACKGROUND: Carpal tunnel release (CTR) is considered effective in treating carpal tunnel syndrome (CTS), and diabetes is considered to complicate the outcome and recovery. However, the difference in recurrence rate between diabetic and non-diabetic patients after mini-open CTR in the long-term has not yet determined. METHODS: This study enrolled 1251 wrists (1091 patients), with 841 (67%) females and 480 (33%) males at a mean age of 58.5 years at operation. Patients were followed for a mean duration of 10...
June 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28601630/risk-factors-for-cut-out-failure-of-gamma3-nails-in-treating-unstable-intertrochanteric-fractures-an-analysis-of-176-patients
#2
Shang-Wen Tsai, Chien-Fu Jeff Lin, Yun-Hsuan Tzeng, Chun-Cheng Lin, Ching-Kuei Huang, Ming-Chau Chang, Chao-Ching Chiang
BACKGROUND: Cut-out failure is one of the most common complications in the Gamma3 nail fixation system. The purpose of this retrospective study was to determine pre-operative or intra-operative risk factors for cut-out failure of lag screws in unstable, intertrochanteric fractures fixed with short Gamma3 nails. METHODS: One hundred and seventy-six patients over 60 years of age, with unstable intertrochanteric fractures (AO/OTA 31-A2, 31-A3) treated with short Gamma3 nails were included in this study...
June 7, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28601629/nasogastric-tube-placement-with-video-guided-laryngoscope-a-manikin-simulator-study
#3
Xiao-Lun Lee, Li-Chun Yeh, Yau-Dung Jin, Chun-Chih Chen, Ming-Ho Lee, Ping-Wun Huang
BACKGROUND: This study aimed to investigate video-guided laryngoscopy for nasogastric tube placement. METHODS: This was an observational comparative study performed in a hospital. The participants included volunteers from the medical staff (physicians and nurses) experienced with nasogastric intubation, and non-medical staff (medical students, pharmacists and emergent medical technicians) with knowledge of nasogastric intubation but lacking procedural experience...
June 7, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28601628/vitamin-d-and-jaundiced-newborns
#4
LETTER
Kuan-Chin Wang, Wen-Ling Lee, Peng-Hui Wang
No abstract text is available yet for this article.
June 7, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28601627/effects-of-small-dose-dexmedetomidine-on-hyperdynamic-responses-to-electroconvulsive-therapy
#5
Xiang Li, Fang Tan, Chao-Jun Jian, Na Guo, Zhi-Yong Zhong, Zi-Qing Hei, Shao-Li Zhou
BACKGROUND: Acute hemodynamic responses to electroconvulsive therapy (ECT) may increase the risk of cardiovascular complications in vulnerable patients. The aim of the current study was to assess the effect of small-dose dexmedetomidine on hyperdynamic responses to ECT. METHODS: Seventy-eight patients were enrolled and randomly allocated to receive either 0.2 μg/kg dexmedetomidine (Dex group, n = 39) or saline (Control group, n = 39) prior to ECT. Heart rate (HR) and mean arterial pressure (MAP) were recorded immediately after the administration of dexmedetomidine (T1), and 0, 1, 3, 5 and 10 min after the electrical stimuli ended (T2, T3, T4, T5 and T6)...
June 7, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28601626/outcomes-of-23-gauge-transconjunctival-sutureless-vitrectomy-for-acute-postoperative-endophthalmitis
#6
Chia-Ming Hsu, Shih-Chou Chen, Tsung-Tien Wu, Shwu-Jiuan Sheu
BACKGROUND: To report our 3-year experience of 23-gauge transconjunctival sutureless vitrectomy (TSV) for acute postoperative endophthalmitis at a tertiary referral center in southern Taiwan. METHODS: This retrospective chart review study included 19 patients with acute postoperative endophthalmitis who underwent 23-gauge TSV from January 2011 to January 2015 at Kaohsiung Veterans General Hospital, Taiwan. Bacterial and fungal cultures from aqueous samples, vitreous samples, or both were performed...
June 7, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28601625/routine-echocardiography-in-patients-with-myotonic-dystrophy-type-1
#7
Teodora Paunic, Stojan Peric, Edita Cvitan, Srdjan Raspopovic, Marina Peric, Gorana Mandic Stojmenovic, Vidosava Rakocevic Stojanovic
BACKGROUND: Myotonic dystrophy type 1 (DM1) is an autosomal-dominant disease. One third of DM1 patients die suddenly, most of them due to the heart conduction abnormalities and arrhythmias. The aim of this study was to analyze echocardiographic findings in a large cohort of DM1 patients. METHODS: This retrospective study comprised 111 patients and 71 healthy controls (HCs) matched for gender and age. RESULTS: Mitral valve (MV) prolapse was observed in 23% of our DM1 patients vs...
June 7, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28583474/the-effects-of-maternal-smoking-exposure-during-pregnancy-on-postnatal-outcomes-a-cross-sectional-study
#8
Shih-Hui Huang, Ken-Pen Weng, Shih-Ming Huang, Huei-Han Liou, Chung-Cheng Wang, Shan-Fu Ou, Chu-Chuan Lin, Kuang-Jen Chien, Ching-Chiang Lin, Ming-Tsang Wu
BACKGROUND: The purpose of this article was to evaluate the effect of maternal smoking exposure during pregnancy on postnatal outcomes. METHODS: This prospective study enrolled 278 pregnant women in the third trimester, who were asked to complete a questionnaire which included inquires about the nature and extent of smoking exposure during their pregnancy. In addition to the questionnaire, each study subject provided urine sample for the measurement of cotinine...
June 2, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28583473/predictors-of-local-recurrence-of-glottic-cancer-in-patients-after-transoral-laser-microsurgery
#9
Chia-Fan Chang, Pen-Yuan Chu
BACKGROUND: Transoral laser microsurgery (TLM) is used to treat early and select cases of moderately advanced glottic cancer, with results equivalent to those of conventional conservative surgery and radiotherapy (RT). As surgeons and researchers become more experienced and familiar with TLM, they can focus on mechanisms to earlier detect local recurrence, to more effectively preserve laryngeal function. This study analyzed the predictors of local recurrence in glottic cancer patients who underwent TLM...
June 2, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28539240/placental-elasticity-on-patients-with-gestational-diabetes-single-institution-experience
#10
Tevfik Berk Bildacı, Halime Çevik, Güldeniz Aksan Desteli, Birnur Tavaslı, Serdinç Özdoğan
BACKGROUND: Gestational diabetes is defined as glucose intolerance which is first recognized in pregnancy. Oral glucose tolerance test (OGTT) is the cornerstone in diagnosing gestational diabetes. Placental elasticity evaluation is relatively new concept and is principally used for research purposes. We aimed to find any relation between placental elasticity evaluation and patients of gestational diabetes diagnosed by 75 g OGTT. METHODS: There were 91 patients took part in study, forming two groups as gestational diabetic patients (21 patients) and control group (70 patients)...
May 20, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28529024/voluntary-and-involuntary-smoking-during-pregnancy
#11
EDITORIAL
Yi-Chang, Chang-Chin Yeh, Peng-Hui Wang
No abstract text is available yet for this article.
May 18, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28529023/clinical-efficacy-of-transrectal-ultrasound-guided-prostate-biopsy-in-men-younger-than-50-years-old-with-an-elevated-prostate-specific-antigen-concentration-4-0%C3%A2-ng-ml
#12
Chin-Heng Lu, Tzu-Ping Lin, She Huei Shen, Yi-Hsiu Huang, Hsiao-Jen Chung, Junne-Yih Kuo, William J S Huang, Howard H H Wu, Yen-Hwa Chang, Alex T L Lin, Kuang-Kuo Chen
BACKGROUND: Prostate cancer (PCa) is not commonly found in men younger than 50 years of age. However, serum prostate-specific antigen (PSA) concentration has been examined more frequently at a younger age in Asia partially due to an increased awareness of prostate cancer. The purpose of our study was to investigate the efficacy and complication of PSA-triggered transrectal ultrasonography-guided prostate (TRUSP) biopsies. We retrospectively reviewed TRUSP biopsies in young men with elevated PSA concentration in Taipei Veterans General Hospital...
May 18, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28529022/effect-of-microgravity-on-the-mesenchymal-stem-cell-characteristics-of-limbal-fibroblasts
#13
Shu-I Pao, Ke-Hung Chien, Hsin-Ting Lin, Ming-Cheng Tai, Jiann-Torng Chen, Chang-Min Liang
BACKGROUND: Mesenchymal stem cells (MSCs) are important for regenerative medicine. Limbal fibroblasts (LFs), present in the corneal limbus, have been shown to possess MSC characteristics, and can differentiate into other cell types. The current study sought to investigate the effect of microgravity on the proliferation and differentiation of LFs, and identify culture conditions to obtain a high proportion of LFs possessing MSC characteristics. METHODS: A rotary cell culture system was used to generate microgravity...
May 18, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28501316/early-initiation-of-gnrh-antagonist-administration-in-a-flexible-protocol-is-it-better
#14
EDITORIAL
Li-Te Lin, Peng-Hui Wang, Kuan-Hao Tsui
No abstract text is available yet for this article.
May 10, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28501315/endovascular-stenting-for-end-stage-lung-cancer-patients-with-superior-vena-cava-syndrome-post-first-line-treatments-a-single-center-experience-and-literature-review
#15
Tzu-Ting Kuo, Po-Lin Chen, Chun-Che Shih, I-Ming Chen
BACKGROUND: Superior vena cava (SVC) syndrome is a major complication that occurs when a growing lung malignancy compresses the SVC extrinsically. Current treatment options include radiotherapy or chemotherapy to shrink the tumor or endovascular stenting of the SVC to restore flow. Herein, we report a case series treated in a single institution to demonstrate the safety, effectiveness, and outcomes of salvage and primary stenting for malignant SVC obstruction. METHODS: A total of 12 male patients with malignant superior vena cava obstruction caused by lung cancer underwent SVC stenting from October 2009 to May 2015...
May 10, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28499831/resolution-of-hypertropia-with-correction-of-consecutive-horizontal-deviation
#16
Rui Hao, Kanxing Zhao, Wei Zhang
BACKGROUND: To study the resolution of hypertropia in patients who undergo horizontal deviation surgery for consecutive esotropia or consecutive exotropia. METHODS: We retrospectively reviewed the records of 23 patients with consecutive esotropia or exotropia who had concomitant vertical tropia. All patients had had surgery for horizontal deviation that required further surgery to correct consecutive horizontal strabismus and had a minimum of six months of postoperative follow-up...
May 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28487142/risk-factors-for-recurrent-pneumonia-in-post-irradiated-patients-with-nasopharyngeal-carcinoma
#17
Jing-Jie Wang, Rong-San Jiang, Ting-Ting Yen, Kai-Li Liang
BACKGROUND: Nasopharyngeal carcinoma (NPC) is a common cancer in eastern Asia. Chemoradiotherapy is the main treatment modality for NPC. Dysphagia and aspiration is not uncommon in post-irradiated NPC patients. The purpose of this study was to investigate the risk factors for recurrent pneumonia and the prognosis. METHODS: A retrospective chart review was conducted from January 2004 to December 2014. NPC patients who had been hospitalized for pneumonia in the study hospital were enrolled...
May 6, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28479018/levosimendan-mitigates-coagulopathy-and-organ-dysfunction-in-rats-with-endotoxemia
#18
Hsieh-Chou Huang, Hsin-Jung Tsai, Chao-Chun Wang, Cheng-Ming Tsao, Shuk-Man Ka, Wen-Jinn Liaw, Chin-Chen Wu
BACKGROUND: In patients with severe sepsis, pro-inflammatory cytokines and subsequent activation of tissue factors trigger a cascade of events that lead to coagulation dysfunction and multiple organ failure. It has been shown that levosimendan has protective effects against tissue injury caused by endotoxin. The purpose of this study was to evaluate the effects of levosimendan on consumptive coagulopathy and organ dysfunction in an endotoxemic animal model induced by lipopolysaccharide (LPS)...
May 3, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28479017/reduced-nosocomial-infection-rate-in-a-neonatal-intensive-care-unit-during-a-4-year-surveillance-period
#19
Yong-Chuan Chen, Chen-Fu Lin, Yun-Jiau Fuh Rehn, Juei-Chao Chen, Po-Yen Chen, Chao-Huei Chen, Teh-Ming Wang, Fang-Liang Huang
BACKGROUND: Hospital-acquired infections are a leading cause of morbidity and mortality in neonatal intensive care units (NICU). The aim of the study was to investigate the change of nosocomial infection rate in a NICU during a 4-year surveillance period. METHODS: We investigated the changes in nosocomial infection rates, infection sites, and microorganism species in a NICU before and after the unit was moved to a new location, extending from November 2008 to October 2012...
May 3, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28476445/characteristic-patterns-of-normal-meridian-acupoint-temperature
#20
Han-Ning Wei, Li-Ping Jiang, Bin Xiong, Si Zhou, Lan Yu, Yan-Mei Huang, Dao-Guang Liu, Wei Ling, Xin-Nan Song, Xiao-Xi Zhang, Hai-Lu Zhao
BACKGROUND: Body temperature is an important indicator of health and illness. However, a single temperature measurement is not always reliable. Such measurements can be made using meridians, which are energy channels with acupoints being the nodes. To date, there is no published reference of meridian acupoint temperatures applicable to human health, and there is no clear digitalized indicator that could be utilized to evaluate human health by way of meridian acupoints up to now. METHODS: Our study recruited 100 healthy medical college students for the measurement of acupoint temperature...
May 2, 2017: Journal of the Chinese Medical Association: JCMA
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