Publications by authors named "Chih-Yin Chien"

Background: Current guidelines recommend that all infected cardiac implantable electronic devices (CIEDs) should be removed. However, financial or anatomical concerns can lead to management of infection with simple debridement, as opposed to complete removal. In this observational study, we report the outcomes of our modified procedure for this real-world dilemma.

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Article Synopsis
  • Reusing cardiac implantable electronic devices (CIEDs) can lower costs, but the risk of reinfection when using resterilized devices in patients with previous infections is unclear.
  • The study analyzed data from 27 patients with past CIED infections who underwent reimplantation with either new or resterilized devices, finding low relapse rates for both groups.
  • Findings suggest that safely reimplanting resterilized CIEDs in these patients is effective, especially with thorough debridement and complete lead removal, significantly reducing the risk of reinfection.
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Background: Hematoma and skin damage are not uncommon after cardiac implantable electronic device (CIED) placement. The use of conventional hemostatic gauze and tape seems to be suboptimal in controlling these complications. This study aimed to evaluate the impact of a novel compression dress with a special pad and elastic bands for postoperative care.

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Background: There is increasing demand for HIV self-tests, and nurses play an important role in counselling and assisting in the testing process. Traditional lecture-based nursing education has not typically focused on self-testing procedures, and there is little understanding of clients' experiences of self-testing.

Objectives: To understand the experiential learning (EL) of student nurses during the process of self-testing for HIV.

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Pupil diameter measurement is crucial for physical assessment and disease monitoring in a health and nursing care situation. A general penlights (GPLs) is frequently used and allow for an approximate and indirect measurement of the pupil diameter. Health caregivers or nurses generally have less confidence in the value of the pupil diameter measured using the GPL.

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It's important to improve the stability of intravenous (IV) lines and bottles during patient activity and nursing care. We developed an intravenous line and fluid bottle fixation design (ILFBFD) which includes a bottle retaining clip and line fixation kit. We randomly assigned 60 participants each to the experimental and control groups.

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