523 results match your criteria: "Shu Zen Junior College of Medicine and Management[Affiliation]"

Background: The benefit of cytoreduction with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) for epithelial ovarian cancer (EOC) remains uncertain. This study investigated the relationship between serum cytokines, particularly monocyte chemoattractant protein-1 (MCP-1), a key inflammatory mediator, and recurrence risk in EOC patients undergoing CRS/HIPEC.

Methods: From January 2018 to January 2023, serum cytokine levels were analyzed in 34 EOC patients (17 primary, 17 recurrent) before and after CRS/HIPEC using MILLIPLEX Magnetic Bead Panels.

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Objective: Drug resistance and subsequent adverse effects, such as cancer cachexia, limit the clinical use of cisplatin. Oligonol® (Olg), a low-molecular-weight polyphenol, exhibits NF-κB inhibitory properties. NF-κB activation has been implicated in cisplatin resistance of cancer cells and skeletal muscle wasting.

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Background: Acute kidney injury (AKI) is a critical morbidity after cytoreduction and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC).

Objective: This study was conducted to investigate the use of kidney-specific biomarkers to evaluate the diagnostic accuracy of post-HIPEC AKI.

Methods: Patients who received CRS/HIPEC were prospectively enrolled in this study.

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Article Synopsis
  • * It involved 50 participants, comparing 26 OA patients to 24 non-OA controls, assessing pain intensity using visual analogue scales (VAS) and cognitive function through the Cognitive Abilities Screening Instrument (CASI).
  • * Results revealed that OA patients generally performed worse on cognitive tests, with pain severity correlating negatively with cognitive scores, while certain brain biomarkers were found to be positively correlated with pain, indicating that chronic pain and higher Alzheimer’s biomarkers may influence cognitive decline in OA patients.
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Background/objectives: Primary dysmenorrhea (PD) is a common condition affecting up to 90% of menstruating women, which often results in significant pain without an underlying pathology. Zinc, recognized for its anti-inflammatory and antioxidant effects through inhibiting prostaglandin production and superoxide dismutase 1 (SOD1) upregulation, alleviates menstrual pain by preventing uterine spasms and enhancing microcirculation in the endometrium, suggesting its potential as an alternative treatment for primary dysmenorrhea. The goal of this systematic review and meta-analysis was to assess the efficacy and safety of zinc supplementation in reducing pain severity among women with PD and to explore the influence of dosage and treatment duration.

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Dysarthria, a motor speech disorder caused by neurological damage, significantly hampers speech intelligibility, creating communication barriers for affected individuals. Voice conversion (VC) systems have been developed to address this, yet accurately predicting phonemes in dysarthric speech remains a challenge due to its variability. This study proposes a novel approach that integrates Fuzzy Expectation Maximization (FEM) with diffusion models for enhanced phoneme prediction, aiming to improve the quality of dysarthric voice conversion.

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Introduction: General anaesthesia and regional anaesthesia are used for hip and knee arthroplasty but their impact on long-term outcomes remains unclear. This study aimed to compare one-year clinical outcomes and healthcare utilisation in patients receiving general or regional anaesthesia for hip or knee arthroplasty.

Methods: Using data from the TriNetX Global Collaborative Network, we conducted a retrospective analysis of 247,142 patients aged 40-90 y who underwent hip or knee arthroplasty between 2010 and 2023.

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Background/aim: Hepatocellular carcinoma (HCC) is a primary liver cancer with high mortality rates worldwide, necessitating effective therapeutic strategies. Imipramine demonstrates the potential to augment standard treatments of different cancers, highlighting its therapeutic promise in oncology. This study aimed to investigate the potential regulation of imipramine on HCC.

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Lower level of miR-34a leads to placenta accreta spectrum by promoting the proliferation, migration of trophoblast villous epithelial cells and enhanced the angiogenesis of vascular endothelial cells.

Placenta

January 2025

Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, 813414, Taiwan; Center of General Education, Shu-Zen Junior College of Medicine and Management, Kaohsiung, 821004, Taiwan. Electronic address:

Introduction: The overall prevalence of placenta accreta spectrum (PAS) is approximately 0.17 %, but it accounts for 7 % of maternal mortality and is associated with intraoperative and postoperative morbidity. The pathogenesis mechanisms of PAS include an imbalance between decidualization and trophoblast invasion.

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Purpose: Squamous cell carcinoma (SCC) accounts for 90% of head and neck cancer. The majority of cases can be diagnosed and even treated with endoscopic examination and surgery. Deep learning models have been adopted for various medical endoscopy exams.

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Background: Melanoma is an aggressive tumor with a high mortality rate. Metformin, a commonly prescribed diabetes medication, has shown promise in cancer prevention and treatment. Long noncoding RNAs (lncRNAs) are non-protein-coding RNA molecules that play a key role in tumor development by interacting with cellular chromatins.

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The aim of this study was to explore the relationship between regular exercise, depression, and fall among the community older people to find out the predictors of fall. This study applied cross-sectional and correlational study design. The study recruited 285 community older people by using the questionnaires which included social-demographic data, regular exercise, depression, and whether fall history questionnaires were used in this study.

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Branched-chain amino acids (BCAAs) are essential for muscle protein synthesis and are widely acknowledged for mitigating sarcopenia. Oligonol (Olg), a low-molecular-weight polyphenol from , has also been found to attenuate sarcopenia by improving mitochondrial quality and positive protein turnover. This study aims to investigate the effect of Olg on BCAA-stimulated protein synthesis in sarcopenia.

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Positive symptoms, negative symptoms, and emotional disturbances are core features of schizophrenia. Although horticultural therapy (HT) has shown promise as an adjunctive treatment, evidence supporting its effectiveness remains limited. This systematic review and meta-analysis aimed to assess the impact of HT on total symptoms, positive symptoms, negative symptoms, and emotional disturbances in individuals with schizophrenia.

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Melanin is a natural pigment in the human body that is primarily found in the skin and hair. It protects the skin from damage by ultraviolet radiation. Although this pigment plays a crucial role in protecting the human body, it represents a challenge for pathologists to evaluate highly pigmented tissue samples from melanoma or pigmented skin lesions.

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Objectives: Labyrinthitis significantly reduces quality of life due to prolonged vestibular symptoms in patients experiencing sudden sensorineural hearing loss with vertigo (SSNHLV). This study employed a novel coherence analysis in the video head impulse test (vHIT) to explore vertigo outcomes in SSNHLV patients.

Methods: A retrospective review was conducted on 48 SSNHLV patients who completed high-dose steroid treatment between December 2016 and April 2023.

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Article Synopsis
  • This study investigates the resistance profiles of integrase strand transfer inhibitors (INSTIs) in patients from southern Taiwan who experienced failure in antiretroviral therapy (ART), particularly focusing on those previously treated with highly active ART (HAART).
  • It analyzes data from patients who failed an INSTI-containing regimen between 2009 and 2022, with genotypic drug resistance tested against established guidelines, revealing insights into mutations associated with treatment failure.
  • Among 21 patients who failed INSTI therapy, 40% showed INSTI drug resistance, with specific mutations identified, highlighting the challenges in treating individuals with resistant strains in a treatment-experienced population.
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This retrospective study aimed to evaluate the visual outcomes and foveal restoration in eyes with rhegmatogenous retinal detachment (RRD) and macular hole (MH) following surgery using the inverted internal limiting membrane (ILM) flap technique. We collected data on eyes with coexisting RRD and MH that underwent surgery using the inverted ILM flap technique between January 2016 and December 2018. The primary outcome measures were visual acuity (VA) and optical coherence tomography findings.

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To report the preliminary result of empiric embolization for angiographycally-negative lower gastrointestinal bleeding (LGIB) by using the pharmaco-induced vasospasm technique with or without the adjunctive use of intra-arterial multi-detector computed tomography (MDCT). 23 LGIB patients with positive MDCT findings but negative angiographic results underwent empiric pharmaco-induced vasospasm therapy. The presumed bleeding artery was semi-selectively catheterized, and a segment of bowel was temporarily spasmed with bolus injection of epinephrine and immediately followed by 4-h' vasopressin infusion.

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Introduction: Patients with advanced-stage or intermediate-stage hepatocellular carcinoma (HCC) unsuitable for transarterial chemoembolization (TACE) had poor prognoses. Recent advancements in hepatic arterial infusion chemotherapy (HAIC) and immune checkpoint inhibitors (ICIs) have demonstrated higher tumor response rates, which improved overall survival (OS). HAIC achieves an OS rate of approximately 14.

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Article Synopsis
  • - This study aimed to explore how motivation, competence in diabetes management, and perceived autonomy support relate to the self-management of mental illness, particularly in patients with schizophrenia and diabetes.
  • - It involved 110 participants at a psychiatric hospital and assessed various factors including education level, employment status, and self-regulation in managing their illness.
  • - The results indicated that lower educational attainment, unemployment, and lower motivation and support were linked to poorer mental illness self-management, highlighting the need for integrated care and support from healthcare providers.
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Article Synopsis
  • - Lung and cardiovascular diseases are major causes of death, but early detection is difficult because symptoms are often subtle, with digital clubbing (enlarged fingertips) being an early warning sign.
  • - The study presents an automated system that uses deep-learning models (YOLOv8 for detection and U-Net for segmentation) and an ESP32-CAM to analyze finger images in real-time, categorizing the severity of digital clubbing based on a custom algorithm.
  • - The system showed impressive accuracy (98.34%) and fast image processing (0.15 seconds per image), making it a viable solution for early detection of diseases, applicable in both clinical settings and at home.
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Objective: This meta-analysis aimed to compare videolaryngoscope (VL)-assisted transesophageal echocardiography (TEE) probe insertion with conventional methods in terms of efficacy and safety.

Methods: Several major databases such as Medline and Embase were systematically searched to identified relevant studies from inception to June 2024. The primary outcome was complication rate, defined as the proportion of patients experiencing complications related to TEE probe insertion.

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  • A study explored how a clinical oral rehabilitation program affects salivary metabolite changes, salivary flow rate, antimicrobial peptide levels, and oral health-related quality of life (OHRQoL) in dementia patients.
  • The experimental group received oral care intervention alongside standard information, showing significant improvements in salivary flow and OHRQoL compared to the control group at 3 and 6 months.
  • Results indicated that reductions in certain salivary peptide levels and increases in salivary flow were linked to better OHRQoL, suggesting the oral care program's effectiveness in managing oral health for dementia patients.
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Background: Although cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) offer the potential for long-term survival in peritoneal carcinomatosis, outcomes following CRS/HIPEC vary significantly.

Aim: To identify the clinical factors associated with progression-free survival (PFS) after complete CRS/HIPEC in patients with colorectal/high-grade appendiceal, ovarian, and gastric cancers.

Methods: We retrospectively evaluated the risk of recurrence within 1 year after CRS/HIPEC and its impact on overall survival (OS) in patients recruited between 2015 and 2020.

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