9,917 results match your criteria: "Tri-Service General Hospital.[Affiliation]"

Effects of ECM protein-coated surfaces on the generation of retinal pigment epithelium cells differentiated from human pluripotent stem cells.

Regen Biomater

August 2024

State Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.

Retinal degeneration diseases, such as age-related macular degeneration (AMD) and retinitis pigmentosa (RP), initially manifest as dysfunction or death of the retinal pigment epithelium (RPE). Subretinal transplantation of human pluripotent stem cell (hPSC)-derived RPE cells has emerged as a potential therapy for retinal degeneration. However, RPE cells differentiated from hPSCs using current protocols are xeno-containing and are rarely applied in clinical trials.

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Background: Breast cancer is a leading global health concern, necessitating advancements in recurrence prediction and management. The development of an artificial intelligence (AI)-based clinical decision support system (AI-CDSS) using ChatGPT addresses this need with the aim of enhancing both prediction accuracy and user accessibility.

Objective: This study aims to develop and validate an advanced machine learning model for a web-based AI-CDSS application, leveraging the question-and-answer guidance capabilities of ChatGPT to enhance data preprocessing and model development, thereby improving the prediction of breast cancer recurrence.

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Harnessing AI for precision tonsillitis diagnosis: a revolutionary approach in endoscopic analysis.

Eur Arch Otorhinolaryngol

December 2024

Department of Otolaryngology-Head and Neck Surgery Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-Gong Road, Neihu District, Taipei, Taiwan 114, Republic of China.

Background: Diagnosing and treating tonsillitis pose no significant challenge for otolaryngologists; however, it can increase the infection risk for healthcare professionals amidst the coronavirus pandemic. In recent years, with the advancement of artificial intelligence (AI), its application in medical imaging has also thrived. This research is to identify the optimal convolutional neural network (CNN) algorithm for accurate diagnosis of tonsillitis and early precision treatment.

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Article Synopsis
  • Age-related hearing loss (ARHL) negatively affects quality of life and can worsen other neurological issues due to increased free radicals and mitochondrial damage.
  • The gene Cisd2 is crucial for keeping mitochondria healthy, and its deletion in mice worsened ARHL symptoms by causing mitochondrial dysfunction and cell death in the cochlea.
  • Low levels of Cisd2 were observed in human patients with severe ARHL, suggesting it could be a potential target for developing treatments to slow down the progression of the disease.
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  • Fetal microchimerism (FMC) occurs when fetal cells persist in the mother post-pregnancy; this study explored how these cells affect rheumatoid arthritis in experimental mice models.
  • The research involved analyzing fetal cells from EGFP+ fetuses in healthy and arthritis-affected mice, measuring the disease's progression, and identifying specific cell populations through techniques like flow cytometry.
  • Results suggested that FMCs may help protect against arthritis progression by promoting an increase in immunosuppressive CD14 IL-10 cell populations, potentially offering insights into their protective role during inflammatory conditions in pregnancy.
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LUBAC enables tumor-promoting LTβ receptor signaling by activating canonical NF-κB.

Cell Death Differ

October 2024

Centre for Cell Death, Cancer, and Inflammation (CCCI), UCL Cancer Institute, University College London, London, UK.

Lymphotoxin β receptor (LTβR), a member of the TNF receptor superfamily (TNFR-SF), is essential for development and maturation of lymphoid organs. In addition, LTβR activation promotes carcinogenesis by inducing a proinflammatory secretome. Yet, we currently lack a detailed understanding of LTβR signaling.

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Quality and correctness of AI-generated versus human-written abstracts in psychiatric research papers.

Psychiatry Res

November 2024

College of Medicine, China Medical University, Taichung, Taiwan; Mind-Body Interface Laboratory (MBI-Lab), China Medical University and Hospital, Taichung, 404, Taiwan; An-Nan Hospital, China Medical University, Tainan, 709, Taiwan. Electronic address:

Article Synopsis
  • - The study evaluated how well an AI chatbot (ChatPDF) could create abstracts from 30 academic psychiatric articles, comparing its output with that of human-written abstracts from 10 additional psychiatric papers.
  • - The results showed low similarity and plagiarism rates in the AI-generated abstracts, but the quality varied: structured abstracts performed similarly to originals, while unstructured ones scored lower, and overall, inaccuracies were found in 30% of the AI conclusions.
  • - Experts noted that while AI models like ChatPDF have potential for summarizing psychiatric information, caution is needed due to accuracy concerns in the final outputs.
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  • The study investigated substance use (tobacco, betel nut, and alcohol) and its relationship with hypertension among Taiwanese military personnel aged 18-39 over a period from 2014 to 2020.
  • Out of 2,419 participants, a significant number (37.7%) developed new-onset hypertension during the follow-up, with 35.8% being active smokers, 9.8% actively chewing betel nut, and 39.7% consuming alcohol.
  • Findings showed that active holiday alcohol consumers had a lower risk of developing hypertension compared to non-drinkers, suggesting that not all substance use has the same impact on blood pressure.
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A patient with out-of-hospital cardiac arrest saved from heart transplantation and amputation through a collaboration between modern and traditional Chinese medicine: A case report.

Explore (NY)

November 2024

Department of Chinese Medicine, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec.2, Chenggong Rd., Neihu District, Taipei City 114202, Taiwan; Chinese Medical Advancement Foundation, 2F., No. 128, Sec. 3, Dongxing Rd., West Dist., Taichung City 403019, Taiwan. Electronic address:

Introduction: Patients with end-stage heart failure have limited options for medical treatment, and this ultimately necessitates heart transplantation. Patients undergoing heart transplant surgery are burdened with substantial costs related to finances, procedural risks, and postoperative quality of life. This report presents a case of heart failure in a patient whose limbs and heart were preserved through a collaboration between modern and traditional Chinese medicine (TCM).

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: Genomic studies have identified several SNP loci associated with schizophrenia in East Asian populations. Environmental factors, particularly urbanization, play a significant role in schizophrenia development. This study aimed to identify schizophrenia susceptibility loci and characterize their biological functions and molecular pathways in Taiwanese urban Han individuals.

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Diabetic macular edema (DME) is the primary cause of visual impairment in individuals with diabetes. Anti-vascular endothelial growth factor (VEGF) is the current first-line treatment for DME owing to its effectiveness. However, frequent anti-VEGF injections may be inconvenient for patients.

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Osteoporosis as the Female-Specific Risk Factor for Dynapenia in Elderly Patients with Type 2 Diabetes.

J Clin Med

August 2024

Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, Taiwan.

Dynapenia is a noteworthy health issue contributing to increased risk of falling, but its co-occurrence with osteoporosis in elderly individuals with type 2 diabetes mellitus (T2DM) has not been well explored. Therefore, this study aimed to establish the association between osteoporosis and dynapenia, focusing on T2DM females due to their high prevalence of osteoporosis and fragility. We conducted a cross-sectional study to recruit a total of 103 T2DM patients (43 males and 60 females), aged between 50 and 80 years with median 68.

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Acute respiratory distress syndrome (ARDS) is a critical illness in critically unwell patients, characterized by refractory hypoxemia and shock. This study evaluates an early detection tool and investigates the relationship between hypoxia and circulatory shock in ARDS, to improve diagnostic precision and therapy customization. We used a porcine model, inducing ARDS with mechanical ventilation and intratracheal plus intravenous lipopolysaccharide (LPS) injection.

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This study examined the relationships between marketing exposure, in-game purchase, problem gaming, online simulated gambling game playing, and psychological distress. Data were obtained from a sample of 2,595 seventh-grade students from 30 middle schools in Taiwan. A self-administered questionnaire was conducted in 2020.

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Colorectal cancer (CRC) is a leading cause of cancer mortality worldwide, and cancer-associated fibroblasts (CAFs) play a major role in the tumor microenvironment (TME), which facilitates the progression of CRC. It is critical to understand how CAFs promote the progression of CRC for the development of novel therapeutic approaches. The purpose of this study was to understand how CAF-derived stromal-derived factor-1 (SDF-1) and its interactions with the corresponding C-X-C motif chemokine receptor 4 (CXCR4) promote CRC progression.

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Adipose-derived stem cells (ADSCs) comprise a promising therapy for osteoarthritis (OA). The therapeutic potential of ELIXCYTE, an allogeneic human ADSC (hADSC) product, was demonstrated in a phase I/II OA clinical trial. However, the exact mechanism underlying such effects is not clear.

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Article Synopsis
  • Psilocybin-assisted therapy has been shown to help reduce clinical depressive symptoms, but this study investigates how different types of psychological support influence its effectiveness.
  • The research analyzed 10 clinical trials involving 515 patients with depression and categorized psychological support into four types, revealing a significant overall positive effect of psilocybin therapy.
  • The findings indicate that while various psychological protocols were used, the type of support provided did not significantly impact the improvement of depressive symptoms in patients undergoing psilocybin therapy.
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Hub metastatic gene signature and risk score of breast cancer patients with small tumor sizes using WGCNA.

Breast Cancer

November 2024

Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Rd., Neihu Dist., Taipei City, 114202, Taiwan.

Background: Breast cancer (BC) is the most common cancer in women and accounts for approximately 15% of all cancer deaths among women globally. The underlying mechanism of BC patients with small tumor size and developing distant metastasis (DM) remains elusive in clinical practices.

Methods: We integrated the gene expression of BCs from ten RNAseq datasets from Gene Expression Omnibus (GEO) database to create a genetic prediction model for distant metastasis-free survival (DMFS) in BC patients with small tumor sizes (≤ 2 cm) using weighted gene co-expression network (WGCNA) analysis and LASSO cox regression.

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Three-dimensional mapping and superior approach for catheter ablation in patients without inferior vena cava access.

Pacing Clin Electrophysiol

November 2024

Heart Rhythm Center and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.

Catheter ablation for tachyarrhythmia via superior approach has been used in patients without possible inferior vena cava access such as in cases of venous occlusion or complex anomaly. Difficulty in catheter manipulation, instability, number of required vascular access, and radiation exposure of operator had been described in the procedure. Application of three-dimensional (3-D) mapping system in catheter ablation via superior approach could navigate the guiding catheter and provide more precise ablation.

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Background: The indocyanine green (ICG) fluorescence test has become a standard test in surgical procedures, facilitating the assessment of blood perfusion in real-time. While its utility in emergency surgeries for evaluating anastomotic blood supply is well-established, its application in trauma cases, especially those involving mesenteric hematoma, remains underexplored. Herein, we present a case to illustrate the efficacy of the ICG fluorescence test in such scenarios.

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Cytomegalovirus Ileitis in a Patient With Post-severe Trauma: A Case Report.

In Vivo

August 2024

Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.;

Background/aim: The mortality rate for alimentary tract hemorrhage remains high due to a variety of contributing factors. In this report, we present a case of post-severe trauma patient with life-threatening gastrointestinal bleeding caused by cytomegalovirus (CMV)-induced damage to the terminal ileum.

Case Report: A 76-year-old female with a history of hypertension and gastrointestinal bleeding developed CMV ileitis post-severe trauma.

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Background/aim: Spontaneous spinal epidural hematoma (SSEH) is a rare but serious condition, accounting for less than 1% of spinal lesions, with an incidence of 0.1 per 100,000 annually. Discovered by Jackson in 1869, around 40-50% of SSEH cases often lack a definitive cause, though risk factors, such as anticoagulant usage, vascular malformations, and hypertension are recognized.

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Article Synopsis
  • * A randomized controlled study assessed the effectiveness of a Taiwanese version of PEERS® on 21 autistic adolescents, comparing outcomes between a treatment group and a delayed treatment control group.
  • * Results showed significant reductions in bullying, victimization, and social challenges, as well as improvements in social skills for those in the treatment group, indicating that the PEERS® program is highly effective for enhancing social communication among autistic adolescents.
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