462 results match your criteria: "Veteran General Hospital[Affiliation]"

Stereotactic Radiosurgery for World Health Organization Grade 2 and 3 Oligodendroglioma: An International Multicenter Study.

Neurosurgery

September 2024

Department of Surgery, Division of Neurosurgery, Centre de recherche du Centre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada.

Background And Objectives: Oligodendrogliomas are primary brain tumors classified as isocitrate deshydrogenase-mutant and 1p19q codeleted in the 2021 World Health Organization Classification of central nervous system tumors. Surgical resection, radiotherapy, and chemotherapy are well-established management options for these tumors. Few studies have evaluated the efficacy of stereotactic radiosurgery (SRS) for oligodendroglioma.

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Background: This study evaluated the safety and efficacy of BioMime sirolimus-eluting stent (SES) system, with an ultra-low strut thickness (65 µm), in real-world all-comers population with coronary artery stenosis (CAD).

Methods: This was a post-marketing, multicenter, single-arm, observational clinical registry among patients undergoing intervention for CAD. Patients were clinically followed up at 1, 9, 12, and 24 months after the index percutaneous coronary intervention.

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Background/purpose: This multi-institutional study was aimed to analyze prognostic factors of completely resected early stage thymoma.

Methods: Patients with surgically treated early stage thymoma between 1988 and 2019 were enrolled. Statistical associations were evaluated using the χ test, Fisher's exact test, and Student's t-test.

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Article Synopsis
  • The study evaluated the performance of Large Language Models (LLMs), specifically ChatGPT-4, Gemini Advanced, and Copilot, in providing accurate answers to complex gynecologic cancer cases.* -
  • Results showed that Gemini Advanced outperformed the other models in accuracy (81.87%), consistency, and depth of responses, while ChatGPT-4 slightly complied better with established treatment guidelines.* -
  • The findings suggest that LLMs have the potential to aid clinical practice in gynecologic oncology, but additional refinement is necessary for handling more complex patient scenarios.*
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Background And Objectives: Trigeminal Neuralgia (TN) is a debilitating facial pain disorder, often necessitating surgical interventions when medication proves insufficient. Stereotactic Radiosurgery (SRS) is an established therapeutic option. Limited studies explored the feasibility of a third SRS procedure.

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A case report involving incessant multi-types of supraventricular tachycardia and acute decompensated heart failure required a rescuing electrophysiology study and ablation. Ventricular fibrillation occurred due to coronary spasm, complicating the deteriorating heart. However, aggressive therapies, including extracorporeal support and the timely elimination of the culprit accessory pathway, successfully resolved the patient's condition.

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Emergence of extensively-drug-resistant hypervirulent Acinetobacter baumannii isolated from patients with bacteraemia: bacterial phenotype and virulence analysis.

Int J Antimicrob Agents

December 2024

Institute of Microbiology and Immunology, College of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan; Health Innovation Centre, National Yang Ming Chiao Tung University, Taipei, Taiwan; Microbiota Research Centre, National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic address:

Article Synopsis
  • * It analyzed 1403 isolates from patients with bacteraemia, finding that XDR isolates showed higher virulence traits, including better iron acquisition and capsule production, but lower biofilm formation compared to non-MDR isolates.
  • * The research highlights the prevalence of specific sequence types among XDR isolates and identifies a subset as hypervirulent, emphasizing the need for ongoing monitoring of these dangerous strains due to their potential to cause high mortality rates.
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Background: Preterm infants with intraventricular hemorrhage (IVH) are at a risk of developing neurodevelopmental disabilities. Few studies have examined the effects of oxygen saturation (SpO) changes and intubation procedures on the risk of IVH.

Objectives: We examined the effects of intubation and the rates of three thresholds of hypoxemia on the occurrence of IVH in preterm infants during their first week in the neonatal intensive care unit (NICU).

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Article Synopsis
  • A study was conducted to compare the neurological and radiographic outcomes between patients treated with initial stereotactic radiosurgery (SRS) and those who underwent a second SRS for intracranial arteriovenous malformations (AVMs).
  • Data from 21 medical centers spanning from 1987 to 2022 included a matched comparison of 328 patients in each group, focusing on factors like AVM volume and location.
  • Results indicated similar rates of obliteration and radiation-induced changes between the two groups, suggesting that repeat SRS is as effective as the initial treatment and may not require dose reduction.
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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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Purpose: To report patient outcomes and local tumor control rates in a cohort of patients with biopsy-proven HER-2 positive breast cancer treated with stereotactic radiosurgery (SRS) for brain metastases (BM).

Methods: This international, retrospective, multicenter study, included 195 female patients with 1706 SRS-treated BM. Radiologic and clinical outcomes after SRS were determined and prognostic factors identified.

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Article Synopsis
  • - This study examines the differences and advantages in healthcare information provided by AI chatbots regarding adjuvant therapy for endometrial cancer across four regions: Indonesia, Nigeria, Taiwan, and the USA, and through three platforms: Bard, Bing, and ChatGPT-3.5.
  • - An analysis of chatbot responses revealed significant regional variations in quality, with Bing performing the best in Nigeria and Bard showing superior results compared to ChatGPT-3.5 across all areas assessed.
  • - The findings underscore the need for further research and development to ensure equitable access to reliable AI-generated medical information, as the quality of information varies widely depending on location and the platform used.
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Article Synopsis
  • Study Overview
  • : This research is a phase II randomized trial comparing the effectiveness and safety of pegylated liposomal doxorubicin (PLD) versus epirubicin as adjuvant chemotherapy for stage I-II HER2-negative breast cancer.
  • Methods and Results
  • : A total of 256 patients were divided into two groups, with results showing no significant difference in 5-year disease-free survival (DFS) and overall survival (OS) rates between PLD and epirubicin. However, the PLD group experienced less severe side effects and improved quality of life (QoL) during treatment.
  • Conclusion
  • : Both treatment regimens showed comparable efficacy and safety, but the
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Background: A higher risk of secondary brain tumor, carotid stenosis, and stroke has been reported after conventional sella irradiation for pituitary neuroendocrine tumors (PitNET). Stereotactic radiosurgery (SRS), which is a more focused approach, is now increasingly used instead. The aim was to assess the risk of secondary brain tumor, carotid stenosis/occlusion, and stroke after SRS.

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Pulmonary Vascular Permeability and Extravascular Lung Water Index in Patients with Liver Cirrhosis and Septic Shock.

J Clin Med

June 2024

Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, Taiwan.

: Patients with cirrhosis are susceptible to sepsis and septic shock. Cirrhotic patients also have increased capillary permeability and are prone to developing volume overload. Patients with septic shock may have an enhanced pulmonary vascular permeability index (PVPI) and extravascular lung water index (EVLWI), both of which are associated with an unfavorable prognosis.

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Background And Objectives: Gamma knife radiosurgery (GKRS) is a safe and effective treatment option for hypothalamic hamartomas (HH), but there is no consensus opinion on its timing, dosage, and follow-up. The aim of this study was to define the safety, efficacy, outcome, and complication profile of GKRS in this patient population.

Methods: This retrospective multicentric study involved 39 patients with the mean age of 16 ± 14.

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Rotenone (RTN) induces neurotoxicity and motor dysfunction in rats, mirroring the pathophysiological traits of Parkinson's disease (PD), including striatal oxidative stress, mitochondrial dysfunction, and changes in neural structure. This makes RTN a valuable model for PD research. Berberine (BBR), an isoquinoline alkaloid recognized for its antioxidative, anti-inflammatory, and neuroprotective properties, was evaluated for its ability to counteract RTN-induced impairments.

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Light Therapy in Chronic Migraine.

Curr Pain Headache Rep

July 2024

Department of Neurology, Kuang Tien General Hospital, Taichung, Taiwan.

Article Synopsis
  • This review evaluates the effectiveness of light therapy, especially green light therapy, as a non-drug treatment for chronic migraines, emphasizing the need for various treatment options.
  • Research indicates that green light therapy can significantly reduce migraine frequency, severity, and associated symptoms while improving sleep and reducing anxiety with minimal side effects.
  • Although promising results are observed, current studies have small sample sizes, suggesting the need for larger clinical trials and exploration of additional light therapy methods, like infrared and low-level laser therapy.*
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Purpose: To compare the diagnostic performance of standalone deep learning (DL) algorithms and human experts in lung cancer detection on chest computed tomography (CT) scans.

Materials And Methods: This study searched for studies on PubMed, Embase, and Web of Science from their inception until November 2023. We focused on adult lung cancer patients and compared the efficacy of DL algorithms and expert radiologists in disease diagnosis on CT scans.

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Ultrasound neuromodulation is a potential alternative therapy for suppressing epileptic discharges. Recently, several human clinical trials have reported promising results from repeated focused ultrasound (FUS) treatments for temporal lobe epilepsy. In this Viewpoint, we highlight the valuable guidance of preclinical validation methods for choosing the optimal FUS parameters, thus ensuring consistency with the outcomes of clinical trials and leading human trials to the safest and most effective approaches.

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Protective effect of breastfeeding on Kawasaki disease: A systemic review and meta-analysis.

Pediatr Neonatol

September 2024

Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Pediatric Allergy Immunology and Rheumatology, Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Department of Pediatrics, Kaohsiung Veteran General Hospital, Kaohsiung, Taiwan; Division of Pediatric Nephrology, Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Department of Medical Laboratory Science and Biotechnology, Fooyin University, Kaohsiung, Taiwan. Electronic address:

Background: Previous research has indicated a negative correlation between exclusive breastfeeding and the incidence of Kawasaki disease (KD). However, the validation of this discovery through meta-analytical studies has been lacking. Furthermore, uncertainties persist regarding whether breastfeeding reduces the risk of coronary artery lesions (CAL) or resistance to intravenous immunoglobulin (IVIG).

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Tuberculosis (TB) poses a significant health threat in Taiwan, necessitating efficient detection methods. Traditional screening for acid-fast positive bacilli in acid-fast stain is time-consuming and prone to human error due to staining artifacts. To address this, we present an automated TB detection platform leveraging deep learning and image processing.

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Study Objective: This study aimed to compare the analgesic effects of anesthesiologist-administrated erector spinae plane block (ESPB) and surgeon-administrated intercostal nerve block (ICNB) following video-assisted thoracoscopic surgery (VATS).

Design: Randomized, controlled, double-blinded study.

Setting: Operating room, postoperative recovery room and ward in two centers.

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Introduction: Our objective is to determine whether prolonged infusion (PI) of beta-lactam antibiotics yields superior outcomes compared to intermittent infusion (II) in patients with Gram-Negative Bacterial (GNB) infections.

Methods: We systematically searched papers from PubMed, the Cochrane Library, Embase, and Clinicaltrials.gov, targeting mortality as the primary outcome and looking at the clinical cure rate, hospital and intensive care unit (ICU) stay lengths, antibiotic treatment duration, and mechanical ventilation (MV) duration as secondary outcomes.

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