Comparison between the Trachway video intubating stylet and Macintosh laryngoscope in four simulated difficult tracheal intubations: A manikin study
Conclusion The learning time for tracheal intubation using the TVI stylet in difficult airway scenarios was short. Use of the TVI stylet was easier and required a shorter TTI for tracheal intubation in the tongue edema and combined scenarios. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - July 27, 2016 Category: Universities & Medical Training Source Type: research

Extracranial –intracranial bypass in the treatment of complex or giant internal carotid artery aneurysms
Conclusions Cerebral revascularization plays an important role in the treatment of complex ICA aneurysms that have a significant mass effect on the optic nerve or require occlusion of the parent ICA as a salvage procedure. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - July 20, 2016 Category: Universities & Medical Training Source Type: research

Guillain –Barré syndrome complicating dengue fever: Two case reports
Publication date: Available online 17 November 2015 Source:Tzu Chi Medical Journal Author(s): Yang Liang Boo, Mohd Azman M. Aris, Pek Woon Chin, Wan Aliaa Wan Sulaiman, Hamidon Basri, Fan Kee Hoo Guillain–Barré syndrome is a rare neurological manifestation associated with dengue infection. More common antecedent infections include Campylobacter jejuni and Cytomegalovirus infection. Here, we report two cases of Guillain–Barré syndrome complicating dengue infection. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - July 20, 2016 Category: Universities & Medical Training Source Type: research

Adolescent onset of vertically transmitted untreated AIDS: A report of  one case
Publication date: Available online 3 February 2016 Source:Tzu Chi Medical Journal Author(s): Hsi-Hsien Wei, Li-Ping Tsai, Ping-Sheng Wu A 12-year-old adolescent girl with intractable pneumonia and desaturation was sent to our hospital. An immunocompromised state was highly suspected because of an oral thrush persisting for a year and pneumonia of unusual severity. Laboratory tests confirmed she had human immunodeficiency virus (HIV) infection and full-blown AIDS. She lived with her adopted parents and reported no history of sexual abuse, drug abuse, or blood transfusion. We contacted the Center of Disease Control...
Source: Tzu Chi Medical Journal - July 20, 2016 Category: Universities & Medical Training Source Type: research

Practical points in the medical treatment of overactive bladder and  nocturia in the elderly
Publication date: March 2016 Source:Tzu Chi Medical Journal, Volume 28, Issue 1 Author(s): Jing-Liang Chen, Sheng-Fu Chen, Yuan-Hong Jiang, Hann-Chorng Kuo The prevalence of overactive bladder (OAB) increases with age. Degeneration of the central nervous system in the elderly has been proposed as one of the pathogenic factors of OAB. Antimuscarinic therapy is effective in the treatment of OAB; however, intolerable systemic adverse events and cognitive dysfunction during treatment with nonselective antimuscarinic agents is of growing concern in elderly patients. The newly developed beta-3 adrenoceptor agonist mi...
Source: Tzu Chi Medical Journal - July 20, 2016 Category: Universities & Medical Training Source Type: research

Prevalence of vancomycin resistant Staphylococcus aureus (VRSA) in methicillin resistant S.  aureus (MRSA) strains isolated from burn wound infections
Conclusion A significant fraction of VRSA was found among MRSA strains in this study, revealing the necessity for new and effective drugs against MRSA. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - July 20, 2016 Category: Universities & Medical Training Source Type: research

Minimal deviation adenocarcinoma of the uterine cervix: A case report
Publication date: June 2016 Source:Tzu Chi Medical Journal, Volume 28, Issue 2 Author(s): Dah-Ching Ding, Tang-Yuan Chu, Yung-Hsiang Hsu Minimal deviation adenocarcinoma (MDA) of the uterine cervix is a rare disease. The rate of misdiagnosis is relatively high and there is no standard treatment. A 58-year-old woman presented with an abnormal Pap smear revealing atypical glandular cells and vaginal mucoid discharge. Cervical biopsy revealed cervicitis and an endometrium with atypical glands and increasing mitoses. A frozen section of curetted endometrial tissue revealed adenocarcinoma. Surgical staging with laparo...
Source: Tzu Chi Medical Journal - July 8, 2016 Category: Universities & Medical Training Source Type: research

Validity and reliability of swallowing screening tools used by nurses for dysphagia: A systematic review
Publication date: June 2016 Source:Tzu Chi Medical Journal, Volume 28, Issue 2 Author(s): Jiin-Ling Jiang, Shu-Ying Fu, Wan-Hsiang Wang, Yu-Chin Ma Dysphagia following neurological impairment increases the risk of dehydration, malnutrition, aspiration pneumonia, and even death. Screening for dysphagia has been reported to change negative outcomes. This review evaluated the validity and reliability of measurement tools for screening dysphagia in patients with neurological disorders to identify a feasible tool that can be used by nurses. Electronic databases were searched for studies from 1992 to 2015 related to ...
Source: Tzu Chi Medical Journal - July 8, 2016 Category: Universities & Medical Training Source Type: research

Prenatal diagnosis of the maternal derivative chromosome der(15)t(Y;15)(q12;p13) in a dizygotic twin pregnancy
Publication date: Available online 2 July 2016 Source:Tzu Chi Medical Journal Author(s): Pei-Yi Chen, Jui-Hung Yen, Ching-Feng Cheng, Pao Chu Chen, Yi-Shian Li, Tzu-Ying Li, Chung-Nan Yeh, Jye-Siung Fang Sex chromosome translocations are unique and must be considered separately from translocations between autosomes. Here, we describe the first prenatal case of one twin fetus with an unbalanced translocation between chromosome Y and chromosome 15, presenting a 46,XY,der(15)t(Y;15) karyotype. The other twin had a normal 46,XY karyotype. Cytogenetic analysis of the parental chromosomes revealed that the fa...
Source: Tzu Chi Medical Journal - July 8, 2016 Category: Universities & Medical Training Source Type: research

Conceptualizing workplace based assessment in Singapore: Undergraduate Mini-Clinical Evaluation Exercise experiences of students and teachers
Conclusion The mini-CEX is an effective assessment tool, but is limited by barriers to administration and evaluation. Differing opinions and expectations between tutors and students could provide an interesting focal point for future studies. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - July 8, 2016 Category: Universities & Medical Training Source Type: research

Solitary adrenal tuberculosis
Publication date: Available online 3 June 2016 Source:Tzu Chi Medical Journal Author(s): Yen-Chang Chen, Yung-Hsiang Hsu (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - June 2, 2016 Category: Universities & Medical Training Source Type: research

Estrogen and G protein-coupled estrogen receptor agonist G-1 cause relaxation of human gallbladder
Conclusion These results demonstrate for the first time that 17β-estradiol and GPER agonist G-1 cause relaxation of the human gallbladder, probably through GPER. Estrogen might play an important role in the control of human gallbladder motility. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - May 31, 2016 Category: Universities & Medical Training Source Type: research

Emergence of carbapenemase-producing urinary isolates at a tertiary care hospital in Dhaka, Bangladesh
Conclusion The study shows a significant rate of urinary isolates were carbapenemase producers, including a high prevalence of blaNDM-1, in Bangladesh. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - May 27, 2016 Category: Universities & Medical Training Source Type: research

Wegener's granulomatosis that mimics nasopharyngeal cancer
Publication date: Available online 28 May 2016 Source:Tzu Chi Medical Journal Author(s): Chih-Wei Liu, Yung-Hsiang Hsu (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - May 27, 2016 Category: Universities & Medical Training Source Type: research

Inverse relationship of bone mineral density and serum level of N-terminal pro-B-type natriuretic peptide in peritoneal dialysis patients
Conclusion A high serum level of NT-pro-BNP and low body weight were associated with poor BMD in PD patients. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - May 27, 2016 Category: Universities & Medical Training Source Type: research