Journal of the Formosan Medical Association最新文献

{"title":"Differences in attitudes towards retinopathy of prematurity screening programs among neonatologists and ophthalmologists in Taiwan.","authors":"Tso-Ting Lai, Chu-Hsuan Huang, Hung-Chieh Chou, Chien-Yi Chen, Ting-An Yen, Hsin-Chung Huang, Po-Ting Yeh, Po-Nien Tsao","doi":"10.1016/j.jfma.2026.10.009","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.10.009","url":null,"abstract":"<p><strong>Background/purpose: </strong>In this study, we aimed to understand the discrepancies between neonatologists and ophthalmologists in Taiwan regarding their attitudes toward screening programs involving retinopathy of prematurity (ROP) and other available options.</p><p><strong>Methods: </strong>This was a prospective, multicenter, cross-sectional online survey coded with SurveyCake. Responses were collected in July and August 2023. The participants were neonatologists and ophthalmologists who actively participated in preterm infant care and ROP screening. We used a 4-point Likert scale to gauge the confidence levels of program sensitivity and specificity. Inter-specialty comparisons were conducted using chi-squared and Fisher's exact tests.</p><p><strong>Results: </strong>A total of 68 individuals completed the survey (37 neonatologists and 31 ophthalmologists). The most frequently reported criteria for screening were ≤32 weeks of gestational age and ≤1500 g birth weight. Additionally, 62 participants included a subjective criterion to screen infants deemed at high risk for ROP by neonatologists. Neonatologists were more concerned about the sensitivities in detecting treatment-requiring ROP of their current criteria (27% vs 3%, p = 0.007). In contrast, ophthalmologists were more concerned about the specificity of their current screening criteria (35% vs 65%, p = 0.005). More ophthalmologists (35% vs 71%, p = 0.003) were familiar with modern objective screening programs such as the WINROP and G-ROP models; however, few in both specialties had incorporated such models in their routine practice. Fifty-two participants sought local validation before implementing new programs.</p><p><strong>Conclusion: </strong>Differences between ophthalmologists' and neonatologists' attitudes toward ROP screening models exist. Developing a new screening program with objective criteria and locally validated could bridge these gaps.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complementing surgical outcomes with individualized perioperative nursing for complex uterine myoma minimally invasive myomectomy.","authors":"Mengjia Hu, Jianqing Xu, Renjie Chai","doi":"10.1016/j.jfma.2026.09.049","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.09.049","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to comment on \"Arsenic exposure and trend of incidence in urinary cancer from 1979 to 2019: A nationwide population-based study\".","authors":"Chi-Chun Hsieh, Liang-Ju Tsai, Hsiang-Ying Lee, Yung-Shun Juan, Hao-Han Chang, Yi-Sheng Tai","doi":"10.1016/j.jfma.2026.09.045","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.09.045","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to comment on \"Intermittent phototherapy in neonatal hyperbilirubinemia: A pilot randomized controlled trial in Taiwan\".","authors":"Hsiao-Chin Wang, Shih-Yen Chen","doi":"10.1016/j.jfma.2026.09.028","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.09.028","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to comment on \"Association between right ventricular linear dimensions and early tricuspid regurgitation recurrence after surgical repair for functional tricuspid regurgitation\".","authors":"Szu-Yen Hu, Hsi-Yu Yu","doi":"10.1016/j.jfma.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.10.001","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Perioperative patient blood management program led and managed by anesthesiologists via a clinical pathway-focused approach: A single-center quality improvement study\".","authors":"Fangfang Liu","doi":"10.1016/j.jfma.2026.09.047","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.09.047","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Metabolic score for insulin resistance is associated with myopia in adolescents: A cross-sectional study with a complementary independent cohort\".","authors":"Huizhen Jia","doi":"10.1016/j.jfma.2026.09.048","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.09.048","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-travel medical consultation patterns among older adults before, during, and after Taiwan's COVID-19 border quarantine period: A repeated cross-sectional study at a medical center.","authors":"Yi-Hsuan Lee, Chia-Wen Lu, Yi-Chen Lee, Tzu-Jung Chou, Shao-Yi Cheng, Kuo-Chin Huang","doi":"10.1016/j.jfma.2026.10.004","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.10.004","url":null,"abstract":"<p><strong>Background/purpose: </strong>Older adults encounter increased health risks during international travel due to higher burden of comorbidities. The COVID-19 pandemic further imposed additional challenges on pre-travel risk assessment and preventive care. This study aimed to characterize elderly travelers attending a travel medicine clinic and to examine age-related differences in travel patterns and pre-travel healthcare needs across the COVID-19 pandemic era.</p><p><strong>Methods: </strong>A retrospective observational study of individuals attending a travel medicine clinic in northern Taiwan was conducted between 2015 and 2024. A total of 50,661 travelers were included and categorized into two age groups: <60 years (n = 45,968) and ≥60 years (n = 4693). De-identified data on demographics, travel destinations, travel purposes, prescribed vaccines and prophylactic medications were obtained from administrative visit records and the National Taiwan University Hospital Integrated Medical Database(NTUH-iMD).</p><p><strong>Results: </strong>Travelers younger than 60 years accounted for most of the clinic attendees (86.0-95.4% annually). Elderly travelers most frequently visited Africa (20.3%) and Central and South America (17.5%), whereas younger travelers predominantly traveled to the United States of America (USA) (40.3%) and Southeast Asia (9.0%). Group package tours (42.3%) and visiting friends and relatives (20.0%) were common among elderly travelers, while education (49.6%) and business travel (19.8%) predominated in the younger group. Yellow fever immunization was most prevalent among elderly travelers (25.7%), whereas hepatitis A vaccination predominated in the younger cohort (15.0%).</p><p><strong>Conclusion: </strong>Substantial age-related differences were observed in travel destinations, purposes, and preventive interventions. These findings underscore the importance of age-specific pre-travel consultations.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of ALK rearrangement on survival in resected lung adenocarcinoma: A real-world analysis.","authors":"Yi-Hsiang Lai, Yan-Lin Li, Hsiu-Ping Chou, Kuan-Hsun Lin, Ying-Yi Chen, Hsu-Kai Huang, Kai-Hsiung Ko, Tsai-Wang Huang","doi":"10.1016/j.jfma.2026.10.005","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.10.005","url":null,"abstract":"<p><strong>Background: </strong>The prognostic significance of ALK rearrangement after curative-intent resection of non-small-cell lung cancer (NSCLC) remains uncertain. Although the ALINA trial established adjuvant alectinib for resected ALK-positive NSCLC, patients with contemporary stage IA-IB disease were not fully represented. We evaluated stage-stratified outcomes of ALK-rearranged lung adenocarcinoma within an EGFR-excluded framework.</p><p><strong>Methods: </strong>We retrospectively analyzed patients undergoing curative-intent resection from 2005 to 2020. ALK status was determined using a two-step immunohistochemistry algorithm (p80/D5F3), and EGFR-mutant tumors were excluded. Propensity score matching (1:2) was used to balance clinicopathologic characteristics. Overall survival (OS) and disease-free survival (DFS) were compared according to ALK status and pathologic stage.</p><p><strong>Results: </strong>Among 554 eligible patients, matching yielded 52 ALK-positive and 104 ALK-negative patients. In the matched cohort, OS and DFS did not differ significantly according to ALK status (p = 0.161 and p = 0.860, respectively). ALK rearrangement was not independently associated with OS (aHR, 0.584; 95% CI, 0.225-1.513) or DFS (aHR, 1.183; 95% CI, 0.562-2.489). In stage IA-IB disease, DFS was comparable (p = 0.602), while OS was numerically higher in the ALK-positive group but not statistically significant (p = 0.092). In stage II-III disease, neither OS nor DFS differed significantly by ALK status (p = 0.822 and p = 0.317, respectively).</p><p><strong>Conclusion: </strong>ALK rearrangement was not independently associated with postoperative OS or DFS. Patients with stage IA-IB disease demonstrated favorable long-term outcomes, whereas those with stage II-III disease remained at substantial risk of recurrence. These findings suggest that postoperative risk stratification should primarily consider pathologic stage rather than ALK status alone.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Probiotics may not adhere to gut and provide benefits in inflammatory bowel disease patients based on an AOM/DSS murine model\".","authors":"Lima Hazarika","doi":"10.1016/j.jfma.2026.09.042","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.09.042","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}