{"title":"The impact of radiation dose on chemoradiation outcomes and rectum preservation in locally advanced rectal cancer: A retrospective study.","authors":"Pei-Hsuan Lee, Sung-Hsin Kuo, Been-Ren Lin, Yu-Hsuan Chen","doi":"10.1016/j.jfma.2024.11.009","DOIUrl":"https://doi.org/10.1016/j.jfma.2024.11.009","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755332","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}
Chen-Yu Kuo, Chun-Hao Liu, Yu-Chen Huang, Sophie Hsin-Yi Liang, Hsiang-Yuan Lin, Hsing-Chang Ni
{"title":"Psychometric properties of the Taiwan version of Emotion Dysregulation Inventory in Autism Spectrum Disorder.","authors":"Chen-Yu Kuo, Chun-Hao Liu, Yu-Chen Huang, Sophie Hsin-Yi Liang, Hsiang-Yuan Lin, Hsing-Chang Ni","doi":"10.1016/j.jfma.2024.11.015","DOIUrl":"https://doi.org/10.1016/j.jfma.2024.11.015","url":null,"abstract":"<p><strong>Background: </strong>While the Emotion Dysregulation Inventory (EDI) for autistic people has been validated in many Western countries, its psychometric properties have remained unclear in East Asia.</p><p><strong>Methods: </strong>We translated the EDI into traditional Chinese and evaluated its psychometric properties among autistic children and youth in Taiwan. We enrolled 200 participants (182 male/18 female) aged 7-30 years from five clinical trials and conducted secondary analyses, assessing internal consistency reliability, confirmatory factor analysis, and convergent validity.</p><p><strong>Results: </strong>Our results showed that the Taiwan version of the EDI had strong internal consistency (Cronbach's alpha are 0.978 and 0.864 for each factor). Confirmatory factor analysis demonstrated acceptable fit of two-factors structure. The Taiwan version of EDI showed good convergent validity with established measurements including the Aberrant Behavior Checklist-Irritability subscale and Child Behavior Checklist-Dysregulation Profile.</p><p><strong>Conclusion: </strong>Our findings support the Taiwan version of EDI is a reliable and potentially valid instrument for assessing emotion dysregulation in autistic children and youth in Taiwan.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729208","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":"Checklist","authors":"","doi":"10.1016/S0929-6646(24)00536-9","DOIUrl":"10.1016/S0929-6646(24)00536-9","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":"123 12","pages":"Page e9"},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authorship statement","authors":"","doi":"10.1016/S0929-6646(24)00537-0","DOIUrl":"10.1016/S0929-6646(24)00537-0","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":"123 12","pages":"Pages e10-e11"},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fluid intake impact on heart failure: Systematic review and meta-analysis with trial sequential analysis.","authors":"Suh-Meei Hsu, Yueh-Hung Lin, Ying-Chun Lin, Shu-Jung Liu, Chih-Ju Liu, Chung-Lieh Hung, Tsae-Jyy Wang","doi":"10.1016/j.jfma.2024.11.017","DOIUrl":"https://doi.org/10.1016/j.jfma.2024.11.017","url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) management lacks clarity regarding fluid balance strategies, with some studies suggesting potential benefits of liberal fluid intake. This review aims to evaluate both unrestricted and restricted fluid intake, including sodium restriction, in adult HF.</p><p><strong>Methods: </strong>A thorough search of electronic databases, including PubMed, MEDLINE, and Cochrane Library, identified relevant studies examining fluid intake effects on adult heart failure patients, categorized by liberal or restricted intake, with subgroup analysis on sodium restriction. Pooled odds ratios (OR) and weighted mean differences (WMD) were calculated, employing trial sequential analysis (TSA) for reliability. Nine studies involving 961 patients were included, with follow-up durations ranging from 2 days to 6 months.</p><p><strong>Results: </strong>Daily fluid intake ranged from 0.8 to 1.5 L for the intervention group, and sodium intake varied from 2.0 to 5.0 g per day across five studies. No significant differences were observed in re-hospitalization rate, mortality rate, thirst, quality of life, doses of diuretics, or serum sodium levels between liberal and restricted intake groups. However, fluid-restricted patients exhibited increased serum creatinine levels, decreased serum B-type natriuretic peptide (BNP) levels and reduced body weight.</p><p><strong>Conclusions: </strong>In summary, the existing studies on this topic are hindered by heterogeneity and relatively small sample sizes. However, when the available data is combined, it suggests that HF patients managed with either liberal or restrictive fluid intake exhibit similar clinical outcomes. It's worth noting that fluid restriction in HF patients might lead to increased serum creatinine levels, decreased BNP and body weight.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739855","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 COVID-19 Omicron variant on lung transplantation patients with 1-year follow-up: A single tertiary medical center experience.","authors":"Ko-Wei Chang, Hsin-Yueh Fang, Shaw-Woei Leu, Wei-Hsun Chen, Kuo-Chin Kao, Han-Chung Hu","doi":"10.1016/j.jfma.2024.11.016","DOIUrl":"https://doi.org/10.1016/j.jfma.2024.11.016","url":null,"abstract":"<p><strong>Background: </strong>Lung transplantation patients with coronavirus disease 2019 (COVID-19) have high mortality. However, the impact of the Omicron variant in lung transplantation patients is unclear. This study focuses on lung transplant patients diagnosed with COVID-19 during the Omicron wave, and investigate the clinical presentations, outcomes and pulmonary function.</p><p><strong>Methods: </strong>In this single-center retrospective study, we enrolled lung transplantation patients diagnosed with COVID-19 from January 2022 to December 2022. Demographic, laboratory and pulmonary function data were recorded. Pre-COVID-19 pulmonary function data were obtained from the closest routine test, and post-COVID-19 tests were arranged after release from isolation.</p><p><strong>Results: </strong>Of the 22 enrolled patients, four were admitted to general wards for treatment and observation, and two needed oxygen support. All of the patients recovered from COVID-19. There were no significant decreases in forced vital capacity (FVC) (2.3 ± 0.6 vs. 2.2 ± 0.8 L, p = 0.363) and forced expiratory volume in the first second (FEV1) (2.0 ± 0.6 vs. 1.9 ± 0.8 L, p = 0.269) after COVID-19 infection. Daily prednisolone dose and serum tacrolimus levels were significantly correlated to the duration of positive COVID-19 test and change in FEV1. Patients who did not receive a booster dose of COVID-19 vaccination had a significantly longer positive test duration (9.1 ± 4.1 vs. 26.6 ± 24.4 days, p = 0.05), and greater decrease in FEV1 (23.6 ± 137.3 vs. -331.8 ± 537.8 L, p = 0.040).</p><p><strong>Conclusions: </strong>In this study, lung transplant patients infected with COVID-19 during the Omicron wave had low rate of severe disease and mortality. Immunosuppressive medications and COVID-19 vaccination were correlated with viral clearance and pulmonary function after COVID-19 infection.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739856","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":"Guide for Authors","authors":"","doi":"10.1016/S0929-6646(24)00535-7","DOIUrl":"10.1016/S0929-6646(24)00535-7","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":"123 12","pages":"Pages e1-e8"},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Copyright transfer statement","authors":"","doi":"10.1016/S0929-6646(24)00538-2","DOIUrl":"10.1016/S0929-6646(24)00538-2","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":"123 12","pages":"Page e12"},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Satisfaction with bladder management in community-dwelling patients with chronic spinal cord injury.","authors":"Tsu-Hsiu Huang, Sheng-Fu Chen, Hann-Chorng Kuo","doi":"10.1016/j.jfma.2024.11.012","DOIUrl":"https://doi.org/10.1016/j.jfma.2024.11.012","url":null,"abstract":"<p><strong>Background/purpose: </strong>This study aimed to assess the satisfaction of community-dwelling patients with chronic spinal cord injury (SCI) regarding bladder management and urological treatments.</p><p><strong>Methods: </strong>A survey was conducted among patients with chronic SCI undergoing community health examinations in Taiwan. A total of 1275 patients with chronic SCI were surveyed to collect data on their initial bladder management, urological treatments, changes in bladder management, and satisfaction with current bladder management. The advantages and disadvantages of their current bladder management were retrospectively recorded and analyzed.</p><p><strong>Results: </strong>The study population included 995 males (78.0%) and 280 females (22.0%) with SCI. The mean age was 32.9 ± 14.9 years (range, 1-89) and the mean duration of SCI was 19.5 ± 12.4 years (range, 1-74). Initial bladder management methods included suprapubic cystostomy, indwelling urethral catheter, or clean intermittent catheterization in 884 patients (69.3%). During follow-up, 414 patients (32.5%) maintained their initial bladder management, while 861 (67.5%) underwent urological treatment or changed their bladder management. Overall, 921 patients (72.2%) reported benefits from changing their initial bladder management or interventions. However, the satisfaction rate with current bladder management was only 40%. After urological treatments, 48.2% of patients were not satisfied but found it acceptable, and 10.7% wished to change their current bladder management.</p><p><strong>Conclusion: </strong>The bladder management of patients with chronic SCI changed over a 20-year disease duration following urological treatment or minimally invasive procedures. Despite the reported benefits of these interventions, patient satisfaction with the current bladder management remained low.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710550","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":"Thicker is better? Impact of food consistencies on aspiration detection using IDDSI levels.","authors":"Ming-Yen Hsiao, Wen-Hsuan Tseng, Kao-Ming Lee, Chien-Hui Cheng, Hui-Chuen Chen, Tyng-Guey Wang","doi":"10.1016/j.jfma.2024.11.005","DOIUrl":"https://doi.org/10.1016/j.jfma.2024.11.005","url":null,"abstract":"<p><strong>Background/purpose: </strong>Water is the most commonly, and often the only tested material in swallow screening. Our objective is to assess the impact of food consistencies on the reliability of trial swallows in predicting aspiration in dysphagic patients, utilizing the International Dysphagia Diet Standardisation Initiative (IDDSI) levels.</p><p><strong>Methods: </strong>All trial swallows were evaluated using 5 ml of standardized test food with IDDSI levels of 0, 2, 4, 5. The flexible endoscopic evaluation of swallowing was used as the basis for comparison. The sensitivity, specificity, and predictive values of commonly used direct clinical signs for the detection of aspiration were analyzed, including cough with swallow (choking) and post-swallow voice change (wet voice).</p><p><strong>Results: </strong>IDDSI 2 test food demonstrated the highest accuracy for detecting aspiration when using both clinical signs of cough (91%) and wet voice (83%). Despite reduced risk of aspiration, the percentage of silent aspiration among aspirators was significantly higher when tested with higher IDDSI levels of test food.</p><p><strong>Conclusion: </strong>The diagnostic accuracy of commonly-used clinical signs for the indication of aspiration is significantly affected by food consistency. Test foods with varying consistencies, particularly those at IDDSI level 2, should be considered during clinical swallow examinations, especially for screening purposes.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687426","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}