Journal of the Formosan Medical Association最新文献_第5页

Prevalence of suicide attempts and related factors among adolescents in Taiwan using a nationally representative survey. 台湾青少年自杀倾向及相关因素之调查。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-06 DOI: 10.1016/j.jfma.2025.04.030

Chia-Chi Li, Kelly Hsieh, Pi-Chen Chang, Hsiu-Ju Chang

{"title":"Prevalence of suicide attempts and related factors among adolescents in Taiwan using a nationally representative survey.","authors":"Chia-Chi Li, Kelly Hsieh, Pi-Chen Chang, Hsiu-Ju Chang","doi":"10.1016/j.jfma.2025.04.030","DOIUrl":"https://doi.org/10.1016/j.jfma.2025.04.030","url":null,"abstract":"Purpose: This study aimed to apply stress-diathesis model to investigate the prevalence of suicide attempts and associated factors in a nationally representative sample of adolescents.Methods: A cross-sectional design and secondary data analysis were conducted using the parent study \"Taiwan Youth Health Survey\" data. A total of 5511 junior high school students were included. The outcome variable was self-reported suicide attempts, and the independent variables included self-reported stress and diathesis factors.Results: The prevalence of suicide attempts among adolescents was 7.7 %, with rates of 6.1 % for boys and 9.4 % for girls. The multiple logistic regression revealed that girls, loneliness, suicide ideation and plans, smoking, drinking alcohol, consumption of carbonated soft drinks (CSDs), eating fast food, experiencing a severe injury, being bullied, and lacking close friends were associated with an increased risk for attempting suicide. For boys, anxiety, smoking, experiencing severe injuries were identified as significant risk factors. For girls, loneliness, drinking alcohol, consuming CSDs, eating fast food, being bullied, and less parental supervision were identified as significant risk factors. The derived prediction score for the total group, boys, and girls yielded areas under the cure of 0.85, 0.82, and 0.87, respectively. The regression model, which incorporated interaction terms, demonstrated that loneliness, consumption of CSDs, and less parental supervision are gender-specific risk factors.Conclusion: It is essential to consider gender differences in preventive measures. Appropriate interventions should be tailored to address both predispositions and stress unique to each gender, ensuring that gender-specific risk factors are managed more comprehensively.","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023252","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}

引用次数: 0

Comment on: Cutaneous T-cell lymphoma: Consensus on diagnosis and management in Taiwan. 评论：皮肤t细胞淋巴瘤：台湾对诊断和治疗的共识。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-06 DOI: 10.1016/j.jfma.2025.05.001

Yucheng Wang, Yifeng Wang

引用次数: 0

Classification of chronic rhinosinusitis in Taiwan: A comprehensive analysis based on European Position Paper on rhinosinusitis and nasal polyps (EPOS) 2020. 台湾慢性鼻窦炎的分类：基于欧洲鼻窦炎与鼻息肉立场文件（EPOS） 2020的综合分析。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-06 DOI: 10.1016/j.jfma.2025.05.003

Yi-Shyue Chen, Chi-Pin Hsu, Chang-Hung Huang, Edward C Kuan, Ting-Hua Yang, Chih-Feng Lin

{"title":"Classification of chronic rhinosinusitis in Taiwan: A comprehensive analysis based on European Position Paper on rhinosinusitis and nasal polyps (EPOS) 2020.","authors":"Yi-Shyue Chen, Chi-Pin Hsu, Chang-Hung Huang, Edward C Kuan, Ting-Hua Yang, Chih-Feng Lin","doi":"10.1016/j.jfma.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.jfma.2025.05.003","url":null,"abstract":"Background: Chronic rhinosinusitis (CRS) is characterized by heterogeneous clinical presentations and underlying pathophysiology. The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 introduced a new classification system categorizing CRS, moving away from with (CRSwNP) and without polyps (CRSsNP). This study applies the EPOS 2020 framework to categorize CRS patients in Taiwan, focusing on eosinophilic CRS (eCRS) and its clinical implications in this population.Methods: A retrospective cross-sectional study analyzed medical records of CRS patients who underwent endoscopic sinus surgery at a Taiwanese medical center from January 1 to December 31, 2023. Patients were classified per EPOS 2020 criteria using clinical history, nasal endoscopy, and CT scans. Demographic data, symptom severity (Sino-Nasal Outcome Test, SNOT-22), olfactory function (Taiwan Smell Identification Test, TWSIT), and inflammatory markers (blood eosinophil count, IgE) were assessed.Results: Of the cohort (n = 335), 69.8 % were classified as primary CRS, with eCRS accounting for 33.4 % of cases. Among CRSwNP patients, eCRS prevalence was 56.2 %, compared to 19.0 % in CRSsNP patients. eCRS patients exhibited significantly higher eosinophil counts, CT Lund-Mackay scores, and worse olfactory function compared to non-eCRS counterparts (p < 0.01).Conclusions: This study underscores the predominance of eCRS among CRS patients in Taiwan and its association with severe disease burden, particularly in CRSwNP. The findings support the utility of EPOS 2020 in characterizing CRS phenotypes and guiding personalized treatment strategies. This research contributes valuable insights into CRS epidemiology in Asia, advocating for further exploration into regional variations and therapeutic approaches.","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988639","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}

引用次数: 0

Effectiveness of comprehensive geriatric assessment in frail older inpatients. 老年住院体弱患者老年综合评估的有效性。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-06 DOI: 10.1016/j.jfma.2025.04.040

Hui-Ling Kuo, Yi-Chun Chou, Wan-Nin Chang, Ke-Vin Chang, Ding-Cheng Derrick Chan

{"title":"Effectiveness of comprehensive geriatric assessment in frail older inpatients.","authors":"Hui-Ling Kuo, Yi-Chun Chou, Wan-Nin Chang, Ke-Vin Chang, Ding-Cheng Derrick Chan","doi":"10.1016/j.jfma.2025.04.040","DOIUrl":"https://doi.org/10.1016/j.jfma.2025.04.040","url":null,"abstract":"Background: Evidence regarding the effects of comprehensive geriatric assessment (CGA) on frail older inpatients is inconclusive. Moreover, various prior studies lacked proper patient selection using frailty assessment tools. Our review aimed to assess whether objectively identifying frail patients in clinical settings using a frailty tool and intervening with CGA provides clinical benefits in frail older inpatients.Methods: A systematic review and meta-analysis were conducted by searching PubMed, Embase, and Web of Science (January 1998-October 2022). Keywords included frailty, hospitalization, and CGA. Eligible studies were randomized controlled trials involving patients aged ≥65 years, with frailty defined by specific tools. The primary outcome was mortality; secondary outcomes included activities of daily living, quality of life, pain, patient satisfaction, polypharmacy, antidepressant use, post-discharge disposition, rehospitalization, and cost-effectiveness.Results: Of 2587 articles, 18 met inclusion criteria (2724 participants). Meta-analysis of five studies showed no significant differences in overall mortality for frail inpatients receiving CGA. However, CGA reduced mortality during follow-ups of ≤6 months. CGA also improved health-related quality of life, patient satisfaction, and activities of daily living, while reducing polypharmacy and modifying antidepressant use.Conclusions: CGA did not significantly reduce overall mortality in frail older inpatients compared to usual care but lowered mortality rates at the 6-month follow-up. CGA also improved quality of life, daily functioning, and medication management, underscoring its value for managing frail older inpatients.","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998695","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}

引用次数: 0

Comment on "Efficacy and cost-effectiveness analysis of post-acute care for elderly patients with hip fractures". 评议“老年髋部骨折患者急性期后护理的疗效及成本-效果分析”。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-05 DOI: 10.1016/j.jfma.2025.04.038

Deng Ting, Gu Xiaomei

引用次数: 0

Comparison of outcomes between kidney transplant-naïve and post-transplant graft failure peritoneal dialysis patients. 肾脏transplant-naïve与移植后移植失败腹膜透析患者预后的比较。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-05 DOI: 10.1016/j.jfma.2025.04.039

Yung-An Chen, Tai-Shuan Lai, Hsiao-Mei Tsao, Yi-Ting Chen

{"title":"Comparison of outcomes between kidney transplant-naïve and post-transplant graft failure peritoneal dialysis patients.","authors":"Yung-An Chen, Tai-Shuan Lai, Hsiao-Mei Tsao, Yi-Ting Chen","doi":"10.1016/j.jfma.2025.04.039","DOIUrl":"https://doi.org/10.1016/j.jfma.2025.04.039","url":null,"abstract":"Background: This study was conducted to compare clinical outcomes between transplant-naïve peritoneal dialysis (PD) patients and those returning to PD after a failed allograft.Methods: In this retrospective cohort study during 2006 and 2016, we included a total of 786 patients on chronic PD. Of them 679 were transplant-naïve, 75 patients underwent a successful transplantation, and 32 patients returned to PD after a failed kidney allograft. Baseline demographics and clinical characteristics were analyzed in relation to the outcomes of all-cause mortality and peritonitis rate. We employed the Kaplan-Meier method and Cox proportional hazards model to evaluate survival, while Poisson regression was utilized to estimate rate ratios for peritonitis.Results: During a median follow-up of 6.37 years, 56.68 % death and 146.62 episodes of peritonitis/patient-year were observed. Compared with patients who received a kidney graft, transplant-naïve patients were older, more with diabetes and having higher mortality (58.6 ± 15.8, 40.5 % and 57.73 %, p < 0.0001). After accounting for age, gender, and comorbidities, the adjusted hazards ratios were 0.26 (95 % CI 0.13-0.53) in patients with a functioning graft and 1.12 (95 % CI 0.61-2.06) in patients returning to PD after graft failure, compared respectively with concurrent PD patients without kidney transplant. The adjusted rate ratio of peritonitis in patients resuming PD after graft failure was 0.55 (95 % CI: 0.22-1.14) compared to those without kidney transplant.Conclusions: Patients restarting PD after graft failure exhibited clinical outcomes comparable to transplant-naïve PD patients. These findings support the feasibility of reinitiating PD after kidney transplant fails.","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022610","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}

引用次数: 0

Comment on "Effects and trend of steroid dosage reduction during cardiac surgery: A three-year retrospective analysis at a tertiary medical center". 对“心脏手术中类固醇剂量减少的效果和趋势：三级医疗中心三年回顾性分析”的评论。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-05 DOI: 10.1016/j.jfma.2025.04.036

Gao Zhanyi, Hu Jianyong

引用次数: 0

Pathophysiology and blood pressure measurements of hypertension in the elderly. 老年人高血压的病理生理和血压测量。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-05 DOI: 10.1016/j.jfma.2025.03.027

Fan-Yu Chen, Chun-Wei Lee, Yu-Jen Chen, Yen-Hung Lin, Chih-Fan Yeh, Chih-Ching Lin, Hao-Min Cheng

{"title":"Pathophysiology and blood pressure measurements of hypertension in the elderly.","authors":"Fan-Yu Chen, Chun-Wei Lee, Yu-Jen Chen, Yen-Hung Lin, Chih-Fan Yeh, Chih-Ching Lin, Hao-Min Cheng","doi":"10.1016/j.jfma.2025.03.027","DOIUrl":"https://doi.org/10.1016/j.jfma.2025.03.027","url":null,"abstract":"Hypertension is a serious concern among the elderly, posing health risks and treatment challenges. In the first part of this review, we explore the pathophysiological mechanisms linking hypertension and aging, focusing on physiological changes such as arterial stiffening, in autonomic nervous system dysfunction, disruption of the renin-angiotensin-aldosterone system, aging-induced alterations in renal function, and the impact of salt-sensitive hypertension. The mnemonic \"King/A+++/Hermès\" aids in recalling the pathophysiology of aging-related hypertension. Accurate blood pressure measurements are important to determine the prognosis and treatment in the elderly; however, obtaining reliable measurement data in this population is not always easy, as changes in cardiovascular structure and hemodynamics with aging may lead to increased blood pressure variability. In the second part of this review, we evaluate the effectiveness of blood pressure monitoring in older adults, emphasizing the importance of precise measurements. We also assess the efficacy of home and ambulatory monitoring, discuss orthostatic hypotension and orthostatic hypertension, outline challenges in measuring blood pressure in individuals with atrial fibrillation, and explore the impact of aging on measurement errors. We conclude that understanding the interplay between hypertension and aging, coupled with precise blood pressure monitoring strategies tailored for older adults, is essential for effective management and to improve overall cardiovascular health in the elderly population.","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032837","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}

引用次数: 0

Comment on "Ablative margin assessment for recurrence prediction in patients with hepatocellular carcinoma receiving radiofrequency ablation". 对“肝细胞癌射频消融患者消融切缘评估预测复发”的评论。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-03 DOI: 10.1016/j.jfma.2025.04.037

Zhe Zhang, Chengfei Du

引用次数: 0

Commentary on: "Long-term outcomes of functional endoscopic sinus surgery with selective vidian neurectomy for chronic rhinosinusitis with nasal polyps combined with allergic rhinitis and asthma". 评论：“功能性内窥镜鼻窦手术联合选择性维甸神经切除术治疗慢性鼻窦炎合并鼻息肉合并变应性鼻炎和哮喘的远期疗效”。

IF 2.6 3区医学

Journal of the Formosan Medical Association Pub Date : 2025-05-03 DOI: 10.1016/j.jfma.2025.04.031

Rachana Mehta, Ranjana Sah

引用次数: 0