Maintenance of the blood supply to lymph nodes is necessary for survival and function. We report outcome vascularized node transfer with hilar perforators compared conventional technique.A total 21 patients affected by early stage II upper limb lymphedema were included in this study. Of them, 11 received a free groin flap containing nodes, 10 inguinal perforators. Mean follow-up was 46 40 months, respectively. Complications, secondary procedures, circumference limb, subjective symptomatology...

Abstract Background We investigated the analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy and to determine whether it reduces adverse effects general anesthesia. Methods prospectively recruited 162 who underwent elective thyroid operations from March 2006 October 2007. They were randomly assigned receive a (12 ml per side) with isotonic saline (group A; n = 56), bupivacaine 0.5% B; 52), or levobupivacaine C; 54) after induction The was...

Background Lymph node flap transfer popularity for treatment of extremity lymphedema is increasing quickly. Multiple donor sites were described in search the optimal one. We describe technique and outcomes a laparoscopically harvested right gastroepiploic lymph lymphedema. Methods From January 2012 to 2013, 10 consecutive female patients, average age 54.8 years, with International Society Lymphology stage II–III refractory conservative management included. Five patients had upper limb breast...

This study aimed to assess long-term survival after liver resection for huge hepatocellular carcinoma (HCC).Patients with stage I-III HCC who underwent hepatectomy from 2002 2010 were identified retrospectively prospective national databases and followed until December 2012. Patients assigned into four groups according tumour size: less than 3·0 cm (small), 3·0-4·9 (medium), 5·0-10·0 (large) over 10·0 (huge). The primary endpoint was overall survival. Kaplan-Meier method Cox proportional...

Objective. Taiwan has instituted a pay‐for‐performance (P4P) program for diabetes mellitus (DM) patients that rewards doctors based in part on outcomes their DM patients. Doctors are permitted to choose which of included the P4P program. We test whether seriously ill disproportionately excluded from Data Source/Study Setting. This study utilizes data National Health Insurance (NHI) database period January 2007 December 2007. Our sample includes 146,481 DM‐P4P (16.56 percent total) and...

Breast cancer is the most common female malignancy worldwide. The aim of this study was to investigate influence surgical procedures and quality-of-care (QoC) on quality-of-life (QoL) among breast survivors who underwent breast-conserving therapy (BCT) or mastectomy, identify provider- patient-related factors pertaining QoL.In cross-sectional study, structured-questionnaires were distributed in 19 hospitals. QoL evaluated using European Organization for Research Treatment Cancer core...

Studies on the relationship between vegetarian diet and breast cancer in Asian populations are limited. This study aimed to investigate diet, dietary patterns, Taiwanese women.This case-control compared patterns of 233 patients 236 age-matched controls. A questionnaire about diets 28 frequently-consumed food items was administered these 469 surgical department Taipei Tzu Chi Hospital. Serum biochemical status also examined.There were no significant differences two groups for age, education,...

In the post-pandemic era, education has significantly transformed, moving from traditional face-to-face teaching to blended learning, which combines online and offline methods. Online emerged as a flexible accessible alternative, especially during extraordinary circumstances such pandemics. This shift increased demand for student-centered learning methodologies address limitations of

Insulin resistance (IR) is the core for type 2 diabetes and metabolic syndrome. The homeostasis assessment model a straightforward practical tool quantifying insulin (HOMA-IR). Multiple adaptive regression spline (MARS) machine learning method used in many research fields but has yet to be applied estimating HOMA-IR. This study uses MARS build an equation estimate HOMA-IR pre-menopausal Chinese women based on sample of 4,071 healthy aged 20-50 with no major diseases medication use blood...

The aim of this study was to systematically and simultaneously examine the association intrinsic extrinsic motivating factors with physician burnout job dissatisfaction.A nationally representative survey fielded from September November 2017.Hospitals clinics throughout Taiwan.A total 6674 physicians.The main exposure measures were motivators (sense calling, personally rewarding hours per day meaningful, long-term relationships patients) (income, work hours, autonomy, pay-for-performance...

AIM:To determine risk factors for early neurologic complications (NCs) after liver transplantation from perspective of recipient, donor, and surgeon. METHODS:In all, 295 adult recipients were enrolled consecutively between August 2001 February 2014 a single medical center in Taiwan.Any NC the first 30 d post-liver transplantation, perioperative variables multiple perspectives collected analyzed.The main outcome was 30-d NC.Generalized additive models used to detect non-linear effect...

To define different prognostic groups of surgical colorectal adenocarcinoma patients derived from recursive partitioning analysis (RPA).

To evaluate the impact of nationwide pay-for-performance (P4P) program for breast cancer care (BC-P4P) in Taiwan on quality, patient survival, and recurrence.A population-based observational study with cross-sectional design.Retrospective analysis registration claims data was used this study. A total 4,528 patients stage I or II diagnosed 2002 2003 who received curative surgery were observed until end 2008. This applied multivariate linear regression to explore association between BC-P4P...

Although performance measurement for assessing care quality is an emerging area, a system measuring the of cancer at hospital level has not been well developed. The purpose this study was to develop organization-based core measures colorectal patient and apply these compare performance. development undergone three stages including modified Delphi method. sample originated from 2004 data in Taiwan Cancer Database, national registry. Eighteen hospitals 5585 newly diagnosed patients were...

Abstract Objective Based on previous experience from surgical surveillance, risk‐adjusted cumulative sum (CUSUM)‐type charts were applied to monitor out‐of‐hospital cardiac arrest (OHCA) patient mortality. Materials and methods Data 2356 OHCA patients collected by the Taipei County Fire Bureau June 2006 November 2007. Logistic regression analysis was create a model. Next, CUSUM chart, resetting sequential probability ratio test chart mortality with prediction limits used detect excess deaths...

Organization-based performance measures of cancer care quality: core measure development for breast in TaiwanThe purpose the study was to develop organization-based (CPMs) patients treated hospitals that participated quality improvement programmes Taiwan.CPMs were developed three stages included a preparation, consensus building stage, and two stakeholder feedback.Three criteria seven subcriteria applied process.Indicators listed Delphi questionnaire based on literature search, indicators by...

Objective This study explored the association of surgical volume versus process quality with breast cancer survival and recurrence. Data Sources/Study Setting Population‐based registration data N ational H ealth I nsurance claim data. Study Design population‐based linked T aiwan's C ancer D atabase to collect on all patients diagnosed in 2003–2004 who received treatment. Principal Findings included 6,396 female patients, reported by 26 hospitals. After controlling for patient provider...