To study the clinical characteristics of hypokalemic thyrotoxic periodic paralysis (hoTPP) and identify predictors recurrent paralytic attacks before achieving euthyroid status.We retrospectively analyzed 45 hoTPP patients who were admitted during 7-year period.A tendency towards male predominance was observed among (91.1%, 41/45). The mean onset age 32.9 +/- 10.0 years (range: 16-54 years). No significant differences in between female patients. Precipitating factors included rest/sleep at...

Lung cancer is the leading cause of cancer-related death worldwide. Even early-stage patients might encounter disease recurrence with relative high risk. Effective postoperative therapy based on an accurate assessment treatment failure after surgery. The aim this study to construct a disease-free survival (DFS) prediction model and stratify into different risk score groups.A total 356 pathological stage I (7th American Joint Committee Cancer) who underwent lung resection from January 2005...

With recent transformations in medical education, the integration of technology to improve students' abilities has become feasible. Artificial intelligence (AI) impacted several aspects healthcare. However, few studies have focused on education. We performed an AI-assisted education study and confirmed that AI can accelerate trainees' image learning.We developed AI-based learning system highlight hip fracture a plain pelvic film. Thirty students were divided into conventional (CL) group...

Before caring for patients, video instruction is commonly used undergraduate medical students, and 360° virtual reality (VR) videos have gained increasing interest in clinical education. Therefore, the effect of immersive VR learning compared with two-dimensional (2D) skills acquisition should be evaluated. This randomized, intervention-controlled trial was aimed to assess whether improves students' effectiveness reduces cognitive load history taking physical examination (H&P) training. From...

<b>Objectives</b> The benefits of video-assisted thoracoscopic surgery (VATS) for performing pulmonary metastasectomy are considered controversial. This case-matched study aimed to compare long-term outcomes after surgical resection metastases from colorectal cancer using different approaches (VATS vs. thoracotomy). <b>Methods</b> Between 1997 and 2008, 143 patients with who had received their first were selected. Fifty-three underwent a procedure that utilized thoracotomy approach (Group...

This case series illustrates the feasibility of single-stage image-guided video-assisted thoracoscopic surgery for simultaneous localization and removal small solitary pulmonary nodules (SPNs). The procedure was performed in a hybrid operating room using C-arm cone-beam computed tomography equipped with laser-guided navigation system.Between October 2016 January 2017, 12 consecutive patients presenting SPNs underwent surgery. safety were assessed through retrospective review patients'...

Effective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also accelerates the pace of recovery. Moreover, increases patients' satisfaction with surgery. In this study, we present a simple approach involving safe placement intercostal catheter (ICC) after single port video-assisted thoracoscopic (VATS) anatomic resection and evaluate analgesic function without it.We identified patients who underwent ICC placed...

<title>Abstract</title> <bold>Background: </bold>The direct observation of procedural skills for knee joint mobilization (DOPS_knee) tool requires validation to ensure its reliability and validity providing immediate feedback assessing applicability in off-site settings. We aimed describe the implementation clinimetric properties DOPS_knee both on-site environments, as well evaluate preclinical competencies physical therapy (PT) students. <bold>Methods:</bold> Following...

<title>Abstract</title> <bold>Background: </bold>The direct observation of procedural skills for knee joint mobilization (DOPS_knee) tool requires validation to ensure its reliability and validity providing immediate feedback assessing applicability in off-site settings. We aimed describe the implementation clinimetric properties DOPS_knee both on-site environments, as well evaluate preclinical competencies physical therapy (PT) students. <bold>Methods:</bold> Following...

PURPOSE The primary therapeutic objective for patients with resectable non–small cell lung cancer (NSCLC) is the prevention of disease relapse. This study aimed to examine correlation between perioperative circulating tumor (CTC) variations and MATERIALS AND METHODS Ninety-nine NSCLC were enrolled classified into cohort 0-1a 1b-4 on basis presence lymph node metastasis. CTC levels measured, their disease-free survival was analyzed. RESULTS In 0-1a, a count difference postoperative day 3...

Little is known regarding the short-term quality of life (QoL) and predictive factors for QoL after esophagectomy cancer in Eastern countries.The aims this study were to assess symptoms within 1 6 months surgery esophageal (EC) identify Taiwan.A longitudinal, prospective design was used, where convenience samples 99 patients who had undergone recruited from 2 medical centers northern Taiwan. All participants responded a questionnaire with QLQ-C30 (Quality Life Questionnaire-Cancer) core...

Single-port video-assisted thoracoscopic surgery (VATS) has been widely applied recently. However, there are still only few reports describing its use in mediastinum tumor resection. We present the technique of single-port resection and compare it with conventional VATS regard to short-term outcome. retrospectively enrolled 105 patients who received Chang Gung Memorial Hospital. Sixteen sternotomy or thoracotomy, 29 VATS, 60 (3 ports). The operative time, blood loss, postoperation day 1 pain...

Abstract Aim and Objectives To develop a Delirium Care Critical‐Thinking Scale for nurses caring patients in the intensive care unit examine scale's psychometric properties. Background There is tool to evaluate nurses' critical thinking skills determine nursing competency when delirium required. Design This cross‐sectional, mixed‐methods study. Methods The Delphi method was applied collection analysis of data during conceptualization item generation (Phase I). Item analysis, assessment...

Abstract Background Graduating from medical school and beginning independent practice appears to be a major transition for students across the world. It is often reported that graduates are underprepared practice. Most previous studies on undergraduates’ preparedness cross-sectional. This study aimed characterize development trend of students’ its association with other objective subjective indicators undergraduate postgraduate periods. Methods was prospective cohort study. The participants...

The optimal treatment for patients with local esophageal cancer (cT2N0 disease) has not yet been defined. We sought to determine whether neoadjuvant chemoradiotherapy (CRT) can improve prognosis compared direct esophagectomy in this patient group. Between 1994 and 2005, cT2N0 squamous cell carcinoma who underwent either CRT or surgery as first-line were retrospectively reviewed. collected information on their demographic characteristics, staging modality, clinical pathological stages,...