Postoperative herpetic endophthalmitis —A case report
We report a case of herpetic endophthalmitis following cataract surgery. A 65-year-old man underwent uneventful phacoemulsification and vision improved within the first few postoperative days. However, visual loss with an anterior chamber reaction of ++++ and a ++ vitreous cell were noted in the 4th postoperative week. Repeated intravitreal injection of vancomycin and ceftriaxone, pars plana vitrectomy and removal of the intraocular lens (IOL), and the capsular bag were performed sequentially but in vain. Bacterial, mycobacterial, and fungal culture of the IOL and capsular bag demonstrated negative findings. Pathological...
Source: Tzu Chi Medical Journal - November 22, 2016 Category: Universities & Medical Training Source Type: research

HLA haplotype in association with the low incidence C*07:66 allele found by case analysis of Taiwanese and mainland Chinese individuals
Conclusion The information on the ethnicity of the C*07:66 allele and the deduced probable HLA haplotype associated with the low-incidence C*07:66 allele reported in this study may aid in HLA testing laboratories for reference purposes. In addition, they can be used by stem cell transplant donor search coordinators to help create, for patients bearing this uncommon HLA allele, strategies for finding compatible donors using bone marrow donor registries comprising unrelated individuals. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - November 10, 2016 Category: Universities & Medical Training Source Type: research

Role of micronutrients in congestive heart failure: A systematic review of randomized controlled trials
Conclusion Overall, this systematic review found sufficient evidence to support a large-scale trial on micronutrient supplementation in patients with heart failure. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - November 1, 2016 Category: Universities & Medical Training Source Type: research

Characteristics and outcomes of patients with emergency department revisits within 72  hours and subsequent admission to the intensive care unit
Conclusion Most of the patients who revisited the ED within 72 hours and were subsequently admitted to the ICU visited the ED during the evening shift and were categorized into triage Level III on their first visit. The most common chief complaint at the first visit was abdominal pain. The most common cause of revisits with ICU admission was doctor-related, while the most common underlying disease was hypertension. Significantly higher mortality was observed after ED revisits in patients with lower triage scores with underlying malignancy and liver cirrhosis. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - September 17, 2016 Category: Universities & Medical Training Source Type: research

Therapeutic hypothermia brings favorable neurologic outcomes in children with near drowning
Publication date: Available online 15 September 2016 Source:Tzu Chi Medical Journal Author(s): Ming-Chun Chen, Chia-Hsiang Chu, Ching-Feng Cheng, Jun-Song Lin, Jui-Hsia Chen, Yu-Hsun Chang A 1-year-10-month-old boy was admitted to our pediatric intensive care unit due to near drowning with pulmonary edema. A conventional ventilator with 100% oxygen supplementation was used initially, but was shifted to high frequency oscillatory ventilation as his oxygen saturation was around 84–88%. Therapeutic hypothermia was applied due to hypoxic ischemic encephalopathy with severe acidosis. His respiratory condition improved...
Source: Tzu Chi Medical Journal - September 15, 2016 Category: Universities & Medical Training Source Type: research

Isolated complete dislocation of the tarsal navicular without fracture:  A rare injury
We present a 64-year-old diabetic man whose tarsal navicular was completely dislocated without fracture following a traffic accident. The most probable mechanism of injury was an abduction–pronation injury causing a midtarsal dislocation, and on spontaneous reduction, the navicular was dislocated medially. This mechanism is similar to perilunate dislocation. Computed tomography of the involved foot was done to accurately define the full extent of the bony injury and magnetic resonance imaging was required to determine if there was a ligamentous injury and to assess the attachment of soft tissues to the displaced bone to ...
Source: Tzu Chi Medical Journal - September 3, 2016 Category: Universities & Medical Training Source Type: research

Side-branch wire entrapment: Early recognition and management
We report early recognition of SBW entrapment in a 60-year-old woman. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - September 3, 2016 Category: Universities & Medical Training Source Type: research

Insidious malignant triton tumor of the chest wall with late flare-up
We present a 76-year-old man with an insidious chest wall tumor with late progressive painful enlargement and pleural and pulmonary involvement. Complete resection of the affected thoracic wall as well as single separate lesions in the parietal pleura and left upper lung was carried out. The pathological examination confirmed that it was a malignant triton tumor. The patient received adjuvant chemoradiotherapy but eventually succumbed to disease relapse and distant metastases 6 months after the surgery. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - September 3, 2016 Category: Universities & Medical Training Source Type: research

Effects of caffeine on cell viability and activity of histone deacetylase 1  and histone acetyltransferase in glioma cells
Conclusion Our data suggest that a new strategy, caffeine, could increase glioma cell death by decreasing HDAC1 activity and/or by increasing p300 activity. The changes in HDAC1 and p300 activities appeared to occur earlier than loss of RT2 cells. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - September 3, 2016 Category: Universities & Medical Training Source Type: research

Emergence of carbapenemase-producing urinary isolates at a tertiary  care hospital in Dhaka, Bangladesh
Conclusion The study shows a significant rate of urinary isolates were carbapenemase producers, including a high prevalence of blaNDM-1, in Bangladesh. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - September 3, 2016 Category: Universities & Medical Training Source Type: research

Botulinun A toxin urethral sphincter injection for neurogenic or  nonneurogenic voiding dysfunction
This article reviews recent studies of urethral sphincter BoNT-A treatment for voiding dysfunction. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - September 3, 2016 Category: Universities & Medical Training Source Type: research

Botulinun A toxin urethral sphincter injection for neurogenic or nonneurogenic voiding dysfunction
This article reviews recent studies of urethral sphincter BoNT-A treatment for voiding dysfunction. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - August 27, 2016 Category: Universities & Medical Training Source Type: research

Eosinophil-rich granuloma of the liver
Publication date: Available online 1 August 2016 Source:Tzu Chi Medical Journal Author(s): Ming-Hsun Li, Yung-Hsiang Hsu (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - August 2, 2016 Category: Universities & Medical Training Source Type: research

Effects of caffeine on cell viability and activity of histone deacetylase 1 and histone acetyltransferase in glioma cells
Conclusion Our data suggest that a new strategy, caffeine, could increase glioma cell death by decreasing HDAC1 activity and/or by increasing p300 activity. The changes in HDAC1 and p300 activities appeared to occur earlier than loss of RT2 cells. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - August 2, 2016 Category: Universities & Medical Training Source Type: research

Deduced probable HLA haplotypes associated with HLA-C*04:82 found by case analysis of Taiwanese individuals
Conclusion The ethnicity of the C*04:82 allele and the deduced probable HLA haplotypes associated with the low-incidence C*04:82 allele are of value for reference purposes for HLA testing laboratories. In addition, they can be used by search coordinators to aid the creation of a strategy for finding compatible stem cell donors for patients who carry this uncommon HLA allele. (Source: Tzu Chi Medical Journal)
Source: Tzu Chi Medical Journal - July 29, 2016 Category: Universities & Medical Training Source Type: research