1,872 research outputs found

    Perioperative Stroke Following General Surgery

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    AbstractPerioperative stroke is rare; however, patients undergoing cardiovascular surgery are considered to be at high risk for perioperative stroke. Here, we outline a case where perioperative stroke occurred following total hip replacement surgery. The risk factors and possible causes of the stroke in this patient are discussed. In addition, we reiterate the appropriate management approaches needed to prevent perioperative stroke. Briefly, the importance of precise preoperative evaluation and of proper intraoperative and postoperative management should not be overlooked. Finally, it is important to realize that decreasing perioperative strokes and the disabilities associated with them will lower the financial burden on families and the community

    Crossing the Gap between Indigenous Worldview and Western Science: Millet Festival as a Bridge in the Teaching Module

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    The worldview within indigenous people’s traditional knowledge and western science can be a world of difference. In order to help indigenous students cross the gap and develop a sense of cultural identification. Taking Bunun, one of the Taiwanese indigenous tribes, as our subject, this study aims to develop a teaching module through Bunun’s Millet Festival and implement this module to analyze students’ performance. To have a better understanding of the worldview of Bunun, we had individual interviews with tribal elders and compared the collective materials with literature. Millet Festival is a significant ceremony for Bunun for passing important cultural custom and knowledge. Thus, taking Millet Festival as centerpiece of this study, we tried to connect traditional indigenous knowledge with school science education during Reclaiming Festival, Seed Sowing Festival, Ear-Shooting Festival, Garnering Festival and by making tribal elders assist with school teacher in class. The result shows that this teaching module not only provides abundant materials related to scientific subjects, but also makes the students appreciate the value and meaning of their own culture more. In addition, they would learn to respect the tribal elders sincerely and therefore the cultural inheritance would be rebuilt

    Development of titanium dioxide nanoparticles/nanosolution for photocatalytic activity

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    Biological and chemical contaminants by man-made activities have been serious global issue. Exposure of these contaminants beyond the limits may result in serious environmental and health problem. Therefore, it is important to develop an effective solution that can be easily utilized by mankind. One of the effective ways to overcome this problem is by using titanium dioxide (TiO2). TiO2 is a well-known photocatalyst that widely used for environmental clean-up due to its ability to decompose organic pollutant and kill bacteria. Although it is proven TiO2 has an advantage to solve this concern, its usefulness unfortunately is limited only under UV light irradiation. Therefore, the aim of this work was to investigate the potential of TiO2 that can be activated under visible light by the incorporation of metal ions (Fe, Ag, Zr and Ag-Zr). In this study, sol-gel method was employed for the synthesis of metal ions incorporated TiO2. XRD analysis revealed that all samples content biphasic anatase-brookite TiO2 of size 3 nm to 5 nm. It was found that the incorporation of these metal ions did not change the morphology of TiO2 but the crystallinity and optical properties were affected. The crystallinity of anatase in the biphasic TiO2 was found to be decreased and favored brookite formation. PL analysis showed metal ions incorporation suppressed the recombination of electron-hole pairs while the band gap energy of TiO2 (3.2 eV) was decreased by the incorporation of Fe (2.46 eV) and Ag (2.86 eV). Among this incorporation, Ag-Zr incorporated TiO2 showed highest performance for methyl orange degradation (93%) under fluorescent xxv light irradiation for 10 h. This follows by Zr-TiO2 (82%), Fe-TiO2 (75%) and Ag�TiO2 (43%). Meanwhile, the highest antibacterial performance was exhibited by Ag�TiO2. TEM images showed that E.coli bacterium was killed within 12 h after treated with Ag-TiO2. The results obtained from the fieldwork study established that Ag-Zr incorporation have excellent performances for VOC removal and antibacterial test. The VOC content after treated with Ag-Zr-TiO2 fulfilled the Industry Code of Practice on Indoor Air Quality 2010 which is lower than 3 ppm. In addition, the percentage of microbes also found to be decrease around 45 % within 5 days of monitoring

    Effect on Spasticity After Performance of Dynamic-Repeated-Passive Ankle Joint Motion Exercise in Chronic Stroke Patients

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    Spasticity associated with abnormal muscle tone is a common motor disorder following stroke, and the spastic ankle may affect ambulatory function. The purpose of this study was to investigate the short-term effect of dynamic-repeated-passive ankle movements with weight loading on ambulatory function and spastic hypertonia of chronic stroke patients. In this study, 12 chronic stroke patients with ankle spasticity and inefficient ambulatory ability were enrolled. Stretching of the plantar-flexors of the ankle in the standing position for 15 minutes was performed passively by a constant-speed and electrically powered device. The following evaluations were done before and immediately after the dynamic-repeated-passive ankle movements. Spastic hypertonia was assessed by the Modified Ashworth Scale (MAS; range, 0–4), Achilles tendon reflexes test (DTR; range, 0–4), and ankle clonus (range, 0–5). Improvement in ambulatory ability was determined by the timed up-and-go test (TUG), the 10-minute walking test, and cadence (steps/minute). In addition, subjective experience of the influence of ankle spasticity on ambulation was scored by visual analog scale (VAS). Subjective satisfaction with the therapeutic effect of spasticity reduction was evaluated by a five-point questionnaire (1 = very poor, 2 = poor, 3 = acceptable, 4 = good, 5 = very good). By comparison of the results before and after intervention, these 12 chronic stroke patients presented significant reduction in MAS and VAS for ankle spasticity, the time for TUG and 10-minute walking speed (p < 0.01). The cadence also increased significantly (p < 0.05). In addition, subjective satisfaction with the short-term therapeutic effect was mainly good (ranging from acceptable to very good). In conclusion, 15 minutes of dynamic-repeated-passive ankle joint motion exercise with weight loading in the standing position by this simple constant-speed machine is effective in reducing ankle spasticity and improving ambulatory ability

    Comparisons of the GlideScope and Macintosh Laryngoscope in Tracheal Intubation by Medical Students on Fresh Human Cadavers

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    AbstractObjectiveThe GlideScope Video Laryngoscope (GS) is an intubating device that provides equal or better glottic views than conventional laryngoscopes, but correct tube placement is more time-consuming, even when performed by experienced operators. The aim of this study was to investigate the use of the GS compared with the more conventional Macintosh laryngoscope in easy and difficult tracheal intubation when performed by inexperienced medical students on fresh human cadaversPatients and MethodsForty-one medical students were assigned to perform tracheal intubation using the direct Macintosh laryngoscope (DL) and the GS. Each student was given four attempts, with a maximum of 180 seconds for each attempt, to successfully intubate the trachea with a 6.5-mm tracheal tube in each of two scenarios, one with an easy airway and the other with a difficult airway cadaver.ResultsThe total time of intubation for the easy airway cadaver was significantly longer in the GS group (61.4 ± 4.8 seconds vs. 40.6 ± 5.3 seconds; p < 0.001) despite the modified Cormack-Lehane scores showing no difference between the two groups. In the difficult airway cadaver, total time of intubation was significant shorter in the GS group (64.3 ± 6.5 seconds vs. 98.7 ± 10.2 seconds; p < 0.001)ConclusionMost inexperienced operators found the GS to be more time-consuming for tracheal intubation than DL in the easy airway cadaver. However, an obvious advantage was demonstrated when the GS was used for the difficult airway

    Bacteremic pneumonia caused by extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae: Appropriateness of empirical treatment matters

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    BackgroundClinical information about bacteremic pneumonia caused by extended-spectrum beta-lactamase (ESBL)-producing organism is limited.MethodsA retrospective study was conducted at two medical centers in Taiwan. From May 2002 to August 2010, clinical information and outcome of adults with bacteremic pneumonia caused by ESBL-producing Escherichia coli and Klebsiella pneumoniae were analyzed. The primary outcome is the 30-day mortality.ResultsA total of 111 patients with bacteremic pneumonia caused by E. coli (37 patients, 33.3%) and K. pneumoniae (74, 66.7%) were identified. Their mean age was 69.2 years and 51.4% were male patients. Fifty-seven (51.3%) episodes were classified as hospital-acquired infections, 19 (17.1%) as health-care-associated infections, and four (3.6%) as community-acquired infections. Fifty-one (45.9%) patients received appropriate empiric antimicrobial therapy. The 30-day mortality rate was 40.5% (45 patients). In the multivariate analysis, several independent risk factors, including rapidly fatal underlying disease [odds ratio (OR), 5.75; 95% confidence interval (CI), 1.54–21.48; p = 0.009], severe sepsis (OR, 4.84; 95% CI, 1.55–15.14; p = 0.007), critical illness (OR, 4.28; 95% CI, 1.35–13.57; p = 0.013), and receipt of appropriate empirical therapy (OR, 0.19; 95% CI, 0.07–0.55; p = 0.002), were associated with 30-day mortality. The survival analysis consistently found that individuals with appropriate empiric therapy had a higher survival rate (log-rank test, p < 0.001).ConclusionESBL-producing bacteremic pneumonia, especially health-care-associated infections, often occurred in adults with comorbidities. Appropriate empirical therapy was associated with a favorable outcome

    Physical and Chemical Characterization of Rice Using Microwave and Laboratory Methods

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    Two main species of cultivated rice in the world are Oryza sativa (Asian rice) and Oryza glaberrima (African rice). The Oryza sativa species, which is grown worldwide, is far more widely utilized compared with the Oryza glaberrima species, which is grown in West Africa. Recently, the annual rice production has reached almost 480 million tonnes, and this demand is expected to rise to 550 million tonnes in 2035. Thus, this increases the need to characterize and maintain the quality of rice and hence to determine the price of rice appropriately. Obviously, modern technologies that can provide fast and accurate measurement are essential in the large-scale industrial rice processing. In this chapter, several technologies and instruments used for rice processing are reviewed. The principle of the measurement for each technology is briefly described. The strength of this chapter is to introduce the application of microwave technology during rice processing, such as rice dying process, rice moisture detection, broken rice measurement and rice insect control. The pros and cons of the microwave method will be discussed in detail. Hence, some standard test laboratory for monitoring of carbohydrate, protein, fat and trace elements content is also described in this chapter

    Financial reform and the adequacy of deposit insurance fund: Lessons from Taiwanese experience

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    NBM-HD-1: A Novel Histone Deacetylase Inhibitor with Anticancer Activity

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    HDAC inhibitors (HDACis) have been developed as promising anticancer agents in recent years. In this study, we synthesized and characterized a novel HDACi, termed NBM-HD-1. This agent was derived from the semisynthesis of propolin G, isolated from Taiwanese green propolis (TGP), and was shown to be a potent suppressor of tumor cell growth in human breast cancer cells (MCF-7 and MDA-MB-231) and rat glioma cells (C6), with an IC50 ranging from 8.5 to 10.3 μM. Western blot demonstrated that levels of p21(Waf1/Cip1), gelsolin, Ac-histone 4, and Ac-tubulin markedly increased after treatment of cancer cells with NBM-HD-1. After NBM-HD-1 treatment for 1–4 h, p-PTEN and p-AKT levels were markedly decreased. Furthermore, we also found the anticancer activities of NBM-HD-1 in regulating cell cycle regulators. Treatment with NBM-HD-1, p21(Waf1/Cip1) gene expression had markedly increased while cyclin B1 and D1 gene expressions had markedly decreased. On the other hand, we found that NBM-HD-1 increased the expressions of tumor-suppressor gene p53 in a dose-dependent manner. Finally, we showed that NBM-HD-1 exhibited potent antitumor activity in a xenograft model. In conclusion, this study demonstrated that this compound, NBM-HD-1, is a novel and potent HDACi with anticancer activity in vitro and in vivo
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