scholarly journals Analysis of screening failure of live donation for kidney transplantation: experience of a single medical center in central Taiwan

2020 ◽  
Vol 34 (1) ◽  
pp. S63-S63
Author(s):  
Cheng-Hsu Chen ◽  
Ya-Yun Feng ◽  
Kun-Yuan Chiu ◽  
Cheng-Kuang Yang ◽  
Yi-Syuan Chen ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Medical Center ◽  
Live Donation ◽  
Central Taiwan

scholarly journals Airborne and Surface-Bound Microbial Contamination in Two Intensive Care Units of a Medical Center in Central Taiwan

2013 ◽  
Vol 13 (3) ◽  
pp. 1060-1069 ◽  
Author(s):  
Ping-Yun Huang ◽  
Zhi-Yuan Shi ◽  
Chi-Hao Chen ◽  
Walter Den ◽  
Hui-Mei Huang ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Microbial Contamination ◽  
Medical Center ◽  
Central Taiwan

scholarly journals Donor genetic variants in interleukin-6 and interleukin-6 receptor associate with biopsy-proven rejection following kidney transplantation.

2021 ◽  
Author(s):  
Felix Poppelaars ◽  
Mariana Gaya da Costa ◽  
Siawosh K. Eskandari ◽  
Jeffrey Damman ◽  
Marc A. Seelen
Keyword(s):  
Kidney Transplantation ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Interleukin 6 ◽  
Medical Center ◽  
Organ Donors ◽  
Nucleotide Polymorphisms ◽  
Increased Risk ◽  
Major Player ◽  
The Impact

Rejection after kidney transplantation remains an important cause of allograft failure that markedly impacts morbidity. Cytokines are a major player in rejection, and we, therefore, explored the impact of interleukin-6 (IL6) and IL-6 receptor (IL6R) gene polymorphisms on the occurrence of rejection after renal transplantation. We performed an observational cohort study analyzing both donor and recipient DNA in 1,271 renal transplant-pairs from the University Medical Center Groningen in The Netherlands and associated single nucleotide polymorphisms (SNPs) with biopsy-proven rejection after kidney transplantation. The C-allele of the IL6R SNP (Asp358Ala: rs2228145 A>C, formerly rs8192284) in donor kidneys conferred a reduced risk of rejection following renal transplantation (HR 0.78 per C-allele; 95%-CI 0.67-0.90; P=0.001). On the other hand, the C-allele of the IL6 SNP (at position-174 in the promoter; rs1800795 G>C) in donor kidneys was associated with an increased risk of rejection for male organ donors (HR per C-allele 1.31; 95%-CI 1.08-1.58; P=0.0006), but not female organ donors (P=0.33). In contrast, neither the IL6 nor IL6R SNP in the recipient showed an association with renal transplant rejection. In conclusion, donor IL6 and IL6R genotypes but not recipient genotypes represent an independent prognostic marker for biopsy-proven renal allograft rejection.

Exploring factors associated with quality of life in women undergoing mammography

2020 ◽  
Author(s):  
Chih Jung Wu ◽  
Ya-Jung Wang ◽  
Liang-Chih Liu
Keyword(s):  
Quality Of Life ◽  
Emotional Distress ◽  
Medical Center ◽  
Depression Scale ◽  
Emotional Problems ◽  
Well Being ◽  
Cross Sectional ◽  
Factors Associated ◽  
Central Taiwan

Abstract Purpose: Mammography is broadly used in early detection of breast cancer. However, women undergoing mammography had experienced physical, psychological, and social disturbance; this could affect their Quality of Life (QoL). Only few studies in QoL have been done on cancer screening populations. The purpose of this study was to explore factors associated with QoL among women undergoing mammography. Methods: This research used a cross-sectional questionnaire survey and conducted with 158 women who were undergoing mammography. Data were collected from an outpatient department in a medical center located in central Taiwan from December 2014 to October 2015. The Functional Assessment of Cancer Therapy Scale –General, Chinese version was used to assess the QoL. Emotional distress was measured by using the Hospital Anxiety and Depression Scale and Mishel’s Uncertainty in Illness Scale. Descriptive statistic and multiple liner regression were used to analyze the data. Results: The multiple liner regression results revealed that women with benign breast tumors had better functional well-being (β = 1.276, p = 0.021). Women who had higher uncertainty (β=-0.216, p < 0.01) and emotional distress (β = -1.229, p < 0.01) experienced lower QoL. Conclusion: In this study, the uncertainty, emotional distress significantly predicted the QoL in women undergoing mammography screening. Clinical staff should pay attention to the emotional problems of women undergoing mammography. When women receive the mammography, this is an opportune time to educate them regarding the examination process and inform them of how reductions in uncertainty and emotional problems may help improve their QoL.

Microbial Air Contamination in an Intensive Care Unit

2015 ◽  
Vol 4 (3) ◽  
pp. 145
Author(s):  
Chih-Yi Chang ◽  
Liang Tseng ◽  
Lung-Shih Yang
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Center ◽  
Statistical Significance ◽  
Incidence Density ◽  
Air Contamination ◽  
Care Services ◽  
Air Sampler ◽  
Significant Difference ◽  
Central Taiwan

Unit layout affects every aspect of intensive care services, including patient safety. A previous study has shown that patients admitted to beds adjacent to the sink and to the door of a large bayroom had the highest number of positive blood cultures and the highest blood culture incidence density, respectively. The present study measures microbial air contamination in a medical intensive care unit of a medical center in central Taiwan. Of the 17 rooms, 8 rooms with distinct physical environmental characteristics were selected. Sampling tests were conducted between December 2013 and February 2014 with a microbial air sampler (MAS-100NT). TSA was used for bacteria collection and DG18 for fungi collection. The overall average bacterial and fungal concentrations were 83CFU/m<sup>3</sup> and 69CFU/m<sup>3</sup>, respectively. The ranges were between 8-354 CFU/m<sup>3</sup> and 0-1468 CFU/m<sup>3</sup>, respectively. A significant difference was found in the bacterial concentration (p=.005) between different room locations. The highest concentration was found in the rooms located at the front end of the circulation (99 CFU/m<sup>3</sup>), while the lowest was found in the rooms located at the rear end of the circulation (55CFU/m<sup>3</sup>). Differences in fungal concentrations for different room locations did not reach statistical significance. In addition, differences in bacterial and fungal concentrations for rooms with different sink locations did not reach statistical significance. Even though the microbial concentrations generally complied with standards, the results may help designers and hospital administrators develop a healthier environment for patients.

scholarly journals Spinal Tuberculosis in Non-HIV-Infected Patients: 10 Year Experience of a Medical Center in Central Taiwan

2010 ◽  
Vol 43 (6) ◽  
pp. 464-469 ◽  
Author(s):  
Ching-Yun Weng ◽  
Chih-Yu Chi ◽  
Pai-Jun Shih ◽  
Cheng-Mao Ho ◽  
Po-Chang Lin ◽  
...  
Keyword(s):  
Medical Center ◽  
Spinal Tuberculosis ◽  
Central Taiwan

FACTORS INFLUENCING LONG TERM OUTCOME OF KIDNEY TRANSPLANTATION IN A THAI MEDICAL CENTER.

2008 ◽  
Vol 86 (Supplement) ◽  
pp. 693-694
Author(s):  
D Sirivongs ◽  
U Toimamueang ◽  
C Pongskul ◽  
S Reungjui
Keyword(s):  
Kidney Transplantation ◽  
Medical Center ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Factors Influencing

Kidney transplantation

2017 ◽  
Author(s):  
Jeff A Lafranca ◽  
Dennis A Hesselink ◽  
Frank J. M. F. Dor
Keyword(s):  
Kidney Transplantation ◽  
Therapeutic Option ◽  
Surgical Techniques ◽  
Live Donor ◽  
Live Donor Nephrectomy ◽  
Live Donor Kidney ◽  
Live Donation ◽  
Stage Renal Disease ◽  
End Stage ◽  
Surgical Aspects

Kidney transplantation is by far the best therapeutic option for most end-stage renal disease patients. However, there is an increased demand for donor organs worldwide, which cannot be met by the number of currently available organs. Live donation is the key to solving this problem, at least for kidneys. Besides the advantages of better patient and graft survival, short ischaemia times, and pre-emptive transplantation, live donor kidney transplantation offers many creative options to facilitate more transplants, such as paired kidney exchange programmes (or cross-over), unspecified and domino-paired donation. Due to new immunological possibilities, blood group AB0-incompatible transplantation and desensitization prior to transplantation are now a clinical reality. Over the years, the evolution of surgical techniques (from invasive towards minimally-invasive) for live donor nephrectomy has contributed tremendously to the success of the programme. This chapter gives a state-of-the-art overview of kidney donation and transplantation, with an emphasis on surgical aspects.

scholarly journals The Effects of Aromatherapy Massage on Sleep Quality of Nurses on Monthly Rotating Night Shifts

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Ying-Ying Chang ◽  
Chao-Ling Lin ◽  
Li-Yin Chang
Keyword(s):  
Treatment Group ◽  
Sleep Quality ◽  
Medical Center ◽  
Night Shift ◽  
Control Group ◽  
Quality Information ◽  
Subjective Sleep Quality ◽  
Central Taiwan ◽  
Night Shifts

The goal of this study is to examine the effects of aromatherapy massage on sleep quality of nurses with monthly rotating night shifts. Subjects were enrolled at a medical center in central Taiwan with overall score ≥ 5 of Pittsburgh Sleep Quality Index (PSQI) and randomly assigned to the treatment or control groups. They were validated by pretests during their first graveyard shift in the trial period and the sleep quality information was collected by using the PSQI and sleep detectors. During the second graveyard shift, the treatment group received aromatherapy massage and the control group rested in the same aromatherapy room after work. All subjects filled out the PSQI surveys and the sleep quality information was collected during massage or resting and the following night. We found that the total PSQI was significantly decreased in the treatment group following the aromatherapy massage. Specifically, the components such as subjective sleep quality, sleep disturbance, and daytime dysfunction were significantly decreased. However, there were no significant changes of average PSQI scores between the two groups before and after intervention. Taken together, our study suggested that aromatherapy massage could improve sleep quality of nurses with monthly rotating night shift.

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