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Meckel's diverticulum incarcerated in a transmesocolic internal hernia

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World Journal of Gastroenterology 2014年第37期20卷 13615-13619页

作者： Si-Yuan Wu Meng-hsing Ho sheng-Der Hsu Division of General Surgery Department of SurgeryTri-Service General HospitalNational Defense Medical Center

Intestinal obstruction is a common complication associated with Meckel's diverticulum in adults. The diverticulum itself or its fibrous band can lead to an intestinal volvulus, intussusceptions, or closed-loop obstructions,which require surgery. The incarceration of Meckel's diverticulum in either inguinal or femoral hernia sacs(Littre's hernia) is another, less common, etiology underlying intestinal obstruction. This case report describes a 45-year-old man who had an obstruction associated with a Meckel's diverticulum that passed through a congenital defect in the mesocolon into the right subphrenic space. The patient, who had not undergone abdominal surgery previously, came to the emergency room with acute onset of intermittent epigastric pain and abdominal distention. Computed tomography images showed the presence of a segment of the small bowel and a diverticulum in the right subphrenic space and paracolic gutter. The twisted mesentery and the dilated loops of the proximal small bowel were indicative of an intestinal volvulus and obstruction. Meckel's diverticulum complicated by a transmesocolic internal hernia was diagnosed, and this condition was confirmed during emergency surgery. The patient's postoperativerecovery was uneventful. This case report highlights another presentation of Meckel's diverticulum, that is, in combination with a transmesocolic internal hernia. This etiology may lead to an intestinal volvulus and necessitate early surgery.

关键词： Meckel's diverticulum Intestinal obstruction Hernia Abdominal

Challenges in the management of visual and tactile hallucinations in elderly people

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World Journal of Psychiatry 2025年第1期15卷 185-188页

作者： Si-sheng Huang Division of Geriatric Psychiatry Department of PsychiatryChanghua Christian HospitalChanghua 500Taiwan Department of Post-Baccalaureate Medicine College of MedicineNational Chung Hsing UniversityTaichung 402Taiwan

This letter provides a concise review of the pertinent literature on visual and tactile hallucinations in elderly *** discussion addresses differential diagnoses and potential underlying mechanisms,as well as the psychopathology associated with tactile hallucinations,and emphasizes the necessity for invest-igation into the possibility of coexisting delusional infestation(parasitosis).These symptoms frequently manifest in patients with primary psychotic disorders,organic mental disorders,and substance use *** proposed pathophy-siological mechanisms may involve dopaminergic imbalances and dysfunction of the striatal dopamine transporter.

关键词： Delusional infestation Dementia Haptic hallucination Scratching behavior Tactile hallucination Visual hallucination Alzheimer’s disease

The optoelectronic characteristic of Al doping on GZO thin film

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The optoelectronic characteristic of Al doping on GZO thin f...

Two case reports of gastroendoscopy-associated Acinetobacter baumannii bacteremia

第十二届海峡两岸薄膜科学与技术研讨会

作者： sheng-Lung Tu Tao-hsing Chen Yen-Hsun Su Yun-Hwei Shen Jia-Lin Yang Department of Resources Engineering Cheng Kung University Department of Mechanical Engineering Kaohsiung University of Applied Sciences Department of Materials Science and Engineering Cheng Kung University

It investigates the optical and electronic properties of Al doped on GZO thin films on glass substrates by using radio frequency magnetron sputtering（RF-sputtering）.The electric,optical and structural characteristics of AGZO thin films with various annealing temperatures are *** films illustrate strong（002） for AGZO preferential orientation by using XRD *** results show that the average transmittance of AGZO thin films is increased with annealing ***,the resistivity also decreased with annealing temperature.

关键词： Aluminum Gallium doped ZnO RF sputtering optical and electronic property

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World Journal of Gastroenterology 2013年第18期19卷 2835-2840页

作者： Chang-Hua Chen Shun-sheng Wu Chieh-Chen Huang Section of Infectious Diseases Department of Internal Medicine Changhua Christian Hospital Changhua 500 Taiwan Section of Gastroenterology Department of Internal Medicine Changhua Christian Hospital Changhua 500 Taiwan Department of Life Science College of Life Science National Chung Hsing University Taichung 402 Taiwan

Two cases of gastroendoscopy-associated Acinetobacter baumannii (A. baumannii ) bacteremia were discovered at the study hospital. The first case was a 66-year-old woman who underwent endoscopic retrograde cholangiopancreatography and endoscopic retrograde papillotomy, and then A. baumannii bacteremia occurred. The second case was a 70-year-old female who underwent endoscopic retrograde biliary drainage due to obstruction of intra-hepatic ducts, and bacteremia occurred due to polymicrobes (Escherichia coli , viridans streptococcus , and A. baumannii ). After a literature review, we suggest that correct gastroendoscopy technique and skill in drainage procedures, as well as antibiotic prophylaxis, are of paramount importance in minimizing the risk of gastroendoscopy-associated bacteremia.

关键词： Endoscopy Acinetobacter baumannii Bacteremia Antibiotic prophylaxis

Enhancing postoperative pain control by surgically-initiated rectus sheath block in abdominal aortic aneurysm open repair: A case report

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World Journal of Clinical Cases 2025年第6期13卷 41-47页

作者： Kuan-Hua Chen Ming-Yuan Kang Yi-Ting Chang sheng-Yang Huang Yung-Szu Wu Center for Cardiovascular Disease Taichung Veterans General HospitalTaichung 407219TaiwanChina Department of Anesthesiology Taichung Veterans General HospitalTaichung 407219TaiwanChina Division of Pediatric Surgery Department of SurgeryTaichung Veterans General HospitalTaichung 407219TaiwanChina School of Medicine National Yang Ming Chiao Tung UniversityTaipei 112304TaiwanChina Department of Post-Baccalaureate Medicine National Chung Hsing UniversityTaichung 402202TaiwanChina

BACKGROUND Abdominal aortic aneurysm(AAA)repair often involves significant postoperative pain,traditionally managed with systemic opioids,which can cause undesirable side *** case report explores the novel use of a surgically-initiated rectus sheath block with a catheter-over-needle assembly for pain management in AAA *** SUMMARY A 67-year-old female with hypertension and previous aortic dissection underwent elective open repair of an infrarenal AAA,which had grown from 3.4 cm to 4.3 cm over 14 months.A rectus sheath block was initiated surgically for postoperative pain *** patient reported low pain scores and did not require systemic intravenous opioids,enabling early ambulation and discharge on postoperative day seven without *** preventing complications of systemic opi-oids,the method indicating a promising direction for postoperative pain management in major vascular *** Surgically-initiated rectus sheath block as a valuable tool for managing postoperative pain in AAA repair.

关键词： Abdominal aortic aneurysm Postoperative pain management Rectus sheath block Surgical anesthesia Opioid-sparing techniques Case report

Application of plastic containers with RFID in the marketing of fruit and vegetables in Taiwan

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International Journal of Agricultural and Biological Engineering 2012年第1期5卷 35-42页

作者： Chih-Cheng Hung Chung-Teh sheng Department of Bio-industrial Mechatronics Engineering National Chung Hsing UniversityTaichungTaiwanChina

This study aims to present a set of operation and management systems for containers used in the transport of fresh agricultural *** proposed system utilizes Radio Frequency Identification(RFID)and technologies related to information *** operation and information management system for the marketing of fruit and vegetables using RFID-embedded plastic containers is well planned and *** order to promote the use of plastic containers,the study designs an energy-saving and environmentally-friendly container that allows for standardized operation.A related standardized operation flow is tested to fully satisfy the wholesale market *** entire flow and operation is also tested by all related sectors of the *** the application of the RFID tag,real time information generated at the production center can be sent to the wholesale market through a wireless network,thus reducing the labor needed for data input while also reducing human error at the *** may improve tallying efficiency and reduce costs.

关键词： RFID plastic container informatization fruit and vegetables Taiwan

Outpatient varicocelectomy performed under local anesthesia

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Asian Journal of Andrology 2005年第4期7卷 439-444,页

作者： Geng-Long Hsu Pei-Ying Ling Cheng-hsing Hsieh Chii-Jye Wang Cheng-Wen Chen Hsien-sheng Wen Hsiu-Mei Huang E.Ferdinand Einhorn Guo-Fang Tseng Microsurgical Potency Reconstruction and Research Center Taiwan Adventist HospitalTaipei Medical UniversityTaipei 110TaiwanChina Department of Anatomy and Cell Biology College of MedicineNational Taiwan UniversityTaipei 100TaiwanChina

Aim： To report a series of varicocelectomy performed under pure local anesthesia. Methods： From July 1988 to June 2003, a total of 575 patients, aged between 15 and 73 years, underwent high ligation of the internal spermatic vein for treatment of a varicocele testis under a regional block in which a precise injection of 0.8 % lidocaine solution was delivered to involved tissues after exact anatomical references were made. A 100-mm visual analog scale （VAS） was used to assess whether the pain level was acceptable. Results： The surgeries were bilateral in 52 cases, and unilateral in 523 cases. All were successfully performed on an outpatient basis except in the case of two patients, who were hospitalized because their surgeries required general anesthesia. Overall, 98.6 % （567/575） of men could go back to work by the end of the first post-operative week and only 8 （1.4 %） men reported feeling physical discomfort on the eighth day. The VAS scores varied from 11 mm to 41 mm with an average of （18.5 ± 11.3） mm that was regarded as tolerable. Conclusion： This study has shown varicocelectomy under local anesthesia to be possible, simple, effective, reliable and reproducible, and a safe method with minimal complications. It offers the advantages of more privacy, lower morbidity, with no notable adverse effects resulting from anesthesia, and a more rapid return to regular physical activity with minor complications.

关键词： anterior superior iliac spine spermatic cord aponeurosis umbilicus pubic symphysis varicocelectomy anesthesia

Species diversity,taxonomy and multi-gene phylogeny of phlebioid clade(Phanerochaetaceae,Irpicaceae,Meruliaceae)of Polyporales

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Fungal Diversity 2021年第6期111卷 337-442页

作者： Che-Chih Chen Chi-Yu Chen sheng-Hua Wu Department of Plant Pathology National Chung Hsing UniversityTaichung 402202Taiwan Department of Biology National Museum of Natural ScienceTaichung 404605Taiwan Biodiversity Research Center Academia SinicaTaipei 115201Taiwan

The phlebioid clade(Polyporales,Basidiomycota)accommodates numerous species of corticioid and polyporoid fungi of the Phanerochaetaceae,Irpicaceae,and *** present study used morphological and phylogenetic approaches to revise the generic classification of the phlebioid clade and survey species *** phylogenetic analyses were performed using sequences of multiple genes,including the nuc rDNA ITS1-5.8S-ITS2(ITS),the D1-D2 domains of 28S rDNA(28S),the RNA polymerase II largest subunit(rpb1),the RNA polymerase II second largest subunit(rpb2),and the translation elongation factor 1-α(tef1).We overall recognize 57 genera including six new ones(Alboefibula,Cremeoderma,Gelatinofungus,Luteochaete,Phanerochaetella and Quasiphlebia).We describe 26 new species belonging to 15 genera(Alboefibula bambusicola,***,Crustodontia taiwanensis,Cytidiella albomarginata,Efibula matsuensis,***-gida,***,Gelatinofungus brunneus,Hydnophlebia aurantia,***,Irpex lenis,Mycoaciella efibulata,Phanerochaete alpina,***,***,***,***,***,Phanerochaetella formosana,Phlebiopsis odontoidea,***,Quasiphlebia densa,Rhizochaete chinensis,Roseograndinia jilinensis,***,and Scopuloides allantoidea),and present 18 new combinations belonging to 12 genera(Cremeoderma unicum,Crustodontia nigrodontea,***,Cytidiella albida,Efibula intertexta,Hydnophlebia alachuana,Irpex laceratus,***,***,Luteochaete subglobosa,Luteoporia lutea,Phanerochaetella angustocystidiata,***,***,***,Phlebiopsis alba,Rhizochaete lutea,Scopuloides dimorpha).Descriptions,illustrations and notes of new species and some new records are provided,as well as identification keys to genera of each family.

关键词： Basidiomycota Classification Systematics Wood-decay fungi 50 new taxa

High glucose reduces Nrf2-dependent cRAGE release and enhances inflammasome-dependent IL-1βproduction in monocytes:the modulatory effects of EGCG

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Food Science and Human Wellness 2024年第3期13卷 1531-1542页

作者： Chi-Hao Wu Yin-Hsuan Chang Chin-Lin Hsu sheng-Yi Chen Gow-Chin Yen Graduate Programs of Nutrition Science School of Life ScienceTaiwan Normal UniversityTaipei 106209TaiwanChina Department of Food Science and Biotechnology Chung Hsing UniversityTaichung 40227TaiwanChina School of Nutrition Chung Shan Medical UniversityTaichung 40201TaiwanChina

Soluble receptor for advanced glycation end products(sRAGE)acts as a decoy sequestering of RAGE ligands,thus preventing the activation of the ligand-RAGE axis linking human ***,the molecular mechanisms underlying sRAGE remain *** this study,THP-1 monocytes were cultured in normal glucose(NG,5.5 mmol/L)and high glucose(HG,15 mmol/L)to investigate the effects of diabetesrelevant glucose concentrations on sRAGE and interleukin-1β(IL-1β)*** modulatory effects of epigallocatechin gallate(EGCG)in response to HG challenge were also *** enhanced intracellular reactive oxygen species(ROS)generation and RAGE *** secretion of sRAGE,including esRAGE and cRAGE,was reduced under HG conditions,together with the downregulation of a disintegrin and metallopeptidase 10(ADAM10)and nuclear factor erythroid 2-related factor 2(Nrf2)nuclear ***,the HG effects were counteracted by siRAGE and exacerbated by *** immunoprecipitation results showed that Nrf2 binding to the ADAM10 promoter and HG interfered with this *** data reinforce the notion that RAGE and Nrf2 might be sRAGE-regulating *** HG conditions,the treatment of EGCG reduced ROS generation and RAGE ***-stimulated cRAGE release was likely caused by the upregulation of the Nrf2-ADAM10 *** inhibited HG-mediated NLRP3 inflammasome activation at least partly by stimulating sRAGE,thereby reducing IL-1βrelease.

关键词： Epigallocatechin gallate(EGCG) Inflammasome Nuclear factor erythroid 2-related factor 2(Nrf2) Receptor for advanced glycation end products(RAGE) Soluble RAGE(sRAGE)