J Formos Med Assoc
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To develop a deep learning image assessment software, VeriSee™ AMD, and to validate its accuracy in diagnosing referable age-related macular degeneration (AMD). ⋯ VeriSee™ AMD demonstrated good sensitivity and specificity in diagnosing referable AMD from color fundus images. The findings of this study support the use of VeriSee™ AMD in assisting with the clinical screening of intermediate and advanced AMD using color fundus photography.
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Acute kidney injury (AKI) is associated with increased in-hospital and short-term hypoglycemia risk. However, the impact of non-recovery of renal function before discharge on hypoglycemia risk in AKI survivors after discharge have not been well studied. We aim to analyze the association between non-recovery of AKI and hypoglycemia, hyperglycemia crisis risk, to identify additional risk factors for hypoglycemia, and to examine the impact of AKI non-recovery on HbA1c variability. ⋯ Non-recovery AKI is associated with an increased risk of hypoglycemia, regardless of whether de novo CKD develops, and is linked to lower mean A1c level within two-years post-discharge. Identifying high-risk individuals for post-AKI hypoglycemia is vital for optimal patient care.
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Previous studies have reported on changes in masticatory ability and patient satisfaction after restoration of missing second molars. However, there has been no evaluation of the masticatory ability and oral health-related quality of life (OHRQoL) of patients who did not replace their second molar. The purpose of the present study was to analyze the effects of the loss of a second molar on masticatory ability and OHRQoL. ⋯ Within the limitations of this study, a missing second molar could lead to diminished objective and subjective masticatory ability with poorer OHRQoL. In conclusion, replacement with a suitable implant prosthesis should be performed after the loss of a second molar.
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Diagnosis of Brugada syndrome (BrS) is based on type 1 morphology (coved type) in electrocardiograms from standard (4th) or higher (2nd or 3rd) intercostal spaces (ICSs). However, the clinical implications of being diagnosed only at higher ICSs remains poorly understood. We aimed to investigate the diagnostic accuracy of higher ICS leads in the Taiwanese Brugada syndrome population and clarify if there is any difference in clinical presentation. ⋯ Using higher intercostal leads could significantly increase the diagnosis rate of BrS in the Taiwanese population, although it would not affect the clinical prognosis.