We read the study by Sou-Hsin Chien et al. with great interest. Their research confirmed the positive effect of post-acute care (PAC) on functional recovery in stroke patients and identified dysphagia as one of the challenges during the rehabilitation process. As is well known, dysphagia is a common complication of stroke, and its home care is mainly provided by non-professional family caregivers. However, there is currently no specific assessment tool for nasogastric tube feeding care needs in China. Based on Fitch's theory, this study developed and validated a scale consisting of 7 dimensions and 35 items, filling the gap in this field with good scientific validity and applicability.
{"title":"Current status of functional rehabilitation and discussion on key points of enteral nutrition care via nasogastric feeding in patients with acute stroke.","authors":"Qun Gao, Yingying Lv, Zijing Huang, Mengying Cui, Zhihui Lu, Ying Wang","doi":"10.1016/j.jfma.2026.03.041","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.041","url":null,"abstract":"<p><p>We read the study by Sou-Hsin Chien et al. with great interest. Their research confirmed the positive effect of post-acute care (PAC) on functional recovery in stroke patients and identified dysphagia as one of the challenges during the rehabilitation process. As is well known, dysphagia is a common complication of stroke, and its home care is mainly provided by non-professional family caregivers. However, there is currently no specific assessment tool for nasogastric tube feeding care needs in China. Based on Fitch's theory, this study developed and validated a scale consisting of 7 dimensions and 35 items, filling the gap in this field with good scientific validity and applicability.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-13DOI: 10.1016/j.jfma.2026.03.036
Shu-Mei Yang, Ming-Yen Hsiao, Chih-En Liu, Yi-Chiang Wang, Tyng-Guey Wang
Ultrasonography has gained increasing recognition as a noninvasive tool for evaluating swallowing physiology, providing real-time visualization without radiation exposure. This narrative review synthesizes current evidence on three major domains of sonographic swallowing assessment in pharyngeal phase: hyolaryngeal movement, pharyngeal residue, and penetration-aspiration. Ultrasonography reliably measures hyoid displacement, velocity, and hyoid-thyroid approximation during swallowing, demonstrating strong inter- and intrarater reliability and close agreement with videofluoroscopic reference standards. Pharyngeal residues in the valleculae and pyriform sinuses are visualized as persistent echogenic signals. Sonographic grading of residue severity has shown clinical value in supporting diet adjustments and compensatory swallowing strategies. Penetration-aspiration can be identified sonographically by observing bolus passage relative to the vocal folds and tracheal lumen, with several studies reporting sensitivity and specificity above 80%. The current body of evidence indicates that ultrasonography is a feasible and reproducible tool for dysphagia assessment, with potential applications in bedside assessment, serial follow-up, and swallowing training. Standardization of imaging protocols and validation across diverse patient populations remain important directions for future research.
{"title":"Ultrasound in the evaluation and management of pharyngeal dysphagia: A narrative review.","authors":"Shu-Mei Yang, Ming-Yen Hsiao, Chih-En Liu, Yi-Chiang Wang, Tyng-Guey Wang","doi":"10.1016/j.jfma.2026.03.036","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.036","url":null,"abstract":"<p><p>Ultrasonography has gained increasing recognition as a noninvasive tool for evaluating swallowing physiology, providing real-time visualization without radiation exposure. This narrative review synthesizes current evidence on three major domains of sonographic swallowing assessment in pharyngeal phase: hyolaryngeal movement, pharyngeal residue, and penetration-aspiration. Ultrasonography reliably measures hyoid displacement, velocity, and hyoid-thyroid approximation during swallowing, demonstrating strong inter- and intrarater reliability and close agreement with videofluoroscopic reference standards. Pharyngeal residues in the valleculae and pyriform sinuses are visualized as persistent echogenic signals. Sonographic grading of residue severity has shown clinical value in supporting diet adjustments and compensatory swallowing strategies. Penetration-aspiration can be identified sonographically by observing bolus passage relative to the vocal folds and tracheal lumen, with several studies reporting sensitivity and specificity above 80%. The current body of evidence indicates that ultrasonography is a feasible and reproducible tool for dysphagia assessment, with potential applications in bedside assessment, serial follow-up, and swallowing training. Standardization of imaging protocols and validation across diverse patient populations remain important directions for future research.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply to the letter concerning \"Beyond the Muller maneuver: Toward functional validation and longitudinal insights in pediatric OSA after adenotonsillectomy\".","authors":"Che-Yi Lin, Kun-Tai Kang, Wen-Chin Weng, Wei-Chung Hsu","doi":"10.1016/j.jfma.2026.03.048","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.048","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-13DOI: 10.1016/j.jfma.2026.03.014
Zhongchao Ma, Wenwen Zang
{"title":"The absence of a correlation between paracentesis volume (≥3 L) and AKI risk in cirrhotic patients with hepatocellular carcinoma raises critical scientific questions for refractory ascites management.","authors":"Zhongchao Ma, Wenwen Zang","doi":"10.1016/j.jfma.2026.03.014","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.014","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1016/j.jfma.2026.03.035
Huangjia Yao, Zhilan Xu
{"title":"Far infrared therapy for lower-extremity arterial disease in hemodialysis patients.","authors":"Huangjia Yao, Zhilan Xu","doi":"10.1016/j.jfma.2026.03.035","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.035","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1016/j.jfma.2026.03.018
G Manjula, Prabhjot Kaur, Priyanka Mishra
{"title":"Comment on \"Machine learning-based prediction of CAC-defined cardiovascular risk using routine health examination data: a retrospective cross-sectional study in a Taiwanese population\".","authors":"G Manjula, Prabhjot Kaur, Priyanka Mishra","doi":"10.1016/j.jfma.2026.03.018","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.018","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1016/j.jfma.2026.03.039
Sha Tu, Yali Liu, Chun Wu, Yu Deng
{"title":"Enhancing the impact of nurse-led heart failure care: The need for patient subtyping, carer burden analysis, and long-term follow-up.","authors":"Sha Tu, Yali Liu, Chun Wu, Yu Deng","doi":"10.1016/j.jfma.2026.03.039","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.039","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1016/j.jfma.2026.03.038
Jiaxin Wei, Jihai Liu, Di Shi
{"title":"Comment on \"Paracentesis exceeding 3 L increases risks of acute kidney injury even in cirrhotic patients with albumin infused refractory ascites\".","authors":"Jiaxin Wei, Jihai Liu, Di Shi","doi":"10.1016/j.jfma.2026.03.038","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.038","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1016/j.jfma.2026.03.027
Hong-Mei Cheng, Lian-Ping He
{"title":"Combining dexmedetomidine with esketamine exerts a dual effect on stabilizing hemodynamics and reducing stress response in patients undergoing total laparoscopic hysterectomy.","authors":"Hong-Mei Cheng, Lian-Ping He","doi":"10.1016/j.jfma.2026.03.027","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.027","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-11DOI: 10.1016/j.jfma.2026.03.005
Mohammed Anas Mohiuddin, Mohammed Misbah Ul Haq
{"title":"Comment on \"Development of an emergency department risk score for in-hospital mortality in elderly patients with urinary tract infection\".","authors":"Mohammed Anas Mohiuddin, Mohammed Misbah Ul Haq","doi":"10.1016/j.jfma.2026.03.005","DOIUrl":"https://doi.org/10.1016/j.jfma.2026.03.005","url":null,"abstract":"","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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