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Fulltext Dancing pharynx

Liew YT, Junior ACG, Bakri A, Narayanan P

Ci Ji Yi Xue Za Zhi, 2020 04 01;32(3):303-304.
PMID: 32955511 DOI: 10.4103/tcmj.tcmj_245_19
Fulltext An evaluation study on gamified online learning experiences and its acceptance among medical students

Ohn MH, Ohn KM

Ci Ji Yi Xue Za Zhi, 2019 06 06;32(2):211-215.
PMID: 32269957 DOI: 10.4103/tcmj.tcmj_5_19

Objective: The successful application of gamification in different educational settings shows that the use of gamification in medical education may be an effective solution. Even though many studies have been conducted to investigate the efficacy of the integration of gamification to different education curriculums, few studies have examined the reactions, behaviors, and attitudes of learners toward the use of gamification in medical education. Hence, this study aimed to evaluate the medical students' learning experience and acceptance of the use of gamification for the delivery of electrocardiogram lessons.
Materials and Methods: A qualitative research method was used to generate findings in this study. The data collection methods included focus group discussions and interviews. Triangulation methods were used to ensure the validity and reliability of the qualitative data analyzed in this study. The thematic analysis of the data collected in this study helped to garner insights into the perception of participants and experts about the use of GaMed@™ for the delivery of ECG lessons.
Results: A total number of 32 medical students and four experts in the fields of user experience, communication, social psychology, and game design participated in this study. The findings showed that in spite of the negative reports about the user experience and application of GaMed@™, the participants and experts affirmed its positive impact on the increased motivation and engagement of users.
Conclusions: The impact of this concept can be maximized by tailoring the game design to foster-positive learning attributes, behaviors, and outcomes in students. However, further research studies must be conducted to investigate the impact of gamification designs on specific learning outcomes in students.
Fulltext Comparison between the Trachway video intubating stylet and Macintosh laryngoscope in four simulated difficult tracheal intubations: A manikin study

Ong J, Lee CL, Huang SJ, Shyr MH

Ci Ji Yi Xue Za Zhi, 2016 Jul-Sep;28(3):109-112.
PMID: 28757736 DOI: 10.1016/j.tcmj.2016.06.004

OBJECTIVES: It remains to be determined whether the TVI-4000 Trachway video intubating (TVI) stylet (Markstein Sichtec Medical Corp, Taichung, Taiwan), an airway device for novices, improves airway management practice by experienced anesthesiologists. The aim of this study was to evaluate the feasibility of using the TVI stylet in difficult tracheal intubation situations compared with that of using the Macintosh laryngoscope on an airway manikin.

MATERIALS AND METHODS: Ten anesthesiologists (with 3-21 years' experience), including three senior residents, participated. We compared tracheal intubation in four airway scenarios: normal airway, tongue edema, cervical spine immobilization, and tongue edema combined with cervical spine immobilization. The time of tracheal intubation (TTI), success rate, and perceived difficulty of intubation for each scenario were compared and analyzed.

RESULTS: The TTI was significantly shorter in both the tongue edema and combined scenarios with the TVI stylet compared with the Macintosh laryngoscope (21.60 ± 1.45 seconds vs. 24.07 ± 1.58 seconds and 23.73 ± 2.05 seconds vs. 26.6 ± 2.77 seconds, respectively). Success rates for both devices were 100%. Concomitantly, participants rated using the TVI stylet in these two scenarios as being less difficult.

CONCLUSION: The learning time for tracheal intubation using the TVI stylet in difficult airway scenarios was short. Use of the TVI stylet was easier and required a shorter TTI for tracheal intubation in the tongue edema and combined scenarios.
Fulltext Guillain-Barré syndrome complicating dengue fever: Two case reports

Boo YL, Aris MAM, Chin PW, Sulaiman WAW, Basri H, Hoo FK

Ci Ji Yi Xue Za Zhi, 2015 11 17;28(4):157-159.
PMID: 28757747 DOI: 10.1016/j.tcmj.2015.09.007

Guillain-Barré syndrome is a rare neurological manifestation associated with dengue infection. More common antecedent infections include Campylobacter jejuni and Cytomegalovirus infection. Here, we report two cases of Guillain-Barré syndrome complicating dengue infection.
Fulltext Incomplete anterior choroidal artery syndrome in a pregnant female

Mat LNI, Sulaiman WAW, Hoo FK, Apandi LMA, Basri H

Ci Ji Yi Xue Za Zhi, 2019 09 16;31(4):292-293.
PMID: 31867263 DOI: 10.4103/tcmj.tcmj_20_19
Fulltext A case report of juvenile giant fibroadenoma of the breast: How common?

Mohd Firdaus CA, Norjazliney AJ, Abdul Rashid NF

Ci Ji Yi Xue Za Zhi, 2017 10 5;29(3):177-179.
PMID: 28974914 DOI: 10.4103/tcmj.tcmj_64_17

Breast lesions are rare prepubescents. The majority of breast lesions in this age group are benign. The most common of these rare lesions is juvenile fibroadenoma, which accounts for only 0.5% of all fibroadenomas. It is uncommon to have a palpable lesion in juveniles as very small lesions show obvious asymmetry. Fibroadenomas can grow to a large size, and surgical intervention is cosmetically challenging, especially in achieving symmetry in a developing breast. A 12-year-old girl presented with right breast swelling associated with tenderness. The mass had initially been small on self-discovery 1 year previously and grew with time. There was no overlying skin changes or any significant risk factors for breast malignancy. Triple assessment showed features of fibroadenoma, but we were unable to rule out a phyllodes tumor. She subsequently underwent excision biopsy of the right breast lesion for symptomatic control and histopathology examination (HPE) of the lesion. The HPE report confirmed the diagnosis of fibroadenoma. The patient recovered well postoperatively with no complications. Juvenile breast lesions are rare, and it is a challenge to provide an adolescent with the best treatment in terms of clinical and psychological care. A surgical approach requires meticulous planning to ensure a fine balance between adequate resection and the best cosmetic outcome for a developing breast.