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Chien-Hsin Chen, Mao-Chih Hsieh, Wilson T Lao, En-Kwang Lin, Yen-Jung Lu, Szu-Yuan Wu
BACKGROUND AND OBJECTIVES: To investigate whether multidisciplinary team (MDT) intervention is associated with improved survival for patients with colorectal adenocarcinoma with liver or lung metastasis (CRA-LLM). METHODS: We enrolled 161 consecutive patients with histologically confirmed CRA-LLM at Taipei Medical University-Wan Fang Hospital between January 2007 and December 2017. In total, 75 patients with CRA-LLM received MDT intervention, and 86 patients did not receive MDT intervention...
2018: American Journal of Cancer Research
Yeung-Leung Cheng, I-Shiang Tzeng, Mei-Chen Yang
Objective: Laryngomalacia is the most common congenital laryngeal anomaly and is associated with pectus excavatum (PE). Patients with laryngomalacia and patients with obstructive sleep apnea (OSA) both experience upper airway obstruction, and patients with laryngomalacia had been found to have a higher prevalence of PE. However, no studies have established the prevalence of OSA in patients with PE. We conducted this pilot study to evaluate the prevalence of OSA in patients with PE. Materials and Methods: A total of 42 patients ≥20 years old with PE who were admitted for Nuss surgery to correct PE in Taipei Tzu Chi Hospital between October 2015 and September 2016 were invited to participate in the study; 31 of the 42 patients agreed...
October 2018: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
Tien-En Chiang, Yu-Chun Lin, Yu-Hsuan Li, Chi-Tsung Wu, Chin-Shan Kuo, Yuan-Wu Chen
OBJECTIVES: Autofluorescence imaging is gaining popularity as an adjunctive test for oral potentially malignant disorders (OPMD). This study evaluated the efficacy of autofluorescence imaging based on the current standard oral mucosal disorder checklist in Taiwan. MATERIALS AND METHODS: In total, 126 patients suspected to have mucosal disorders at the Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, were enrolled. Following a conventional oral examination by using the oral mucosal disorder checklist and an autofluorescence imaging examination, all participants underwent histopathological examination to access epithelial dysplasia...
October 9, 2018: Clinical Oral Investigations
Yanlai Zhou, Fi-John Chang, Li-Chiu Chang, I-Feng Kao, Yi-Shin Wang, Che-Chia Kang
Air quality deteriorates fast under urbanization in recent decades. Reliable and precise regional multi-step-ahead PM2.5 forecasts are crucial and beneficial for mitigating health risks. This work explores a novel framework (MM-SVM) that combines the Multi-output Support Vector Machine (M-SVM) and the Multi-Task Learning (MTL) algorithm for effectively increasing the accuracy of regional multi-step-ahead forecasts through tackling error accumulation and propagation that is commonly encountered in regional forecasting...
September 13, 2018: Science of the Total Environment
Wei-Ju Lee, Li-Ning Peng, Chi-Hung Lin, Hui-Ping Lin, Ching-Hui Loh, Liang-Kung Chen
Frailty is garnering increasing interest as a potential target in disability prevention. Since it is uncertain how frailty interacts with multimorbidity, urbanization, and mental health to affect disability, we investigated the epidemiology of frailty and its synergies with these factors. The study enrolled 20,898 participants aged 65 and older living in New Taipei city. All participants received face to face interview to assess frailty, multimorbidity, urban or rural residence, and mental health. Individual versus combined effects of risk factors were evaluated using the Rothman synergy index...
September 20, 2018: Scientific Reports
Yu-Ping Wang, Cheng-Fong Chen, Hsin-Pai Chen, Fu-Der Wang
BACKGROUND/PURPOSE: Total knee arthroplasty (TKA) improves the patient's quality of life by relieving pain, correcting the deformity, and helping the patient resume normal activities. However, post-TKA prosthetic joint infection leads to implant failure, is difficult to treat, and causes a significant burden both economically and health-wise. Therefore, an understanding of the current trends in this infection and microbiology data is essential for preventing and treating it. METHODS: A retrospective study was conducted on 10,768 patients who underwent primary TKA at Taipei Veterans General Hospital, Taiwan, from 2002 to 2014...
September 5, 2018: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
Weu Wang, Cathy S J Fann, Shwu-Huey Yang, Hsin-Hung Chen, Chih-Yen Chen
OBJECTIVES: Obesity is a pandemic health problem. Bariatric surgery is the only efficient method for long-term effective weight loss in subjects with severe obesity. Laparoscopic adjustable gastric banding (LAGB) has been widely applied for weight loss. However, a novel technique called laparoscopic adjustable gastric banded plication (LAGBP) has been proposed as an alternative to LAGB. Surgeons generally consider LAGBP to have a relative advantage on weight loss than that derived from LAGB...
June 18, 2018: Nutrition
Chip-Jin Ng, Shih-Hao You, I-Lin Wu, Yi-Ming Weng, Chung-Hsien Chaou, Cheng-Yu Chien, Chen-June Seak
Background: The triage system used during an actual mass burn casualty (MBC) incident is a major focus of concern. This study introduces a MBC triage system that was used by a burn center during an actual MBC incident following a powder explosion in New Taipei City, Taiwan. Methods: This study retrospectively analyzed data from patients who were sent to the study hospital during a MBC incident. The patient list was retrieved from a national online management system...
2018: World Journal of Emergency Surgery: WJES
Yhu-Chering Huang, Lin-Hui Su, Tsu-Lan Wu, Tzou-Yien Lin
BACKGROUND: Carriage of methicillin-resistant Staphylococcus aureus (MRSA) is associated with its transmission. International travels and massive gatherings may accelerate such transmission. MRSA carriage was surveyed among the attendees of two international medical conferences held in Taipei in 2010. METHODS: A total of 209 attendees from 23 countries were recruited. Nasal specimens were collected from each volunteer and subjected to polymerase chain reaction (PCR) detection for MRSA...
August 23, 2018: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
Yin-Hsiu Chien, Ni-Chung Lee, Sheng-Hong Tseng, Chun-Hwei Tai, Shin-Ichi Muramatsu, Barry J Byrne, Wuh-Liang Hwu
BACKGROUND: Aromatic l-amino acid decarboxylase (AADC) deficiency is an inherited disease that causes depletion of neurotransmitters and severe motor dysfunction in infants and children. We previously reported compassionate use of an adeno-associated virus (AAV) vector containing the human AADC gene (AAV2-hAADC) in four children with AADC deficiency (aged 4-6 years). In this study, we aimed to establish the efficacy and safety of this treatment. METHODS: We did an open-label, phase 1/2 trial at the National Taiwan University Hospital (Taipei, Taiwan)...
December 2017: Lancet Child & Adolescent Health
Chun-Yu Chen, Shih-Pin Chen, Jong-Ling Fuh, Jiing-Feng Lirng, Feng-Chi Chang, Yen-Feng Wang, Shuu-Jiun Wang
BACKGROUND: Limited histopathology studies have suggested that reversible cerebral vasoconstriction syndromes (RCVS) does not present with vascular wall inflammation. Previous vascular imaging studies have had inconsistent vascular wall enhancement findings in RCVS patients. The aim of this study was to determine whether absence of arterial wall pathology on imaging is a universal finding in patients with RCVS. METHODS: We recruited patients with RCVS from Taipei Veterans General Hospital prospectively from 2010 to 2012, with follow-up until 2017 (n = 48)...
August 30, 2018: Journal of Headache and Pain
Ying-Xiu Dai, Tzeng-Ji Chen, Yun-Ting Chang
INTRODUCTION: Shortages and maldistribution of dermatology services have negative impacts on the quality of care for patients with skin problems. Only a limited amount of literature is available regarding the current state of dermatologic services in Taiwan. The aim of this study was to examine the urban-rural distribution of dermatologists and office-based dermatology services in Taiwan. METHODS: Data regarding dermatology workforce and their geographic distribution were collected from the Taiwan Medical Association, Taiwan Dermatological Association, and Department of Household Registration, Ministry of the Interior, while data on the locations and opening hours of dermatologic clinics were sourced from the National Health Insurance Administration...
August 2018: Rural and Remote Health
M L Hung, H T Liao, W S Chen, M H Chen, C C Lai, C Y Tsai, D M Chang
Objective The objective of this paper is to analyze the clinical features, outcomes, mortality risk factors, and all-cause mortalities of invasive aspergillosis (IA) in patients with systemic lupus erythematosus (SLE). Methods Medical records were reviewed to identify SLE patients with IA from January 2006 to June 2017, at Taipei Veterans General Hospital, Taiwan. A total of 6714 SLE patients were included. Clinical/laboratory parameters and treatment outcomes were analyzed. Results Four patients (19.0%) had definite and 17 had probable (81...
August 29, 2018: Lupus
(no author information available yet)
No abstract text is available yet for this article.
September 15, 2018: Spine
Chiew-Yin Tan, Nan-Chang Chiu, Kuo-Sheng Lee, Hsin Chi, Fu-Yuan Huang, Daniel Tsung-Ning Huang, Lung Chang, Yen-Hsin Kung, Ching-Ying Huang
BACKGROUND: Children with tracheostomy are at increased risk for respiratory tract infections, yet the risk involved in tracheostomy related infections is unclear. METHODS: We conducted a retrospective review of the medical records of children who underwent tracheostomy between January 2002 and December 2016 at a teaching hospital in Taipei. Demographics, underlying disease, indication for tracheostomy, laboratory data and management, and long-term outcome data were collected...
August 9, 2018: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
Ruei-Yu Lan, Chen-Te Chou, Peng-Hui Wang, Ran-Chou Chen, Ching-Hua Hsiao
OBJECTIVE: This study investigates the performance of first- and second-trimester screening tests for detecting fetal trisomy 21 in a Taiwanese population. MATERIALS AND METHODS: This multicenter study 29,137 cases enrolled the chromosomal abnormality screening between 2013 and 2014 two years period from Taipei city. There were 23,990 was done the first trimester screening using a combination of fetal nuchal translucency, maternal serum β-human chorionic gonadotropin, and pregnancy-associated plasma protein-A between 11+0 and 13+6 weeks of gestation age...
August 2018: Taiwanese Journal of Obstetrics & Gynecology
Ying-Chu Chen
The generation of municipal solid waste (MSW) is related to various features of urbanization. In this study, a linear regression model was used to evaluate the effects of several urbanization indicators on the composition of MSW. Household population (P), area of urban planning (L), tap water penetration (W), electricity sold (El), number of operating factories (I), car density (T), education level (Ed), and annual revenue (R) were chosen as important indicators of urbanization. The five major categories of MSW-paper, food waste, plastic, metal, and glass-were also chosen for specific analysis, and MSW composition was found to be closely related to household population (P) (r2  > 0...
July 25, 2018: Waste Management
Hsing-Fei Lu, Nien-Tzu Chang, Wang-Huei Sheng, Shih-Cheng Liao, Pei-Ying Wu, Fei-Hsiu Hsiao
BACKGROUND: HIV-positive patients are at high risk of suicide behaviors. Because most previous studies have investigated suicide behaviors among HIV-positive patients during their first six months of diagnosis only, there is a current lack of understanding of suicide behaviors among this group. PURPOSE: This study aimed at HIV-positive patients who had been diagnosed between six months and one year ago and examined their suicide ideation and suicide attempt profiles and the associated factors of suicide...
August 2018: Hu Li za Zhi the Journal of Nursing
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