Publications by authors named "Chia Che Wu"

Article Synopsis
  • This study investigates the use of serum inflammatory markers as prognostic indicators for survival in patients with metastatic urothelial carcinoma (mUC) receiving immune checkpoint inhibitors (ICIs).
  • Data from two medical centers in Taiwan were analyzed, focusing on markers like neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR), to assess their impact on overall and progression-free survival.
  • The findings suggest that specific inflammatory markers, along with other clinical factors, can effectively predict patient outcomes, emphasizing the need for reliable prognostic tools in mUC treatment.
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Background: Studies on the correlation between high body mass index (BMI) and extended survival among patients receiving immune checkpoint inhibitors (ICIs) have been made, although findings have shown variability. Our research explored the phenomenon of the "obesity paradox" in patients with metastatic urothelial carcinoma (mUC) undergoing treatment with ICIs.

Materials And Methods: We conducted a retrospective analysis of patients diagnosed with mUC who received a minimum of one cycle of ICI treatment at two medical centers in Taiwan from September 2015 to January 2023.

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  • A study evaluated the effectiveness and safety of low-dose pembrolizumab for patients with gynecologic cancer, as the standard dose is financially burdensome.
  • Researchers analyzed data from 39 patients treated from 2017 to 2022, comparing outcomes between those with deficient mismatch repair (dMMR) and proficient MMR (pMMR). The dMMR group showed a higher objective response rate (45.5% vs. 13.0%).
  • The findings suggest that low-dose pembrolizumab is a potentially safe and cost-effective treatment option that does not compromise patient outcomes in refractory gynecologic cancers.
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Article Synopsis
  • Patients with variant-type urothelial carcinoma (vUC) have limited effective treatment options compared to those with pure urothelial carcinoma (pUC), and the effectiveness of immune checkpoint inhibitors (ICI) in vUC is still uncertain.
  • A study involving 142 patients found that the overall response rate (ORR) to ICI was higher in pUC (34.5%) compared to vUC (23.1%), with no complete responses seen in vUC cases.
  • Despite similarities in progression-free survival (PFS) and overall survival (OS) between both groups, patients with pUC who received ICI as first-line treatment had significantly better OS compared to vUC patients, indicating ICI may be a viable
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Urothelial carcinoma (UC) is characterized by a high incidence of mutation, and overcoming resistance to cisplatin-based chemotherapy in UC is a major concern. Wee1 is a G2/M phase regulator that controls the DNA damage response to chemotherapy in -mutant cancers. The combination of Wee1 blockade with cisplatin has shown synergistic efficacy in several types of cancers, but little is known regarding UC.

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Head and neck squamous carcinoma (HNSCC) affects more than half a million individuals and ranks the ninth leading cause of death globally each year. Many patients develop treatment resistance leading to poor clinical outcomes. The poor treatment responses are in part due to the heterogeneity of HNSCC tumor and tumor microenvironment (TME).

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Article Synopsis
  • - Immune checkpoint inhibitors (ICIs) are effective as a first treatment for patients with metastatic urothelial carcinoma who cannot receive cisplatin, but it's unclear whether they work better alone or with chemotherapy.
  • - A study analyzing 130 patients revealed that those receiving ICI alone had a median overall survival of 19.5 months, compared to 9.7 months for those receiving ICIs with chemotherapy.
  • - Patients with tumors expressing high levels of programmed cell death ligand-1 showed even better outcomes with ICI monotherapy, suggesting that combining ICI with noncisplatin chemotherapy does not enhance results.
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(Kanehira) Masamune is a broad-leaved species widespread in East Asia; the wood extract and its constituents possess antifungal activity against wood-decay fungi. Antifungal activities of leaf essential oil and its constituents from were investigated in the present study. Bioassay-guided isolation was applied to isolate the phytochemicals from leaf essential oil.

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Amyloid-β(1-42) [Aβ(1-42)] oligomer accumulations are associated with physiologic alterations in the brains of individuals with Alzheimer's disease. In this study, we demonstrate that a nanostructured gold electrode with deposited gold nanoparticles, induced via electrochemical impedance spectroscopy (EIS), may be used as an Aβ(1-42) conformation biosensor for the detection of Alzheimer's disease. Monoclonal antibodies (12F4) were immobilized on self-assembled monolayers of the electrochemical sandwich immunoassay biosensor to capture Aβ(1-42) monomers and oligomers.

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In this paper, an analytical solution for a clamped-edge bimorph disk-type piezoelectric transformer with Kirchhoff thin plate theory is proposed. The electromechanical equations for transient motions are first derived, and coupled expressions for mechanical response and voltage output are obtained. For the case of excitation around the first resonant frequency, the resulting equations are further simplified.

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  • The ongoing COVID-19 pandemic has exposed the limitations of current diagnostic testing methods, particularly the centralized and slow RT-PCR tests, hindering effective disease control.
  • To address this issue, a new saliva-based antigen test using an innovative biosensor technology (BioFET) is proposed, capable of quickly detecting the SARS-CoV-2 nucleocapsid protein with high sensitivity.
  • This portable system incorporates Bluetooth communication and user-friendly features, enabling real-time results and support for healthcare providers in managing the COVID-19 outbreak, especially in areas with limited vaccine distribution.
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(1) Background: To investigate the prognostic value of cancer-inflammation prognostic index (CIPI) in patients with metastatic colorectal cancer (mCRC) on regorafenib treatment; (2) Methods: Patients with mCRC who were given regorafenib as later-line treatment at Kaohsiung and Linkou Chang-Gung Memorial Hospital between November 2014 and January 2021 were consecutively enrolled. All relevant clinicopathologic, laboratory data and survival status were recorded. Independent prognostic factors were determined by the multivariate Cox regression method; (3) Results: In total, 106 patients in the training cohort and 250 in the validation cohort were enrolled.

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Rheumatoid arthritis (RA), an autoimmune and chronic inflammatory disorder, is an incurable disease. We developed a peptide-based electrochemical sensor using electrochemical impedance spectroscopy that can be used to detect autoantibodies for RA diagnostics. We first validated that the developed peptide showed high sensitivity and could compliment the current gold standard method of an anti-cyclic citrullinated peptide antibody (anti-CCP) ELISA.

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Background: Hand massage therapies have been used to relieve anxiety and pain in various clinical situations. The effects of machine-based hand massage on preoperative anxiety in ambulatory surgery settings have not been evaluated.

Purpose: This prospective study was designed to investigate the effect of machine-based hand massage on preoperative anxiety and vital signs in ambulatory surgery patients.

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  • A piezoelectric wave-energy converter (PWEC) is created, featuring a buoy, frequency up-conversion mechanism, and piezoelectric power generator to harness ocean wave energy.
  • The frequency up-conversion mechanism uses a gear train to transform lower frequency wave motions into higher frequency mechanical motions, ultimately increasing the operational frequency of the power generator by six times.
  • Testing at the Tainan Hydraulics Laboratory showed the PWEC produced a maximum voltage of 2.8 V and an average electric power output of 1.37 μW under controlled wave conditions.
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  • Immune checkpoint inhibitors (ICIs) are commonly used to treat metastatic urothelial carcinoma (mUC), but their effectiveness in patients with end-stage renal disease (ESRD) is not well-studied.
  • A study involving 129 patients found that 11 had ESRD, with 63.6% of those patients experiencing high-grade adverse events mainly related to blood issues.
  • Despite the increased risk of side effects, patients with ESRD showed better objective response rates, progression-free survival, and overall survival compared to non-ESRD patients, suggesting that ICIs can be cautiously applied in this difficult-to-treat population.
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Introduction: Packing of the nasal cavity has traditionally been used for postoperative bleeding control and decreasing synechia formation in patients undergoing nasal surgeries. Although absorbable nasal packing has been gaining popularity in the recent years, nonabsorbable nasal packing is still often used in nasal surgeries in various parts of the world. It is known to be associated with pain and discomfort especially upon and during removal, and previous reviews have only evaluated the effects of local anesthetic infiltration of nasal packing in septal surgeries.

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Objectives: Platinum-based chemotherapy is the standard treatment for metastatic urothelial carcinoma (mUC). However, considering elderly patients often experience comorbidities and frailty, the utility of cisplatin-based chemotherapy for elderly patients is still debatable. We conducted this study to compare the safety and efficacy of carboplatin and cisplatin in elderly patients with mUC.

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The emergence of epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) caused a paradigm shift in the treatment of non-small cell lung cancer (NSCLC). Although several clinicopathologic factors to predict the response to and survival on EGFR-TKI were recognized, its efficacy has not been confirmed for patients with underlying pulmonary disease, such as chronic obstructive pulmonary disease (COPD). We conducted the study to evaluate the impact of COPD on survival for NSCLC patients that underwent EGFR-TKI treatment.

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  • Various natural compounds like EGCG and curcumin show promise for cancer therapy, but their effectiveness is hindered by instability and poor distribution in tissues.
  • Researchers developed a nanoparticle delivery system that uses hyaluronic acid and fucoidan to co-deliver EGCG and curcumin, enhancing their anticancer effects.
  • In tests, these nanoparticles improved uptake in prostate cancer cells and significantly reduced tumor growth in mice without causing harm to other organs, showcasing their potential for prostate cancer treatment.
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  • - The study examined the effectiveness of inflammation-based prognostic scores in predicting outcomes for patients with locally advanced cervical esophageal squamous cell carcinoma (ESCC) undergoing curative concurrent chemoradiotherapy (CCRT).
  • - A total of 411 ESCC patients were included, with significant findings that specific scores like Neutrophil Lymphocyte Ratio (NLR) and Modified Glasgow Prognostic Score (mGPS) were linked to worse overall survival rates.
  • - The results highlighted that PLR and mGPS could serve as independent prognostic indicators, proving relevant not only for cervical ESCC but also showing compatibility with findings in thoracic ESCC patients.
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  • The study compares the cost-effectiveness of endoscopic tympanoplasty (ET) and microscopic tympanoplasty (MT) for treating chronic otitis media, as no prior cost-effectiveness studies existed on this topic.
  • Using a Markov decision-tree model over 30 years from the perspective of Taiwan's National Health Insurance System, researchers assessed treatment costs and quality-adjusted life years (QALYs).
  • Findings showed ET costs NT 20,901 for 17.08 QALY and MT costs NT 21,171 for 17.15 QALY, revealing ET to be slightly more cost-effective than MT, providing valuable insights for healthcare providers and policymakers in Taiwan.
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Objective Endoscopic transcanal myringoplasty (ETM) has been an emerging technique for repairing tympanic perforations since the late 1990s. Objective outcomes (ie, graft success rates and hearing results) of patients who received ETM are well documented; however, subjective outcomes of these patients have rarely been reported. Hence, this study evaluated subjective and objective outcomes of patients who received ETM for repairing tympanic perforations.

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Article Synopsis
  • The study investigates treatment outcomes and prognostic factors for patients with locoregionally recurrent head and neck squamous cell carcinoma (HNSCC), focusing on different treatment methods across various clinical stages.
  • Data analyzed included patients aged over 20 with HNSCC from Taiwanese health databases, categorizing them into four treatment groups: chemotherapy alone, reirradiation, concurrent chemoradiotherapy, and salvage surgery.
  • Results highlighted significant prognostic factors affecting overall survival, such as age over 65, high comorbidity scores, advanced initial clinical stage, and short recurrence-free intervals, indicating the complexity in managing recurrent HNSCC.
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