Publications by authors named "Chia-Huei Chen"

Aim: This study aimed to explore whether microRNAs (miRNAs) could serve as biomarkers of perinatal asphyxia and whether they were correlated with severity of brain magnetic resonance imaging.

Methods: We prospectively enrolled 26 full-term newborns, including 10 with perinatal asphyxia and 16 healthy controls. Plasma samples were collected at 0-6 h and 7 days of age.

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Ultrasound has been used to observe lung aeration and fluid clearance during the neonatal transition period, but there is no consensus regarding the optimal timing of lung ultrasound. We aimed to monitor the trend of the serial lung ultrasound score (LUS) and extended LUS (eLUS) throughout the neonatal transition period (≤1, 2, 4, 8, 24, and 48 h after birth), assess any correlation to the clinical presentation (using the Silverman Andersen Respiratory Severity Score (RSS)), and determine the optimal time of the ultrasound. We found both LUS and eLUS decreased significantly after 2 h of life and had similar statistical differences among the serial time points.

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Background: The impact of small-for-gestational-age (SGA) on very-low-birth-weight (VLBW) premature infants remains inconclusive. This study aimed to assess the effects of being born SGA status on the short-term and long-term outcomes in VLBW preterm infants.

Methods: We conducted a population-based, prospective cohort study on VLBW preterm infants born in Taiwan between 2012 and 2017.

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Background: To assess whether the number of extremely low birth weight (ELBW) infants treated annually in neonatal intensive care units (NICUs) in Taiwan affects the mortality and morbidity of this patient population.

Methods: This retrospective cohort study included preterm infants with ELBW (≤1000 g). NICUs were divided into three subgroups according to the annual admissions of ELBW infants (low, ≤10; medium, 11-25; and high, >25).

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Article Synopsis
  • The study evaluated the impact of cesarean delivery (CD) versus vaginal delivery (VD) on the health outcomes of premature single infants born between 22 to 25 weeks gestation, focusing on their short-term and neurodevelopmental progress at 2 years old.
  • It found that while CD was linked to a lower rate of intraventricular hemorrhage (IVH) compared to VD, there was no significant difference in severe IVH rates or overall mortality and neurodevelopmental outcomes at that age.
  • In a subgroup of small-for-gestational age infants, CD appeared to lead to better survival rates without neurodevelopmental impairment, suggesting it may be more beneficial for this specific group.
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Language delays are often underestimated in very-low-birth-weight (VLBW) preterm infants. We aimed to identify the risk factors of language delay at two years of corrected age in this vulnerable population. VLBW infants, who were assessed at two years of corrected age using the Bayley Scale of Infant Development, third edition, were included using a population-based cohort database.

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  • The study investigates the effects of erythropoietin (EPO) in neonates with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH) to determine its impact on organ function and patient outcomes.
  • Retrospective analysis was performed on medical records of neonates with HIE receiving TH with or without EPO, applying a 1:1 propensity matching method to control for bias, revealing no significant differences in mortality or hospital stay.
  • Results indicated that the TH+EPO group had higher blood pressure during the first 3 days, suggesting EPO may reduce hypotension risk; however, further investigation is needed for renal and cardiac function effects and long
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The extrauterine growth restriction (EUGR) of very preterm infants has been associated with long-term complications and neurodevelopmental problems. EUGR has been reported at higher rates in low resource settings. There is limited research investigating how metropolitan human milk banks contribute to the growth outcomes of very preterm infants cared in rural areas.

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Background: Nationwide group B Streptococcus agalactiae (GBS) antepartum screening was instituted in Taiwan in 2012. The impact of the policy on early-onset sepsis (EOS) has not been evaluated. This study aimed to examine the impact of the policy on the incidence of neonatal EOS.

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To assess the predictive validity of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) cognitive scores at 6 months of corrected age (CA) for cognitive outcomes at 24 months of CA in very-low-birth-weight (VLBW) infants and investigate the predictors of change in cognitive outcomes. We retrospectively evaluated VLBW children enrolled in the Taiwan Premature Infant Follow-up Network between 2010 and 2015 and completed the Bayley-III at CA of 6 and 24 months. The predictive validity of the cognitive performance at 6-month CA for the cognitive outcomes at 24-month CA was analyzed.

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Background: Tracheostomy is a valuable procedure in infants and neonates with chronic respiratory failure or severe airway obstruction. The aim of this study is to identify the indication, hospital course, and long-term outcome in a cohort of infants who required tracheostomy in a neonatal and pediatric tertiary care center in northern Taiwan.

Methods: Medical records of infants, who underwent tracheostomy between January 2002 and December 2013, were retrospectively reviewed.

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Three azobenzene derivatives (2 R, 2 OR, and 2 NR) that differed in their terminal substituent (alkyl, alkyloxy, and dialkylamino, respectively) have been synthesized and investigated as molecular brakes, in which the rigid H-shaped pentiptycene group functioned as a rotor and the dinitrophenyl group as a "brake pad". The E and Z isomers of these compounds corresponded to the "brake-off" and "brake-on" states, respectively. The rotation rate of the rotor was evaluated by VT NMR spectroscopy for the brake-on state and by DFT calculations for the brake-off state.

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Article Synopsis
  • The study compares complication rates and diagnostic accuracy of coaxial and single needle techniques for CT-guided transthoracic biopsies in 198 patients with intrathoracic lesions.
  • Both methods showed no significant differences in patient characteristics or overall diagnostic performance, achieving 98% accuracy for malignant lesions.
  • There was a borderline difference in pneumothorax rates after the biopsy (5% for single needle vs. 13% for coaxial), but overall, the complication rates were similar between techniques.
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We have previously shown that culturing HepG2 cells in pH 6.6 culture medium increases the c-Src-dependent tyrosine phosphorylation of beta-catenin and induces disassembly of adherens junctions (AJs). Here, we investigated the upstream mechanism leading to this pH 6.

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Oleic acid (OA) affects assembly of gap junctions in neonatal cardiomyocytes. Adherens junction (AJ) regulates the stability of gap junction integrity; however, the effect of OA on AJ remains largely unexplored. The distribution of N-cadherin and catenins at cell-cell junction was decreased by OA.

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