Publications by authors named "Chia-Hung Chen"

Article Synopsis
  • Idiopathic pulmonary fibrosis (IPF) is a severe lung disease with limited treatments, and pirfenidone has been approved for its treatment in Taiwan since 2016.
  • A study was conducted on 50 IPF patients in Taiwan to assess the real-world safety and effectiveness of pirfenidone, revealing that most patients showed no significant changes in lung function or walking distance after treatment, although pirfenidone did help stabilize cough symptoms.
  • The study found that while 62% of patients experienced side effects, with decreased appetite being most common, overall, pirfenidone was considered an effective and safe option for IPF treatment in this population.
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  • Osimertinib is a third-generation EGFR TKI that is commonly used as a first-line treatment for advanced EGFR-mutated non-small cell lung cancer (NSCLC), but its effectiveness compared to second-generation TKIs (afatinib and dacomitinib) hasn't been thoroughly studied.
  • The study enrolled 168 patients with stage IIIb-IV EGFR-mutated NSCLC, finding that median progression-free survival (PFS) was not significantly different between those treated with osimertinib and those on second-generation TKIs.
  • Results indicated that while osimertinib showed longer PFS in patients with certain mutations, none of the differences were statistically significant, and the stage of NSCLC was the only strong predictor
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Background: Early detection of T790M mutation in exon 20 of epidermal growth factor receptor (EGFR) in non-small cell lung cancer (NSCLC) patients with brain metastasis is crucial for optimizing treatment strategies. In this study, we developed radiomics models to distinguish NSCLC patients with T790M-positive mutations from those with T790M-negative mutations using multisequence MR images of brain metastasis despite an imbalanced dataset. Various resampling techniques and classifiers were employed to identify the most effective strategy.

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Background/aim: Definitive radiotherapy is the main treatment modality for patients with locally advanced stage lung cancer and a good performance status who are ineligible for surgery. Respiration-controlled radiotherapy (RCRT) has been recommended, but its effectiveness has been debated in the literature. Therefore, we aimed to study the efficacy of RCRT in definitive radiotherapy for locally advanced-stage lung cancer.

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The precision of previous cancer research based on tumor spheroids, especially the microgel-encapsulating tumor spheroids, was limited by the high heterogeneity in the tumor spheroid size and shape. Here, we reported a user-friendly solenoid valve-based sorter to reduce this heterogeneity. The artificial intelligence algorithm was employed to detect and segmentate the tumor spheroids in real-time for the size and shape calculation.

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In this study, we synthesized MOF/COF hybrid material (NH-MOF-5/MCOF) by integrating NH-MOF-5 (Zn) with a melamine-based COF (MCOF) to target the photocatalytic degradation of methylene blue (MB) dye. Characterization using SEM, XRD, XPS, FT-IR, and UV-DRS confirmed the synthesized MOF/COF hybrid's exceptional photocatalytic performance under visible light. The addition of HO significantly enhanced the photocatalytic degradation, achieving removal rates of 90%, 92%, and 57% for 11.

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  • A study examined the effectiveness of fluticasone furoate and vilanterol (FF/VIL) compared to budesonide/formoterol (BUD/FOR) in asthma patients classified as step 3 or 4 according to treatment guidelines.
  • After 12 months, those on FF/VIL reported greater improvements in asthma control test (ACT) scores than those on BUD/FOR, who showed no significant change in their fractional exhaled nitric oxide (FeNO) levels.
  • Despite variations in ACT and FeNO results, neither treatment group showed meaningful changes in pulmonary function, blood eosinophil count, or acute asthma exacerbation rates.
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Incense-burning smoke is a deleterious air pollutant that initiates cytotoxic effects by inducing apoptosis in lung epithelial cells and also acts as a risk factor for lung cancers. Auramine, an ingredient of incense smoke, has been implicated in tumor progression and cellular sensitivity in non-small cell lung cancer (NSCLC) towards anti-cancer agents through unclear mechanisms. Tumor protein p53 (TP53)-activated long intergenic non-coding RNA-p21 (lincRNA-p21) undertakes a pivotal role in regulating cell apoptosis and chemosensitivity.

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Anticancer peptides (ACPs) are bioactive compounds known for their selective cytotoxicity against tumor cells via various mechanisms. Recent studies have demonstrated that in silico machine learning methods are effective in predicting peptides with anticancer activity. In this study, we collected and analyzed over a thousand experimentally verified ACPs, specifically targeting peptides derived from natural sources.

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Background: With its minimally invasive approach, laparoscopic surgery has transformed the medical landscape. As the demand for these procedures escalates, there is a pressing need for adept surgeons trained in laparoscopic techniques. However, current training often falls short of catering to medical school education.

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This study aimed to investigate the association between obesity and herpes zoster (HZ) occurrence. This study used data covering 2 million people in Taiwan in 2000, which were obtained from the National Health Insurance Research Database. The cohort study observed aged 20-100 years with obesity from 2000 to 2017 (tracking to 2018).

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Article Synopsis
  • The study investigates bone metastasis (BoM) in patients with non-small cell lung cancer (NSCLC) who have an EGFR mutation, focusing on clinical characteristics and treatment effectiveness using EGFR-tyrosine kinase inhibitors (TKIs).
  • It analyzed 247 stage IV EGFR-mutated NSCLC patients, revealing that those with BoM had shorter progression-free and overall survival compared to those without it, along with a higher incidence of T790M mutations and extrathoracic metastases.
  • The findings suggest that the presence of BoM negatively affects prognosis, but using sequential osimertinib, antiangiogenic therapy (AAT), and denosumab can enhance survival rates for these patients.
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  • The study compared the effectiveness and safety of afatinib and dacomitinib as first-line treatments for EGFR mutation-positive non-small cell lung cancer (NSCLC) using data from 101 patients treated between September 2020 and March 2023.
  • Both drugs showed similar partial response rates, median progression-free survival (PFS), and time to treatment failure (TTF), indicating comparable efficacy.
  • Significant differences in side effects were noted, with afatinib causing more diarrhea and dacomitinib leading to more cases of paronychia, but both treatments were deemed safe for patients of varying ages.
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With the notable surge in therapeutic peptide development, various peptides have emerged as potential agents against virus-induced diseases. Viral entry inhibitory peptides (VEIPs), a subset of antiviral peptides (AVPs), offer a promising avenue as entry inhibitors (EIs) with distinct advantages over chemical counterparts. Despite this, a comprehensive analytical platform for characterizing these peptides and their effectiveness in blocking viral entry remains lacking.

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Single-cell multiplexed phenotypic analysis expands the biomarkers for diagnosis, heralding a new era of precision medicine. Cell secretions are the primary measures of immune function, but single-cell screening remains challenging. Here, a novel cell membrane-based assay was developed using cholesterol-linked antibodies (CLAbs), integrating immunosorbent assays and droplet microfluidics to develop a flexible high-throughput single-cell secretion assay for multiplexed phenotyping.

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Article Synopsis
  • Disease-related stress, such as that caused by fatty liver disease (FLD), can increase the risk of developing herpes zoster (HZ).
  • A study using data from the National Health Insurance Research Database found that patients with FLD had a significantly higher risk of HZ compared to matched controls.
  • Specifically, non-alcoholic fatty liver disease (NAFLD) was associated with an even greater risk of HZ than alcoholic fatty liver disease (AFLD).
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Background: The patient population with stage III non-small-cell lung cancer (NSCLC) is heterogeneous, with varying staging characteristics and diverse treatment options. Despite the potential practice-changing implications of randomized controlled trials evaluating the efficacy of perioperative epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs), concerns have been raised due to conflicting overall survival (OS) results. Few real-world studies have examined the survival outcomes of patients with resected EGFR-mutant stage III adenocarcinoma receiving perioperative chemotherapy and EGFR-TKIs.

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Background: We conducted a retrospective observational study to explore the potential application of impulse oscillometry (IOS) as an alternative to high-resolution computed tomography (HRCT) for detecting pulmonary involvement in patients with rheumatoid arthritis (RA) because clinically evident interstitial lung disease (ILD) and airway involvement are common in this population.

Methods: We enrolled 72 patients with RA who underwent pulmonary function tests (PFTs) and IOS between September 2021 and September 2022. We aimed to identify the PFT and IOS variables associated with lung diseases shown on HRCT images.

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Objective: With the rising number of cases of non-vaginal delivery worldwide, scientists have been concerned about the influence of the different delivery modes on maternal and neonatal microbiomes. Although the birth rate trend is decreasing rapidly in Taiwan, more than 30 percent of newborns are delivered by caesarean section every year. However, it remains unclear whether the different delivery modes could have a certain impact on the postpartum maternal microbiome and whether it affects the mother-to-newborn vertical transmission of bacteria at birth.

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  • Dysfunction of intracellular proteins is linked to diseases like cancer, and this text examines how exogenous proteins behave in confined or crowded cellular conditions, affecting their activity.
  • The study synthesized proteins in these environments and found complex effects; one enzyme (HRP) showed significant inhibition, while another (Cyt C) had mixed results with confinement and crowding.
  • Using a biodegradable nanoparticle model, the research aimed to mimic and better understand protein behavior in cellular environments, revealing that cancer cells (MDA-MB-231) exhibited more pronounced protein activity inhibition compared to normal cells (HEK293).
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  • Chronic obstructive pulmonary disease (COPD) is a significant global health issue, with around 70-80% of cases undiagnosed, leading to poorer health outcomes and lower quality of life for patients.
  • Early detection of COPD is essential, and while strategies have been developed over the past decade, identifying undiagnosed cases remains challenging.
  • The review provides an overview of current literature on various case-finding strategies and instruments recommended by health organizations, alongside a proposed flowchart to effectively identify individuals at risk for COPD.
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