Publications by authors named "Chia-Ling Chang"

Article Synopsis
  • HLA-A*24:393 is a variant of HLA-A*24:02:01:01.
  • The difference between the two variants is a single nucleotide change at position 376.
  • This change involves a substitution from the nucleotide G to A in exon 3.
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HLA-C*07:02:81 differs from HLA-C*07:02:01:01 by one nucleotide substitution at position 465 (C→A) in exon 3.

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Surface-enhanced Raman spectroscopy (SERS) is widely utilized in bacterial analyses, with the dominant SERS peaks attributed to purine metabolites released during sample preparation. Although adenosine triphosphate (ATP) and nucleic acids are potential molecular origins of these metabolites, research on their exact contributions remains limited. This study explored purine metabolite release from E.

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  • This study aimed to validate a simplified radiological scoring system for evaluating clinical symptoms and outcomes in Taiwanese patients with noncystic fibrosis bronchiectasis (NCFB).
  • It involved analyzing data from 2,753 patients, assessing their bronchiectasis type and severity using a modified Reiff score derived from high-resolution CT scans, and correlating these with clinical features such as lung function and hospitalization rates.
  • The findings indicated that as the severity of bronchiectasis increased, patients experienced worse symptoms and lung function, and identified factors like age and pneumonia as independent predictors of mortality, suggesting the scoring system's utility in clinical assessments.
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  • A retrospective study in Taiwan (2011-2020) focused on treatment responses for 97 patients with complex pulmonary disease (MAC-PD), finding that a specific treatment regimen (macrolide + rifamycin + ethambutol) yielded a higher microbiological cure rate.
  • Of the patients, 31% achieved negative sputum cultures within three years, with a significant correlation between initial sputum status and cure rates after 6 months of treatment.
  • The median time from sputum culture conversion to the end of treatment for those who achieved a cure was 221.5 days, and the one-year relapse rate was found to be 17%.
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Introduction: Guselkumab is a human monoclonal antibody against IL-23 used in the treatment of moderate-to-severe psoriasis. This post-hoc analysis evaluated the efficacy and safety of guselkumab in the Asian subpopulation of VOYAGE 1 and VOYAGE 2 through 5 years.

Methods: The proportions of guselkumab-treated Asian patients (VOYAGE 1 and 2) achieving Psoriasis Area and Severity Index (PASI) 90 and PASI 100, Investigator's Global Assessment (IGA) scores of 0/1 and 0, and Dermatology Life Quality Index (DLQI) scores of 0/1 (week 100 through week 252) were assessed.

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HLA-C*01:143N differs from HLA-C*01:02:01:01 by one nucleotide substitution at position 585 (C → A) in exon 3.

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HLA-A*02:672Q differs from HLA-A*02:06:01:01 by one nucleotide substitution at position 563 (G → A) in exon 3.

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Article Synopsis
  • Patients with psoriasis were randomly assigned to receive either guselkumab, adalimumab, or a placebo in the VOYAGE 1 and VOYAGE 2 studies, focusing on difficult-to-treat psoriasis areas in an Asian subpopulation.
  • At week 24, guselkumab showed significantly better results compared to adalimumab in achieving "clear" or "near clear" scores for scalp and hands/feet psoriasis, while improvements in nail psoriasis were similar between the two treatments.
  • The study also indicated that guselkumab was more effective regardless of whether patients had prior biologic treatment, matching the results of the larger global population.
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Seroclearance of hepatitis B surface antigen (HBsAg) is regarded as the functional cure for chronic hepatitis B (CHB). The relationship between human leukocyte antigen (HLA) variants, hepatitis B virus genotype, and longitudinal HBsAg serodecline remains to be explored. A total of 1735 HBeAg-seronegative CHB patients with genotype B or C infection of the community-based REVEAL-HBV cohort were genotyped for rs1710 (HLA-G) and rs2770 (HLA-B) using TaqMan assay.

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  • A definitive diagnosis of pulmonary sarcomatoid carcinoma is challenging with small biopsies, leading to the acceptance of advanced non-small-cell lung cancer with spindle/giant cell characteristics as a diagnosis.* -
  • A study of 101 patients revealed that most received systemic therapy, with immune checkpoint inhibitors (ICIs) linked to significantly better overall survival (OS) compared to those who did not receive them (18.2 months vs. 3.8 months).* -
  • The presence of high programmed death ligand-1 (PD-L1) expression was associated with better OS, and the findings indicate that though survival is poor for advanced NSCLCsg, ICIs may offer a potential benefit, warranting further research.*
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This study aimed to investigate the characteristics of, exposure to, and factors influencing gas-phase and PM-bound phthalates (PAEs) in nail salons. Data on both indoor and outdoor gas-phase and PM-bound PAEs, carbon dioxide (CO), temperature, and relative humidity were collected in nail salons. We also used questionnaires to survey building characteristics and occupants' behaviors.

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Blood culture is the main tool used to identify causative pathogens. Adequate volume and number of culture sets are considered key to blood culture positivity rate. It is not known whether these factors remain critical to the positivity rate after the introduction of automated continuous blood culture system monitoring.

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Article Synopsis
  • The study investigates the effectiveness and adherence to biologics for treating moderate-to-severe psoriasis in Taiwan using data from the National Health Insurance Research Database.
  • A total of 1,397 patients were analyzed, revealing that ustekinumab had the highest persistence rates (94.2% at 1 year and 84.9% at 2 years) compared to adalimumab and etanercept.
  • Results indicated that patients on ustekinumab had a significantly lower risk of treatment discontinuation than those on adalimumab and etanercept, highlighting its potential as a preferred treatment option.
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  • The study focused on patients with prolonged mechanical ventilation (PMV), examining how abdominal weight training (AWT) and cough machine (CM) assistance impact lung function, muscle strength, and coughing ability.
  • Forty PMV patients were divided into three groups: those undergoing AWT, those receiving AWT with CM support, and a control group, with significant improvements in maximum inspiratory pressure, maximum expiratory pressure, and peak cough flow observed in the AWT and AWT+CM groups compared to the control group.
  • The findings suggest that AWT, especially when combined with CM assistance, can substantially enhance respiratory health and coughing effectiveness in patients with diaphragm weakness due to prolonged ventilation.
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Background: Primary and recurrent venous thromboembolism (VTE) commonly occur in patients with cancer. However, because of the National Health Insurance regulations, available dosage forms, and clinical conditions, the prescribed dose of rivaroxaban may not be consistent with its recommended dose.

Objective: To evaluate the 6-month recurrence rate of VTE and safety of rivaroxaban for patients with cancer.

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There are currently no good indicators that can be used to predict the medical expenses of chronic obstructive pulmonary disease (COPD). This was a retrospective study that focused on the correlation between the age, dyspnoea, and airflow obstruction (ADO) index and the Charlson comorbidity index (CCI) on the medical burden in COPD patients, specifically, those of patients with complete ADO index and CCI data in our hospital from January 2015 to December 2016. Of the 396 patients with COPD who met the inclusion criteria, 382 (96.

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Background: Robot-assisted hand training has shown positive effects on promoting neuromuscular control. Since both robot-assisted therapy and task-oriented training are often used in post-stroke rehabilitation, we raised the question of whether two interventions engender differential effects in different domains.

Methods: The study was conducted using a randomized, two-period crossover design.

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Background: Hepatitis B surface antigen (HBsAg) seroclearance is the most important milestone indicating favourable clinical outcomes in patients with chronic hepatitis B (CHB). However, it is difficult to achieve due to the impaired HBV-specific immunity, such as programmed cell death 1 (PD-1)-associated T cell exhaustion. We assessed soluble PD-1 (sPD-1) as a novel seromarker for predicting spontaneous HBsAg loss.

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HLA-C*07:446 differs from HLA-C*07:02:01:01 by one nucleotide substitution at position 809 (C → T) in exon 4.

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Airborne microplastic particles (MPs) are emerging contaminants. Although some studies have investigated the characteristics of indoor MPs in homes or offices, information regarding MPs in nail salons with potentially higher MP pollution is unavailable. In this study, we collected indoor and outdoor air samples from nail salons to analyze the concentrations, physical characteristics, and polymers of MPs and further assessed the exposure through inhalation and influencing factors.

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Article Synopsis
  • - HLA-C*03:294 and HLA-C*03:04:01:01 are genetic variations of the same gene.
  • - The difference between the two variations is due to a single nucleotide change at position 727.
  • - This specific change involves a Thymine (T) being replaced by a Cytosine (C) in exon 4 of the gene.
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  • Coprescription of Western medicine, Chinese herbal medicine (CHM), and dental care is a growing issue among older adults in Taiwan, potentially leading to complications from polypharmacy.
  • A study analyzing data from over 266,000 patients revealed that coprescription is more common in northern Taiwan among those with lower income, although the use of Western medicine and CHM alone is declining.
  • The research highlights that coprescription trends are increasing over time for certain demographics, particularly females aged 70-79, emphasizing the need for healthcare providers to navigate these complex prescribing patterns.
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Chronic kidney disease (CKD) has emerged as a global health concern. Many studies have identified an association between hyperuricemia and CKD, and some studies have revealed that urate-lowering therapy (ULT) can attenuate CKD progression. However, only a few studies have explored the role of ULT in the prevention of new onset CKD.

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