Publications by authors named "Chia-Ter Chao"
Background: Patients with diabetes kidney disease (DKD) are at risk of developing frailty, leading to functional impairment and poor outcomes. Medications are potential modifiers of such risk. Ketoanalogues have been shown to delay dialysis initiation in DKD patients.
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- This study investigates how sarcopenia, hemodialysis sessions, and gait characteristics affect fall risk in older patients with end-stage kidney disease.
- Researchers analyzed data from 22 patients aged 65 and older, comparing those at higher risk of sarcopenia (SARC-F ≥ 4) with those at lower risk (SARC-F < 4) based on their gait metrics.
- Results indicated that patients at higher risk exhibited more gait abnormalities and that certain improvements in gait performance post-dialysis were observed, suggesting a link between dialysis and fall risk changes.
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- Clinical shadowing allows preclinical medical students to observe doctors, helping them understand important clinical competencies through reflective writings.
- A thematic analysis was conducted on 155 reflective writings from students at National Taiwan University, revealing that patient care was the most frequently noted competency, followed by systems-based practice and medical knowledge.
- The majority of reflections were categorized as concrete experiences, indicating that students primarily learned through direct observation rather than through abstract thinking or reflection.
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- * In elderly individuals, hypertension can lead to serious health complications, including organ damage and additional health problems, which can complicate treatment due to their diminished physical and mental capacities.
- * When addressing hypertension in older adults, thorough assessments are essential to weigh the benefits and risks of medications, and the review highlights the impact of hypertension on organ damage and frailty in this population.
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- Collaborative learning, especially through small group teaching, has become increasingly relevant in medical education, particularly after the shift to online formats due to the Covid-19 pandemic.
- This study focused on 263 medical students to explore the connection between group metacognition and teamwork satisfaction after participating in online small group tutorials.
- Results indicated that most dimensions of group metacognition (knowledge of cognition, planning, and evaluating) positively influenced teamwork satisfaction, emphasizing the importance of these skills in enhancing collaborative online learning experiences.
Patients with diabetes mellitus (DM) are at risk of developing frailty, but studies rarely addressed risk factors for frailty worsening. We investigated whether blood pressure (BP)-lowering agents influenced such risk in these patients. Adults with type 2 DM were identified from National Taiwan University Hospital, with the primary outcome, the worsening of frailty by ≧1 score increase of FRAIL scale determined.
View Article and Find Full Text PDFIntroduction: Limited data have addressed frailty's role in cardiorenal risk among older adult patients with chronic kidney disease (CKD). We investigated whether frailty could predict major renal and cardiovascular events, healthcare utilization, and mortality in these patients.
Methods: We conducted a prospective cohort enrolling patients aged ≥75 years with a stable estimated glomerular filtration rate (eGFR) <60 mL/min/1.
Article Synopsis
- * It's important to carefully choose the right medicines and blood pressure goals to help these patients without causing more problems.
- * Families and caregivers should help in making decisions about treatment to make sure it fits what the patient needs and keeps them safe.
Free Hormone Theory of Vitamin D Can Be an Important Alternative Consideration.
Am J Kidney Dis
September 2024
Background: Valvular calcification (VC) refers to the calcified valvular remodeling associated with kidney dysfunction, especially end-stage kidney disease (ESKD). ESKD patients with VC had significantly higher cardiovascular risk than those without. Factors interacted with VC regarding prognostic prediction in this population were seldom investigated.
View Article and Find Full Text PDFThe role of international renal disaster preparedness working groups in difficult settings: bridge over troubled water.
Curr Opin Nephrol Hypertens
November 2024
Purpose Of Review: Disasters, natural and man-made, are rising in frequency and pose significant challenges to the provision of renal care worldwide. Patients with kidney disease, particularly those on dialysis, are extremely vulnerable during disasters. This timely review summarizes the potential roles international renal disaster preparedness working groups have in addressing these challenges.
View Article and Find Full Text PDFFurther Study Needed on Antihypertensive Medications and Fracture Risks.
JAMA Intern Med
October 2024
Introduction: Postgraduate medical education assumes rising importance in the rapidly advancing field of medicine. Case-based learning (CBL), a learner-centered pedagogy employing clinical cases to improve decision-making, is widely embraced in postgraduate medical education, including nephrology. Studies suggest that learning self-efficacy (SE) was closely associated with learning motivation and academic performance; however, very few studies examined this association in postgraduate nephrology education.
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