Publications by authors named "Chiang W"

Dendritic cells (DCs) play a crucial role in initiating antitumor immune responses. However, in the tumor environment, dendritic cells often exhibit impaired antigen presentation and adopt an immunosuppressive phenotype, which hinders their function and reduces their ability to efficiently present antigens. Here, a dual catalytic oxide nanosponge (DON) doubling as a remotely boosted catalyst and an inducer of programming DCs to program immune therapy is reported.

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The increasing effective, detectable, and targeted anticancer systems are driven by the growing cancer incidence and the side effects of current drugs. Natural products like saponin and apigenin have emerged as valuable compounds for precise treatment. Recent advancements in bioactive metal-organic frameworks (MOFs) have introduced multifunctional particles suitable for cellular imaging, targeted drug delivery, and early cancer treatment.

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Background: Evidence regarding the effect of time to neurosurgical and neuroradiological intervention on outcomes in traumatic brain injury (TBI) across Asia-Pacific region is limited. This study evaluates the quality of care and outcomes for TBI patients undergoing neurosurgical and neuroradiological procedures at different timings.

Methods: Adult TBI patients who received any neurosurgical or neuroradiological interventions during the year 2015-2022 in the Pan-Asian Trauma Outcome Study database were analyzed.

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Controlling the redox ability is crucial for optimizing catalytic processes in clean energy, environmental protection, and CO reduction, as it directly influences the reaction efficiency and electron transfer rates, driving sustainable and effective outcomes. Here, we report the plasma-electrified synthesis of composition-controlled FeAu bimetallic nanoparticles, specifically engineered to enhance the redox catalytic performance through precise tuning of their chemical states. Utilizing atmospheric-pressure microplasmas, FeAu nanoparticles were synthesized under ambient conditions without the need for reducing agents or organic solvents, thereby providing a green and sustainable approach.

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The recruitment of T lymphocytes holds great potential for suppressing the most aggressive glioblastoma (GBM) recurrence with immunotherapy. However, the phenomenon of immune privilege and the generally low immunogenicity of vaccines often reduce the presence of lymphocytes within brain tumors, especially in brain tumor recurrence clusters. In this study, an implantable self-cascading catalytic therapy and antigen capture scaffold (CAS) that can boost catalytic therapy efficiency at post-surgery brain tumor and capture the antigens via urethane-polyethylene glycol-polypropylene glycol (PU-EO-PO) segments are developed for postoperative brain immunotherapy.

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Yunlin County, Taiwan, faces healthcare challenges given its super-aged population, limited medical accessibility, and a rise in chronic wounds. To address these issues, we introduced the "Fight Out to CARE" project, dispatching wound nurses to patients' locations to perform Cleansing, Avoidance, Removal, and Enhancement (CARE) under tele-supervision from a plastic surgeon. The program was conducted weekly in 2018 and twice monthly in 2019 for 53 weeks.

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Advancements in early detection have demonstrated the significance of biomarkers as indicators of health and disease. Traditional detection methods often face limitations, such as low sensitivity and time consumption. Fluorescence-based techniques are considered promising approaches because of their noninvasiveness and rapid response.

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Study Objective: Cardiopulmonary resuscitation (CPR) is critical for out-of-hospital cardiac arrest patients but is prone to rapid changes and errors. Effective teamwork and leadership are essential for high-quality CPR. We aimed to introduce the Airway-Circulation-Leadership-Support (A-C-L-S) teamwork model in the emergency department (ED) to address these challenges.

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Climate change, with increasing temperatures, poses a health threat to patients on maintenance hemodialysis (MHD). Seasonal variations in body composition have been documented in this population. We hypothesized that climate warming could further exacerbate these effects.

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The mRNA 5'-cap structure removal by the decapping enzyme DCP2 is a critical step in gene regulation. While DCP2 is the catalytic subunit in the decapping complex, its activity is strongly enhanced by multiple factors, particularly DCP1, which is the major activator in yeast. However, the precise role of DCP1 in metazoans has yet to be fully elucidated.

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Article Synopsis
  • DACPR (dispatcher-assisted cardiopulmonary resuscitation) significantly boosts survival rates for patients experiencing out-of-hospital cardiac arrest, but its effectiveness can differ based on the location of the incident (home vs public place).
  • A study analyzing 1,160 OHCA cases in Taichung City found that public places had younger and predominantly male patients, but lower rates of chest compressions (41.1% vs 65.5% in homes) and a longer time to recognize the OHCA (108 seconds vs 79 seconds).
  • Public callers faced more physical barriers and were more likely to refuse guidance during emergencies compared to private home callers, who experienced higher OHCA recognition and more successful implementation
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Purpose: To characterize patients with cytomegalovirus (CMV) retinitis and identify risk factors for retinal detachment (RD) and mortality in this Taiwanese patient population.

Methods: This retrospective study included patients diagnosed with CMV retinitis between 2007 and 2019. The diagnosis was confirmed through aqueous polymerase chain reaction (PCR).

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Background: Chronic low back pain (CLBP), a significant cause of disability, is expected to increase with aging. Short Form 36 (SF-36) indicated higher baseline component scores predict CLBP disability at shorter follow-ups, with unexplored five-year associations. The study aimed to test the associations of the physical and mental subscales of the SF-36 at baseline with disability at the five-year follow-up point among patients with CLBP.

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This study aimed to enhance the evaluation of facial symmetry crucial for planning and assessing outcomes of orthognathic surgery (OGS). An innovative approach combining three-dimensional (3D) facial contour lines with hyperdimensional (HD) computing was developed for this purpose. Data were collected using 3D cone beam computed tomography (CBCT) at Chang Gung Memorial Hospital from 2016 to 2021.

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To assess a quality improvement project using alternating pressure air mattresses' impact on reducing full-thickness pressure injuries by enhancing setting accuracy and device utilization. We retrospectively evaluated adult acute care unit patients with inclusion criteria (Braden scores ≤12 or existing full-thickness pressure injuries) between May 2020 and August 2023. A wound team attempted to enhance the accuracy, utilization and effectiveness of alternating pressure air mattress implementation.

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Penetrating keratoplasty (PK) is a corneal surgery that is employed to repair the full-thickness corneal lesion. This study aimed to survey the possible systemic risk factors of infectious keratitis after penetrating keratoplasty (PK) via the Taiwan National Health Insurance Research Database (NHIRD). A retrospective case-control study was conducted, and 327 patients who received the PK were enrolled after exclusion.

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The rapid and sensitive detection of amino acids is important not only for fundamental studies but also for the establishment of a healthy society. However, conventional detection methods have been hampered by the difficulties of low sensitivity, long sampling and detection times, and expensive operation and instruments. Here, we report the plasma engineering of bioresource-derived graphene quantum dots (GQDs) as surface-enhanced Raman scattering (SERS)-active materials for the rapid and sensitive detection of amino acids.

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Article Synopsis
  • A study in Taiwan found high levels of antimicrobial-resistant E. coli in children, with 59.3% of participants carrying multidrug-resistant strains and 37.4% carrying third-generation cephalosporin-resistant versions.
  • The prevalence of third-generation cephalosporin-resistant E. coli was highest in southern Taiwan (42.7%), with various risk factors identified, including low paternal education, obesity, and diet.
  • The findings highlight the need for targeted public health strategies to address the issue of antimicrobial resistance in the community.
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  • Out-of-hospital cardiac arrest (OHCA) is a significant public health concern, and understanding heart function before the event can help predict outcomes, but the role of echocardiography in this context is not fully explored.
  • This study aimed to determine how left ventricular ejection fraction (LVEF) measured before OHCA correlates with survival after hospital discharge, using data from a large cohort of adult patients in Taiwan.
  • Findings showed that higher pre-arrest LVEF is linked to better survival rates; for instance, patients with LVEF > 60% had more than five times the odds of surviving to discharge compared to those with LVEF < 40%.
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The optimal prehospital blood pressure in patients following traumatic brain injury (TBI) remains controversial. We aimed to assess the association between the systolic blood pressure (SBP) at emergency department triage and patient outcomes following isolated moderate-to-severe TBI. We conducted a cross-national multicenter retrospective cohort study using the Pan-Asia Trauma Outcomes Study database from January 1, 2016, to November 30, 2018.

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Background: The survival trend and factors influencing short- and mid-term mortality in Asian out-of-hospital cardiac arrest (OHCA) survivors should be elucidated. We performed survival analyses on days 3 and 30, hypothesizing decreased survival rates within the initial 3 days post-resuscitation. Additionally, variables linked to mortality at these two timepoints were examined.

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