Publications by authors named "Chien-Yu Lin"

Background: Recently, the phase angle (PhA) has emerged as an essential indicator of cellular health. Most studies have examined its association with physiological conditions, such as sarcopenia, frailty, and physical function, in older populations. Simultaneously, growing attention is being paid to the clinical relevance of segmental PhAs for future applications.

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Purpose: The PD-1/PD-L1 pathway is one of the most effective immune checkpoint pathways utilized for cancer immunotherapy. Despite the success of anti-PD-1/PD-L1 mAbs, there is growing interest in developing low molecular weight anti-PD-1/PD-1 agents, such as peptides, because of their improved tumor penetration. We recently developed a small anti-PD-L1 peptide and demonstrated its promising anti-tumor activity.

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  • This study examines the safety and survival outcomes of osimertinib compared to other EGFR TKIs, specifically looking at the incidence of cancer therapy-related cardiac events (CTRCEs) among patients with EGFR-mutant non-small cell lung cancer in Taiwan.
  • Conducted over a median follow-up of 23.2 months with 401 patients, the study assessed various heart-related issues like arrhythmias and heart failure while controlling for multiple factors such as age and existing health conditions.
  • Results from the analysis, which utilized complex statistical models to address potential confounding variables, aim to clarify the relationship between using osimertinib and the risk of CTRCEs, including its impact on overall survival.
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Background: Proximity to parks has been suggested as a factor influencing physical activity in older adults. However, it remains unclear the optimal distance between residences and parks for promoting physical activity and reducing sedentary time and whether these associations vary by the time of day. We examined whether the proximity to neighbourhood parks at varying distances is associated with all-day and time-specific physical activity and sedentary behaviour in older adults.

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  • The study examines the impact of COVID-19 on the prevalence of sexually transmitted infections (STIs) in Taiwan, focusing on the trends observed from 2015 to 2022.
  • Researchers found that despite the pandemic and various public health interventions, gonorrhea notifications significantly increased from an average of 85 per week pre-pandemic to 143 per week during the pandemic, indicating a 68% rise.
  • The findings suggest that gonorrhea remains a critical public health issue in Taiwan, as its incidence did not decrease even amidst disruptions to testing and healthcare services.
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Background: The prognostic significance of margin-to-depth ratio (MDR) in oral cavity squamous cell carcinoma (OCSCC) remains unclear, particularly in comparison to traditional margin status. We aimed to examine the association between MDR and clinical outcomes in a large Taiwanese cohort.

Methods: A total of 18,324 patients with first primary OCSCC were categorized by margin status: positive (1013), <5 mm (8371), and ≥ 5 mm (8940).

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  • A multicenter study analyzed the effectiveness of 18F-FDG PET/CT imaging for evaluating the response of salivary gland carcinoma (SGC) patients after radiation therapy (RT), involving 115 patients over a span of 17 years.
  • The study found that 70% of patients showed metabolic complete response (CR) on PET/CT; those with metabolic CR had significantly better long-term outcomes compared to those without.
  • The imaging technique demonstrated high accuracy and specificity, particularly in cases with higher pre-treatment tumor aggressiveness, aiding in the early detection of viable tumors and guiding further treatment decisions.*
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Background: The evidence for adjuvant chemoradiotherapy (CRT) of oral cavity squamous cell carcinoma (OCSCC) with extra-nodal extension (ENE) in National Comprehensive Cancer Network (NCCN) guidelines is derived from patients with head and neck cancer. The guidelines further suggest a radiation dose ranging from 6000 to 6600 cGy. In this nationwide study, we sought to evaluate the prognostic significance of adjuvant therapy and the specific radiation dosage in Taiwanese patients with pure OCSCC and ENE.

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Purpose: This study aimed to estimate the costs associated with adverse events (AEs) in advanced lung cancer patients treated with first-line therapies.

Subjects And Methods: All patients with advanced lung cancer diagnosed between 2011 and 2019 were identified from the Taiwan National Cancer Registry. First-line treatment was defined as a therapy that began within 30 days before and 90 days after the diagnosis.

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Background: The global impact of COVID-19 has prompted profound shifts in public health policies. The epidemiology of respiratory infectious disease may change in the post-covid era. This study investigates the repercussions of these policies on respiratory infectious diseases, specifically the resurgence of severe influenza and enterovirus infections in the post-COVID-19 era.

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  • The study highlights the increasing use of extracorporeal membrane oxygenation (ECMO) for treating cardiogenic shock but notes that survival rates have not improved, stressing the need for better patient selection.
  • Thirty-four patients were analyzed by collecting and examining their blood cells at different time points during ECMO, focusing on DNA methylation features to create predictive models for in-hospital mortality.
  • The developed models showed significant predictive accuracy (AUC values of 0.78 and 0.72) for mortality, outperforming traditional clinical evaluation systems, suggesting that DNA methylation could be a valuable tool for improving patient outcomes in ECMO therapy.
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Tricuspid valve leaflets are dynamic tissues that can remodel in response to altered biomechanical and hemodynamic loads. The anterior, posterior, and septal leaflets exhibit distinct morphology, composition, and mechanical properties, resulting in varying in vivo strains. We hypothesized that these differences would result in leaflet-specific remodeling changes in a sheep model of biventricular heart failure.

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  • Enterovirus A71 (EV-A71) is a virus that can cause serious health issues like hand, foot, and mouth disease and complications such as encephalitis in young children.
  • A study followed 227 children aged 2 months to less than 6 years who received an inactivated EV71 vaccine (EV71vac) to assess its long-term immunity for up to 5 years.
  • Results showed consistently high neutralizing antibody levels against various EV-A71 subgenotypes, with no reported long-term safety issues, indicating strong and lasting immunity in children.
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Introduction: The tumor microenvironment (TME) of pancreatic cancer is highly immunosuppressive and characterized by a large number of cancer-associated fibroblasts, myeloid-derived suppressor cells, and regulatory T cells. Stimulator of interferon genes (STING) is an endoplasmic reticulum receptor that plays a critical role in immunity. STING agonists have demonstrated the ability to inflame the TME, reduce tumor burden, and confer anti-tumor activity in mouse models.

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Purpose: Glyphosate and glyphosate-based herbicides (GBH), widely used globally, were initially considered harmless to humans. Experimental studies have suggested that these substances can disrupt iron homeostasis by interfering with iron uptake or triggering inflammatory responses. However, their potential impact on human iron homeostasis remains underexplored.

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Introduction: Monoterpenes, a subset of the terpene family composed of two isoprene units, have garnered significant attention in research circles owing to their potential medicinal benefits. Recent experimental studies indicate that they might exert positive effects on bone health. Nevertheless, the impact of monoterpenes exposure on bone health remains unexplored in humans.

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Per- and polyfluoroalkyl substances (PFAS) are artificial chemicals extensively utilized in everyday products, and numerous cross-sectional epidemiological studies consistently link PFAS exposure with lipid profiles across diverse populations and age groups. In longitudinal studies, the findings also indicate a positive correlation between PFAS and lipid profiles; however, this association remains unexplored in adolescents and young adults. Notably, previous research has predominantly focused on conventional lipid biomarkers, with limited exploration of the relationship between PFAS and diverse lipoprotein subfractions.

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  • Induction chemotherapy (IC) is used as a treatment prior to surgery for oral squamous cell carcinoma (OCSCC), and this study analyzes its impact on patient survival in Taiwan.
  • A total of 29,891 OCSCC patients were examined, comparing those who had surgery only to those who received IC before surgery, with a focus on survival outcomes through matched analysis.
  • The results show that while overall survival rates were similar for both groups, patients with aggressive pT4a tumors had better outcomes with surgery alone compared to those who received IC before surgery.
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In the field of dentistry, the presence of dental calculus is a commonly encountered issue. If not addressed promptly, it has the potential to lead to gum inflammation and eventual tooth loss. Bitewing (BW) images play a crucial role by providing a comprehensive visual representation of the tooth structure, allowing dentists to examine hard-to-reach areas with precision during clinical assessments.

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Background: Though Aspirin and intravenous immunoglobulin (IVIG) remain the standard treatments for Kawasaki Disease (KD) to minimize coronary artery damage, the duration and dosage of aspirin are inconsistent across hospitals. However, the lack of multi-center randomized trials prevents definitive answers to the impact of high-dose aspirin.

Methods: This clinical trial was structured as a prospective, evaluator-blinded, multi-center randomized controlled trial with two parallel arms, aiming to assess the effectiveness of IVIG as a standalone primary therapy of KD in comparison to the combination of IVIG with high-dose aspirin therapy.

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Per- and polyfluoroalkyl substances (PFAS) constitute a group of synthetic chemicals extensively utilized across various commonplace products. PFAS are known to have various toxic effects on human health. The relationship between PFAS exposure and erythrocytes has been a subject of interest in epidemiological research, but so far, only limited cross-sectional studies have investigated.

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The potential adverse effects of coronavirus disease 2019 (COVID-19) vaccinations raise public concerns. Data from Taiwan's Vaccine Injury Compensation Program (VICP) can provide valuable insights. This study analyzed the preliminary application data for COVID-19 vaccine compensation in Taiwan's VICP, focusing on applicants receiving vaccines between March 2021 and June 2022.

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