Publications by authors named "Chuang Chi"

Background: Data regarding the distribution of left ventricular ejection fraction among patients with newly diagnosed heart failure (HF) and the outcomes of patients with heart failure with preserved ejection fraction (HFpEF) in Taiwan are limited.

Methods: Patients with newly diagnosed HF were identified from a multi-institutional database between 2016 and 2020. Outcomes were compared between patients with HFpEF and heart failure with reduced ejection fraction (HFrEF) after propensity score matching (PSM).

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  • The study explored the effects of initial serum sodium changes in type 2 diabetes patients starting SGLT2 inhibitor therapy and monitored their clinical outcomes.
  • In a cohort of 4400 patients treated from 2016 to 2021, most showed minimal sodium change, but 8.6% experienced low sodium (hyponatraemia) and 3.6% high sodium (hypernatraemia).
  • Hyponatraemia after starting treatment was linked to significantly higher risks of major cardiovascular events, heart failure hospitalizations, renal issues, and overall mortality.
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  • The study investigates the cardiovascular risks associated with Immune Checkpoint Inhibitors (ICIs) compared to other cancer therapies, analyzing data from over 188,000 cancer patients in Taiwan.
  • It found no significant increase in major cardiovascular events, such as cardiac death and heart failure, among patients treated with ICIs.
  • Notably, ICI patients experienced a lower risk of non-fatal stroke, particularly benefiting those with diabetes, suggesting that ICIs may have protective cardiovascular effects that warrant further research.
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Aim: This nationwide cohort study evaluated the impact of sodium-glucose co-transporter-2 inhibitors (SGLT2i) on patients with type 2 diabetes mellitus (T2DM) after ischaemic stroke (IS), aiming to compare clinical outcomes between SGLT2i-treated patients and those not receiving SGLT2i.

Materials And Methods: Utilizing Taiwan's National Health Insurance Research Database, we identified 707 patients with T2DM treated with SGLT2i and 27 514 patients not treated with SGLT2i after an IS, respectively, from 1 May 2016 to 31 December 2019. Propensity score matching was applied to balance baseline characteristics.

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To compare clinical outcomes in patients with type 2 diabetes (T2D) after acute myocardial infarction (AMI) using sodium-glucose cotransporter-2 inhibitors (SGLT2i) vs. non-use of SGLT2i. A national cohort study based on the Taiwan National Health Insurance Research Database enrolled 944 patients with T2D who had experienced AMI and were treated with SGLT2i and 8,941 patients who did not receive SGLT2i, respectively, from May 1, 2016, to December 31, 2019.

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  • This study explores how regional constructive work (CW) and wasted work (WW) can predict the effectiveness of cardiac resynchronization therapy (CRT) in patients with specific heart conditions.
  • Out of 134 CRT candidates observed, 69% showed positive response to treatment, with lateral wall CW and septal WW being the strongest indicators of reverse remodeling.
  • Researchers concluded that measuring LW CW and septal WW before CRT can help forecast improvements in heart function and long-term clinical outcomes, such as death and heart failure hospitalizations.
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Aims: The effectiveness and limb safety of sodium glucose co-transporter 2 inhibitors (SGLT2i) for patients with type-2 diabetes (T2D) who have received peripheral artery disease (PAD) revascularization are unknown.

Methods And Results: In this nationwide retrospective cohort study, we identified a total of 2,455 and 8,695 patients with T2D who had undergone PAD revascularization and received first prescriptions for SGLT2i and dipeptidyl peptidase-4 inhibitors (DPP4i), respectively, between May 1, 2016, and December 31, 2019. We used 1:1 propensity score matching (PSM) to balance covariates between the two study groups.

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  • Patients with type 2 diabetes (T2D) undergoing percutaneous coronary intervention (PCI) face higher risks of cardiovascular and renal issues, and this study compares outcomes between those treated with sodium-glucose cotransporter-2 inhibitors (SGLT2i) and dipeptidyl peptidase-4 inhibitors (DPP4i).
  • A nationwide study analyzed data from over 41,000 patients, finding that SGLT2i showed lower risks for heart failure hospitalization, coronary revascularization, kidney issues, and all-cause mortality compared to DPP4i.
  • The results suggest that SGLT2i is more beneficial for T2D patients after PCI, and further research is
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Background: In patients with heart failure (HF), anxiety or insomnia is prevalent and associated with poor clinical outcomes. Benzodiazepines (BZDs) are one of the most commonly prescribed medications for anxiety or insomnia in Taiwan. Evidence regarding the effects of BZDs on patients with heart failure and reduced ejection fraction (HFrEF) is inconclusive.

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Background: Studies specifically examining the association between glycated hemoglobin A1c (HbA1c) levels and ischemic stroke/systemic thromboembolism (IS/SE) risk in atrial fibrillation (AF) patients are limited. Here, we investigated the association between HbA1c levels and the risk of IS/SE, as well as major bleeding, among AF patients with or without oral anticoagulants (OACs). We also compared the effectiveness and safety of warfarin and direct oral anticoagulants (DOACs) in different HbA1c categories.

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Background: Growing evidence indicates that measures of body composition may be related to clinical outcomes in patients with malignancies. The aim of this study was to investigate whether measures of regional adiposity-including subcutaneous adipose tissue index (SATI) and visceral adipose tissue index (VATI)-can be associated with overall survival (OS) in Taiwanese patients with bone metastases.

Methods: This is a retrospective analysis of prospectively collected data.

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Esophageal cancer is a major cause of cancer-related mortality worldwide. The long noncoding RNA LINC00152 has been confirmed to play an oncogenic role in many cancers. However, the expression pattern and function of LINC00152 in human esophageal squamous cell carcinoma (ESCC) remain unclear.

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  • * This study highlights miR-4319 as a tumor suppressor in NSCLC, as it inhibits cell proliferation, migration, and promotes apoptosis while interacting with LIN28.
  • * The research reveals that miR-4319 disrupts LIN28's influence on RFX5 mRNA stability, which in turn affects YAP transcription, thereby reducing NSCLC tumorigenesis linked to miR-4319's actions.
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We aimed to determine whether body composition assessment before treatment can predict outcomes in patients with head and neck cancer (HNC). All 881 patients with locoregional head and neck cancer treated with curative intent radiotherapy (RT) between 2005 and 2012 were retrospectively investigated. Body composition was analyzed via pre-RT planning computed tomography (CT) images.

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Background: Systemic inflammatory response syndrome (SIRS) accompanied by trauma can lead to multiple organ dysfunction syndrome (MODS) and even death. Early inhibition of the inflammation is necessary for damage control. Bone marrow mesenchymal stem cells (BMSCs), as a novel therapy modality, have been shown to reduce inflammatory responses in human and animal models.

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Background And Purpose: Cancer stem cells exhibit distinctive cellular metabolism compared with the more differentiated counterparts or normal cells. We aimed to investigate the impact of a novel radionuclide anti-cancer agent (188)Re-Liposome on stemness markers' expression and cellular metabolism in an ovarian cancer model.

Material And Methods: A 2×2 factorial experiment was designed in which factor 1 represented the drug treatment comparing (188)Re-BMEDA, a free form of (188)Re, with (188)Re-Liposome, a nanoparticle-encapsulated form of (188)Re.

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Recent studies conducted in patients with chronic diseases have reported an inverse association between body mass index (BMI) and mortality. However, the question as to whether BMI may predict prognosis in patients with metastatic cancer remains open. We therefore designed the current retrospective study to investigate the potential association between BMI and overall survival (OS) in patients with distant metastases (DM) and a favorable performance status.

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Background: Multiple trauma normally leads to acute lung injury (ALI) and other multiple organ dysfunction syndrome (MODS). Finding effective treatments for ALI remains a medical as well as socioeconomic challenge. Several studies show that bone marrow mesenchymal stem cells (BMSCs) have the potent anti-inflammation activity and transfusion of BMSCs can effectively inhibit inflammatory and autoimmune diseases.

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The current enhanced permeability and retention (EPR)-based approved nanomedicines have had little impact in terms of prolongation of overall survival in patients with cancer. For example, the two Phase III trials comparing Doxil(®), the first nanomedicine approved by the US Food and Drug Administration, with free doxorubicin did not find an actual translation of the EPR effect into a statistically significant increase in overall survival but did show less cardiotoxicity. In the current work, we used a two-factor factorial experimental design with intraperitoneal versus intravenous delivery and nanomedicine versus free drug as factors to test our hypothesis that regional (intraperitoneal) delivery of nanomedicine may better increase survival when compared with systemic delivery.

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  • A 68-year-old male presented with a persistent cough for over a year, and imaging revealed a 23 mm mass in his right lower lung lobe.
  • Further evaluations indicated no metastasis to other organs and that the patient could handle a lobectomy.
  • The surgery performed was successful, confirming the mass as adenocarcinoma, and the patient was discharged after a good recovery on the seventh post-operative day.
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Objective: To detect the expression of Per2 in non-small cell lung cancer (NSCLC), and analyze its clinical significance.

Methods: The expression of Per2 was determined in 60 NSCLC and 20 normal lung tissues by immunohistochemical assay, and the relationship between Per2 expression and clinicopathological features was analyzed.

Results: The positive expression rates of Per2 in NSCLC and normal lung tissues were 71.

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Primary pleural squamous cell carcinoma is very rare, and there is a lack of experience in the diagnosis and treatment of this condition. An asymptomatic 75-year-old man was referred to us after a right pleural nodule was found on computed tomography during a routine health examination. He underwent surgery for his pleural tumor twice over the following 2 years.

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  • * A key challenge is creating power supplies that can match the mechanical properties of these flexible electronics, particularly for applications that require stretching and bending.
  • * The article introduces innovative rechargeable lithium-ion batteries made with thin silicone elastomers, featuring segmented designs and unique interconnects, achieving up to 300% stretchability while maintaining decent capacity density, alongside wireless charging capabilities.
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Background: We conducted a retrospective study to evaluate the efficacy and safety of an absorbable polyglycolic acid (PGA) patch in surgery for refractory pneumothorax due to silicosis.

Methods: A retrospective analysis was performed of 56 patients who received thoracotomy or thoracoscopic surgery for refractory pneumothorax due to silicosis between 1995 and 2010. An absorbable PGA patch was used as a reinforcement or repair material after resection of the bulla in 24 operations and it was not used in another 32 operations.

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