Publications by authors named "Hsiao Chuan Lin"

This study aims to assess the associations among students' perceptions of climate change, university social responsibility (USR), and environmental sustainability practices at a medical university. It also aims to identify the factors associated with these elements. A cross-sectional self-report study was conducted with a total sample of 416 undergraduate students from a medical university in Taiwan during October 2019.

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Background: Post-acute sequelae of SARS-CoV-2 infection (PASC) affects patients after recovering from acute coronavirus disease 2019 (COVID-19). This study investigates the impact of SARS-CoV-2 vaccination on PASC symptoms in children in Taiwan during the Omicron pandemic.

Methods: We enrolled children under 18 years with PASC symptoms persisting for more than 4 weeks.

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Herpes zoster (HZ) is a painful, vesicular, cutaneous eruption from reactivation of varicella zoster virus (VZV), which can lead to potentially debilitating complications. The lifetime risk of HZ is estimated to be 20%-30% in the general population, with an increased risk in the elderly and immunocompromised populations. The most effective strategy to prevent HZ and its complications is by vaccination.

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Article Synopsis
  • Bacterial coinfections in hospitalized children with COVID-19, especially during the Omicron BA.2 variant pandemic, have been under-researched, prompting this study to explore their clinical impacts and risk factors.
  • The study examined 161 children, revealing that 24 had bacterial coinfections, primarily presenting with bacterial enteritis and lower respiratory infections, leading to higher WBC counts and longer hospital stays.
  • Key risk factors identified for bacterial coinfections included abdominal pain, diarrhea, and existing neurological conditions, suggesting that vulnerable pediatric patients should be monitored closely for these complications.
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  • Campylobacteriosis is a significant bacterial infection causing gastroenteritis in young children, and this study in Taiwan focused on identifying its risk factors and symptoms.
  • The research involved a review of 64 cases from 2014 to 2017, revealing symptoms like shorter vomiting duration, bloody and mucoid stools, and lower liver enzyme levels in affected children.
  • Key risk factors included low parental education, direct contact with sick individuals, and certain food consumption, while drinking municipal water and consuming milk or soft drinks appeared to reduce the risk of infection.
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Background: The insidious nature of BCG-osteomyelitis makes it challenging for clinicians to detect it early on.

Methods: This 12-year retrospective analysis was conducted at a single tertiary hospital in central Taiwan. Electronic medical records of pediatric patients treated for BCG-osteomyelitis were reviewed.

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  • This study examines the epidemiology and clinical features of respiratory tract infections (RTIs) using the FilmArray respiratory panel (FA-RP) to detect various pathogens in both adults and children from January to June 2020 at two hospitals in Taiwan.
  • Out of 253 respiratory samples analyzed, 33.9% tested positive for pathogens, with a notably higher positive rate in children (48.31%) compared to adults (21.48%), indicating that children are more frequently affected by viral RTIs.
  • Human rhinovirus/Enterovirus (HRV/EV) was the most commonly detected pathogen across age groups, particularly in upper respiratory infections (URIs) in children, while My
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Background/purpose: Acute gastroenteritis (AGE) remains a significant health issue in children. The worldwide evolution of pediatric AGE pathogens had been recorded since the introduction of rotavirus vaccine. Ten years after the rotavirus vaccine was introduced to the private sectors in Taiwan, a nationwide study was conducted to elucidate the epidemiological changes among major AGE pathogens.

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Gram-positive (GP) pathogens are less accounted for in pediatric urinary tract infection (UTI), and their clinical impact is underrecognized. This study aimed to identify predictors of GP uropathogens in pediatric UTI. In this 14-year retrospective cohort of pediatric patients with UTI, we classified first-time UTIs cases into those caused by GP or Gram-negative (GN) bacteria.

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  • The study examines severe cases of influenza in children, focusing on those with and without central nervous system (CNS) involvement, to understand differences in clinical features and outcomes.
  • Researchers analyzed data from 32 pediatric patients in Taiwan, dividing them into a non-CNS group and a CNS group, with a notable emphasis on complications and mortality rates.
  • The findings revealed a significantly higher mortality rate in the CNS group (37.5%) compared to the non-CNS group (6.25%), with specific risks identified for children with underlying health issues and those previously healthy developing CNS complications.
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Rapid identification of methicillin-sensitive (MSSA), heterogeneous vancomycin-intermediate (hVISA), and vancomycin-intermediate (VISA) is important for accurate treatment, timely intervention, and prevention of outbreaks. Here, 90 isolates were analyzed for protein biomarker discovery, including MSSA, vancomycin-susceptible (VSSA), hVISA, and VISA strains. Label-free data-independent acquisition proteomics was used to identify protein biomarkers that allow for discrimination among MSSA, hVISA, and VISA strains.

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  • Norovirus is a common cause of acute gastroenteritis in children, making it challenging to identify due to overlapping symptoms with other pathogens.
  • A study in Taiwan involving children under 5 revealed that norovirus patients often displayed milder symptoms, such as lower fever rates and different stool characteristics compared to non-norovirus controls.
  • Key risk factors for norovirus included close contact with infected individuals and lower frequency of hand washing and specific dietary habits, suggesting that improved hygiene and diet may help prevent infection.
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  • This study examined the clinical characteristics and treatment outcomes of pediatric osteomyelitis caused by unknown pathogens versus identified microorganisms over a 17-year period in Taiwan.
  • A total of 70 children were analyzed, with 47.1% having culture-negative infections; Staphylococcus aureus was the most common identified pathogen, with a significant portion being methicillin-resistant (MRSA).
  • Children with culture-negative infections experienced fewer complications, required fewer surgical interventions, and had shorter antibiotic treatment durations, suggesting that empirical glycopeptide therapy may be more effective for these cases.
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Background: Pneumococcal conjugate vaccine (PCV) reduces both invasive pneumococcal disease (IPD) and other pneumococcal infections worldwide. We investigated the impact of stepwise implementation of childhood PCV programs on the prevalence of pneumococcal pneumonia, severity of acute inflammation, and associations between breakthrough pneumonia and pneumococcal serotypes in Taiwan.

Methods: In total, 983 children diagnosed with community-acquired pneumococcal pneumonia were enrolled between January 2010 and December 2015.

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Background: Two rotavirus vaccines (RV1 and RV5) are available on the private market in Taiwan, not included in national immunization program. Scanty reports evaluated the rotavirus vaccine effectiveness (VE) in Asian countries.

Methods: From February 2014-July 2017, we conducted a prospective case-control study in ten hospitals in Taiwan.

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Background/purpose: The purpose of this study was to determine the pathogens and to estimate the incidence of pediatric community-acquired pneumonia (CAP) in Taiwan.

Methods: This prospective study was conducted at eight medical centers from November 2010 to September 2013. Children aged 6 weeks to 18 years who met the radiologic criteria for pneumonia were enrolled.

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Japanese encephalitis (JE) is a mosquito-borne viral infection which is prevalent in Taiwan. The virus circulates in an enzootic cycle in pigs which serve as amplifying hosts. Outbreaks typically occur during summer.

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Background: Influenza is a major cause of acute respiratory infection burden worldwide, leading to many hospitalizations. An annual influenza vaccine is believed to be the best way to prevent influenza-related illnesses. We focused on the efficacies of other possible preventive measures such as increasing sun exposure time and dietary supplements to prevent these illnesses.

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Background/purpose: Urinary tract infections (UTIs) are one of the most common pediatric infections. Our objective in this study is to investigate the association between urine pH and uropathogens in pediatric patients.

Methods: The source population comprised 26 066 paired urinalysis (UA) and urine culture (UC) samples obtained from pediatric patients.

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We aimed to explore the efficacy of hypertonic saline nasal irritation (HSNI) for improving nasal symptoms and quality of life, and for decreasing oral antihistamine consumption in children with allergic rhinitis (AR). We conducted a systematic search of PubMed, Medline, Cumulative Index to Nursing and Allied Health Literature, EMBASE, Chinese Electronic Periodicals Service, and Cochrane Library of Controlled Trials databases for prospective randomized, controlled trials assessing HSNI effects in children with AR and published before December 2017. Two authors independently assessed each trial's quality and extracted data for a meta-analysis.

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Background: Group B Streptococcus (GBS) is an important invasive pathogen in neonates, pregnant women and the elderly. Serotype VI GBS, which has been rarely reported globally, has emerged as a significant pathogen in Asia. However, traditional serologic latex agglutination (LA) methods may fail to type isolates that lack of or low expression of CPS.

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Article Synopsis
  • The study analyzed acute gastroenteritis (AGE) in young children under 5 who were hospitalized in southern Taiwan from 2014 to 2016, focusing on pathogens like bacteria, viruses, and parasites.
  • Salmonella spp. was identified as the leading cause of AGE, accounting for 21.8% of cases, with norovirus and rotavirus following behind; symptoms varied by pathogen type, with Salmonella often causing fever and bloody stools.
  • The findings highlight the need for ongoing surveillance of pediatric gastroenteritis pathogens, as Salmonella infections led to longer hospital stays and more frequent antibiotic use.
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