Publications by authors named "Hsiao Ling Chen"

Article Synopsis
  • The study aimed to compare the kidney and heart health outcomes between two diabetes medications: DPP-4 inhibitors (DPP-4is) and SGLT-2 inhibitors (SGLT-2is) in patients with diabetic kidney disease (DKD).
  • Using Taiwan's health databases, researchers matched users of both medications and analyzed their effects on kidney and cardiovascular issues over two years.
  • Results showed that SGLT-2i users had significantly better outcomes, including lower risks of kidney failure and cardiovascular events, suggesting DPP-4is should be used less frequently in favor of SGLT-2is for adults with DKD.
View Article and Find Full Text PDF
Article Synopsis
  • The research presents a method for automatically classifying wakefulness and deep sleep (N3) using EEG signals, following American Academy of Sleep Medicine standards.
  • By employing time-frequency analysis with the Wigner-Ville Distribution and optimizing thresholds through Particle Swarm Optimization, the study aims to replicate a sleep technician's scoring process automatically.
  • Validation with overnight PSG recordings showed high accuracy and reliability, suggesting this method could effectively classify sleep stages and potentially extend to all stages in the future.
View Article and Find Full Text PDF

Background: Idiopathic pulmonary fibrosis (IPF) is a progressive and life-threatening lung disease with high mortality rates. The limited availability of effective drugs for IPF treatment, coupled with concerns regarding adverse effects and restricted responsiveness, underscores the need for alternative approaches. Kefir peptides (KPs) have demonstrated antioxidative, anti-inflammatory, and antifibrotic properties, along with the capability to modulate gut microbiota.

View Article and Find Full Text PDF

Lactoferrin (LF) stands as one of the extensively investigated iron-binding glycoproteins within milk, exhibiting diverse biological functionalities. The global demand for LF has experienced consistent growth. Biotechnological strategies aimed at enhancing LF productivity through microbial expression systems offer substantial cost-effective advantages and exhibit fewer constraints compared to traditional animal bioreactor technologies.

View Article and Find Full Text PDF

Background: Patients with benign prostatic hyperplasia (BPH) receive α-blockers as first-line therapy to treat lower urinary tract symptoms; however, some individuals still experience residual storage symptoms. Antimuscarinics, β3-agonists, and desmopressin are effective add-on medications. Nevertheless, there is currently no evidence for the appropriate choice of the first add-on medication.

View Article and Find Full Text PDF

A novel kefir exopolysaccharides (KEPS) derived from kefir grain fermentation were found to have a small molecular weight (12 kDa) compared to the traditionally high molecular weight (12,000 kDa) of kefiran (KE). KE has been shown to possess antioxidant, blood pressure-lowering, and immune-modulating effects. In this study, we characterized KEPS and KE and evaluated their anti-inflammatory properties in vitro using RAW264.

View Article and Find Full Text PDF

P2Y12 inhibitor monotherapy is a feasible alternative treatment for patients after percutaneous coronary intervention (PCI) in the modern era. Clinical trials have shown that it could lower the risk of bleeding complications without increased ischemic events as compared to standard dual antiplatelet therapy (DAPT). However, the efficacy and safety of this novel approach among patients with acute coronary syndrome (ACS) are controversial because they have a much higher risk for recurrent ischemic events.

View Article and Find Full Text PDF

Vascular calcification (VC) and osteoporosis were previously considered two distinct diseases. However, current understanding indicates that they share common pathogenetic mechanisms. The available medicines for treating VC and osteoporosis are limited.

View Article and Find Full Text PDF

Aims: Rheumatoid arthritis (RA) is a chronic autoimmune disease. Its pathological features are synovial inflammation, bone erosion, and joint structural damages. Our previous studies have shown that kefir peptides (KPs) can reduce cardiovascular disease, osteoporosis and renal inflammation.

View Article and Find Full Text PDF

Aims: Fractures are the result of fragile bone structures after trauma caused by direct or indirect external impact or strong muscular contraction. Most fracture patients undergo surgical fixation to accelerate the healing process and restore the function of mutilated bone. Promoting the healing process remains an important issue for the treatment of bone fractures.

View Article and Find Full Text PDF

Patients with advanced non-small cell lung cancer (NSCLC) who harbor susceptible epidermal growth factor receptor (EGFR) mutations and are treated with EGFR tyrosine kinase inhibitors (TKIs) show longer progression-free survival (PFS) than those treated with chemotherapy. However, developed EGFR-TKI resistance limits PFS improvements. Currently, combination treatment with EGFR-TKIs and anti-angiogenic agents is considered a beneficial regimen for advanced-stage NSCLC harboring susceptible EGFR mutations.

View Article and Find Full Text PDF

This study established a predictive model for the early detection of micro-progression of pressure injuries (PIs) from the perspective of nurses. An easy and programing-free artificial intelligence modeling tool with professional evaluation capability and it performed independently by nurses was used for this purpose. In the preliminary evaluation, the model achieved an accuracy of 89%.

View Article and Find Full Text PDF
Article Synopsis
  • A study investigates the effectiveness and safety of using P2Y12 inhibitor monotherapy instead of dual antiplatelet therapy (DAPT) for patients who underwent PCI with stent placement, particularly focusing on those with diabetes mellitus (DM).
  • Researchers conducted a meta-analysis of four randomized controlled trials, including 29,136 patients, assessing major adverse cardiovascular events and bleeding risks linked to these treatments.
  • Findings show that P2Y12 inhibitor monotherapy significantly reduced bleeding complications and had comparable rates of major adverse cardiovascular events compared to DAPT, with additional benefits seen in diabetic patients.
View Article and Find Full Text PDF

In 2017, the Asia-Pacific Economic Cooperation Sleep Technology Agenda emphasized the impacts of sleep health on road safety. An official meeting between the Department of Transportation of United States and the International Sleep Science and Technology Association took place in Washington, DC, on February 3, 2020. This was followed by several meetings in Taiwan advocated by the International Sleep Science and Technology Association Taiwan Chapter.

View Article and Find Full Text PDF

Background: Konjac glucomannan polysaccharide (KGM), inulin oligosaccharide (inulin) and their mixture has been shown to modulate the gut-associated lymphoid tissue immunity.

Aims: The present study was mainly to determine effects of a low-level (2% w/w) KGM and inulin and their combination on dextran sodium sulfate (DSS)-induced colitis. We also determine the potential mechanisms mediating these effects of dietary fibers.

View Article and Find Full Text PDF

Background: The value of time to positivity (TTP) on diagnosis for catheter-related bloodstream infection and distinguishment on bacteria group and infection source has been investigated. However, the relationship between TTP and patient outcome requires verification, and we performed a systematic review and meta-analysis.

Methods: We searched PubMed, EMBASE, CINAHL, Cochrane Library, Web of Science for publications associated with the topic.

View Article and Find Full Text PDF

Patients with malignant pleural mesothelioma (MPM) have very poor prognoses, and pemetrexed plus platinum is the standard first-line therapy. However, the second-line therapy for relapsed MPM remains controversial. A comprehensive search was performed to identify randomized controlled trials (RCTs) evaluating various second-line regimens in patients with relapsed MPM.

View Article and Find Full Text PDF
Article Synopsis
  • Several ALK inhibitors (ALKIs) are now approved for first-line treatment of ALK-rearranged non-small cell lung cancer (NSCLC), but no direct comparisons of their effectiveness have been made, particularly among different ethnic groups.
  • This study used a network meta-analysis to evaluate the efficacy of newer ALKIs specifically in Asian patients with ALK-positive NSCLC, focusing on indicators like progression-free survival (PFS) and overall response rate (ORR).
  • The findings suggest that newer ALKIs such as ensartinib, alectinib, brigatinib, and lorlatinib are more effective than crizotinib, with ensartinib being the most promising option for Asian patients,
View Article and Find Full Text PDF

Introduction: Kefir is an acidic and alcoholic fermented milk product with multiple health-promoting benefits. A previous study demonstrated that kefir enhanced calcium absorption in intestinal Caco-2 cells. In this study, kefir-fermented peptide-1 (KFP-1) is isolated from the kefir peptide fraction, and its function as a calcium-binding peptide is characterized.

View Article and Find Full Text PDF

Cisplatin-induced nephrotoxicity is associated with gut microbiota disturbance. The present study aimed to investigate whether supplementation of and (LCs) had a protective effect on cisplatin-induced nephrotoxicity through reconstruction of gut microbiota. Wistar rats were given different treatments: control, cisplatin (Cis), cisplatin + and (Cis+LCs), and and (LCs).

View Article and Find Full Text PDF

Background: Statin is biologically plausible in cataract development, but inconclusive associations between statin and cataract are presented in human studies. Given most early onset cataract (EOC) occurs in regions with high cholesterol composition, we therefore aimed to assess the association between statin and EOC.

Methods: A population based case-control study was performed using the Taiwan National Health Insurance Research Database (NHIRD).

View Article and Find Full Text PDF

Several anaplastic lymphoma kinase inhibitors (ALKIs) have demonstrated excellent efficacy on overall survival (OS), progression-free survival (PFS), objective response rate (ORR), and also better adverse effect (AE) profiles compared to cytotoxic chemotherapy in advanced stage anaplastic lymphoma kinase (ALK) rearrangement-positive non-small cell lung cancer (NSCLC) in phase III randomized clinical trials (RCTs). We conducted this systematic review and network meta-analysis to provide a ranking of ALKIs for treatment-naïve ALK-positive patients in terms of PFS, ORR, and AEs. In addition, a sub-group analysis of treatment benefits in patients with baseline brain metastasis was also conducted.

View Article and Find Full Text PDF
Article Synopsis
  • Immune checkpoint inhibitors (ICIs) show potential as front-line treatments for metastatic urothelial carcinoma, offering better survival benefits compared to traditional chemotherapy.
  • Combination therapies with ICIs and chemotherapy (CTX) or other ICIs demonstrate improved overall survival (OS) and progression-free survival (PFS) when compared to CTX alone.
  • While ICIs alone have a comparable survival benefit to CTX, they present fewer severe adverse events, making them a safer option for patients.
View Article and Find Full Text PDF

Depression is a prevalent, stress-related mental disorder that can lead to serious psychiatric diseases with morbidity and high mortality. Although some functional fermented dairy drinks have promising anxiolytic and antidepressant effects, the mechanism is still not clear. To determine the antidepressant-like effect and the potential molecule mechanism of kefir peptides (KP), various behavioral tests, including the elevated plus maze test, open field test, forced swimming test, and tail suspension test, were used.

View Article and Find Full Text PDF