Publications by authors named "Huiling Lin"

Article Synopsis
  • A study tested the effectiveness of inhaled colistin in treating ventilator-associated pneumonia caused by resistant bacteria, using two types of nebulizers: a vibrating mesh nebulizer (VMN) and a jet nebulizer (JN).
  • Patients receiving intravenous (IV) colistin inhalation were randomly assigned to either nebulizer type and compared to a control group receiving IV only over a period of 7 to 10 days, with a focus on clinical improvement.
  • While VMN delivered a higher dose of colistin in lab tests, both nebulizers showed similar clinical outcomes in patients, showing significant benefits over the IV-only group.
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  • Implementing intelligent monitoring systems in ICUs can significantly enhance the detection and management of ventilator-associated events (VAEs) by integrating with electronic medical records to alert physicians.
  • A study comparing outcomes before and after the system's implementation found that patients had earlier detection of VAEs and fewer occurrences of ventilator-associated conditions.
  • The use of this technology also led to reduced ventilator days, lower antibiotic use, and decreased 14-day mortality rates, showcasing its potential to improve critical care outcomes.
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Problem: During the coronavirus disease 2019 (COVID-19) pandemic, medical oxygen therapy was urgently needed for patients with hypoxaemia. Many low- and middle-income countries lacked the medical devices for oxygen therapy and experience in their use.

Approach: In addition to providing medical devices for oxygen therapy for countries in need, the World Health Organization (WHO) and partners developed training videos to help local health workers select, use and maintain this equipment.

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Background: Self-directed, lifelong learning is essential for nurses' competence in complex healthcare environments, which are characterised by rapid advancements in medicine and technology and nursing shortages. Previous studies have demonstrated that ChatGPT technology fosters self-directed learning by motivating users to engage with it.

Objectives: To explore the relationships amongst socio-demographic data, attitudes towards ChatGPT use, and self-directed learning amongst registered nurses in Taiwan.

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  • Alzheimer's disease (AD) is linked to the aggregation of β-amyloid (Aβ) and inflammation, with Galectin-3 (Gal-3) playing a significant role in this process; the study investigates the compound D30 as a dual-target treatment for both Gal-3 and Aβ.
  • The research utilized mouse models and various analytical techniques to assess how D30 affects Aβ production, cognitive function, and Gal-3 levels, showing that D30 reduces Aβ aggregation and improves cognitive abilities while decreasing Gal-3.
  • The findings highlight the importance of targeting both Gal-3 and Aβ to combat neuroinflammation in AD; D30 shows promise as a new treatment that could help protect synaptic function
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  • This study examines how the transcription factor FOXM1 contributes to the initiation and progression of oesophageal squamous cell carcinoma (ESCC), finding that it is highly expressed and linked to disease prognosis.
  • Researchers show that FOXM1 activates asparagine synthetase (ASNS), which affects tumor characteristics and contributes to the migration and growth of ESCC cells.
  • The findings suggest FOXM1 and ASNS play significant roles in ESCC development and may influence chemotherapy resistance due to their impact on cancer stemness.
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Introduction: ChatGPT can serve as an adjunct informational tool for ophthalmologists and their patients. However, the reliability and readability of its responses to myopia-related queries in the Chinese language remain underexplored.

Purpose: This study aimed to evaluate the ability of ChatGPT to address frequently asked questions (FAQs) about myopia by parents and caregivers.

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  • Respiratory therapists (RTs) deal with death regularly but lack understanding of their own attitudes toward it, prompting a study to investigate how their work environment and personal traits affect these attitudes.
  • A survey comparing critical care RTs (CCRTs) and non-critical care RTs (non-CCRTs) found that non-CCRTs had a lower acceptance of death and a tendency to avoid thinking about it.
  • Results showed that CCRTs were more neutrally accepting of death, while factors such as experience, gender, mental health, and education on life and death significantly influenced RTs' attitudes.
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Aim: This study explores the influencing factors of attitudes and behaviors toward use of ChatGPT based on the Technology Acceptance Model among registered nurses in Taiwan.

Background: The complexity of medical services and nursing shortages increases workloads. ChatGPT swiftly answers medical questions, provides clinical guidelines, and assists with patient information management, thereby improving nursing efficiency.

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The non-neural cholinergic system plays a critical role in regulating immune equilibrium and tissue homeostasis. While the expression of choline acetyltransferase (ChAT), the enzyme catalyzing acetylcholine biosynthesis, has been well documented in lymphocytes, its role in the myeloid compartment is less understood. Here, we identify a significant population of macrophages (MÏ•s) expressing ChAT and synthesizing acetylcholine in the resolution phase of acute peritonitis.

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Objectives: To evaluate the diagnostic performance of different brands of immunochromatographic test (ICT) reagents for using homogenized samples to provide a reference for reagent quality control.

Methods: Eight commercially available ICT reagents were evaluated, of which three used the latex method and five used the colloidal gold method. Analytical performance evaluation using a pure culture broth of , as well as clinical application validation using cervical epithelial cell samples acquired from the research subjects, were conducted.

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Background: Multisystem childhood Langerhans cell histiocytosis (LCH) patients, especially those with risk organ (RO) involved, had not been satisfactorily treated under the international traditional schemes as high incidences of reactivation with late sequelae were largely reported. Over years, we have observed that LCH patients with varied clinical symptoms responded differently to different drugs, suggesting the current grouping strategies based only on the number of organs involved might be inadequate. LCH has been defined as an inflammatory myeloid tumor, thus this study has innovatively divided LCH pediatric patients into inflammatory or malignant symptoms group, and given different intensity treatment regimens to different groups.

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Some experts recommend specific ventilator settings during nebulization for mechanically ventilated patients, such as inspiratory pause, high inspiratory to expiratory ratio, and so on. However, it is unclear whether those settings improve aerosol delivery. Thus, we aimed to evaluate the impact of ventilator settings on aerosol delivery during mechanical ventilation (MV).

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During mechanical ventilation (MV), inspired gases require heat and humidification. However, such conditions may be associated with reduced aerosol delivery efficiency. The practice of turning off heated humidification before nebulization and the impact of nebulization on humidity in a dry ventilator circuit remain topics of debate.

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Changes in circulating let-7c were significantly associated with the alter in lipid profile, but its role in intracellular lipid metabolism remains unknown. This work was conducted to explore the effects of let-7c on the lipid accumulation in macrophages and uncover the underlying mechanism. Our results showed that let-7c inhibition relieved atherosclerosis progression in apoE mice.

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Atherosclerosis is a chronic, progressive, inflammatory disease that occurs in the arterial wall. Despite recent advancements in treatment aimed at improving efficacy and prolonging survival, atherosclerosis remains largely incurable. In this review, we discuss emerging single-cell sequencing techniques and their novel insights into atherosclerosis.

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Aim: To investigate the continuing education requirements and factors influencing school nurses' needs in relation to medication administration on school campuses.

Design: A total of 391 school nurses working in K-12 schools in Taiwan were invited to participate in an online questionnaire survey.

Methods: This cross-sectional study employed a probability proportionate to size technique along with a random sampling method.

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Insulin growth factor‑1 (IGF‑1) is an endocrine regulator that plays an important role in normal growth and development. IGF‑1 mediated effects may result in protecting macrophages from immunometabolic response. However, it is unclear whether IGF‑1 has a protective effect on fatty acid‑induced macrophages damage.

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Both lipid accumulation and inflammatory response in lesion macrophages fuel the progression of atherosclerosis, leading to high mortality of cardiovascular disease. A therapeutic strategy concurrently targeting these two risk factors is promising, but still scarce. Oridonin, the bioactive medicinal compound, is known to protect against inflammatory response and lipid dysfunction.

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Purpose: Academic stress is commonly known to affect adolescents' subjective well-being, but the influencing mechanisms are rarely investigated in the Chinese context. This study aims to investigate the psychological and behavioral factors operating as pathways between academic stress and adolescents' subjective well-being.

Samples And Methods: A multi-stage cluster random sampling is used to select 1043 adolescents from junior and senior high schools in Jinhu County, Jiangsu Province, China (mean age=14.

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Objective: To explore the short- and long-term effects of lower-limb endurance training on chronic obstructive pulmonary disease outpatients.

Design: Prospective quasi-experimental study.

Setting: 1383-bed teaching hospital in Taiwan.

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Background & Problems: Post-operation hypothermia tends to induce complications. Sixty percent of robotic-assisted mitral valve surgery patients experienced hypothermia while admitted to our intensive care unit (ICU), resulting in prolonged ICU stays and 57% (eight) of those patients with hypothermia also experiencing cardiac arrhythmia. The causes of hypothermia in our ICU included low temperature in the operating room, delayed initiation of blanket coverage after surgery, and lack of postoperative thermal blankets, insufficient cardiopulmonary bypass rewarming time, cold ICU beds, lack of in-service training for hypothermia, and lack of procedure auditing.

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Article Synopsis
  • The clinical practice of aerosol delivery for critically ill adult patients using respiratory support devices is complex and controversial, prompting the need for clearer guidelines.
  • A modified Delphi method was used to gather expert opinions from a panel of 17 international researchers to establish consensus on aerosol delivery techniques and identify areas needing further study.
  • The resulting document includes 20 statements that review the safety and efficacy of aerosol therapies, largely based on low-level evidence, and emphasizes the need for future randomized clinical trials.
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We investigated school nurses' experiences, perceived government support, school nurses' acceptance of responsibility for medication administration, perceived stress, and perceived competence of medication administration and analyzed factors associated with perceived competence. In this cross-sectional study, from February to April 2023, we conducted an online survey of 269 school nurses serving at K-12 schools in Taiwan. The results revealed that although 71% of the participants had prior experience with medication administration, they reported low competence and high stress in areas such as drug interactions, adverse drug effects, and referrals.

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Background: Secondhand exposure to fugitive aerosols may cause airway diseases in health providers. We hypothesized that redesigning aerosol masks to be closed-featured would reduce the fugitive aerosol concentrations during nebulization. This study aimed to evaluate the influence of a mask designed for a jet nebulizer on the concentration of fugitive aerosols and delivered doses.

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