Publications by authors named "I-kuan Wang"

Article Synopsis
  • The study examines the effects of glyphosate-surfactant poisoning on 109 patients treated at Chang Gung Memorial Hospital from 2002 to 2020, focusing on their prognosis and mortality rates.
  • Most patients were males around 54 years old, with 91.7% intentionally ingesting glyphosate, and 32.1% of them had poor prognoses marked by various medical complications and psychiatric disorders.
  • The mortality rate was 5.5%, and although the Glasgow Coma Scale score was identified as a significant risk factor for poor prognosis, no specific risk factors for mortality were found.
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  • Living kidney donors are generally perceived as having optimal health status, although their kidney function, measured by GFR, typically declines post-donation but can improve to about 60-70% of pre-donation levels.
  • A study conducted from 2000 to 2017 with 2,716 kidney donors revealed a significant increase in the risk of developing gout/hyperuricemia (adjusted HR 1.73) and chronic kidney disease (CKD) (adjusted HR 6.7) after donation.
  • The findings indicate a need for clinical awareness regarding the potential for heightened risks of gout and hyperuricemia in individuals who have undergone kidney donation.
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Purpose: There is an overall paucity of data examining the specific details of orthodontic patients' patterns or orthodontic service disruptions possibly influenced by COVID-19 pandemic. Therefore, this study aimed to explore the impact of the COVID-19 pandemic on orthodontic clinic disruption regarding the change in adult patients' characteristics and decisions of orthodontic treatment devices.

Patients And Methods: A retrospective sample of 311 patients receiving orthodontic treatment from 2018 to 2022 were collected and divided into two groups: before (n = 167) and during (n = 144) the COVID-19 pandemic.

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Objective: The aim of the study is to investigate the effects of icodextrin on the risks of death, technique failure and the first episode of peritonitis in peritoneal dialysis (PD) patients.

Methods: From medical records of a medical center in Taiwan, a total of 725 newly diagnosed end-stage kidney disease patients receiving PD for at least 90 days from January 1, 2007 to December 31, 2018 were identified. These patients were grouped as 190 icodextrin users and 535 non-users.

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  • - The study investigates the toxicity and clinical impact of chlorpyrifos and cypermethrin pesticide mixtures, focusing on how organophosphate pesticides may exacerbate the toxicity of pyrethroids due to impaired detoxification mechanisms in the body.
  • - Data was collected from 121 patients treated for poisoning between 2000 and 2021, categorized by type of pesticide exposure, and included analysis of clinical symptoms, laboratory findings, and mortality rates.
  • - Results showed a high incidence of acute respiratory failure (41.3%) and other symptoms, with the mixture group displaying more severe health outcomes, including higher rates of acute respiratory failure and increased death rates compared to other groups.
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  • Secondary hyperparathyroidism (SHPT) is a frequent issue in end-stage kidney disease patients, and hungry bone syndrome (HBS) can develop after parathyroid surgery in dialysis patients, but there's limited research on predicting HBS outcomes.
  • A study of 66 peritoneal dialysis patients showed that those with HBS had lower postoperative calcium and higher levels of alkaline phosphatase and potassium compared to those without HBS, indicating potential risk factors for developing HBS after surgery.
  • The study found that while HBS was common (71.2%) in patients post-surgery, there were no significant differences in the recurrence of hyperparathyroidism or mortality rates between those with and without HBS after an average follow
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  • Limited research exists on the effects of methomyl and cypermethrin pesticide mixtures, with a study analyzing 63 patients treated for poisoning at Chang Gung Memorial Hospital from 2002 to 2018.
  • The study found that patients exposed to the combination of methomyl and cypermethrin experienced higher rates of severe health issues, including acute respiratory failure and aspiration pneumonia, compared to those poisoned by just one of the pesticides.
  • Despite a mortality rate of 11.1% and a mean hospitalization stay of almost 10 days, specific mortality risk factors were not identified, indicating a need for further investigation into the toxic effects of these pesticides.
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Purpose: This study is to compare risks of developing renal cell carcinoma or urothelial cancer between hemodialysis (HD) and peritoneal dialysis (PD) patients.

Methods: The age-, sex-, and index year-matched patients with newly diagnosed end-stage kidney disease (ESKD) undergoing dialysis [HD (N = 22,587) or PD (N = 11,547)] from 2000 to 2015 in Taiwan were identified. Patients were followed until the development of renal cell carcinoma or urothelial cancer, renal transplantation, death, or the end of follow-up (December 31, 2017).

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Patients after solid organ transplantation (SOT) are more susceptible to various viral infections, including alphaherpesviruses. Therefore, the aim of our study was to investigate the risk of alphaherpesvirus infections, including herpes simplex and herpes zoster, after solid organ transplantation. Inpatient records from the Taiwan National Health Insurance Research Database (NHIRD) defined solid organ recipients, including heart, liver, lung, and kidney, hospitalized for alphaherpesvirus infections as a severe case group of transplants and matched them with a nontransplant cohort.

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  • There is variability in the incidence of hungry bone syndrome after parathyroidectomy in dialysis patients, with published rates ranging from 15.8% to 92.9%.
  • A study involving 120 hemodialysis patients found that the majority underwent subtotal parathyroidectomy, with a high incidence of hungry bone syndrome occurring shortly after surgery, lasting on average over 11 months.
  • Notably, patients with hungry bone syndrome exhibited lower calcium and parathyroid hormone levels post-surgery and had a lower recurrence of hyperparathyroidism compared to those without the syndrome; preoperative blood ferritin levels were found to negatively predict the syndrome's onset.
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Objective: This study evaluated short-term (1-month) and long-term (1-year) mortality risks associated with the glomerular filtration rate (eGFR) on admission for patients with intracerebral hemorrhage.

Methods: From the Taiwan Stroke Registry data from April 2006 to December 2016, we identified and stratified patients with intracerebral hemorrhage into five subgroups by the eGFR level on admission: ≥90, 60-89, 30-59, 15-29, and <15 mL/min/1.73 m2 or on dialysis.

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Literature data regarding the response rate to COVID-19 vaccination in chronic kidney disease (CKD) patients remain inconclusive. Furthermore, studies have reported a relationship between lead exposure and susceptibility to viral infections. This study examined immune responses to COVID-19 vaccines in patients with CKD and lead exposure.

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Background: Gastroesophageal reflux disease (GERD) is the most common digestive clinical problem worldwide that affects approximately 20% of the adult populations in Western countries. Poor oral hygiene has been reported to be associated with GERD as an atypical clinical complication. However, evidence showing the relationship between GERD and the risk of periodontitis is less clear.

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Over the past few decades, mechanisms of programmed cell death have attracted the scientific community because they are involved in diverse human diseases. Initially, apoptosis was considered as a crucial mechanistic pathway for programmed cell death; recently, an alternative regulated mode of cell death was identified, mimicking the features of both apoptosis and necrosis. Several lines of evidence have revealed that dysregulation of necroptosis leads to pathological diseases such as cancer, cardiovascular, lung, renal, hepatic, neurodegenerative, and inflammatory diseases.

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Background: Encapsulating peritoneal sclerosis (EPS) is a catastrophic complication of peritoneal dialysis (PD) with high mortality. Our aim is to develop a novel noninvasive microRNA (miRNA) test for EPS.

Methods: We collected 142 PD effluents (EPS: 62 and non-EPS:80).

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Background: Hemodialysis is often recommended to treat severe lithium poisoning. Nevertheless, the application rate of hemodialysis in patients with lithium poisoning is varied across different groups and the effect of hemodialysis is still undetermined. Therefore, this study aimed to analyze the hemodialysis rate of patients with lithium poisoning and to explore the clinical features of lithium-poisoned-patients treated or untreated with hemodialysis.

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Background. Clear aligners have become a treatment alternative to metal brackets in recent years due to the advantages of aesthetics, comfort, and oral health improvement. Nevertheless, few studies have analyzed the clinical characteristics and dental indices of orthodontic patients using aligners or brackets.

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Background: This study aims to evaluate the impact of multidisciplinary pre-dialysis care (MDPC) on the risks of peritonitis, technique failure and mortality in peritoneal dialysis (PD) patients.

Methods: Incident end-stage kidney disease patients who received peritoneal dialysis (PD) for more than 90 days were recruited in this study from 1 January 1, 2007 to December 31, 2018. Patients were classified into two groups, the MDPC group and the control group, that received the usual care by nephrologists.

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Article Synopsis
  • - This study examined blood aluminum levels in 1,175 dialysis patients, finding a low prevalence of abnormal levels (2.2% had levels ≥2 µg/dL) and identified a correlation with factors like drug use and several clinical measures.
  • - Patients with abnormal aluminum levels were more likely to be treated with sevelamer and showed higher platelet counts, triglycerides, and total iron binding capacity compared to those with normal levels.
  • - The authors suggest that the observed links between cardiothoracic ratio, elevated platelet counts, triglyceride levels, and abnormal blood aluminum deserve further research for better understanding and management in dialysis patients.
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Introduction: Diabetic patients normally have enlarged or normal-sized kidneys throughout their lifetime, but some diabetic uremic patients have small kidneys. It is uncertain if kidney size could have any negative impact on outcome in hemodialysis patients.

Methods: This longitudinal, observational cohort study recruited 301 diabetic hemodialysis patients in 2015, and followed until 2019.

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Parkinson's disease (PD) is the second most common age-related neurodegenerative disorder with limited clinical treatments. The occurrence of PD includes both genetic and environmental toxins, such as the pesticides paraquat (PQ), as major contributors to PD pathology in both invertebrate and mammalian models. Calycosin, an isoflavone phytoestrogen, has multiple pharmacological properties, including neuroprotective activity.

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Introduction: This study aimed to investigate the risks of central nervous system (CNS) infections and related mortality in patients with end-stage renal disease (ESRD) undergoing dialysis.

Methods: Incident dialysis patients were identified from 2000 to 2013. The risks of CNS infection and related mortality were analyzed.

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Background: Renal transplantation (RTX) is the treatment of choice for end-stage kidney disease (ESKD). Taiwan has the highest incidence and prevalence of ESKD in this world. This is the first study to illustrate the national registry database of RTX.

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Organophosphate is a commonly used pesticide in the agricultural sector. The main action of organophosphate focuses on acetylcholinesterase inhibition, and it therefore contributes to acute cholinergic crisis, intermediate syndrome and delayed neurotoxicity. From sporadic case series to epidemiologic studies, organophosphate has been linked to hyperglycemia and the occurrence of new-onset diabetes mellitus.

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This study examined the trend of blood lead levels (BLLs) in Taiwanese adults and analyzed the variations in the BLL between Linkou (northern) and Kaohsiung (southern) hospital branches. Between 2005 and 2017, 3,804 adult participants received blood lead tests at the Linkou (n = 2,674) and Kaohsiung (n = 1,130) branches of Chang Gung Memorial Hospital. The geometric mean of BLL was 2.

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