Publications by authors named "Jr-Jiun Lin"

Article Synopsis
  • The study investigates how the initial misclassification of undifferentiated hypotension (UH) in the emergency department (ED) impacts patients' clinical outcomes.
  • It included 270 adult patients who presented with UH, categorizing them into groups based on whether their initial and final shock diagnoses matched.
  • Findings showed that misclassified patients had higher hospitalization rates and lower discharge rates from the ED, but surprisingly, survival to discharge was not affected by the misclassification.
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Background: Phosphorylated Tau (p-Tau), an early biomarker of neuronal damage, has emerged as a promising candidate for predicting neurological outcomes in cardiac arrest (CA) survivors. Despite its potential, the correlation of p-Tau with other clinical indicators remains underexplored. This study assesses the predictive capability of p-Tau and its effectiveness when used in conjunction with other predictors.

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Background: Targeted temperature management (TTM) is recommended for comatose out-of-hospital cardiac arrest (OHCA) survivors. Several prediction models have been proposed; however, most of these tools require data conversion and complex calculations. Early and easy predictive model of neurological prognosis in OHCA survivors with TTM warrant investigation.

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Background: Cardiogenic shock (CS) is a critical condition and the leading cause of mortality after acute myocardial infarction (AMI). Scores that predict mortality have been established, but a patient's clinical course is often nonlinear. Thus, factors present during acute care management may be explored.

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Background: Among cardiac arrest (CA) survivors, whether the combination of duration of cardiopulmonary resuscitation (CPR) and shockable/nonshockable rhythms during resuscitation can help predict the benefit of targeted temperature management (TTM) remains un-investigated.

Materials And Methods: This multicenter retrospective cohort study enrolled 479 nontraumatic adult CA survivors with TTM and CPR duration < 60 min during January 2014 to June 2019 from the Taiwan network of targeted temperature ManagEment for CARDiac arrest (TIMECARD) registry. The differences of CPR duration between shockable and nonshockable rhythms in predicting outcomes in the studied population was evaluated.

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Statically indeterminate systems are experimentally demonstrated to be in fact dynamical. Take the classic problems of a beam with three supporting points, granules in a silo, and a ladder leaning against a wall, for instance; their reaction forces are found to vary logarithmically for over 10^{4}s with an increment or decrement of more than 10%. This seemingly contradictory mixture of dynamics for a static system is shown to derive from the evolution of microcontact area with the ground and/or wall due to the aging effect.

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Background: After years of setting up public automated external defibrillators (AEDs), the rate of bystander AED use remains low all over the world. This study aimed to assess the public awareness and willingness of bystanders to use AEDs and to investigate the awareness on the Good Samaritan Law (GSL) and the factors associated with the low rate of bystander AED use.

Methods: Using stratified random sampling, national telephone interviews were conducted using an author-designed structured questionnaire.

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Background: Doctors must care for many patients simultaneously, and it is time-consuming to find and examine all patients' medical histories. Discharge diagnoses provide hospital staff with sufficient information to enable handling multiple patients; however, the excessive amount of words in the diagnostic sentences poses problems. Deep learning may be an effective solution to overcome this problem, but the use of such a heavy model may also add another obstacle to systems with limited computing resources.

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Background/purpose: Whether targeted temperature management (TTM) and emergent coronary angiography (CAG) remain associated with better outcomes in patients with prehospital return of spontaneous circulation (ROSC) was unknown.

Methods: This retrospective cohort study enrolled 81 adult, nontraumatic out-of-hospital cardiac arrest patients who had good pre-arrest neurological function and achieved prehospital ROSC during 2012 to August 2017. The outcomes were survival-to-discharge and neurological recovery at discharge.

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Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR.

Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan.

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Background: Vascular infections (VI) are potentially catastrophic complications of nontyphoid Salmonella (NTS). We aimed to develop a scoring model incorporating information from blood culture time to positivity (TTP-NTSVI) and compared the prediction capability for VI among adults with NTS bacteremia between TTP-NTSVI and a previously published score (Chen-NTSVI).

Methods: This retrospective cohort study enrolled 217 adults with NTS bacteremia ≧ 50 years old.

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OBJECTIVE Isolation of multidrug-resistant gram-negative bacteria (MDR-GNB) from patients in the community has been increasingly observed. A prediction model for MDR-GNB colonization and infection risk stratification on hospital admission is needed to improve patient care. METHODS A 2-stage, prospective study was performed with 995 and 998 emergency department patients enrolled, respectively.

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