Publications by authors named "Mei-hua Wu"

Article Synopsis
  • This study investigated how different statins affect the risk of developing glaucoma, a serious eye condition.
  • The researchers conducted a thorough analysis of data from various medical databases covering a wide range of cholesterol-lowering medications and their relationship with glaucoma.
  • Results showed that rosuvastatin, simvastatin, and pravastatin significantly increased the risk of glaucoma compared to a placebo, suggesting caution for patients at risk when these statins are prescribed.
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Background: Midline shift (MLS) is troublesome problem that may occur in patients with a large infarct core (LIC) and may be related to the baseline infarct core volume. The purpose of this study was to explore the relationship between baseline infarct core volume and early MLS presence.

Materials And Methods: Patients with acute intracranial large artery occlusion and a pretreatment relative cerebral blood flow (rCBF) <30% volume ≥50 ml on CT perfusion (CTP) were included, clinical outcomes following endovascular treatment (EVT) were retrospectively analyzed.

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  • - The study investigates the feasibility of a new thrombectomy technique, called BASIS, for treating large vessel occlusion (LVO) caused by intracranial atherosclerosis (ICAS), addressing issues like high re-occlusion rates and unclear procedure effectiveness.
  • - Seven patients treated with the BASIS technique showed success in achieving complete reperfusion, with none experiencing re-occlusion post-procedure, and a median procedure time of 51 minutes.
  • - Results indicate that the BASIS technique is safe, with 57.1% of patients achieving good clinical outcomes and no significant complications observed.
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Purpose: This study explores how parents experienced the surgical decision-making process for their child with a congenital heart disease (CHD).

Design And Methods: Purposive sampling was used in this qualitative descriptive study at a medical center in Northern Taiwan. Twelve parents whose children had cardiac corrective surgery participated in one-to-one in-depth interviews.

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Background: Drug-resistant tuberculosis (DR-TB) is a major contributor to global cases of antimicrobial resistance and remains a public health challenge. To understand the extent and trend of DR-TB under an enhanced multidrug-resistant TB (MDR-TB) management program, we conducted a population-based retrospective study of 1511 Taiwanese MDR-TB cases reported from 2008 to 2019.

Methods: We obtained patient demographics and clinical and bacteriological information from the National TB Registry and the Infectious Disease Notification System.

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Background: Aging reduces the quality and strength of bones and muscles and increases body fat, which can lead to the simultaneous occurrence of sarcopenia, osteopenia, and adiposity, a condition referred to as OsteoSarcopenic Adiposity (OSA). While previous studies have demonstrated that metabolic syndrome is associated with sarcopenia, osteopenia, and adiposity, the relationship between metabolic syndrome and OSA remains largely unknown.

Methods: We analyzed data for a sample of middle-aged individuals from a Health Management Center database, which was collected in 2016-2018.

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Bedaquiline Drug Resistance Emergence Assessment in Multidrug-resistant tuberculosis (MDR-TB) (DREAM) was a 5-year (2015 to 2019) phenotypic drug resistance surveillance study across 11 countries. DREAM assessed the susceptibility of 5,036 MDR-TB isolates of bedaquiline treatment-naive patients to bedaquiline and other antituberculosis drugs by the 7H9 broth microdilution (BMD) and 7H10/7H11 agar dilution (AD) MIC methods. Bedaquiline AD MIC quality control (QC) range for the H37Rv reference strain was unchanged, but the BMD MIC QC range (0.

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  • - Tuberculosis (TB), caused by Mycobacterium tuberculosis, leads to over 1 million deaths each year, with drug resistance complicating control efforts.
  • - Researchers analyzed the genomes of multiple TB isolates from Taiwan, discovering new drug resistance mutations and demonstrating rapid genetic evolution in the pathogen.
  • - A high-quality reference genome for the Beijing lineage of M. tuberculosis was created, which includes 212 additional genes not present in the standard reference strain, enhancing understanding of this predominant Asian lineage.
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Background: The treatment outcomes of multidrug-resistant tuberculosis (MDR-TB) patients in the 1990s in Taiwan was not satisfactory. To strengthen programmatic management of drug-resistant tuberculosis (PMDT), Taiwan MDR-TB Consortium (TMTC) was established in 2007. We assess the performance and epidemiologic impact of TMTC.

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Background: Although previous researchers have analyzed the expression level of vimentin in nasopharyngeal carcinoma (NPC), the sample size of each study was too small, and there was no further in-depth study utilizing microarray and RNA-sequencing data. More importantly, the role and molecular mechanism of vimentin in NPC have not yet been addressed comprehensively. Accordingly, the aim of the present research was to conduct a full exploration of the clinical significance of vimentin in NPC in a large sample size.

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  • Multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis pose significant global health challenges, exacerbated by a limited number of effective treatments that risk further drug resistance.
  • A study comparing MDR Mycobacterium tuberculosis isolates from Moscow and Taiwan found that Moscow had higher rates of pre-XDR and XDR strains, with only 3 effective drugs available for treatment compared to 7 in Taiwan.
  • The research indicates a pressing need for improved molecular testing methods to accurately detect a wider range of drug-resistant mutations, as a significant portion of isolates showed resistance to drugs like kanamycin, which traditional tests may miss.
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Background: The second-line drugs recommended to treat drug-resistant TB are toxic, expensive and difficult to procure. Given increasing resistance, the need for additional anti-TB drugs has become more urgent. But new drugs take time to develop and are expensive.

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  • * The findings showed that the percentage of new MDR-TB cases rose significantly, while a specific age group (15-44 years) saw a decline in cases and notable drug resistance to several antibiotics was observed; particularly high resistance rates were found for PZA, EA, and OFX.
  • * The research concluded that there were improvements in resistance rates for certain drugs over time, and younger patients exhibited higher resistance to fluoroquinolones, highlighting the need for ongoing monitoring and possibly
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  • A study examined the link between the hOGG1 Ser326Cys gene polymorphism and coronary artery lesions in 323 diabetes patients who underwent coronary angiography.
  • Patients were divided into three genotypes (Cys/Cys, Ser/Ser, Ser/Cys) and various clinical data, including mRNA expression and 8-OHdG levels, were analyzed.
  • Results indicated that the Cys/Cys genotype had higher levels of 8-OHdG and hOGG1 mRNA, and was associated with more severe coronary artery lesions compared to the other genotypes.
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Background: CellDetect® staining technique is a newly invented technique for cancer diagnosis. It easily distinguishes between normal and neoplastic cells including pre-cancer and squamous cell carcinoma (SCC) cells, based on staining color and morphology. In this study, application of CellDetect® staining technique was assessed in diagnosis of human cervical cancer as compared with hematoxylin and eosin (H&E) staining in conventional slides and Thinprep cytologic test (TCT) smears.

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Rapid assays are still needed to detect rifabutin (RFB) susceptibility for proper tuberculosis treatment. To assess the use of the GenoType MTBDRplus assay and subsequent rpoB gene sequencing on detection of RFB susceptibility, we analyzed 800 multidrug-resistant Mycobacterium tuberculosis isolates, and 13% (104/800) were RFB susceptible. Of the 104 RFB-susceptible isolates, 71 (68.

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The GenoType MTBDRsl test and DNA sequencing were used to rapidly detect second-line drug- and ethambutol (EMB)-resistant Mycobacterium tuberculosis. The ability of these two assays to detect the presence of mutations associated with resistance to fluoroquinolones (FLQ), aminoglycosides/cyclic peptide (AG/CP), and EMB in the gyrA, rrs, and embB genes (for the GenoType MTBDRsl test) and gyrA, gyrB, rrs, eis, embC, embA, embB, and embR genes (for DNA sequencing) was compared to that of conventional agar proportion drug susceptibility testing (DST). We evaluated 234 multidrug-resistant (MDR) M.

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A population-based study was performed to characterize the genotype and drug-resistant patterns of multidrug-resistant tuberculosis (MDR-TB) in Taiwan. From 2007 to 2008, we analyzed 494 MDR Mycobacterium tuberculosis complex isolates using spacer oligonucleotide typing and drug susceptibility testing. The majority of cases occurred in the age groups of 45-54 (24.

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  • A new culture confirmation test called the TBc ID test detects Mycobacterium tuberculosis complex strains through a lateral-flow immunochromatographic assay, focusing on the MPB64 antigen.
  • In a study involving 222 primary-positive liquid cultures, the TBc ID test performed well, showing a sensitivity of 98.8% and specificity of 100%, while effectively distinguishing between M. tuberculosis and other mycobacteria.
  • The TBc ID test offers a faster turnaround time (under 1 hour) compared to real-time PCR, making it a recommended alternative for identifying M. tuberculosis in liquid cultures over traditional biochemical methods.
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The 3C-like protease (3CL(pro)) of severe acute respiratory syndrome coronavirus (SARS-CoV) plays key roles in viral replication and is an attractive target for anti-SARS drug discovery. In this report, a fluorescence resonance energy transfer (FRET)-based method was developed to assess the proteolytic activity of SARS-CoV 3CL(pro). Two internally quenched fluorogenic peptides, 1NC and 2NC, corresponding to the N-terminal and the C-terminal autocleavage sites of SARS-CoV 3CL(pro), respectively, were used as substrates.

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