Publications by authors named "Shen-Shong Chang"

Article Synopsis
  • A study in Taiwan analyzed predictors of both COVID-19-specific and non-COVID-19-specific deaths among 2,196 hospitalized patients infected with SARS-CoV-2 between January and July 2022.
  • Out of the 175 deceased patients, 84% died from causes directly related to COVID-19, while 16% had non-COVID-19-related deaths, revealing significant mortality risks associated with age and underlying health conditions.
  • Results indicated that individuals aged 65 and older faced a heightened risk for both types of death, while those who were fully vaccinated or received Paxlovid had lower risks for COVID-19-related deaths, highlighting the importance of vaccination and treatment in managing outcomes.
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Hepatocellular carcinoma (HCC) remains a difficult-to-treat cancer due to late diagnosis and limited curative treatment options. Developing more effective therapeutic strategies is essential for the management of HCC. Oncolytic virotherapy is a novel treatment modality for cancers, and its combination with small molecules merits further exploration.

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Hepatocellular carcinoma (HCC) surveillance can detect the early stage of tumors and lead to improved survival. Adherence to guideline-concordant HCC surveillance is crucial in at-risk populations, including patients with hepatic C virus (HCV) cirrhosis. This study was conducted to identify patient and provider factors associated with nonadherence to HCC surveillance in patients with HCV cirrhosis.

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Background: New direct-acting antiviral therapies have revolutionized hepatitis C virus (HCV) infection therapy. Nonetheless, once liver cirrhosis is established, the risk of hepatocellular carcinoma (HCC) still exists despite virus eradication. Late HCV diagnosis hinders timely access to HCV treatment.

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Article Synopsis
  • A study was conducted to evaluate how advance care planning (ACP) affects where patients die and their use of life-sustaining treatments at the end of life (EOL).
  • Data was collected from 3,196 deceased patients, revealing that 46.5% had discussions about ACP with healthcare providers.
  • The findings indicated that patients who engaged in ACP were significantly more likely to die at home and less likely to receive aggressive treatments like CPR and intubation in their final months.
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Patients with end-stage renal disease (ESRD) show a high incidence of bacterial translocation and impaired gastrointestinal motility. The intestinal tract is believed to be the most crucial source of translocated bacteria. To evaluate the risk of colonic diverticulitis in patients with ESRD, we conducted a nationwide population-based cohort study.

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Background: End stage renal disease (ESRD) contributes to a higher mortality rate in peptic ulcer bleeding (PUB) patients. A crucial question is whether early Helicobacter pylori (H. pylori) eradication therapy is necessary for H.

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The presence of concomitant diseases is an independent predictive factor for non-Helicobacter pylori (H. pylori) peptic ulcers. Patients contracting concomitant diseases have an increased risk of developing ulcer disease through pathogenic mechanisms distinct from those of H.

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Background: Some recent studies have described the adverse effects of proton pump inhibitors (PPIs). PPI use and colonic diverticulitis are both associated with bacterial enteric infection and translocation. The aim of this study was to assess the association between PPI use and colonic diverticulitis.

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Objective: The pathophysiology of diverticulitis is poorly understood. Factors such as physical inactivity, constipation, obesity, smoking, and the use of nonsteroidal antiinflammatory drugs (NSAIDs) have been associated with an increased risk of diverticular disease. To evaluate whether patients exhibiting long-term steroid use are at increased risk of colonic diverticulitis.

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End-stage renal disease (ESRD) patients exhibit an increased incidence of peptic ulcer disease. Helicobacter pylori plays a central role in the development of peptic ulcers. The effect of early H pylori eradication on the recurrence of complicated peptic ulcer disease in ESRD patients remains unclear.

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Background/aims: The connection between Helicobacter pylori and complicated peptic ulcer disease in peptic ulcer bleeding (PUB) patients taking nonsteroidal anti-inflammatory drugs has not been established. In this study, we sought to determine whether delayed H. pylori eradication therapy in PUB patients increases complicated recurrent peptic ulcers.

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Background: Distinguishing the rates of Helicobacter pylori infection in chronic kidney disease (CKD) and end-stage renal disease (ESRD) patients with peptic ulcer disease (PUD) from that in PUD patients without CKD is critical.

Methods: We first stratified the original 1 million study population according to CKD or ESRD. We retrospectively investigated the incidence of H.

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Background/aims: Inverse correlation between childhood-onset asthma and human gastric Helicobacter pylori (H. pylori) infection exists. To investigate whether adult asthma patients with peptic ulcer disease demonstrated lower rates of H.

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Obiective: The study aimed to investigate whether early Helicobacter pylori (H. pylori) eradication therapy in cirrhotic patients caused a dramatic reduction of recurrent peptic ulcers compared with those treated with a late eradication.

Methods: We identified cirrhotic patients using the International Classifications of Diseases, Revision 9 (ICD-9-CM).

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Background: It has been shown that peroxisome proliferator-activated receptors (PPAR) have physiological and pharmacological ligands. The objective is to assess the association between thiazolidinediones (TZDs) and the occurrence of gastric cancer.

Methods: We conducted a population-based nested case-control study.

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Objectives: Patients with liver cirrhosis (LC) often develop peptic ulcers. The differentiation of Helicobacter pylori etiology in LC patients from that of peptic ulcers in non-LC patients is critical. This study aimed to determine whether H.

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Background: Peptic ulcer disease may occur in the absence of dyspeptic symptoms. The pathogenesis of dyspepsia in peptic ulcer disease is unclear. Whether the presence of Helicobacter pylori infection or use of non-steroidal anti-inflammatory drugs affects dyspeptic symptoms in patients with peptic ulcer disease has not been determined.

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Chronic gastroesophageal reflux disease is closely associated with esophageal adenocarcinoma and gastric cardia carcinoma, and esophageal adenocarcinoma and gastric cardia carcinoma have both been increasing in Western countries recently. Gastroesophageal reflux disease is not rare in Taiwan, but the frequency of occurrence of esophageal adenocarcinoma or gastric cardia carcinoma has not been studied here to date. Patients diagnosed with esophageal and gastric cancers at this hospital between 1981 and 1995 were recruited using the hospital tumor registry database.

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