Publications by authors named "Shu-Ching Chen"

Purpose: During and after treatment, esophageal cancer (EC) patients experience changes in body mass index (BMI), performance status, nutrition status, symptom distress, and physical fitness. This study aims to evaluate temporal changes and their associated factors in BMI, performance status, nutrition status, symptom distress, physical fitness, and functional ability in EC patients during and after treatment.

Methods: This prospective longitudinal study recruited EC patients from a medical center in Northern Taiwan.

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Aims: Social culture concerns and betel quid (BQ) dependence may be the potential reasons for BQ chewing. This study's purpose was to identify the correlates of reasons for male BQ chewing.

Methods: We adopted a mixed-methods design.

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Article Synopsis
  • Honey bees are vital for pollination but face threats from invasive subspecies, pathogens, and parasites, highlighting the need for better identification tools.
  • The introduction of HBeeID provides a powerful tool for identifying different honey bee subspecies using genomic data and diagnostic SNPs, even with incomplete samples.
  • HBeeID is adaptable for future improvements and can help monitor invasive honey bee species, aiding ecological management efforts.
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Purpose: Head and neck cancer (HNC) patients often suffer from shame and stigma due to treatment limitations or due to societal factors. The purpose of this study was to assess perceived body image, depression, physical and psychosocial function, and self-stigma, as well as to identify factors that predicted shame and stigma in patients with HNC.

Methods: This cross-sectional study recruited 178 HNC patients from the outpatient radiation department of a medical center in Northern Taiwan.

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  • The study investigates how nasopharyngeal carcinoma (NPC) patients experience changes in symptom distress, depression, social support, and quality of life (QOL) during and after different types of radiation therapy (IMRT vs. IMPT).
  • It follows 121 NPC patients over various time points, identifying that symptom distress and depression peak during treatment but improve afterward, while QOL initially declines and then rises by the end of the study.
  • Key findings suggest that factors such as lower radiation dose, early cancer stage, and less symptom distress and depression significantly contribute to better QOL for patients, highlighting the need for tailored care during radiation therapy.
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Objective: The aim of the study was to evaluate the effects of a return to work (RTW) program on perceived health status, barriers to returning to work, fear of cancer progression, social support, physical function, and psychosocial function in head and neck cancer (HNC) patients.

Methods: A randomized controlled trial with repeated measures was conducted. The 70 HNC patients were randomly assigned into two groups: 35 in the experimental group (RTW) and 35 in the control group (usual care).

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Purpose: (1) To assess the levels of fear of cancer recurrence (FCR), social support, coping styles, and posttraumatic growth; (2) to identify factors associated with posttraumatic growth; and (3) to compare patient and primary caregiver characteristics by level of posttraumatic growth (no-to-little posttraumatic growth vs. moderate-to-high posttraumatic growth) in the primary caregivers of patients with an oncologic emergency.

Data Sources: A cross-sectional study design was adopted.

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Aims: Psychological insulin resistance is a common barrier to initiation and persistence with insulin therapy that affects approximately 42.7% of people living with type II diabetes mellitus, which may negatively impact self-management. This study aimed to assess patients' levels of psychological insulin resistance and to identify factors associated with self-management in patients with type II diabetes mellitus treated with insulin therapy.

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Backgrounds: Gynaecological cancer survivors may develop lower limb lymphoedema after surgery, which negatively impacts quality of life. The purposes of this study were (1) to assess the levels of symptom distress, depression, body image, and health-related quality of life (HRQoL); (2) to recognize factors associated with HRQoL related in gynaecologic cancer survivors with lower limb lymphoedema.

Methods: A cross-sectional study was conducted with convenience sampling of gynaecologic cancer survivors with lower limb lymphoedema.

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Objectives: The present study aimed to evaluate the effects of a nurse-led survivorship care program (SCP) on emotional distress, social support, physical health, mental health, and resilience in primary caregivers of patients with advanced head and neck cancer.

Data Sources: A randomized controlled trial was conducted. One hundred patient-primary caregiver dyads were randomized into the nurse-led SCP group (experimental) or the usual care group (control).

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Background: Betel quid (BQ) chewing is associated with poor oral hygiene, psychological impairment, and acute and long-term addictive effects, resulting in worse oral-related quality of life (OHRQoL). The purpose of this study was to characterize the factors associated with OHRQoL among BQ users receiving oral mucosal screening.

Methods: A cross-sectional study was conducted.

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The Federal Emergency Management Agency (FEMA) divides the United States (US) into ten standard regions to promote local partnerships and priorities. These divisions, while longstanding, do not adequately address known hazard risk as reflected in past federal disaster declarations. From FEMA's inception in 1979 until 2020, the OpenFEMA dataset reports 4127 natural disaster incidents declared by 53 distinct state-level jurisdictions, listed by disaster location, type, and year.

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With the introduction of new COVID-19 variants such as Delta and Omicron, small businesses have been tasked with navigating a constantly changing business environment. Furthermore, due to supply chain issues, shortages of various critical products negatively affect businesses of all sizes and industries. However, continued innovation in Computer Science, specifically in sub-fields of Artificial Intelligence (AI), such as natural language processing (NLP), has created significant value for businesses through helpful data-driven features.

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Purpose: Return to work (RTW) is important for survivors of head and neck cancer (HNC). The purposes of the study were to investigate the RTW ratio among HNC survivors and identify factors significantly affecting RTW in this population.

Methods: A cross-sectional study with consecutive sampling was conducted in a medical center in Taiwan, with 111 patients with HNC who had completed major treatments within 5 years and were employed before their cancer diagnosis enrolled as participants.

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Head and neck cancer (HNC) patients who are unable to return to work after completing treatment might face financial loss and reduced self-esteem. The aim of this study was to identify factors influencing a return to work in HNC cancer patients in the first 6 months after treatment. This cross-sectional study examined HNC patients who completed treatment from the outpatient radiation department of a single cancer center in northern Taiwan.

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Purpose: Spousal caregiving of head and neck cancer (HNC) patients challenges relationship quality and may negatively impact family function. Our purpose was to identify factors associated with family dysfunction in spousal caregivers (SCs) of HNC patients within the first 6 months after treatment. We explored whether patient or SC characteristics differ by level of family dysfunction.

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Purpose: To identify factors associated with posttraumatic growth (PTG) of head-and-neck cancer squamous cancer (HNC) patients with oncologic emergencies (OE) within the first six months post-treatment.

Methods: We conducted a cross-sectional study of HNC patients in Taiwan from May 2019 to April 2021 using patient-reported outcomes. Patients were assessed for symptom distress, anxiety, fear of recurrence (FCR), and PTG.

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Purpose: Primary caregivers (PC) of patients with advanced head and neck cancer (HNC) report stress during caregiving time post-treatment. We sought to identify the trajectories of resilience from initial completion of treatment to 1-year post-treatment in PC of patients with advanced HNC and to determine the factors associated with trajectories of resilience.

Design: In this prospective cohort study with convenience sampling, patient-PC dyads were recruited from a medical center in northern Taiwan between August 2015 and July 2020.

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Purpose: After suddenly stopping smoking after an initial oral cancer (OC) diagnosis, patients may restart smoking and nicotine dependence. This study sought to identify factors associated with high nicotine dependence in OC patients who restarted smoking post-treatment.

Design: A cross-sectional study.

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Aims And Objectives: This study's purpose was to identify the correlates of sleep quality in older adults with chronic disease.

Background: Sleep quality is a common problem in older adults that may be affected by physical and mental status.

Design: A cross-sectional correlational design was employed.

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Upper gastrointestinal (UGI) cancer treatment can cause physical and psychological distress and may result in unmet needs. The purposes of this study were to (1) examine the levels of gastrointestinal (GI) symptom distress, social support, and supportive care needs; (2) screen the priorities of unmet supportive care needs; and (3) identify the factors associated with supportive care needs among UGI cancer patients receiving chemotherapy. This cross-sectional study examined UGI cancer patients who received treatment from the outpatient chemotherapy department of a single cancer center in northern Taiwan.

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Background: The conventional written tests and professional assessment have limitation in fair judgement of clinical competence. Because the examiners may not have total objectivity and may lack standardization throughout the assessment process. We sought to design a valid method of competence assessment in medical and nursing specialties.

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Article Synopsis
  • Chemotherapy-induced peripheral neuropathy (CIPN) is a frequent side effect of cancer drugs, significantly impacting patients' quality of life (QoL).
  • This study aimed to evaluate the levels of CIPN, anxiety, and depression in advanced lung cancer patients undergoing platinum-based chemotherapy while also assessing their related QoL.
  • Findings revealed that over half of the patients experienced sensory and motor impairments due to CIPN, with poor CIPN-related QoL linked to these impairments and higher levels of anxiety and depression.
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  • - Breastfeeding knowledge, intention, and self-efficacy play key roles in postpartum breastfeeding rates, with low levels in these areas linked to decreased breastfeeding likelihood.
  • - The study aimed to evaluate women’s breastfeeding intentions and knowledge after childbirth, as well as identify factors affecting breastfeeding during their hospital stays.
  • - Findings showed that only 25% of participants breastfed while in the hospital; those with lower education levels and higher prenatal intention were more likely to breastfeed, suggesting that supportive environments could enhance breastfeeding rates.
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