Publications by authors named "WC Lee"

Adult human hearts exhibit limited regenerative capacity. Post-injury cardiomyocyte (CM) loss can lead to myocardial dysfunction and failure. Although neonatal mammalian hearts can regenerate, the underlying molecular mechanisms remain elusive.

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Background: Reoperation is a major adverse event following surgical treatment but has yet to be used as a primary outcome measure in population studies to assess current treatments for developmental dysplasia of the hip (DDH). The purpose of the present study was to explore the risk factors associated with reoperations following procedures under anesthesia ("operations") for DDH in patients between the ages of 1 and 3.00 years, with the goal of deriving treatment recommendations.

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: Vascular access complications, particularly high venous pressure, pose significant challenges for hemodialysis patients undergoing hemodialysis. Limited research has focused on identifying predictive factors for invasive treatment. This study aimed to identify patients who might benefit from frequent monitoring and conservative management based on duplex ultrasound (DUS) evaluation.

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Colon cancer (CC) is a significant public health concern. With Asian Americans (AAs) representing a rapidly growing demographic in the United States, our study examined CC prevalence among AAs. The study merged the 2017-2021 Medical Expenditure Panel Survey and County Health Ranking.

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Background: Exergaming is increasingly popular, but its impact on chronic low back pain (CLBP) remain unclear.

Objectives: To evaluate the effectiveness of exergaming versus traditional exercise for managing CLBP using the International Classification of Functioning, Disability and Health (ICF) framework.

Methods: This single-blind, randomized controlled trial included 70 participants with CLBP, who were assigned to either the exergaming or traditional exercise group.

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Successful immunotherapy relies on both intratumoral and systemic immunity, which is yet to be achieved for most patients with cancer. Here, we identify P4HA1, encoding prolyl 4-hydroxylase 1, as a crucial regulator of CD8 T cell differentiation strongly upregulated in tumor-draining lymph nodes (TDLNs) and hypoxic tumor microenvironment. P4HA1 accumulates in mitochondria, disrupting the tricarboxylic acid (TCA) cycle through aberrant α-ketoglutarate and succinate metabolism, promoting mitochondria unfitness and exhaustion while suppressing progenitor expansion.

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Background: Pediatric supracondylar humeral fractures present considerable surgical challenges due to the difficulty of achieving proper fracture alignment and stable fixation while avoiding injury to the ulnar nerve. This study assesses the biomechanical performance of a novel Kirschner wire (K-wire) fixation device (KFD), designed to enhance stability and reduce complications linked to traditional K-wire configurations.

Methods: Using finite element analysis (FEA), we evaluated four fixation strategies for treatment of pediatric supracondylar humeral simple transverse fractures: crossed pin fixation, crossed pin fixation with KFD, two lateral pin fixation, and two lateral pin fixation with KFD, under various mechanical loads.

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Background: The aim of this study was to investigate the clinical and radiologic outcomes following supramalleolar osteotomy for early varus ankle arthritis with the medial translation of the talus, wherein the lateral translation of the talus center to the tibial axis was used as a correction target. Another aim was to compare the results between the ankles with a normal range of medial distal tibial angle (MDTA) and overcorrected MDTA at the postoperative period to investigate the role of overcorrected MDTA after the supramalleolar osteotomy.

Methods: The study comprised 90 patients (93 ankles) with Takakura stage 2 or 3a varus ankle arthritis with the medial translation of the talus, which underwent medial opening supramalleolar osteotomy with fibular osteotomy, and the mean duration of follow-up was 50.

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Background: Semaglutide is a medication used for weight loss in obese patients. Recently, many plastic surgeons have recommended its use of semaglutide following bariatric surgery to increase one's weight loss. However, postoperative complications such as wound dehiscence, delayed healing, and infection pose significant risks.

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  • - This study investigates the relationship between Post-Traumatic Stress Disorder (PTSD) and various outcomes like opioid use and chronic pain in burn patients, highlighting that those with PTSD generally face more complications after their injuries.
  • - A comprehensive analysis using the TriNetX database compared burn patients with PTSD to those without, factoring in demographic and injury severity differences to assess outcomes across different severity levels.
  • - Results showed a higher rate of opioid use and other adverse outcomes in burn patients with PTSD, with the incidence of PTSD varying based on the extent of burns, indicating a clear link between PTSD and poorer recovery experiences.
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  • The study evaluated the effects of erythropoiesis-stimulating agents (ESAs) on tumor recurrence and survival outcomes in patients with ESRD and early-stage UC, using data from the Chang-Gung Research Database in Taiwan.
  • Results showed that ESA use did not significantly impact bladder recurrence-free survival, cancer-specific survival, or overall survival in non-muscle-invasive bladder cancer (NMIBC) and localized UTUC, but there was a noted risk of contralateral recurrence in UTUC patients
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  • Atrial fibrillation (AF) is more common in older adults and those with diabetes, and sodium-glucose cotransporter-2 inhibitors (SGLT2i) like dapagliflozin may help treat heart failure and reduce AF risk.
  • This study explores how dapagliflozin impacts AF in a diabetic rat model and looks into the role of the enzyme Sirtuin 1 (SIRT1).
  • Findings indicate that dapagliflozin lessens cardiac fibrosis and AF by influencing SIRT1, improving cell functions under high glucose conditions, and reducing harmful effects when SIRT1 is inhibited.
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  • Liver transplantation is the main treatment for cirrhosis patients with hepatopulmonary syndrome (HPS), but its impact on survival rates is debated.
  • A study analyzed 181 liver transplant recipients, finding that 57.5% had HPS, with similar overall survival between HPS and non-HPS groups (around 69.8 vs 63.4 months).
  • Results showed that HPS patients experienced more post-surgery complications like delayed extubation and chest catheter insertion, but their overall survival was not negatively affected by HPS severity.
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BACKGROUND Inherited deficiencies in antithrombin (AT), protein C (PC), and protein S (PS) increase the risk of venous thromboembolism (VTE). The efficacy and safety of direct oral anticoagulants (DOACs) in severe VTE cases after mechanical thrombectomy are uncertain. This study aimed to evaluate the use of DOACs combined with mechanical thrombectomy in 55 patients with VTE, including 11 patients with confirmed deep vein thrombosis (DVT) and pulmonary thromboembolism (PE), 27 patients with DVT alone, and 17 with pulmonary thromboembolism alone, from a single center between January 2016 and December 2023.

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Introduction: Medial congruent (MC) systems and Posterior stabilized (PS) systems are widely utilized as implant options in total knee arthroplasties (TKAs). Nevertheless, determining which system yields superior clinical outcomes remains unresolved. This study seeks to compare these two systems by conducting a retrospective analysis of data from a single surgeon's registry encompassing both systems.

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Background: Traditional teaching advocates for routine patella resurfacing (PR) during total knee arthroplasty (TKA) in patients with inflammatory arthritis. However, evidence on this topic remains limited in the Asian population. This study aims to evaluate the postoperative outcomes and complication of patella resurfacing (PR) during primary total knee arthroplasty (TKA) in Asian patients with inflammatory arthritis.

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Background: Despite the paucity of scientific evidence, complementary and alternative medicine (CAM) is widely used for the prevention and treatment of chronic illness, holistic care, and counteracting the adverse effects of conventional therapies. This study aims to determine the prevalence of CAM use and its associated factors among patients undergoing hemodialysis (HD) in Taiwan.

Methods: This quantitative study was conducted from August 2022 to July 2024 in the HD unit at Kaohsiung Chang Gung Memorial Hospital in Taiwan.

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Background: Organophosphate flame retardants (OPFRs) are commonly used in various consumer products to prevent fire hazards. However, OPFRs have been linked to several health problems, including cancer. This study aimed to investigate the association between urine levels of OPFRs and endometrial cancer (EC), and to explore the correlation between concentrations of parent OPFR compounds and their metabolites.

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Our previous studies have revealed a correlation between urinary phthalates (PAE) metabolites and parabens and PM exposure and susceptibility to attention-deficit/hyperactivity disorder (ADHD) in school-age children. Our goal was to examine the relationships between urinary organophosphate flame retardants (OPFRs) and their metabolites and the susceptibility to ADHD in the same cohort of children. We recruited 186 school children, including 132 with ADHD and 54 normal controls, living in southern Taiwan to investigate five OPFRs (1,3-dichloro-2-propyl phosphate (TDCPP), tri-n-butyl phosphate (TnBP), tris (2-chloroethyl) phosphate (TCEP), tris(2-butoxyethyl) phosphate (TBEP), and triphenyl phosphate (TPHP)) and five OPFR metabolites (bis(1,3-dichloro-2-propyl) phosphate (BDCPP), di-n-butyl phosphate (DNBP), bis(2-chloroethyl) hydrogen phosphate (BCEP), di-(2-butoxyethyl) phosphate (DBEP), and diphenyl phosphate (DPHP)) in urine.

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Introduction: Persistent racial and gender disparities are prevalent within the higher education and medical training system, notably seen in the underrepresentation of Hispanic or Latinos, Black Americans, and female surgeons compared to their respective population proportions. This study aims to quantify publications addressing ethnic or gender diversity across various surgical specialties, analyze publication trends, and explore specific topics within medical literature.

Database: The Database includes PubMed, Google Scholar, and Scopus.

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Background: In 2008-2010, Malaysia experienced a nationwide chikungunya virus (CHIKV) outbreak caused by the Indian Ocean lineage E1-226V (valine) variant, adapted to Aedes albopictus. In 2017-2022, transition to an E1-226A (alanine) variant occurred. Ae.

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  • - The study investigates whether winter-born babies are more likely to have developmental dysplasia of the hip (DDH) due to various factors, including external temperatures surrounding birth.
  • - Data from over 10,000 newborns showed that being born in winter isn't linked to abnormal hip conditions at birth, but cooler external temperatures showed a correlation with hip issues.
  • - The findings suggest that while winter birth itself isn't a risk factor for immediate hip problems, there’s a need for increased awareness and possible screening beyond the neonatal phase due to potential late diagnoses of DDH.
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  • Malaria is a long-standing disease that has impacted humans for centuries, highlighting its historical significance.
  • The disease presents notable challenges to healthcare systems, particularly in regions where it is prevalent.
  • Efforts to combat malaria are crucial due to its ongoing health burdens in affected populations.
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