Publications by authors named "Ya-Chi Hsu"

Article Synopsis
  • A study was conducted to compare the neurodevelopmental outcomes of preterm infants born before and during the COVID-19 pandemic, using data from Taiwan's Premature Infant Follow-up Network.
  • Infants born in 2018 were in the pre-pandemic group, while those born in 2019 were in the pandemic group, with developmental outcomes measured at 6, 12, and 24 months using standardized tests.
  • The results indicated that infants who developed during the pandemic had better cognitive and motor skills at various ages compared to those who developed before it, suggesting the pandemic's impact may have led to improved early developmental outcomes.
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This study compared gut (fecal) microbiota profiles between pre-term and full-term infants, assuming that pre-term infants without feeding intolerance would have gut microbiota similar to those of full-term infants. A total of 13 pre-term infants (gestational age < 37 weeks, birthweight ≤ 2500 g) and 10 full-term infants were included. The pre-term infants were assigned to the feeding tolerance (FT) group (n = 7) if their daily intake exceeded 100 mL/kg/day at two weeks after birth, or the feeding intolerance (FI) group (n = 6).

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Article Synopsis
  • * A total of 1,385,979 live births were analyzed, revealing an increase in preterm birth rates from 8.85% to 10.73% during the study period.
  • * Significant risk factors for preterm birth include maternal age, socioeconomic status, allergies and autoimmune diseases, gynecological conditions, and pregnancy-related complications.
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Purpose: Inpatient glycemic management has become a common issue because of the increasing number of hospitalized patients with hyperglycemia. Point-of-care devices can enable timely inpatient glucose monitoring, which may lead to better outcomes. The accuracy of point-of-care testing in various clinical scenarios has been questioned, particularly in neonates and critically ill patients.

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Triple-negative breast cancers (TNBCs) are difficult to cure and currently lack of effective treatment strategies. Cancer stem cells (CSCs) are highly associated with the poor clinical outcome of TNBCs. Thoc1 is a core component of the THO complex (THOC) that regulates the elongation, processing and nuclear export of mRNA.

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Objectives: To study the association between antenatal corticosteroids treatment and childhood mental disorders in infants born at different gestational ages, and to investigate the effect of different administration timing.

Study Design: This population-based cohort study used data from the Taiwan National Health Insurance Research Database. All singleton live births born between 2004 and 2010 were enrolled and followed up for at least 6 years.

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Introduction: Immune thrombocytopenia (ITP) is one of the most common hematologic disorders in children. However, its etiology is still unclear. Epidemiological studies have shown that air pollution is a plausible risk factor in stimulation of oxidative stress, induction of inflammation, and onset of autoimmune diseases.

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In extremely low birth weight (ELBW) infants, the patent ductus arteriosus (PDA) with left-to-right shunt and an increase in systemic artery resistance may cause increasing preload and afterload of the left ventricle. The immature myocardium in ELBW infants has a limited ability to respond to the change, which leads to hemorrhagic complications. In this study, we detected the hemodynamic change of cardiac performance and applied a clinical strategy to prevent PDA-associated hemorrhagic complications in ELBW infants.

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Background: Premature births account for around 11% of the world's live births. With the improvements in survival that have been achieved in recent years, the neurological outcomes of these infants have attracted greater attention. The aim of this study was to evaluate the association between postnatal weight loss and neurodevelopment outcomes of very low birth weight premature infants.

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Article Synopsis
  • - The study investigates the relationship between maternal immune disorders and the risk of Kawasaki disease (KD) in children, using data from Taiwan's National Health Insurance Research Database.
  • - Researchers found that children born to mothers with asthma, allergic rhinitis, or autoimmune disorders had a higher incidence of KD, suggesting a link between maternal health and children's risk.
  • - This is the first population-based analysis focusing on this issue, highlighting that the number of maternal autoimmune disorders is directly associated with increased KD risk in their children.
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Background: Breast milk is the optimal choice for feeding premature babies. However, the prevalence rate of extrauterine growth restriction in preterm infants remains high.

Objectives: The purpose of this study was to analyze the macronutrients present in human milk and the correlation with the growth of in-hospital preterm infants.

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Background: Premature infants are at high risk for developmental delay and cognitive dysfunction. Besides medical conditions, growth restriction is regarded as an important risk factor for cognitive and neurodevelopmental dysfunction throughout childhood and adolescence and even into adulthood. In this study, we analyzed the relationship between post-discharge body weight and psychomotor development using a nationwide dataset.

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Background: For infants with very low birth weights (VLBW), their neurodevelopmental outcomes are thought to be associated with extra-uterine growth retardation (EUGR). In this study, based on a single institute, we analyzed the association between different levels or severity of EUGR of VLBW infants and their neurodevelopmental outcomes later at a corrected age of 24 months.

Methods: This is a hospital-based retrospective cohort study.

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Background: The process involved in organ procurement and transplantation is very complex that requires multidisciplinary coordination and teamwork. To prevent error during the processes, teamwork education and training might play an important role. We wished to evaluate the efficacy of implementing a Team Resource Management (TRM) program on patient safety and the behaviors of the team members involving in the process.

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Article Synopsis
  • The study aimed to analyze changes in breast milk composition from mothers of preterm infants during the first 4-6 weeks of lactation.
  • Researchers collected breast milk samples from 17 preterm and 15 full-term mothers, measuring various nutrients and immune components weekly.
  • Results showed significant increases in lactose, fat, calories, and phosphate in preterm milk, while protein and secretory IgA concentrations decreased, with some components remaining consistent between preterm and full-term groups.
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Introduction: Coronary stenting has previously been considered to be less feasible in children under 12 years old due to the limitation of vascular access. We report the case of a six-year-old boy who successfully underwent stent implantation for his totally occluded right coronary artery.

Case Presentation: A Taiwanese boy aged six years and nine months old was found to have giant aneurysms after an acute episode of Kawasaki disease.

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