4,678 results match your criteria: "Chang Gung Memorial Hospital and Chang Gung University.[Affiliation]"

Total knee replacement (TKR) is a common surgical procedure for osteoarthritis (OA) patients. TKR may increase susceptibility to herpes zoster (HZ) by inducing immunosuppression, surgical stress, and nerve injury. However, limited data exist on the relationship between TKR and HZ.

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Purpose: This study enhances the efficiency of predicting complications in lung cancer patients receiving proton therapy by utilizing large language models (LLMs) and meta-analytical techniques for literature quality assessment.

Materials And Methods: We integrated systematic reviews with LLM evaluations, sourcing studies from Web of Science, PubMed, and Scopus, managed via EndNote X20. Inclusion and exclusion criteria ensured literature relevance.

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  • This meta-analysis investigates how effective a single dose of intravenous steroids is for enhancing postoperative recovery quality in adult surgery patients, using validated QoR scales.
  • The study included eleven randomized controlled trials with 951 patients and measured various outcomes, including overall recovery scores and pain management.
  • Results show that intravenous steroids significantly improved recovery scores and reduced pain and nausea compared to placebo, suggesting they are beneficial for postoperative care.*
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Background: Remimazolam is a novel ultra-short-acting benzodiazepine that has been recently introduced as an alternative to propofol for general anesthesia. While both agents have been compared in terms of safety and efficacy, their relative effects on postoperative quality of recovery (QoR) remain unclear. Therefore, this meta-analysis aimed to compare the effects of remimazolam and propofol on subjective QoR in surgical patients who underwent general anesthesia.

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Introduction: Stress-induced hyperglycemia (SIH) and malnutrition are common in trauma patients and are linked to worse outcomes. This study examined the influence of nutritional status, determined by the Geriatric Nutritional Risk Index (GNRI), on the incidence of SIH in trauma patients.

Methods: A retrospective analysis was conducted on adult trauma patients admitted to a Level I trauma center from 1 January 2009 to December 31, 2021.

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Objective: This study presents the development and validation of a nomogram aimed at predicting platinum-sensitivity and survival outcomes in women with advanced epithelial ovarian cancer (EOC).

Materials And Methods: Data from a retrospective cohort of women diagnosed with stage III/IV EOC between Jan 2011 and Dec 2021 treated at our institute were collected. Clinical and pathological characteristics were analyzed using logistic regression analysis to identify independent predictors of platinum-sensitivity.

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Background: The stress index (SI), defined as the serum glucose to potassium ratio, has emerged as a potential prognostic indicator in some patient populations. This study aims to evaluate the predictive value of SI on the trauma patients sustained by all trauma causes.

Methods: A retrospective analysis was conducted on 20,040 adult trauma patients admitted to a single trauma center from January 1, 2009, to December 31, 2022.

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Background: The association between Chinese herbal medicine (CHM) and the risk of developing major adverse cardiovascular events (MACEs) in patients with dialysis hypotension is unclear and has not yet been investigated. This study aimed to determine whether CMH intervention could reduce the risk of MACEs in patients with dialysis hypotension.

Methods: The study data from the Taiwan National Health Insurance Research Database were analyzed to clarify this association.

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  • Influenza-associated encephalopathy, particularly acute necrotizing encephalopathy (ANE), is primarily seen in pediatric populations and has been reported in a 44-year-old woman who developed severe neurological symptoms after an influenza A (H3N2) infection.* -
  • Rapid progression of symptoms led to a diagnosis of ANE based on brain MRI, exclusion of other infections, and elevated interleukin-6 levels, following which pulse steroid therapy and tocilizumab treatment significantly stabilized her condition.* -
  • Analysis of adult cases revealed a wide age range with a high mortality rate (32%); thalamic lesions were most common, emphasizing the need for awareness and research into cytokine-directed therapies for this serious
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Background: Extracorporeal shockwave therapy (ESWT) is the primary treatment for calcific tendinitis of the shoulders, but what are the effects of clinical, sonographic, and molecular markers following ESWT in treating calcific tendinitis of the shoulder?

Methods: Twenty-eight patients were categorized into radiodense and radiolucent subgroups. In addition, clinical assessments included the visual analogue scale (VAS), Constant-Murley (CM) score, American Shoulder and Elbow Surgeon (ASES) score, sonographic evaluation, and serum enzyme-linked immunosorbent assay (ELISA). The participants completed a 1-year follow-up.

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  • The study investigated the effectiveness of comprehensive genomic profiling (CGP) in identifying actionable genomic alterations across various solid tumors in lung and gastrointestinal cancers in Taiwan.
  • CGP testing was successful in 79.4% of patients, revealing that 21.1% had clinically actionable changes, with lung adenocarcinoma having the highest incidence.
  • Patients receiving targeted therapy based on CGP results experienced significantly longer median overall survival (26.1 months) compared to those who did not receive matched therapy (10.6 months), emphasizing CGP's potential to improve patient outcomes.
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Temporal research trends in parathyroid surgery.

Am J Surg

November 2024

Department of Surgery, MacKay Memorial Hospital and MacKay Medical College, Taipei, Taiwan; Institute of Biomedical Sciences, MacKay Medical College, New Taipei City, Taiwan; Department of Pharmacology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

Background: Progress has been observed in the pathophysiology of calcium homeostasis, localization studies, and intraoperative adjuncts in parathyroid surgery. The aim of this study is to gain a comprehensive perspective on the research landscape of parathyroid surgery over time.

Methods: A search of the Web of Science Core Collection was conducted to identify publications on parathyroid surgery from 1985 to 2024.

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The European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with biliary tract cancer (BTC), published in late 2022 were adapted in December 2023, according to established standard methodology, to produce the Pan-Asian adapted (PAGA) ESMO consensus guidelines for the management of Asian patients with BTC. The adapted guidelines presented in this manuscript represent the consensus opinions reached by a panel of Asian experts in the treatment of patients with BTC representing the oncological societies of China (CSCO), Indonesia (ISHMO), India (ISMPO), Japan (JSMO), Korea (KSMO), Malaysia (MOS), the Philippines (PSMO), Singapore (SSO), Taiwan (TOS) and Thailand (TSCO), co-ordinated by ESMO and the Taiwan Oncology Society (TOS). The voting was based on scientific evidence and was independent of the current treatment practices, drug access restrictions and reimbursement decisions in the different regions of Asia.

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Single-cell analysis of peri-implant gingival tissue to assess implant biocompatibility and immune response.

J Prosthodont Res

January 2025

Department of Dentistry, National Taiwan University Hospital & Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.

Purpose: The innate immune response, particularly the reaction of polymorphonuclear neutrophils (PMNs), is crucial in shaping the outcomes of chronic inflammation, fibrosis, or osseointegration following biomaterial implantation. Peri-implantitis or peri-implant mucositis, inflammatory conditions linked to dental implants, pose a significant threat to implant success. We developed a single-cell analysis approach using a murine model to assess the immune response to implant materials, offering a practical screening tool for potential dental implants.

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Background: Parkinson's disease (PD) is an irreversible, progressive disorder that profoundly impacts both motor and non-motor functions, thereby significantly diminishing the individual's quality of life. Dihydrosinularin (DHS), a natural bioactive molecule derived from soft corals, exhibits low cytotoxicity and anti-inflammatory properties. However, the therapeutic effects of DHS on neurotoxins and PD are currently unknown.

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Background: Emergency medicine (EM) is a growing specialty both clinically and academically. Academic EM development can be measured by number of scientific publications. This study aimed to evaluate the academic international cooperation trend of Taiwan emergency departments (EDs) in the past two decades using social network analysis (SNA).

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Antiseizure medications (ASMs) play a central role in seizure management, however, unpredictability in the response to treatment persists, even among patients with similar seizure manifestations and clinical backgrounds. An objective biomarker capable of reliably predicting the response to ASMs would profoundly impact epilepsy treatment. Presently, clinicians rely on a trial-and-error approach when selecting ASMs, a time-consuming process that can result in delays in receiving alternative non-pharmacological therapies such as a ketogenetic diet, epilepsy surgery, and neuromodulation therapies.

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Appetite hormones, neuropsychological function and methylphenidate use in children with attention-deficit/hyperactivity disorder.

Psychoneuroendocrinology

December 2024

Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:

Appetite hormones may play a significant role in neuronal excitability and synaptic plasticity and may also affect brain function development. This study aimed to explore the role of appetite hormones in attention deficit/hyperactivity disorder (ADHD), including aspects of pathophysiology, pharmacotherapy, and side effects. We recruited 119 patients with ADHD who were undergoing methylphenidate treatment (ADHD+MPH), 77 unmedicated ADHD patients (ADHD-MPH), and 87 healthy controls.

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Introduction: There is a lack of data on the efficacy, effectiveness, and safety of lanreotide autogel in patients with gastroenteropancreatic neuroendocrine tumors (GEP-NETs) of Chinese ethnicity. This noninterventional, retrospective study evaluated the effectiveness and safety of lanreotide autogel in patients of Chinese ethnicity with GEP-NETs in clinical practice.

Methods: Patients' charts were abstracted from five hospitals in Hong Kong and Taiwan (July-September 2021), where lanreotide autogel is approved for treating GEP-NETs.

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Quality and correctness of AI-generated versus human-written abstracts in psychiatric research papers.

Psychiatry Res

November 2024

College of Medicine, China Medical University, Taichung, Taiwan; Mind-Body Interface Laboratory (MBI-Lab), China Medical University and Hospital, Taichung, 404, Taiwan; An-Nan Hospital, China Medical University, Tainan, 709, Taiwan. Electronic address:

Article Synopsis
  • - The study evaluated how well an AI chatbot (ChatPDF) could create abstracts from 30 academic psychiatric articles, comparing its output with that of human-written abstracts from 10 additional psychiatric papers.
  • - The results showed low similarity and plagiarism rates in the AI-generated abstracts, but the quality varied: structured abstracts performed similarly to originals, while unstructured ones scored lower, and overall, inaccuracies were found in 30% of the AI conclusions.
  • - Experts noted that while AI models like ChatPDF have potential for summarizing psychiatric information, caution is needed due to accuracy concerns in the final outputs.
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MicroRNA 29a alleviates mitochondrial stress in diet-induced NAFLD by inhibiting the MAVS pathway.

Eur J Pharmacol

November 2024

Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital Chang, and Chang Gung University College of Medicine, Kaohsiung, 833, Taiwan. Electronic address:

Article Synopsis
  • * MicroRNA-29a (miR-29a) shows promise in combating liver damage by reducing fibrosis and oxidative stress, especially in models fed a Western diet, with results indicating improved liver health and lower cholesterol levels in mice.
  • * The study reveals that miR-29a works by inhibiting the MAVS signaling pathway, decreasing mitochondrial double-stranded RNA release, and could enhance the treatment of NAFLD and liver steatofibrosis.
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  • This study investigated how different doses of tissue plasminogen activator (tPA) influence treatment outcomes in patients undergoing mechanical thrombectomy (MT) for stroke, particularly looking at standard (within 6 hours) and extended (after 6 hours) treatment windows.
  • It was found that in the standard window, patients receiving full-dose tPA had significantly better functional outcomes after 90 days compared to those receiving a reduced dose (49% vs 21%).
  • Conversely, in the extended window, the dosage of tPA (full vs reduced) did not impact functional outcomes, suggesting that the timing of the treatment is more critical than the tPA dosage in these cases.
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  • This study evaluated a two-protein panel for mismatch repair (MMR) immunohistochemistry in endometrial cancer patients and compared its accuracy to a traditional four-protein panel.
  • Among 593 patients, the two-protein combination MSH6/PMS2 showed the highest sensitivity (99.32%) and negative predictive value (NPV of 99.78%), indicating it could effectively identify MMR deficiencies.
  • The findings suggest that using the two-protein panel could be a more cost-effective option without losing diagnostic accuracy compared to the four-protein standard.
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Endometrial cancer risk stratification using MRI radiomics: corroborating with choline metabolism.

Cancer Imaging

August 2024

Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, 5 Fuhsing St, Guishan, Taoyuan, 33382, Taiwan.

Background And Purpose: Radiomics offers little explainability. This study aims to develop a radiomics model (Rad-Score) using diffusion-weighted imaging (DWI) to predict high-risk patients for nodal metastasis or recurrence in endometrial cancer (EC) and corroborate with choline metabolism.

Materials And Methods: From August 2015 to July 2018, 356 EC patients were enrolled.

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