2,682 results match your criteria: "Chang Gung Memorial Hospital at Linkou.[Affiliation]"

Factors affected the ovarian reserve after laparoscopic cystectomy for ovarian endometriomas.

Eur J Obstet Gynecol Reprod Biol

December 2024

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Chang Gung University College of Medicine, Taoyuan, Taiwan. Electronic address:

Objective: To identify related factors that affect the ovarian reserve after laparoscopic ovarian cystectomy in patients with endometriomas.

Study Design: It was a retrospective cohort study performed in a tertiary-care university hospital. A total of 409 patients with endometriomas underwent laparoscopic ovarian cystectomy between June 2014 and November 2021.

View Article and Find Full Text PDF

HarDNet-based deep learning model for osteoporosis screening and bone mineral density inference from hand radiographs.

Bone

January 2025

Master of Science Degree Program in Innovation for Smart Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Rheumatology, Allergy and Immunology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Center for Artificial Intelligence in Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:

Purpose: Osteoporosis, affecting over 200 million individuals, often remains unrecognized and untreated, increasing the risk of fractures in older adults. Osteoporosis is typically diagnosed with bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA). This study aims to develop DeepDXA-Hand, a deep learning model using the efficient CNN-based deep learning architecture, for opportunistic osteoporosis screening from hand radiographs.

View Article and Find Full Text PDF

Background: Patients with prolonged mechanical ventilation (PMV) is usually associated with muscle wasting and diaphragm weakness, resulting in high medical costs and mortality. Adequate energy and protein intake were beneficial in sarcopenia patients. We aimed to investigate the impact of protein intake in weaning parameters in patients with PMV.

View Article and Find Full Text PDF

Background: This study investigated drug-drug interactions in patients with atrial fibrillation taking both a direct oral anticoagulant (DOAC) and an antiarrhythmic drug.

Methods And Results: Using data from the National Health Insurance database (2012-2018), we identified 78 805 patients with atrial fibrillation on DOACs, with 24 142 taking amiodarone, 8631 taking propafenone, 2784 taking dronedarone, 297 taking flecainide, 177 taking sotalol, and 42 772 on DOACs alone. Patients with bradycardia, heart block, heart failure, mitral stenosis, prosthetic valves, or incomplete data were excluded.

View Article and Find Full Text PDF

Structural brain network organization in children with prenatal alcohol exposure.

Neuroimage Clin

November 2024

Murdoch Children's Research Institute, Melbourne, Australia; Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria, Australia; Department of Paediatrics, The University of Melbourne, Victoria, Australia. Electronic address:

Introduction: There is growing evidence suggesting that children with prenatal alcohol exposure (PAE) struggle with cognitively demanding tasks, such as learning, attention, and language. Complex structural network analyses can provide insight into the neurobiological underpinnings of these functions, as they may be sensitive for characterizing the effects of PAE on the brain. However, investigations on how PAE affects brain networks are limited.

View Article and Find Full Text PDF
Article Synopsis
  • A multicenter study analyzed the effectiveness of 18F-FDG PET/CT imaging for evaluating the response of salivary gland carcinoma (SGC) patients after radiation therapy (RT), involving 115 patients over a span of 17 years.
  • The study found that 70% of patients showed metabolic complete response (CR) on PET/CT; those with metabolic CR had significantly better long-term outcomes compared to those without.
  • The imaging technique demonstrated high accuracy and specificity, particularly in cases with higher pre-treatment tumor aggressiveness, aiding in the early detection of viable tumors and guiding further treatment decisions.*
View Article and Find Full Text PDF

Importance: The management of hypopharyngeal squamous cell carcinoma (HPSCC) continues to be one of the most formidable challenges in the realm of head and neck oncology.

Objectives: The aim of this meta-analysis was to evaluate the disparity in survival outcomes between upfront surgery and upfront concurrent chemoradiotherapy as the primary treatment modality in patients with HPSCC.

Design: Systemic review with meta-analysis.

View Article and Find Full Text PDF
Article Synopsis
  • Motor-sparing local infiltration analgesia (LIA) improves recovery in hip and knee surgeries but can cause local anesthetic systemic toxicity (LAST), prompting the use of rescue lipid treatments.
  • A study involving 1,621 patients was conducted to evaluate the impact of pretreating patients with lipid emulsion on the incidence of LAST after LIA.
  • Results showed a slight decrease in severe LAST events with lipid pretreatment, a reduction in bradycardia and arrhythmias, but an increase in postoperative opioid use, indicating mixed effectiveness and a need for further research.
View Article and Find Full Text PDF

Background: High intensity focused ultrasound (HIFU) ablation treatment for uterine fibroids and adenomyosis has been long developed. The aim of this study is to investigate miRNA profile changes in vaginal secretions after HIFU treatment and their clinical relevance.

Methods: We prospectively collected vaginal secretions samples from 8 patients (1 with adenomyosis and 7 with fibroids) before and after HIFU treatment.

View Article and Find Full Text PDF

Background: Continuous performance tests (CPTs) are a popular tool for evaluating the symptoms of attention-deficit/hyperactivity disorder (ADHD). Performance measurements are typically linked to the biological features and cognitive functions of individuals. To determine the validity of specific CPT indices in differentiating between school-aged children with ADHD from with non-ADHD, each student's sex, chronological age, and cognitive abilities should be considered.

View Article and Find Full Text PDF

Features and allele frequency of JAK2 Exon 12-mutated polycythemia vera in comparison with JAK2V617F-mutated disease.

Arch Med Res

October 2024

Division of Hematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Background And Aim: JAK2 exon 12 mutation status and the clinical characteristics of patients with polycythemia vera (PV) in Asia remain to be defined.

Method: We analyzed the clinical, molecular, and genetic features and outcomes of patients with PV harboring exon 12 mutation and compared them with the JAK2V617F-mutated patients in Taiwan. JAK2V617F with allele burden was measured by pyrosequencing and/or RT/qPCR.

View Article and Find Full Text PDF

Purpose: Obstructive sleep apnea (OSA) may increase the risk of age-related macular degeneration (AMD) due to repetitive oxygen deprivation or other mechanisms, though whether OSA increases the risk of AMD progression is unknown. We analyzed associations between OSA and AMD risk in the Taiwanese population.

Methods: We identified patients diagnosed with OSA between 2000 and 2018 in the Taiwan National Health Insurance Research Database and used 1:1 propensity score matching on demographics and co-morbidities to create a non-OSA cohort.

View Article and Find Full Text PDF

Background: As individuals age, the incidence and mortality rates of cerebrovascular accidents significantly rise, leading to fine motor impairments and cognitive deficits that impact daily life. In modern occupational therapy, assessing manual dexterity and cognitive functions typically involves observation of patients interacting with physical objects. However, this pen-and-paper method is not only time-consuming, relying heavily on therapist involvement, but also often inaccurate.

View Article and Find Full Text PDF

Advancements, Challenges, and Future Prospects in Clinical Hyperpolarized Magnetic Resonance Imaging: A Comprehensive Review.

Biomed J

October 2024

Research Center for Radiation Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Medical Imaging and Radiological Sciences, Chang Gung University, Taoyuan, Taiwan; Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Clinical Metabolomics Core Laboratory, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:

Hyperpolarized (HP) magnetic resonance imaging (MRI) is a groundbreaking imaging platform advancing from research to clinical practice, offering new possibilities for real-time, non-invasive metabolic imaging. This review explores the latest advancements, challenges, and future directions of HP MRI, emphasizing its transformative impact on both translational research and clinical applications. By employing techniques such as dissolution Dynamic Nuclear Polarization (dDNP), Parahydrogen-Induced Polarization (PHIP), Signal Amplification by Reversible Exchange (SABRE), and Spin-Exchange Optical Pumping (SEOP), HP MRI achieves enhanced nuclear spin polarization, enabling in vivo visualization of metabolic pathways with exceptional sensitivity.

View Article and Find Full Text PDF

Is there value in the routine inclusion of chest computed tomography for patients with gastrointestinal stromal tumor?

Eur J Radiol

December 2024

Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, No.5, Fuxing St., Guishan Dist., Taoyuan City 333, Taiwan. Electronic address:

Purpose: National Comprehensive Cancer Network guidelines suggest chest CT when gastrointestinal stromal tumors are larger than 2 cm. We evaluate the value of screening the chest region during initial and follow-up CT.

Method: Single institution retrospective analysis of GIST cancer registry for patients diagnosed between May 2010 and November 2019 with tumor > 2 cm.

View Article and Find Full Text PDF

Mediating role of obstructive sleep apnea in altering slow-wave activity and elevating Alzheimer's disease risk: Pilot study from a northern Taiwan cohort.

Sleep Health

October 2024

School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan; Research Center of Artificial Intelligence in Medicine, Taipei Medical University, Taipei, Taiwan; Sleep Center, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan; Division of Pulmonary Medicine, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan. Electronic address:

Article Synopsis
  • Obstructive sleep apnea (OSA) might lead to changes in slow-wave sleep activity, which could increase the risk of developing Alzheimer's disease; this study aimed to explore the relationship between OSA symptoms and neurochemical biomarkers related to Alzheimer's.
  • The study involved 42 individuals undergoing polysomnography to assess their sleep patterns and blood tests to measure levels of total tau (T-Tau) and amyloid beta-peptide 42 (Aβ), categorizing participants into low and high Alzheimer's risk groups.
  • Results indicated that high-risk individuals had worse sleep metrics and unusual slow-wave sleep patterns, suggesting that OSA symptoms could indirectly raise levels of neurochemical markers linked to Alzheimer's, but further research is needed to establish direct causal links.
View Article and Find Full Text PDF

Tug-of-War (TOW) games involve repetitive hand movements and vigorous force, raising the risk of peripheral neuropathy in the upper extremities. The prevalence of carpal tunnel syndrome (CTS) in TOW athletes remains unclear. We hypothesize that elite female TOW athletes have a higher prevalence of CTS than the general population.

View Article and Find Full Text PDF

: This study aimed to examine the relationship between health-related quality of life (HRQoL) and sociodemographic and clinical variables in survivors of head and neck cancer (HNC) treated with radiotherapy, with or without surgery. : HRQoL was measured using the functional assessment of cancer therapy-head and neck (FACT-H&N) in a cross-sectional survey involving 150 patients. Of these, 60 had nasopharyngeal cancer (NPC), treated exclusively with radiotherapy, while 90 had oral cavity squamous cell cancer (OSCC), undergoing radical surgery followed by adjuvant radiotherapy.

View Article and Find Full Text PDF

ALKBH4 functions as a hypoxia-responsive tumor suppressor and inhibits metastasis and tumorigenesis.

Cell Oncol (Dordr)

October 2024

Drug Development Center, Program for Cancer Biology and Drug Discovery, China Medical University, Taichung, Taiwan.

Article Synopsis
  • The ALKBH dioxygenase superfamily is important for gene regulation and its role in cancer, particularly under hypoxic conditions, is being analyzed; specifically, the function of ALKBH4 is under investigation.
  • Experimental methods include real-time PCR, Western blot analysis, and various assays to assess tumor characteristics and behavior in vitro and in vivo.
  • Results show that ALKBH4 may act as a tumor suppressor, with higher levels linked to better patient outcomes in certain cancers, suggesting its potential as a therapeutic target for tumors affected by hypoxia.
View Article and Find Full Text PDF

Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management.

Ultrasonography

November 2024

Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

The diagnosis and management of Bethesda III and IV thyroid nodules remain clinical dilemmas. Current guidelines from academic societies suggest active surveillance or diagnostic lobectomy. However, the extent of surgery is often inappropriate, and a considerable percentage of patients experience under- or over-treatment.

View Article and Find Full Text PDF
Article Synopsis
  • Understanding sleep's impact on the glymphatic system and brain networks is key to addressing memory decline in aging.
  • Researchers studied 72 older adults using MRI and sleep measurements, finding a link between glymphatic function (DTI-ALPS) and sleep quality.
  • Results indicated that poor sleepers had disrupted neural connections, implicating sleep quality in cognitive health and memory function.
View Article and Find Full Text PDF
Article Synopsis
  • Research investigates how methamphetamine use affects brain connectivity and its link to psychosis.
  • The study involved 54 men with meth use disorder, comparing those with and without psychosis to healthy controls.
  • Results showed altered brain network connections in those with meth-induced psychosis, highlighting differences in functional connectivity between various brain networks.
View Article and Find Full Text PDF

Background: Hepatitis often occurs after initiating immune checkpoint inhibitor (ICI) treatment. The time and grade of hepatitis after ICI starts and the prognostic role of immune-related hepatitis in patients with advanced hepatocellular carcinoma (aHCC) remain unclear.

Methods: In this real-world analysis, we enrolled aHCC patients receiving ICIs, documented the highest level of liver enzymes during/after ICIs, and analyzed the survival impact of different hepatitis patterns.

View Article and Find Full Text PDF

Classification of mindfulness experiences from gamma-band effective connectivity: Application of machine-learning algorithms on resting, breathing, and body scan.

Comput Methods Programs Biomed

December 2024

Department of Computer Science and Information Engineering, Chang Gung University, Taoyuan, Taiwan; Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:

Article Synopsis
  • Mindfulness practices enhance interoceptive awareness and emotional regulation by altering brain functions, with EEG connectivity showing potential for differentiating between individuals with varying mindfulness experiences.
  • This study investigated the use of Directed Transfer Function (dDTF) to classify participants' mindfulness history and optimized prediction accuracy through comparisons of different machine learning algorithms.
  • Results indicated that the decision tree algorithm achieved the highest prediction accuracy of 91.7% during the resting state, and essential EEG channels revealed that maintaining just four out of 19 channels still yielded a high accuracy of 83.3%.
View Article and Find Full Text PDF