528 results match your criteria: "Hsinchu Mackay Memorial Hospital[Affiliation]"

Background: The healing process after a myocardial infarction (MI) in humans involves complex events that replace damaged tissue with a fibrotic scar. The affected cardiac tissue may lose its function permanently. In contrast, zebrafish display a remarkable capacity for scar-free heart regeneration.

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Colorectal Cancer and Subsequent Diabetes Risk: A Population-based Cohort Study in Taiwan.

J Clin Endocrinol Metab

April 2024

Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Rd., Taipei City, Taiwan.

Context: The association between colorectal cancer (CRC) and new-onset diabetes mellitus remains unclear.

Objective: To examine the association between CRC and the risk of subsequent diabetes mellitus and to further investigate the impact of chemotherapy on diabetes mellitus risk in CRC.

Design: A nationwide cohort study.

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Background: Diminished muscle protein synthesis in cirrhosis leads to reduced strength and mass, impacting daily activities and overall quality of life.

Aims: This study aimed to examine the effectiveness of exercise intervention in body composition, exercise capacity, fatigue, and quality of life in patients with liver cirrhosis.

Methods: A systematic search of medical databases, including PubMed, Embase, Cochrane, and CINAHL, was executed from their inception to November 2022.

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Article Synopsis
  • The study analyzed pre-treatment drug resistance (PDR) trends among newly diagnosed, antiretroviral-naïve people with HIV in Taiwan from 2016 to 2022, focusing on the impact of second-generation integrase strand-transfer inhibitors (INSTIs).
  • Out of 3001 participants, the prevalence of PDR varied for different drug classes, with significant stability observed in NRTIs and INSTIs, but a notable increase in resistance to NNRTIs from 6.0% to 13.1%.
  • The findings suggest that while PDR levels for NRTIs and INSTIs remain low, NNRTI resistance is on the rise, indicating a need for ongoing monitoring and potential adjustments in treatment strategies
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Article Synopsis
  • Heart failure with preserved ejection fraction (HFpEF) is a complex condition affecting the heart and other organs, leading to significant health issues, especially in younger patients in Asia with high rates of diabetes and kidney disease.
  • The diagnosis involves a 2-step algorithm focusing on symptoms, ejection fraction, natriuretic peptide levels, and tests for heart abnormalities; if uncertain, additional stress testing may be required.
  • Management includes controlling comorbidities, lifestyle changes like weight loss and exercise, and pharmacological treatments such as diuretics and SGLT2 inhibitors to improve patient outcomes.
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High myopia at high altitudes.

Front Physiol

March 2024

Department of Emergency Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

Optic nerve sheath diameter (ONSD) increases significantly at high altitudes, and is associated with the presence and severity of acute mountain sickness (AMS). Exposure to hypobaria, hypoxia, and coldness when hiking also impacts intraocular pressure (IOP). To date, little is known about ocular physiological responses in trekkers with myopia at high altitudes.

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Peripheral artery disease (PAD) shares common clinical risk factors, for example, endothelial dysfunction, with preserved ejection fraction (LVEF) heart failure (HFpEF). Whether PAD is associated with preclinical systolic dysfunction and higher HF risk among individuals presenting preserved LVEF remains uncertain. We retrospectively included outpatients with at least one known or established cardiovascular (CV) risk factor with LVEF ≥ 50%.

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This article - Recommendations and Guidelines of Integrative Medicine (IM) for COVID-19 Care - was one of the outcomes from an Asia-Pacific Economic Cooperation (APEC) Project (Integrative Medicine (IM) and COVID -19 Care) during the time between May 2022 and March 2023. With the efforts from care providers, researchers, health policy makers and healthcare administrative leaders among APEC economies, the purpose of this file was to provide comprehensive IM systems for COVID-19 care as recommendations and suggestive guidelines including care methods, tools, procedures, symptom conditions and targets selections, and points need to be considered during care applications. All cited COVID-19 care practices have confirmed their efficacy and usefulness either used alone or combined with conventional medicine.

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Background: Obesity is a global health issue with increasing prevalence. Surgical procedures, such as surgical stabilization of rib fractures (SSRF), may be affected by obesity-related complications. The objective of the study is to investigate the effects of obesity on SSRF outcomes in multiple rib fractures.

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Glutathione (GSH) is a major antioxidant in organisms. An alteration in GSH concentration has been implicated in a number of pathological conditions. Therefore, GSH sensing has become a critical issue.

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Background: A jaundice-predominant presentation of Kawasaki disease (KD) is atypical.

Methods: A total of 12 children with KD with a predominant manifestation of jaundice at MacKay Children's Hospital were reviewed, along with 42 cases reported in the literature since 1990.

Results: The median age of the 12 patients was 1.

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With the notable surge in therapeutic peptide development, various peptides have emerged as potential agents against virus-induced diseases. Viral entry inhibitory peptides (VEIPs), a subset of antiviral peptides (AVPs), offer a promising avenue as entry inhibitors (EIs) with distinct advantages over chemical counterparts. Despite this, a comprehensive analytical platform for characterizing these peptides and their effectiveness in blocking viral entry remains lacking.

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Present study reports an unprecedented dengue outbreak in Taiwan post-COVID-19. Interrupted time series analysis reveals a significant surge after easing restrictions, emphasizing the roles of COVID-19 measures, especially travel restrictions, international transportation and climate change in the epidemic. Preventing and controlling dengue remain substantial challenges in the post-COVID-19 era.

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Activation of effector T cells leads to upregulation of PD-1, which can inhibit T-cell activity following engagement with its ligand PD-L1. Post-translational modifications (PTM), including glycosylation, phosphorylation, ubiquitination, and palmitoylation, play a significant role in regulating PD-1 protein stability, localization, and interprotein interactions. Targeting PTM of PD-1 in T cells has emerged as a potential strategy to overcome PD-1-mediated immunosuppression in cancer and enhances antitumor immunity.

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Comparable clinical outcomes with same-day versus rapid initiation of antiretroviral therapy in Taiwan.

Int J Infect Dis

March 2024

Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Department of Tropical Medicine and Parasitology, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Objectives: WHO has recommended same-day antiretroviral therapy (SDART) initiation since 2017; however, higher attrition rates were noted in developing countries.

Methods: We included newly diagnosed people with HIV (PWH) from 2018 to 2022 at 18 hospitals around Taiwan. SDART initiation was defined as starting ART on the same day of HIV diagnosis and rapid initiation as starting ART within 14 days of diagnosis.

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Article Synopsis
  • The study focuses on X-linked hypophosphatemia (XLH), a genetic disorder linked to mutations in the PHEX gene, leading to elevated FGF23 levels and associated health issues in Taiwanese patients.* -
  • Researchers analyzed medical records of 102 suspected XLH patients from 2006 to 2022, identifying 44 different PHEX mutations and noting that 92.1% of patients had elevated FGF23 levels.* -
  • The findings enhance understanding of PHEX mutations and FGF23 profiles in XLH, providing valuable information for clinical management, especially with the recent approval of burosumab as a treatment option.*
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The Risk of Cancer-Associated and Radiotherapy-Associated Cardiovascular Diseases among Patients with Breast Cancer.

Clin Breast Cancer

February 2024

Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei City, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan; Population Health Research Center, National Taiwan University. Electronic address:

Article Synopsis
  • * Researchers followed breast cancer patients diagnosed between 2007 and 2016 in Taiwan and compared their health outcomes to a general population over time.
  • * Findings revealed a higher CAD risk shortly after diagnosis but no link between radiotherapy and increased CAD or stroke risk.
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Background: Real-world experience with combinations of short-course rifapentine-based regimens and integrase strand-transfer inhibitor-containing antiretroviral therapy (ART) in management of latent tuberculous infection (LTBI) is limited among people with human immunodeficiency virus (PWH).

Methods: From August 2019 to October 2022, PWH receiving 3 months of weekly rifapentine plus isoniazid (3HP) or 1 month of daily rifapentine plus isoniazid (1HP) in combination with ART were included. The primary outcome was virologic response within 12 months after LTBI treatment; secondary outcomes included treatment completion rate and safety of LTBI regimens.

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Article Synopsis
  • SGLT2 inhibitors, specifically canagliflozin, were studied for their potential cardiovascular benefits in patients with type 2 diabetes mellitus, showing improvements in heart function and structure over 24 weeks.
  • The study included 47 patients who experienced significant reductions in HbA1c, body weight, and systolic blood pressure, alongside enhanced hemodynamic parameters like stroke volume and cardiac output.
  • Results indicated positive remodeling in the heart, such as reduced left atrial volume and improved strain measurements, suggesting mechanisms that may explain the cardioprotective effects seen in larger clinical trials.
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Introduction: This study aimed to explore the impact of gonadotropin-releasing hormone agonists (GnRHa) on final adult height (FAH) in girls with early and fast puberty.

Methods: A retrospective study was conducted by reviewing data from the medical records of the Pediatric Endocrinology Clinics between January 1, 2010, and December 31, 2020, at MacKay Children's Hospital. The treatment group included 109 patients who received 3.

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Background: Sarcopenia is a chronic disease marked by gradual muscle system and functional decline. Prior research indicates its prevalence in those under 60 varies from 8 to 36%. There is limited evidence on the effectiveness of non-pharmacological interventions for sarcopenia prevention in menopausal women aged 40-60.

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Background: Primary aortoduodenal fistula is a rare cause of gastrointestinal (GI) bleeding consisting of abnormal channels between the aorta and GI tract without previous vascular intervention that results in massive intraluminal hemorrhage.

Case Summary: A 67-year-old man was hospitalized for coffee ground vomiting, tarry stools, and colic abdominal pain. He was repeatedly admitted for active GI bleeding and hypovolemic shock.

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Development of an Albumin-Masked mutPD-1Ig as a Tumor Lesion-Selective Immune Checkpoint Inhibitor.

ACS Omega

October 2023

Institute of Molecular Medicine and Bioengineering, National Yang Ming Chiao Tung University, 75 Bo-Ai Street, Hsin-Chu 300, Taiwan, Republic Of China.

The antitumor effects elicited by immune checkpoint inhibitors (ICIs) have transformed cancer treatments. However, severe immune-related adverse events (irAEs) resulting from these treatments have restricted the application of ICIs. To overcome the adverse events, we developed a tumor lesion-selective pro-PD-1Ig that is activated by proteases overexpressed in tumors.

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Vaccination has been a game-changer in the long battle against COVID-19. However, waning vaccine-induced immunity and the immune evasion of emerging variants create challenges. The rapid-fire development of bivalent vaccines (BVs), comprising ancestral strains and a new variant, was authorized to prevent COVID-19, but the effectiveness of the updated vaccines remains largely unclear.

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Article Synopsis
  • The J-ROCKET AF trial found that reduced-dose rivaroxaban (10 mg) is safe for the Asian population, but its impact on all-cause mortality in patients over 85 remained unclear.
  • A study reviewed medical records from 2012 to 2016, comparing the effects of reduced-dose versus full-dose rivaroxaban on mortality and hospitalization rates in patients aged 85 and older versus younger patients.
  • Results showed that older patients on reduced-dose rivaroxaban had significantly lower all-cause and cardiac-related mortality and fewer hospitalizations for heart failure, while younger patients experienced higher all-cause mortality with reduced doses.
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