88 results on '"Yu Huang"'
Search Results
2. A nomogram for prediction of early allograft dysfunction in living donor liver transplantation
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Ko, Yu-Chen, Tsai, Hsin-I, Lee, Chao-Wei, Lin, Jr-Rung, Lee, Wei-Chen, and Yu, Huang-Ping
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- 2020
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3. The efficacy of temperature intervention combined with tranexamic acid in reducing blood loss and accelerating recovery during spinal fusion.
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Fulin Li, Xiao Huang, Yu Huang, Bin Liang, and Dong Yin
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- 2023
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4. Prognostic factors affecting the ruptured intracranial aneurysms: A 9-year multicenter study in Fujian, China.
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Qiu-Yu Huang, Qing Huang, Shao-Wei Lin, Fan Wang, Yi Sun, Yi-Le Zeng, Bang Liu, Ying-Ying Cai, Ze-Long Chen, and Si-Ying Wu
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- 2023
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5. Trend and survival outcome in Taiwan cervical cancer patients: A population-based study
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Kau, Yi-Chuan, Liu, Fu-Chao, Kuo, Chang-Fu, Huang, Huei-Jean, Li, Allen H., Hsieh, Mei-Yun, and Yu, Huang-Ping
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- 2019
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6. Prostate resected weight and postoperative prostate cancer incidence after transurethral resection of the prostate: A population-based study
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Liu, Fu-Chao, Hua, Kuo-Chun, Lin, Jr-Rung, Pang, See-Tong, and Yu, Huang-Ping
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- 2019
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7. Analysis of abdominal adhesion using the ileostomy model.
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Guanwei Li, Yunfei Zeng, Jie Zeng, Shuo Lu, Yu Huang, Yutong Huang, Wanglin Li, and Jie Cao
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- 2023
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8. Prognostic factors and nomogram for the overall survival of bladder cancer bone metastasis: A SEER-based study
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Yu Huang, Chengxin Xie, Qinglong Li, Xiao Huang, Wenwen Huang, and Dong Yin
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General Medicine - Published
- 2023
9. Pseudotumor and delayed recurrent dislocation after total hip arthroplasty with a modular femoral neck
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Zhe-Yu, Huang, Shi-Cheng, Wang, Hao-Jun, Zhang, Long, Shao, Zheng-Lin, Di, and Kun, Tao
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Reoperation ,Femur Neck ,Arthroplasty, Replacement, Hip ,Hip Dislocation ,Humans ,Female ,Hip Prosthesis ,General Medicine ,Prosthesis Design ,Aged ,Prosthesis Failure ,Retrospective Studies - Abstract
Pseudotumor formation after hip arthroplasty is a rare complication that can occur not only at the head-neck junction but also at the modular neck-stem junction. Dislocation is a challenging and common complication of primary and revision total hip arthroplasty compared with other complications. Similarly, the association between pseudotumors and delayed recurrent dislocation remains unclear.We report the case of a 73-year-old woman with pseudotumor formation after total hip arthroplasty combined with a modular femoral neck. A delayed recurrent dislocation occurred in this case. Approximately 4weeks after the first revision surgery, redislocation occurred.The patient was eventually diagnosed with delayed recurrent artificial hip dislocation combined with a periprosthetic pseudotumor of the right hip.During the first revision surgery, a thickened, indurated cyst measuring 8×3×8cm with a red-brown wall containing brown fluid was completely excised. A cemented stem, combined with a BIOLOX Forte ceramic head, was implanted. Approximately 4weeks after surgery, redislocation occurred, and we cemented an elevated rim liner on the acetabular component with a metal head.At the last follow-up, 49 months after revision surgery, the patient was asymptomatic with a Harris hip score of 90. The patient had a satisfactory prognosis after treatment.The application of the modular-neck stem should be cautiously performed, particularly for modular prostheses containing different alloys. Pseudotumors and insufficient soft-tissue tension both contribute to hip instability, which may eventually lead to delayed repeated dislocation. In addition, femoral offset must be considered. Cement-liner technology may be used for aging patients who are less active. This case report, focusing on pseudotumors and delayed recurrent dislocations, aimed to identify factors that may support this diagnosis, which is easy to miss. Consequently, it can provide further details on the treatment process and alert orthopedic surgeons to this infrequent but important cause of delayed recurrent dislocation.
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- 2022
10. Fungal keratitis treated with a combination of traditional Chinese medicine and Western medicine: A case report
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Yu, Huang, Juan, Yu, and Qinghua, Peng
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East Asian People ,Humans ,General Medicine ,Middle Aged ,Medicine, Chinese Traditional ,Corneal Ulcer - Abstract
Currently, the primary treatments for fungal keratitis (FK) are drugs and surgery. However, drug treatment has low efficacy and many side effects, and surgical treatment is costly. Therefore, it is critical to develop a new method of FK treatment. This report describes a 56-year-old male patient with FK who was treated with a combination of traditional Chinese medicine (TCM) and Western medicine with noticeable results and few side effects.The main symptoms were blurred vision in the right eye and pain. On the corneal surface, a large area of ulcer with a turbid margin was visible, along with an oral ulcer. Additionally, the patient was afraid of corneal transplantation due to financial constraints.The case was diagnosed as FK. In vivo confocal microscopy is the first choice for the diagnosis of this condition. Corneal ulcer was infiltrated with numerous inflammatory cells and dendritic fungal hyphae, as determined by in vivo confocal microscopy.Early in his illness, the patient was treated with only Western medicine, which resulted in poor outcomes and severe adverse reactions. Corneal transplantation was recommended by the first hospital. The patient was later transferred to our hospital for treatment with TCM decoction.After 21 days of treatment, the corneal ulcer of the patient became shallower, his vision improved, and his discomfort disappeared. Due to financial concerns, the patient and his family requested early discharge, so no follow-up disease information was obtained. However, when analyzing the disease development process in the hospital, the combination of TCM and Western medicine had obvious effects and a high level of safety.This case report shows that TCM is safe and effective in the treatment of FK and is worthy of promotion. However, in practice, we found that TCM is better for patients with early FK, so early diagnosis of FK is crucial.
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- 2022
11. Adjuvant probiotic Bifidobacterium animalis subsp. lactis CP-9 improve phototherapeutic treatment outcomes in neonatal jaundice among full-term newborns: A randomized double-blind clinical study
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Ming-Luen Tsai, Wen-Yang Lin, Yin-Ting Chen, Hsiang-Yu Lin, Hsieh-Hsun Ho, Yi-Wei Kuo, Jia-Hung Lin, Yen-Yu Huang, Hui-Shan Wang, Hsiao-Yu Chiu, and Hung-Chih Lin
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Treatment Outcome ,Bifidobacterium animalis ,Probiotics ,Infant, Newborn ,Humans ,Bilirubin ,General Medicine ,Child ,Jaundice, Neonatal - Abstract
Probiotics had been used to decreased bilirubin level in neonatal jaundice (NJ) without being further studied mechanism and stratification. The intestinal pathogen Escherichia coli produced β-glucuronidase would increase enterohepatic circulation and elevate serum bilirubin levels (SBLs) which might worsen the disease process of NJ.We hypothesized that some probiotics could decrease bilirubin level through inhibiting the growth of E. coli. It's assumed that adjuvant probiotic intervention might accelerate the phototherapy for NJ and alleviate the severity of the NJ. Besides, it's further study the efficacy of the probiotic intervention in NJ among the full-term and preterm newborns.Firstly, the Bifidobacterium animalis subsp. lactis CP-9 was screened for its anti-E. coli activity. Then, it was orally administered to newborns with NJ in combination with conventional phototherapy (wavelength 425-457 nm) to determine its efficacy. 83 neonatal patients whose serum bilirubinemia was at a concentration of ≥ 15 mg/dL were participated the double-blind randomized trial and conducted in the neonatal ward of China Medical University Children's Hospital (CMUCH, Taichung, Taiwan). The test was conducted in 2 groups: experimental group: phototherapy + B. animalis subsp. lactis CP-9 (n = 43; 5 × 109 CFU/capsule) and control group: phototherapy + placebo (n = 40). The SBL and total phototherapy duration were measured.The experimental group showed improved serum bilirubin decline rate (-0.16 ± 0.02 mg/dL/h; P = .009, 95% CI -0.12 to -0.2), particularly in the first 24 hour of in-hospital care, and reduced total phototherapy duration (44.82 ± 3.23 h; P = .011, 95% CI: 51.3-38.2) compared with the control group. Especially, probiotics had a significant therapeutic effect (serum bilirubin decline rate: -0.18 ± 0.02 mg/dL/h, 95% CI -0.12 to -0.23, P = .014; phototherapy duration: 43.17 ± 22.72 h, 95% CI 51.9-34.3, P = .019) in the low-risk subgroup (full-term newborns).In conclusion, B. animalis subsp. lactis CP-9 synergistically improves treatment outcomes of NJ during in-hospital phototherapy including reduced total phototherapy duration and improved serum bilirubin decline rate, particularly in full-term newborns.
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- 2022
12. Assessment of quality of life and activities of daily living among elderly patients with hypertension and impaired physical mobility in home health care by antihypertensive drugs plus acupuncture: A CONSORT-compliant, randomized controlled trial
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Kuei-Yu Huang, Ching-Hao Chang, Kai-Chiang Yu, and Chung-Hua Hsu
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Treatment Outcome ,Activities of Daily Living ,Hypertension ,Acupuncture Therapy ,Quality of Life ,Humans ,General Medicine ,Home Care Services ,Antihypertensive Agents ,Aged - Abstract
To evaluate the efficacy of acupuncture in improving quality of life (QOL) and activities of daily living among elderly patients with hypertension and impaired physical mobility in home health care.Seventy participants were allocated randomly to receive either acupuncture together with antihypertensive drugs (n = 35) or antihypertensive drugs only (n = 35). Acupuncture was conducted twice a week for 12 consecutive weeks, each lasting 30 minutes. Acupuncture points San Yin Jiao, Xue Hai, Taichong, Zusanli, and Hegu acupuncture points were used bilaterally. The primary outcome was change in QOL score, evaluating by Short-Form 36 Item Health Survey (SF-36). Secondary outcomes were changes in Barthel index score and blood pressure. Besides, pain evaluation by Visual analog scale, among acupuncture and control subgroups in participants with diagnosis with disease of the musculoskeletal system and connective tissue (ICD-9: 710-739).Thirty-one participants in each of the acupuncture group and the control group completed the study. After 12 weeks of treatment, compared with the control group, the combination of antihypertensive treatments and acupuncture helped to improve bodily pain (P = .03), physical component summary (P = .04), mental health (P.001), mental component summary (P = .008), Barthel index (P = .02), and systolic blood pressure (P = .01). In contrast, the control group showed no significant changes. Change in pain score revealed that there were a significant between-group differences after 6weeks (P = .01) and 12weeks of treatment (P = .001).The results of the study suggested that in home health care elderly patients with hypertension and impaired physical mobility, antihypertensive drugs combined with acupuncture therapy will be more beneficial to improve QOL, activities of daily living, and blood pressure.
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- 2021
13. Clinic image surveillance reduces mortality in patients with primary hepato-gastrointestinal cancer who develop second primary lung cancer: A STROBE-compliant retrospective study
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Fu-Tsai Chung, Chun Hua Wang, Hung-Yu Huang, Hsiu-Mei Chang, Min-Wei Lu, Chih-Hsi Kuo, Mei-Chi Chen, and Shu-Min Lin
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Male ,medicine.medical_specialty ,Lung Neoplasms ,gastrointestinal cancer ,Observational Study ,Malignancy ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,Gastrointestinal cancer ,Stage (cooking) ,Lung cancer ,Survival rate ,Lung ,Early Detection of Cancer ,chest radiograph ,Aged ,Gastrointestinal Neoplasms ,Retrospective Studies ,business.industry ,Liver Neoplasms ,Cancer ,Retrospective cohort study ,Neoplasms, Second Primary ,General Medicine ,Middle Aged ,medicine.disease ,Radiography ,Survival Rate ,lung cancer ,030220 oncology & carcinogenesis ,Population Surveillance ,Cohort ,Female ,second primary cancer ,business ,Tomography, X-Ray Computed ,Research Article - Abstract
Second primary cancer is prevalent in patients with gastrointestinal (GI) cancer, for which lung cancer is the most common and associated with high lethality. Image screening for lung cancer was proved to be effective in early diagnosis and lower mortality. However, trials of screen for lung cancer generally excluded patients with a previous diagnosis of malignancy. The study aimed to investigate the outcome of second primary lung cancer and the factor that improve survival in patients with hepato-GI cancer. A total of 276 patients with secondary lung cancer were found among 3723 newly-diagnosed lung cancer patients diagnosed in Chang Gung Memorial Hospital, between 2010 and 2014. Patients’ clinical characteristics, stages and survival were recorded and analyzed. The patients were separated into 2 groups: Group I was defined as lung cancer detected in original primary cancer clinic and group II patients defined as lung cancer detected in other medical places. Sixty-nine cases with primary GI-hepatic and secondary lung cancer were diagnosed (42 (60.8%) in Group I and 27 (39.1%) in Group II). Although both groups had comparable primary cancer stages and treatment, more patients in Group I than Group II were diagnosed as early stage lung cancer (stage I-II: 40.5% vs 11.1%; P = .023). Group II had larger lung tumor sizes than Group I (4.7 vs 3.5 cm; P = .025). Group I showed better 5-year overall survival than Group II (P = .014, median survival: 27 vs 10 months). Among Group II, only 37% had received image follow up in clinic compared with 67% of Group I cases (P = .025). Patients with chest image follow up in clinics also had better 5-year overall survival (P = .043). GI-hepatic cancer was the most common primary malignancy in the lung cancer cohort. Patients had better survival outcome when secondary lung cancer was diagnosed in original primary cancer clinic. Chest image screening strategy may contribute better survival in secondary lung cancer due to detection at an earlier stage.
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- 2020
14. Association of TNF-α-308G/A, -238G/A, -863C/A, -1031T/C, -857C/T polymorphisms with periodontitis susceptibility: Evidence from a meta-analysis of 52 studies
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Chenguang Liu, Zheng Zhang, Youli Zheng, Zhulan Zhao, Li Zhang, Ning Ma, Lishuo Xu, Yang Zhong, and Yu Huang
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medicine.medical_specialty ,meta ,Polymorphism, Single Nucleotide ,susceptibility ,03 medical and health sciences ,0302 clinical medicine ,Meta-Analysis of Observational Studies in Epidemiology ,Asian People ,Risk Factors ,Internal medicine ,Genetic model ,medicine ,Humans ,Genetic Predisposition to Disease ,030212 general & internal medicine ,Allele ,Periodontitis ,business.industry ,Tumor Necrosis Factor-alpha ,Case-control study ,General Medicine ,Odds ratio ,Protective Factors ,medicine.disease ,Confidence interval ,Observational Studies as Topic ,Endocrinology ,030220 oncology & carcinogenesis ,Meta-analysis ,Case-Control Studies ,ComputingMethodologies_DOCUMENTANDTEXTPROCESSING ,Tumor necrosis factor alpha ,business ,polymorphisms ,Research Article - Abstract
Supplemental Digital Content is available in the text, The association between tumor necrosis factor-alpha (TNF-α-308G/A, -238G/A, -863C/A, -1031T/C, and -857C/T) polymorphism and either chronic (CP) or aggressive (AgP) periodontitis susceptibility was conflicting. This meta-analysis aimed to quantitatively estimate the association. A total of 52 studies involving 5519 patients and 7260 controls were identified through a search of multiple electronic databases. Odds ratios (ORs) and their 95% confidence intervals using allele, homozygous, heterozygous, dominant, and recessive genetic models were computed to assess the strength of the association. The TNF-α-308G/A polymorphism was significantly associated with decreased risks of CP (GG vs AA: OR = 0.353, P
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- 2020
15. The efficacy of acupuncture for improving the side effects of COVID-19 western medicine treatments: A protocol for a systematic review and meta-analysis
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Ching Hao Chang, Kuei Yu Huang, and Chung Hua Hsu
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medicine.medical_specialty ,western medicine ,Drug-Related Side Effects and Adverse Reactions ,Pneumonia, Viral ,MEDLINE ,Acupuncture Therapy ,Cochrane Library ,law.invention ,03 medical and health sciences ,Betacoronavirus ,0302 clinical medicine ,Randomized controlled trial ,Meta-Analysis as Topic ,systematic review ,law ,Internal medicine ,Study Protocol Systematic Review ,medicine ,Acupuncture ,Humans ,030212 general & internal medicine ,protocol ,Adverse effect ,Pandemics ,business.industry ,SARS-CoV-2 ,COVID-19 ,General Medicine ,COVID-19 Drug Treatment ,Systematic review ,Treatment Outcome ,Acupuncture point ,Research Design ,030220 oncology & carcinogenesis ,Meta-analysis ,business ,Coronavirus Infections ,acupuncture ,Systematic Reviews as Topic ,Research Article - Abstract
Background Coronavirus disease 2019 (COVID-19) is an acute respiratory infectious disease, which is pandemic, infectious, and high mortality. Many commonly discussed medications being used to treat COVID-19 are not without potentially harmful side effects such as heart, liver, kidney problems, or other clinical symptoms. Acupuncture is a nonpharmacological method. When a needle is inserted into an acupuncture point, traumatic physical stimulation occurs, and then the neuroendocrine immune regulation network is activated. This study aimed to evaluate the efficacy of acupuncture for improving the side effects of COVID-19 western medicine treatments. Methods From their inception to December 10, 2020, the following electronic databases will be searched to identify relevant studies: MEDLINE, PubMed, EMBASE, the Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), and the Chinese Biomedical Literature Database (CBM), without any language restrictions. Randomized controlled trials and credible clinical observations without randomization include patients diagnosed with COVID-19, and receiving western medicine treatments or acupuncture, with no restrictions on disease stage, age, sex, or ethnicity. Primary outcomes would be used to evaluate the mortality rate, C-reactive protein (CRP), creatine, troponin, liver enzymes (aspartate aminotransferase and alanine aminotransferase), blood pressure, clinical symptoms (including fever, fatigue, myalgia, cough, skin rash, nausea, vomiting, and diarrhea), and serum cytokine levels. Secondary outcome would be used to evaluate the adverse events of acupuncture. Risk of bias will be assessed by 2 review authors independently according to the guidelines set out in the Cochrane Handbook for Systematic Reviews of Interventions. Discussion This is the first to evaluate the efficacy of acupuncture for improving the side effects of COVID-19 western medicine treatments. A longer follow-up should be considered in future studies. Conclusion This systematic review and meta-analysis would provide evidence of acupuncture specifically focused on its effectiveness and safety for patients with COVID-19 western medications adverse effects. Registration: Registered in the PROSPERO database (CRD42020189494).
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- 2020
16. Total endoscopic sublay mesh repair for umbilical hernias
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Xian-Fa Wang, Ke Chen, Qi-long Chen, Xiao-Yan Cai, Xiao-Yan Yang, Yu Pan, and Di-Yu Huang
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Adult ,Male ,medicine.medical_specialty ,Standard of care ,Demographics ,Operative Time ,Postoperative seroma ,Time to ambulation ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,Recurrence ,Quality Improvement Study ,Medicine ,Humans ,030212 general & internal medicine ,Prospective Studies ,endoscopy ,Herniorrhaphy ,minimally invasive surgery ,sublay ,Aged ,umbilical hernia ,Surgical team ,Mesh repair ,business.industry ,Medical record ,General Medicine ,Length of Stay ,Middle Aged ,Surgical Mesh ,Surgery ,Treatment Outcome ,mesh ,030220 oncology & carcinogenesis ,Operative time ,Feasibility Studies ,Female ,business ,Hernia, Umbilical ,Follow-Up Studies ,Research Article - Abstract
Umbilical hernias constitute some of the most common surgical diseases addressed by surgeons. Endoscopic techniques have become standard of care together with the conventional open techniques for the treatment of umbilical hernias. Several different approaches were described to achieve laparoscopic sublay repair. We prospectively collected and reviewed the medical records of 10 patients with umbilical hernias underwent total endoscopic sublay repair (TES) at our institution from November 2017 to November 2019. All operations were performed by a same surgical team. The demographics, intraoperative details, and postoperative complications were evaluated. All TES procedures were successfully performed without conversion to an open operation. No intraoperative morbidity was encountered. The average operative time was 109.5 minutes (range, 80–140 minutes). All the patients resumed an oral diet within 6 hours after the intervention. The mean time to ambulation was 7.5 hours (range, 4–14 hours), and mean postoperative hospital stay was 2.2 day (range, 1–4 days). One patient developed postoperative seroma. No wound complications, chronic pain, or recurrence were registered during the follow-up. Initial experiences with this technique show that the TES is a safe, and effective procedure for the treatment of umbilical hernias.
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- 2020
17. A comprehensive program for enhanced management of femoral neck fractures including an enhanced recovery after surgery program
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Di Zhenglin, Jun-Hui Zhang, Zhi-Min Zeng, and Zhe-Yu Huang
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Male ,medicine.medical_specialty ,total hip arthroplasty ,Arthroplasty, Replacement, Hip ,Observational Study ,Periprosthetic ,replacement ,Femoral Neck Fractures ,03 medical and health sciences ,0302 clinical medicine ,Garden classification ,Humans ,Medicine ,030212 general & internal medicine ,Geriatric Assessment ,Enhanced recovery after surgery ,hemiarthroplasty ,Aged ,Retrospective Studies ,Femoral neck ,Aged, 80 and over ,femoral neck fracture ,business.industry ,Retrospective cohort study ,General Medicine ,Perioperative ,Middle Aged ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Harris Hip Score ,030220 oncology & carcinogenesis ,Female ,Enhanced Recovery After Surgery ,business ,Research Article ,Program Evaluation - Abstract
To retrospectively analyze the functional outcomes and complications in patients who underwent hip arthroplasty with enhanced recovery after surgery (ERAS) program for femoral neck fractures. Between June 2015 and May 2019, 1138 patients with femoral neck fractures were treated in our department. According to the Garden classification system, 467 cases were type III and 671 cases were type IV with an average age of 74.9 ± 8.8 years (range, 59–96 years). All patients underwent hip arthroplasty with ERAS. The clinical outcomes of these patients were retrospectively analyzed at the final follow-up using the Harris hip score (HHS). The median follow-up was 21.2 months (range, 6–36 months). The mean time to surgery and the length of hospitalization after surgery were 2.4 and 2.2 days, respectively. Eight hundred and fifty-two patients (74.9%) were operated within 48 hours from admission, 1052 cases (92.4%) were discharged within 48 hours after surgery. Twelve patients (1.05%) were readmitted for prosthetic dislocation. None of the patients suffered from infection, periprosthetic fractures, and/or prosthetic loosening. The HHS at the final follow-up was 92.7 ± 7.6, with an excellent or good rate of 90.2%. Patient-oriented ERAS optimizes the interventional measures during the perioperative period for geriatric patients with femoral neck fractures and can improve their short-term clinical outcomes without increased readmission rates.
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- 2021
18. Impact of endoscopic sedation on gastric polyp detection: A one-center retrospective observational study
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Tien-Yu Huang, Wei-Kuo Chang, Hsuan-Hwai Lin, Kai-Wen Chen, Yu-Lueng Shih, Tsai-Yuan Hsieh, Hsin-Hung Huang, Lian-Shan Wu, and Chao-Feng Chang
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Male ,medicine.medical_specialty ,Sedation ,Conscious Sedation ,Taiwan ,Gastroenterology ,Adenomatous Polyps ,03 medical and health sciences ,0302 clinical medicine ,Stomach Neoplasms ,Internal medicine ,otorhinolaryngologic diseases ,Humans ,Medicine ,Endoscopy, Digestive System ,030212 general & internal medicine ,Child ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Esophagogastroduodenoscopy ,Retrospective cohort study ,General Medicine ,Odds ratio ,digestive system diseases ,Endoscopy ,Fundic Gland Polyp ,Hyperplastic Polyp ,Gastric Polyp ,030220 oncology & carcinogenesis ,Female ,medicine.symptom ,business - Abstract
Sedation esophagogastroduodenoscopy (EGD) has become more prevalent in many countries. However, owing to the limitation of health insurance payment for sedation EGD in Taiwan, non-sedation EGD still accounts for the majority of cases. This study was aimed to explore the differences between the sedation and non-sedation groups in terms of endoscopic findings, such as detection rate of gastric polyp of any size, number of detected gastric polyps, and location of the gastric polyps detected.We enrolled 10,940 patients who underwent EGD between January 1, 2016 and December 31, 2016 at the Tri-Service General Hospital; among the patients, 1900 received intravenous sedation (IVS) and 9040 did not. The data reviewed included demographics, parameters of the polyp (number, size, and location), and pathology.Compared with the non-sedation group, the sedation group had a higher overall polyp detection rate (P < .001); a greater number of detected polyps (Odds ratio 1.50, P = .007); and a higher detection rate of smaller polyps, such as fundic gland polyp, and hyperplastic polyp (P < .001). Among the pathological findings, gastric neuroendocrine tumor (NET) was detected using EGD in 2 cases and manifested as small polyps (
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- 2020
19. Total endoscopic sublay mesh repair for umbilical hernias.
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Xiao-yan Cai, Ke Chen, Yu Pan, Xiao-yan Yang, Di-yu Huang, Xian-fa Wang, Qi-long Chen, Cai, Xiao-Yan, Chen, Ke, Pan, Yu, Yang, Xiao-Yan, Huang, Di-Yu, Wang, Xian-Fa, and Chen, Qi-Long
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- 2021
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20. Trans-umbilical single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty of inguinal hernia by self-made glove port
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Qi-long Chen, Di-Yu Huang, Ke Chen, Yu Pan, Xian-Fa Wang, Jia-Fei Yan, and Xiao-Yan Cai
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Adult ,Male ,Laparoscopic surgery ,medicine.medical_specialty ,medicine.medical_treatment ,Operative Time ,laparoscopy ,Hernia, Inguinal ,single-incision ,TAPP ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Port (medical) ,Recurrence ,Quality Improvement Study ,Humans ,Medicine ,Gloves, Surgical ,Hernia ,030212 general & internal medicine ,Herniorrhaphy ,Aged ,Retrospective Studies ,Surgical team ,Umbilicus ,business.industry ,Medical record ,self-made ,Retrospective cohort study ,General Medicine ,Perioperative ,Length of Stay ,Middle Aged ,medicine.disease ,Surgery ,Inguinal hernia ,inguinal hernia ,030220 oncology & carcinogenesis ,Feasibility Studies ,Female ,business ,Research Article - Abstract
Laparoscopic inguinal herniorrhaphy has been well established for the management of primary and recurrent inguinal hernias. Single-incision laparoscopic surgery (SILS) has now been accepted as a less invasive alternative to conventional laparoscopic surgery. However, commercially available access devices for SILS had disadvantages such as rigidness and crowding. This series aimed to analyze the feasibility and safety of single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty (SILS-TAPP) by applying our self-made device for managing inguinal hernia. We collected and reviewed the medical records of patients who received SILS-TAPP using a self-made glove-port device between January 2014 and January 2016. All operations were performed by the same surgical team. The demographics and intra- and perioperative outcomes were evaluated. SILS-TAPP was successfully performed in 105 patients (131 inguinal hernia repairs). No major intra- and postoperative morbidities were encountered, and no conversion to a conventional 3-port approach or open surgery was required. The mean operative time was 73.5 min and the mean postoperative hospital stay was 2.1 days. Three minor short-term complications were noted, which were resolved without surgical intervention. One recurrence was diagnosed during follow-up and treated using a second TAPP procedure. SILS-TAPP was shown to be a feasible, safe procedure in patients with an inguinal hernia. A simple self-made glove-port device was proven as a practical method of SILS-TAPP.
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- 2020
21. Acupuncture reduced the medical expenditure in migraine patients
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Chon-Haw Tsai, Chun-Hung Tseng, Sheng-Ta Tsai, Hung-Yu Huang, Mei-Chen Lin, Boon-Khai Teoh, Hsien-Yin Liao, Yi-Wen Lin, and Shao San
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medicine.medical_specialty ,business.industry ,MEDLINE ,Retrospective cohort study ,General Medicine ,medicine.disease ,03 medical and health sciences ,Medical expenditure ,0302 clinical medicine ,Migraine ,030220 oncology & carcinogenesis ,Family medicine ,Economic cost ,medicine ,Acupuncture ,030212 general & internal medicine ,business ,Health policy ,Cohort study - Abstract
Objectives According to the data of Organisation for Economic Cooperation and Development, almost all the countries got increased medical expenditures in these years. Among the diseases, migraine is a condition that affects predominantly young and middle-aged people. It results in great economic losses. So we perform this research to investigate the acupuncture effect of reducing medical expenditure and medical resources use. Perspective Acupuncture is a non-pharmacologic treatment and it became popular in recent years. In Taiwan, about 13% migraine patients visited acupuncture doctor. We hypothesized that the acupuncture had the additional effect than the medical treatment. Setting We analysed the economic cost and medical visits in the real word. Methods We used national cohort data from Taiwan, retrospectively gathered between 2000 and 2010. We selected newly diagnosed migraine patients who were diagnosed by registered neurologists formally licensed by the Taiwan Neurological Society. We divided these patients into two groups: with and without acupuncture treatment. The main outcome was medical expenditures and visits within 1 year after acupuncture. Results In migraine patients who received acupuncture treatment, medical expenditures on emergency care and hospitalization were significantly lower than the group without acupuncture treatment. Conclusion According to our real-world data, acupuncture can reduce the medical expenditure in migraine patients within 1 year after diagnosis. For the health policy maker, it is cost effective to encourage combining acupuncture and western medicine to treat migraine patients. For the doctors in routine clinical practice, who may consider to consult acupuncture doctors to deal with the migraine patients together.
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- 2020
22. Over expression of CDK4 and MDM2 in a patient with recurrent ALK-negative mediastinal inflammatory myofibroblastic tumor
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Ying-Wen Su, Tien-Chi Hou, Yu-Jen Chen, Shu-Jen Chen, Pao-Shu Wu, Wen Yu Huang, Yi-Ting Yang, Kien Thiam Tan, and Shih-Hua Liu
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Pathology ,medicine.medical_specialty ,biology ,medicine.diagnostic_test ,business.industry ,Cyclin-dependent kinase 4 ,General Medicine ,medicine.disease ,Receptor tyrosine kinase ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Gene duplication ,Biopsy ,biology.protein ,medicine ,Mdm2 ,Anaplastic lymphoma kinase ,030212 general & internal medicine ,Spindle cell sarcoma ,business ,Lymph node - Abstract
Rationale The diagnosis of anaplastic lymphoma kinase (ALK)-negative inflammatory myofibroblastic tumors (IMT) remains challenging because of their morphological resemblance with spindle cell sarcoma with myofibroblastic characteristics. Patient concerns A 69-year-old female patient presented with loco-regional recurrent IMT several times within 8 years after primary treatment and neck lymph node metastasis 3.5 years after last recurrence. Diagnosis The primary, recurrence, and lymph node metastasis lesions were diagnosed as ALK-negative IMTs based on the histopathological features. Interventions Biopsy samples were obtained during repeated surgeries and evaluated for genomic alterations during first and recurrent presentations. The evaluation was done using pathway-driven massive parallel sequencing, and genomic alterations between primary and recurrent tumors were compared. Outcomes Copy number gains and overexpression of mouse double minute 2 homolog (MDM2) and cyclin dependent kinase 4 (CDK4) were observed in the primary lesion, and additional gene amplification of Discoidin Domain Receptor Tyrosine Kinase 2 (DDR2), Succinate Dehydrogenase Complex II subunit C (SDHC), and thyroid stimulating hormone receptor (TSHR) Q720H were found in the recurrent tumors. Metastases to the neck lymph node were observed 3.5 years after recurrence. Lessons Our results indicated genetic evolution in a microscopically benign condition and highlighted the importance of molecular characterization of fibro-inflammatory lesions of uncertain malignant potential.
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- 2020
23. Clinical observation and analysis of thyroid hormone levels in patients with idiopathic membranous nephropathy
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Yu Huang, Ying Deng, Zhenhua Yang, Zhong-E Liang, Ning Xia, Lu-Huai Feng, Shanshan Huang, and Xian Li
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Adult ,Male ,medicine.medical_specialty ,Pathological staging ,Observational Study ,idiopathic membranous nephropathy ,Renal function ,clinical indicators ,Glomerulonephritis, Membranous ,Gastroenterology ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,triiodothyronine ,Internal medicine ,follow-up ,medicine ,Humans ,030212 general & internal medicine ,Serum Albumin ,Analysis of Variance ,Creatinine ,Kidney ,Triiodothyronine ,Triglyceride ,Cholesterol ,business.industry ,Albumin ,Cholesterol, LDL ,General Medicine ,Middle Aged ,medicine.anatomical_structure ,chemistry ,Case-Control Studies ,030220 oncology & carcinogenesis ,Disease Progression ,Female ,business ,metabolism ,Research Article ,Follow-Up Studies ,Glomerular Filtration Rate - Abstract
We sought to investigate the effect of total triiodothyronine (TT3) reduction in the follow-up of patients with idiopathic membranous nephropathy (IMN). A total of 121 patients were enrolled and classified into a low TT3 group or a normal group. Clinical indicators were compared between the groups, and changes in estimated glomerular filtration rate (eGFR), albumin (ALB), thyroid-stimulating hormone, serum creatinine, total protein, total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) during follow-up were analysed. In the analysis by TT3 level, ALB was significantly lower in the low TT3 group (P
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- 2020
24. Randomized controlled trial for the efficacy of electroacupuncture in the treatment of urge urinary incontinence
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Xianming Wu, Qian Mo, Shuangjin Qi, Ting He, Yang Shuo, Na Zhi, Yu Huang, and Miaoxian Shen
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medicine.medical_specialty ,Stress incontinence ,Urge urinary incontinence ,Electroacupuncture ,business.industry ,medicine.medical_treatment ,Urinary incontinence ,General Medicine ,medicine.disease ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Quality of life ,law ,030220 oncology & carcinogenesis ,medicine ,Physical therapy ,Acupuncture ,030212 general & internal medicine ,medicine.symptom ,Electroacupuncture Therapy ,business - Abstract
Background Despite that the urge urinary incontinence (UUI) is a nonfatal disease, it can lead to anxiety, embarrassment and depression to the patient. UUI is a common public health problem that can significantly affect the quality of life of the patient. Several conservative treatments have been recommended for the treatment of UUI; however, their efficiency remains unclear, leaving the disease without a real effective treatment. The clinical application of acupuncture to treat UUI is currently considered an effective approach despite the limited evidence that support its efficiency. The aim of this study is to assess the efficacy and safety of electroacupuncture therapy in the treatment of UUI. Methods and analysis A randomized, parallel, controlled study will be performed. Patients with UUI treated with electroacupuncture group (EA) will compare with the sham-treated sham EA (SA) patients. A total of 100 participants with UUI will be randomly allocated to either the EA or the SA group with a 1:1 ratio. The treatment of UUI patients will performed 3 times per week, for 8 weeks in 30-minute sessions. At the end of the treatment the patients will be followed-up until week 32. The primary outcomes include scores of incontinence questionnaire-short form, the average 24-hour urgency incontinence episodes, and the average 24-hour urge episodes responses from baseline until the 4th, 8th , 24th, and 32nd week. The secondary outcomes included the average 24-hour urine volume and the average 24-hour micturition frequency responses from baseline until the 8th and 32nd week, as well as the change in incontinence quality of life scores from baseline at the 8th and 32nd week. In addition, the degree of satisfaction of the participants undergoing acupuncture treatment will be measured at the 4th and 8th week. The participants' clinical acupuncture expectations were evaluated at baseline, and the questionnaire for urinary incontinence diagnosis was used to identify stress incontinence, mixed urinary incontinence, and urge incontinence at baseline. Discussion This is a randomized, controlled, observer-blinded trial of electroacupuncture treatment for UUI. The results of this trial will provide more evidence on whether electroacupuncture is efficacious for treating UUI.
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- 2020
25. Complete laparoscopic cholecystectomy for a duplicated gallbladder
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Zhou Ye, Li Xiong Ying, Yang Kong, Yu Huang, Dong Kai Zhou, and Wei Lin Wang
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Nausea ,Gallbladder ,medicine.medical_treatment ,Gallbladder disease ,General Medicine ,Jaundice ,medicine.disease ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Cholangiography ,030220 oncology & carcinogenesis ,medicine ,Abdomen ,Histopathology ,Cholecystectomy ,030212 general & internal medicine ,medicine.symptom ,business - Abstract
Introduction Duplication of the gallbladder (GB) is a rare congenital abnormality occurring in 1 in 4000 to 5000 births. Three types have been reported: type I (split primordial GB), type II (2 separate GBs with their own cystic ducts), and type III (triple GBs drained by 1 to 3 separate cystic ducts). Patients with a duplicated GB are usually asymptomatic and are sometimes not diagnosed on preoperative imaging, which might increase the difficulty and risk of cholecystectomy. The key to successful treatment is total removal of the duplicated GB to avoid the recurrence of disease. Intraoperative cholangiography is recommended for identifying and resecting duplicated GBs. The final diagnosis depends on the histopathology. Patient concerns A 62-year-old woman had recurrent upper abdominal pain and nausea for 1 year, with no fever, jaundice, or other symptoms. An ultrasound of the abdomen indicated polyps in the GB. Computed tomography (CT) revealed moderate dense structures attached to the wall of the GB and an unusual 47 × 21 mm elliptical structure with an extra tubule located above the main GB. Diagnosis A diagnosis of duplicated GB was made based on the histopathology. Interventions The patient underwent a laparoscopic cholecystectomy with total removal of the duplicated GB. Outcomes The patient's postoperative course was uneventful and she was discharged from the hospital on the second postoperative day. She had no upper abdominal pain at the 6-month follow-up. Conclusion Duplicated gallbladder is a rare congenital biliary anatomy, which is usually asymptomatic and sometimes cannot be diagnosed on preoperative imaging. With gallbladder disease, the duplicated GBs should be removed totally; a laparoscopic approach should be attempted first and cholangiography is recommended to aid in identifying and resecting the duplicated GBs. The final diagnosis depends on the histopathology. There is still insufficient evidence on the need to remove duplicated GBs found incidentally.
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- 2020
26. The relationship of MicroRNA-21 and plaque stability in acute coronary syndrome
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Yu Huang, Qiang Xie, Lihuan Fang, Wangwei He, Zhuo Wang, Jun Li, Liyuan Zhu, Yinfen Zhang, and Weimin Shen
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Male ,medicine.medical_specialty ,Acute coronary syndrome ,Observational Study ,Disease ,medicine.disease_cause ,Chest pain ,acute coronary syndrome ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,Myocardial infarction ,Adverse effect ,optical coherence tomography ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Vulnerable plaque ,Plaque, Atherosclerotic ,Coronary arteries ,MicroRNAs ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Cardiology ,Female ,medicine.symptom ,vulnerable plaques ,business ,Research Article ,microRNA-21 ,Artery - Abstract
Acute coronary syndrome (ACS) leads to clinical symptoms such as chest pain, dyspnea, and arrhythmia. The occurrence of ACS is mainly related to the vulnerable plaques in the coronary arteries. MicroRNA-21 (miR-21) is widely expressed in cardiovascular disease and considered as a marker of myocardial infarction, but its role in vulnerable atherosclerotic plaque of ACS is poorly studied. The cases of ACS and control group were selected in 2 years. Our results revealed that miR-21 was highly positively correlated with the maximum lipid core area, the number of diseased vessels, the number of macrophages, the number of vulnerable plaques, and negatively correlated with the thickness of fiber caps. In the high expression group, the number of coronary artery lesions, the number of vulnerable plaques, the core area of lipid pools and the number of macrophages were significantly higher than those in the low expression group and the middle expression group. But the high expression group of the thickness of the fiber cap was significantly lower than that of the low expression group and the medium expression group. These studies show that miR-21 is an important factor leading to vulnerable plaque instability in ACS, and it can be a predictor of acute adverse events in coronary heart disease.
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- 2019
27. Clinic image surveillance reduces mortality in patients with primary hepato-gastrointestinal cancer who develop second primary lung cancer: A STROBE-compliant retrospective study.
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Hung-Yu Huang, Min-Wei Lu, Mei-Chi Chen, Hsiu-Mei Chang, Chih-Hsi Kuo, Shu-Min Lin, Chun-Hua Wang, Fu-Tsai Chung, Huang, Hung-Yu, Lu, Min-Wei, Chen, Mei-Chi, Chang, Hsiu-Mei, Kuo, Chih-Hsi, Lin, Shu-Min, Wang, Chun-Hua, and Chung, Fu-Tsai
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- 2020
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28. A nomogram for prediction of early allograft dysfunction in living donor liver transplantation.
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Yu-Chen Ko, Hsin-I Tsai, Chao-Wei Lee, Jr-Rung Lin, Wei-Chen Lee, Huang-Ping Yu, Ko, Yu-Chen, Tsai, Hsin-I, Lee, Chao-Wei, Lin, Jr-Rung, Lee, Wei-Chen, and Yu, Huang-Ping
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- 2020
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29. Impact of endoscopic sedation on gastric polyp detection: A one-center retrospective observational study.
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Chao-Feng Chang, Tien-Yu Huang, Hsin-Hung Huang, Yu-Lueng Shih, Wei-Kuo Chang, Tsai-Yuan Hsieh, Lian-Shan Wu, Kai-Wen Chen, Hsuan-Hwai Lin, Chang, Chao-Feng, Huang, Tien-Yu, Huang, Hsin-Hung, Shih, Yu-Lueng, Chang, Wei-Kuo, Hsieh, Tsai-Yuan, Wu, Lian-Shan, Chen, Kai-Wen, and Lin, Hsuan-Hwai
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- 2020
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30. Magnetic resonance imaging-guided targeted biopsy in risk classification among patients on active surveillance
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Ping Tan, Wenbin Xue, Lu Yang, Tao Li, Yu Huang, Liangren Liu, and Qiang Wei
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,General Medicine ,Targeted biopsy ,03 medical and health sciences ,0302 clinical medicine ,Text mining ,030220 oncology & carcinogenesis ,Meta-analysis ,medicine ,In patient ,030212 general & internal medicine ,Radiology ,business ,Risk classification - Abstract
Background:The aim of this study was to assess the sensitivity and accuracy of magnetic resonance imaging-guided targeted biopsy (MRI-TB) in patients undergoing active surveillance (AS) procedure.Methods:We searched databases to identify relevant studies which compared MRI-TB with systemic b
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- 2019
31. Acupoint catgut embedding for the treatment of obesity in adults
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Xianming Wu, Ting He, Yu Huang, Qian Mo, Na Zhi, and Yang Shuo
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Research design ,medicine.medical_specialty ,business.industry ,MEDLINE ,Subgroup analysis ,General Medicine ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Data extraction ,law ,Strictly standardized mean difference ,030220 oncology & carcinogenesis ,Relative risk ,Physical therapy ,Medicine ,030212 general & internal medicine ,Risk assessment ,business - Abstract
Background Obesity is the biggest chronic health problems among adults worldwide and the main predisposing factor in many types of systemic diseases such as hypertension, diabetes, and so on. In clinical reports on Traditional Chinese Medicine, acupoint catgut embedding has been shown to improve various clinical indicators for diseases including obesity and body mass index (BMI), but the safety of this and method has not been assessed. Methods This systematic review searched the following 8 databases between from January 2015 to December 2018: the Cochrane Central Register of Controlled Trials, PubMed, EMBASE, the China National Knowledge Infrastructure, the Chinese Scientific Journal Database, the Wan-fang Database, the China Doctoral Dissertations Full-text Database and the China Master's Theses Full-text Database, and will manually searched the list of medical journals as a supplement. RCTs containing acupoint catgut embedding method for the treatment of obesity will be included. By reading the titles, abstracts and full texts, the 2 reviewers will independently complete the studies selection, data extraction, and quality assessment. The bias risk assessment, data synthesis, and subgroup analysis were performed using Revman 5.1 software. Results The primary outcome measures include weight, improvement rate, secondary outcome measures include BMI, waist circumference, hip circumference, waist-to-hip ratio, fat percentage, and so on. The safety assessment includes the incidence of adverse events. The results will be displayed as the risk ratio of the dichotomous data, the standardized mean difference or weighted mean difference for the continuous data. Conclusion This systematic review will retrieve clinical randomized controlled trials (RCT) on acupoint catgut embedding for obesity in 8 databases, aiming to describe and update existing evidence on the efficacy and safety of acupoint catgut embedding for obesity in adults. Prospero registration number CRD42018098793.
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- 2019
32. Association of TNF-α-308G/A, -238G/A, -863C/A, -1031T/C, -857C/T polymorphisms with periodontitis susceptibility: Evidence from a meta-analysis of 52 studies.
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Lishuo Xu, Chenguang Liu, Youli Zheng, Yu Huang, Yang Zhong, Zhulan Zhao, Ning Ma, Zheng Zhang, Li Zhang, Xu, Lishuo, Liu, Chenguang, Zheng, Youli, Huang, Yu, Zhong, Yang, Zhao, Zhulan, Ma, Ning, Zhang, Zheng, and Zhang, Li
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- 2020
- Full Text
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33. Acupuncture reduced the medical expenditure in migraine patients: Real-world data of a 10-year national cohort study.
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Sheng-Ta Tsai, Chun-Hung Tseng, Mei-Chen Lin, Hsien-Yin Liao, Boon-Khai Teoh, Shao San, Chon-Haw Tsai, Hung-Yu Huang, Yi-Wen Lin, Tsai, Sheng-Ta, Tseng, Chun-Hung, Lin, Mei-Chen, Liao, Hsien-Yin, Teoh, Boon-Khai, San, Shao, Tsai, Chon-Haw, Huang, Hung-Yu, and Lin, Yi-Wen
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- 2020
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34. The efficacy of acupuncture for improving the side effects of COVID-19 western medicine treatments: A protocol for a systematic review and meta-analysis.
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Kuei-Yu Huang, Ching-Hao Chang, Chung-Hua Hsu, Huang, Kuei-Yu, Chang, Ching-Hao, and Hsu, Chung-Hua
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- 2020
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35. Over expression of CDK4 and MDM2 in a patient with recurrent ALK-negative mediastinal inflammatory myofibroblastic tumor: A case report.
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Tien-Chi Hou, Pao-Shu Wu, Wen-Yu Huang, Yi-Ting Yang, Kien Thiam Tan, Shih-Hua Liu, Yu-Jen Chen, Shu-Jen Chen, Ying-Wen Su, Hou, Tien-Chi, Wu, Pao-Shu, Huang, Wen-Yu, Yang, Yi-Ting, Tan, Kien Thiam, Liu, Shih-Hua, Chen, Yu-Jen, Chen, Shu-Jen, and Su, Ying-Wen
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- 2020
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36. Randomized controlled trial for the efficacy of electroacupuncture in the treatment of urge urinary incontinence: A clinical study protocol.
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Yu Huang, Shuangjin Qi, Xianming Wu, Na Zhi, Ting He, Miaoxian Shen, Shuo Yang, Qian Mo, Huang, Yu, Qi, Shuangjin, Wu, Xianming, Zhi, Na, He, Ting, Shen, Miaoxian, Yang, Shuo, and Mo, Qian
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- 2020
- Full Text
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37. Complete laparoscopic cholecystectomy for a duplicated gallbladder: A case report.
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Dong-Kai Zhou, Yu Huang, Yang Kong, Zhou Ye, Li-Xiong Ying, Wei-Lin Wang, Zhou, Dong-Kai, Huang, Yu, Kong, Yang, Ye, Zhou, Ying, Li-Xiong, and Wang, Wei-Lin
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- 2020
- Full Text
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38. The relationship of MicroRNA-21 and plaque stability in acute coronary syndrome.
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Wangwei He, Liyuan Zhu, Yu Huang, Yinfen Zhang, Weimin Shen, Lihuan Fang, Jun Li, Zhuo Wang, Qiang Xie, He, Wangwei, Zhu, Liyuan, Huang, Yu, Zhang, Yinfen, Shen, Weimin, Fang, Lihuan, Li, Jun, Wang, Zhuo, and Xie, Qiang
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- 2019
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39. Improving the utility of the Brunnstrom recovery stages in patients with stroke: Validation and quantification
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Yi-Miau Chen, Chien-Yu Huang, Yi-Jing Huang, I-Ping Hsueh, Mon-Jane How, Ya-Chen Lee, Gong-Hong Lin, Ching-Lin Hsieh, Chen-Yi Song, and Mei-Hsiang Chen
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Male ,030506 rehabilitation ,Validation study ,medicine.medical_specialty ,medicine.medical_treatment ,Movement ,Logit ,Observational Study ,Motor function ,behavioral disciplines and activities ,Upper Extremity ,03 medical and health sciences ,Disability Evaluation ,0302 clinical medicine ,Medicine ,Humans ,In patient ,Stroke ,Reliability (statistics) ,Aged ,Retrospective Studies ,validation ,Rehabilitation ,Rasch model ,business.industry ,brunnstrom recovery stages ,fungi ,Reproducibility of Results ,General Medicine ,Recovery of Function ,Middle Aged ,Models, Theoretical ,medicine.disease ,stroke ,quantification ,Lower Extremity ,Physical therapy ,Female ,0305 other medical science ,business ,030217 neurology & neurosurgery ,Research Article - Abstract
The Brunnstrom recovery stages (the BRS) consists of 2 items assessing the poststroke motor function of the upper extremities and 1 assessing the lower extremities. The 3 items together represent overall motor function. Although the BRS efficiently assesses poststroke motor functions, a lack of rigorous examination of the psychometric properties restricts its utility. We aimed to examine the unidimensionality, Rasch reliability, and responsiveness of the BRS, and transform the raw sum scores of the BRS into Rasch logit scores once the 3 items fitted the assumptions of the Rasch model. We retrieved medical records of the BRS (N = 1180) from a medical center. We used Rasch analysis to examine the unidimensionality and Rasch reliability of both upper-extremity items and the 3 overall motor items of the BRS. In addition, to compare their responsiveness for patients (n = 41) assessed with the BRS and the Stroke Rehabilitation Assessment of Movement (STREAM) on admission and at discharge, we calculated the effect size (ES) and standardized response mean (SRM). The upper-extremity items and overall motor items fitted the assumptions of the Rasch model (infit/outfit mean square = 0.57–1.40). The Rasch reliabilities of the upper-extremity items and overall motor items were high (0.91–0.92). The upper-extremity items and overall motor items had adequate responsiveness (ES = 0.35–0.41, SRM = 0.85–0.99), which was comparable to that of the STREAM (ES = 0.43–0.44, SRM = 1.00–1.13). The results of our study support the unidimensionality, Rasch reliability, and responsiveness of the BRS. Moreover, the BRS can be transformed into an interval-level measure, which would be useful to quantify the extent of poststroke motor function, the changes of motor function, and the differences of motor functions in patients with stroke.
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- 2016
40. Toll-Like Receptor 3 is Associated With the Risk of HCV Infection and HBV-Related Diseases
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Pei Liang Geng, Li Xue Song, Jing Yu Huang, Huaijie An, Sheng Li, and Xian Tao Zeng
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0301 basic medicine ,Genotype ,Polymorphism, Single Nucleotide ,03 medical and health sciences ,Gene Frequency ,Polymorphism (computer science) ,Medicine ,Humans ,Allele ,Allele frequency ,Alleles ,Hepatitis ,business.industry ,General Medicine ,Hepatitis C ,Publication bias ,Hepatitis B ,medicine.disease ,Virology ,Toll-Like Receptor 3 ,030104 developmental biology ,Immunology ,business ,Systematic Review and Meta-Analysis ,Research Article - Abstract
There are inconsistent data on the association of risk of hepatitis virus infection and hepatitis virus-related diseases with the toll-like receptor 3 (TLR3) gene. Several common polymorphism sites were targeted to assess the risk of HBV infection, HCV infection, and HBV-related diseases. Meta-analysis combining data for 3547 cases and 2797 controls from 8 studies was performed in this study. Pooled ORs were calculated to measure the risk of hepatitis virus infection and hepatitis virus-related diseases. Fixed-effects pooled ORs were calculated using the Mantel-Haenszel method. The TLR3 gene was associated with a significantly increased risk of HBV-related diseases among 1355 patients and 1130 controls ([pooled OR, [95%CI]: 1.30, [1.15–1.48] for dominant; 1.77, [1.35–2.31] for recessive; 1.28 [1.16–1.41] for allele frequency). Subgroup analyses by a polymorphism site indicated an increased risk of HCV infection in relation to the TT/CT genotypes of rs3775291 (1.50 [1.11–2.01]), and a decreased risk ascribed to the T allele (0.20 [0.16–0.25]). We also noted an association between rs3775291 and significantly increased risk of HBV-related diseases (2.23 [1.55–3.21]). No significant inter-study heterogeneity or publication bias was detected in the analyses. These data suggest a likely effect on the risk to infect HCV and develop HBV-related diseases for the TLR3 gene. Large-scale studies with racially diverse populations are required to validate these findings.
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- 2016
41. Incidence and Outcomes of Acute Renal Failure Following Liver Transplantation
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Chen, Hsiu-Pin, Tsai, Yung-Fong, Lin, Jr-Rung, Liu, Fu-Chao, and Yu, Huang-Ping
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Adult ,Male ,Incidence ,Taiwan ,Observational Study ,Acute Kidney Injury ,Middle Aged ,Risk Assessment ,Liver Transplantation ,Cohort Studies ,Hospitalization ,Postoperative Complications ,Risk Factors ,Outcome Assessment, Health Care ,Humans ,Kidney Failure, Chronic ,Female ,Research Article ,Retrospective Studies - Abstract
The aim of our large, population-based, cohort study was to explore the risk factors of acute renal failure (ARF) after liver transplant (LT) in Taiwan. From the Taiwanese National Health Insurance Research Database, 2862 patients who had undergone LT without pretransplant dialysis between July 1, 1998, and December 31, 2012, were identified. Preoperative, operative, and perioperative risks factors were considered and analyzed using logistic regression analysis, after adjusting for age and sex. All patients were followed up until the study endpoint or death. The final dataset included 214 patients with ARF and 2648 without ARF post-LT. Preoperative cerebrovascular diseases were the most important identifiable risk factor for ARF post-LT. Comparison of outcomes for patients “with” and “without” ARF indicated higher incidence rates of bacteremia, pneumonia, and postoperative bleeding, as well as longer stays in both intensive care unit and hospital. Kaplan–Meier mortality curves identified higher rates of mortality for patients’ developing ARF at 1-year post-LT and overall at 14.5 years postsurgery. We provide evidence of a high incidence of ARF post-LT in Taiwan, with documented association of ARF with higher incidence rates of morbidity and mortality in this clinical population. The most important identifiable risk factor for ARF in our study was cerebrovascular diseases.
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- 2015
42. The contribution of interleukin-8 genotypes and expression to nasopharyngeal cancer susceptibility in Taiwan
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Chung Yu Huang, Wen Shin Chang, Hao Ai Shui, Te Chun Hsia, Te Chun Shen, Da Tian Bau, and Chia Wen Tsai
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Male ,0301 basic medicine ,Chemokine ,Population ,Taiwan ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Asian People ,Genotype ,otorhinolaryngologic diseases ,medicine ,Humans ,Genetic Predisposition to Disease ,RNA, Messenger ,Interleukin 8 ,Promoter Regions, Genetic ,education ,Genetic Association Studies ,education.field_of_study ,Nasopharyngeal Carcinoma ,biology ,business.industry ,Carcinoma ,Interleukin-8 ,Cancer ,Nasopharyngeal Neoplasms ,General Medicine ,Middle Aged ,medicine.disease ,Reverse transcription polymerase chain reaction ,stomatognathic diseases ,030104 developmental biology ,Nasopharyngeal carcinoma ,Case-Control Studies ,030220 oncology & carcinogenesis ,Cancer research ,biology.protein ,Female ,Gene-Environment Interaction ,business ,Carcinogenesis - Abstract
The incidence rate of nasopharyngeal cancer (nasopharyngeal carcinoma [NPC]) is much higher in Southeast Asia than in western countries. Interleukin-8 (IL-8), a chemokine produced by macrophages, epithelial cells, airway smooth muscle cells, and endothelial cells, is an important immuno-mediator in the development and progression of many types of cancer. Genetic variations in IL-8 have been associated with the risks of NPC and other cancers. In the current study, we evaluated the role of IL-8 in NPC at the levels of DNA, RNA, and protein in a Taiwanese population. First, in a case-control study, 176 NPC patients and 352 cancer-free controls were genotyped, and the associations of IL-8 T - 251A, C + 781T, C + 1633T, and A + 2767T polymorphisms with NPC risk were evaluated. Second, the NPC tissue samples were assessed for their IL-8 mRNA and protein expression by real-time quantitative reverse transcription polymerase chain reaction (PCR) and Western blotting, respectively. Regarding the IL-8 promoter T - 251A, the TA and AA genotypes were associated with significantly decreased risks of NPC compared with the wild-type TT genotype (adjusted odds ratio = 0.61 and 0.52, 95% confidence interval = 0.47-0.93 and 0.37-0.91, P = .0415 and .0289, respectively). The mRNA and protein expression levels for NPC tissues revealed no significant associations among the 20 NPC samples with different genotypes. These findings suggest that IL-8 may play an important role in the carcinogenesis of NPC in Taiwan.
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- 2018
43. STARD
- Author
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Dehua Ma, Lei Zhang, Shuping Zhao, Yuan Cao, Yu Huang, and Yawen Wang
- Subjects
End results ,Lymphatic metastasis ,medicine.medical_specialty ,business.industry ,030232 urology & nephrology ,General Medicine ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Carcinoma ,medicine ,Lymph ,Radiology ,Stage (cooking) ,business ,Survival rate ,Lymph node ,Survival analysis - Abstract
During corpus carcinoma surgery, there is uncertainty as to how many lymph nodes should be dissected and examined to determine lymph invasion.In this study, we evaluated a beta-binominal model in data extracted from the Surveillance, Epidemiology, and End Results (SEER) database, which contains 22,372 complete records. We quantified the relationship between examined node number and the probability of missing invaded nodes. Survival curves were used for further validation.We found that for stage T1-T4, 1, 10, 23, and 37 lymph nodes, respectively, needed to be examined to minimize the missing positive nodal probability (1-nodal staging score, NSS) to less than 5%. A hypothetical lymph node examination rate was calculated. Survival rate of T2 and T3 stage samples was significantly associated with NSS, but T1 and T4 sample survival rate was not.The currently dissected nodal should be reduced to 1 to 2 for T1, remains to 10 for T2, and increases to 23 for T3.
- Published
- 2018
44. Role of Micro RNAs in the Pathogenesis of Rheumatoid Arthritis: Novel Perspectives Based on Review of the Literature
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Run-Yue Huang, Ling Han, Yong-Liang Chu, Yu Huang, Xiu-Min Chen, Sheng-Li Yang, Qingchun Huang, and Yu-Hong Yan
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medicine.medical_specialty ,Pathology ,business.industry ,Arthritis ,General Medicine ,Disease ,Bioinformatics ,medicine.disease ,Phenotype ,Rheumatology ,Pathogenesis ,Arthritis, Rheumatoid ,MicroRNAs ,Systematic review ,Internal medicine ,Rheumatoid arthritis ,microRNA ,medicine ,Humans ,business ,Biomarkers ,Systematic Review and Meta-Analysis ,Research Article - Abstract
The contributions of micro RNAs (miRNAs) to rheumatoid arthritis (RA) are beginning to be uncovered during the last decade. Many studies in efforts to use miRNAs as biomarkers in disease diagnosis, prognosis, and treatment are ongoing. We conducted a systematic literature review to reveal the role of miRNAs in the pathogenesis of RA in order to inform future research. We analyzed all the literature which is searched by keywords “microRNA” and “arthritis” in PubMed from December 2007 to June 2015, and the references cited by the articles searched were also considered. Relevant literature focusing on the field of miRNAs and RA was identified. The searching process was conducted by 5 independent investigators. The experts in the field of miRNAs and Rheumatology were involved in the process of analyzing. Relevant literature was analyzed according to the objective of this review and the availability of full text. The crucial role of miRNAs in maintaining immune and inflammatory responses is revealed. In addition, it is now clear that miRNAs are implicated in the development of RA synovial phenotype including synovial hyperplasia and joint destruction. Intriguingly, the biomedical application of several miRNAs may result in the effects of “double-edged sword.” Moreover, there appears to have a feedback loop for expression of some miRNAs related to disease activity in inflammatory milieu of rheumatoid joint. This review underscores the potential importance of miRNAs to diagnosis, prognosis, and treatment of RA. Further investigations are required to identify the unique miRNAs signatures in RA and characterize the mechanisms mediated by miRNAs in the pathology of RA.
- Published
- 2015
45. Pedobarographic Analysis Following Pemberton's Pericapsular Osteotomy for Unilateral Developmental Dysplasia of the Hip: An Observational Study
- Author
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Xin-Xin Wen, Lei Shang, Lu-Yu Huang, Ya-Bo Yan, Chao Xu, Xiong Zhao, and Wei Lei
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Treatment outcome ,Observational Study ,Osteotomy ,medicine ,Pressure ,Humans ,In patient ,Child ,Gait ,Hip Dislocation, Congenital ,Retrospective Studies ,Developmental dysplasia ,business.industry ,Foot ,Retrospective cohort study ,General Medicine ,Surgery ,Treatment Outcome ,Gait analysis ,ComputingMethodologies_DOCUMENTANDTEXTPROCESSING ,Observational study ,Female ,business ,Research Article - Abstract
Supplemental Digital Content is available in the text, Successful clinical and radiographic outcomes have been reported in patients with unilateral developmental dysplasia of the hip (DDH) following Pemberton pericapsular osteotomy (PPO). However, residual gait deviations are seen in both the affected and unaffected limbs. To date it is not known whether these deviations result in abnormal plantar pressure in such patients. This study investigated this possibility by performing pedobarographic, clinical, and radiographic examinations after PPO in 20 patients (age: 102.5 ± 19.0 months) with unilateral DDH who underwent PPO at 34.2 ± 9.8 months of age. Plantar pressure was evaluated using the Footscan pressure plate (RsScan International, Olen, Belgium). Each foot was subdivided into 10 zones and peak pressure, force–time integral as a percentage of total FTI, and contact time as a percentage of total stance time was estimated. The minimum duration of follow-up was 24 months (mean: 68.3 ± 20.3 months). The data were compared with 20 age- and weight-matched healthy controls. Despite clinical and radiographic examinations showing satisfactory results according to modified McKay and Severin criteria, significant differences in plantar pressure parameters were identified between the affected limbs, the unaffected limbs, and normal controls. No significant differences were found between patients classified as “excellent or good” and those rated as “fair” according to the modified Severin criteria. Pedobarographic results showed the existence of the residual plantar pressure deviations during walking in patients treated with PPO for unilateral DDH. Longer follow-up will be needed to more fully evaluate the effect of these deviations on gait.
- Published
- 2015
46. Pulmonary rehabilitation coupled with negative pressure ventilation decreases decline in lung function, hospitalizations, and medical cost in COPD
- Author
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Lan-Yan Yang, Hung-Yu Huang, Te Fang Sheng, Chun Hua Wang, Han Pin Kuo, Horng Chyuan Lin, Pai Chien Chou, Yu Bin Pan, Li Fei Chen, Wen Ching Joa, and Fu Tsai Chung
- Subjects
medicine.medical_specialty ,COPD ,Rehabilitation ,business.industry ,medicine.medical_treatment ,Pulmonary disease ,Hyperinflation ,Retrospective cohort study ,General Medicine ,medicine.disease ,respiratory tract diseases ,03 medical and health sciences ,0302 clinical medicine ,030228 respiratory system ,Negative pressure ventilation ,Internal medicine ,medicine ,Cardiology ,Breathing ,Pulmonary rehabilitation ,030212 general & internal medicine ,Intensive care medicine ,business - Abstract
Pulmonary rehabilitation (PR) brings benefits to patients with chronic obstructive pulmonary disease (COPD). Negative pressure ventilation (NPV) increases ventilation and decreases hyperinflation as well as breathing work in COPD. We evaluated the long-term effects of a hospital-based PR pro
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- 2016
47. Prevalence, predictive factors, and survival outcome of new-onset diabetes after liver transplantation
- Author
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Liu, Fu-Chao, primary, Lin, Jr-Rung, additional, Chen, Hsiu-Pin, additional, Tsai, Yung-Fong, additional, and Yu, Huang-Ping, additional
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- 2016
- Full Text
- View/download PDF
48. How many lymph nodals needed to be dissected in corpus carcinoma?
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Shuping Zhao, Dehua Ma, Yu Huang, Lei Zhang, Yuan Cao, and Yawen Wang
- Published
- 2018
- Full Text
- View/download PDF
49. Effects of arthroscopic-assisted surgery on irreducible developmental dislocation of hip by mid-term follow-up
- Author
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Li Tianqing, Ning Liu, Ya-Bo Yan, Tian-feng Zhao, Wei Lei, Lu-Yu Huang, Chun-li Zhang, Chao Xu, and Xu Huifa
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musculoskeletal diseases ,030222 orthopedics ,medicine.medical_specialty ,Greater trochanter ,business.industry ,medicine.medical_treatment ,General Medicine ,Surgery ,03 medical and health sciences ,Mid term follow up ,0302 clinical medicine ,Acetabular angle ,medicine ,Acetabuloplasty ,Observational study ,030212 general & internal medicine ,Developmental dislocation ,Splint (medicine) ,business ,Reduction (orthopedic surgery) - Abstract
The purpose of this study was to investigate the indications, surgical technique, and the clinical effects of arthroscopic-assisted treatment of irreducible developmental dislocation of the hip by mid-term follow-up. Arthroscopic-assisted surgeries were performed on 40 children (52 hips) between January 2005 and December 2009. Anterior and antero-superior greater trochanter portals were used in these treatments. Spica cast and abduction splint were applied for 3 months postoperatively. The follow-up was conducted on every 3 months postoperatively. During 12-month follow-up, a secondary treatment such as acetabuloplasty and/or femoral osteotomy (shortening, varus, and derotation) was applied if the acetabular angle was greater than 25°. The pelvic acetabular angle, Mckay and Severin score were evaluated every 6 months in all children. With 36 to 96 months (average 71 months) follow-up, 35 children (44 hips) were successfully followed up with complete case data while 5 children unsuccessfully. According to Tonnis classification, there were 5 grade 1 hips, 14 grade 2 hips, 14 grade 3 hips, 11 grade 4 hips, in which 3 children (4 hips) were failed in arthroscopic reduction and femoral head avascular necrosis occurred in 2 children (4 hips). According to Mckay standard, the good rate is 100%. According to Severin standard, the good rate is 84.1%. Arthroscopic assisted treatment is an effective way of reduction of the irreducible hip. Compared with the open reduction, arthroscopic treatment combined with acetabuloplasty and/or femoral osteotomy has advantages of less trauma and better function preservation.
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- 2016
50. Prognostic Value of Cardiovascular Disease Risk Factors Measured in the First-Trimester on the Severity of Preeclampsia
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Ching-Hwa Hsiao, Shang-Yu Huang, Sheng-Yuan Su, Tao Duan, Hsiu-Huei Peng, and Po-Jen Cheng
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Adult ,medicine.medical_specialty ,Homocysteine ,Observational Study ,Intrauterine growth restriction ,030204 cardiovascular system & hematology ,Severity of Illness Index ,Preeclampsia ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Pre-Eclampsia ,Predictive Value of Tests ,Pregnancy ,Risk Factors ,Severity of illness ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,reproductive and urinary physiology ,Gynecology ,Fetal Growth Retardation ,030219 obstetrics & reproductive medicine ,Obstetrics ,business.industry ,Case-control study ,General Medicine ,medicine.disease ,female genital diseases and pregnancy complications ,Pregnancy Trimester, First ,C-Reactive Protein ,ROC Curve ,chemistry ,Cardiovascular Diseases ,Case-Control Studies ,Predictive value of tests ,embryonic structures ,Female ,business ,Biomarkers ,Research Article - Abstract
Recent studies have suggested that preeclampsia and cardiovascular disease may share common mechanisms. The purpose of this prospective nested case-controlled study was to characterize a variety of cardiovascular disease risk factors measured during the first trimester of pregnancy in predicting subsequent outcomes and the severity of preeclampsia. We ascertained the severity of preeclampsia at the onset of the disease, and the presence of intrauterine growth restriction (IUGR). We compared first trimester maternal serum cardiovascular disease risk factors in preeclampsia subjects versus normal pregnancies, early-onset versus late-onset preeclampsia, and preeclampsia with IUGR versus without IUGR. To identify the prognostic value of independent predictors on the severity of preeclampsia, we calculated the area under the receiver operating characteristics curve (AUC) using logistic regression analysis. There were 134 cases of preeclampsia and 150 uncomplicated pregnancies, and preeclampsia cases were classified as early-onset (53 cases) or late-onset (81 cases), or as with IUGR (44 cases) or without IUGR (90 cases). Among the cardiovascular disease risk factors, maternal serum high-sensitive C-reactive protein (hsCRP) and homocysteine were predictors of both early-onset preeclampsia and preeclampsia with IUGR. For the detection of early onset preeclampsia or preeclampsia with IUGR, the AUC for the combination model (0.943 and 0.952, respectively) was significantly higher than with serum hsCRP or serum homocysteine only. Patients with preeclampsia can be subdivided into different severities according to time of onset and fetal weight. Cardiovascular risk factors distinguish a subgroup of these patients.
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- 2016
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