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Delay of Surgery for Spinal Metastasis due to the COVID-19 Outbreak Affected Patient Outcomes
Chia-Jung Hsieh,Chun-Yu Wu,Yen-Heng Lin,Yu-Cheng Huang,Wen-Chi Yang,Tom Wei-Wu Chen,Wei-Li Ma,Wei-Hsin Lin,Feng-Ming Hsu,Furen Xiao,Shih-Hung Yang,Dar-Ming Lai,Chang-Mu Chen,Shin-Yi Chao,Fon-Yih Tsuan 대한척추신경외과학회 2023 Neurospine Vol.20 No.4
Objective: The present study is to analyze the effects of the coronavirus disease 2019 (COVID 2019) outbreak and the subsequent lockdown on the outcomes of spinal metastasis patients. Methods: The study was a retrospective analysis of data from a prospective cohort study. All patients underwent surgical intervention for spinal metastases between January 2019 and December 2021 and had at least 3 months of postoperative follow-up. The primary outcome was overall mortality during the 4 different stages (pre-COVID-19 era, COVID-19 pandemic except in Taiwan, national lockdown, lifting of the lockdown). The secondary outcomes were the oncological severity scores, medical/surgical accessibility, and patient functional outcome during the 4 periods as well as survival/mortality. Results: A total of 233 patients were included. The overall mortality rate was 41.20%. During the Taiwan lockdown, more patients received palliative surgery than other surgical methods, and no total en bloc spondylectomy was performed. The time from surgeon visit to operation was approximately doubled after the COVID-19 outbreak in Taiwan (75.97, 86.63, 168.79, and 166.91 hours in the 4 periods, respectively). The estimated survival probability was highest after the national lockdown was lifted and lowest during the lockdown. In the multivariate analysis, increased risk of mortality was observed with delay of surgery, with emergency surgery having a higher risk with delays above 33 hours, urgent surgery (below 59 and above 111 hours), and elective surgery (above 332 hours). Conclusion: The COVID-19 pandemic and related policies have altered daily clinical practice and negatively impacted the survival of patients with spinal metastases.
Fabrication of Multifunctional Polyester Fabrics by Using Fluorinated Polymer Coatings
Chia-Jung Chen,Wen-Hui Li,Wei-Yu Chen,Yu-Min Yang 한국섬유공학회 2019 Fibers and polymers Vol.20 No.10
Facile and effective polymer coatings are highly desirable in the creation of functional surfaces for variousapplications. A polymer coating by using poly(vinylidene fluoride-co-hexafluoropropylene (PVDF-HFP) and a fluorinatedalkyl silane (FAS-17) in volatile solvent has been proposed in the literature for the fabrication of chemically stable andsuperamphiphobic fabrics. This method, however, suffered from the fact that the results were unable to be experimentallyreproduced by the authors. In this work, FAS-17-modified PVDF-HFP with surface energy of 14.04 mN/m was preparedthrough two-step reactions in acetone using coupling agent 3-aminopropyltrimethoxysilane (H2N-(CH2)3-Si-(OCH3)3) and1H,1H,2H,2H-perfluorodecyltriethoxysilane (FAS-17, F3C-(CF2)7-(CH2)2-Si-(OC2H5)3) in the first and second reaction steps,respectively. This coating solution was then applied onto the twill weave polyester fabric using a dip-coating method. The asfabricatedsurfaces exhibited extreme liquid repellency as signified by high static contact angles (149.5 o-105.7 o) against sixpure liquids (water, ethylene glycol, hexadecane, pentadecane, nonane, octane) with surface tension values ranging from 72.8to 21.4 mN/m. Furthermore, this coating showed chemical stability to strong acid (96 % sulfuric acid) and strong base (38 %sodium hydroxide). In addition to self-cleaning property, the coating also exhibited self-healing property as revealed by thestatic contact angle change with the plasma-and-heat treatment cycles. Moreover, it is interesting to note that coating offabrics with the pristine solution of PVDF-HFP and FAS-17 may instead find its potential applications in oil-waterseparation. High separation efficiency, stability, and reusability were exhibited by the as-fabricated separation membrane.
Psilocybin for End-of-Life Anxiety Symptoms: A Systematic Review and Meta-Analysis
Chia-Ling Yu,Fu-Chi Yang,Szu-Nian Yang,Ping-Tao Tseng,Brendon Stubbs,Ta-Chuan Yeh,Chih-Wei Hsu,Dian-Jeng Li,Chih-Sung Liang 대한신경정신의학회 2021 PSYCHIATRY INVESTIGATION Vol.18 No.10
Objective To systematically examine the effectiveness and tolerability of psilocybin for treating end-of-life anxiety symptoms. Methods The Medline, Embase, CENTRAL, and PsycINFO databases were searched up to November 25, 2020. We enrolled clinical trials investigating psilocybin for treating end-of-life anxiety symptoms. Meta-analysis was conducted using random-effects model. Results Overall, five studies were included, revealing that psilocybin was superior to the placebo in treating state anxiety at 1 day (Hedges’ g, -0.70; 95% confidence interval, -1.01 to -0.39) and 2 weeks (-1.03; -1.47 to -0.60) after treatment. Psilocybin was more effective than placebo in treating trait anxiety at 1 day (-0.71; -1.15 to -0.26), 2 weeks (-1.08; -1.80 to -0.36), and 6 months (-0.84; -1.37 to -0.30) after treatment. Psilocybin was associated with transient elevation in systolic (19.00; 13.58-24.41 mm Hg) and diastolic (8.66; 5.18-12.15 mm Hg) blood pressure compared with placebo. The differences between psilocybin and placebo groups with regard to allcause discontinuation, serious adverse events, and heart rates were nonsignificant. Conclusion Psilocybin-assisted therapy could ameliorate end-of-life anxiety symptoms without serious adverse events. Because of the small sample sizes of the included studies and high heterogeneity on long-term outcomes, future randomized controlled trials with large sample sizes are needed.
Chia-Bin Lyu,Wen-Ju Yang,Kuo-Tan Li 한국원예학회 2014 Horticulture, Environment, and Biotechnology Vol.55 No.5
Removing runners and old leaves are two major routine and labor consuming tasks in winter strawberry(Fragaria × ananassa Duch.) production in subtropics. However, the potential negative effects of defoliation has notbeen evaluated. We studied the effects of partial defoliation and runner removal on plant growth, leaf photosynthesis(Pn), and yield in field-grown or potted strawberry plants (‘Toyonoka’). The treatments were consisted of partialdefoliation by removing leaves older than 45 days (PD), removing all runners (DR), PD + DR, and the control(CK). Treatments were applied weekly from mid-November until early March. DR promoted yield and number offruits for the first harvest cycle but not for the second harvest cycle. Multiple linear regressions indicated that leafarea had greater overall effects on runnering and fruit traits than the existence of runners. The leaf Pn was notresponsive to DR but a transient increase in Pn was consistently detected on the remaining leaf after each PD treatment. The compensatory increase in Pn was only detectable within 1 days after each PD treatment, indicating that theactual compensation for partial loss of functioning leaf area may be negligible. Crown dry weight was less affectedby canopy manipulation than growth and dry weight of roots. Our results indicated that yield of strawberry inTaiwan’s subtropical climate can be improved by removing runners while maintaining a greater leaf area with lesssevere defoliation.
Chang, Li-Jung,Chen, Shee-Uan,Tsai, Yi-Yi,Hung, Chia-Cheng,Fang, Mei-Ya,Su, Yi-Ning,Yang, Yu-Shih The Korean Society for Reproductive Medicine 2011 Clinical and Experimental Reproductive Medicine Vol.38 No.3
Preimplantation genetic diagnosis (PGD) is gradually widely used in prevention of gene diseases and chromosomal abnormalities. Much improvement has been achieved in biopsy technique and molecular diagnosis. Blastocyst biopsy can increase diagnostic accuracy and reduce allele dropout. It is cost-effective and currently plays an important role. Whole genome amplification permits subsequent individual detection of multiple gene loci and screening all 23 pairs of chromosomes. For PGD of chromosomal translocation, fluorescence $in-situ$ hybridization (FISH) is traditionally used, but with technical difficulty. Array comparative genomic hybridization (CGH) can detect translocation and 23 pairs of chromosomes that may replace FISH. Single nucleotide polymorphisms array with haplotyping can further distinguish between normal chromosomes and balanced translocation. PGD may shorten time to conceive and reduce miscarriage for patients with chromosomal translocation. PGD has a potential value for mitochondrial diseases. Preimplantation genetic haplotyping has been applied for unknown mutation sites of single gene disease. Preimplantation genetic screening (PGS) using limited FISH probes in the cleavage-stage embryo did not increase live birth rates for patients with advanced maternal age, unexplained recurrent abortions, and repeated implantation failure. Polar body and blastocyst biopsy may circumvent the problem of mosaicism. PGS using blastocyst biopsy and array CGH is encouraging and merit further studies. Cryopreservation of biopsied blastocysts instead of fresh transfer permits sufficient time for transportation and genetic analysis. Cryopreservation of embryos may avoid ovarian hyperstimulation syndrome and possible suboptimal endometrium.
Shu-Li Cheng,Fu-Chi Yang,Hsuan-Te Chu,Chia-Kuang Tsai,Shih-Chieh Ku,Yu-Ting Tseng,Ta-Chuan Yeh,Chih-Sung Liang 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.12
Objective Schizophrenia has been associated with dysfunction of the hypothalamic-pituitary-adrenal axis. Furthermore, alterations in neurotrophic factors might contribute to the pathogenesis of schizophrenia. We aimed to evaluate the effects of a simulated laughter intervention on the levels of cortisol and BDNF and to determine whether the effects associated with simulated laughter could be sustained after discontinuation of the intervention. Methods In this randomized controlled study, patients with schizophrenia according to DSM-IV clinical criteria were randomly assigned to receive either 8-week-long simulated laughter intervention (n=32) or treatment-as-usual group (control group, n=27). The serum levels of BDNF and cortisol were measured at baseline, week 8, and four weeks after discontinuation (week 12) of the intervention program. Results After an 8-week simulated laughter intervention, the laughter group had significantly higher levels of BDNF; however, four weeks after discontinuation of the intervention, the levels of BDNF significantly dropped. Interestingly, the levels of cortisol did not change significantly at week 8, but they were significantly elevated at week 12. The levels of BDNF and cortisol in the control group did not change significantly between week 0 and week 8. Conclusion These findings suggest that the simulated laughter intervention has an early effect on neurogenesis with a significant delayed effect on stress regulation in subjects with schizophrenia.
Detecting small lung tumors in mouse models by refractive-index microradiology
Chien, Chia-Chi,Zhang, Guilin,Hwu, Y.,Liu, Ping,Yue, Weisheng,Sun, Jianqi,Li, Yan,Xue, Hongjie,Xu, Lisa X.,Wang, Chang Hai,Chen, Nanyow,Lu, Chien Hung,Lee, Ting-Kuo,Yang, Yuh-Cheng,Lu, Yen-Ta,Ching, Y Springer-Verlag 2011 ANALYTICAL AND BIOANALYTICAL CHEMISTRY Vol.401 No.3