Sofosbuvir/Ledipasvir in the Treatment of Chronic Hepatitis C - A Subgroup Analysis from A Nationwide Real-World HCV Registry Program (TACR) in Taiwan

( Ming-Lung Yu ),( Chi-Yi Chen ),( Kuo-Chih Tseng ),( Ching-Chu Lo ),( Pin-Nan Cheng ),( Cheng-Yuan Peng ),( Ming-Jong Bair ),( Chih-Lang Lin ),( Chi-Ming Tai ),( Chi-Chieh Yang ),( Chih-Wen Lin ),( C 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1

Aims: TASL HCV Registry (TACR) is a nationwide registry program organized and supervised by Taiwan Association for the Study of the Liver (TASL), which aims to setup the database and biobank of patients with chronic hepatitis C (CHC) in Taiwan. The present study aimed to evaluate the treatment outcome of sofosbuvir (SOF)/ledipasvir (LDV) in Taiwanese CHC patients in TACR. Methods: By May 2020, 19 tertiary hospitals, 23 community hospitals and one primary care clinic join the TACR program. The baseline characteristics, prior liver and non-liver related medical history, DAA regimens, laboratory results, treatment course and outcome were recorded. The primary objective was sustained virological response, defined as undetectable HCV RNA 3 months after end-of-treatment (SVR12). Results: A total of 4742 SOF/LDV+ ribavirin treated CHC patients with available SVR12 data from 39 sites were enrolled in the current analysis. The mean age was 61.3 years, and female accounted for 54.8% of the population. The dominant viral genotypes were GT1b (52.6%) and GT2 (35.6%). 1354 (28.6%) patients had liver cirrhosis, including 156 (3.3%) with liver decompensation, 552 (11.6%) had preexisting hepatocellular carcinoma (HCC) before DAAs treatment and 413 (8.7%) had hepatitis B virus dual infections. The overall SVR12 rate was 98.5%, with 98.5%, 98.2%, 99.7% and 98.6% in treatment- naïve non-cirrhotics, treatment-naïve cirrhotics, treatment- experienced non-cirrhotics and treatment-experienced cirrhotics patients, respectively. While patients were stratified by HCV genotype, the SVR12 was 98.5%, 98.4% and 98.5% among those with GT1, GT2 and GT6 infection, respectively. The strongest factor independent associated with treatment failure was DAA adherence < 60% (odds ratio [OR]/95% confidence intervals [CI]: 125.4/25.7-612.4, P<0.0001), followed by active HCC (OR/CI: 6.20/2.57-14.97, P<0.0001), HIV co-infection (OR/CI: 3.01/1.14-7.92, P=0.026), and male gender (OR/ CI: 1.85/1.09-3.13, P=0.023). The eGFR decreased significantly at the end of treatment (EOT) (89.3 ml/min/1.73㎡ vs. 93.2 ml/min/1.73㎡, P< 0.001) and remained stable 3 months after EOT (89.3 ml/min/1.73㎡). However, the decreased eGFR was observed only in patients whose baseline eGFR > 90 ml/ min/1.73㎡. Instead, patients with chronic kidney diseases whose pretreatment eGFR < 60 ml/min/1.73㎡ had improved eGFR after SOF/LDV. Conclusions: SOF/LDV is highly effective in treating CHC patients in real-world setting of Taiwan. The satisfactory result could be explicitly generalized to patients with different viral genotypes and liver disease severities.

Effects of Caponization and Testosterone on Bone and Blood Parameters of SCWL Male Chickens

Chen, Kuo-Lung,Tsay, Shiow-Min,Lo, Dan-Yuan,Kuo, Feng-Jui,Wang, Jiann-Hsiung,Chiou, Peter Wen-Shyg Asian Australasian Association of Animal Productio 2007 Animal Bioscience Vol.20 No.5

This study was to investigate the caponization effects on bone characteristics in male chickens, and the optimum testosterone implantation dosage on bone characteristics improvement. Healthy Single Comb White Leghorn cockerels were caponized at 12-wk-old and selected at 16-wk-old for a 10-wk feeding experiment. Fifteen intact male and caponized male chickens (capon) respectively were assigned to trial 1. Ten sham-operated chickens and 40 capons (randomly allocated into four treatments) were implanted with cholesterol (1.62 mm i.d., 3.16 mm o.d., $9.24{\pm}0.36$ mg), low (1 mm i.d., 3 mm o.d., $5.88{\pm}0.23$ mg), medium (1.62 mm i.d., 3.16 mm o.d., $9.81{\pm}0.17$ mg) or high dose (2 mm i.d., 4 mm o.d., $16.7{\pm}0.24$ mg) of testosterone in trial 2. The results from trial 1 showed that the tibia length, relative tibia weight, breaking strength, bending moment and stress in intact males were higher than capons (p<0.05). The blood phosphorus concentration in capons was higher than the intact male chickens (p<0.05). Caponization also resulted in more antrums and osteoclasts within periosteum and cortical bone from histological observation. In trial 2, the adverse impact of caponization on the bone breaking strength, bending moment and stress could be alleviated through medium dose testosterone implantation. It appears that caponization reduced androgen secretion hence influenced the biomechanical characteristics of bone (tibia) and these adverse effects could be alleviated through appropriate dose of testosterone implantation.

Simulation of porous claddings using LES and URANS: A 5:1 rectangular cylinder

Mao Xu,Luca Patruno,Yuan-Lung Lo,Stefano de Miranda,Francesco Ubertini 한국풍공학회 2022 Wind and Structures, An International Journal (WAS Vol.35 No.1

While the aerodynamics of solid bluff bodies is reasonably well-understood and methodologies for their reliable numerical simulation are available, the aerodynamics of porous bluff bodies formed by assembling perforated plates has received less attention. The topic is nevertheless of great technical interest, due to their ubiquitous presence in applications (fences, windbreaks and double skin facades to name a few). This work follows previous investigations by the authors, aimed at verifying the consistency of numerical simulations based on the explicit modelling of the perforated plates geometry and their representation by means of pressure-jumps. In this work we further expand such investigations and, contextually, we provide insight into the flow arrangement and its sensitivity to important modelling and setup configurations. To this purpose, Unsteady Reynolds-Averaged Navier-Stokes (URANS) and Large-Eddy Simulations (LES) are performed for a 5:1 rectangular cylinder at null angle of attack. Then, using URANS, porosity and attack angle are simultaneously varied. To the authors' knowledge this is the first time in which LES are used to model a porous bluff body and compare results obtained using the explicit modelling approach to those obtained relying on pressure-jumps. Despite the flow organization often shows noticeable differences, good agreement is found between the two modelling strategies in terms of drag force.

On the numerical simulation of perforated bluff-bodies: A CFD study on a hollow porous 5:1 rectangular cylinder

Mao Xu,Luca Patruno,Yuan-Lung Lo,Stefano de Miranda,Francesco Ubertini 한국풍공학회 2022 Wind and Structures, An International Journal (WAS Vol.34 No.1

In this work the flow through a hollow porous 5:1 rectangular cylinder made of perforated plates is numerically investigated by means of 2D URANS based simulations. Two approaches are adopted to account for the porous surfaces: in the first one the pores are explicitly modeled, so providing a detailed representation of the flow. In the second one, the porous surfaces are modeled by means of pressure jumps, which allow to take into account the presence of pores without reproducing the flow details. Results obtained by using the two aforementioned techniques are compared aiming at evaluating differences and similarities, as well as identifying the main flow features which might cause discrepancies. Results show that, even in the case of pores remarkably smaller than the immersed body, their arrangement can lead to local mechanisms able to affect the global flow arrangement, so limiting the accuracy of pressure jumps based simulations. Despite that, time-averaged fields often show a reasonable agreement between the two approaches.

풍압과 변위의 동시계측을 통한 고층건물의 공력 특성 평가

김용철,로 위안롱,윤성원,Kim, Yong Chul,Lo, Yuan-Lung,Yoon, Sung-Won 한국공간구조학회 2017 한국공간구조학회지 Vol.17 No.1

Vortex-induced vibration and instability vibration of tall buildings are very important fluid-structure interaction phenomenon, and many fundamental questions concerning the influence of body movement on the unsteady aerodynamic force remain unanswered. For tall buildings, there are two experimental methods to investigate the characteristics of unsteady aerodynamic forces, one is forced vibration method and the other is free vibration method. In the present paper, a free vibration method was used to investigate the unsteady aerodynamic force on tall building whose aspect ratio is 9 under boundary layer simulating city area. Wind pressures on surfaces and tip displacements were measured simultaneously, and the characteristics of tip displacements and generalized forces were discussed. It was found that variation of across-wind displacements showed different trend between the case when wind speed increases and wind speed decreases, and the fluctuating generalize forces in across-wind direction of vibrating model are larger than that of static model near the resonant wind speed and approach to the static value. And for higher wind speed range, there were two peaks in across-wind power spectra of generalize forces of vibrating model, which means that two frequency components are predominant in unsteady aerodynamic forces.