22 results on '"Ching-Chi Yang"'
Search Results
2. An Information-theoretic approach to dimensionality reduction in data science
- Author
-
Nirman Kumar, Dale Bowman, Lih-Yuan Deng, Kalidas Jana, Deepak Venugopal, Ching-Chi Yang, Sambriddhi Mainali, and Max H. Garzon
- Subjects
Conditional entropy ,Reduction strategy ,Computer science ,Applied Mathematics ,Dimensionality reduction ,Feature extraction ,Feature selection ,Mutual information ,Information theory ,Data science ,Computer Science Applications ,Computational Theory and Mathematics ,Modeling and Simulation ,Feature (machine learning) ,Information Systems - Abstract
Data reduction is crucial in order to turn large datasets into information, the major purpose of data science. The classic and richer area of dimensionality reduction (DR) has traditionally been based on feature extraction by combining primary features in a linear fashion, aiming to preserve or maintain covariance/correlations between the features. Nonlinear alternatives have been developed, including information-theoretic approaches using mutual information as well and conditional entropy based on target features. Here, we further this approach to feature selection or reduction strategy based on the concept of conditional Shannon entropy of two random variables. Novel results include (a) a dimensionality reduction method based on conditional entropy between predictors themselves along two variants, disregarding the influence of the target feature; (b) an error-prevention method inspired by error-detection and correction in information theory for DR with genomic data that can be used for abiotic data as well; and (c) a comparative assessment of the performance of several machine learning models on input features selected by these methods. We assess the quality of the techniques based on their performance in solving three application problems (Malware Classification, BioTaxonomy, and Noisy Classification) of various degrees of difficulty with competitive outcomes. Some useful heuristics arise from the analysis of the results and also suggest some problems of interest for further research.
- Published
- 2021
- Full Text
- View/download PDF
3. Effect of Q-matrix Misspecification on Variational Autoencoders (VAE) for Multidimensional Item Response Theory (MIRT) Models Estimation
- Author
-
Mahbubul Hasan, Lih Y Deng, John Sabatini, Dale Bowman, Ching-Chi Yang, John Holl, Mitrovic, Antonija, and Bosch, Nigel
- Abstract
Deep generative models with a specific variational autoencoding structure are capable of estimating parameters for the multidimensional logistic 2-parameter (ML2P) model in item response theory. In this work, we incorporated Q-matrix and variational autoencoder (VAE) to estimate item parameters with correlated and independent latent abilities, and we validate Q-matrix via the root mean square error (RMSE), bias, correlation, and AIC and BIC test score. The incorporation of a non-identity covariance matrix in a VAE requires a novel VAE architecture, which can be utilized in applications outside of education such as players performance evaluation, clinical trials assessment. Moreover, results show that the ML2P-VAE method is capable of estimating parameters and validating Q-matrix for models with a large number of latent variables with low computational cost, whereas traditional methods are infeasible for data with high-dimensional latent traits.
- Published
- 2022
- Full Text
- View/download PDF
4. A note on selection of basis quantities for dimensional analysis
- Author
-
Ching Chi Yang and Dennis K.J. Lin
- Subjects
021103 operations research ,Statistical design ,Basis (linear algebra) ,Dimensionality reduction ,0211 other engineering and technologies ,Feature selection ,02 engineering and technology ,01 natural sciences ,Industrial and Manufacturing Engineering ,Reduction (complexity) ,010104 statistics & probability ,Homogeneous ,Linear regression ,Applied mathematics ,0101 mathematics ,Safety, Risk, Reliability and Quality ,Computer Science::Databases ,Selection (genetic algorithm) ,Mathematics - Abstract
Dimensional analysis transforms a dimensionally homogeneous model into its simplest form; the number of input variables can be reduced. Such a reduction is very helpful in statistical design and an...
- Published
- 2020
- Full Text
- View/download PDF
5. Metaheuristics of DR Methods
- Author
-
Deepak Venugopal, Max Garzon, Nirman Kumar, Ching-Chi Yang, and Lih-Yuan Deng
- Published
- 2022
- Full Text
- View/download PDF
6. Appendices
- Author
-
Max Garzon, Lih-Yuan Deng, Nirman Kumar, Deepak Venugopal, Kalidas Jana, and Ching-Chi Yang
- Published
- 2022
- Full Text
- View/download PDF
7. What Is Data Science (DS)?
- Author
-
Max Garzon, Ching-Chi Yang, and Lih-Yuan Deng
- Published
- 2022
- Full Text
- View/download PDF
8. Martingale Stopping Rule for Bayesian A/B Tests in Continuous Monitoring
- Author
-
Haiyan Yu, Yali Wang, Ching-Chi Yang, and Jiang Yu
- Subjects
History ,Polymers and Plastics ,Business and International Management ,Industrial and Manufacturing Engineering - Published
- 2022
- Full Text
- View/download PDF
9. Conventional Statistical Approaches
- Author
-
Ching-Chi Yang, Max Garzon, and Lih-Yuan Deng
- Published
- 2022
- Full Text
- View/download PDF
10. Statistical Learning Approaches
- Author
-
Ching-Chi Yang and Lih-Yuan Deng
- Published
- 2022
- Full Text
- View/download PDF
11. Extending RC4 to Construct Secure Random Number Generators
- Author
-
Ching-Chi Yang, Lih-Yuan Deng, Henry Horng-Shing Lu, and Dale Bowman
- Subjects
Scheme (programming language) ,Pseudorandom number generator ,Generator (computer programming) ,Random number generation ,business.industry ,Computer science ,RC4 ,Software portability ,Software ,Computer engineering ,Table (database) ,business ,computer ,computer.programming_language - Abstract
We consider a general framework for constructing non-linear generators by adding a (32-bit or larger) pseudo-random number generator (PRNG) as a baseline generator to the basic RC4 design, in which an index-selection scheme similar to RC4 is used. We refer to the proposed design as the eRC (enhanced/extended RC4) design. We discuss several advantages of adding a good baseline generator to the RC4 design, including new updating schemes for the auxiliary table. We consider some popular PRNGs with the nice properties of high-dimensional equi-distribution, efficiency, long period, and portability as the baseline generator. We demonstrate that eRC generators are very efficient via extensive empirical testing on some eRC generators. We also show that eRC is flexible enough to choose minimal design parameters for eRC generators and yet the resulting eRC generators still pass stringent empirical tests, which makes them suitable for both software and hardware implementations.
- Published
- 2021
- Full Text
- View/download PDF
12. Searching for Large-Order Multiple Recursive Generators
- Author
-
Dale Bowman, Kenneth B. Pasiah, Ching-Chi Yang, and Lih-Yuan Deng
- Subjects
Pseudorandom number generator ,Number theory ,Basis (linear algebra) ,Property (programming) ,Computer science ,Mersenne prime ,Order (group theory) ,Approximation algorithm ,TestU01 ,Algorithm - Abstract
Pseudo-random numbers (PRNs) are the basis for almost any statistical simulation and this depends largely on the quality of the pseudo-random number generator (PRNG) used. In this study, we used some results from number theory to propose an efficient method to accelerate the computer search of super-order maximum-period multiple recursive generators (MRGs). We conduct efficient computer searches and identify many efficient and portable MRGs of super-orders, 40751, 50551, and 50873; which respectively have equi-distribution property up to 40751, 50551, and 50873 dimensions, and period lengths of approximately 10380278.1, 10471730.6, and 10474729.3. Using the generalized Mersenne prime algorithm, we extend some known results of some efficient, portable and maximum-period MRGs. In particular, the DX/DL/DS/DT large-order generators are extended to super-order generators. An extensive empirical evaluation shows that these generators behave well when tested with the stringent Small Crush and Crush batteries of the TestU01 package.
- Published
- 2021
- Full Text
- View/download PDF
13. Emotion diffusion effect: Negative sentiment COVID-19 tweets of public organizations attract more responses from followers
- Author
-
Haiyan Yu, Ching-Chi Yang, Ping Yu, and Ke Liu
- Subjects
Multidisciplinary ,Attitude ,SARS-CoV-2 ,Emotions ,COVID-19 ,Humans ,Pandemics ,Social Media - Abstract
Coronavirus disease 2019 (COVID-19) has triggered an enormous number of discussion topics on social media Twitter. It has an impact on the global health system and citizen responses to the pandemic. Multiple responses (replies, favorites, and retweets) reflect the followers’ attitudes and emotions towards these tweets. Twitter data such as these have inspired substantial research interest in sentiment and social trend analyses. To date, studies on Twitter data have focused on the associational relationships between variables in a population. There is a need for further discovery of causality, such as the influence of sentiment polarity of tweet response on further discussion topics. These topics often reflect the human perception of COVID-19. This study addresses this exact topic. It aims to develop a new method to unveil the causal relationships between the sentiment polarity and responses in social media data. We employed sentiment polarity, i.e., positive or negative sentiment, as the treatment variable in this quasi-experimental study. The data is the tweets posted by nine authoritative public organizations in four countries and the World Health Organization from December 1, 2019, to May 10, 2020. Employing the inverse probability weighting model, we identified the treatment effect of sentiment polarity on the multiple responses of tweets. The topics with negative sentiment polarity on COVID-19 attracted significantly more replies (69±49) and favorites (688±677) than the positive tweets. However, no significant difference in the number of retweets was found between the negative and positive tweets. This study contributes a new method for social media analysis. It generates new insight into the influence of sentiment polarity of tweets about COVID-19 on tweet responses.
- Published
- 2022
- Full Text
- View/download PDF
14. Stochastic lead time with order crossover
- Author
-
Ching Chi Yang and Dennis K.J. Lin
- Subjects
Mathematical optimization ,021103 operations research ,Information Systems and Management ,Supply chain management ,Exponential distribution ,Computer science ,Supply chain ,Crossover ,0211 other engineering and technologies ,02 engineering and technology ,Management Science and Operations Research ,Lead (geology) ,Order (business) ,Management of Technology and Innovation ,Industrial relations ,0202 electrical engineering, electronic engineering, information engineering ,020201 artificial intelligence & image processing ,Business and International Management ,Lead time - Abstract
Lead time plays an important role in many areas, including supply chain, economics, and marketing. A conventional assumption in most stochastic lead-time inventory models is that the lead t...
- Published
- 2018
- Full Text
- View/download PDF
15. Use of the Chinese version Modified Checklist for Autism in Toddlers in a high-risk sample in Taiwan
- Author
-
Ching-Chi Yang, Chin-Chin Wu, Lydia Stewart, Yi Shan Wong, Chung-Hsin Chiang, and Lai-Sang Iao
- Subjects
Predictive validity ,Pediatrics ,medicine.medical_specialty ,Southern taiwan ,05 social sciences ,Modified Checklist for Autism in Toddlers ,Sample (statistics) ,medicine.disease ,Predictive value ,03 medical and health sciences ,Psychiatry and Mental health ,Clinical Psychology ,Chinese version ,0302 clinical medicine ,Autism spectrum disorder ,mental disorders ,Developmental and Educational Psychology ,medicine ,Cutoff ,0501 psychology and cognitive sciences ,Psychology ,030217 neurology & neurosurgery ,050104 developmental & child psychology - Abstract
This study examined the utility of the Chinese version Modified Checklist for Autism in Toddlers (C-M-CHAT) in a high-risk sample. This study recruited 236 children aged from 18 to 47 months old in rural area of Southern Taiwan, including 113 children with Autism Spectrum Disorder (ASD) and 123 children with Developmental Delay (DD). Using failing any four of the 23 C-M-CHAT items as cutoff, it showed a sensitivity of 77.0% and a specificity of 72.4%. The positive predictive value (PPV) was 71.9% while the negative predictive value (NPV) was 77.4%. Using failing any three of the 14 new critical items–referred to as the “Brief 14”–as cutoff, it yielded a sensitivity of 70.8% and a specificity of 82.1%. The PPV of the “Brief 14” was 78.4% while the NPV was 75.4%. The preliminary results of the C-M-CHAT and the “Brief 14” performance demonstrated an acceptable predictive validity and promising utility for use in high-risk, rural populations in Taiwan.
- Published
- 2018
16. High correlation between human rhinovirus type C and children with asthma exacerbations in Taiwan
- Author
-
Yen Ting Lin, Jiu Yao Wang, Hong-Ren Yu, Ya Ling Huang, Ching Chung Tsai, Shang Shyue Tsai, Yu Cheng Tsai, Ming Chun Yang, Ching Chi Yang, Tsun Mei Lin, Yu Tsun Su, and Ting I. Lin
- Subjects
0301 basic medicine ,Male ,Rhinovirus ,Prevalence ,lcsh:QR1-502 ,medicine.disease_cause ,lcsh:Microbiology ,Correlation ,0302 clinical medicine ,Nasopharynx ,Immunology and Allergy ,030212 general & internal medicine ,Prospective Studies ,Respiratory system ,Prospective cohort study ,Child ,Children ,Respiratory Tract Infections ,Enterovirus ,Asthma exacerbations ,virus diseases ,General Medicine ,Symptom Flare Up ,Infectious Diseases ,Child, Preschool ,Female ,Seasons ,circulatory and respiratory physiology ,Microbiology (medical) ,Rhinovirus C ,medicine.medical_specialty ,Asthma exacerbation ,030106 microbiology ,Taiwan ,03 medical and health sciences ,stomatognathic system ,Internal medicine ,Acute lower respiratory tract infection ,medicine ,otorhinolaryngologic diseases ,Humans ,Asthma ,Picornaviridae Infections ,General Immunology and Microbiology ,business.industry ,Infant, Newborn ,Infant ,medicine.disease ,business - Abstract
Background/Purposes: Human rhinovirus type C (HRV-C) has been associated with asthma exacerbation (AE) in children in several countries. However, in Taiwan the association between HRV, especially HRV-C, and AE in children has yet to be elucidated. We sought to investigate the prevalence of respiratory viruses in children with acute lower respiratory tract infection (ALRTI) in Taiwan and the association between different types of HRV and AE in children. Methods: This prospective study was conducted from 2011 to 2013, and enrolled children with ALRTI, including an asthma exacerbation group (AE; n = 28) and a Non-asthma group (n = 66). Viruses were detected by culture, reverse transcription-polymerase chain reaction, and molecular sequencing of nasopharyngeal swabs. Results: The prevalence of identified respiratory viruses was 78.6% in the AE group and 65.2% in the Non-asthma group. The prevalence rates of HRV and HRV-C were significantly higher in the AE group than in the Non-asthma group (67.9% vs. 33.3% in HRV, p = 0.002; and 50% vs. 15.2% in HRV-C, p
- Published
- 2017
17. Class A dioscorins of various yam species suppress ovalbumin-induced allergic reactions
- Author
-
Ching-Chi Yang and Kuo-Chih Lin
- Subjects
Male ,Allergy ,Ovalbumin ,Immunology ,Biology ,Toxicology ,medicine.disease_cause ,Histamine Release ,law.invention ,Microbiology ,Interferon-gamma ,Mice ,chemistry.chemical_compound ,Th2 Cells ,law ,Anti-Allergic Agents ,medicine ,Splenocyte ,Animals ,Immunology and Allergy ,Storage protein ,Interferon gamma ,Escherichia coli ,Plant Proteins ,Pharmacology ,chemistry.chemical_classification ,Mice, Inbred BALB C ,Dioscorea ,General Medicine ,Immunoglobulin E ,Th1 Cells ,medicine.disease ,Recombinant Proteins ,chemistry ,Biochemistry ,Recombinant DNA ,biology.protein ,Interleukin-5 ,Histamine ,medicine.drug - Abstract
Dioscorins, the primary storage proteins in yam tubers, of different species exhibited varying immunomodulatory activities in mice. We inferred that this might be attributed to the various isoforms in the yam tubers.We aimed to investigate the antiallergic potential of the Class A dioscorins of various yam species using the ovalbumin (OVA)-induced murine allergy model.We purified the recombinant Class A dioscorins (rDioscorins) of various yam species from Escherichia coli and evaluated their antiallergic potential by enzyme-linked immunosorbent assay.The Class A rDioscorins of various yam species suppressed allergic reactions by significantly decreasing the serum IgE and histamine levels. The serum IFN-γ and IgG2a levels significantly increased in all rDioscorin-treated mice. The splenocytes of the rDioscorin-treated mice also exhibited upregulated IFN-γ secretion in response to ConA stimulation. By contrast, the serum IL-5 levels decreased to basal levels in mice treated with Class A rDioscorins and the amount of IL-5 produced by splenocytes decreased in response to ConA stimulation.The Class A rDioscorins suppress allergic reactions, possibly through modulating an imbalanced Th1/Th2 immune response to OVA by promoting Th1 cell responses. Furthermore, the Class A rDioscorins of various yam species exhibited similar immunomodulatory activities in OVA-sensitized mice, which were different from the activities demonstrated by native dioscorins, suggesting that distinct immunomodulatory effects of native dioscorins on mice were attributed to the various isoforms in the yam tubers.The Class A dioscorins of various yam species exhibit antiallergic activity and are potential immunotherapeutic agents for treating IgE-mediated hypersensitivity.
- Published
- 2014
- Full Text
- View/download PDF
18. Molecular cloning, structural analysis and mass spectrometric identification of native dioscorins of various yam species
- Author
-
Kuo-Hsuan Chen, Ching-Chi Yang, Yen-Pen Ho, Kuo-Wei Lin, Yi-Jyun Jheng, Wei-Yi Tsai, and Kuo-Chih Lin
- Subjects
chemistry.chemical_classification ,Nutrition and Dietetics ,Dioscorea japonica ,biology ,cDNA library ,Molecular cloning ,biology.organism_classification ,Japonica ,Matrix-assisted laser desorption/ionization ,chemistry ,Biochemistry ,Gene family ,Storage protein ,Agronomy and Crop Science ,Food Science ,Biotechnology ,Cysteine - Abstract
BACKGROUND: Dioscorins are the major storage proteins of yam tubers. However, the molecular nature of their heterogeneity in tubers has not been fully elucidated. In this study the authors isolated the dioscorin gene families of Dioscorea japonica and Dioscorea pseudojaponica, performed matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry (MALDI-TOF-MS) and elucidated which dioscorin isoforms are the major constituents in tubers. RESULTS: The dioscorin gene families of D. japonica (Dj-dioA1-Dj-dioA4, Dj-dioB1 and Dj-dioB2) and D. pseudojaponica (Dp-dioA1-Dp-dioA5 and Dp-dioB1) were cloned from cDNA libraries of yam tubers. The dioscorins isolated from Dioscorea alata (Da-dioscorins), D. japonica (Dj-dioscorins) and D. pseudojaponica (Dp-dioscorins) were mainly monomers, with a few dimers. The monomers contained one intramolecular disulfide bond (Cys28-Cys187) and belonged to Class A dioscorins with two cysteine residues. The dimers consisted of Class B dioscorins with one intermolecular disulfide bond (Cys40-Cys40). Results of MALDI-TOF-MS revealed that the Da-dioscorins were mainly encoded by Da-dioA2, Da-dioA3 and Da-dioA4. The majority of the Dj-dioscorins were encoded by Dj-dioA1, Dj-dioA2, Dj-dioA3 and Dj-dioB2. The Dp-dioscorins mainly comprised proteins encoded by Dp-dioA1, Dp-dioA3, Dp-dioA4, Dp-dioB1 and Dp-dioB2. CONCLUSION: Determination of the constituents of dioscorin isoforms in yam tubers provides a basis for future studies of their physiological and biomedical functions. © 2012 Society of Chemical Industry
- Published
- 2012
- Full Text
- View/download PDF
19. Recombinant dioscorins of the yam storage protein expressed in Escherichia coli exhibit antioxidant and immunomodulatory activities
- Author
-
Wei-Yi Tsai, Chia-Lin Chyan, Ching-Chi Yang, Kuo-Chih Lin, Kuo-Wei Lin, Yi-Jyun Jheng, and Kuo-Hsuan Chen
- Subjects
Circular dichroism ,DPPH ,medicine.disease_cause ,Dithiothreitol ,Epitope ,Antioxidants ,Protein Structure, Secondary ,law.invention ,Cell Line ,chemistry.chemical_compound ,Mice ,Western blot ,Phagocytosis ,Picrates ,law ,medicine ,Escherichia coli ,Storage protein ,Animals ,Immunologic Factors ,Disulfides ,Cloning, Molecular ,Plant Proteins ,chemistry.chemical_classification ,medicine.diagnostic_test ,Chemistry ,Dioscorea ,Biphenyl Compounds ,Molecular biology ,Recombinant Proteins ,Toll-Like Receptor 4 ,Biochemistry ,Recombinant DNA ,Biotechnology - Abstract
Dioscorins, the major storage proteins in yam tubers, exhibit biochemical and immunomodulatroy activities. To investigate the potential application of dioscorins in biomedical research, we expressed the dioscorin genes Dj-dioA3 and Dp-dioA2 from Dioscorea japonica and Dioscorea pseudojaponica , respectively, in E. coli and routinely obtained approximately 15 mg proteins per liter Escherichia coli culture (mg/L) to 30 mg/L of rDj-dioscorinA3 and 4 to 8 mg/L of rDp-dioscorinA2. Western blot analyses revealed that both recombinant dioscorins contained epitopes with similar antigenicities to those of the native dioscorins. Results from dithiothreitol (DTT) treatment followed by monobromobimane (mBBr) staining showed that both recombinant dioscorins, like the native dioscorins, contain an intramolecular disulfide bond between Cys 28 and Cys 187 residues. Circular dichroism spectroscopy findings indicated that the secondary structural contents of the recombinant dioscorins showed high similarity to those of their corresponding native dioscorins. Both recombinant dioscorins, like the native dioscorins, exhibited 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging and Toll-like receptor 4 signaling activities, and stimulated the phagocytosis of E. coli by macrophage. Overall, our results indicated that substantial amounts of recombinant dioscorins can be purified easily from E. coli and that these recombinant dioscorins are appropriate for application in future investigations of the biomedical functions of dioscorins.
- Published
- 2012
20. Molecular cloning, structural analysis and mass spectrometric identification of native dioscorins of various yam species
- Author
-
Wei-Yi, Tsai, Yi-Jyun, Jheng, Kuo-Hsuan, Chen, Kuo-Wei, Lin, Yen-Pen, Ho, Ching-Chi, Yang, and Kuo-Chih, Lin
- Subjects
Plant Tubers ,Molecular Structure ,Species Specificity ,Dioscorea ,Humans ,Protein Isoforms ,Dietary Proteins ,Cloning, Molecular ,Genes, Plant ,Mass Spectrometry ,Diet ,Gene Library ,Plant Proteins - Abstract
Dioscorins are the major storage proteins of yam tubers. However, the molecular nature of their heterogeneity in tubers has not been fully elucidated. In this study the authors isolated the dioscorin gene families of Dioscorea japonica and Dioscorea pseudojaponica, performed matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry (MALDI-TOF-MS) and elucidated which dioscorin isoforms are the major constituents in tubers.The dioscorin gene families of D. japonica (Dj-dioA1-Dj-dioA4, Dj-dioB1 and Dj-dioB2) and D. pseudojaponica (Dp-dioA1-Dp-dioA5 and Dp-dioB1) were cloned from cDNA libraries of yam tubers. The dioscorins isolated from Dioscorea alata (Da-dioscorins), D. japonica (Dj-dioscorins) and D. pseudojaponica (Dp-dioscorins) were mainly monomers, with a few dimers. The monomers contained one intramolecular disulfide bond (Cys(28)-Cys(187)) and belonged to Class A dioscorins with two cysteine residues. The dimers consisted of Class B dioscorins with one intermolecular disulfide bond (Cys(40)-Cys(40)). Results of MALDI-TOF-MS revealed that the Da-dioscorins were mainly encoded by Da-dioA2, Da-dioA3 and Da-dioA4. The majority of the Dj-dioscorins were encoded by Dj-dioA1, Dj-dioA2, Dj-dioA3 and Dj-dioB2. The Dp-dioscorins mainly comprised proteins encoded by Dp-dioA1, Dp-dioA3, Dp-dioA4, Dp-dioB1 and Dp-dioB2.Determination of the constituents of dioscorin isoforms in yam tubers provides a basis for future studies of their physiological and biomedical functions.
- Published
- 2012
21. Comparison of acute lobar nephronia and uncomplicated urinary tract infection in children
- Author
-
Ching-Chi Yang, Luan-Yin Chang, Chun-Yi Lu, Ping-Ing Lee, Liming Huang, Yong-Kwei Tsau, Pei-Lan Shao, and I-Jung Tsai
- Subjects
Microbiology (medical) ,Male ,medicine.medical_specialty ,antibiotic resistance ,Adolescent ,Fever ,medicine.drug_class ,Urinary system ,Antibiotics ,Drug resistance ,Microbial Sensitivity Tests ,community acquired urinary tract infection ,Diagnosis, Differential ,Leukocyte Count ,Pharmacotherapy ,children ,Immunology and Microbiology(all) ,Internal medicine ,Immunology and Allergy ,Medicine ,Humans ,Child ,Escherichia coli Infections ,Retrospective Studies ,Nephritis ,General Immunology and Microbiology ,business.industry ,Sulfamethoxazole ,Age Factors ,Infant, Newborn ,Infant ,Retrospective cohort study ,General Medicine ,acute lobar nephronia ,Trimethoprim ,Surgery ,Anti-Bacterial Agents ,Ciprofloxacin ,Community-Acquired Infections ,Infectious Diseases ,C-Reactive Protein ,Child, Preschool ,Urinary Tract Infections ,Female ,business ,medicine.drug - Abstract
Background/PurposeThis aim of this study was to assess the clinical manifestations, the microorganisms involved and their antibiotic resistance in children hospitalized due to acute lobar nephronia (ALN) and non-ALN community-acquired urinary tract infections (UTIs).MethodsWe retrospectively reviewed the records of 265 previously healthy children hospitalized due to a first-episode of community-acquired febrile UTI between July 2004 and June 2007. Based on the results of renal ultrasonography and computed tomography, they were divided into ALN and non-ALN groups. Their demographic and clinical characteristics, distribution of microorganisms, and their antimicrobial resistance were analyzed.ResultsOf the total number of cases of children admitted with a first-episode community-acquired UTI, 19.2% (n=51) were diagnosed as ALN. Children with ALN were older (1.86 years vs. 0.81 years; p < 0.01), had longer periods of fever before admission (4.7 days vs. 1.4 days; p < 0.01), higher peak body temperatures (39.5°C vs. 38.9°C; p < 0.01), higher white cell counts (18.86 × 109/L vs. 15.08 × 109/L; p < 0.01) and higher C-reactive protein levels (9.0 mg/dL vs. 3.5 mg/dL; p < 0.01) compared with non-ALN children. Fever also persisted for longer after the start of antibiotic treatment in the ALN children (2.7 days vs. 1.4 days: p < 0.01) and they required longer hospital stays and incurred higher medical costs. The major pathogen found in ALN was E. coli (90%). The E. coli isolated from ALN children was more resistant to cotrimoxazole and ciprofloxacin than those from non-ALN children.ConclusionALN is not uncommon in children with a first-episode febrile UTI. They have a prolonged clinical course, higher inflammatory parameters, longer hospital stays and incur higher medical costs. E. coli is the major pathogen isolated from these children.
- Published
- 2009
22. Takayasu Arteritis Presenting With Acute Heart Failure
- Author
-
Ming-Chun Yang, Ching-Chi Yang, Jou-Kou Wang, and Chun-An Chen
- Subjects
medicine.medical_specialty ,Tuberculosis ,Radiography ,education ,Neck mass ,Takayasu arteritis ,Aortic Diseases ,Cardiac Output, Low ,Aorta, Thoracic ,Constriction, Pathologic ,Tuberculosis, Lymph Node ,Imaging, Three-Dimensional ,Internal medicine ,Biopsy ,medicine ,Image Processing, Computer-Assisted ,Humans ,cardiovascular diseases ,Child ,skin and connective tissue diseases ,Heart Failure ,medicine.diagnostic_test ,business.industry ,Angioplasty ,Angiography ,medicine.disease ,Takayasu Arteritis ,Tuberculous lymphadenitis ,Echocardiography ,Heart failure ,Cardiology ,Female ,Stents ,Radiology ,medicine.symptom ,business ,Cardiology and Cardiovascular Medicine ,Tomography, X-Ray Computed ,psychological phenomena and processes - Abstract
[Figure][1] [![Graphic][3] ][3][![Graphic][4] ][4] A 9-year-old girl presented with cervical mass 2 months before heart failure. Her grandfather had died of tuberculosis 6 years previously. Tuberculous lymphadenitis was proved by biopsy of a neck mass, and chest radiography
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.