12 results on '"Chien CW"'
Search Results
2. Cefepime-Induced Depressive Disorder in a Patient With End-Stage Renal Disease.
- Author
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Lo YF, Chien CW, Tai YM, Kuo SC, Lin SH, and Tzeng NS
- Subjects
- Anti-Bacterial Agents adverse effects, Cefepime, Cephalosporins adverse effects, Humans, Depressive Disorder, Kidney Failure, Chronic complications, Kidney Failure, Chronic therapy
- Abstract
Competing Interests: The authors have no conflicts of interest to declare.
- Published
- 2022
- Full Text
- View/download PDF
3. Personality types of patients with glaucoma: A systematic review of observational studies.
- Author
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Tan Z, Tung TH, Xu SQ, Chen PE, Chien CW, and Jiang B
- Subjects
- Human Characteristics, Humans, Personality Assessment, Glaucoma psychology, Personality
- Abstract
Objectives: To synthesize recent empirical research on the association between personality and glaucoma among this sub-population., Methods: PubMed/MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, Scopus and ScienceDirect databases were searched to identify eligible studies published between January 1950 and March 2019 in any language. The quality of included observational studies was assessed using an 11-item checklist which was recommended by Agency for Healthcare Research and Quality (AHRQ). After using the checklist, 12 papers are included into the systematic review., Results: There are some differences on the studies about the negative personality of glaucoma patients. In spite of these differences, most included studies significantly showed that glaucoma patients tend to or do have some specific personality., Conclusion: The extant research could demonstrate that glaucoma patients tend to have some negative personality in some extent. Future studies are needed to provide more convincing support to personality of glaucoma patients., Competing Interests: Conflicts of Interest: The authors certify that all the affiliations with or financial involvement in, within the past 5 years and foreseeable future, any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript are completely disclosed (e.g., employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, royalties)., (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2021
- Full Text
- View/download PDF
4. Insights from the comparisons of SARS-CoV and COVID-19 outbreaks: The evidence-based experience of epidemic prevention in China.
- Author
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Liu WY, Chuang YC, Liu TJ, Chien CW, and Tung TH
- Subjects
- China epidemiology, Health Policy, Humans, COVID-19 epidemiology, Disease Outbreaks prevention & control, Severe Acute Respiratory Syndrome epidemiology
- Abstract
Abstract: Coronavirus disease 2019 (COVID-19) is one of infectious diseases caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). At the beginning of 2020, a sudden outbreak of novel pneumonia, originated from Wuhan, China, swiftly evolves to a worldwide pandemic, alike the severe acute respiratory syndrome (SARS) in 2003. However, Chinese-style innovation in response to the outbreak of COVID-19 helped China to reach a faster and more effective success in the containment of this epidemic. This review summarizes insights from the comparisons of severe acute respiratory syndrome coronavirus (SARS-CoV) and COVID-19 outbreaks on the basis of preventive strategies in China for this coronavirus pandemic., Competing Interests: The authors have no funding and conflicts of interest to disclose., (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2021
- Full Text
- View/download PDF
5. The occurrence of delayed neuropsychologic sequelae in acute carbon monoxide poisoning patients after treatment with hyperbaric or normobaric oxygen therapy.
- Author
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Yang CC, Chuang YF, Chen PE, Tao P, Tung TH, and Chien CW
- Subjects
- Adult, Cohort Studies, Female, Humans, Hyperbaric Oxygenation adverse effects, Hyperbaric Oxygenation methods, Male, Middle Aged, Neuropsychological Tests statistics & numerical data, Oxygen Inhalation Therapy adverse effects, Oxygen Inhalation Therapy methods, Quality of Health Care standards, Carbon Monoxide Poisoning complications, Carbon Monoxide Poisoning therapy, Disease Progression, Hyperbaric Oxygenation standards, Oxygen Inhalation Therapy standards
- Abstract
Abstract: This study aimed at assessing which one of the 2 therapies is better for treating carbon monoxide (CO) poisoning from the perspective of reducing delayed neuropsychologic sequelae (DNS).We used Taiwan's National Health Insurance Research Database (NHIRD) to conduct a nationwide population-based cohort study to assess which therapy is better for CO poisoning patients. To accurately identify patients with DNS, the definition of DNS is included neurological sequelae, and cognitive and psychological sequele. The independent variable was therapy and the dependent variable was DNS occurred within 1 year after discharge from a medical institution. The control variables were age, gender, the severity of CO poisoning, and comorbidities present before CO poisoning admission.The risk of developing DNS in patients treated with Hyperbaric Oxygen (HBO) was 1.87-fold (P < .001) than normobaric oxygen (NBO) therapy. The severity of CO poisoning and comorbidities were also found to have significant influences on the risk of developing DNS.HBO may be a risk therapy for treating CO poisoning., Competing Interests: The authors have no conflicts of interests to disclose., (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2021
- Full Text
- View/download PDF
6. Constructing a new health education model for patients with chronic hepatitis B.
- Author
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Chen Q, Jiang M, Zeng M, Jiesisibieke ZL, Chen PE, Chien CW, and Tung TH
- Subjects
- Awareness, China epidemiology, Humans, Patient Education as Topic standards, Patient Satisfaction, Health Knowledge, Attitudes, Practice, Hepatitis B, Chronic epidemiology, Patient Education as Topic organization & administration, Quality Improvement organization & administration
- Abstract
To explore the effects of the project-achievement quality control circle in constructing a new health education model for patients with chronic hepatitis B.The quality control circle group was established and the theme of "constructing a new health education model for patients with chronic hepatitis B" was selected. The circle staff determined that this quality control circle was of project-achievement according to the quality control story judgment table, and then carry out activities in strict accordance with the 10 steps of project-achievement quality control circle, evaluate the tangible results and non-tangible results before and after the activity.After the implementation of the activity, the health education integrity of patients with chronic hepatitis B increased from 74.75 ± 11.00 to 95.00 ± 5.55 points (P < .001). The awareness of health education increased from 71.90 ± 13.48 to 95.60 ± 2.84 points (P < .001), the satisfaction rate of health education increased from 76.60 ± 8.71 points to 98.00 ± 2.03 points (P < .001), and the evaluation rate after health education increased from 10% to 100% (P < .001).The circle members have much more confidence in quality control circle activities, the use of techniques, and the knowledge related to scientific research.
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- 2020
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7. Long-term Outcomes of Self-Management Gellhorn Pessary for Symptomatic Pelvic Organ Prolapse.
- Author
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Chien CW, Lo TS, Tseng LH, Lin YH, Hsieh WC, and Lee SJ
- Subjects
- Aged, Female, Humans, Kaplan-Meier Estimate, Middle Aged, Pessaries adverse effects, Retrospective Studies, Pelvic Organ Prolapse therapy, Pessaries statistics & numerical data, Self-Management
- Abstract
Objective: The aim of this study is to estimate the long-term survival and to identify adverse events associated with the use of Gellhorn pessaries over a 9-year period., Methods: This was a retrospective case series study at a tertiary urogynecology unit in Taiwan. Between January 2009 and June 2017, 93 patients who opted for self-management Gellhorn pessaries to treat symptomatic pelvic organ prolapse (POP) and who were continuously followed-up were enrolled. Long-term use was defined as use for longer than 1 year. Length of use, factors that predicted discontinuation, and adverse events were analyzed and reviewed by chart or telephone inquiry., Results: The cumulative probabilities of continued pessary use at 1 and 5 years were 62.4% and 47.2%, respectively. Of those who discontinued use, 34 (70.8%) participants discontinued use within 1 year, and the mean duration of use was 13.7 months (range, 0-75 months; median, 5 months). Most of the participants stopped using the pessary because of bothersome adverse events such as pessary expulsion, vaginal pain, de novo urinary incontinence, and erosion/infection., Conclusions: Self-management Gellhorn pessary was safe and relatively effective and increased patients' autonomy and ability to manage their POP. One third of the patients discontinued use by 1 year, and half of the patients discontinued use at 5 years.
- Published
- 2020
- Full Text
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8. Sertraline-Induced Neutropenia and Fatigue in a Patient With End-Stage Renal Disease.
- Author
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Chien CW, Tai YM, Chen CY, Chu P, and Tzeng NS
- Abstract
Competing Interests: The authors have no conflicts of interest to declare.
- Published
- 2020
- Full Text
- View/download PDF
9. Assessment of mental health among nursing staff at different levels.
- Author
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Du ML, Deng WX, Sun W, Chien CW, Tung TH, and Zou XC
- Subjects
- China epidemiology, Hospitals, Teaching statistics & numerical data, Humans, Mental Disorders etiology, Nursing Staff, Hospital statistics & numerical data, Occupational Diseases epidemiology, Occupational Diseases etiology, Occupational Diseases psychology, Psychiatric Status Rating Scales, Risk Factors, Mental Disorders epidemiology, Nursing Staff, Hospital psychology
- Abstract
To assess the mental health of nurses and to find the post responsibility and psychological status of clinical nurses.A total of 447 nursing staff at different levels in a teaching hospital was assessed by nursing post responsibility scale and mental symptom checklist (SCL-90) then compared with each other. The study period was from April 1, 2018 to April 30, 2018.There was a positive correlation between the responsibility of post and interpersonal relationship (r = 0.11, P < .05), depression (r = 0.10, P < .05) and hostility (r = 0.10, P < .05). Post risk was negatively correlated with somatization (r = -0.10, P < .05), job involvement scope and communication ability were negatively correlated (r = -0.11, P < .05). Based on the multiple linear regression, knowledge and skills (β = -0.20, P = .02) and risks of the post (β=0.20, P < .01) both significantly related to SCL-90 total score.In conclusion, knowledge and skills and risks of the post associated with mental health of clinical nurses. The sustainable development of nursing post responsibility requires healthy physiological and mental health.
- Published
- 2020
- Full Text
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10. Hemodialysis interval and its association with emergency care and mortality: A nationwide population-based cohort study.
- Author
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Chien CW, Huang CJ, Chao ZH, Huang SK, Chen PE, and Tung TH
- Subjects
- Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Taiwan, Time Factors, Emergency Medical Services, Kidney Failure, Chronic mortality, Kidney Failure, Chronic therapy, Renal Dialysis methods
- Abstract
End-stage renal disease (ESRD) incidence in Taiwan is highest worldwide. This study analyzed the relationship between health resource use and patients on hemodialysis (HD) asking for medical help as well as the outcomes in Taiwan.This was a retrospective cohort study that analyzed the medical data of patients on dialysis, which were collected from the National Health Insurance Database of Taiwan for the period 2000 to 2010. The study sample was screened out, and new patients starting HD from 2001 to 2005 were considered.The daily distribution of patients with ESRD in the Monday, Wednesday, and Friday (MWF) and Tuesday, Thursday, and Saturday (TTS) groups who underwent emergent HD showed remarkable person-time on Monday and Tuesday, respectively. The disease (complication) distribution in the MWF group was higher than that in the TTS group, and the statistics of heart-failure-associated diseases were significantly different. Considering 5-year survival status, the mortality rate of patients with HD was 21.94% (255 of 1162), among which those with a history of cerebrovascular disease and diabetes were 68.63% and 72.16%, respectively.Long interdialytic intervals may induce emergency dialysis. Therefore, the frequency of emergent HD therapy has increased (thrice a week), as predicted in the current HD policy.
- Published
- 2019
- Full Text
- View/download PDF
11. Different treatments for acute myocardial infarction patients via outpatient clinics and emergency department.
- Author
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Chien CW, Wang CH, Chao ZH, Huang SK, Chen PE, and Tung TH
- Subjects
- Adult, Aged, Female, Humans, Male, Middle Aged, Myocardial Infarction mortality, Retrospective Studies, Risk Factors, Time Factors, Ambulatory Care Facilities, Emergency Service, Hospital, Myocardial Infarction therapy
- Abstract
To investigate relevant factors and patients with acute myocardial infarction (AMI) were admitted during between weekdays and weekends period.Retrospective population-based study setting: from the 2005 population-based national health insurance underwriting database of millions of people, random sampling (National Health Insurance Research Database [NHIRD]-Longitudinal Health Insurance Database [LHID] 2005).In 2000 to 2009 data of NHIRD, subjects presented with first episode AMI who had received the thrombolytic therapy (TPA), or percutaneous coronary artery intervention (PTCA) or coronary artery bypass graft (CABG) during between weekdays and weekends period.From 2000 to 2009 among patients with first AMI total of 2007 people, the weekday group 1453 people, the weekend group 554. The total mortality within 1 year showed 33.53%, the first-day mortality occupied 8.07% in 1 year of total mortality, increased mortality after admission 3 months later. Cox regression analysis showed that AMI has presented significant risk of death, there are 4 items: weekends, age, Charlson comorbidity index (CCI), thrombolytic therapy; in the other variables including emergency, hospital level, hospital ownership, and urban-rural gap are not significant differences. Further using hierarchical logistic regression analysis for Stratification of AMI mortality risk, it has significant that showed the hospital level, age, CCI, thrombolytic therapy; but emergency, PTCA and 3 CABG treatment are not significant differences.It was approved by the hierarchical logistic regression analysis after stratified correction that the present study will have a direct impact on weekdays and weekends death in the hospital level. It will also affect the individual level.
- Published
- 2019
- Full Text
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12. Measurement properties of fine motor scale of Peabody developmental motor scales-second edition: a Rasch analysis.
- Author
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Chien CW and Bond TG
- Subjects
- Child, Preschool, Developmental Disabilities diagnosis, Female, Humans, Infant, Male, Reference Values, Child Development, Disability Evaluation, Motor Skills Disorders diagnosis
- Abstract
Objective: To investigate the measurement properties (including rating scale performance, unidimensionality, and differential item functioning) of the fine motor scale of the Peabody Developmental Motor Scales-Second Edition in children, by using the Rasch analysis., Design: A total of 419 children (including 342 typically developing children and 77 children with fine motor delays or difficulties) were recruited in Taiwan for this prospective study. Each child was evaluated with the Peabody Developmental Motor Scales-Second Edition that consists of 26-item grasping and 72-item visual-motor integration subtests. Partial credit Rasch analysis was used for all analyses., Results: The Rasch analysis indicated that middle rating category for 19 grasping and 52 visual-motor integration items could be collapsed to allow only dichotomous response categories. Item fit analysis and principal component analysis suggested that the unidimensionality of the grasping and visual-motor integration subtests could be achieved after removal of two grasping and eight visual-motor integration misfitting items. All but 13 items in the composite scale could form a unidimensional construct of overall fine motor ability. Furthermore, only a few items were found to show differential item functioning across sex (ten items) or fine motor status (seven items). However, significant ceiling effects were found in the Peabody Developmental Motor Scales-Second Edition subtests and composite scale when applied to these typically developing children., Conclusions: Our results suggest grounds for the revision of the Peabody Developmental Motor Scales-Second Edition in a subsequent edition. Simplifying the rating scales and reducing the misfitting items in the subtests and composite scales might result in a unidimensional assessment of children's fine motor ability. Clinicians and researchers could use the reduced Peabody Developmental Motor Scales-Second Edition as a criterion-referenced outcome measure to document changes; however, further work is needed to reduce the ceiling effects.
- Published
- 2009
- Full Text
- View/download PDF
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