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56 results on '"Hung, Hung-Chang"'

52. Chest compression fraction in ambulance while transporting patients with out-of-hospital cardiac arrest to the hospital in rural Taiwan

Author

Hung, Shih-Chang, Mou, Ching-Yi, Hung, Hung-Chang, Lin, I-Hsiang, Lai, Shih-Wei, and Huang, Jack YinChun

Abstract

IntroductionMaintaining the standard two-handed chest compression is difficult in high-speed ambulances in rural areas.MethodsA retrospective, video-based, observational study was conducted from June to September 2013 in Nantou, a rural county of central Taiwan, to evaluate the chest compression fraction in an ambulance carriage during the travel from the scene to the hospital. The chest compression fraction was calculated as the chest compression time period divided by the ambulance travelling time period; the one-handed and two-handed chest compression fractions were also calculated.ResultsDuring the 4-month study period, a total of 102 videos that were recorded in an ambulance carriage were reviewed, including 97 cases of manual chest compressions. When there was only one emergency medical technician (EMT) in the carriage, the combined chest compression fraction was 50.6±20.7%; when there were two EMTs, the fraction was 58.3±16.0% and the fraction was 58.3±21.0% in a three-EMT scenario (p=0.221). Moreover, in the carriage, EMTs usually performed one-handed chest compressions.ConclusionsThe chest compression fraction was low for patients with out-of-hospital cardiac arrest in a moving ambulance, irrespective of the number of providers. Reasons for this observation, as well as the effectiveness of the one-handed chest compression require further evaluation.

Published
2017
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53. Intraocular Pressure-Lowering Effect of Auricular Acupressure in Patients with Glaucoma: A Prospective, Single-Blinded, Randomized Controlled Trial

Author

Her, Jiann-Shyan, primary, Liu, Po-Len, additional, Cheng, Neng-Chin, additional, Hung, Hung-Chang, additional, Huang, Po-Hsun, additional, Chen, Yuh-Lien, additional, Lin, Chih-Pei, additional, Lee, Chao-Hsin, additional, Chiu, Chun-Chien, additional, Yu, Jung-Sheng, additional, Wang, Hong-Song, additional, Lee, Yuan-Ju, additional, Shen, Jui-Lung, additional, Chen, Wen-Chi, additional, and Chen, Yung-Hsiang, additional

Published
2010
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56. Retrospective evaluation of infective endocarditis over ten years in Taiwan.

Author

Hung HC, Chen SC, Chan KC, Tsui TL, Tsao SM, Leel YT, and Wu DJ

Subjects
Adult, Aged, Aged, 80 and over, Echocardiography, Endocarditis, Bacterial complications, Endocarditis, Bacterial therapy, Female, Gram-Negative Bacterial Infections complications, Gram-Negative Bacterial Infections microbiology, Gram-Negative Bacterial Infections therapy, Gram-Positive Bacterial Infections complications, Gram-Positive Bacterial Infections microbiology, Gram-Positive Bacterial Infections therapy, Hospital Mortality, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Staphylococcal Infections complications, Staphylococcal Infections therapy, Streptococcal Infections complications, Streptococcal Infections therapy, Substance Abuse, Intravenous complications, Taiwan, Treatment Outcome, Endocarditis, Bacterial microbiology, Staphylococcal Infections microbiology, Streptococcal Infections microbiology
Abstract

Background and Aim of the Study: The echocardiographic findings, microbiological profiles, risk factors for mortality, and outcomes of intravenous drug (IVD) users and non-users with infective endocarditis (IE) in Taiwan were evaluated., Methods: In this retrospective study, the charts of IVD users and non-users who were treated for IE between January 1999 and December 2009 in a hospital in Taiwan were reviewed., Results: A total of 108 patients (including 26 IVD users) with definite diagnoses of IE according to the modified Duke criteria were enrolled in the study. Typically, IVD users were significantly more likely to be infected with Staphylococcus aureus (p < 0.001). A greater proportion of IVD users had higher levels of hemoglobin (84.6% versus 62.2%; p = 0.033) and a lower percentage had high platelet counts (42.3% versus 73.2%; p = 0.004) when compared to non-users. A higher percentage of IVD users had hepatitis C compared to non-users (73.1% versus 11%; p < 0.001). Most non-users had vegetations in the mitral and aortic valves (40/74; 54.1% and 35/74; 47.3%, respectively), whereas IVD users had significantly more vegetations in the tricuspid valve (10/18; 55.6%). The overall in-hospital mortality rate was 33.3% (36/108), but the rate for IVD users (11.5%; 3/26) was significantly lower than that for non-users (40.2%; 33/82) (p = 0.007). Multivariate analysis showed that age > 40 years and serum creatinine level > or = 1.2 mg/dl were significantly associated with higher mortality [odds ratios (ORs) 1.06 and 7.49, respectively; p < 0.001 for both]. When the entire patient group was analyzed, a significantly better survival was associated with IVD use and surgical intervention (ORs 0.19 and 0.11; p = 0.012 and 0.011, respectively)., Conclusion: The clinical features, microbiological spectra and outcomes of IVD users with IE were different from those of non-users. Among all patients, a higher age and elevated serum creatinine levels were significant risk factors for mortality, whereas IVD use and surgical intervention were associated with higher rates of survival.

Published
2013

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