A5017995515- Innovations in Medical Education
- Liver Disease Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
- Liver Disease and Transplantation
- Medical Education and Admissions
- Simulation-Based Education in Healthcare
- Bone health and osteoporosis research
- Empathy and Medical Education
- Adipose Tissue and Metabolism
- Interprofessional Education and Collaboration
- Diet, Metabolism, and Disease
- Global Health Workforce Issues
- Peroxisome Proliferator-Activated Receptors
- Ferroelectric and Negative Capacitance Devices
- Radiology practices and education
- Health Systems, Economic Evaluations, Quality of Life
- Semiconductor materials and devices
- Ferroelectric and Piezoelectric Materials
- Patient-Provider Communication in Healthcare
- COVID-19 and Mental Health
- Surgical Simulation and Training
- Pituitary Gland Disorders and Treatments
- Drug-Induced Hepatotoxicity and Protection
- Musculoskeletal pain and rehabilitation
- Reliability and Agreement in Measurement
Taipei Veterans General Hospital
2015-2024
National Yang Ming Chiao Tung University
2015-2024
University of Taipei
2007-2022
Weatherford College
2020-2022
National Yang Ming University Hospital
2015-2021
National Taipei University
2017-2020
Taipei Institute of Pathology
2018-2020
Faculty (United Kingdom)
2020
Ability Development Training Center
2020
Deleted Institution
2020
Virtual reality (VR)-based simulation in hospital settings facilitates the acquisition of skills without compromising patient safety. Despite regular text-based training, a baseline survey randomly selected healthcare providers revealed deficiencies their knowledge, confidence, comfort, and care regarding tracheostomy. This prospective pre-post study compared effectiveness text- VR-based intervention modules training providers' self-efficacy tracheostomy skills.Between January 2018 2020, 60...
Purpose: Senior nursing and medical interns’ lack of familiarity confidence with respect to practicing universal precaution for the prevention occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported injury rate was known be especially high during first 2 months internship in Taiwan. This prospective cohort study aimed assess effect newly developed virtual reality (VR) game, which uses Gagne’s learning model improve decrease rates needle stick new-coming...
In obesity, there are no effective therapies for parallel immune and metabolic abnormalities, including systemic/tissue insulin-resistance/inflammation, adiposity hepatic steatosis. Caffeine has anti-inflammation, antihepatic steatosis, anti-insulin resistance effects. this study, we evaluated the effects molecular mechanisms of 6 wk caffeine treatment (HFD-caf) on immunological abnormalities high-fat diet (HFD)-induced obese rats. Compared with HFD vehicle (HFD-V) rats, in HFD-caf rats...
Objectives Inter-professional education (IPE) builds inter-professional collaboration (IPC) attitude/skills of health professionals. This interventional IPE programme evaluates whether benchmarking sharing can successfully cultivate seed instructors responsible for improving their team members’ IPC attitudes. Design Prospective, pre-post comparative cross-sectional pilot study. Setting/participants Thirty four physicians, 30 nurses and 24 pharmacists, who volunteered to be trained as...
Background: Reversal of alcohol-induced peroxisome proliferator-activated receptor (PPAR) α (PPARα) and PPARδ dysfunction has been reported to decrease the severity alcoholic steatohepatitis (ASH). Autophagy is essential for cell survival tissue energy homeostasis. Emerging evidence indicates that adipose (AT) autophagy contributes injury in intestine, liver, AT ASH. Methods: The effects mechanisms dual PPARα/δ agonist elafibranor on stimulation were investigated using mice with Results:...
To avoid the negative impacts of COVID-19 pandemic on clinical clerkship, supplemental teachings such as digital materials in scenario-based distal simulations were implemented. This study utilized OSCE (objective-structured examination) to evaluate impact learning outcome medical students from regular group (class 2020) and pandemic-impacted 2021). All serially took, firstly, mock-OSCE, secondly, national OSCE. Then, serial scores compared between groups. Although with similar first mock...
Background: Cirrhosis-related acute-on-chronic liver failure (ACLF) is associated with high morbidity and mortality rates. Prognostic models of ACLF have been developed; however, few studies focused on the occurrence ACLF. This study aimed to identify factors that predict development ACLF, hepatic encephalopathy (HE), infection in patients cirrhosis. Methods: Patients cirrhosis were enrolled, serum levels calcitriol, Cluster Differentiation 26 (CD206), macrophage-inducible lectin receptor...
Background: Most residents-as-teachers (RaT) programs are delivered over days to weeks without comprehensive evaluation, and stepwise approaches have rarely been applied RaT activities. This study aimed depict the implementation experience evaluate effectiveness of a novel longitudinal 3-year, program. Methods: The program included three once yearly face-to-face courses according different teaching roles residents. To new program, we designed randomized controlled for first-year residents...
Identification of new pharmacological approaches to inhibit the excessive fat intake-induced steatohepatitis and chronic kidney disease (CKD) is important. High-fat diet (HFD)-induced CKD share common pathogenesis involving peroxisome proliferator-activated receptor (PPAR)- α - δ . Elafibranor, a dual PPAR / agonist, can ameliorate HFD-induced steatohepatitis. Nonetheless, effects had not yet explored. This study investigated elafibranor (elaf) on progression in mice. In vivo vitro renal...
Residents play an important role as teachers of junior colleagues and medical students. Clinical teaching also helps residents in clinical learning. However, the skills required for to be competent are rarely described systemically. Beyond widely adopted six core competencies postgraduate training by Accreditation Council Graduate Medical Education (ACGME), should further developed, milestones clearly defined serve better references resident programs. Twenty members, including five experts...
Background: Objective Structural Clinical Examination (OSCE) usually needs a large number of stations with long test time, which exceeds the resources available in medical center.We aimed to determine reliability combination Direct Observation Procedural Skills (DOPS), Internal Medicine in-Training (IM-ITE Ò ) and OSCE, verify correlation between small-scale OSCE+DOPS+IM-ITE -composited scores 360-degree evaluation first year post-graduate (PGY 1 residents.Methods: Between 2007 January 2010...
Pentraxin-3 (PTX3) and soluble tumor necrosis factor (TNF)-like weak inducer of apoptosis (sTWEAK) are new candidate prognostic markers for comorbidities mortality in various inflammatory diseases. Acute decompensation cirrhosis is characterized by acute exacerbation chronic systemic inflammation. Recently, increased circulating PTX3 levels have been reported nonalcoholic steatohepatitis patients positively correlated with disease severity. This study aims to explore serum PTX3/sTWEAK their...
Clinical competency certifications are important parts of internal medicine residency training. This study aims to evaluate a composite objective structured clinical examination (OSCE) that assesses postgraduate year-1 (PGY(1)) residents' acquisition the six core competencies defined by Accreditation council for Graduate Medical Education (ACGME).Six-core-competency-based OSCE was used as performance 192 PGY(1) residents during their 3-month training between 2007 January and 2009 December....
Background and Aims By blocking TNFα-related effects, thalidomide not only inhibits hepatic fibrogenesis but improves peripheral vasodilatation portal hypertension in cirrhotic rats. Nonetheless, the investigation of thalidomide's effects on splanchnic collateral microcirculation has been limited. Our study explored roles intestinal mesenteric TNFα along with inflammasome-related pathway relation to cirrhosis splanchnic/collateral microcirculation. Methods Using vivo vitro approaches,...
Bacterial translocation (BT) and splenomegaly contribute to cirrhosis-associated immune dysfunction (CAID) including T cell depletion, infection, chronic inflammation. β-blockers have been reported decrease BT improve splenomegaly. This study explores the modulation of β1 β2 adrenergic receptors (ADRB1/ADRB2) by propranolol treatment on peripheral splenic cirrhotic mice. In vivo experiments were performed in bile duct ligation (BDL)- thioacetamide (TAA)-cirrhotic mice receiving two weeks...