A5018343462- Cardiac Arrest and Resuscitation
- Ultrasound in Clinical Applications
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Thermal Regulation in Medicine
- Hemodynamic Monitoring and Therapy
- Prenatal Screening and Diagnostics
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare Policy and Management
- Appendicitis Diagnosis and Management
- Trauma and Emergency Care Studies
- Lipoproteins and Cardiovascular Health
- Healthcare Systems and Technology
- COVID-19 diagnosis using AI
- Substance Abuse Treatment and Outcomes
- Urologic and reproductive health conditions
- Poisoning and overdose treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Cancer Genomics and Diagnostics
- Machine Learning in Healthcare
- Forensic Toxicology and Drug Analysis
- Alcohol Consumption and Health Effects
- Anesthesia and Pain Management
- Radiation Dose and Imaging
- Hospital Admissions and Outcomes
National Taiwan University Hospital
2019-2023
National Taiwan University
2021-2022
Sibu Hospital
2017-2018
California NanoSystems Institute
2017
University of California, Los Angeles
2017
University of Rochester
2016
Objectives Emergency department (ED) revisits had traditionally been used as a quality indicator, but focused more on the same hospital revisit (SHRV). Our study investigated 72-hour ED SHRV and different (DHRV), explored predictors of DHRV. Methods were analyzed using Taiwan’s National Health Insurance Research Database that contained one-third patient records from 2012 to 2013. Rates DHRV calculated compared among levels accreditation. Linear regression analyses measure correlation between...
Circulating fetal nucleated cells (CFNCs) in maternal blood offer an ideal source of genomic DNA for noninvasive prenatal diagnostics (NIPD). We developed a class nanoVelcro microchips to effectively enrich subcategory CFNCs, i.e., circulating trophoblasts (cTBs) from blood, which can then be isolated with single-cell resolution by laser capture microdissection (LCM) technique downstream genetic testing. first established nanoimprinting fabrication process prepare the LCM-compatible...
The effects of early integration point-of-care ultrasound (PoCUS) into patient care are uncertain. This study aims to investigate the PoCUS on patients with acute flank pain.Adult non-traumatic pain receiving were enrolled. Expert physicians reviewed medical records and made "final diagnosis" for cause pain. primary outcome was relationship between door (US) time length stay (LOS). secondary outcomes included sensitivity, specificity, positive predictive value (PPV), negative (NPV)...
Emergency department (ED) revisits are traditionally used to measure potential lapses in emergency care. However, recent studies on in-hospital outcomes following ED have begun challenge this notion. We aimed examine inpatient and resource use among patients who were hospitalized a return visit the using national database.This was retrospective cohort study National Health Insurance Research Database Taiwan. One-third of visits from 2012-2013 randomly selected their subsequent...
Background: Little is known about the risk of in-hospital cardiac arrest (IHCA) among patients with sepsis. We aimed to characterize incidence and outcome IHCA sepsis in a national database. then determined major factors associated patients. Methods: used data from population-based cohort study based on National Health Insurance Research Database Taiwan (NHRID) between 2000 2013. Martin's implementation that combined explicit ICD-9 CM codes for six organ dysfunction categories. was...
This study aims to investigate the effects of point-of-care ultrasound (PoCUS) on length stay (LOS) and mortality in hemodynamically stable patients with chest pain/dyspnea.The prospective was conducted from June 2020 May 2021. A convenience sample adult non-traumatic pain/dyspnea included evaluated by PoCUS. The primary outcome relationship between door-to-PoCUS time LOS/mortality categorized ST-segment elevation (STE) non-STE initial electrocardiogram. diagnostic accuracy PoCUS computed,...
To the Editor,New psychoactive substances (NPSs) are evolving rapidly. Since Asia is an important source of NPS globally [1], it to understand abuse trend in Asia. Synthetic ca...
Appropriate triage in patients presenting to the emergency department (ED) is often challenging. Little known about role of physician gestalt ED triage. We aimed compare accuracy against currently used computerized process.We conducted a prospective observational study at an academic medical center. Adult aged ≥20 years were included and underwent standard protocol. The system-based using software Taiwan Triage Acuity Scale. entire process was recorded, data collected. Five raters provided...
Introduction: Research suggests that pain assessment involves a complex interaction between patients and clinicians. We sought to assess the agreement scores reported by themselves clinician’s perception of patient’s in emergency department (ED). In addition, we attempted identify patient physician factors lead greater discrepancies assessment. Methods: conducted prospective observational study ED tertiary academic medical center. Using standard protocol, trained research personnel...
Introduction: Although factors related to a return visit the emergency department (ED) have been reported, only few studies examined “high-risk” ED revisits with serious adverse outcomes. In this study we aimed describe incidence and trend of high-risk in United States EDs investigate associated these revisits. Methods: We obtained data from National Hospital Ambulatory Medical Care Survey (NHAMCS), 2010–2018. Adult within 72 hours previous discharge were identified using mark on patient...
Protocolized postarrest care that includes targeted temperature management (TTM) improves survival and neurological outcomes in cardiac arrest survivors. Whether the accumulated experience regarding use of protocolized approach also benefits patients who did not undergo TTM has yet to be investigated.Adults (≥18 years old) with nontraumatic survived intensive unit (ICU) admission were retrospectively recruited from a single tertiary medical centre 2006 2009 2011 2017. Patients excluded if...
Treatment of locally advanced penile squamous cell carcinoma (pSCC) remains highly controversial secondary to disease rarity and lack prospective randomized controlled trials. The current mainstays care are multi-modality treatment with neoadjuvant chemotherapy surgery. However, clinicians often have difficulty making recommendations for patients unable tolerate or surgery due scarcity data guide clinical decision-making. We report two cases pSCC that achieved complete remission after...
This work proposes a learning model to predict the outcome of electrical defibrillation from ECG signals in ventricular fibrillation (VF) periods, which is lethal situation happening when patient suffering cardiac arrest. An animal experiment rats conducted obtain and necessary information for this study. proposed only extracts one feature enjoys low computational complexity at both training testing stages. The statistics extracted single further analyzed, mathematical closed-form formulas...
Therapeutic window of CPR duration for target temperature management in OHCA survivorsObjectives: We investigated the cardiopulmonary resuscitation (CPR) effective (TTM) out-of-hospital cardiac arrest (OHCA) survivor. Methods:We conducted a retrospective analysis prospective multicenter registered data 1045 patients who had sustained return spontaneous circulation (ROSC) three academic emergency centers from June 2014 to August 2019.• No-flow time (NFT) and low-flow (LFT) were defined as...
Abstract Background: The retrospective study aimed to investigate the effect of point-of-care ultrasound (PoCUS) by a designated protocol for patients with abdominal distention. Methods: Non-traumatic adult distention were included at emergency department (ED) National Taiwan University Hospital between July 2015 and 2017. A sonographic scanning (FASK, focused assessment sonography in trauma plus renal US) was post-graduate year residency US training. primary outcome diagnostic accuracy FASK...
Background: Current prognostic indicators for patients following successful resuscitation were still limited. The risks of transportation and exposure to ionizing radiation must be weighed in these patients. We aims investigate sonographic optic nerve sheath diameter (ONSD) the ONSD/eyeball transverse (ETD) ratio predicting neurological recovery cardiac arrest (CA) survivors.Methods: enrolled adult nontraumatic CA survivors matched 4 healthy volunteers by age sex. ONSD ETD measured on days...