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Association of overtime work and obesity with needle stick and sharp injuries in medical practice

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World Journal of Clinical Cases 2021年第35期9卷 10937-10947页

作者： Yong-Hsin chen chih-jung Yeh Gwo-Ping Jong Department of Occupational Safety and Health Chung Shan Medical University HospitalTaichung 40201Taiwan Department of Public Health Chung Shan Medical UniversityTaichung 40201Taiwan Department of Internal Medicine Chung Shan Medical University Hospital and Chung Shan Medical UniversityTaichung 40201Taiwan

BACKGROUND Needle stick and sharps injuries(NSIs)may cause infections among medical *** and overtime work among medical personnel increase the incidence of work *** To investigate whether overtime work and obesity increase the risk of *** This cross-sectional study used the data of 847 hospital personnel,including 104 doctors,613 nurses,67 medical laboratory scientists,54 specialist technicians,and nine surgical *** them,29 participants notified the hospital of having at least one NSI in *** data collected included age,overtime work,body mass index,medical specialty such as doctor or nurse,and professional grade such as attending physician or ***χ2 and Fisher’s exact tests were used to compare categorical *** logistic regression analysis and the Sobel test were used to assess the risk of *** Overtime work,body weight,and medical specialty were significantly associated with NSIs(P<0.05).After adjustment for risk factors,heavy overtime work was an independent risk factor for NSIs,and healthy body weight and nursing specialty were independent protective factors against *** adjustment for risk factors,medical personnel with healthy body weight has half as many NSIs as those with unhealthy body weight;the proportion of NSIs in doctors with healthy body weight was 0.2 times that in doctors with unhealthy body weight;the proportion of injuries among residents was 17.3 times higher than that among attending physicians;the proportion of injuries among junior nurses was 3.9 times higher than that among experienced nurses;the proportion of injuries among nurses with heavy overtime work was 6.6 times higher than that among nurses with mild overtime work;and the proportion of injuries among residents was 19.5 times higher than that among junior *** overtime work mediated the association of medical specialty with *** In addition to promoting the use of safety needles and pr

关键词： Medical staff Needle stick and sharps injuries Overtime work Healthy body weight Obesity

Characteristics and prognosis of small bowel tumors:A retrospective study

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World Journal of Clinical Cases 2024年第34期12卷 6696-6704页

作者： Fang-chen Liu Ching-Hsiang Wang Peng-Jen chen Yu-Lueng Shih Hsuan-Hwai Lin jung-Chun Lin Wei-Kuo Chang Tsai-Yuan Hsieh Gen-Min Lin Tien-Yu Huang Division of Gastroenterology Department of Internal MedicineTri-Service General HospitalNational Defense Medical CenterTaipei 11490Taiwan Department of Internal Medicine Taoyuan Armed Forces General HospitalTaoyuan 325208Taiwan Department of Medicine Tri-Service General Hospital and National Defense Medical CenterTaipei 114Taiwan Department of Medicine Hualien Armed Forces General HospitalHualien 970Taiwan Taiwan Association for the Study of Small Intestinal Diseases Taoyuan 33305Taiwan

BACKGROUND Small bowel tumors(SBTs)are a heterogeneous group of difficult-to-diagnose tumors that account for 2%-5%of all gastrointestinal ***-balloon enteroscopy greatly enhances the diagnosis and treatment of ***,few epidemiological studies have been conducted in Taiwan to determine the clinical profile of *** To investigate the clinical characteristics,managements and prognosis of SBTs in a medical center in *** The study enrolled 51 patients aged 58.9±8.8 years(range,22-93)diagnosed with SBTs from November 2009 to July *** retrospectively recorded clinical characteristics,indications,endoscopic findings,pathological results,management,and outcomes for further *** A male preponderance was observed(56.8%).The most common indications were suspected small intestinal tumors(52.9%)and obscure gastrointestinal bleeding(39.2%).The most common tumor location was the ileum(41.2%).The performance of imaging studies(P=0.004)and the types of findings(P=0.005)differed significantly between malignant and benign *** most frequent imaging finding was a small intestinal mass(43.1%).The top three malignant tumor types were gastrointestinal stromal tumors(GISTs),adenocarcinomas,and ***,the proportions of benign and malignant tumors were 27.5%and 72.5%,*** survival rates of patients with malignant tumors in the GIST and non-GIST groups differed significantly(P=0.015).Kaplan–Meier survival analysis showed a significant difference in survival between patients in the malignant and benign groups(P=0.04).All patients with lymphoma underwent chemotherapy(n=7/8,87.5%),whereas most patients with GISTs underwent surgery(n=13/14,92.8%).CONCLUSION Patients with GISTs have a significantly higher survival rate than those with other malignant ***,a large-scale nationwide study is warranted to evaluate the population-based epidemiology of SBTs.

关键词： Gastrointestinal bleeding Intestinal neoplasms Single-balloon enteroscopy,survival rate

Identifying timing and risk factors for early recurrence of resectable rectal cancer: A single center retrospective study

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World Journal of Gastrointestinal Surgery 2024年第9期16卷 2842-2852页

作者： Tsung-jung Tsai Kai-Jyun Syu Xuan-Yuan Huang Yu Shih Liu Chang-Wei chen Yen-Hang Wu Ching-Min Lin Yu-Yao Chang Division of Colon and Rectal Surgery Department of SurgeryChanghua Christian HospitalChanghua 50006TaiwanChina Department of Surgery Changhua Christian HospitalChanghua 50006TaiwanChina Department of Post-Baccalaureate Medicine College of MedicineNational Chung Hsing UniversityTaichung 402202TaiwanChina

BACKGROUND Colorectal cancer is a common malignancy and various methods have been introduced to decrease the possibility of *** recurrence(ER)is related to worse *** date,few observational studies have reported on the analysis of rectal ***,we reported on the timing and risk factors for the ER of resectable rectal cancer at our *** To analyze a cohort of patients with local and/or distant recurrence following the radical resection of the primary *** Data were retrospectively collected from the institutional database from March 2011 to January *** data at diagnosis,perioperative and postoperative data,and first recurrence were collected and *** was defined via receiver operating characteristic *** factors were evaluated using the Kaplan–Meier method and Cox proportional hazards *** We included 131 *** optimal cut off value of recurrence-free survival(RFS)to differentiate between ER(n=55,41.9%)and late recurrence(LR)(n=76,58.1%)was 8 *** median post-recurrence survival(PRS)of ER and LR was 1.4 mo and 2.9 mo,respectively(P=0.008)but PRS was not strongly associated with RFS(R^(2)=0.04).Risk factors included age≥70 years[hazard ratio(HR)=1.752,P=0.047],preoperative concurrent chemoradiotherapy(HR=3.683,P9 d(HR=0.441,P=0.006).CONCLUSION RFS of 8 mo was the optimal cut-off *** ER was not associated with PRS,it was still related to prognosis;thus,intense surveillance is recommended.

关键词： Rectal cancer Early recurrence Prognosis Post-recurrence survival

Is burnout a mediating factor between sharps injury and workrelated factors or musculoskeletal pain?

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World Journal of Clinical Cases 2021年第25期9卷 7391-7404页

作者： Yong-Hsin chen Chin-Feng Tsai chih-jung Yeh Gwo-Ping Jong Department of Public Health Chung Shan Medical UniversityTaichung 40201Taiwan Department of Occupational Safety and Health Chung Shan Medical University HospitalTaichung 40201Taiwan Division of Cardiology Department of Internal MedicineChung Shan Medical University HospitalTaichung 40201Taiwan School of Medicine Chung Shan Medical UniversityTaichung 40201Taiwan Department of Internal Medicine Chung Shan Medical University Hospital and Chung Shan Medical UniversityTaichung 40201Taiwan

BACKGROUND Burnout,musculoskeletal pain,and sharps injuries(SIs)affect medical *** To establish a model between SIs,burnout,and the risk factors to assess the extent to which burnout affects *** This questionnaire was used for an observational and cross-sectional study,which was based on members at a hospital affiliated with a medical university in Taichung,Taiwan,in *** valid responses constituted 68.5%(1734 of 2531).The items were drawn from the Nordic Musculoskeletal Questionnaire and Copenhagen burnout inventory and concerned work experience,occupational category,presence of chronic diseases,sleep duration,overtime work,and work *** analysis,chi-square test,Fisher exact test,Multiple linear,logistic regression and Sobel test were *** present analyses were performed using SAS Enterprise Guide 6.1 software(SAS Institute Inc.,Cary,NC,United States),and significance was set at P Q3) and highwork-related burnout (> Q3) mediated the relationship between SIs and frequentlower limb pain. Similarly, frequent lower limb pain mediated the relationship ofSIs with high personal and high work-related burnout. High personal and highwork-related burnout mediated the relationships of SIs with overtime work andirregular shift work. The mediating model provides strong evidence of anassociation between mental health and *** was determined to contribute to SIs occurrence;specifically, it mediatedthe relationships of SIs with frequent musculoskeletal pain, overtime work, andirregular shift work.

关键词： Personal burnout Work-related burnout Sharps injuries Musculoskeletal pain Mediating factor Overtime work

Monitoring of PON System Using Compound Surveillance Technique

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Journal of Electronic Science and Technology 2015年第2期13卷 169-173页

作者： Sun-Chien Ko Hsiu-jung Chuang Si-Chong chen chih-Yih Wang Sheng-Fwu Lin Telecommunication Laboratories Chunghwa Telecom Co.Ltd.

A passive optical network（PON） monitoring system combined light pulse and frequency sweep techniques is proposed and verified in a field test. The light pulse surveys over the all whole network and the frequency sweep are used to investigate any fault in the link. The field test is performed with 4 PONs. Each PON is monitored at 4 ports, one is the splitter port and the other three are arbitrary chosen multiple optical units（ONUs）. All the tested PONs are monitored in turns once per hour. Faults at the feeder and branch fiber have been observed in this field test and have been analyzed with the monitoring system.

关键词： verified arbitrary monitored splitter branch chosen reflective turns restoration realistic

In vivo expression of thrombospondin-1 suppresses the formation of peritoneal adhesion in rats

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World Journal of Gastrointestinal Surgery 2019年第2期11卷 85-92页

作者： Yun-Sheng Tai I-Ming Jou Yun-chih jung Chao-Liang Wu Ai-Li Shiau chih-Yi chen Institute of Medicine Chung Shan Medical University Department of Surgery EDa Hospital I-Shou University College of Medicine Department of Orthopedics EDa Hospital Department of Pathology Sinlau Christian Hospital Department of Biochemistry National Cheng Kung University Medical College Department of Microbiology and Immunology National Cheng Kung University Medical College

BACKGROUND Formation of intraperitoneal adhesions is one of the major complications after abdominal surgery, which may lead to bowel obstruction. Thrombospondin 1(TSP-1) is an extracellular matrix modulating glycoprotein during tissue regeneration and collagen *** To evaluated the therapeutic potential of overexpressed TSP-1 in suppressing pelvic adhesion formations in rat *** Pelvic adhesion was induced in anesthetized rats by laparotomy cecal *** animals were randomly assigned to treatment of local application with Seprafilm(an antiadhesive bioresorbable membrane) or adenoviral vectors encoding mouse TSP-1(AdTSP-1) on the surfaces of the injured cecum. The severity of the peritoneal adhesions was evaluated by blinded observers 14 d *** Compared with control(no treatment) group, the application of Sperafilm significantly reduced the formation of adhesion band, and local administration of AdTSP-1 on the injured cecum the also attenuated the severity of peritoneal adhesion score. However, systemic delivery of AdTSP-1 did not affect the formation of *** We conclude that therapeutic approaches in inducing regional overexpression of TSP-1 may serve as alternative treatment strategies for preventing postoperative peritoneal adhesion.

关键词： Intraperitoneal adhesions Thrombospondin 1 Rat model

Extended central hepatectomy with preservation of segment 6 for patients with centrally located hepatocellular carcinoma

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Hepatobiliary & Pancreatic Diseases International 2015年第1期14卷 63-68页

作者： Mahmoud Abdelwahab Ali jung-Fang Chuang Chee-Chien Yong chih-Chi Wang Chi-Ying Lin Chao-Long chen Division of General Surgery Department of SurgeryKaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Department of Surgery PingT ung Christian Hospital

BACKGROUND： In order to preserve functional liver parenchyma, extended central hepatectomy （segments 4, 5, 7 and 8 resection） was proposed for the management of centrally located hepatocellular carcinoma invading the right and middle hepatic veins, reconstructing segment 6 outflow in the absence of the thick inferior right hepatic vein. The present study was to describe our surgical techniques of extended central ***： Between 2008 and 2012, 5 patients with centrally located hepatocellular carcinoma invading or in the vicinity of the right and middle hepatic veins underwent extended central hepatectomy. The thick inferior right hepatic vein was preserved during dissection. Gore-Tex graft was used for segment 6 outflow reconstruction in the absence of the thick inferior right hepatic ***： The mean future remnant liver volume for segments 2 and 3 was 28% versus 45% on segment 6 preservation. The mean tumor diameter was 7.4 cm. The thick inferior right hepatic vein was found in 1 patient. Outflow reconstruction from segment 6 was performed in 4 patients. Postoperative complications included bile leakage （1 patient）, pleural effusion （2） and liver failure （1）. The rate of graft patency was 75%. There was no perioperative ***： Extended central hepatectomy is a safe alternative for extended hepatic resection in selected patients attempting to preserve the functional liver parenchyma.

关键词： hepatectomy hepatic vein thrombosis hepatocellular carcinoma liver cirrhosis liver imaging

Tendency to Avoid Physical Activity and Sport:Associations with Weight Stigma,and Psychological Distress in a Two-Wave Longitudinal Study

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International Journal of Mental Health Promotion 2024年第8期26卷 633-641页

作者： Saffari Mohsen Yi-Ching Lin Po-Ching Huang Yu-Ting Huang Ru-Yi Huang Chi Hsien Huang jung-Sheng chen Wai Chuen Poon Mark D.Griffiths Chung-Ying Lin Health Research Center Life Style InstituteBaqiyatallah University of Medical SciencesTehran***Iran Health Education Department Faculty of HealthBaqiyatallah University of Medical SciencesTehran***Iran Department of Early Childhood and Family Education National Taipei University of EducationTaipei106TaiwanChina School of Physical Therapy Graduate Institute of Rehabilitation ScienceCollege of MedicineChang Gung UniversityTaoyuan333TaiwanChina Institute of Allied Health Sciences College of MedicineNational Cheng Kung UniversityTainan701TaiwanChina Division of Family Medicine Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical Foundationand School of MedicineTzu Chi UniversityHualienTaiwanChina Data Science Degree Program National Taiwan University and Academia SinicaTaipeiTaiwanChina Department of Family Medicine and Community Medicine E-Da HospitalI-Shou UniversityKaohsiung824TaiwanChina College of Medicine I-Shou UniversityKaohsiung840Taiwan Department of Medical Research E-Da HospitalI-Shou UniversityKaohsiung840TaiwanChina Sunway Business School Sunway UniversitySelangor47500Malaysia International Gaming Research Unit Psychology DepartmentNottingham Trent UniversityNottinghamNG14BUUK Department of Public Health College of MedicineNational Cheng Kung UniversityTainan701TaiwanChina Biostatistics Consulting Center National Cheng Kung University HospitalCollege of MedicineNational Cheng Kung UniversityTainan704TaiwanChina Department of Occupational Therapy College of MedicineNational Cheng Kung UniversityTainan701TaiwanChina

Background:Physical inactivity is a major public health problem worldwide that results in physical and mental health *** major issue for physical inactivity is weight stigma(WS),especially perceived WS,which could lead to a tendency to avoid physical activity(PA).To better understand the association between perceived WS and PA,knowledge of the likely mediators in this association such as weight bias internalization(WBI)and psychological distress were investigated in the present ***:Using a two-wave longitudinal study and convenient sampling,388 Taiwan residents participants(55%females;mean age=29.7 years[SD±6.3])completed two surveys six months *** mass index(BMI),Perceived Weight Stigma Scale(PWSS),Weight Bias Internalization Scale(WBIS),Depression,Anxiety,Stress Scale(DASS-21),and Tendency to Avoid Physical Activity and Sport Scale(TAPAS)were ***:A mediation model controlling for age,gender,and BMI with 5000 bootstrapping resamples was *** WS exerted significant direct effects on WBI(β=0.25;p<0.001),psychological distress(β=0.15;p=0.003),and tendency to avoid PA(β=0.10;p=0.027);WBI exerted a significant direct effect on tendency to avoid PA(β=0.47;p<0.001).Standardized indirect effects of WBI and psychological distress on the association between perceived WS and tendency to avoid PA were 0.12 and 0.01,***:Given the direct association of perceived WS on the tendency to avoid PA and the mediating role of WBI in this association,interventions addressing perceived WS and WBI may contribute to promoting ***,health interventionists(both when planning and executing PA programs)need to consider weight stigmawhen encouraging physical activity.

关键词： Mediation model physical activity psychological distress weight stigma young adults

Acute cytomegalovirus hepatitis in an immunocompetent patient:A case report

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World Journal of Clinical Cases 2022年第34期10卷 12605-12609页

作者： Jack P Wang Bou-Zenn Lin chih-Lin Lin Kuan-Yang chen Tsung-jung Lin Department of Gastroenterology Taipei City HospitalTaipei City 10629Taiwan University of Taipei Taipei City 10066Taiwan

BACKGROUND Cytomegalovirus(CMV)infection is usually subclinical and asymptomatic in the healthy population,whereas severe complications occur in immunocompromised *** SUMMARY In this case report,we described a rare case of acute CMV hepatitis in a 35-yearold male immunocompetent patient who presented with a history of week-long intermittent fever with nonspecific constitutional *** hepatitis was suspected according to the initial serological *** ruling out other etiologies,including viral hepatitis A,B,C,drug,alcohol,autoimmune,and Wilson disease,acute CMV hepatitis was diagnosed based on positive CMV IgM and DNA quantitative *** there was no any local acute hepatitis E reported in Taiwan,so hepatitis E was not *** patient recovered both clinically and serologically with symptomatic management and without antiviral therapy within 12 days from the onset of *** In conclusion,a diagnosis of CMV infection should be considered when nonspecific prodromal symptoms occur in acute hepatitis with an uncertain *** therapy should not be used in immunocompetent patient who had no decompensation of the liver,such as this *** available noninvasive tests for CMV can facilitate early diagnosis if used ***–benefit analysis is essential before using antiviral therapy in immunocompetent patients.

关键词： Cytomegalovirus Acute hepatitis Immunocompetent Case report