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Conservative management of chronic gastric volvulus:44 cases over 5 years

World Journal of Gastroenterology 2010年第33期16卷 4200-4205页

作者： Yao-Chun Hsu chin-lin perng Jai-Jen Tsai Hwai-Jeng lin Chun-Ku Chen Division of Gastroenterology Department of MedicineLotung Poh-Ai HospitalIlan 26546TaiwanChina Division of Gastroenterology Department of MedicineVeterans General Hospital-Taipeiand School of MedicineNational Yang-MingUniversityTaipei 11217TaiwanChina Depar tment of Radiology Veterans General Hospital-TaipeiTaipei 11217TaiwanChina Department of Medicine NationalYang-Ming University HospitalIlan 26042TaiwanChina Division of Gastroenterology Department of MedicineChanghuaChristian HospitalChanghua 50006TaiwanChina

AIM:To investigate clinical outcomes of patients with chronic gastric volvulus(GV)who were managed conservatively over a 5-year ***:A total of 44 consecutive patients with chronic GV,as diagnosed by barium study between October 2002 and July 2008 were *** of these patients received conservative management initially without anatomical *** clinical manifestations,diagnostic work-ups,and clinical outcomes were *** sought to identify independent risk factors for poor outcome by using the Cox proportional hazards ***:The enrolled patients were predominantly male(n=37,84%)and of advanced age(median: 71 years old,interquartile range:57.5-78 years).Abdominal pain and fullness were the most common *** the follow-up period(median:16 mo,up to 69 mo),there was no severe complication,but symptomatic recurrence was noted in 28 patients(64%).Only one patient turned to elective surgery for frequent *** adhesion was the only independent risk factor associated with recurrence(hazard ratio:2.58,95%CI:1.08-6.13,P=0.033).CONCLUSION:Symptomatic recurrence of chronic GV is very common although serious complications infrequently occur with conservative *** adhesion is independently associated with recurrence.

关键词： Conservative treatment Gastric volvulus Upper gastrointestinal tract Barium study Peritoneal adhesion

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Mucosal polymerase chain reaction for diagnosing Helicobacter pylori infection in patients with bleeding peptic ulcers

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World Journal of Gastroenterology 2005年第3期11卷 382-385页

作者： Hwai-Jeng lin Wen-ching Lo chin-lin perng Guan-Ying Tseng Anna Fen-Yau Li Yueh-Hsing Ou Division of Gastroenterology Chung-Hsiao Municipal Hospital I-Lan Hospital Ton-Yen General Hospital Department of Pathology Institute of Biotechnology in Medicine

AIM: Helicobacter pylori (H pylon) has been linked to chronic gastritis, peptic ulcers, gastric cancer and MALT-lymphoma. Conventional invasive tests are less sensitive than non-invasive tests in diagnosing H pylori infection in patients with bleeding peptic ulcers. Polymerase chain reaction is a sensitive and accurate method for diagnosing H pylori infection. The aim of this study was to evaluate the diagnostic role of mucosai polymerase chain reaction for H pylori infection in patients with bleeding peptic ulcers. METHODS: In patients with bleeding, non-bleeding peptic ulcers and chronic gastritis, we checked rapid urease test, histology, bacterial culture and mucosai polymerase chain reaction fordetecting H pylori infection. Positive H pylori infection was defined as positive culture or both a positive histology and a positive rapid urease test. For mucosai polymerase chain reaction of H pylori, we checked vacA (s1a, s1b, s1c, s2, m1, m1T, m2), iceA1, iceA2. and cag A. RESULTS: Between October 2000 and April 2002,88 patients with bleeding peptic ulcers (males/females: 60/28, gastric ulcers/duodenal ulcers: 55/33), 81 patients with non-bleeding peptic ulcers (males/females: 54/27, gastric ulcers/duodenal ulcers: 45/36) and 37 patients with chronic gastritis (males/ females: 24/13) were enrolled in this study. In patients with bleeding peptic ulcers, non-bleeding peptic ulcers and chronic gastritis, 45 patients (51%), 71 patients (88%) and 20 patients (54%) respectively were found to have positive H pylori infection (P<0.001). In patients with bleeding peptic ulcers, non-bleeding peptic ulcers and chronic gastritis, polymerase chain reaction for H pylori infection was positive in 54 patients (61%), 70 patients (86%) and 20 patients (54%) respectively (P<0.001). The sensitivity, positive predictive value and diagnostic accuracy of mucosai polymerase reaction for H pylori infection were significantly lower in patients with bleeding peptic ulcers (84%, 79% and 81%) th

关键词： Helicobacter pylori infection Bleeding peptic ulcers Mucosal polymerase chain reaction

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Backlit Keyboard Inspection Using Machine Vision

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Journal of Electronic Science and Technology 2015年第1期13卷 39-44页

作者： Der-Baau perng Hsiao-Wei Liu Po-An Chen Department of Applied Informatics and Multimedia the International College Asia University Industrial Technology Research Institute Aurotek Corporation

A robust system for backlit keyboard inspection is revealed. The backlit keyboard not only has changeable diverse colors but also has the laser marking keys. The keys on the keyboard can be divided into regions of function keys, normal keys, and number keys. However, there might have some types of defects： incorrect illuminating area, non-uniform illumination of specified inspection region（IR）, and incorrect luminance and intensity of individual key. Since the illumination features of backlit keyboard are too complex to inspect for human inspector in the production line, an auto-mated inspection system for the backlit keyboard is proposed in this paper. The system was designed into the operation module and inspection module. A set of image processing methods were developed for these defects inspection. Some experimental results demonstrate the robustness and effectiveness of the proposed system.

关键词： Backlit keyboard illumination defect inspection machine vision uniformity

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Perceptions about preventing hepatocellular carcinoma among patients with chronic hepatitis in Taiwan

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World Journal of Gastroenterology 2013年第22期19卷 3459-3465页

作者： Ya-Wen Chen Chien-Cheng Liu Daw-Shyong perng Department of Nursing I-Shou University Department of Anesthesiology E-DA Hospital/I-Shou University Department of Gastroenterology and Hepatology E-DA Hospital/I-Shou University

AIM: To measure patient perceptions about preventing hepatocellular carcinoma (HCC) and to predict the factors that influence patient willingness to receive therapy. METHODS: A cross-sectional descriptive study was conducted at an outpatient clinic of a medical institution in southern Taiwan. Four hundred patients with chronic hepatitis B/C were recruited as participants. Two structured questionnaires based on the health belief model were utilized in this study, including the scales of perceptions about preventing HCC and knowledge of hepatitis B/C. RESULTS: The statistical results demonstrated that the participants' perceived susceptibility (r = -0.22, P lingness to receive antiviral therapy. CONCLUSION: Healthcare professionals should provide appropriate and effective guidance to increase their patients' awareness and to decrease the perceived barriers for continuing surveillance and antiviral therapy.

关键词： Antiviral therapy Health perception Hepatitis B Hepatitis C Hepatocellular carcinoma Health knowledge

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Incidence trends and predictors for cost and average lengths of stay in colorectal cancer surgery

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World Journal of Gastroenterology 2014年第2期20卷 532-538页

作者： Daw-Shyong perng I-Cheng Lu Hon-Yi Shi Chih-Wen lin Kuang-Wen Liu Ya-Fen Su King-Teh Lee Department of Medicine E-Da Hospital I-Show University Graduate Institute of Healthcare Administration Kaohsiung Medical University Division of Colorectal Surgery Department of SurgeryE-Da Hospital

AIM:To evaluate the changing trends and outcomes of colorectal cancer(CRC)surgery performed at a large single institution in ***:This study retrospectively analyzed 778patients who received colorectal cancer surgery at E-Da Hospital in Taiwan from 2004 to *** patients were from health examination,inpatient or emergency *** following attributes were analyzed in patients who had undergone CRC surgical procedures:gender,age,source,surgical type,tumor number,tumor size,number of lymph node metastasis,pathologic differentiation,chemotherapy,distant metastases,tumor site,tumor stage,average hospitalization cost and average lengths of stay(ALOS).The odds ratio and95%confidence intervals were calculated to assess the relative rate of *** models were employed to predict average hospitalization cost and ***:The study sample included 458(58.87%)males and 320(41.13%)females with a mean age of64.53 years(standard deviation,12.33 years;range,28-86 years).The principal patient source came from inpatient and emergency room(96.02%).The principal tumor sites were noted at the sigmoid colon(35.73%)and rectum(30.46%).Most patients exhibited a tumor stage of 2(37.28%)or 3(34.19%).The number of new CRC surgeries performed per 100000 persons was12.21 in 2004 and gradually increased to 17.89 in 2009,representing a change of 46.52%.During the same period,the average hospitalization cost and ALOS decreased from$5303 to$4062 and from 19.7 to 14.4 d,*** following factors were associated with considerably decreased hospital resource utilization:age,source,surgical type,tumor size,tumor site,and tumor ***:These results can be generalized to patient populations elsewhere in Taiwan and to other countries with similar patient profiles.

关键词： Colorectal cancer Average hospitalization cost Average lengths of stay Incidence trend Colorectal cancer surgery

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Sedation-associated hiccups in adults undergoing gastrointestinal endoscopy and colonoscopy

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World Journal of Gastroenterology 2012年第27期18卷 3595-3601页

作者： Chien Cheng Liu Cheng Yuan Lu Chih Fang Changchien Ping Hsin Liu Daw Shyong perng Department of Anesthesiology E-DA HospitalI-Shou UniversityKaohsiung 82445TaiwanChina Department of Gastroenterology E-DA HospitalI-Shou UniversityKaohsiung 82445TaiwanChina

AIM:To investigate whether the incidence of hiccups in patients undergoing esophagogastroduodenoscopy (EGD) or same-day bidirectional endoscopy (EGD and colonoscopy;BDE) with sedation is different from those without sedation in terms of quantity,duration and typical onset ***:Consecutive patients scheduled for elective EGD or same-day BDE at the gastrointestinal endoscopy unit or the health examination center were allocated to two groups:EGD without sedation (Group A) and BDE with sedation (Group B).The use of sedation was based on the patients' *** participated in this study by administrating sedative drugs as usual.A single experienced gastroenterologist performed both the EGD and the colonoscopic examinations for all the *** incidence,duration and onset time of hiccups were measured in both *** addition,the association between clinical variables and hiccups were ***:A total of 435 patients were enrolled in the *** incidences of hiccups in the patients with and without sedation were significantly different (20.5% and 5.1%,respectively).The use of sedation for patients undergoing endoscopy was still significantly associated with an increased risk of hiccups (adjusted odds ratio:8.79,P < 0.001) after *** incidence of hiccups in males under sedation was high (67.4%).The sedated patients who received 2 mg midazolam developed hiccups more frequently compared to those receiving 1 mg midazolam (P = 0.0028).The patients with the diagnosis of gastroesophageal reflux disease (GERD) were prone to develop hiccups (P = 0.018).CONCLUSION:Male patients undergoing EGD or BDE with sedation are significantly more likely to suffer from hiccups compared to those without *** was significantly associated with an increased risk of ***,patients with GERD are prone to develop hiccups.

关键词： Anesthesia Midazolam Hiccup Gastroeso-phageal reflux disease Esophagogastroduodenoscopy Bidirectional endoscopy

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Dengue Vaccines: Challenge and Confrontation

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World Journal of Vaccines 2011年第4期1卷 109-130页

作者： Guey Chuen perng Huan-Yao Lei Yee-Shin lin Kulkanya Chokephaibulkit 不详

Dengue has been recognized as one of the most important vector-borne human diseases. The disease is induced by dengue virus infection resulting from the bite of an infected Aedes spp. mosquito after imbibing the tainted blood from animals or patients. Dynamic clinical spectrums ranging from asymptomatic, undifferentiated fever, typical dengue fever (DF), dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) have been well documented. Initially, the disease was mainly restricted in tropical and subtropical zones. However, with factors such as ineffective vector control, frequency of human migration, unplanned urbanization, and changing climate temperature, the disease has been spotted at almost every territory of the earth. Dengue has been associated with human disease for more than two centuries. Although classic DF is viewed as a self-limited illness, subjects normally resolve within two weeks and recover without any noticeable complications or sequelae, some of these infected individuals may progress to life-threatening DHF/DSS, characterized with plasma leakage due to an increase in capillary permeability. The significantly increased public health threat and the burden of morbidity and mortality of dengue globally has caught the attention of public officials and prompted an action to find a way to contain and prevent the disease. The lack of specific dengue therapeutics has led to an emphasis on vaccine development, one of the best and effective strategies to reduce and prevent the illness. Making a dengue vaccine has been attempted more than six decades;although some of these products are in clinical trials, vaccine development for the prevention of dengue disease is still at its infancy. So far no dengue vaccine is available for the public. Dengue vaccine development may be hindered by the complexity of the clinical presentations, which implicates that multiple pathogenic mechanisms are involved in dengue disease. Some of these elements will be discuss

关键词： Flavivirus Dengue Fever DHF Dengue Vaccine

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No Additional Cholesterol-Lowering Effect Observed in the Combined Treatment of Red Yeast Rice and Lactobacillus Casei in Hyperlipidemic Patients：A Double-Blind Randomized Controlled Clinical Trial

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chinese Journal of Integrative Medicine 2017年第8期23卷 581-588页

作者： Chien-Ying Lee Min-Chien Yu Wu-Tsun perng Chun-Che lin Ming-Yung Lee Ya-Lan Chang Ya-Yun Lai Yi-ching Lee Yu-Hsiang Kuan James Cheng-Chung Wei Hung-Che Shih Institute of Medicine Chung Shan Medical University Taichung Taiwan 40201 China Department of Pharmacy Chung Shah Medical University Hospital Taichung Taiwan 40201 China Department of Pharmacology Chung Shan Medical University Taichung Taiwan 40201 China Department of Integrated chinese and Western Medicine Chung Shan Medical University Hospital Taichung Taiwan 40201 China Department of Recreation Sport & Health Promotion National Pingtung University of Science and Technology Taiwan 91201 China Division of Hepatogastroenterology Department of Internal Medicine Chung Shan Medical University Hospital Taichung Taiwan 40201 China Department of Statistics and Informatics Science Providence University Taiwan 43301 China Department of Applied Cosmetology National Tainan Junior College of Nursing China Taiwan 700 Department of Internal Medicine Chung Shan Medical University HospitalGraduate Institute of Integrated Medicine China Medical University Taichung Taiwan 40201 China

Objective：To observe the effect of combining red yeast rice and Lactobacillus casei（***）in lowering cholesterol in patients with primary hyperlipidemia,the later has also been shown to remove cholesterol in in vitro ***：A double-blind clinical trial was conducted to evaluate the cholesterol-lowering effect of the combination of red yeast rice and *** patients with primary hyperlipidemia were recruited and randomized equal y to either the treatment group（red yeast rice＋***）or the control group（red yeast rice＋placebo）.One red yeast rice capsule and two *** capsules were taken twice a *** treatment lasted for 8 weeks,with an extended follow-up period of 4 *** primary endpoint was a difference of serum low-density lipoprotein cholesterol（LDL-C）level at week ***：At week 8,the LDL-C serum level in both groups was lower than that at baseline,with a decrease of 33.85±26.66 mg/dL in the treatment group and 38.11±30.90 mg/dL in the control group;however,there was no statistical difference between the two groups（P〉0.05）.The total cholesterol was also lower than the baseline in both groups,yet without a statistical difference between the two *** only statistical y significant difference between the two groups was the average diastolic pressure at week 12,which dropped by 2.67 mm Hg in the treatment group and increased by 4.43 mm Hg in the placebo group（P〈0.05）.The antihypertensive activity may be associated with *** yeast rice can significantly reduce LDL-C,total cholesterol and ***：The combination of red yeast rice and *** did not have an additional effect on lipid profiles.

关键词： red yeast rice Lactobacillus casei,low-density lipoprotein cholesterol randomizedcontrolled trial

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Application of cattle placental stem cells for treating ovarian follicular cyst

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World Journal of Stem Cells 2020年第11期12卷 1366-1376页

作者： Shao-Yu Peng Tsung-Hsin Wu Tzu-Yi lin ling-Yien Hii Kok-Seong Chan Tzu-Yen Fu Shen-Chang Chang perng-Chih Shen Kang-You Liu Steven W.Shaw Department of Animal Science National Pingtung University of Science and TechnologyPingtung 912Taiwan College of Medicine Chang Gung UniversityTaoyuan 333Taiwan Department of Obstetrics and Gynecology Taipei Chang Gung Memorial HospitalTaipei 105Taiwan Kaohsiung Animal Propagation Station Livestock Research InstituteCouncil of AgricultureExecutive YuanPingtung 912Taiwan Prenatal Cell and Gene Therapy Group Institute for Women's HealthUniversity College LondonLondon WC1E 6HUUnited Kingdom

BACKGROUND High humidity and temperature in Taiwan have significant effects on the reproductivity of Holstein cattle,resulting in the occurrence of bovine ovarian follicular cyst(OFC).Because of economic loss from OFC,manual rupture and hormone injection have been advocated for the management of ***,these incomplete treatments increase hormone resistance in *** stem cells(MSCs)derived from placental stem cells(PSCs)demonstrate potential properties for the treatment of several diseases via promoting angiogenesis and immune *** To establish the possibility of cattle placental stem cells(CPSCs)as a treatment modality for OFC of cows in *** The cows with OFC were divided into three groups:control(BC1 and BC2),hormone(H1 and H2),and CPSC(PS1 and PS2)treatment *** the hormone treatment group,the cows were given gonadotrophin-releasing hormone(GnRH)-prostaglandin-GnRH intramuscular injection with or without drainage of follicular *** the CPSC treatment group,CPSCs were isolated from the placenta after *** the identification of surface antigen on stem cells,the cows were administered ovarian injection of 1×106 or 6×106 CPSCs with *** all groups,OFC was scanned by ultrasound once a week for a total of seven *** concentrations of estradiol and progesterone in serum were tested in the same *** estrus cycle was analyzed by food intake and *** estrus was detected,artificial insemination was *** the cow was monitored by ultrasound for confirmation of *** After 7 d of culture,CPSCs were successfully isolated from placental *** significantly proliferated every 24 h and had high expression of MSC markers such as cluster of differentiation 44,as determined by flow *** showed lower numbers of OFCs with drainage of follicular *** achieved recovery rates of 0%,50%,50%,75%,75%and 75%in BC1,BC2,H1,H2,PS1,and PS2,*** concentrati

关键词： Cow Estrus rate Ovarian follicular cyst Placenta Recovery rate Stem cell

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Knowledge Should Be Owned by Quality Practitioners in the IT Age

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Journal of Traffic and Transportation Engineering 2019年第1期7卷 38-50页

作者： Kuan Sheng-Pin perng Horng-linn CSQ/QKC TaipeiTaiwan

Industry 4.0 is a collective term including a number of automation,data exchange and *** will create many kinds of innovative business model via customized design and *** the supplier chain:purchasing,production controlling,incoming,production and shipping to the demand chain:ordering,logistics delivery,retail,and maintain service,it can integrate the all processes to be a value chain through computation,communication,controlling,collaboration and real time *** quality requirements of all processes of the value chain would be much more *** the demand chain,product and service will be required more accurate,speedy,reliable,safety,ecological,and *** the supplier chain,the product and service will be required more easily to design,manufacture,change,transport,maintain,recycle and *** the development of Industry 4.0,the entire value chain system will generate a large amount of data,including data related customers,data from suppliers and production,analysis of these data must apply SPC(statistical process control)and statistical ***,people in the value chain should strengthen the traditional quality management knowledge and skills,but also understand the development and application of ICT(information communication technology).The following are the relevant ICT knowledge and technologies of the sensing layer,the network layer,the application layer and value integration layer in the entire value chain system:(1)Sensing layer:SCADA(supervisory control and data acquisition),PLC(programmable logic controller),sensor equipments,Bar Code ID,RFID(radio frequency identification);(2)Network layer:basic network knowledge,basic knowledge of cloud computing;(3)Application layer:DBMS(database management system),MES(manufacture execution system),ERP(enterprise resource planning),PLM(product lifecycle management),CRM(customer relationship management),SCM(supplier chain management);(4)Value integration lay

关键词： Industry 4.0 supplier chain demand chain value chain

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