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Article ; Online: Neuroprotective Effects of Cordyceps cicadae (Ascomycetes) Mycelium Extract in the Rat Model of Optic Nerve Crush.

Wen, Yao-Tseng / Jhou, Bo-Yi / Hsu, Jui-Hsia / Fu, Hsin-I / Chen, Yen-Lien / Shih, Yang-Chia / Chen, Chin-Chu / Tsai, Rong-Kung

International journal of medicinal mushrooms

2022 Volume 24, Issue 2, Page(s) 41–48

Abstract: Cordyceps cicadae mycelium is an herbal medicine used to provide anti-inflammatory and antiapoptotic actions. However, little is known about the role of C. cicadae mycelium in neuroprotection. This study aimed to investigate the neuroprotective effects ... ...

Abstract	Cordyceps cicadae mycelium is an herbal medicine used to provide anti-inflammatory and antiapoptotic actions. However, little is known about the role of C. cicadae mycelium in neuroprotection. This study aimed to investigate the neuroprotective effects of C. cicadae mycelium extract (CCME) in the optic nerve crush (ONC) model. The optic nerves of adult male Wistar rats (aged 7-8 weeks) were crushed by a standardized method. Rats were divided equally into three groups: 1) a sham-operated group (sham), 2) a phosphate buffered saline-treated control group (crush), and 3) a CCME-treated group (CCME) that received CCME once daily for 7 consecutive days at doses of 100 mg/kg before ONC. Two weeks after ONC in rats, retinal ganglion cell (RGC) density and visual function were determined by using retrograde labeling with FluoroGold and flash visual evoked potentials. The terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay and immunohistochemistry of ED1 (a marker of macrophage/microglia) were used to evaluate the antiapoptotic and anti-inflammatory effects of CCME in the optic nerve section. The P1-N2 amplitude and RGC density in the CCME-treated group were higher than those in the ONC control (crush) group by 5.15- and 3.13-fold, respectively. The numbers of TUNEL-positive cells and ED1-positive cells in the CCME-treated group were reduced by 4.38- and 6.63-fold, respectively, compared to those in the crush group. Oral administration of CCME provided neuroprotective effects in the ONC model via antiapoptotic and anti-inflammatory actions, which provides a potential treatment for patient with traumatic optic neuropathy.
MeSH term(s)	Animals ; Cordyceps ; Disease Models, Animal ; Evoked Potentials, Visual ; Humans ; Male ; Mycelium ; Nerve Crush ; Neuroprotective Agents/pharmacology ; Optic Nerve ; Rats ; Rats, Wistar
Chemical Substances	Neuroprotective Agents
Language	English
Publishing date	2022-04-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	2108803-2
ISSN	1940-4344 ; 1521-9437
ISSN (online)	1940-4344
ISSN	1521-9437
DOI	10.1615/IntJMedMushrooms.2021041522
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Article ; Online: Associations between dietary patterns and stages of chronic kidney disease.

Lin, Hsin-I / Chen, Hui-Ming / Hsu, Chien-Chin / Lin, Hung-Jung / Wang, Jhi-Joung / Weng, Shih-Feng / Kao, Yuan / Huang, Chien-Cheng

BMC nephrology

2022 Volume 23, Issue 1, Page(s) 115

Abstract: Background: Studies have revealed that patients with chronic kidney disease (CKD) have dietary patterns different from those of the general population. However, no studies have compared the dietary patterns of between patients with early-stages (stages ... ...

Abstract	Background: Studies have revealed that patients with chronic kidney disease (CKD) have dietary patterns different from those of the general population. However, no studies have compared the dietary patterns of between patients with early-stages (stages 1-3a) and late-stages (stages 3b-5) of CKD. Our objective was to investigate the associations between dietary patterns in early and late-stage CKD. Methods: We analyzed 4480 participants with CKD at various stages based on the data recorded between 2007 and 2016 from the database of the American National Health and Nutrition Examination Survey. Results: In total, 3683 and 797 participants had early and late-stage CKD, respectively. Through principal components analysis, the dietary intake dimension was reduced from 63 variables to 3 dietary patterns. We adopted logistic regression for analysis. The three dietary patterns are as follows: (1) saturated fatty acids and mono-unsaturated fatty acids (MUFA); (2) vitamins and minerals; and (3) cholesterols and polyunsaturated fatty acids (PUFA). These 3 patterns explained > 50% of dietary nutrient intake. Results indicated that among participants with dietary patterns 2 (vitamins and minerals) and 3 (cholesterols and PUFA), those with low intakes were more likely to have late-stage CKD. The odds ratios for patterns 2 and 3 were 1.74 (95% CI: 1.21-2.50) and 1.66 (95% CI: 1.13-2.43), respectively. Conclusions: This study revealed that intakes of vitamins and minerals and cholesterols and PUFA were associated with the stages of CKD.
MeSH term(s)	Cholesterol ; Diet ; Dietary Fats ; Female ; Humans ; Male ; Minerals ; Nutrition Surveys ; Renal Insufficiency, Chronic/epidemiology ; Vitamin A ; Vitamins
Chemical Substances	Dietary Fats ; Minerals ; Vitamins ; Vitamin A (11103-57-4) ; Cholesterol (97C5T2UQ7J)
Language	English
Publishing date	2022-03-22
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041348-8
ISSN	1471-2369 ; 1471-2369
ISSN (online)	1471-2369
ISSN	1471-2369
DOI	10.1186/s12882-022-02739-1
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Article ; Online: Substantial discrepancies in dengue case estimates between the Global Burden of Disease Study and Taiwan Centers for Disease Control.

Lee, Sin Yee / Shih, Hsin-I / King, Chwan-Chuen / Lu, Tsung-Hsueh / Chien, Yu-Wen

Journal of travel medicine

2024 Volume 31, Issue 2

MeSH term(s)	Humans ; United States ; Global Burden of Disease ; Taiwan/epidemiology ; Dengue/epidemiology ; Dengue/prevention & control ; Global Health ; Centers for Disease Control and Prevention, U.S.
Language	English
Publishing date	2024-01-19
Publishing country	England
Document type	Journal Article
ZDB-ID	1212504-0
ISSN	1708-8305 ; 1195-1982
ISSN (online)	1708-8305
ISSN	1195-1982
DOI	10.1093/jtm/taae009
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Article ; Online: Population-based analysis of the human development index and risk factors for head and neck cancer.

Chien, I-An / Hsu, Yi-Chiung / Tsai, Chung-Hsin / Cheng, Shih-Ping

Head & neck

2024 Volume 46, Issue 4, Page(s) 889–895

Abstract: Background: We aimed to investigate global variations in incidence and mortality and their associations to possible risk factors for prompt cancer prevention and control.: Methods: Estimates of incidence and mortality rates for six types of head and ... ...

Abstract	Background: We aimed to investigate global variations in incidence and mortality and their associations to possible risk factors for prompt cancer prevention and control. Methods: Estimates of incidence and mortality rates for six types of head and neck cancer were extracted from the GLOBOCAN 2020 database. Summary exposure values for level-two risk factors were obtained from the Global Burden of Disease. Regression models adjusting for the human development index (HDI) were constructed to analyze correlations between age-standardized rates and risk factors. Results: The incidence rates of multiple types of head and neck cancer were positively associated with HDI tiers. In addition to tobacco use and alcohol consumption, high systolic blood pressure was associated with the incidence and mortality of cancers of the salivary glands, oropharynx, hypopharynx, and larynx. Dietary risks were linked to cancers of the oropharynx, nasopharynx, and hypopharynx. Conclusions: This comprehensive analysis provides valuable insights into possible risk factors for head and neck cancer.
MeSH term(s)	Humans ; Head and Neck Neoplasms/epidemiology ; Risk Factors ; Alcohol Drinking/adverse effects ; Alcohol Drinking/epidemiology ; Tobacco Use ; Incidence
Language	English
Publishing date	2024-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	645165-2
ISSN	1097-0347 ; 0148-6403 ; 1043-3074
ISSN (online)	1097-0347
ISSN	0148-6403 ; 1043-3074
DOI	10.1002/hed.27639
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Article: Risks of Acute Cholecystitis, Acute Pancreatitis, and Acute Appendicitis in Patients with Dengue Fever: A Population-Based Cohort Study in Taiwan.

Shih, Hsin-I / Chi, Chia-Yu / Wang, Yu-Ping / Chien, Yu-Wen

Infectious diseases and therapy

2023 Volume 12, Issue 6, Page(s) 1677–1693

Abstract: Introduction: Although cases of acute cholecystitis, acute pancreatitis, and acute appendicitis following dengue virus infections have been documented, very few large-scale studies have investigated the postdengue risk of these acute abdominal ... ...

Abstract	Introduction: Although cases of acute cholecystitis, acute pancreatitis, and acute appendicitis following dengue virus infections have been documented, very few large-scale studies have investigated the postdengue risk of these acute abdominal conditions. Methods: This retrospective population-based cohort study included all patients with laboratory-confirmed dengue from 2002 to 2015 in Taiwan and 1:4 nondengue individuals matched by age, sex, area of residence, and symptom onset time. Multivariate Cox proportional hazards regression models were used to investigate the short-term (≤ 30 days), medium-term (31-365 days), and long-term (> 1 year) risks of acute cholecystitis, pancreatitis, and appendicitis after dengue infection, adjusted for age, sex, area of residence, urbanization level, monthly income level, and comorbidities. Bonferroni correction was used for multiple testing; E-values were used to assess the robustness of the results to unmeasured confounding. Results: This study included 65,694 individuals with dengue and 262,776 individuals without dengue. Patients with dengue had a significantly increased risk of acute cholecystitis (adjusted hazard ratio (aHR) 60.21; 95% CI 29.11-124.54; P < 0.0001, E-value = 119.92) and acute pancreatitis (aHR 17.13; 95% CI 7.66-38.29; P < 0.0001, E-value = 33.75) within the first 30 days postinfection compared to those without dengue, but this increased risk was not present after that. The incidence rates of acute cholecystitis and pancreatitis in the first 30 days were 18.79 and 5.27 per 10,000, respectively. No increased risk of acute appendicitis was observed among patients with acute dengue infection. Conclusion: This study was the first large epidemiological study to show a significantly increased risk of acute cholecystitis and pancreatitis among patients with dengue during the acute phase of dengue infection, while no such association was observed for acute appendicitis. Early identification of acute cholecystitis and pancreatitis in patients with dengue is crucial for preventing fatal complications.
Language	English
Publishing date	2023-06-10
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2701611-0
ISSN	2193-6382 ; 2193-8229
ISSN (online)	2193-6382
ISSN	2193-8229
DOI	10.1007/s40121-023-00821-1
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Article: Scrub Typhus Complicated With Fulminant Perimyocarditis.

Lee, Nien-Jung / Shih, Hsin-I / Lin, Chih-Hao / Hsu, Hsiang-Chin

Journal of acute medicine

2023 Volume 13, Issue 2, Page(s) 84–88

Abstract: A 62-year-old woman with no systemic disease presented to the emergency department (ED) with acute febrile illness for three days. During her ED course, she developed respiratory distress and refractory cardiogenic shock with ST-elevation on ... ...

Abstract	A 62-year-old woman with no systemic disease presented to the emergency department (ED) with acute febrile illness for three days. During her ED course, she developed respiratory distress and refractory cardiogenic shock with ST-elevation on electrocardiography. No occluded coronary vessel was found in angiography, and perimyocarditis was impressed. The serum indirect immunofluorescence assay was positive for scrub typhus. Hemopericardium and subsequently intracranial hemorrhage occurred on the 4th hospital day even under intensive care, and the patient expired. Perimyocarditis is a rare but fatal complication of scrub typhus. Through this case report, we aim to convey the genuine possibility that a fulminant perimyocarditis may occur in a previously healthy adult as a potential complication of scrub typhus. By recognizing the risk factors of scrub typhus-related myocarditis, an ED physician can maintain a high index of suspicion for the cardiac complication and intervene in a timely manner.
Language	English
Publishing date	2023-06-17
Publishing country	China (Republic : 1949- )
Document type	Case Reports
ZDB-ID	2645321-6
ISSN	2211-5587
ISSN	2211-5587
DOI	10.6705/j.jacme.202306_13(2).0006
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Article ; Online: Re-examination of the risk of dementia after dengue virus infection: A population-based cohort study.

Chien, Yu-Wen / Shih, Hsin-I / Wang, Yu-Ping / Chi, Chia-Yu

PLoS neglected tropical diseases

2023 Volume 17, Issue 12, Page(s) e0011788

Abstract: Dengue infection can affect the central nervous system and cause various neurological complications. Previous studies also suggest dengue was associated with a significantly increased long-term risk of dementia. A population-based cohort study was ... ...

Abstract	Dengue infection can affect the central nervous system and cause various neurological complications. Previous studies also suggest dengue was associated with a significantly increased long-term risk of dementia. A population-based cohort study was conducted using national health databases in Taiwan and included 37,928 laboratory-confirmed dengue patients aged ≥ 45 years between 2002 and 2015, along with 151,712 matched nondengue individuals. Subdistribution hazard regression models showed a slightly increased risk of Alzheimer's disease, and unspecified dementia, non-vascular dementia, and overall dementia in dengue patients than the nondengue group, adjusted for age, sex, area of residence, urbanization level, income, comorbidities, and all-cause clinical visits within one year before the index date. After considering multiple comparisons using Bonferroni correction, only overall dementia and non-vascular dementia remained statistically significant (adjusted SHR 1.13, 95% CI 1.05-1.21, p = 0.0009; E-value 1.51, 95% CI 1.28-NA). Sensitivity analyses in which dementia cases occurring in the first three or five years after the index dates were excluded revealed no association between dengue and dementia. In conclusion, this study found dengue patients had a slightly increased risk of non-vascular dementia and total dementia than those without dengue. However, the small corresponding E-values and sensitivity analyses suggest the association between dengue and dementia may not be causal.
MeSH term(s)	Humans ; Dementia/epidemiology ; Dementia/etiology ; Cohort Studies ; Comorbidity ; Risk Factors ; Dengue/complications ; Dengue/epidemiology ; Virus Diseases
Language	English
Publishing date	2023-12-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2429704-5
ISSN	1935-2735 ; 1935-2735
ISSN (online)	1935-2735
ISSN	1935-2735
DOI	10.1371/journal.pntd.0011788
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Article ; Online: Reinvestigation of the risk of stroke after dengue virus infection: A population-based cohort study.

Chien, Yu-Wen / Wang, Yu-Ping / Chi, Chia-Yu / Shih, Hsin-I

Journal of infection and public health

2023 Volume 16, Issue 9, Page(s) 1427–1434

Abstract: Background: Dengue virus (DENV) infection is the most prevalent mosquito-borne viral disease. Stroke is a severe manifestation of dengue. However, few large-scale studies have investigated post-dengue risk of stroke.: Methods: This population-based ... ...

Abstract	Background: Dengue virus (DENV) infection is the most prevalent mosquito-borne viral disease. Stroke is a severe manifestation of dengue. However, few large-scale studies have investigated post-dengue risk of stroke. Methods: This population-based cohort study included 57,934 newly diagnosed, laboratory-confirmed dengue patients in Taiwan from 2002 to 2015; patients were matched to nondengue individuals by age, sex, and area of residence at a ratio of 1:4 (n = 231,736). We used subdistribution hazard regression to evaluate short-term (≤ 30 days), medium-term (31-365 days), and long-term (1-3 years) risk of stroke after DENV infection. The robustness of the results to unmeasured confounding was assessed with E-values. Results: DENV infection was associated with a significantly increased risk of overall stroke (aSHR 4.51; 95% CI: 3.23-6.32; P < 0.0001; E-value = 8.49), hemorrhagic stroke (aSHR 4.13; 95% CI: 2.20-7.76; P < 0.0001; E-value =7.73), and ischemic stroke (aSHR 3.80; 95% CI: 2.37-6.11; P < 0.0001; E-value = 7.06) within 30 days. Stratified analysis by age showed that the aSHRs for overall stroke, hemorrhagic stroke, and ischemic stroke were larger among dengue patients aged ≥ 65 during the first 30 days. The 30-day risks of overall stroke, hemorrhagic stroke, and ischemic stroke among elderly dengue patients were 6.71, 1.29, and 3.49 per 1000, respectively. No increased risk was observed after 30 days. Conclusion: DENV infection was associated with a significant short-term increased risk of stroke. Clinical practitioners should remain alert to patients with stroke-associated symptoms during epidemic seasons, especially elderly patients.
MeSH term(s)	Aged ; Animals ; Humans ; Dengue/complications ; Dengue/epidemiology ; Dengue/diagnosis ; Dengue Virus ; Cohort Studies ; Hemorrhagic Stroke ; Stroke/epidemiology ; Ischemic Stroke
Language	English
Publishing date	2023-07-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2467587-8
ISSN	1876-035X ; 1876-0341
ISSN (online)	1876-035X
ISSN	1876-0341
DOI	10.1016/j.jiph.2023.07.003
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Article ; Online: Disease burden and demographic characteristics of mucormycosis: A nationwide population-based study in Taiwan, 2006-2017.

Shih, Hsin-I / Huang, Yi-Ting / Wu, Chi-Jung

Mycoses

2022 Volume 65, Issue 11, Page(s) 1001–1009

Abstract: Background: Epidemiological knowledge of mucormycosis obtained from national population-based databases is scarce.: Objectives: This study aimed to depict the disease burden and demographics of mucormycosis in Taiwan by using the Taiwan National ... ...

Abstract	Background: Epidemiological knowledge of mucormycosis obtained from national population-based databases is scarce. Objectives: This study aimed to depict the disease burden and demographics of mucormycosis in Taiwan by using the Taiwan National Health Insurance Research Database (NHIRD) and those of aspergillosis as a comparator. Methods: Data from patients with either mucormycosis or aspergillosis from 2006 to 2017 identified with the International Classification of Diseases (ICD) codes were extracted from the NHIRD. The incidence, demographics and clinical data of both diseases were analysed. Results: A total of 204 patients with mucormycosis and 2270 patients with aspergillosis who were hospitalised and treated with mould-active antifungals between 2006 and 2017 were identified. The average annual incidence of aspergillosis (0.81 cases per 100,000 population [0.81/100,000]) was 11-fold higher than that of mucormycosis (0.07/100,000). A significant increase in incidence was observed for aspergillosis (from 0.48/100,000 in 2006 to 1.19/100,000 in 2017, p < .0001) but not for mucormycosis (from 0.04/100,000 in 2006 to 0.11/100,000 in 2017, p = .07). The major underlying disease identified was diabetes mellitus (60.8%) for mucormycosis and malignant neoplasms (45.9%) for aspergillosis. The all-cause 90-day mortality rate was similar between mucormycosis and aspergillosis patients (39% vs. 37%, p = .60). For mucormycosis patients, multivariate analysis revealed that posaconazole use was associated with lower in-hospital mortality (aOR 0.38; 95% CI 0.15-0.97; p = .04). Conclusions: Mucormycosis is an uncommon fungal disease in Taiwan, occurring mostly in diabetic patients. However, the incidence might be underestimated due to limited diagnostics. Continuous surveillance might aid in delineating the evolving features of mucormycosis.
MeSH term(s)	Antifungal Agents/therapeutic use ; Aspergillosis/drug therapy ; Cost of Illness ; Hospital Mortality ; Humans ; Mucormycosis/drug therapy ; Mucormycosis/epidemiology ; Taiwan/epidemiology
Chemical Substances	Antifungal Agents
Language	English
Publishing date	2022-06-30
Publishing country	Germany
Document type	Journal Article
ZDB-ID	392487-7
ISSN	1439-0507 ; 0933-7407
ISSN (online)	1439-0507
ISSN	0933-7407
DOI	10.1111/myc.13484
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Article ; Online: Re-examination of the risk of dementia after dengue virus infection

Yu-Wen Chien / Hsin-I Shih / Yu-Ping Wang / Chia-Yu Chi

PLoS Neglected Tropical Diseases, Vol 17, Iss 12, p e

A population-based cohort study.

2023 Volume 0011788

Abstract	Dengue infection can affect the central nervous system and cause various neurological complications. Previous studies also suggest dengue was associated with a significantly increased long-term risk of dementia. A population-based cohort study was conducted using national health databases in Taiwan and included 37,928 laboratory-confirmed dengue patients aged ≥ 45 years between 2002 and 2015, along with 151,712 matched nondengue individuals. Subdistribution hazard regression models showed a slightly increased risk of Alzheimer's disease, and unspecified dementia, non-vascular dementia, and overall dementia in dengue patients than the nondengue group, adjusted for age, sex, area of residence, urbanization level, income, comorbidities, and all-cause clinical visits within one year before the index date. After considering multiple comparisons using Bonferroni correction, only overall dementia and non-vascular dementia remained statistically significant (adjusted SHR 1.13, 95% CI 1.05-1.21, p = 0.0009; E-value 1.51, 95% CI 1.28-NA). Sensitivity analyses in which dementia cases occurring in the first three or five years after the index dates were excluded revealed no association between dengue and dementia. In conclusion, this study found dengue patients had a slightly increased risk of non-vascular dementia and total dementia than those without dengue. However, the small corresponding E-values and sensitivity analyses suggest the association between dengue and dementia may not be causal.
Keywords	Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
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