Publications by authors named "Hsiao-Hui Tsou"

To expand COVID-19 containment indicators to evaluate the relationship between excess mortality and government response. We developed a longitudinal study analyzing excess mortality, COVID-19 containment, and structural conditions in 34 countries between 2020 and 2022. The average excess mortality ratios of the 34 countries were 1.

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Multiregional clinical trials (MRCTs) have become a standard strategy for pharmaceutical product development worldwide. The heterogeneity of regional treatment effects is anticipated in an MRCT. For a two-group comparative study in an MRCT, patient assignments, including regional weights and treatment allocation ratios, are predetermined under the same protocol.

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Background: Randomized trials and meta-analyses have indicated longer survival with neoadjuvant than with adjuvant therapy in patients with resectable or borderline resectable (R/BR) pancreatic adenocarcinoma. Despite the efficacy of chemotherapy, the role of radiation therapy as an adjuvant or neoadjuvant treatment for patients with R/BR pancreatic adenocarcinoma remains unclear. In this systematic review and meta-analysis, we compared the benefits of additional chemoradiation therapy (CRT) to neoadjuvant chemotherapy (NAC) with NAC alone for R/BR pancreatic adenocarcinoma.

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  • The study focused on the prevalence of anxious depression among Taiwanese patients diagnosed with major depressive disorder (MDD), finding that 64.16% of participants met the criteria for anxious depression.
  • Anxious depression patients were generally older, more likely to be married, less educated, and had more children, alongside displaying higher levels of anxiety and somatic symptoms.
  • The findings indicate that while the prevalence of anxious depression in this outpatient sample is lower than inpatients and higher than in Europe and the U.S., these patients tend to show significant clinical characteristics that require attention in treatment.
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  • Taiwan effectively managed to control COVID-19 with a remarkable 253 days of no local transmission before experiencing outbreaks due to variants, despite low vaccination rates.
  • The study compared Taiwan's rapid border closure and non-pharmaceutical interventions to other countries, finding a significant difference in response times and strategies.
  • Key factors in Taiwan's success included quick responses, effective contact tracing, community cooperation, and the implementation of multiple preventive measures without strict lockdowns.
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  • - The study highlights the need for effective prediction of COVID-19 outbreaks, despite the virus being categorized as mild by health organizations, due to new immune escape variants emerging during pandemic waves.
  • - Researchers analyzed data from 14 developed countries to explore the relationship between early-stage variant competition, immunity from infections and vaccines, and the timing of subsequent pandemic waves.
  • - Findings indicate that higher proportions of new variants were linked to shorter intervals between outbreak peaks, and suggest that broad vaccination efforts may significantly reduce future case numbers, emphasizing that natural immunity alone may not be enough to control transmission.
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  • Before vaccines, mobility restrictions were key in controlling COVID-19, with different age groups experiencing different levels of health risk and mobility changes affecting control measures' effectiveness.
  • The study analyzed data from the Taipei metropolitan area, focusing on how mobility patterns among various age groups influenced COVID-19 transmission before and after certain control measures were implemented.
  • Findings revealed that inter-district mobility increased COVID-19 cases more than intra-district mobility, and the movements of younger (15-59) and older (≥60) individuals significantly impacted case numbers, providing insights for public health strategies.
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  • Mathematical models can predict epidemic trends, but few studies on COVID-19 have included behaviors like mask wearing and vaccination, crucial for controlling the pandemic.
  • New ARIMA models were used to forecast COVID-19 case growth in Canada, France, Italy, and Israel from January 2021 to March 2022, with prediction accuracy evaluated through RMSE and AICc.
  • Results showed that protective behaviors and vaccination efforts, especially booster shots, significantly lowered COVID-19 case growth rates, highlighting their importance during different virus variants' prevalence.
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Background: Dengue virus outbreaks are increasing in number and severity worldwide. Viral transmission is assumed to require a minimum time period of viral replication within the mosquito midgut. It is unknown if alternative transmission periods not requiring replication are possible.

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Background: The Epstein-Barr virus (EBV) is a prevalent oncovirus associated with a variety of human illnesses. BGLF5, an EBV DNase with alkaline nuclease (AN) activity, plays important roles in the viral life cycle and progression of human malignancies and has been suggested as a possible diagnostic marker and target for cancer therapy. Methods used conventionally for the detection of AN activity, radioactivity-based nuclease activity assay and DNA digestion detection by gel electrophoresis, are not suitable for screening AN inhibitors; the former approach is unsafe, and the latter is complicated.

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  • * Patients on the weekly regimen experienced significantly fewer severe acute toxicities, less need for emergency interventions, and had better tumor response rates compared to those on the triweekly regimen.
  • * The findings suggest that a weekly induction chemotherapy schedule is not only safer but also maintains effective tumor response and survival rates.
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  • Chronic opioid use disorder patients, especially those in methadone maintenance treatment (MMT), often also use amphetamines, with 15% testing positive for these substances.
  • A gene analysis found that specific genetic variants (rs2889475 and rs2376805) in the GABA-A receptor delta subunit are linked to increased amphetamine use in these patients.
  • Those with certain genotypes (CC for rs2889475 and GG for rs2376805) have a significantly higher risk of using amphetamines compared to other genotypes, suggesting these genetic markers could help identify patients at risk.
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  • * A multicenter study in Taiwan analyzed the gene rearrangements of 255 CLL patients, identifying IGHV3-7, IGHV4-34, and IGHV3-23 as the most commonly rearranged genes.
  • * The study found that major subsets of B-cell receptor stereotypy were less common in Asian patients, with subsets #77 and #28A being the most prevalent, indicating unique immunogenetic traits in CLL for Asian populations.
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  • This study analyzes different screening and contact tracing strategies in various population sizes to understand how effectively they can contain epidemic outbreaks of infectious diseases, particularly before vaccines are available.
  • It finds that contact tracing alone is inadequate for controlling outbreaks during the SARS-CoV-2 pandemic, emphasizing the need for a combination of measures, including universal testing.
  • The research concludes that while universal testing can help identify asymptomatic cases, its impact on overall case reduction is minimal when combined with rigorous contact tracing and symptomatic screening, particularly in regions with low prevalence of COVID-19.
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  • This study investigates the effectiveness of a specific chemotherapy regimen (GSL) in elderly patients (age ≥70) with advanced pancreatic adenocarcinoma (APC), as this group previously faced challenges in receiving treatment and had lower survival rates.
  • Of 49 enrolled patients, those who underwent GSL treatment showed a median progression-free survival of 6.6 months and an overall survival of 12.5 months, with 26.5% achieving an overall response to treatment.
  • The treatment was relatively well tolerated, with some notable side effects like anemia and neutropenia, and resulted in improved emotional and health status for the patients, paving the way for further studies on the
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Background: Identification of frailty is crucial to guide patient care for the elderly. The Clinical Frailty Scale (CFS) is a reliable, synthesis and clinical judgment-based tool. However, a validated Chinese version of CFS (CFS-C) is lacking.

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Early administration of proper antibiotics is considered to improve the clinical outcomes of bacteremia (SAB), but routine clinical antimicrobial susceptibility testing takes an additional 24 h after species identification. Recent studies elucidated matrix-assisted laser desorption/ionization time-of-flight mass spectra to discriminate methicillin-resistant strains (MRSA) or even incorporated with machine learning (ML) techniques. However, no universally applicable mass peaks were revealed, which means that the discrimination model might need to be established or calibrated by local strains' data.

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  • The study analyzes COVID-19 containment strategies across 50 regions from March 2020 to November 2021, focusing on both the pre-vaccine and vaccinating phases.
  • It introduces a measure called lockdown efficiency (LE) to assess how effective different government policies were in reducing case numbers, while also examining the role of hygiene education and other health indicators.
  • The results indicate that regions in Oceania and Asia excelled in pandemic response by implementing early non-pharmaceutical interventions, and emphasize the continued importance of these measures even after vaccination to combat emerging variants and vaccine hesitancy.
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Background: We investigated the survival impact and toxicity of maintenance metronomic chemotherapy in patients with metastatic/recurrent nasopharyngeal carcinoma (met/rec NPC).

Methods: Ninety-eight patients with met/rec NPC were first salvaged by IV cisplatin-based chemotherapy and showed nonprogression disease; then maintenance metronomic chemotherapy for at least 12 months was recommended. We analyzed the treatment outcome between patients who received (n = 51) and did not receive (n = 47) maintenance chemotherapy.

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Methadone is a synthetic opioid used for the maintenance treatment (MMT) of heroin dependence. It primarily binds to the μ-opioid receptor (MOR; with its gene, namely OPRM1). Methadone is also an N-methyl-D-aspartate (NMDA) receptor antagonist.

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In Taiwan, lower nonpolio enterovirus activity during the coronavirus disease pandemic in 2020 compared with 2014-2019 might be attributable to adherence to nonpharmaceutical interventions. The preventable fraction among unexposed persons indicated that 90% of nonpolio enterovirus activity might have been prevented during 2014-2019 by adopting the same measures enforced in 2020.

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The control strategies preventing subclinical transmission differed among countries. A stochastic transmission model was used to assess the potential effectiveness of control strategies at controlling the COVID-19 outbreak. Three strategies included lack of prevention of subclinical transmission (Strategy A), partial prevention using testing with different accuracy (Strategy B) and complete prevention by isolating all at-risk people (Strategy C, Taiwan policy).

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Dengue fever is a viral disease transmitted by mosquitoes. In recent decades, dengue fever has spread throughout the world. In 2014 and 2015, southern Taiwan experienced its most serious dengue outbreak in recent years.

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