Publications by authors named "Po-Cheng Chen"

Background: Adolescent baseball players often experience throwing arm complaints from the repetitive activity of baseball, which can affect performance and overall well-being. More focus is needed on their psychological and social challenges in order to achieve better treatment outcomes.

Purpose: To investigate changes in the health-related quality of life (HRQOL) among adolescent baseball players in Taiwan and identify the factors that influence HRQOL.

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Objective: To objectively evaluate changes in vocal function in patients with benign thyroid nodules following radiofrequency ablation (RFA).

Methods: Seventy-five patients diagnosed with benign thyroid nodules who underwent RFA were included in the study. These patients received thyroid sonography both preRFA and 3 months postRFA.

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Osteoporosis (OP) is a chronic inflammatory bone disease characterized by reduced bone structure and strength, leading to increased fracture risk. Effective therapies targeting both bone and cartilage are limited. This study compared the therapeutic effects of extracorporeal shockwave therapy (ESWT), bisphosphonate (Aclasta), and human Wharton jelly-derived mesenchymal stem cells (WJMSCs) in a rat model of OP.

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Purpose: To improve the accuracy of 1-stage object detection by modifying the YOLOv7 with the convolutional block attention module (CBAM), known as YOLOv7-CBAM, which can automatically identify torn or intact rotator cuff tendon to assist physicians in diagnosing rotator cuff lesions through ultrasound.

Methods: Between 2020 and 2021, patients who experienced shoulder pain for over 3 months and had both ultrasound and magnetic resonance imaging examinations were categorized into torn and intact groups. To ensure balanced training, we included the same number of patients in both groups.

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Article Synopsis
  • Patellar tendinopathy, or jumper's knee, is a painful condition affecting athletes, prompting a study to evaluate the effectiveness of platelet-rich plasma (PRP) treatments alone and combined with extracorporeal shockwave therapy (ESWT).
  • The study involved 33 athletes randomly assigned to receive either PRP with sham treatment or PRP plus ESWT, with follow-ups over a year to assess pain reduction and functional improvements.
  • Results indicated that combining PRP with ESWT led to quicker pain relief and improved outcomes without causing discomfort or injury, supporting its effectiveness for treating chronic patellar tendinopathy in athletes.
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Background: Extracorporeal shockwave therapy (ESWT) is the primary treatment for calcific tendinitis of the shoulders, but what are the effects of clinical, sonographic, and molecular markers following ESWT in treating calcific tendinitis of the shoulder?

Methods: Twenty-eight patients were categorized into radiodense and radiolucent subgroups. In addition, clinical assessments included the visual analogue scale (VAS), Constant-Murley (CM) score, American Shoulder and Elbow Surgeon (ASES) score, sonographic evaluation, and serum enzyme-linked immunosorbent assay (ELISA). The participants completed a 1-year follow-up.

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Aims: To explore the efficacy of extracorporeal shockwave therapy (ESWT) in the treatment of osteochondral defect (OCD), and its effects on the levels of transforming growth factor (TGF)-β, bone morphogenetic protein (BMP)-2, -3, -4, -5, and -7 in terms of cartilage and bone regeneration.

Methods: The OCD lesion was created on the trochlear groove of left articular cartilage of femur per rat (40 rats in total). The experimental groups were Sham, OCD, and ESWT (0.

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Background: Nonunion of long bone fractures is a significant complication following surgical fixation, with an incidence ranging from 5 to 10%. Surgical intervention is the standard treatment for nonunions, but it may come with potential complications. Nonoperative approaches, such as Extracorporeal Shockwave Therapy (ESWT), have been advocated as alternatives.

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Article Synopsis
  • Impaired upper limb function in stroke survivors often involves issues like muscle weakness and poor motor control.
  • The study evaluated Kinesio-taping's effectiveness for improving arm and forearm function during rehabilitation by comparing a Kinesio-taping group to a control group.
  • Results indicated that Kinesio-taping significantly enhanced motor performance in the upper extremities while also benefiting overall daily activities in stroke survivors.
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Breast cancer-related lymphedema (BCRL) is common among patients who have completed their cancer treatment. Although low-level laser therapy (LLLT) has been explored as a treatment option for BCRL, we could not find a regimen that is more effective than others. This meta-analysis aimed to organize existing research and determine the optimal combination of LLLT parameters for BCRL treatment.

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Study Objectives: The prevalence of obstructive sleep apnea (OSA) after stroke is variable, likely due to the time of examination and patient population. Although risk factors for OSA are well established, those for OSA in patients with ischemic stroke have not yet been fully identified. Therefore, we examined the prevalence of OSA and identified risk factors for OSA in the acute stage of ischemic stroke in the Taiwanese population.

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The benefits of branched-chain amino acid (BCAA) administration after hepatic intervention in patients with liver diseases remain unclear. We conducted a systematic review and meta-analysis to evaluate the effects of BCAA on patients undergoing hepatectomy, trans-arterial embolisation and radiofrequency ablation. Relevant randomised controlled trials (RCT) were obtained from PubMed, EMBASE and Cochrane Library databases.

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Article Synopsis
  • Post-stroke depression (PSD) is a significant concern for ischemic stroke patients, and this research aims to develop machine learning models to predict its occurrence using real-world patient data.
  • Data was collected from over 61,000 ischemic stroke patients in Taiwan, and models were tested on nearly 15,400 independent cases to evaluate their effectiveness in predicting PSD at various timeframes after the stroke.
  • Results indicated that PSD was diagnosed in 1.3% of patients, with the models showing good specificity (0.83-0.91) but lower sensitivity (0.30-0.48), and identified key clinical factors such as age, weight changes, and post-stroke conditions that may help clinicians detect depression early in high
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Article Synopsis
  • This study analyzed how people's mental health crises, specifically self-harm and violence-related issues, led to urgent psychiatric consultations in emergency departments during different stages of the COVID-19 pandemic.
  • Researchers compared data from three time periods: before the pandemic (2019), during the peak (2020), and when things had calmed down (2021), focusing on patient demographics like age, gender, and how they were referred for help.
  • Findings suggested that while demographic factors impacted the likelihood of these consultations, the stage of the pandemic itself did not significantly affect the rates of self-harm or violence-related emergencies.
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Lower urinary tract symptoms (LUTS), such as urgency, urinary incontinence, and/or difficulty voiding, hamper the quality of life (QoL) of patients with spinal cord injury (SCI). If not managed adequately, urological complications, such as urinary tract infection or renal function deterioration, may further deteriorate the patient's QoL. Botulinum toxin A (BoNT-A) injection within the detrusor muscle or urethral sphincter yields satisfactory therapeutic effects for treating urinary incontinence or facilitating efficient voiding; however, adverse effects inevitably follow its therapeutic efficacy.

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Objectives: This study is aimed at exploring the feasibility of sonoelastography on muscle stiffness of spastic forearm and evaluating the improvement of functional performance in patients with poststroke spasticity (PSS) after receiving kinesiotaping (KT) and rehabilitation.

Methods: According to the spastic levels (using modified Ashworth scale (MAS)) of the affected upper extremity, 59 patients with stroke were allocated into two groups, group A (MAS 0-1): 31 patients (14 men and 17 women; mean age: 60 years) and group B (MAS 1+-2): 28 patients (22 men and 6 women; mean age: 51 years). The Brunnstrom motor recovery stage at the wrist/distal parts in groups A and B was stage 3/3.

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Objective: Peripartum cardiomyopathy (PPCM) developed from late pregnancy to five months after delivery. Women with PPCM have the risk of mortality or non-recovered cardiac function. We aimed to investigate women with PPCM in Taiwan.

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Electrical neural recordings measured using direct electrical interfaces with neural tissue suffer from a short lifespan because the signal strength decreases over time. The inflammatory response to the inserted microprobe can create insulating tissue over the electrical interfaces, reducing the recorded signal below noise levels. One of the factors contributing to this inflammatory response is the tissue damage caused during probe insertion.

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Sweating and increased skin temperature caused by exercise can reduce physical activity and the willingness to exercise in adolescents with atopic dermatitis. This study was conducted to investigate the exercise load capacity of adolescents with atopic dermatitis and analyzed their exercise behavior and motivation. Adolescents with and without atopic dermatitis were assigned to the atopic dermatitis group and control group ( = 27 each).

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Background: The coronavirus disease 2019 pandemic significantly affected emergency department (ED) visits and urgent psychiatric consultation (UPC) seeking behavior in EDs. Our study explored the changes in UPCs during and after the pandemic peak.

Methods: This retrospective observational study evaluated UPCs in the ED of a referral medical center in Taiwan, where treated both physical and psychiatric complaints.

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The aim of this study was to investigate the association between mobility status and cardiovascular rehospitalizations in patients with heart failure undergoing cardiac rehabilitation. This retrospective cohort study included patients with heart failure undergoing cardiac rehabilitation. Mobility status was evaluated using functional ambulation categories (FAC), and each cardiovascular hospitalization was recorded by the case manager.

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Background: Cardiac rehabilitation (CR) is recommended for patients with acute heart failure (HF). However, the results of outcome studies and meta-analyses on CR in post-acute care are varied. We aimed to assess the medium- to long-term impact of CR and ascertain the predictors of successful CR.

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Spinal cord injury (SCI) is a devastating disorder. Alcohol abuse has been recognized as hindering SCI patients from rehabilitation, thus leading to longer length of days and poorer prognosis. This article aimed to investigate the association between spinal cord injury (SCI) and alcohol dependence.

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Background: Acromioclavicular joint (ACJ) dislocation is a common shoulder injury. In treating acute unstable ACJ dislocation, a hook plate (HP) is a straightforward and popular option for ensuring proper reduction and rigid fixation while promoting AC and coracoclavicular (CC) ligament healing. Surgeons typically remove the HP to prevent subacromial impingement and acromial osteolysis; however, concerns about redislocation after implant removal remain.

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