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Taichung, Taiwan

Kuo C.-P.,Chung Shan Medical University | Chuang H.-L.,Chung Shan Medical University | Lee S.-H.,Chung Shan Medical University | Liao W.-C.,Chung Shan Medical University | And 2 more authors.
Iranian Journal of Pediatrics | Year: 2012

Objective: Parenting confidence with regards to caring for their infants is crucial for the healthy adaptation to parenthood and the development of positive parent-infant relationships. The postpartum period is a tremendous transitional time for parents, so their unique needs should be considered. This study explored parenting confidence and needs in parents when their newborns are discharged from hospital, and explored the best predictors of parenting confidence and needs. Methods: A cross-sectional design with a questionnaire survey was used in this study. The questionnaire included three parts: Demographic, Parenting Needs and Parenting Confidence Questionnaire. We survey a convenience sample of 96 parents from a postnatal ward and a neonatal intermediate care unit of the medical central hospital in Taichung, Taiwan. Findings: The mean age of the subjects was 32 years and 67.7% of the subjects' education level was college or above. Approximately one half of the subjects was multiparous, vaginal delivery and had planned pregnancy. The mean gestational age and birth weight of the newborns was 37.7 weeks and 2902 g, respectively. Parents who had a planned pregnancy (t=2.1, P=0.04) or preterm infants (t=2.0, P=0.046) and those whose infants were delivered by cesarean section (t=2.2, P=0.03) had higher parenting needs. In addition, parents of low birth weight infants had higher parenting needs (r=-0.23, P=0.02). Regarding parenting confidence, multipara parents perceived higher confidence than primipara parents (t=2.9, P=0.005). Needs in psychosocial support were significantly correlated with parenting confidence (r=0.21, P<0.05). The stepwise multiple regression analysis showed that parity and needs in psychosocial support predict parenting confidence of 13.8% variance. Conclusion: The findings of this study help care providers to identify parents with low parenting confidence at an early postpartum stage. Health care teams should provide appropriate psychosocial support and health education based on parents needs. © 2012 by Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences. Source


Huo A.-P.,Jen AI General Hospital | Chou C.-T.,Taipei Veterans General Hospital
International Journal of Rheumatic Diseases | Year: 2010

Aims: To assess the predictive and prognostic value of antinuclear antibodies (ANA) and rheumatoid factor (RF) in primary Sjögren's syndrome (pSS). Methods: This retrospective study includes 201 patients that fulfilled the 1993 European preliminary classification criteria for pSS. The patients were further categorized by the 2002 revised criteria, with or without the inclusion of ANA and RF as classification criteria, and were further subgrouped by the presence of ANA, RF, anti-SS-A, and anti-SS-B, and different ANA titers. The clinical manifestations, serological markers, and results of lip biopsies among these subgroups were compared. Results: Our results showed pSS patients who are seropositive for one of the following markers: ANA, RF, anti-SS-A, or anti-SS-B are younger, predominantly female, and had more serological abnormalities than those with seronegativity of ANA, RF, anti-SS-A, or anti-SS-B. Higher ANA titers (≥ 1: 640) correlated with higher frequency of serum anti-SS-A+ and anti-SS-B+, and elevations of serum immunoglobulin G and A in all three different classification criteria groups. The clinical manifestations and laboratory results in the 2002 revised criteria groups with or without the inclusion of ANA and RF as classification criteria items were highly concordant. Conclusion: Regardless of the classification criteria for pSS, patients who are seropositive for one of the ANA, RF, anti-SS-A and anti-SS-B biomarkers are more likely to have autoimmune-related Sjögren's syndrome. ANA and RF have shown to possess the predictive and prognostic values for those who do not fulfill the higher stringent 2002 revised criteria but are indicated for immunomodulatory therapy. Thus we suggest that ANA and RF should be reconsidered as items of classification criteria for pSS. © Asia Pacific League of Associations for Rheumatology. Source


Lin H.-P.,Jen AI General Hospital | Wang Y.-M.,Jen AI General Hospital | Huo A.-P.,Jen AI General Hospital
Journal of Microbiology, Immunology and Infection | Year: 2011

We describe a previously unreported condition of severe, recurrent lupus enteritis accompanied with severe hypocomplementemia as the initial and only presentation of systemic lupus erythematosus. Systemic lupus erythematosus should be suspected in any patient with computed tomography findings of enteral vasculitis or ischemic enteritis, even without lupus-related symptoms or signs; C3/C4 levels may be helpful in the differential diagnosis. If the symptoms do not improve after medical treatment, such as using steroid or cyclophosphamide pulse therapy, or necrosis and perforation of the intestines are highly suspected, surgical intervention should be considered. © 2011. Source


Lin H.-P.,Jen AI General Hospital | Lin K.-T.,Jen AI General Hospital | Ho W.-C.,Jen AI General Hospital | Chen C.-B.,Jen AI General Hospital | Lin Y.-C.,Jen AI General Hospital
Journal of Internal Medicine of Taiwan | Year: 2012

Migration of surgical clips is a well-known phenomenon ever since their use in surgery. It is not well understood how the clip is migrated. It can occur from days to years after laparoscopic cholecystectomy. However, biliary stone resulted from the migrated clip is rare. We reported a 54-year-old male who had a biliary stone resulted from a migrated clip after laparoscopic cholecystectomy. Source

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