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Hsu C.-Y.,Puli Christian Hospital | Hsu C.-Y.,Central Taiwan University of Science and Technology | Hsu C.-Y.,National Chi Nan University | Hsu C.-Y.,National Taichung University of Science and Technology | And 5 more authors.
European Journal of Internal Medicine | Year: 2015

Background Gout is a deposition disease with an inflammatory response that can increase the risk of cardiovascular disease. Gout is stressful for affected individuals, and can cause erectile dysfunction (ED). The objective of this study was to identify the association between gout and psychogenic ED (PED) and organic ED (OED). Method We analyzed 35,265 patients from the National Health Insurance Research Database who had been diagnosed with gout between 2000 and 2011. A total of 70,529 matched controls were included in the study as a comparison. Patients with a history of PED and OED occurring before the index date, aged less than 20 years, or with incomplete demographic information were excluded. Control patients were selected from the population of people without a history of gout, PED, or OED. The following risk factors for PED and OED were included as covariates in the multivariable models: age, comorbidities of coronary artery disease (CAD), peripheral arterial disease, chronic kidney disease (CKD), hypertension, diabetes, hyperlipidemia, depression and anxiety. Result Men with gout were more likely to have an increased risk (1.21 times) of ED than were those without gout. Patients with gout were 1.52 times more likely to develop OED and 1.18 times more likely to develop PED than patients in the control group. The risk of developing ED was greater for patients with comorbidities of CKD, diabetes, hyperlipidemia, depression and anxiety. Conclusion Gout is associated with organic and psychogenic ED. Clinical physicians should consider this association when treating patients with gout. © 2015 European Federation of Internal Medicine. Source


Lyu S.-Y.,Taipei Medical University | Chaou W.-T.,Puli Christian Hospital
Recent Researches in Artificial Intelligence, Knowledge Engineering and Data Bases - 10th WSEAS International Conference on Artificial Intelligence, Knowledge Engineering and Data Bases, AIKED'11 | Year: 2011

The study is aimed to study phonological versus logographical effects in neural cognitions when perceiving Chinese characters. The paradigm has a series of figural animal, ancient pictographic Chinese character, modern Chinese character, and mandarin-based syllables. Participants are grouped by two levels of word recognition skills, the mastered-group and the learner-group. The current study used Electrical Geodesics (EGI) system with dense array geodesic sensor nets to record digitalized electroencephalogram and event-related potentials. Results show that behavioral and neural cognitive reactions to the designed characters indeed have varied phonological and logographical effects on cortical regions. Conclusions and inferences can benefit developments of cognitive science. Source


Chien H.-Y.,National Chi Nan University | Yang C.-S.,National Cheng Kung University | Hou H.-P.,Puli Christian Hospital
Security and Communication Networks | Year: 2013

As the concept of radio-frequency identification (RFID) relay attack has been successfully implemented and demonstrated, the research of RFID distance-bounding protocols to deter RFID relay attacks has drawn much attention from both the industry and academia. Conventionally, researchers adopted linear composition of secrets to resist terrorist fraud attacks. Recently, Peris-Lopez et al. studied the weaknesses of previous RFID distance-bounding protocols and proposed that non-linear composition of secrets and inclusion of more random nonce could help RFID resist key disclosure attack and terrorist fraud attack. In this paper, we will show that non-linear composition of secrets cannot help enhance the security actually. © 2012 John Wiley & Sons, Ltd. Source


Hsiao M.-Y.,National Taiwan University Hospital | Chang Y.-C.,National Taiwan University Hospital | Chen W.-S.,National Taiwan University Hospital | Chang H.-Y.,Puli Christian Hospital | Wang T.-G.,National Taiwan University Hospital
Ultrasound in Medicine and Biology | Year: 2012

This study applied submental ultrasonography (SUS) to measure changes in dysphagic stroke patients' tongue thickness and hyoid bone displacement when swallowing 5 mL of water and correlated the results with the severity of clinical dysphagia. We included 60 stroke patients (30 tube-feeding-dependent and 30 on regular oral intake) and 30 healthy controls. An additional 10 healthy people were recruited to assess the reliability of SUS. Measurements of hyoid bone displacement using videofluoroscopic swallowing study (VFSS) and SUS were compared for 12 stroke patients to assess the correlation between the two methods. Changes in tongue thickness and hyoid bone displacement were significantly less in the tube-feeding group. Those with a tongue thickness change of less than 1.0 cm and hyoid bone displacement of less than 1.5 cm were likely to be tube-feeding. SUS showed good intra-rater/inter-rater reliability and correlated well with VFSS measurement. SUS can be an adjunct assessment tool of swallowing. © 2012 World Federation for Ultrasound in Medicine & Biology. Source


Chang H.-Y.,Puli Christian Hospital | Torng P.-C.,National Taipei University of Nursing and Health Sciences | Wang T.-G.,National Taiwan University Hospital | Chang Y.-C.,National Taiwan University Hospital
Archives of Physical Medicine and Rehabilitation | Year: 2012

Objective: To investigate whether acoustic voice analysis can identify the presence of penetration/aspiration (P/A) as confirmed by videofluoroscopic swallowing study (VFSS). Design: Repeated measures within subjects. Setting: Rehabilitation department in a tertiary teaching hospital. Participants: Patients (N=44) with swallowing disorders referred for VFSS. Interventions: Patients were asked to sustain phonations /a/ for at least 3 seconds before and after swallowing 5mL of liquid barium during a standardized VFSS. The acoustic voice analysis program was used to analyze vocal quality change. Main Outcome Measures: Five acoustic parameters including average fundamental frequency, relative average perturbation, shimmer percentage, noise-to-harmonic ratio, and voice turbulence index were analyzed for each participant before and after swallowing during VFSS. Differences in the pre- and postmeasures were compared between those participants who demonstrated VFSS-confirmed P/A (n=17) and those who did not (n=27). Results: No significant changes were noted in the 5 acoustic parameters in or between P/A and nonpenetration/aspiration groups (P>.05). Conclusions: As used in this study, acoustic voice analysis does not identify the presence of P/A confirmed by VFSS. © 2012 American Congress of Rehabilitation Medicine. Source

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