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  • Springer Science and Business Media LLC  (7)
  • Lee, Kuo-Hsin  (7)
  • 1
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    Online Resource
    Sequentially mediated effects of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction among Taiwanese university students: A cross-sectional study
    Springer Science and Business Media LLC ; 2022
    In:  Journal of Eating Disorders Vol. 10, No. 1 ( 2022-11-21)
    Details
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 10, No. 1 ( 2022-11-21)
    Abstract: Weight-related stigma has negative physiological and psychological impacts on individuals’ quality of life. Stigmatized individuals may experience higher psychological distress and therefore increase the potential risk to develop obesity and/or food addiction. The present study examined the associations and mediated effect between perceived weight stigma, weight-related self-stigma, and psychological distress in explaining food addiction among Taiwanese university students. Methods All participants (n = 968) completed an online survey which included the Perceived Weight Stigma Questionnaire, Weight Self-Stigma Questionnaire, Depression, Anxiety, Stress Scale-21, and Yale Food Addiction Scale Version 2. Results After controlling for demographic variables, significant associations were found in the paths from (1) perceived weight stigma to weight-related self-stigma ( $$\beta$$ β  = 0.23), psychological distress ( $$\beta$$ β  = 0.35), and food addiction ( $$\beta$$ β  = 0.23); (2) weight-related self-stigma to psychological distress ( $$\beta$$ β  = 0.52) and food addiction ( $$\beta$$ β  = 0.59); and (3) psychological distress to food addiction ( $$\beta$$ β  = 0.59) (all p- values  〈  0.001). The mediation model showed the sequential mediated effect of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction. Conclusions The results provide novel insights that weight-related self-stigma and psychological distress sequentially mediated the relationship between perceived weight stigma and food addiction among Taiwanese university students. The findings of the present study could be implemented into interventions that aim to reduce food addiction derived from weight-related stigma. Future studies should consider group analysis to consider confounding factors or other populations to provide more evidence regarding the mechanism of weight-related stigma.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    URL: Article
    DOI: 10.1186/s40337-022-00701-y
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2699357-0
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  • 2
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    Association between ambient air pollution and out-of-hospital cardiac arrest: are there potentially susceptible groups?
    Springer Science and Business Media LLC ; 2020
    In:  Journal of Exposure Science & Environmental Epidemiology Vol. 30, No. 4 ( 2020-07), p. 641-649
    Details
    In: Journal of Exposure Science & Environmental Epidemiology, Springer Science and Business Media LLC, Vol. 30, No. 4 ( 2020-07), p. 641-649
    Type of Medium: Online Resource
    ISSN: 1559-0631 , 1559-064X
    URL: Article
    DOI: 10.1038/s41370-019-0140-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2218569-0
    detail.hit.zdb_id: 2006779-3
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  • 3
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    Clinical and laboratory features distinguishing between Deinagkistrodon acutus and Daboia siamensis envenomation
    Springer Science and Business Media LLC ; 2018
    In:  Journal of Venomous Animals and Toxins including Tropical Diseases Vol. 24, No. 1 ( 2018-12)
    Details
    In: Journal of Venomous Animals and Toxins including Tropical Diseases, Springer Science and Business Media LLC, Vol. 24, No. 1 ( 2018-12)
    Type of Medium: Online Resource
    ISSN: 1678-9199
    URL: Article
    DOI: 10.1186/s40409-018-0179-2
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 2031021-3
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  • 4
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    A modified cardiac triage strategy reduces door to ECG time in patients with ST elevation myocardial infarction
    Springer Science and Business Media LLC ; 2021
    In:  Scientific Reports Vol. 11, No. 1 ( 2021-03-18)
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    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2021-03-18)
    Abstract: Timely performing electrocardiography (ECG) is crucial for early detection of ST-elevation myocardial infarction (STEMI). For shortening door-to-ECG time, a chief complaint-based “cardiac triage” protocol comprising (1) raising alert among medical staff with bedside triage tags, and (2) immediate bedside ECG after focused history-taking was implemented at the emergency department (ED) in a single tertiary referral center. All patients diagnosed with STEMI visiting the ED between November 2017 and January 2020 were retrospectively reviewed to investigate the effectiveness of strategy before and after implantation. Analysis of a total of 117 ED patients with STEMI (pre-intervention group, n = 57; post-intervention group, n = 60) showed significant overall improvements in median door-to-ECG time from 5 to 4 min ( p  = 0.02), achievement rate of door-to-ECG time  〈  10 min from 45 to 57% ( p  = 0.01), median door-to-balloon time from 81 to 70 min ( p   〈  0.01). Significant trends of increase in achievement rates for door-to-ECG and door-to-balloon times ( p  = 0.032 and p  = 0.002, respectively) was noted after strategy implementation. The incidences of door-to-ECG time  〉  10 min for those with initially underestimated disease severity (from 90 to 10%, p   〈  0.01) and walk-in (from 29.2 to 8.8%, p  = 0.04) were both reduced. In conclusion, a chief complaint-based “cardiac triage” strategy successfully improved the quality of emergency care for STEMI patients through reducing delays in diagnosis and treatment.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    URL: Article
    DOI: 10.1038/s41598-021-86013-8
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2615211-3
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  • 5
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    Bacterial community analysis identifies Klebsiella pneumoniae as a native symbiotic bacterium in the newborn Protobothrops mucrosquamatus
    Springer Science and Business Media LLC ; 2023
    In:  BMC Microbiology Vol. 23, No. 1 ( 2023-08-08)
    Details
    In: BMC Microbiology, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-08-08)
    Abstract: The study of the native microbiome of organisms is crucial. The connection between the native microbiome and the host affects the formation of the innate immune system and the organism’s growth. However, the native microbiome of newborn venomous snakes has not been reported. Therefore, we aimed to determine the oral and skin microbiomes of newborn Protobothrops mucrosquamatus. Results We performed 16 S full-length sequencing on 14 samples collected from 7 newborn P. mucrosquamatus individuals, specifically targeting their oral and skin microbiomes. In terms of the oral and skin microbiome, the main species were Klebsiella pneumoniae lineages. According to subspecies/species analysis, the proportion from highest to lowest was K. quasipneumoniae subsp. similipneumoniae , K. pneumoniae subsp. pneumoniae , and K. pneumoniae subsp. rhinoscleromatis . These three bacteria accounted for 62.5% and 85% of the skin and oral activity, respectively. The oral microbiome of newborn P. mucrosquamatus did not comprise common bacteria found in snakebite wounds or oral cultures in adult snakes. Therefore, the source of other microbiomes in the oral cavities of adult snakes may be the environment or prey. Functional Annotation of the Prokaryotic Taxa analysis showed that the skin/oral native microbiome metabolism was related to fermentation and human infection owing to the dominance of K. pneumoniae lineages. The characteristics of K. pneumoniae may impact the development of venom in venomous snakes. Conclusion The results of the native microbiome in the oral cavity and skin of newborn P. mucrosquamatus demonstrated that the habitat environment and prey capture may affect the composition of bacteria in adult snakes. We hypothesized that the native microbiome influences newborn venomous snakes and that K. pneumoniae lineages related to citrate fermentation may play a role in venom growth. However, further verification of this is required.
    Type of Medium: Online Resource
    ISSN: 1471-2180
    URL: Article
    DOI: 10.1186/s12866-023-02936-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041505-9
    SSG: 12
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  • 6
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    Physician-related factors associated with unscheduled revisits to the emergency department and admission to the intensive care unit within 72 h
    Springer Science and Business Media LLC ; 2020
    In:  Scientific Reports Vol. 10, No. 1 ( 2020-08-03)
    Details
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 10, No. 1 ( 2020-08-03)
    Abstract: Investigation of physician-related causes of unscheduled revisits to the emergency department (ED) within 72 h with subsequent admission to the intensive care unit (ICU) is an important parameter of emergency care quality. Between 2012 and 2017, medical records of all adult patients who visited the ED and returned within 72 h with subsequent ICU admission were retrospectively reviewed by three experienced emergency physicians. Study parameters were categorized into “input” (Patient characteristics), “throughput” (Time spent on first ED visit and seniority of emergency physicians, and “output” (Charlson Comorbidity Index). Of the 147 patients reviewed for the causes of ICU admission, 35 were physician-related (23.8%). Eight belonged to more urgent categories, whereas the majority (n = 27) were less urgent. Patients who spent less time on their first ED visits before discharge ( 〈  2 h) were significantly associated with physician-related causes of ICU admission, whereas there was no significant difference in other “input,” “throughput,” and “output” parameters between the “physician-related” and “non-physician-related” groups. Short initial management time was associated with physician-related causes of ICU admission in patients with initial less urgent presentations, highlighting failure of the conventional triage system to identify potentially life-threatening conditions and possibility of misjudgement because of the patients' apparently minor initial presentations.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    URL: Article
    DOI: 10.1038/s41598-020-70021-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2615211-3
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  • 7
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    Associations between social media addiction, psychological distress, and food addiction among Taiwanese university students
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Eating Disorders Vol. 11, No. 1 ( 2023-03-21)
    Details
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2023-03-21)
    Abstract: Worldwide, 60% of people use social media. Excessive and/or addictive use of social media termed “problematic social media use”, has been reported to negatively influence psychological and physiological health. Therefore, we proposed an illustrated model to investigate the associations between social media addiction, psychological distress and food addiction among Taiwanese university students. Methods A total of 598 participants (mean age = 22.8 years) completed an online survey comprising the Bergen Social Media Addiction Scale (BSMAS) assessing social media addiction, the Depression Anxiety and Stress Scale (DASS-21) assessing psychological distress, and the Yale Food Addiction Scale 2.0 (YFAS 2.0) assessing food addiction. Results Structural equation modeling showed the significant associations between BSMAS and DASS-21 (standardized coefficient [β] = 0.45; p   〈  0.01) and between DASS-21 and YFAS 2.0 (β = 0.43; p   〈  0.01). In addition, mediation effect with 100 bootstrapping samples showed the indirect effect of DASS-21 in the association between BSMAS and YFAS 2.0 Conclusions The present study details the relationships between social media addiction and psychological distress as well as food addiction. The results suggest the need for interventions aimed at reducing these negative outcomes. Coping strategies for improving self-control or reducing weight-related stigma, such as food consumption monitoring or mindfulness, could be adopted for at-risk individuals to address these problems.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    URL: Article
    DOI: 10.1186/s40337-023-00769-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2699357-0
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