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Articles by Wayne Gao
Economics > General Economics
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Lung cancer screening in people who have never smoked: lessons from East Asia
Trial options It is tempting to believe that efforts to detect cancer early can only help people. Yet only the very few never smokers destined to die from lung cancer could possibly benefit from screening, while all who are screened can be harmed. The East Asian experience has made those harms obvious: more surgery, more complications, and more overdiagnosis and overtreatment. What is not obvious is whether any lung cancer deaths have been avoided.
Trouble with promoting lung cancer screening in never-smokers
We read, with great concern, the finding from the TALENT study 1 Chang G-C Chiu C-H Yu C-J et al. Low-dose CT screening among never-smokers with or without a family history of lung cancer in Taiwan: a prospective cohort study. Lancet Respir Med. 12: 141-152 that family history is a sufficiently strong risk factor to warrant low-dose CT (LDCT) screening in never-smokers.
Occupational Sitting Time, Leisure Physical Activity, and All-Cause and Cardiovascular Disease Mortality
Key Points Question What are the health outcomes associated with prolonged occupational sitting in the context of various levels of physical activity among apparently healthy individuals?
Role of Physical Activity in Lowering Risk of End-Stage Renal Disease
To investigate the association between the amount and intensity of leisure-time physical activity (LTPA) and the risk of end-stage renal disease (ESRD). The study examined a cohort of 543,667 participants aged 20 years and older who participated in a health screening program from January 1, 1996, through December 31, 2017.
Association of Computed Tomographic Screening Promotion With Lung Cancer Overdiagnosis Among Asian Women
Key Points Question What happens to lung cancer incidence when lung cancer screening is promoted to a population with a smoking prevalence of less than 5%? Findings In this population-based ecological cohort study of approximately 12 million Taiwanese women, the promotion of lung cancer screening was associated with a 6-fold increase in the incidence of early-stage (stages 0-I) lung cancer from 2004 to 2018, whereas there was no change in the incidence of late-stage (stages II-IV) lung cancer.
Examining Population Health During the COVID-19 Pandemic: All-Cause, Pneumonia and Influenza, and Road Traffic Deaths in Taiwan
Background: Initially projected to be the fourth most at-risk country for coronavirus disease 2019 (COVID-19) because of its close ties with China (1), Taiwan, on 21 December 2020, marked 253 consecutive days without a locally transmitted case, and a cumulative total of 770 cases (675 imported) and 7 deaths (2). Despite imported cases, Taiwan has successfully contained COVID-19 without a national lockdown (Figure 1). Figure 1.
Geo-temporal distribution of 1,688 Chinese healthcare workers infected with COVID-19 in severe conditions-A secondary data analysis
Loading metrics Open Access Peer-reviewed Research Article Wayne Gao , Mattia Sanna, Min Kuang Tsai, Chi Pang Wen Wayne Gao, Mattia Sanna, Min Kuang Tsai, Chi Pang Wen Published: May 14, 2020 https://doi.org/10.1371/journal.pone.0233255 Figures Abstract Introduction The COVID-19 outbreak is posing an unprecedented challenge to healthcare workers. This study analyzes the geo-temporal effects on disease severity for the 1,688 Chinese healthcare workers infected with COVID-19.
A Conversation on Greening Historic Urban Landmarks with Pittsburgh's Art Ziegler
Our common framework for thinking about sustainability entails Triple Bottom Line thinking. Favorable decisions are beneficial to the environment, are equitable and make economic sense. We can argue that the more these properties are fulfilled, the more sustainable the project. The renovation of historic buildings has significant and meaningful overlap with this Triple Bottom Line approach.
Investing in Natural Infrastructure for Water
By 2030, the world is projected to spend an estimated $10 trillion on repairing and expanding water infrastructure. Dams and treatment plants are aging, water demand is surging, and more frequent extreme weather events threaten our water security—each driving up water management costs. As costs increase, cities are realizing that investing solely in traditional, built infrastructure isn’t always the best use of tight budgets.
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