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  • 1
    Online Resource
    Online Resource
    Reliability and Validity of the Traditional Chinese Version of the Advance Care Planning Engagement Survey: A Pilot Evaluation in Taiwanese Outpatients
    SAGE Publications ; 2022
    In:  Journal of Palliative Care Vol. 37, No. 3 ( 2022-07), p. 273-279
    Details
    In: Journal of Palliative Care, SAGE Publications, Vol. 37, No. 3 ( 2022-07), p. 273-279
    Abstract: Objective: The Advance Care Planning Engagement Survey (ACP-ES) has proven effective in evaluating individuals’ engagement in advance care planning (ACP). However, a Traditional Chinese version of ACP-ES (ACPES-TC) has not yet been developed. Therefore, this study aimed to translate and preliminarily validate the ACPES-TC in the Taiwanese context. Material and Methods: A forward and backward translation process was conducted. The translated questionnaire was confirmed by clinical and academic experts. The ACPES-TC was then evaluated for its reliability and validity with participants in the community and from an outpatient clinic in a medical center in Northern Taiwan. The participants comprised healthy people aged 20 to 30 years and patients ≥55 years old, recruited from September 17 to October 28, 2019. Results: Seventy people were recruited, including 20 people aged 20 to 30 years in the community and 50 patients ≥ 55 years old from clinics. The ACPES-TC scores are significantly higher among those of older age, having financial independence, and under long-term medication ( p  〈  .05). The patients’ preference for health-related decision-making is significantly correlated with the ACPES-TC score; the point-biserial correlation coefficient is 0.46 ( p  〈  .001). The discriminant and criterion-related validities are verified. The ACPES-TC demonstrated a good internal consistency (Cronbach's α .97), acceptable one-week test-retest reliability (overall intraclass correlation coefficient 0.86), and low practice effect between the test and retest (Cohen's d .43). Conclusion: The overall reliability and validity of the ACPES-TC are fair, which could be used to evaluate the patients’ engagement in ACP in Taiwan. However, further studies with a full-scale psychometric evaluation are needed.
    Type of Medium: Online Resource
    ISSN: 0825-8597 , 2369-5293
    URL: Article
    DOI: 10.1177/08258597211051208
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2809167-X
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  • 2
    Online Resource
    Online Resource
    HOme-based Longitudinal Investigation of the multidiSciplinary Team Integrated Care (HOLISTIC): protocol of a prospective nationwide cohort study
    Springer Science and Business Media LLC ; 2020
    In:  BMC Geriatrics Vol. 20, No. 1 ( 2020-12)
    Details
    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: The use of home health care (HHC) is increasing worldwide. This may have an impact not only on patients and their caregivers’ health but on care resource utilization and costs. We lack information on the impact of HHC on the broader dimensions of health status and care resource utilization. More understanding of the longitudinal HHC impact on HHC patients and caregivers is also needed. Moreover, we know little about the synergy between HHC and social care. Therefore, the present study aims to observe longitudinal changes in health, care resource utilization and costs and caregiving burden among HHC recipients and their caregivers in Taiwan. Methods A prospective cohort study “Home-based Longitudinal Investigation of the Multidisciplinary Team Integrated Care (HOLISTIC)” will be conducted and 600 eligible patient-caregiver dyads will be recruited and followed with comprehensive quantitative assessments during six home investigations over two years. The measurements include physical function, psychological health, cognitive function, wellbeing, shared decision making and advance care planning, palliative care and quality of dying, caregiving burden, continuity and coordination of care, care resource utilization, and costs. Discussion The HOLISTIC study offers the opportunity to comprehensively understand longitudinal changes in health conditions, care resource utilization and costs and caregiving burden among HHC patients and caregivers. It will provide new insights for clinical practitioners and policymakers. Trial registration ClinicalTrials.gov Identifier is NCT04250103 which has been registered on 31st January 2020.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    URL: Article
    DOI: 10.1186/s12877-020-01920-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2059865-8
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  • 3
    Online Resource
    Online Resource
    Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study
    Springer Science and Business Media LLC ; 2023
    In:  Internal and Emergency Medicine Vol. 18, No. 7 ( 2023-10), p. 2121-2130
    Details
    In: Internal and Emergency Medicine, Springer Science and Business Media LLC, Vol. 18, No. 7 ( 2023-10), p. 2121-2130
    Type of Medium: Online Resource
    ISSN: 1828-0447 , 1970-9366
    URL: Article
    DOI: 10.1007/s11739-023-03319-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2378342-4
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  • 4
    Online Resource
    Online Resource
    Medical care needs for patients receiving home healthcare in Taiwan: Do gender and income matter?
    Public Library of Science (PLoS) ; 2021
    In:  PLOS ONE Vol. 16, No. 2 ( 2021-2-25), p. e0247622-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 2 ( 2021-2-25), p. e0247622-
    Abstract: Studies about medical care needs for home healthcare (HHC) previously focused on disease patterns but not gender and income differences. We used the Taiwan National Health Research Insurance Database from 1997 to 2013 to examine trends in medical care needs for patients who received HHC, and the gender and income gaps in medical care needs, which were represented by resource utilization groups (RUG). We aimed to clarify three questions: 1. Are women at a higher level of medical care needs for HHC than men, 2. Does income relate to medical care needs? 3. Is the interaction term (gender and income) related to the likelihood of medical care needs? Results showed that the highest level of medical care need in HHC was reducing whereas the basic levels of medical care need for HHC are climbing over time in Taiwan during 1998 and 2013. The percentages of women with income-dependent status in RUG1 to RUG4 are 26.43%, 26.24%, 30.68%, and 32.07%, respectively. Women were more likely to have higher medical care needs than men (RUG 3: odds ratio, OR = 1.17, 95% confidence interval, CI = 1.10–1.25; RUG4: OR = 1.13, 95% CI = 1.06–1.22) in multivariates regression test. Compared to the patients with the high-income status, patients with the income-dependent status were more likely to receive RUG3 (OR = 2.34, 95% CI = 1.77–3.09) and RUG4 (OR = 1.98, 95% CI = 1.44–2.71). The results are consistent with the perspectives of fundamental causes of disease and feminization of poverty theory, implying gender and income inequalities in medical care needs. Policymakers should increase public spending for delivering home-based integrated care resources, especially for women with lower income, to reduce the double burden of female poverty at the higher levels of medical care needs for HHC.
    Type of Medium: Online Resource
    ISSN: 1932-6203
    URL: Article
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    DOI: 10.1371/journal.pone.0247622
    DOI: 10.1371/journal.pone.0247622.g001
    DOI: 10.1371/journal.pone.0247622.t001
    DOI: 10.1371/journal.pone.0247622.t002
    DOI: 10.1371/journal.pone.0247622.t003
    DOI: 10.1371/journal.pone.0247622.t004
    DOI: 10.1371/journal.pone.0247622.t005
    DOI: 10.1371/journal.pone.0247622.s001
    DOI: 10.1371/journal.pone.0247622.s002
    DOI: 10.1371/journal.pone.0247622.r001
    DOI: 10.1371/journal.pone.0247622.r002
    DOI: 10.1371/journal.pone.0247622.r003
    DOI: 10.1371/journal.pone.0247622.r004
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2021
    detail.hit.zdb_id: 2267670-3
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  • 5
    Online Resource
    Online Resource
    居家醫療與長期照護工作者之職場暴力現況與因應策略
    Angle Publishing Co., Ltd. ; 2022
    In:  台灣家庭醫學雜誌 Vol. 32, No. 4 ( 2022-12), p. 245-256
    Details
    In: 台灣家庭醫學雜誌, Angle Publishing Co., Ltd., Vol. 32, No. 4 ( 2022-12), p. 245-256
    Abstract: 〈p〉本文著重在職場暴力對居家醫療與長期照護從業人員的健康威脅。職場暴力可分為四種類型：第一型為具犯罪意圖之暴力，第二型是「客戶對員工」施加之暴力，第三型是「員工間」發生的暴力，第四型是親密伴侶間的暴力。其中，醫療保健與社會服務業之勞工被認為是職場暴力之高風險族群，其所受到的暴力通常來自患者或患者親屬（第二型職場暴力）。而對於居家醫療與長期照護工作者而言，由於其工作環境與工作性質，於各類型之職場暴力皆有很高的暴露風險。研究顯示，相當比例的居家醫療與長期照護從業人員經歷過第二型職場暴力，其中，居家醫療從業人員的發生率普遍高於長期照護從業人員。然而，由於通報率偏低，學者們認為醫療場域之職場暴力盛行率有被低估的可能性。本文提出對居家醫療與長期照護從業人員有所裨益的職場暴力預防策略，囊括四種面向。首先，健康與安全之教育訓練可以有效促進居家訪視的安全性，包含成立安全及諮詢委員會、提供教育訓練、加強溝通技巧、強化事件通報流程，以及重視事件之後續追蹤等。其次，對於居家訪視進行風險評估有助於改善居家之環境安全，目前已有數種評量工具。其三，防身物品、緊急電話及合宜之應對態度是面對暴力事件時的重要應對技巧。其四，為預防醫療職場暴力，《職業安全衛生法》與《醫療法》也逐年修訂。綜上所述，本文蒐集醫療場域之職場暴力現況，並提供預防及因應策略，以期居家醫療與長期照護從業人員能擁有更友善健康的工作環境。〈/p〉 〈p〉 〈/p〉〈p〉Workplace violence (WPV) is a serious occupational threat for healthcare workers (HCWs). WPV can be divided into the following four types: Type I concerning criminal intent, Type II client-on-worker violence, Type III worker-on-worker violence, and Type IV personal relationship (or intimate partner violence). A high level of exposure to WPV has been identified in the healthcare and social work settings where patients form a common source of WPV (more specifically Type II WPV). Of all healthcare professionals, home healthcare workers (HHCWs) and long-term care workers (LTCWs) are particularly vulnerable to WPV due to the unique characteristics and requirements of their services, and home healthcare workers appear to be at a greater risk of experiencing WPV than their long-term care counterparts. Moreover, most scholars are of the opinion that the prevalence of WPV is very likely to be underestimated due to underreporting. Accordingly, the paper proposed four major WPV coping strategies for the two groups of healthcare workers. First, training courses should be planned and implemented to improve communication skills of workers and safeguard their safety during home and long-term care visits. Relevant committees or advisory boards should be established to streamline incident reporting SOP, provide counseling, develop safety manual, and monitor follow-ups of reported incidents. Second, home environment safety should be assessed using one of the several tools that have already been developed. Third, HHCWs and LTCWs should equip themselves with personal defense and protection gadgets and memorize emergency phone numbers for every visit. Fourth, related laws and regulations, notably Occupational Safety and Health Act and Medical Care Act, should be reviewed and amended on a regular basis to better prevent WPV in the home and long-term care settings. In the paper, we comprehensively report the prevalence of medical workplace violence, prevention and intervention strategies for HHCWs and LTCWs to stay safe while working.〈/p〉 〈p〉 〈/p〉
    Type of Medium: Online Resource
    ISSN: 1682-3281 , 1682-3281
    Uniform Title: Current Status of Workplace Violence and Coping Strategies among Home Healthcare and Long-Term Care Workers
    URL: Article
    DOI: 10.53106/168232812022123204002
    Language: Unknown
    Publisher: Angle Publishing Co., Ltd.
    Publication Date: 2022
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  • 6
    Online Resource
    Online Resource
    The Association between Home Healthcare and Burdensome Transitions at the End-of-Life in People with Dementia: A 12-Year Nationwide Population-Based Cohort Study
    MDPI AG ; 2020
    In:  International Journal of Environmental Research and Public Health Vol. 17, No. 24 ( 2020-12-10), p. 9255-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 17, No. 24 ( 2020-12-10), p. 9255-
    Abstract: Background: For people with dementia, burdensome transitions may indicate poorer-quality end-of-life care. Little is known regarding the association between home healthcare (HHC) and these burdensome transitions. We aimed to investigate the impact of HHC on transitions and hospital/intensive care unit (ICU) utilisation nearing the end-of-life for people with dementia at a national level. Methods: A nested case-control analysis was applied in a retrospective cohort study using a nationwide electronic records database. We included people with new dementia diagnoses who died during 2002–2013 in whole population data from the universal healthcare system in Taiwan. Burdensome transitions were defined as multiple hospitalisations in the last 90 days (early transitions, ET) or any hospitalisation or emergency room visit in the last three days of life (late transitions, LT). People with (cases) and without (controls) burdensome transitions were matched on a ratio of 1:2. We performed conditional logistic regression with stratified analyses to estimate the adjusted odds ratio (OR) and 95% confidence interval (CI) of the risks of transitions. Results: Among 150,125 people with new dementia diagnoses, 61,399 died during follow-up, and 31.1% had burdensome transitions (50% were early and 50% late). People with ET had the highest frequency of admissions and longer stays in hospital/ICU during their last year of life, while people with LT had fewer hospital/ICU utilisation than people without end-of-life transitions. Receiving HHC was associated with an increased risk of ET (OR = 1.14, 95 % CI: 1.08–1.21) but a decreased risk of LT (OR = 0.89, 95 % CI 0.83–0.94). In the people receiving HHC, however, those who received longer duration (e.g., OR = 0.50, 95 % CI: 0.42–0.60, 〉 365 versus ≤30 days) or more frequent HHC or HHC delivered closer to the time of death were associated with a remarkably lower risk of ET. Conclusions: HHC has differential effects on early and late transitions. Characteristics of HHC such as better continuity or interdisciplinary coordination may reduce the risk of transitions at the end-of-life. We need further studies to understand the longitudinal effects of HHC and its synergy with palliative care, as well as the key components of HHC that achieve better end-of-life outcomes.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph17249255
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2175195-X
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  • 7
    Online Resource
    Online Resource
    Paricalcitol Pretreatment Attenuates Renal Ischemia-Reperfusion Injury via Prostaglandin E 2 Receptor EP4 Pathway
    Hindawi Limited ; 2017
    In:  Oxidative Medicine and Cellular Longevity Vol. 2017 ( 2017), p. 1-17
    Details
    In: Oxidative Medicine and Cellular Longevity, Hindawi Limited, Vol. 2017 ( 2017), p. 1-17
    Abstract: The protective mechanism of paricalcitol remains unclear in renal ischemia-reperfusion (IR) injury. We investigated the renoprotective effects of paricalcitol in IR injury through the prostaglandin E 2 (PGE 2 ) receptor EP4. Paricalcitol was injected into IR-exposed HK-2 cells and mice subjected to bilateral kidney ischemia for 23 min and reperfusion for 24 hr. Paricalcitol prevented IR-induced cell death and EP4 antagonist cotreatment offset these protective effects. Paricalcitol increased phosphorylation of Akt and cyclic AMP responsive element binding protein (CREB) and suppressed nuclear factor- κ B (NF- κ B) in IR-exposed cells and cotreatment of EP4 antagonist or EP4 small interfering RNA blunted these signals. In vivo studies showed that paricalcitol improved renal dysfunction and tubular necrosis after IR injury and cotreatment with EP4 antagonist inhibited the protective effects of paricalcitol. Phosphorylation of Akt was increased and nuclear translocation of p65 NF- κ B was decreased in paricalcitol-treated mice with IR injury, which was reversed by EP4 blockade. Paricalcitol decreased oxidative stress and apoptosis in renal IR injury. Paricalcitol also attenuated the infiltration of inflammatory cells and production of proinflammatory cytokines after IR injury. EP4 antagonist abolished these antioxidant, anti-inflammatory, and antiapoptotic effects. The EP4 plays a pivotal role in the protective effects of paricalcitol in renal IR injury.
    Type of Medium: Online Resource
    ISSN: 1942-0900 , 1942-0994
    URL: Article
    DOI: 10.1155/2017/5031926
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2017
    detail.hit.zdb_id: 2455981-7
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  • 8
    Online Resource
    Online Resource
    P-133: Enhancement of Memory Characteristics in Bistable Chiral Splay Nematic Display Mode
    Wiley ; 2011
    In:  SID Symposium Digest of Technical Papers Vol. 42, No. 1 ( 2011-06), p. 1609-1611
    Details
    In: SID Symposium Digest of Technical Papers, Wiley, Vol. 42, No. 1 ( 2011-06), p. 1609-1611
    Type of Medium: Online Resource
    ISSN: 0097-966X
    URL: Article
    DOI: 10.1889/1.3621176
    Language: English
    Publisher: Wiley
    Publication Date: 2011
    detail.hit.zdb_id: 2526337-7
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  • 9
    Online Resource
    Online Resource
    Urban collage: how can affective dynamics shape waterfront landscapes?
    Informa UK Limited ; 2022
    In:  Landscape Research Vol. 47, No. 1 ( 2022-01-02), p. 68-86
    Details
    In: Landscape Research, Informa UK Limited, Vol. 47, No. 1 ( 2022-01-02), p. 68-86
    Type of Medium: Online Resource
    ISSN: 0142-6397 , 1469-9710
    URL: Article
    DOI: 10.1080/01426397.2021.1978410
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2020719-0
    SSG: 12
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  • 10
    Online Resource
    Online Resource
    Epidemic Invasions: Yellow Fever and the Limits of Cuban Independence, 1878–1930
    Informa UK Limited ; 2013
    In:  East Asian Science, Technology and Society: An International Journal Vol. 7, No. 2 ( 2013-06-01), p. 317-318
    Details
    In: East Asian Science, Technology and Society: An International Journal, Informa UK Limited, Vol. 7, No. 2 ( 2013-06-01), p. 317-318
    Type of Medium: Online Resource
    ISSN: 1875-2160 , 1875-2152
    URL: Article
    DOI: 10.1215/18752160-2152121
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2013
    detail.hit.zdb_id: 2423593-3
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