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1دورية أكاديمية
المصدر: Risk Management and Healthcare Policy, Vol Volume 14, Pp 665-673 (2021)
مصطلحات موضوعية: firefighters, shift worker, health insurance record, Public aspects of medicine, RA1-1270
الوصف: Wei-Ching Hsu,1,2 Chun-Hsiang Wang,3 Kang-Ming Chang,4– 6 Li-Wei Chou2,7,8 1Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan; 2Department of Physical Medicine and Rehabilitation, Asia University Hospital, Asia University, Taichung, Taiwan; 3Fire Bureau of Taichung City Government, Taichung, Taiwan; 4Department of Computer Science and Information Engineering, Asia University, Taichung, Taiwan; 5Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan; 6Department of Digital Media Design, Asia University, Taichung, Taiwan; 7Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 8Department of Physical Therapy and Graduate Institute of Rehabilitation Science, China Medical University, Taichung, TaiwanCorrespondence: Kang-Ming ChangDepartment of Computer Science and Information Engineering, Asia University, 500, Lioufeng Road, Wufeng, Taichung, 41354, TaiwanTel +886-4-23323456Fax +886-4-23316699Email changkm@asia.edu.twLi-Wei ChouDepartment of Physical Medicine and Rehabilitation, China Medical University Hospital, No. 91, Hsueh-Shih Road, Taichung, 40402, TaiwanTel +886-4-22053366Fax +886-4-23316699Email chouliwe@gmail.comIntroduction: Taiwan’s firefighters use a shift rotation system with 2 days of work and 1 day of rest. Numerous papers have already explored the risks of shift work to the body. However, little data concern the impact of shift work on health as reflected in medical visits. This study used individuals’ medical visit record in Taiwan’s health insurance system. The locally called “health bank” contains individuals’ medical visit record, health insurance payment points and the medicine used.Methods: Consent was obtained from 150 firefighters who were serving under the shift rotation system to obtain their 2015 individual “My Health Bank” medical data. Comparisons were made between national health insurance data norm.Results: Firefighters make significantly more visits for Western medicine than the annual average (firefighters 6.27 vs norm 5.24, P = 0.04142), more total number of medical visits (9.57 vs 7.75, P = 0.0102), more annual average payment points for Western medicine (4079 vs 2741, P = 0.003151), and a greater average number of total annual medical visit points (7003 vs 4940, p = 0.0003157). Firefighters had significantly higher incidents of respiratory diseases, urogenital diseases, skin and subcutaneous tissue diseases, musculoskeletal system and connective tissue diseases, injuries, and illness from poisoning than did the norm (P< 0.05).Conclusion: A persuasive health-survey-based method for workers in high occupational hazard industries was proposed in this study, and the result was highly correlated with risk factors of fireworkers. The proposed study method is potential to investigate risk factors of other working.Keywords: firefighters, shift worker, health insurance record
وصف الملف: electronic resource
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2دورية أكاديمية
المصدر: Clinical Interventions in Aging, Vol Volume 13, Pp 1193-1199 (2018)
مصطلحات موضوعية: Agitation, Aggressive behavior, Behavioral problem, caregiver, factor analysis, dementia, Geriatrics, RC952-954.6
الوصف: Huei-Ling Huang,1,2 Yea-Ing L Shyu,1,3–5 Wen-Chuin Hsu6 1Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 2Nursing Department, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan; 3School of Nursing, College of Medicine & Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; 4Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; 5Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; 6Chang Gung Dementia Center, Department of Neurology, Chang Gung University and Memorial Hospital, Taoyuan, Taiwan Background/aims: Limited research has been conducted on agitated behavior in Taiwan and dementia among community-dwelling elderly. Therefore, this study focused on community elderly with dementia and a factor analysis of an inventory of their agitated behaviors was conducted.Patients and methods: Participants (N=221) completed the Chinese Cohen-Mansfield Agitation Inventory, community form. Item analysis and exploratory factor analysis assessed reliability, validity, and the underlying factor structure.Results: Five factors were extracted and accounted for 44.53% of the total variance. This study classified agitated behaviors into 5 main subtypes: physically agitated behaviors, destructive behaviors, verbally agitated behaviors, handling things behavior, and aggressive behaviors.Conclusion: The results indicate that differences in the agitated behavior of elderly with dementia exist with respect to cultural background and setting. This novel research and its findings serve as a reference for assessing the agitated behaviors of elderly with dementia living in their homes. Applications may exist for other countries with Chinese/Taiwanese populations. Keywords: agitation, aggressive behavior, behavioral problem, caregiver, factor analysis, dementia
وصف الملف: electronic resource
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3دورية أكاديمية
المصدر: Clinical Interventions in Aging, Vol Volume 10, Pp 135-146 (2015)
مصطلحات موضوعية: role implementation, dementia, caregiver, behavioral problem, Geriatrics, RC952-954.6
الوصف: Huei-Ling Huang,1 Yea-Ing L Shyu,2,3 Min-Chi Chen,4 Chin-Chang Huang,5,6 Hung-Chou Kuo,5,6 Sien-Tsong Chen,5,6 Wen-Chuin Hsu6,71Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 2School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; 4Department of Public Health and Biostatistics Consulting Center, Chang Gung University, Taoyuan, Taiwan; 5Department of Neurology, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 6School of Medicine, Chang Gung University, Taoyuan, Taiwan; 7Chang Gung Dementia Center, Taoyuan, TaiwanPurpose: The purpose of this study was to explore family caregivers’ role-implementation experiences at different stages of dementia.Patients and methods: For this cross-sectional, exploratory study, 176 dyads of family caregivers and their community-dwelling elderly relatives with dementia were recruited from the neurological clinics of a medical center in Taiwan. The Family Caregiving Inventory was used to assess family caregivers for caregiving activities, role strain, role preparation, and help from others at different stages of care receivers’ dementia.Results: Family caregivers’ caregiving activities were related to patients’ stages of dementia. For patients with mild dementia, caregivers provided more assistance in transportation and housekeeping. In addition to these two activities, family caregivers of patients with moderate dementia provided more assistance with mobility and protection. For patients with severe dementia, family caregivers provided more assistance with personal care, mobility and protection, transportation, and housekeeping. Overall, family caregivers reported having some preparation to provide care; the most difficult caregiving activity was identified as managing behavioral problems.Conclusion: This study’s results provide a knowledge base for designing dementia stage-specific interventions in clinical practice and developing community-based, long-term care systems for families of patients with dementia.Keywords: behavioral problem, illness trajectory, role strain, caregiving activity, preparedness
وصف الملف: electronic resource
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4دورية أكاديمية
المؤلفون: Hsu, WC, Patricola, CM, Chang, P
المصدر: Climate Dynamics. 53(1-2)
مصطلحات موضوعية: SST bias, Tropical cyclones, Tropical channel model, Climate model bias, Atmospheric Sciences, Oceanography, Meteorology & Atmospheric Sciences, Physical Geography and Environmental Geoscience
الوصف: Sea surface temperature (SST) patterns both local to and remote from tropical cyclone (TC) development regions are important drivers of the variability of TC activity. Therefore, reliable simulations and predictions of TC activity depend on a realistic representation of tropical SST. Nevertheless, severe SST biases are common to the current generation of global climate models, especially in the tropical Pacific and Atlantic. These biases are strongly positive in the southeastern tropical basins, and negative, but weaker, in the northwestern tropical basins. To investigate the impact of the tropical SST biases on simulated TC activity, an atmospheric-only tropical channel model was used to conduct several sets of ensemble simulations. The simulations suggest an underrepresentation in Atlantic TC activity caused by the Atlantic cold bias alone, and an overrepresentation in Eastern North Pacific (ENP) TC activity due to the Atlantic cold bias and Pacific warm bias jointly. While the local impact of SST biases on TC activity is generally induced by the local anomalous SST and the associated changes in atmospheric conditions, the remote impact of the Atlantic bias on the ENP TCs is strongly driven by the change in topographically forced regional circulation. Moreover, an eastward shift in Western North Pacific TCs was generated by the Pacific SST biases, even though basin-wide TC activity indicators change insignificantly. The results indicate the importance of considering SST bias effects on simulated TC activity in climate model studies and highlight key regions where reducing SST biases could potentially improve TC representation in climate models.
وصف الملف: application/pdf
URL الوصول: https://escholarship.org/uc/item/0c82w82v
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5دورية أكاديمية
المؤلفون: Kanaya, Alka, Hsu, WC, Araneta, MRG, Kanaya, AM, Chiang, JL, Fujimoto, W
الوصف: © 2015 by the American Diabetes Association.According to the U.S. Census Bureau, an Asian is a person with origins fromthe Far East (China, Japan, Korea, and Mongolia), Southeast Asia (Cambodia, Malaysia, the Philippine Islands, Thailand, Vietnam, Indonesi
URL الوصول: https://escholarship.org/uc/item/9505d49d
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6دورية أكاديمية
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7
المؤلفون: Hsu WC, Schweiger C, Hart CK, Smith M, Varela P, Gutierrez C, Ormaechea M, Cohen AP, Rutter MJ
المصدر: Laryngoscope
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
instnameمصطلحات موضوعية: Airway disruption, child, surgery, observation, conservative treatment, laceration, perforation, transection, intubation, respiratory system
الوصف: Our objective was to gather data that would enable us to suggest more specific guidelines for the management of children with airway disruption.
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8
المؤلفون: Hsu, WC, Patricola, CM, Chang, P
المصدر: Hsu, Wei-Ching; Patricola, Christina M; & Chang, Ping. (2018). The impact of climate model sea surface temperature biases on tropical cyclone simulations. Climate Dynamics. doi: 10.1007/s00382-018-4577-5. Lawrence Berkeley National Laboratory: Retrieved from: http://www.escholarship.org/uc/item/0c82w82v
Climate Dynamics, vol 53, iss 1-2مصطلحات موضوعية: Climate Action, Climate model bias, Tropical cyclones, Tropical channel model, Meteorology & Atmospheric Sciences, Oceanography, SST bias, Physical Geography and Environmental Geoscience, Atmospheric Sciences
الوصف: © 2018, Springer-Verlag GmbH Germany, part of Springer Nature. Sea surface temperature (SST) patterns both local to and remote from tropical cyclone (TC) development regions are important drivers of the variability of TC activity. Therefore, reliable simulations and predictions of TC activity depend on a realistic representation of tropical SST. Nevertheless, severe SST biases are common to the current generation of global climate models, especially in the tropical Pacific and Atlantic. These biases are strongly positive in the southeastern tropical basins, and negative, but weaker, in the northwestern tropical basins. To investigate the impact of the tropical SST biases on simulated TC activity, an atmospheric-only tropical channel model was used to conduct several sets of ensemble simulations. The simulations suggest an underrepresentation in Atlantic TC activity caused by the Atlantic cold bias alone, and an overrepresentation in Eastern North Pacific (ENP) TC activity due to the Atlantic cold bias and Pacific warm bias jointly. While the local impact of SST biases on TC activity is generally induced by the local anomalous SST and the associated changes in atmospheric conditions, the remote impact of the Atlantic bias on the ENP TCs is strongly driven by the change in topographically forced regional circulation. Moreover, an eastward shift in Western North Pacific TCs was generated by the Pacific SST biases, even though basin-wide TC activity indicators change insignificantly. The results indicate the importance of considering SST bias effects on simulated TC activity in climate model studies and highlight key regions where reducing SST biases could potentially improve TC representation in climate models.
وصف الملف: application/pdf
URL الوصول: https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::5e42794919586b99474bc7ccb71416e8
http://www.escholarship.org/uc/item/0c82w82v -
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المؤلفون: Hsu Wc, Rong-Kuo Lyu, Lok-Ming Tang, Sien-Tsong Chen
المصدر: Journal of Neurology, Neurosurgery & Psychiatry. 73:333-335
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Sympathetic nervous system, Adolescent, Short Report, Diaphragmatic breathing, Autonomic Nervous System, Cardiovascular System, Severity of Illness Index, Parasympathetic nervous system, Internal medicine, Severity of illness, Heart rate, Humans, Medicine, Aged, Aged, 80 and over, Miller Fisher Syndrome, business.industry, Fisher Syndrome, Middle Aged, Psychiatry and Mental health, Autonomic nervous system, medicine.anatomical_structure, Blood pressure, Endocrinology, Cardiology, Female, Surgery, Neurology (clinical), business
الوصف: Quantitative cardiovascular autonomic function tests were performed longitudinally in nine patients with Fisher syndrome (FS). Parasympathetic autonomic function was evaluated by the Valsalva ratio and RR interval variation during rest and deep breathing. Sympathetic autonomic function was evaluate by blood pressure responses to sustained handgrip and to active standing. None of the patients with FS had clinical signs of autonomic dysfunction during the course of their illness. However, autonomic function abnormalities were seen in up to 83% of patients with FS. Thus, bedside clinical signs of autonomic dysfunctions are inadequate for the assessment of autonomic abnormality compared with quantitative autonomic function examination. Most autonomic function tests tended to improve after 4-12 weeks. Although parasympathetic and sympathetic functions were both involved at the height of FS, parasympathetic fibres were less vulnerable than the sympathetic fibres.
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10
المؤلفون: Pin-Tsun Chao, Hsin Hsiu, Ming-Yie Jan, Wei-Kung Wang, Hsu Wc, Wang Yy
المصدر: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine. 222(5)
مصطلحات موضوعية: Male, Hemodynamics, Stimulation, Blood Pressure, Propranolol, Vibration, Feedback, Heart Rate, Heart rate, Medicine, Animals, Arterial wall, Computer Simulation, Rats, Wistar, Radial vibration, Hemostasis, business.industry, Mechanical Engineering, Models, Cardiovascular, General Medicine, Arteries, Elasticity, Rats, Blood pressure, Anesthesia, Stress, Mechanical, business, Blood Flow Velocity, medicine.drug
الوصف: Motivation: This study tests if the ‘oscillating spring’ analogy for the radial vibration of the arterial wall can help to describe the relationship between the heart rate (HR), the blood pressure (BP), and properties of the arterial wall when different types of stimulation are applied on the cardiovascular system. It may help to suggest a possible role for arterial radial vibration in the association between the arterial stiffening and hypertension. Methods: Either mechanical stimulation was applied (0.5-mmHg pressure variation) to Wistar rats by at near-HR frequency (group A) or administered Propranolol (2mg/kg i.p.; group B), and measured HR and BP simultaneously. Results: In both groups, HR and BP were noted to change in the same direction ( r2 = 0.72 and 0.62, respectively; p both < 0.05 by F-test). ANCOVA was performed on these two regression lines, and it was found that there was no significant difference between them ( p>0.3). Conclusion: In both groups, changes in haemodynamic parameters can be explained by the ‘oscillating spring’ analogy for the radial vibration of the arterial wall. This illustrates that, when facing various stimulations, it may be an important regulatory mechanism for the heart and the arteries to restore their frequency-matching condition in order to improve the arterial transmission efficiency. Paying more attention to the radial movement of the wall may therefore help to suggest a novel explanation of the mechanism that underlies the bi-directional relation between hypertension and arterial stiffening.
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