256 research outputs found
Preventing Chronic Disease (PCD)
Full text linkIntroductionChronic conditions are the leading causes of death and disability worldwide. Providing care to people diagnosed with a chronic disease is challenging, and controlling multiple chronic conditions (MCCs) can be overwhelming, particularly in rapidly aging societies. The objective of this study was to examine the prevalence of MCCs from 2000 to 2010 in Taiwan.MethodsA random sample of 1 million representative National Health Insurance beneficiaries in 3 years (2000, 2005, and 2010) was obtained from the Taiwan National Health Insurance Research Database to examine the prevalence of MCCs. Chronic Condition Indicator and Clinical Classifications Software were used to determine and classify codes from the International Classification of Diseases, Ninth Revision. People who had 2 or more conditions among the 15 categories of conditions were defined as having MCCs.ResultsThe prevalence of MCCs increased from 9.6% in 2000 to 17.1% in 2010. The highest prevalence of MCCs was found among people aged 65 years or older (42.3% in 2000 and 64.5% in 2010, a relative increase of 52.5%). However, the highest rate of increase was found among people younger than 18 years (0.5% in 2000 and 1.6% in 2010, a relative increase of 220.0%).ConclusionMCCs are increasingly prevalent among the older ( 6565 y) population and among children and adolescents. Prevention and early intervention programs targeted to certain age groups may be required. If the increase in MCCs continues rapidly, the management of people diagnosed with MCCs would challenge the capacity of the health care system in Taiwan
Assessment of hydrologic alterations caused by Chi-Chi diversion weir in Chou-Shui Creek, Taiwan: Opportunities for restoring natural flow conditions
No full textThe Range of Variability Approach (RVA) is used to investigate the hydrologic impacts of a diversion weir on Chou-Shui Creek, Taiwan. Thirty-two hydrologic parameters, called Indicators of Hydrologic Alteration (IHA), are used to evaluate the flow conditions before and after weir construction. One standard deviation from the mean for each of the pre-construction hydrologic parameters is set as the management target range. Under the prevailing diversion rules, large hydrologic alterations are observed, especially for low flows. The means of 19 hydrologic parameters presently fall outside of the targets and the average non-attainment rate for the 32 indicators is 73.2%. Increasing the instream flow release or reducing diversions could mitigate the hydrologic impacts of weir construction. Increasing the instream flow to 40 m3/s and reducing monthly water demands by variable percentages significantly improves the altered flow conditions. Under the proposed water release and diversion scheme, 29 hydrologic parameters will fall within the management targets and the average non-attainment rate will be reduced to 35.6%, much closer to the pre-construction value of 25.3%. Restoring the natural flow variability is expected to promote the natural stream biota.國外SCI紙本GB
Do agreements between adolescent and parent reports on family socioeconomic status vary with household financial stress?
No full textAbstract Background Many studies compared the degree of concordance between adolescents' and parents' reports on family socioeconomic status (SES). However, none of these studies analyzed whether the degree of concordance varies by different levels of household financial stress. This research examines whether the degree of concordance between adolescents' and parent reports for the three traditional SES measures (parental education, parental occupation and household income) varied with parent-reported household financial stress and relative standard of living. Methods 2,593 adolescents with a mean age of 13 years, and one of their corresponding parents from the Taiwan Longitudinal Youth Project conducted in 2000 were analyzed. Consistency of adolescents' and parents' reports on parental educational attainment, parental occupation and household income were examined by parent-reported household financial stress and relative standard of living. Results Parent-reported SES variables are closely associated with family financial stress. For all levels of household financial stress, the degree of concordance between adolescent's and parent's reports are highest for parental education (κ ranging from 0.87 to 0.71) followed by parental occupation (κ ranging from 0.50 to 0.34) and household income (κ ranging from 0.43 to 0.31). Concordance for father's education and parental occupation decreases with higher parent-reported financial stress. This phenomenon was less significant for parent-reported relative standard of living. Conclusions Though the agreement between adolescents' and parents' reports on the three SES measures is generally judged to be good in most cases, using adolescents reports for family SES may still be biased if analysis is not stratified by family financial stress.</p
Emerg Infect Dis
No full textDengue, a mosquitoborne flavivirus infection, is increasingly a disease of older adults who are more likely to have chronic diseases that confer risk for severe outcomes of dengue infection. In a population-based study in Taiwan, adjusted risks for dengue-related hospitalization, intensive care unit admission, and death increased progressively with age
Secondary motions of the shoulder during arm elevation in patients with shoulder tightness
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When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
Full text linkAbstract Background Several studies have demonstrated that perceived financial status has a significant impact on health status among the elderly. However, little is known about whether such a subjective perception interacts with objective socioeconomic status (SES) measures such as education that affect the individual's health. Methods This research used data from the Survey of Health and Living Status of the Middle Age and Elderly in Taiwan (SHLS) conducted by the Bureau of Health Promotion, Department of Health in Taiwan. Waves 1996, 1999 and 2003 were used. The sample consisted of 2,387 elderly persons. The interactive effects of self-rated satisfaction with financial position and educational attainment were estimated. Self-rated health (SRH), depressive symptom (measured by CES-D) and mortality were used to measure health outcomes. Results Significant interaction effect was found for depressive symptoms. Among those who were dissatisfied with their financial position, those who were illiterate had an odds ratio (OR) of 8.3 (95% CI 4.9 to 14.0) for having depressive symptoms compared with those who were very satisfied with their financial position. The corresponding OR for those with college or above was only 2.7 (95% CI 1.0 to 7.3). No significant interaction effect was found for SRH and mortality. Conclusions Although poor financial satisfaction was found to be related to poorer health, the strongest association for this effect was observed among those with low educational attainment, and this is especially true for depressive symptoms. Subjective financial status among the elderly should be explored in conjunction with traditional measures of SES.</p
The impact of self-rated health on medical care utilization for older people with depressive symptoms
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