Current and Projected Elderly Populations in the Countries of East
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Home and Community-Based Long-Term Care Services in Taiwan: Factors and Effects Associated with the Utilization by Community Dwelling Dependent Elderly
HOME AND COMMUNITY-BASED LONG-TERM CARE SERVICES IN TAIWAN: FACTORS AND EFFECTS ASSOCIATED WITH THE UTILIZATION BY COMMUNITY DWELLING DEPENDENT ELDERLY By Mei-Ju Chuang A dissertation submitted to Johns Hopkins University in conformity with the requirements for the degree of Doctor of Public Health Baltimore, Maryland September, 2017 Abstract Background: The growth of population aging in Taiwan is projected to be one of the fastest aging countries in the world. In response to the increased demands of this aging society, the Taiwan government launched the 10-year Long-term Care Program (LTCP) in 2008. A variety of home- and community-based long term care services were provided to the community-dwelling dependent elderly. However, little is known about the factors related to the utilization of the long-term care program. Purpose: To understand the factors and effects of the home- and community-based long term care services utilization among community dwelling dependent elderly in Taiwan. Methodology: The study data were extracted from the database of “Long Term Care Plan- Chiayi City”. In total, 1,294 older adults who were newly eligible and applied for the 10-year Long Term Care Plan in 2013-2015 were included to explore the determinants of the factors with the utilization. Among 1,294 older adults, 680 elders who were enrolled from January 2013 to June 2014 were followed until September 2016 to describe the outcome and the utilization. Andersen and Newman’s Behavioral Model of Health Services Use was applied to guide the selection of variables, analyses, and interpretation. Based on the behavioral model, three population characteristics including predisposing, enabling and need-level factors and environmental factors were included ii in the study model. -
Nationalism in Crisis: the Reconstruction of South Korean Nationalism in Korean History Textbooks (Han’Guksa)
Nationalism in Crisis: The Reconstruction of South Korean Nationalism in Korean History Textbooks (Han’guksa) by Yun Sik Hwang A thesis submitted in conformity with the requirements for the degree of Master of Arts Department of East Asian Studies University of Toronto © Copyright by Yun Sik Hwang 2016 Nationalism in Crisis: The Reconstruction of South Korean Nationalism in Korean History Textbooks (Han’guksa) Yun Sik Hwang Master of Arts Department of East Asian Studies University of Toronto 2016 Abstract South Korea has undergone considerable transitions between dictatorship and democracy under Korea’s extraordinary status as a divided nation. The nature of this division developed an intense political contestation in South Korea between the political Left who espouse a critical view of top-down national history, and the Right who value the official view of South Korea’s national history. Whether it is a national history or nationalist history, in terms of conceptions of national identity and nationalism in relation to Korean history, disagreement continues. The purpose of this thesis is not to support nor refute the veracity of either political position, which is divided between a sensationalized political Right and a caricaturized Left. The aim of this project is to evaluate a series of developments in Korean history textbooks that can be seen as a recent attempt to build new national identities. ii Acknowledgments There are countless people I am indebted as I completed this Master’s thesis. First and foremost, I would like to thank my professor and supervisor, Andre Schmid for his charismatic and friendly nature for the past 7 years. -
Tuberculosis Contact Investigation in an Intermediate Burden Setting: Implications from a Large Tuberculosis Contact Cohort in Taiwan
AGORA | | RESEARCH LETTER Tuberculosis contact investigation in an intermediate burden setting: implications from a large tuberculosis contact cohort in Taiwan To the Editor: There are still several unanswered research questions regarding tuberculosis (TB) contact investigations [1–4]. For example, up-to-date epidemiological studies regarding TB contacts in the area of intermediate incidence are not readily available [5]. The long-term risk of TB, especially beyond 5 years, remains undetermined [6]. Risk factors for TB development among contacts are also not well defined [2]. To expand current understanding and knowledge of TB contact investigation, we recruited a population-based TB contacts cohort utilising the National Health Insurance Research Database of Taiwan, which included medical care claims data of 99% Taiwan residents [7]. Taiwan is a country with an intermediate TB burden. The incidence rate of TB was 72.5 per 100000 population in 2005 and decreased gradually to 45.7 in 2015 [8]. Supported by the national budget and a single, government-sponsored insurance medical service system, the completion rate of TB contact investigation has reached more than 95% [9]. Participants were included if they had an outpatient diagnosis of International Classification of Diseases, ninth revision, clinical modification (ICD-9-CM) code of V01.1 or 795.5. At the same time, the participants should also fulfil the criteria of co-payment exemption. Under the National TB Program of Taiwan, TB contacts were exempt from a certain fraction of the actual cost of using the medical services, the so-called co-payment exemption, since July 2007. The date of this outpatient visit was set to be the cohort entry date. -
Should We Adopt a Standard International Normalized Ratio Range of 2.0 to 3.0 for Asian Patients with Atrial Fibrillation?
366 Invited Editorial Focus Should We Adopt a Standard International Normalized Ratio Range of 2.0 to 3.0 for Asian Patients with Atrial Fibrillation? An Appeal for Evidence-Based Management, Not Eminence- Based Recommendations Tze-Fan Chao1,2 Yutao Guo3 1 Division of Cardiology, Department of Medicine, Taipei Veterans Address for correspondence Tze-Fan Chao, MD, PhD, Division of General Hospital, Taipei, Taiwan Cardiology, Department of Medicine, Taipei Veterans General 2 Institute of Clinical Medicine, and Cardiovascular Research Center, Hospital,No.201,Sec.2,Shih-PaiRoad,Taipei,Taiwan National Yang-Ming University, Taipei, Taiwan (e-mail: [email protected]). 3 Department of Cardiology, Chinese PLA General Hospital, Beijing, China Thromb Haemost 2020;120:366–368. The prevalence of atrial fibrillation (AF) and AF-related The recommendations of different Asian guidelines on the stroke are increased in Asian countries in recent years,1,2 optimal INR ranges for AF patients treated with warfarin are and stroke prevention with oral anticoagulants (OACs) is the summarized in ►Table 1. The Taiwan Heart Rhythm Society, cornerstone for the managements of AF.3,4 Although non- China Society of Pacing and Electrophysiology/Chinese Society vitamin K antagonist OACs (NOACs) were more and more of Arrhythmia, and Korean Heart Rhythm Society recommend – commonly prescribed, warfarin was still responsible for 2 to 3 as an optimal INR range,10 12 which was similar to the around 27% of prescriptions of OACs for newly diagnosed majority of western guidelines. However, Japanese, Indian, and AF patients in year 2015 in Taiwan.5 Chinese Geriatric Society guidelines recommend a lower INR – When using warfarin, we have to think beyond simply range for elderly patients.13 15 The Japan Circulation Society writing a prescription for it. -
46 November 2014
THE FRONT PAGE KOREA-COLD WAR SEND TO: FAMILIES OF THE MISSING PO BOX 454 FARMINGDALE, NY 11735 http://www.koreacoldwar.org November 2014 Issue #46 POW-MIA WE Remember! 2014 FAMILY UPDATE SCHEDULE November 8, 2014, Orlando, Fl. Contact your Congressional Reps through TREASURER’S CORNER the U.S. Capitol Switchboard - 1-202-224- It is time to renew your membership. 3121 or House Cloak Room at 1-202- 225-7350 (R) and 1-202-225-7330 (D) Please take care of it before you get busy with the holidays. Congressional Contacts: http://congress.org/congressorg/home/ Help us continue our work. Please send US Senate: http://www.senate.gov/ House: http://www.house.gov/ your membership dues to: White House: http://www.whitehouse.gov Korea/Cold War Families of the Missing PO Box 454 Board of Directors and Staff Farmingdale, NY 11735 National Chair– Irene Mandra, Family Member Vice President-Charlotte Mitnik, Family Member No application is necessary if you are Treasurer – Gail Stallone, Family Member already a member. Please provide your Secretary- Deborah Gordon, Family Member name and address on the check. Fundraising–Melody Raglin, Family Member Editor– Arlene Groden Cohen, Family Member Webmaster – Danny Gargus DASD Montague "Q" Winfield Resigns STREET NAMED AFTER VETERAN Yonkers, NY On October 15, Deputy Assistant Secretary of Defense for POW/Missing Personnel Affairs Cpl Seymour Lehman fought in what and Director, Defense POW/Missing has come to be known as the “Forgotten Personnel Office, W Montague Winfield War” (better known as the Korean War), submitted his resignation to the Secretary of but his legacy of selfless service will Defense, effective November 15, 2014. -
The Outbreak of the Korean War: a Historical Simulation
THE OUTBREAK OF THE KOREAN WAR: A HISTORICAL SIMULATION Grades: 9-12 Author: Paul Thompson Subject: History Time Required: Two class periods Objectives: 1. Students will identify the causal factors of the Korean War 2. Students will analyze and evaluate primary sources of the early stages of the war. 3. Students will use the provided information to make key decisions regarding US action during the early stages of the war. 4. Students will work together and effectively communicate their ideas. Standards: Common Core: SL1 Initiate and participate in effectively in a range of collaborative discussion SL 2 Integrate multiple sources of information presented in diverse formats and media SL 4 Present information, findings, and supporting evidence RH 1 Cite specific textual evidence to support analysis of primary and secondary sources RH 2 Determine the central ideas or information of a primary or secondary source RH 3 Evaluate various explanations for actions or events RH 7 Integrate and evaluate multiple sources of information presented in diverse formats and media Background: This simulation is designed to introduce students to the Korean War and its geopolitical implications. Much of the content provided is primary source based. Working in groups, students will act as advisors to President Truman, and present the President with a course of action in response to several key events that occurred during the Korean War. Much of the source material was classified as Top Secret and includes documents from the NSC, CIA, State Department, military, as well as correspondence between the top leaders in the American foreign policy establishment. Materials Required: This is a self-contained lesson and no outside materials are required. -
Vote! Vote! Vote! the Graybeards Is an Official Publication of the Korean War Veterans Association (KWVA), Camp Beauregard, Louisiana
Election Issue! Election Issue! Election Issue! Election Issue! Vote! Vote! Vote! Ballot Inside The Graybeards is an official publication of the Korean War Veterans Association (KWVA), Camp Beauregard, Louisiana. Mailing address: 163 Deerbrook Trail, Pineville, LA 71360. Website: http://www.kwva.org. It is published six times a year for members and friends of the organization. It is not sold by subscription. In loving memory of General Raymond Davis, our Life Honorary President, Deceased. We Honor Founder William Norris Editor Asst Secretary Term 2004-2007 KWVA Liaison to Canadian KVA: Arthur G. Sharp Frank E. Cohee, Jr. Lee Dauster Bill Burns 152 Sky View Dr 4037 Chelsea Lane 15444 Camino Del Parque, Sonora, CA 95370 105 Emann Dr, Camillus, NY 13031 Rocky Hill, CT 06067 Lakeland, Fl 33809-4063 [email protected] Ph: 209-588-1529 [email protected] Ph: 315-487-1750 Ph: 860-563-6149 [email protected] Chaplain Emeritus: [email protected] Ph: 863-859-1384 John G. Edwards 10346 127th Ave., Largo, FL 33773-1022 Robert Personette Advertising Editor Asst Secretary [email protected] Ph: 727-582-9353 7136 Oak Leaf Drive, Santa Rosa, CA 95409 Frank Bertulis Billy W. Jones [email protected] Ph: 707-539-7276 Dean McClain 99 Deerfield Ln 6504 Wagon Wheel Chaplain: Matawan, NJ 07747-1332 Killeen, TX 76542 521 Westgate Blvd., Youngstown, OH 44515 [email protected] Ph: 330-792-5928 Leonard F. Stegman [email protected] [email protected] 7123 Thrush View Ln. #28 Ph: 732-566-2737 Ph: 254-628-1735 Bob Morga San Antonio, TX 78209 FAX: 210-805-9127 Webmaster Treasurer PO Box 835, Bayport, NY 11705 Hall06Aaol.com Ph: 210-822-4041 James A. -
An Analysis of Taiwan's Quest to Build a Nuclear Society
AN ANALYSIS OF TAIWAN’S QUEST TO BUILD A NUCLEAR SOCIETY AS A STRATEGY TO ADDRESS ISSUES OF STATE LEGITIMACY by Yeng-Chieh Tsai A dissertation submitted to the Faculty of the University of Delaware in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Energy and Environmental Policy Summer 2017 Copyright 2017 Yeng-Chieh Tsai All Rights Reserved AN ANALYSIS OF TAIWAN’S QUEST TO BUILD A NUCLEAR SOCIETY AS A STRATEGY TO ADDRESS ISSUES OF STATE LEGITIMACY by Yeng-Chieh Tsai Approved: __________________________________________________________ John Byrne, Ph.D. Professor in charge of the dissertation on behalf of Advisory Committee Approved: __________________________________________________________ S. Ismat Shah, Ph.D. Interim Director of the Energy and Environmental Policy Program Approved: __________________________________________________________ Babatunde Ogunnaike, Ph.D. Interim Dean of the College of Engineering Approved: __________________________________________________________ Ann L. Ardis, Ph.D. Senior Vice Provost for Graduate and Professional Education I certify that I have read this dissertation and that in my opinion it meets the academic and professional standard required by the University as a dissertation for the degree of Doctor of Philosophy. Signed: __________________________________________________________ John Byrne, Ph.D. Professor in charge of dissertation I certify that I have read this dissertation and that in my opinion it meets the academic and professional standard required by the University as a dissertation for the degree of Doctor of Philosophy. Signed: __________________________________________________________ Young-Doo Wang, Ph.D. Member of dissertation committee I certify that I have read this dissertation and that in my opinion it meets the academic and professional standard required by the University as a dissertation for the degree of Doctor of Philosophy. -
The Lived Experiences of Fibromyalgia in Taiwanese Women
European Scientific Journal June 2018 edition Vol.14, No.18 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431 The Lived Experiences of Fibromyalgia in Taiwanese Women Shih, Whei-Mei RN, PhD. Associate Professor, Graduate Institute of Health Care, Chang Gung University of Science and Technology, KweiShan, Taiwan. Tsao, Lee-Ing RN, DNSc, Professor, Nursing department and Graduate School, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan. Hsu, Hsiu-Chin RN, PhD. Assistant Professor, Graduate Institute of Health Care, Chang Gung University of Science and Technology, KweiShan, Taiwan. Hsiao, Pin-Ru RN, PhD. Assistant Professor, Nursing Department, Chang Gung University of Science and Technology, ChiaYi, Taiwan. Doi: 10.19044/esj.2018.v14n18p49 URL:http://dx.doi.org/10.19044/esj.2018.v14n18p49 Abstract Fibromyalgia is characterized by chronic widespread musculoskeletal pain and associated symptoms. It affects people physically, mentally, and socially. The aim of this study was to explore the life experience of women with fibromyalgia in order to gain knowledge which can contribute to increased quality of healthcare. In-depth interviews were used to collect information from nineteen Taiwanese women who were diagnosed with fibromyalgia. Data were analyzed using the content analysis approach. Data analysis revealed four categories: life torture by physical suffering, torment of the mind, treatment seeking, and facing an incurable and unknown illness alone. Each category was described in terms of its properties and sub- categories. This article provides information to fibromyalgia patients who suffer from severe chronic pain and related discomforts. Recommendations focus on helping women with fibromyalgia achieve or maintain integrity especially in the conservative oriental people. -
The Association Between Economic Indicators and the Incidence of Tetraplegia from Traumatic Spinal Cord Injury in Taiwan
Lien et al. BMC Neurology (2021) 21:117 https://doi.org/10.1186/s12883-021-02141-8 RESEARCH ARTICLE Open Access The association between economic indicators and the incidence of tetraplegia from traumatic spinal cord injury in Taiwan Wei-Chih Lien1,2,3, Wei-Ming Wang4, Jung-Der Wang5,6* and Fuhmei Wang7* Abstract Background: Economic performance may affect public health parameters. This study aimed to determine the time trend of incidence of traumatic spinal cord injury (SCI) and its association with income, presented by GDP (gross domestic product) per capita. Methods: This study was a retrospective observational study in Taiwan. Newly diagnosed SCI patients with moderate to severe disability from 2002 to 2015 were identified from the reimbursement database of the National 3 Health Insurance (NHI) system (1998–2015). CIR16–99 (cumulative incidence rate, aged 16–99 years, per 10 person- years) and CIR16–59 (aged 16–59 years) of SCI from 2002 to 2015 were measured. Results: There were 5048 newly diagnosed SCI patients during the study period. After controlling the factors of sex, urbanization level, literacy, income inequality, and global financial crisis (mixed effects models), the CIR16–99 of SCI, traumatic SCI, motor vehicle (MV)-related SCI, fall-related SCI, tetraplegia, traumatic tetraplegia, MV-related tetraplegia, and fall-related tetraplegia were inversely associated with GDP per capita; the β coefficients ranged from − 4.85 (95% confidence interval − 7.09 to − 2.6) for total SCI to − 0.8 (− 1.3 to − 0.29) for fall-related tetraplegia. We restricted our comparison to Taipei City and the 4 lowest densely populated counties, which also corroborated with the above results. -
Do Traditional Market Consumers Care About the Halal Meat Label? a Case Study in Taiwan CASE STUDY
OPEN ACCESS International Food and Agribusiness Management Review Volume 22 Issue 5, 2019; DOI: 10.22434/IFAMR2018.0102 Received: 17 September 2018 / Accepted: 6 June 2019 Do traditional market consumers care about the halal meat label? A case study in Taiwan CASE STUDY Shang-Ho Yang Assistant Professor, Graduate Institute of Bio-Industry Management, National Chung Hsing University, 145 Xingda Rd., South Dist., Taichung City 402, Taiwan (R.O.C.) Abstract The majority of Taiwanese consumers are not familiar with halal food, although the halal diet has been a global trend highlighting three attributes: cleanliness, animal welfare, and religious norms. This study explores the purchase intention of traditional market consumers in buying halal-labeled chicken measured by their willingness-to-pay (WTP). A total of 904 valid survey samples were collected in May 2017. A logit model and interval regression analysis are adopted to analyze the purchase intention and to elicit the WTP for halal-labeled chicken in traditional markets. Results show that although the attribute of religious norms still influences a small group of consumers, the majority of consumers for halal-labeled chicken in traditional markets are attracted to the attributes of cleanliness and animal welfare. Facing the ever-changing new market trend, this study can prove useful for government and enterprises in planning the marketing strategy and the development of local halal food products. Keywords: halal, information attributes, traditional markets, willingness-to-pay JEL code: D81, N30, Z12 Corresponding author: [email protected] ${protocol}://www.wageningenacademic.com/doi/pdf/10.22434/IFAMR2018.0102 - Thursday, September 12, 2019 11:05:18 AM University of Minnesota Twin Cities IP Address:134.84.17.144 © 2019 Yang 781 Yang Volume 22, Issue 5, 2019 1. -
Duration of Clopidogrel-Based Dual Antiplatelet Therapy and Clinical Outcomes in Patients with Acute Coronary Syndrome Undergoin
Circulation Journal ORIGINAL ARTICLE Circ J 2019; 83: 1317 – 1323 doi: 10.1253/circj.CJ-18-1283 Ischemic Heart Disease Duration of Clopidogrel-Based Dual Antiplatelet Therapy and Clinical Outcomes in Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention ― A Real-World Observation in Taiwan From 2012 to 2015 ― Yi-Heng Li, MD, PhD; Yu-Wei Chiu, MD; Jun-Jack Cheng, MD, PhD; I-Chang Hsieh, MD; Ping-Han Lo, MD; Meng-Huan Lei, MD; Kwo-Chang Ueng, MD, PhD; Fu-Tien Chiang, MD, PhD; Shih-Hsien Sung, MD, PhD; Jen-Yuan Kuo, MD; Ching-Pei Chen, MD; Wen-Ter Lai, MD; Wen-Lieng Lee, MD, PhD; Jyh-Hong Chen, MD, PhD; Taiwan ACS STENT Registry Investigators Background: Little information is available in Asia about the real-world practice of dual antiplatelet therapy (DAPT) duration for acute coronary syndrome (ACS) and its influence on clinical outcomes. Methods and Results: The Taiwan ACS STENT Registry was a prospective, multicenter study to observe ACS patients using clopidogrel-based DAPT after percutaneous coronary intervention (PCI). The primary outcome was a composite of cardiovascular death, myocardial infarction, and stroke. Overall, 2,221 ACS patients (62 years, 83% men) were included. DAPT duration was ≤9 months in 935 (42.1%). The incidence of primary outcome was higher in patients receiving DAPT ≤9 months compared with those receiving DAPT >9 months at 1 year (3.5% vs. 1.6%, P=0.0026). The incidence of stent thrombosis (overall 0.5%) was similar between groups. Multivariable analysis showed that DAPT >9 months was associated with a significantly lower risk of primary out- come (odds ratio 0.725, 95% confidence interval 0.545–0.965).