A5045765484- COVID-19 epidemiological studies
- Hepatitis C virus research
- Liver Disease Diagnosis and Treatment
- SARS-CoV-2 and COVID-19 Research
- Tuberculosis Research and Epidemiology
- Colorectal Cancer Screening and Detection
- Infectious Diseases and Tuberculosis
- SARS-CoV-2 detection and testing
- Air Quality and Health Impacts
- Hepatitis B Virus Studies
- Obesity, Physical Activity, Diet
- Diabetes Treatment and Management
- COVID-19 Digital Contact Tracing
- COVID-19 Clinical Research Studies
- Data-Driven Disease Surveillance
- Diabetes Management and Research
- Diabetes Management and Education
- Geriatric Care and Nursing Homes
- Physical Activity and Health
- Chronic Disease Management Strategies
- Intergenerational Family Dynamics and Caregiving
- Gastric Cancer Management and Outcomes
- Helicobacter pylori-related gastroenterology studies
- Hepatocellular Carcinoma Treatment and Prognosis
- Health disparities and outcomes
Changhua County Public Health Bureau
2016-2025
National Taiwan University
2004-2025
Taipei Medical University
2023
Chang Gung University
2018
Taichung City Government
2004-2005
Tao Yuan General Hospital
2004
Ministry of Health and Welfare
2004
Importance Effects of screening for Helicobacter pylori on gastric cancer incidence and mortality are unknown. Objective To evaluate the effects an invitation to screen H mortality. Design, Setting, Participants A pragmatic randomized clinical trial residents aged 50 69 years in Changhua County, Taiwan, eligible biennial fecal immunochemical tests (FIT) colon screening. were either stool antigen (HPSA) + FIT assessment or alone. The study was conducted between January 1, 2014, September 27,...
Abstract BACKGROUND Multiple disease screening may have several advantages over single because of the economics scale, with high yield detecting asymptomatic diseases, identification multiple diseases or risk factors simultaneously, enhancement attendance rate, and efficiency follow‐up. METHODS An integrated model community‐based was designed conducted between 1999 2001 in Keelung, Taiwan. The authors used a Papanicolaou (Pap) smear program as base to integrate other regimens encompassing...
liu c.‐c., chen y.‐c., yeh y.‐p. & hsieh y.‐s. (2011) Effects of maternal confidence and competence on parenting stress in newborn care. Journal Advanced Nursing 68 (4), 908–918. Abstract Aim. This paper is a report correlational study the relations to during Background. Maternal role development cognitive social process influenced by cultural family contexts mother child characteristics. Most knowledge about comes from western society. However, perceptions contemporary Taiwanese society...
Mass screening with abdominal ultrasonography (AUS) has been suggested as a tool to control adult hepatocellular carcinoma (HCC) in individuals, but its efficacy reducing HCC mortality never demonstrated. This study aimed assess the effectiveness of by mass AUS for based on program designed and implemented Changhua Community-based Integrated Screening (CHCIS) an efficient invitation scheme guided risk score. We invited 11,114 (27.0%) 41,219 eligible Taiwanese subjects between 45 69 years age...
SUMMARY The introduction and the widespread use of varicella vaccine in Taiwan has led to a 75–80% decrease incidence children. However vaccine's long-term impact on herpes zoster (HZ) attracted attention. By controlling gender, underlying diseases, age effects, Poisson regression was applied 2000–2008 chart records 240 000 randomly selected residents who enrolled Universal National Health Insurance. results show that, as coverage children increases, decreases. However, HZ increased even...
Abstract Diabetic nephropathy is a critical complication of patients with type 1 diabetes, while epidemiological studies were scarce among Asian countries. We conducted cross-sectional study to identify factors associated diabetic by questionnaires, using student’s t-test, chi-square test, and multivariable logistic regression. Among 898 participants, 16.7% had nephropathy. Compared non-diabetic patients, the significantly higher percentage onset age diabetes between puberty under 30 years...
Rationale Prolonged exposure to fine particulate matter (PM 2.5 ) may aggravate asthma, impair lung development, and increase airway inflammation. Objective This study investigated the impact of long-term PM on respiratory health, function growth, fractional exhaled nitric oxide (FENO) in a large longitudinal cohort school children. Methods A total 6120 elementary children residing townships near coal-fired power plants Taiwan were prospectively enrolled from 2016 2018. Baseline follow-up...
ABSTRACT This study aimed to estimate the effectiveness of genotype-based contact tracing coupled with public health and social containment measures (PHSMs) in reducing tuberculosis (TB) transmission during COVID-19 pandemic. Patients suspicious recent TB infection from index cases were traced by genotyping method between 2017 2021. To make allowance for attributed reactivation, identified group compared those underlying population via notifiable nationwide system without genotyping. The...
Hemodialysis facilities are high-risk environments for the spread of hepatitis C virus (HCV). Eliminating HCV from all dialysis in a community may be achieved more effectively under collaborative care model.Quality improvement study multidisciplinary teams including nephrologists, gastroenterologists, and public health practitioners.All patients Changhua County, Taiwan were treated using an interdisciplinary model implemented within broader Changhua-Integrated Program to Stop Infection...
To investigate the effectiveness of shared care combined with telecare in type 2 diabetic patients an underserved community Asia.In total, 95 diabetes who had a glycosylated hemoglobin (HbA1c) level >7% were recruited from six health centers remote areas Changhua County, Taiwan. All randomly divided into intervention (shared telecare) and usual-care groups followed up for 6 months.The decrease HbA1c was significantly greater group than (0.7 ± 1.3% versus 0.1 1.0%, p=0.03). There no...
Household transmission is responsible for the subsequent outbreak of community-acquired COVID-19. The aim this study was to elucidate household mode and further estimate effective basic reproductive number with without non-pharmaceutical interventions (NPIs).
Heavy metals impair renal function, causing chronic kidney disease (CKD), and the petrochemical industry is one of major environmental metal emission sources. This study aimed to investigate relationship between function exposure among Taiwanese residents living near a site. We recruited No. 6 Naphtha Cracking Complex, they were categorized into high-exposure (HE) group (N = 190) in Taisi Village low-exposure (LE) 1184) other villages Dacheng Township Changhua County Taiwan. The urinary...
The trajectories of all-cause deaths linked to omicron infections are rarely studied, especially in relation the efficacy booster shots. For assessing three epidemiological death trajectories, including dying from COVID-19, with and non-COVID-19 death, we offer a new COVID-19-and-death competing risk model that deals primary pathway (e.g., COVID-19) two other pathways. We applied this track trajectories: directly COVID-19 as contributing factor, indirect deaths. study used data Taiwanese...
We sought to assess how much of the variation in incidence colorectal neoplasia is explained by baseline fecal hemoglobin concentration (FHbC) and also additional predictive value conventional risk factors. enrolled subjects aged 40 years over who attended screening for cancer with immunochemical test (FIT) Keelung community-based integrated program. The accelerated failure time model was used train clinical weights covariates prediction model. Datasets from two external communities were...
Objective To investigate the association between diabetes and latent tuberculosis infections (LTBI) in high TB incidence areas. Design Community-based comparison study. Setting Outpatient clinics at 4 hospitals 13 health centres urban rural townships. A community-based screening programme was used to recruit non-diabetic participants. Participants total of 2948 patients with aged older than 40 years were recruited, 453 participants from community enrolled. Primary secondary outcome measures...
Abstract Background Social frailty is associated with Fear of Falling (FoF) and health-related quality life (HrQoL). However, how social simultaneously influences FoF HrQoL remains unclear. The study aims to understand the links between frailty, FoF, in older adults mediating role relations HrQoL. Methods In this cross-sectional survey, 1,933 community-dwelling from Changhua County, Taiwan, were interviewed using a self-administrated questionnaire. total, 1,251 participants complete data...
Abstract Background We tried to identify the risk factor associate with early chronic kidney disease (CKD) in recently diagnosed type 2 diabetes mellitus patients by utilizing real-world data from Taiwan Diabetes Registry. Materials and methods Patients within 1 year. divided study participants into control group CKD group. Early was defined as either stage G1 albuminuria, G2 or G3a regardless of albuminuria (Urine-albumin creatinine ratio (UACR) ≥ 3 mg/mmol). Control without albuminuria....
Highly sensitive guaiac-based faecal occult blood (Hemoccult SENSA) and Helicobacter pylori stool antigen testing might help detect upper gastrointestinal lesions when appended to a colorectal cancer screening programme with immunochemical testing. We evaluated the diagnostic accuracies of two tests in detecting lesions.Cross-sectional design.Hospital-based community-based settings.A hospital-based deviation cohort 3172 participants evaluate test performance validation 3621 verify...
Treatment of latent tuberculosis infection (LTBI) is essential for eradicating (TB). Moreover, the patient adherence crucial in determining effectiveness TB control. Isoniazid given by DOTS daily 9 months (9H) standard treatment LTBI Taiwan. However, completion rate low due to long period and its side effects. The combined regimen using a high dose rifapentine/isoniazid once weekly 12 weeks (3HP) has been used as an alternative option United States. This may result higher rate. In this pilot...
There is a serious concern over the variation of case fatality COVID-19 patients that reflects preparedness medical care system in response to surge pneumonia patients. We aimed quantify disease spectrum on which we are based develop key indicator probability progression from acute respiratory syndrome (ARDS) for fatal COVID-19. The retrospective cohort 12 countries have already experienced epidemic with available open data conformed cases detailed information mild (MRD), pneumonia, ARDS,...
Gastric cancer (GC) remains a pressing international health problem, with more than 1 million new cases annually.1Bray F. et al.CA Cancer J Clin. 2018; 68: 394-424Crossref PubMed Scopus (39142) Google Scholar Because Helicobacter pylori is an initiator, screen-and-treat strategy provides possible solution.2Graham D.Y. Gastroenterology. 2015; 148: 719-731Abstract Full Text PDF (292) Scholar,3Sugano K. al.Gut. 64: 1353-1367Crossref (738) However, such policy has rarely been realized.4Chiang...
Abstract Objective: To explore the factors influencing Taiwanese adolescents’ consumption of sugar-sweetened beverages (SSB) and sugary snacks from a socio-ecological perspective. Design: This study adopted qualitative design by using face-to-face, in-depth interviews guided semistructured questionnaire. Setting: Eight junior high schools in New Taipei City Changhua County, Taiwan, September to November 2018. Participants: Fifty-nine participants aged 12–14 years participated this study....
We aimed to assess whether tuberculin reactivity in adults is affected by bacille Calmette-Guerin (BCG) vaccination after 50 years of universal BCG with 80-95% coverage. A community-based study on 619 participants was conducted February 2000 Keelung city, Taiwan. Information policies and annual risk infection (ARI) the underlying population extracted from consecutive national prevalence surveys relating period 1952-1997. Compared expected ARI estimate, standardized morbidity ratio positive...