A5079917436- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Adipokines, Inflammation, and Metabolic Diseases
- Frailty in Older Adults
- Travel-related health issues
- Smoking Behavior and Cessation
- Nutrition and Health in Aging
- Liver Disease Diagnosis and Treatment
- Cancer survivorship and care
- Behavioral Health and Interventions
- Machine Learning in Healthcare
- Vaccine Coverage and Hesitancy
- Hepatitis Viruses Studies and Epidemiology
- Lipid metabolism and disorders
- Renal Diseases and Glomerulopathies
- Chronic Kidney Disease and Diabetes
- Chronic Disease Management Strategies
- Nutrition, Health and Food Behavior
- Mental Health via Writing
- Consumer Attitudes and Food Labeling
- Artificial Intelligence in Healthcare and Education
- HIV-related health complications and treatments
National Taiwan University
2008-2025
National Taiwan University Hospital
2015-2024
Houston Methodist
2024
Chung Shan Hospital
2020
National University of Singapore
2019
Cardinal Tien Hospital
2012-2016
Fu Jen Catholic University
2013-2016
National Science and Technology Council
2015
Christie's
2015
National Health Research Institutes
2015
Chronic kidney disease (CKD) is known to be associated with increased all-cause and cardiovascular mortality, but no large studies examined the cancer-specific mortality in non-dialysis-dependent CKD patients. Such outcome data are needed for proper allocation of resources would help develop better preventive services.Between 1998 1999, 123,717 adults were recruited from four health screening centers Taiwan. The estimated glomerular filtration rate was calculated using four-variable...
In the palliative care setting, infection control measures implemented due to COVID-19 have become barriers end-of-life discussions (eg, discharge planning and withdrawal of life-sustaining treatments) between patients, their families, multidisciplinary medical teams. Strict restrictions in terms visiting hours number visitors made it difficult arrange in-person family conferences. Phone-based telehealth consultations may be a solution, but lack nonverbal cues diminish clinician-patient...
We would like to acknowledge all healthcare professionals, health educators, and cessation teams for their efforts in smoking cessation. also thank the participants involvement commitment model providing feedback on future improvements.
An accurate prediction of mortality in end-of-life care is crucial but presents challenges. Existing prognostic tools demonstrate moderate performance predicting survival across various time frames, primarily in-hospital settings and single-time evaluations. However, these may fail to capture the individualized diverse trajectories patients. Limited evidence exists regarding use artificial intelligence (AI) wearable devices, specifically among patients with cancer at end life.This study...
In Confucian-influenced Asian societies, explicit end-of-life conversations are uncommon and family involvement in decision-making is crucial, which complicates the adoption of culturally sensitive advance care planning.
The study aimed to investigate prevailing ethical dilemmas in terminal care for patients with cancer nationwide and identify related factors after the enactment of Natural Death Act Taiwan.This multicenter surveyed 800 physicians nursing staff oncology wards hospices through a set questionnaire. A total 505 respondents (63.1%) who had taken were analyzed.The most frequently encountered truth-telling (mean +/- SD = 1.30 0.63; range [never, occasional, often], 0 2) place (1.19 0.69), both...
Communication in do not resuscitate (DNR) and artificial nutrition hydration (ANH) at the end of life is a key component advance care planning (ACP) which essential for patients with advanced cancer to have cares concordant their wishes. The SOP model (Shared decision making Oncologists Palliative specialists) aimed increase rate documentation on preferences DNR ANH cancer.The was implemented national treatment center Taiwan from September 2016 August 2018 visiting oncology outpatient...
The difficult decisions encountered by family caregivers in the process of care for patients with terminal cancer are seldom studied. Investigating their experiences may help relieve psychological distress. purpose this study was to determine frequency and difficulty experienced end-of-life identify related factors.A cross-sectional using questionnaires conducted who died a university hospital. Difficulty relevant influencing variables including demographic data, knowledge palliative Natural...
Determining the visceral fat amount is important in risk stratification for prevention of type 2 diabetes and obesity-related disorders. The area-based measurement area (VFA) via magnetic resonance imaging (MRI) an accurate but expensive time-consuming method estimating amount. aim our study was to identify a practical predictive parameter obesity clinical settings. In this cross-sectional study, we recruited 51 nondiabetic obese (body mass index [BMI] ≥ 27 kg/m²) adults Taiwan (21 men 30...
ABSTRACT Background The prevalence of the metabolic syndrome (MetS) is high among elderly. However, evidence that mortality increases with MetS rare. In this study, we investigated relationship between MetS, cardiovascular disease (CVD) and all cause in Materials methods A total 10 547 participants, aged 65 years older, baseline cohort were recruited from four nationwide Health Screening Centres Taiwan 1998 to 1999. was defined according America Heart Association/National Lung Blood...
Health-care professionals can help travelers by providing accurate pre-travel counseling for mosquito-transmitted diseases such as malaria, yellow fever, and dengue fever. Governments international organizations will benefit from knowledge survey among health in this field to promote the development of travel profession. This study investigates physicians' nurses' regarding fever.A cross-sectional questionnaire was distributed physicians nurses Taiwan interested medicine between April...
With globalization, more and people travel to countries where they are at risk of injuries travel-related diseases. To protect travelers' health, it is crucial understand whether travelers accurately perceive medical assistance resources before during their trips. This study investigated the need, awareness, previous usage overseas emergency services (EMAS) among traveling abroad.Anonymous questionnaires were distributed patients (n = 500) a clinic in Taipei, Taiwan.The results showed that...
Smartphone-enabled, telehealth-based family conferences represent an attractive and safe alternative to deliver communication during the COVID-19 pandemic. However, some may fear that therapeutic relationship might be filtered due a lack of direct human contact. The study aims explore whether shared decision-making model combining VALUE (Value statements, Acknowledge emotions, Listen, Understand patient as person, Elicit questions) PLACE (Prepare with intention, Listen intently completely,...
Background: The Western individualistic understanding of autonomy for advance care planning is considered not to reflect the Asian family-centered approach in medical decision-making. study aim compare preferences on timing initiatives and life-sustaining treatment withdrawal between terminally-ill cancer patients their family caregivers Taiwan. Methods: A prospective using questionnaire survey was conducted with both patient caregiver dyads independently inpatient outpatient palliative...
Pancreatic cancer is often diagnosed at a late stage with poor prognosis due to insidious symptoms and lack of evidence-based screening in general population. Palliative care's acceptance Asian cultures hindered by misconceptions ineffective communication about management that improve quality life other than directed treatment. Our study aimed determine the effect Shared decision-making Oncologists care specialists (SOP) model developed from traditional shared (SDM) on palliative rate...
ContextDespite making do-not-resuscitate or comfort care decisions during advance planning, terminally ill patients sometimes receive life-sustaining treatments as they approach end of life.ObjectivesTo examine factors contributing to non-concordance between end-of-life and planning.MethodsIn this longitudinal retrospective cohort study, with a life expectancy shorter than six months, who had previously expressed preference for care, were followed up after palliative shared intervention. An...
Modified versions of the Objective Prognostic Score (mOPS) needs to be validated reflect practical palliative care circumstances in Taiwan.
Since implementation of the New Smoking Cessation Policy in Taiwan, more patients are attending smoking cessation clinics. Many these were referred by hospital staff. Thus, factors which influence staff's willingness to refer important. In this study, we aim understand relation between knowledge and for referral. A cross-sectional study using a questionnaire was conducted with staff community during year 2012-2013. Willingness provide referral relevant correlated variables including...
Providing patient-centered care from preventive medicine to end-of-life in order improve quality and reduce medical cost is important for accountable care. Physicians the organizations (ACOs) are suitable participating supportive especially when facing issues truth telling treatment strategy. This study aimed investigate patients’ attitudes toward preferences compare with their ACOs physicians’ perceptions. nationwide applied snowball sampling survey physicians physician-led contracted...
Symptom burdens tend to increase for patients with cancer and their families over the disease trajectory. There is still a lack of evidence on associations between symptom changes quality dying death. In this context, research investigated how influence