[[alternative]]The Effects of Perimenopausal Health Education Intervention on Perimenopausal Symptoms, Uncertainty and Health Behavior among Midlife Women in Rural Communities in Southern Taiwan

[[abstract]]This study evaluated the effects, at 3 months and 6 months out, of a perimenopausal health education intervention program administered to mid-life women in rural communities of southern Taiwan. Data was collected between August 2005 and July 2006. The study was a quasi-experimental design, controlled trial for middle aged women. Four neighborhood communities were requested to participate in this study. A randomized method was used to assign two to an experimental group and two to a control group. Three instruments were used to collect data, including the (1) Perceived Perimenopausal Disturbances Scale, (2) Perceived Uncertainty Scale and (3) Practice of Health Behaviors Scale. The intervention effects from the study baseline to a 6 months follow-up were estimated using a mixed effect model (SAS-MIXED procedure) for repeated measures of health behaviors, perceived uncertainty and perceived perimenopausal disturbances. A total of 102 women were included in this study, with 53 women in the experimental group and 49 women in the control group. After 3 months follow-up, health education intervention had significantly decreased perceived uncertainty (β=-7.44, p<.05). After 6 months, health education intervention had significantly improved perimenopausal disturbances and increased positive health behavior practices (β=-6.47, 13.05, p<.05). Health providers should continue delivering perimenopausal health counseling and health education to women living in rural communities. Hopefully, such will empower rural women to practice self care of their perimenopausal health

The Relationship Among Obesity, Menopausal Status, and Health Behavior Among Middle-Aged Women in a Rural Community of Southern Taiwan

[[abstract]]In this study we explored the relationship among obesity, menopausal status, and health behavior among middle-aged women in a rural community of southern Taiwan. This was a cross-sectional study using a face-to-face interview to collect data. Sixty middle-aged women from four community centers participated in this study. The results indicated that approximately 23.3% of the women had body mass index (BMI) ≥27 kg/m2, and 38.3% of the women's waist girths were above 80 cm. Both BMI and waist circumference (WC) of the middle-aged women were significantly different between reproductive and postmenopausal status. The variable of nutrition-related health behavior was significantly and negatively associated with the BMI levels and accounted for 12% of the total variance. An understanding of the factors that contribute to obesity is provided among middle-aged women in Taiwan's rural communities

Study on the Correlation between Continuity of Care and Quality of Life for Patients with Coronary Heart Disease

Background: As coronary heart disease (CHD) is a highly complex disease, complex continuity of care (CoC) service should be provided for the patients, and the quality of life (QoL) needs to be regarded as an important measuring indicator for the health-care outcome. Purpose: To understand the general situation of CHD QoL and important predictors. Method: A cross-sectional study design was adopted from August 2019 to July 2020 by structured questionnaires. A total of 163 patients were enrolled, and data were statistically analyzed using SPSS 25.0. Result: The average score of the QoL questionnaire is 56.56/80, and the CoC is 4.32. The overall regression model can explain 58.7% of the variance regarding QoL. Patients&rsquo; instrumental activities of daily living (IADLs) (26.1%), age (18.1%), living situation (7%), information transfer (4.8%), main source of income (1.8%), and risk of disability are significantly different from their overall QoL in depression (0.9%). Conclusions: In order to improve the QoL of patients, it is suggested that medical teams should assess the needs of patients immediately upon hospitalization, provide patients with individual CoC, encourage them to participate in community health promotion activities, and strengthen the function of IADL to improve the QoL of patients

A nationwide, population-based, long-term follow-up study of repeated self-harm in Taiwan

Abstract Background Previous follow-up studies of repeated self-harm show that the cumulative risk of repeated self-harm within one year is 5.7%–15%, with females at greatest risk. However, relatively few studies have focused on the Far East. The objective of this study was to calculate the cumulative risk of repeated self-harm over different lengths of follow-up time (3 months, 6 months, and 1–8 years), to determine factors influencing repeated self-harm and to explore the interaction between gender and self-harm methods. Methods We used self-harm patient who hospitalized due to first-time self-harm between 2000 and 2007 from 1,230 hospitals in Taiwan. Hospitalization for repeated self-harm among members of this cohort was tracked after 3 months, 6 months, and 1–8 years. Tracking continued until December 31, 2008. We analyzed the cumulative risk and risk factors of repeated self-harm by using negative binomial regression. Results Of the 39,875 individual study samples, 3,388 individuals (8.50%) were found to have repeatedly self-harmed. The cumulative risk of repeated self-harm within three months was 7.19% and within one year was 8%. Within 8 years, it was 8.70%. Females were more likely to repeatedly self-harm than males (RR = 1.21, 95% CI = 1.15–1.76). The main method of self-harm was solid or liquid substances (RR = 1.88, 95% CI = 1.23–2.04) or cutting or piercing (RR = 1.36, 95% CI = 1.02–1.82), and in patients with psychiatric disorders were more likely to self-harm (RR = 1.61, 95% CI = 1.48–1.75). Conclusions The key time for intervention for repeated self-harm is within three months. Appropriate prevention programs should be developed based on gender differences.</p

Variant palmaris profundus enclosed by an unusual loop of the median nerve

According to the usual description in most anatomy texts, the median nerve in the forearm passes between the 2 heads of pronator teres. It continues distally between flexor digitorum superficialis and profundus almost to the retinaculum. Muscular branches leave the nerve near the elbow and supply all superficial muscles of the anterior part of the forearm except flexor carpi ulnaris. Many variations of the median nerve in the forearm have been reported (Urban & Krosman, 1992). The palmaris profundus is also a rare anomaly of the forearm (Dyreby & Engber, 1982). It originates from the radial side of the common flexor tendon in the proximal forearm and inserts into the undersurface of the palmar aponeurosis. The origin of palmaris profundus may be close to the median nerve and its branches, and may be involved in compressive neuropathy of the anterior interosseous nerve. Its tendon crossing through the carpal canal has been implicated in the carpal tunnel syndrome (reviewed by Lahey & Aulicino, 1986). In some cases, palmaris profundus was found enclosed in a common fascial sheath with the median nerve (Stark, 1992; Sahinoglu et al. 1994). To indicate its close association with the median nerve, the palmaris profundus was also named ‘musculus comitans nervi mediani’ (Sahinoglu et al. 1994). This article reports an unusual loop of the median nerve encircling an anomalous palmaris profundus in the forearm, which, to the best of our knowledge, has not been previously described

Effectively Improved SiO2-TiO2 Composite Films Applied inCommercial Multicrystalline Silicon Solar Cells

Composite silicon dioxide-titanium dioxide (SiO2-TiO2) films are deposited on a large area of 15.6 × 15.6 cm2 textured multicrystalline silicon solar cells to increase the incident light trapped within the device. For further improvement of the antireflective coatings (ARCs) quality, dimethylformamide (DMF) solution is added to the original SiO2-TiO2 solutions. DMF solution solves the cracking problem, thus effectively decreasing reflectance as well as surface recombination. The ARCs prepared by sol-gel process and plasma-enhanced chemical vapor deposition (PECVD) on multicrystalline silicon substrate are compared. The average efficiency of the devices with improved sol-gel ARCs is 16.3%, only 0.5% lower than that of devices with PECVD ARCs (16.8%). However, from equipment depreciation point of view (the expiration date of equipment is generally considered as 5 years), the running cost (USD/watt) of sol-gel technique is 80% lower than that of PECVD method for the first five years and 66% lower than that of PECVD method from the start of the sixth year. This result proves that sol-gel-deposited ARCs process has potential applications in manufacturing low-cost, large-area solar cells