Evaluating the implementation of EMR systems from the perspective of health professionals

In health informatics, the updated DeLone and McLean IS success model is reviewed as a mature model in measuring health information system (HIS) success. This research provided an evaluation model to estimate the implementation of electronic medical records (EMR) systems from a health professional perspective by combined the updated DeLone and McLean IS success model, data quality management model, and EMR systems safety attributes. Based on evidence-based management (EBM), this research could be regarded as an empirical example for further EMR systems research since it not only provided a model to measure the Taiwanese EMR systems in two hospitals by implementing a structure instrument and structure equation modeling (SEM) of quantitative methods, but also introduced how to identify the possible effects in such evaluation research

The study of spiritual health of aged volunteers in Taiwan

Spirituality plays a vital role in determining the state of well-being of the elderly. The purpose of this study was to explore the spiritual health of aged volunteers in Taiwan. Methods: Twelve aged volunteers were interviewed. They are 6 male and 6 female, age range 60 to 85 years.Data were analyzed using thematic analysis. Results: The results of this study was that from social services, the aged volunteers learned to open their mind and no so attached. Through helping others,they interconnected to foster their spiritual health. From helping others, they fell that they are so lucky, and become more grateful, joyful, peaceful. In their later life, they found their meaning in life. Religion play important role for aged volunteers, through religion belief, they became more aggressive doing social services. Conclusions: The aged volunteers did social services by supported family members. From volunteer services, they enhanced spiritual health and live more meaningful and grateful

Comparative analysis of port efficiency in Yangtze River Delta and Pearl River Delta: a meta Dynamic D.D.F. approach

The Yangtze River Delta and Pearl River Delta are two regions with the highest level of economic development in China, and their port development is at the forefront of the country. This study measures the efficiency of 23 major ports in the two deltas from 2010 to 2018 using the meta Dynamic Directional Distance Function (D.D.F.) model and discusses the technology gap and the reasons for inefficiency of the ports. The research results show that 80% of the ports in these two deltas are inefficient. The Yangtze River Delta’s port efficiency is higher than that of the Pearl River Delta, but the internal efficiency difference of the Yangtze River Delta port cluster is more significant. The efficiency ranking of most ports is inconsistent under the meta-frontier (M.F.) and group frontier (G.F.), and the average technology gap ratio (T.G.R.) of ports in the Pearl River Delta gradually exceeds that in the Yangtze River Delta. The inefficiency of ports in the Pearl River Delta is caused by input factors, and the inefficiency of ports in the Yangtze River Delta is also related to the containerisation level

The experience and attitude of TMU faculty and researchers toward predatory journals and research productivity

A questionnaire related to journal submission was sent to researchers for a 2-week period to investigate the submission status as well as the problems faced by Taipei Medical University faculties and researchers. This study has two major findings including the Experience of predatory journal and Calculations of academic performance point and discuss about users’ cognition and their needs from the library and the university, as well as the library policy and services related to predatory journals. It is authors’ hope that the research results can serve as reference for other medical libraries planning to provide relevant services

Activity Following Total Hip Arthroplasty: Which Patients Are Active, and Is Being Active Safe?

BACKGROUND Younger and physically active patients demand a return to sport after total hip arthroplasty (THA). However, because of the risk of implant wear and loosening, high-impact activities are often not recommended. The current study evaluates predictive factors and revision rates in patients with higher activity levels. METHODS This retrospective study included 4152 hips in 3828 patients aged 45-75 that underwent primary THA for primary osteoarthritis between 2009 and 2019 with a minimum follow-up of 2 years. Pain and Lower Extremity Activity Scale (LEAS) were assessed before and 2 years after surgery. Activity was classified as low (LEAS 1-6), moderate (LEAS 7-13), or high (LEAS 14-18). RESULTS Pain and LEAS improved from preoperative to 2-years postoperative (p < 0.001). The activity level was low in 6.2%, moderate in 52.9%, and high in 40.9% of the patients. Younger age, lower BMI, ASA, and CCI, male sex, and higher preoperative LEAS correlated with higher activity at 2 years (p < 0.001). The predicted revision-free survival rates between the activity groups were better for more highly active patients (p < 0.001). CONCLUSIONS High physical activity 2 years following THA, with participating in sports like jogging several times a week, did not increase the risk of revision surgery. THA patients should not be prevented from a highly active lifestyle

Task-Switching Performance Improvements After Tai Chi Chuan Training Are Associated With Greater Prefrontal Activation in Older Adults

Studies have shown that Tai Chi Chuan (TCC) training has benefits on task-switching ability. However, the neural correlates underlying the effects of TCC training on task-switching ability remain unclear. Using task-related functional magnetic resonance imaging (fMRI) with a numerical Stroop paradigm, we investigated changes of prefrontal brain activation and behavioral performance during task-switching before and after TCC training and examined the relationships between changes in brain activation and task-switching behavioral performance. Cognitively normal older adults were randomly assigned to either the TCC or control (CON) group. Over a 12-week period, the TCC group received three 60-min sessions of Yang-style TCC training weekly, whereas the CON group only received one telephone consultation biweekly and did not alter their life style. All participants underwent assessments of physical functions and neuropsychological functions of task-switching, and fMRI scans, before and after the intervention. Twenty-six (TCC, N = 16; CON, N = 10) participants completed the entire experimental procedure. We found significant group by time interaction effects on behavioral and brain activation measures. Specifically, the TCC group showed improved physical function, decreased errors on task-switching performance, and increased left superior frontal activation for Switch &gt; Non-switch contrast from pre- to post-intervention, that were not seen in the CON group. Intriguingly, TCC participants with greater prefrontal activation increases in the switch condition from pre- to post-intervention presented greater reductions in task-switching errors. These findings suggest that TCC training could potentially provide benefits to some, although not all, older adults to enhance the function of their prefrontal activations during task-switching

Eradication of Helicobacter pylori

Objective. To evaluate the effect of eradication of Helicobacter pylori (H. pylori) on the progression of dementia in Alzheimer’s disease (AD) patients with peptic ulcer. Methods. Participants with the diagnosis of AD and peptic ulcer were recruited between 2001 and 2008. We examined the association between eradication of H. pylori and the progression of AD using the multiple regression models. Medication shift from Donepezil, Rivastgmine, and Galantamine to Mematine is defined as progression of dementia according to the insurance of National Health Insurance (NHI) under expert review. Results. Among the 30142 AD patients with peptic ulcers, the ratio of medication shift in AD patients with peptic ulcers is 79.95%. There were significant lower incidence comorbidities (diabetes mellitus, hypertension, cerebrovascular disease, coronary artery disease, congestive heart failure and hyperlipidemia) in patients with H. pylori eradication as compared with no H. pylori eradication. Eradication of H. pylori was associated with a decreased risk of AD progression (odds ratio [OR] 0.35 [0.23–0.52]) as compared with no H. pylori eradication, which was not modified by comorbidities. Conclusions. Eradication of H. pylori was associated with a decreased progression of dementia as compared to no eradication of H. pylori in AD patients with peptic ulcers

The effect of exercise on the risk of metabolic syndrome associated with sleep insufficiency: a cross-sectional study

IntroductionSleep disturbance and insufficient sleep have been linked to metabolic syndrome, increasing cardiovascular disease and mortality risk. However, few studies investigate the joint effect of sleep and exercise on metabolic syndrome. We hypothesized that regular exercise can mitigate the exacerbation of metabolic syndrome by sleep insufficiency.ObjectiveThe aim of this study was to investigate whether exercise can attenuate or eliminate the relationship between sleep insufficiency and metabolic syndrome.MethodA total of 6,289 adults (mean age = 33.96 years; women: 74.81%) were included in the study, a cross-sectional study conducted based on the results of employee health screening questionnaires and databases from a large healthcare system in central Taiwan. Participants reported sleep insufficiency or not. Self-reported exercise habits were classified into 3 levels: no exercise, exercise &lt;150 min/week, and exercise ≧150 min/week. Multiple logistic regression and sensitivity analyses were conducted to understand the joint associations of sleep patterns and exercise with metabolic syndrome with exposure variables combining sleep duration/disturbances and PA.ResultsCompared with the reference group (sufficient sleep), individuals with sleep insufficiency had a higher risk for metabolic syndrome [adjusted odds ratio (AOR) = 1.40, 95% confidence interval (95% CI): 1.01–1.94, p &lt; 0.05] in females aged 40–64 years, but not in other populations. Sleep insufficiency was not associated with the risk of metabolic syndrome among individuals achieving an exercise level of &lt;150 min/week, and in particular among those achieving ≧150 min/week in all populations in our study.ConclusionSleep insufficiency was related to a higher risk of metabolic syndrome in female healthcare staff aged 40–64 years. Being physically active with exercise habits in these individuals, the risk of metabolic syndrome was no longer significant