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- 저자 : Tung Hsueh (검색결과 4 건)
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Serum Uric Acid Relation for Hearing Threshold Shiftt
Hui-Fang Yang,Tung-Wei Kao,Tao-Chun Peng,Yu-Shan Sun,Fang-Yih Liaw,Chung-Ching Wang,Ju-Ting Hsueh,Wei-Liang Chen 대한이비인후과학회 2017 Clinical and Experimental Otorhinolaryngology Vol.10 No.2
Objectives. The effects of serum uric acid (UA) level on a variety of diseases were found from experimental and observational studies via oxidative stress and anti-oxidants. However, research on the association of UA and hearing thresholds is relatively sparse. We investigated this issue in the U.S. general population to evaluate the relationship of serum UA levels and pure tone threshold of hearing. Methods. Forty four thousand eighty four eligible participants aged 20 to 69 years who have serum UA data and received Audiometry Examination Component were enrolled from the National Health and Nutrition Examination Survey 1999–2004. Hearing thresholds (dB) as a pure tone average at low frequencies (0.5, 1, 2 kHz) and at high frequencies (3, 4, 6, and 8 kHz) were computed. Multivariate linear regression models and tertile-based analysis with an extended-model approach for covariates adjustment were used to assess the correlation between serum UA level and hearing thresholds. Results. In the adjusted mode of tertile-based analysis, the regression coefficients elucidated as the change of log-transformed mean hearing thresholds upon comparing participants in the highest tertile of serum UA to those in the lowest tertile were –0.067 (P=0.023) in high frequency and –0.058 (P=0.054) in low frequency. After adjusting for multiple pertinent covariates, inverse association between tertiles of serum UA and hearing thresholds remained essentially unchanged. The negative trends between serum UA and hearing thresholds were statistically significant (P for trends <0.05) in tertile-based multiple linear regressions. Conclusion. Individuals with elevated UA levels independently were found to be inversely associated with hearing thresholds for pure tone audiometry in a nationally representative sample of U.S. adults.
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Transition and Development of Long-term Care Policy in Taiwan
James Cherng-Tay Hsueh,Yun Tung Wang 한국노인복지학회 2012 International Journal of Welfare for the Aged Vol.26 No.-
Like most Western countries, population aging is under way in Taiwan primarily due to low fertility and a prolonged life span, The elderly had reached 7% of total population in 1993, and 11% at the end of 2011, Although the proportion of the elderly in Taiwan is not as much high as that of the average in EU countries, its rate of increase in the future is projected to be one of the fastest in the world. Household and Residence databases to do a projection and found that 2.62% of total population need long-term care services in 2011 in Taiwan. In addition, the proportion will rise to 4.42% in 2028. To cope with the first of the preceding challenges, the Department of Health set up six long-term care resource networks in Taiwan to try to improve the insufficiency and unequal distribution in long-term care resources, especially among professionals. In addition, the Ministry of Education has encouraged colleges/universities to set up long-term care programs, which can include several related long-term care courses, and the issuing of certificates if the students can achieve credits in these courses, as a means to develop a reserve of more professionals in long-term care field.
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Living Arrangement and the Well-being of the Elderly in Taiwan
James Cherng Tay Hsueh,Yun Tung Wang 한국노인복지학회 2010 International Journal of Welfare for the Aged Vol.23 No.-
Purpose: The aim of this study is to understand the relationship between living arrangement and well-being of the elderly in Taiwan. Method: This study used literature review and secondary data analysis to show the change in family structure over the recent two decides, and the relationship between living arrangement and well-being of the elderly in Taiwan. Two major databases were used, including Survey of Family Income and Expenditure (SFIE) arid Survey for the Living Conditions of Elderly People. Results: This study found that households with the aged cohabiting increased significantly and the proportion of the elderly who are living alone and living only with a spouse has been rising, while the proportion living with adult children has been falling in recent years. In addition, the poverty rates of the households with coresiding elderly remained significantly higher than those of them without cohabiting elderly. The gap was shrinking before 1998 but grew again after 2000. Furthermore, the difference between households with aged members and those without aged members was significant. Around 15% of total expenditure was on medical and health for households with aged members, in contrast with only 3.2% for those with no aged family members. Conclusions: Living arrangement is highly related to the well-being of the elderly, especially in the facets of economy, health, and care/support. Thus, the government has to involve living policy in the comprehensive welfare policy and construct the "family-centered" welfare delivery system for improving the well-being of the elderly in the worldwide tendency of fewer children and high speed aging.
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Prognostic value of right pulmonary artery distensibility in dogs with pulmonary hypertension
I-Ping Chan,Min-Chieh Weng,Tung Hsueh,Yun-Chang Lin,Shiun-Long Lin 대한수의학회 2019 Journal of Veterinary Science Vol.20 No.4
The right pulmonary artery distensibility (RPAD) index has been used in dogs with pulmonary hypertension (PH) caused by heartworm infection, myxomatous mitral valve disease, or patent ductus arteriosus. We hypothesized that this index correlates with the tricuspid regurgitation pressure gradient (TRPG) assessed by echocardiography and could predict survival in dogs with PH secondary to various causes. To assess this hypothesis, the medical records of 200 client-owned dogs at a referral institution were retrospectively reviewed. The RPAD index and the ratios of acceleration time to peak pulmonary artery flow (AT) and to the ejection time of pulmonary artery flow (ET) were recorded for each dog. The owners were contacted for follow-up assessments. The findings indicated that the RPAD index was correlated with the TRPG (R2 = 0. 362, p < 0.001). The survival time was significantly shorter in dogs with an RPAD index ≤ 21% that were followed up for 3 months and in dogs with an RPAD index ≤ 24% that were followed up for 1 year. Thus, the RPAD index was correlated with the TRPG and could predict the clinical outcome in dogs with PH caused by various diseases. This index could be used to evaluate the severity of PH in dogs without tricuspid regurgitation.
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