Comparison of patient-reported and clinician-assessed pain in hospitalized palliative ward patients: A retrospective observational study.

Background: Pain assessment in palliative care is essential, but differences between patient-reported and clinician-assessed pain can affect care decisions. Identifying factors contributing to these differences can improve pain management.

Aim: To investigate the clinical and symptom-related factors associated with variations between patient-reported and clinician-assessed pain among patients admitted to a palliative care ward.

The Prevalence and Risk Factors of Physical Restraint Among Patients Under Palliative Care in Taiwan.

Physical restraint for patients approaching their end of life may induce distress and impair dignity. Limited studies have been reported on the frequency and factors influencing restraint application during terminal phases of patients in hospital settings. We aimed to study the occurrence and factors that predict utilization of physical restraints in hospitalized terminally-ill adults.

Sex-Specific Associations Between Oral Function Impairment and Clinical Outcomes in Hospitalized Older Adults: A Retrospective Observational Study.

Purpose: Oral functional impairment is a critical factor influencing clinical outcomes in hospitalized older adults. Notably, sex disparities in oral health on clinical outcomes remain an often underappreciated aspect.This study aims to investigate the association between oral function, assessed using the bedside oral examination (BOE), and in-hospital mortality, with an emphasis on sex-specific differences.

The Relationship between Musculoskeletal Pain with Depression and Burnout Among Fast-food Chain Workers in Taiwan: A cross-sectional study.

Objective: This study examines the relationship between musculoskeletal pain, burnout, and depression among Taiwanese fast-food chain employees, focusing on specific pain sites.

Methods: Musculoskeletal pain, burnout, and depression were assessed using validated Chinese versions of the Nordic Musculoskeletal Questionnaire, Copenhagen Burnout Inventory, and Brief Symptom Rating Scale. Multivariate logistic regression analyzed correlations, adjusting for confounders.

Enhancing physical activity in older type 2 diabetic adults through remote patient monitoring: a pre-post study in Taiwan.

Background: Type 2 diabetes (T2D) is a growing concern among older adults, increasing the risk of frailty, and functional decline. In Taiwan, the convergence of population aging and high diabetes prevalence calls for innovative care strategies. This study evaluated the effectiveness of incorporating wearable step-count devices into the diabetic pay-for-performance (P4P) program to enhance physical activity and explore associations with related health outcomes.

Evaluation of a Telemonitoring System Using Electronic National Early Warning Scores for Patients Receiving Medical Home Care: Pilot Implementation Study.

Background: Telehealth programs and wearable sensors that enable patients to monitor their vital signs have expanded due to the COVID-19 pandemic. The electronic National Early Warning Score (e-NEWS) system helps identify and respond to acute illness.

Objective: This study aimed to implement and evaluate a comprehensive telehealth system to monitor vital signs using e-NEWS for patients receiving integrated home-based medical care (iHBMC).

[PLSR model based on near-infrared spectroscopy for the detection of wood fiber anatomy of ].

To rapidly acquire fiber phenotypic data for wood quality assessment, we used a portable NIR spectro-meter to collect spectral data in 100 individuals of at 18-year-old of 20 different provenances, and simultaneously collected wood cores. Wood basic density and the anatomical structure of wood fiber were measured. The standard normal variate (SNV), orthogonal signal correction (OSC), and multiplicative scatter correction (MSC) methods were used for spectral preprocessing, the competitive adaptive reweighted sampling (CARS) method were used for wavelength selection, and the partial least squares regression (PLSR) model were established.

Association between self-efficacy, spiritual well-being and the willingness to provide spiritual care among nursing staff in Taiwan: a cross-sectional study.

Background: Spiritual care plays a significant role in holistic patient care, addressing not only physical ailments but also attending to patients' emotional and spiritual well-being. While the importance of spiritual care in nursing is widely recognized, there is often a gap in understanding nurses' willingness to provide such care. This cross-sectional study aimed to explore the association between self-efficacy, spiritual well-being, and willingness to provide spiritual care among nursing staff.

Risk Factors Surrounding an Increase in Burnout and Depression Among Health Care Professionals in Taiwan During the COVID-19 Pandemic.

Objectives: This study aimed to investigate the risk factors surrounding an increase in both burnout levels and depression among health care professionals in Taiwan through use of a longitudinal study design.

Design: This is a 2-year observational study that took place from January 2019 to December 2020.

Setting And Participants: Data among health care professionals were extracted from the Overload Health Control System of a tertiary medical center in central Taiwan.

Prefrailty subtypes differentially predict 5-year mortality in the functionally independent geriatric population.

Introduction: Both frailty and prefrailty (PF) are related to mortality. However, there is no consensus about the PF subtypes for prediction of the mortality risk. We aimed to compare the 5-year mortality of functionally independent geriatric outpatients with nonfrailty, different PF subtypes and frailty.

Biomonitoring of Urinary Nickel Successfully Protects Employees and Introduces Effective Interventions.

Nickel is a heavy metal used in many industries. Nickel exposure can induce respiratory diseases and allergic reactions, and increase cancer risk. This study evaluated the introduction of a grinding and polishing system to prevent injuries from nickel toxicity in workers.

Kidney Function and Risk of Physical and Cognitive Impairment in Older Persons with Type 2 Diabetes at an Outpatient Clinic with Geriatric Assessment Implementation.

Purpose: Diabetes is associated with an increased risk of cognitive and physical functional decline that may impede disease self-management. By incorporating cognitive and physical function assessment, this study aimed to evaluate prevalence and factors associated with cognitive and physical dysfunction in older diabetic people.

Methods: The cross-sectional study was performed from August 1, 2017 to November 30, 2018.

Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department.

Visits by older people to the Emergency Department (ED) have increased in recent decades with higher revisiting and admission rates after discharge, particularly for those with frailties. This study used a before-after design aimed at evaluating Comprehensive Geriatric Assessment (CGA) screening in older ED patients (aged ≥ 75 years) during the 12-month preintervention period. Additionally, a CGA-based structured follow-up program after ED discharge was executed during the next 12-month intervention period.

Impact of day care services on physical and cognitive functions in old people with dementia in a medical center in central Taiwan.

Background: Day care service (DCS) provides various activities in a professional environment to meet the old people with functional limitations. However, relatively little is known about the effects of DCS on physical and mental functions.

Methods: This was a retrospective study that we used a comprehensive geriatric assessment to evaluate the changes before and after DCS among participants in a hospital-affiliated geriatric day care center in Taiwan.

Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness.

We evaluated the predictability of self-reported Health-related quality of life (HRQoL) assessed by the 3-level 5-dimensional Euro-Quality of Life tool (EQ-5D-3L) and the EQ-Visual Analog Scale (EQ-VAS) on clinical outcomes of elderly patients who were admitted to an acute geriatric ward. A total of 102 participants (56.9% men) with a median age of 81.

SFRP3 negatively regulates placental extravillous trophoblast cell migration mediated by the GCM1-WNT10B-FZD7 axis.

Migration of placental extravillous trophoblast (EVT) cells into uterine decidua facilitates the establishment of blood circulation between mother and fetus and is modulated by EVT-decidual cell interaction. Poor or excessive EVT migration is associated with pregnancy complications such as preeclampsia or placenta accreta. Glial cells missing 1 (GCM1) transcription factor is essential for placental development, and decreased GCM1 activity is detected in preeclampsia.

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy improves survival of patients with peritoneal carcinomatosis from gastric cancer: final results of a phase III randomized clinical trial.

Background: This randomized phase III study was to evaluate the efficacy and safety of cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) for the treatment of peritoneal carcinomatosis (PC) from gastric cancer.

Methods: Sixty-eight gastric PC patients were randomized into CRS alone (n = 34) or CRS + HIPEC (n = 34) receiving cisplatin 120 mg and mitomycin C 30 mg each in 6000 ml of normal saline at 43 ± 0.5°C for 60-90 min.