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IJERPH, Vol. 20, Pages 4123: Predicting Arm Nonuse in Individuals with Good Arm Motor Function after Stroke Rehabilitation: A Machine Learning Study
Keh-Chung Lin Many stroke survivors demonstrate arm nonuse despite good arm motor function. This retrospective secondary analysis aims to identify predictors of arm nonusers with good arm motor function after stroke rehabilitation. A total of 78 participants were categorized into 2 groups using the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE) and the Motor Activity Log Amount of Use (MAL-AOU). Group 1 comprised participants with good motor function (FMA-UE ≥ 31) and low daily upper limb use (MAL-AOU ≤ 2.5), and group 2 comprised all other participants. Feature selection analysis was perf...
Source: International Journal of Environmental Research and Public Health - February 25, 2023 Category: Environmental Health Authors: Yu-Wen Chen Yi-Chun Li Chien-Yu Huang Chia-Jung Lin Chia-Jui Tien Wen-Shiang Chen Chia-Ling Chen Keh-Chung Lin Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 3065: Developmental Trajectories and Predictors of Incident Dementia among Elderly Taiwanese People: A 14-Year Longitudinal Study
uey Bai The aim of this study was to identify dementia trajectories and their associated predictors among elderly Taiwanese people over a 14-year period using a nationwide representative longitudinal study. This retrospective cohort study was performed using the National Health Insurance Research Database. Group-based trajectory modeling (GBTM) was used to distinguish the specific trajectory groups of incident dementia during 2000–2013. All 42,407 patients were classified by GBTM to identify the trajectory of incident dementia, which included high- (n = 11,637, 29.0%), moderate- (n = 19,036, 44.9%), and l...
Source: International Journal of Environmental Research and Public Health - February 9, 2023 Category: Environmental Health Authors: Yen-Chun Fan Sheng-Feng Lin Chia-Chi Chou Chyi-Huey Bai Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 1419: Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke
eh-Ting Yeh Few studies have investigated changes in functional outcomes and economic burden in patients in the postacute care cerebrovascular disease (PAC-CVD) program. We, for the first time, retrospectively investigated changes in functional performance and the national health insurance (NHI) cost over 12 PAC-CVD hospitalization weeks and evaluated the therapeutic effects of the PAC-CVD program on the NHI cost. Specifically, the functional outcomes and NHI cost of 263 stroke patients in the PAC-CVD program were analyzed. The repeated measures t test was used to compare functional performance over 0–3 w...
Source: International Journal of Environmental Research and Public Health - January 12, 2023 Category: Environmental Health Authors: Hsiang-Yun Chou Ya-Wen Tsai Shang-Chun Ma Shang-Min Ma Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 16514: Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
Conclusion: These findings may assist healthcare professionals in making optimal therapeutic decisions and in informing clients and caregivers about the outcomes of stroke recovery.
Source: International Journal of Environmental Research and Public Health - December 8, 2022 Category: Environmental Health Authors: Batsaikhan Buyandelger Yu-Wen Chen Yi-Chun Li Chia-Jung Lin Chia-Ling Chen Keh-Chung Lin Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 2278: The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers & mdash;A Retrospective Study on Data from Taiwan Clinical Performance Indicators System
IJERPH, Vol. 19, Pages 2278: The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers—A Retrospective Study on Data from Taiwan Clinical Performance Indicators System International Journal of Environmental Research and Public Health doi: 10.3390/ijerph19042278 Authors: Shih-An Liu Chieh-Liang Wu I-Ju Chou Pa-Chun Wang Chia-Ling Hsu Chia-Pei Chen To date, COVID-19 is by far the most impactful contagious disease of the 21st century and it has had a devastating effect on public health in countries around the globe. Elective medical services have declined markedly since the outbreak...
Source: International Journal of Environmental Research and Public Health - February 17, 2022 Category: Environmental Health Authors: Shih-An Liu Chieh-Liang Wu I-Ju Chou Pa-Chun Wang Chia-Ling Hsu Chia-Pei Chen Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 162: Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic
This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching—we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton–Brody instrumental activities of daily ...
Source: International Journal of Environmental Research and Public Health - December 24, 2021 Category: Environmental Health Authors: Hsiang-Yun Chou Yu-Chun Lo Ya-Wen Tsai Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2376: The Effect of Walking Backward on a Treadmill on Balance, Speed of Walking and Cardiopulmonary Fitness for Patients with Chronic Stroke: A Pilot Study
This study determines the effect of walking backward on a treadmill on balance, speed of walking and cardiopulmonary fitness for patients with chronic stroke. Subjects with chronic stroke for more than six months, whose level of Brunnstrom stage is greater than IV and who are able to walk more than eleven meters with or without assistive devices were recruited. After grouping for a single-blind clinical randomized controlled trial, the subjects were divided into two groups: eight in the control group and eight in the experimental group. All subjects were subjected to 30 min traditional physical therapy, three times a week ...
Source: International Journal of Environmental Research and Public Health - March 1, 2021 Category: Environmental Health Authors: Ken-Wei Chang Chih-Ming Lin Chen-Wen Yen Chia-Chi Yang Toshiaki Tanaka Lan-Yuen Guo Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 8900: Multimorbidity Patterns of Chronic Diseases among Indonesians: Insights from Indonesian National Health Insurance (INHI) Sample Data
a-Yu Su Given the increasing burden of chronic diseases in Indonesia, characteristics of chronic multimorbidities have not been comprehensively explored. Therefore, this research evaluated chronic multimorbidity patterns among Indonesians using Indonesian National Health Insurance (INHI) sample data. We included 46 chronic diseases and analyzed their distributions using population-weighted variables provided in the datasets. Results showed that chronic disease patients accounted for 39.7% of total patients who attended secondary health care in 2015–2016. In addition, 43.1% of those were identified as havi...
Source: International Journal of Environmental Research and Public Health - November 30, 2020 Category: Environmental Health Authors: Atina Husnayain Nopryan Ekadinata Dedik Sulistiawan Emily Chia-Yu Su Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 8549: Migraine as a Risk Factor for Peripheral Artery Occlusive Disease: A Population-Based Cohort Study
In conclusion, the presence of migraine is a significant risk factor for the development of subsequent PAOD.
Source: International Journal of Environmental Research and Public Health - November 18, 2020 Category: Environmental Health Authors: Fu-Hsuan Kuo Chia-Yi Lee Ju-Pi Li Jui-Fu Chung Yu-Hsun Wang Ming-Ju Hsieh Shun-Fa Yang Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 2550: Long-Term Mortality and Medical Burden of Patients with Chronic Obstructive Pulmonary Disease with and without Subsequent Stroke Episodes
Conclusion: The mortality risk of patients with COPD is considerably increased by stroke independent of the other effects of COPD. Moreover, the average number of hospitalization days and frequency of medical visits dramatically increased in patients with COPD after stroke.
Source: International Journal of Environmental Research and Public Health - April 7, 2020 Category: Environmental Health Authors: Yu-Shu Yen Dorji Harnod Cheng-Li Lin Tomor Harnod Chia-Hung Kao Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 1944: Stroke to Dementia Associated with Environmental Risks —A Semi-Markov Model
Conclusion: Experiments showed that the proposed semi-Markovian model outperformed other benchmark diagnosis algorithms (i.e., linear regression, decision tree, random forest, and support vector machine), with a high R2 of 90%. The proposed model also facilitated an accurate prognosis on the transition time of stroke from chronic diseases to dementias against environmental risks and rehabilitation factors.
Source: International Journal of Environmental Research and Public Health - March 15, 2020 Category: Environmental Health Authors: Kung-Jeng Wang Chia-Min Lee Gwo-Chi Hu Kung-Min Wang Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 618: Risk Factors Associated with Outcomes of Recombinant Tissue Plasminogen Activator Therapy in Patients with Acute Ischemic Stroke
eng Tsong-Hai Lee Ischemic stroke is the most common type of stroke, and early interventional treatment is associated with favorable outcomes. In the guidelines, thrombolytic therapy using recombinant tissue-type plasminogen activator (rt-PA) is recommended for eligible patients with acute ischemic stroke. However, the risk of hemorrhagic complications limits the use of rt-PA, and the risk factors for poor treatment outcomes need to be identified. To identify the risk factors associated with in-hospital poor outcomes in patients treated with rt-PA, we analyzed the electronic medical records of patients who were diagn...
Source: International Journal of Environmental Research and Public Health - January 17, 2020 Category: Environmental Health Authors: Yi-Ju Tseng Ru-Fang Hu Shin-Tyng Lee Yu-Li Lin Chien-Lung Hsu Shih-Wei Lin Chia-Wei Liou Jiann-Der Lee Tsung-I Peng Tsong-Hai Lee Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 326: The Risk of Stroke in Kidney Transplant Recipients with End-Stage Kidney Disease
Ju Wu Chia-Hung Kao Background: The incidence of stroke after kidney transplantation is poorly understood. Our study aimed to determine the incidence and predictors of stroke as well as mortality from stroke in kidney transplant recipients (KTRs). Methods: This retrospective cohort study used the National Health Insurance Research Database in Taiwan to study KTRs (N = 4635), patients with end-stage renal disease (ESRD; N = 69,297), and patients from the general population who were chronic kidney disease (CKD)-free and matched by comorbidities (N = 69,297) for the years 2000 through 2010. The risk of stroke was analyz...
Source: International Journal of Environmental Research and Public Health - January 24, 2019 Category: Environmental Health Authors: Shih-Ting Huang Tung-Min Yu Ya-Wen Chuang Mu-Chi Chung Chen-Yu Wang Pin-Kuei Fu Tai-Yuan Ke Chi-Yuan Li Cheng-Li Lin Ming-Ju Wu Chia-Hung Kao Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2615: Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
Conclusion: The risks of both stroke types were lower in the nurse group than in the control. For stroke prevention, more frequent physical examinations are needed in order to enhance the health and well-being of people, including the nurses.
Source: International Journal of Environmental Research and Public Health - November 22, 2018 Category: Environmental Health Authors: Hui-Chuan Liao Yi-Hao Peng Yu-Pei Chen Li-Chi Huang Wen-Miin Liang Chung Y. Hsu Chia-Hung Kao Chun-Hung Tseng Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2082: Syncope and Collapse Are Associated with an Increased Risk of Cardiovascular Disease and Mortality in Patients Undergoing Dialysis
Conclusion: SC was significantly associated with cardiovascular events and overall mortality in the patients on dialysis. SC may serve as a prodrome for cardiovascular comorbidities, thereby assisting clinicians in identifying high-risk patients.
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Shih-Ting Huang Tung-Min Yu Tai-Yuan Ke Ming-Ju Wu Ya-Wen Chuang Chi-Yuan Li Chih-Wei Chiu Cheng-Li Lin Wen-Miin Liang Tzu-Chieh Chou Chia-Hung Kao Tags: Article Source Type: research

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