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  1. Article ; Online: The Effectiveness of the Case Manager-Centered Collaborative Care Model with Computer-Assisted Assessment on Quality Indicators for the Care of Dementia.

    Chen, Yen-Jen / Wang, Wen-Fu / Chang, Ming-Che / Jhang, Kai-Ming

    Dementia and geriatric cognitive disorders

    2024  Volume 53, Issue 1, Page(s) 29–36

    Abstract: Introduction: This study aimed to investigate the influence of case management and its corresponding computer-assisted assessment system on the quality improvement of dementia care.: Methods: This observational study enrolled 2029 patients and their ... ...

    Abstract Introduction: This study aimed to investigate the influence of case management and its corresponding computer-assisted assessment system on the quality improvement of dementia care.
    Methods: This observational study enrolled 2029 patients and their caregivers at Changhua Christian Hospital in Taiwan. Physicians who made the diagnosis of dementia would introduce the patient and caregiver dyad to the case manager-centered collaborative care team after obtaining agreement. The achievement rates of 11 quality indicators (QIs) comprising timely diagnostic evaluations, regular screens of cognition and neuropsychiatric symptoms, caregiver support, and proper medication prescriptions were counted. Different timeframes (≤4 months, 4 months-1 year, 1-2 years, 2-3 years, or ≥3 years) from diagnosis of dementia to collaborative care intervention were compared.
    Results: A significantly higher attainment rate was achieved for patients with earlier entry into the collaborative team model, including QIs about timely diagnosis and regular screening, and caregiver support. The QIs regarding dementia medication prescriptions and documentation of the risk of antipsychotics remained similar regardless of the time of entry into the model. The completion rates of QIs also improved after the information system was launched.
    Conclusions: Physician-case manager co-management in the setting of a collaborative care model with a computer-assisted assessment system helps improve QI achievement for dementia care.
    MeSH term(s) Humans ; Dementia/diagnosis ; Dementia/therapy ; Dementia/psychology ; Quality Indicators, Health Care ; Case Managers ; Primary Health Care ; Caregivers/psychology ; Computers
    Language English
    Publishing date 2024-02-05
    Publishing country Switzerland
    Document type Observational Study ; Journal Article
    ZDB-ID 1026007-9
    ISSN 1421-9824 ; 1013-7424
    ISSN (online) 1421-9824
    ISSN 1013-7424
    DOI 10.1159/000536646
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  2. Article: Corrigendum: A comparison of caregiver burden for different types of dementia: an 18-month retrospective cohort study.

    Huang, Wen-Chien / Chang, Ming-Che / Wang, Wen-Fu / Jhang, Kai-Ming

    Frontiers in psychology

    2023  Volume 14, Page(s) 1224716

    Abstract: This corrects the article DOI: 10.3389/fpsyg.2021.798315.]. ...

    Abstract [This corrects the article DOI: 10.3389/fpsyg.2021.798315.].
    Language English
    Publishing date 2023-06-13
    Publishing country Switzerland
    Document type Published Erratum
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2023.1224716
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  3. Article ; Online: An analysis of the novice motorcyclist crashes in Taiwan.

    Jou, Rong-Chang / Chao, Ming-Che

    Traffic injury prevention

    2022  Volume 23, Issue 3, Page(s) 140–145

    Abstract: Objective: Motorcycles comprised over 60% of motor vehicles in Taiwan. There were still many motorcycle crashes in Taiwan, especially among young riders. This study investigated the characteristics of novice motorcyclist crashes in Taiwan over the ... ...

    Abstract Objective: Motorcycles comprised over 60% of motor vehicles in Taiwan. There were still many motorcycle crashes in Taiwan, especially among young riders. This study investigated the characteristics of novice motorcyclist crashes in Taiwan over the period January 2011 to December 2016. Various risk factors affecting the severity of novice motorcyclist crashes, such as the rider characteristics, licensing conditions, and the environment, were examined.
    Methods: To model the count data with multiple crash severities, several regression models were considered. The multinomial logit (MNL) model, ordered logit (OL) model, and partial proportional odds (PPO) model were chosen and investigated for the relationships between the severity of novice motorcyclist crashes and potential risk factors.
    Results: The results showed that the novice rider who was underage or unlicensed had a higher probability of a fatal crash. Male sex, helmet use, drinking, college student, frontal impact, urban or dry road, and daytime all played significant roles in novice motorcyclist crashes.
    Conclusions: Taiwan traffic safety needs further policy adjustments and public education toward novice motorcycle crashes. Adequate driving training and providing a user-friendly environment for novice riders could help. Taiwan should consider graduated driver licensing systems for skill-building and riding supervision for new motorcyclists.
    MeSH term(s) Accidents, Traffic ; Automobile Driving ; Head Protective Devices ; Humans ; Licensure ; Logistic Models ; Male ; Motorcycles ; Taiwan/epidemiology
    Language English
    Publishing date 2022-02-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2089818-6
    ISSN 1538-957X ; 1538-9588
    ISSN (online) 1538-957X
    ISSN 1538-9588
    DOI 10.1080/15389588.2022.2026937
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  4. Article: Neuropsychiatric Symptoms Predict Faster Cognitive Decline in Dementia Collaborative Care Than Antipsychotic Use.

    Chen, Yen-Jen / Chang, Ming-Che / Jhang, Kai-Ming / Wang, Wen-Fu / Liao, Yi-Cheng

    Neuropsychiatric disease and treatment

    2024  Volume 20, Page(s) 689–696

    Abstract: Background: To compare short-term cognitive outcomes among groups with and without neuropsychiatric symptoms (NPSs) or antipsychotic prescription and to determine which disease status or treatment modality is associated with relatively faster cognitive ... ...

    Abstract Background: To compare short-term cognitive outcomes among groups with and without neuropsychiatric symptoms (NPSs) or antipsychotic prescription and to determine which disease status or treatment modality is associated with relatively faster cognitive decline.
    Methods: We retrospectively analyzed a prospective cohort of patients diagnosed with dementia and mild cognitive impairment. All participants were evaluated using the Cognitive Abilities Screening Instrument (CASI) during their initial clinical assessments and at the annual follow-up. The dependent variable was annual delta CASI. Multivariate linear regression analysis was used to assess the degree of association between NPS, antipsychotic use, and cognitive decline after adjusting for confounding factors. Neuropsychiatric symptoms were examined individually to determine their predictive value for cognitive decline.
    Results: A total of 407 (N = 407) patients were included in the study. NPSs, rather than antipsychotic use, led to faster cognitive decline. A higher baseline NPI total score predicted a significantly faster decline in CASI scores (1-year delta CASI = -0.22, 95% CI = -0.38~ -0.05,
    Conclusion: Certain neuropsychiatric symptoms, rather than antipsychotic use, lead to faster cognitive decline in a dementia collaborative care model. Checking for and providing appropriate interventions for NPS in people with dementia and their caregivers are highlighted.
    Language English
    Publishing date 2024-03-26
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2186503-6
    ISSN 1178-2021 ; 1176-6328
    ISSN (online) 1178-2021
    ISSN 1176-6328
    DOI 10.2147/NDT.S454943
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  5. Article ; Online: Case Management-based Collaborative Care Model Associated with improvement in neuropsychiatric outcomes in community-dwelling people living with dementia.

    Hung, Yu-Hsuan / Wang, Wen-Fu / Chang, Ming-Che / Jhang, Kai-Ming

    BMC geriatrics

    2023  Volume 23, Issue 1, Page(s) 339

    Abstract: Background: This study aimed to explore the association between adherence of collaborative care model and short-term deterioration of BPSD after controlling patient and caregiver factors.: Methods: This retrospective case-control study enrolled 276 ... ...

    Abstract Background: This study aimed to explore the association between adherence of collaborative care model and short-term deterioration of BPSD after controlling patient and caregiver factors.
    Methods: This retrospective case-control study enrolled 276 participants who were newly diagnosed with dementia and BPSD. A dementia collaborative care team interviewed patients and caregivers to form a care plan and provided individualized education or social resource referrals. A multivariate logistic regression model with backward selection was used to test factors associated with BPSD deterioration, defined as worse neuropsychiatric inventory (NPI) scores 1 year after joining the care model.
    Results: Male sex (odds ratio [OR] = 0.45; 95% confidence interval [CI] = 0.25-0.84) and higher clinical dementia rating scale sum of boxes scores (CDR-SOB) (OR = 0.90; 95% CI = 0.83-0.98) were protective factors, whereas spouse caregivers and withdrawals from the care model (OR = 3.42; 95% CI = 1.28-9.15) were risk factors for BPSD deterioration.
    Conclusions: Our study showed that both patient and caregiver factors were associated with deterioration of BPSD. The case manager-centered dementia collaborative care model is beneficial for the management of BPSD. Healthcare systems may consider implementing a case management model in clinical dementia care practice.
    MeSH term(s) Humans ; Male ; Dementia/diagnosis ; Dementia/epidemiology ; Dementia/therapy ; Independent Living ; Retrospective Studies ; Case Management ; Case-Control Studies ; Psychiatric Status Rating Scales ; Caregivers/psychology
    Language English
    Publishing date 2023-05-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2059865-8
    ISSN 1471-2318 ; 1471-2318
    ISSN (online) 1471-2318
    ISSN 1471-2318
    DOI 10.1186/s12877-023-04024-8
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  6. Article: Myocardial Dipyridamole-Stress Dynamic SPECT and Cardiac Adenosine-Stress MRI Unmasking the Janus Face of Coronary Microvascular Dysfunction in a 15-Year-Old Boy Incurring Recurrent Angina Pectoris, Myocardial Ischemia, and No Obstructive Coronary Artery Disease: An 11-Year Follow-Up.

    Lee, Meng-Luen / Chang, Ming-Che / Liao, Chiung-Ying

    Acta Cardiologica Sinica

    2022  Volume 38, Issue 2, Page(s) 204–209

    Language English
    Publishing date 2022-03-07
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ZDB-ID 1051394-2
    ISSN 1011-6842
    ISSN 1011-6842
    DOI 10.6515/ACS.202203_38(2).20210830D
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  7. Article ; Online: Enhanced electrical properties of amorphous In-Sn-Zn oxides through heterostructuring with Bi

    Wang, Chih-Chiang / Lo, An-Ya / Cheng, Ming-Che / Chang, Yu-Sung / Shih, Han-Chang / Shieu, Fuh-Sheng / Tseng, Tzu-Hsien / Tsai, He-Ting

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 195

    Abstract: Amorphous indium tin zinc oxide (a-ITZO)/ ... ...

    Abstract Amorphous indium tin zinc oxide (a-ITZO)/Bi
    Language English
    Publishing date 2024-01-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-50809-7
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  8. Article: Influence of care modes and social resources on psychotropic medication use in community-dwelling dementia patients.

    Chan, Wei-Chieh / Wang, Wen-Fu / Tung, Yu-Chun / Chang, Ming-Che / Chan, Hong-Ting / Jhang, Kai-Ming

    Frontiers in psychiatry

    2024  Volume 14, Page(s) 1196801

    Abstract: Background: Optimal use of psychotropic medications for people living with dementia is important. By finding potentially modifiable factors, dementia care teams may find solutions to achieve the appropriate use of psychotropic drugs.: Objective: This ...

    Abstract Background: Optimal use of psychotropic medications for people living with dementia is important. By finding potentially modifiable factors, dementia care teams may find solutions to achieve the appropriate use of psychotropic drugs.
    Objective: This study aimed to elucidate patient and caregiver factors associated with the use of psychotropic drugs listed in the potentially inappropriate medications (PIMs) in community-dwelling people with dementia.
    Methods: This cross-sectional study enrolled 808 patients newly diagnosed with dementia, and their caregivers, from a dementia clinic at Changhua Christian Hospital. Patient and caregiver characteristics, care mode, and social resource usage were recorded. Multivariate logistic regression was used to identify factors associated with prescribing psychotropic medications.
    Results: Of all the participants, 39.1% used at least one of psychotropic medication categorized as PIM. Patients with frontotemporal dementia, with behavior or psychological symptoms, or cared by sole foreign care workers; caregivers with higher depression scores, employed or non-spouse caregivers carried a higher risk of prescription of psychotropic medications listed in PIMs.
    Conclusion: Psychotropic drug prescriptions are associated with patient and caregiver factors. Therefore, implementing appropriate interventions, especially those targeting potentially modifiable factors, is important to reduce psychotropic medication use.
    Language English
    Publishing date 2024-01-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2023.1196801
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  9. Article: Ischemia and No Obstructive Coronary Artery Disease and Pulmonary Hypertension in a 16-Year-Old Girl with Unquenched Hyperthyroidism of Graves' Disease.

    Lee, Meng-Luen / Chang, Ming-Che / Wang, Yu-Mei

    Acta Cardiologica Sinica

    2021  Volume 37, Issue 4, Page(s) 442–448

    Language English
    Publishing date 2021-07-09
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ZDB-ID 1051394-2
    ISSN 1011-6842
    ISSN 1011-6842
    DOI 10.6515/ACS.202107_37(4).20210212A
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  10. Article: A Comparison of Caregiver Burden for Different Types of Dementia: An 18-Month Retrospective Cohort Study.

    Huang, Wen-Chien / Chang, Ming-Che / Wang, Wen-Fu / Jhang, Kai-Ming

    Frontiers in psychology

    2022  Volume 12, Page(s) 798315

    Abstract: Background: This study aimed to elucidate the influence of dementia etiologies on the degree of caregiver burden and determine which factors predict a high caregiving burden.: Methods: This 18-month retrospective cohort study enrolled 630 patients ... ...

    Abstract Background: This study aimed to elucidate the influence of dementia etiologies on the degree of caregiver burden and determine which factors predict a high caregiving burden.
    Methods: This 18-month retrospective cohort study enrolled 630 patients and their caregivers from the Dementia Center of Changhua Christian Hospital. The care team performed face-to-face interviews every 6 months, for 18 months from when a diagnosis of dementia was made. The primary outcome was the change in Zarit Burden Interview (ZBI) scores. Generalized estimating equations were used for the longitudinal data analysis.
    Results: Participants with Lewy body disease (LBD) had a significantly higher caregiving burden compared with those with Alzheimer's disease (AD) (β = 3.83 ± 1.47, Wald = 6.79,
    Conclusion: This longitudinal study demonstrated that caregiver burden was influenced by the underlying dementia etiology of patients. The dementia care team should provide personalized education and transfer patients and caregivers to appropriate resources, especially for high-risk populations.
    Language English
    Publishing date 2022-01-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2021.798315
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