10 results on '"Lu, Tsung-Hsueh"'
Search Results
2. Using matrix frame to present road traffic injury pattern
- Author
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Wang, Chien-Hsing, Hsieh, Wan-Hua, Liang, Fu-Wen, and Lu, Tsung-Hsueh
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- 2018
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3. Effect of Coding Rules on Reporting of Hypertension Mortality
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Lu, Tsung-Hsueh, Anderson, Robert N., and Kawachi, Ichiro
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- 2013
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4. Bathtub drowning mortality among older adults in Japan.
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Hsieh, Wan-Hua, Wang, Chien-Hsing, and Lu, Tsung-Hsueh
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OLDER people ,BATHTUBS ,MORTALITY ,CAUSES of death ,DROWNING ,EPIDEMIOLOGY ,DEATH rate - Abstract
We examined the bathtub drowning mortality among older adults in Japan. Mortality data from Japan and 30 other Organization for Economic Co-operation and Development (OECD) countries were extracted from World Health Organization Cause of Death Query Online. During 2012-2014, unintentional drowning mortality rates in Japan were 9.5, 28.2 and 39.7 per 100,000 population for adults aged 65-74, 75-84 and ≥85 years, respectively-rates highest among the 31 OECD countries. In total, 6377 older adults aged ≥65 years died from unintentional drowning in 2014, of which 4857 (76%) deaths involved bathtubs. During 1995-2014, the bathtub drowning mortality rate for adults aged ≥65 years was stable in Japan. During 2011-2014, approximately 4800 older adults died from bathtub drowning annually. Death predominantly occurred 'while in a bathtub', rather than 'following a fall into a bathtub'. In 2014, 95% and 87% of bathtub drowning deaths among older women and men aged ≥65 years, respectively, occurred at home. In conclusion, bathtub drowning deaths at home is an important public health problem among older adults Japanese and efforts are needed to reduce these preventable deaths. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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5. Factors associated with the decline in suicide by pesticide poisoning in Taiwan: A time trend analysis, 1987-2010.
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Chang, Shu-Sen, Lu, Tsung-Hsueh, Eddleston, Michael, Konradsen, Flemming, Sterne, Jonathan A. C., Lin, Jin-Jia, and Gunnell, David
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SUICIDE , *PESTICIDE toxicology , *SELF-poisoning , *EPIDEMIOLOGY , *AGRICULTURAL laborers , *TREND analysis - Abstract
Objective. Pesticide self-poisoning accounts for one-third of suicides worldwide, but few studies have investigated the national epidemiology of pesticide suicide in countries where it is a commonly used method. We investigated trends in pesticide suicide, and factors associated with such trends, in Taiwan, a rapidly developing East Asian country. Methods. We conducted an ecological study using graphical approaches and Spearman's correlation coefficients to examine trends in pesticide suicide (1987-2010) in Taiwan in relation to pesticide sales, bans on selected pesticides, the proportion of the workforce involved in agriculture and unemployment. We compared pesticide products banned by the Taiwanese government with products that remained on the market and pesticides that accounted for the most poisoning deaths in Taiwan. Results. Age-standardised rates of pesticide suicide showed a 67% reduction from 7.7 per 100,000 (42% of all suicides) in 1987 to 2.5 per 100,000 (12% of all suicides) in 2010, in contrast to a 69% increase in suicide rates by other methods. Pesticide poisoning was the most commonly used method of suicide in 1987 but had become the third most common method by 2010. The reduction was paralleled by a 66% fall in the workforce involved in agriculture but there was no strong evidence for its association with trends in pesticide sales, bans on selected pesticide products or unemployment. The bans mostly post-dated the decline in pesticide suicides; furthermore, they did not include products (e.g. paraquat) that accounted for most deaths and were mainly restricted to selected high-strength formulated products whilst their equivalent low-strength products were not banned. Conclusions. Access to pesticides, indicated by the size of agricultural workforce, appears to influence trends in pesticide suicide in Taiwan. Targeted bans on pesticides should focus on those products that account for most deaths. [ABSTRACT FROM AUTHOR]
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- 2012
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6. Cigarette smoking and cognitive impairment: A 10-year cohort study in Taiwan
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Wang, Cheng-Ching, Lu, Tsung-Hsueh, Liao, Wen-Chun, Yuan, Su-Chuan, Kuo, Pi-Chao, Chuang, Hsiao-Ling, Lee, Meng-Chih, and Yen, Chi-Hua
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COGNITION disorders in old age , *COGNITION disorder risk factors , *PHYSIOLOGICAL effects of tobacco , *COGNITIVE Abilities Test , *COHORT analysis , *LOGISTIC regression analysis , *AGE distribution , *ANALYSIS of variance , *COGNITION disorders , *CONFIDENCE intervals , *EPIDEMIOLOGY , *MENTAL health surveys , *PROBABILITY theory , *PSYCHOLOGICAL tests , *QUESTIONNAIRES , *SELF-evaluation , *SMOKING , *STATISTICAL hypothesis testing , *T-test (Statistics) , *DATA analysis , *OLD age - Abstract
Abstract: The relationship between cigarette smoking and cognitive impairment is not a simple one. Some studies have demonstrated that cigarette smoking is a risk factor for cognitive impairment in the elderly, whereas other studies have shown cigarette smoking to be protective against dementia. This study aims to explore the relationship between cigarette smoking and cognitive impairment in elderly persons without dementia, during a 10-year period. Data were derived from a population-based cohort study of 1436 elderly Taiwanese. Cognitive function was measured by the SPMSQ both in 1993 and in 2003. A total of 1436 participants free of cognitive impairment at baseline (SPMSQ≥6 in 1993) were included in these analyses. Subsequently, participants were divided into three groups: never, past, and current smokers. The effect of cigarette smoking on cognitive function was assessed using logistic regression. In the logistic regression model adjusted for age, education, hypertension, diabetes, heart disease, and stroke at baseline, persons who had quit smoking (Odds ratio=OR=0.31; 95% CI=0.18–0.53; p <0.001) and those who continued to smoke (OR=0.37; 95% CI=0.20–0.70; p <0.001) were about one-third as likely to develop cognitive impairment as were those who never smoked. However, no dose–response relationship was observed between pack-years and cognitive impairment. Past and current smokers were less likely to develop cognitive impairment during a 10-year follow-up than were those who had never smoked. The present study suggests that smoking may be protective for cognitive function. [ABSTRACT FROM AUTHOR]
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- 2010
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7. Suicide methods used by women in Korea, Sweden, Taiwan and the United States.
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Chen, Ying-Yeh, Park, Nam-Soo, and Lu, Tsung-Hsueh
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SUICIDE ,SUICIDAL behavior of women ,VIOLENT deaths ,SELF-poisoning ,EPIDEMIOLOGICAL research ,PESTICIDE toxicology ,DRUG toxicity - Abstract
Background/purpose: Few studies have compared methods of suicide used by women in different countries. This study compared methods used by women in South Korea, Taiwan, Sweden and the United States.Methods: Age- and method-specific suicide rates for women in the four countries in 2002 were calculated and compared. Hanging, firearms and jumping from a height were classified as violent suicide methods. Poisoning suicides were further classified according to use of drugs, gases, pesticides and other agents.Results: Half of Taiwanese and American women used violent methods, while only one third of women in South Korea and Sweden used such methods. Poisoning was the most often used suicide method by women in all four countries. About 90% of American and Swedish women used drugs. In contrast, almost half of women from Korea and Taiwan used pesticides.Conclusion: Different countries contrast greatly in the agents used in suicide by poisoning but not in patterns of violent methods used. [ABSTRACT FROM AUTHOR]- Published
- 2009
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8. Assessing the quality of tuberculosis-related underlying cause of death assignment in Taiwan, 2001-2005.
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Wu, Yi-Chun, Lin, Ruey-Shiung, Yang, Shiang-Lin, and Lu, Tsung-Hsueh
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TUBERCULOSIS ,DEATH ,MYCOBACTERIAL diseases ,TUBERCULOSIS mortality ,COMPARATIVE studies ,CAUSES of death ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,DEATH certificates ,EVALUATION research - Abstract
Background/purpose: Assignment of underlying cause of death (UCOD) might be inconsistent among coders if physicians do not properly record cause of death on death certificates. This study aimed to assess the changes in the quality of tuberculosis-related UCOD assignment in Taiwan after interventions by the Center for Disease Control (CDC).Methods: The reference (gold standard) we used to assess the quality of UCOD assignment by coders was the UCOD selected by the Automated Classification of Medical Entities (ACME) computer program. The agreement, over- and under-coding rates between coders and the reference were calculated by years before and after the CDC interventions.Results: An abrupt decrease in tuberculosis death rates according to the UCOD assigned by coders was noted from 2003 to 2004, but no such decrease was noted according to the reference. The agreement in UCOD assignments between coders and ACME decreased from 0.75 in 2001 to 0.67 in 2005. We found a significant decrease in the over-coding rate from 0.21 in 2003 to 0.11 in 2004, and a prominent increase in under-coding rates from 0.08 in 2003 to 0.24 in 2004.Conclusion: The abrupt decrease in the official published tuberculosis mortality rate from 2003 to 2004 was due to significant changes in the practice of UCOD assignment of official coders, which might have been a response to interventions initiated by the CDC. [ABSTRACT FROM AUTHOR]- Published
- 2008
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9. An international comparison study indicated physicians' habits in reporting diabetes in part I of death certificate affected reported national diabetes mortality
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Lu, Tsung-Hsueh, Walker, Sue, Johansson, Lars Age, and Huang, Chien-Ning
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DIABETES , *INFECTIOUS disease transmission , *ENDOCRINE diseases , *CARBOHYDRATE intolerance - Abstract
Abstract: Background and Objective: Physicians may find it confusing to decide whether to report diagnoses in part I or part II of the death certificate. The aim of this study was to contrast differences in diabetes mortality through a comparison of physicians’ habits in reporting diabetes in part I of death certification among Taiwan, Australia, and Sweden. Methods: A cross-sectional, intercountry comparison study. We calculated the proportion of deaths with mention of diabetes in which diabetes was reported in part I of the death certificate and the proportion of deaths with mention of diabetes in which diabetes was selected as underlying cause of death. Results: We found that half of the differences in reported diabetes mortality among Taiwan, Australia, and Sweden were due to differences in reporting deaths with mention of diabetes anywhere on the certificate, and half due to differences in proportion of deaths with mention of diabetes in which diabetes was reported in part I of the death certificate. Conclusion: Differences in the reporting of diabetes in part I of the death certificate among physicians in Taiwan, Australia, and Sweden was one of the factors that affected differing reported diabetes mortality in Taiwan, Australia, and Sweden. [Copyright &y& Elsevier]
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- 2005
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10. Trends in Unintentional Fall-Related Traumatic Brain Injury Death Rates in Older Adults in the United States, 1980-2010: A Joinpoint Analysis.
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Sung, Kuan-Chin, Liang, Fu-Wen, Cheng, Tain-Junn, Lu, Tsung-Hsueh, and Kawachi, Ichiro
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BRAIN injuries , *ACCIDENTAL falls in old age , *DEATH rate , *REGRESSION analysis , *EPIDEMIOLOGY , *DEATH certificates - Abstract
Unintentional fall-related traumatic brain injury (TBI) death rate is high in older adults in the United States, but little is known regarding trends of these death rates. We sought to examine unintentional fall-related TBI death rates by age and sex in older adults from 1980 through 2010 in the United States. We used multiple-cause mortality data from 1980 through 2010 (31 years of data) to identify fall-related TBI deaths. Using a joinpoint regression program, we determined the joinpoints (years at which trends change significantly) and annual percentage changes (APCs) in mortality trends. The fall-related TBI death rates (deaths per 100,000 population) in older adults ages 65-74, 75-84, and 85 years and above were 2.7, 9.2, and 21.5 for females and 8.5, 18.2, and 40.8 for males, respectively, in 1980. The rate was about the same in 1992, yet increased markedly to 5.9, 23.4, and 68.9 for females and 11.6, 41.2, and 112.4 for males, respectively, in 2010. For males all 65 years years of age and above, we found the first joinpoint in 1992, when the APC for 1980 through 1992, -0.8%, changed to 6.2% for 1992-2005. The second joinpoint occurred in 2005, when the APC decreased to 3.7% for 2005-2010. For all females 65 years of age and above, the first joinpoint was in 1993 when the APC for 1980 through 1993, -0.2%, changed to 7.6% from 1993 to 2005. The second joinpoint occurred in 2005 when the APC decreased to 3.8% for 2005-2010. This descriptive epidemiological study suggests increasing fall-related TBI death rates from 1992 to 2005 and then a slowdown of increasing trends between 2005 and 2010. Continued monitoring of fall-related TBI death rate trends is needed to determine the burden of this public health problem among older adults in the United States. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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