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Health and Health Systems in Southeast Asia: Policy Issues and Challenges

為了解決asia醫學的問題，作者Phua, Kai Hong,Pocock, Nicola Suyin 這樣論述：

行動裝置教育方案於腦中風患者之成效

為了解決asia醫學的問題，作者余秋菊 這樣論述：

背景與目的：衛生福利部統計2019年腦血管疾病是造成臺灣地區民眾十大死因的第4名，腦中風發生的6個月內有超過25%的病患導致嚴重失能，慢性疾病皆是腦中風的致病危險因子，針對這些疾病的治療及控制是可降低腦中風的發生率，故需長時間監控及配合慢性疾病藥物治療，改變飲食習慣及建立良好的健康生活型態，提供病患出院返家後疾病相關知識。護理人員扮演著教育者的角色，傳統護理指導大部份給予紙本單張及口頭教育，然而現今資訊科技的進步及行動網路3C產品的普及化，可提供即時、個別化，是目前臨床照護上最即時及有效率的方式。因此，本研究探討行動裝置教育方案於腦中風病患提升自我照顧知識、自我效能及避免憂鬱之成效。研究方法

：本研究在臺灣北部某醫學中心之神經內科病房及老年醫學病房進行收案，採兩組前、後測，隨機、單盲之實驗性研究設計，收案82位，包括實驗組40位(行動裝置教育方案)及控制組42位(常規護理)，分別於住院48小時內進行前測及介入，出院前24小時進行後測之施測。研究問卷包含腦中風自我照顧知識量表(Stroke Self-Care Knowledge)、腦中風自我效能量表(Stroke Self-Efficacy Questionnaire, SSEQ)、貝克憂鬱量表(Beck Depression Inventory, BDI)、健康指導內容滿意度之視覺類比量表(Visual Analogue Scal

e, VAS )，以套裝統計軟體SPSS 20.0版進行統計分析，進行描述性統計及推論性統計。描述性統計以次數分配、百分比、平均數、標準差、最大值及最小值呈現研究對象之人口學資料及疾病特徵；推論性統計以獨立樣本t檢定、卡方比較兩組在人口學基本屬性、疾病特徵、腦中風自我照顧知識、腦中風自我效能、憂鬱及介入措施滿意度之差異，運用廣義估計方程式(generalized estimating equation, GEE)檢定兩組之前、後測腦中風自我照顧知識、腦中風自我效能及憂鬱改善成效，再以獨立樣本t檢定統計比較兩組介入措施滿意度之差異。研究結果：本研究之研究對象為老年、男性、已婚、退休、高中職、佛道

教為主，共病指數(Charlson Comorbidity Index, CCI)平均值為2.28，過去病史以高血壓為主、其次為糖尿病。行動裝置教育方案介入後兩組腦中風自我照顧知識於組別主效果( β = 6.88, SE = .78, p < .001)、時間主效果( β = -6.15, SE = .71, p < .001)、組別與時間交互作用( β = -6.93, SE = .89, p < .001)皆呈統計學上顯著差異；腦中風自我效能(SSEQ)於組別主效果( β = 16.80, SE = 2.46, p < .001)、時間主效果( β = -33.66, SE = 2.78,

p < .001)、組別與時間交互作用( β = -6.46, SE = 4.02, p < .001)皆呈統計學上顯著差異；憂鬱(BDI)改善成效於組別主效果( β = -7.29, SE = 1.50, p < .001)、時間主效果( β = 8.37, SE = 1.77, p < .001)、組別與時間交互作用( β= 5.28, SE = 2.09, p < .001)皆呈統計學上顯著差異；以獨立樣本t檢定統計方式比較實驗組(行動裝置教育方案)與控制組(常規護理)的介入措施滿意度，呈統計學上顯著差異( p < .05)，即表示此行動裝置教育方案介入措施的滿意度比常規護理有明顯成

效。結論：本研究結果證實透過行動裝置教育方案於腦中風患者，可以有效提升腦中風自我照顧知識、腦中風自我效能程度成改善憂鬱程度，行動裝置教育方案較傳統口頭健康指導有較高的介入滿意度。臨床與實務應用：在實證依據基礎下，使用行動裝置教育方案於腦中風患者之成效更較傳統口頭健康指導成效佳，且具有統計學上顯著差異。因應3C化數位時代來臨，手機及網路使用普及化，希望能藉由腦中風行動裝置教育方案方便性、健康指導內容生動性，且有具個別性的優點，能促進提升臨床護理人員在病患住院期間提供返家後健康指導內容，更能減少的時間人力成本。對於需要長期復健治療之腦中風患者更能提供持續性的照護內容，藉由操作行動裝置教育方案過程，

更可以促進患者與家人之間的親情互動，值得在臨床上推廣。

Viral and Antiviral Nanomaterials: Synthesis, Properties, Characterization, and Application

為了解決asia醫學的問題，作者 這樣論述：

Devarajan Thangadurai, PhD, is Assistant Professor at Karnatak University, Dharwad in India and did his postdoctoral research at the University of Madeira, Portugal, University of Delhi, India, and ICAR National Research Centre for Banana, India. He is the recipient of Best Young Scientist Award wit

h Gold Medal from Acharya Nagarjuna University, India, and the VGST-SMYSR Young Scientist Award of the Government of Karnataka, India. He has interest and expertise in the fields of biotechnology and nanotechnology for sustainable future. He has authored/edited more than twenty five books with inter

national publishers in USA, Canada, Switzerland and India. He has authored/coauthored 210 publications inclusive of journal articles, book chapters, books and invited presentations. He has extensively travelled to many universities and institutes in Africa, Europe and Asia for academic works, scient

ific meetings, and international collaborations. Saher Islam, PhD, is an HEC Scholar (Higher Education Commission) of the Islamic Republic of Pakistan at the University of Veterinary and Animal Sciences, Lahore, where she received her BS, MPhil and PhD in Molecular Biology, Biotechnology and Bioinfo

rmatics. She is IRSIP Scholar at Cornell University, New York and Visiting Scholar at West Virginia State University, West Virginia in USA. She has keen research interests in genetics, molecular biology, biotechnology, and bioinformatics pertaining to animal, dairy and food science, and has ample ha

nds on experience in molecular marker analysis, whole genome sequencing and RNA sequencing. She has visited USA, UK, Singapore, Germany, Italy and Russia for academic and scientific trainings, courses, and meetings. She is the recipient of 2016 Boehringer Ingelheim Fonds Travel Grant from European M

olecular Biology Laboratory, Germany. She is an author/coauthor of 50 publications including journal articles, book chapters, books and conference presentations. Charles Oluwaseun Adetunji, PhD, is presently the Ag. Director of Intellectual Properties and Technology Transfer; Chairman Committee on R

esearch Grant and Associate Professor of Microbiology and Biotechnology at EUI. He has won several scientific awards and grants from renowned academic bodies like Council of Scientific and Industrial Research (CSIR) India, and Department of Biotechnology (DBT) India, The World Academy of Science (TW

AS) Italy, Netherlands Fellowship Programme (NPF) Netherlands, The Agency for International Development Cooperation Israel, Royal Academy of Engineering UK among many others. He has filed several scientific patents on nanobiosurfactants, nanobiopesticdes and many more. He has published over 150 scie

ntific journals and conference proceedings in international and local refereed journals. His research interest includes microbiology, biotechnology, post-harvest management, and nanotechnology. He is an editorial board member of many international journals and serves as a reviewer to many double-bli

nd peer review journals of Elsevier, Springer, Taylor and Francis, Wiley, PLOS One, Nature, American Chemistry Society, Bentham Science Publishers etc. He is a member of many scientific and professional bodies like American Society for Microbiology, Nigerian Young Academy, Biotechnology Society of N

igeria, and Nigerian Society for Microbiology. He has won international recognition and also acted as a keynote speaker delivering invited talk/position paper at various universities, research institutes and several centers of excellence which span across several continent of the globe. He has over

the last fifteen years built strong working collaborations with reputable research groups in numerous and leading Universities across the globe. He is the convener for Recent Advances in Biotechnology, which is an annual international conference where renowned microbiologists and biotechnologists co

me together to share their latest discoveries. He is also the Founder & CEO of BECTIK Biotechnology and Nanotechnology Company.