科技风险与社会分享0222

Sep 21, 20130 likes263 views

Ching-wen Lu

2013.2.22 陽明大學STS所，林宜平老師科技風險與社會課堂

? 居民認為的污染是什麼？
? 居民的應對（能動性）是什麼？
? 居民（真的？）需要協助嗎？
? 科學研究的角色？尤其是流行病學與健康風險研究。

This patient is a 43-year-old female with a history of type 2 diabetes for 5 years who has poor blood sugar control. She has an HbA1c of 9.5% and takes medications including metformin, sulfonylurea, DPP-4 inhibitor, SGLT2 inhibitor, basal insulin, and bolus insulin. Due to difficulties with lifestyle changes and irregular medical follow ups, her diabetes has been difficult to manage. The doctor discusses next steps, which may include checking her C-peptide, adjusting her oral medications, considering shifting to a GLP-1RA, and addressing her diabetes and obesity through lifestyle modification and medical treatment.

2021.4.29 loneliness and?depression in?the?elderly the?role of?social network...Ching-wen Lu

1) The COVID-19 quarantine has negatively impacted the mental and physical health of elderly people due to reduced social participation and increased isolation. It has been associated with higher rates of anxiety, depression, and decreased physical activity. 2) Recommendations to support mental health include telephone support lines, cognitive stimulation activities, limiting media exposure, and promoting resilience. For physical health, recommendations include at-home exercise programs involving both cardio and strength training. 3) While quarantine is necessary, its duration should be limited as increased social isolation can significantly impact the health of elderly populations. Alternative approaches like telehealth may help address health needs while reducing isolation.

using narrative analysis to understand the combined use of complementary ther...Ching-wen Lu

This document summarizes a study that examined one man's experience using complementary and alternative medicine (CAM) to treat his wife's cancer alongside biomedical healthcare (BHC). It analyzes the man's narrative of the experience, referred to as "Christian", through his interviews. Christian initially faced opposition from BHC providers regarding a herbal tea CAM treatment but found acceptance from one oncology doctor. This validation facilitated a shift in Christian's perspective of the relationship between CAM and BHC from a hierarchy to a collaborative "we". The analysis suggests communication between informal caregivers and BHC providers about CAM can influence experiences of the healthcare system.

2021.03.23 住院醫師搞工會：搞什麼東西？Ching-wen Lu

Elder Abuse in the COVID-19 Era. / Informal caregivers’ perspectives on healt...Ching-wen Lu

Informal caregivers played a limited role in managing medications for relatively independent oldest-old patients without dementia. Caregivers had little knowledge of patients' medications and rarely questioned the appropriateness or necessity of potentially inappropriate medications prescribed by doctors. Communication between caregivers, patients, and doctors was also limited. The study highlights the need for better education of caregivers, evaluation of patients' medication abilities, and more effective communication strategies between all parties involved in medication management of older adults.

Lifestyle medicine ch13 physical fitness evaluationChing-wen Lu

This document discusses methods for evaluating physical fitness, including cardiorespiratory fitness, muscular strength, and body composition. Cardiorespiratory fitness can be directly measured by maximum oxygen consumption during a graded exercise test, or indirectly estimated using metabolic equivalents or submaximal exercise tests. Muscular strength can be assessed using tests like one repetition maximum, while endurance can be evaluated over longer duration resistance training. Proper protocols and endpoints are described for maximally and submaximally testing different populations.

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