CONTENTS # TOPIC AUTHORS PAGE SERVICE NEW CHALLENGES AND COMPETENCIES FOR GERIATRIC CARE

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1 CONTENTS # TOPIC AUTHORS PAGE A SERVICE NEW CHALLENGES AND COMPETENCIES FOR GERIATRIC CARE A01 PREVALENCE OF ROTATOR CUFF TEARS IN ELDERLY PATIENTS WITH SHOULDER PAIN-RURAL AREA AT LOCAL WEN-HUI HSUEH, HSIANG- CHUN SOUTH OF TAIWAN. LAI,,NIEN-TSU HAN, HSIN-SHUI CHEN 7 A02 A03 A04 A05 A06 A07 A08 A09 A10 A11 A12 A13 A14 A15 A16 A17 A18 A19 A20 A21 VALIDATION OF THE SHORT-FORM MANDARIN HEALTH LITERACY SCALE IN MID-AGED AND ELDER PATIENTS WITH STROKE TEST-RETEST RELIABILITY OF MUSCLE STRENGTH WITH HAND-HELD DYNAMOMETER IN OLDER ADULTS FROM ABORIGINAL COMMUNITY IN EASTERN TAIWAN THE ASSOCIATION OF POLYPHARMACY AND DEPRESSION IN OUTPATIENT OLDER PEOPLE WITH CHRONIC DISEASES TREND OF LIFE EXPECTANCY OF PATIENTS FOR RADICAL PROSTATECTOMY OF PROSTATE CANCER IN TAIWAN 2012 UPDATE AGE AND GENDER DIFFERENCES IN THE RELATIONSHIP BETWEEN SELF-RATED HEALTH AND MORTALITY IN TAIWANESE OLDER ADULTS RESULTS OF A NATIONAL COHORT STUDY ANALYSIS ON THE RELATIONSHIP BETWEEN SATISFACTION WITH ELDERLY HEALTH EXAMINATION PROGRAM AND HEALTHCARE QUALITY, EXPERIENCE IN A REGIONAL HOSPITAL IN TAIPEI RELATION BETWEEN LENGTH OF STAY WITH AGE, WHITE BLOOD CELL, LYMPHOCYTE, NEUTROPHILAND RATIO NEUTROPHIL LYMPHOCYTE IN GERIATRIC PATIENTS WITH SIRS AT SANGLAH HOSPITAL ON JUNE APRIL 2012 EFFECT OF CASE MANAGEMENT AFTER FUNCTIONAL EVALUATION IN THE ANNUAL ELDERLY HEALTH EXAMINATION. FALLS PREVENTION STRATEGY IN INDONESIAN ELDERLY POPULATION OSTEOPOROSIS SCREENING AND REFERRAL PROGRAM AMONG GERIATRIC HEALTH EXAMINATION RECIPIENTS THE PILOT STUDY OF TAILORED-MADE LOW INCOME PEOPLE MANAGEMENT RESULT OF THE SURVEY NON-COMMUNICABLE DISEASE PREVENTION FACTORS ASSOCIATED WITH THE UPTAKE OF INFLUENZA VACCINATION AMONG ELDERLY IN TAIWAN - ANALYSIS OF THE 2009 NATIONAL HEALTH INTERVIEW SURVEY HIGH-FREQUENCY RTMS FACILITATES COGNITIVE RECOVERY IN GERIATRIC STROKE PATIENTS DEMENTIA EVALUATION IN EDN-STAGE RENAL DISEASE PATIENTS WITH DIFFERENT DIALYSIS MODALITY COST AND MORTALITY RATE IN INCIDENT ELDERLY HEMODIALYSIS PATIENTS THE EFFECTIVENESS OF PHARMACOTHERPAY AND SELF-MANAGEMENT AT TOBACCO CESSATION MOVTIVATIONAL INTERVIEWING TECHNIQUES-FACILITATING BEHAVIOR CHANGE IN CHRONIC DISEASE MANAGEMENT THE EFFECTIVENESS OF INTERMEDIATE CARE FOR OLDER PATIENTS FROM A COMMUNITY HOSPITAL IN SOUTHERN TAIWAN THE CHARACTERISTICS AND IN-PATIENT REHABILITATION EFFECTS IN ELDERLY PATIENTS WITH FIRST HEMIPLEGIC STROKE WEN-HSUAN HOU, YI-JING HUANG, CHING-LING HSIEH CHI-SING CHANG, CHUNG-CHAO LIANG, JIA-CHING CHEN WEI-LI WANG, CHIN-YING CHEN, CHING-I CHANG, CHING-YU CHEN CHIH-CHENG LU, WEN-CHOU FAN, TSE-CHOU CHENG GWO-CHI HU, YU-NING HU, HUI-KUNG YU 9 MEI-JU CHEN, YI-NING HUANG, RAN-CHOU CHEN 10 NI LUH PUTRI PRIMASARI, TURY KUSWARDHANI, NYOMAN ASTIKA, SUKA ARYANA, IDA BAGUS PUTRAWAN, RAI PURNAMI CHIA-MING LI, CHING-I CHANG, WEN-RUEY YU, WINNIE YANG, CHING-YU CHEN VERA, WIHARJA A 11 DING-CHENG (DERRICK) CHAN, JEN-HAU CHEN, KUN-PEI LIN, CHIUNG-JUNG WEN, FANG-PING LU, HSIU-CHEN MAO, YI-CHUN CHOU, KEH-SUNG TSAI, RONG-SEN YANG MING-YU CHEN, PI-SHAN HSN, CHENG-BO HOU, HUNG- CHANG HUNG, MENG-CHIH LEE T.ENKHZUL, M.SUGARMAA, D. AMARSAIKHAN, V.DELGERMAA SHIH-CHUN LIN, KUN-WEI TSAI, MALCOLM KOO CHIH-PIN WANG, PO-YI TSAI 14 PING-HSUN WU, YI-TING LIN, YI-WEN CHIU, CHENG-SHENG CHEN, MEI-CHUAN KUO, HUNG-CHUN CHEN YI-TING LIN, PING-HSUN WU, MEI-CHUAN KUO, LEE TZU-CHI, CHIA-TSUAN HUANG, SHANG-JYH HWANG, HUNG-CHUN CHEN YIN-MING LI 15 YIN-MING LI 16 CHIN-JUNG WU, YU-JU KUO, CHIN-HSIA LI, HSIAO-YU LIN, HSIAO-HUNG HUANG, MAO-JU WANG, TA-WEI LUO YU-CHI HUANG, JEN-WEN HUNG

2 A22 A23 A24 A25 A26 A27 A28 A29 A30 A31 A32 A33 A34 A35 B B01 B02 B03 B04 C C01 C02 THE EFFECT OF POST ACUTE CARE SERVICE-AN EXPERIENCE OF A REGIONAL HOSPITAL IN SOUTHERN TAIWAN A DISCUSSION OF THE REQUIREMENT OF PATIENT SATISFACTION OF THE PALLIATIVE AND HOSPICE CARE THE EXPLORATION OF PATHOPHYSIOLOGIC MECHANISMS AND THERAPEUTIC STRATEGY FOR DIABETES AND HYPERTENSION INDUCED ERECTILE DYSFUNCTION FACTORS AND OUTCOMES OF EXPOSING DIGOXIN WITH CHINESE MEDICATIONS AMONG THE ELDERLY PATIENTS STOPP / START AS A GUIDE TO MEDICATION REVIEW IMPROVE THE MEDICATION APPROPRIATENESS INDEX, REDUCE THE RISK OF ADR AND LOS MOOD DISORDER AND KNOWLEDGE OF HIV DISEASE IN THE ELDERLY HIV PATIENTS MORE THAN 50 YEARS OLD EXTENSION OF PHYSICIAN-PHARMACIST MEDICATION THERAPY MANAGEMENT FOR POLYPHARMACY ELDERLY PATIENTS TOWARD PATIENT-CENTERED INTEGRATED MEDICAL CARE SERVICES QUALITY OF LIFE AND SELF-REPORTED HEALTH STATUS IN TAIWANESE ELDERLY OUTPATIENTS THE INTEGRATED GERIATRIC CLINIC BASED ON PATIENT CENTERED ACCELERATED PROGRESSION OF ARTERIAL STIFFNESS IN ELDERLY POPULATION MITOCHONDRIAL TRANSFER OF INDUCED PLURIPOTENT STEM CELLS-DERIVED MSCS TO AIRWAY EPITHELIAL CELLS ATTENUATES CIGARETTE SMOKE-INDUCED DAMAGE THE ESTABLISHMENT OF NURSING QUALITY MANAGEMENT SYSTEM IN GERIATRIC HOSPITAL RESEARCH ON GERIATRIC HEALTHCARE SERVICE MODEL STRATEGIES FOR ELDERLY LONG-TERM CARE SERVICES IN BEIJING EDUCATION QUALITY ASSURANCE FOR GERIATRIC TRAINING, CERTIFICATION AND PROFESSIONAL DEVELOPMENT EFFECTS OF PARTICIPATING IN THE ABORIGINE AGED DAY-CARE CENTER STATION ACTIVITY ON PHYSICAL FUNCTIONS OF COMMUNITY ABORIGINAL ELDERLY AT HUALIEN IN TAIWAN: A PRELIMINARY REPORT ANALYSIS OF WRITTEN NARRATIVE FEEDBACK AND PERFORMANCE OF MODIFIED MINI-CLINICAL EVALUATION EXERCISE FOR GERIATRIC FELLOWS OUTPATIENT GERIATRIC ASSESSMENT PRACTICAL CONSIDERATIONS TO PROVIDE IN-HOUSE ELDER CARE FOR PATIENTS WITH MILD TO MODERATE DEMENTIA DEVELOPING KNOWLEDGE STRUCTURE-BASED ADAPTIVE TESTING SYSTEM IN GERIATRIC MEDICAL EDUCATION POLICY ROLE OF GERIATRICIAN IN AGE-FRIENDLY HEALTH CARE SYSTEM: ASIA PACIFIC PERSPECTIVES COMPILATION OF DEMENTIA PREVENTION MANUAL FOR ELDERLY THE RELATIONSHIP BETWEEN HEIGHT LOSS AND EXERCISE IN ELDERLY TAIWANESE SHU-CHING, CHI, CHIH-MING, LI, HONG CHENG, KUO, CHENG-YO, YEN MING-YU CHEN, WONG-YU JONG; SAO-WEN LIN HAO-HSIANG CHANG, PING-HAO LIAO, CHIANG-TING CHIEN HSIANG-WEN LIN, HSIN-HUI TSAI, MAN-PIN WU IGP SUKA ARYANA, IB MAHAYANA, RA TUTY KUSWARDHANI CB GOH, EGM CHONG, A. KAMARULZAMAN 20 HSIANG-WEN LIN, CHIH-HSUEH LIN, CHIN-KAN CHANG, CHE-YI CHOU, PIN-TING CHAO, CHIA-NUAN HSU, LING-YU CHANG, YOW-WEN HSIEH, JUI SUNG HUNG, WEN-LIANG HUANG, DER-YANG CHO YAW-JEN LIN, YA-PING LEE, HENG-SHUEN CHEN MIAO-YU LIAO, YU- CHEN HUNG, PI-SHAN HSU, HSING-FANG TSAI, MENG-CHIH LEE LIEN-YING LIN, YI-CHU LIAO, SUH-HANG H JUO, YU-SHAN LEE,YIH-JING TANG XIANG LI, YUELIN ZHANG, SZE C. YEUNG, YINGMIN LIANG, XIAOTING LIANG, YUE DING, MARY S.M. IP, HUNG-FAT TSE, JUDITH C.W. MAK, QIZHOU LIAN DENG BAOFENG, LUO CHANGCHUN, LI HAIFANG, WANG YANYAN SONG YUETAO, CHEN ZHENG, LIU XIANGGUO LIU XIANGGUO 24 JIA-CHING CHEN, YU-RUI YE, CHUEN-SHIANG LIN, YU-CHUN WEI, CHUNG-CHAO LIANG CHIN-YING CHEN, HSIU-YUN LAI, CHIH-YUAN SHIH, SU-HSUAN HSU, CHIA-MING LI, JAW-SHIUN TSAI, WEI-DEAN WANG WEI-DEAN WANG, HSIU-YUN LAI, CHIH-YUAN SHIH, SUE-SHAN HSU, CHIA-MING LI, JAW-SHIUN TSAI, CHIN-YING CHEN CHIH-HSUEH LIN, CHING-YU CHEN, TSAI-CHUNG LI, BOR-CHEN KUO, MING-MAY LAI, YU-LUNG LIU, ZONG-EN BAI, CHIA-ING LI, YI-CHUN LI LEE H.C., CHANG S.F., HSIEH C.J., LIN H.P., LING C.H., CHENG H.S., YANG S.Y., CHEN M.Y. BO-JEN, CHI, MING-CHEN, CHEN, CHIN-YU, HO, WEN-RUEY YU

3 C03 CAN WE MEASURE HEIGHT WITHOUT STANDING? CB GOH, EGM CHONG, WK YAU, FS LEE 27 C04 CAN WE OBTAIN WEIGHT WITHOUT WEIGHING? CB GOH, WK YAU, FS LEE 28 C05 IMPLEMENTATION OF A DISCHARGE ASSESSMENT CHECKLIST TO REDUCE AVOIDABLE REHOSPITALIZATIONS OF GERIATRIC PATIENTS IN A MEDICAL CENTER KA-IAN LEONG, KUN-PEI LIN, KUAN-YU HUNG, PEI-JUNG HSU, CHIUNG-JUNG WEN, JIH-SHUIN JERNG, DING-CHENG CHAN 28 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 D D01 D02 D03 D04 D05 D06 D07 D08 D09 STUDY ON SOME INDICATORS OF QUALITY OF LIFE IN MONGOLIAN ELDERLY UNMET NEEDS FOR PERSONAL ASSISTANCE WITH DAILY LIVING AMONG DISABLED OLD ELDERLY GERIATRIC INTEGRATED CARE IN TAIPEI ASSOCIATION BETWEEN CUMULATIVE NUMBER OF IMPAIRMENTS IN CGA DOMAINS AND INCIDENCE OF ADVERSE OUTCOMES IN GERIATRIC INPATIENTS AN EXPERIENCE OF USING CRITERIA FOR POTENTIAL INAPPROPRIATE MEDICATION IN A NURSING HOME IN TAIWAN PREDICTION MODEL FOR READMISSION IN ELDERLY, A RETROSPECTIVE STUDY FROM A MEDICAL CENTER STUDY OF THE FINANCIAL CAPABILITY OF MONGOLIAN ELDERS LIFE SATISFACTION AND RELIGION AMONG OLDER TAIWANESE PATIENT- AND CLINIC VISIT-RELATED FACTORS ASSOCIATED WITH POTENTIALLY INAPPROPRIATE MEDICATION USE AMONG OLDER HOME HEALTHCARE SERVICE RECIPIENTS THE LIVED EXPERIENCES OF GERIATRICS TRANSITION FROM THEIR HOMES TO THE NURSING HOME RESEARCH DEVELOPMENT PROGRESS OF VARIOUS GERIATRIC SYNDROME STUDIES COGNITIVE DECLINE AMONG A DEMENTIA-FREE JAPANESE ELDERLY POPULATION: RADIATION EFFECTS RESEARCH FOUNDATION ADULT HEALTH STUDY DIFFERENT CLINICAL PRESENTATION AND CHARACTERISTICS OF COMMUNITY-ONSET BACTEREMIA BETWEEN THE ELDERLY AND THE YOUNG PATIENTS HYPERTRIGLYCERIDEMIC-WAIST PHONOTYPE AND LOW SKELETAL MUSCLE MASS INCREASE RISK FOR THE DEVELOPMENT OF DIABETES IN THE ELDERS NORMATIVE DATA OF UPPER LIMB STRENGTH FOR OLDER MALAYSIANS THE ASSOCIATION BETWEEN LIVING ARRANGEMENTS AND CHANGES IN FUNCTIONAL HEALTH STATUS AMONG THE ELDERLY IN TAIWAN: RESULTS OF A NATIONAL COHORT STUDY OBESITY PARADOX: BMI IS INVERSELY ASSOCIATED WITH THE RISK OF HIP FRACTURE IN ELDERS WITH TYPE 2 DIABETES JOINT EFFECT OF SELF-REPORTED SLEEP IMPAIRMENT AND PHYSICAL ACTIVITY ON THE RISK OF LOW MUSCLE MASS IN OLDER ADULTS OVERWEIGHT IS A PROTECTIVE FACTOR FOR FRAILTY AMONG ELDER CHINESE AGREEMENT OF INDICATORS FOR ANTHROPOMETRIC BODY COMPOSITION AND DUAL ENERGY X-RAY ABSORPTIOMETRY (DXA) IN OVERALL AND CENTRAL OBESITY AMONG CHINESE ELDERS N. OYUNTUYA, N. ZANDI, M. ENKHBAYAR, CH. ODGEREL, S. PUREVJAL, T. ENKHZUL, R. OYUNKHAND CHEN LI-HSING, LEE- PEI-WEI 29 YING-HUA SHIEH, HSIAO-WEN CHAN, YIN-CHI CHIOU CHING-I CHANG, TSAI-CHANG LUO, JUI-HSIEN CHANG, CHENG-CHIEH LIN, CHAO A. HSIUNG, CHIH-CHENG HSU, CHING-YU CHEN TY WANG, SL TANG 31 JEN-JIA YANG, KUN-PEI LIN, JEN-HAU CHEN, FENG-PING LU, CHIUNG-JUNG WEN, YI-CHUN CHOU, HSIU-CHEN MAO, DING-CHENG (DERRICK) CHAN G. NARANTUYA, N.ZANDI, M.ENKHBAYAR, CH.ODGEREL, T. ENKHZUL, R.OYUNKHAND PEI-HSUAN CHEN, HUI-LIN LIN, HO-JUI TUNG 32 CHANG CHIRN-BIN, LAI HSIU-YUN, YANG SHU-YU, WU RU-SHU, LIU HSING-CHENG, HSU HSIU-YING, HWANG SHINN-JANG, CHAN DING-CHENG M.M. DELA CRUZ; M.V. DELA CRUZ; P.M. DELA CRUZ; K.A. DELA CUESTA; L.F.P. DELA ROSA; M.I. DELA ROSA, M.C. REBUENO, MAN, RN MICHIKO YAMADA, REID D. LANDES, YASUYO MIMORI, YOSHITO NAGANO, HIDEO SASAKI CHING-CHI LEE AND CHIA-MING CHANG 34 ROSALIND CHIA-YU CHEN, WEN-LING LIU, YUEH-YING HSU, SHAO-YUAN CHUANG, WEN-HARN PAN LAM NGEE WEI, TAN MAW PIN, GOH HUI TING CHAN-HUNG KUO, KAI-LUN SHEU, CHI-HUA YEN, MENG-CHIH LEE CHIA-PING TIEN, TSAI-CHUNG LI, CHENG-CHIEH LIN, SING-YU YANG, SHU-JUNG CHUANG CHIA-ING LI, CHENG-CHIEH LIN, TSAI-CHUNG LI, MEI-TSZ CHEN, CHUNG-HUI CHIU, YA-CHIEN CHEN SUNG-LIN HU, MIN-CHUN CHAO, HUA-SHAI HSU, CHIU-SHONG LIU, CHENG-CHIEH LIN, WEN-YUAN LIN CHIN-KAI CHANG, MEI-TSZ CHEN, CHENG-CHIEH LIN, TSAI-CHUNG LI, NAI-HSIN MENG, WEN-YUAN LIN, CHIN-YU LIN

4 D10 D11 D12 D13 D14 D15 D16 D17 D18 D19 D20 D21 D22 D23 D24 D25 D26 D27 D28 HIGHER LEVEL OF GLYCATED HEMOGLOBIN LEVEL IS ASSOCIATED WITH AN INCREASED RISK OF HIP FRACTURE IN ELDERS WITH TYPE 2 DIABETES ONE-YEAR VARIATION OF FASTING PLASMA GLUCOSE IS A STRONG PREDICTOR OF HIP FRACTURE IN ELDERS WITH TYPE 2 DIABETES MELLITUS: THE TAIWAN DIABETES STUDY ONE-YEAR VARIATION OF FASTING PLASMA GLUCOSE IS A STRONG PREDICTOR OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN ELDERS WITH TYPE 2 DIABETES MELLITUS: THE TAIWAN DIABETES STUDY THE JOINT EFFECT OF INSULIN SENSITIVITY AND PHYSICAL ACTIVITY ON THE SKELETAL MUSCLE MASS AND PERFORMANCE HIGH URIC ACID CORRELATED WITH HIGH BONE MINERAL DENSITY IN OLDER ADULTS THE JOINT EFFECT AND INTERACTIONS BETWEEN TUMOR NECROSIS FACTORΑGENE AND INTERLEUKIN-6 GENE ON BONE MINERAL DENSITY IN COMMUNITY-DWELLING ELDERS IN TAIWAN-TAICHUNG COMMUNITY HEALTH STUDY FOR ELDERS (TCHS-E) THE INFLUENCE OF BOTH TUMOR NECROSIS FACTOR Α AND INSULIN-LIKE GROWTH FACTOR-1 POLYMORPHISMS ON LEAN MUSCLE MASS IN COMMUNITY-DWELLING ELDERS IN TAIWAN-TAICHUNG COMMUNITY HEALTH STUDY FOR ELDERS (TCHS-E) USING CLOUD TECHNOLOGY FOR ELDERS HEALTH CARING: A PILOT PROJECT IN A NURSING HOME THE RELATIONSHIPS BETWEEN LIVING ARRANGEMENTS AND COGNITIVE FUNCTION AMONG THE COMMUNITY ELDERLY IN TAIWAN GERIATRIC CONDITIONS, BUT NOT MULTIMORBIDITY, PREDICT INCIDENT DISABILITY AND MORTALITY AMONG THE OLD-OLD RELATION BETWEEN OBSTRUCTİVE SLEEP APNEA AND HYPERTENSION İN GERIATRIC POPULATION ANALYSIS OF RENAL BIOPSY-PROVEN RENAL DISEASES IN GERIATRIC PATIENTS FROM A SINGLE CENTER IN CENTRAL TAIWAN RISK PREDICTORS FOR HYPNOSEDATIVE-RELATED COMPLEX SLEEP BEHAVIORS IN ELDERLY PSYCHIATRIC OUTPATIENTS EDUCATION AND DISABILITY TRAJECTORIES AMONG OLDER ADULTS IN TAIWAN: A LATENT CLASS GROWTH MODELING APPROACH APPLICATION OF TAI CHI 6-FORM SPORT APPARATUS IN PATIENTS WITH ALZHEIMER S DISEASE OLDER ADULTS' FUNCTIONAL DISABILITY AND SOCIAL ACCOMMODATION TRAJECTORIES: AN APPLICATION OF PARALLEL PROCESS MODELING USING A NATIONAL SAMPLE FROM TAIWAN FOLIC ACID DEFICIENCY TRIGGERED APOPTOTIC DEATH OF SYNOVIOCYTE THROUGH AN OXIDATIVE-NITROSATIVE STRESS-MEDIATED GLUTATHIONE DEPLETION PROVIDING INSTRUMENTAL SOCIAL SUPPORT MAY BE MORE BENEFICIAL ON MORTALITY AMONG THE ELDERLY WITH LOW EDUCATIONAL LEVEL IN TAIWAN: A 12-YEAR FOLLOW-UP NATIONAL LONGITUDINAL STUDY THE ASSOCIATION BETWEEN SHELLFISH INTAKE AND LOW SKELETAL MUSCLE MASS INDEX AMONG ELDERLY POPULATION IN TAIWAN. CHIA-JUNG CHANG, TSAI-CHUNG LI, CHENG-CHIEH LIN, CHIU-SHONG LIU, SING-YU YANG, YI-MIN HSU YEN-TING CHEN, CHENG-CHIEH LIN, TSAI-CHUNG LI, CHIU-SHONG LIU, SING-YU YANG YEN- CHENG CHEN, TSAI-CHUNG LI, CHENG-CHIEH LIN, CHIU-SHONG LIU, SING-YU YANG CHUAN-WEI YANG, CHENG-CHIEH LIN, TSAI-CHUNG LI, CHIH-HSUEH LIN, NAI-HSIN MENG, CHIN-KAN CHANG, LING-YUN HO MING-MAY LAI, TSAI-CHUNG LI, CHENG-CHIEH LIN, WEN-YUAN LIN, CHIA-ING LI LI-NA LIAO, CHENG-CHIEH LIN, FANG-YANG WU, TSAI-CHUNG LI, CHIU-SHONG LIU, CHUAN-WEI YAN FANG-YANG WU, TSAI-CHUNG LI, CHENG-CHIEH LIN, CHIU-SHONG LIU, LI-NA LIAO, CHUAN-WEI YANG MIAO-YU LIAO, YA-LING LIN, YU-JEN KUO, MENG-CHIH LEE YA-TING WU, CHIEN-CHU LU, CHI-HUA YEN 42 FENG-PING LU, WEN-CHUNG CHANG, SHWU-CHONG WU BURCU TEKGUL, BILGIN KARAALIOGLU,MEHMET YILDIZ,ERAY ATALAY, MELIKE YUCEEGE, HIKMET SIMSEK CHENG-HSU CHEN, MEI-CHIN WEN, CHI-HUNG CHENG, MING-JU WU, TONG-MIN YU, YA-WEN CHUANG, SHIH-TING HUANG, SHANG-FENG TSAI, LO YING-CHIH, KUO-HSIUNG SHU TZUNG-JENG HWANG, CHIH-YUN HSU, HSI-CHUNG CHEN, MING H. HSIEH, CHIEN-AN YAO, CHEN-CHUNG LIU, WEN-JING LIU, CHIH-MIN LIU, SHIH-CHENG LIAO HSIAO-WEI YU, YA-MEI CHEN 45 ALICE M.K. WONG, YU-TING CHIU, CHIA-WEI WANG, YU-CHENG PEI, WEN-CHUIN HSU Y. M. CHEN, H. W. YU 46 HUNG-CHIH HSU, CHING- HSIEN CHEN, PEY- JIUM CHANG CHUN-CHENG LIAO, CHIH-JUNG YEH, SHU- HSIN LEE, WEN-CHUN LIAO, MIAO-YU LIAO, AND MENG-CHIH LEE YUEH-YING HSU, SHAO- YUAN CHUANG, CHIA-YU CHEN, WEN-LING LIU, WEN-HARN PAN,

5 D29 D30 D31 D32 D33 D34 D35 D36 ABDOMINAL OBESITY AND LOW SKELETAL MUSCLE MASS JOINTLY PREDICTED TOTAL MORTALITY AND CARDIOVASCULAR MORTALITY IN ELDERLY POPULATION ESTABLISH SYSTEMATIC REPORTING SYSTEM FALLS, REDUCING HOSPITALIZED ELDERLY POPULATION DUE TO THE DAMAGE CAUSED BY THE FALL EFFECTIVENESS OF A MULTICOMPONENT EXERCISE PROGRAM ON PHYSICAL FITNESS IN COMMUNITY-DWELLING OLDER ADULTS THE RELIABILITY AND VALIDITY OF THE TAIWAN VERSION OF THE FALLS RISK FOR OLDER PEOPLE IN THE COMMUNITY ASSESSMENT (FROP-COM) TOOL IN COMMUNITY-DWELLING OLDER PERSONS ASSOCIATION BETWEEN SCORES OF FALLS EFFICACY SCALE-INTERNATIONAL AND CHARACTERISTICS AMONG COMMUNITY-DWELLING ELDERS IN TAIPEI WHAT DO OLDER ADULTS KNOW ABOUT FALL PREVENTION? ANALYSIS OF THE SCREEN ON THE FALL RISK OF COMMUNITY ELDERLY IN TAIWAN SALIDROSIDE PROMOTES MITOCHONDRIAL BIOGENESIS IN HUMAN FIBROBLASTS SHAO-YUAN CHUANG, ROSALIND CHIA-YU CHEN, WEN-LING LIU, YUEH-YING HSU, WEN-HARN PAN C.J. WANG, S.M. LIN, SOPHIE, J.W. CHUEH 48 SS CHEN, PR WU, WS TSENG, YT HSU, JF JHANG, PJ LI, GT CHEN, CH WANG, WS LU, JC CHENG LI-SYUE, LIOU, WAN-LING HONG, YAW-WEN CHANG, SEN-YEONG KAO, TUNG-WEI KAO HUI-FANG YANG, YEN-CHUN CHEN, YAW-WEN CHANG, SEN YEONG KAO, TUNG-WEI KAO CHIH-I TENG, CHIA-MING CHANG, HSIN-I SHIH, NIAN-RONG LIN JU-TING HSUEH, PIN-SYUAN CHEN, YAO-WEN CHANG, SEN-YUNG KAO, TUNG-WEI KAO GENXIANG MAO, ZHOUXIN YANG, HUIFEN LI, SEAN X. LENG, GUOFU WANG, JING YAN CUDRANIA COCHINCHINENSIS ATTENUATES AMYLOID D37 PROTEIN-MEDIATED MICROGLIAL ACTIVATION AND CHUNG-JEN WANG, YOUNG-JI SHIAO 52 PROMOTES GLIA-RELATED CLEARANCE OF AMYLOID PROTEIN D38 WEIGHT LOSS AFTER A STROKE AND INFLAMMATION KWAN JSK, ENGLYST N. 52 D39 D40 D41 D42 D43 D44 D45 D46 D47 O O01 O02 O03 RELATIONSHIP BETWEEN SERUM CYSTATIN C LEVEL AND PROGNOSIS IN UNSELECTED ICU ELDERLY PATIENTS PREALBUMIN AND CURB - 65 AS A PREDICTOR OF MORTALITY IN ELDERLY PATIENTS WITH COMMUNITY PNEUMONIA CORRELATION OF AGE WITH WHITE BLOOD COUNT (WBC) ON SEPTIC GERIATRIC PATIENTS AT SANGLAH HOSPITAL S DENPASAR BALI INDONESIA ON JUNE 2011-APRIL 2012 THE PROFILE AND OUTCOME OF SEPSIS IN GERIATRIC PATIENTS AT SANGLAH HOSPITAL S DENPASAR BALI INDONESIA ON JUNE 2011-APRIL 2012 INDOOR EXERCISE IMPROVES PHYSICAL FITNESS IN AGED SUBJECTS RISK FACTORS FOR COGNITIVE DECLINE IN TAIWANESE ELDERLY OUTPATIENTS UNDERWENT COMPREHENSIVE GERIATRIC ASSESSMENT ANTIEPILEPTIC DRUGS FOR THE PREVENTION OF POST-STROKE SEIZURES: RESULTS OF A COCHRANE SYSTEMATIC REVIEW CLINICAL OBSERVATION ON LUMBAR PARAVERTEBRAL INJECTION OF OXYGEN-OZONE COMBINED WITH FUNCTIONAL EXERCISE IN THE TREATMENT OF LUMBOCRURAL PAIN WITH DEGENERATIVE LUMBAR SPONDYLOLISTHESIS IN OLD PEOPLE STUDY OF COMMUNITY ELDERLY FALLS AND ITS RISK FACTORS ANALYSIS ORAL PRESENTATION THE FACTORS ASSOCIATED WITH THE SIX-MONTHS MORTALITY IN ELDERLY PATIENTS WITH HIP FRACTURE HEALTH CARE PROFESSIONALS' REUSE INTENTIONS MODEL FOR COMPREHENSIVE GERIATRIC ASSESSMENT IN TAIWAN WHAT ARE THE BARRIERS TO IMPLEMENTING FALL PREVENTION MEASURES AMONG THE COMMUNITY-DWELLING OLDER PEOPLE? QING CAO, AIHUA FEI, FEI WANG, JIANQIANG KANG, SHUYAN CHEN ROSE DINDA MARTINI, SITI SETIATI, ARYA GOVINDA ROOSHEROE TUTY KUSWARDHANI, IGN AGUNG TRESNA ERAWAN IGN AGUNG TRESNA ERAWAN, TUTY KUSWARDHANI, RAI PURNAMI, IB PUTRAWAN, SUKA ARYANA, NYOMAN ASTIKA TONG-YUAN TAI, YING-JUI CHEN, YI-YING WANG MJ SU, YR LIN, CS CHEN,PT CHANG, CHEN HS 55 KWAN JSK, SYKES L, WOOD E. 56 LI JUAN-HONG, LI GUI-YING, CHENG BIN, ZHU YI-YING GAO MAO-LONG, BAI XUE-JING, SONG YUE-TAO, WANG JING NOVIRA WIDAJANTI, ARYA GOVINDA ROOSHEROE. LUKMAN SYEHBUBAKAR, SITI SETIATI MENG-BIN TANG, SHU-PING LIN 58 KOK CHU CHAN 58 O04 ACCEPTABILITY OF GASTROSTOMY FEEDING IN MALAYSIA J. HASIF, S. MAHADEVA, K.M. TAN, M.P. TAN

6 O05 O06 O07 O08 O09 O10 O11 O12 O13 O14 O15 PRESSURE ULCERS ASSOCIATED MORTALITY AMONG OLDER PATIENTS IN A LARGE TEACHING HOSPITAL IN MALAYSIA EFFECT OF WHOLE BODY VIBRATION ON ARTERIAL STIFFNESS DEATH ANXIETY AND SELF-ESTEEM OF THE FILIPINO ABLE-AGED PREDICTION MODEL FOR ADMISSION AND READMISSION IN ELDERLY, A NATIONWIDE STUDY DEMENTIA INCIDENCE AND MEDICAL UTILIZATION IN TAIWAN: AN APPLICATION OF BIG DATA ANALYSIS USING GOOGLE TRENDS A HUMAN IPSC MODEL OF HUTCHINSON GILFORD PROGERIA STUDY OF MONGOLIAN ELDERS USAGE OF ASSISTIVE DEVICES ASSOCIATION OF QUALITY OF LIFE (QOL) WITH LABORATORY MEASUREMENTS AND LIFESTYLE FACTORS IN COMMUNITY DWELLING OLDER PEOPLE IN TAIWAN THE IMPROVEMENT OF FRAIL INDEX AND GERIATRIC SYNDROMES AFTER ONE-YEAR FOLLOW-UP WILL PREDICT NEXT YEAR S IMPROVEMENT IN OUTPATIENT OLDER PEOPLE WITH CHRONIC DISEASES FRAILTY ASSESSMENT AMONG GERIATRIC IN-PATIENT S THE CHANGES OF LOWER MUSCLE STRENGTH AND PHYSICAL PERFORMANCE IN ROBUST AND PRE-FRAIL OUTPATIENT OLDER ADULTS H M KHOR, J TAN, S B KAMARUZZAMAN, A V CHIN, P J H POI1, M P TAN CHUNG-LIANG LAI, PI-SHAN HSU, SHIUAN-YU TSENG, KAI LING CHANG, WAN-CHUN LIAO J. P. C. AMISTAD, E. A. V. DE JESUS, I. M. C. TAN, J. Y. TUSING, J. A. VITTO AND M. E. S. REYES KUN-PEI LIN, PEI-CHUN CHEN, LING-YA HUANG, HSIU-CHEN MAO, DING-CHENG (DERRICK) CHAN WANG, H. W., CHEN, Y. M. 61 QIZHOU LIAN, JINQIU ZHANG, ALAN COLMAN R.OYUNKHAND, N.ZANDI, M.ENKHBAYAR, CH.ODGEREL, T.ENKHZUL TAI-YIN WU, WEI-CHU CHIE, JEN-PEI LIU, KUAN-LIANG KUO, GOPALAKRISHNAN NETUVELI, DAVID BLANE YU-CHING PAO, CHIN-YING CHEN, CHING-I CHANG, CHING-YU CHEN PUVANESSWARAY R,CHIN AV, ABDUL-RAHMAN PS, KAMARUZZAMAN S, TAN MP, HASHIM OH TSAI-CHUN CHEN, CHING-YU CHEN, CHIH-CHENG HSU, SSU-YUAN CHEN, CHING-I CHANG, MING-HSIA HU O16 THE SMART SYSTEMS AND FALLS PREVENTION C. S. CHEN 65 O17 COMPARISON OF FOOTWEAR BETWEEN FALLERS AND P J TAN, E M KHOO, K CHINNA, NON-FALLERS IN A MALAYSIAN POPULATION P SUBRAMANIAM, M P TAN1 65 O18 IS THE NUMBER OF ANTIHYPERTENSIVES ASSOCIATED WITH ORTHOSTATIC HYPOTENSION AND FALLS IN THE ANAM ZIA, S. KAMARUZZAMAN, K. H. CHEE, COMMUNITY DWELLING ELDERLY? Z. A. IMRAN, M.P. TAN

7 A01 PREVALENCE OF ROTATOR CUFF TEARS IN ELDERLY PATIENTS WITH SHOULDER PAIN-RURAL AREA AT LOCAL SOUTH OF TAIWAN Wen-Hui Hsueh, MD 1, Hsiang- Chun Lai, MS 1, Hsieh, Wen- Yih,MD 1, Nien-Tsu Han, MD 1, Hsin-Shui Chen, MD 1,2 1. Department of Physical Medicine and Rehabilitation, China Medical University, Bei-Gang Hospital, Bei-Gang, Taiwan 2. Department of Rehabilitation Medicine, School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan Objective: To estimate the prevalence of rotator cuff tear in elderly patients with shoulder pain in Taiwan (rural area). Methods: We reviewed the medical records of 1077 patients (400 male and 677 female) since 2007 to 2012 who visited our hospital because of shoulder pain for over 3 months. Inclusion criteria included age over 65 y/o, no trauma history of shoulder, and no shoulder operation history. All patients received arthrogram evaluation for shoulder condition. Results: Among the 472 enrolled patients, 300 patients had shoulder pain in the right side, 170 in the left side and 2 patients in both sides. Age ranged from 65 to 96 y/o (mean 80±15). Totally 474 shoulders were assessed, and 41 % (193/474, including 75 males and 118 females) had evidence of rotator cuff tear in arthrographic findings including 92.2% of full thickness tear (178) and 7.7% of partial tear (15). Arthrographic findings in other 44 %( 208/474) of patients revealed adhesive capsulitis. Only 15% (73/474) patients revealed the normal shoulders. There were 69.6% (138/193) of patients with rotator cuff tear in right shoulder and 23.3% (45/193) in left shoulder. Conclusion: The results indicated that rotator cuff tear is an important cause of shoulder pain in elderly patients. Early accurate diagnosis and treatment can improve later socioeconomic problems and disability. A02 VALIDATION OF THE SHORT-FORM MANDARIN HEALTH LITERACY SCALE IN MID-AGED AND ELDER PATIENTS WITH STROKE Hou Wen-Hsuan 1,2,3, Yi-Jing Huang 4, Ching-Ling Hsieh 5,6 1. Department of Physical Medicine & Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan 2. Institute of Gerontology and Health Management, Taipei Medical University, Taipei, Taiwan 3. Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan 4. School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan 5. Department of Occupational Therapy of Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan Running title: Validation of the s-mhls in patients with stroke Objective: The short-form Mandarin Health Literacy Scale (s-mhls) has been developed for assessing health literacy, which is a crucial ability to access and process health information and thereafter improve or maintain health. The psychometric properties of the s-mhls, however, have not been examined in mid-aged and elder patients with stroke. We aimed to investigate the internal consistency reliability, convergent validity, and discriminative validity of the s-mhls in mid-aged and elder patients with stroke. Methods: Eighty-seven mid-aged and elder patients with stroke volunteered to participate in this study. Each patient was interviewed face-to-face with the s-mhls. The Public Stroke Knowledge Quiz (PSKQ) was administered as a criterion for examining the convergent validity of the s-mhls. Discriminative validity of the s-mhls was determined with age and education level as independent grouping variables. Results: The s-mhls demonstrated good internal consistency reliability (Cronbach s alpha=0.82) and high correlation with the PSKQ (Pearson s r=0.62). Satisfactory discriminative validity of the s-mhls was supported by significant differences in s-mhls scores between different age groups (i.e., middle-aged and elderly) and education level groups (i.e., below junior high and above senior high). The s-mhls, however, showed a notable ceiling effect (24% of the patients), indicating that the s-mhls cannot differentiate between individuals with high health literacy. Conclusion: The results of this study suggest that the internal consistency reliability, convergent validity, and discriminative validity of the s-mhls are adequate for assessing health literacy of mid-aged and elder patients with stroke for research purposes. However, for clinical usage, the s-mhls is needed to improve its internal consistency reliability for individual comparison and ceiling effect. Key Words: psychometrics, mid-aged and elder, short-form Mandarin Health Literacy Scale, stroke 7

8 A03 TEST-RETEST RELIABILITY OF MUSCLE STRENGTH WITH HAND- HELD DYNAMOMETER IN OLDER ADULTS FROM ABORIGINAL COMMUNITY IN EASTERN TAIWAN Chi-Sing Chang 1, Chung-Chao Liang 1, 2 1, 3*, Jia-Ching Chen 1. Department of Rehabilitation Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan 2. Department of Medicine, Tzu Chi University, Hualien, Taiwan 3. Department of Physical Therapy, Tzu Chi University, Hualien, Taiwan Objective: Aging is one of top concerning issues in Taiwan society in recent decades. Reduced muscle mass and declined muscle strength due to aging not only poses a great impact on independence of functional activity in elderly but is the major cause of fall. To effectively and precisely evaluate the muscle strength in the elderly could make a great help in designing their rehabilitative programs later. However, little research was studied the test-retest reliability of muscle strength with handheld dynamometer in aboriginal elderly in Taiwan. The purpose of the study was to investigate the test-retest reliability of muscle strength with hand-held dynamometer in bilateral upper and lower extremities of community-dwelling aboriginal elderly women. Method: A convenience sample of 31 aboriginal elderly women from Hsiu-lin township, Hualien County were recruited in two phases of the study. In the first phase, sixteen elderly Taiwanese aboriginal women were collected to calculate the inter-rater test-retest reliability of muscle strength. The first therapist using hand-held dynamometer with Break method measured twice the strength of bilateral upper-extremity and lower-extremity muscle groups, with interleaving 30 seconds between each muscle testing. After another 30-minute rest period, the second therapist performed the same muscletesting procedure as the first one. In the second phase for intrarater test-retest reliability, another 15 subjects were recruited and conducted the same procedure as the first phase by the first therapist, but one week apart from the two measurement sessions. Results: In the first phase, the inter-rater intraclass correlation coefficients (ICCs) were ranged from to 0.987, with standard error of testing ranged from Kg and coefficient of variation from 3.04 to 9.43%. In the second phase, the intra-rater ICCs were ranged from to 0.977, with standard error of testing ranged from Kg and coefficient of variation from 5.48 to 9.31%. Conclusion: Both intra-rater and inter-rater ICCs were high in bilateral upper-extremity and lower-extremity muscle groups with hand-held dynamometer testing in the elderly Taiwanese aboriginal women. Further investigations would be warranted for a larger sample with different sex or health status to obtain more information about the intra-rater and inter-rater reliability of hand-held dynamometer measurements. Key Words: Aboriginal Elderly, Community, Muscle Strength, Test-retest Reliability A04 THE ASSOCIATION OF POLYPHARMACY AND DEPRESSION IN OUTPATIENT OLDER PEOPLE WITH CHRONIC DISEASES Wei-Li Wang 1, Chin-Ying Chen 1, Ching-I Chang 2, Ching-Yu Chen 1,2 1. Department of Family Medicine, National Taiwan University Hospital and National Taiwan University 2. Division of Geriatric Research, Population Health Science Institute, National Health Research Institute, Taiwan Objectives: Polypharmacy is often confronted by older people with multiple medical diseases. We wonder if polypharmacy is associated with depression, a geriatric syndrome for early detection to prevent disability. However, few studies have examined the association between polypharmacy and depression. To compare the association between polypharmacy and depression in older people with chronic diseases. Methods: The elderly outpatients were recruited for a 2-year comprehensive geriatric assessment (CGA) study in a medical center. Positive depression was diagnosed by the Geriatric Depression Scale 15-item version (GDS-15) score 10 or active depression disorder under treatment. Polypharmacy was defined as use of 9 or more medications. The association of polypharmacy with depression was evaluated by chi-square test and multivariate logistic regression. Results: A total of 189 aged 65 and over outpatients enrolled into the study. There were 19 patients (10.1%) with GDS 10 and 13 patients (6.9 %) with active depressive disorder. Polypharmacy was identified in 26 (13.8%) patients. The odds ratio (OR) of positive depression for the patients with medications 9 was 8.43 (95% confidence interval [CI], ; P <0.01) and medications from 5 to 8 was 2.36 (95% CI, p=0.093), comparing the patients with medications < 5. Multivariate logistic regression analysis revealed that the overall OR for patients using 9 or more drugs was 5.27 (95% CI, , P < 0.01) after adjustment of frailty and economic status. Conclusions: Use of 9 or more medications is associated with depression among outpatient older people with chronic diseases. Whether polypharmacy is a predictor of depression or not needsfurther study with big sample size. 8

9 A05 TREND OF LIFE EXPECTANCY OF PATIENTS FOR RADICAL PROSTATECTOMY OF PROSTATE CANCER IN TAIWAN 2012 UPDATE Chih-Cheng Lu, Wen-Chou Fan, Tse-Chou Cheng Chi Mei Medical Center, Liouying, Taiwan Objective: Life expectancy of the patients receiving radical prostatectomy in localized prostate cancer is 10 years or more, based on the clinical consensus of prostate cancer diagnosis and management by Taiwan Cooperation Oncology Group (TCOG, 2010). This study is to review the trend of life expectancy of male population in Taiwan region for the reference in clinical practice. Materials and methods: From 1991 to 2012, life expectancy reports by the service of the Department of Statistics, Ministry of the Interior (MOI) of Taiwan were reviewed. The printed practice guidelines for prostate cancer by TCOG and National Comprehensive Cancer Network (NCCN) were reviewed. Investigate the trend of life expectancy of the male population in Taiwan region which includes Taipei city, Kaohsiung city but no Fukien special areas. Results: Average 5-year survival rate of prostate cancer is around 77% mentioned by TCOG. When the patient s life expectancy is less than 5 years, no further workup or treatment is suggested except for some high risky patients by NCCN. Radical prostatectomy is considered when the patients with a life expectancy of 10 years or more and no serious co-morbid conditions that would contraindicate an elective surgery by NCCN in From 1991 to 2012, the male life expectancy at birth in Taiwan was from 71.8 up to 76.4 years. The report of life expectancy more than 10 years from MOI showed at the age of 71 years in 1991, 72 years from 1992 to 1995, 74 years in 1996, 75 years from 1997 to 1999, 76 years from 2001 to 2005, 77 years in 2006 to In 2012, the male life expectancy at the age of 77 and 78 years were and 9.62 years, respectively. Conclusions: In this limited updating study, 77 years of age is the upper limit for the patients with localized prostate cancer considering to undergo radical prostatectomy in Taiwan region. Further research with longer follow-up is needed to clarify the relationship. A06 AGE AND GENDER DIFFERENCES IN THE RELATIONSHIP BETWEEN SELF-RATED HEALTH AND MORTALITY IN TAIWANESE OLDER ADULTS RESULTS OF A NATIONAL COHORT STUDY Gwo-Chi Hu 1, Yu-Ning, Hu 2, Hui-Kung Yu 3 1. Department of Rehabilitation Medicine, Mackay Memorial Hospital, Taipei, Taiwan 2. Institute of Economics and Social studies, National United University, Miaoli, Taiwan 3. Department of Nursing, School of Nursing, National Yang- Ming University, Taipei, Taiwan Objective: Self-rated health (SRH) is known to be a valid indicator for the prediction of mortality in older adults, but findings regarding gender and age differences are inconsistent. The study aimed to determine the association of SRH with subsequent mortality risk in older Taiwanese. Methods: This study uses the data from the Taiwan Longitudinal Survey on Aging. A total of 4745 elderly Taiwanese comprised the major analytic cohort. SRH was categorized into good, fair and poor health. Cox regression methods were used to examine the association between SRH and mortality. Results: During the follow-up periods (median: 10.1 years), 1644 deaths occurred. Participants with poor SRH were at higher risk of mortality [relative risk (RR), % confidence interval (CI), )] than those in good SRH. This association was strongest among the young-old (ages 50-59) than older-old individuals. The association was statistical significant in men (RR, 1.53, 95% CI, ) only, but not in women (RR, 1.19, 95% CI, ). Conclusion: Low SRH was associated with increased risk of mortality in older adults. The associations were stronger in men and young-old adults. The physicians should consider a more detailed consultation and support for these groups. 9

10 A07 ANALYSIS ON THE RELATIONSHIP BETWEEN SATISFACTION WITH ELDERLY HEALTH EXAMINATION PROGRAM AND HEALTHCARE QUALITY, EXPERIENCE IN A REGIONAL HOSPITAL IN TAIPEI Mei-Ju Chen 1, Yi-Ning Huang 2, Ran-Chou Chen 3 1. Division Chief of Prevention Medicine, Taipei City Hospital, Taiwan, R.O.C. Division Chief, Department of Family Medicine, Heping Fuyou Branch of Taipei City Hospital. Adjunct Assistant Professor, National Taipei University of Nursing and Health Sciences 2. Department of Nursing, Heping Fuyou Branch of Taipei City Hospital 3. School of medicine, Taipei Medical University. Department of Biomedical Imaging and Radiological Science, National Yang- Ming Medical University.Department of Radiology, Taipei City Hospital Objectives: The study first aims to explore the relationship between the five dimensions of the SERVQUAL model and healthcare quality, using a sample drawn from the elderly health examinees in a regional hospital. Secondly, it intends to develop a conceptual framework encompassing service quality, patient satisfaction and recommendation. Finally, the relationship between the three variables is validated by applying structural equation modelling (SEM). Methods: Data was collected from those in the elderly health examination program in a branch of Taipei City Hospital in April 2013 through a structured questionnaire based on the SERVQUAL model. The technique of SEM was adopted to analyze sample data and test hypotheses. Results: Service quality is found to have a significant direct effect on patient satisfaction. So is patient satisfaction on recommendation. However, neither direct nor indirect effect of service quality on recommendation has reached a significant level. Conclusions: The direct effect of service quality on elderly health checkup examinees indicates that improving quality of healthcare might be a solution to increase senior users satisfaction. Results of the research presents policy implications in terms of elderly care and healthcare quality. Key Words: elderly health examination, healthcare quality A08 RELATION BETWEEN LENGTH OF STAY WITH AGE, WHITE BLOOD CELL, LYMPHOCYTE, NEUTROPHIL AND RATIO NEUTROPHIL LYMPHOCYTE IN GERIATRIC PATIENTS WITH SIRS AT SANGLAH HOSPITAL ON JUNE APRIL 2012 Ni Luh Putri Primasari, Tuty Kuswardhani, Nyoman Astika, Suka Aryana, Ida Bagus Putrawan, Rai Purnami Geriatric Division, Departement of Internal Medicine Faculty of Medicine University of Udayana/Sanglah General Hospital Objective: Infection in geriatric patients can increases morbidity and mortality rate. There were several study that confirm the using of white blood cell and ratio neutrophil lymphocyte count as a parameter of systemic inflammations in critically ill patients. The aim of this study is to determine the relation between mortality with age, white blood cell, lymphocyte, netrophil, ratio neutrofil limfosit in geriatric patients with SIRS. Methods: This is a analytics observational retrospective study and data was taken from medical record. The study population included patients aged > 60 years hospitalised in Sanglah Hospital between Juni 2011 to April 2012 and fulfill criteria for SIRS (temperature > 38 C or < 36 C, heart rate >90 beats/ minute, respiratory rate >20 beath/ minute or PC02 <32, WBC > 12x109/L or < 2x109/L). All statistical analyses were conducted with SPSS version 21. Results: A total 126 patients ( aged from years, with a mean 72,06 years) were followed. The patients is 75 (59,5%) male and 51 (40,5%) female. The neutrophil count is range from 0,6-57,9 x 103 /ul, the lymphocyte count is range from 0,2-11,6 x 103 /ul. Ratio neutrophil and lymphocyte range from 0,52-78,5. There was no significant correlation between white blood cell, lymphocyte, ratio neutrophil lymphocyte and length of stay based on bivariate analysis. Using multivariate linier analysis, we found that age and neutrophil can be used as weak predictor to length of stay (adjusted R= 0,02) Conclusions: There s no significant correlation between white blood cell, lymphocyte and ratio neutrophil lymphocyte geriatric patient with SIRS. But we can use age and neutrophil to predict length of stay. Key words: Age, white blood cell, lymphocyte, netrophil and ratio neutrophil lymphocyte 10

11 A09 EFFECT OF CASE MANAGEMENT AFTER FUNCTIONAL EVALUATION IN THE ANNUAL ELDERLY HEALTH EXAMINATION Chia-Ming Li 1, Ching-I Chang 2, Wen-Ruey Yu 3, Winnie Yang 4, Ching-Yu Chen 2,5 1. Department of Family Medicine, National Taiwan University Hospital, Bei-Hu Branch, Taiwan 2. Division of Geriatrics and Gerontology, Institute of Population Health Sciences, National Health Research Institutes, Taipei, Taiwan 3. Department of Family Medicine, Taipei City Hospital Yang- Ming Branch, Taiwan 4. Taipei City Hospital Yang-Ming Branch, Taiwan 5. Department of Family Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan Objectives: The items of annual elderly health examination from Taipei city government are mainly disease oriented at present. However, screening for frail elderly and preventing their functional decline are also very important. We tried to increase function evaluation in the elderly annual health examination and use case management method to improve the function of examinees thereafter. Methods: This is a quasi-experimental controlled trial. Four hundred and four adults aged 70 and older who joined in the 2013 annual elderly health examination at Taipei city hospital Yangming branch and Canadian Study of Health and Aging Clinical Frailty Scale (CSHA- CFS) Chinese In-Person Interview Version scored 3-6 were enrolled. One hundred and thirty two participants who agreed to receive functional examination joined in the experimental group. Interventions: Experiment group received CSHA- CFS, Fried Frailty Index(FFI), timed up and go test(tug), Short-form Physical Performance Battery (SPPB) examination, exercise instruction and nutrition education at 0, 3rd and 12th month and routine annual elderly health examination at 0 and 12th month. Case manager reminded the experimental group to keep exercise and nutrition supplement by telephone interview at 6th and 9th month. Control group receive CSHA- CFS and routine annual elderly health examination at 0 and 12th month. Both groups received telephone interview to collect adverse event data at 3rd, 6th, 9th and 12th month. Results: The baseline characteristics including gender, age, CSHA- CFA, difficult in walking 800 meters, difficult in climbing 10 stairs, number of comorbidity... were similar for the two groups.112 (84.5%) persons of experimental group and 267 (98.2%) persons of control group completed the study. CSHA- CFS of the experimental group were more likely to improve (OR=9.50, 95% CI= ) and less likely to deteriorate (OR=0.04, 95% CI= ), one year after intervention respectively. Within experimental group, FFI improvement percentage was greater than deterioration percentage (46.4% vs. 2.4%, p<0.0001), five meters walk speed increased from 1.0±0.2 m/sec to 1.2±0.2 m/ sec (p<0.0001), grip strength increased from 22.3±7.1kg to 24.8±6.7 kg (p<0.0001), SPPB increased from 10.0±1.6 to 11.0±1.2 (p<0.0001), TUG decreased from 10.9±2.9 second to 9.5±2.1 second (p<0.0001). However, there was no statistical difference of composite endpoint including hospitalization, emergency department visit and falls between two groups though the incidence of composite endpoint was higher in the control group. Conclusions: Case management after functional evaluation in the annual elderly health examination may improve function for adults above 70 years old. We suggests to add FFI and TUG in the annual elderly examination. Acknowledgements: The study was supported by Department of Health, Taipei City Government. A10 FALLS PREVENTION STRATEGY IN INDONESIAN ELDERLY POPULATION Vera, Wiharja A Maranatha Christian University, Bandung Indonesia Objectives: Falls in elderly is associated with decreased functional status and increased cost of medical treatment. Thus, in developing countries with restricted health budget, falls in elderly should be prevented. Methods: We conducted a survey study on falls risk screening among 125 Indonesian elderly. The aim of the study was to identify which falls risks commonly found in Indonesian elderly population to find appropriate falls prevention strategy. Results: 82,3% sample were still independent (IADL Lawton- Brody), but only 52% sample did routine physical exercise. 30,4% sample had falls during the last three months. 19,2% sample had orthostatic hypotension. 27,2% sample had weakness of lower extremities. 18,4% sample had instability. 59,2% spent more than 10 seconds for timed up and go test. Thus routine physical exercise to strengthen lower extremities should be endorsed to prevent falls in this population. Conclusions: In Indonesian elderly population with limited resources and funds, falls prevention strategy include simple falls risk screening in the primary care setting and routine exercise of lower extremities. Further study is required to quantify the effect of this strategy in preventing falls among Indonesian elderly population. Keywords: falls, prevention, elderly 11

12 A11 OSTEOPOROSIS SCREENING AND REFERRAL PROGRAM AMONG GERIATRIC HEALTH EXAMINATION RECIPIENTS Ding-Cheng (Derrick) Chan, MD, PhD, FACP 1,2, Jen-Hau Chen, MD, MPH 1,2, Kun-Pei Lin, MD, MS 1,2, Chiung-Jung Wen, MD, MS 1,3, Fang-Ping Lu, MD, PhD 1,2, Hsiu-Chen Mao, MS 1, Yi-Chun Chou, MD 1,3, Keh-Sung Tsai, MD, PhD 1,4, Rong-Sen Yang, MD, PhD 5 1. Department of Geriatric and Gerontology, National Taiwan University Hospital, Taipei, Taiwan 2. Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan 3. Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan 4. Superintendent Office, National Taiwan University Hospital BeiHu Branch, Taipei, Taiwan 5. Department of Orthopedics, National Taiwan University Hospital, Taipei, Taiwan Objectives: We aim to determine the feasibility and effectiveness of World Health Organization Fracture Risk Assessment Tool (WHO FRAX) based osteoporosis screening and referral program among geriatric health examination (GHE) recipients. Methods: Our target populations were 3000 GHE recipients at the National Taiwan University Hospital (NTUH) in Trained coordinators explained the studies and distributed informed consents as well as FRAX based questionnaires at the stage I of GHE. Those who were willing to participate into the study returned the consent forms and questionnaires at stage II of the GHE. Answers were entered by study coordinators into the Taiwanese FRAX calculator to obtain 10- year predicted fracture risks for participants on sites. Those who scored 20% for major osteoporotic fracture or 3% for hip fracture were considered as high risks. They were invited to be referred for osteoporosis assessments and managements by study coordinators or stage II GHE geriatricians. Exploratory data analysis was applied to determine the feasibility and effectiveness of proposed program. Results: Overall, 1319 (44%) of GHE recipients completed the study questionnaires, and 913 (69%) were screened as high risk. However, only 182 (20%) were successfully referred for further assessments, 65 (40%) received clinical diagnosis of osteoporosis (defined as having fragility fracture or bone mineral density (BMD) T score -2.5), 38 (58%) were prescribed anti-osteoporosis medications. Roughly 40% (n=16) of medications were reimbursed by National Health Insurance (NHI). Conclusion: Most GHE recipients were reluctant to receive FRAX based screening when they perceived the program is a clinical study. Even screened as high risks, only minority were willing to be referred for further managements because of limited reimbursements on BMD and anti-osteoporosis medications from NHI. Both patient campaigns and policy reforms were urgently needed to improve osteoporosis cares in Taiwan. A12 THE PILOT STUDY OF TAILORED-MADE LOW INCOME PEOPLE MANAGEMENT Ming-Yu Chen, Pi-Shan Hsn, Cheng-bo Hou, Hung- Chang Hung, Meng-Chih Lee Taiwan, R.O.C. Abstract Introduction: The Number of low income status people in Taiwan is increasing. Most of them don t go to the hospital due to poor condition when they are sick. Also they don t have good health habit that die to health cognition is not enough. This is a vicious cycle. The aim of the pilot study tries to set the integrated care management system for them. Purpose / Methods: Taichung Hospital started the pilot study since 2012.The steps are as follows: 1. Multidisciplinary team: Doctors, Case managers, Social workers, Nutritionists all together to set the care plan. 2. Set up a integrated connecting system. We set a system to connect the social Affairs, Health Bureau, National health Insurance and the hospital. 3. Case management specialists follow up the conditions in the community. Results: Initial Results are as follows: Total cases are 247 in 77 household. Their health behavior rate increase 46.1%;complete preventive medical rate from 11% to 51%;Their compliance for chronic disease increase to 147%;Durg compliance from 21% to 128%;HbA1C Execution rate from 31% to 91.4%;Hypertention control rate from 18% to 68.9%;Satisfation 93.4%;Their Quality for Life (SF-12) increase has statistics significance. Conclusions: Total care for the low social-economic people is very important. Integrated system between National Health Insurance, Social affairs, Health Bureau and local Leadership is also the key factor. Risk factor survey, chronic disease management, home visit can see the improvement. Comments: Integrated team care management combined with health management cloud is very important. It can improve these people from Bio-psy-social-spirit-family aspects. 12

13 A13 RESULT OF THE SURVEY NON-COMMUNICABLE DISEASE PREVENTION T.Enkhzul 1, M.Sugarmaa 2, D. Amarsaikhan 3, V.Delgermaa 2 1. National Gerontology Center 2. School of Public Health, HSUM 3. Health Sciences University of Mongolia Background: Mongolia is one of the most influenced countries by non-communicable diseases among developing countries. Non-communicable diseases, including cardiovascular diseases, cancers, respiratory diseases, diabetes, and injuries have become the major causes of morbidity and mortality in Mongolia. Goal: To assess the prevention of non-communicable diseases from a health professional s standpoint and to aid it s further development. Methods: We conducted 17 focus group discussions (FGD) from March to April 2013 in primary and secondary health care settings, of which six in urban and eleven in rural areas. We identified themes concerning the current situation of NCD related health services from the perspective of health professionals, and insights into institutional and professional experiences related to management, implementation and coordination of the newly implemented MCA-Mongolia NCD prevention and control project. Results: As a result of the health project, NCD related knowledge and skills of health professionals have improved through progressive training, and development of guidelines and manuals. During the project, availability of equipment supplies has improved. Accordingly, medical equipment and laboratory reagents needed for early detection of NCDs were provided to primary and secondary health care settings, despite some challenges in the implementation of the project. As result of the project implementation, increased public awareness on NCDs, and attitude change were considered as the biggest changes. Conclusion: The health project was considered as successful to provide knowledge on the best practice in NCD prevention. Keywords: health project, non-communicable diseases, preventive activity, focus group discussion A14 FACTORS ASSOCIATED WITH THE UPTAKE OF INFLUENZA VACCINATION AMONG ELDERLY IN TAIWAN - ANALYSIS OF THE 2009 NATIONAL HEALTH INTERVIEW SURVEY Shih-Chun Lin, Kun-Wei Tsai, Malcolm Koo Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan Objective: To investigate the factors associated with the uptake of influenza vaccination among elderly in Taiwan Methods: We conducted a secondary analysis of the data from the Taiwan 2009 National Health Interview Survey. Individuals aged 65 years and above without cognitive impairment were included in the analyses. Logistic regression analyses were conducted using the variable whether the respondent had received influenza vaccination in the past year as the independent variable. Results: Of the 2603 respondents, 1405 (54.0%) had received influenza vaccination in the past year. Results from the multivariate logistic regression analysis indicated 10 factors were significantly associated with the uptake of influenza vaccination. The factors included age of 75 years or above (odds ratio [OR]=1.71, p<0.001), living with a spouse (OR=1.34, p<0.001), had diagnosed with at least one chronic disease (OR=1.34, p=0.001), had made outpatient visits in the past month (OR=1.39, p<0.001), had done exercise in the past two weeks (OR=1.33, p=0.001), not a current smoker (OR=1.69, p<0.001), living in rural townships (OR=1.42, p<0.001), no religious beliefs (OR=1.29, p=0.023), awareness of the free annual senior health examination service (OR=1.55, p<0.001), and had participated in community activities (OR=1.42, p=0.001). Conclusion: This secondary data analysis of a representative sample of Taiwan population demonstrated that a number of factors were significantly and independently associated with the update of influenza vaccination in elderly Taiwanese. Our findings could be served as a basis for planning public health intervention to target resources to those groups with a low uptake of influenza vaccination. 13