lintingchun-blog

[lintingchun-blog]

-Name: Lin Ting-Chun 

-CV

NAME : Ting-Chun Lin

SEX : Male

DATE OF BIRTH : Apr 10,1980

PLACE OF BIRTH : Tainan, Taiwan

CITIZENSHIP : Tainan, Taiwan.

Office Address: Department of Neurology, Taipei Medical University Hospital

No. 252, Wu-Hsing Street, Taipei 110, Taiwan

Tel: +886 2 2737 2181 ext 8257

Email: Lteikin@gmail.com

Physician certificate No.:040467

LANGUAGE : Chinese, Taiwanese, English, Japanese.

EDUCATION :

1999-2006, Doctor of Medicine, Taipei Medical University, Taipei, Taiwan.

POST-GRADUATE EDUCATION :

1.    Research Exchange of The International Federation of Medical Students’ Associations (IFMSA), Jul, 2005-Aug, 2005, Croatia.

2.    2007-2011, Neurology Residency & Fellowship;

           Chang-Gung Memorial Hospital, Linkou, Taiwan.

3.    National Taiwan University, College of Medicine, Graduate Institute of Clinical Medicine. PhD program.

EMPLOYMENTS :

 Aug, 2013-now: Attending Staff, Department of Neurology,

                                   Taipei Medical University Hospital

 Aug, 2012- Aug, 2013: Attending Staff, Department of Neurology,

                                               Chang-Gung Memorial Hospital, Jiayi, Taiwan

 Aug, 2011- Aug, 2012: Fellowship, Department of Neurology,

                                               Chang-Gung Memorial Hospital, Jiayi, Taiwan

 Aug, 2007- Aug, 2011: Resident Physician, Department of Neurology,

                                               Chang-Gung Memorial Hospital, Linkou, Taiwan

BOARD CERTIFICATION: Oct, 2012, Specialist in Neurology, Certification No.: 0967

MEDICAL LICENSE : Taiwan License No. 040467

PROFESSIONAL AFFILIATIONS :

1.     Neurological Society, Taiwan

2.     Formosan Medical Association, Taiwan

3.     Taiwan Stroke Association, Taiwan

4.     American Academy of Neurology, USA

5.     American Heart Association, USA

RESEARCH INTEREST :

1.    Cerebrovascular disease.

2.    Thrombolytic therapy in stroke.

3.    Neural stem Cell therapy.

PUBLICATIONS :

1.     Treatment of neuropathic pain in acute intermittent porphyria with gabapentin

Ting-Chun Lin, Shiao-Lin Lai, Shih-Pin Hsu, and Long-Sun Ro

Journal of the Formosan Medical Association. (SCI), 2013 Sep;112(9):578-9. doi: 10.1016/j.jfma.2013.04.011. Epub 2013 Jun 2.

2.     The impact of intracranial carotid artery calcification on the development of thrombolysis-induced intracerebral hemorrhage

*Ting-Chun Lin, MD; *Tzu-Hao Chao, MD; Yao Shieh, Prof.; Tsong-Hai Lee, MD, Prof.; Yeu-Jhy Chang, MD; Jiann-Der Lee, MD; Tsung-I Peng, MD, Prof.; Ku-Chou Chang, MD; Ting-Yu Chang, MD; Chien-Hung ChangMD, MS. *These authors contributed equally to this article.

Journal of Stroke & Cerebrovascular Diseases (SCI), Volume 22, Issue 8, November 2013, Pages e455–e462

3.     Intracerebral hemorrhage after thrombolytic therapy in acute ischemic stroke patients with renal dysfunction

*Ting-Chun Lin, *Tzu-Hao Chao, Tsong Hai Lee, Yeu Jhy Chang, Yao Shieh, Jiann-Der Lee, Tsung-I Peng, Ku-Chou Chang, Hsiang Yao Hsieh, Chien Hung Chang. *These authors contributed equally to this article.

European Neurology (SCI), 2013;70(5-6):316-21. doi: 10.1159/000353296. Epub 2013 Sep 27.

4.     Bilateral Paramedian Thalamic Infarction Presenting as Status Epilepticus: A Case Report and Review of the Literatures.

Sheng-Feng Lin, Ting-Chun Lin, Han-Hwa Hu, Chin-I Chen

Acta Neurol Taiwan 2015;24:125-130

5.    Timing of symptomatic infarct swelling following intravenous thrombolysis in acute middle cerebral artery infarction: a case control study

Ting-Chun Lin, MD; Jiann-Der Lee, MD; Ya-Hui Lin, MD; Rey-Yue Yuan, MD; Hsu-Huei Weng, MD, MPH, PhD; Ying-Chih Huang, MD; Meng Lee, MD; Chih-Ying Wu, MD; Huan-Lin Hsu, MD, Chia-Yu Hsu, MD, Tsong-Hai Lee, MD, PhD; Shan-Jin Liu, MD;Yeu-Jhy Chang, MD;Chien-Hung Chang, MD; Tsung-I Peng, MD, PhD; Chia-Wei Liou, MD;Ku-Chou Chang, MD;Yi-Ting Pan, MD;Yen-Chu Huang, MD.

Clinical and Applied Thrombosis/Hemostasis2016 Jul 21. pii: 1076029616659693. [Epub ahead of print]

-Research Plan

Title: The long-term care in Taiwan.

The advantage of medical care improve the life expectancy worldwide and the care system for aging papulation is a big issue gradually. In 1993, more than 7% of the population in Taiwan was 65 years old or older and it is estimated that by 2018 Taiwan will cross the threshold into an aged society. In the near future by 2025, Taiwan will enter the era of a super-aged society. Like other countries, there are national policies for the long-term care systems, however, in Taiwan an integrated system is still under constructed. My plan might focus on the long-term care system that is established for the fragile seniors.

Developed countries have seen a steep rise in chronic conditions, and the trend will continue. A rise in chronic conditions and functional limitations will create a growing demand for long-term care services in the developing world as well. Although medical care boost the life expectancy, the number of seniors who suffered from several chronic degenerative diseases, such as dementia, Parkinson’s disease and other comorbidities, increases. The estimated number of people with dementia in Taiwan in 2012 was approximately four times that in 1992, increasing from 50,970 (3.6%) to 208,012 (8.0%). According to the Taiwan Ministry of Interior and the epidemiological study of dementia published in 2014, more than 130,000 older adults in Taiwan are suffering from mild to severe dementia. The elderly, people 65 years of age or older, are the primary clients of long-term care. Therefore, a comprehensive care system for the elderly including the long-term care system cannot be overlooked. There is no straightforward definition that can fully capture the nature of long-term care. This is because a broad range of clients and services are involved. Yet, certain characteristics are common to all long-term care services. Long-term care can be defined as a variety of individualized and well-coordinated total care services that promote the maximum possible independence for people with functional limitations and that are provided over an extended period of time, using appropriate current technology and available evidence-based practices, in accordance with a holistic approach while maximizing both the quality of clinical care and the individual’s quality of life. The long-term care delivery system has three major components, the informal system, the community-based system and the institutional system. The goal of long-term care is to enable the individual to maintain functional independence to the maximum level practicable. In addition,the idea of community-based support system or aging inplace is emphasized, in Japan as well as Taiwan, not only because of the cultural considerations but also concernabout the increasing number of fragile seniors. On the other hand, a rapidly declining fertility rate also aids the speedy aging in Taiwan. According to the Health Promotion Administration, Ministry of Health and Welfare 2014, in the end of 2013, average life expectancy was 79.9 years (76.7 years for men and 83.3 years for women) and the fertility rate in 2013 was only 1.1. How to relieve the burden of family caregivers has become a major challenge. The primary policy of the long-term care system is the 10-Year Long-Term Care Program that was proposed in 2007. In 2008, in response to a rapidly aging society and a labor shortage, the The Minister of the Interior (2008) released White Paper of Population Policy: Policies for pro-natal, aging, and migration. Furthermore, in 2009, the Taiwan government released Program of Friendly Care for Senior Service on the health of older adults, which highlighted three themes to guide the action plans: active aging, aging friendly, and intergenerational cohesion. Currently, the Ministry of Health and Welfare is drafting White Paper for Aged Society, which plans to collaborate with private sectors in Taiwan to provide community-based of prevention in primary care for older adults in an aged society. However, aging issues still seem a subfield in most academic disciplines and industries. In contrast with the Japan, there is no national institute concentrating on aging study in Taiwan. The research projects on aging are conducted at various public and private institutions, including universities. This might contribute to overlap and lack of coordination between research projects and services. To balance the medical care and long-term care system would be challenging.

Today, many countries such as Germany and Japan have universal, comprehensive long-term care systems based on social insurance. Japan have developed public universal long-term care insurance systems that are operated by the government. Nonetheless, both countries have trouble coordinating services between medical care and long-term care. Quality control is always a concern: Germany has stressed building quality into contracts between insurers and providers, while Japan emphasizes training. The German and Japanese governments both hoped, along with gerontologists around the world, that improving care in the community would lower nursing home usage and spending. However, this has not occurred. In Germany, the proportion of beneficiaries who receive institutional care has been increasing, from 27 percent in 1997 to 31.5 percent by 2005, including many who require only low levels of care. In Japan, demand for nursing homes exploded with the new program. The long-term care delivery system cannot function independently of other health care services. Hence, the long-term care system must be rationally linked to the rest of the healthcare delivery system. Lon-term care patients, regardless of where they may be residing, frequently require a variety of services along the health care continuum, dictated by the changes in the patient’s condition and episodes that occur over time.

-Social Issues and the Research

Many countries introduced comprehensive long-term care system because their frail older populations were growing; their traditional resources for care were declining; and their existing fragmented long-term care programs were increasingly seen as costly, inefficient, and unfair. The situation in the Taiwan today is similar, if not worse. Currently, the policies on long-term care in Taiwan are tied to the concepts of aging in place and community care services. The primary policy of the long-term care system in Taiwan was released in 2007. The second version is revising now. The primary challenge facing the long-term care system is the lack of both family and paid caregivers and their lack of professional training. In addition, too few potential recipients have requested long-term government services because services are not flexible enough, and some needy recipients do not meet the official qualifications. Although the complex of the long-term care program, I would investigate this object to comprehend the long-term care system and make it locally practicable in Taiwan.

- GCL plan in 2018

1) complete the long-term care program. 

2) school myself with Japanese and English. 

3) make a good collaboration with GCL members. 

[lintingchun-blog]