The impact of petrochemical industrialisation on life expectancy and per capita income in Taiwan: an 11-year longitudinal study.

PubMed

Chen, Ya-Mei; Lin, Wan-Yu; Chan, Chang-Chuan

2014-03-12

Petrochemical industries have been identified as important sources of emissions of chemical substances, and adverse health outcomes have been reported for residents who live nearby. The purpose of the current study was to examine the adverse effects of petrochemical industrialization in Taiwan on the life expectancy and personal income of people living in nearby communities. This study compared life expectancies and personal income between one industrial county (Yunlin County) and one reference county (Yilan County), which had no significant industrial activity that might emit pollutants, in Taiwan through analysis of 11 year long and publicly available data. Data from before and after the petrochemical company in the industrial county started (year 1999) operating were compared. Residents of the industrialized county had lesser increases in life expectancy over time than did residents of a similar but less-industrialized county, with difference means ranging from 0.89 years (p<0.05) to 1.62 years (p<0.001) at different stages. Male residents were more vulnerable to the effects of industrialization. There were no significant differences in individual income between the two counties. Countries, including Taiwan and the U.S., embracing petrochemical industries now face the challenge of environmental injustice. Our findings suggested that life expectancy lengthening was slowed and income growth was stalled for residents living in the industrial communities.

Nursing home nurses' experiences of resident transfers to the emergency department: no empathy for our work environment difficulties.

PubMed

Tsai, Hsiu-Hsin; Tsai, Yun-Fang; Huang, Hsiu-Li

2016-03-01

To explore the experiences of nursing home nurses when they transfer residents from nursing homes to the emergency department in Taiwan. The transfer of residents between nursing homes and emergency departments challenges continuity of care. Understanding nursing home nurses' experiences during these transfers may help to improve residents' continuity of care. However, few empirical data are available on these nurses' transfer experiences worldwide, and none could be found in Asian countries. Qualitative descriptive study. Data were collected from August 2012-June 2013 in audiotaped, individual, in-depth interviews with 25 nurses at five nursing homes in Taiwan. Interview transcripts were analysed by constant comparative analysis. Analysis of interview transcripts revealed that the core theme of nursing home nurses' transfer experience was discontinuity in nursing home to emergency department transitions. This core theme comprised three themes: discontinuity in family involvement, discontinuity in medical resources and expectations, and discontinuity in nurses' professional role. Nursing home nurses need a working environment that is better connected to residents' family members and more immediate and/or easier access to acute care for residents. Communication between nurses and residents' family could be improved by using text messages or social media by mobile phones, which are widely used in Taiwan and worldwide. To improve access to acute care, we suggest developing a real-time telehealth transfer system tailored to the medical culture and policies of each country. This system should facilitate communication among nursing home staff, family members and hospital staff. Our findings on nurses' experiences during transfer of nursing home residents to the emergency department can be used to design more effective transfer policies such as telemedicine systems in Taiwan and other Asian countries or in those with large populations of Chinese immigrants. © 2016 John

History and development of ophthalmology in Taiwan.

PubMed

Hou, Yu-Chih; Oren, Gale A; Chen, Muh-Shy; Hu, Fung-Rong

2016-12-01

Western medicine was first introduced to Taiwan by medical missionaries in the mid-19 th century. Modernization of medicine was systematically transplanted to Taiwan in the Japanese colonial period, and ophthalmology was established third among hospital departments, following internal medicine and surgery. Dr Hidetaka Yamaguchi, an ophthalmologist, was the first head of the Taihoku Hospital, later known as National Taiwan University Hospital (NTUH; Taipei, Taiwan). Ophthalmologists during the colonial period conducted studies on tropical and infectious eye diseases. After World War II, ophthalmologists at NTUH played an important role in medical education, residency training, studies, and teaching. Dr Yan-Fei Yang established the Taiwan Ophthalmological Society in 1960 and instituted its official journal in 1962. Dr Ho-Ming Lin established the Department of Ophthalmology at the Tri-Service General Hospital in the 1950s and the Veterans General Hospital in the 1960s. Taiwan ophthalmologists eradicated trachoma by 1971. Cataract surgery and penetrating keratoplasty were initially performed in the 1960s. Currently, there are about 1600 ophthalmologists in Taiwan conducting an estimated 120,000 cataract surgeries and 600 corneal transplantations annually. Many subspecialty societies have been established recently that serve to educate Taiwanese ophthalmologists and to connect with international ophthalmic societies. Taiwan ophthalmologists continue to contribute to the advancement of ophthalmic knowledge globally. Copyright © 2016. Published by Elsevier B.V.

Perceived service quality, perceived value, overall satisfaction and happiness of outlook for long-term care institution residents.

PubMed

Lin, Jesun; Hsiao, Chih-Tung; Glen, Robert; Pai, Jar-Yuan; Zeng, Sin-Huei

2014-06-01

To investigate the psychometric properties and relationships of perceived service quality, perceived value and overall satisfaction for residents with respect to their long-term care institutions. The five-point Likert scale questionnaire administered through facetoface interviews. Fourteen long-term care institutions located in central and southern Taiwan stratified according to services and accommodation population. One hundred and eighty long-term institutional care residents. Perceived service quality (the SERVPERF model), perceived value and overall satisfaction (models based on the literature on perceived value and satisfaction). Student's t-test on institutional location shows a significant difference between overall satisfaction for central and southern institution long-term care recipients. The correlation test revealed that the higher a resident's level of education, the higher the scores for perceived value. The factor loading results of confirmation factor analysis show acceptable levels of reliability and index-of-model fits for perceived service, perceived value and overall satisfaction. In addition, the results suggest that an additional construct, a positive attitude (happiness of outlook) towards long-term care institutions, is also an important factor in residents' overall satisfaction. The primary goal of long-term institutional care policy in Taiwan, as in other countries, is to provide residents with practical, cost-effective but high-quality care. On the basis of the results of in-depth interviews with long-term institutional care residents, this study suggests long-term care institutions arrange more family visit days to increase the accessibility and interaction of family and residents and thereby increase the happiness of outlook of the residents. © 2012 John Wiley & Sons Ltd.

Nitrates in drinking water and risk of death from rectal cancer in Taiwan.

PubMed

Kuo, Hsin-Wei; Wu, Trong-Neng; Yang, Chun-Yuh

2007-10-01

The relationship between nitrate levels in drinking water and rectal cancer development has been inconclusive. A matched case-control and nitrate ecology study was used to investigate the association between mortality attributed to rectal cancer and drinking-water nitrate exposure in Taiwan. All deaths due to rectal cancer of Taiwan residents from 1999 through 2003 were obtained from the Bureau of Vital Statistics of the Taiwan Provincial Department of Health. Controls were deaths from other causes and were pair matched to the cancer cases by gender, year of birth, and year of death. Each matched control was selected randomly from the set of possible controls for each case. Data on nitrate-nitrogen (NO3-N) levels in drinking water throughout Taiwan were collected from Taiwan Water Supply Corporation (TWSC). The municipality of residence for cancer cases and controls was assumed to be the source of the subject's nitrate exposure via drinking water. The adjusted odds ratios for rectal cancer death for those with high nitrate levels in their drinking water, as compared to the lowest tertile, were 1.22 (0.98-1.52) and 1.36 (1.08-1.70), respectively. The findings of this study warrant further investigation of the role of nitrates in drinking water in the etiology of rectal cancer in Taiwan.

One's Colonies: a virtual reality environment of oriental residences

NASA Astrophysics Data System (ADS)

Chi, Catherine

2013-03-01

This paper is a statement about my virtual reality environment project, One's Colonies, and a description of the creative process of the project. I was inspired by the buildings in my hometown-Taiwan, which is really different from the architectural style in the United States. By analyzing the unique style of dwellings in Taiwan, I want to demonstrate how the difference between geography, weather and culture change the appearance of the living space. Through this project I want to express the relationship between architectural style and cultural difference, and how the emotional condition or characteristics of the residents are affected by their residencies.

The association between urbanization and rheumatoid arthritis in Taiwan.

PubMed

Chiang, Yi-Chun; Yen, Yu-Hsuan; Chang, Wei-Chiao; Cheng, Kuei-Ju; Chang, Wei-Pin; Chen, Hsiang-Yin

2016-01-01

To investigate the association between rheumatoid arthritis (RA) and urbanization and compare the medication selection for RA patients in urban vs. rural areas. RA patients were identified among 1,000,000 random individuals from a 23-million-person nationwide health insurance database, and controls were matched at a 1 : 10 ratio. Taiwan's 359 townships were grouped into 7 urbanization levels. Geographic region and monthly income were also analyzed. Medication use in the most urbanized and less-urbanized areas were also compared. Rural dwellers had lower odds of having an RA diagnosis. The odds ratio (OR) for level 5 area residents of having an RA diagnosis was 0.62 (95% confidence interval (CI) 0.46 - 0.85; p = 0.002), and they were both 0.76 for level 6 - 7 area residents (95% CI, 0.61 - 0.95 for level 6; p = 0.017 and 0.60 - 0.96 for level 7; p = 0.021) compared to level 1 (the most urban dwellers). The ORs of having a new RA diagnosis were 0.57 (95% CI 0.41 - 0.79, p = 0.001) in eastern Taiwan and 0.33 (95% CI 0.15 - 0.69, p = 0.004) on offshore islands compared to northern Taiwan. No association was found between monthly income and RA. Urban-dwelling RA patients used more tumor necrosis factor-α antagonists (level 1 urbanization; n = 24; 2.3%) than RA patients in less-urbanized areas (level 2 - 7 urbanization n = 30; 1.3%; p = 0.038). Results of this study suggested that an RA diagnosis and treatment are associated with urbanization.

Introducing radiology report checklists among residents: adherence rates when suggesting versus requiring their use and early experience in improving accuracy.

PubMed

Powell, Daniel K; Lin, Eaton; Silberzweig, James E; Kagetsu, Nolan J

2014-03-01

To retrospectively compare resident adherence to checklist-style structured reporting for maxillofacial computed tomography (CT) from the emergency department (when required vs. suggested between two programs). To compare radiology resident reporting accuracy before and after introduction of the structured report and assess its ability to decrease the rate of undetected pathology. We introduced a reporting checklist for maxillofacial CT into our dictation software without specific training, requiring it at one program and suggesting it at another. We quantified usage among residents and compared reporting accuracy, before and after counting and categorizing faculty addenda. There was no significant change in resident accuracy in the first few months, with residents acting as their own controls (directly comparing performance with and without the checklist). Adherence to the checklist at program A (where it originated and was required) was 85% of reports compared to 9% of reports at program B (where it was suggested). When using program B as a secondary control, there was no significant difference in resident accuracy with or without using the checklist (comparing different residents using the checklist to those not using the checklist). Our results suggest that there is no automatic value of checklists for improving radiology resident reporting accuracy. They also suggest the importance of focused training, checklist flexibility, and a period of adjustment to a new reporting style. Mandatory checklists were readily adopted by residents but not when simply suggested. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

Co-resident Grandparents and Grandchildren’s Academic Performance in Taiwan

PubMed Central

Pong, Suet-ling; Chen, Vivien W.

2015-01-01

Using the Taiwanese panel survey data, we investigate the consequences of children’s co-residence with grandparents, and we find a positive effect on academic achievement. Further analysis reveals different types of effects among the various types of grandparent-grandchild co-residence. While long-term co-residence confers the most educational benefits, a recent transition into co-residence confers no such advantage. Compared to other co-resident situations, children who recently transition out of co-residence with grandparents are the most disadvantaged. Furthermore, we find educational benefits of co-resident grandparents in both single-parent and two-parent families, but long-term co-resident grandparents’ positive association with grandchildren’s academic achievement is the most pronounced in households where both parents are absent. We interpret these finding using a theoretical framework, and discuss their implications for policy and for other research. PMID:25620815

A trophic model of fringing coral reefs in Nanwan Bay, southern Taiwan suggests overfishing.

PubMed

Liu, Pi-Jen; Shao, Kwang-Tsao; Jan, Rong-Quen; Fan, Tung-Yung; Wong, Saou-Lien; Hwang, Jiang-Shiou; Chen, Jen-Ping; Chen, Chung-Chi; Lin, Hsing-Juh

2009-09-01

Several coral reefs of Nanwan Bay, Taiwan have recently undergone shifts to macroalgal or sea anemone dominance. Thus, a mass-balance trophic model was constructed to analyze the structure and functioning of the food web. The fringing reef model was comprised of 18 compartments, with the highest trophic level of 3.45 for piscivorous fish. Comparative analyses with other reef models demonstrated that Nanwan Bay was similar to reefs with high fishery catches. While coral biomass was not lower, fish biomass was lower than those of reefs with high catches. Consequently, the sums of consumption and respiratory flows and total system throughput were also decreased. The Nanwan Bay model potentially suggests an overfished status in which the mean trophic level of the catch, matter cycling, and trophic transfer efficiency are extremely reduced.

Immigration distress and associated factors among Vietnamese women in transnational marriages in Taiwan.

PubMed

Yang, Yung-Mei; Wang, Hsiu-Hung; Anderson, Debra

2010-12-01

The purpose of this study was to explore the types and predictors of immigration distress among Vietnamese women in transnational marriages in Taiwan. A cross-sectional survey with face-to-face interviews was conducted for data collection. A convenient sample of 203 Vietnamese women in transnational marriages in southern Taiwan was recruited. The Demographic Inventory measured the participants' age, education, employment status, religion, length of residency and number of children, as well as their spouse's age, education, employment status and religion. The Demand of Immigration Specific Distress scale measured the level of distress and had six subscales: loss, novelty, occupational adjustment, language accommodation, discrimination and alienation. Among the 203 participants, 6.4% had a high level of immigration distress; 91.1% had moderate distress; and 2.5% had minor distress. Higher mean scores were found for the loss, novelty and language accommodation subscales of the Demand of Immigration Specific Distress scale. Participant's (r = 0.321, p < 0.01) and spouse's (r = 0.375, p < 0.01) unemployment, and more children (r = 0.129, p < 0.05) led to greater immigration distress. Length of residency in Taiwan (r = 0.576, p < 0.001) was an effective predictor of immigration distress. It indicated that the participants who had stayed fewer years in Taiwan had a higher level of immigrant distress. Health care professionals need to be aware that the female newcomers in transnational marriages are highly susceptible to immigration distress. The study suggests that healthcare professionals need to provide a comprehensive assessment of immigration distress to detect health problems early and administer culturally appropriate healthcare for immigrant women in transnational marriages. Copyright © 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

Language Policy and Group Identification in Taiwan

ERIC Educational Resources Information Center

Liu, Ruey-Ying

2012-01-01

Taiwan is a multicultural and multilingual society. Generally speaking, Taiwanese residents fall into one of four ethnic groups. Each ethnic group has a different cultural context and a preferred language. Therefore, one's use of language may reveal his/her identification with an ethnic group, and language policy implementation may imply the power…

High average daily intake of PCDD/Fs and serum levels in residents living near a deserted factory producing pentachlorophenol (PCP) in Taiwan: influence of contaminated fish consumption.

PubMed

Lee, C C; Lin, W T; Liao, P C; Su, H J; Chen, H L

2006-05-01

An abandoned pentachlorophenol plant and nearby area in southern Taiwan was heavily contaminated by dioxins, impurities formed in the PCP production process. The investigation showed that the average serum PCDD/Fs of residents living nearby area (62.5 pg WHO-TEQ/g lipid) was higher than those living in the non-polluted area (22.5 and 18.2 pg WHO-TEQ/g lipid) (P<0.05). In biota samples, average PCDD/F of milkfish in sea reservoir (28.3 pg WHO-TEQ/g) was higher than those in the nearby fish farm (0.15 pg WHO-TEQ/g), and Tilapia and shrimp showed the similar trend. The average daily PCDD/Fs intake of 38% participants was higher than 4 pg WHO-TEQ/kg/day suggested by the world health organization. Serum PCDD/F was positively associated with average daily intake (ADI) after adjustment for age, sex, BMI, and smoking status. In addition, a prospective cohort study is suggested to determine the long-term health effects on the people living near factory.

Perceived service quality, perceived value, overall satisfaction and happiness of outlook for long‐term care institution residents

PubMed Central

Lin, Jesun; Hsiao, Chih‐Tung; Glen, Robert; Pai, Jar‐Yuan; Zeng, Sin‐Huei

2012-01-01

Abstract Objective  To investigate the psychometric properties and relationships of perceived service quality, perceived value and overall satisfaction for residents with respect to their long‐term care institutions. Design  The five‐point Likert scale questionnaire administered through facetoface interviews. Setting  Fourteen long‐term care institutions located in central and southern Taiwan stratified according to services and accommodation population. Participants  One hundred and eighty long‐term institutional care residents. Main outcome measures  Perceived service quality (the SERVPERF model), perceived value and overall satisfaction (models based on the literature on perceived value and satisfaction). Results  Student’s t‐test on institutional location shows a significant difference between overall satisfaction for central and southern institution long‐term care recipients. The correlation test revealed that the higher a resident’s level of education, the higher the scores for perceived value. The factor loading results of confirmation factor analysis show acceptable levels of reliability and index‐of‐model fits for perceived service, perceived value and overall satisfaction. In addition, the results suggest that an additional construct, a positive attitude (happiness of outlook) towards long‐term care institutions, is also an important factor in residents’ overall satisfaction. Conclusion  The primary goal of long‐term institutional care policy in Taiwan, as in other countries, is to provide residents with practical, cost‐effective but high‐quality care. On the basis of the results of in‐depth interviews with long‐term institutional care residents, this study suggests long‐term care institutions arrange more family visit days to increase the accessibility and interaction of family and residents and thereby increase the happiness of outlook of the residents. PMID:22429448

Nitrate in drinking water and risk of death from pancreatic cancer in Taiwan.

PubMed

Yang, Chun-Yuh; Tsai, Shang-Shyue; Chiu, Hui-Fen

2009-01-01

The relationship between nitrate levels in drinking water and risk of pancreatic cancer development remains inconclusive. A matched case-control and nitrate ecology study was used to investigate the association between mortality attributed to pancreatic cancer and nitrate exposure from Taiwan's drinking water. All pancreatic cancer deaths of Taiwan residents from 2000 through 2006 were obtained from the Bureau of Vital Statistics of the Taiwan Provincial Department of Health. Controls were deaths from other causes and were pair-matched to the cases by gender, year of birth, and year of death. Each matched control was selected randomly from the set of possible controls for each case. Data on nitrate-nitrogen (NO(3)-N) levels of drinking water throughout Taiwan were collected from Taiwan Water Supply Corporation (TWSC). The municipality of residence for cancer cases and controls was assumed to be the source of the subject's nitrate exposure via drinking water. The adjusted odds ratios and confidence limits for pancreatic cancer death for those with high nitrate levels in their drinking water, as compared to the lowest tertile, were 1.03 (0.9-1.18) and 1.1 (0.96-1.27), respectively. The results of the present study show that there was no statistically significant association between the levels of nitrate in drinking water and increased risk of death from pancreatic cancer.

Job and life satisfaction among remote physicians in Taiwan.

PubMed

Lee, M C; Chou, M C

1991-07-01

To determine the nature and current level of job and life satisfaction among remote physicians in Taiwan, 115 physicians practicing in 31 aboriginal townships and on 3 offshore islands were interviewed through a mail survey. Out of 95 respondents, 93% were male. The average age was 46.0 years, and 82% of the physicians practiced only primary care. About half of the respondents had not received any residency training prior to their beginning practice. Physicians aboriginal areas and on offshore islands appear to be moderately satisfied with their jobs and with their lives in general. In aggregate, the areas of greatest job satisfaction included their contacts with other physicians and their relationships with other health care workers. Areas of least satisfaction included physicians' salary/income and their opportunities for promotion in the future. Most respondents felt that the greatest causes of work stress were the realities of medical practice and the time pressures. Areas of least stress included clinical competence/interpersonal relations and anxieties about the future. In aggregate, the areas of lowest life satisfaction included the physicians' incomes and the lack of leisure activities. It is suggested that a family practice residency training course prior to practice and access to continuing medical education programs are urgently needed for remote physicians in Taiwan. On the other hand, economic incentives seem to be the best strategy to increase the job and life satisfaction of these physicians.

Risk of carotid atherosclerosis is associated with low serum paraoxonase (PON1) activity among arsenic exposed residents in Southwestern Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Li, W.-F.; Sun, C.-W.; Cheng, T.-J.

2009-04-15

To understand whether human paraoxonase 1 (PON1) would modulate the risk for arsenic-related atherosclerosis, we studied 196 residents from an arseniasis-endemic area in Southwestern Taiwan and 291 age- and sex-matched residents from a nearby control area where arsenic exposure was found low. Carotid atherosclerosis was defined by a carotid artery intima-media wall thickness (IMT) of > 1.0 mm. Prevalence of carotid atherosclerosis was increased in the arseniasis-endemic area as compared to the control area after adjustment for conventional risk factors (OR = 2.20, p < 0.01). The prevalence was positively associated with cumulative arsenic exposure (mg/L-year) in a dose-dependent manner.more » Multiple logistic regression analysis showed that in the endemic group, low serum PON1 activity was an independent risk factor for atherosclerosis (OR = 4.18 low vs. high, p < 0.05). For those of low PON1 activity and high cumulative arsenic exposure, the odds ratio for the prevalence of atherosclerosis was further increased up to 5.68 (p < 0.05). No significant association was found between atherosclerosis and four polymorphisms of the PON gene cluster (PON1 - 108C/T, PON1 Q192R, PON2 A148G, PON2 C311S). However, genetic frequencies of certain alleles including PON1 Q192, PON2 G148 and PON2 C311 were found increased in the endemic group as compared to the controls and a general Chinese population, indicating a possible survival selection in the endemic group after a long arsenic exposure history. Our results showed a significant joint effect between arsenic exposure and serum PON1 activity on carotid atherosclerosis, suggesting that subjects of low PON1 activity may be more susceptible to arsenic-related cardiovascular disease.« less

Probable high prevalence of limb-girdle muscular dystrophy type 2D in Taiwan.

PubMed

Liang, Wen-Chen; Chou, Po-Ching; Hung, Chia-Cheng; Su, Yi-Ning; Kan, Tsu-Min; Chen, Wan-Zi; Hayashi, Yukiko K; Nishino, Ichizo; Jong, Yuh-Jyh

2016-03-15

Limb-girdle muscular dystrophy type 2D (LGMD2D), an autosomal-recessive inherited LGMD, is caused by the mutations in SGCA. SGCA encodes alpha-sarcoglycan (SG) that forms a heterotetramer with other SGs in the sarcolemma, and comprises part of the dystrophin-glycoprotein complex. The frequency of LGMD2D is variable among different ethnic backgrounds, and so far only a few patients have been reported in Asia. We identified five patients with a novel homozygous mutation of c.101G>T (p.Arg34Leu) in SGCA from a big aboriginal family ethnically consisting of two tribes in Taiwan. Patient 3 is the maternal uncle of patients 1 and 2. All their parents, heterozygous for c.101G>T, denied consanguineous marriages although they were from the same tribe. The heterozygous parents of patients 4 and 5 were from two different tribes, originally residing in different geographic regions in Taiwan. Haplotype analysis showed that all five patients shared the same mutation-associated haplotype, indicating the probability of a founder effect and consanguinity. The results suggest that the carrier rate of c.101G>T in SGCA may be high in Taiwan, especially in the aboriginal population regardless of the tribes. It is important to investigate the prevalence of LGMD2D in Taiwan for early diagnosis and treatment. Copyright © 2016. Published by Elsevier B.V.

Differences in Spontaneous Intracerebral Hemorrhage Cases between Urban and Rural Regions of Taiwan: Big Data Analytics of Government Open Data.

PubMed

Ting, Hsien-Wei; Chien, Ting-Ying; Lai, K Robert; Pan, Ren-Hao; Wu, Kuan-Hsien; Chen, Jun-Min; Chan, Chien-Lung

2017-12-10

This study evaluated the differences in spontaneous intracerebral hemorrhage (sICH) between rural and urban areas of Taiwan with big data analysis. We used big data analytics and visualization tools to examine government open data, which included the residents' health medical administrative data, economic status, educational status, and relevant information. The study subjects included sICH patients of Taipei region (29,741 cases) and Eastern Taiwan (4565 cases). The incidence of sICH per 100,000 population per year in Eastern Taiwan (71.3 cases) was significantly higher than that of the Taipei region (42.3 cases). The mean coverage area per hospital in Eastern Taiwan (452.4 km²) was significantly larger than the Taipei region (24 km²). The residents educational level in the Taipei region was significantly higher than that in Eastern Taiwan. The mean hospital length of stay in the Taipei region (17.9 days) was significantly greater than that in Eastern Taiwan (16.3 days) ( p < 0.001). There were no significant differences in other medical profiles between two areas. Distance and educational barriers were two possible reasons for the higher incidence of sICH in the rural area of Eastern Taiwan. Further studies are necessary in order to understand these phenomena in greater depth.

Hospitalization and associated factors in people with Alzheimer's disease residing in a long-term care facility in southern Taiwan.

PubMed

Lin, Chu-Sheng; Lin, Shih-Yi; Chou, Ming-Yueh; Chen, Liang-Yu; Wang, Kuei-Yu; Chen, Liang-Kung; Lin, Yu-Te; Loh, Ching-Hui

2017-04-01

It has been reported that many people with dementia require hospitalizations. The objective of the present study was to determine predictive factors for hospitalizations in people with dementia. A total of 70 individuals with dementia living in a veterans' home in southern Taiwan were consecutively enrolled. During prospective follow up, all hospitalization events were recorded. The mean age of residents with dementia was 86.1 ± 4.0 years, and the mean follow-up time for this population was 2.2 ± 1.1 years. Among individuals, 62.9% suffered from malnutrition or were at risk of malnutrition (minimal nutritional assessment-short form score ≤11), and 8.6% of individuals had a body mass index of <18.5 Kg/m 2 . There were 52 (74.3%) individuals who had previously fallen. Overall, 51 of 70 residents were hospitalized during the follow-up period. In those individuals with previous falls, there was a significantly increased risk of hospitalization (odds ratio 5.61, 95% CI 1.18-26.7). Furthermore, three factors were significantly associated with the risk of fall, including handgrip strength, malnutrition and Mini-Mental State Examination score. The results of the present study showed that hospitalization was a frequent event in residents with dementia living in a long-term care facility. The major predictor for hospital admission was history of a previous fall. Screening those with dementia for history of injurious falls and associated risk factors for falling could help identify those at risk of hospitalization, thus necessitating a comprehensive intervention to reduce hospitalization. Geriatr Gerontol Int 2017; 17 (Suppl. 1): 50-56. © 2017 Japan Geriatrics Society.

Current situation and industrialization of Taiwan nanotechnology

NASA Astrophysics Data System (ADS)

Su, Hsin-Ning; Lee, Pei-Chun; Tsai, Min-Hua; Chien, Kuo-Ming

2007-12-01

Nanotechnology is projected to be a very promising field, and the impact of nanotechnology on society is increasingly significant as the research funding and manufactured goods increase exponentially. A clearer picture of Taiwan's current and future nanotechnology industry is an essential component for future planning. Therefore, this investigation studies the progress of industrializing nanotechnology in Taiwan by surveying 150 companies. Along with understanding Taiwan's current nanotechnology industrialization, this paper also suggests ways to promote Taiwan's nanotechnology. The survey results are summarized and serve as the basis for planning a nanotechnology industrialization strategy.

Predictors of advance directives among nursing home residents with dementia.

PubMed

Huang, Hsiu-Li; Shyu, Yea-Ing Lotus; Weng, Li-Chueh; Chen, Kang-Hua; Hsu, Wen-Chuin

2018-03-01

ABSTRACTBackground:Advance directives are important for nursing home residents with dementia; for those with advanced dementia, surrogates determine medical decisions. However, in Taiwan, little is known about what influences the completion of these advance directives. The purpose of this study was to identify factors, which influence the presence of advance directives for nursing home residents with dementia in Taiwan. Our cross-sectional study analyzed a convenience sample of 143 nursing home dyads comprised of residents with dementia and family surrogates. Documentation of residents' advance directives, physical and cognitive status was obtained from medical charts. Surrogates completed the stress of end-of-life care decision scale and a questionnaire regarding their demographic characteristics. Nursing home characteristics were obtained from each chief administrator. Less than half of the nursing home residents (39.2%) had advance directives and most (96.4%) had been completed by family surrogates. The following were predictors of an advance directive: surrogates had previously signed a do-not-resuscitate as a proxy and had been informed of advance directives by a healthcare provider; nursing homes had policies for advance directives and a religious affiliation. Advance directives were uncommon for nursing home residents with dementia. Presence of an advance directive was associated with surrogate characteristics and the nursing home facilities; there was no association with characteristics of the nursing home resident. Our findings emphasize the need to develop policies and strategies, which ensure that all residents of nursing homes and their surrogates are aware of their right to an advance directive.

Nitrates in municipal drinking water and non-Hodgkin lymphoma: an ecological cancer case-control study in Taiwan.

PubMed

Chang, Chih-Ching; Tsai, Shang-Shyue; Wu, Trong-Neng; Yang, Chun-Yuh

2010-01-01

The relationship between nitrate levels in drinking water and increased risk of non-Hodgkin lymphoma (NHL) development has been inconclusive. A matched cancer case-control and a nitrate ecology study was used to investigate the association between mortality attributed to NHL and nitrate exposure from Taiwan's drinking water. All deaths due to NHL in Taiwan residents from 2000 through 2006 were obtained from the Bureau of Vital Statistics of the Taiwan Provincial Department of Health. Controls were deaths from other causes and were pair-matched to the cases by gender, year of birth, and year of death. Each matched control was selected randomly from the set of possible controls for each case. Data on nitrate-nitrogen (NO(3)-N) levels of drinking water throughout Taiwan were collected from the Taiwan Water Supply Corporation (TWSC). The municipality of residence for cancer cases and controls was presumed to be the source of the subject's nitrate exposure via drinking water. The adjusted odds ratios (OR) for NHL death for those with high nitrate levels in their drinking water, as compared to the lowest tertile, were 1.02 (0.87-1.2) and 1.05 (0.89-1.24), respectively. The results of the present study show that there was no statistically significant association between nitrates in drinking water at levels in this investigation and increased risk of death attributed to NHL.

MSW management for waste minimization in Taiwan: The last two decades

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lu, L.-T.; Hsiao, T.-Y.; Shang, N.-C.

2006-07-01

Taiwan is the second most densely populated country in the world; its 22.604 million residents (2002) live in an area of 35,967 km{sup 2} (628 people/km{sup 2}). Taiwan's economy has grown rapidly during the last 20 years, resulting in a corresponding increase in the amount of municipal solid waste (MSW). This study describes and evaluates the municipal solid waste management system in Taiwan. The study's results indicate that the amount of MSW began to decline after 1997, when the government enforced aggressive MSW management policies. By 2002, total MSW production had dropped by 27%, and the average daily per capitamore » weight of MSW had fallen from 1.14 kg in 1997 to 0.81 kg in 2002. Summarizing the successful experience of MSW reduction in Taiwan, the most important factor was the government's combining of the MSW collection system with reduction/recycling programs. The second most important factor was the policy of extended producer responsibility, which laid a foundation of recycling by producers and retailers and promoted public recycling.« less

Origins of Semisulcospira libertina (gastropoda: semisulcospiridae) in Taiwan.

PubMed

Chiu, Yuh-Wen; Bor, Hor; Kuo, Po-Hsun; Hsu, Kui-Ching; Tan, Mian-Shin; Wang, Wei-Kuang; Lin, Hung-Du

2017-07-01

The most accepted hypothesis has suggested that the fauna in Taiwan Island originated from South China, but some studies supported the Japan, Ryukyu Archipelago, and Taiwan Islands as a unique biogeographical district. This study examines whether the populations of freshwater snail Semisulcospira libertina in Taiwan are closer to those in Japan based on the mitochondrial cytochrome c oxidase subunit I (COI) gene sequences. Our study shows the populations in North Taiwan originated from Japan and the cyclic glacial caused the migrations among islands and continent repeatedly; the populations in South Taiwan might originate from South China or South Asia. Our results will not only affect the conclusions in phylogeography of freshwater species in Taiwan but also change the sampling plans in the future studies about evolutionary of freshwater species in East Asia.

Predictive factors for dementia and cognitive impairment among residents living in the veterans' retirement communities in Taiwan: Implications for cognitive health promotion activities.

PubMed

Chen, Liang-Yu; Wu, Yi-Hui; Huang, Chung-Yu; Liu, Li-Kuo; Hwang, An-Chun; Peng, Li-Ning; Lin, Ming-Hsieh; Chen, Liang-Kung

2017-04-01

To identify potentially modifiable risk factors for cognitive decline among veterans' home residents in Taiwan METHODS: The present retrospective cohort study was part of the Veteran Affairs-Comprehensive Geriatric Assessment study that retrieved data of the comprehensive geriatric assessment for 946 residents living at four veterans' homes in Taiwan. The study participants were interviewed every 3-6 months from January 2012 and December 2014. Demographic characteristics,multimorbidity by Charlson's Comorbidities Index, physical function by the Barthel Index, cognition by the Mini-Mental State Examination (MMSE), depression by the five-item Geriatric Depression Scale and nutritional status by the Mini-Nutrition Assessment-Short Form were collected for analysis. A generalized estimating equation model was used after it was adjusted for age, educational level, five-item Geriatric Depression Scale, and problem of communication difficulty to identify potential modifiable risk factors for cognitive decline. The mean age of the participants was 85.7 ± 5.2 years, with a mean follow-up period of 41 ± 21.6 weeks. The prevalence of cognitive impairment (defined by MMSE <24) was 65.6%, whereas 34% of the study participants were positive for depressive symptoms. Approximately one-fifth of the study participants were using psychotropic agents, which was higher among participants with cognitive impairment (23.6% vs 15.6%, P < 0.05) than those without. In the generalized estimating equation model, physical function, nutritional status, depressive symptoms, ex-drinker, multimorbidity and stool incontinence were positively correlated with MMSE score; whereas advanced age, low educational level (<6 years), presence of communication difficulty and use of psychotropic agents were inversely associated with the MMSE score. Physical function and nutritional status were positively associated with the MMSE score, and use of psychotropic agents was negatively correlated with

Structural Features of the Western Taiwan Foreland Basin in the Eastern Taiwan Strait since Late Miocene

NASA Astrophysics Data System (ADS)

WANG, J. H.; Liu, C. S.; Chang, J. H.; Yang, E. Y.

2017-12-01

The western Taiwan Foreland Basin lies on the eastern part of Taiwan Strait. The structures in this region are dominated by crustal stretch and a series of flexural normal faults have been developed since Late Miocene owing to the flexural of Eurasia Plate. Through deciphering multi-channel seismic data and drilling data, these flexural features are observed in the offshore Changhua coastal area. The flexure normal faults are important features to realize structural activity in the western Taiwan Foreland Basin. Yang et al. (2016) mention that the reactivated normal faults are found north of the Zhushuixi estuary. It should be a significant issue to decipher whether these faults are still active. In this study, we have analyzed all the available seismic reflections profiles in the central part of the Taiwan Strait, and have observed many pre-Pliocene normal faults that are mainly distributed in the middle of the Taiwan Strait to Changyun Rise, and we tentatively suggest that the formation of these faults may be associated with the formation of the foreland basal unconformity. Furthermore, we will map the distribution of these normal faults and examine whether the reactivated normal faults have extended to south of the Zhushuixi estuary. Finally, we discuss the relation between the reactivated normal faults in the Taiwan Strait and those faults onshore. Key words: Multichannel seismic reflection profile, Taiwan Strait, Foreland basin, normal fault.

Nitrate in drinking water and risk of death from bladder cancer: an ecological case-control study in Taiwan.

PubMed

Chiu, Hui-Fen; Tsai, Shang-Shyue; Yang, Chun-Yuh

2007-06-01

The relationship between nitrate levels in drinking water and bladder cancer development is controversial. A matched cancer case-control with nitrate ecology study was used to investigate the association between bladder cancer mortality occurrence and nitrate exposure from Taiwan drinking water. All bladder cancer deaths of Taiwan residents from 1999 through 2003 were obtained from the Bureau of Vital Statistics of the Taiwan Provincial Department of Health. Controls were deaths from other causes and were pair-matched to the cases by gender, year of birth,and year of death. Each matched control was selected randomly from the set of possible controls for each cancer case. Data on nitrate-nitrogen (NO3-N) levels in drinking water throughout Taiwan were collected from Taiwan Water Supply Corporation (TWSC). The municipality of residence for cancer cases and controls was assumed to be the source of the subject's nitrate exposure via drinking water. The adjusted odds ratios for bladder cancer death for those with high nitrate levels in their drinking water were 1.76 (1.28-2.42) and 1.96 (1.41-2.72) as compared to the lowest tertile. The results of the present study show that there was a significant positive relationship between the levels of nitrate in drinking water and risk of death from bladder cancer.

Risk of carotid atherosclerosis associated with genetic polymorphisms of apolipoprotein E and inflammatory genes among arsenic exposed residents in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hsieh, Y.-C.; Hsieh, F.-I; Lien, L.-M.

2008-02-15

Arsenic had been reported to be associated with carotid atherosclerosis. However, there were few studies to evaluate the association between the susceptible gene of lipid metabolism and inflammation and carotid atherosclerosis among arsenic exposure residents. The aim of the study was to investigate the associations between the genetic polymorphisms of APOE and MCP-1 and the risk of carotid atherosclerosis among residents of Lanyang Basin in Taiwan which was a newly confirmed arsenic-endemic area. In total, 479 residents who had been genotyped of these two genes and examined the severity of carotid atherosclerosis were included in this study. The study subjectsmore » with carotid intima media thickness (IMT) {>=} 1.0 mm or with the observable plaque in the extracranial carotid artery were diagnosed as carotid atherosclerosis. A significantly age- and gender-adjusted odds ratio of 2.0 for the development of carotid atherosclerosis was observed in study subjects with {epsilon}4 allele of APOE than those without {epsilon}4 allele. Compared with study subjects who carried wild genotypes of APOE and MCP-1, those with both risk genotypes of APOE and MCP-1 had 2.5-fold risk of carotid atherosclerosis after adjustment for age and gender, revealing a significant dose-response relationship between number of risk genotypes of these genes and risk of carotid atherosclerosis. Additionally, study subjects with two risk genotypes of APOE and MCP-1 and either had ingested well water contained arsenic level > 10 {mu}g/L or had arsenic exposure > 0.22 mg/L-year would have strikingly highest risk of 10.3-fold and 15.7-fold, respectively, for the development carotid atherosclerosis, showing significant joint effect of arsenic exposure and risk genotypes of APOE and MCP-1.« less

Lithospheric Structure Beneath Taiwan From Sp Converted Waves

NASA Astrophysics Data System (ADS)

Glasgow, D.; McGlashan, N.; Brown, L.

2006-12-01

Taiwan is the product of three dimensionally complex interaction between the Eurasian Plate (EP) and the Philippine Sea plate (PSP), with the EP subducting eastward beneath the PSP in southern Taiwan while the PSP subducts northward beneath the EP in northern Taiwan. The structural emplacement of Philippine Arc lithosphere onto Chinese passive margin lithosphere is an exemplar of continental amalgamation, yet there are relatively few contraints on the geometry of lithosphere involved at depth. We have used teleseismic data recorded by the Broadband Array for Taiwan Seismology (BATS) to compute S-to-p wave receiver functions for the Taiwan region to provide new constraints on deep geometries. Moho conversions provide independent new estimates of crustal thickness, which vary from 35 to 55 km across the island in agreement with previous P to S conversion studies and local tomography. More significantly, our results suggest that the lithosphere- asthenosphere boundary (LAB) varies in depth from ca 140 km beneath northeastern Taiwan to ca 120 km beneath central Taiwan to perhaps less than 80 km beneath southern Taiwan. We attribute this along strike variation to the depression and decapitation of the Eurasian plate in the transition to northward subduction of the PSP.

A GIS-aided assessment of the health hazards of cadmium in farm soils in central Taiwan.

PubMed

Chiang, Po-Huang; Chan, Ta-Chien; Hsieh, Dennis P H

2011-09-01

A geostatistical method was developed to examine the correlation, or lack of it, between the levels of cadmium (Cd) detected in farm soils and those detected in the human specimens collected from residents around the contaminated areas in Changhua County where cadmium contamination of staple rice has been documented. We used the Taiwan EPA environment data in 2002 and human data which were generated by the National Health Research Institutes during 2003-2005. Kriging interpolation methods were used to determine soil Cd concentrations. A Zonal statistical function was performed to assess the individual exposure. Soil Cd levels and tissue Cd levels in residents were analyzed for contamination hotspots and other areas to determine correlation between the two variables. Three Cd contamination hotspots were identified, in which no correlation was found between soil Cd levels and tissue Cd levels in residents. Our results demonstrate how GIS spatial modeling technique can be used to estimate distribution of pollutants in an area using a limited number of data points. Results indicated no association between the soil contamination and the exposure of residents to Cd, suggesting that both the soils and the residents are receptors of Cd as a pollutant from as yet unidentified sources.

Integrated structural model for active arc-continental collision from southern Taiwan to central Taiwan inferred from seismogenic views

NASA Astrophysics Data System (ADS)

Nagai, S.; Wang, Y.; Ma, K.; Wu, Y.; Huang, H.

2010-12-01

The Taiwan Island is located in ongoing arc-continent collision zone between the Philippine Sea Plate and the Eurasian Plate. Numerous geophysical and geological studies have explained the tectonic processes and developed various models. There are two end-member models for Taiwan collision; Thin-skinned model [e.g. Suppe, 1987] and Lithospheric collision model [Wu et al., 1997]. One of most important issue is that collision in Taiwan involves and contributes deformation to what depth. We have presented on this point in central Taiwan through seismological views, including both observed facts and results of tomographic inversion [Nagai et al., 2010 in WPGM 2010]. We have concluded that orogenic process should involve and contribute to depth of 30 km at least in central Taiwan, and suggested ’Upper Crustal Stacking Model’. We have indicated that existence of low-velocity blocks under Central Mountain Range (CMR) is one of the most important factors to understand Taiwan arc-continental collision process. We extend this idea to southern and northern Taiwan and to connect with balanced cross-sections proposed in Ustaszewski et al. [2010]. In this talk, we focused on the structural variation from southern Taiwan to central Taiwan. We have been performing the local double-difference tomography [Zhang and Thurber, 2003] in southern and northern Taiwan using the Central Weather Bureau Seismic Network with temporary array observations. These results in seismic tomography show variation of seismic velocity under the CMR like in central Taiwan. Low-velocity anomalies are also detected. Although it should be checked carefully, velocity blocks segmented some parts and seismic activities seem to be located on their boundaries. The Jiaxian earthquake on 4th Mar, 2010 occurred on one of these segmentation boundaries. The tectonic process in Taiwan arc-continental collision consists of different-scale structures, which means finer resolution structures may be nested with the

Trends in Residential Policies and Services for People with Intellectual Disabilities in Taiwan

ERIC Educational Resources Information Center

Chou, Y. C.; Schalock, R. L.

2007-01-01

Background: In Taiwan, 92-95% of people with an intellectual disability (ID) live with their families, with the remaining residing in residential facilities. Instead of funding community-living alternatives, the Taiwanese Government funds only registered facilities as part of its residential policies and services. The purpose of this study was to…

Prediction of Flood Warning in Taiwan Using Nonlinear SVM with Simulated Annealing Algorithm

NASA Astrophysics Data System (ADS)

Lee, C.

2013-12-01

The issue of the floods is important in Taiwan. It is because the narrow and high topography of the island make lots of rivers steep in Taiwan. The tropical depression likes typhoon always causes rivers to flood. Prediction of river flow under the extreme rainfall circumstances is important for government to announce the warning of flood. Every time typhoon passed through Taiwan, there were always floods along some rivers. The warning is classified to three levels according to the warning water levels in Taiwan. The propose of this study is to predict the level of floods warning from the information of precipitation, rainfall duration and slope of riverbed. To classify the level of floods warning by the above-mentioned information and modeling the problems, a machine learning model, nonlinear Support vector machine (SVM), is formulated to classify the level of floods warning. In addition, simulated annealing (SA), a probabilistic heuristic algorithm, is used to determine the optimal parameter of the SVM model. A case study of flooding-trend rivers of different gradients in Taiwan is conducted. The contribution of this SVM model with simulated annealing is capable of making efficient announcement for flood warning and keeping the danger of flood from residents along the rivers.

A Suggested Molecular Pathology Curriculum for Residents: A Report of the Association for Molecular Pathology.

PubMed

Aisner, Dara L; Berry, Anna; Dawson, D Brian; Hayden, Randall T; Joseph, Loren; Hill, Charles E

2016-03-01

Molecular pathology is an essential element of pathology training. As more molecular tests have become available, there is an increasing need for pathology trainees to receive a strong foundation in molecular pathology. Appointed by the Training and Education Committee of the Association for Molecular Pathology, the Molecular Curriculum Task Force has developed a suggested curriculum in molecular pathology for residents. The foundations of molecular pathology are presented as a series of goals and objectives that residency programs can use to develop their educational programs. As pathologists continue to expand their roles to include regular clinical consultations in the realm of molecular testing, a strong foundation in molecular pathology and genomic medicine has become essential to the practice of pathology. Copyright © 2016 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved.

Epidemiology of uveitis among the Chinese population in Taiwan: a population-based study.

PubMed

Hwang, De-Kuang; Chou, Yiing-Jeng; Pu, Cheng-Yun; Chou, Pesus

2012-11-01

This study aimed to investigate the incidence and prevalence of uveitis in Taiwan, and then analyzed the risk factors related to uveitis using multivariate regression. Population-based cohort study using medical claims data. We randomly selected 1 000 000 residents from the Taiwan National Health Insurance Research Database. All participants with correct registry data (96%) were included in the study. The study period was from 2000 to 2008. All types of uveitis were identified using the International Classification of Diseases, 9th revision, Clinical Modification diagnostic codes. The annual incidence and cumulative prevalence of uveitis were calculated. A univariate and a multivariate Poisson regression were used to determine the risk factors associated with uveitis. The first diagnosis of uveitis noted during the study period. The annual cumulative incidence rate of uveitis ranged from 102.2 to 122.0 cases per 100 000 persons over the study period, and the average incidence density was 111.3 cases per 100 000 person-years (95% confidence interval, 108.4-114.1). The cumulative prevalence was found to have increased from 318.8 cases per 100 000 persons in 2003 to 622.7 cases per 100 000 persons in 2008. Anterior uveitis was the most common location and accounted for 77.7% of all incident cases, which was followed by panuveitis, posterior uveitis, and intermediate uveitis. Multivariate regression analysis showed that males, the elderly, and individuals who lived in an urban area had higher incidence rates for uveitis. The epidemiology of uveitis in Taiwan differs from most previous studies in other countries. The incidence of uveitis in Taiwan has increased significantly recently. The elderly and individuals living in urban areas are the populations that are most commonly affected by uveitis. These findings are consistent with suggestions found in several recent studies. Copyright © 2012 American Academy of Ophthalmology. Published by Elsevier Inc. All rights

Motivators for physical activity among ambulatory nursing home older residents.

PubMed

Chen, Yuh-Min; Li, Yueh-Ping

2014-01-01

The purpose of this study was to explore self-identified motivators for regular physical activity among ambulatory nursing home older residents. A qualitative exploratory design was adopted. Purposive sampling was performed to recruit 18 older residents from two nursing homes in Taiwan. The interview transcripts were analyzed by qualitative content analysis. Five motivators of physical activity emerged from the result of analysis: eagerness for returning home, fear of becoming totally dependent, improving mood state, filling empty time, and previously cultivated habit. Research on physical activity from the perspectives of nursing home older residents has been limited. An empirically grounded understanding from this study could provide clues for promoting and supporting lifelong engagement in physical activity among older residents. The motivators reported in this study should be considered when designing physical activity programs. These motivators can be used to encourage, guide, and provide feedback to support older residents in maintaining physical activity.

[The medical autonomy of elderly in Taiwan].

PubMed

Chen, Kai-Li; Chen, Ching-Huey

2014-10-01

The elderly population is increasing rapidly in Taiwan. With the average life expectancy on the rise, the elderly have become major consumers of healthcare products and services. Factors that influence respect for autonomy, a core value of medical ethics, may be related to family, society, and the medical culture. Especially in patients who are already elderly, aging causes declines in physical, mental and societal capacities. Practicing a respect for patient autonomy is particularly challenging for healthcare professionals in Taiwan due the unique culture background of elderly Taiwanese patients. This article reviews and integrates the literature related to the issue of patient autonomy and elaborates on medical decision-making among elderly patients in Taiwan in the contexts of: the disadvantages faced by the elderly, the background of Chinese culture, and the current medical decision-making environment. A few suggestions are proposed to help preserve the medical-decision-making autonomy of elderly patients in Taiwan.

Student and resident perspectives on professionalism: beliefs, challenges, and suggested teaching strategies.

PubMed

Salinas-Miranda, Abraham A; Shaffer-Hudkins, Emily J; Bradley-Klug, Kathy L; Monroe, Alicia D H

2014-05-10

The purpose of this study was to investigate the views of medical students and residents regarding the practice of professionalism, their perceived challenges, and ideas for the development of a new curriculum in medical professionalism. Data were collected from four focus groups comprised of 27 residents and medical students recruited from the University of South Florida Morsani School of Medicine and Residency Programs between January and March 2012. A questioning protocol was used to guide the focus group discussion. Data were transcribed for thematic analysis. Learners expressed beliefs regarding key attributes of professional behaviors, factors perceived to be associated with lapses of professional behavior, skills that need to be taught, and strategies to teach professionalism from the learners' perspective. Learners perceived that the values of professionalism are often disconnected from the reality evidenced in clinical training due to a myriad of personal and contextual challenges. Residents and students need help in negotiating some of the challenges to medical professionalism that are encountered in clinical settings. We recommend a learner's centered model of curriculum development in medical professionalism that takes into consideration perceived challenges and strategies for modeling and reinforcing medical professionalism.

Effect of Floodplain Inundation on River Pollution in Taiwan's Strong Monsoonal Climate

NASA Astrophysics Data System (ADS)

Hester, E. T.; Lin, A. Y. C.

2017-12-01

River-floodplain interaction provides important benefits such as flood mitigation, provision of ecological habitat, and improved water quality. Human actions have historically reduced such interaction and associated benefits by diking, floodplain fill, and river regulation. In response, floodplain restoration has become popular in North America and Europe, but is less practiced in Asia. In Taiwan, unusually strong monsoons and steep terrain alter floodplain dynamics relative to elsewhere around the world, and provide a unique environment for floodplain management. We used numerical models of flow, transport, and reaction in river channels and floodplains to quantify the effect of river-floodplain interaction on water quality in Taiwan's strong monsoon and high topographic relief. We conducted sensitivity analyses of parameters such as river slope, monsoon severity, reservoir operation mode, degree of floodplain reconnection, contaminant reaction rate, and contaminant reaction type on floodplain connectivity and contaminant mitigation. We found significant differences in floodplain hydraulics and residence times in Taiwan's steep monsoonal environment relative to the shallower non-monsoonal environment typical of the eastern USA, with significant implications for water quality. For example, greater flashiness of floodplain inundation in Taiwan provides greater challenges for reconnecting sufficient floodplain volume to handle monsoonal runoff. Yet longer periods when floodplains are reliably dry means that such lands may have greater value for seasonal use such as parks or agriculture. The potential for floodplain restoration in Taiwan is thus significant, but qualitatively different than in the eastern USA.

Avian Hepatitis E Virus in Chickens, Taiwan, 2013

PubMed Central

Hsu, Ingrid W.-Y.

2014-01-01

A previously unidentified strain of avian hepatitis E virus (aHEV) is now endemic among chickens in Taiwan. Analysis showed that the virus is 81.5%–86.5% similar to other aHEVs. In Taiwan, aHEV infection has been reported in chickens without aHEV exposure, suggesting transmission from asymptomatic cases or repeated introduction through an unknown common source(s). PMID:24378180

An analysis of job satisfaction among physician assistants in Taiwan.

PubMed

Liu, Chi-Ming; Chien, Ching-Wen; Chou, Pesus; Liu, Jorn-Hon; Chen, Victor Tze-Kai; Wei, Jeng; Kuo, Ying-Yu; Lang, Hui-Chu

2005-07-01

The physician assistant (PA) is a relatively new medical specialty that developed to manage the shortage of resident physicians and to ensure that patients receive high-quality health care in today's increasingly complex and demanding medical environment. PAs in Taiwan are not governed by laws and regulations, and the absence of legislation to define their roles and responsibilities can lead to confusion in the work environment and potential communication barriers with coworkers and supervising physicians. The purpose of this exploratory study was to examine the environmental and sociodemographic factors that influence job satisfaction and job-related communication among PAs in Taiwan. The data source, a self-administered mail survey, was sent to 196 PAs working within medical facilities in northern, central, and southern Taiwan. The response rate to the survey was 71.01%. There was a strong correlation between communication satisfaction and job satisfaction among respondents. The PAs' overall position in the hospital, relationships with coworkers (doctors, nurses, and other medical staff), and ability to perform his or her duties while working with the supervising physician were the major environmental factors that influenced job and communication satisfaction. In addition, the number of working years and marital status were important demographic factors influencing job satisfaction. Demographic and environmental factors influencing job satisfaction are analyzed, and ways in which the roles and responsibilities of PAs can be clarified, strengthened, and improved are discussed in an overall effort to provide management strategies for the current PA system in Taiwan.

Field survey of dental manpower in Taiwan's hospitals.

PubMed

Cher, Tsang-Lie; Lai, Eddie Hsiang-Hua; Huang, Chiung-Shing; Lin, Chun-Pin

2012-06-01

In Taiwan, dental manpower in hospitals plays an important role in dental education other than clinical service. Questionnaires, as well as a field survey, were conducted to understand the situation of dental manpower in 2007 and 2008. During the period from 2007 to 2008, questionnaires about dental administration, clinical dental practice, dental education, dental manpower and dental facilities were mailed to the dental departments of 165 hospitals located around Taiwan; 134 completed the questionnaire and mailed it back. The field survey was also carried out by visiting hospitals, to collect and gather information at the local level. There were 102 hospitals within the 134 hospitals which accepted the field survey; the rate was 62.0%. In 2008, the number of dentists working in the hospitals was 1,421, which was approximately 13% of the number of total dentists in Taiwan (9672). Within the 1,421 dentists, 675 were attending staffs and 745 dentists were training residents. Within the 675 attending dentists, 510 (75.6%) had dental specialist certificates and 272 (40.3%) had teaching positions in dental schools. There were 382 dental interns (6(th) year undergraduate students) taking the training programs in hospitals, most of whom were trained in medical centers (342/382, 89.5%). Moreover, there were 888 dental assistants, 338 of whom were nurses and the other 550 were hospital self-trained personnel. Comparing the dental manpower of different types of hospitals in Taiwan, the medical center was the best, followed by the regional hospital and the district hospital was last. When comparing 2008 with 2002, the numbers of both dentists and auxiliary personnel in Taiwan's hospitals increased with years. Although there were still only 13% dentists working in the hospital, they were responsible for teaching young dentists and doing research in hospitals. In other words, the quality of clinical service, teaching, and research in hospitals would influence the development of

Acculturation and health-related quality of life among Vietnamese immigrant women in transnational marriages in Taiwan.

PubMed

Yang, Yung-Mei; Wang, Hsiu-Hung

2011-10-01

To examine associations between demographic variables, acculturation, and health-related quality of life among Vietnamese immigrant women in transnational marriages in Taiwan. A cross-sectional survey of 203 participants in southern Taiwan. Instruments included a demographic inventory, the Suinn-Lew Asian Self-Identity Acculturation Scale, and the Short Form Health Survey-Version 2. Most participants had low acculturation levels. Length of residency, number of children, marital status, level of education, religion of spouse, and employment status of spouse significantly correlated with level of acculturation, as did mental health, bodily pain, vitality, and social functioning. Programs are needed to encourage social assimilation for Vietnamese immigrant women in Taiwan. Culturally sensitive medical evaluations will ensure early treatment of mental and physical health problems caused by the stress of acculturation. An increased understanding of variables affecting Southeast Asian immigrant women's acculturation process will improve health status.

A model for the implementation of a two-shift municipal solid waste and recyclable material collection plan that offers greater convenience to residents.

PubMed

Lin, Hung-Yueh; Tsai, Zong-Pei; Chen, Guan-Hwa; Kao, Jehng-Jung

2011-01-01

Separating recyclables from municipal solid waste (MSW) before collection reduces not only the quantity of MSW that needs to be treated but also the depletion of resources. However, the participation of residents is essential for a successful recycling program, and the level of participation usually depends on the degree of convenience associated with accessing recycling collection points. The residential accessing convenience (RAC) of a collection plan is determined by the proximity of its collection points to all residents and its temporal flexibility in response to resident requirements. The degree of proximity to all residents is determined by using a coverage radius that represents the maximum distance residents need to travel to access a recycling point. The temporal flexibility is assessed by the availability of proximal recycling points at times suitable to the lifestyles of all residents concerned. In Taiwan, the MSW collection is implemented at fixed locations and at fixed times. Residents must deposit their garbage directly into the collection vehicle. To facilitate the assignment of collection vehicles and to encourage residents to thoroughly separate their recyclables, in Taiwan MSW and recyclable materials are usually collected at the same time by different vehicles. A heuristic procedure including an integer programming (IP) model and ant colony optimization (ACO) is explored in this study to determine an efficient two-shift collection plan that takes into account RAC factors. The IP model has been developed to determine convenient collection points in each shift on the basis of proximity, and then the ACO algorithm is applied to determine the most effective routing plan of each shift. With the use of a case study involving a city in Taiwan, this study has demonstrated that collection plans generated using the above procedure are superior to current collection plans on the basis of proximity and total collection distance.

Self-care management of sleep disturbances and risk factors for poor sleep among older residents of Taiwanese nursing homes.

PubMed

Tsai, Yun-Fang; Wong, Thomas Ks; Ku, Yan-Chiou

2008-05-01

To explore self-care management strategies for sleep disturbances and risk factors for poor sleep among older residents of nursing homes in Taiwan. With the deterioration of health that accompanies ageing, sleep quality becomes poorer, making it a significant issue in geriatric care. However, little is known about self-care strategies for management of sleep disturbances among elders worldwide. A cross-sectional design was used. Residents (n = 196) were recruited from nine nursing homes chosen by stratified sampling across Taiwan. The Pittsburgh Sleep Quality Index, a self-care management of sleep disturbance questionnaire and a demographic form were used to collect data. The prevalence of poor sleep in these older nursing home residents was 46.4%. Only 48.5% of participants used self-care strategies to manage sleep disturbances. The most frequently used strategy was 'take prescribed medicines'. Self-learning was the main information source for self-care strategies. Logistic regression analysis indicated that having no spouse and a low educational level significantly predicted poor sleep. This study revealed a high prevalence of poor sleep quality among older residents of nursing homes in Taiwan. Older residents' inability to get relief from sleep disturbances may have been because of their limited use of strategies to manage sleep disturbances. As health care providers play an important role in helping older people to manage sleep disturbances in nursing homes, it is crucial to train nursing home staff to perform sleep assessments and provide current knowledge about sleep disturbance management. It is also necessary to pay more attention to the sleep problems of elders without spouses and with little education.

Application of INCSEA principles to the Taiwan Strait.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wen-Chung, Chai

2003-06-01

The waters surrounding Taiwan are important international waterways. In addition to merchant ships of every nation, the warships of the United States, Japan, Russia, and China may appear in these waters. No hostility is expected between Taiwan and the United States, Japan, or Russia; however, Taiwan and China have a tense relationship, and both sides face a potential for naval incidents. As Taiwan and China expand their naval capability, the International Maritime Organization Convention for the lnternational Regulations for Preventing Collisions at Sea may not be sufficient to prevent naval incidents, any of which might develop into conflict or war.more » Therefore, China and Taiwan need to develop maritime confidence building measures (CBMs) that could reduce the chance of naval incidents and strengthen mutual trust and confidence. Among the variety of maritime CBM concepts for military purposes, the most successful and effective measure has been the 1972 U.S.-Soviet Union Agreement on the Prevention of Incidents On and Over the High Seas (INCSEA). The success of the agreement demonstrates that CBMs represent a workable alternative to traditional arms controls. The purpose of this paper is to suggest a concrete approach to the constraint of naval activities between China and Taiwan to reduce accidents and misunderstandings. This paper outlines the categories and characteristics of incidents at sea. Next, the author identifies the successful factors of the U.S.-Soviet INCSEA and applies the INCSEA concept to the Taiwan Strait. Finally, the author develops a framework of options and a step-by-step approach for establishing an INCSEA between Taiwan and China.« less

Differences in Spontaneous Intracerebral Hemorrhage Cases between Urban and Rural Regions of Taiwan: Big Data Analytics of Government Open Data

PubMed Central

Ting, Hsien-Wei; Chien, Ting-Ying; Lai, K. Robert; Wu, Kuan-Hsien; Chen, Jun-Min

2017-01-01

This study evaluated the differences in spontaneous intracerebral hemorrhage (sICH) between rural and urban areas of Taiwan with big data analysis. We used big data analytics and visualization tools to examine government open data, which included the residents’ health medical administrative data, economic status, educational status, and relevant information. The study subjects included sICH patients of Taipei region (29,741 cases) and Eastern Taiwan (4565 cases). The incidence of sICH per 100,000 population per year in Eastern Taiwan (71.3 cases) was significantly higher than that of the Taipei region (42.3 cases). The mean coverage area per hospital in Eastern Taiwan (452.4 km2) was significantly larger than the Taipei region (24 km2). The residents educational level in the Taipei region was significantly higher than that in Eastern Taiwan. The mean hospital length of stay in the Taipei region (17.9 days) was significantly greater than that in Eastern Taiwan (16.3 days) (p < 0.001). There were no significant differences in other medical profiles between two areas. Distance and educational barriers were two possible reasons for the higher incidence of sICH in the rural area of Eastern Taiwan. Further studies are necessary in order to understand these phenomena in greater depth. PMID:29232864

Sediment characteristics and provenance of the Taiwan Shoal in the southern Taiwan Strait

NASA Astrophysics Data System (ADS)

Koo, W. S.; Lin, A. T.; Kuo, L. W.; Lee, Y. H.

2016-12-01

The Taiwan Shoal in the southern Taiwan Strait exhibits a lobe-shaped shallow water area, with a depth less than around 40 m and an area approximately of 13,000 km2. The Shoal consists of relict sediments remnant from deltaic deposits during the last glacial period and associated with the paleo-Min River. We collected seafloor sediments in and around the Taiwan Shoal to study the sediment characteristics and provenance of the Shoal as well as Taiwanese river sediments to characterize sediment sourced from southern Taiwan. Our results help to understand possible sediment delivery pathways in a source-to-sink context from the southern Taiwan Strait to the northern South China Sea. The method of X-ray diffraction is used to identify mineral compositions for muds and mineral compositions are examined under polarized microscope for sands. Zircon grains are separated from heavy minerals for U-Pb dating in order to understand the sediment source terranes. Sediments of the Taiwan Shoal are mostly tawny-colored, medium to coarse-grained sands with abundant shell fragments and shallow-water benthic foraminifera. Sediments to the south of the Taiwan Shoal and in the outer shelf consist of dark brown-colored and fine-grained sands with rare shell fragments. Siliciclastic compositions of the Taiwan Shoal sediments are mostly quartz. The second abundant composition is rock fragments with more occurrences near the Chinese coastline and the Penghu archipelago. Slate fragments are found to occur near Taiwan, especially in the Penghu Channel area. Clay minerals from the Penghu Channels and south of the Taiwan Shoal are dominated by illite and chlorite with minor smectite and kaolinite. The sediment colors and mineral species are very different for the sediments of the Taiwan Shoal and outer shelf, revealing that these two areas featuring different oceanographic processes and sediment provenance.

Taiwan`s experience with municipal waste recycling

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lee, C.H.

1998-12-31

Currently, each person on the average produces 1.15 kg of the municipal waste per day and a total of 9 million metric tons were generated annually in Taiwan. The disposal of such a huge amount of waste presents tremendous challenge for the island due to the scarcity of landfills and incineration facilities available locally. EPA of Taiwan, R.O.C. thus takes an active role in promoting waste recycling to reduce the garbage produced in municipalities. In order to efficiently utilize the government`s human and financial resources used in recycling, started from January 31, 1989, EPA has mandated the producer responsibility recyclingmore » program for several designated post-consumer products such as PET, PVC bottles, scrap tires, scrap motor vehicles, etc. Producer responsibility recycling program specifies that the manufacturers, importers and sellers of these designated products have the responsibility to retrieve their products and recycle them properly. Several negative effects have been encountered while the implementation of this producer responsibility recycling program in Taiwan which resulted in a modification of this recycling program recently. This paper presents the encountered experiences on the implementation of municipal waste recycling program in Taiwan.« less

Growing concerns and controversies to Taiwan's National Health Insurance-what are the lessons from mainland China, South Korea and Singapore?

PubMed

Lee, Yen-Han; Ang, Ting Fang Alvin; Chiang, Timothy C; Kaplan, Warren A

2018-01-01

It has been over 20 years since Taiwan's implementation of its National Health Insurance (NHI) program. Under this program, the health insurance coverage rate has reached approximately 99% of the population. Despite guaranteeing the residents of Taiwan equal access regardless of socioeconomic status and background, critical problems and controversies persist, and they continue to challenge the NHI. We analyze the primary issues facing the NHI program with emphasis on financial and consumer behavioral aspects. Furthermore, we apply models from mainland China, South Korea and Singapore to discuss what Taiwan could learn from the systems employed by these countries to modify the NHI. Targeting the needs of the NHI, we have three policy recommendations: separating the NHI scheme into different target populations, strengthening the NHI referral system and regulating the access of overseas citizens to health services while in Taiwan. After two decades in existence, problems persist and there is a continuing need to improve Taiwan's NHI. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Taiwan Regulation of Biobanks.

PubMed

Fan, Chien-Te; Hung, Tzu-Hsun; Yeh, Chan-Kun

2015-01-01

This paper introduces legal framework and governance structure in relation to the management and development of biobanks in Taiwan. At first, we briefly describe Taiwan's population, political system and health care system. Secondly, this research introduces biobanking framework of Taiwan including 25 biobanks established with the approval of the Ministry of Health and Welfare. In those biobanks, "Taiwan Biobank" is the first and the largest government-supported biobank which comprises population-based cohort study and disease- oriented study. Since the collection of information, data, and biological specimen of biobanks often involve highly sensitive personal information, in the legal framework of Taiwan, there is a specific regulation, "Human Biobank Management Act" (HBMA), which plays an important role in regulating biobanks in Taiwan. HBMA, the Personal Information Act and other regulations constitute a comprehensive legal and regulatory privacy framework of biobanks. Through the introduction and analysis of the current legal framework applicable to biobanks, we found that there are several challenges that need to be solved appropriately that involve duplicate review systems, the obstacles in the international collaboration, and data sharing between biobanks in Taiwan. © 2015 American Society of Law, Medicine & Ethics, Inc.

Taiwan: Background Notes Series.

ERIC Educational Resources Information Center

Reams, Joanne Reppert

Concise background information on Taiwan is provided. The publication begins with a profile of Taiwan, discussing the people, geography, political establishment, and economy. A map of the country is provided. The bulk of the publication then provides more detailed information on Taiwan's people, geography, history, administration, political…

The 2017 Focused Update of the Guidelines of the Taiwan Society of Cardiology (TSOC) and the Taiwan Hypertension Society (THS) for the Management of Hypertension.

PubMed

Chiang, Chern-En; Wang, Tzung-Dau; Lin, Tsung-Hsien; Yeh, Hung-I; Liu, Ping-Yen; Cheng, Hao-Min; Chao, Ting-Hsing; Chen, Chen-Huan; Shyu, Kou-Gi; Ueng, Kwo-Chang; Chen, Chung-Yin; Chu, Pao-Hsien; Sung, Shih-Hsien; Wang, Kang-Ling; Li, Yi-Heng; Wang, Kuo-Yang; Chiang, Fu-Tien; Lai, Wen-Ter; Chen, Jyh-Hong; Chen, Wen-Jone; Yeh, San-Jou; Chen, Ming-Fong; Lin, Shing-Jong; Lin, Jiunn-Lee

2017-05-01

Hypertension (HT) is the most important risk factor for cardiovascular diseases. Over the past 25 years, the number of individuals with hypertension and the estimated associated deaths has increased substantially. There have been great debates in the past few years on the blood pressure (BP) targets. The 2013 European Society of Hypertension and European Society of Cardiology HT guidelines suggested a unified systolic BP target of 140 mmHg for both high-risk and low-risk patients. The 2014 Joint National Committee report further raised the systolic BP targets to 150 mmHg for those aged ≥ 60 years, including patients with stroke or coronary heart disease, and raised the systolic BP target to 140 mmHg for diabetes. Instead, the 2015 Hypertension Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society suggested more aggressive BP targets of < 130/80 mmHg for patients with diabetes, coronary heart disease, chronic kidney disease with proteinuria, and atrial fibrillation patients on antithrombotic therapy. Based on the main findings from the Systolic Blood Pressure Intervention Trial (SPRINT) and several recent meta-analyses, the HT committee members of the Taiwan Society of Cardiology and the Taiwan Hypertension Society convened and finalized the revised BP targets for management of HT. We suggested a new systolic BP target to < 120 mmHg for patients with coronary heart disease, chronic kidney disease with an eGFR of 20-60 ml/min/1.73 m 2 , and elderly patients aged ≥ 75 years, using unattended automated office BP measurement. When traditional office BP measurement is applied, we suggested BP target of < 140/90 mmHg for elderly patients with an age ≥ 75 years. Other BP targets with traditional office BP measurement remain unchanged. With these more aggressive BP targets, it is foreseeable that the cardiovascular events will decrease substantially in Taiwan.

Comparing and decomposing differences in preventive and hospital care: USA versus Taiwan.

PubMed

Hsiou, Tiffany R; Pylypchuk, Yuriy

2012-07-01

As the USA expands health insurance coverage, comparing utilization of healthcare services with countries like Taiwan that already have universal coverage can highlight problematic areas of each system. The universal coverage plan of Taiwan is the newest among developed countries, and it is known for readily providing access to care at low costs. However, Taiwan experiences problems on the supply side, such as inadequate compensation for providers, especially in the area of preventive care. We compare the use of preventive, hospital, and emergency care between the USA and Taiwan. The rate of preventive care use is much higher in the USA than in Taiwan, whereas the use of hospital and emergency care is about the same. Results of our decomposition analysis suggest that higher levels of education and income, along with inferior health status in the USA, are significant factors, each explaining between 7% and 15% of the gap in preventive care use. Our analysis suggests that, in addition to universal coverage, proper remuneration schemes, education levels, and cultural attitudes towards health care are important factors that influence the use of preventive care. Copyright © 2011 John Wiley & Sons, Ltd.

Are adults with intellectual disabilities socially excluded? An exploratory study in Taiwan.

PubMed

Wang, Y T

2013-10-01

The aim of this exploratory study is to examine to what extent adults with intellectual disabilities (ID) in Taiwan are socially excluded and to identify the factors that are potentially associated with such social exclusion. The research method of this study is secondary data analysis, using descriptive and χ2 statistical analysis. Two data sets, from the 2003 and 2006 surveys entitled 'Survey of Living Situation for People with Disabilities in Taiwan', were used (n = 572; n = 618). In addition, 'independent living/living within the community' (as opposed to residing in an institution), 'employment' and 'household economic situation/residing in a low-income household' were social exclusion indicators in this study. The results revealed that in the 2003 (2006) survey, 81.9% (79.6%) of the subjects fell into at least one category of social exclusion, 11.3% (12.3%) fell into two or more categories and 0.2% (1.1%) fell into all three categories. Moreover, older women with ID, with no spouse or partner, lower educational levels and greater severity of the disability had a significantly greater likelihood of being subjected to more categories of social exclusion. The finding that the proportion of adults with ID and no social exclusion has risen from 18.1% in 2003 to 20.4% in 2006 represents an encouraging trend. However, there has been a marked increase in the proportion of the subjects with more categories of social exclusion, particularly with regard to those who have to endure all three categories, from 0.2% in 2003, to 1.1% in 2006. This implies that, at the time of the last survey, there was still considerable room for improvement in the social inclusion of adults with ID in Taiwan. © 2012 The Author. Journal of Intellectual Disability Research © 2012 John Wiley & Sons Ltd, MENCAP & IASSID.

Lyssavirus in Japanese Pipistrelle, Taiwan.

PubMed

Hu, Shu-Chia; Hsu, Chao-Lung; Lee, Ming-Shiuh; Tu, Yang-Chang; Chang, Jen-Chieh; Wu, Chieh-Hao; Lee, Shu-Hwae; Ting, Lu-Jen; Tsai, Kwok-Rong; Cheng, Ming-Chu; Tu, Wen-Jane; Hsu, Wei-Cheng

2018-04-01

A putative new lyssavirus was found in 2 Japanese pipistrelles (Pipistrellus abramus) in Taiwan in 2016 and 2017. The concatenated coding regions of the virus showed 62.9%-75.1% nucleotide identities to the other 16 species of lyssavirus, suggesting that it may be representative of a new species of this virus.

Extracorporeal membrane oxygenation use, expenditure, and outcomes in taiwan from 2000 to 2010.

PubMed

Hsu, Chiao-Po; Lee, Wui-Chiang; Wei, Hsiu-Mei; Sung, Shih-Hsien; Huang, Chun-Yang; Shih, Chun-Che; Lu, Tse-Min

2015-01-01

No study to date has systematically examined use, expenditure, and outcomes associated with extracorporeal membrane oxygenation (ECMO) use in Taiwan. The aim of this study was to examine ECMO use, expenditure, and outcomes during an 11-year period in Taiwan. Claims data were collected from the Taiwan National Health Insurance Research Database for patients who received ≥1 ECMO treatment between January 2000 and December 2010. Measurements included demographics, indications for ECMO use, length of hospital stay, outcome, and expenditure. A total of 3969 patients received ECMO during the study period (median age: 54.6 years). The number of patients receiving ECMO increased from 52 in 2000 to 1045 in 2010. The major indication for ECMO was cardiovascular disease (68.7%), followed by respiratory disease (17.9%). Median length of hospital stay was 13 days in 2000 and 17 days in 2010. Median expenditure (New Taiwan dollars) was $604 317 in 2000 and $673 888 in 2010. Some variables significantly differed by age, sex, hospital setting, calendar year, and indication for ECMO, and were associated with in-hospital and after-discharge mortality. ECMO use has increased dramatically in Taiwan over the last decade. The high mortality rate of ECMO users suggested that ECMO may be being used in Taiwan for situations in which it provides no added benefit. This situation may be a reflection of the current reimbursement criteria for National Health Insurance in Taiwan. Refinement of the indications for use of ECMO is suggested.

Evolution of hepatitis A virus seroprevalence among HIV-positive adults in Taiwan.

PubMed

Lee, Yu-Lin; Lin, Kuan-Yin; Cheng, Chien-Yu; Li, Chia-Wen; Yang, Chia-Jui; Tsai, Mao-Song; Tang, Hung-Jen; Lin, Te-Yu; Wang, Ning-Chi; Lee, Yi-Chien; Lin, Shih-Ping; Huang, Yu-Shan; Sun, Hsin-Yun; Zhang, Jun-Yu; Ko, Wen-Chien; Cheng, Shu-Hsing; Lee, Yuan-Ti; Liu, Chun-Eng; Hung, Chien-Ching

2017-01-01

The study aimed to describe the seroprevalence of hepatitis A virus (HAV) in HIV-positive adult patients in Taiwan between 2012 and 2016 and to examine the evolution of HAV seroprevalence between 2004-2007 and 2012-2016. Clinical information and data of anti-HAV antibody results were collected from 2,860 antiretroviral-naïve HIV-positive Taiwanese aged 18 years or older who initiated combination antiretroviral therapy at 11 hospitals around Taiwan between 2012 and 2016 (2012-2016 cohort). A multivariate logistic regression model was applied to identify independent variables associated with HAV seropositivity. Comparisons of HAV seroprevalences and associated clinical characteristics were made between this 2012-2016 cohort and a previous cohort of 1580 HIV-positive patients in 2004-2007 (2004-2007 cohort). Of the 2,860 HIV-positive patients between 2012 and 2016, the overall HAV seropositivity rate was 21.2% (605/2860), which was independently associated with an older age (adjusted odds ratio [AOR], per 1-year increase, 1.13; 95% confidence interval [95% CI], 1.11-1.15) and co-infection with hepatitis B virus (AOR 1.44; 95% CI, 1.08-1.93). Residence in southern Taiwan (AOR 0.49; 95% CI, 0.34-0.72) was inversely associated with HAV seropositivity. The overall HAV seroprevalence in the 2012-2016 cohort was significantly lower than that in the 2004-2007 cohort (21.2% vs 60.9%, p<0.01). The decreases of HAV seropositivity rate were observed in nearly every age-matched group, which suggested the cohort effect on HAV seroepidemiology. However, among individuals aged 25 years or younger, the HAV seropositivity rate increased from 3.8% (2/52) in the 2004-2007 cohort to 8.5% (50/587) in the 2012-2016 cohort, with 95.4% (560/587) being MSM in this age group of the latter cohort. HAV seroprevalence has decreased with time among HIV-positive adults in Taiwan. The cohort effect has increased the number of young HIV-positive patients that are susceptible to HAV infection in a

Evolution of hepatitis A virus seroprevalence among HIV-positive adults in Taiwan

PubMed Central

Lin, Kuan-Yin; Cheng, Chien-Yu; Li, Chia-Wen; Yang, Chia-Jui; Tsai, Mao-Song; Tang, Hung-Jen; Lin, Te-Yu; Wang, Ning-Chi; Lee, Yi-Chien; Lin, Shih-Ping; Huang, Yu-Shan; Sun, Hsin-Yun; Zhang, Jun-Yu; Ko, Wen-Chien; Cheng, Shu-Hsing; Lee, Yuan-Ti; Hung, Chien-Ching

2017-01-01

Objectives The study aimed to describe the seroprevalence of hepatitis A virus (HAV) in HIV-positive adult patients in Taiwan between 2012 and 2016 and to examine the evolution of HAV seroprevalence between 2004–2007 and 2012–2016. Methods Clinical information and data of anti-HAV antibody results were collected from 2,860 antiretroviral-naïve HIV-positive Taiwanese aged 18 years or older who initiated combination antiretroviral therapy at 11 hospitals around Taiwan between 2012 and 2016 (2012–2016 cohort). A multivariate logistic regression model was applied to identify independent variables associated with HAV seropositivity. Comparisons of HAV seroprevalences and associated clinical characteristics were made between this 2012–2016 cohort and a previous cohort of 1580 HIV-positive patients in 2004–2007 (2004–2007 cohort). Results Of the 2,860 HIV-positive patients between 2012 and 2016, the overall HAV seropositivity rate was 21.2% (605/2860), which was independently associated with an older age (adjusted odds ratio [AOR], per 1-year increase, 1.13; 95% confidence interval [95% CI], 1.11–1.15) and co-infection with hepatitis B virus (AOR 1.44; 95% CI, 1.08–1.93). Residence in southern Taiwan (AOR 0.49; 95% CI, 0.34–0.72) was inversely associated with HAV seropositivity. The overall HAV seroprevalence in the 2012–2016 cohort was significantly lower than that in the 2004–2007 cohort (21.2% vs 60.9%, p<0.01). The decreases of HAV seropositivity rate were observed in nearly every age-matched group, which suggested the cohort effect on HAV seroepidemiology. However, among individuals aged 25 years or younger, the HAV seropositivity rate increased from 3.8% (2/52) in the 2004–2007 cohort to 8.5% (50/587) in the 2012–2016 cohort, with 95.4% (560/587) being MSM in this age group of the latter cohort. Conclusions HAV seroprevalence has decreased with time among HIV-positive adults in Taiwan. The cohort effect has increased the number of young

Taiwan Biobank: a project aiming to aid Taiwan's transition into a biomedical island.

PubMed

Fan, Chien-Te; Lin, Jui-Chu; Lee, Chung-His

2008-02-01

Essentially, the term 'biobank' can be defined in different ways. Taking the UK Biobank's experience as the main example, the Taiwan Biobank aims to collect the DNA of a large group of people on the population base and track their health and lifestyle for at least 10 years. It is hoped that the information collected, regarding the mechanisms underlying how genes and environmental factors interact with each other to make us ill, will benefit the society in various ways, including the exploration of a new generation of treatments, support to preventive medicine discovery and also the possible benefits for the promotion of evolving public health-related industries in Taiwan. However, the involvement of large-scale population base gene data collection also triggered serious ethical, legal and social issues. In Taiwan, the challenge is even more serious than for any other biobanking experiences that have occurred previously. Among all the ethical, legal and social issues, the convergence of aboriginal people protection provided under Taiwan's Constitution imposes on the research team an obligation to create an innovative Ethical & Legal Governance Framework adaptable to the unique social background of Taiwan, including a workable public consultation/communication mechanism. In early 2005, the creation of the 'Taiwan Biobank' has been included as a part of Taiwan's strategic development in promoting the country as an island of biomedicine. In this report, the ideology, the goals and special features, government strategy, visions and, in particular, the ethical, legal and social issue planning of the Taiwan Biobank will be briefly introduced and reviewed.

Lyssavirus in Japanese Pipistrelle, Taiwan

PubMed Central

Hu, Shu-Chia; Hsu, Chao-Lung; Lee, Ming-Shiuh; Tu, Yang-Chang; Chang, Jen-Chieh; Wu, Chieh-Hao; Lee, Shu-Hwae; Ting, Lu-Jen; Tsai, Kwok-Rong; Cheng, Ming-Chu; Tu, Wen-Jane

2018-01-01

A putative new lyssavirus was found in 2 Japanese pipistrelles (Pipistrellus abramus) in Taiwan in 2016 and 2017. The concatenated coding regions of the virus showed 62.9%–75.1% nucleotide identities to the other 16 species of lyssavirus, suggesting that it may be representative of a new species of this virus. PMID:29553328

A material flow of lithium batteries in Taiwan.

PubMed

Chang, T C; You, S J; Yu, B S; Yao, K F

2009-04-30

Li batteries, including secondary and cylindrical/button primary Li batteries, are used worldwide in computers, communications and consumer electronics products. However, there are several dangerous issues that occur during the manufacture, shipping, and storage of Li batteries. This study analyzes the material flow of lithium batteries and their valuable heavy metals in Taiwan for the year 2006 by material flow analysis. According to data from the Taiwan Environmental Protection Administration, Taiwan External Trade Development Council, Bureau of Foreign Trade, Directorate General of Customs, and the Li batteries manufactures/importers/exporters. It was found that 2,952,696 kg of Li batteries was input into Taiwan for the year 2006, including 2,256,501 kg of imported Li batteries and 696,195 kg of stock Li batteries in 2005. In addition, 1,113,867 and 572,215 kg of Li batteries was domestically produced and sold abroad, revealing that 3,494,348 kg of different types of Li batteries was sold in Taiwan. Of these domestically sold batteries, 504,663 and 146,557 kg were treated domestically and abroad. Thus, a total of 2,843,128 kg of Li batteries was stored by individual/industry users or illegally disposed. In addition, it was also observed that 2,120,682 kg of heavy metals contained in Li batteries, including Ni, Co, Al, Cu and Ni, was accumulated in Taiwan, with a recycled value of 38.8 million USD. These results suggest that these heavy metals should be recovered by suitable collection, recycling and reuse procedures.

A case study on the influences of long-range transport to Taiwan`s acid deposition using Taiwan air quality model

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ken-Hui Chang; Fu-Tien Jeng

1996-12-31

The long-range and transboundary transport of precursors of add deposition in East Asia became important due to the industrial development around this area. We started to develop Taiwan Air Quality Model (TAQM) system since 1992, which is based on regional Acid Deposition Model (RADM) system. A typical episode in Mei-Yu season has been selected to study. A case considering all emissions within simulated domain has been run as a reference case, and another perturbed case, not including Taiwan`s emission, has been also run for analyzing quantitatively the influence of long-range transport to Taiwan`s wet deposition during the episode are 31%more » and 24% for total sulfur compounds and total nitrogen compounds respectively; but for dry deposition, only 6% is contributed by long range transport for sulfur compounds and 29% for total nitrogen compounds. Therefore, the percentages of total acid deposition contributed by long-range transport are 27% and 25% for total sulfur compounds and total nitrogen compounds, respectively.« less

Cultural dimensions of risk perceptions: A case study on cross-strait driftage pollution in a coastal area of Taiwan.

PubMed

Chiang, Yi-Chang; Chang, Han-Pi

2018-01-15

Constant exploitations of the ocean render numerous present challenges as the ocean is linked to human development. The study focused on cross-strait driftage pollution that poses a great threat to coastal environment under climate change. Several hundred packs of herbicides drifting across the Taiwan Strait were discovered along the coastline of Guanyin District of Taiwan. We compared risk perceptions of the local ethnic groups, Hakka and Fulao, residing in a coastal area of Taiwan and exposed to the herbicide coastal incident under climate change. It is of concern that society's response to every dimension of global climate change is mediated by culture. The Driver-Pressure-State-Impact-Response (DPSIR) cause-effect framework was applied in semi-structured interviews to explore coastal sensitivity and human adaptability. As a result, we indicated that despite the presence of two ethnic groups in the same place exposed to the incident they presented very different risk perceptions on both environmental degradation (ED) and adaptive capacity (AC) due to cultural values. We argued that the herbicide coastal incident involved people's risk perceptions and subsequently influenced their opinions and attitudes towards environmental problems. We concluded that the ethnic trait contributed to adaptive behaviors during environmental change. Culturally appropriate adaptations appeared to enhance risk perceptions and adaptation actions, suggesting a need for more rigorous cultural adaptation guidelines towards climate resilience when designing adaptation interventions for different ethnic groups. Copyright © 2017 Elsevier Ltd. All rights reserved.

Extracorporeal Membrane Oxygenation Use, Expenditure, and Outcomes in Taiwan From 2000 to 2010

PubMed Central

Hsu, Chiao-Po; Lee, Wui-Chiang; Wei, Hsiu-Mei; Sung, Shih-Hsien; Huang, Chun-Yang; Shih, Chun-Che; Lu, Tse-Min

2015-01-01

Background No study to date has systematically examined use, expenditure, and outcomes associated with extracorporeal membrane oxygenation (ECMO) use in Taiwan. The aim of this study was to examine ECMO use, expenditure, and outcomes during an 11-year period in Taiwan. Methods Claims data were collected from the Taiwan National Health Insurance Research Database for patients who received ≥1 ECMO treatment between January 2000 and December 2010. Measurements included demographics, indications for ECMO use, length of hospital stay, outcome, and expenditure. Results A total of 3969 patients received ECMO during the study period (median age: 54.6 years). The number of patients receiving ECMO increased from 52 in 2000 to 1045 in 2010. The major indication for ECMO was cardiovascular disease (68.7%), followed by respiratory disease (17.9%). Median length of hospital stay was 13 days in 2000 and 17 days in 2010. Median expenditure (New Taiwan dollars) was $604 317 in 2000 and $673 888 in 2010. Some variables significantly differed by age, sex, hospital setting, calendar year, and indication for ECMO, and were associated with in-hospital and after-discharge mortality. Conclusions ECMO use has increased dramatically in Taiwan over the last decade. The high mortality rate of ECMO users suggested that ECMO may be being used in Taiwan for situations in which it provides no added benefit. This situation may be a reflection of the current reimbursement criteria for National Health Insurance in Taiwan. Refinement of the indications for use of ECMO is suggested. PMID:25797598

Taiwan-U.S. Relations: Recent Developments and Their Policy Implications

DTIC Science & Technology

2008-10-03

Olympics (August) and the Paralympic Games (September). For instance, while appearing more conciliatory in a reported letter to U.N. Secretary-General... Games . A 1989 agreement stipulated that Taiwan be called “Zhonghua Taipei” — or “Chinese Taipei,” a term suggesting a more ambiguous Chinese...would use to refer to Taiwan during the 2008 Olympic Games .22 Taiwan’s Ministry of National Defense also has said that acquiring submarines — a move

[The parenting practices of transnational marriage mothers in Taiwan].

PubMed

Chuang, Li-Yu; Shu, Bih-Ching; Huang, Chiung-Chen

2013-02-01

Childhood experience is a cornerstone of personality development. A child's cognitive function, self-concept, and behavioral development relate significantly to parental attitudes as well as to the way they were treated during childhood. The literature suggests a significant association between parenting practices and the mental health of the parents, temperament of the child, and socio-cultural factors. Raising children is typically central to the life of transnational marriage women living in Taiwan. They view parenting children as a life transforming experience. However, they must invest more effort than local mothers to survive in Taiwan. Thus, it is worth investigating the parenting practices of this significant subset of Taiwan's population. This paper applied parenting concepts to describe the condition and possible problems of immigrant women in parenting children. Based on study results, we summarize transnational marriage and its impact on parenting practices. The authors hope this paper provides information useful to identifying parenting difficulties faced by immigrant mothers so that healthcare professionals can provide relevant information and assistance to improve overall parenting practices and benefit the development of Taiwan's youngest generation.

Carer Reports of Health Status among Adults with Intellectual/Developmental Disabilities in Taiwan Living at Home and in Institutions

ERIC Educational Resources Information Center

Wang, K.-Y.; Hsieh, K.; Heller, T.; Davidson, P. W.; Janicki, M. P.

2007-01-01

Background: The aim of the present study was to assess the health status of a cohort of adults with intellectual/developmental disabilities (I/DD) residing in family homes or institutions in Taiwan and to examine whether morbidity varied with age, sex, existing diagnosis [Down syndrome (DS), seizures, cerebral palsy (CP), intellectual disability…

Factors Related to Parenting Practices in Taiwan.

ERIC Educational Resources Information Center

Chen, Fu-Mei; Luster Tom

2002-01-01

This study examined factors related to authoritarian and authoritative parenting practices among 463 Chinese mothers with preschoolers in Taiwan. Questionnaire findings suggested that maternal depression, child temperament, and degree of parenting daily hassles might have cross-culturally universal influence on parenting practices. Chinese…

The Moho discontinuity beneath Taiwan orogenic zone inferred from receiver function analysis

NASA Astrophysics Data System (ADS)

Chang, H.; Chen, C.; Liang, W.

2013-12-01

We determine the depth variations of the Moho discontinuity beneath Taiwan from receiver function analysis. Taiwan is a young (~6.5 Ma) orogenic zone as a consequence of oblique collision between the Philippine Sea Plate and the Eurasian Plate. In northeastern Taiwan, the Philippine Sea Plate subducts northwestward under the Eurasian Plate along the Ryukyu Trench; in southern Taiwan, the Eurasian Plate subducts eastward beneath the Philippine Sea Plate along the Manila Trench. Recent tomographic models of Taiwan reveal P-wave velocity variations of the lithospheric structure that provide important constraints on the orogenic processes in this region. However, the depth variations of the Moho discontinuity, a key observation for better understanding crustal deformation, remain elusive. In this study, we aim to delineate the Moho depth variations by analyzing seismic converted phases indicative of the presence of discontinuity structure. We analyze waveform data from teleseismic events recorded at the Broadband Array in Taiwan for Seismology (BATS). Preliminary results of receiver functions beneath BATS stations in eastern Taiwan show that more than one converted phase (P-to-S) are likely present in crustal depths, suggesting possible multiple crustal layering, which may complicate the detection of the Moho. We further carry out synthetic experiments to explore possible crustal structures that reconcile our observations.

The resting sites and blood-meal sources of Anopheles minimus in Taiwan.

PubMed

Chang, Mei-Chun; Teng, Hwa-Jen; Chen, Chen-Fu; Chen, Yung-Chen; Jeng, Chian-Ren

2008-06-09

The WHO declared Taiwan free from malaria in 1965, but in 2003 the reporting of two introduced cases in a rural area suggested a possible local transmission of this disease. Therefore, understanding the resting sites and the blood sources of Anopheles minimus is crucial in order to provide information for implementing vector control strategies. During a two-year survey, mosquitoes were collected in houses and their surrounding areas and at the bank of larval habitats by backpack aspirators in 17 villages in rural areas of southern and eastern Taiwan for 1 hr. On the same day, blacklight traps were hung downward overnight. Blood-fed mosquito samples were analysed by PCR. Of the 195 total households surveyed by backpack aspirators, no Anopheles adults were collected inside the houses, while a single Anopheles minimus and a single Anopheles maculatus were collected outside of the houses. On the same day, 23 An. minimus, two An. maculatus, two Anopheles ludlowae, two Anopheles sinensis, and one Anopheles tessellatus were collected along the bank of larval habitats. In blacklight traps hung outside of the houses in the villages, 69 An. minimus, 62 An. ludlowae, 31 An. sinensis, and 19 An. maculatus were collected. In larval habitats, 98 An. ludlowae, 64 An. minimus, 49 An. sinensis, and 14 An. maculatus were collected. Of a total of 10 blood-fed samples, An. minimus fed on four animals including bovine (60%), dogs (20%), pig (10%), and non-chicken avian (10%). Anopheles minimus, an opportunist feeder in Taiwan, was not collected inside the houses, but was found outside of the houses in villages and surrounding larval habitats. Therefore, an outdoor transmission of malaria is likely to occur and, thus, the bed nets, which are favoured for controlling the late biting of An. minimus, should be a very efficient and effective method for those local residents who sleep outdoors. Additionally, space spray of insecticides for Anopheles at night, as well as residual spray inside

The resting sites and blood-meal sources of Anopheles minimus in Taiwan

PubMed Central

Chang, Mei-Chun; Teng, Hwa-Jen; Chen, Chen-Fu; Chen, Yung-Chen; Jeng, Chian-Ren

2008-01-01

Background The WHO declared Taiwan free from malaria in 1965, but in 2003 the reporting of two introduced cases in a rural area suggested a possible local transmission of this disease. Therefore, understanding the resting sites and the blood sources of Anopheles minimus is crucial in order to provide information for implementing vector control strategies. Methods During a two-year survey, mosquitoes were collected in houses and their surrounding areas and at the bank of larval habitats by backpack aspirators in 17 villages in rural areas of southern and eastern Taiwan for 1 hr. On the same day, blacklight traps were hung downward overnight. Blood-fed mosquito samples were analysed by PCR. Results Of the 195 total households surveyed by backpack aspirators, no Anopheles adults were collected inside the houses, while a single Anopheles minimus and a single Anopheles maculatus were collected outside of the houses. On the same day, 23 An. minimus, two An. maculatus, two Anopheles ludlowae, two Anopheles sinensis, and one Anopheles tessellatus were collected along the bank of larval habitats. In blacklight traps hung outside of the houses in the villages, 69 An. minimus, 62 An. ludlowae, 31 An. sinensis, and 19 An. maculatus were collected. In larval habitats, 98 An. ludlowae, 64 An. minimus, 49 An. sinensis, and 14 An. maculatus were collected. Of a total of 10 blood-fed samples, An. minimus fed on four animals including bovine (60%), dogs (20%), pig (10%), and non-chicken avian (10%). Conclusion Anopheles minimus, an opportunist feeder in Taiwan, was not collected inside the houses, but was found outside of the houses in villages and surrounding larval habitats. Therefore, an outdoor transmission of malaria is likely to occur and, thus, the bed nets, which are favoured for controlling the late biting of An. minimus, should be a very efficient and effective method for those local residents who sleep outdoors. Additionally, space spray of insecticides for Anopheles at

High Prevalence of Rickettsia spp. Infections in Small Mammals in Taiwan

PubMed Central

Kuo, Chi-Chien; Shu, Pei-Yun; Mu, Jung-Jung

2015-01-01

Abstract Surveillance for Rickettsia spp. is urgently needed due to the recent emergence of many novel rickettsioses around the globe, but previous studies in Taiwan have been limited to small areas and no investigation of infections in vertebrate hosts has ever been attempted. We surveyed rickettsial infections systematically in small-mammal hosts trapped between 2006 and 2010 throughout Taiwan. Fragments of ompB and gltA genes in the liver, spleen, and kidney of mammals were targeted by nested polymerase chain reaction. We trapped 1375 individuals of 10 species, among which Rattus losea was the most common (54.6%), followed by Suncus murinus (20.6%) and Mus caroli (10.6%). The overall rate of Rickettsia infections in the liver, spleen, or kidney of 309 assayed small mammals was 60.5%, with a rate of infection ≥50% for each mammal species. DNA nucleotide sequences of 184 successfully sequenced genes were most similar to nine Rickettsia species: Rickettsia conorii, R. felis, R. japonica, R. raoultii, R. rickettsii, Rickettsia sp. IG-1, Rickettsia sp. TwKM01, Rickettsia sp. TwKM02, and R. typhi. Our results suggest that several novel Rickettsia spp. are common and widespread across various habitats throughout Taiwan and suggest the need for further study of emerging rickettsioses in Taiwan. PMID:25629776

New Lithospheric Model of Taiwan based on the Receiver Function Method

NASA Astrophysics Data System (ADS)

Wang, H.; Zhu, L.; Chen, H.

2008-12-01

Taiwan is situated on the junction area between two subduction systems. The complex orogeny was developed by collision between the Eurasian continental plate and Philippine Sea plate and is still active in the present. Therefore, Taiwan provides unique opportunities for geophysical imaging of the ongoing process underneath. The TAiwan Integrated GEodynamics Research (TAIGER) combined a field program of active and passive seismology, which will undoubtedly be a major step forward in understanding mountain building process. In 2006, we developed a new crustal model of Taiwan from teleseismic waveforms by the receiver function method. We determined lateral variation of Moho discontinuity, crustal thickness (H), and Vp/Vs ratios (Kappa) for each permanent broadband station using all the available teleseismic data collected by BATS (Broadband Array in Taiwan for Seismology) and CWB (Central Weather Bureau). All the broadband stations are distributed uniformly over the whole Taiwan area so that we could delineate the Moho depth contour map. Recently, we concentrated on the three linear temporary arrays of the TAIGER project and obtained three high-resolution images of crustal structure across Taiwan along west-to-east direction from north to south by using the CCP (common-conversion-point) stacking of teleseismic P-to-S converted waves. Sharp impedance contrasts in these images clearly show the relief of each of seismic discontinuities in the crust and upper mantle. The preliminary results show that the Moho depth, 40 to 50 km of central Taiwan is deeper than in other parts of the island, which suggests crustal thickening due to collision. In addition, shallow part of western foothill area show highly acoustic impedance which probably results from thick sediment.

Childlessness patterns in Taiwan.

PubMed

Poston Dl

1988-06-01

Taiwan is a newly developed and industrialized area, and along with Korea, Brazil, Argentina, and a few other countries, belongs in a special class of recently industrialized areas. Taiwan has been undergoing large-scale modernization since the 1950s when the Nationalist government 1st began to implement land reform programs and today is 1 of the showcase of newly developed areas of the world. Demographic transition theory shows that fertility is negatively associated with modernization. During the past 3 decades, fertility in Taiwan has followed this pattern in a dramatic manner. Studies of childlessness conducted in Western countries have shown also that as the modernizing influences continue, fertility declines, and childlessness increases as it becomes more and more voluntary. Subregions with the highest levels of modernization and the lowest fertility rates should therefore be characterized by the highest levels of childlessness, particularly among younger women, and vice versa. Given the levels of socioeconomic and demographic development in Taiwan and its subregions circa 1980, as well as its variability among the hsiens and major cities, the author would expect to find higher levels of childlessness in the more developed localities, and lower levels in the less developed subregions. This hypothesis is tested with data from the 1980 Census of Population and Housing: General Report, Taiwan--Fukien Area (Republic of China, 1982) and the 1980 Taiwan--Fukien Demographic Fact Book (Republic of China, 1980).

Three depositional states and sedimentary processes of the western Taiwan foreland basin system

NASA Astrophysics Data System (ADS)

Lin, Yi-Jung; Wu, Pei-Jen; Yu, Ho-Shing

2010-05-01

The western Taiwan foreland basin formed during the Early Pliocene as the flexural response to the loading of Taiwan orogen on the Eurasian plate. What makes Taiwan interesting is the oblique collision, which allows the foreland basin to be seen at different stages in its evolution at the present day. Due to oblique arc-continent collision from north to south, the western Taiwan foreland basin has evolved into three distinct subbasins: an over-filled basin proximal to the Taiwan orogen, mainly distributed in the Western Foothills and Coastal Plain provinces, a filled basin occupying the shallow Taiwan Strait continental shelf west of the Taiwan orogen and an under-filled basin distal to the Taiwan orogen in the deep marine Kaoping Slope offshore southwest Taiwan, respectively. The over-filled depositional phase is dominated by fluvial environments across the structurally controlled piggy-back basins. The filled depositional state in the Taiwan Strait is characterized by shallow marine environments and is filled by Pliocene-Quaternary sediments up to 4,000 m thick derived from the Taiwan orogen with an asymmetrical and wedge-shaped cross section. The under-filled depositional state is characteristic of deep marine environments in the wedge-top basins accompanied by active structures of thrust faults and mud diapers. Sediments derived from the Taiwan orogen have progressively filled the western Taiwan foreland basin across and along the orogen. Sediment dispersal model suggests that orogenic sediments derived from oblique dischronous collisional highlands are transported in two different ways. Transport of fluvial and shallow marine sediments is perpendicular to hill-slope and across-strike in the fluvial and shallow marine environments proximal to the orogen. Fine-grained sediments mainly longitudinally transported into the deep marine environments distal to the orogen. The present sedimentary processes in the over-filled basin on land are dominated by fluvial

HIV/HCV Coinfection in Taiwan.

PubMed

Hsu, Ching-Sheng; Kao, Jia-Horng

2016-01-01

Both human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infection are important global public health problems with shared transmission routes. Although HIV/HCV coinfection is not uncommon, the prevalence rates vary significantly across different studies and regions. In Taiwan, injection drug users have become the major contributors to the HIV/AIDS epidemic since 2005. Because the prevalence of HCV infection is high in injection drug users, this HIV epidemic is also associated with a significant increase of HIV/HCV coinfection in Taiwan. To control Taiwan's HIV epidemic, Taiwan Centers for Disease Control (CDC) launched a harm-reduction program in 2006. The HIV epidemic, the percentage attributed to injection drug users, and the prevalence of HIV/HCV coinfection gradually declined thereafter. In this article, we aimed to thoroughly examine the current literatures of HIV/HCV coinfection in Taiwan and hope to provide a better understanding of the needs for the management of this coinfection. We conducted a narrative review and searched for literature from PubMed, Ovid MEDLINE, and the Cochrane Library database untill August 2015. Studies relevant to the epidemiology and associated risk factors of HIV/HCV coinfection in Taiwan were examined and discussed.

Attitudes to climate change, perceptions of disaster risk, and mitigation and adaptation behavior in Yunlin County, Taiwan.

PubMed

Lee, Yung-Jaan; Tung, Chuan-Ming; Lin, Shih-Chien

2018-02-08

Issues that are associated with climate change have global importance. Most related studies take a national or regional perspective on the impact of climate change. Taiwan is constrained by its geographical conditions, which increase its vulnerability to climate change, especially in its western coastal areas. The county that is most affected by climate change is Yunlin. In 2013-2014, projects that were sponsored by Taiwan's government analyzed the relationship among synthesized vulnerability, ecological footprint (EF) and adaptation to climate change and proposed 15 categories of synthesized vulnerability and EF values. This study further examines the relationship between vulnerability and EF values and examines how residents of four townships-Linnei, Sihu, Mailiao, and Huwei-cope with the effects of climate change. This study investigates whether the residents of the four townships vary in their attitudes to climate change, their perceptions of disaster risk, and their behavioral intentions with respect to coping with climate change. The structural equation model (SEM) is used to examine the relationships among attitudes to climate change, perceptions of disaster risk, and the behavioral intentions of residents in townships with various vulnerabilities to climate change. The results that are obtained using the SEM reveal that climate change mitigation/adaptation behavior is affected by attitudes to climate change and perceptions of disaster risk. However, the effects of attitudes and perceptions on mitigation and adaptation that are mediated by place attachment are not statistically significant.

Spatial distribution of non volcanic tremors offshore eastern Taiwan

NASA Astrophysics Data System (ADS)

Xie, X. S.; Lin, J. Y.; Hsu, S. K.; Lee, C. H.; Liang, C. W.

2012-04-01

Non-volcanic tremor (NVT), originally identified in the subduction zone of the southwest Japan, have been well studied in the circum-Pacific subduction zones and the transform plate boundary in California. Most studies related NVT to the release of fluids, while some others associated them with slow-slip events, and can be triggered instantaneously by the surface waves of teleseismic events. Taiwan is located at a complex intersection of the Philippines Sea Plate and the Eurasian Plate. East of Taiwan, the Philippine Sea plate subducts northward beneath the Ryukyu arc. The major part of the island results from the strong convergence between the two plates and the convergent boundary is along the Longitudinal Valley. Moreover, an active strike-slip fault along the Taitung Canyon was reported in the offshore eastern Taiwan. In such complicate tectonic environments, NVT behavior could probably bring us more information about the interaction of all the geological components in the area. In this study, we analyze the seismic signals recorded by the Ocean bottom Seismometer (OBS) deployed offshore eastern Taiwan in September 2009. TAMS (Tremor Active Monitor System) software was used to detect the presence of NVT. 200 tremor-like signals were obtained from the 3 weeks recording period. We use the SSA (Source-Scanning Algorithm) to map the possible distribution of the tremor. In total, 180 tremors were located around the eastern offshore Taiwan. The tremors are mainly distributed in two source areas: one is along the Taitung Canyon, and the other is sub-parallel to the Ryukyu Trench, probably along the plate interface. Many tremors are located at depth shallower than 5 km, which suggests a possible existence of a weak basal detachment along the sea bottom. Other tremors with larger depth may be related to the dehydration of the subducting sea plate as suggested by the former studies. Limited by the short recording period of the OBS experiment, we could not obtain any

Comparative Study on the Education System of Traditional Medicine in China, Japan, Korea, and Taiwan.

PubMed

Park, Yu Lee; Huang, Ching Wen; Sasaki, Yui; Ko, Youme; Park, Sunju; Ko, Seong-Gyu

2016-01-01

China, Japan, Korea, and Taiwan have developed modernized education systems in traditional medicine. This study aims to provide an overview of the education systems in these countries and compare them. Data were collected through the websites of government agencies, universities, and relevant organizations. These countries have systemically developed basic medical education (BME), postgraduate medical education (PGME), and continuing medical education (CME) in traditional medicine. BME is provided at colleges of traditional medicine at the undergraduate level and graduate levels. The length of education at the undergraduate level is five, six, and seven years in China, Korea, and Taiwan, respectively; the length at the graduate level is four years in Korea and five years in Taiwan. A seven- or eight-year program combining undergraduate and graduate courses is unique to China. In Japan, unlike in other countries, there are two distinct education systems-one is comprised of courses on traditional medicine included in the curriculum for Western medical doctors, and the other is a three- or four-year undergraduate program for practitioners including acupuncturists and moxibustionists. PGME in Korea consists of one-year internship and three-year residency programs which are optional; however, in China and Taiwan, internship is required for the national licensing examination and further training is in the process of standardization. The required credits for maintenance of CME are eight per year in Korea, 25 per year in China, and 180 over six years in Taiwan. The design of the educational systems in these countries can provide useful information for the development of education in traditional medicine around the world. Copyright © 2016. Published by Elsevier Inc.

The sociocultural effects on orthopedic surgeries in Taiwan

PubMed Central

Chiu, Shin-Lin; Chu, Chiao-Lee; Lan, Shou-Jen; Chen, Chiu-Liang

2018-01-01

Various sociocultural factors affect healthcare-seeking behaviors. In Taiwanese society, superstitions and lunar festivals play important roles in people’s lives. We investigated the impact of “Ghost Month” (the 7th lunar month) and Chinese New Year (the 12th lunar month and the 1st lunar month of the following year) on the number of elective surgeries and emergent surgeries in Taiwan. The number of total knee replacement (TKR) surgeries and proximal femur fracture (PFF) surgeries in each lunar month from 2000 to 2011 were extracted from the Taiwan National Health Insurance Database, a computerized and population-based database. Patients were then sorted by location of residence or gender. The average number of TKR surgeries performed was significantly lower during the 1st, 7th, and 12th lunar months in urban areas, whereas in rural areas this trend was only evident in the 7th and 12th lunar months. There was however, no significant difference in the average number of PFF surgeries in each lunar month except for an increase seen in the 1st lunar month in rural patients (p<0.05). When sorted by gender, the average number of TKR surgeries was significantly decreased in the 7th and 12th lunar months in male patients, and decreased in the 1st, 7th, and 12th lunar months in female patients. In contrast, there was no difference in the average numbers of PFF surgeries in the 7th and 12th lunar months either in male or female patients. We proposed that the timing of elective surgeries such as TKR might be influenced by Ghost Month and Chinese New Year; however, emergent PFF surgeries were not significantly influenced by sociocultural beliefs and taboos in Taiwan. PMID:29596539

Taiwan: growing, growing, gone.

PubMed

Hanson, R

1979-10-01

Accommodation between Taiwan and the People's Republic of China may not be inconceivable as trade contacts (though officially disallowed) grow. Because of Taiwan's well-established success and the pressing need in China to industrialize, it appears, however, that such an accommodation will occur only after China becomes more like Taiwan. Taiwan owes its success, first, to land reform and then, in the 1960s, to steady industrialization. Besides broad controls over money supply and capital designed to ward off inflationary pressures when needed, and the grand outlines for development, another factor in the island's economic success is that the government has interfered little with private enterprise. The economy has an underpinning of small to medium size businesses. There are more than 10,000 trading companies. This diverse foundation has given the economy as a whole a flexible buffer on which more sophisticated industires can be formed.

Taiwan experience suggests that RhD typing for blood transfusion is unnecessary in southeast Asian populations.

PubMed

Lin, Marie

2006-01-01

The high frequency of RhD (D) antigen among Taiwanese persons (99.67%) often imposes unnecessary risks of under-transfusion on D- patients awaiting D- blood. Also because of the rare occurrence of anti-D among Taiwanese persons, routine pretransfusion D typing has been discontinued in the Mackay Memorial Hospital since 1988. This report is the retrospective evaluation of the outcome of abolishing RhD typing for Taiwanese. More than 10 years of alloantibody data at Mackay Memorial Hospital Blood Bank were reviewed. The cases with anti-D were further used to analyze the potency of D antigen and to observe whether there were differences in the incidence of anti-D before and after discontinuation of routine D typing among Taiwanese individuals. The incidence of anti-D before and after discontinuation of routine pretransfusion D typing has remained unchanged. The immunogenicity of D and "Mi(a)" in Taiwanese persons is found to be similar. In terms of opportunity for immunization, however, the "Mi(a)" antigen (phenotype frequency 7.3% in Taiwanese persons) has become the most important blood group antigen in Taiwan. The results strongly support the exclusion of D typing from routine compatibility testing for individuals of Taiwanese origin. Because the low incidence of D- and relatively high incidence of "Mi(a)"+ phenotypes are common findings throughout southeast Asia, and because a population genetic study revealed that the Taiwanese people are genetically related to southern Asian populations, it is suggested that RhD typing for blood transfusion is unnecessary among southeast Asian populations.

Severe Dengue Fever Outbreak in Taiwan

PubMed Central

Wang, Sheng-Fan; Wang, Wen-Hung; Chang, Ko; Chen, Yen-Hsu; Tseng, Sung-Pin; Yen, Chia-Hung; Wu, Deng-Chyang; Chen, Yi-Ming Arthur

2016-01-01

Dengue fever (DF) is a vector-borne disease caused by dengue viruses (DENVs). Epidemic dengue occurs intermittently in Taiwan. In 2014, Taiwan experienced its largest DF outbreak. There were 15,732 DF cases reported. There were a total of 136 dengue hemorrhagic fever (DHF) cases, of which 20 resulted in death. Most DF cases were reported in southern Taiwan. A total of 15,043 (96%) cases were from Kaohsiung, a modern city in southern Taiwan. This report reviews DF epidemics in Taiwan during 2005–2014. The correlation between DF and DHF along with temperature and precipitation were conjointly examined. We conclude that most dengue epidemics in Taiwan resulted from imported DF cases. Results indicate three main factors that may have been associated with this DF outbreak in Kaohsiung: an underground pipeline explosion combined with subsequent rainfall and higher temperature. These factors may have enhanced mosquito breeding activity, facilitating DENV transmission. PMID:26572871

Severe Dengue Fever Outbreak in Taiwan.

PubMed

Wang, Sheng-Fan; Wang, Wen-Hung; Chang, Ko; Chen, Yen-Hsu; Tseng, Sung-Pin; Yen, Chia-Hung; Wu, Deng-Chyang; Chen, Yi-Ming Arthur

2016-01-01

Dengue fever (DF) is a vector-borne disease caused by dengue viruses (DENVs). Epidemic dengue occurs intermittently in Taiwan. In 2014, Taiwan experienced its largest DF outbreak. There were 15,732 DF cases reported. There were a total of 136 dengue hemorrhagic fever (DHF) cases, of which 20 resulted in death. Most DF cases were reported in southern Taiwan. A total of 15,043 (96%) cases were from Kaohsiung, a modern city in southern Taiwan. This report reviews DF epidemics in Taiwan during 2005-2014. The correlation between DF and DHF along with temperature and precipitation were conjointly examined. We conclude that most dengue epidemics in Taiwan resulted from imported DF cases. Results indicate three main factors that may have been associated with this DF outbreak in Kaohsiung: an underground pipeline explosion combined with subsequent rainfall and higher temperature. These factors may have enhanced mosquito breeding activity, facilitating DENV transmission. © The American Society of Tropical Medicine and Hygiene.

Phylogenetic Analysis of the Spike (S) Gene of the New Variants of Porcine Epidemic Diarrhoea Virus in Taiwan.

PubMed

Chiou, H-Y; Huang, Y-L; Deng, M-C; Chang, C-Y; Jeng, C-R; Tsai, P-S; Yang, C; Pang, V F; Chang, H-W

2017-02-01

New variants of porcine epidemic diarrhoea virus (PEDV), which emerged in Taiwan in late 2013, have caused a high morbidity and mortality in neonatal piglets. To investigate the molecular characteristics of the spike (S) gene of the emerging Taiwan PEDV strains for a better understanding of the genetic diversity and relationship among the Taiwan new variants and the global PEDVs, full-length S genes of PEDVs from nine 1-7 day-old piglets from three pig farms in the central and southern Taiwan were sequenced and analysed. The result of phylogenetic analysis of the S gene showed that all the Taiwan PEDV strains were closely related to the non-S INDEL strains from US, Canada and China, suggesting a common ancestor for these strains. As compared with the historic PEDVs and CV777-based vaccine strains, the nine Taiwan PEDV variants shared almost the same genetic signatures as the global non-S INDEL strains, including a series of insertions, deletions and mutations in the amino terminal as well as identical mutations in the neutralizing epitopes of the S gene. The high similarity of the S protein among the Taiwan and the globally emerged non-S INDEL PEDV strains suggests that the Taiwan new variants may share similar pathogenesis and immunogenicity as the global outbreak variants. The development of a novel vaccine based on the Taiwan or the global non-S INDEL strains may be contributive to the control of the current global porcine epidemic diarrhoea outbreaks. © 2015 Blackwell Verlag GmbH.

Ophthalmic plastic and orbital surgery in Taiwan.

PubMed

Hsu, Chi-Hsin; Lin, I-Chan; Shen, Yun-Dun; Hsu, Wen-Ming

2014-06-01

We describe in this paper the current status of ophthalmic plastic and orbital surgery in Taiwan. Data were collected from the Bureau of National Health Insurance of Taiwan, the Bulletin of the Taiwan Ophthalmic Plastic and Reconstructive Society, and the Statistics Yearbook of Practicing Physicians and Health Care Organizations in Taiwan by the Taiwan Medical Association. We ascertained that 94 ophthalmologists were oculoplastic surgeons and accounted for 5.8% of 1621 ophthalmologists in Taiwan. They had their fellowship training abroad (most ophthalmologists trained in the United States of America) or in Taiwan. All ophthalmologists were well trained and capable of performing major oculoplastic surgeries. The payment rates by our National Health Insurance for oculoplastic and orbital surgeries are relatively low, compared to Medicare payments in the United States. Ophthalmologists should promote the concept that oculoplastic surgeons specialize in periorbital plastic and aesthetic surgeries. However, general ophthalmologists should receive more educational courses on oculoplastic and cosmetic surgery. Copyright © 2014. Published by Elsevier B.V.

Postgraduate education in laboratory medicine and certification/re-certification of clinical pathologists in Taiwan.

PubMed

Sun, Chien-Feng

2004-04-01

The Taiwan Society of Clinical Pathologists (TSCP) plays a central role in postgraduate education of laboratory medicine and the certification/re-certification of clinical pathologists in Taiwan. For the certification of clinical pathologists, TSCP establishes "Guidelines and Scope of Resident Training" and "Standards for Training Hospitals in Clinical Pathology(CP)", administers board examinations, and issues board certifications/re-certifications. There are two types of CP resident training programs, including a straight CP program with 3 years of CP training for a CP certificate and a combined program with 3 years of Anatomic Pathology training and 2 years of CP training for both the CP and AP certificates. The core curriculum for CP training includes: (1) Clinical Chemistry (at least 4 months), (2) Clinical Microscope with Parasitology (at least 3 months), (3) Clinical Hematology (at least 4 months), and (4) Clinical Microbiology with Clinical Virology (at least 4 months), (5) Immunohematology and Blood Banking (Transfusion Medicine) (at least 3 months), (6) Clinical Serology and Immunology(at least 4 months), and (7) Laboratory Management (at least 2 months). The curriculum for third-year training is not specified and may be in any field. In recent years, the board examination has emphasized the topics of Molecular Biology and Laboratory Informatics. The TSCP has also established an accreditation and inspection program for the CP resident raining hospitals. Each accredited CP training hospital is required to have a detailed teaching protocol of CP training. Quotas are assigned according to the available CPs of the accredited hospitals. The accreditation period is 3 years. Through sponsoring scientific and educational programs, the TSCP offers credit hours of education in laboratory medicine, which are required for re-certification of CPs in Taiwan. The members of the TSCP meet at least twice a year for scientific presentations and seminars. In addition, two to

Geographic Variation in Cancer Incidence among Children and Adolescents in Taiwan (1995-2009).

PubMed

Hung, Giun-Yi; Horng, Jiun-Lin; Yen, Hsiu-Ju; Lee, Chih-Ying; Lee, Yu-Sheng

2015-01-01

Evidence from our recent study suggested that the overall trend for cancer incidence in children and adolescents has been increasing in Taiwan. To analyze geographic variations in this trend, cancer frequencies and incidence rates of disease groups were quantified according to geographic areas among 12,633 patients aged <20 years during 1995-2009 by using the population-based Taiwan Cancer Registry. Three geographic levels were defined, namely county or city, region (Northern, Central, Southern, and Eastern Taiwan), and local administrative area (special municipality, provincial city, county-administered city, township, and aboriginal area). Of the regions, Northern Taiwan had the highest incidence rate at 139.6 per million person-years, followed by Central (132.8), Southern (131.8), and Eastern (128.4) Taiwan. Significantly higher standardized rate ratios (SRRs) were observed in Northern Taiwan (SRR = 1.06, 95% confidence interval [CI] = 1.02-1.10) and at the township level (SRR = 1.07, 95% CI = 1.03-1.11). Of the cities or counties, New Taipei City yielded the highest SRR (1.08), followed by Taipei City (SRR = 1.07). A comparison of the rates in the four regions and the remainder of Taiwan according to cancer type revealed that only the rate of neuroblastomas in Eastern Taiwan was significantly low. Trend analysis showed that the most significant increase in incidence rate was observed at the township level, with an annual percent change of 1.8% during the 15-year study period. The high rate of childhood cancer in Northern Taiwan and at the township level deserves further attention. The potential impacts of environmental factors on the upward trend of childhood cancer incidence rate in townships warrant further investigation.

Characteristics and management of infectious industrial waste in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huang, M.-C.; Lin, Jim Juimin

Infectious industrial waste management in Taiwan is based on the specific waste production unit. In other countries, management is based simply on whether the producer may lead to infectious disease. Thus, Taiwan has a more detailed classification of infectious waste. The advantage of this classification is that it is easy to identify the sources, while the disadvantage lies in the fact that it is not flexible and hence increases cost. This study presents an overview of current management practices for handling infectious industrial waste in Taiwan, and addresses the current waste disposal methods. The number of small clinics in Taiwanmore » increased from 18,183 to 18,877 between 2003 and 2005. Analysis of the data between 2003 and 2005 showed that the majority of medical waste was general industrial waste, which accounted for 76.9%-79.4% of total medical waste. Infectious industrial waste accounted for 19.3%-21.9% of total medical waste. After the SARS event in Taiwan, the amount of infectious waste reached 19,350 tons in 2004, an increase over the previous year of 4000 tons. Waste minimization was a common consideration for all types of waste treatment. In this study, we summarize the percentage of plastic waste in flammable infectious industrial waste generated by medical units, which, in Taiwan was about 30%. The EPA and Taiwan Department of Health have actively promoted different recycling and waste reduction measures. However, the wide adoption of disposable materials made recycling and waste reduction difficult for some hospitals. It has been suggested that enhancing the education of and promoting communication between medical units and recycling industries must be implemented to prevent recyclable waste from entering the incinerator.« less

Women scientists in Taiwan: an update.

PubMed

Wang, Hsiu-Yun; Stocker, Joel Floyd

2010-06-01

This paper reflects upon issues of gender and science in Taiwan. Its starting point is the first academic paper on the subject published in Taiwan in 1996 by Fu and Wang, and then it draws upon the biographical accounts of 20 women scientists. We emphasize the importance of focusing on the specific contexts of the history of science and women in Taiwan. Partly as a result of Taiwan's colonial past and women's limited access to education, women scientists did not emerge in Taiwan until the second half of the 20(th) century when higher education became available to women. The gender issues with which women scientists in Taiwan have had to cope include the ways in which women have been excluded or included, their marital and career status, the local and global politics of scientific knowledge, and negotiating social networks. These issues have remained largely the same since the Fu and Wang study, but they have certainly gained wider attention and understanding, and greater articulation, both within academia and society. 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

Incidence trends of human papillomavirus-related head and neck cancer in Taiwan, 1995-2009.

PubMed

Hwang, Tzer-Zen; Hsiao, Jenn-Ren; Tsai, Chia-Rung; Chang, Jeffrey S

2015-07-15

Recent studies suggested that human papillomavirus (HPV) is an emerging risk factor of head and neck cancer (HNC), particularly for oropharyngeal cancer. Studies from the West showed a rising trend of HPV-related HNC despite a decrease of the overall HNC incidence. In contrast, the overall HNC incidence in Taiwan has continued to rise. It is not clear whether the incidence trends of HPV-related HNC in Taiwan have a similar pattern to those from countries with an overall decreasing incidence of HNC. This study examined the incidence trends of HPV-related and HPV-unrelated HNC in Taiwan using data from the Taiwan Cancer Registry. Our results showed that the incidence trends of HPV-related and HPV-unrelated HNC in Taiwan both rose during 1995-2009. The incidence of HPV-related HNC (1.3 per 100,000 in 1995 to 3.3 in 2009, annual percentage change (APC) = 6.9, p < 0.0001) rose more rapidly than the incidence of HPV-unrelated HNC (10.4 per 100,000 in 1995 to 21.7 in 2009, APC = 5.0, p < 0.0001). The rising trend of HPV-related HNC was particularly prominent for HNC occurring in tonsil (APC = 8.2, p < 0.0001), in men (APC = 7.5, p < 0.0001), and in those aged between 40 and 50 years (APC = 8.5, p < 0.0001). Although the overall incidence of HNC in Taiwan has continued to increase, the most rapid rise is in the HPV-related HNC. This suggests that similar to the Western world, HPV-related HNC is becoming an important public health issue in Taiwan. © 2014 UICC.

Seismogenic patterns in the Taiwan region: insights from source parameter inversion of BATS data

NASA Astrophysics Data System (ADS)

Kao, Honn; Jian, Pei-Ru

2001-04-01

the overall orogenic process of Taiwan. The lithospheric collision in Taiwan should consist of two major components: one is the well-recognized ;arc-continent collision; that dominates the central and southern Taiwan and another the ;slab-continent collision; that reigns in northern Taiwan. A cluster of earthquakes near Hualien suggests that an incipient west- or northwestward subduction of the Philippine Sea plate is currently taking place there. Alternatively, they can be interpreted to suggest that the steeply east-dipping Longitudinal Valley fault may have transformed, near Hualien, into a diffuse thrust zone, which eventually connects itself to the plate interplate beneath the southernmost Ryukyu arc. Earthquakes beneath Taiwan and the Taiwan Strait are compatible with the overall collision convergence and lateral extrusion. Nonetheless, the lateral extrusion is probably only a secondary feature in the tectonic processes of Taiwan.

Gender and Geographic Differences in the Prevalence of Autism Spectrum Disorders in Children: Analysis of Data from the National Disability Registry of Taiwan

ERIC Educational Resources Information Center

Lai, Der-Chung; Tseng, Yen-Cheng; Hou, Yuh-Ming; Guo, How-Ran

2012-01-01

The prevalence of autism spectrum disorders (ASD) in the world has increased dramatically in the recent decades. However, data at the national level are limited, and geographic differences are seldom evaluated. According to the law, the local governments in Taiwan began to certify disabled residents and provide various services in 1980, and the…

Does the universal health insurance program affect urban-rural differences in health service utilization among the elderly? Evidence from a longitudinal study in taiwan.

PubMed

Liao, Pei-An; Chang, Hung-Hao; Yang, Fang-An

2012-01-01

To assess the impact of the introduction of Taiwan's National Health Insurance (NHI) on urban-rural inequality in health service utilization among the elderly. A longitudinal data set of 1,504 individuals aged 65 and older was constructed from the Survey of Health and Living Status of the Elderly. A difference-in-differences model was employed and estimated by the random-effect probit method. The introduction of universal NHI in Taiwan heterogeneously affected outpatient and inpatient health service utilization among the elderly in urban and rural areas. The introduction of NHI reduced the disparity of outpatient (inpatient) utilization between the previously uninsured and insured older urban residents by 12.9 (22.0) percentage points. However, there was no significant reduction in the utilization disparity between the previously uninsured and insured elderly among rural residents. Our study on Taiwan's experience should provide a valuable lesson to countries that are in an initial stage of proposing a universal health insurance system. Although NHI is designed to ensure the equitable right to access health care, it may result in differential impacts on health service utilization among the elderly across areas. The rural elderly tend to confront more challenges in accessing health care associated with spatial distance, transportation, social isolation, poverty, and a lack of health care providers, especially medical specialists. © 2011 National Rural Health Association.

Seismic Strain Field in Taiwan

NASA Astrophysics Data System (ADS)

Kao, H.; Liang, W.; Chang, T.; Liu, Y.; Lee, E.

2001-12-01

Centroid-moment-tensor (CMT) solutions determined by inverting waveform data of Broadband Array in Taiwan for Seismology (BATS) are collected for earthquakes that occurred in the Taiwan region. In total, the dataset contains more than 300 events that scattered across an area of 400 km by 400 km, including the devastating 1999 Chi-Chi earthquake sequence. The entire region is divided into 3 layers (0-40 km, 40-70 km, and greater than 70 km) with blocks of 0.2 degree by 0.2 degree in lateral dimension. Seismic moment tensors of all earthquakes that occurred inside each block are summed to give the strain tensor characterizing the corresponding seismic deformation. We calculate the eigenvalues and eigenvectors of the resulted strain tensor for each block and project the normalized maximum compressional (P) and extensional (T) axes on horizontal plane to resolve the strain field in Taiwan associated with regional seismic activities. For the majority of events with depths less than 40 km (i.e., at crustal scale), the strain field is characterized by nearly E-W compression along the eastern coastline and immediately offshore east of Taiwan. Once inland, clear fan-shaped trajectories of P-axes are observed, ranging from NW-SE in the northwest to NE-SW in the southwest. The Ryukyu and Luzon subduction systems show compression in the forearc region and extension in the backarc and outerrise regions. For depths greater than 40 km, a clear pattern of lateral compression is observed within the subducted Philippine Sea plate to the northeast of Taiwan. It is doubtless that the "slab-continent" collision is predominant at deeper depths near the junction between the Ryukyu arc and Taiwan Collision Zone, whereas the "arc-continent" collision is predominant in the central and southern Taiwan.

Misperception among rural diabetic residents: a cross-sectional descriptive study.

PubMed

Huang, Tzu-Ting; Guo, Su-Er; Chang, Chia-Hao; Huang, Jui-Chu; Lin, Ming-Shyan; Lee, Chia-Mou; Chen, Mei-Yen

2013-04-01

To evaluate the self-perception of diabetes control associated with physical indicators and with practicing exercise and a healthy diet, among rural residents. It remains unclear whether a subject's self-perception of diabetes control increases its deleterious effects. Cross-sectional, correlational. We recruited 715 participants from 18 primary healthcare centres in the rural regions of Chiayi County, Taiwan. Data were collected between 1 January 2009-30 June 2010. Logistic regression was conducted to identify the determinant factors associated with perceptions of diabetes control. A high percentage of participants overestimated their fasting blood glucose and HbA1 C status. Total cholesterol, triglyceride, low density lipoprotein cholesterol, blood pressure, and waist circumference exceeded the medical standard in the 'feel good' group, and many did not adopt a healthy diet and undertake physical activity. The final logistic regression model demonstrated that residents with diabetes who exercised frequently had normal fasting glucose, and normal HbA1 C tended to perceive 'feel good' control. Misperception and unawareness of diabetes control were prevalent among rural residents. Addressing misperceptions among rural residents with diabetes and increasing their knowledge of professional advice could be important steps in improving diabetes control in an elder population. © 2012 Blackwell Publishing Ltd.

Two-dimensional seismic velocity models of southern Taiwan from TAIGER transects

NASA Astrophysics Data System (ADS)

McIntosh, K. D.; Kuochen, H.; Van Avendonk, H. J.; Lavier, L. L.; Wu, F. T.; Okaya, D. A.

2013-12-01

We use a broad combination of wide-angle seismic data sets to develop high-resolution crustal-scale, two-dimensional, velocity models across southern Taiwan and the adjacent Huatung Basin. The data were recorded primarily during the TAIGER project and include records of thousands of marine airgun shots, several land explosive sources, and ~90 Earthquakes. Both airgun sources and earthquake data were recorded by dense land arrays, and ocean bottom seismographs (OBS) recorded airgun sources east of Taiwan. This combination of data sets enables us to develop a high-resolution upper- to mid-crustal model defined by marine and explosive sources, while also constraining the full crustal structure - with depths approaching 50 km - by using the earthquake and explosive sources. These data and the resulting models are particularly important for understanding the development of arc-continent collision in Taiwan. McIntosh et al. (2013) have shown that highly extended continental crust of the northeastern South China Sea rifted margin is underthrust at the Manila trench southwest of Taiwan but then is structurally underplated to the accretionary prism. This process of basement accretion is confirmed in the southern Central Range of Taiwan where basement outcrops can be directly linked to high seismic velocities measured in the accretionary prism well south of the continental shelf, even south of Taiwan. These observations indicate that the southern Central Range begins to grow well before there is any direct interaction between the North Luzon arc and the Eurasian continent. Our transects provide information on how the accreted mass behaves as it approaches the continental shelf and on deformation of the arc and forearc as this occurs. We suggest that arc-continent collision in Taiwan actually develops as arc-prism-continent collision.

Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia.

PubMed

Lin, Li-Chan; Huang, Ya-Ju; Su, Su-Gen; Watson, Roger; Tsai, Belina W-J; Wu, Shiao-Chi

2010-10-01

To construct a training protocol for spaced retrieval (SR) and to investigate the effectiveness of SR and Montessori-based activities in decreasing eating difficulty in older residents with dementia. A single evaluator, blind, and randomized control trial was used. Eighty-five residents with dementia were chosen from three special care units for residents with dementia in long-term care facilities in Taiwan. To avoid any confounding of subjects, the three institutions were randomized into three groups: spaced retrieval, Montessori-based activities, and a control group. The invention consisted of three 30-40 min sessions per week, for 8 weeks. After receiving the intervention, the Edinburgh Feeding Evaluation in Dementia (EdFED) scores and assisted feeding scores for the SR and Montessori-based activity groups were significantly lower than that of the control group. However, the frequencies of physical assistance and verbal assistance for the Montessori-based activity group after intervention were significantly higher than that of the control group, which suggests that residents who received Montessori-based activity need more physical and verbal assistance during mealtimes. In terms of the effects of nutritional status after intervention, Mini-Nutritional Assessment (MNA) in the SR group was significantly higher than that of the control group. This study confirms the efficacy of SR and Montessori-based activities for eating difficulty and eating ability. A longitudinal study to follow the long-term effects of SR and Montessori-based activities on eating ability and nutritional status is recommended. Copyright © 2010 John Wiley & Sons, Ltd.

Perceptions of Clostridium difficile infections among infection control professionals in Taiwan.

PubMed

Hung, Yuan-Pin; Lee, Jen-Chieh; Lin, Hsiao-Ju; Chiu, Chun-Wei; Wu, Jia-Ling; Liu, Hsiao-Chieh; Huang, I-Hsiu; Tsai, Pei-Jane; Ko, Wen-Chien

2017-08-01

High Clostridium difficile colonization and infection rates among hospitalized patients had been noted in Taiwan. Nevertheless, the cognition about clinical diagnosis and management of CDI among infection control professionals in Taiwan is not clear. A 24-item survey questionnaire about the diagnosis, therapy, or infection control policies toward CDI was distributed in the annual meeting of the Infectious Disease Society of Taiwan (IDST) in October 2015 and Infectious Control Society of Taiwan (ICST) in April 2016. Totally 441 individuals responded to the survey, and 280 (63.5%) participants would routinely monitor the prevalence of CDI and 347 (78.7%) reported the formulation of infection control policies of CDI in their hospital, including contact precaution (75.7%), wearing gloves (88.9%) or dressing (80.0%) at patient care, single room isolation (49.7%), preference of soap or disinfectant-based sanitizer (83.2%) and avoidance of alcohol-based sanitizer (63.3%), and environmental disinfection with 1000 ppm bleach (87.1%). For the timing of contact precaution discontinuation isolation for CDI patients, most (39.9%) participants suggested the time point of the absence of C. difficile toxin in feces. To treat mild CDI, most (61.9%) participants preferred oral metronidazole, and for severe CDI 26.1% would prescribe oral vancomycin as the drug of choice. There were substantial gaps in infection control polices and therapeutic choices for CDI between international guidelines and the perceptions of medical professionals in Taiwan. Professional education program and the setup of guideline for CDI should be considered in Taiwan. Copyright © 2017. Published by Elsevier B.V.

Establishment of a Taiwan Marine cable hosted observatory (Ma-Cho project)

NASA Astrophysics Data System (ADS)

Lee, C.; Hsu, S.; Shin, T.

2006-12-01

Taiwan is located in a junction corner between the Philippine Sea Plate and Eurasian Plate. Because of the active convergence, numerous earthquakes have occurred in and around Taiwan. On average, there are about two earthquakes greater than magnitude 6 each year and 80% of earthquakes occurred in the offshore area. Because of the subduction of Philippine Sea Plate beneath the western end of the Ryukyu Arc and northern Taiwan, both the tectonics and seismic activity are intensive. The 2004 Sumatra earthquake has induced giant tsunami attacking coastal countries of South Asia. Due to a similar geodynamic context, the Sumatra event has aroused the attention of Taiwan government. Soon, specialists from Taiwan earth scientists and ocean engineers have teamed up to discuss the potential and mitigation of natural hazards from the western end of the Ryukyu subduction zone. The constructing a submarine cable observatory off eastern Taiwan (Ma-Cho project) was suggested. Ma-Cho means a sea goddess who protects people at sea. The purpose of Ma-Cho project has several folds. Firstly, the extension of seismic stations on land to offshore area can increase the resolution of earthquake locating. Secondly, the extension of seismic stations may obtain tens of second before the destructing seismic waves arrive on land or tens of minute before the arrival of giant tsunami, which is helpful for earthquake or tsunami warning. Thirdly, the seafloor scientific station can monitor the active volcanoes in the Okinawa Trough, which is directly adjacent to the Ilan plain in northeastern Taiwan. Fourthly, the seafloor observatory can be used to continuously study the Kurosho current, off eastern Taiwan. The Ma- Cho project has been granted for the first year. From 2007, we will start with a submarine route survey and a construction of the submarine cable land station. The main submarine cable frame and the connection of scientific instruments to cable nodes will be finished in 2009.

Current Trends in Aerospace Engineering Education on Taiwan.

ERIC Educational Resources Information Center

Hsieh, Sheng-Jii

A proposal for current trends in Aerospace Engineering Education on Taiwan has been drawn from the suggestions made after a national conference of "Workshop on Aerospace Engineering Education Reform." This workshop was held in January 18-20, 1998, at the Institute of Aeronautics and Astronautics, National Cheng Kung University, Tainan,…

Comparison of electrocardiographic findings and associated risk factors between Taiwan Chinese and US White adults.

PubMed

Wu, Chih-Cheng; Yeh, Wen-Ting; Crow, Richard S; Bai, Chyi-Huey; Pan, Wen-Harn

2008-08-18

Electrocardiographic (ECG) findings are known to differ by race, however, systematic comparisons of findings between eastern and western countries are rare. To compare the ECG findings and associated coronary heart disease (CHD) risk factors between Taiwan Chinese and US White adults aged >or=40 years. We compared the prevalence rate of Minnesota Code criteria based ECG findings and associated CHD risk factors by using data from the third National Health and Nutrition Examination Survey (NHANES III) and the Nutrition and Health Survey in Taiwan (NAHSIT, 1993-1996). Examining all the ECG findings collectively, we observed a higher prevalence of major Minnesota Code findings in Taiwan Chinese women than in US White women (15.0% vs. 10.5%), particularly ST segment depression (5.4% vs. 2.4%) and T wave abnormalities (10.8% vs. 4.8%). The prevalence of major Minnesota Code findings was similar in both Taiwan Chinese and US White men (22.7% vs. 19.6%). Taiwan Chinese men had a higher prevalence of ST segment elevation (13.7% vs. 0.9%). Taiwan Chinese also had a higher prevalence of left ventricular hypertrophy with repolarization change than US Whites in both sexes (2.7% vs. 1.4% for men, 4.3% vs. 1.3% for women). Taiwan Chinese had more favorable CHD risk factor profiles than US Whites, including lipid profile, obesity, central obesity, and smoking status. The prevalence of hypertension was similar between the two groups, however, a lower percentage of Taiwan Chinese received treatment. Taiwan Chinese men had a lower prevalence of diabetes mellitus than US White men, whereas Taiwan Chinese women had a higher prevalence than US White women. These results suggest that substantial differences in ECG findings exist between Taiwan Chinese and US Whites which cannot be entirely explained by CHD risk factors alone.

The Development and Evolution of Physical Medicine and Rehabilitation in Taiwan from 1958 to 2016.

PubMed

Lien, I-Nan; Wu, Pei-Shen; Wang, Tyng-Guey; Chen, Ssu-Yuan; Lew, Henry L

2017-03-01

The field of physical medicine and rehabilitation (PM&R) began its development in Taiwan since 1958, and has gradually evolved into a profession that provides a diversity of clinical services and educational activities. The objectives of this brief report were to (1) review its background and milestones in the past 6 decades, (2) describe the current role and function of its Academy of PM&R, (3) present the content and format of its board certification process, focusing on (a) residency training requirements, (b) self-assessment examination, board certification process, and (c) maintenance of certification through continued education. Some challenges and opportunities are also discussed toward the end of this article. It is hoped that this report may serve as a reference material for other countries as they develop or improve their PM&R residency programs.

Reconstruction and systemization of the methodologies for strategic environmental assessment in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Liou, M.-L.; Yeh, S.-C.; Yu, Y.-H.

2006-03-15

This paper discusses the current SEA procedures and assessment methodologies, aiming to propose strategies that can lead to effective improvement in a newly industrialized Asian country, Taiwan. Institutional and practical problems with regard to the regulations and tools of SEA in Taiwan are compared to those in other countries. According to the research results, it is suggested that extra evaluation processes should be incorporated into the current assessment procedures to improve their scientific validity and integrity. Moreover, it is also suggested that the sustainability appraisal approaches be included in the SEA framework. In this phase, revised evaluation indicators associated withmore » corresponding targets can be the first attempt for modifying the SEA system. It is believed that these can promote the operability in practice and also lead the whole assessment procedures to a direction closer to sustainable development. The trails that Taiwan has followed can help other countries that are going to adopt SEA to find a more effective and efficient way to follow.« less

Maternity Leave in Taiwan

ERIC Educational Resources Information Center

Feng, Joyce Yen; Han, Wen-Jui

2010-01-01

Using the first nationally representative birth cohort study in Taiwan, this paper examines the role that maternity leave policy in Taiwan plays in the timing of mothers returning to work after giving birth, as well as the extent to which this timing is linked to the amount of time mothers spend with their children and their use of breast milk…

Professional Counseling in Taiwan: Past to Future

ERIC Educational Resources Information Center

Guo, Yuh-Jen; Wang, Shu-Ching; Combs, Don C.; Lin, Yi-Chun; Johnson, Veronica

2013-01-01

Because of the recent introduction of a licensure law, professional counseling has grown rapidly in Taiwan after decades of slow development. The authors provide a historical review of the development of professional counseling in Taiwan and discuss the current status and future trajectory of professional counseling in Taiwan.

Constructing a Teleseismic Tomographic Image of Taiwan using BATS Recordings

NASA Astrophysics Data System (ADS)

Krajewski, J.; Roecker, S.

2005-12-01

Taiwan is an evolving arc-continent collision located at a complicated part of the plate boundary between the Eurasian and Philippine Sea plates. To better understand the role of the upper mantle in the dynamics of this collision, we reviewed 4 years of data from the Broadband Array in Taiwan for Seismology (BATS) in Taiwan to construct a teleseismic dataset for tomographic imaging of the subsurface of the island. From an initial selection of approximately 300 events, we used waveform correlation to generate a dataset of 4500 relative arrival times. To calculate accurate travel times in three dimensional wavespeed models over the large lateral distances in our model (~800 km), we solve the eikonal equation directly in a spherical coordinate system. We reduce the influence of smearing of crustal heterogeneity into the deeper mantle, we fix the upper 30 km to a previously determined P wavespeed model for the region. Initial resolution tests suggest a spatial limit on the order of 40 km.

Decadal fluctuations in the western Pacific recorded by long precipitation records in Taiwan

NASA Astrophysics Data System (ADS)

Huang, Wan-Ru; Wang, S.-Y. Simon; Guan, Biing T.

2018-03-01

A 110-year precipitation record in Taiwan, located at the western edge of the subtropical North Pacific, depicts a pronounced quasi-decadal oscillation (QDO). The QDO in Taiwan exhibits a fluctuating relationship with the similar decadal variations of sea surface temperature (SST) anomalies in the central equatorial Pacific, known as the Pacific QDO. A regime change was observed around 1960, such that the decadal variation of Taiwan's precipitation became more synchronized with the Pacific QDO's coupled evolutions of SST and atmospheric circulation than before, while the underlying pattern of the Pacific QOD did not change. Using long-term reanalysis data and CMIP5 single-forcing experiments, the presented analysis suggests that increased SST in the subtropical western Pacific and the strengthened western extension of the North Pacific subtropical anticyclone may have collectively enhanced the relationship between the Taiwan precipitation and the Pacific QDO. This finding provides possible clues to similar regime changes in quasi-decadal variability observed around the western Pacific rim.

The effects of pay-for-performance on tuberculosis treatment in Taiwan.

PubMed

Li, Ya-Hsin; Tsai, Wen-Chen; Khan, Mahmud; Yang, Wen-Ta; Lee, Tsuey-Fong; Wu, Yi-Chun; Kung, Pei-Tseng

2010-07-01

In order to make tuberculosis (TB) treatment more effective and to lower the transmission rate of the disease, the Bureau of National Health Insurance (BNHI) in Taiwan implemented the 'Pay-for-Performance on Tuberculosis' programme (P4P on TB) in 2004. This study investigates the effectiveness of the P4P system in terms of cure rate and length of treatment. This retrospective study obtained information on all TB cases in the national data sets of Taiwan for the years 2002 to 2005. The number of cases in pre-P4P years (2002 and 2003) was 25 754, compared with 33 536 in the post-P4P implementation years (2004 and 2005). The effectiveness of the programme was evaluated by comparing the TB cure rate and length of treatment before and after the implementation of the P4P programme, and between participating and non-participating hospitals. Logistic regression analysis was conducted to explore the factors affecting TB patients' cure rate within a 12-month treatment period. The cure rate and the average length of treatment before the implementation of P4P were 46.9% and 256.24 days, respectively, compared with 63.0% and 249.74 days after implementation of P4P. The cure rate and length of treatment in P4P hospitals were 68.1% and 249.13 days, respectively, compared with 42.4% and 53.71 days in non-P4P hospitals. This study found that both the cure rate and average length of treatment for cured cases improved significantly after the implementation of the P4P on TB programme in Taiwan. Compared with non-P4P hospitals, P4P hospitals had significantly better treatment outcomes. Patients' age, income level, the physician density of a patient's place of residence, and whether the hospital has joined the P4P on TB programme are factors affecting the treatment outcomes of TB patients in Taiwan.

Infant Cancer in Taiwan: Incidence and Trends (1995-2009)

PubMed Central

Hung, Giun-Yi; Horng, Jiun-Lin; Yen, Hsiu-Ju; Lee, Chih-Ying

2015-01-01

Background Current information about cancer incidence patterns among infants in East Asia is rare. The objective of this study was to report the first population-based cancer surveillance of infants in Taiwan. Methods Cancer frequencies and incidence rates among subjects aged <1 year for the period 1995-2009 were obtained from the Taiwan Cancer Registry. Types of cancers were grouped according to the International Classification of Childhood Cancer. Rates and trends were analyzed by sex and disease groups and further compared with that of other countries. Results A total of 900 infants were diagnosed with cancers, giving an incidence rate of 250.7 per million person-years from 1995 to 2009. The male-to-female incidence rate ratio was 1.22. Overall, leukemias (56.3 per million) were the most common cancer, followed by germ cell neoplasms (43.2) and neuroblastomas (41.8). The incidence increased by 2.5% annually during the 15-year study period and was predominantly contributed by male infants (3.5%). Compared with other countries, the rate of hepatoblastoma in Taiwan was second to that from Beijing (China) and 2 to 5 times greater compared with the US, France, the North of England and Osaka (Japan). The rates of germ cell neoplasms were 2 to 4 times greater in Taiwan. Conclusions The current data suggests that cancer incidence rate among male infants was rising in Taiwan. The factors associated with higher rates of hepatoblastoma and germ cell neoplasms warrant further investigation on similar ethnic groups of different areas to elucidate the potential environmental impacts while controlling for race. PMID:26110595

Medical education in Taiwan.

PubMed

Chou, Jen-Yu; Chiu, Chiung-Hsuan; Lai, Enoch; Tsai, Duujian; Tzeng, Chii-Ruey

2012-01-01

Taiwan's medical education system bears a close relationship with its colonial and post-colonial history. Since the late nineteenth century, Western medicine, Chinese medicine, and the practice of the other forms of traditional healing have encountered complex transactions with the state and one another, eventually evolving into the present medical system. Nowadays, the mainstream form of medical education in Taiwan is a 7-year Western program; other forms of medical education include a 5-year graduate program and traditional medicine programs. Challenged by the National Health Insurance that emphasizes cost management since 1995 and criticized by the US National Committee on Foreign Medical Education and Accreditation in 1998, medical education reform was implemented by the Taiwan Medical Accreditation Council established in 2000. The reform tries to bring humanities into various aspects of medical education, including student recruitment, curriculum, licensing, and continuing education. Similar to other modernization projects, the reform transplants the American and British standards to Taiwan. These changes hope to insure the reflective capabilities in physicians on the welfare of patients. However, frustration of current and future physicians may be deepened if the reform is insensitive to local issues or incapable of addressing new global tendencies.

Intersex Tilapia (Oreochromis spp.) from a Contaminated River in Taiwan: A Case Study

PubMed Central

Sun, Peter Lin; Tsai, Shinn-Shoung

2009-01-01

River pollution in Taiwan is rather serious, but so far there have been no reports of fish intersex problems. This report reveals that 50% male tilapia in the Era-Jiin River of southern Taiwan were found to be feminized in an October 8, 1994 collection from station EJ-2 of this river. After discounting all other possible causative factors, and correlating with endocrine disrupting chemicals found in this river, we suggest that there is a great possibility that the occurrence of intersex tilapia was caused by these chemicals. The above finding suggests that greater attention needs to be given to endocrine disrupting chemicals problems. PMID:22069529

Quantifying the seismicity on Taiwan

NASA Astrophysics Data System (ADS)

Wu, Yi-Hsuan; Chen, Chien-Chih; Turcotte, Donald L.; Rundle, John B.

2013-07-01

We quantify the seismicity on the island of Taiwan using the frequency-magnitude statistics of earthquakes since 1900. A break in Gutenberg-Richter scaling for large earthquakes in global seismicity has been observed, this break is also observed in our Taiwan study. The seismic data from the Central Weather Bureau Seismic Network are in good agreement with the Gutenberg-Richter relation taking b ≈ 1 when M < 7. For large earthquakes, M ≥ 7, the seismic data fit Gutenberg-Richter scaling with b ≈ 1.5. If the Gutenberg-Richter scaling for M < 7 earthquakes is extrapolated to larger earthquakes, we would expect a M > 8 earthquake in the study region about every 25 yr. However, our analysis shows a lower frequency of occurrence of large earthquakes so that the expected frequency of M > 8 earthquakes is about 200 yr. The level of seismicity for smaller earthquakes on Taiwan is about 12 times greater than in Southern California and the possibility of a M ≈ 9 earthquake north or south of Taiwan cannot be ruled out. In light of the Fukushima, Japan nuclear disaster, we also discuss the implications of our study for the three operating nuclear power plants on the coast of Taiwan.

Scrap car recycling in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lee, C.H.; Tai, H.S.; Fan, R.K.S.

1997-12-31

The official figure of registered automobiles released by the Ministry of Transportation of Taiwan, R.O.C. as of the end of April 1996, is approximately 4.8 millions. Among them, 18% of the cars are between seven and ten years old and 15% of the cars are old than ten years. The result of this large number of old cars is the problem of abandoned cars on the street of Taiwan. This phenomena not only hinders traffic flow but also undermines the living quality in the cities. To minimize these negative effects, EPA has promulgated a Scrap Motor Vehicles Management Regulation tomore » enforce the scrap car recycling in Taiwan. Under this regulation, a buyer of a new vehicle has to pay the Scrap Motor Vehicle Disposal fee (NT$ 3000, or US$ 110 for a car; and NT$ 700, or US$ 25 for a motorcycle). This paper presents the current status of scrap car recycling in Taiwan.« less

A Study of Using Technology Acceptance Model and Its Effect on Improving Road Pavement Smoothness in Taiwan

ERIC Educational Resources Information Center

Huang, Long-Sheng; Huang, Chung-Fah

2017-01-01

Using the technology acceptance model (TAM) as its theoretical foundation, this study intends to explore the use of Travelling Beam devices in road engineerings in Taiwan and offer suggestions based on its findings to encourage industry willingness for device deployment resulting in improving road pavement smoothness in Taiwan. The study subjects…

Discrepancy of cytogenetic analysis in Western and eastern Taiwan.

PubMed

Chang, Yu-Hsun; Chen, Pui-Yi; Li, Tzu-Ying; Yeh, Chung-Nan; Li, Yi-Shian; Chu, Shao-Yin; Lee, Ming-Liang

2013-06-01

This study aimed at investigating the results of second-trimester amniocyte karyotyping in western and eastern Taiwan, and identifying any regional differences in the prevalence of fetal chromosomal anomalies. From 2004 to 2009, pregnant women who underwent amniocentesis in their second trimester at three hospitals in western Taiwan and at four hospitals in eastern Taiwan were included. All the cytogenetic analyses of cultured amniocytes were performed in the cytogenetics laboratory of the Genetic Counseling Center of Hualien Buddhist Tzu Chi General Hospital. We used the chi-square test, Student t test, and Mann-Whitney U test to evaluate the variants of clinical indications, amniocyte karyotyping results, and prevalence and types of chromosomal anomalies in western and eastern Taiwan. During the study period, 3573 samples, 1990 (55.7%) from western Taiwan and 1583 (44.3%) from eastern Taiwan, were collected and analyzed. The main indication for amniocyte karyotyping was advanced maternal age (69.0% in western Taiwan, 67.1% in eastern Taiwan). The detection rates of chromosomal anomalies by amniocyte karyotyping in eastern Taiwan (45/1582, 2.8%) did not differ significantly from that in western Taiwan (42/1989, 2.1%) (p = 1.58). Mothers who had abnormal ultrasound findings and histories of familial hereditary diseases or chromosomal anomalies had higher detection rates of chromosomal anomalies (9.3% and 7.2%, respectively). The detection rate of autosomal anomalies was higher in eastern Taiwan (93.3% vs. 78.6%, p = 0.046), but the detection rate of sex-linked chromosomal anomalies was higher in western Taiwan (21.4% vs. 6.7%, p = 0.046). We demonstrated regional differences in second-trimester amniocyte karyotyping results and established a database of common chromosomal anomalies that could be useful for genetic counseling, especially in eastern Taiwan. Copyright © 2012. Published by Elsevier B.V.

Geographic Variation in Cancer Incidence among Children and Adolescents in Taiwan (1995–2009)

PubMed Central

Hung, Giun-Yi; Horng, Jiun-Lin; Yen, Hsiu-Ju; Lee, Chih-Ying; Lee, Yu-Sheng

2015-01-01

Background Evidence from our recent study suggested that the overall trend for cancer incidence in children and adolescents has been increasing in Taiwan. Methods To analyze geographic variations in this trend, cancer frequencies and incidence rates of disease groups were quantified according to geographic areas among 12,633 patients aged <20 years during 1995–2009 by using the population-based Taiwan Cancer Registry. Three geographic levels were defined, namely county or city, region (Northern, Central, Southern, and Eastern Taiwan), and local administrative area (special municipality, provincial city, county-administered city, township, and aboriginal area). Results Of the regions, Northern Taiwan had the highest incidence rate at 139.6 per million person-years, followed by Central (132.8), Southern (131.8), and Eastern (128.4) Taiwan. Significantly higher standardized rate ratios (SRRs) were observed in Northern Taiwan (SRR = 1.06, 95% confidence interval [CI] = 1.02–1.10) and at the township level (SRR = 1.07, 95% CI = 1.03–1.11). Of the cities or counties, New Taipei City yielded the highest SRR (1.08), followed by Taipei City (SRR = 1.07). A comparison of the rates in the four regions and the remainder of Taiwan according to cancer type revealed that only the rate of neuroblastomas in Eastern Taiwan was significantly low. Trend analysis showed that the most significant increase in incidence rate was observed at the township level, with an annual percent change of 1.8% during the 15-year study period. Conclusions The high rate of childhood cancer in Northern Taiwan and at the township level deserves further attention. The potential impacts of environmental factors on the upward trend of childhood cancer incidence rate in townships warrant further investigation. PMID:26192415

Effects of Global Budgeting on the Distribution of Dentists and Use of Dental Care in Taiwan

PubMed Central

Hsueh, Ya-Seng A; Lee, Shoou-Yih D; Huang, Yu-Tung A

2004-01-01

Objective To examine the effects of global budgeting on the distribution of dentists and the use and cost of dental care in Taiwan. Data Sources (1) Monthly dental claim data from January 1996 to December 2001 for the entire insured population in Taiwan. (2) The 1996–2001 population information for the cities, counties and townships in Taiwan, abstracted from the Taiwan-Fukien Demographic Fact Book. Study Design Longitudinal, using the autocorrelation model. Principal Findings Results indicated decline in dental care utilization, particularly after the implementation of dental global budgeting. With few exceptions, dental global budgeting did not improve the distribution of dental care and dentist supply. Conclusions The experience of the dental global budget program in Taiwan suggested that dental global budgeting might contain dental care utilization and that several conditions might have to be met in order for the reimbursement system to have effective redistributive impact on dental care and dentist supply. PMID:15544648

Prediction of Meiyu rainfall in Taiwan by multi-lead physical-empirical models

NASA Astrophysics Data System (ADS)

Yim, So-Young; Wang, Bin; Xing, Wen; Lu, Mong-Ming

2015-06-01

Taiwan is located at the dividing point of the tropical and subtropical monsoons over East Asia. Taiwan has double rainy seasons, the Meiyu in May-June and the Typhoon rains in August-September. To predict the amount of Meiyu rainfall is of profound importance to disaster preparedness and water resource management. The seasonal forecast of May-June Meiyu rainfall has been a challenge to current dynamical models and the factors controlling Taiwan Meiyu variability has eluded climate scientists for decades. Here we investigate the physical processes that are possibly important for leading to significant fluctuation of the Taiwan Meiyu rainfall. Based on this understanding, we develop a physical-empirical model to predict Taiwan Meiyu rainfall at a lead time of 0- (end of April), 1-, and 2-month, respectively. Three physically consequential and complementary predictors are used: (1) a contrasting sea surface temperature (SST) tendency in the Indo-Pacific warm pool, (2) the tripolar SST tendency in North Atlantic that is associated with North Atlantic Oscillation, and (3) a surface warming tendency in northeast Asia. These precursors foreshadow an enhanced Philippine Sea anticyclonic anomalies and the anomalous cyclone near the southeastern China in the ensuing summer, which together favor increasing Taiwan Meiyu rainfall. Note that the identified precursors at various lead-times represent essentially the same physical processes, suggesting the robustness of the predictors. The physical empirical model made by these predictors is capable of capturing the Taiwan rainfall variability with a significant cross-validated temporal correlation coefficient skill of 0.75, 0.64, and 0.61 for 1979-2012 at the 0-, 1-, and 2-month lead time, respectively. The physical-empirical model concept used here can be extended to summer monsoon rainfall prediction over the Southeast Asia and other regions.

Increased Y-chromosome resolution of haplogroup O suggests genetic ties between the Ami aborigines of Taiwan and the Polynesian Islands of Samoa and Tonga.

PubMed

Mirabal, Sheyla; Herrera, Kristian J; Gayden, Tenzin; Regueiro, Maria; Underhill, Peter A; Garcia-Bertrand, Ralph L; Herrera, Rene J

2012-01-25

The Austronesian expansion has left its fingerprint throughout two thirds of the circumference of the globe reaching the island of Madagascar in East Africa to the west and Easter Island, off the coast of Chile, to the east. To date, several theories exist to explain the current genetic distribution of Austronesian populations, with the "slow boat" model being the most widely accepted, though other conjectures (i.e., the "express train" and "entangled bank" hypotheses) have also been widely discussed. In the current study, 158 Y chromosomes from the Polynesian archipelagos of Samoa and Tonga were typed using high resolution binary markers and compared to populations across Mainland East Asia, Taiwan, Island Southeast Asia, Melanesia and Polynesia in order to establish their patrilineal genetic relationships. Y-STR haplotypes on the C2 (M38), C2a (M208), O1a (M119), O3 (M122) and O3a2 (P201) backgrounds were utilized in an attempt to identify the differing sources of the current Y-chromosomal haplogroups present throughout Polynesia (of Melanesian and/or Asian descent). We find that, while haplogroups C2a, S and K3-P79 suggest a Melanesian component in 23%-42% of the Samoan and Tongan Y chromosomes, the majority of the paternal Polynesian gene pool exhibits ties to East Asia. In particular, the prominence of sub-haplogroup O3a2c* (P164), which has previously been observed at only minimal levels in Mainland East Asians (2.0-4.5%), in both Polynesians (ranging from 19% in Manua to 54% in Tonga) and Ami aborigines from Taiwan (37%) provides, for the first time, evidence for a genetic connection between the Polynesian populations and the Ami. Copyright © 2011 Elsevier B.V. All rights reserved.

The Geothermal Potential, Current and Opportunity in Taiwan

NASA Astrophysics Data System (ADS)

Song, Sheng-Rong

2016-04-01

Located in the west Pacific Rim of Fire, Taiwan possesses rich geothermal resources due to volcanic activities and rapid uplifting of plate collision. Based on available data prior to 1980, Taiwan may have about 1 GWe of potential shallow geothermal energy, which is less than 3% of the national gross power generation. A 3-Mw pilot power plant, therefore, was constructed in 1981 and terminated in 1993 in the Chingshui geothermal field of Ilan, northeastern Taiwan. Recently, one of the National Science & Technology Program (NSTP) projects has been conducting research and reevaluating the island-wide deep geothermal energy. Four hot potential sites have been recognized. They are: (1) Tatun Volcano Group of northern Taiwan; (2) I-Lan Plain of NE Taiwan; (3) Lu-Shan area of Central Taiwan; and (4) Hua-Tung area of eastern Taiwan. We found that the geothermal resource in Taiwan may be as high as 160 GWe, with 33.6 GWe of exploitable geothermal energy. There are no any commercial geothermal power plants until now in Taiwan, although the potential is great. However, geothermal energy has been listed as one of major tasks of National Energy Program, Phase II (NEP-II) in Taiwan. We will conduct more detailed geothermal energy surveys on some proposed hot sites and to construct an EGS pilot geothermal plant with 1 MWe capability in a few years. Currently, there are three nuclear power plants, named No. 1, 2 & 3, in operations, which produce 16.5% gross generation of electricity and one (No. 4) is under construction, but is stopped and sealed now in Taiwan. Furthermore, the life-span of 40-year operation for those three power plants will be close-at hand and retire in 2018-2019, 2021-2023 and 2024-2025, respectively. Therefore, to find alternative energy sources, especially on the clean, renewable and sustainable ones for generating electricity are emergent and important for Taiwan's government in next few years. Among various energy sources, geothermal energy can be as base

Genetic diversity and variation of Chinese fir from Fujian province and Taiwan, China, based on ISSR markers

PubMed Central

Chen, Yu; Peng, Zhuqing; Wu, Chao; Ma, Zhihui; Ding, Guochang; Cao, Guangqiu; Ruan, Shaoning; Lin, Sizu

2017-01-01

Genetic diversity and variation among 11 populations of Chinese fir from Fujian province and Taiwan were assessed using inter-simple sequence repeat (ISSR) markers to reveal the evolutionary relationship in their distribution range in this report. Analysis of genetic parameters of the different populations showed that populations in Fujian province exhibited a greater level of genetic diversity than did the populations in Taiwan. Compared to Taiwan populations, significant limited gene flow were observed among Fujian populations. An UPGMA cluster analysis showed that the most individuals of Taiwan populations formed a single cluster, whereas 6 discrete clusters were formed by each population from Fujian. All populations were divided into 3 main groups and that all 5 populations from Taiwan were gathered into a subgroup combined with 2 populations, Dehua and Liancheng, formed one of the 3 main groups, which indicated relative stronger relatedness. It is supported by a genetic structure analysis. All those results are suggesting different levels of genetic diversity and variation of Chinese fir between Fujian and Taiwan, and indicating different patterns of evolutionary process and local environmental adaption. PMID:28406956

Genetic diversity and variation of Chinese fir from Fujian province and Taiwan, China, based on ISSR markers.

PubMed

Chen, Yu; Peng, Zhuqing; Wu, Chao; Ma, Zhihui; Ding, Guochang; Cao, Guangqiu; Ruan, Shaoning; Lin, Sizu

2017-01-01

Genetic diversity and variation among 11 populations of Chinese fir from Fujian province and Taiwan were assessed using inter-simple sequence repeat (ISSR) markers to reveal the evolutionary relationship in their distribution range in this report. Analysis of genetic parameters of the different populations showed that populations in Fujian province exhibited a greater level of genetic diversity than did the populations in Taiwan. Compared to Taiwan populations, significant limited gene flow were observed among Fujian populations. An UPGMA cluster analysis showed that the most individuals of Taiwan populations formed a single cluster, whereas 6 discrete clusters were formed by each population from Fujian. All populations were divided into 3 main groups and that all 5 populations from Taiwan were gathered into a subgroup combined with 2 populations, Dehua and Liancheng, formed one of the 3 main groups, which indicated relative stronger relatedness. It is supported by a genetic structure analysis. All those results are suggesting different levels of genetic diversity and variation of Chinese fir between Fujian and Taiwan, and indicating different patterns of evolutionary process and local environmental adaption.

Relationship between antidepressant prescription and breast cancer: a population based study in Taiwan.

PubMed

Chen, Vincent Chin-Hung; Liao, Yin-To; Yeh, Dah-Cherng; Tseng, Hsien-Chun; Stewart, Robert; Lee, Charles Tzu-Chi

2016-07-01

To investigate the association between antidepressant prescription and breast cancer. The National Health Research Institute in Taiwan provided a database of 1 000 000 random subjects for this study. We identified 14 737 new antidepressant female users who were more than 15 years old during 1999-2005 with at least 10 prescriptions and one year exposure to an antidepressant. These were matched 1:1 by age and residence to non-antidepressant users from the same database to compare the risk of breast cancer. In a model adjusted by age, residence, insurance amount, and depressive disorder, antidepressant prescription was not associated with breast cancer risk. This held true for both selective serotonin re-uptake inhibitors (SSRIs) and tricyclic antidepressants. There was no evidence for an association between antidepressant prescription and the risk of breast cancer. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

Incinerator Pollution and Child Development in the Taiwan Birth Cohort Study

PubMed Central

Lung, For-Wey; Chiang, Tung-Liang; Lin, Shio-Jean; Shu, Bih-Ching

2013-01-01

This study aimed to investigate the direct and indirect effects of environmental pollutants on child development and parental concerns. It focused on the pathway relationships among the following factors: living within three kilometers of an incinerator, breastfeeding, place of residence, parental concerns about development, and parent-perceived child development. The Taiwan Birth Cohort Study (TBCS) dataset includes randomized community data on 21,248 children at six, 18, and 36 months of age. The Parental Concern Checklist and the Taiwan Birth Cohort Study-Developmental Instrument were used to measure parental concern and parent-perceived child development. Living within three kilometers of an incinerator increased the risk of children showing delayed development in the gross motor domain at six and 36 months. Although breastfeeding is a protective factor against uneven/delayed developmental disability (U/DDD), children living near an incinerator who were breastfed had an increased risk of U/DDD compared with those who did not live near incinerators. The presence of a local incinerator affected parent-perceived child development directly and indirectly through the mediating factor of breastfeeding. Further follow-up of these children to investigate the long-term effects of specific toxins on their development and later diagnostic categorization is necessary. PMID:23727903

Seasonal Prediction of Taiwan's Streamflow Using Teleconnection Patterns

NASA Astrophysics Data System (ADS)

Chen, Chia-Jeng; Lee, Tsung-Yu

2017-04-01

Seasonal streamflow as an integrated response to complex hydro-climatic processes can be subject to activity of prevailing weather systems potentially modulated by large-scale climate oscillations (e.g., El Niño-Southern Oscillation, ENSO). To develop a seamless seasonal forecasting system in Taiwan, this study assesses how significant Taiwan's precipitation and streamflow in different seasons correlate with selected teleconnection patterns. Long-term precipitation and streamflow data in three major precipitation seasons, namely the spring rains (February to April), Mei-Yu (May and June), and typhoon (July to September) seasons, are derived at 28 upstream and 13 downstream catchments in Taiwan. The three seasons depict a complete wet period of Taiwan as well as many regions bearing similar climatic conditions in East Asia. Lagged correlation analysis is then performed to investigate how the precipitation and streamflow data correlate with predominant teleconnection indices at varied lead times. Teleconnection indices are selected only if they show certain linkage with weather systems and activity in the three seasons based on previous literature. For instance, the ENSO and Quasi-Biennial Oscillation, proven to influence East Asian climate across seasons and summer typhoon activity, respectively, are included in the list of climate indices for correlation analysis. Significant correlations found between Taiwan's precipitation and streamflow and teleconnection indices are further examined by a climate regime shift (CRS) test to identify any abrupt changes in the correlations. The understanding of existing CRS is useful for informing the forecasting system of the changes in the predictor-predictand relationship. To evaluate prediction skill in the three seasons and skill differences between precipitation and streamflow, hindcasting experiments of precipitation and streamflow are conducted using stepwise linear regression models. Discussion and suggestions for coping

Herbal Medicine Research in Taiwan*

PubMed Central

Kaphle, Krishna; Wu, Leang-Shin; Yang, Nai-Yen Jack; Lin, Jen-Hsou

2006-01-01

Of all the countries in the world, why did you choose Taiwan to pursue your study? It is a question that I (comments of the first author) have answered a thousand times. My first visit to a laboratory at National Taiwan University opened my eyes to the possibilities of herbal medicine research, especially in the area of veterinary medicine. It became my ambition to link the knowledge of Traditional Chinese Medicine (TCM) and Ayurveda from the Indian subcontinent and their integration with other systems of medicine, including Western medicine (WM), to achieve the concept of Sustainable Medicine, firstly for animals and then for humans. The Ministry of Economic Affairs (MOEA) has implemented a technology development program to quickly establish the key technologies, and this is a moment of opportunity for Taiwan's traditional herbal medicine industry to upgrade and transform itself. This paper, initially intended to be a student's narration, has evolved into a multi-author treatise on the present state and likely future scenario of herbal medicine research in Taiwan. PMID:16550238

Human Freshwater Demand for Economic Activity and Ecosystems in Taiwan

NASA Astrophysics Data System (ADS)

Ferng, Jiun-Jiun

2007-12-01

Freshwater is necessary to economic activity, and humans depend on goods and services generated by water-dependent ecosystems. However, national freshwater management usually focuses on direct use of domestic freshwater. With an increasing scarcity of freshwater, attention has turned to two indirect uses of freshwater by humans. The first indirect use is freshwater used by foreign countries when producing products for export. The second use is freshwater required by local ecosystems: human survival and development depend on goods and services generated in these ecosystems. This work adopted Taiwan as a case study. In addition to two widely recognized ecosystem freshwater demands, evapotranspiration and reversed river flow, this study suggests that freshwater is a constituent of some abiotic components, such as groundwater in aquifers, because excessive withdrawal has already caused significant land subsidence in Taiwan. Moreover, the estimated results show that Taiwan’s net imports of freshwater through trade amounts to approximately 25% of its total freshwater use for economic production. Integrating industrial policy, trade policy, and national freshwater management is a useful approach for developing strategies to limit the growing use of freshwater in Taiwan. Policy implications are then developed by further analyzing withdrawal sources of freshwater (domestic and foreign) for supporting economic production in Taiwan and identifying the factors (domestic final demand and export) driving freshwater-intensive products.

Amoebiasis among patrons visiting gay saunas in Taiwan.

PubMed

Hung, C-C; Ko, N-Y; Ko, W-C; Lee, H-C; Ji, D-D; Liu, W-C; Chang, S-C

2008-10-01

This study aimed to assess the prevalence of amoebiasis among patrons visiting gay saunas in Taiwan. A cross-sectional survey was conducted using questionnaire interview and indirect hemagglutination assays and specific Entamoeba histolytica antigen assays of blood and rectal swab specimens, respectively, among patrons visiting 10 gay saunas between September 2006 and December 2006. During the three-month study period, 208 blood and 120 rectal swab specimens were tested for E. histolytica infection. Amoebiasis was detected among 3.8% and 3.3% of the patrons by serologies and antigen assays, respectively. During the latest sexual encounter, more than 70% of the patrons had oral-anogenital sex, and only 20% used condoms during oral-anogenital contact. Our findings suggest that there is a potential risk of E. histolytica transmission among the patrons visiting gay saunas who do not practise safe sex consistently in Taiwan.

[Nursing manpower and solutions in Taiwan].

PubMed

Teng, Su-Wen

2014-04-01

The shortage of nursing manpower is a long-term problem worldwide that affects Taiwan despite this country's internationally admired achievements in terms of its healthcare and national health insurance systems. This article reviews discussions related to the nursing shortage issue published by the World Health Organization, International Council of Nurses, and Taiwan Ministry of Health and Welfare. Next, an overview is given of the nursing workforce profile, causal factors behind the nursing shortage, and demand for and supply of nursing manpower. Finally, problems, resolutions, and expected outcomes for the nursing shortage in Taiwan are analyzed.

76 FR 13982 - Antidumping Duty Order: Polyvinyl Alcohol From Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-15

...: Polyvinyl Alcohol From Taiwan AGENCY: Import Administration, International Trade Administration, Department... on polyvinyl alcohol (PVA) from Taiwan. DATES: Effective Date: March 15, 2011. FOR FURTHER... from Taiwan. See Polyvinyl Alcohol From Taiwan: Final Determination of Sales at Less Than Fair Value...

The Importance of Research during Pharmacy Residency Training

PubMed Central

Stranges, Paul M.; Burke, John M.; Micek, Scott; Pitlick, Matthew K.; Wenger, Philip

2015-01-01

Practice-related projects and pharmacy practice research are requirements to complete postgraduate pharmacy residency programs. Many residents will complete residencies without fully developing the skills needed to perform research required for new clinical and academic positions. Many studies have quantified successes and identified characteristics that may be associated with successful resident publication. There are many benefits to gaining research and publication skills during residency training for the resident, preceptor/mentors, and the residency program. Published works have also suggested approaches than can be taken to improve research within a residency program. The aims of this article are to discuss the publication rates of resident research projects, suggest ways to improve residency research, review benefits of residency research, and briefly review research training alternatives. PMID:26594260

Transition of the Taiwan-Ryukyu collision-subduction process as revealed by ocean-bottom seismometer observations

NASA Astrophysics Data System (ADS)

Chin, Shao-Jinn; Lin, Jing-Yi; Chen, Yen-Fu; Wu, Wen-Nan; Liang, Chin-Wei

2016-10-01

Located at the arc-continental collision region between the Eurasian (EP) and Philippine Sea Plates (PSP), Taiwan is usually considered to have a complex tectonic environment, particularly along the eastern coast of the island. To gain a better understanding of the geological evolution of the east Taiwan area, the data from 8 Ocean Bottom Seismometers (OBS) acquired during the Across Taiwan Strait Explosion Experiment in 2012 and 14 inland seismic stations were used to determine a more detailed and accurate distribution of marine earthquakes. Based on the 333 relocated earthquakes and available geophysical data, we suggest two main tectonic boundaries for eastern Taiwan. South of 23.25°N, the homogeneous distribution of earthquakes in the crustal portion for both the inland and offshore areas suggests an ongoing collisional process. North of this location, between approximately 23.25°N and 23.8°N, the abrupt increasing of seismicity depth infers that the underthrusted arc/fore-arc material is deforming due to the collisional compression at depth. In this segment, the subsidence of the arc/fore-arc area determines the transition from collision to subduction. North of 23.8°N, the northwestern dipping PSP is well illustrated by the seismicity both onshore and offshore, indicating a dominant subduction process.

Physics teaching in the medical schools of Taiwan.

PubMed

Hsu, Jiann-wien; Hsu, Roy

2012-02-01

We describe and analyze the statistics of general physics and laboratory courses in the medical schools of Taiwan. We explore the development of the general physics curriculum for medical students of Taiwan. Also, an approach to designing a general physics course in combination with its application to medical sciences is proposed. We hope this preliminary study can provide a useful reference for physics colleagues in the medical schools of Taiwan to revolutionize the dynamics of teaching physics to the medical students of Taiwan. Copyright © 2011. Published by Elsevier B.V.

Land, carbon and water footprints in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lee, Yung-Jaan, E-mail: yungjaanlee@gmail.com

The consumer responsibility approach uses footprints as indicators of the total direct and indirect effects of a product or consumption activity. This study used a time-series analysis of three environmental pressures to quantify the total environmental pressures caused by consumption in Taiwan: land footprint, carbon footprint, and water footprint. Land footprint is the pressure from appropriation of biologically productive land and water area. Carbon footprint is the pressure from greenhouse gas emissions. Water footprint is the pressure from freshwater consumption. Conventional carbon footprint is the total CO{sub 2} emitted by a certain activity or the CO{sub 2} accumulation during amore » product life cycle. This definition cannot be used to convert CO{sub 2} emissions into land units. This study responds to the needs of “CO{sub 2} land” in the footprint family by applying the carbon footprint concept used by GFN. The analytical results showed that consumption by the average Taiwan citizen in 2000 required appropriation of 5.39 gha (hectares of land with global-average biological productivity) and 3.63 gha in 2011 in terms of land footprint. The average Taiwan citizen had a carbon footprint of 3.95 gha in 2000 and 5.94 gha in 2011. These results indicate that separately analyzing the land and carbon footprints enables their trends to be compared and appropriate policies and strategies for different sectors to be proposed accordingly. The average Taiwan citizen had a blue water footprint of 801 m{sup 3} in 2000 and 784 m{sup 3} in 2011. By comparison, their respective global averages were 1.23 gha, 2.36 gha and 163 m{sup 3} blue water in 2011, respectively. Overall, Taiwan revealed higher environmental pressures compared to the rest of the world, demonstrating that Taiwan has become a high footprint state and has appropriated environmental resources from other countries. That is, through its imports of products with embodied pressures and its exports

Training in a Clozapine Clinic for Psychiatry Residents: A Plea and Suggestions for Implementation

ERIC Educational Resources Information Center

Freudenreich, Oliver; Henderson, David C.; Sanders, Kathy M.; Goff, Donald C.

2013-01-01

Objective: The authors sought to develop a model educational clinic and curriculum for psychiatric residents, to increase knowledge and comfort about clozapine prescribing. This matters because clozapine is an important evidence-based treatment for refractory schizophrenia that remains underutilized in clinical practice. Method: This is a…

Correlates of institutionalized senior veterans' quality of life in Taiwan

PubMed Central

2010-01-01

Background Senior veterans living in government sponsored, long-term care (LTC) facilities, known as veterans' homes (VHs), are a special minority group in Taiwan. These seniors came from different provinces of mainland China during their teenage years at the end of civil wars in 1945. The situation of institutionalized senior veterans shares many characteristics with the concept of "total institution". Very little quality of life (QOL) research has involved senior veterans. This study aimed to explore the QOL and related factors of VH-dwelling senior veterans in Taiwan. Methods Chronic conditions and socio-demographic characteristics of 260 male VH residents were recorded. The Brief Form of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF, Taiwanese version); Short-Form 36; Inventory of Socially Supportive Behavior questionnaire; Geriatric Depression Scale-short form; Barthel Index; and instrumental activities of daily living were used. Data analyses including descriptive and inferred statistics were performed using SPSS, version 17. Results WHOQOL-BREF showed acceptable reliability in this study. Compared to Taiwanese male norms, WHOQOL-BREF physical, psychological, and social relationship domain scores were around the 25th percentile, and the environment domain was about the 75th percentile. Our participants scored low in all concepts of SF-36. Although these residents rated the social support of their children, relatives, friends, social and medical staff as low, they gave high satisfaction ratings to their social supports. On multiple stepwise linear regression analysis, depressive symptoms, number of chronic conditions, retired military rank, and relatives' support correlated with QOL in both the physical and psychological domains. Friends' support and depressive symptoms correlated with the social relationships domain. Friends' support and instrumental activities of daily living correlated with the environment domain. Conclusions In

The characteristics of patient safety culture in Japan, Taiwan and the United States.

PubMed

Fujita, Shigeru; Seto, Kanako; Ito, Shinya; Wu, Yinghui; Huang, Chiu-Chin; Hasegawa, Tomonori

2013-01-14

Quality and safety issues are receiving growing attention. Patient safety culture (PSC) plays an important role in patient safety. The characteristics of PSC in various countries, each with a different set of values, have not been determined sufficiently. The aim of this study is to investigate the characteristics of PSC in Japan, Taiwan and the U.S. A cross-sectional survey was conducted in Japan and Taiwan using the Hospital Survey on PSC (HSOPS) questionnaire developed by the U.S. Agency for Healthcare Research and Quality (AHRQ). Data from Japan and Taiwan were also compared with the U.S. "2010 HSOPS Comparative Database" provided by AHRQ. Valid response rates in Japan, Taiwan and the U.S. were 66.5% (6,963/10,466), 85.7% (10,019/11,692) and 35.2% (291,341/827,424), respectively. The proportion of respondents with some experience of event reporting during the past 12 months was highest in Japan. In general, U.S. healthcare workers were likely to evaluate their PSC higher than that in Japan or Taiwan. The attitude of continuous improvement in Japan and event reporting of near misses in Taiwan were rated as low. In the U.S., staffing was rated as high. The results suggest that PSC varies among different countries, and the cultural setting of each country should be given special consideration in the development of effective intervention plans to improve PSC. Additional investigations with improved methodology and a common protocol are required to accurately compare PSCs among countries.

Health risk assessment of groundwater arsenic pollution in southern Taiwan.

PubMed

Liang, Ching-Ping; Wang, Sheng-Wei; Kao, Yu-Hsuan; Chen, Jui-Sheng

2016-12-01

Residents of the Pingtung Plain, Taiwan, use groundwater for drinking. However, monitoring results showed that a considerable portion of groundwater has an As concentration higher than the safe drinking water regulation of 10 μg/L. Considering residents of the Pingtung Plain continue to use groundwater for drinking, this study attempted to evaluate the exposure and health risk from drinking groundwater. The health risk from drinking groundwater was evaluated based on the hazard quotient (HQ) and target risk (TR) established by the US Environmental Protection Agency. The results showed that the 95th percentile of HQ exceeded 1 and TR was above the safe value of threshold value of 10 -6 . To illustrate significant variability of the drinking water consumption rate and body weight of each individual, health risk assessments were also performed using a spectrum of daily water intake rate and body weight to reasonably and conservatively assess the exposure and health risk for the specific subgroups of population of the Pingtung Plain. The assessment results showed that 0.01-7.50 % of the population's HQ levels are higher than 1 and as much as 77.7-93.3 % of the population being in high cancer risk category and having a TR value >10 -6 . The TR estimation results implied that groundwater use for drinking purpose places people at risk of As exposure. The government must make great efforts to provide safe drinking water for residents of the Pingtung Plain.

The Emergence and Challenging Growth of the Bio-Ethanol Innovation System in Taiwan (1949-2015).

PubMed

Chung, Chao-Chen; Yang, Siang-Cing

2016-02-19

This study explores the bio-ethanol innovation system in Taiwan from the perspective of a technology innovation system (TIS). Taiwan is a newly industrialized country and is not currently a main producer of bio-ethanol. This study analyzes the evolution of bio-ethanol innovation system in Taiwan and places a particular emphasis on challenges that present policies face in the context of potential long-term bio-ethanol development. Through an evaluation of the consistency of the present research, technology, development and innovation (RTDI) policies as well as the influence of these policies on the functional dynamics of bio-ethanol innovation system, mechanisms prohibiting the system from flourishing are determined. It is suggested that the production of bio-ethanol in Taiwan would be achieved if the government: (1) fixes long-term targets for both domestic bio-ethanol development and emission reduction; and (2) comprehensively designs a set of interrelated RTDI policies in accordance with the functional pattern of the bio-ethanol innovation system and consistently implements these policies. If such measures were implemented, it is considered that the bio-ethanol innovation system in Taiwan would flourish.

From waste minimization to ISO 14000: Taiwan`s experience and prospects

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wen-Huei Chen; Wain-Sun Hou

Taiwan has completed a very successful five-year industrial waste minimization (IWM) demonstration and promotion project sponsored by the government. From 1990 to 1995, the project successfully disseminated the IWM concept of pollution prevention (P2) to industries. It effectively reduced industrial waste while significantly benefitting the economy by assisting industries in implementing in-plant IWM programs. In July 1995, the second stage of the five-year IWM and ISO 14000 promotion project was initiated for further promoting the IWM, P2, and cleaner production and, in particular, coping with the upcoming international environmental management standards (ISO 14000). To assist industries in establishing an environmentalmore » management system (EMS) and accumulating related experience, an EMS pilot demonstration project of five model industries and an ISO 14001 EMS demonstration and promotion project for 22 factories in 13 industries were initiated in October 1995 and August 1996, respectively. These projects can assist Taiwan`s industries in changing the constitution of their enterprises, enhancing competition in the international market, and helping our nation achieve the forerunner`s profits in sustainable development. 9 refs., 3 figs.« less

Natural hazards knowledge and risk perception of Wujie indigenous community in Taiwan

NASA Astrophysics Data System (ADS)

Roder, Giulia; Ruljigaljig, Tjuku; Lin, Ching-Weei; Tarolli, Paolo

2015-04-01

The purpose of this work is to investigate the natural hazard knowledge and risk perception of Wujie indigenous community, located in Fazhi Village in the Central Mountain Range of Taiwan. Taiwan has encountered many different types of natural hazards (e.g. landslides and debris flows) that have increased sharply in the last century. Because of that, they are one of the most critical issues for the government and for the people living in mountainous areas. These areas are mainly populated by indigenous people that have experienced economic competition and military conflict with a series of colonizing periods causing a progressive loss of their original cultural identity. The motivation of selecting the case study of Wujie community is because (i) it has suffered, more than others, generations of devastating colonial oppression by foreign governments; (ii) the consequences of hydroelectric projects that moved a lot of water and sediment to the valley and modified the path of the river through the years; (iii) the documented landslides and debris flows occurred in the region during the last decades. Two questions appear spontaneously: How indigenous people are nowadays living with natural hazards? Have land use change or any other human footprint affected their knowledge and perception on natural hazards? This research, the first carried out in Taiwan involving an indigenous community, can offer a unique opportunity to answer these questions. The investigation utilized a variety of participatory methods conducted at the household and community level by the use of 65 face-to-face interviews. Results revealed that residents felt a higher worry about landslide and flood risks, and a slight preparedness to face them. This discrepancy may derive from an unsatisfactory level of communication and information, and the most considerable differences were found between the evaluations of individual subjects as opposed to overall communities. Results revealed also the complexity

Trends in late-life disability in Taiwan: The roles of education, environment, and technology

PubMed Central

Martin, Linda G.; Zimmer, Zachary; Hurng, Baai-Shyun

2011-01-01

This analysis offers the first strong evidence of trends in late-life disability in an emerging economy. Consistent measures of limitations in seeing, hearing, physical functions, instrumental activities of daily living (IADLs), and activities of daily living (ADLs) were available for three to six survey waves, depending on the outcome, from 1989 to 2007 for the population of Taiwan aged 65 and older. Limitations in seeing, hearing, and IADLs declined substantially, but trends were mixed for physical functions and flat for ADLs. The remarkable reduction in difficulty phoning, an IADL, may reflect changes in telecommunications infrastructure and highlights the roles of environment and technology in disability outcomes. Trends for urban residents were more advantageous than those for rural residents for seeing and hearing, but less so for physical functions and IADLs. Were it not for the substantial increase in educational attainment, trends in all outcomes would have been less favorable. PMID:21923619

Spatial Temporal Dynamics and Molecular Evolution of Re-Emerging Rabies Virus in Taiwan.

PubMed

Lin, Yung-Cheng; Chu, Pei-Yu; Chang, Mei-Yin; Hsiao, Kuang-Liang; Lin, Jih-Hui; Liu, Hsin-Fu

2016-03-17

Taiwan has been recognized by the World Organization for Animal Health as rabies-free since 1961. Surprisingly, rabies virus (RABV) was identified in a dead Formosan ferret badger in July 2013. Later, more infected ferret badgers were reported from different geographic regions of Taiwan. In order to know its evolutionary history and spatial temporal dynamics of this virus, phylogeny was reconstructed by maximum likelihood and Bayesian methods based on the full-length of glycoprotein (G), matrix protein (M), and nucleoprotein (N) genes. The evolutionary rates and phylogeographic were determined using Beast and SPREAD software. Phylogenetic trees showed a monophyletic group containing all of RABV isolates from Taiwan and it further separated into three sub-groups. The estimated nucleotide substitution rates of G, M, and N genes were between 2.49 × 10(-4)-4.75 × 10(-4) substitutions/site/year, and the mean ratio of dN/dS was significantly low. The time of the most recent common ancestor was estimated around 75, 89, and 170 years, respectively. Phylogeographic analysis suggested the origin of the epidemic could be in Eastern Taiwan, then the Formosan ferret badger moved across the Central Range of Taiwan to western regions and separated into two branches. In this study, we illustrated the evolution history and phylogeographic of RABV in Formosan ferret badgers.

Review: Progress in rotational ground-motion observations from explosions and local earthquakes in Taiwan

USGS Publications Warehouse

Lee, William H K.; Huang, Bor-Shouh; Langston, Charles A.; Lin, Chin-Jen; Liu, Chun-Chi; Shin, Tzay-Chyn; Teng, Ta-Liang; Wu, Chien-Fu

2009-01-01

Rotational motions generated by large earthquakes in the far field have been successfully measured, and observations agree well with the classical elasticity theory. However, recent rotational measurements in the near field of earthquakes in Japan and in Taiwan indicate that rotational ground motions are 10 to 100 times larger than expected from the classical elasticity theory. The near-field strong-motion records of the 1999 Mw 7.6 Chi-Chi, Taiwan, earthquake suggest that the ground motions along the 100 km rupture are complex. Some rather arbitrary baseline corrections are necessary in order to obtain reasonable displacement values from double integration of the acceleration data. Because rotational motions can contaminate acceleration observations due to the induced perturbation of the Earth’s gravitational field, we started a modest program to observe rotational ground motions in Taiwan.Three papers have reported the rotational observations in Taiwan: (1) at the HGSD station (Liu et al., 2009), (2) at the N3 site from two TAiwan Integrated GEodynamics Research (TAIGER) explosions (Lin et al., 2009), and (3) at the Taiwan campus of the National Chung-Cheng University (NCCU) (Wu et al., 2009). In addition, Langston et al. (2009) reported the results of analyzing the TAIGER explosion data. As noted by several authors before, we found a linear relationship between peak rotational rate (PRR in mrad/sec) and peak ground acceleration (PGA in m/sec2) from local earthquakes in Taiwan, PRR=0.002+1.301 PGA, with a correlation coefficient of 0.988.

Taiwan's second remote sensing satellite

NASA Astrophysics Data System (ADS)

Chern, Jeng-Shing; Ling, Jer; Weng, Shui-Lin

2008-12-01

FORMOSAT-2 is Taiwan's first remote sensing satellite (RSS). It was launched on 20 May 2004 with five-year mission life and a very unique mission orbit at 891 km altitude. This orbit gives FORMOSAT-2 the daily revisit feature and the capability of imaging the Arctic and Antarctic regions due to the high enough altitude. For more than three years, FORMOSAT-2 has performed outstanding jobs and its global effectiveness is evidenced in many fields such as public education in Taiwan, Earth science and ecological niche research, preservation of the world heritages, contribution to the International Charter: space and major disasters, observation of suspected North Korea and Iranian nuclear facilities, and scientific observation of the atmospheric transient luminous events (TLEs). In order to continue the provision of earth observation images from space, the National Space Organization (NSPO) of Taiwan started to work on the second RSS from 2005. This second RSS will also be Taiwan's first indigenous satellite. Both the bus platform and remote sensing instrument (RSI) shall be designed and manufactured by NSPO and the Instrument Technology Research Center (ITRC) under the supervision of the National Applied Research Laboratories (NARL). Its onboard computer (OBC) shall use Taiwan's indigenous LEON-3 central processing unit (CPU). In order to achieve cost effective design, the commercial off the shelf (COTS) components shall be widely used. NSPO shall impose the up-screening/qualification and validation/verification processes to ensure their normal functions for proper operations in the severe space environments.

Deformation and seismicity of Taiwan.

PubMed

Vita-Finzi, C

2000-10-10

14C-dated Holocene coastal uplift, conventional and satellite geodetic measurements, and coseismic and aseismic fault slip reveal the pattern of distributed deformation at Taiwan resulting from convergence between the Philippine Sea plate and Eurasia; as in other subduction orogenic settings, the locus of strain release and accumulation is strongly influenced by changes in fault geometry across strike. Uplift evidence from the islands of Lutao and Lanhsu is consistent with progressive oblique collision between the Luzon arc and the Chinese continental margin. In the Coastal Range, geodetic and seismic records show that shortening is taken up serially by discontinuous slip on imbricate faults. The geodetic data point to net extension across the Central Range, but deformed Holocene shorelines in the Hengchun Peninsula at its southern extremity suggest that the extension is a superficial effect partly caused by blind reverse faulting. The fastest shortening rates indicated by geodesy are recorded on the Longitudinal Valley fault and across the Chukou fault within the fold-and-thrust belt. In the former, the strain is dissipated mainly as aseismic reverse and strike-slip displacement. In contrast, the fold-and-thrust belt has witnessed five earthquakes with magnitudes of 6.5 or above in the 20th century, including the 1999.9.21 Chi-Chi earthquake (magnitude approximately 7.6) on a branch of the Chukou fault. The neotectonic and geodetic data for Taiwan as a whole suggest that the fold-and-thrust belt will continue to host the majority of great earthquakes on the island.

Putting Residents First: Strategies Developed by CNAs to Prevent and Manage Resident-to-Resident Violence in Nursing Homes

PubMed Central

Snellgrove, Susan; Beck, Cornelia; Green, Angela; McSweeney, Jean C.

2015-01-01

Purpose of the Study: Resident-to-resident violence (RRV) in nursing homes (NHs) is common and threatens the safety and quality of life of both residents and caregivers. The purpose of this portion of a larger qualitative study was to explore strategies developed by certified nurses’ assistants (CNAs) to prevent and manage RRV in NHs. Design and Methods: Semistructured interviews were used to collect data. Data were analyzed utilizing content analysis and constant comparison. Results: Analysis revealed one overriding theme, “Putting Residents First” which the CNAs described as a conscious effort to put themselves or a beloved family member in the place of the resident while administering care. Within this theme, there were three related subthemes: (a) Knowing the Residents, (b) Keeping Residents Safe, and (c) Spending Quality Time. Implications: Together, these themes suggest that the formulation of strategies for decreasing and managing RRV was influenced significantly by the ability of the CNAs to empathize with the residents for whom they were caring. The results indicate that in the absence of evidence-based interventions, CNAs have developed their own strategies for the management and prevention of RRV. These strategies may provide a foundation for the development and testing of interventions aimed at preventing and managing RRV in NHs. PMID:26055786

Changes in Personal Relationships During Residency and Their Effects on Resident Wellness: A Qualitative Study.

PubMed

Law, Marcus; Lam, Michelle; Wu, Diana; Veinot, Paula; Mylopoulos, Maria

2017-11-01

Residency poses challenges for residents' personal relationships. Research suggests residents rely on family and friends for support during their training. The authors explored the impact of residency demands on residents' personal relationships and the effects changes in those relationships could have on their wellness. The authors used a constructivist grounded theory approach. In 2012-2014, they conducted semistructured interviews with a purposive and theoretical sample of 16 Canadian residents from various specialties and training levels. Data analysis occurred concurrently with data collection, allowing authors to use a constant comparative approach to explore emergent themes. Transcripts were coded; codes were organized into categories and then themes to develop a substantive theory. Residents perceived their relationships to be influenced by their evolving professional identity: Although personal relationships were important, being a doctor superseded them. Participants suggested they were forced to adapt their personal relationships, which resulted in the evolution of a hierarchy of relationships that was reinforced by the work-life imbalance imposed by their training. This poor work-life balance seemed to result in relationship issues and diminish residents' wellness. Participants applied coping mechanisms to manage the conflict arising from the adaptation and protect their relationships. To minimize the effects of identity dissonance, some gravitated toward relationships with others who shared their professional identity or sought social comparison as affirmation. Erosion of personal relationships could affect resident wellness and lead to burnout. Educators must consider how educational programs impact relationships and the subsequent effects on resident wellness.

Cosmic-ray neutron simulations and measurements in Taiwan.

PubMed

Chen, Wei-Lin; Jiang, Shiang-Huei; Sheu, Rong-Jiun

2014-10-01

This study used simulations of galactic cosmic ray in the atmosphere to investigate the neutron background environment in Taiwan, emphasising its altitude dependence and spectrum variation near interfaces. The calculated results were analysed and compared with two measurements. The first measurement was a mobile neutron survey from sea level up to 3275 m in altitude conducted using a car-mounted high-sensitivity neutron detector. The second was a previous measured result focusing on the changes in neutron spectra near air/ground and air/water interfaces. The attenuation length of cosmic-ray neutrons in the lower atmosphere was estimated to be 163 g cm(-2) in Taiwan. Cosmic-ray neutron spectra vary with altitude and especially near interfaces. The determined spectra near the air/ground and air/water interfaces agree well with measurements for neutrons below 10 MeV. However, the high-energy portion of spectra was observed to be much higher than our previous estimation. Because high-energy neutrons contribute substantially to a dose evaluation, revising the annual sea-level effective dose from cosmic-ray neutrons at ground level in Taiwan to 35 μSv, which corresponds to a neutron flux of 5.30 × 10(-3) n cm(-2) s(-1), was suggested. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Mercury concentration in meconium and risk assessment of fish consumption among pregnant women in Taiwan.

PubMed

Jiang, Chuen-Bin; Yeh, Ching-Ying; Lee, Hung-Chang; Chen, Ming-Jun; Hung, Fang-Yu; Fang, Sheng-Shiung; Chien, Ling-Chu

2010-01-01

Meconium is a matrix that can be obtained easily and noninvasively and is useful for detecting antenatal fetal exposure to environmental toxins. Taiwan is an island with high fish consumption, and many pregnant women would like to enjoy the benefits of fish without jeopardizing their health or that of their child. The aim of this study is to assess the mercury concentration in meconium in relation to the health risk of mercury exposure. A total of 198 mother-infant pairs residing in the city of HsinChu were recruited for the study between January 2007 and June 2007. The average mean concentration of mercury in meconium was 79.2+/-7.3 ng g(-1) dry wt We use the Monte Carlo technique to assess the uncertainty in risk assessment and the impact of these uncertainties on the estimation of expected risk of mercury intake from fish in mothers. Based on the FAO/WHO's tolerable daily intake of methylmercury (0.23 microg kg(-1)d(-1)), we found that 17.3% and 14.0% of the daily mercury exposure estimated exceeded the reference dose for foreign-born and Taiwan-born mothers, respectively. We found that the mercury concentration in meconium was much higher than in other studies, except for one study done in Tagum in the Philippines where mercury is used in gold mining. This may be because Asia is the largest emitter of anthropogenic mercury, accounting for 53% of worldwide emissions. Sensitivity analysis suggests that mercury concentration in fish and the rate of ingesting fish may be the key parameters for governments offering risk management guidance to protect the health of mothers and unborn babies.

Opportunity, Choice, and Burglary Victimization in Taiwan.

PubMed

Kuo, Shih-Ya

2015-07-01

This study examined burglary victimization in Taiwan with an application of the structure-choice model that included four theoretical dimensions: proximity to crime, exposure to crime, target attractiveness, and guardianship. Drawing on the 2000 Taiwan Areas Criminal Victimization Survey, the results of the current study showed a moderate effect of the opportunity model on Taiwan's burglary victimization. Also, this study found both consistent and conflicting findings in the current data. The null effect of motorcycles (including scooters) that represented the concept of target attractiveness in relation to burglary risk reflected a difference in population density and transportation needs between Taiwan and the West. Clearly, the role of social context needs to be understood when studies apply a Western model to a non-Western context. © The Author(s) 2014.

Measuring resident well-being: impostorism and burnout syndrome in residency.

PubMed

Legassie, Jenny; Zibrowski, Elaine M; Goldszmidt, Mark A

2008-07-01

Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the two phenomena. To explore the prevalence and association between impostorism and burnout syndrome in a sample of internal medicine residents. Anonymous, cross-sectional postal survey. Forty-eight internal medicine residents (postgraduate year [PGY] 1-3) at the Schulich School of Medicine & Dentistry (62.3% response rate). Short demographic questionnaire, CIS and MBI-HSS. Impostorism and burnout syndrome were identified in 43.8% and 12.5% of residents, respectively. With the exception of a negative correlation between CIS scores and the MBI's personal accomplishment subscale (r = -.30; 95% CI -.54 to -.02), no other significant relations were identified. Foreign-trained residents were more likely to score as impostors (odds ratio [OR] 10.7; 95% CI 1.2 to 98.2) while senior residents were more likely to experience burnout syndrome (OR 16.5 95% CI 1.6 to 168.5). Both impostorism and burnout syndrome appear to be threats to resident well-being in our program. The lack of relationship between the two would suggest that programs and researchers wishing to address the issue of resident distress should consider using both measures. The finding that foreign-trained residents appear to be more susceptible to impostorism warrants further study.

Emergence and evolution of avian H5N2 influenza viruses in chickens in Taiwan.

PubMed

Lee, Chang-Chun David; Zhu, Huachen; Huang, Pei-Yu; Peng, Liuxia; Chang, Yun-Cheng; Yip, Chun-Hung; Li, Yao-Tsun; Cheung, Chung-Lam; Compans, Richard; Yang, Chinglai; Smith, David K; Lam, Tommy Tsan-Yuk; King, Chwan-Chuen; Guan, Yi

2014-05-01

Sporadic activity by H5N2 influenza viruses has been observed in chickens in Taiwan from 2003 to 2012. The available information suggests that these viruses were generated by reassortment between a Mexican-like H5N2 virus and a local enzootic H6N1 virus. Yet the origin, prevalence, and pathogenicity of these H5N2 viruses have not been fully defined. Following the 2012 highly pathogenic avian influenza (HPAI) outbreaks, surveillance was conducted from December 2012 to July 2013 at a live-poultry wholesale market in Taipei. Our findings showed that H5N2 and H6N1 viruses cocirculated at low levels in chickens in Taiwan. Phylogenetic analyses revealed that all H5N2 viruses had hemagglutinin (HA) and neuraminidase (NA) genes derived from a 1994 Mexican-like virus, while their internal gene complexes were incorporated from the enzootic H6N1 virus lineage by multiple reassortment events. Pathogenicity studies demonstrated heterogeneous results even though all tested viruses had motifs (R-X-K/R-R) supportive of high pathogenicity. Serological surveys for common subtypes of avian viruses confirmed the prevalence of the H5N2 and H6N1 viruses in chickens and revealed an extraordinarily high seroconversion rate to an H9N2 virus, a subtype that is not found in Taiwan but is prevalent in mainland China. These findings suggest that reassortant H5N2 viruses, together with H6N1 viruses, have become established and enzootic in chickens throughout Taiwan and that a large-scale vaccination program might have been conducted locally that likely led to the introduction of the 1994 Mexican-like virus to Taiwan in 2003. H5N2 avian influenza viruses first appeared in chickens in Taiwan in 2003 and caused a series of outbreaks afterwards. Phylogenetic analyses show that the chicken H5N2 viruses have H5 and N2 genes that are closely related to those of a vaccine strain originating from Mexico in 1994, while the contemporary duck H5N2 viruses in Taiwan belong to the Eurasian gene pool. The

Emergence and Evolution of Avian H5N2 Influenza Viruses in Chickens in Taiwan

PubMed Central

Lee, Chang-Chun David; Zhu, Huachen; Huang, Pei-Yu; Peng, Liuxia; Chang, Yun-Cheng; Yip, Chun-Hung; Li, Yao-Tsun; Cheung, Chung-Lam; Compans, Richard; Yang, Chinglai; Smith, David K.; Lam, Tommy Tsan-Yuk

2014-01-01

ABSTRACT Sporadic activity by H5N2 influenza viruses has been observed in chickens in Taiwan from 2003 to 2012. The available information suggests that these viruses were generated by reassortment between a Mexican-like H5N2 virus and a local enzootic H6N1 virus. Yet the origin, prevalence, and pathogenicity of these H5N2 viruses have not been fully defined. Following the 2012 highly pathogenic avian influenza (HPAI) outbreaks, surveillance was conducted from December 2012 to July 2013 at a live-poultry wholesale market in Taipei. Our findings showed that H5N2 and H6N1 viruses cocirculated at low levels in chickens in Taiwan. Phylogenetic analyses revealed that all H5N2 viruses had hemagglutinin (HA) and neuraminidase (NA) genes derived from a 1994 Mexican-like virus, while their internal gene complexes were incorporated from the enzootic H6N1 virus lineage by multiple reassortment events. Pathogenicity studies demonstrated heterogeneous results even though all tested viruses had motifs (R-X-K/R-R) supportive of high pathogenicity. Serological surveys for common subtypes of avian viruses confirmed the prevalence of the H5N2 and H6N1 viruses in chickens and revealed an extraordinarily high seroconversion rate to an H9N2 virus, a subtype that is not found in Taiwan but is prevalent in mainland China. These findings suggest that reassortant H5N2 viruses, together with H6N1 viruses, have become established and enzootic in chickens throughout Taiwan and that a large-scale vaccination program might have been conducted locally that likely led to the introduction of the 1994 Mexican-like virus to Taiwan in 2003. IMPORTANCE H5N2 avian influenza viruses first appeared in chickens in Taiwan in 2003 and caused a series of outbreaks afterwards. Phylogenetic analyses show that the chicken H5N2 viruses have H5 and N2 genes that are closely related to those of a vaccine strain originating from Mexico in 1994, while the contemporary duck H5N2 viruses in Taiwan belong to the

Prevalence of Mycobacterium tuberculosis strain genotypes in Taiwan reveals a close link to ethnic and population migration.

PubMed

Dou, Horng-Yunn; Chen, Yih-Yuan; Kou, Shu-Chen; Su, Ih-Jen

2015-06-01

Taiwan is a relatively isolated island, serving as a mixing vessel for colonization by different waves of ethnic and migratory groups over the past 4 centuries. The potential transmission pattern of Mycobacterium tuberculosis in different ethnic and migratory populations remains to be elucidated. By using mycobacterial tandem repeat sequences as genetic markers, the prevalence of M. tuberculosis strains in Taiwan revealed a close link to the historical migration. Interestingly, the M. tuberculosis strain in the aborigines of Eastern and Central Taiwan had a dominance of the Haarlem (Dutch) strain while those in Southern Taiwan had a dominance of the East-African Indian (EAI) strain. The prevalence of different M. tuberculosis strains in specific ethnic populations suggests that M. tuberculosis transmission is limited and restricted to close contact. The prevalence of the Beijing modern strain in the young population causes a concern for M. tuberculosis control, because of high virulence and drug resistance. Furthermore, our data using molecular genotyping should provide valuable information on the historical study of the origin and migration of aborigines in Taiwan. Copyright © 2014. Published by Elsevier B.V.

SKS Splitting and the Scale of Vertical Coherence of the Taiwan Mountain Belt

NASA Astrophysics Data System (ADS)

Kuo, Ban-Yuan; Lin, Shu-Chuan; Lin, Yi-Wei

2018-02-01

Many continental orogens feature a pattern of SKS shear wave splitting with fast polarization directions parallel to the mountain fabrics and delay times of 1-2 s, implying that the crust and lithosphere deform consistently. In the Taiwan arc-continent collision zone, similar pattern of SKS splitting exists, and thereby lithospheric scale deformation due to collision has been assumed. However, recent dynamic modeling demonstrated that the SKS splitting in Taiwan can be generated by the toroidal flow in the asthenosphere induced by the subduction of the Philippine Sea plate and the Eurasian plate. To further evaluate this hypothesis, we analyzed a new data set using a quantitative approach. The results show that models with slab geometries constrained by seismicity explain the observed fast splitting direction to within 25°, whereas the misfit grows to 50-60° if the toroidal flow is disrupted by the presence of a sizable aseismic slab beneath central Taiwan as often suggested by tomographic imaging. However, small sized aseismic slab or detached slab fragment can potentially reconcile the splitting observations. We estimated the scale of vertical coherence to be 10-40 km in the lithosphere and 100-150 km in the asthenosphere, making the former unfavorable for accumulating large delay times. The low coherence is caused by the subduction of the Eurasian plate that creates complex deformation different from what characterizes the compressional tectonics above the plate. This suggests that the mountain building in Taiwan is a shallow process, rather than lithospheric in scale.

Evolution in intergenerational exchanges between elderly people and their grandchildren in Taiwan; data from a multiple round cross-sectional study from 1993 to 2007

PubMed Central

2011-01-01

Background This study aimed to evaluate social evolution in Taiwan in recent decades using the changing pattern of care provided by grandparents for their grandchildren as an indicator. Methods Data from the second, fourth and sixth wave surveys of the Study of Health and Living Status of the Middle-Aged and Elderly in Taiwan were used for the analysis. This survey collected individual characteristics, including age, gender, education, ethnicity, dwelling place, living with partners, co-resident with children, employment status, self-reported health status and their provision of care for their grandchildren. Information about the attitudes toward National Health Insurance (NHI) was further collected in a questionnaire of 1999 following the implementation of NHI in 1995. By elders, we mean persons 60 or more years old. By grandchildren, we mean persons under 16 years of age. First, changes in individual characteristics were compared during these study periods (chi-square test). Then the logistic regression was performed to determine how significantly elders' grandchild-care behavior was associated with their individual characteristics. Results The percentage of elders providing grandchild care increased from 7.7% in 1993 to 13.6% in 1999, and then to 19.4% in 2007. By analysis, significant association was found between behavior in taking care of grandchildren and individuals of lower age, grandmothers, those living with partners or co-residing with children, those unemployed and those with better self-reported health status. And the effect of year was confirmed in the multivariable analysis. Conclusions This study pointed out the changing pattern of elders' behavior in taking care of their grandchildren as the main indicator and their related individual characteristics. We argue the need for improving social security policies in an ageing society. We suggest that the interaction between population policies and those of social welfare, including policies for health

Quarantine for SARS, Taiwan

PubMed Central

King, Chwan-Chuan; Chen, Cathy W. S.; Ho, Mei-Shang; Lee, Jen-Yu; Liu, Feng-Chi; Wu, Yi-Chun

2005-01-01

During the 2003 outbreak of severe acute respiratory syndrome (SARS) in Taiwan, >150,000 persons were quarantined, 24 of whom were later found to have laboratory-confirmed SARS-coronavirus (SARS-CoV) infection. Since no evidence exists that SARS-CoV is infective before the onset of symptoms and the quarantined persons were exposed but not symptomatic, we thought the quarantine's effectiveness should be investigated. Using the Taiwan quarantine data, we found that the onset-to-diagnosis time of previously quarantined confirmed case-patients was significantly shortened compared to that for those who had not been quarantined. Thus, quarantine for SARS in Taiwan screened potentially infective persons for swift diagnosis and hospitalization after onset, thereby indirectly reducing infections. Full-scale quarantine measures implemented on April 28 led to a significant improvement in onset-to-diagnosis time of all SARS patients, regardless of previous quarantine status. We discuss the temporal effects of quarantine measures and other interventions on detection and isolation as well as the potential usefulness of quarantine in faster identification of persons with SARS and in improving isolation measures. PMID:15752447

The Emergence and Challenging Growth of the Bio-Ethanol Innovation System in Taiwan (1949–2015)

PubMed Central

Chung, Chao-Chen; Yang, Siang-Cing

2016-01-01

This study explores the bio-ethanol innovation system in Taiwan from the perspective of a technology innovation system (TIS). Taiwan is a newly industrialized country and is not currently a main producer of bio-ethanol. This study analyzes the evolution of bio-ethanol innovation system in Taiwan and places a particular emphasis on challenges that present policies face in the context of potential long-term bio-ethanol development. Through an evaluation of the consistency of the present research, technology, development and innovation (RTDI) policies as well as the influence of these policies on the functional dynamics of bio-ethanol innovation system, mechanisms prohibiting the system from flourishing are determined. It is suggested that the production of bio-ethanol in Taiwan would be achieved if the government: (1) fixes long-term targets for both domestic bio-ethanol development and emission reduction; and (2) comprehensively designs a set of interrelated RTDI policies in accordance with the functional pattern of the bio-ethanol innovation system and consistently implements these policies. If such measures were implemented, it is considered that the bio-ethanol innovation system in Taiwan would flourish. PMID:26907306

Taiwan's underwater cultural heritage documentation management

NASA Astrophysics Data System (ADS)

Tung, Y.-Y.

2015-09-01

Taiwan is an important trading and maritime channels for many countries since ancient time. Numerous relics lie underwater due to weather, wars, and other factors. In the year of 2006, Bureau of Cultural Heritage (BOCH) entrusted the Underwater Archaeological Team of Academia Sinica to execute the underwater archaeological investigation projects. Currently, we verified 78 underwater targets, with 78 site of those had been recognized as shipwrecks sites. Up to date, there is a collection of 638 underwater objects from different underwater archaeological sites. Those artefacts are distributed to different institutions and museums. As very diverse management methods/systems are applied for every individual institution, underwater cultural heritage data such as survey, excavation report, research, etc. are poorly organized and disseminated for use. For better communication regarding to Taiwan's underwater cultural heritage in every level, a universal format of documentation should be established. By comparing the existing checklist used in Taiwan with guidelines that are followed in other countries, a more intact and appropriate underwater cultural heritage condition documentation system can be established and adapted in Taiwan.

The occurrence and geochemistry of arsenic in groundwaters of Taiwan

NASA Astrophysics Data System (ADS)

Chen, W.; Lu, H.; Liu, T.

2008-12-01

Blackfoot disease caused by digesting water with high concentration (>0.3 mg/L) of arsenic from deep wells affected thousands of people in Chianan of Taiwan during 1930 to 1960. Drinking water with arsenic, even in a lower concentration (0.1-0.01 mg/L) increase risk of cancer that had been demonstrated by a number of studies on Taiwan. By concerning the effects of long-term chronic exposure to arsenic, the EPA of United States had revised the regulatory limit of arsenic for drinking water from 0.05 to 0.01 mg/L in 2006. Many researches have investigated on the occurrence and chemistry of the arsenic-contained groundwater and its health effects in Chianan of Taiwan. However, there are only a few studies on the other groundwater basins of Taiwan that providing about one third of water supplies for a population of 21 million. In this study, we investigate the occurrence and redox geochemistry of arsenic in nine major groundwater basins of Taiwan. The values and concentrations of pH, Eh, dissolved oxygen, nitrate, sulfate, iron, methane, sulfide, bicarbonate and ammonium in groundwaters were determined with a total of 610 monitoring wells in 2006. More than 60% of wells in the GW6 basin with a concentration of arsenic exceed 0.05 mg/L. The groundwaters in GW6 basin also have the highest average arsenic concentration. The exceeding percent (>0.05 mg/L) of wells for GW7, GW5, GW9 and GW8 basins are 30%, 20%, 18% and 8%, respectively. All of arsenic concentrations in groundwaters of GW1 to GW4 basins are lower than 0.05 mg/L, but some samples are higher than 0.01 mg/L. The exceeding percent of samples for arsenic 0.01 mg/L in GW3, GW1, GW2 and GW4 basins are 28%, 24%, 23% and 6%, respectively. Our results suggest that the concentrations of arsenic as well as iron in groundwaters of Taiwan were elevated by the iron-reducing process in aquifers. Samples, especially those with higher concentration of bicarbonate (> 400 mg/L) and oversaturated methane, mostly in the GW6 basin

Measuring Resident Well-Being: Impostorism and Burnout Syndrome in Residency

PubMed Central

Legassie, Jenny; Zibrowski, Elaine M.

2008-01-01

Background Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the two phenomena. Objectives To explore the prevalence and association between impostorism and burnout syndrome in a sample of internal medicine residents. Design Anonymous, cross-sectional postal survey. Participants Forty-eight internal medicine residents (postgraduate year [PGY] 1–3) at the Schulich School of Medicine & Dentistry (62.3% response rate). Measurements and Main Results Short demographic questionnaire, CIS and MBI-HSS. Impostorism and burnout syndrome were identified in 43.8% and 12.5% of residents, respectively. With the exception of a negative correlation between CIS scores and the MBI’s personal accomplishment subscale (r = −.30; 95% CI −.54 to −.02), no other significant relations were identified. Foreign-trained residents were more likely to score as impostors (odds ratio [OR] 10.7; 95% CI 1.2 to 98.2) while senior residents were more likely to experience burnout syndrome (OR 16.5 95% CI 1.6 to 168.5). Conclusions Both impostorism and burnout syndrome appear to be threats to resident well-being in our program. The lack of relationship between the two would suggest that programs and researchers wishing to address the issue of resident distress should consider using both measures. The finding that foreign-trained residents appear to be more susceptible to impostorism warrants further study. PMID:18612750

Resident and attending physician perception of maladaptive response to stress in residents.

PubMed

Riesenberg, Lee Ann; Berg, Katherine; Berg, Dale; Morgan, Charity J; Davis, Joshua; Davis, Robyn; Schaeffer, Arielle; Hargraves, Robert; Little, Brian W

2014-01-01

Residency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. A 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys. Attending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p<0.0001; needed to seek professional counseling, p=0.0003; should be removed from the service, p=0.002; was not receiving adequate support from the attending physician, p=0.007; and was a risk to patient safety, p=0.02. Attending physicians were also less likely to agree that the resident was a good role model, p=0.001, and that the resident should be able to resolve these issues herself/himself, p<0.0001. Our data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. More innovative faculty and resident development workshops should be created to teach and encourage physicians to better observe and detect residents who are displaying maladaptive responses to stress.

Paradoxical increase in cigarette smuggling after the market opening in Taiwan.

PubMed

Wen, C P; Peterson, R A; Cheng, T Y D; Tsai, S P; Eriksen, M P; Chen, T

2006-06-01

To assess the magnitude of cigarette smuggling after the market opened in Taiwan. Review of tobacco industry documents for references to smuggling activities related to Taiwan and government statistics on seizure of smuggled cigarettes. The market opening in 1987 led to an increase in smuggling. Contraband cigarettes became as available as legal ones, with only a small fraction (8%) being seized. Being specifically excluded from the market-opening, Japan entered the Taiwan market by setting up a Swiss plant as a legal cover for smuggling 10-20 times its legal quota of exports to Taiwan. Smuggling in Taiwan contributed to increased consumption of foreign brands, particularly by the young. Taiwan, not a member of the World Health Organization, was excluded from the East Asian 16-member "Project Crocodile", a regional anti-smuggling collaborative effort to implement the Framework Convention on Tobacco Control. Taiwan showed a sharp increase in smuggling after market liberalisation. Being excluded from the international community, Taiwan faces an uphill battle to fight smuggling alone. If Taiwan remained as its weakest link, global efforts to reduce tobacco use will be undermined, particularly for countries in the East Asian region.

Species of Nepalomyia Hollis from Taiwan (Diptera: Dolichopodidae: Peloropeodinae).

PubMed

Wang, Mengoing; Chen, Hongyin; Yang, Ding

2013-01-01

An overview is presented for the species of the genus Nepalomyia Hollis, 1964 trom Taiwan. Nepalonyia xtaoyanae sp. nov. is described and N. brevifurcata (Yang & Saigusa, 2001) and N. orientalis (Yang & Li, 1998) are recorded from Taiwan for the first time. A key is provided for all seven named species of this genus from Taiwan.

Statistical rice yield modeling using blended MODIS-Landsat based crop phenology metrics in Taiwan

NASA Astrophysics Data System (ADS)

Chen, C. R.; Chen, C. F.; Nguyen, S. T.; Lau, K. V.

2015-12-01

Taiwan is a populated island with a majority of residents settled in the western plains where soils are suitable for rice cultivation. Rice is not only the most important commodity, but also plays a critical role for agricultural and food marketing. Information of rice production is thus important for policymakers to devise timely plans for ensuring sustainably socioeconomic development. Because rice fields in Taiwan are generally small and yet crop monitoring requires information of crop phenology associating with the spatiotemporal resolution of satellite data, this study used Landsat-MODIS fusion data for rice yield modeling in Taiwan. We processed the data for the first crop (Feb-Mar to Jun-Jul) and the second (Aug-Sep to Nov-Dec) in 2014 through five main steps: (1) data pre-processing to account for geometric and radiometric errors of Landsat data, (2) Landsat-MODIS data fusion using using the spatial-temporal adaptive reflectance fusion model, (3) construction of the smooth time-series enhanced vegetation index 2 (EVI2), (4) rice yield modeling using EVI2-based crop phenology metrics, and (5) error verification. The fusion results by a comparison bewteen EVI2 derived from the fusion image and that from the reference Landsat image indicated close agreement between the two datasets (R2 > 0.8). We analysed smooth EVI2 curves to extract phenology metrics or phenological variables for establishment of rice yield models. The results indicated that the established yield models significantly explained more than 70% variability in the data (p-value < 0.001). The comparison results between the estimated yields and the government's yield statistics for the first and second crops indicated a close significant relationship between the two datasets (R2 > 0.8), in both cases. The root mean square error (RMSE) and mean absolute error (MAE) used to measure the model accuracy revealed the consistency between the estimated yields and the government's yield statistics. This

Real-Time Surveillance of Infectious Diseases: Taiwan's Experience.

PubMed

Jian, Shu-Wan; Chen, Chiu-Mei; Lee, Cheng-Yi; Liu, Ding-Ping

Integration of multiple surveillance systems advances early warning and supports better decision making during infectious disease events. Taiwan has a comprehensive network of laboratory, epidemiologic, and early warning surveillance systems with nationwide representation. Hospitals and clinical laboratories have deployed automatic reporting mechanisms since 2014 and have effectively improved timeliness of infectious disease and laboratory data reporting. In June 2016, the capacity of real-time surveillance in Taiwan was externally assessed and was found to have a demonstrated and sustainable capability. We describe Taiwan's disease surveillance system and use surveillance efforts for influenza and Zika virus as examples of surveillance capability. Timely and integrated influenza information showed a higher level and extended pattern of influenza activity during the 2015-16 season, which ensured prompt information dissemination and the coordination of response operations. Taiwan also has well-developed disease detection systems and was the first country to report imported cases of Zika virus from Miami Beach and Singapore. This illustrates a high level of awareness and willingness among health workers to report emerging infectious diseases, and highlights the robust and sensitive nature of Taiwan's surveillance system. These 2 examples demonstrate the flexibility of the surveillance systems in Taiwan to adapt to emerging infectious diseases and major communicable diseases. Through participation in the GHSA, Taiwan can more actively collaborate with national counterparts and use its expertise to strengthen global and regional surveillance capacity in the Asia Pacific and in Southeast Asia, in order to advance a world safe and secure from infectious disease.

Real-Time Surveillance of Infectious Diseases: Taiwan's Experience

PubMed Central

Jian, Shu-Wan; Chen, Chiu-Mei; Lee, Cheng-Yi

2017-01-01

Integration of multiple surveillance systems advances early warning and supports better decision making during infectious disease events. Taiwan has a comprehensive network of laboratory, epidemiologic, and early warning surveillance systems with nationwide representation. Hospitals and clinical laboratories have deployed automatic reporting mechanisms since 2014 and have effectively improved timeliness of infectious disease and laboratory data reporting. In June 2016, the capacity of real-time surveillance in Taiwan was externally assessed and was found to have a demonstrated and sustainable capability. We describe Taiwan's disease surveillance system and use surveillance efforts for influenza and Zika virus as examples of surveillance capability. Timely and integrated influenza information showed a higher level and extended pattern of influenza activity during the 2015-16 season, which ensured prompt information dissemination and the coordination of response operations. Taiwan also has well-developed disease detection systems and was the first country to report imported cases of Zika virus from Miami Beach and Singapore. This illustrates a high level of awareness and willingness among health workers to report emerging infectious diseases, and highlights the robust and sensitive nature of Taiwan's surveillance system. These 2 examples demonstrate the flexibility of the surveillance systems in Taiwan to adapt to emerging infectious diseases and major communicable diseases. Through participation in the GHSA, Taiwan can more actively collaborate with national counterparts and use its expertise to strengthen global and regional surveillance capacity in the Asia Pacific and in Southeast Asia, in order to advance a world safe and secure from infectious disease. PMID:28418738

Pediatric dermatology training during residency: a survey of the 2014 graduating residents.

PubMed

Akhavan, Alaleh; Murphy-Chutorian, Blair; Friedman, Adam

2015-01-01

Knowledge of pediatric dermatology is considered a core competency of dermatology training and should be expected of all practicing dermatologists. While the numbers of both pediatric dermatology fellowships and board certified pediatric dermatologists in the workforce have increased over the years, recent reports suggest that there is a gap in pediatric dermatology education during dermatology residency. The goal of this study is to assess the current state of pediatric education during residency, as well as the clinical experience, satisfaction and expectations of graduating dermatology residents. A 31-question self-report survey was distributed electronically to 294 third-year dermatology residents with questions pertaining to demographics, didactic education, resident experience in pediatric dermatology training, satisfaction with pediatric training and future plans. One hundred and twenty-three residents responded (41.8% response rate) representing approximately 29.1% of the total number of graduating residents. 69 (56.1%) residents reported academic time specifically devoted to pediatric dermatology, the majority (79.7%) of which was led by pediatric dermatologists. 82% of residents reported dedicated pediatric dermatology clinics at their program. 86.8% of respondents felt that their training in pediatric dermatology will allow them to confidently see pediatric dermatology patients in practice. This survey highlights a promising state of pediatric dermatology training among current graduating dermatology residents. The majority of current graduating dermatology residents are satisfied with their pediatric dermatology education, feel confident treating pediatric patients, and plan to see pediatric patients in clinical practice. © 2015 Wiley Periodicals, Inc.

[Glocalization: the outlook for Taiwan evidence based health care].

PubMed

Chen, Chiehfeng

2014-12-01

Public attention to evidence-based health care (EBHC) has increased significantly in recent years. Key problems related to applying EBHC in current healthcare practice include the timely update of up-to-date knowledge and skills and the methodology used to implement EBHC in clinical settings. EBHC has been introduced to the Taiwan healthcare system for the past two decades. The annual EBM (Evidence based medicine) National Competition is a unique and important EBHC activity in Taiwan. EBHC has been promoted widely in medicine, nursing, pharmacy, public health and other professions, and EBHC-related organizations such as the Taiwan Evidence Based Medicine Association (TEBMA), and Taiwan Evidence Based Nursing Association (TEBNA), have increased in number and grown in membership. In addition to domestic developments, Taiwan is also actively involved in global organizations, such as the Cochrane Collaboration, East Asian Cochrane Alliance (EACA), and the International Society for Evidence Based Health Care (ISEHC). In Taiwan, most medical professionals work cooperatively to promote EBHC, which facilitates the gradual improvement of healthcare quality.

Pn tomography of South China Sea, Taiwan Island, Philippine archipelago, and adjacent regions

NASA Astrophysics Data System (ADS)

Li, Xibing; Song, Xiaodong; Li, Jiangtao

2017-02-01

The South China Sea (SCS) and its surrounding areas are geologically highly heterogeneous from the interactions of multiple plates in Southeast Asia (Eurasian plate, Indian-Australian plate, Philippine Sea plate, and Pacific plate). To understand the tectonics at depth, here we combined bulletin and handpicked data to conduct Pn tomography of the region. The results show distinct features that are correlated with the complex geology at surface, suggesting a lithosphere-scale tectonics of the region. Low Pn velocities are found along a belt of the western Pacific transpressional system from the Okinawa Trough and eastern East China Sea, across central and eastern Taiwan orogeny, to the island arcs of the Luzon Strait and the entire Philippine Islands, as well as under the Palawan Island and part of the continental margin north of the Pearl River Basin. High velocities are found under Ryukyu subduction zone, part of the Philippine subduction zone, part of the Eurasian subduction beneath the southwestern Taiwan, and the continent-ocean boundary between the south China and the SCS basin. The Taiwan Strait, the Mainland SE coast, and the main SCS basin sea are relatively uniform with average Pn values. Crustal thicknesses show large variations in the study region but also coherency with tectonic elements. The Pn pattern in Taiwan shows linear trends of surface geology and suggests strongly lithosphere-scale deformation of the young Taiwan orogenic belt marked by the deformation boundary under the Western Foothill and the Western Coastal Plain at depth, and the crustal thickness shows a complex pattern from the transpressional collision. Our observations are consistent with rifting and extension in the northern margin of the SCS but are not consistent with mantle upwelling as a mechanism for the opening and the subsequent closing of the SCS. The Philippine island arc is affected by volcanisms from both the Asian and Philippine Sea subductions in the south but mainly from

[Air pollution and its health effects on residents in Taiwanese communities].

PubMed

Ko, Y C

1996-12-01

The are a number of particular features of air pollution in Taiwan, as described below: (1) In Taiwan area, the air load of pollutants is more serious than previously reported. (2) There exists severe air pollution throughout the island. (3) Industry is the major source of pollution. (4) No demarcation exists between plants and residential quarters. (5) There is a high concentration of pollutants indoors/outdoors. The influence of air pollution spreads over all aspects of physical health, primarily on the respiratory tract, causing lung cancer and exaggerating cardiovascular diseases. A few Taiwanese studies are reviewed below which deserve more elaboration. (1) Use PM10 for indexing health effect. The annual average value of PM10 in Taiwan has been around 70 micrograms/m3 in 1994. Dr. Schwarz indicated that no safety margin could be derived; for each additional 10 micrograms/ m3 of PM10, the death number could be increased by 1% on the basis of Western studies. (2) Research with reference to lung cancer cases in the Kaohsiung Medical College Hospital. Living within 3 km of industrial district counted for 9% of cases and caused a 6-fold increase in the risk of disease for people living more than 20 years in the case control study for lung cancer. (3) Death due to cancer of inhabitants close to petroleum and petrochemical industries. For youths and children below 20 years, cancers related to brain tumors were 2-4 fold of what was expected deaths. Analysis of another petrochemical complex in Chienchen, Kaohsiung, revealed the inhabitants within 1 km showed a higher standardized mortality ratio for cancers of the lung, kidney, urinary bladder, and leukemia than was to be expected. (4) Lower lung function and higher incidence of respiratory diseases among residents near a coal-fired power plant (within 3 Km) compared to residents who lived further away from the plant (3-11 Km). (5) Lead contamination around a kindergarten near a battery recycling plant. There was

Seroepidemiology of Toxoplasma gondii Infection among healthy blood donors in Taiwan.

PubMed

Chiang, Ting-Yi; Hsieh, Hwei-Ho; Kuo, Ming-Chu; Chiu, Kai-Tse; Lin, Wei-Chen; Fan, Chia-Kwung; Fang, Chi-Tai; Ji, Dar-Der

2012-01-01

Toxoplasma gondii is an opportunistic, zoonotic pathogen with a worldwide distribution. There are large variations in the seroprevalence of T. gondii infection in different regions of the world. Although toxoplasmosis became a notifiable communicable disease in Taiwan in 2007, little is known about its epidemiology among the general population. This cross-sectional study aimed to survey the seroprevalence of T. gondii infection and its risk factors among healthy blood donors in Taiwan. Through collaborating with the Taiwan Blood Services Foundation, a total of 1,783 healthy blood donors from all six-branch blood service centers participated in this study. The blood samples were tested for the presence of T. gondii antibodies and DNA using enzyme immunoassays and real-time PCR, respectively. Structured questionnaires were used to gather information on risk factors for T. gondii infection. Of the 1,783 participants, 166 (9.3%) tested positive for anti-Toxoplasma IgG, while 5 (0.28%) tested positive for anti-Toxoplasma IgM. The five IgM positive donors had high avidity antibodies suggestive of past infection. No active parasitemia was detected by real-time PCR assays. Multivariate logistic regression showed that undercooked pork meat consumption (adjusted odds ratio [OR] = 2.9; 95% confidence interval [CI]: 1.3-6.5), raw mussels consumption (adjusted OR = 5.3; 95% CI: 1.5-19.1), having a cat in the household (adjusted OR = 2.0; 95% CI: 1.2-3.2), a lower education level (adjusted OR = 1.6; 95% CI: 1.1-2.3), and donation place in eastern Taiwan (adjusted OR = 2.5; 95% CI: 1.6-3.9) were independent risk factors for Toxoplasma seropositivity. These findings provide information on the seroprevalence and epidemiology of T. gondii infection among healthy blood donors in Taiwan.

Seroepidemiology of Toxoplasma gondii Infection among Healthy Blood Donors in Taiwan

PubMed Central

Chiang, Ting-Yi; Hsieh, Hwei-Ho; Kuo, Ming-Chu; Chiu, Kai-Tse; Lin, Wei-Chen; Fan, Chia-Kwung; Fang, Chi-Tai; Ji, Dar-Der

2012-01-01

Toxoplasma gondii is an opportunistic, zoonotic pathogen with a worldwide distribution. There are large variations in the seroprevalence of T. gondii infection in different regions of the world. Although toxoplasmosis became a notifiable communicable disease in Taiwan in 2007, little is known about its epidemiology among the general population. This cross-sectional study aimed to survey the seroprevalence of T. gondii infection and its risk factors among healthy blood donors in Taiwan. Through collaborating with the Taiwan Blood Services Foundation, a total of 1,783 healthy blood donors from all six-branch blood service centers participated in this study. The blood samples were tested for the presence of T. gondii antibodies and DNA using enzyme immunoassays and real-time PCR, respectively. Structured questionnaires were used to gather information on risk factors for T. gondii infection. Of the 1,783 participants, 166 (9.3%) tested positive for anti-Toxoplasma IgG, while 5 (0.28%) tested positive for anti-Toxoplasma IgM. The five IgM positive donors had high avidity antibodies suggestive of past infection. No active parasitemia was detected by real-time PCR assays. Multivariate logistic regression showed that undercooked pork meat consumption (adjusted odds ratio [OR] = 2.9; 95% confidence interval [CI]: 1.3–6.5), raw mussels consumption (adjusted OR = 5.3; 95% CI: 1.5–19.1), having a cat in the household (adjusted OR = 2.0; 95% CI: 1.2–3.2), a lower education level (adjusted OR = 1.6; 95% CI: 1.1–2.3), and donation place in eastern Taiwan (adjusted OR = 2.5; 95% CI: 1.6–3.9) were independent risk factors for Toxoplasma seropositivity. These findings provide information on the seroprevalence and epidemiology of T. gondii infection among healthy blood donors in Taiwan. PMID:23133557

76 FR 13660 - Polyvinyl Alcohol From Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-14

... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-1088 (Final)] Polyvinyl Alcohol From Taiwan Determination On the basis of the record \\1\\ developed in the subject investigation, the United... (March 2011), entitled Polyvinyl Alcohol from Taiwan: Investigation No. 731-TA-1088 (Final). By order of...

Effects of local and regional climatic fluctuations on dengue outbreaks in southern Taiwan.

PubMed

Chuang, Ting-Wu; Chaves, Luis Fernando; Chen, Po-Jiang

2017-01-01

Southern Taiwan has been a hotspot for dengue fever transmission since 1998. During 2014 and 2015, Taiwan experienced unprecedented dengue outbreaks and the causes are poorly understood. This study aims to investigate the influence of regional and local climate conditions on the incidence of dengue fever in Taiwan, as well as to develop a climate-based model for future forecasting. Historical time-series data on dengue outbreaks in southern Taiwan from 1998 to 2015 were investigated. Local climate variables were analyzed using a distributed lag non-linear model (DLNM), and the model of best fit was used to predict dengue incidence between 2013 and 2015. The cross-wavelet coherence approach was used to evaluate the regional El Niño Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD) effects on dengue incidence and local climate variables. The DLNM results highlighted the important non-linear and lag effects of minimum temperature and precipitation. Minimum temperature above 23°C or below 17°C can increase dengue incidence rate with lag effects of 10 to 15 weeks. Moderate to high precipitation can increase dengue incidence rates with a lag of 10 or 20 weeks. The model of best fit successfully predicted dengue transmission between 2013 and 2015. The prediction accuracy ranged from 0.7 to 0.9, depending on the number of weeks ahead of the prediction. ENSO and IOD were associated with nonstationary inter-annual patterns of dengue transmission. IOD had a greater impact on the seasonality of local climate conditions. Our findings suggest that dengue transmission can be affected by regional and local climatic fluctuations in southern Taiwan. The climate-based model developed in this study can provide important information for dengue early warning systems in Taiwan. Local climate conditions might be influenced by ENSO and IOD, to result in unusual dengue outbreaks.

Review of recycling performance indicators: a study on collection rate in Taiwan.

PubMed

Wen, Lihchyi; Lin, Chun-Hsu; Lee, Soo-Cheol

2009-08-01

The Taiwan Environmental Protection Administration (Taiwan EPA) launched a national Extended Producer Responsibility (EPR) system after integrating eight private recycling organizations in 1998. After that, the environmental performance of the EPR system brought a lot of attention to policy makers. Many studies show positive environmental effects of the EPR system in Taiwan. However, there are controversial questions remained, such as whether the performance indicators used are the right choice to estimate the environmental effects of the recycling policy? Can those estimated results really reflect the performance of the system? This paper would therefore like to more accurately evaluate the performance indicators of the EPR system based on data observed over the past decade in Taiwan. In the process of evaluating the performance indicators, we have found that the collection rates for durable goods are often ignored in countries that pursue a zero waste policy. This may affect the actual recycling outcome and resource direction targeted by producers. However, in order for the collection rate to be adopted as a policy indicator, how to estimate the amounts of retired or waste products during a period is critical. In this paper, we estimate the collection rate for electrical and electronic waste by using the survival analysis and ownership data analysis approaches. We also provide a comparison of both approaches and put forward suggestions for directions in the future in solid waste management.

Paradoxical increase in cigarette smuggling after the market opening in Taiwan

PubMed Central

Wen, C P; Peterson, R A; Cheng, T Y D; Tsai, S P; Eriksen, M P; Chen, T

2006-01-01

Objectives To assess the magnitude of cigarette smuggling after the market opened in Taiwan. Methods Review of tobacco industry documents for references to smuggling activities related to Taiwan and government statistics on seizure of smuggled cigarettes. Results The market opening in 1987 led to an increase in smuggling. Contraband cigarettes became as available as legal ones, with only a small fraction (8%) being seized. Being specifically excluded from the market‐opening, Japan entered the Taiwan market by setting up a Swiss plant as a legal cover for smuggling 10–20 times its legal quota of exports to Taiwan. Smuggling in Taiwan contributed to increased consumption of foreign brands, particularly by the young. Taiwan, not a member of the World Health Organization, was excluded from the East Asian 16‐member “Project Crocodile”, a regional anti‐smuggling collaborative effort to implement the Framework Convention on Tobacco Control. Conclusions Taiwan showed a sharp increase in smuggling after market liberalisation. Being excluded from the international community, Taiwan faces an uphill battle to fight smuggling alone. If Taiwan remained as its weakest link, global efforts to reduce tobacco use will be undermined, particularly for countries in the East Asian region. PMID:16728745

Emerging epidemic in a growing industry: cigarette smoking among female micro-electronics workers in Taiwan.

PubMed

Lin, Y-P; Yen, L-L; Pan, L-Y; Chang, P-J; Cheng, T-J

2005-03-01

To explore the emerging tobacco epidemic in female workers in the growing micro-electronics industry of Taiwan. Workers were surveyed regarding their smoking status, sociodemographics and work characteristics. In total, 1950 female employees in two large micro-electronics companies in Taiwan completed the survey. Approximately 9.3% of the female employees were occasional or daily smokers at the time of the survey. The prevalence of smoking was higher in those aged 16-19 years (20.9%), those not married (12.9%), those with a high school education or less (11.7%), those employed by Company A (11.7%), shift workers (14.3%), and those who had been in their present employment for 1 year or less (13.6%). Results of multivariate adjusted logistic regression indicated that younger age, lower level of education, shorter periods of employment with the company and shift working were the important factors in determining cigarette smoking among the study participants. The odds ratio of being a daily smoker was similar to that of being a current smoker. Marital status was the only significant variable when comparing former smokers with current smokers. Smoking prevalence in female workers in the two micro-electronics companies studied was much higher than previous reports have suggested about female smoking prevalence in Taiwan and China. We suggest that smoking is no longer a 'male problem' in Taiwan. Future smoking cessation and prevention programmes should target young working women as well as men.

Taiwan Space Programs

NASA Astrophysics Data System (ADS)

Liu, Jann-Yenq

Taiwan space programs consist of FORMOSAT-1, -2, and -3, sounding rockets, and international cooperation. FORMOSAT-1, a low-earth-orbit (LEO) scientific experimental satellite, was launched on January 26, 1999. It circulates with an altitude of 600 km and 35 degree inclination around the Earth every 97 minutes, transmitting collected data to Taiwan's receiving stations approximately six times a day. The major mission of FORMOSAT-1 includes three scientific experiments for measuring the effects of ionospheric plasma and electrodynamics, taking the ocean color image and conducting Ka-band communication experiment. The FORMOSAT- 1 mission was ended by June 15, 2004. FORMOSAT-2, launched on May 21, 2004 onto the Sun-synchronous orbit located at 891 km above ground. The main mission of FORMOSAT-2 is to conduct remote sensing imaging over Taiwan and on terrestrial and oceanic regions of the entire earth. The images captured by FORMOSAT-2 during daytime can be used for land distribution, natural resources research, environmental protection, disaster prevention and rescue work etc. When the satellite travels to the eclipsed zone, it observes natural phenomena of lighting in the upper atmosphere. FORMOSAT-3 is an international collaboration project between Taiwan and the US to develop advanced technology for the real-time monitoring of the global climate. This project is also named Constellation Observing System for Meteorology, Ionosphere and Climate, or FORMOSAT-3/COSMIC for short. Six micro-satellites were launched on 15 April 2007 and eventually placed into six different orbits at 700 800 kilometer above the earth ground. These satellites orbit around the earth to form a LEO constellation that receives signals transmitted by the 24 US GPS satellites. The satellite observation covers the entire global atmosphere and ionosphere, providing over 2,500 global sounding data per day. These data distribute uniformly over the earth's atmosphere. The global climate information

Maternity Leave in Taiwan

PubMed Central

Feng, Joyce Yen; Han, Wen-Jui

2011-01-01

Using the first nationally representative birth cohort study in Taiwan, this paper examines the role that maternity leave policy in Taiwan plays in the timing of mothers returning to work after giving birth, as well as the extent to which this timing is linked to the amount of time mothers spend with their children and their use of breast milk versus formula. We found that the time when mothers returned to work coincided with the duration of guaranteed leave. In particular, mothers with a labor pension plan resumed work significantly earlier than mothers with no pension plan, and mothers with no pension plan returned to work significantly later than those with pension plans. The short leave of absence guaranteed under existing policies translated into mothers spending less time with their children and being more likely to exclusively use formula by 6 months after birth. In contrast, mothers who resumed work later than 6 months after birth were more likely to have not worked before birth or to have quit their jobs during pregnancy. Implications and recommendations for parental leave policy in Taiwan are discussed. PMID:21603074

Maternity Leave in Taiwan.

PubMed

Feng, Joyce Yen; Han, Wen-Jui

2010-07-01

Using the first nationally representative birth cohort study in Taiwan, this paper examines the role that maternity leave policy in Taiwan plays in the timing of mothers returning to work after giving birth, as well as the extent to which this timing is linked to the amount of time mothers spend with their children and their use of breast milk versus formula. We found that the time when mothers returned to work coincided with the duration of guaranteed leave. In particular, mothers with a labor pension plan resumed work significantly earlier than mothers with no pension plan, and mothers with no pension plan returned to work significantly later than those with pension plans. The short leave of absence guaranteed under existing policies translated into mothers spending less time with their children and being more likely to exclusively use formula by 6 months after birth. In contrast, mothers who resumed work later than 6 months after birth were more likely to have not worked before birth or to have quit their jobs during pregnancy. Implications and recommendations for parental leave policy in Taiwan are discussed.

Taiwan-U.S. Relations: Developments and Policy Implications

DTIC Science & Technology

2009-05-01

ally, China’s situation changed dramatically after the civil war victory of Mao Tse-tung in 1949. The reigning Chinese government, led by Chiang Kai ...Congressional Research Service 5 Changing Political Dynamics in Taiwan Until the mid-1980s, Taiwan had a one-party system in which Chiang Kai -shek’s...Taipei Times, January 23, 2009, p. 1. 21 Xie Yu , “Taiwan put under WHO health rules,” China Daily, February 12, 2009. 22 Chen, Jian, “WHA arrangements

Blended Learning in Obstetrics and Gynecology Resident Education: Impact on Resident Clinical Performance.

PubMed

Ghareeb, Allen; Han, Heeyoung; Delfino, Kristin; Taylor, Funminiyi

2016-01-01

informal setting. Discussion during this session suggested that inconsistent use of the algorithm and incomplete documentation were reasons for the findings. This study suggests that blended learning may be a viable tool to support sustained changes in the performance of OB/GYN residents. Scheduled follow-up should be employed to facilitate and ensure continued learning and behavioral changes.

Government Response to the Discovery of a Rabies Virus Reservoir Species on a Previously Designated Rabies-Free Island, Taiwan, 1999-2014.

PubMed

Chang, S-S; Tsai, H-J; Chang, F-Y; Lee, T-S; Huang, K-C; Fang, K-Y; Wallace, R M; Inoue, S; Fei, C-Y

2016-08-01

Taiwan had been considered rabies free since 1961. In 2013, Taiwan confirmed the detection of rabies virus in wild Taiwan ferret-badgers. Up to December 2014, there have been 423 rabies-confirmed ferret-badgers and three cases of spillover infection into non-reservoir hosts. Genetic analysis indicates that TFBV is distinct from all other known rabies virus variants. To date, ferret-badger rabies is known to occur only in China and Taiwan. The temporal dynamics of rabid ferret-badgers in Taiwan suggests that the epizootic appears to have subsided to enzootic levels as of December 2014. According to the current epidemiologic data, there is only one TFBV strain in Taiwan. TFBV is still sequestered to the mountainous regions. Humans are at risk mainly through exposure to the virus from infected domestic meso-carnivores, mainly dogs and cats. Dogs and cats should be vaccinated to establish an immunological barrier to stop the spread of the disease from mountainous regions to domestic meso-carnivores. © 2015 The Authors. Zoonoses and Public Health Published by Blackwell Verlag GmbH.

Simulating multi-scale oceanic processes around Taiwan on unstructured grids

NASA Astrophysics Data System (ADS)

Yu, Hao-Cheng; Zhang, Yinglong J.; Yu, Jason C. S.; Terng, C.; Sun, Weiling; Ye, Fei; Wang, Harry V.; Wang, Zhengui; Huang, Hai

2017-11-01

We validate a 3D unstructured-grid (UG) model for simulating multi-scale processes as occurred in Northwestern Pacific around Taiwan using recently developed new techniques (Zhang et al., Ocean Modeling, 102, 64-81, 2016) that require no bathymetry smoothing even for this region with prevalent steep bottom slopes and many islands. The focus is on short-term forecast for several months instead of long-term variability. Compared with satellite products, the errors for the simulated Sea-surface Height (SSH) and Sea-surface Temperature (SST) are similar to a reference data-assimilated global model. In the nearshore region, comparison with 34 tide gauges located around Taiwan indicates an average RMSE of 13 cm for the tidal elevation. The average RMSE for SST at 6 coastal buoys is 1.2 °C. The mean transport and eddy kinetic energy compare reasonably with previously published values and the reference model used to provide boundary and initial conditions. The model suggests ∼2-day interruption of Kuroshio east of Taiwan during a typhoon period. The effect of tidal mixing is shown to be significant nearshore. The multi-scale model is easily extendable to target regions of interest due to its UG framework and a flexible vertical gridding system, which is shown to be superior to terrain-following coordinates.

Regulatory control of low level radioactive waste in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Liu, T.D.S.; Chiou, Syh-Tsong

1996-12-31

The commercial operation of Chinshan Nuclear Power Plant (NPP) Unit One marked the beginning of Taiwan`s nuclear power program. There are now three NPPs, each consisting of two units, in operation. This represents a generating capacity of 5,144 MWe. Nuclear power plants are sharing some 30 percent of electricity supplies in Taiwan. As far as low level radwaste (LLRW) is concerned, Taiwan Power Company (TPC) is the principal producer, contributing more than 90 percent of total volume of waste arising in Taiwan. Small producers, other than nuclear industries, medicine, research institutes, and universities, are responsible for the remaining 10 percent.more » In the paper, the LLRW management policy, organizational scheme, regulatory control over waste treatment, storage, transportation and disposal are addressed. Added to the paper in the last is how this country is managing its Naturally Occurring Radioactive Materials (NORM) waste.« less

Subsurface imaging, TAIGER experiments and tectonic models of Taiwan

NASA Astrophysics Data System (ADS)

Wu, Francis T.; Kuo-Chen, H.; McIntosh, K. D.

2014-08-01

The seismicity, deformation rates and associated erosion in the Taiwan region clearly demonstrate that plate tectonic and orogenic activities are at a high level. Major geologic units can be neatly placed in the plate tectonic context, albeit critical mapping in specific areas is still needed, but the key processes involved in the building of the island remain under discussion. Of the two plates in the vicinity of Taiwan, the Philippine Sea Plate (PSP) is oceanic in its origin while the Eurasian Plate (EUP) is comprised partly of the Asian continental lithosphere and partly of the transitional lithosphere of the South China Sea basin. It is unanimously agreed that the collision of PSP and EU is the cause of the Taiwan orogeny, but several models of the underlying geological processes have been proposed, each with its own evolutionary history and implied subsurface tectonics. TAIGER (TAiwan Integrated GEodynamics Research) crustal- and mantle-imaging experiments recently made possible a new round of testing and elucidation. The new seismic tomography resolved structures under and offshore of Taiwan to a depth of about 200 km. In the upper mantle, the steeply east-dipping high velocity anomalies from southern to central Taiwan are clear, but only the extreme southern part is associated with seismicity; toward the north the seismicity disappears. The crustal root under the Central Range is strongly asymmetrical; using 7.5 km/s as a guide, the steep west-dipping face on the east stands in sharp contrast to a gradual east-dipping face on the west. A smaller root exists under the Coastal Range or slightly to the east of it. Between these two roots lies a well delineated high velocity rise spanning the length from Hualien to Taitung. The 3-D variations in crustal and mantle structures parallel to the trend of the island are closely correlated with the plate tectonic framework of Taiwan. The crust is thickest in the central Taiwan collision zone, and although it thins

What University Governance Can Taiwan Learn from the United States?

ERIC Educational Resources Information Center

Lee, Lung-Sheng; Land, Ming H.

2010-01-01

Due to changes from centralization to marketization, Taiwan's university governance must increase its effectiveness. The purpose of this paper was to introduce trends in and issues of Taiwan's university governance, describe university governance in the United States, and draw implications that Taiwan's university governance needs to learn from…

School violence in Taiwan: examining how Western risk factors predict school violence in an Asian culture.

PubMed

Chen, Ji-Kang; Avi Astor, Ron

2010-08-01

The current study explores whether theorized risk factors in Western countries can be used to predict school violence perpetration in an Asian cultural context. The study examines the associations between risk factors and school violence perpetration in Taiwan. Data were obtained from a nationally representative sample of 14,022 students from elementary to high school (Grades 4 to 12) across Taiwan. The analysis reported in this study focuses on only junior high school students (Grades 7 to 9, N = 3,058). The results of a regression analysis show that gender, age, direct victimization, witness victimization, alcohol use, smoking, anger traits, lack of impulse control, attitudes toward violence, poor quality of student-teacher relationships, and involvement with at-risk peers were significantly associated with school violence in Taiwan. The overall results suggest strong similarities in risk factors found in the West and school violence in Taiwan. They therefore point toward using similar strategies developed in the West to enhance students' positive experiences in their personal, family, and school lives to decrease school violence.

Resident Front Office Experience: A Systems-Based Practice Activity

PubMed Central

Sutkin, Gary; Aronoff, Christine K.

2008-01-01

Purpose: We set out to create and evaluate a systems-based practice experience designed to introduce residents to front office responsibilities and stimulate suggestions for front office improvements. Methods: On two occasions in 2002 and 2006, each resident in the Obstetrics and Gynecology Department was trained by a front office staff member for one day. The residents completed pre- and post-experience surveys, answered open-ended questions about their experience, and volunteered suggestions for improving the front office staff, and were evaluated by their precepting staff member. Results: All but two of 23 particpating residents participated enthusiastically. These residents perceived experiencing the staff as vital to the success of the practice, reported an increased sense of appreciation for the training of staff personnel, and were evaluated favorably. Conclusion: This program gave our residents an appreciation for the training and responsibilities of pivotal office staff and an opportunity to suggest improvements. This program also satisfied ACGME resident education requirements regarding systems-based practice. PMID:20165536

Analysis of hydrologic variation under climate change environment in southern Taiwan

NASA Astrophysics Data System (ADS)

Chen, Yung-Chau; Chen, Yu-Chin; Chen, Wen-Fu

2014-05-01

Impact and adaptation is an important issue in response to climate change. We need to know the affections of climate change on hydrologic characteristics before estimating the impacts and making adaptation strategies of concerned area. The wet and dry seasons of southern Taiwan are significant. In addition, the amount of average annual rainfall is about 2,100mm in southern Taiwan. Most of rainfalls happen in wet season and are caused by cyclones (typhoons) or thunderstorms in wet season. It implies that both quantity and intensity of rainfall are large in wet season, while they are small in dry season. Corresponding to the phenomena, the possibility of flood in wet season and draught in dry season is high. This means significant hydrologic variations may cause disasters. The purpose of this study is to analyze hydrologic variation due to recent climate changes in southern Taiwan, and provide decision makers some information to understand possible impacts and make adaptation strategies. Before typhoon Morakot hit Taiwan, southern Taiwan was suffering from aridity. As usual, people were expecting the rainfall accompanied with typhoons will resolve the drought in this area. However, it fell down huge amount of water within a short period of time and the rain became a big disaster in this area. The rainfall is an over 200-year event, a record breaker. The data used in this research is based on the records of Taiwan Central Weather Bureau at Chiayi, Tainan, Kaohsiung, and Hengchun station, respectively. The trends of temperature, amount of rainfall, and number of rainy days are examined. Both Mann-Kendall trend test and linear regression method are chosen as the means to do trend examination.The results show that annual mean temperatures at Chiayi, Tainan, Kaohsiung, and Hengchun have raised 0.5~0.9°C during past decades under the impact of global warming. The amount of annual rainfall does not appear statistically significant trend. However, the number of annual rainy

Landslide susceptibility and early warning model for shallow landslide in Taiwan

NASA Astrophysics Data System (ADS)

Huang, Chun-Ming; Wei, Lun-Wei; Chi, Chun-Chi; Chang, Kan-Tsun; Lee, Chyi-Tyi

2017-04-01

This study aims to development a regional susceptibility model and warning threshold as well as the establishment of early warning system in order to prevent and reduce the losses caused by rainfall-induced shallow landslides in Taiwan. For the purpose of practical application, Taiwan is divided into nearly 185,000 slope units. The susceptibility and warning threshold of each slope unit were analyzed as basic information for disaster prevention. The geological characteristics, mechanism and the occurrence time of landslides were recorded for more than 900 cases through field investigation and interview of residents in order to discuss the relationship between landslides and rainfall. Logistic regression analysis was performed to evaluate the landslide susceptibility and an I3-R24 rainfall threshold model was proposed for the early warning of landslides. The validations of recent landslide cases show that the model was suitable for the warning of regional shallow landslide and most of the cases can be warned 3 to 6 hours in advanced. We also propose a slope unit area weighted method to establish local rainfall threshold on landslide for vulnerable villages in order to improve the practical application. Validations of the local rainfall threshold also show a good agreement to the occurrence time reported by newspapers. Finally, a web based "Rainfall-induced Landslide Early Warning System" is built and connected to real-time radar rainfall data so that landslide real-time warning can be achieved. Keywords: landslide, susceptibility analysis, rainfall threshold

Shear-wave velocity of marine sediments offshore Taiwan using ambient seismic noise

NASA Astrophysics Data System (ADS)

Lin, Yu-Tse; Lin, Jing-Yi; Kuo-Chen, Hao; Yeh, Yi-Chin; Cheng, Win-Bin

2017-04-01

Seismic ambient noise technology has many advantages over the traditional two-station method. The most important one is that noise is happening all the time and it can be widely and evenly distributed. Thus, the Green's Function of any station pair can be obtained through the data cross-correlation process. Many related studies have been performed to estimate the velocity structures based on the inland area. Only a few studies were reported for the marine area due to the relatively shorter recording time of ocean bottom seismometers (OBS) deployment and the high cost of the marine experiment. However, the understanding about the shear-wave velocity (Vs) of the marine sediments is very crucial for the hazard assessment related to submarine landslides, particularly with the growing of submarine resources exploration. In this study, we applied the ambient noise technique to four OBS seismic networks located offshore Taiwan in the aim of getting more information about the noise sources and having the preliminary estimation for the Vs of the marine sediments. Two of the seismic networks were deployed in the NE part of Taiwan, near the Ryukyu subduction system, whereas the others were in the SW area, on the continental margin rich in gas hydrate. Generally, ambient seismic noise could be associated with wind, ocean waves, rock fracturing and anthropogenic activity. In the southwestern Taiwan, the cross-correlation function obtained from two seismic networks indicate similar direction, suggestion that the source from the south part of the network could be the origin of the noise. However, the two networks in the northeastern Taiwan show various source direction, which could be caused by the abrupt change of bathymetry or the volcanic degassing effect frequently observed by the marine geophysical method in the area. The Vs determined from the dispersion curve shows a relatively higher value for the networks in the Okinawa Trough (OT) off NE Taiwan than that in the

Urinary arsenic profiles and the risks of cancer mortality: A population-based 20-year follow-up study in arseniasis-endemic areas in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chung, Chi-Jung; Department of Medical Research, China Medical Hospital, Taichung, Taiwan; Huang, Ya-Li

2013-04-15

Few studies investigated the association between chronic arsenic exposure and the mortality of cancers by estimating individual urinary arsenic methylation profiles. Therefore, we compared with the general population in Taiwan to calculate the standardized mortality ratio (SMR) in arseniasis-endemic area of Taiwan from 1996 to 2010 and evaluated the dose-response relationships between environmental arsenic exposure indices or urinary arsenic profiles and the mortality of cause-specific cancer. A cohort of 1563 residents was conducted and collected their urine sample and information regarding arsenic exposure from a questionnaire. All-cause death was identified using the National Death Registry of Taiwan. Urinary arsenic profilesmore » were measured using high performance liquid chromatography–hydride generator–atomic absorption spectrometry. We used Cox proportional hazard models to evaluate the mortality risks. In results, 193 all-site cancer deaths, and 29, 71, 43 deaths respectively for liver, lung and bladder cancers were ascertained. The SMRs were significantly high in arseniasis-endemic areas for liver, lung, and bladder cancers. People with high urinary InAs% or low DMA% or low secondary methylation index (SMI) were the most likely to suffer bladder cancer after adjusting other risk factors. Even stopping exposure to arsenic from the artesian well water, the mortality rates of the residents were higher than general population. Finally, urinary InAs%, DMA% and SMI could be the potential biomarkers to predict the mortality risk of bladder cancer. -- Highlights: ► The SMRs were significantly high in arseniasis-endemic areas for liver, lung, and bladder cancers. ► People with high urinary InAs% were the most likely to suffer bladder cancer. ► People with low DMA% or low SMI were the most likely to suffer bladder cancer.« less

Health hazards and mitigation of chronic poisoning from arsenic in drinking water: Taiwan experiences.

PubMed

Chen, Chien-Jen

2014-01-01

There are two endemic areas of long-term exposure to arsenic from drinking water in Taiwan. Residents in the southwestern and northeastern endemic areas started using high-arsenic artesian well water in the early 1910s and late 1940s, respectively. Public water supply system using surface water was implemented in southwestern and northeastern endemic areas in the 1970s and 1990s, respectively. Systemic health hazards of long-term exposure to arsenic in drinking water have been intensively investigated since the 1960s, especially after 1985 in Taiwan. Several diseases have been well documented to be associated with chronic arsenic poisoning from drinking water showing a dose-response relation. They include characteristic skin lesions like hyperpigmentation or depigmentation, hyperkeratosis in palms and soles, and Bowen disease, peripheral vascular disease (specifically blackfoot disease), ischemic heart disease, cerebral infarction, microvascular diseases, abnormal peripheral microcirculation, carotid atherosclerosis, QT prolongation and increased dispersion in electrocardiography, hypertension, goiter, diabetes mellitus, cataract (specifically posterior subcapsular lens opacity), pterygium, slow neural conduction, retarded neurobehavioral development, erectile dysfunction, and cancers of the skin, lung, urinary bladder, kidney, and liver. The method of choice to mitigate arsenic poisoning through drinking water is to use safe drinking water from uncontaminated sources.

Doing Men's Work?: Discipline, Power and the Primary School in Taiwan

ERIC Educational Resources Information Center

Li, Hsiao-jung

2016-01-01

This article examines the masculinization of discipline and its interplay with power in the primary school through an exploration of teachers' gender and disciplinary work and roles by drawing on data from an ethnographic study conducted at a primary school in Taiwan. The research findings suggest that discipline was men's work due to women…

Resident Performance and Sleep Deprivation: A Review.

ERIC Educational Resources Information Center

Asken, Michael J.; Raham, David C.

1983-01-01

A review of the literature on resident performance and sleep deprivation suggests that current research is sparse and inconclusive, and existing research suggests potentially severe negative effects. It is proposed that justifications for sleep-depriving night call schedules remain untested, and their use as part of residency training should be…

Blended Learning in Obstetrics and Gynecology Resident Education: Impact on Resident Clinical Performance

PubMed Central

Ghareeb, Allen; Han, Heeyoung; Delfino, Kristin; Taylor, Funminiyi

2016-01-01

were provided to the residents in an informal setting. Discussion during this session suggested that inconsistent use of the algorithm and incomplete documentation were reasons for the findings. Lessons Learned This study suggests that blended learning may be a viable tool to support sustained changes in the performance of OB/GYN residents. Scheduled follow-up should be employed to facilitate and ensure continued learning and behavioral changes. PMID:29349307

The Study of Aeromagnetic Surveys in Taiwan

NASA Astrophysics Data System (ADS)

Li, P. T.; Tong, L. T.; Lin, W.; Chang, S. F.

2016-12-01

The airborne magnetic survey is a cost-effective method for regional geological investigation. Most of developed countries use aeromagnetic data as important fundamental information for resources development. The first aeromagnetic survey was conducted in the offshore areas of west and southern Taiwan in 1968 by U.S. Naval Oceanographic Office to help Taiwan finding oil. Later, in 2007, a helicopter-borne magnetic survey was proceed in east Taiwan for underground granite bodies. In order to improve better understanding of deep geological structures associated with the Holocene volcanism in Taiwan, we applied helicopter-borne magnetic technique in northern Taiwan include Tatun Volcano Group (TVG) and Kueishan island in 2013 and 2014 to obtain the distribution information of potential magma chamber as well as hydrothermal pathways along regional geological structures. The most important findings of the high-resolution aeromagnetic dataset since 1960's to 2014 acquired include: (1) the distribution of subsurface igneous rocks and the Curie point depth in Tatun Volcano Group, Keelung Volcano Group, and Kueishantao Volcano; (2) the widely distributed NE high-magnetic belts in northern Taiwan may be associated with NE fractures created by long-term subsidence in this area; (3) the high-magnetic belts in south of Lanyang River which is very different from the magnetic characteristics of the Central Range may imply paleo oceanic plate; (4) the NE high-magnetic belts in Penghu area formed by magma intrusion along NE fractures and the dense and high-magnetic anomalies may be associated with the Miocene basaltic lava overlying on the pre-Tertiary igneous dykes and are widely spread in northern Penghu area. The new aeromagnetic survey techniques help us to investigate the areas with steep terrain or covered by dense vegetation which was difficult to obtain reasonable geological understanding, and also provide an opportunity for us to apply the geothermal energy prospecting.

A Checklist of Chigger Mites (Acari: Trombiculidae and Leeuwenhökiidae) From Taiwan, With Descriptions of Three New Species.

PubMed

Chung, Lo-Hsuan; Wu, Wen-Jer; Kuo, Chi-Chien; Wang, Hsi-Chieh

2015-11-01

Scrub typhus is a lethal human disease transmitted by larval trombiculid mites (i.e., chiggers) that have been infected with the rickettsia Orientia tsutsugamushi. In total, 21 chigger species are known from Taiwan. We update the checklist of chiggers of Taiwan based on an intensive survey of shrew and rodent hosts in grasslands and agricultural fields in lowland Taiwan, coupled with surveys of forests in one mountainous site and an opportunistic examination of submitted host specimens. Three new species of chiggers, Gahrliepia (Gateria) lieni sp. n., Gahrliepia (Gateria) minuta sp. n., and Gahrliepia (Gateria) yilanensis sp. n., as well as 23 newly recorded chigger species, were discovered. Accordingly, recorded chigger species of Taiwan more than doubled from 21 to 47 species. Two new species and nine newly recorded chigger species were discovered in forests in one mountainous site in northeastern Taiwan, suggesting that many more chigger species may be uncovered, particularly in mountainous Taiwan. Further studies should also investigate O. tsutsugamushi infection in different chigger species to assess its risks to human health. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Cancer incidence patterns among children and adolescents in Taiwan from 1995 to 2009: A population-based study

PubMed Central

Hung, Giun-Yi; Horng, Jiun-Lin; Lee, Yu-Sheng; Yen, Hsiu-Ju; Chen, Chao-Chun; Lee, Chih-Ying

2014-01-01

BACKGROUND Currently, little information is available on childhood cancer incidence rates in Eastern Asia. The objective of this study was to report the first population-based cancer surveillance of children and adolescents in Taiwan. METHODS Data from the Taiwan Cancer Registry were examined for cancer frequencies and incidence rates among individuals ages birth to 19 years from 1995 to 2009. Types of cancers were grouped according to the International Classification of Childhood Cancer. Rates were compared by sex and age. For further comparisons with other countries, rates were age standardized to the 2000 world standard population in 5-year age groups. Trends in incidence rates also were evaluated. RESULTS In total, 12,315 individuals were diagnosed with childhood cancers, for an age-standardized incidence rate (ASR) of 132.1 per million person-years from 1995 to 2009. The male-to-female incidence rate ratio was 1.19. Overall, leukemias were the most common cancer (ASR, 39.1 per million person-years), followed by central nervous system neoplasms (15.8 per million person-years), and lymphomas (15.3 per million person-years). During the 15-year study period, the incidence rates increased by 1% annually. Compared with other countries, the rate of hepatic tumors was 2 times greater in Taiwan. The rate of germ cell neoplasms in Taiwan was similar to that in the United States and was 1.3 to 1.9 times greater compared with Canada, Brazil, Israel, and Japan. CONCLUSIONS Based on the current data, the observed increase in overall incidence rates was attributable only marginally to improvements in case ascertainment and diagnostic procedures. The high rates of malignant hepatic tumors and germ cell neoplasms in Taiwan suggest variations in the background risk factors. Cancer 2014;120:3545–3553. © 2014 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society. The authors examine cancer incidence patterns in children and adolescents

An investigation of the use of acupuncture in stroke patients in Taiwan: a national cohort study.

PubMed

Weng, Shu-Wen; Chen, Ta-Liang; Yeh, Chun-Chieh; Liao, Chien-Chang; Lane, Hsin-Long; Lin, Jaung-Geng; Shih, Chun-Chuan

2016-08-26

Acupuncture is considered a complementary and alternative medicine in many countries. The purpose of this study was to report the pattern of acupuncture use and associated factors in patients with stroke. We used claims data from Taiwan's National Health Insurance Research Database and identified 285001 new-onset stroke patients in 2000-2008 from 23 million people allover Taiwan. The use of acupuncture treatment after stroke within one year was identified. We compared sociodemographics, coexisting medical conditions, and stroke characteristics between stroke patients who did and did not receive acupuncture treatment. The use of acupuncture in stroke patients increased from 2000 to 2008. Female gender, younger age, white-collar employee status, higher income, and residence in areas with more traditional Chinese medicine (TCM) physicians were factors associated with acupuncture use in stroke patients. Ischemic stroke (odds ratio [OR] 1.21, 95 % confidence interval [CI] 1.15-1.28), having no renal dialysis (OR 2.76, 95 % CI 2.45-3.13), receiving rehabilitation (OR 3.20, 95 % CI 3.13-3.27) and longer hospitalization (OR 1.23, 95 % CI 1.19-1.27) were also associated with acupuncture use. Stroke patients using rehabilitation services were more likely to have more acupuncture visits and a higher expenditure on acupuncture compared with stroke patients who did not receive rehabilitation services. The application of acupuncture in stroke patients is well accepted and increasing in Taiwan. The use of acupuncture in stroke patients is associated with sociodemographic factors and clinical characteristics.

Characterization of the genetic diversity and population structure for the yellow cattle in Taiwan based on microsatellite markers.

PubMed

Tu, Po-An; Lin, Der-Yuh; Li, Guang-Fu; Huang, Jan-Chi; Wang, De-Chi; Wang, Pei-Hwa

2014-01-01

In recent years, the population size of Taiwan yellow cattle has drastically declined, even become endangered. A preservation project, Taiwan Yellow Cattle Genetic Preservation Project (TYCGPP), was carried out at the Livestock Research Institute (LRI) Hengchun branch (1988-present). An analysis of intra- and inter- population variability was performed to be the first step to preserve this precious genetic resource. In this work, a total number of 140 individuals selected from the five Taiwan yellow cattle populations were analyzed using 12 microsatellite markers (loci). These markers determined the level of genetic variation within and among populations as well as the phylogenetic structure. The total number of alleles detected (122, 10.28 per locus) and the expected heterozygosity (0.712) indicated that these five populations had a high level of genetic variability. Bayesian cluster analysis showed that the most likely number of groups was 2 (K = 2). Genetic differentiation among clusters was moderate (F ST = 0.095). The result of AMOVA showed that yellow cattle in Taiwan had maintained a high level of within-population genetic differentiation (91%), the remainder being accounted for by differentiation among subpopulations (4%), and by differentiation among regions (5%). The results of STRUCTURE and principal component analysis (PCA) revealed two divergent clusters. The individual unrooted phylogenetic tree showed that some Kinmen yellow cattle in the Hengchun facility (KMHC individuals) were overlapped with Taiwan yellow cattle (TW) and Taiwan yellow cattle Hengchun (HC) populations. Also, they were overlapped with Kinmen × Taiwan (KT) and Kinmen yellow cattle (KM) populations. It is possible that KMHC kept similar phenotypic characteristics and analogous genotypes between TW and KM. A significant inbreeding coefficient (F IS = 0.185; P < 0.01) was detected, suggesting a medium level of inbreeding for yellow cattle in Taiwan. The hypothesis that yellow cattle

Taiwan Biobank: making cross-database convergence possible in the Big Data era

PubMed Central

Lin, Jui-Chu; Fan, Chien-Te; Liao, Chia-Cheng; Chen, Yao-Sheng

2018-01-01

Abstract The Taiwan Biobank (TWB) is a biomedical research database of biopsy data from 200 000 participants. Access to this database has been granted to research communities taking part in the development of precision medicines; however, this has raised issues surrounding TWB’s access to electronic medical records (EMRs). The Personal Data Protection Act of Taiwan restricts access to EMRs for purposes not covered by patients’ original consent. This commentary explores possible legal solutions to help ensure that the access TWB has to EMR abides with legal obligations, and with governance frameworks associated with ethical, legal, and social implications. We suggest utilizing “hash function” algorithms to create nonretrospective, anonymized data for the purpose of cross-transmission and/or linkage with EMR. PMID:29149267

Review of recycling performance indicators: A study on collection rate in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wen Lihchyi; Lin Chunhsu; Lee, Soo-cheol

2009-08-15

The Taiwan Environmental Protection Administration (Taiwan EPA) launched a national Extended Producer Responsibility (EPR) system after integrating eight private recycling organizations in 1998. After that, the environmental performance of the EPR system brought a lot of attention to policy makers. Many studies show positive environmental effects of the EPR system in Taiwan. However, there are controversial questions remained, such as whether the performance indicators used are the right choice to estimate the environmental effects of the recycling policy? Can those estimated results really reflect the performance of the system? This paper would therefore like to more accurately evaluate the performancemore » indicators of the EPR system based on data observed over the past decade in Taiwan. In the process of evaluating the performance indicators, we have found that the collection rates for durable goods are often ignored in countries that pursue a zero waste policy. This may affect the actual recycling outcome and resource direction targeted by producers. However, in order for the collection rate to be adopted as a policy indicator, how to estimate the amounts of retired or waste products during a period is critical. In this paper, we estimate the collection rate for electrical and electronic waste by using the survival analysis and ownership data analysis approaches. We also provide a comparison of both approaches and put forward suggestions for directions in the future in solid waste management.« less

Educating Students with Learning Disabilities in Taiwan

ERIC Educational Resources Information Center

Hsiao, Yun-Ju

2011-01-01

In East Asia, Taiwan is one of only a few countries that has a clear definition of learning disabilities (LD) as well as operational criteria for the identification of LD. In Taiwan, special education services for students with LD are mandated in the Special Education Act of 1984. According to the official statistics from the Taiwanese Special…

Fukushima-derived fission nuclides monitored around Taiwan: Free tropospheric versus boundary layer transport

NASA Astrophysics Data System (ADS)

Huh, Chih-An; Hsu, Shih-Chieh; Lin, Chuan-Yao

2012-02-01

The 2011 Fukushima nuclear accident in Japan was the worst nuclear disaster following the 1986 Chernobyl accident. Fission products (nuclides) released from the Fukushima plant site since March 12, 2011 had been detected around the northern hemisphere in about two weeks and also in the southern hemisphere about one month later. We report here detailed time series of radioiodine and radiocesium isotopes monitored in a regional network around Taiwan, including one high-mountain and three ground-level sites. Our results show several pulses of emission from a sequence of accidents in the Fukushima facility, with the more volatile 131I released preferentially over 134Cs and 137Cs at the beginning. In the middle of the time series, there was a pronounced peak of radiocesium observed in northern Taiwan, with activity concentrations of 134Cs and 137Cs far exceeding that of 131I during that episode. From the first arrival time of these fission nuclides and their spatial and temporal variations at our sampling sites and elsewhere, we suggest that Fukushima-derived radioactive nuclides were transported to Taiwan and its vicinity via two pathways at different altitudes. One was transported in the free troposphere by the prevailing westerly winds around the globe; the other was transported in the planetary boundary layer by the northeast monsoon wind directly toward Taiwan.

Significance of major international seaports in the distribution of murine typhus in Taiwan.

PubMed

Kuo, Chi-Chien; Wardrop, Nicola; Chang, Chung-Te; Wang, Hsi-Chieh; Atkinson, Peter M

2017-03-01

International seaports are hotspots for disease invasion and pathogens can persist in seaports even after ports are abandoned. Transmitted by fleas infected by Rickettsia typhi, murine typhus, a largely neglected and easily misdiagnosed disease, is known to occur primarily in large seaports. However, the significance of seaports in the occurrence of murine typhus has never been validated quantitatively. We studied the spatial distribution of murine typhus, a notifiable disease, in Taiwan. We investigated whether risk of infection was correlated with distance to international seaports and a collection of environmental and socioeconomic factors, using a Bayesian negative binomial conditionally autoregressive model, followed with geographically weighted regression. Seaports that are currently in use and those that operated in the 19th century for trade with China, but were later abandoned due to siltation were analyzed. A total of 476 human cases of murine typhus were reported during 2000-2014 in the main island of Taiwan, with spatial clustering in districts in southwest and central-west Taiwan. A higher incidence rate (case/population) was associated with a smaller distance to currently in-use international seaports and lower rainfall and temperature, but was uncorrelated with distance to abandoned ports. Geographically weighted regression revealed a geographic heterogeneity in the importance of distance to in-use seaports near the four international seaports of Taiwan. Our study suggests that murine typhus is associated with international seaports, especially for those with large trading volume. Thus, one of the costs of global trade in Taiwan might be elevated risks of murine typhus. Globalization has accelerated the spread of infectious diseases, but the burden of disease varies geographically, with regions surrounding major international seaports warranting particular surveillance.

Effect of music intervention on the cognitive and depression status of senior apartment residents in Taiwan

PubMed Central

Tai, Shu-Yu; Wang, Ling-Chun; Yang, Yuan-Han

2015-01-01

Objective To identify the effect of music intervention on cognitive function and depression status of residents in senior citizen apartments based on the existing evidence regarding music therapy. Methods An experimental study was conducted from November 2008 to December 2009. Sixty healthy senior apartment residents over 65 years of age were recruited and separated into two groups. According to their opinion, 41 took part in the music intervention group and 19 in the comparison group. The music intervention involved Buddhist hymns. The short-term effects were evaluated based on the measurement of cognitive function and depression level using the Mini-Mental State Examination (MMSE) and the Geriatric Depression Scale-short form (GDS-SF) at the baseline, 1 month, and 4 months. Results The means of the initial and the 1-month MMSE and GDS-SF scores did not differ between the two groups. The 4-month MMSE score significantly declined compared with the initial level in the comparison group, whereas no significant change was observed in the experimental group. Moreover, the 4-month GDS-SF score significantly improved in both groups compared with the initial level. Conclusion Music intervention may postpone cognitive decline in healthy residents preferring Buddhist hymns in the senior citizen apartments in 4 months follow-up, and intense contact with participants may improve their mood status. PMID:26109859

An investigation of snakebite antivenom usage in Taiwan.

PubMed

Lin, Chih-Chuan; Chaou, Chung-Hsien; Tseng, Chiung-Yao

2016-08-01

Four types of antivenom are used to treat snakebites by the six species of venomous snakes native to Taiwan. Research into antivenom use in Taiwan and its outcomes, as well as the utility of current Taiwan Poison Control Center guidelines for antivenom use, has been limited. We aimed to provide increased understanding by investigating the treatment and outcomes of patients treated for snakebite in Taiwan. On the basis of data collected from the 2009 Taiwan National Health Insurance database, patients with snakebites were identified and categorized into two sets of groups according to types of antivenom administered. The relationships between antivenom types, dosage and the variables of antibiotic use, surgical intervention, acute respiratory failure acute, renal failure, antivenom-related allergic reaction, mortality, need for hospital admission, and length of hospitalization were analyzed by multivariate logistic regression and the Kruskal-Wallis test. The majority of patients were successfully treated by administration of 1 vial of antivenom and discharged without complications. However, patients treated for neurotoxic-type venom snakebite required administration of larger doses of antivenom and > 30% required surgical intervention, particularly those treated for Chinese cobra snakebite. Approximately 10% of patients were administered two types of antivenom. The results partially support Taiwan Poison Control Center guidelines for treating the hemorrhagic-type venom snakebite. However, deficit in the guidelines for treatment of neurotoxic-type venom snakebite is obvious and new guidelines for treatment of neurotoxic-type venom snakebite and diagnosis should be developed. Copyright © 2015. Published by Elsevier B.V.

Canine distemper virus in wild ferret-badgers of Taiwan.

PubMed

Chen, Chen-Chih; Pei, Kurtis Jai-Chyi; Liao, Ming-Huei; Mortenson, Jack A

2008-04-01

Canine distemper is an acute or subacute, highly contagious, febrile disease that is caused by canine distemper virus (CDV). Two CDV-infected wild Taiwan ferret-badgers (Melogale moschata subauantiaca) were found in Kaohsiung County, southern Taiwan, in 2005. Each case was confirmed by detecting CDV RNA in lung and brain tissues. A suspected third case was detected based on clinical signs and histology. These cases are the first record of wildlife infected by CDV in Taiwan. It is believed that domestic dogs or coexisting wild carnivores infected with the virus were the most likely source, and a serologic survey is needed to fully understand the host range of this virus in Taiwan. In addition, further genetic sequencing is needed to determine the source of these CDV cases.

Effects of local and regional climatic fluctuations on dengue outbreaks in southern Taiwan

PubMed Central

Chaves, Luis Fernando; Chen, Po-Jiang

2017-01-01

Background Southern Taiwan has been a hotspot for dengue fever transmission since 1998. During 2014 and 2015, Taiwan experienced unprecedented dengue outbreaks and the causes are poorly understood. This study aims to investigate the influence of regional and local climate conditions on the incidence of dengue fever in Taiwan, as well as to develop a climate-based model for future forecasting. Methodology/Principle findings Historical time-series data on dengue outbreaks in southern Taiwan from 1998 to 2015 were investigated. Local climate variables were analyzed using a distributed lag non-linear model (DLNM), and the model of best fit was used to predict dengue incidence between 2013 and 2015. The cross-wavelet coherence approach was used to evaluate the regional El Niño Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD) effects on dengue incidence and local climate variables. The DLNM results highlighted the important non-linear and lag effects of minimum temperature and precipitation. Minimum temperature above 23°C or below 17°C can increase dengue incidence rate with lag effects of 10 to 15 weeks. Moderate to high precipitation can increase dengue incidence rates with a lag of 10 or 20 weeks. The model of best fit successfully predicted dengue transmission between 2013 and 2015. The prediction accuracy ranged from 0.7 to 0.9, depending on the number of weeks ahead of the prediction. ENSO and IOD were associated with nonstationary inter-annual patterns of dengue transmission. IOD had a greater impact on the seasonality of local climate conditions. Conclusions/Significance Our findings suggest that dengue transmission can be affected by regional and local climatic fluctuations in southern Taiwan. The climate-based model developed in this study can provide important information for dengue early warning systems in Taiwan. Local climate conditions might be influenced by ENSO and IOD, to result in unusual dengue outbreaks. PMID:28575035

Epidemiology of organophosphate pesticide poisoning in Taiwan.

PubMed

Lin, Tzeng Jih; Walter, Frank Gardner; Hung, Dong Zong; Tsai, Jin Lian; Hu, Sheng Chuan; Chang, Jung San; Deng, Jou-Fang; Chase, Jung San; Denninghoff, Kurt; Chan, Hon Man

2008-11-01

The nationwide epidemiology of organophosphate pesticide (OP) poisoning has never been reported in detail for Taiwan. This study retrospectively reviewed all human OP exposures reported to Taiwan's Poison Control Centers (PCCs) from July 1985 through December 2006. There were 4799 OP exposures. Most OP exposures were acute (98.37%) ingestions (74.50%) of a single OP (80.37%) to attempt suicide (64.72%) in adults (93.25%). Males were the most common gender (64.95%). Most patients (61.97%) received atropine and/or pralidoxime. The mortality rate for all 4799 OP exposures was 12.71%. Exposures to single OPs without co-intoxicants caused 524 deaths; of these, 63.36% were due to dimethyl OPs. Dimethyl OPs cause the majority of deaths in Taiwan.

Changes in Personal Relationships During Residency and Their Effects on Resident Wellness: A Qualitative Study

PubMed Central

Lam, Michelle; Wu, Diana; Veinot, Paula; Mylopoulos, Maria

2017-01-01

Purpose Residency poses challenges for residents’ personal relationships. Research suggests residents rely on family and friends for support during their training. The authors explored the impact of residency demands on residents’ personal relationships and the effects changes in those relationships could have on their wellness. Method The authors used a constructivist grounded theory approach. In 2012–2014, they conducted semistructured interviews with a purposive and theoretical sample of 16 Canadian residents from various specialties and training levels. Data analysis occurred concurrently with data collection, allowing authors to use a constant comparative approach to explore emergent themes. Transcripts were coded; codes were organized into categories and then themes to develop a substantive theory. Results Residents perceived their relationships to be influenced by their evolving professional identity: Although personal relationships were important, being a doctor superseded them. Participants suggested they were forced to adapt their personal relationships, which resulted in the evolution of a hierarchy of relationships that was reinforced by the work–life imbalance imposed by their training. This poor work–life balance seemed to result in relationship issues and diminish residents’ wellness. Participants applied coping mechanisms to manage the conflict arising from the adaptation and protect their relationships. To minimize the effects of identity dissonance, some gravitated toward relationships with others who shared their professional identity or sought social comparison as affirmation. Conclusions Erosion of personal relationships could affect resident wellness and lead to burnout. Educators must consider how educational programs impact relationships and the subsequent effects on resident wellness. PMID:28445221

Earthquake-induced gravitational potential energy change in the active Taiwan orogenic belt

NASA Astrophysics Data System (ADS)

Lo, Chung-Liang; Hsu, Shu-Kun

2005-07-01

The Philippine Sea Plate is converging against the Eurasian Plate near Taiwan at a velocity of 7-8 cm yr-1 this has caused the Taiwan orogenesis and induced abundant earthquakes. In this study we examine the corresponding change of gravitational potential energy (ΔGPE) using 757 earthquakes from the earthquake catalogue of the Broadband Array in Taiwan for Seismology (BATS) from 1995 July to 2003 December. Our results show that the variation of the crustal ΔGPE strongly correlates with the different stages of the orogenesis. Except for the western Okinawa Trough and southern Taiwan, most of the Taiwan convergent region exhibits a gain of crustal ΔGPE. In contrast, the lithospheric ΔGPE in the Taiwan region exhibits a reverse pattern. For the whole Taiwan region, the earthquake-induced crustal ΔGPE and the lithospheric ΔGPE during the observation period are 1.03 × 1017 J and -1.15 × 1017 J, respectively. The average rate of the whole ΔGPE in the Taiwan region is very intense and equal to -2.07 × 1010 W, corresponding to about 1 per cent of the global GPE loss induced by earthquakes.

Motorcycle pollution control in Taiwan, Republic of China

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chen, H.W.; Hsiao, H.C.; Walsh, M.P.

1998-12-31

The Taiwan EPA has developed a comprehensive approach to motor vehicle pollution control. Building on its early adoption of US `83 standards for light duty vehicles (starting July 1, 1990) it recently moved to US `87 requirements, which include the 0.2 gram per mile particulate standard, as of July 1, 1995. Heavy duty diesel particulate standards almost as stringent as US `90, 6.0 grams per brake horsepower hour NO{sub x} and 0.7 particulate, using the US transient test procedure, went into effect on July 1, 1993. It is intended that US`94 standards, 5.0 NO{sub x} and 0.25 particulate, will bemore » adopted soon. Clearly the most distinctive feature of the Taiwan program, however, is its motorcycle control effort, reflecting the fact that motorcycles dominate the vehicle fleet and are a substantial source of emissions. This paper will summarize Taiwan`s extensive efforts to address this problem.« less

[Comparing the Health Needs of Older Aboriginal and Older Ethnic Chinese Individuals in Taiwan].

PubMed

Lee, Ling-Ling; Lin, Shu-Shuan; Yen, Chia-Feng; Chuang, Jui-Ling

2016-04-01

Providing healthcare to older people is an essential policy in Taiwan. Previous studies have assessed the health needs of older people residing in urban areas. Evidence related to the differences in healthcare needs between older aboriginal and older ethnic Chinese people in Taiwan is insufficient. As both groups exhibit mutually distinct physical and socio-cultural attributes, understanding their different health needs is necessary to provide tailored and effective healthcare. To investigate the distinct health needs of older aboriginal and older ethnic Chinese using a comprehensive health-needs assessment tool. A cross-sectional study design was used. Older people aged 65 or over were proportionally sampled from communities. The Elderly Assessment System Care Standard instrument was used to collect data through interviews held in participant homes or in community activity centers between October 20th and December 20th, 2011. A total of 180 older people were recruited. A majority of participants had at least one chronic disease, disability, or frailty. Across a range of dimensions and categories of health needs, older aboriginal people had statistically significant higher health needs than non-aboriginal ones. However, older ethnic Chinese participants had higher levels of need in the domains of housing/financing and social participation/isolation. Regression analysis found that independence, risk of frailty, and risk of falls explained the majority of health needs, with R2 values of 64% and 69.6% for older aboriginal and older ethnic Chinese participants, respectively. However, the respective impact of these three categories on overall health needs varied between the two groups. Based on our findings, healthcare providers should focus on improving the self-care capabilities of older aboriginal people and on reducing the risk of breakdowns in care for older ethnic Chinese people in order to enhance the quality of elderly care in Taiwan.

Classification management plan of groundwater quality in Taiwan

NASA Astrophysics Data System (ADS)

Chen, Chun Ming; Chen, Yu Ying; Pan, Shih Cheng; Li, Hui Jun; Hsiao, Fang Ke

2017-04-01

Taiwan Environmental Protection Administration has been monitoring regional water quality for 14 years. Since the beginning of 2002 till now, there are 453 regional groundwater monitoring wells in ten groundwater subregions in Taiwan, and the monitoring of groundwater quality has been carried out for a long time. Currently, water quality monitoring project has reached 50 items, while the number of water quality monitoring data has reached more than 20,000. In order to use the monitoring data efficiently, this study constructed the localized groundwater quality indicators of Taiwan. This indicator takes into account the different users' point of view, incorporating the Taiwan groundwater pollution monitoring standards (Category II), irrigation water quality standard and drinking water source water quality standard. 50 items of water quality monitoring projects were simplified and classified. The groundwater quality parameters were divided into five items, such as potability for drinking water, salting, external influence, health influences and toxicity hazard. The weight of the five items of groundwater was calculated comprehensively, and the groundwater quality of each monitoring well was evaluated with three grades of good, ordinary, and poor. According to the monitoring results of the groundwater monitoring wells in October to December of 2016, about 70% of groundwater quality in Taiwan is in good to ordinary grades. The areas with poor groundwater quality were mostly distributed in coastal, agriculture and part of the urban areas. The conductivity or ammonia nitrogen concentration was higher in those regions, showing that groundwater may be salinized or affected by external influences. Groundwater quality indicators can clearly show the current comprehensive situation of the groundwater environment in Taiwan and can be used as a tool for groundwater quality classification management. The indicators can coordinate with the Taiwan land planning policy in the

Influenza A(H6N1) Virus in Dogs, Taiwan

PubMed Central

Lin, Hui-Ting; Wang, Ching-Ho; Chueh, Ling-Ling; Su, Bi-Ling

2015-01-01

We determined the prevalence of influenza A virus in dogs in Taiwan and isolated A/canine/Taiwan/E01/2014. Molecular analysis indicated that this isolate was closely related to influenza A(H6N1) viruses circulating in Taiwan and harbored the E627K substitution in the polymerase basic 2 protein, which indicated its ability to replicate in mammalian species. PMID:26583707

Absence of endemic measles transmission in a highly vaccinated population from 1999 to 2008: implications of sustained measles elimination in Taiwan.

PubMed

Chang, Yu-Kang; Chen, Jacky Y H; Chang, Hsiao-Ling; Yu, Mei-Ching; Hsiao, Hsu-Feng; Hou, Ching-Cheng; Liu, Shyun-Yeu; Chen, Kow-Tong

2010-07-19

Measles remains a leading vaccine-preventable cause of child mortality worldwide. The impact of vaccination programs can be seen in the increasingly low incidence of measles. However, cases of measles continue to occur in low numbers every year in Taiwan. We assessed the epidemiology of measles in Taiwan from 1999 to 2008 with a focus on domestic versus imported cases. We analyzed the data reported to surveillance systems at the Taiwan Center for Disease Control, where viral isolation was performed. A total of 84 measles cases were reported from 1999 to 2008 in Taiwan with the incidence of measles varying from 0 to 1.5 per 1,000,000 people per year, peaking in 2002 and again in 2008. The incidence decreased with increasing age in both males and females. Among the 84 reported measles cases, 39 (46%) originated internationally, 8 (10%) were epidemiologically linked to imported cases and the source was unknown in 37 (44%) of the cases. The unknown-source cases were analyzed for potential evidence of endemic measles transmission. Most of the measles cases that occurred in Taiwan from 1999 to 2008 were associated with imported cases. No endemic transmission of measles in Taiwan was identified. This study suggests that maintaining the high rate of vaccination coverage is needed to prevent future outbreak and sustain the elimination of measles in Taiwan. (c) 2010 Elsevier Ltd. All rights reserved.

Impact of tobacco control policies on adolescent smoking: findings from the Global Youth Tobacco Survey in Taiwan.

PubMed

Huang, Song-Lih; Lin, I-Feng; Chen, Chuan-Yu; Tsai, Tzu-I

2013-10-01

To assess the impact of a set of comprehensive tobacco control policies implemented in Taiwan in 2009, including extensive smoke-free policy, advertisement ban, pictorial warning and price increase, on adolescent smoking prevalence. Five waves of cross-sectional surveys. Taiwan, 2004-11. Nationally representative sample of junior high schools aged 13-15 years, in a biennial survey, total sample size 101,100. Core questionnaire of the Global Youth Tobacco Survey, including ever smoking, 30-day smoking and number of cigarettes smoked. The magnitude of prevalence change before and after the 2009 policy implementation was quantified by adjusted odds ratios estimated by piecewise logistic regression models. The 30-day smoking prevalence demonstrated an upward trend [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.02-1.10] between 2004 and 2008. Significant decline in 30-day smoking prevalence after the 2009 law implementation was observed (OR = 0.84, 95% CI = 0.71-0.99). Those living in non-city areas demonstrated a greater magnitude of change. In addition to changes in prevalence, we observed some delay in the age starting smoking, reduction in smokers who smoke fewer than one cigarette per day, and decrease in smokers who did not buy cigarettes. The decline in smoking prevalence was contributed primarily by the reduction in experimenters. The comprehensive tobacco control programme introduced in Taiwan in 2009 was associated with a reduction in adolescent smoking, particularly among those in earlier stages of smoking and those who resided in non-city areas. © 2013 Society for the Study of Addiction.

Education in Taiwan (Formosa). Bulletin, 1956, No. 3

ERIC Educational Resources Information Center

Sassani, Abul H. K.

1956-01-01

"Education in Taiwan (Formosa)" is based mostly on official reports of the Ministry of Education published in Taiwan, including other official and private reports which are not yet published. The text has been supplemented with additional data and information obtained from other official sources and through interviews with Chinese…

Program Changes in Technology Teacher Education in Taiwan.

ERIC Educational Resources Information Center

Lai, Chih-Chien Steven

Taiwan has two technology teacher departments: one at the National Taiwan Normal University (NTNU) and the other at National Kaohsiung Normal University (NKNU). In recent years, both universities' technology teacher education programs have simultaneously followed two lines of development: the transition from an industrial arts education program to…

A Time Study of Plastic Surgery Residents.

PubMed

Lau, Frank H; Sinha, Indranil; Jiang, Wei; Lipsitz, Stuart R; Eriksson, Elof

2016-05-01

Resident work hours are under scrutiny and have been subject to multiple restrictions. The studies supporting these changes have not included data on surgical residents. We studied the workday of a team of plastic surgery residents to establish prospective time-study data of plastic surgery (PRS) residents at a single tertiary-care academic medical center. Five trained research assistants observed all residents (n = 8) on a PRS service for 10 weeks and produced minute-by-minute activity logs. Data collection began when the team first met in the morning and continued until the resident being followed completed all non-call activities. We analyzed our data from 3 perspectives: 1) time spent in direct patient care (DPC), indirect patient care, and didactic activities; 2) time spent in high education-value activities (HEAs) versus low education-value activities; and 3) resident efficiency. We defined HEAs as activities that surgeons must master; other activities were LEAs. We quantified resident efficiency in terms of time fragmentation and time spent waiting. A total of 642.4 hours of data across 50 workdays were collected. Excluding call, residents worked an average of 64.2 hours per week. Approximately 50.7% of surgical resident time was allotted to DPC, with surgery accounting for the largest segment of this time (34.8%). Time spent on HEAs demonstrated trended upward with higher resident level (P = 0.086). Time in spent in surgery was significantly associated with higher resident levels (P < 0.0001); 57.7% of activities require 4 minutes or less, suggesting that resident work was highly fragmented. Residents spent 10.7% of their workdays waiting for other services. In this first-time study of PRS residents, we found that compared with medicine trainees, surgical residents spent 3.23 times more time on DPC. High education-value activities comprised most of our residents' workdays. Surgery was the leading component of both DPC and HEAs. Our residents were highly

Social cohesion and health in old age: a study in southern Taiwan.

PubMed

Chen, Wenling; Okumiya, Kiyohito; Wada, Taizo; Sakamoto, Ryota; Imai, Hissei; Ishimoto, Yasuko; Kimura, Yumi; Fukutomi, Eriko; Fujisawa, Michiko; Shih, Hsin-I; Chang, Chia-Ming; Matsubayashi, Kozo

2015-11-01

Previous studies have found that social cohesion and trust (SCT) were associated with psychological well-being and physical health. In this study, we investigated the associations between SCT and mental and physical health among community-dwelling elderly in a town in southern Taiwan. The study population consisted of 149 community-dwelling elderly aged 65 years and older (68 men, 81 women; mean age, 75.4 ± 6.1 years) residing in the town of Dashe in southern Taiwan. Activities of daily living (ADL), SCT, depression, subjective quality of life (QOL), current medical status, past medical history, and health behaviors were assessed in face-to-face interviews. Objective neurobehavioral functions were assessed using the timed up & go (TUG) test, functional reach test, and handgrip test. Scores for ADL and Geriatric Depression Scale (GDS) were significantly correlated with SCT, and SCT was significantly correlated with all subjective QOL items. In addition, a strong correlation was observed between SCT and relationship with friends. Values for SCT (median ≥ 20) were significantly associated with both subjective sense of health (median ≥ 68) and subjective happiness (median ≥ 73) after adjusting for age, sex, and ADL. SCT is an important variable that influences self-rated health and happiness, independently of ADL, age, and sex. When assessing geriatric psychological function, SCT should be examined more carefully, given its association with subjective sense of health and happiness, depression, and physical function.

Groundwater Molybdenum from Emerging Industries in Taiwan.

PubMed

Tsai, Kuo-Sheng; Chang, Yu-Min; Kao, Jimmy C M; Lin, Kae-Long

2016-01-01

This study determined the influence of emerging industries development on molybdenum (Mo) groundwater contamination. A total of 537 groundwater samples were collected for Mo determination, including 295 samples from potentially contaminated areas of 3 industrial parks in Taiwan and 242 samples from non-potentially contaminated areas during 2008-2014. Most of the high Mo samples are located downstream from a thin film transistor-liquid crystal display (TFT-LCD) panel factory. Mean groundwater Mo concentrations from potentially contaminated areas (0.0058 mg/L) were significantly higher (p < 0.05) than those from non-potentially contaminated areas (0.0022 mg/L). The highest Mo wastewater concentrations in the effluent from the optoelectronics industry and following wastewater batch treatment were 0.788 and 0.0326 mg/L, respectively. This indicates that wastewater containing Mo is a possible source of both groundwater and surface water contamination. Nine samples of groundwater exceed the World Health Organization's suggested drinking water guideline of 0.07 mg/L. A non-carcinogenic risk assessment for Mo in adults and children using the Mo concentration of 0.07 mg/L yielded risks of 0.546 and 0.215, respectively. These results indicate the importance of the development of a national drinking water quality standard for Mo in Taiwan to ensure safe groundwater for use. According to the human health risk calculation, the groundwater Mo standard is suggested as 0.07 mg/L. Reduction the discharge of Mo-contaminated wastewater from factories in the industrial parks is also the important task in the future.

Changing incidence patterns of hepatocellular carcinoma among age groups in Taiwan.

PubMed

Hung, Giun-Yi; Horng, Jiun-Lin; Yen, Hsiu-Ju; Lee, Chih-Ying; Lin, Li-Yih

2015-12-01

This study examined and compared the incidence patterns of hepatocellular carcinoma among age groups in Taiwan, 30 years after a universal hepatitis B virus immunization program was launched. Data for hepatocellular carcinoma diagnosed in 2003-2011 were collected from the population-based Taiwan Cancer Registry. Age-standardized incidence rates were calculated to analyze and compare the changes in incidence rates and trends. More specific analyses were performed on four age groups separated by sex. A total of 82,856 patients were diagnosed with hepatocellular carcinoma in 2003-2011 in Taiwan, yielding an age-standardized incidence rate of 32.97 per 100,000 person-years. Hepatocellular carcinoma was predominantly diagnosed in middle-aged adults (50.1%) and elderly people (49.1%), in contrast to the low incidences in children (0.04%) and adolescents and young adults (0.8%). Striking variations in trends were found for children (annual percent change: -16.6%, 2003-2010) and adolescents and young adults (annual percent change: -7.9%, 2003-2011). The incidence rate of hepatocellular carcinoma in children decreased to zero in 2011; only a slight decline in trends occurred for the middle-aged group (annual percent change: -2%, 2003-2011), and a slight upward trend was observed for elderly people (1.3%), specifically in women (1.7%). In Taiwan, hepatitis B virus-related hepatocellular carcinoma was nearly eradicated in children in 2011. The findings on age-specific incidence patterns and trends of hepatocellular carcinoma suggest that different control strategies for treating this devastating disease in the future be made according to age. Copyright © 2015 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

Taiwan Ascii and Idl_save Data Archives (AIDA) for THEMIS

NASA Astrophysics Data System (ADS)

Lee, B.; Hsieh, W.; Shue, J.; Angelopoulos, V.; Glassmeier, K. H.; McFadden, J. P.; Larson, D.

2008-12-01

THEMIS (Time History of Events and their Macroscopic Interactions during Substorms) is a satellite mission that aims to determine where and how substorms are triggered. The space research team in Taiwan has been involved in data promotion and scientific research. Taiwan Ascii and Idl_save Data Archives (AIDA) for THEMIS is the main work of the data promotion. Taiwan AIDA is developed for those who are not familiar with the Interactive Data Language (IDL) data analysis and visualization software, and those who have some basic IDL concepts and techniques and want more flexibilities in reading and plotting the THEMIS data. Two kinds of data format are stored in Taiwan AIDA: one is ASCII format for most users and the other is IDL SAVE format for IDL users. The public can download THEMIS data in either format through the Taiwan AIDA web site, http://themis.ss.ncu.edu.tw/e_data_download.php. Taiwan AIDA provides (1) plasma data including number density, average temperature, and velocity of ions and electrons, (2) magnetic field data, and (3) state information including the position and velocity of five THEMIS probes. On the Taiwan AIDA web site there are two data-downloading options. The public can download a large amount of data for a particular instrument in the FTP equivalent option; the public can also download all the data for a particular date in the Data Search option.

Democratic Reforms in Taiwan: Issues for Congress

DTIC Science & Technology

2010-05-26

stationed in Taiwan were happy under martial law. For local citizens, the Taiwan Garrison Command tried defendants for alleged civilian crimes ...of dissidents; sentencing of an average of 10 years for several hundred political prisoners; use of martial law to try a variety of crimes in...military courts; limited freedom of speech , political assembly, freedom of the press, and labor strikes; lengthy detentions incommunicado and without

Induced abortion in Taiwan.

PubMed

Wang, P D; Lin, R S

1995-04-01

Induced abortion is widely practised in Taiwan; however, it had been illegal until 1985. It was of interest to investigate induced abortion practices in Taiwan after its legalization in 1985 in order to calculate the prevalence rate and ratio of induced abortion to live births and to pregnancies in Taiwan. A study using questionnaires through personal interviews was conducted on more than seventeen thousand women who attended a family planning service in Taipei metropolitan areas between 1991 and 1992. The reproductive history and sexual behaviour of the subjects were especially focused on during the interviews. Preliminary findings showed that 46% of the women had a history of having had an induced abortion. Among them, 54.8% had had one abortion, 29.7% had had two, and 15.5% had had three or more. The abortion ratio was 379 induced abortions per 1,000 live births and 255 per 1,000 pregnancies. The abortion ratio was highest for women younger than 20 years of age, for aboriginal women and for nulliparous women. When logistic regression was used to control for confounding variables, we found that the number of previous live births is the strongest predictor relating to women seeking induced abortion. In addition, a significant positive association exists between increasing number of induced abortions and cervical dysplasia.

Reflections of College English Majors' Cultural Perceptions on Learning English in Taiwan

ERIC Educational Resources Information Center

Cheng, Ching-Mei

2013-01-01

This study was conducted with the participation of nine English as a Foreign Language (EFL) students and two EFL teachers of the Department of Applied English at an institute of technology in central Taiwan. Based on in-depth interviews with the students and teachers, the findings suggest that the participating students' perspectives of culture…

76 FR 72722 - Helical Spring Lock Washers From China and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-25

... Spring Lock Washers From China and Taiwan Determination On the basis of the record \\1\\ developed in the... antidumping duty orders on helical spring lock washers from China and Taiwan would be likely to lead to... with respect to helical spring lock washers from Taiwan. Background The Commission instituted these...

An Evaluation of Taiwan Vocational and Technical Education Programs in Agriculture.

ERIC Educational Resources Information Center

Meaders, O. Donald; Chi-ho, Hu

Presented in both English and Chinese, this study of the system of agricultural education in Taiwan secondary and postsecondary schools resulted from the author's five-month stay in Taiwan and subsequent visits. Focus of the study is on evaluation of Taiwan's vocational agriculture education programs with information about students, faculties,…

Intercultural Training for US Business Expatriates in Taiwan

ERIC Educational Resources Information Center

Chien, Tien-Chen; McLean, Gary N.

2011-01-01

Purpose: This study aims to explore the intercultural training needs for US business expatriates on assignment in Taiwan. The study assesses Taiwan culture-specific training needs of US expatriates from the perspectives of both US expatriates and their Taiwanese colleagues and compares the perceived importance of these intercultural training needs…

Development of Taiwan Undergraduates' Volunteer Service Motivation Scale

ERIC Educational Resources Information Center

Ho-Tang, Wu; Chin-Tang, Tu; Mei-Ju, Chou; Jing-Fang, Hou; Meng-Shan, Lei

2016-01-01

This study aims to develop Taiwan undergraduates' volunteer service motivation scale. To begin with, item pool was proposed on the basis of literature. After discussing with three Taiwan undergraduates, item pool, exploratory factor analysis (EFA) (N = 150) was proceeded, where three tests were conducted EFA: 1. Item analysis: comparisons of…

Improving but Inferior Survival in Patients with Chronic Lymphocytic Leukemia in Taiwan: A Population-Based Study, 1990–2004

PubMed Central

Wu, Shang-Ju; Chiang, Chun-Ju; Lin, Chien-Ting; Tien, Hwei-Fang; Lai, Mei-Shu

2013-01-01

Background Chronic lymphocytic leukemia (CLL) is much less prevalent in Asian countries. Whether there are differences in survival outcomes between the East and West, however, remain unclear. Methods The survival data for CLL patients identified in the Taiwan Cancer Registry database between 1990 and 2004, together with corresponding data in the US Surveillance, Epidemiology, and End Results database, were retrieved. The relative survivals (RS, adjusted for the expected survival in the general population) were estimated in patients diagnosed in three 5-year periods of time. Results CLL drastically shortened patients’ life expectancy; more importantly, this negative impact in Taiwan was much larger than that in the US: the 5-year RS in Taiwan and US were 59% and 76%, and the 10-year RS, 45% and 56%, respectively. Nevertheless, survival in Taiwan was better in the periods after 1995 (5-year RS, from 53.0% to 60.6%), a time period corresponding to the introduction of the Taiwan National Health Insurance scheme. Such improvement was largely due to decreased mortality in patients younger than 65 (5-year RS, from 53.5% to 69.1%). Despite the improvement, patients’ RS in Taiwan in recent periods remain steadily 15∼20% inferior to that in the US in both younger and older patient groups. Conclusions The improved RS in Taiwan implies that therapeutic advances are changing the prognosis of CLL. The stable RS gap between Taiwanese and the US patients suggests the existence of an ethnic difference in CLL patients’ outcomes. PMID:23638168

Reproductive Psychiatry Residency Training: A Survey of Psychiatric Residency Program Directors.

PubMed

Osborne, Lauren M; MacLean, Joanna V; Barzilay, Erin Murphy; Meltzer-Brody, Samantha; Miller, Laura; Yang, Sarah Nagle

2018-04-01

The reproductive life cycle has unique influences on the phenotypic expression of mental illness in women. Didactic and clinical training focused on these sex-specific influences should be a vital component of the education of future psychiatrists. The authors sought to determine the current state of and attitudes toward reproductive psychiatry in resident education. The authors administered a web-based survey to psychiatry residency training directors. They assessed the availability of both mandated and optional didactic and clinical training experiences in reproductive psychiatry. Fifty residency program directors answered the survey, for a response rate of 28%. More than half of residency program directors (59%) reported requiring some training in reproductive psychiatry. Both the breadth and depth of topics covered varied greatly among programs. Lack of time (48%) and lack of qualified faculty (26%) were the most frequently cited barriers to more training. Only 40% of residency directors surveyed agreed that all residents should be competent in reproductive psychiatry. These findings suggest that specific training in reproductive psychiatry is inconsistent in US residency programs, and that training that does exist varies considerably in clinical time and content. Given that women comprise more than 50% of all psychiatric patients and most women will menstruate, give birth, and undergo menopause, future psychiatrists would benefit from more systematic instruction in this area. The authors propose the development of a national, standardized reproductive psychiatry curriculum to address this gap and aid in producing psychiatrists competent to treat women at all stages of life.

Scrap computer recycling in Taiwan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lee, C.H.; Chang, S.L.; Wang, K.M.

1999-07-01

It is estimated that approximately 700,000 scrap personal computers will be generated each year in Taiwan. The disposal of such a huge amount of scrap computers presents a difficult task for the island due to the scarcity of landfills and incineration facilities available locally. Also, the hazardous materials contained in the scrap computers may cause serious pollution to the environment, if they are not properly disposed. Thus, EPA of Taiwan has declared scrap personal computers as a producer responsibility recycling product on July 1997 to mandate that the manufacturers, importers and sellers of personal computers have to recover and recyclemore » their scrap computers properly. Beginning on June 1, 1998, a scrap computer recycling plan is officially implemented on the island. Under this plan, consumers can deliver their unwanted personal computers to the designated collection points to receive reward money. Currently, only six items are mandated to be recycled in this recycling plan. They are notebooks, monitor and the hard disk, power supply, printed circuit board and shell of the main frame of the personal computer. This paper presents the current scrap computer recycling system in Taiwan.« less

76 FR 58040 - Certain Polyester Staple Fiber From Korea and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-19

... Polyester Staple Fiber From Korea and Taiwan Determination On the basis of the record \\1\\ developed in the... antidumping duty orders on certain polyester staple fiber from Korea and Taiwan would be likely to lead to...), entitled Certain Polyester Staple Fiber From Korea and Taiwan: Investigation Nos. 731-TA-825 and 826...

Earthquake-induced gravitational potential energy change at convergent plate boundary near Taiwan

NASA Astrophysics Data System (ADS)

Lo, C.; Hsu, S.

2004-12-01

The coseismic displacement induced by earthquakes will change the gravitational potential energy (GPE). Okamoto and Tanimoto (2002) have shown that the gain of {Δ GPE} corresponds to the compressional stress regime while the loss of {Δ GPE} corresponds to the extensional stress regime. Here we show an example at a convergent plate boundary near Taiwan. The Philippine Sea Plate is converging against the Eurasian Plate with a velocity of 7-8 cm/yr near Taiwan, which has caused the active Taiwan orogeny and induced abundant earthquakes. We have examined the corresponding change of gravitational potential energy by using 757 earthquakes from the earthquake catalogue of the Broadband Array in Taiwan for Seismology (BATS) from July 1995 to December 2003. The results show that the variation of the crustal Δ GPE strongly correlates with the different stage of the orogenesis. Except for the western Okinawa Trough and the southern Taiwan, most of the Taiwan convergent region exhibits a gain of crustal Δ GPE. In contrast, the lithospheric Δ GPE in the Taiwan region exhibits a reverse pattern. For the whole Taiwan region, the earthquake-induced crustal Δ GPE and the lithospheric Δ GPE during the observation period are 1.03×1017 joules and -1.15×1017 joules, respectively. The average rate of the whole Δ GPE in the Taiwan region is very intense and equal to -2.07×1010 watts, corresponding to about one percent of the global Δ GPE loss induced by earthquakes.

Significance of major international seaports in the distribution of murine typhus in Taiwan

PubMed Central

Wardrop, Nicola; Chang, Chung-Te; Wang, Hsi-Chieh; Atkinson, Peter M.

2017-01-01

Background International seaports are hotspots for disease invasion and pathogens can persist in seaports even after ports are abandoned. Transmitted by fleas infected by Rickettsia typhi, murine typhus, a largely neglected and easily misdiagnosed disease, is known to occur primarily in large seaports. However, the significance of seaports in the occurrence of murine typhus has never been validated quantitatively. Methodology/Principal findings We studied the spatial distribution of murine typhus, a notifiable disease, in Taiwan. We investigated whether risk of infection was correlated with distance to international seaports and a collection of environmental and socioeconomic factors, using a Bayesian negative binomial conditionally autoregressive model, followed with geographically weighted regression. Seaports that are currently in use and those that operated in the 19th century for trade with China, but were later abandoned due to siltation were analyzed. A total of 476 human cases of murine typhus were reported during 2000–2014 in the main island of Taiwan, with spatial clustering in districts in southwest and central-west Taiwan. A higher incidence rate (case/population) was associated with a smaller distance to currently in-use international seaports and lower rainfall and temperature, but was uncorrelated with distance to abandoned ports. Geographically weighted regression revealed a geographic heterogeneity in the importance of distance to in-use seaports near the four international seaports of Taiwan. Conclusions/Significance Our study suggests that murine typhus is associated with international seaports, especially for those with large trading volume. Thus, one of the costs of global trade in Taiwan might be elevated risks of murine typhus. Globalization has accelerated the spread of infectious diseases, but the burden of disease varies geographically, with regions surrounding major international seaports warranting particular surveillance. PMID

Active job, healthy job? Occupational stress and depression among hospital physicians in Taiwan.

PubMed

Wang, Liang-Jen; Chen, Chih-Ken; Hsu, Shih-Chieh; Lee, Sheng-Yu; Wang, Chin-Sheng; Yeh, Wan-Yu

2011-01-01

This study assessed the levels and association of occupational stress and depression rate among physicians, and to compare physicians' occupational stress with that of Taiwanese employees in other occupations. The subjects were physicians employed at 14 participating regional hospitals in the Around Taiwan Health Care Alliance. Self-administered questionnaires capturing data on demographics, occupational characteristics, occupational stress measured using Job Content Questionnaire (C-JCQ), and health status measured using Taiwanese Depression Questionnaire (TDQ) were sent to eligible physicians. Results revealed that the depression rate (13.3%) was higher than that found in the general population (3.7%) of Taiwan. The mean scores of the JCQ dimensions "work demands" and "job control" were both much higher than those in most occupations in Taiwan. Higher depression scores were found in subjects with higher work demands, 8-10 d of being on duty per month, and more frequent alcohol consumption, while lower depression scores were found in subjects working in the east Taiwan area, with higher job control and with greater workplace social support. On the other hand, gender, smoking, and working hour were not independently correlated with depression, but the interaction of gender and job control also had an independent effect on depression. This study suggests that job stress plays an important role in depression in physicians; it is necessary to pay attention to physicians at high risk of depression, as well as their work environments, for early detection and intervention.

Conditions for exercising residents' voting rights in long-term care residences: a prospective multicenter study.

PubMed

Bosquet, Antoine; El Massioui, Farid; Mahé, Isabelle

2015-01-01

To assess voting conditions in long-term care settings, we conducted a multicenter survey after the 2009 European elections in France. A questionnaire about voting procedures and European elections was proposed in 146 out of 884 randomized facilities. Sixty-four percent of facilities answered the questionnaire. Four percent of residents voted (national turnout: 40%), by proxy (58%) or at polling places (42%). Abstention related to procedural issues was reported in 32% of facilities. Sixty-seven percent of establishments had voting procedures, and 53% declared that they assessed residents' capacity to vote. Assistance was proposed to residents for voter registration, for proxy voting, and for voting at polling places, respectively, in 33%, 87%, and 80% of facilities. This survey suggests that residents may be disenfranchised and that more progress should be made to protect the voting rights of residents in long-term care facilities.

Leadership styles and nursing faculty job satisfaction in Taiwan.

PubMed

Chen, Hsiu-Chin; Beck, Susan L; Amos, Linda K

2005-01-01

To examine nursing faculty job satisfaction and their perceptions of nursing deans' and directors' leadership styles, and to explore how the perceptions of leadership styles relate to faculty job satisfaction in Taiwan. Descriptive, correlational, and cross-sectional study with self-administered questionnaires. The sample was recruited from 18 nursing programs, and 286 questionnaires were returned. Faculty perceived that Taiwan's nursing deans and directors showed more transformational than transactional leadership. Taiwan's nursing faculty were moderately satisfied in their jobs, and they were more satisfied with deans or directors who practiced the transactional leadership style of contingent reward and the transformational style of individualized consideration. A style with negative effect was passive management by exception. Three types of leadership behaviors explained significant variance (21.2%) in faculty job satisfaction in Taiwan, indicating the need for further attention to training and development for effective leadership behaviors.

Taiwan Teacher Preparation Program Evaluation: Some Critical Perspectives

ERIC Educational Resources Information Center

Liu, Tze-Chang

2015-01-01

This paper focuses on the influences and changes of recent Taiwan teacher preparation program evaluation (TTPPE) as one of the national evaluation projects conducted by the Higher Education Evaluation and Accreditation Council of Taiwan. The main concerns are what kind of ideology is transformed through the policy by means of evaluation, and what…

Resident training in microbiology.

PubMed

Haller, Barbara L

2007-06-01

To meet the challenges of diagnosis and management of infectious diseases, clinical pathology residents must receive comprehensive training in microbiology, learn to think critically, develop problem-solving skills, and take active roles as laboratory consultants. Residents well trained in clinical microbiology become capable laboratory professionals, developing cost-effective testing strategies, decreasing risk for medical errors, and improving patient care. Newer methods for diagnosing infectious disease, such as real-time polymerase chain reaction, microarrays for pathogen detection, and rapid assays for antigen or antibody detection, have become standard. Knowledge of infectious disease principles, drug therapeutic options, and drug resistance is also important. Suggestions for training and for assessing resident competency in clinical microbiology are presented.

Job Stress and Coping Strategies among Early Childhood Teachers in Central Taiwan

ERIC Educational Resources Information Center

Hung, Chih-Lun

2012-01-01

The purpose of this study was to explore the association between job stress and coping strategies in early childhood teachers in Central Taiwan. A quantitative approach was utilized, and data were collected from 314 participants. The results of the present study suggest that (1) early childhood teachers believed that their job stress was due to a…

Transformation of Taiwan’s Reserve Force

DTIC Science & Technology

2017-01-01

force roles, missions, and capabilities, based on the requirement to counter People’s Republic of China advan- tages in air and maritime power -projection... people on Taiwan increasingly identify themselves as citizens of a state that is separate and distinct from the PRC. As a result, the Chinese Communist...including short- comings in the PLA’s ability to project power significantly across the Taiwan Strait, technological advantages of Taiwan’s armed

Chinese nurse stress in Taiwan, Republic of China.

PubMed

Tsai, S L

1993-01-01

An exploratory study was conducted to understand the Chinese nurses' perceptions of their work stress in Taiwan, Republic of China (ROC). Data were based on the written answers to two open-ended questions from the randomly selected Chinese nurses working at 3 of the 10 first-ranked teaching hospitals that had 900-2,000 hospital beds. The findings showed that stressors in work situations for Chinese nurses were similar to those of their Western colleagues in four categories: nursing care related to patient condition, interpersonal relationships, workload, and opportunity for promotion. In addition, the Chinese respondents especially identified pressure in the role of a unit educator as stressful. Any troubled interpersonal relationship of the Chinese nurse may have been experienced as a greater source of pressure than nurses in other cultures. It is suggested that there might be some similar stressors in the nurse work situation when comparing the Chinese nurse working in the modern hospital in Taiwan to the nurses in large hospitals in the Western culture. Yet the difference between these nurses was the greater emphasis the Chinese nurses placed on the value of advanced study and interpersonal harmony.

A Crowdsourcing-based Taiwan Scientific Earthquake Reporting System

NASA Astrophysics Data System (ADS)

Liang, W. T.; Lee, J. C.; Lee, C. F.

2017-12-01

To collect immediately field observations for any earthquake-induced ground damages, such as surface fault rupture, landslide, rock fall, liquefaction, and landslide-triggered dam or lake, etc., we are developing an earthquake damage reporting system which particularly relies on school teachers as volunteers after taking a series of training courses organized by this project. This Taiwan Scientific Earthquake Reporting (TSER) system is based on the Ushahidi mapping platform, which has been widely used for crowdsourcing on different purposes. Participants may add an app-like icon for mobile devices to this website at https://ies-tser.iis.sinica.edu.tw. Right after a potential damaging earthquake occurred in the Taiwan area, trained volunteers will be notified/dispatched to the source area to carry out field surveys and to describe the ground damages through this system. If the internet is available, they may also upload some relevant images in the field right away. This collected information will be shared with all public after a quick screen by the on-duty scientists. To prepare for the next strong earthquake, we set up a specific project on TSER for sharing spectacular/remarkable geologic features wherever possible. This is to help volunteers get used to this system and share any teachable material on this platform. This experimental, science-oriented crowdsourcing system was launched early this year. Together with a DYFI-like intensity reporting system, Taiwan Quake-Catcher Network, and some online games and teaching materials, the citizen seismology has been much improved in Taiwan in the last decade. All these constructed products are now either operated or promoted at the Taiwan Earthquake Research Center (TEC). With these newly developed platforms and materials, we are aiming not only to raise the earthquake awareness and preparedness, but also to encourage public participation in earthquake science in Taiwan.

Orthopaedic resident and program director opinions of resident duty hours: a national survey.

PubMed

Mir, Hassan R; Cannada, Lisa K; Murray, Jayson N; Black, Kevin P; Wolf, Jennifer M

2011-12-07

that the suggested strategic five-hour evening rest period implemented in July 2011 for on-call residents was appropriate (p > 0.05), and both groups (84% of residents and 74% of program directors) also disagreed with the limitation of intern shifts to sixteen hours (p < 0.001). Seventy percent of residents and 79% of program directors thought that the new duty-hour regulations would result in an increased number of handoffs that would be detrimental to patient care (p < 0.001). The mean responses of junior residents and senior residents differed for eight of the fifteen survey items (p < 0.001), with the responses of senior residents more closely resembling those of program directors on six of these eight questions. The mean responses and percentiles for the survey items did not differ significantly between residency directors and fellowship directors (p > 0.05). This national survey indicated significant differences between the opinions of orthopaedic residents and program (residency and fellowship) directors regarding the 2003 ACGME resident duty-hour regulations and the effects of these regulations on resident education and patient care. However, both residents and program directors agreed that the further reductions in duty hours in the 2011 rules may be detrimental to resident education and patient care.

Joint Local/Teleseismic Tomographic Inversion in Taiwan Using TAIGER and Other Data

NASA Astrophysics Data System (ADS)

Lee, E.; Wu, F. T.; Huang, B.; Liang, W.; Wang, C.; Rawlinson, N.; Okaya, D. A.

2008-12-01

Taiwan, one of the most active orogenic belts, is at the intersection of two subduction zones. In southern Taiwan, the South China Sea Slab (SCSS), part of Eurasian Plate (EP), subducts beneath the Luzon arc along the Manila trench. In northern Taiwan, the Philippine Sea Plate (PSP) subducts beneath the Ryukyu arc along the Ryukyu trench. The thin skinned model and lithospheric deformation model have been proposed to explain the formation of orogeny. To distinguish between these two geodynamically possible processes, imaging of the deep structures below Taiwan is necessary. In this study, explosion data, local/regional earthquakes and teleseisms are used to invert the velocity structures of Taiwan from surface to about 150 km. Temporary passive broadband (on land and at the ocean bottom), active sources array datasets of the TAIGER (TAiwan Integrated GEodynamics Research) project and permanent array datasets of the BATS (Broadband Array in Taiwan for Seismology) and CWB (Central Weather Bureau) are used in this study. FMTOMO (fast marching tomography) of Rawlinson et al. (2006) is employed to invert the 3D P-wavespeed beneath Taiwan. The derived velocity perturbations dVp (dVp= Vfinal-Vinital) are clearly related to geology and tectonics. At shallow depth (< 10km), dVp >0 under the Central Range (Pre-Tertiary metamorphic rocks) and dVp < 0 under the Foothills (Pliocene sedimentary). Below a depth about 20 km, the placement of the high and low anomalies is reversed, i.e., dVp>0 under the Foothills and dVp<0 under the Central Range; the low velocity core of the Central Ranges extend down to about 50 km, forming the mountain root. A steeply dipping high velocity zone lies under the thickening 'mountain root' in central Taiwan. In southern Taiwan, the high velocity zone dips eastward coinciding with the Benioff Zone. The geometry of the high velocity zones in the upper mantle are key to understanding the Taiwan orogeny.

Country Profiles, Taiwan.

ERIC Educational Resources Information Center

Keeny, S. M.; And Others

A profile of Taiwan is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

A dataset from bottom trawl survey around Taiwan

PubMed Central

Shao, Kwang-Tsao; Lin, Jack; Wu, Chung-Han; Yeh, Hsin-Ming; Cheng, Tun-Yuan

2012-01-01

Abstract Bottom trawl fishery is one of the most important coastal fisheries in Taiwan both in production and economic values. However, its annual production started to decline due to overfishing since the 1980s. Its bycatch problem also damages the fishery resource seriously. Thus, the government banned the bottom fishery within 3 nautical miles along the shoreline in 1989. To evaluate the effectiveness of this policy, a four year survey was conducted from 2000–2003, in the waters around Taiwan and Penghu (Pescadore) Islands, one region each year respectively. All fish specimens collected from trawling were brought back to lab for identification, individual number count and body weight measurement. These raw data have been integrated and established in Taiwan Fish Database (http://fishdb.sinica.edu.tw). They have also been published through TaiBIF (http://taibif.tw), FishBase and GBIF (website see below). This dataset contains 631 fish species and 3,529 records, making it the most complete demersal fish fauna and their temporal and spatial distributional data on the soft marine habitat in Taiwan. PMID:22707908

Seismic hazard assessment over time: Modelling earthquakes in Taiwan

NASA Astrophysics Data System (ADS)

Chan, Chung-Han; Wang, Yu; Wang, Yu-Ju; Lee, Ya-Ting

2017-04-01

To assess the seismic hazard with temporal change in Taiwan, we develop a new approach, combining both the Brownian Passage Time (BPT) model and the Coulomb stress change, and implement the seismogenic source parameters by the Taiwan Earthquake Model (TEM). The BPT model was adopted to describe the rupture recurrence intervals of the specific fault sources, together with the time elapsed since the last fault-rupture to derive their long-term rupture probability. We also evaluate the short-term seismicity rate change based on the static Coulomb stress interaction between seismogenic sources. By considering above time-dependent factors, our new combined model suggests an increased long-term seismic hazard in the vicinity of active faults along the western Coastal Plain and the Longitudinal Valley, where active faults have short recurrence intervals and long elapsed time since their last ruptures, and/or short-term elevated hazard levels right after the occurrence of large earthquakes due to the stress triggering effect. The stress enhanced by the February 6th, 2016, Meinong ML 6.6 earthquake also significantly increased rupture probabilities of several neighbouring seismogenic sources in Southwestern Taiwan and raised hazard level in the near future. Our approach draws on the advantage of incorporating long- and short-term models, to provide time-dependent earthquake probability constraints. Our time-dependent model considers more detailed information than any other published models. It thus offers decision-makers and public officials an adequate basis for rapid evaluations of and response to future emergency scenarios such as victim relocation and sheltering.

Development of the psychometric property of a Minimum Data-Set-Based Depression Rating Scale for use in long-term care facilities in Taiwan.

PubMed

Hsiao, C Y; Lan, C F; Chang, P L; Li, I C

2015-01-01

Our aim is to develop the psychometric property of the Minimum Data-Set-Based Depression Rating Scale (MDS-DRS) to ensure its use to assess service needs and guide care plans for institutionalized residents. 378 residents were recruited from the Haoran Senior Citizen Home in northern Taiwan. The MDS-DRS and GDS-SF were used to identify observable features of depression symptoms in the elderly residents. A total of 378 residents participated in this study. The receiver operating characteristic (ROC) curve indicated that the MDS-DRS has a 43.3% sensitivity and a 90.6% specificity when screening for depression symptoms. The total variance, explained by the two factors 'sadness' and 'distress,' was 58.1% based on the factor analysis. Reliable assessment tools for nurses are important because they allow the early detection of depression symptoms. The MDS-DRS items perform as well as the GDS-SF items in detecting depression symptoms. Furthermore, the MDS-DRS has the advantage of providing information to staff about care process implementation, which can facilitate the identification of areas that need improvement. Further research is needed to validate the use of the MDS-DRS in long-term care facilities.

[An outline medical history of Taiwan (I): the period of folklore medicine and witch doctor].

PubMed

Li, C

1997-01-01

The paper makes a correlated analysis on the origin of health folklore between Chinese in mainland and Taiwan island. After quoting literatures written by authors living in the Qing dynasty in Taiwan, this paper analyses health condition among aboriginals of Taiwan during the witchcraft age. Along with the increasing immigration from China mainland to Taiwan island, health of folklore and gods from China mainland were introduced into Taiwan, hence the period of witch doctor in Taiwan, featuring the correlation of both. Though modern medicine in Taiwan is so advanced, yet there are still witch doctors elsewhere.

A synthesized biophysical and social vulnerability assessment for Taiwan

NASA Astrophysics Data System (ADS)

Lee, Yung-Jaan

2017-11-01

Taiwan, located in the Western Pacific, is a country that is one of the most vulnerable to disasters that are associated with the changing climate; it is located within the Ring of Fire, which is the most geologically active region in the world. The environmental and geological conditions in Taiwan are sensitive and vulnerable to such disasters. Owing to increasing urbanization in Taiwan, floods and climate-related disasters have taken an increasing toll on human lives. As global warming accelerates the rising of sea levels and increasing of the frequency of extreme weather events, disasters will continue to affect socioeconomic development and human conditions. Under such circumstances, researchers and policymakers alike must recognize the importance of providing useful knowledge concerning vulnerability, disaster recovery and resilience. Strategies for reducing vulnerability and climate-related disaster risks and for increasing resilience involve preparedness, mitigation and adaptation. In the last two decades, extreme climate events have caused severe flash floods, debris flows, landslides, and other disasters and have had negative effects of many sectors, including agriculture, infrastructure and health. Since climate change is expected to have a continued impact on socio-economic development, this work develops a vulnerability assessment framework that integrates both biophysical and social vulnerability and supports synthesized vulnerability analyses to identify vulnerable areas in Taiwan. Owing to its geographical, geological and climatic features, Taiwan is susceptible to earthquakes, typhoons, droughts and various induced disasters. Therefore, Taiwan has the urgent task of establishing a framework for assessing vulnerability as a planning and policy tool that can be used to identify not only the regions that require special attention but also hotspots in which efforts should be made to reduce vulnerability and the risk of climate-related disaster. To

[Current situation of the standardization of acupuncture and moxibustion in Taiwan].

PubMed

Pan, Li-Jia; Cui, Rui; Zhan, Bi-Yu; Liao, Cai-Yan; Cao, Qi-Hua; Li, Gui-Lan; Guo, Yi

2012-09-01

The current situation of the standardization of acupuncture and moxibustion in the Taiwan region is introduced in this paper from the three aspects, named the development state of standard of acupuncture and moxibustion in Taiwan, the implementation of Taiwan district standard and the standardization of acupuncture and moxibustion in Taiwan. At present, the relevant standards of acupuncture and moxibustion in Taiwan just include the standard operation procedure of acupuncture and moxibustion, the reference guideline of the safe operation in the medical service centers of traditional Chinese medicine, and the faculty standard of Chinese medicine hospital, etc. It is concluded that the current situation of the standardization of acupuncture and moxibusiton presented the weak awareness of the standardization of acupuncture and moxibustion in the industry, insufficient enterprise standard, less-quantity of the implemented standards and narrow coverage.

Seasonal Patterns of Japanese Encephalitis and Associated Meteorological Factors in Taiwan.

PubMed

Lin, Che-Liang; Chang, Hsiao-Ling; Lin, Chuan-Yao; Chen, Kow-Tong

2017-10-29

The persistent transmission of Japanese encephalitis virus (JEV) in Taiwan necessitates exploring the risk factors of occurrence of Japanese encephalitis (JE). The purpose of this study was to assess the relationship between meteorological factors and the incidence of JE in Taiwan. We collected data for cases of JE reported to the Taiwan Centers for Disease Control (Taiwan CDC) from 2000 to 2014. Meteorological data were obtained from the Taiwan Central Weather Bureau. The relationships between weather variability and the incidence of JE in Taiwan were determined via Poisson regression analysis and a case-crossover methodology. During the 15-year study period, a total of 379 cases of JE were reported. The incidence of JE showed significant seasonality, with the majority of cases occurring in summertime (for oscillation, p < 0.001). The number of JE cases started to increase at temperatures of 22 °C (r² = 0.88, p < 0.001). Similarly, the number of JE cases began to increase at a relative humidity of 70-74% (r² = 0.75, p < 0.005). The number of JE cases was positively associated with mean temperature and relative humidity in the period preceding the infection. In conclusion, the occurrence of JE is significantly associated with increasing temperature and relative humidity in Taiwan. Therefore, these factors could be regarded as warning signals indicating the need to implement preventive measures.

Wintertime sea surface temperature fronts in the Taiwan Strait

NASA Astrophysics Data System (ADS)

Chang, Yi; Shimada, Teruhisa; Lee, Ming-An; Lu, Hsueh-Jung; Sakaida, Futoki; Kawamura, Hiroshi

2006-12-01

We present wintertime variations and distributions of sea surface temperature (SST) fronts in the Taiwan Strait by applying an entropy-based edge detection method to 10-year (1996-2005) satellite SST images with grid size of 0.01°. From climatological monthly mean maps of SST gradient magnitude in winter, we identify four significant SST fronts in the Taiwan Strait. The Mainland China Coastal Front is a long frontal band along the 50-m isobath near the Chinese coast. The sharp Peng-Chang Front appears along the Peng-Hu Channel and extends northward around the Chang-Yuen Ridge. The Taiwan Bank Front evolves in early winter. As the winter progresses, the front becomes broad and moves toward the Chinese coast, connecting to the Mainland China Coastal Front. The Kuroshio Front extends northeastward from the northeastern tip of Taiwan with a semicircle-shape curving along the 100-m isobath.

The Ticks (Acari: Ixodida: Argasidae, Ixodidae) of Taiwan: A Synonymic Checklist

DTIC Science & Technology

2005-01-01

Lyme disease in Taiwan" Primary isolation of Borrelia burgdor- idae). Acarina 10:95-136. Wilson...the recent emergence of Lyme borreliosis and human babesiosis in Taiwan (Shih and Chao 1998, 1999; Shih et al. 1997, 1998), it is imperative that these...the Ixodes kuntzi Hoogstraal & Kohls, principal vector of Lyme borreliosis in 1965.35 Taiwan collections in USNTC. northeastern Asia and is

Molecular characterization of hypoxia and hypoxia-inducible factor 1 alpha (HIF-1α) from Taiwan voles (Microtus kikuchii).

PubMed

Jiang, Yi-Fan; Chou, Chung-Hsi; Lin, En-Chung; Chiu, Chih-Hsien

2011-02-01

Hypoxia-inducible factor 1 (HIF-1) is a transcription factor that senses and adapts cells to hypoxic environmental conditions. HIF-1 is composed of an oxygen-regulated α subunit (HIF-1α) and a constitutively expressed β subunit (HIF-1β). Taiwan voles (Microtus kikuchii) are an endemic species in Taiwan, found only in mountainous areas greater than 2000m above sea level. In this study, the full-length HIF-1α cDNA was cloned and sequenced from liver tissues of Taiwan voles. We found that HIF-1α of Taiwan voles had high sequence similarity to HIF-1α of other species. Sequence alignment of HIF-1α functional domains indicated basic helix-loop-helix (bHLH), PER-ARNT-SIM (PAS) and C-terminal transactivation (TAD-C) domains were conserved among species, but sequence variations were found between the oxygen-dependent degradation domains (ODDD). To measure Taiwan vole HIF-1α responses to hypoxia, animals were challenged with cobalt chloride, and HIF-1α mRNA and protein expression in brain, lung, heart, liver, kidney, and muscle was assessed by quantitative RT-PCR and Western blot analysis. Upon induction of hypoxic stress with cobalt chloride, an increase in HIF-1α mRNA levels was detected in lung, heart, kidney, and muscle tissue. In contrast, protein expression levels showed greater variation between individual animals. These results suggest that the regulation of HIF-1α may be important to the Taiwan vole under cobalt chloride treatments. But more details regarding the evolutionary effect of environmental pressure on HIF-1α primary sequence, HIF-1α function and regulation in Taiwan voles remain to be identified. Copyright © 2010 Elsevier Inc. All rights reserved.

Epidemiological Features of Japanese Encephalitis in Taiwan from 2000 to 2014

PubMed Central

Chang, Yu-Kang; Chang, Hsiao-Ling; Wu, Ho-Sheng; Chen, Kow-Tong

2017-01-01

The incidence of Japanese encephalitis (JE) decreased sharply after the national vaccination program was implemented in Taiwan in 1968. However, cases of JE still occur. The purpose of this study was to assess the epidemiology and vaccination policy for JE in Taiwan. We analyzed the data on JE cases reported to the Taiwan Centers for Disease Control (Taiwan CDC) between 2000 and 2014. During the 15-year study period, a total of 4,474 cases were reported to the Taiwan CDC. Of these, 379 (8.5%) were classified as confirmed cases, and 4,095 (91.5%) were classified as suspected cases. The incidence of JE ranged from 0.59 to 1.61 per 1,000,000 people and peaked in 2007. Men had a higher incidence of JE than women (1.37 versus 0.84 per 1,000,000; P = 0.03). Patients who were 40–59 years of age had a higher incidence than did patients younger than 20 years (1.82 versus 0.23; P < 0.001). Patients who lived in the eastern region of Taiwan had the highest incidence rate of JE (P < 0.001). Compared with those who were not vaccinated with the JE vaccine, patients who received four doses of JE vaccine had a lower risk of suffering from death and/or hospitalization (adjusted odds ratio: 0.26; 95% confidence interval: 0.08–0.90; P = 0.04). JE is still a public health problem in Taiwan, and monitoring JE via diagnostic testing to determine the best vaccination program along with enforcing JE vaccine boosters for adults is necessary to eliminate JE in Taiwan. PMID:27821699

Epidemiological Features of Japanese Encephalitis in Taiwan from 2000 to 2014.

PubMed

Chang, Yu-Kang; Chang, Hsiao-Ling; Wu, Ho-Sheng; Chen, Kow-Tong

2017-02-08

The incidence of Japanese encephalitis (JE) decreased sharply after the national vaccination program was implemented in Taiwan in 1968. However, cases of JE still occur. The purpose of this study was to assess the epidemiology and vaccination policy for JE in Taiwan. We analyzed the data on JE cases reported to the Taiwan Centers for Disease Control (Taiwan CDC) between 2000 and 2014. During the 15-year study period, a total of 4,474 cases were reported to the Taiwan CDC. Of these, 379 (8.5%) were classified as confirmed cases, and 4,095 (91.5%) were classified as suspected cases. The incidence of JE ranged from 0.59 to 1.61 per 1,000,000 people and peaked in 2007. Men had a higher incidence of JE than women (1.37 versus 0.84 per 1,000,000; P = 0.03). Patients who were 40-59 years of age had a higher incidence than did patients younger than 20 years (1.82 versus 0.23; P < 0.001). Patients who lived in the eastern region of Taiwan had the highest incidence rate of JE ( P < 0.001). Compared with those who were not vaccinated with the JE vaccine, patients who received four doses of JE vaccine had a lower risk of suffering from death and/or hospitalization (adjusted odds ratio: 0.26; 95% confidence interval: 0.08-0.90; P = 0.04). JE is still a public health problem in Taiwan, and monitoring JE via diagnostic testing to determine the best vaccination program along with enforcing JE vaccine boosters for adults is necessary to eliminate JE in Taiwan. © The American Society of Tropical Medicine and Hygiene.

Mitochondrial DNA phylogeography of Semisulcospira libertina (Gastropoda: Cerithioidea: Pleuroceridae): implications the history of landform changes in Taiwan.

PubMed

Hsu, Kui-Ching; Bor, Hor; Lin, Hung-Du; Kuo, Po-Hsun; Tan, Mian-Shin; Chiu, Yuh-Wen

2014-06-01

The mitochondrial DNA cytochrome c oxidase subunit I sequences from 95 specimens of Semisulcospira libertina in Taiwan were identified as two major phylogroups, exhibiting a southern and northern distribution, north of Formosa Bank and south of Miaoli Plateau. The genetic distance between these two phylogroups was 12.20%, and the distances within-phylogroups were 4.97 and 5.56%. According to a molecular clock of 1.56% per lineage per million years, the divergence time between these two major phylogroups was estimated at 4.94 million years ago (mya), with the two phylogroups forming at 3.64 and 3.75 mya, respectively. Moreover, the geological events have suggested that Taiwan Island emerged above sea level at 4-5 mya, and became its present shape at 2 mya. These results suggested that these two phylogroups might originate from two independent ancestral populations or divergent before colonizing Taiwan. Within South phylogroup, the initial colonization was hypothesized to be in Kaoping River (WT), followed by its northward. The high divergence between south- and north of WT River was influenced by the formation of the Kaoping foreland basins. Within North phylogroup, the colonization was from central sub-region through paleo-Miaoli Plateau to northern and northeastern sub-regions. This study showed that the landform changes might have shaped the genetic structure of S. libertina in concert. Apparently, two cryptic species or five different genetic stocks of S. libertina could be identified; these results are useful for the evaluation and conservation of S. libertina in Taiwan.

75 FR 22842 - Polyethylene Retail Carrier Bags From Indonesia, Taiwan, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-30

...)] Polyethylene Retail Carrier Bags From Indonesia, Taiwan, and Vietnam Determinations On the basis of the record... material injury by reason of imports from Indonesia, Taiwan, and Vietnam of PRCBs that have been found by... notification of preliminary determinations by Commerce that imports of PRCBs from Indonesia, Taiwan, and...

Nursing directors' leadership styles and faculty members' job satisfaction in Taiwan.

PubMed

Chen, Hsiu-Chin; Baron, Mark

2006-10-01

Nursing leaders in Taiwan seldom receive the leadership training necessary to lead an academic organization. As a result, leaders may experience burn out, and dissatisfaction among faculty may increase. This study examined nursing faculty members' perceptions of nursing directors' leadership and their job satisfaction levels to understand how perceptions of leadership styles related to job satisfaction in Taiwan. This descriptive, correlational, cross-sectional study used self-administered questionnaires. Transformational leadership theory supported the research framework. Nine schools with nursing programs awarding diplomas to students participated in this study. A total of 175 questionnaires were returned (72% response rate). The findings indicated that Taiwan's nursing directors tend to display transformational leadership more frequently in their workplaces and that Taiwan's nursing faculty members are moderately satisfied in their jobs. In addition, nursing faculty in Taiwan are more satisfied with directors who practice the leadership style of attributed idealized influence.

Analysis of optoelectronic strategic planning in Taiwan by artificial intelligence portfolio tool

NASA Astrophysics Data System (ADS)

Chang, Rang-Seng

1992-05-01

Taiwan ROC has achieved significant advances in the optoelectronic industry with some Taiwan products ranked high in the world market and technology. Six segmentations of optoelectronic were planned. Each one was divided into several strategic items, design artificial intelligent portfolio tool (AIPT) to analyze the optoelectronic strategic planning in Taiwan. The portfolio is designed to provoke strategic thinking intelligently. This computer- generated strategy should be selected and modified by the individual. Some strategies for the development of the Taiwan optoelectronic industry also are discussed in this paper.

Estimating Source Duration for Moderate and Large Earthquakes in Taiwan

NASA Astrophysics Data System (ADS)

Chang, Wen-Yen; Hwang, Ruey-Der; Ho, Chien-Yin; Lin, Tzu-Wei

2017-04-01

Estimating Source Duration for Moderate and Large Earthquakes in Taiwan Wen-Yen Chang1, Ruey-Der Hwang2, Chien-Yin Ho3 and Tzu-Wei Lin4 1 Department of Natural Resources and Environmental Studies, National Dong Hwa University, Hualien, Taiwan, ROC 2Department of Geology, Chinese Culture University, Taipei, Taiwan, ROC 3Department of Earth Sciences, National Cheng Kung University, Tainan, Taiwan, ROC 4Seismology Center, Central Weather Bureau, Taipei, Taiwan, ROC ABSTRACT To construct a relationship between seismic moment (M0) and source duration (t) was important for seismic hazard in Taiwan, where earthquakes were quite active. In this study, we used a proposed inversion process using teleseismic P-waves to derive the M0-t relationship in the Taiwan region for the first time. Fifteen earthquakes with MW 5.5-7.1 and focal depths of less than 40 km were adopted. The inversion process could simultaneously determine source duration, focal depth, and pseudo radiation patterns of direct P-wave and two depth phases, by which M0 and fault plane solutions were estimated. Results showed that the estimated t ranging from 2.7 to 24.9 sec varied with one-third power of M0. That is, M0 is proportional to t**3, and then the relationship between both of them was M0=0.76*10**23(t)**3 , where M0 in dyne-cm and t in second. The M0-t relationship derived from this study was very close to those determined from global moderate to large earthquakes. For further understanding the validity in the derived relationship, through the constructed relationship of M0-, we inferred the source duration of the 1999 Chi-Chi (Taiwan) earthquake with M0=2-5*10**27 dyne-cm (corresponding to Mw = 7.5-7.7) to be approximately 29-40 sec, in agreement with many previous studies for source duration (28-42 sec).

Counseling Psychology Licensure in Taiwan: Development, Challenges, and Opportunities

ERIC Educational Resources Information Center

Wang, Li-fei; Kwan, Kwong-Liem K.; Huang, Su-Fei

2011-01-01

The development and consequences of licensure for counseling psychologists in Taiwan are presented to promote cross-cultural awareness surrounding issues in the counseling psychology profession. The national licensure statute for counseling psychologists in Taiwan was established by the Taiwanese Legislature in 2001. While the licensing system…

77 FR 72884 - Steel Wire Garment Hangers From Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-06

... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-1197 (Final)] Steel Wire Garment Hangers... injured by reason of imports of steel wire garment hangers from Taiwan, provided for in subheading 7326.20... notification of a preliminary determination by Commerce that imports of steel wire garment hangers from Taiwan...

Transformation and Framework of Teacher Professional Development in Taiwan

ERIC Educational Resources Information Center

Huang, Bo-Ruey

2016-01-01

This article describes the situation of teacher professional development in Taiwan, including the history and the framework of teacher professional development. With diversification of teacher education systems and institutions, teacher professional development in Taiwan is undergoing a gradual governance shift from the model of centralised state…

Kuroshio Transport East of Taiwan and the Effect of Mesoscale Eddies

DTIC Science & Technology

2015-09-30

1 DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited. Kuroshio Transport East of Taiwan and the Effect of...The objective of this project is to characterize variability in the Kuroshio east of Taiwan and to understand (1) how this variability is related to...Mindanao Current and (2) how westward-propagating mesoscale eddies that arrive east of Taiwan from the ocean interior affect Kuroshio variability. This

Teaching Benchmark Strategy for Fifth-Graders in Taiwan

ERIC Educational Resources Information Center

Yang, Der-Ching; Lai, M. L.

2013-01-01

The key purpose of this study was how we taught the use of benchmark strategy when comparing fraction for fifth-graders in Taiwan. 26 fifth graders from a public elementary in south Taiwan were selected to join this study. Results of this case study showed that students had a much progress on the use of benchmark strategy when comparing fraction…

77 FR 27079 - Certain Stilbenic Optical Brightening Agents From China and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-08

... industry in the United States is materially injured by reason of imports from China and Taiwan of certain... Optical Brightening Agents From China and Taiwan Determinations On the basis of the record \\1\\ developed... that imports of certain stilbenic optical brightening agents from China and Taiwan were being sold at...

76 FR 76437 - Certain Welded Stainless Steel Pipe From Korea and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-07

... Welded Stainless Steel Pipe From Korea and Taiwan Determination On the basis of the record \\1\\ developed... antidumping duty orders on certain welded stainless steel pipe from Korea and Taiwan would be likely to lead... 2011), entitled Certain Welded Stainless Steel Pipe from Korea and Taiwan, Investigation Nos. 731-TA...

The American Society for Clinical Pathology resident in-service examination: does resident performance provide insight into the effectiveness of clinical pathology education?

PubMed

McKenna, Barbara J

2007-06-01

The resident in-service examination in pathology is an in-training exercise that is taken by virtually all pathology residents in the United States as well as by some participants in Canada, Ireland, and Lebanon. Although all of the anatomic pathology topics in the examination, with only one exception-forensic pathology, show significant improvement in scores over the 4 years of residency training, three areas of clinical pathology training (laboratory administration, clinical chemistry, and microbiology) show significantly lower improvement in performance over the years of residency training. By contrast, transfusion medicine, hematopathology and the special topics section of the examination all demonstrate improved performance by residents over time. While the reason behind these differences must remain speculative at this time, these findings suggest that measures to improve effectiveness in clinical pathology training might be suggested by examining the differences between residency training practices between higher and lower performing areas of clinical pathology.

Response of upper ocean cooling off northeastern Taiwan to typhoon passages

NASA Astrophysics Data System (ADS)

Zheng, Zhe-Wen; Zheng, Quanan; Gopalakrishnan, Ganesh; Kuo, Yi-Chun; Yeh, Ting-Kuang

2017-07-01

A comprehensive investigation of the typhoon induced upper ocean processes and responses off northeastern Taiwan was conducted. Using the Regional Ocean Modeling System, the upper ocean responses of all typhoons striking Taiwan between 2005 and 2013 were simulated. In addition to Kuroshio intrusion, the present study demonstrates another important mechanism of typhoon induced near-inertial currents over the continental shelf of East China Sea, which can also trigger a distinct cooling (through entrainment mixing) within this region. Results indicate that the processes of typhoon inducing distinct cooling off northeastern Taiwan are conditional phenomena (only ∼12% of typhoons passing Taiwan triggered extreme cooling there). Subsequently, by executing a series of sensitivity experiments and systematic analyses on the behaviors and background conditions of all those typhoon cases, key criteria determining the occurrences of cooling through both mechanisms were elucidated. Occurrences of cooling through the Kuroshio intrusion mechanism are determined mainly by the strength of the local wind over northeastern Taiwan. A distinct cooling triggered by enhanced near-inertial currents is shown to be associated with the process of wind-current resonance. Both processes of Kuroshio intrusion and enhanced near-inertial currents are dominated by wind forcing rather than upper oceanic conditions. Based on the recent findings on the possible dynamic linkage between sea surface temperature near northeast Taiwan and local weather systems, the results elucidated in this study lay the foundation for further improvement in the regional weather prediction surrounding northeast Taiwan.

Exploring the relationship between nursing hours per patient day and mortality rate of hospitalised patients in Taiwan.

PubMed

Chang, Yu-Chun; Yen, Miaofen; Chang, Sheng-Mao; Liu, Ya-Ming

2017-03-01

To investigate the relationship between nursing hours per patient day and the inpatient mortality rate in Taiwan. Nursing hours per patient day has been associated with better patient outcomes. The literature is inconclusive on the relationship between nursing hours per patient day and the inpatient mortality rate, and no studies have yet examined this issue in Taiwan. A retrospective longitudinal study analysed data from the 'Nursing Utilization of Resources, Staffing and Environment on Outcome Study: NURSE-outcome study'. Hierarchical regression estimated the relationship between nursing hours per patient day and in-hospital mortality rate after controlling for confounding variables. The mean nursing hours per patient day in Taiwan was 2.3, while the mean inpatient mortality rate was 0.73% higher nursing hours per patient day was associated with a lower inpatient mortality rate after controlling for confounding variables. The total explained variance of this study in inpatient mortality rate was 19.9%. Significant relationships to inpatient mortality were found in levels of hospitals, seasonal variation and nurses' work experience. Nursing hours per patient day affects the mortality rate among hospitalised patients in Taiwan. According to the results, we suggested the government and managers in Taiwan double the nursing hours per patient day so that the inpatient mortality rate will decline by 1.1%. This might be the optimal nurse configuration that could provide a balance between cost-effectiveness and patient safety. © 2016 John Wiley & Sons Ltd.

The Risk of Stroke in Physicians: A Population-based Cohort Study in Taiwan.

PubMed

Tam, Hon-Pheng; Lin, Hung-Jung; Weng, Shih-Feng; Hsu, Chien-Chin; Wang, Jhi-Joung; Su, Shih-Bin; Huang, Chien-Cheng; Guo, How-Ran

2017-10-01

Physicians in Taiwan work in stressful workplaces and have heavy workloads, both of which may contribute to the occurrence of a stroke. However, it is not clear whether they have a higher risk of stroke. Therefore, we conducted a population-based cohort study to compare the risks of stroke between physicians and the general population and among subgroups of physicians in Taiwan. In the National Health Insurance Research Database of Taiwan, we identified 28,062 physicians and selected 84,186 age- and sex-matched nonmedical staff beneficiaries as the references. Using conditional logistic regression, we compared the prevalence of stroke between physicians and references. In addition, we made comparisons among subgroup of physicians defined by age, sex, comorbidity, specialty, and the level of hospital. During the study period, physicians had higher prevalence rates of hypertension (23.6% vs. 19.1%), hyperlipidemia (21.4% vs. 12.9%), and coronary artery disease (CAD) (6.4% vs. 5.7%) than the referent group, but they had a lower risk of stroke with an odds ratio of 0.61 (95% confidence interval = 0.55, 0.66) after adjusting for hypertension, diabetes, hyperlipidemia, CAD, and active worker. Among physicians, the risks were higher in those who were older or had hypertension, diabetes, hyperlipidemia, or CAD. Despite having higher prevalence rates of hypertension, hyperlipidemia, and CAD and working in stressful workplaces with heavy workloads, our study suggests that physicians in Taiwan have a lower risk of stroke compared with the general population. These results may indicate the benefits of higher awareness and more knowledge of diseases.

Impact of negative media publicity on attention-deficit/hyperactivity disorder medication in Taiwan.

PubMed

Wang, Liang-Jen; Lee, Sheng-Yu; Yuan, Shin-Sheng; Yang, Chun-Ju; Yang, Kang-Chung; Lee, Tung-Liang; Shyu, Yu-Chiau

2016-01-01

This study explores trends in attention-deficit/hyperactivity disorder (ADHD) medications in Taiwan from 2000 to 2011 and whether negative media coverage of Ritalin in January 2010 impacted ADHD prescriptions throughout the country. Patients throughout Taiwan who had been newly diagnosed with ADHD (n = 145,269) between January 2000 and December 2011 were selected from Taiwan's National Health Insurance database as subjects for this study. We analyzed monthly and yearly data on person-days of treatment with immediate-release methylphenidate (IR-MPH), osmotic controlled-release formulation of methylphenidate (OROS-MPH), and atomoxetine (ATX) using linear models of curve estimation and the time series expert modeler. Of our sample, 57.8%, 28.9%, and 4.3% had been prescribed one or more doses of IR-MPH, OROS-MPH, or ATX, respectively. The annual person-days of IR-MPH use increased regularly from 2000 to 2009, dropped abruptly in 2010, and then increased again the next year. Furthermore, the person-days of OROS-MPH prescriptions did not reach their expected goal in 2010; however, the person-days of ATX prescriptions have increased constantly since entering the market in 2007. Compared with patients newly diagnosed with ADHD in 2009, those newly diagnosed in 2010 were less likely to be treated with medication. These findings suggest that negative publicity affected the writing of stimulant prescriptions for ADHD patients throughout Taiwan. Media reporting has a vital role in influencing children with ADHD, their parents, and their willingness to accept pharmacotherapy as treatment. Copyright © 2015 John Wiley & Sons, Ltd.

Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease

PubMed Central

Wei, Shu-Chen; Chang, Ting-An; Chao, Te-Hsin; Chen, Jinn-Shiun; Chou, Jen-Wei; Chou, Yenn-Hwei; Chuang, Chiao-Hsiung; Hsu, Wen-Hung; Huang, Tien-Yu; Hsu, Tzu-Chi; Lin, Chun-Chi; Lin, Hung-Hsin; Lin, Jen-Kou; Lin, Wei-Chen; Ni, Yen-Hsuan; Shieh, Ming-Jium; Shih, I-Lun; Shun, Chia-Tung; Tsang, Yuk-Ming; Wang, Cheng-Yi; Wang, Horng-Yuan; Weng, Meng-Tzu; Wu, Deng-Chyang; Wu, Wen-Chieh; Yen, Hsu-Heng

2017-01-01

Crohn's disease (CD) is a chronic relapsing and remitting inflammatory disease of the gastrointestinal tract. CD is rare in Taiwan and other Asian countries, but its prevalence and incidence have been steadily increasing. A steering committee was established by the Taiwan Society of Inflammatory Bowel Disease to formulate statements on the diagnosis and management of CD taking into account currently available evidence and the expert opinion of the committee. Thorough clinical, endoscopic, and histological assessments are required for accurate diagnosis of CD. Computed tomography and magnetic resonance imaging are complementary to endoscopic evaluation for disease staging and detecting complications. The goals of CD management are to induce and maintain remission, reduce the risk of complications, and improve quality of life. Corticosteroids are the mainstay for inducing re-mission. Immunomodulating and biologic therapies should be used to maintain remission. Patients should be evaluated for hepatitis B virus and tuberculosis infection prior to treatment and receive regular surveillance for cancer. These consensus statements are based on current local evidence with consideration of factors, and could be serve as concise and practical guidelines for supporting clinicians in the management of patients with CD in Taiwan. PMID:28670226

Management of ulcerative colitis in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease

PubMed Central

Wei, Shu-Chen; Chang, Ting-An; Chao, Te-Hsin; Chen, Jinn-Shiun; Chou, Jen-Wei; Chou, Yenn-Hwei; Chuang, Chiao-Hsiung; Hsu, Wen-Hung; Huang, Tien-Yu; Hsu, Tzu-Chi; Lin, Chun-Chi; Lin, Hung-Hsin; Lin, Jen-Kou; Lin, Wei-Chen; Ni, Yen-Hsuan; Shieh, Ming-Jium; Shih, I-Lun; Shun, Chia-Tung; Tsang, Yuk-Ming; Wang, Cheng-Yi; Wang, Horng-Yuan; Weng, Meng-Tzu; Wu, Deng-Chyang; Wu, Wen-Chieh; Yen, Hsu-Heng

2017-01-01

Ulcerative colitis (UC) is an inflammatory bowel disease characterized by chronic mucosal inflammation of the colon, and the prevalence and incidence of UC have been steadily increasing in Taiwan. A steering committee was established by the Taiwan Society of Inflammatory Bowel Disease to formulate statements on the diagnosis and management of UC taking into account currently available evidence and the expert opinion of the committee. Accurate diagnosis of UC requires thorough clinical, endoscopic, and histological assessment and careful exclusion of differential diagnoses, particularly infectious colitis. The goals of UC therapy are to induce and maintain remission, reduce the risk of complications, and improve quality of life. As outlined in the recommended treatment algorithm, choice of treatment is dictated by severity, extent, and course of disease. Patients should be evaluated for hepatitis B virus and tuberculosis infection prior to immunosuppressive treatment, especially with steroids and biologic agents, and should be regularly monitored for reactivation of latent infection. These consensus statements are also based on current local evidence with consideration of factors, and could be serve as concise and practical guidelines for supporting clinicians in the management of UC in Taiwan. PMID:28670225

Research on English Teaching and Learning: Taiwan (2004-2009)

ERIC Educational Resources Information Center

Chen, Suchiao; Tsai, Yachin

2012-01-01

This article analyzes research in second/foreign language teaching and learning conducted in Taiwan over the period 2004-2009. Representative articles published in local refereed journals and conference proceedings--not readily accessible outside Taiwan--are reviewed to reflect current trends in English teaching and learning. The main themes…

Indigenous Wildlife Rabies in Taiwan: Ferret Badgers, a Long Term Terrestrial Reservoir.

PubMed

Lan, Yu-Ching; Wen, Tzai-Hung; Chang, Chao-Chin; Liu, Hsin-Fu; Lee, Pei-Fen; Huang, Chung-Yuan; Chomel, Bruno B; Chen, Yi-Ming A

2017-01-01

The emerging disease of rabies was confirmed in Taiwan ferret badgers (FBs) and reported to the World Organization for Animal Health (OIE) on July 17, 2013. The spread of wildlife rabies can be related to neighborhood countries in Asia. The phylogenetic analysis was conducted by maximum likelihood (ML) methods and the Bayesian coalescent approach based on the glycoprotein (G) and nucleoprotein (N) genes. The phylogeographic and spatial temporal dynamics of viral transmission were determined by using SPREAD, QGIS. Therefore, the origin and the change with time of the viruses can be identified. Results showed the rabies virus of FB strains in Taiwan is a unique clade among other strains in Asia. According to the phylogeographic coalescent tree, three major genotypes of the FB rabies virus have circulated in three different geographical areas in Taiwan. Two genotypes have distributed into central and southern Taiwan between two ecological river barriers. The third genotype has been limited in southeastern Taiwan by the natural mountain barrier. The diversity of FB rabies viruses indicates that the biological profile of FBs could vary in different geographical areas in Taiwan. An enhanced surveillance system needs to be established near the currently identified natural barriers for early warnings of the rabies virus outbreak in Taiwan.

Indigenous Wildlife Rabies in Taiwan: Ferret Badgers, a Long Term Terrestrial Reservoir

PubMed Central

Wen, Tzai-Hung; Liu, Hsin-Fu; Lee, Pei-Fen; Chomel, Bruno B.

2017-01-01

The emerging disease of rabies was confirmed in Taiwan ferret badgers (FBs) and reported to the World Organization for Animal Health (OIE) on July 17, 2013. The spread of wildlife rabies can be related to neighborhood countries in Asia. The phylogenetic analysis was conducted by maximum likelihood (ML) methods and the Bayesian coalescent approach based on the glycoprotein (G) and nucleoprotein (N) genes. The phylogeographic and spatial temporal dynamics of viral transmission were determined by using SPREAD, QGIS. Therefore, the origin and the change with time of the viruses can be identified. Results showed the rabies virus of FB strains in Taiwan is a unique clade among other strains in Asia. According to the phylogeographic coalescent tree, three major genotypes of the FB rabies virus have circulated in three different geographical areas in Taiwan. Two genotypes have distributed into central and southern Taiwan between two ecological river barriers. The third genotype has been limited in southeastern Taiwan by the natural mountain barrier. The diversity of FB rabies viruses indicates that the biological profile of FBs could vary in different geographical areas in Taiwan. An enhanced surveillance system needs to be established near the currently identified natural barriers for early warnings of the rabies virus outbreak in Taiwan. PMID:28497055

Flood Scenario Simulation and Disaster Estimation of Ba-Ma Creek Watershed in Nantou County, Taiwan

NASA Astrophysics Data System (ADS)

Peng, S. H.; Hsu, Y. K.

2018-04-01

The present study proposed several scenario simulations of flood disaster according to the historical flood event and planning requirement in Ba-Ma Creek Watershed located in Nantou County, Taiwan. The simulations were made using the FLO-2D model, a numerical model which can compute the velocity and depth of flood on a two-dimensional terrain. Meanwhile, the calculated data were utilized to estimate the possible damage incurred by the flood disaster. The results thus obtained can serve as references for disaster prevention. Moreover, the simulated results could be employed for flood disaster estimation using the method suggested by the Water Resources Agency of Taiwan. Finally, the conclusions and perspectives are presented.

Stockpile Model of Personal Protective Equipment in Taiwan.

PubMed

Chen, Yu-Ju; Chiang, Po-Jung; Cheng, Yu-Hsin; Huang, Chun-Wei; Kao, Hui-Yun; Chang, Chih-Kai; Huang, Hsun-Miao; Liu, Pei-Yin; Wang, Jen-Hsin; Chih, Yi-Chien; Chou, Shu-Mei; Yang, Chin-Hui; Chen, Chang-Hsun

The Taiwan Centers for Disease Control (Taiwan CDC) has established a 3-tier personal protective equipment (PPE) stockpiling framework that could maintain a minimum stockpile for the surge demand of PPE in the early stage of a pandemic. However, PPE stockpiling efforts must contend with increasing storage fees and expiration problems. In 2011, the Taiwan CDC initiated a stockpile replacement model in order to optimize the PPE stockpiling efficiency, ensure a minimum stockpile, use the government's limited funds more effectively, and achieve the goal of sustainable management. This stockpile replacement model employs a first-in-first-out principle in which the oldest stock in the central government stockpile is regularly replaced and replenished with the same amount of new and qualified products, ensuring the availability and maintenance of the minimum stockpiles. In addition, a joint electronic procurement platform has been established for merchandising the replaced PPE to local health authorities and medical and other institutions for their routine or epidemic use. In this article, we describe the PPE stockpile model in Taiwan, including the 3-tier stockpiling framework, the operational model, the components of the replacement system, implementation outcomes, epidemic supports, and the challenges and prospects of this model.

Tide-surge Interaction Intensified by the Taiwan Strait

NASA Astrophysics Data System (ADS)

Zhang, Wen-Zhou; Shi, Fengyan; Hong, Hua-Sheng; Shang, Shao-Ping; Kirby, James T.

2010-06-01

The Taiwan Strait is a long and wide shelf-channel where the hydrodynamics is extremely complex, being characterized by strong tides, and where storm surges frequently occur during the typhoon season. Obvious oscillations due to tide-surge interaction were observed by tide gauges along the northern Fujian coast, the west bank of the Taiwan Strait, during Typhoon Dan (1999). Numerical experiments indicate that nonlinear bottom friction (described by the quadratic formula) is a major factor to predict these oscillations while the nonlinear advective terms and the shallow water effect have little contribution. It is found that the tide-surge interaction in the northern portion of the Taiwan Strait is intensified by the strait. Simulations based on simplified topographies with and without the island of Taiwan show that, in the presence of the island, the channel effect strengthens tidal currents and tends to align the major axes of tidal ellipses along the channel direction. Storm-induced currents are also strengthened by the channel. The pattern of strong tidal currents and storm-induced currents along the channel direction enhances tide-surge interaction via the nonlinear bottom friction, resulting in the obvious oscillations along the northern Fujian coast.

Pn-waves Travel-time Anomaly beneath Taiwan from Dense Seismic Array Observations and its Possible Tectonic Implications

NASA Astrophysics Data System (ADS)

Lin, Y. Y.; Huang, B. S.; Ma, K. F.; Hsieh, M. C.

2015-12-01

We investigated travel times of Pn waves, which are of great important for understanding the Moho structure in Taiwan region. Although several high quality tomographic studies had been carried out, observations of Pn waves are still the most comprehensive way to elucidate the Moho structure. Mapping the Moho structure of Taiwan had been a challenging due to the small spatial dimension of Taiwan island with two subduction systems. To decipher the tectonic structure and understanding of earthquake hazard, the island of Taiwan have been implemented by several high density seismic stations, including 71 short-period stations of Central Weather Bureau Seismic Network (CWBSN) and 42 broardband stations of Broadband Array in Taiwan for Seismology (BATS). High quality seismic records of these stations would be used to identify precise Pn-wave arrival times. After station-elevation correction, we measure the difference between the observed and theoretical Pn arrivals from the IASPI 91 model for each station. For correcting uncertainties of earthquake location and origin time, we estimate relative Pn anomaly, ΔtPn , between each station and a reference station. The pattern of ΔtPn reflects the depth anomaly of Moho beneath Taiwan. In general, Pn waves are commonly observed from shallow earthquake at epicentral distance larger than 120 km. We search the global catalog since 2005 and the criteria are M > 5.5, focal depth < 30 km and epicentral distance > 150 km. The 12 medium earthquakes from north Luzon are considered for analysis. We choose a station, TWKB, in the most southern point of Taiwan as the reference station due to that all events are from the south. The results indicate obvious different patterns of ΔtPn from different back-azimuths. The ΔtPn pattern of the events in the first group from the south south-east indicates that the Pn arrivals delay suddenly when the Pn waves pass through the Central Range, suggesting the Moho becomes deep rapidly. However, we

A preliminary report on resident emergency psychiatry training from a survey of psychiatry chief residents.

PubMed

Bennett, Jeffrey I; Dzara, Kristina; Mazhar, Mir Nadeem; Behere, Aniruddh

2011-03-01

The Accreditation Council for Graduate Medical Education (ACGME) requirements stipulate that psychiatry residents need to be educated in the area of emergency psychiatry. Existing research investigating the current state of this training is limited, and no research to date has assessed whether the ACGME Residency Review Committee requirements for psychiatry residency training are followed by psychiatry residency training programs. We administered, to chief resident attendees of a national leadership conference, a 24-item paper survey on the types and amount of emergency psychiatry training provided by their psychiatric residency training programs. Descriptive statistics were used in the analysis. Of 154 surveys distributed, 111 were returned (72% response rate). Nearly one-third of chief resident respondents indicated that more than 50% of their program's emergency psychiatry training was provided during on-call periods. A minority indicated that they were aware of the ACGME program requirements for emergency psychiatry training. While training in emergency psychiatry occurred in many programs through rotations-different from the on-call period-direct supervision was available during on-call training only about one-third of the time. The findings suggest that about one-third of psychiatry residency training programs do not adhere to the ACGME standards for emergency psychiatry training. Enhanced knowledge of the ACGME requirements may enhance psychiatry residents' understanding on how their programs are fulfilling the need for more emergency psychiatry training. Alternative settings to the on-call period for emergency psychiatry training are more likely to provide for direct supervision.

Kindergarten Teachers' Experience with Reporting Child Abuse in Taiwan

ERIC Educational Resources Information Center

Feng, Jui-Ying; Huang, Tzu-Yi; Wang, Chi-Jen

2010-01-01

Objective: The objectives were to examine factors associated with reporting child abuse among kindergarten teachers in Taiwan based on the Theory of Planned Behavior (TPB). Method: A stratified quota sampling technique was used to randomly select kindergarten teachers in Taiwan. The Child Abuse Intention Report Scale, which includes demographics,…

Inclusive Higher Education for Students with Disabilities in Taiwan

ERIC Educational Resources Information Center

Ho, Hua-Kuo

2004-01-01

The purpose of this paper was intended to present the current status of inclusive higher education for students with disabilities in Taiwan. Literature review, documentary analysis, and field observation were used to collect the needed information. The history for educating students with disabilities in higher education institutions in Taiwan has…

Gender Barriers in Higher Education: The Case of Taiwan.

ERIC Educational Resources Information Center

Wang, Ru-jer

2001-01-01

Used data from a variety of sources to examine gender barriers to higher education in Taiwan. Findings show that barriers remain, that women still suffer disadvantages in access to higher education, even though the expansion of higher education in Taiwan has substantially benefitted females over the past few decades. (SLD)

Women residents, women physicians and medicine's future.

PubMed

Serrano, Karen

2007-08-01

The number of women in medicine has increased dramatically in the last few decades, and women now represent half of all incoming medical students. Yet residency training still resembles the historical model when there were few women in medicine. This article reviews the issues facing women in residency today. Data suggest that the experience of female residents is more negative than that of males. Unique challenges facing female residents include the existence of gender bias and sexual harassment, a scarcity of female mentors in leadership positions, and work/family conflicts. Further research is needed to understand the experience of female residents and to identify barriers that hinder their optimal professional and personal development. Structural and cultural changes to residency programs are needed to better accommodate the needs of female trainees.

Unique parallel radiations of high-mountainous species of the genus Sedum (Crassulaceae) on the continental island of Taiwan.

PubMed

Ito, Takuro; Yu, Chih-Chieh; Nakamura, Koh; Chung, Kuo-Fang; Yang, Qin-Er; Fu, Cheng-Xin; Qi, Zhe-Chen; Kokubugata, Goro

2017-08-01

We explored the temporal and spatial diversification of the plant genus Sedum L. (Crassulaceae) in Taiwan based on molecular analysis of nrITS and cpDNA sequences from East Asian Sedum members. Our phylogenetic and ancestral area reconstruction analysis showed that Taiwanese Sedum comprised two lineages that independently migrated from Japan and Eastern China. Furthermore, the genetic distances among species in these two clades were smaller than those of other East Asian Sedum clades, and the Taiwanese members of each clade occupy extremely varied habitats with similar niches in high-mountain regions. These data indicate that species diversification occurred in parallel in the two Taiwanese Sedum lineages, and that these parallel radiations could have occurred within the small continental island of Taiwan. Moreover, the estimated time of divergence for Taiwanese Sedum indicates that the two radiations might have been correlated to the formation of mountains in Taiwan during the early Pleistocene. We suggest that these parallel radiations may be attributable to the geographical dynamics of Taiwan and specific biological features of Sedum that allow them to adapt to new ecological niches. Copyright © 2017 Elsevier Inc. All rights reserved.

Incidence of eye cancer in Taiwan: an 18-year review.

PubMed

Cheng, C-Y; Hsu, W-M

2004-02-01

To describe the incidence and histologic patterns of eye cancers in Chinese in Taiwan. Beginning in 1979, cases of cancer in Taiwan were reported to the Taiwan National Cancer Registry. Information on all Chinese patients diagnosed with eye malignancies under the International Classification of Disease, Ninth Revision, site 190, was retrieved for analysis from the data bank of the Taiwan National Cancer Registry. In all, 733 cases with primary eye cancers were identified from 1979 to 1996, an 18-year period. The average annual age-standardized incidence of eye cancers was 2.46 per million population (2.57 for male and 2.33 for female). For cases less than 15 years of age, the most common eye malignancy was retinoblastoma (86.0%), followed by rhabdomyosarcoma (3.9%) and lymphoma (2.8%). For cases 15 years of age or older, the most common eye malignancy was melanoma (28.6%), followed by squamous cell sarcoma (21.0%) and lymphoma (20.8%). The time trends of the incidence of eye cancers were relatively stable over the 18-year period in Taiwan. Retinobalstoma, melanoma, and lymphoma were the three most common eye cancers in this Chinese population.

2016 Guidelines of the Taiwan Heart Rhythm Society and the Taiwan Society of Cardiology for the management of atrial fibrillation.

PubMed

Chiang, Chern-En; Wu, Tsu-Juey; Ueng, Kwo-Chang; Chao, Tze-Fan; Chang, Kuan-Cheng; Wang, Chun-Chieh; Lin, Yenn-Jiang; Yin, Wei-Hsian; Kuo, Jen-Yuan; Lin, Wei-Shiang; Tsai, Chia-Ti; Liu, Yen-Bin; Lee, Kun-Tai; Lin, Li-Jen; Lin, Lian-Yu; Wang, Kang-Ling; Chen, Yi-Jen; Chen, Mien-Cheng; Cheng, Chen-Chuan; Wen, Ming-Shien; Chen, Wen-Jone; Chen, Jyh-Hong; Lai, Wen-Ter; Chiou, Chuen-Wang; Lin, Jiunn-Lee; Yeh, San-Jou; Chen, Shih-Ann

2016-11-01

Atrial fibrillation (AF) is the most common sustained arrhythmia. Both the incidence and prevalence of AF are increasing, and the burden of AF is becoming huge. Many innovative advances have emerged in the past decade for the diagnosis and management of AF, including a new scoring system for the prediction of stroke and bleeding events, the introduction of non-vitamin K antagonist oral anticoagulants and their special benefits in Asians, new rhythm- and rate-control concepts, optimal endpoints of rate control, upstream therapy, life-style modification to prevent AF recurrence, and new ablation techniques. The Taiwan Heart Rhythm Society and the Taiwan Society of Cardiology aimed to update the information and have appointed a jointed writing committee for new AF guidelines. The writing committee members comprehensively reviewed and summarized the literature, and completed the 2016 Guidelines of the Taiwan Heart Rhythm Society and the Taiwan Society of Cardiology for the Management of Atrial Fibrillation. This guideline presents the details of the updated recommendations, along with their background and rationale, focusing on data unique for Asians. The guidelines are not mandatory, and members of the writing committee fully realize that treatment of AF should be individualized. The physician's decision remains most important in AF management. Copyright © 2016. Published by Elsevier B.V.

Causes of death and expected years of life lost among treated opioid-dependent individuals in the United States and Taiwan.

PubMed

Chang, Kun-Chia; Wang, Jung-Der; Saxon, Andrew; Matthews, Abigail G; Woody, George; Hser, Yih-Ing

2017-05-01

This study compared the cause-specific standardized mortality ratios (SMRs) and expected years of life lost (EYLL) among opioid-dependent individuals in the United States and Taiwan. Survival data came from two cohorts followed until 2014: The U.S. data were based on a randomized trial of 1267 opioid-dependent participants enrolled between 2006 and 2009; the Taiwan data were from a study of 983 individuals that began in 2006, when opioid agonist treatment (OAT) was implemented in Taiwan. SMRs were calculated for each national cohort and compared. Kaplan-Meier estimation was performed on the survival data, then lifespans were extrapolated to 70 years (840 months) to estimate life expectancy using a semi-parametric method. EYLLs for both cohorts were estimated by subtracting their life expectancies from the age- and gender-matched referents within the general population of their respective country. Compared with age- and gender-matched referents, the SMRs were 3.2 for the U.S. sample and 7.8 for the Taiwan sample; the EYLLs were 7.7 and 16.4 years, respectively. Half of decedents died of unnatural causes in both cohorts; overdose deaths predominated in the U.S. and suicide in Taiwan. Our study identified differences by country in EYLL and causes of deaths. These findings suggest that intervention strategies to reduce mortality risk by overdose (particularly in the U.S.) and suicide (particularly in Taiwan) are urgently needed in these countries. Copyright © 2016 Elsevier B.V. All rights reserved.

Causes of death and expected years of life lost among treated opioid-dependent individuals in the United States and Taiwan

PubMed Central

Chang, Kun-Chia; Wang, Jung-Der; Saxon, Andrew; Matthews, Abigail G.; Woody, George; Hser, Yih-Ing

2017-01-01

Aims This study compared the cause-specific standardized mortality ratios (SMRs) and expected years of life lost (EYLL) among opioid-dependent individuals in the United States and Taiwan. Methods Survival data came from two cohorts followed until 2014: The U.S. data were based on a randomized trial of 1,267 opioid-dependent participants enrolled between 2006 and 2009; the Taiwan data were from a study of 983 individuals that began in 2006, when opioid agonist treatment (OAT) was implemented in Taiwan. SMRs were calculated for each national cohort and compared. Kaplan-Meier estimation was performed on the survival data, then lifespans were extrapolated to 70 years (840 months) to estimate life expectancy using a semi-parametric method. EYLLs for both cohorts were estimated by subtracting their life expectancies from the age- and gender-matched referents within the general population of their respective country. Results Compared with age- and gender- matched referents, the SMRs were 3.2 for the U.S. sample and 7.8 for the Taiwan sample; the EYLLs were 7.7 and 16.4 years, respectively. Half of decedents died of unnatural causes in both cohorts; overdose deaths predominated in the U.S. and suicide in Taiwan. Conclusions Our study identified differences by country in EYLL and causes of deaths. These findings suggest that intervention strategies to reduce mortality risk by overdose (particularly in the U.S.) and suicide (particularly in Taiwan) are urgently needed in these countries. PMID:28160734

Variations in the correlation between teleconnections and Taiwan's streamflow

NASA Astrophysics Data System (ADS)

Chen, Chia-Jeng; Lee, Tsung-Yu

2017-07-01

Interannual variations in catchment streamflow represent an integrated response to anomalies in regional moisture transport and atmospheric circulations and are ultimately linked to large-scale climate oscillations. This study conducts correlation analysis to calculate how summertime (July-September, JAS) streamflow data derived at 28 upstream and 13 downstream gauges in Taiwan correlate with 14 teleconnection indices in the current or preceding seasons. We find that the western Pacific (WP) and Pacific-Japan (PJ) patterns, both of which play a critical role in determining cyclonic activity in the western North Pacific basin, exhibit the highest concurrent correlations (most significant r = 0. 50) with the JAS flows in Taiwan. Alternatively, the Quasi-Biennial Oscillation (QBO) averaged over the period from the previous October to June of the current year is significantly correlated with the JAS flows (most significant r = -0. 66), indicating some forecasting utility. By further examining the correlation results using a 20-year moving window, peculiar temporal variations and possible climate regime shifts (CRSs) can be revealed. A CRS test is employed to identify suspicious and abrupt changes in the correlation. The late 1970s and 1990s are identified as two significant change points. During the intermediate period, Taiwan's streamflow and the PJ index exhibit a marked in-phase relationship (r > 0. 8). It is verified that the two shifts are in concordance with the alteration of large-scale circulations in the Pacific basin by investigating the changes in pattern correlation and composite maps before and after the change point. Our results suggest that empirical forecasting techniques should take into account the effect of CRSs on predictor screening.

Space programs in Taiwan

NASA Astrophysics Data System (ADS)

Lee, Lou-Chuang; Chang, Guey-Shin; Ting, Nan-Hong

2013-10-01

Taiwan's current and future space programs are briefly introduced in this paper. The National Space Organization (NSPO) in Taiwan has successfully carried out three satellite programs (FORMOSAT-1, 2, &3) since its establishment in 1991. FORMOSAT-1 is a scientific satellite performing three scientific experiments for measuring the density, velocity and temperature of ionospheric plasmas, taking the ocean color image, and conducting Ka-band communication experiments. Equipped with a 2m ground resolution remote sensing instrument, FORMOSAT-2 operates in a sun-synchronous orbit with revisit time equal to one day. This unique feature of the daily revisit capability is significantly useful for post disaster assessment and environmental monitoring. FORMOSAT-2 also carries a scientific payload "Imager of Sprites and Upper Atmospheric Lightning (ISUAL)". ISUAL provides the world's first long-term satellite observations on the lighting phenomenon in the earth's upper atmosphere. FORMOSAT-3 is a constellation of six micro-satellites to collect atmospheric and ionospheric data for weather prediction and for climate, ionosphere, and geodesy research. FORMOSAT-3 has demonstrated the ability to significantly increase the accuracy of weather forecasting by utilizing the GPS Radio Occultation (GPS-RO) technique. Currently, NSPO is pursuing the follow-on space missions of FORMOSAT-5 and FORMOSAT-7. FORMOSAT-5 will be the first to utilize a CMOS detector on a high-resolution earth-observation camera. FORMOSAT-7 is a joint mission of Taiwan/US to deploy a 12-satellite constellation operational system to provide dense and timely GNSS RO data to the global communities for real-time weather forecast as well as space science research.

Psychiatry Residents' Use of Educational Websites: A Pilot Survey Study.

PubMed

Torous, John; Franzan, Jamie; O'Connor, Ryan; Mathew, Ian; Keshavan, Matcheri; Kitts, Robert; Boland, Robert

2015-12-01

Psychiatry residents have numerous online educational resources readily available to them although currently there are no data regarding residents' use and perception of such websites. A survey was offered to 62 residents from all four years of training as well as recent graduates of a single psychiatry residency training program. Residents reported utilizing online resources on average 68 % of the time, in comparison to 32 % on average for printed materials. Residents reported UpToDate, PubMed, and Wikipedia as the most visited websites and ranked each highly but for different purposes. Thirty-five percent of residents felt that insufficient faculty guidance was a barrier to use of these educational websites. Pilot data indicate psychiatry residents use online resources daily for their education in various settings. Resident perceptions of individual website's trustworthiness, ease of use, and sources of clinical decision-making and personal learning suggest potential opportunities for educators to better understand the current use of these resources in residency training. Reported barriers including lack of faculty guidance suggest opportunities for academic psychiatry. Further study is necessary at multiple sites before such results may be generalized.

Pyogenic Liver Abscess as Endemic Disease, Taiwan

PubMed Central

Tsai, Feng-Chiao; Huang, Yu-Tsung; Chang, Luan-Yin

2008-01-01

Pyogenic liver abscess has become a health problem in Taiwanese society. However, the extent of this problem has remained unclear because of the lack of a population-based study. We therefore performed a nationwide analysis of pyogenic liver abscess in Taiwan from 1996 through 2004. We analyzed 29,703 cases from the Taiwan National Health Insurance database and 506 cases from National Taiwan University Hospital. Our analysis showed that the annual incidence of pyogenic liver abscess increased steadily from 11.15/100,000 population in 1996 to 17.59/100,000 in 2004. Diabetes, malignancy, renal disease, and pneumonia were associated with a higher risk for the disease. By contrast, death due to pyogenic liver abscess decreased over time, although population-based abscess-related death increased slightly. Renal disease, malignancy, pneumonia, and heart disease correlated with higher death rates; Klebsiella pneumoniae infection and therapeutic procedures were related to lower death rates. Diabetes did not significantly change death rates for the 506 patients from the hospital. PMID:18826824

The Buddha and the Computer: Career Guidance in Taiwan.

ERIC Educational Resources Information Center

Katz, Martin R.

Career decision making in Taiwan was examined in the context of a society undergoing dynamic change as modern entrepreneurial values are accommodated in a cherished traditional culture. Especially during the past 20 years, the economy of Taiwan has changed from agriculture to technology. At the same time, the educational needs of students have…

Higher Education Research Community in Taiwan: An Emerging Field

ERIC Educational Resources Information Center

Chan, Sheng-Ju; Chan, Ying

2015-01-01

This paper aims to explore the evolution and characteristics of the higher education research community in Taiwan. In echoing the development of the East Asian region, Taiwan has made substantial progress during the past two decades. The massification of higher education itself has played a major role in promoting the academic differentiation or…

Teacher Preparation for Early Childhood: Special Education in Taiwan

ERIC Educational Resources Information Center

Ho, Hua-Kuo

2014-01-01

The purpose of this paper is intended to present the current model of teacher preparation for early childhood special education in Taiwan. Documentary analysis was conducted in the study to collect and analyze the obtained data. The main features of teacher preparation policies for early childhood special education in Taiwan could be summarized…

The Epidemiology of Imported Malaria in Taiwan between 2002–2013: The Importance of Sensitive Surveillance and Implications for Pre-Travel Medical Advice

PubMed Central

Chen, Shou-Chien; Chang, Hsiao-Ling; Chen, Kow-Tong

2014-01-01

The purpose of this study was to assess the epidemiology of imported malaria in Taiwan between 2002 and 2013. We analyzed the national data recorded by the Taiwan Centers for Disease Control (Taiwan CDC). Malaria cases were diagnosed by blood films, polymerase chain reaction, or rapid diagnostic tests. The risk of re-establishment of malarial transmission in Taiwan was assessed. A total of 229 malaria cases were included in our analysis. All of the cases were imported. One hundred and ninety-two cases (84%) were diagnosed within 13 days of the start of symptoms/signs; 43% of these cases were acquired in Africa and 44% were acquired in Asia. Plasmodium falciparum was responsible for the majority (56%) of these cases. Travel to an endemic area was associated with the acquisition of malaria. The malaria importation rate was 2.36 per 1,000,000 travelers (range 1.20–5.74). The reproductive number under control (Rc) was 0. No endemic transmission of malaria in Taiwan was identified. This study suggests that a vigilant surveillance system, vector-control efforts, case management, and an educational approach focused on travelers and immigrants who visit malaria endemic countries are needed to prevent outbreaks and sustain the elimination of malaria in Taiwan. PMID:24871257

Typhoon induced summer cold shock advected by Kuroshio off eastern Taiwan

NASA Astrophysics Data System (ADS)

Kuo, Yi-Chun; Zheng, Zhe-Wen; Zheng, Quanan; Gopalakrishnan, Ganesh; Lee, Chia-Ying; Chern, Shi-We; Chao, Yan-Hao

2017-01-01

In this study, we used satellite observations, in-situ measurements, and numerical modelling to investigate an extreme temperature change triggered by a typhoon in the ocean near the Kuroshio region off eastern Taiwan. With the westward passage of Typhoon Morakot in 2009 through Taiwan, a distinct cool wake was generated at the southeastern corner of Taiwan (CWSET) and moved towards the downstream Kuroshio region; it involved a precipitous cooling of at least 4 °C within 10-20 km of the coast. Rapid and drastic temperature drops triggered by the CWSET and advected by the strong conveyor belt effect of the Kuroshio Current are highly probable sources of cold shocks in summer. We clarified the mechanism that generated the CWSET through a series of sensitivity experiments using the Regional Oceanic Modeling System. The cold shock was mainly triggered by local wind stress associated with the typhoon. In addition, the Kuroshio Current was demonstrated to have played a crucial role in both the generation of upwelling off the southeastern coast of Taiwan during the passage of the typhoon and the transporting of this impact downstream. This process was verified through a systematic analysis of all typhoons moving westward through Taiwan from 2005 to 2013. Cold-shock stress is thought to be linked with naturally occurring 'fish kills', and obtaining a more thorough understanding of the CWSET will be helpful for protecting aquaculture off the eastern coast of Taiwan from the impacts of cold shocks triggered by typhoons moving westward through Taiwan in summer.

Residency Program Directors' Interview Methods and Satisfaction With Resident Selection Across Multiple Specialties.

PubMed

VanOrder, Tonya; Robbins, Wayne; Zemper, Eric

2017-04-01

distinctively different from that of programs dually accredited. The findings suggest that it may not be realistic to aim for standardization of a common set of best interview methods or ideal personal characteristics for all programs. Each residency program's optimal interview process is likely unique, more dependent on analyzing why some resident selections are regretted and developing an interview process designed to assess for specific desirable and unwanted characteristics.

A Behavioral Weight Control Program for Residence Hall Students.

ERIC Educational Resources Information Center

Domke, Jane A.; And Others

1981-01-01

Compared a weight control treatment specifically tailored to the needs of residence hall students with a standardized behavioral procedure. Although posttreatment results indicated a very slight and nonsignificant advantage for the residence hall condition, this was not true at follow-up. Suggests the residence hall procedure may be overly…

Intakes conference: understanding the impact of resident autonomy on a morning report conference.

PubMed

Moreno, Megan A; Shaffer, David Williamson

2006-01-01

Morning report (MR) is one of the most common conferences in medical residency training. Literature has suggested that an imposed structure is necessary for success. However, studies have suggested that rigid structure may decrease resident motivation. Three goals of a successful MR include large breadth of presented cases, high resident participation, and well-formatted presentations. In this article, we present a qualitative case analysis of an unstructured resident- led MR and analyze breadth of cases, resident participation, and presentation format. We collected data that included case presentation tracking, video recording conferences, and interviewing residents and faculty. Case presentations covered a broad range of topics with little duplication (2.2%). Residents preformed most (94%) of presentations; most residents (92.3%) presented cases. Case presentations were structured in 1 of 3 formats that fulfilled suggested guidelines from MR literature. In this unstructured MR conference, structural aims were met with the relatively autonomous decisions of motivated resident participants.

Seismic Migration Imaging of the Crust and Upper Mantle Discontinuity Structure beneath Southern Taiwan

NASA Astrophysics Data System (ADS)

Liu, Y.-S.; Kuo, B.-Y.

2009-04-01

Taiwan is located in the convergent plate boundary zone where the Philippine Sea plate has obliquely collided on the Asian continental margin, initiating the arc-continent collision and subsequent mountain-building in Taiwan. Receiver function has been a powerful tool to image seismic velocity discontinuity structure in the crust and upper mantle which can help illuminate the deep dynamic process of active Taiwan orogeny. In this study, we adopt backprojection migration processing of teleseismic receiver functions to investigate the crust and upper mantle discontinuities beneath southern Taiwan, using the data from Southern Taiwan Transect Seismic Array (STTA), broadband stations of Central Weather Bureau (CWB), Broadband Array in Taiwan for Seismology (BATS), and Taiwan Integrated Geodynamics Research (TAIGER). This composite east-west trending linear array has the aperture of about 150 km with the station spacing of ~5-10 km. Superior to the common midpoint (CMP) stack approach, the migration can properly image the dipping, curved, or laterally-varying topography of discontinuous interfaces which very likely exist under the complicated tectonic setting of Taiwan. We first conduct synthetic experiments to test the depth and lateral resolution of migration images based on the WKBJ synthetic waveforms calculated from available source and receiver distributions. We will next construct the 2-D migration image under the array to reveal the topographic variation of the Moho and lithosphere discontinuities beneath southern Taiwan.

Observing Community Residences.

ERIC Educational Resources Information Center

Taylor, Steven J.; Bogdan, Robert

The document offers guidelines effectively monitoring the quality of care provided in community residences serving people with disabilities. An initial section offers suggestions on observation and evaluation procedures. The remainder of the document lists possible questions to be asked in 19 areas: location, building and yard, relations with the…

Benefiting from networks by occupying central positions: an empirical study of the Taiwan health care industry.

PubMed

Peng, Tzu-Ju Ann; Lo, Fang-Yi; Lin, Chin-Shien; Yu, Chwo-Ming Joseph

2006-01-01

At issue is whether network resources imply some resources available to all members in networks or available only to those occupying structurally central positions in networks. In this article, two conceptual models, the additive and interaction models of the firm, are empirically tested regarding the impact of hospital resources, network resources, and centrality on hospital performance in the Taiwan health care industry. The results demonstrate that: (1) in the additive model, hospital resources and centrality independently affect performance, whereas network resources do not; and (2) no evidence supports the interaction effect of centrality and resources on performance. Based on our findings in Taiwanese practices, the extent to which the resources are acquired externally from networks, we suggest that while adopting interorganizational strategies, hospitals should clearly identify those important resources that reside in-house and those transferred from network partners. How hospitals access resources from central positions is more important than what network resources can hospitals acquire from networks. Hospitals should improve performance by exploiting its in-house resources rather than obtaining network resources externally. In addition, hospitals should not only invest in hospital resources for better performance but should also move to central positions in networks to benefit from collaborations.

Separation or Unification for Taiwan: An Economic Comparison.

DTIC Science & Technology

1996-09-01

Table 11-9. Average Size of Taiwan’s FDI in SE Asia (Cumulative through 1993) Host Country $M per Project Indonesia 13.50 Vietnam 13.09 Malaysia ...leaders. By April 1996, Taiwan had signed investment protection agreements with Indonesia, Malaysia , the Philippines, Singapore, and Vietnam and...and Surabaya, Indonesia; Penang, Malaysia ; Laos; and Subic Bay, the Philippines. See Chen Hurng-yu (1994), 128. The first stage of the Subic Bay

Establishment of Vespa bicolor in Taiwan (Hymenoptera: Vespidae)

PubMed Central

Sung, I-Hsin; Lu, Sheng-Shan; Chao, Jung-Tai; Yeh, Wen-Chi; Lee, Wei-Jie

2014-01-01

Abstract The establishment of a hornet, Vespa bicolor F., in Taiwan was confirmed based on successful field collection of adults of both sexes and two subterranean colonies. Information on nesting habitat, nest measurement, and colony composition of this species are provided in this article. V. bicolor is the ninth hornet species ever recorded from Taiwan. Possible pathway for the introduction of this alien species is also discussed. PMID:25434034

Transfusion-acquired AIDS in Taiwan.

PubMed

Yao, C; Wang, W W; Chung, Y M; Su, Y L; Liu, C Y; Chen, Y M

1996-01-01

Human immunodeficiency virus type 1 (HIV-1) can be transmitted through blood transfusion. The first transfusion-acquired immunodeficiency syndrome (AIDS) patient in Taiwan was a 46-year-old woman who received two units of whole blood during a hysterectomy at a provincial hospital in 1985. In 1991, she experienced a herpes zoster infection. In March 1993, she had extensive herpetic gingivostomatitis and another herpes zoster attack, and was treated at the same hospital. Two months later, she had oral candidiasis and was treated at a medical center. She was not tested for HIV-1 infection until she developed Pneumocystis carinii pneumonia in June 1993. In February 1994, and developed cytomegalovirus retinitis and died 6 months later. Donor blood given to the patients during the hysterectomy was HIV-1 positive. The donor's HIV infection was discovered in 1991 and he died of AIDS in 1993. As blood centers in Taiwan did not start screening for HIV-1 until January 1988, it is urgently recommended that any individual who received a blood transfusion between 1984 and 1987 in Taiwan and who currently experiences repeated episodes of opportunistic infections have an HIV-1 blood test. The receipt of a blood transfusion between 1984 and 1987 should be listed by the Department of Health as an indication for HIV-1 screening.

A zonation technique for landslide susceptibility in southern Taiwan

NASA Astrophysics Data System (ADS)

Chiang, Jie-Lun; Tian, Yu-Qing; Chen, Yie-Ruey; Tsai, Kuang-Jung

2016-04-01

In recent years, global climate changes violently, extreme rainfall events occur frequently and also cause massive sediment related disasters in Taiwan. The disaster seriously hit the regional economic development and national infrastructures. For example, in August, 2009, the typhoon Morakot brought massive rainfall especially in the mountains in Chiayi County and Kaohsiung County in which the cumulative maximum rainfall was up to 2900 mm; meanwhile, the cumulative maximum rainfall was over 1500m.m. in Nantou County, Tainan County and Pingtung County. The typhoon caused severe damage in southern Taiwan. The study will search for the influence on the sediment hazards caused by the extreme rainfall and hydrological environmental changes focusing on southern Taiwan (including Chiayi, Tainan, Kaohsiung and Pingtung). The instability index and kriging theories are applied to analyze the factors of landslide to determine the susceptibility in southern Taiwan. We collected the landslide records during the period year, 2007~2013 and analyzed the instability factors including elevation, slope, aspect, soil, and geology. Among these factors, slope got the highest weight. The steeper the slope is, the more the landslides occur. As for the factor of aspect, the highest probability falls on the Southwest. However, this factor has the lowest weight among all the factors. Likewise, Darkish colluvial soil holds the highest probability of collapses among all the soils. Miocene middle Ruifang group and its equivalents have the highest probability of collapses among all the geologies. In this study, Kriging was used to establish the susceptibility map in southern Taiwan. The instability index above 4.21 can correspond to those landslide records. The potential landslide area in southern Taiwan, where collapses more likely occur, belongs to high level and medium-high level; the area is 5.12% and 17.81% respectively.

Progress and Prospect of Physics Research and Education in Taiwan

NASA Astrophysics Data System (ADS)

Raynien Kwo, J.

2010-03-01

Started about two decades ago, the global trend of shifting industrial manufacture power from western developed countries toward developing countries in Asia has in turn become the impetus in building up physical science and research in these areas. A very good example is the remarkable progress of physical research and education in Taiwan, in terms of quantity and quality. The continuous elevation of Taiwan's high education into graduate level plus the government's strong commitment to research and development on a level of 2.62 % GDP have led to an impressive physics program with an annual budget ˜32 million USD from National Science Council in supporting 568 PIs. The investigation scope encompasses high energy and astrophysics, nano and condensed matter, and semiconductor, optoelectronic physics, etc. The former is vigorously conducted via international collaborative efforts of LHC, KEK, ALMA, Pan-STARRS, etc. The latter is driven by vital Taiwan high tech industry mostly semiconductor IC and optoelectronics flourished during this period. The early trend of outflows of BS physics majors to western world for advanced studies has reversed dramatically. Nearly 80% of the BS students continue their MS and PhD degrees in Taiwan, attracted by lucrative job markets of high tech industry. In addition, healthy inflow of high-quality science manpower of well trained PhDs and senior scholars returning to homeland has strengthened the competitiveness. Overall, the physics community in Taiwan is thriving. The annual Physical Society meeting is expanding at a rate of 6%, reaching ˜1800 attendants and 1200 papers, and dedicated to promotions of female physicists and students. The publication quantity of Taiwan in top journals of PRs and PRL is ranked among top 20^th for all fields of physics, and ranked the 6^th in APL. Clearly Taiwan has now emerged as a strong power in applied science, not limited by its population size. Concerted efforts on scientific exchanges are being

Video game addiction in children and teenagers in Taiwan.

PubMed

Chiu, Shao-I; Lee, Jie-Zhi; Huang, Der-Hsiang

2004-10-01

Video game addiction in children and teenagers in Taiwan is associated with levels of animosity, social skills, and academic achievement. This study suggests that video game addiction can be statistically predicted on measures of hostility, and a group with high video game addiction has more hostility than others. Both gender and video game addiction are negatively associated with academic achievement. Family function, sensation seeking, gender, and boredom have statistically positive relationships with levels of social skills. Current models of video game addiction do not seem to fit the findings of this study.

Determination of mean gravity anomalies in the Taiwan Island

NASA Technical Reports Server (NTRS)

Chang, Ruey-Gang

1989-01-01

The fitting and proper regression coefficients were made of one hundred seventeen 10 x 10' blocks with observed gravity data and corresponding elevation in the Taiwan Island. To compare five different predicted models, and the proper one for the mean gravity anomalies were determined. The predicted gravity anomalies of the non-observed gravity blocks were decided when the coefficients obtained through the model with the weighted mean method. It was suggested that the mean gravity anomalies of 10 x 10' blocks should be made when comprehensive the observed and predicted data.

From subduction to collision: results of French POP2 program on Taiwan-Philippine festoon

DOE Office of Scientific and Technical Information (OSTI.GOV)

Blanchet, R.; Stephan, J.F.; Rangin, C.

1986-07-01

A sea-beam, seismic, magnetic, and gravimetric survey was conducted with the R/V Jean-Charcot in three key regions off the Taiwan-Philippine festoon in the western Pacific: (1) Ryukyu active margin and its junction with Taiwan; (2) northern part of the Manila Trench and its junction with the Taiwan tectonic prism; and (3) southern termination of Manila Trench in front of Mindoro Island. Transitions between active subduction along the Manila Trench and collision of Taiwan and Mindoro, and relations between active subduction and extension in the Okinawa-Ryukyu and the northeastern Taiwan systems are particularly studied.

Pharmaceutical marketing: implications for medical residency training.

PubMed

Anastasio, G D; Little, J M

1996-01-01

An educational intervention was developed to improve family practice residents' ability to obtain useful information from pharmaceutical representatives. The curriculum is based on the traditional one-on-one drug detail. The objectives are to develop residents' skills in controlling the interview, promote skills for critically analyzing drug-promotional material, and discuss ethical issues. The contents include an assessment tool, suggested readings, and interview questions with rationale. After 5 years, residents' confidence in all areas of the curriculum improved significantly.

Residents as teachers: psychiatry and family medicine residents' self-assessment of teaching knowledge, skills, and attitudes.

PubMed

Brand, Michael W; Ekambaram, Vijayabharathi; Tucker, Phebe; Aggarwal, Ruchi

2013-09-01

understanding of teaching techniques, and report spending less time educating patients than do family medicine residents. The differences might be due to different patient populations and treatment settings. The study suggests that psychiatry residents may have difficulty adapting the One-Minute Preceptor technique in psychiatric settings. Results serve as a benchmarking study in a performance-improvement program to enhance psychiatry residents' teaching skills.

Climate change impacts in Zhuoshui watershed, Taiwan

NASA Astrophysics Data System (ADS)

Chao, Yi-Chiung; Liu, Pei-Ling; Cheng, Chao-Tzuen; Li, Hsin-Chi; Wu, Tingyeh; Chen, Wei-Bo; Shih, Hung-Ju

2017-04-01

There are 5.3 typhoons hit Taiwan per year on average in last decade. Typhoon Morakot in 2009, the most severe typhoon, causes huge damage in Taiwan, including 677 casualty and roughly NT 110 billion (3.3 billion USD) in economic loss. Some researches documented that typhoon frequency will decrease but increase in intensity in western North Pacific region. It is usually preferred to use high resolution dynamical model to get better projection of extreme events; because coarse resolution models cannot simulate intense extreme events. Under that consideration, dynamical downscaling climate data was chosen to describe typhoon satisfactorily. One of the aims for Taiwan Climate Change Projection and Information Platform (TCCIP) is to demonstrate the linkage between climate change data and watershed impact models. The purpose is to understand relative disasters induced by extreme rainfall (typhoons) under climate change in watersheds including landslides, debris flows, channel erosion and deposition, floods, and economic loss. The study applied dynamic downscaling approach to release climate change projected typhoon events under RCP 8.5, the worst-case scenario. The Transient Rainfall Infiltration and Grid-Based Regional Slope-Stability (TRIGRS) and FLO-2D models, then, were used to simulate hillslope disaster impacts in the upstream of Zhuoshui River. CCHE1D model was used to elevate the sediment erosion or deposition in channel. FVCOM model was used to asses a flood impact in urban area in the downstream. Finally, whole potential loss associate with these typhoon events was evaluated by the Taiwan Typhoon Loss Assessment System (TLAS) under climate change scenario. Results showed that the total loss will increase roughly by NT 49.7 billion (1.6 billion USD) in future in Zhuoshui watershed in Taiwan. The results of this research could help to understand future impact; however model bias still exists. Because typhoon track is a critical factor to consider regional

Impact of Malnutrition on Physical, Cognitive Function and Mortality among Older Men Living in Veteran Homes by Minimum Data Set: A Prospective Cohort Study in Taiwan.

PubMed

Chen, L-Y; Liu, L-K; Hwang, A-C; Lin, M-H; Peng, L-N; Chen, L-K; Lan, C-F; Chang, P-L

2016-01-01

To evaluate the prevalence of malnutrition and its impact on mortality, functional decline and cognitive impairment among elder residents in long-term care settings. A prospective cohort study. Two veteran homes in Taiwan. A total of 1,248 male residents aged equal or more than 65 years. Charlson's comorbidity index (CCI), Minimum data set (MDS), resident assessment protocols (RAP), Activity of daily living-Hierarchy scale, Cognitive Performance Scale, MDS Social engagement scale. The mean age of participants is 83.1 ± 5.1 years, and the prevalence of malnutrition was 6.1%. Inadequate dietary content (57.9%) and unintentional weight loss (31.6%) account for the majority of malnutrition identified by MDS tool. Higher 18-month mortality rate (25% vs. 14.2%), higher baseline CCI (median 1 vs. 0), and higher baseline sum of RAP triggers (median 8.5 vs. 5) were noted among residents with malnutrition. Furthermore, malnutrition was shown predictive for functional decline (OR: 3.096, 95% CI: 1.715-5.587) and potential cognitive improvement (OR: 2.469, 95% CI: 1.188-5.128) among survivors after adjustment for age, body mass index and CCI. Malnutrition among elder men residing in veteran homes was associated with multimorbidities and higher care complexity, and was predictive for mortality and functional decline.

The Relationship Between Academic Motivation and Lifelong Learning During Residency: A Study of Psychiatry Residents.

PubMed

Sockalingam, Sanjeev; Wiljer, David; Yufe, Shira; Knox, Matthew K; Fefergrad, Mark; Silver, Ivan; Harris, Ilene; Tekian, Ara

2016-10-01

To examine the relationship between lifelong learning (LLL) and academic motivation for residents in a psychiatry residency program, trainee factors that influence LLL, and psychiatry residents' LLL practices. Between December 2014 and February 2015, 105 of 173 (61%) eligible psychiatry residents from the Department of Psychiatry, University of Toronto, completed a questionnaire with three study instruments: an LLL needs assessment survey, the Jefferson Scale of Physician Lifelong Learning (JeffSPLL), and the Academic Motivation Scale (AMS). The AMS included a relative autonomy motivation score (AMS-RAM) measuring the overall level of intrinsic motivation (IM). A significant correlation was observed between JeffSPLL and AMS-RAM scores (r = 0.39, P < .001). Although there was no significant difference in JeffSPLL and AMS-RAM scores based on respondents' level of training (senior vs. junior resident), gender, or age, analysis of AMS subdomains showed that junior residents had a significantly higher score on the extrinsic motivation identification domain (mean difference [M] = 0.38; 95% confidence interval [CI] [0.01, 0.75]; P = .045; d = 0.44) compared with senior residents. Clinician scientist stream (CSS) residents had significantly higher JeffSPLL scores compared with non-CSS residents (M = 3.15; 95% CI [0.52, 5.78]; P = .020; d = 0.57). The use of rigorous measures to study LLL and academic motivation confirmed prior research documenting the positive association between IM and LLL. The results suggest that postgraduate curricula aimed at enhancing IM, for example, through support for learning autonomously, could be beneficial to cultivating LLL in learners.

Utilization pattern of traditional Chinese medicine for liver cancer patients in Taiwan.

PubMed

Liao, Yueh-Hsiang; Lin, Cheng-Chieh; Li, Tsai-Chung; Lin, Jaung-Geng

2012-09-05

Traditional Chinese Medicine (TCM) is one of the most popular complementary and alternative medicine modalities worldwide. In Chinese and East Asian societies, TCM plays an active role in the modern health care system and is even covered by the National Health Insurance Program of Taiwan. Liver cancer is the second most common cancer in Taiwan. This study aimed to analyze the TCM utilization patterns of patients with liver cancer from 1996-2007 using a population-based random sample of one million insured patients. A cross-sectional study was conducted using registration and claim data sets from 1996 to 2007 obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The outpatient datasets contained the encounter form-based dates of visit, three items from the International Classification of Diseases (Ninth Revision, Clinical Modification codes), the primary procedure (e.g., drug or diagnostic procedure), type of copayment, billed amount, and paid amount. Only ambulatory care was analyzed. A total of 6358 liver cancer patients utilized ambulatory care during the study period. Among them, 1240 (19.50%) availed of TCM outpatient services. The prevalence of TCM use fluctuated during the study period, with a peak of 25.11% in 2001. After multivariable adjustment, the likelihood of TCM users was lower in participants aged 70 years and older (odds ratio, OR = 0.79, 95% confidence interval, CI: 0.64-0.97), males (OR = 0.60, 95% CI: 0.52-0.68), residents of Taipei (OR = 0.75, 95% CI: 0.58-0.96) as well as farmers and fishermen (OR = 0.71, 95% CI: 0.54-0.94), but was higher in residents of central Taiwan (OR = 1.99, 95% CI: 1.56-2.54. Most biomedicine and TCM outpatient services were provided by private clinics, followed by private hospitals. The two most frequently recorded coexisting diseases for both biomedicine and TCM outpatient visits specifically for liver cancer were (1) chronic liver disease and cirrhosis, and (2) malignant

Influence of Asian dust storms on air quality in Taiwan.

PubMed

Liu, Chung-Ming; Young, Chea-Yuan; Lee, Yen-Chih

2006-09-15

In each year, dust storms triggered by cold air masses passing through northern China and Mongolia enhance the PM10 concentration over Taiwan region during winter and spring. On average, there are four to five dust events and 6.1 dust days in a year in Taiwan. Each event lasts for 1 day or even longer. A procedure to identify a dust event is rationalized and exercised on data collected during 1994-2005. Also, a ranking method named as the dust intensity rank (DIR) is developed to distinguish the intensity of each event affecting the local air quality. About 86% of dust days belong to ranks 1 and 2. In general, poorer air quality is associated with higher ranks. Ranks 4 and 5 correspond to a PSI (Pollution Standard Index) larger than 100. Linking DIR with the popular PSI is useful for both the public and the official forecasting system. It is also useful for inter-comparison between dust influences on air quality at different downstream regions in Taiwan. Composite analyses of the temporal and spatial variation of the hourly PM10 level indicate that dust particles usually arrive 12 h before the time of the peak PM10 concentration and last for 36 h at northern Taiwan, while the time of the peak concentration at eastern or western Taiwan, due to the evolution of the synoptic weather system, is about 3-12 h later. It is noted that the increase of PM10 level at the western side of Taiwan results from a mixture of upstream Asian dust inputs and local pollutants.

A Re-Examination of the Suicide Rates in Taiwan

ERIC Educational Resources Information Center

Chuang, Hwei-Lin; Huang, Wei-Chiao

2007-01-01

This paper examines the suicide rates of 23 cities and counties in Taiwan from 1983 to 2001. We found that a combination of economic and social variables can significantly account for the tremendous variations in suicide rates across Taiwan's cities and counties over the last two decades. The level of income per capita in a region appears as the…

Plate Tectonics and Taiwan Orogeny based on TAIGER Experiments

NASA Astrophysics Data System (ADS)

Wu, F. T.; Kuochen, H.; McIntosh, K. D.

2014-12-01

Plate tectonics framework is usually complex in a collision zone, where continental lithosphere is involved. In the young Taiwan orogeny, with geologic understanding and large new geodetic and subsurface datasets now available an environment has been created for testing tectonic hypotheses regarding collision and orogeny. Against the background of the commonly accepted view of Taiwan as a southward propagating, self-similar 2-D orogen, a fully 3-D structure is envisaged. Along the whole length of the island the convergence of the Eurasian plate (EUP) the Philippine Sea plate (PSP) takes shape with different plate configurations. In northern Taiwan the convergence occurs with simultaneous collision of the oceanic PSP with continental EUP and the northward subduction of the PSP; in the south, EUP, in the guise of the South China Sea rifted Eurasian continent, subducts toward the east; in central Taiwan collision of oceanic PSP with continental EUP dominates. When relocated seismicity and focal mechanisms are superposed on subsurface P and Vp/Vs velocity images the configurations and the kinematics of the PSP and EUP collision and subduction become clear. While in northern Taiwan the subduction/collision explains well the high peaks and their dwindling (accompanied by crustal thinning) toward the north. In the south, mountains rise above the east-dipping EUP subduction zone as the Eurasian continental shelf veers toward the southwest, divergent from the trend of the Luzon Arc - calling into question the frequently cited arc-continent collision model of Taiwan orogeny. High velocity anomaly and Benioff seismicity coexist in the south. Going north toward Central Taiwan the high velocity anomaly persists for another 150 km or so, but it becomes seismically quiescent. Above the quiescent section the PSP and EUP collide to build the main part of the Central Range and its parallel neighbor the eastern Coastal Range. Key implications regarding orogeny include: 1) Significant

A Sketch of the Taiwan Zebrafish Core Facility.

PubMed

You, May-Su; Jiang, Yun-Jin; Yuh, Chiou-Hwa; Wang, Chien-Ming; Tang, Chih-Hao; Chuang, Yung-Jen; Lin, Bo-Hung; Wu, Jen-Leih; Hwang, Sheng-Ping L

2016-07-01

In the past three decades, the number of zebrafish laboratories has significantly increased in Taiwan. The Taiwan Zebrafish Core Facility (TZCF), a government-funded core facility, was launched to serve this growing community. The Core Facility was built on two sites, one located at the National Health Research Institutes (NHRI, called Taiwan Zebrafish Core Facility at NHRI or TZeNH) and the other is located at the Academia Sinica (Taiwan Zebrafish Core Facility at AS a.k.a. TZCAS). The total surface area of the TZCF is about 180 m(2) encompassing 2880 fish tanks. Each site has a separate quarantine room and centralized water recirculating systems, monitoring key water parameters. To prevent diseases, three main strategies have been implemented: (1) imported fish must be quarantined; (2) only bleached embryos are introduced into the main facilities; and (3) working practices were implemented to minimize pathogen transfer between stocks and facilities. Currently, there is no health program in place; however, a fourth measure for the health program, specific regular pathogen tests, is being planned. In March 2015, the TZCF at NHRI has been AAALAC accredited. It is our goal to ensure that we provide "disease-free" fish and embryos to the Taiwanese research community.

Stockpile Model of Personal Protective Equipment in Taiwan

PubMed Central

Chen, Yu-Ju; Cheng, Yu-Hsin; Huang, Chun-Wei; Kao, Hui-Yun; Chang, Chih-Kai; Huang, Hsun-Miao; Liu, Pei-Yin; Wang, Jen-Hsin; Chih, Yi-Chien; Chou, Shu-Mei; Yang, Chin-Hui; Chen, Chang-Hsun

2017-01-01

The Taiwan Centers for Disease Control (Taiwan CDC) has established a 3-tier personal protective equipment (PPE) stockpiling framework that could maintain a minimum stockpile for the surge demand of PPE in the early stage of a pandemic. However, PPE stockpiling efforts must contend with increasing storage fees and expiration problems. In 2011, the Taiwan CDC initiated a stockpile replacement model in order to optimize the PPE stockpiling efficiency, ensure a minimum stockpile, use the government's limited funds more effectively, and achieve the goal of sustainable management. This stockpile replacement model employs a first-in-first-out principle in which the oldest stock in the central government stockpile is regularly replaced and replenished with the same amount of new and qualified products, ensuring the availability and maintenance of the minimum stockpiles. In addition, a joint electronic procurement platform has been established for merchandising the replaced PPE to local health authorities and medical and other institutions for their routine or epidemic use. In this article, we describe the PPE stockpile model in Taiwan, including the 3-tier stockpiling framework, the operational model, the components of the replacement system, implementation outcomes, epidemic supports, and the challenges and prospects of this model. PMID:28418743

Impact of Excellence Programs on Taiwan Higher Education in Terms of Quality Assurance and Academic Excellence, Examining the Conflicting Role of Taiwan's Accrediting Agencies

ERIC Educational Resources Information Center

Hou, Angela Yung-chi

2012-01-01

Higher Education Evaluation & Accreditation Council of Taiwan (HEEACT) was established in 2005 and began to accredit 76 four-year comprehensive universities and colleges in Taiwan in 2006. Commissioned officially with a dual mission, HEEACT has been encouraged to conduct various ranking research projects, including global and national ones…

Teaching and learning the physician manager role: psychiatry residents' perspectives.

PubMed

Stergiopoulos, Vicky; Maggi, Julie; Sockalingam, Sanjeev

2010-01-01

Despite widespread consensus that additional training in administration is needed to prepare physicians for practice, little is known about how best to teach managerial competencies and how to integrate teaching into existing postgraduate curricula. This study aimed to elicit resident perspectives on administrative curriculum development following exposure to a pilot physician manager curriculum at the University of Toronto. The authors held five focus groups of psychiatry residents at the University of Toronto during 2008, engaging 40 trainees. Resident perspectives on barriers to teaching and learning administrative skills, preferred curriculum content and format and suggestions for integration of administrative training into the residency programme were elicited. Identified barriers to learning include lack of physician manager role clarity, dearth of learning opportunities and multiple competing demands on residents' time. Residents value a formal administrative curriculum and propose additional opportunities for experiential learning such as elective rotations and mentorship opportunities. Suggested strategies for integrating administrative teaching into residency include faculty development, rotation-specific administrative objectives and end of rotation resident evaluations. Our findings provide valuable learner input into an emerging educational framework aiming to address barriers to teaching administrative skills during residency and facilitate longitudinal reinforcement of learning.

A large-scale survey of genetic copy number variations among Han Chinese residing in Taiwan

PubMed Central

Lin, Chien-Hsing; Li, Ling-Hui; Ho, Sheng-Feng; Chuang, Tzu-Po; Wu, Jer-Yuarn; Chen, Yuan-Tsong; Fann, Cathy SJ

2008-01-01

Background Copy number variations (CNVs) have recently been recognized as important structural variations in the human genome. CNVs can affect gene expression and thus may contribute to phenotypic differences. The copy number inferring tool (CNIT) is an effective hidden Markov model-based algorithm for estimating allele-specific copy number and predicting chromosomal alterations from single nucleotide polymorphism microarrays. The CNIT algorithm, which was constructed using data from 270 HapMap multi-ethnic individuals, was applied to identify CNVs from 300 unrelated Han Chinese individuals in Taiwan. Results Using stringent selection criteria, 230 regions with variable copy numbers were identified in the Han Chinese population; 133 (57.83%) had been reported previously, 64 displayed greater than 1% CNV allele frequency. The average size of the CNV regions was 322 kb (ranging from 1.48 kb to 5.68 Mb) and covered a total of 2.47% of the human genome. A total of 196 of the CNV regions were simple deletions and 27 were simple amplifications. There were 449 genes and 5 microRNAs within these CNV regions; some of these genes are known to be associated with diseases. Conclusion The identified CNVs are characteristic of the Han Chinese population and should be considered when genetic studies are conducted. The CNV distribution in the human genome is still poorly characterized, and there is much diversity among different ethnic populations. PMID:19108714

[The internationalization of the nursing profession in Taiwan].

PubMed

Chuang, Hsiao-Ling; Wang, Cheng-Ching; Kuo, Pi-Chao

2011-06-01

Globalization, nursing manpower migration, and the multinational nature of the medical industry have increased the level of internationalization in Taiwan's nursing profession. In nursing practice, competencies for the general nursing list (Taiwan version) and ICNP (International Classification for Nursing Practice) have been clinically tested and revised. In academic nursing, significant effort is invested toward achieving the three general objectives of internationalized teaching, internationalized campuses, and international academic exchanges. We should further test and revise Taiwan's competencies for the general nursing list, and the ICNP should be continually tested and revised. Additionally, nursing personnel should strengthen foreign language competencies, appreciate different nursing practice cultures, participate in international exchange activities, and place increasing emphasis on international cooperation in research and nursing education accreditation. Such should further enhance and strengthen international cooperation, which should further encourage internationalization in the domestic nursing profession.

Geotransects in the Taiwan region

NASA Astrophysics Data System (ADS)

Yen, T. P.; Yeh, Yih-Hsing

The Republic of China National Committee for the Inter-Union Commission on the Lithosphere organized an ad hoc working group in 1988 for compilation and construction of geotransects in the Taiwan region, a region considered by the scientific world as a classic example of collision and subduction of plates.Three geotransects have been constructed, with insufficient data: geotransect N along latitude 24°30‧N, geotransect M along latitude 23°30‧, and geotransect S along latitude 22°30‧N. The data used in the constructions are mainly scattered in publications on the geology and geophysics of Taiwan. The purpose of the study is to promote further investigation of the mechanism of plate motion in terms of geology and geophysics, to improve interpretation of the geotectonics of the region.

Interdisciplinary, interinstitutional and international collaboration of family medicine researchers in Taiwan.

PubMed

Lin, Yi-Hsuan; Tseng, Yen-Han; Chang, Hsiao-Ting; Lin, Ming-Hwai; Tseng, Yen-Chiang; Chen, Tzeng-Ji; Hwang, Shinn-Jang

2015-01-01

The family medicine researches flourished worldwide in the past decade. However, the collaborative patterns of family medicine publications had not been reported. Our study analyzed the collaborative activity of family medicine researchers in Taiwan. We focused on the types of collaboration among disciplines, institutions and countries. We searched "family medicine" AND "Taiwan" in address field from Web of Science and documented the disciplines, institutions and countries of all authors. We analyzed the collaborative patterns of family medicine researchers in Taiwan from 2010 to 2014. The journal's impact factor of each article in the same publication year was also retrieved. Among 1,217 articles from 2010 to 2014, interdisciplinary collaboration existed in 1,185 (97.3%) articles, interinstitutional in 1,012 (83.2%) and international in 142 (11.7%). Public health was the most common collaborative discipline. All international researches were also interdisciplinary and interinstitutional. The United States (75 articles), the United Kingdom (21) and the People's Republic of China (20) were the top three countries with which family medicine researchers in Taiwan had collaborated. We found a high degree of interdisciplinary and interinstitutional collaboration of family medicine researches in Taiwan. However, the collaboration of family medicine researchers in Taiwan with family medicine colleagues of other domestic or foreign institutions was insufficient. The future direction of family medicine studies could focus on the promotion of communication among family medicine researchers.

Bacterial Community Associated with Organs of Shallow Hydrothermal Vent Crab Xenograpsus testudinatus near Kuishan Island, Taiwan.

PubMed

Yang, Shan-Hua; Chiang, Pei-Wen; Hsu, Tin-Chang; Kao, Shuh-Ji; Tang, Sen-Lin

2016-01-01

Shallow-water hydrothermal vents off Kueishan Island (northeastern Taiwan) provide a unique, sulfur-rich, highly acidic (pH 1.75-4.6) and variable-temperature environment. In this species-poor habitat, the crab Xenograpsus testudinatus is dominant, as it mainly feeds on zooplankton killed by sulfurous plumes. In this study, 16S ribosomal RNA gene amplicon pyrosequencing was used to investigate diversity and composition of bacteria residing in digestive gland, gill, stomach, heart, and mid-gut of X. testudinatus, as well as in surrounding seawater. Dominant bacteria were Gamma- and Epsilonproteobacteria that might be capable of autotrophic growth by oxidizing reduced sulfur compounds and are usually resident in deep-sea hydrothermal systems. Dominant bacterial OTUs in X. testudinatus had both host and potential organ specificities, consistent with a potential trophic symbiotic relationship (nutrient transfer between host and bacteria). We inferred that versatile ways to obtain nutrients may provide an adaptive advantage for X. testudinatus in this demanding environment. To our knowledge, this is the first study of bacterial communities in various organs/tissues of a crustacean in a shallow-water hydrothermal system, and as such, may be a convenient animal model for studying these systems.

Interrogative suggestibility in opiate users.

PubMed

Murakami, A; Edelmann, R J; Davis, P E

1996-09-01

The present study investigated interrogative suggestibility in opiate users. A group of patients undergoing a methadone detoxification programme in an in-patient drug treatment unit (Detox group, n = 21), and a group of residents who had come off drugs and were no longer suffering from withdrawal syndrome (Rehab group, n = 19) were compared on interrogative suggestibility and various other psychological factors. Significant differences were found between the two groups, with the Detox group having more physical and psychological problems, and a higher total suggestibility score in comparison with the Rehab group. These findings are discussed in relation to the context of police interrogations and the reliability of confessions made by suspects and witnesses dependent on opiates.

Extrusional Tectonics over Plate Corner: an Example in Northern Taiwan

NASA Astrophysics Data System (ADS)

Lu, Chia-Yu; Lee, Jian-Cheng; Li, Zhinuo; Lee, Ching-An; Yeh, Chia-Hung

2016-04-01

In northern Taiwan, contraction, transcurrent shearing, block rotation and extension are four essential tectonic deformation mechanisms involved in the progressive deformation of this arcuate collision mountain belt. The neotectonic evolution of the Taiwan mountain belt is mainly controlled not only by the oblique convergence between the Eurasian plate and the Philippine Sea plate but also the corner shape of the plate boundary. Based on field observations and analyses, and taking geophysical data (mostly GPS) and experimental modelling into account, we interpret the curved belt of northern Taiwan as a result of of contractional deformation (with compression, thrust-sheet stacking & folding, back thrust duplex & back folding) that induced vertical extrusion, combined with increasing transcurrent & rotational deformation (with transcurrent faulting, bookshelf-type strike-slip faulting and block rotation) that induced transcurrent/rotational extrusion and extension deformation which in turn induced extensional extrusion. As a consequence, a special type of extrusional folds was formed in association with contractional, transcurrent & rotational and extensional extrusions subsequently. The extrusional tectonics in northern Taiwan reflect a single, albeit complicated, regional pattern of deformation. The crescent-shaped mountain belt of Northeastern Taiwan develops in response to oblique indentation by an asymmetric wedge indenter, retreat of Ryukyu trench and opening of the Okinawa trough.

Extrusional Tectonics at Plate Corner: an Example in Northern Taiwan

NASA Astrophysics Data System (ADS)

Lu, C. Y.; Lee, J. C.; Li, Z.; Yeh, C. H.; Lee, C. A.

2015-12-01

In northern Taiwan, contraction, transcurrent shearing, block rotation and extension are four essential tectonic deformation mechanisms involved in the progressive deformation of this arcuate collision mountain belt. The neotectonic evolution of the Taiwan mountain belt is mainly controlled not only by the oblique convergence between the Eurasian plate and the Philippine Sea plate but also the corner shape of the plate boundary. Based on field observations and analyses, and taking geophysical data (mostly GPS) and experimental modelling into account, we interpret the curved belt of northern Taiwan as a result of of contractional deformation (with compression, thrust-sheet stacking & folding, back thrust duplex & back folding) that induced vertical extrusion, combined with increasing transcurrent & rotational deformation (with transcurrent faulting, bookshelf-type strike-slip faulting and block rotation) that induced transcurrent/rotational extrusion and extension deformation which in turn induced extensional extrusion. As a consequence, a special type of extrusional folds was formed in association with contractional, transcurrent & rotational and extensional extrusions subsequently. The extrusional tectonics in northern Taiwan reflect a single, albeit complicated, regional pattern of deformation. The crescent-shaped mountain belt of Northeastern Taiwan develops in response to oblique indentation by an asymmetric wedge indenter and opening of the Okinawa trough at plate corner.

Taiwan's Travel and Border Health Measures in Response to Zika.

PubMed

Ho, Li-Li; Tsai, Yu-Hui; Lee, Wang-Ping; Liao, Szu-Tsai; Wu, Li-Gin; Wu, Yi-Chun

Zika virus has recently emerged as a worldwide public health concern. Travel and border health measures stand as one of the main strategies and frontline defenses in responding to international epidemics. As of October 31, 2016, Taiwan has reported 13 imported cases, 5 of which were detected through routine entry screening and active monitoring at international airports. This article shares Taiwan's disease surveillance activities at designated points of entry and travel and border health measures in response to Zika. The Taiwan government collaborates with its tourism industry to disseminate information about precautionary measures and encourages tour guides to report suspected individuals or events to activate early response measures. Taiwan also engages in vector control activities at points of entry, including targeting aircraft from countries where vector-borne diseases are endemic, implementing mosquito sweep measures, and collecting vector surveillance data. In future emerging and reemerging disease events, entry surveillance at designated points of entry may enable early detection of diseases of international origin and more rapid activation of public health preparedness activities and international collaboration. Taiwan will continue to maximize border and travel health measures in compliance with IHR (2005) requirements, which rely on continued risk assessment, practical implementation activities, and engagement with all stakeholders.

Taiwan's Travel and Border Health Measures in Response to Zika

PubMed Central

Ho, Li-Li; Tsai, Yu-Hui; Lee, Wang-Ping; Liao, Szu-Tsai; Wu, Li-Gin

2017-01-01

Zika virus has recently emerged as a worldwide public health concern. Travel and border health measures stand as one of the main strategies and frontline defenses in responding to international epidemics. As of October 31, 2016, Taiwan has reported 13 imported cases, 5 of which were detected through routine entry screening and active monitoring at international airports. This article shares Taiwan's disease surveillance activities at designated points of entry and travel and border health measures in response to Zika. The Taiwan government collaborates with its tourism industry to disseminate information about precautionary measures and encourages tour guides to report suspected individuals or events to activate early response measures. Taiwan also engages in vector control activities at points of entry, including targeting aircraft from countries where vector-borne diseases are endemic, implementing mosquito sweep measures, and collecting vector surveillance data. In future emerging and reemerging disease events, entry surveillance at designated points of entry may enable early detection of diseases of international origin and more rapid activation of public health preparedness activities and international collaboration. Taiwan will continue to maximize border and travel health measures in compliance with IHR (2005) requirements, which rely on continued risk assessment, practical implementation activities, and engagement with all stakeholders. PMID:28418744

Empirical Site Amplification Factors Incorporating Soil Nonlinearity in Taiwan

NASA Astrophysics Data System (ADS)

Kuo, C. H.; Chung, C. H.; Che-Min, L.; Huang, J. Y.; Wen, K. L.

2017-12-01

Characteristics of site amplifications caused by both crustal and subduction earthquakes are important in Taiwan. For example, seismic waves were amplified and led to significant building damages in the Taipei Basin by the 1986 Hualien offshore (subduction interface) and the 1999 Chi-Chi earthquakes (crustal), for which the epicentral distances were about 100 km. To understand local site amplifications in Taiwan, empirical site amplification factors for horizontal ground motions are studied using recently constructed strong motion and site databases for the free-field TSMIP stations in Taiwan. Records of large magnitude earthquakes of ML larger than six from 1994 to 2014 were selected for this study. Site amplification factors at site conditions with Vs30 of 120 m/s to 1500 m/s and base accelerations up to 0.7g were inferred from intensity ratios of station pairs within specific distances. The reference site condition is assumed as Vs30 of 760 m/s (B/C boundary). Preliminary results indicate: 1. Soil nonlinearity is more obviously at short periods (PGA, Sa0.3) than long periods (PGV, Sa1.0). 2. Soil nonlinearity is significant for stations belong to site classes of B, C, D, and E in Taiwan. 3. Effect of station-pair distance is seen at short periods (PGA and Sa0.3). 4. No significant different is found in site amplifications of crustal and subduction earthquakes. The result could be a reference for the Fa and Fv in Taiwan's building code.

Getting By: Underuse of Interpreters by Resident Physicians

PubMed Central

Schenker, Yael; Curry, Leslie; Bradley, Elizabeth H.; Fernandez, Alicia

2008-01-01

Background Language barriers complicate physician–patient communication and adversely affect healthcare quality. Research suggests that physicians underuse interpreters despite evidence of benefits and even when services are readily available. The reasons underlying the underuse of interpreters are poorly understood. Objective To understand the decision-making process of resident physicians when communicating with patients with limited English proficiency (LEP). Design Qualitative study using in-depth interviews. Participants Internal medicine resident physicians ( = 20) from two urban teaching hospitals with excellent interpreter services. Approach An interview guide was used to explore decision making about interpreter use. Results Four recurrent themes emerged: 1) Resident physicians recognized that they underused professional interpreters, and described this phenomenon as “getting by;” 2) Resident physicians made decisions about interpreter use by weighing the perceived value of communication in clinical decision making against their own time constraints; 3) The decision to call an interpreter could be preempted by the convenience of using family members or the resident physician’s use of his/her own second language skills; 4) Resident physicians normalized the underuse of professional interpreters, despite recognition that patients with LEP are not receiving equal care. Conclusions Although previous research has identified time constraints and lack of availability of interpreters as reasons for their underuse, our data suggest that the reasons are far more complex. Residents at the study institutions with interpreters readily available found it easier to “get by” without an interpreter, despite misgivings about negative implications for quality of care. Findings suggest that increasing interpreter use will require interventions targeted at both individual physicians and the practice environment. PMID:19089503

Neurocritical care education during neurology residency

PubMed Central

Drogan, O.; Manno, E.; Geocadin, R.G.; Ziai, W.

2012-01-01

Objective: Limited information is available regarding the current state of neurocritical care education for neurology residents. The goal of our survey was to assess the need and current state of neurocritical care training for neurology residents. Methods: A survey instrument was developed and, with the support of the American Academy of Neurology, distributed to residency program directors of 132 accredited neurology programs in the United States in 2011. Results: A response rate of 74% (98 of 132) was achieved. A dedicated neuroscience intensive care unit (neuro-ICU) existed in 64%. Fifty-six percent of residency programs offer a dedicated rotation in the neuro-ICU, lasting 4 weeks on average. Where available, the neuro-ICU rotation was required in the vast majority (91%) of programs. Neurology residents' exposure to the fundamental principles of neurocritical care was obtained through a variety of mechanisms. Of program directors, 37% indicated that residents would be interested in performing away rotations in a neuro-ICU. From 2005 to 2010, the number of programs sending at least one resident into a neuro-ICU fellowship increased from 14% to 35%. Conclusions: Despite the expansion of neurocritical care, large proportions of US neurology residents have limited exposure to a neuro-ICU and neurointensivists. Formal training in the principles of neurocritical care may be highly variable. The results of this survey suggest a charge to address the variability of resident education and to develop standardized curricula in neurocritical care for neurology residents. PMID:22573636

Population Structure and Historical Demography of the Oriental River Prawn (Macrobrachium nipponense) in Taiwan

PubMed Central

Chu, Ta-Jen; Wang, Daryi; Lee, Ying-Chou; Tzeng, Tzong-Der

2015-01-01

The oriental river prawn (Macrobrachium nipponense) is a non-obligatory amphidromous prawn, and it has a wide distribution covering almost the entire Taiwan. Mitochondrial DNA fragment sequences of the cytochrome oxidase subunit I (COI) and 16S rRNA were combined and used to elucidate the population structure and historical demography of oriental river prawn in Taiwan. A total of 202 individuals from six reservoirs and three estuaries were separately collected. Nucleotide diversity (π) of all populations was 0.01217, with values ranging from 0.00188 (Shihmen Reservoir, SMR, northern Taiwan) to 0.01425 (Mingte Reservoir, MTR, west-central Taiwan). All 76 haplotypes were divided into 2 lineages: lineage A included individuals from all sampling areas except SMR, and lineage B included specimens from all sampling locations except Chengching Lake Reservoir (CLR) and Liyu Lake Reservoir (LLR). All F ST values among nine populations were significantly different except the one between Jhonggang River Estuary (JGE, west-central Taiwan) and Kaoping River Estuary (KPE, southern Taiwan). UPGMA tree of nine populations showed two main groups: the first group included the SMR and Tamsui River Estuary (TSE) (both located northern Taiwan), and the second one included the other seven populations (west-central, southern and eastern Taiwan). Demographic analyses implied a population expansion occurred during the recent history of the species. The dispersal route of this species might be from China to west-central and west-southern Taiwan, and then the part individuals belonging to lineage A and B dispersed southerly and northerly, respectively. And then part individuals in west-central Taiwan fell back to and stay at estuaries as the sea level rose about 18,000 years ago. PMID:26716687

Population Structure and Historical Demography of the Oriental River Prawn (Macrobrachium nipponense) in Taiwan.

PubMed

Chen, Po-Cheng; Shih, Chun-Han; Chu, Ta-Jen; Wang, Daryi; Lee, Ying-Chou; Tzeng, Tzong-Der

2015-01-01

The oriental river prawn (Macrobrachium nipponense) is a non-obligatory amphidromous prawn, and it has a wide distribution covering almost the entire Taiwan. Mitochondrial DNA fragment sequences of the cytochrome oxidase subunit I (COI) and 16S rRNA were combined and used to elucidate the population structure and historical demography of oriental river prawn in Taiwan. A total of 202 individuals from six reservoirs and three estuaries were separately collected. Nucleotide diversity (π) of all populations was 0.01217, with values ranging from 0.00188 (Shihmen Reservoir, SMR, northern Taiwan) to 0.01425 (Mingte Reservoir, MTR, west-central Taiwan). All 76 haplotypes were divided into 2 lineages: lineage A included individuals from all sampling areas except SMR, and lineage B included specimens from all sampling locations except Chengching Lake Reservoir (CLR) and Liyu Lake Reservoir (LLR). All FST values among nine populations were significantly different except the one between Jhonggang River Estuary (JGE, west-central Taiwan) and Kaoping River Estuary (KPE, southern Taiwan). UPGMA tree of nine populations showed two main groups: the first group included the SMR and Tamsui River Estuary (TSE) (both located northern Taiwan), and the second one included the other seven populations (west-central, southern and eastern Taiwan). Demographic analyses implied a population expansion occurred during the recent history of the species. The dispersal route of this species might be from China to west-central and west-southern Taiwan, and then the part individuals belonging to lineage A and B dispersed southerly and northerly, respectively. And then part individuals in west-central Taiwan fell back to and stay at estuaries as the sea level rose about 18,000 years ago.

Prevalence of tobacco use among junior high and senior high school students in Taiwan.

PubMed

Chen, Ping-Ling; Huang, Weigang; Chuang, Yi-Li; Warren, Charles W; Jones, Nathan R; Asma, Samira

2008-12-01

Tobacco use is a major preventable cause of death in the world. This article describes and compares tobacco use prevalence for students attending junior high schools and senior high schools in Taiwan. This report uses data from the Global Youth Tobacco Survey (GYTS) completed among 4689 junior high school students and 4426 senior high school students in Taiwan in 2004-2005. The GYTS uses a 2-stage sampling design to produce nationally representative data for junior and senior high students in general and vocational schools. Higher smoking prevalence was observed among senior high (10.1% general schools and 15.9% vocational schools) than junior high (5.5%) school students. Smoking prevalence of girls in junior high (3.2%) and senior high schools (4.6% general and 11.1% vocational) was almost as high or higher than adult females' (4.3%) smoking rates. The pattern of smoking intensity across school years and type of school shows that the percentage of smokers who were experimenters (47.1%) was higher in junior high school and the percentage of smokers who were regular/established smokers (over 50%) was higher in senior high school. Smoking prevalence described in this report shows that there are challenges facing the tobacco prevention and control program in Taiwan. The findings suggest that schools should increase their smoking initiation prevention efforts and make available cessation programs and counseling to help students quit smoking. If effective youth tobacco control programs are not developed and implemented in Taiwan, future morbidity and mortality attributed to tobacco will surely increase, especially among women.

Parenting style and child-feeding behaviour in predicting children's weight status change in Taiwan.

PubMed

Tung, Ho-Jui; Yeh, Ming-Chin

2014-05-01

The prevalence of overweight and obesity among children is on the rise worldwide. Prior studies find that parents' child-feeding practices are associated with child weight status and the efficacy of specific parental child-feeding practices can be moderated by parenting styles. In the current longitudinal study, we examined the associations between child-feeding practices and weight status changes over 1 year among a sample of school-aged children in Taiwan. In autumn 2008, a child-feeding questionnaire and parenting-style questionnaire were administered to parents of the second and fourth graders in an elementary school in Taiwan. The weight and height of the students were measured by a trained school nurse in 2008 and again in 2009. An elementary school in central Taiwan. A total of 465 parent-child pairs were included in the analysis. Using a gender- and age-adjusted BMI classification scheme issued by the Taiwan Department of Health, 29·2 % of the students were considered overweight at the 2009 measurement. Controlling for 2008 weight status revealed moderating effects of parenting style on the relationship between child-feeding practices and child weight status. Both authoritative and authoritarian mothers might monitor their children's dietary intake; however, the effectiveness of this practice was better, in terms of weight status control, among the authoritative mothers. Findings suggest that parenting styles have a moderating effect on specific parental child-feeding practices. Parenting styles and parent's feeding practices could be an important focus for future public health interventions addressing the rising childhood obesity epidemic.

Disease burden and related medical costs of rotavirus infections in Taiwan

PubMed Central

Lu, Chun-Yi; Lauderdale, Tsai-Ling; Fang, Yin-Hua; Wang, Chung-Yi; Ho, Yu-Huai; Hung, Che-Lun; Chang, Luan-Yin; Lee, Chin-Yun; Huang, Li-Min

2006-01-01

Background The disease burden and associated medical costs of rotavirus infections in inpatient and outpatient sectors in Taiwan were examined in anticipation of the availability of new rotavirus vaccines. Methods The yearly national case number and medical costs for all for inpatients and outpatients with acute gastroenteritis (AGE) were extracted from the Bureau of National Health Insurance database in Taiwan according to ICD-9-CM codes. A retrospective study was also performed using records of children with AGE seen at three hospitals in Taiwan in 2001 to identify laboratory confirmed rotavirus infection cases. The annual incidence and related medical costs of AGE due to rotavirus infection were then estimated. Results Children <5 years old comprised 83.6% of inpatient and 62.0% of outpatient pediatric AGE cases in Taiwan in 2001. Rotavirus was the most common agent detected among AGE patients in this age group in the three hospitals, and was detected in 32.9% (221/672) of inpatient and 24% (23/96) of outpatient stool specimens tested for microbial etiologies. An estimated 277,400 to 624,892 cases of rotavirus infections sought medical care in Taiwan in 2001, equaling one in 2 to 5 children <5 years old required medical care due to rotavirus infection. The incidence of hospitalization due to rotavirus infections was 1,528–1,997/100,000 for children <5 years old. The total associated medical costs due to rotavirus infection were estimated at US $10–16 millions in Taiwan in 2001. Although the per-capita medical cost of rotavirus infection was lower in Taiwan than in the United States or Hong Kong, the personal economic burden was similar among the three places when normalized for gross national incomes per capita. Conclusion Infections caused by rotavirus constitute an important human and economic burden among young children in Taiwan. A safe and effective vaccine is urgently needed. PMID:17173677

Comparison study of postdischarge care provided to suicide patients by family members in East and South Taiwan.

PubMed

Sun, Fan-Ko; Ko, Chen-Ju; Chang, Shing-Ling; Chiang, Chun-Ying

2012-03-01

Care provided by the families of those who have attempted suicide affects their healing and recovery process. Data on care provided by families to suicidal individuals in different areas of Taiwan are extremely limited. This study explored care provided by families living in eastern and southern Taiwan to relatives admitted to hospitals and subsequently discharged after a suicide attempt. The study used a grounded theory approach. Interviews were conducted in two distinct geographical areas in 3 years and included two sample groups. Group 1 comprised suicidal participants (n = 15) and family caregivers (n = 15) in East Taiwan. Group 2 comprised suicidal participants (n = 15) and family caregivers (n = 15) in South Taiwan. Data were analyzed using open, axial, and selective coding. The East Taiwan group was less prosperous than the South Taiwan group. Suicide attempt methods were more lethal in eastern than in southern Taiwan. Alcohol and family violence were more important factors in suicides in eastern than in southern Taiwan. Consequently, families in East Taiwan focused less on protecting the safety of suicidal family members than families in South Taiwan. Participants in East Taiwan received less support from their families than those in South Taiwan. CONCLUSIONS/IMPLICATION FOR PRACTICE: Suicidal participants in East Taiwan received less care from family caregivers than did participants in South Taiwan. However, all families require education to provide optimal care for suicidal relatives. Study results may help promote more appropriate education for clinical nursing professionals with a responsibility to care for suicidal patients.

Hospital-Owned Apps in Taiwan: Nationwide Survey

PubMed Central

Liu, Hao-Yen; Sun, Ying-Chou; Fen, Jun-Jeng; Chen, Tzeng-Ji; Chou, Li-Fang; Hwang, Shinn-Jang

2018-01-01

Background Over the last decade, the use of mobile phone apps in the health care industry has grown rapidly. Owing to the high penetration rate of Internet use in Taiwan, hospitals are eager to provide their own apps to improve the accessibility of medical care for patients. Objective The aims of this study were to provide an overview of the currently available hospital-owned apps in Taiwan and to conduct a cross-hospital comparison of app features. Methods In May 2017, the availability of apps from all 414 hospitals in Taiwan was surveyed from the hospital home pages and the Google Play app store. The features of the downloaded apps were then examined in detail and, for each app, the release date of the last update, download frequency, and rating score were obtained from Google Play. Results Among all the 414 hospitals in Taiwan, 150 (36.2%) owned Android apps that had been made available for public use, including 95% (18/19) of the academic medical centers, 77% (63/82) of the regional hospitals, and 22.0% (69/313) of the local community hospitals. Among the 13 different functionalities made available by the various hospital-owned apps, the most common were the doctor search (100%, 150/150), real-time queue monitoring (100%, 150/150), and online appointment scheduling (94.7%, 142/150) functionalities. The majority of apps (57.3%, 86/150) had a rating greater than 4 out of 5, 49.3% (74/150) had been updated at some point in 2017, and 36.0% (54/150) had been downloaded 10,000 to 50,000 times. Conclusions More than one-third of the hospitals owned apps intended to increase patient access to health care. The most common app features might reflect the health care situation in Taiwan, where the overcrowded outpatient departments of hospitals operate in an open-access mode without any strict referral system. Further research should focus on the effectiveness and safety of these apps. PMID:29339347

Web 2.0 and internet social networking: a new tool for disaster management?--lessons from Taiwan.

PubMed

Huang, Cheng-Min; Chan, Edward; Hyder, Adnan A

2010-10-06

Internet social networking tools and the emerging web 2.0 technologies are providing a new way for web users and health workers in information sharing and knowledge dissemination. Based on the characters of immediate, two-way and large scale of impact, the internet social networking tools have been utilized as a solution in emergency response during disasters. This paper highlights the use of internet social networking in disaster emergency response and public health management of disasters by focusing on a case study of the typhoon Morakot disaster in Taiwan. In the case of typhoon disaster in Taiwan, internet social networking and mobile technology were found to be helpful for community residents, professional emergency rescuers, and government agencies in gathering and disseminating real-time information, regarding volunteer recruitment and relief supplies allocation. We noted that if internet tools are to be integrated in the development of emergency response system, the accessibility, accuracy, validity, feasibility, privacy and the scalability of itself should be carefully considered especially in the effort of applying it in resource poor settings. This paper seeks to promote an internet-based emergency response system by integrating internet social networking and information communication technology into central government disaster management system. Web-based networking provides two-way communication which establishes a reliable and accessible tunnel for proximal and distal users in disaster preparedness and management.

Risk and Outbreak Communication: Lessons from Taiwan's Experiences in the Post-SARS Era.

PubMed

Hsu, Yu-Chen; Chen, Yu-Ling; Wei, Han-Ning; Yang, Yu-Wen; Chen, Ying-Hwei

In addition to the impact of a disease itself, public reaction could be considered another outbreak to be controlled during an epidemic. Taiwan's experience with SARS in 2003 highlighted the critical role played by the media during crisis communication. After the SARS outbreak, Taiwan's Centers for Disease Control (Taiwan CDC) followed the WHO outbreak communication guidelines on trust, early announcements, transparency, informing the public, and planning, in order to reform its risk communication systems. This article describes the risk communication framework in Taiwan, which has been used to respond to the 2009-2016 influenza epidemics, Ebola in West Africa (2014-16), and MERS-CoV in South Korea (2015) during the post-SARS era. Many communication strategies, ranging from traditional media to social and new media, have been implemented to improve transparency in public communication and promote civic engagement. Taiwan CDC will continue to maintain the strengths of its risk communication systems and resolve challenges as they emerge through active evaluation and monitoring of public opinion to advance Taiwan's capacity in outbreak communication and control. Moreover, Taiwan CDC will continue to implement the IHR (2005) and to promote a global community working together to fight shared risks and to reach the goal of "One World, One Health."

Risk and Outbreak Communication: Lessons from Taiwan's Experiences in the Post-SARS Era

PubMed Central

Chen, Yu-Ling; Wei, Han-Ning; Yang, Yu-Wen; Chen, Ying-Hwei

2017-01-01

In addition to the impact of a disease itself, public reaction could be considered another outbreak to be controlled during an epidemic. Taiwan's experience with SARS in 2003 highlighted the critical role played by the media during crisis communication. After the SARS outbreak, Taiwan's Centers for Disease Control (Taiwan CDC) followed the WHO outbreak communication guidelines on trust, early announcements, transparency, informing the public, and planning, in order to reform its risk communication systems. This article describes the risk communication framework in Taiwan, which has been used to respond to the 2009-2016 influenza epidemics, Ebola in West Africa (2014-16), and MERS-CoV in South Korea (2015) during the post-SARS era. Many communication strategies, ranging from traditional media to social and new media, have been implemented to improve transparency in public communication and promote civic engagement. Taiwan CDC will continue to maintain the strengths of its risk communication systems and resolve challenges as they emerge through active evaluation and monitoring of public opinion to advance Taiwan's capacity in outbreak communication and control. Moreover, Taiwan CDC will continue to implement the IHR (2005) and to promote a global community working together to fight shared risks and to reach the goal of “One World, One Health.” PMID:28418746

SWOT Analysis on Educational Systems on the Two Sides of the Taiwan Strait

ERIC Educational Resources Information Center

Wang, I-Ming; Shieh, Chich-Jen

2005-01-01

It was an important, historic phenomenon for Taiwan to separate from mainland China in 1949. Mainland China and Taiwan were originally a unified country, using the same language and same alphabet characters. Now there are still similarities in many aspects; the differences are primarily governmental. Taiwan has become more Westernized and more…

Improving the medical school-residency transition.

PubMed

Morgan, Helen; Skinner, Bethany; Marzano, David; Fitzgerald, James; Curran, Diana; Hammoud, Maya

2017-10-01

In response to calls to improve the continuum between undergraduate and graduate medical education, many medical schools are creating electives designed to prepare students for residency training. There is a need for data that link improvements from these residency preparation courses to residency itself. Data is needed that links improvements from these residency preparation courses to residency OBJECTIVE: To examine senior medical student performance on the Association of Professors of Gynecology and Obstetrics (APGO) Preparation for Residency Knowledge Assessment before and after an obstetrics and gynaecology residency preparation elective, and to determine whether the knowledge improvements persisted to the start of the residency. All 13 students enrolled in the course completed the APGO knowledge assessment on the first and last day of the elective. Three months later, the students were asked to re-take the assessment immediately prior to the start of their residency. There was improvement in mean scores from the pre-test score of 66.4 per cent to the post-test score of 77.4 per cent. At the time of the pre-test, three of the 13 students (23%) had passing scores (70% or greater), and at the time of the post-test, 11 of the 13 (85%) had passing scores. Nine of the 13 students (69%) completed the APGO knowledge assessment immediately prior to the start of their residency. Those nine students had a mean pre-residency score of 76.4 per cent. Eight of the nine students (89%) passed the pre-residency test. Our data support the value of residency preparation electives for improving knowledge, and suggest that senior medical school electives can help to bridge the continuum between undergraduate and graduate medical education. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Delineation of typhoon-induced shoreline changes in Taiwan

NASA Astrophysics Data System (ADS)

Lin, Yun-Bin; Chiang, Jie-Lun

2010-05-01

Taiwan, an island country located at the southwestern Pacific Ocean, has a coast line of 1,355 km long. And only 55% proportion of the coast line remains natural. The maximum daily accumulated rainfall over 1000 mm brought by the typhoon Mindulle in 2004 generated huge disaster, including a broad flood-prone area and a sick sedimentation, in the littoral zones of the low-latitude part of Taiwan. The event resulted in the official definition of the coastal area, which is a 9 km wide belt area surrounding Taiwan island and is composed of one third land area and two third sea area. And human constructions are restricted in the proposed coast area to prevent or reduce the possible disaster in the future. Not only the sea level rising induced by the global climate warming may seriously affect the littoral zones, but also the extreme climate accompanying with the global climate warming, such as typhoons and storms, can heavily disturb the coastal environment in Taiwan. In the storm area, the wave and the storm surge may induce the coast erosion. But even being outside the storm area, the coastal environment is still regularly influenced by the sediment transportation triggered by the storm in the Cainozoic zones in the central part of Taiwan. Therefore, the continuous and regular monitoring of shoreline changes is essential for the disaster management in Taiwan. The two dimensional Morlet wavelet analysis is used to detect edges on synthetic aperture radar (SAR) images. And a block tracing algorithm and an active contour model are integrated for the final shorelines auto-delineation in the study. The SAR image that is climate unaffected and is free of visible light can provide reliable information. The Morlet wavelet function has the smallest window size and is directional. Therefore, the Morlet wavelet function is more flexible and efficient in extracting specific information from image signals. The shoreline changes induced by the typhoon Mindulle were studied. The

Completeness and timeliness of tuberculosis notification in Taiwan

PubMed Central

2011-01-01

Tuberculosis (TB) is a notifiable disease by the Communicable Disease Control Law in Taiwan. Several measures have been undertaken to improve reporting of TB but the completeness and timeliness of TB notification in Taiwan has not yet been systemically evaluated. Methods To assess completeness and timeliness of TB notification, potential TB cases diagnosed by health care facilities in the year 2005-2007 were identified using the reimbursement database of national health insurance (NHI), which has 99% population coverage in Taiwan. Potential TB patients required notification were defined as those who have TB-related ICD-9 codes (010-018) in the NHI reimbursement database in 2005-2007, who were not diagnosed with TB in previous year, and who have been prescribed with 2 or more types of anti-TB drugs. Each potential TB case was matched to the national TB registry maintained at Taiwan Centers for Disease Control (CDC) by using national identity number or, if non-citizen, passport number to determine whether the patients had been notified to local public health authorities and Taiwan CDC. The difference in the number of days between date of anti-tuberculosis treatment and date of notification was calculated to determine the timeliness of TB reporting. Results Of the 57,405 TB patients who were prescribed with 2 or more anti-tuberculosis drugs, 55,291 (96.3%) were notified to National TB Registry and 2,114 (3.7%) were not. Of the 55,291 notified cases, 45,250 (81.8%) were notified within 7 days of anti-tuberculosis treatment (timely reporting) and 10,041(18.2%) after 7 days (delayed reporting). Factors significantly associated with failure of notification are younger age, previously notified cases, foreigner, those who visited clinics and those who visited health care facilities only once or twice in 6 months. Conclusion A small proportion of TB cases were not notified and a substantial proportion of notified TB cases had delayed reporting, findings with implication for

NASA Sees a Wider-Eyed Typhoon Soudelor Near Taiwan

NASA Image and Video Library

2017-12-08

The MODIS instrument aboard NASA's Aqua satellite flew over Typhoon Soudelor on Aug. 7, 2015, at 4:40 UTC (12:40 a.m. EDT) as it was approaching Taiwan. Credits: NASA Goddard's MODIS Rapid Response Team Clouds in Typhoon Soudelor's western quadrant were already spreading over Taiwan early on August 7 when NASA's Aqua satellite passed overhead. Soudelor is expected to make landfall and cross central Taiwan today and make a second landfall in eastern China. NASA satellite imagery revealed that Soudelor's eye "opened" five more miles since August 4. On Aug. 7 at 4:40 UTC (12:40 a.m. EDT) the Moderate Resolution Imaging Spectroradiometer or MODIS instrument aboard NASA's Aqua satellite captured a visible-light image of Typhoon Soudelor as its western quadrant began brushing eastern Taiwan. The MODIS image showed Soudelor's 17-nautical-mile-wide eye and thick bands of powerful thunderstorms surrounded the storm and spiraled into the center. Just three days before, the eye was 5 nautical miles smaller when the storm was more intense. On Aug. 4 at 4:10 UTC (12:10 a.m. EDT) Aqua's MODIS image showed the eye was 12-nautical-mile-wide eye. At 1500 UTC (11 a.m. EDT) on August 7, 2015, the Joint Typhoon Warning Center (JTWC) noted that Typhoon Soudelor's maximum sustained winds increased from 90 knots (103.6 mph/166.7 kph) to 105 knots (120.8 mph / 194.5 kph). It was centered near 23.1 North latitude and 123.2 East longitude, about 183 nautical miles (210.6 miles/338.9 km) southeast of Taipei, Taiwan. It was moving to the west-northwest at 10 knots (11.5 mph/18.5 kph). For warnings and watches for Taiwan, visit the Central Weather Bureau website: www.cwb.gov.tw/eng/. For warnings in China, visit the China Meteorological Administration website: www.cma.gov.cn/en. Soudelor's final landfall is expected in eastern China on Saturday, August 8. Clouds in Typhoon Soudelor's western quadrant were already spreading over Taiwan early on August 7 when NASA's Aqua satellite passed

A review of recently active faults in Taiwan

USGS Publications Warehouse

Bonilla, Manuel G.

1975-01-01

Six faults associated with five large earthquakes produced surface displacements ranging from 1 to 3 m in the period 1906 through 1951. Four of the ruptures occurred in the western coastal plain and foothills, and two occurred in the Longitudinal Valley of eastern Taiwan. Maps are included showing the locations and dimensions of the displacements. The published geological literature probably would not lead one to infer the existence of a fault along most of the 1906 rupture, except for descriptions of the rupture itself. Over most of its length the 1935 rupture on the Chihhu fault is parallel to but more than 0.5 km from nearby faults shown on geologic maps published in 1969 and 1971; only about 1.5 km of its 15 km length coincides with a mapped fault. The coastal plain part of the Tuntzuchio fault which ruptured in 1935 is apparently not revealed by landforms, and only suggested by other data. Part of the 1946 Hsinhua faulting coincides with a fault identified in the subsurface by seismic work but surface indications of the fault are obscure. The 1951 Meilun faulting occurred along a conspicuous pre-1951 scarp and the 1951 Yuli faulting occurred near or in line with pre-1951 scarps. More than 40 faults which, according to the published literature, have had Pleistocene or later movement are shown on a small-scale map. Most of these faults are in the densely-populated western part of Taiwan. The map and text calls attention to faults that may be active and therefore may be significant in planning important structures. Equivocal evidence suggestive of fault creep was found on the Yuli fault and the Hsinhua fault. Fault creep was not found at several places examined along the 1906 fault trace. Tectonic uplift has occurred in Taiwan in the last 10,000 years and application of eustatic sea level curves to published radiocarbon dates shows that the minimum rate of uplift is considerably different in different parts of the island. Incomplete data indicate that the rate is

Characteristics of Heavy Summer Rainfall in Southwestern Taiwan in Relation to Orographic Effects

NASA Technical Reports Server (NTRS)

Chen, Ching-Sen; Chen, Wan-Chin; Tao, Wei-Kuo

2004-01-01

On the windward side of southwestern Taiwan, about a quarter to a half of all rainfall during mid-July through August from 1994 to 2000 came from convective systems embedded in the southwesterly monsoon flow. k this study, the causes of two heavy rainfall events (daily rainfall exceeding 100 mm day over at least three rainfall stations) observed over the slopes and/or lowlands of southwestern Taiwan were examined. Data from European Center for Medium-Range Weather Forecasts /Tropical Ocean- Global Atmosphere (EC/TOGA) analyses, the rainfall stations of the Automatic Rainfall and Meteorological Telemetry System (ARMTS) and the conventional surface stations over Taiwan, and the simulation results from a regional-scale numerical model were used to accomplish the objectives. In one event (393 mm day on 9 August 1999), heavy rainfall was observed over the windward slopes of southern Taiwan in a potentially unstable environment with very humid air around 850 hPa. The extreme accumulation was simulated and attributed to orographic lifting effects. No preexisting convection drifted in from the Taiwan Strait into western Taiwan.

GIS Adoption among Senior High School Geography Teachers in Taiwan

ERIC Educational Resources Information Center

Lay, Jinn-Guey; Chen, Yu-Wen; Chi, Yu-Lin

2013-01-01

This article explores the adoption of geographic information system (GIS) knowledge and skills through in-service training for high school geography teachers in Taiwan. Through statistical analysis of primary data collected from a census of Taiwan's high school geography teachers, it explores what motivates these teachers to undertake GIS…

[Reflection on the Differences and Similarities of Mental Health Care in Virginia and Taiwan: Geography, History, Culture, and Nurse Practitioners].

PubMed

Lu, Chueh-Fen; Tung, Ching-Chuan; Ely, Linda

2016-12-01

Sponsored by the pilot overseas internships project of the Ministry of Education, Taiwan, the authors and ten undergraduate students from Taiwan visited several mental health facilities in Virginia for one month. These facilities included the Catawba State Hospital, Salem Veteran Affairs Medical Center, Carilion Saint Albans Behavioral Health (New River Valley Medical Center), Warm Hearth Village, Adult & Child Family Counseling private outpatient clinic, the Free Clinic of the New River Valley, New Life Clubhouse, and Self-Government Program for Assertive Community Treatment. In-depth dialogue and participation in nursing care under the supervision of registered nurses facilitated the authors' reflection on mental health care and the roles and functions of Taiwanese nurse practitioners. The present article adopts a macro view in order to compare the related issues between Taiwan and Virginia, including: geographic features, history, culture of health-seeking behavior, healthcare insurance, and the relationships among various professionals. How these issues relate to social-cultural background and how the overall healthcare environment impacts upon the roles of nurse practitioners in Taiwan are rarely discussed in literature. We expect that this cross-cultural contrast and reflection will elicit a better understanding of how these factors have shaped and affected the roles of Taiwanese nurse practitioners. Further, suggestions about how to improve the nursing profession in Taiwan are presented.

Taiwan-U.S. Relations: Developments and Policy Implications

DTIC Science & Technology

2009-04-02

government, led by Chiang Kai -shek and his Kuomintang (KMT) party, fled mainland China and moved to Taiwan, an island off the southern Chinese...system in which Chiang Kai -shek’s authoritarian Nationalist Party (KMT) ruled under martial law.7 The KMT permitted no political opposition and held no...19 Hsu, Jenny, “’Taipei’ gets direct link to WHO unit,” Taipei Times, January 23, 2009, p. 1. 20 Xie Yu , “Taiwan put under WHO

Taiwan-U.S. Relations: Developments and Policy Implications

DTIC Science & Technology

2009-04-14

Chinese government, led by Chiang Kai -shek and his Kuomintang (KMT) party, fled mainland China and moved to Taiwan, an island off the southern Chinese...system in which Chiang Kai -shek’s authoritarian Nationalist Party (KMT) ruled under martial law.7 The KMT permitted no political opposition and held...19 Hsu, Jenny, “’Taipei’ gets direct link to WHO unit,” Taipei Times, January 23, 2009, p. 1. 20 Xie Yu , “Taiwan put under WHO

Comparison with Offshore and Onshore Mud Volcanoes in the Southwestern Taiwan

NASA Astrophysics Data System (ADS)

Chen, Y. H.; Su, C. C.; Chen, T. T.; Liu, C. S.; Paull, C. K.; Caress, D. W.; Gwiazda, R.; Lundsten, E. M.; Hsu, H. H.

2017-12-01

The offshore area southwest (SW) of Taiwan is on the convergent boundary between the Eurasian and Philippine Sea plates. The plate convergence manifests in this unique geological setting as a fold-and-thrust-belt. Multi-channel seismic profiles, and bathymetry and gravity anomaly data collected from Taiwan offshore to the SW show the presence of a large amount of mud volcanoes and diapirs with NE-SW orientations. In the absence of comprehensive sampling and detailed geochemistry data from submarine mud volcanoes, the relation between onshore and offshore mud volcanoes remains ambiguous. During two MBARI and IONTU joint cruises conducted in 2017 we collected high-resolution multibeam bathymetry data (1-m-resolution) and chirp sub-bottom profiles with an autonomous underwater vehicle (AUV) from submarine Mud Volcano III (MV3), and obtained precisely located samples and video observations with a remotely operated vehicle (ROV). MV3 is an active submarine mud volcano at 465 m water depth offshore SW Taiwan. This cone-shape mud volcano is almost 780 m wide, 150 m high, with 8° slopes, and a 30 m wide mound on the top. Several linear features are observed in the southwest of the mound, and these features are interpreted as a series of marks caused by rolling rocks that erupted from the top of MV3. We collected three rocks and push cores from MV3 and its top with the ROV, in order to compare their chemical and mineralogical composition to that of samples collected from mud volcanoes along the Chishan fault. The surface and X-radiography imaging, 210Pb chronology, grain size and X-ray diffractometer analyses were conducted to compare geochemical and sedimentary properties of offshore and onshore mud volcanoes. The results indicate that the offshore and onshore mud volcanoes have similar characteristics. We suggest that offshore and onshore mud volcanoes of SW Taiwan are no different in the source of their materials and their mechanism of creation and evolution.

The Keelung Submarine volcanoes and gas plumes in the nearshore of northern Taiwan

NASA Astrophysics Data System (ADS)

Huang, J. C.; Tsia, C. H.; Hsu, S. K.; Lin, S. S.

2016-12-01

Taiwan is located in the collision zone between Philippine Sea Plate and Eurasian Plate. The Philippine Sea Plate subducts northward beneath the Ryukyu arc system while the Eurasian Plate subducts eastward beneath the Luzon arc system. The Taiwan mountain building started at 9 My ago and the most active collision has migrated to middle Taiwan. In consequence, the northern Taiwan has changed its stress pattern from forms a series of thrust faults to normal faults. The stress pattern change has probably induced the post-collisional extension and volcanism in and off northern Taiwan. Under such a tectonic environment, the volcanism and gas plumes are widespread in northern Taiwan and its offshore area. Among the volcanoes of the northern Taiwan volcanic zone, the Tatun Volcano Group is the most obvious one. In this study, we use sub-bottom profiler, EK500 echo sounder, and multibeam echo sounder to study the geophysical structure of a submarine volcano in the nearshore of northern Taiwan. We have analyzed the shallow structures and identified the locations of the gas plumes. The identification of the gas plumes can help us understand the nature of the submarine volcano. Our results show that the gas plumes appear near the Kanchiao Fault and Keelung islet. Some intrusive volcanoes can be observed in the subbottom profiler data. Finally, according to the observations, we found that the Keelung Submarine Volcano is still active. We need the monitor of the active Keelung Submarine Volcano to avoid the volcanic hazard. Additionally, we need to pay attention to the earthquakes related to the Keelung Submarine Volcano.

Resident transitions to assisted living: a role for social workers.

PubMed

Fields, Noelle LeCrone; Koenig, Terry; Dabelko-Schoeny, Holly

2012-08-01

This study explored key aspects of resident transitions to assisted living (AL), including the frequency and importance of preadmission resident education and the potential role of social workers in this setting. To examine the factors that may help or hinder resident transitions to AL, a written survey was administered to a statewide, geographically representative purposive sample of Medicaid Assisted Living Waiver providers (N = 28). Findings suggest a positive relationship between the availability of a social worker and the frequency and importance of resident preadmission education in several areas. Results also suggest a gap between what AL providers believe is important for resident transitions and what is actually happening in their facilities. Social workers may play a significant role in providing preadmission education and are well positioned to address the unmet psychosocial needs of residents and family members during the transition to AL. Future studies should specifically examine the contributing role of social workers during the period of adjustment to AL and the effect of social work services on the well-being of AL residents and families in AL settings.

A Qualitative Study of Factors Affecting Morale in Psychiatry Residency Training.

PubMed

Caravella, Rachel A; Robinson, Lee A; Wilets, Ilene; Weinberg, Michael; Cabaniss, Deborah L; Cutler, Janis L; Kymissis, Carisa; Arbuckle, Melissa R

2016-10-01

Resident morale is an important yet poorly understood aspect of the residency training experience. Despite implications for program quality, resident satisfaction, patient care, and recruitment, little is known about the variables influencing this complex phenomenon. This study sought to identify important factors affecting morale in psychiatry residency training. The authors conducted four semi-structured focus groups at a moderately sized, urban, psychiatry residency program during the 2013-2014 academic year. They used qualitative data analysis techniques, including grounded theory and content analysis, to identify key themes affecting resident morale across training levels. Twenty-seven residents participated in the focus groups with equal distribution across post-graduate years (PGY) 1-4. Five major conceptual categories affecting resident morale emerged: Sense of Community, Individual Motivators, Clinical Work, Feeling Cared For, and Trust in the Administration. Morale is an important topic in residency education. The qualitative results suggest that factors related to a Sense of Community and Individual Motivators generally enhanced resident morale whereas factors related to a lack of Feeling Cared For and Trust in the Administration tended to contribute to lower morale. The authors describe the possible interventions to promote stronger program morale suggested by these findings.

New Genotypes of Orientia tsutsugamushi Isolated from Humans in Eastern Taiwan

PubMed Central

Lin, Chin-Hui; Chen, Tren-Yi; Chen, Li-Kuang

2012-01-01

Scrub typhus, an acute febrile illness, is caused by the obligate intracellular bacterium Orientia tsutsugamushi. In our study, O. tsutsugamushi was rapidly detected and typed by polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) analysis of the 56-kDa type-specific antigen (TSA) gene. To investigate the genotypes of clinical variants of O. tsutsugamushi, we collected 3223 blood samples from eastern Taiwanese patients with suspected scrub typhus from 2002 to 2008. In total, 505 samples were found to be positive for scrub typhus infection by PCR, and bacteria were isolated from 282 of them. Four prototype genotype strains (Karp, Kato, Kawasaki and Gilliam) and eleven different Taiwanese genotype isolates (Taiwan-A, -B, -C, -D, -E, -G, -H, -J, -N, -O and -P) were identified by RPLF analysis. Taiwan-H, the major genotype in eastern Taiwan, exhibited prevalence and isolation rates of 47.3% (239/505) and 42.6% (120/282), respectively. We also assessed the genetic relatedness of the 56-kDa TSA gene among eight Taiwan-H isolates, thirteen other Taiwanese isolates and 104 DNA sequences deposited in the GenBank database using MEGA version 5.0 and PHYLIP version 3.66. We found that the Taiwan-H isolates formed into a new cluster, which was designated the Taiwan Gilliam-variant (TG-v) cluster to distinguish it from the Japanese Gilliam-variant (JG-v) cluster. According to Simplot analysis, TG-v is a new recombinant strain among Gilliam, Ikeda and Kato. Moreover, the Gilliam-Kawasaki cluster had the highest percentage of RFLP cases and was the most frequently isolated type in eastern Taiwan (50.1%, 253/505; 44.0%, 124/282). These findings shed light on the genetic evolution of O. tsutsugamushi into different strains and may be useful in vaccine development and epidemic disease control in the future. PMID:23071693

Longitudinal Outcomes of an Institutionally Developed Nurse Residency Program

PubMed Central

Cline, Debbie; La Frentz, Kelly; Fellman, Bryan; Summers, Barbara; Brassil, Kelly

2017-01-01

Nurse residency programs are widely implemented to enhance integration of new graduate nurses entering the workforce. This article presents a retrospective analysis of 10 years of residency data from an internally developed residency program that utilized the Casey-Fink Graduate Nurse Experience Survey. Outcomes of this program were similar to those from studies using commercially available products, suggesting an internally developed residency curricula may be equally beneficial to the development of new graduate nurses. PMID:28727624

[Japanese who affected modern medicine in Taiwan: obstetrics and gynecology].

PubMed

Wang, Ming-Tung

2009-12-01

This text describes the leaders who established the modem obstetrics and gynecology for Taiwan. during the Japan-colonizing period (1895-1945). These leaders are Mr. Kawasoye, M., Mr. Mukae K., and Mr. Magara M. The lives of these leaders were different, but they all strongly contributed to the development of modem obstetrics and gynecology in Taiwan. With regard to the passage of time, Mr. Kawasoye contributed the initial efforts, Mr. Mukae worked during the flourishing period of the clinic; and Mr. Magara worked during the mature period, emphasizing research. These three periods are closely correlated with the course of the development of modem obstetrics and gynecology in Taiwan.

Education of biomedical engineering in Taiwan.

PubMed

Lin, Kang-Ping; Kao, Tsair; Wang, Jia-Jung; Chen, Mei-Jung; Su, Fong-Chin

2014-01-01

Biomedical Engineers (BME) play an important role in medical and healthcare society. Well educational programs are important to support the healthcare systems including hospitals, long term care organizations, manufacture industries of medical devices/instrumentations/systems, and sales/services companies of medical devices/instrumentations/system. In past 30 more years, biomedical engineering society has accumulated thousands people hold a biomedical engineering degree, and work as a biomedical engineer in Taiwan. Most of BME students can be trained in biomedical engineering departments with at least one of specialties in bioelectronics, bio-information, biomaterials or biomechanics. Students are required to have internship trainings in related institutions out of campus for 320 hours before graduating. Almost all the biomedical engineering departments are certified by IEET (Institute of Engineering Education Taiwan), and met the IEET requirement in which required mathematics and fundamental engineering courses. For BMEs after graduation, Taiwanese Society of Biomedical Engineering (TSBME) provides many continue-learning programs and certificates for all members who expect to hold the certification as a professional credit in his working place. In current status, many engineering departments in university are continuously asked to provide joint programs with BME department to train much better quality students. BME is one of growing fields in Taiwan.

Operations: A Comparative Study of the United States and Taiwan

ERIC Educational Resources Information Center

Lin, Cheng-Yao; Becker, Jerry; Byun, Mi-Ran; Yang, Der-Ching; Huang, Tsai-Wei

2013-01-01

This study examined (a) the differences in preservice teachers’ procedural knowledge in four areas of fraction operations in Taiwan and the United States, (b) the differences in preservice teachers’ conceptual knowledge in four areas of fraction operations in Taiwan and the United States, and (c) correlation in preservice teachers’ conceptual…

Pregnancy and the Plastic Surgery Resident.

PubMed

Garza, Rebecca M; Weston, Jane S; Furnas, Heather J

2017-01-01

Combining pregnancy with plastic surgery residency has historically been difficult. Two decades ago, 36 percent of plastic surgery program directors surveyed actively discouraged pregnancy among residents, and 33 percent of women plastic surgeons suffered from infertility. Most alarmingly, 26 percent of plastic surgery trainees had had an elective abortion during residency. With increasing numbers of women training in plastic surgery, this historical lack of support for pregnancy deserves further attention. To explore the current accommodations made for the pregnant plastic surgery resident, an electronic survey was sent to 88 plastic surgery program directors in the United States. Fifty-four responded, for a response rate of 61.36 percent. On average, a director trained a total of 7.91 women among 17.28 residents trained over 8.19 years. Of the women residents, 1.43 were pregnant during a director's tenure, with 1.35 of those residents taking maternity leave. An average 1.75 male residents took paternity leave. Approximately one-third of programs had a formal maternity/paternity leave policy (36.54 percent) which, in most cases, was limited to defining allowed weeks of leave, time required to fulfill program requirements, and remuneration during leave. This survey of plastic surgery directors is a first step in defining the challenges training programs face in supporting the pregnant resident. Directors provided comments describing their challenges accommodating an absent resident in a small program and complying with the American Board of Plastic Surgery's required weeks of training per year. A discussion of these challenges is followed by suggested solutions.

A numerical study of the acid rain in northern Taiwan in winter season

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chen, Ching-Sen; Deng, Zen-Sing

1996-12-31

Two-thirds of the land mass of Taiwan island is covered by mountains. In winter precipitation could occur in northern Taiwan when the prevailing wind was from northeastern direction. In northern Taiwan the acid rain (pH value less than 5.0) in winter time could contribute about 30 rain in the whole year. A three-dimensional numerical model with terrain following coordinated system was used to simulate the precipitation system and the characteristics of acid rain. A smooth terrain was assumed in the model. A mean sounding was used to initialize the numerical model when acid rain occurred in northern Taiwan during wintermore » time from 1991 to 1993. Investigations of the effect of pollutions from abroad on the acid rain in northern Taiwan in winter are considered for the future.« less

A Comprehensive View Of Taiwan Orogeny From TAIGER Perspective

NASA Astrophysics Data System (ADS)

Wu, F. T.; Kuochen, H.; McIntosh, K. D.; Okaya, D. A.; Lavier, L. L.

2012-12-01

Arc-continent collision is one of the basic mechanisms for building continental masses. Taiwan is young and very active. Based on known geology a multi-disciplinary geophysical experiment was designed to image the orogeny in action. Logistics for R/V Langseth, OBS and PASSCAL instruments was complex; nevertheless the field works were completed within the project period. The resulting dataset allows us to map the structures of the shallow crust and the upper mantle. The amount of data gathered is large; some key observations and current interpretations are: (I) Observation: Crustal roots on both Eurasian and Philippine Sea plates, with a high velocity rise in between. Interpretation: Deformation throughout lithosphere on both sides of the initial suture; shortening of lithosphere near plate boundary produce high velocity rise. (II) Observation: Upper mantle high velocity anomaly coincides with a steep east-dippping Wadati-Benioff seismicity in southern Taiwan; the anomaly continues part of the way to central Taiwan but it is aseismic; under northern Taiwan the anomaly is very weak and disorganized. Interpretation: Active subduction in the south (up to 22.8°N) and may be eclogitization in the lower crust and delamination in central Taiwan. (III) Observation: Low Vp/Vs, low resistivity in the core of Central Range. Interp: dry, felsic rocks at relatively high temper (up to 750OC). (IV) Obs: Strong SKS splitting (~2 sec) with trend-parallel fast axis. Interp: Shearing throughout uppermost mantle. Preliminary 2-D geodynamic modeling produces the primary observed features from simple initial model of an arc impinging on continental margin.

Stress tensor analysis in the Taiwan area from focal mechanisms of earthquakes

NASA Astrophysics Data System (ADS)

Yih-Hsiung, Yeh; Eric, Barrier; Cheng-Horng Lin; Jacques, Angelier

1991-12-01

We produce a map of the stress pattern in and around Taiwan based on 200 earthquake focal mechanism solutions. These solutions were determined by using data from Taiwan Telemetered Seismographic Network, microearthquake surveys and WWSSN. The stresses are derived through a minimization of angles between the slip vector and the shear stress on each nodal plane considered as a fault, employing appropriate weighting factors. The whole set of focal mechanisms is divided into several groups, mainly according to apparent clustering of the event locations. The results show that the direction of maximum principal stress in Taiwan area is nearly horizontal and SE-NW on average. This is in good agreement with the direction of relative motion between the Philippine Sea plate and the Eurasian plate. In western Taiwan, the fan-shaped distribution of the maximum principal stress is consistent with the direction of Philippine Sea-Eurasian plate convergence through a simple model of viscous material indented by a rigid wedge. In the northeastern part of Taiwan, a nearly horizontal minimum principal stress oriented N-S is found for shallow depths; it occurs in a region of low seismic velocities, probably related to the back-arc activity of the Okinawa Trough. Down-dip compressional and down-dip extensional stresses have been identified in different depth ranges within the subducting slab of the Philippine Sea plate in the northern Taiwan; this may reflect the slab characteristics in this area. A complex stress pattern prevails in the Hualien area, at the junction between the Ryukyu subduction system and the Taiwan collision zone.

Mapping alternative energy paths for taiwan to reach a sustainable future: An application of the leap model

NASA Astrophysics Data System (ADS)

Chen, Wei-Ming

total final energy demand in the long term. In terms of adopting renewable energy, this dissertation suggests increasing the proportion of renewable electricity to 30 percent by 2030, using proven and market competitive renewable technologies to harvest Taiwan's abundant renewable potential. To achieve this goal, it is crucial to construct stable funding sources and promote the transparency, longevity, and certainty of policies.

Dynamic triggering of volcano drumbeat-like seismicity at the Tatun volcano group in Taiwan

NASA Astrophysics Data System (ADS)

Lin, Cheng-Horng

2017-07-01

Periodical seismicity during eruptions has been observed at several volcanoes, such as Mount St. Helens and Soufrière Hills. Movement of magma is often considered one of the most important factors in its generation. Without any magma movement, drumbeat-like (or heartbeat-like) periodical seismicity was detected twice beneath one of the strongest fumarole sites (Dayoukeng) among the Tatun volcano group in northern Taiwan in 2015. Both incidences of drumbeat-like seismicity were respectively started after felt earthquakes in Taiwan, and then persisted for 1-2 d afterward with repetition intervals of ∼18 min between any two adjacent events. The phenomena suggest both drumbeat-like (heartbeat-like) seismicity sequences were likely triggered by dynamic waves generated by the two felt earthquakes. Thus, rather than any involvement of magma, a simplified pumping system within a degassing conduit is proposed to explain the generation of drumbeat-like seismicity. The collapsed rocks within the conduit act as a piston, which was repeatedly lifted up by ascending gas from a deeper reservoir and dropped down when the ascending gas was escaping later. These phenomena show that the degassing process is still very strong in the Tatun volcano group in Taiwan, even though it has been dormant for about several thousand years.

High prevalence of fluoroquinolone-nonsusceptible Streptococcus pyogenes emm12 in Taiwan.

PubMed

Lin, Jiun-Nong; Chang, Lin-Li; Lai, Chung-Hsu; Huang, Yi-Han; Chen, Wei-Fang; Yang, Chih-Hui; Hsu, Janine; Lin, Hsi-Hsun; Chen, Yen-Hsu

2015-10-01

Fluoroquinolone-nonsusceptible Streptococcus pyogenes has rapidly emerged in several countries. The aim of this study was to survey the epidemiology and molecular characteristics of fluoroquinolone-nonsusceptible S. pyogenes in Taiwan. A total of 350 consecutive S. pyogenes isolates were collected between January 2005 and December 2012, including 152 (43.4%) invasive and 198 (56.6%) noninvasive isolates. Thirty-nine isolates (11.1%) of S. pyogenes were nonsusceptible to fluoroquinolones, including one emm1/ST28, 4 emm4/ST39, 33 emm12/ST36, and 1 emm87/ST62. Of all the isolates, emm12 (50%) demonstrated the highest prevalence of fluoroquinolone nonsusceptibility. Alterations of Ser79Phe and Ala12Val in ParC were the most frequently mutations in fluoroquinolone-nonsusceptible S. pyogenes isolates. There were no amino acid substitutions in GyrB, and 1 emm87 isolate exhibited 3 nonsynonymous mutations in ParE. Our study reveals the emergence of fluoroquinolone-nonsusceptible S. pyogenes emm12/ST36 in Taiwan. Regular surveillance of fluoroquinolone susceptibility in S. pyogenes is suggested. Copyright © 2015 Elsevier Inc. All rights reserved.

User inspection of National Taiwan University Hospital's telehealth care information system.

PubMed

Wu, Pei Hsuan; Chen, Chi-Huang; Chen, Hui-Te; Shu, Che-Hsuan; Lin, Feng-Sheng; Wang, Yi-Van; Li, Hao-Jhun; Wu, Yuan-Ting; Lai, Feipei

2010-01-01

The telehealth care system has been important in the healthcare world for several decades; however, Taiwan only began work on telehealth care this past year. This paper outlines the effectiveness of the telehealth care system developed by the National Taiwan University Hospital (NTUH). The usability of the integrated telehealth care system was analyzed through of heuristic evaluation and its usefulness. By using the heuristic evaluation form as developed by Nielsen, it is possible to examine the telehealth care system from the user's perspective. In addition, in assessing the usefulness through lists of criteria, system developers can determine the pros and the cons of the database. Ultimately, the heuristic evaluation revealed several violations on the system, but are not prohibitive to the development of such as system. Similarly, evaluation of the usefulness comes out positive; despite the fact that the suggested changes proposed by the users can be said are the main weaknesses of the system. With some improvements, the telehealth care system can be used efficiently in NTUH's healthcare system.

Delinking resident duty hours from patient safety

PubMed Central

2014-01-01

Patient safety is a powerful motivating force for change in modern medicine, and is often cited as a rationale for reducing resident duty hours. However, current data suggest that resident duty hours are not significantly linked to important patient outcomes. We performed a narrative review and identified four potential explanations for these findings. First, we question the relevance of resident fatigue in the creation of harmful errors. Second, we discuss factors, including workload, experience, and individual characteristics, that may be more important determinants of resident fatigue than are duty hours. Third, we describe potential adverse effects that may arise from – and, therefore, counterbalance any potential benefits of – duty hour reductions. Fourth, we explore factors that may mitigate any risks to patient safety associated with using the services of resident trainees. In summary, it may be inappropriate to justify a reduction in working hours on the grounds of a presumed linkage between patient safety and resident duty hours. Better understanding of resident-related factors associated with patient safety will be essential if improvements in important patient safety outcomes are to be realized through resident-focused strategies. PMID:25561349

78 FR 72629 - Certain Stilbenic Optical Brightening Agents From Taiwan: Rescission of Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-03

... Brightening Agents From Taiwan: Rescission of Antidumping Duty Administrative Review; 2011-2013 AGENCY... the antidumping duty order on certain stilbenic optical brightening agents (OBAs) from Taiwan for the... antidumping duty order on OBAs from Taiwan for the period of review November 3, 2011, through April 30, 2013...

The impact of the cigarette market opening in Taiwan

PubMed Central

Wen, C; Cheng, T; Eriksen, M; Tsai, S; Hsu, C

2005-01-01

Objective: To assess the effect of the opening of the Taiwanese cigarette market on cigarette consumption, changes in market share, and the effects on tobacco control efforts. Methods: With the use of key word "Taiwan", the Legacy Tobacco Documents Library of the University of California, San Francisco, was searched for internal documents related to smuggling activities, promotion of light cigarettes, and market share analyses in Taiwan. Age adjusted smoking rates and cigarette and betel quid consumption before and after market opening were compared. Results: By 2000, the market share of imported cigarettes increased from less than 2% in 1986 to nearly 50%, and per capita cigarette consumption increased 15% following market opening. Because of the sharp increase in smuggling, with contraband cigarettes being as popular as legal imports, and the rapid proliferation of retail outlets, such as betel quid stalls, the market penetration by foreign tobacco companies was greater in Taiwan than among the other Super 301 Asian countries. Aggressive cigarette marketing strategies were associated with a 6% increase in adult male smoking prevalence, and with a 13% increase in the youth rate, within three years after market opening. The market opening also had an incidental effect on increasing the popularity of betel quid. Betel quid chewing has since become a major public health problem in Taiwan. Conclusion: The opening of the cigarette market in 1987 had a long lasting impact on Taiwan. It increased smoking prevalence and the market has become dominated by foreign companies. The seriousness of smuggling and its associated loss of revenue by the government, the extent of increased youth smoking and its associated future health care costs, and the increased use of betel quid and the associated doubling of oral cancer mortality rates each pose significant problems to Taiwan. However, the market opening galvanised anti-smoking sentiment and forced the government to initiate and

The impact of the cigarette market opening in Taiwan.

PubMed

Wen, C P; Cheng, T Y; Eriksen, M P; Tsai, S P; Hsu, C C

2005-06-01

To assess the effect of the opening of the Taiwanese cigarette market on cigarette consumption, changes in market share, and the effects on tobacco control efforts. With the use of key word "Taiwan", the Legacy Tobacco Documents Library of the University of California, San Francisco, was searched for internal documents related to smuggling activities, promotion of light cigarettes, and market share analyses in Taiwan. Age adjusted smoking rates and cigarette and betel quid consumption before and after market opening were compared. By 2000, the market share of imported cigarettes increased from less than 2% in 1986 to nearly 50%, and per capita cigarette consumption increased 15% following market opening. Because of the sharp increase in smuggling, with contraband cigarettes being as popular as legal imports, and the rapid proliferation of retail outlets, such as betel quid stalls, the market penetration by foreign tobacco companies was greater in Taiwan than among the other Super 301 Asian countries. Aggressive cigarette marketing strategies were associated with a 6% increase in adult male smoking prevalence, and with a 13% increase in the youth rate, within three years after market opening. The market opening also had an incidental effect on increasing the popularity of betel quid. Betel quid chewing has since become a major public health problem in Taiwan. The opening of the cigarette market in 1987 had a long lasting impact on Taiwan. It increased smoking prevalence and the market has become dominated by foreign companies. The seriousness of smuggling and its associated loss of revenue by the government, the extent of increased youth smoking and its associated future health care costs, and the increased use of betel quid and the associated doubling of oral cancer mortality rates each pose significant problems to Taiwan. However, the market opening galvanised anti-smoking sentiment and forced the government to initiate and intensify a series of tobacco control

Do Residency Selection Factors Predict Radiology Resident Performance?

PubMed

Agarwal, Vikas; Bump, Gregory M; Heller, Matthew T; Chen, Ling-Wan; Branstetter, Barton F; Amesur, Nikhil B; Hughes, Marion A

2018-03-01

The purpose of our study is to determine what information in medical student residency applications predicts radiology residency success as defined by objective clinical performance data. We performed a retrospective cohort study of residents who entered our institution's residency program through the National Resident Matching Program as postgraduate year 2 residents and completed the program over the past 2 years. Medical school grades, selection to Alpha Omega Alpha (AOA) Honor Society, United States Medical Licensing Examination (USMLE) scores, publication in peer-reviewed journals, and whether the applicant was from a peer institution were the variables examined. Clinical performance was determined by calculating each resident's cumulative major discordance rate for on-call cases the resident read and gave a preliminary interpretation. A major discordance was defined as a difference between the preliminary resident and the final attending interpretations that could immediately impact the care of the patient. A multivariate logistic regression was performed to determine significant variables. Twenty-seven residents provided preliminary reports on call for 67,145 studies. The mean major discordance rate was 1.08% (range 0.34%-2.54%). Higher USMLE Step 1 scores, publication before residency, and election to AOA Honor Society were all statistically significant predictors of lower major discordance rates (P values 0.01, 0.01,  and <0.001, respectively). Overall resident performance was excellent. There are predictors that help select the better performing residents, namely higher USMLE Step 1 scores, one to two publications during medical school, and election to AOA in the junior year of medical school. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Establishment of Vespa bicolor in Taiwan (Hymenoptera: Vespidae).

PubMed

Sung, I-Hsin; Lu, Sheng-Shan; Chao, Jung-Tai; Yeh, Wen-Chi; Lee, Wei-Jie

2014-01-01

The establishment of a hornet, Vespa bicolor F., in Taiwan was confirmed based on successful field collection of adults of both sexes and two subterranean colonies. Information on nesting habitat, nest measurement, and colony composition of this species are provided in this article. V. bicolor is the ninth hornet species ever recorded from Taiwan. Possible pathway for the introduction of this alien species is also discussed. © The Author 2014. Published by Oxford University Press on behalf of the Entomological Society of America.

Negotiating for Change: Women's Movements and Education Reform in Taiwan

ERIC Educational Resources Information Center

Lee, Shu-Ching

2011-01-01

The dramatic changes during the past 20 years in Taiwan offer a good example of how gender policy in education is facilitated by a combination of interrelated economic, political and social forces. Taiwan's policy on gender education emerged from the interaction of state, education, academic and non-academic feminist positions in reforms. This…

Watershed management for disaster mitigation and sustainable development in Taiwan

Treesearch

J. D. Cheng; H. K. Hsu; Way Jane Ho; T. C. Chen

2000-01-01

Heavy torrential rains during the typhoon season, steep topography, young and weak geologic formations, erodible soils and improper land uses are factors contributing to disasters associated with erosion, landslides, debris flows, and floods in Taiwan. With steady public and government support over the past 5 decades, Taiwan's watershed management program in which...

Perceived benefits of a radiology resident mentoring program: comparison of residents with self-selected vs assigned mentors.

PubMed

Yamada, Kei; Slanetz, Priscilla J; Boiselle, Phillip M

2014-05-01

It has been suggested that assigned mentoring relationships are less successful than those that develop by free choice. This study evaluates radiology residents' overall experience with a mentoring program and compares the responses of those who self-selected mentors with those who were assigned mentors. A voluntary Web-based survey was sent to 27 radiology residents in postgraduate years 3-5. Data collected included the following: year in residency, method of mentor assignment, duration of relationship, frequency and types of communication, perceived value of mentoring, overall satisfaction with the program, and the perceived impact of mentoring. Twenty-five of 27 residents (93%) responded, with 14 having self-selected mentors (56%) and 11 having assigned mentors (44%). Both groups unanimously agreed that mentoring is beneficial or critical to their training; however, those residents with self-selected mentors were significantly more satisfied with the mentoring program (4 vs 3.3; P = .04) and more likely to consider their mentor as their primary mentor compared with those with assigned mentors (11 [79%] vs 4 [36%]; P = .049). Although all residents perceived a benefit, residents with self-selected mentors rated almost all mentoring parameters more positively than those with assigned mentors, although most of these parameters did not reach statistical significance. Residents highly value the importance of mentoring. However, residents who self-select their mentors are more likely to be satisfied with a mentoring program. Copyright © 2014 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

Women in physics? Identity and discourse in Taiwan

NASA Astrophysics Data System (ADS)

Tsai, Li-Ling

This dissertation argues that the deeply held hope for gender equity in science can no longer be simply realized as a project to increase women's participation in science. Understanding women's vexed relations with science requires a reconceptualization of the terms women and science, not as given categories to signal how "women" are coping with their disadvantaged positions in "science," but rather as two discourses formed in relation to each other, in institutional practices and in particular social and historical contexts. This dissertation investigates discourses of women and science by focusing on women in physics in Taiwan. This focus extends debates about gender and science by showing that the intervention of a particular discourse---in this case, the discourse of "women in physics"---into an existing discursive field exposed the contested terrain of the gender politics of physics and the identity politics of women physicists in Taiwan. "Women in physics" emerged as an internationally legitimate subject position in Taiwan in 1999 following a call to form a local working team on women in physics. The participants I interviewed utilized this internationally legitimate subject position to reconstruct, in different ways, their gendered identities in physics. Scholarship in the field of gender and science education studies has, over the past three decades, focused on equity and inclusion to address gender inequalities in science. This dissertation suggests, by contrast, that a focus on identity is necessary for understanding gendered career decisions in science. The term identity refers to how individuals perceive themselves and how others respond to their claims; identity involves the purposes, interests and contexts of particular naming processes. In the structural inequalities of gender and science, a focus on identity aims to track individual and collective forms of agency exercised in changing discursive fields. This dissertation concludes by viewing

Resident-to-resident violence triggers in nursing homes.

PubMed

Snellgrove, Susan; Beck, Cornelia; Green, Angela; McSweeney, Jean C

2013-11-01

Certified nurses' assistants (CNAs) employed by a rural nursing home in Northeast Arkansas described their perceptions of resident-to-resident violence in order to provide insight on factors, including unmet needs, that may trigger the phenomenon. Semistructured interviews were conducted with 11 CNAs. Data were analyzed using content analysis and constant comparison. Two categories of triggers emerged from the data-active and passive. Active triggers involved the actions of other residents that were intrusive in nature, such as wandering into a residents' personal space, taking a resident's belongings, and so forth. Passive triggers did not involve the actions of residents but related to the internal and external environment of the residents. Examples were factors such as boredom, competition for attention and communication difficulties. Results indicate that there are factors, including unmet needs within the nursing home environment that may be identified and altered to prevent violence between residents.

China/Taiwan: Evolution of the One China Policy - Key Statements from Washington, Beijing, and Taipei

DTIC Science & Technology

2007-07-09

48 PRC Premier Li Peng Warns Taiwan . . . . . . . . . . . . . . . . . . . . . . . . . 48 Mainland-Taiwan “Koo-Wang...and March 1993, PRC President Jiang Zemin and Premier Li Peng began to warn of having to use “drastic” or “resolute” measures to prevent Taiwan...commitment in its referral to Quemoy and Matsu.” (Wolff and Simon, p. 282-283.) 95 “Ye Jianying Explains Policy Concerning Return of Taiwan to Motherland and

Testing a model of codependency for college students in Taiwan based on Bowen's concept of differentiation.

PubMed

Chang, Shih-Hua

2018-04-01

The purpose of this study was to test a model of codependency based on Bowen's concept of differentiation for college students in Taiwan. The relations between family-of-origin dysfunction, differentiation of self, codependency traits and related symptoms including low self-esteem, relationship distress and psychological adjustment problems were examined. Data were collected from 567 college students from 2 large, urban universities in northern Taiwan. Results indicated a significantly negative relationship between levels of codependency and self-differentiation and that self-differentiation partially mediated the relationship between family-of-origin dysfunction and codependency. The implications of these findings for counselling Taiwanese college students who experience codependency traits and related symptoms as well as suggestions for future research are discussed. © 2016 International Union of Psychological Science.

Comparison of illegal drug use pattern in Taiwan and Korea from 2006 to 2014.

PubMed

Feng, Ling-Yi; Yu, Wen-Jing; Chang, Wei-Ting; Han, Eunyoung; Chung, Heesun; Li, Jih-Heng

2016-09-23

Illegal drug use has long been a global concern. Taiwan and Korea are geographically adjacent and both countries have experienced the illegal use problems of methamphetamine, a predominant prototype of New Psychoactive Substances (NPS). NPS, a term coined by the United Nations Office on Drugs and Crime (UNODC) in recent years, have not been scrutinized for their safety and may become a new threat to public health and security worldwide. To conduct evidence-based drug policy, it is imperative to estimate the trend and pattern of illegal drug use. Therefore, this study aims to analyze and compare the current status of drug-related seizures, arrests and illegal drug use, with a focus on methamphetamine and NPS, between Taiwan and Korea. Data of illegal drug (including NPS)-related seizures and arrests were collected via anti-drug related agencies of both countries from 2006 through 2014.Since listing of NPS as controlled substances was a result of NPS abuse liability through official evaluation, the items of controlled NPS were used as an indicator of emerging use. These data obtained from Taiwan and Korea was then compared. The results showed that while methamphetamine remained as a predominant drug in both Taiwan and Korea for decades, different illegal drug use patterns have been observed in these two countries. In Taiwan, the major illegal drugs were methamphetamine, heroin, and ketamine, whereas in Korea those were methamphetamine and cannabis. By comparison of per capita illicit drug seizures, the illegal drug use situation in Taiwan was at a higher stake than that in Korea. In terms of NPS use, ketamine has been a major drug in Taiwan, but it was seldom found in Korea. Besides ketamine, the major type of NPS was synthetic cathinones in Taiwan whereas it was synthetic cannabinoids and phenethylamines in Korea. The difference in the numbers of controlled NPS items between Taiwan (23) and Korea (93) may be due to the implementation of temporary control on NPS in

Legionella prevalence in wastewater treatment plants of Taiwan.

PubMed

Huang, S W; Hsu, B M; Ma, P H; Chien, K T

2009-01-01

Legionella is a bacterium that is ubiquitous in natural and artificial aquatic environments. Some species of Legionella are recognized as opportunistic potential human pathogens. We investigated the distribution of Legionella at seventeen WWTPs throughout Taiwan. Legionella were detected in 10 of the 17 WWTPs (58.8%) and 25 of 41 samples (61.0%). In the integrated, hospital, industrial and domestic wastewater systems were 13/18 (72.2%), 7/12 (58.3%), 2/7 (28.6%) and 3/4 (75.0%) of the samples were positive for Legionella, respectively. The most frequently encountered species were L. donaldsonii and uncultured L. spp., which were both found in 10 samples (24.4% of all samples), then followed by L. lytica (4.9%) and L. pneumophila (4.9%). L. anisa was detected in one sample (2.4%). The results of this survey confirm that Legionella are ubiquitous in WWTPs in Taiwan. Therefore, long-term investigations should be conducted to evaluate the overall occurrence of Legionella in WWTPs in Taiwan.

Temporal trend and nationwide utility for hysterectomies in Taiwan, 1997-2010.

PubMed

Huang, Wei-Yi; Huang, Kuo-How; Chang, Wen-Chun; Wu, Shiao-Chi

2016-10-01

This study investigates the nationwide utilization and temporal trend of hysterectomies in Taiwan. The present study used the National Health Insurance Research Database that included claims of nearly the entire population in Taiwan since the inception of the National Health Insurance program in 1995. We analyzed age-adjusted rates of hysterectomies in Taiwan from 1997 through to 2010 and compared with the rates in 16 countries of the Organization for Economic Co-operation and Development. We also examined the utilization of various types of hysterectomies in Taiwan during this period. There was a cross-country variation in the age-standardized rate of hysterectomy: 105 per 100,000 females in Spain, 156 per 100,000 females in Taiwan, 179 per 100,000 females in 16 Organization for Economic Co-operation and Development countries, and 325 per 100,000 females in the United States in 2008. The trend of the age-standardized rate of hysterectomy in Taiwan declined from 222.3 per 100,000 women in 1998 to 145.2 per 100,000 women in 2010. The most common type of hysterectomy during this period was total abdominal hysterectomy (51.2%). Subtotal hysterectomies increased by 117% (r 2 =0.89; p<0.01), from 672 in 1997 to 1458 in 2010; however, total hysterectomies decreased by 3.5% (r 2 =0.43; p=0.01), from 20,966 in 1997 to 20,230 in 2010. Laparoscopically assisted procedures (laparoscopic supracervical hysterectomy and laparoscopic hysterectomy) increased 4.98-fold (r 2 =0.23; p=0.09), from 1453 in 1997 to 8684 in 2010. By contrast, the proportion of conventional open hysterectomies (total abdominal hysterectomy, and subtotal or supracervical abdominal hysterectomy) decreased by 36.5% (r 2 =0.59; p<0.01), from 17,327 in 1997 to 10,994 in 2010. The proportion of vaginal hysterectomies decreased by 29.7% (r 2 =0.72; p<0.01), from 2858 in 1997 to 2010 in 2010. As in most Western countries, hysterectomy rates in Taiwan declined by year. There was a marked shift in the types of

Introgression between cultivars and wild populations of Momordica charantia L. (Cucurbitaceae) in Taiwan.

PubMed

Liao, Pei-Chun; Tsai, Chi-Chu; Chou, Chang-Hung; Chiang, Yu-Chung

2012-01-01

The landrace strains of Momordica charantia are widely cultivated vegetables throughout the tropics and subtropics, but not in Taiwan, a continental island in Southeast Asia, until a few hundred years ago. In contrast, the related wild populations with smaller fruit sizes are native to Taiwan. Because of the introduction of cultivars for agricultural purposes, these two accessions currently exhibit a sympatric or parapatric distribution in Taiwan. In this study, the cultivars and wild samples from Taiwan, India, and Korea were collected for testing of their hybridization and evolutionary patterns. The cpDNA marker showed a clear distinction between accessions of cultivars and wild populations of Taiwan and a long divergence time. In contrast, an analysis of eight selectively neutral nuclear microsatellite loci did not reveal a difference between the genetic structures of these two accessions. A relatively short divergence time and frequent but asymmetric gene flows were estimated based on the isolation-with-migration model. Historical and current introgression from cultivars to wild populations of Taiwan was also inferred using MIGRATE-n and BayesAss analyses. Our results showed that these two accessions shared abundant common ancestral polymorphisms, and the timing of the divergence and colonization of the Taiwanese wild populations is consistent with the geohistory of the Taiwan Strait land bridge of the Last Glacial Maximum (LGM). Long-term and recurrent introgression between accessions indicated the asymmetric capacity to receive foreign genes from other accessions. The modern introduction of cultivars of M. charantia during the colonization of Taiwan by the Han Chinese ethnic group enhanced the rate of gene replacement in the native populations and resulted in the loss of native genes.

Introgression Between Cultivars and Wild Populations of Momordica charantia L. (Cucurbitaceae) in Taiwan

PubMed Central

Liao, Pei-Chun; Tsai, Chi-Chu; Chou, Chang-Hung; Chiang, Yu-Chung

2012-01-01

The landrace strains of Momordica charantia are widely cultivated vegetables throughout the tropics and subtropics, but not in Taiwan, a continental island in Southeast Asia, until a few hundred years ago. In contrast, the related wild populations with smaller fruit sizes are native to Taiwan. Because of the introduction of cultivars for agricultural purposes, these two accessions currently exhibit a sympatric or parapatric distribution in Taiwan. In this study, the cultivars and wild samples from Taiwan, India, and Korea were collected for testing of their hybridization and evolutionary patterns. The cpDNA marker showed a clear distinction between accessions of cultivars and wild populations of Taiwan and a long divergence time. In contrast, an analysis of eight selectively neutral nuclear microsatellite loci did not reveal a difference between the genetic structures of these two accessions. A relatively short divergence time and frequent but asymmetric gene flows were estimated based on the isolation-with-migration model. Historical and current introgression from cultivars to wild populations of Taiwan was also inferred using MIGRATE-n and BayesAss analyses. Our results showed that these two accessions shared abundant common ancestral polymorphisms, and the timing of the divergence and colonization of the Taiwanese wild populations is consistent with the geohistory of the Taiwan Strait land bridge of the Last Glacial Maximum (LGM). Long-term and recurrent introgression between accessions indicated the asymmetric capacity to receive foreign genes from other accessions. The modern introduction of cultivars of M. charantia during the colonization of Taiwan by the Han Chinese ethnic group enhanced the rate of gene replacement in the native populations and resulted in the loss of native genes. PMID:22754378

The Formation of Gender Education Policies in Taiwan, 1995-1999

ERIC Educational Resources Information Center

Hsiao-Chin, Hsieh; Shu-Ching, Lee

2014-01-01

This article discusses the formation of gender equity education policies in Taiwan between 1995 and 1999. The first part of the article presents a general description of Taiwan's women's movement, the education reform movement, and the development of women's/gender studies after the lifting of martial law in 1987. The second part of the article…

Social Context, Parental Exogamy and Hakka Language Retention in Taiwan

ERIC Educational Resources Information Center

Jan, Jie-Sheng; Kuan, Ping-Yin; Lomeli, Arlett

2016-01-01

The Hakka people, the largest ethno-linguistic minority group in Taiwan, have found their ethnic language retention diminishing. Using the data collected by the Taiwan Education Panel Survey and Beyond in 2010, we are the first to study its reason for decrease. Results indicate that out-marriage amongst Hakka people and losing ethnic concentration…

Overview of Taiwan's indigenous ethnopharmacology in the perspective of traditional knowledge protection.

PubMed

Guo, Jing-jing; Pan, Wei; Chen, Mei-wan; Wang, Chun-ming; Wang, Yi-tao

2015-12-01

Ethnopharmacology, the study of ethnic use of drugs, opens up the crucial gateway to understanding and promoting traditional medicine in the new age. Taiwan is a unique region where traditional medicine and herbal therapeutics have been benefiting its people of multiple races for centuries. This article overviews Taiwan's indigenous traditional medicine and the emerging status of ethnopharmacology study, and outlines the global scenario of the inheritance and development of traditional medicine. In such a scope of knowledge protection, this article particularly highlights the challenges with bioprospecting and biopiracy, and summarizes the current measures for protection of traditional knowledge in Taiwan. Finally, based upon these analyses, we propose rational strategies for promoting Taiwan's ethnopharmacology, from multiple angles of resource, economy, policy and law. We conclude that four measures, namely (1) protecting the natural environment of biodiversity, (2) avoiding unnecessary conflicts caused by bioprospecting and biopiracy, (3) strengthening the international collaboration, and (4) upgrading the legal system of traditional intelligence, would be the right paths for Taiwan to protect its invaluable heritage of traditional medicine and the knowledge of ethnopharmacology therein.

Negative incidence of Lyme disease-related Borrelia spp. in Alishan, Taiwan.

PubMed

Masuzawa, T; Pan, M J; Yu, Q; Kadosaka, T; Imai, Y; Yanagihara, Y

2001-01-01

To investigate the prevalence of Lyme disease-related Borrelia species, wild rodents were captured around Yushan National Park and Alishan Forest Recreation Area Park in Taiwan 2,000 to 3,000 meters above sea level. Borrelia was not isolated from 67 small mammals of 7 species. Sera from rodents showed no positive reactivity against whole cell antigens of B. garinii, B. afzelii or B. valaisiana by ELISA. These results suggested that Lyme disease is not endemic to the Alishan area.

On summer stratification and tidal mixing in the Taiwan Strait

NASA Astrophysics Data System (ADS)

Zhu, Jia; Hu, Jianyu; Liu, Zhiyu

2013-06-01

On continental shelves, a front that separates the sea into well-mixed and stratified zones is usually formed in warm seasons due to spatial variations of tidal mixing. In this paper, using eight years of in situ hydrographic observations, satellite images of sea surface temperature (SST) and chlorophyll- a (Chl- a) concentration, and results of a tidal model, we investigate summer stratification in the Taiwan Strait and its dependence on tidal mixing, upwelling, and river diluted water plumes. In most regions of the strait the dominant role of tidal mixing in determining the thermohaline structure is confirmed by the correlation between the two; there are some regions, however, where thermohaline structure varies in different ways owing to significant influences of upwelling and river diluted water plumes. The well-mixed regions are mainly distributed on the Taiwan Bank and in the offshore regions off the Dongshan Island, Nanao Island, and Pingtan Island, while the northern and central Taiwan Strait and the region south of the Taiwan Bank are stratified. The critical Simpson-Hunter parameter for the region is estimated to be 1.78.

Gender differences in the predictors of physical activity among assisted living residents.

PubMed

Chen, Yuh-Min; Li, Yueh-Ping; Yen, Min-Ling

2015-05-01

To explore gender differences in the predictors of physical activity (PA) among assisted living residents. A cross-sectional design was adopted. A convenience sample of 304 older adults was recruited from four assisted living facilities in Taiwan. Two separate simultaneous multiple regression analyses were conducted to identify the predictors of PA for older men and women. Independent variables entered into the regression models were age, marital status, educational level, past regular exercise participation, number of chronic diseases, functional status, self-rated health, depression, and self-efficacy expectations. In older men, a junior high school or higher educational level, past regular exercise participation, better functional status, better self-rated health, and higher self-efficacy expectations predicted more PA, accounting for 61.3% of the total variance in PA. In older women, better self-rated health, lower depression, and higher self-efficacy expectations predicted more PA, accounting for 50% of the total variance in PA. Predictors of PA differed between the two genders. The results have crucial implications for developing gender-specific PA interventions. Through a clearer understanding of gender-specific predictors, healthcare providers can implement gender-sensitive PA-enhancing interventions to assist older residents in performing sufficient PA. © 2015 Sigma Theta Tau International.

Why do outcomes of CABG care vary between urban and rural areas in Taiwan? A perspective from quality of care.

PubMed

Yu, Tsung-Hsien; Hou, Yu-Chang; Tung, Yu-Chi; Chung, Kuo-Piao

2015-10-01

This study explores the association between coronary artery bypass surgery (CABG) patients' residence and quality of care in terms of 30-day mortality. A retrospective, multilevel study design was conducted using claims data from Taiwan's Universal Health Insurance Scheme. Hospital and surgeon's CABG operation volume, risk-adjusted surgical site infection rate and risk-adjusted 30-day mortality rate in the previous year were adopted as performance indicators, and the level of quality was evaluated via K-means clustering algorithm. Baron and Kenny's procedures for mediation effect were conducted. Hospitals in Taiwan. Patients who underwent CABG surgeries from 1 January 2008 to 30 September 2011 were identified in this study. However, patients who were under the age of 18 years or above the age of 85(n = 164), with missing data for gender (n = 3) or received surgeries from surgeons who never performed any CABG surgeries (n = 27), were excluded. None. Thirty-day mortality. There were 9973 CABG surgeries included in this study. Patients who lived in urban areas received better quality of care (28.90 vs. 21.57%) and enjoyed better outcome (4.33 vs. 6.84%). After the procedure of mediation effect testing, the results showed that the relationship between patient residence's urbanization level and 30-day mortality was partially mediated by patterns of quality of care. The rural-dwelling CABG patients are less likely to approach the better performing healthcare providers, and this tendency indirectly affects their treatment outcomes. Policymakers still need to develop strategies to ensure better equity in access to quality health care. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Aboriginal fractions: enumerating identity in Taiwan.

PubMed

Liu, Jennifer A

2012-01-01

Notions of identity in Taiwan are configured in relation to numbers. I examine the polyvalent capacities of enumerative technologies in both the production of ethnic identities and claims to political representation and justice. By critically historicizing the manner in which Aborigines in Taiwan have been, and continue to be, constructed as objects and subjects of scientific knowledge production through technologies of measuring, I examine the genetic claim made by some Taiwanese to be "fractionally" Aboriginal. Numbers and techniques of measuring are used ostensibly to know the Aborigines, but they are also used to construct a genetically unique Taiwanese identity and to incorporate the Aborigines within projects of democratic governance. Technologies of enumeration thus serve within multiple, and sometimes contradictory, projects of representation and knowledge production.

Factors Influencing Resident Choice of Prosthodontic Residency Program.

PubMed

Wojnarwsky, Pandora Keala Lee; Wang, Yan; Shah, Kumar; Koka, Sreenivas

2017-06-01

The decision by prosthodontic residency program directors to employ the Match process highlights the need to understand applicant priorities that influence their choice of which programs to rank highly. The purpose of this study is to determine the factors that were most important to residents when choosing from among nonmilitary based prosthodontics dental residency programs in the United States. Following completion of a pilot study, all currently enrolled prosthodontic residents at nonmilitary residency programs were invited to participate via the internet. The study consisted of a survey instrument asking residents to rank 26 possible factors that might impact an applicant's choice of residency program. In addition, the instrument collected other possible influencing variables including gender and debt load. Mean rank scores were compared to determine the most and least important factors. Kruskal-Wallis test was used to compare specific factors between the possible influencing variables. Two hundred and thirty residents completed the survey instrument, representing a 54.1% response rate of possible participants. With regard to factors influencing program choice, reputation of the residency program was the factor ranked the highest by participants, followed in descending order by the program director's personality, curriculum content, access to use of the latest digital technology, and opportunities for dental implant placement. Quality of schools for children, community outreach opportunities, and the ability to moonlight were ranked as the least important factors. Male and female residents ranked factors such as tuition/stipend, curriculum content, and community outreach opportunities significantly differently. Depending on debt load, residents ranked the factors tuition/stipend, ability to moonlight, curriculum content, and safety of the area where the program is differently. Current prosthodontic residents valued the reputation of the program as the most

Research on the Direct Carbon Emission Forecast of CHINA'S Provincial Residents Based on Neural Network

NASA Astrophysics Data System (ADS)

Zhang, T.; Zhou, B.; Zhou, S.; Yan, W.

2018-04-01

Global climate change, which mainly effected by human carbon emissions, would affect the regional economic, natural ecological environment, social development and food security in the near future. It's particularly important to make accurate predictions of carbon emissions based on current carbon emissions. This paper accounted out the direct consumption of carbon emissions data from 1995 to 2014 about 30 provinces (the data of Tibet, Hong Kong, Macao and Taiwan is missing) and the whole of China. And it selected the optimal models from BP, RBF and Elman neural network for direct carbon emission prediction, what aim was to select the optimal prediction method and explore the possibility of reaching the peak of residents direct carbon emissions of China in 2030. Research shows that: 1) Residents' direct carbon emissions per capita of all provinces showed an upward trend in 20 years. 2) The accuracy of the prediction results by Elman neural network model is higher than others and more suitable for carbon emission data projections. 3) With the situation of residents' direct carbon emissions free development, the direct carbon emissions will show a fast to slow upward trend in the next few years and began to flatten after 2020, and the direct carbon emissions of per capita will reach the peak in 2032. This is also confirmed that China is expected to reach its peak in carbon emissions by 2030 in theory.

DNA barcoding reveals that the common cupped oyster in Taiwan is the Portuguese oyster Crassostrea angulata (Ostreoida; Ostreidae), not C. gigas

PubMed Central

Hsiao, Sheng-Tai; Chuang, Shin-Chang; Chen, Kao-Sung; Ho, Ping-Ho; Wu, Chi-Lun; Chen, Chaolun Allen

2016-01-01

The Pacific cupped oyster, Crassostrea gigas, is one of the major aquacultural shellfish species that has been introduced to Europe and America from its native source in the West Pacific. In Taiwan, the cultivated cupped oysters along the west coast have been identified as C. gigas for over centuries; however, several molecular phylogenetic studies have cast doubt upon the existence of this species in Taiwan and adjacent waters. Indeed, our analyses of mitochondrial cytochrome oxidase I (COI) sequences from 313 Crassostrea collected from 12 locations along Taiwanese and southern Chinese coastlines confirm that all samples were the Portuguese oyster, C. angulata, rather than C. gigas. Multiple lines of evidence, including haplotypic and nucleotide diversity of the COI gene, demographic history, and population genetics, suggest that Taiwanese C. angulata is unique, probably experienced a sudden population expansion after the Last Glacial Maxima around 20,000 years ago, and has a significantly limited genetic connectivity across the Taiwan Strait. Our study applies an extended sampling and DNA barcoding to confirm the absence of C. gigas in natural and cultivated populations in Taiwan and southern China, where we only found C. angulata. We highlight the importance of conserving the gene pool of the C. angulata population in Taiwan, particularly considering the current threats by large-scale environmental disturbances such as marine pollution, habitat destruction, and climate change. PMID:27666088

DNA barcoding reveals that the common cupped oyster in Taiwan is the Portuguese oyster Crassostrea angulata (Ostreoida; Ostreidae), not C. gigas.

PubMed

Hsiao, Sheng-Tai; Chuang, Shin-Chang; Chen, Kao-Sung; Ho, Ping-Ho; Wu, Chi-Lun; Chen, Chaolun Allen

2016-09-26

The Pacific cupped oyster, Crassostrea gigas, is one of the major aquacultural shellfish species that has been introduced to Europe and America from its native source in the West Pacific. In Taiwan, the cultivated cupped oysters along the west coast have been identified as C. gigas for over centuries; however, several molecular phylogenetic studies have cast doubt upon the existence of this species in Taiwan and adjacent waters. Indeed, our analyses of mitochondrial cytochrome oxidase I (COI) sequences from 313 Crassostrea collected from 12 locations along Taiwanese and southern Chinese coastlines confirm that all samples were the Portuguese oyster, C. angulata, rather than C. gigas. Multiple lines of evidence, including haplotypic and nucleotide diversity of the COI gene, demographic history, and population genetics, suggest that Taiwanese C. angulata is unique, probably experienced a sudden population expansion after the Last Glacial Maxima around 20,000 years ago, and has a significantly limited genetic connectivity across the Taiwan Strait. Our study applies an extended sampling and DNA barcoding to confirm the absence of C. gigas in natural and cultivated populations in Taiwan and southern China, where we only found C. angulata. We highlight the importance of conserving the gene pool of the C. angulata population in Taiwan, particularly considering the current threats by large-scale environmental disturbances such as marine pollution, habitat destruction, and climate change.

DNA barcoding reveals that the common cupped oyster in Taiwan is the Portuguese oyster Crassostrea angulata (Ostreoida; Ostreidae), not C. gigas

NASA Astrophysics Data System (ADS)

Hsiao, Sheng-Tai; Chuang, Shin-Chang; Chen, Kao-Sung; Ho, Ping-Ho; Wu, Chi-Lun; Chen, Chaolun Allen

2016-09-01

The Pacific cupped oyster, Crassostrea gigas, is one of the major aquacultural shellfish species that has been introduced to Europe and America from its native source in the West Pacific. In Taiwan, the cultivated cupped oysters along the west coast have been identified as C. gigas for over centuries; however, several molecular phylogenetic studies have cast doubt upon the existence of this species in Taiwan and adjacent waters. Indeed, our analyses of mitochondrial cytochrome oxidase I (COI) sequences from 313 Crassostrea collected from 12 locations along Taiwanese and southern Chinese coastlines confirm that all samples were the Portuguese oyster, C. angulata, rather than C. gigas. Multiple lines of evidence, including haplotypic and nucleotide diversity of the COI gene, demographic history, and population genetics, suggest that Taiwanese C. angulata is unique, probably experienced a sudden population expansion after the Last Glacial Maxima around 20,000 years ago, and has a significantly limited genetic connectivity across the Taiwan Strait. Our study applies an extended sampling and DNA barcoding to confirm the absence of C. gigas in natural and cultivated populations in Taiwan and southern China, where we only found C. angulata. We highlight the importance of conserving the gene pool of the C. angulata population in Taiwan, particularly considering the current threats by large-scale environmental disturbances such as marine pollution, habitat destruction, and climate change.

Crustal gravitational potential energy change at the convergent plate boundary near Taiwan

NASA Astrophysics Data System (ADS)

Lo, C.; Hsu, S.

2003-12-01

The Taiwan orogen has formed due to the convergence between the Philippine Sea plate and Eurasian plate. Numerous earthquakes are occurring along the active convergent plate boundary in eastern Taiwan. To the northeast, the Philippine Sea plates is subducting northwards beneath the Ryukyu Arc. To the south, the Eurasian plate is subducting eastwards beneath the Luzon Arc. The plate interaction has caused crustal deformation and produced earthquakes. The earthquakes have caused radial permanent displacement of the crust and have altered the crustal gravitational potential energy. Here we use the earthquake source mechanisms, determined by the Broadband Array in Taiwan for Seismology (BATs) from 1995 to 2003, to calculate the crustal gravitational potential energy (GPE) change and discuss their tectonic implication along the convergent plate boundary. In Ilan Plain, the westernmost Okinawa Trough, it shows a crustal GPE loss. It is related to the crustal subsidence because of the backarc extension of the Okinawa Trough. In contrast, due to the Philippine Sea plate subucting northwards beneath Eurasian Plate, the Ryukyu convergent boundary shows systematic crustal GPE gain. Near Taiwan, the crustal GPE change is gained, indicating the collisional convergence of the Luzon Arc. To the south of Taiwan, along the Luzon Arc the crustal GPE is also gain, representing the initial uplifting of the Taiwan mountain belt.

Pediatric resident perceptions of family-friendly benefits.

PubMed

Berkowitz, Carol D; Frintner, Mary Pat; Cull, William L

2010-01-01

The aim of this study was to examine the importance of family-friendly features in residency program selection, benefits offered to and used by residents, and importance of benefits in future job selection. A survey of a random, national sample of 1000 graduating pediatric residents in 2008 was mailed and e-mailed. Survey response rate for graduating resident respondents was 59%. Among the respondents, 76% were women. Thirty-seven percent of men and 32% of women were parents. Residents with children were more likely than residents without children to rate family-friendly characteristics as very important in their residency selection (P < .05). Many residents reported that their programs offered maternity leave (88%), paternity leave (59%), individual flexibility with schedule (63%), and lactation rooms (55%), but fewer reported on-site child care (24%), care for ill children (19%), and part-time residency positions (12%). Among residents reporting availability, 77% of women with children used maternity leave and lactation rooms. Few held part-time residency positions (2%), but many expressed interest (23% of women with children). The majority of residents with and without children reported that flexibility with schedule was important in their future job selection. Most women with children (71%) and many women without children (52%) considered part-time work to be very important in their job selection. Family-friendly benefits are important to residents, particularly those with children. The data provides a benchmark for the availability and use of family-friendly features at pediatric training programs. The data also shows that many residents are unaware if benefits are offered, which suggests a need to make available benefits more transparent to residents. Copyright 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Internet Service Cognition and Use, and Their Promotion of Quality of Life in Taiwan

ERIC Educational Resources Information Center

Liang, Te-Hsin

2011-01-01

The "e-Taiwan Program" implemented by Taiwan government is aimed at showing the e-advantage in people's life and bring about essential benefits. This research follows the e-Life indicators of the Quality of Life measurement system developed by "e-Taiwan Program", which including four major dimensions of e-Daily Life,…

A Taiwan Study Abroad Program on Aging, Culture, and Healthcare

ERIC Educational Resources Information Center

Hou, Su-I

2018-01-01

This article introduces a Taiwan Study Abroad program on aging, culture, and healthcare. The program is a short-term academic summer program (6 credits) to bring U.S. students to Taiwan. During 2011 ~ 2015, a total of four groups including over 54 students and faculty members participated. This program partnered with multiple universities,…

Characteristics of Broadband Seismic Noise in Taiwan and Neighboring Islands

NASA Astrophysics Data System (ADS)

Chen, Ching-Wei; Rau, Ruey-Juin

2017-04-01

We used seismic waveform data from 115 broad-band stations of BATS (Institute of Earth Science, Academia Sinica) and Central Weather Bureau Seismic Network from 2012 to 2016 for noise-level mapping in Taiwan and neighboring islands. We computed Power Spectral Density (PSD) for each station and analyzed long-term variance of microseism energy and polarizations of noise for severe weather events. The island of Taiwan is surrounded by ocean and the Central Range which has the highest peak Jade Mountain at 3,952 meters height occupies more than 66% of the island and departs it into the east and west coasts. The geographic settings then result in the high population density in the western plain and northern Taiwan. The dominant noise source in the microseism band (periods from 4-20 seconds) is the coupling between the near-coast ocean and sea floor which produces the high noise of averaging -130 dB along the west coastal area. In the eastern volcanic-arc coastal areas, the noise level is about 7% smaller than the west coast due to its deeper offshore water depth. As for the shorter periods (0.1-0.25 seconds) band, the so-called culture noise, an anthropic activity variance with the highest -103 dB can be identified in the metropolitan areas, such as the Taipei city and the noise level in the Central Range area is averaging -138 dB. Moreover, the noise also shows a daily and temporal evolution mainly related to the traffic effect. Furthermore, we determined the noise level for the entire island of Taiwan during 26-28 September, 2016, when the typhoon Megi hit the island and retrieved the enhancement of secondary microseism energy for each stations. Typhoon Megi landed in eastern and central Taiwan and reached the maximum wind speed of 45m/s in the surrounded eyewall. The Central Range, as a barrier, decreased the wind speed in southern Taiwan making an enhancement less than 10 dB, while in northern Taiwan where the direction the typhoon headed to, can reach more than 35

How can surgeons facilitate resident intraoperative decision-making?

PubMed

Hill, Katherine A; Dasari, Mohini; Littleton, Eliza B; Hamad, Giselle G

2017-10-01

Cognitive skills such as decision-making are critical to developing operative autonomy. We explored resident decision-making using a recollection of specific examples, from the attending surgeon and resident, after laparoscopic cholecystectomy. In a separate semi-structured interview, the attending and resident both answered five questions, regarding the resident's operative roles and decisions, ways the attending helped, times when the attending operated, and the effect of the relationship between attending and resident. Themes were extracted using inductive methods. Thirty interviews were completed after 15 cases. Facilitators of decision-making included dialogue, safe struggle, and appreciation for retraction. Aberrant case characteristics, anatomic uncertainties, and time pressures provided barriers. Attending-resident mismatches included descriptions of transitioning control to the attending. Reciprocal dialogue, including concept-driven feedback, is helpful during intraoperative teaching. Unanticipated findings impede resident decision-making, and we describe differences in understanding transfers of operative control. Given these factors, we suggest that pre-operative discussions may be beneficial. Copyright © 2017 Elsevier Inc. All rights reserved.

Status of anesthesiology resident research education in the United States: structured education programs increase resident research productivity.

PubMed

Ahmad, Shireen; De Oliveira, Gildasio S; McCarthy, Robert J

2013-01-01

research education. In programs with <20% of faculty involved in research, 15% reported >20% of residents with a publication in the last 2 years compared with 36% in programs with >20% of faculty involvement (difference, 21%; 99% CI, -4% to 46%; P = 0.03). Our findings suggest that structured residency research programs are associated with higher resident research productivity. The program duration and the fraction of faculty in resident research education did not significantly increase research productivity. Research training is an integral component of resident education, but the mandatory enhancement of resident research education will require a significant change in the culture of academic anesthesiology leadership and faculty.

Occupational Neurotoxic Diseases in Taiwan

PubMed Central

Liu, Chi-Hung; Huang, Chu-Yun

2012-01-01

Occupational neurotoxic diseases have become increasingly common in Taiwan due to industrialization. Over the past 40 years, Taiwan has transformed from an agricultural society to an industrial society. The most common neurotoxic diseases also changed from organophosphate poisoning to heavy metal intoxication, and then to organic solvent and semiconductor agent poisoning. The nervous system is particularly vulnerable to toxic agents because of its high metabolic rate. Neurological manifestations may be transient or permanent, and may range from cognitive dysfunction, cerebellar ataxia, Parkinsonism, sensorimotor neuropathy and autonomic dysfunction to neuromuscular junction disorders. This study attempts to provide a review of the major outbreaks of occupational neurotoxins from 1968 to 2012. A total of 16 occupational neurotoxins, including organophosphates, toxic gases, heavy metals, organic solvents, and other toxic chemicals, were reviewed. Peer-reviewed articles related to the electrophysiology, neuroimaging, treatment and long-term follow up of these neurotoxic diseases were also obtained. The heavy metals involved consisted of lead, manganese, organic tin, mercury, arsenic, and thallium. The organic solvents included n-hexane, toluene, mixed solvents and carbon disulfide. Toxic gases such as carbon monoxide, and hydrogen sulfide were also included, along with toxic chemicals including polychlorinated biphenyls, tetramethylammonium hydroxide, organophosphates, and dimethylamine borane. In addition we attempted to correlate these events to the timeline of industrial development in Taiwan. By researching this topic, the hope is that it may help other developing countries to improve industrial hygiene and promote occupational safety and health care during the process of industrialization. PMID:23251841