Journal articles on the topic 'Taiwan periodicals'

Purpose – The purpose of this paper is to report results of a study which investigated the growth of open access (OA) journals across the world with reference to the Asian region. Details of 117 OA journals were collected from the Directory of Open Access Journals (DOAJ) to determine the geographic distribution, language of publication and growth of periodical year-wise. The study makes detail analysis of four OA periodical published from India, Iran, Pakistan and Taiwan. Pattern of authorship and contribution according to nature of professional work were analyzed. The study reveals that most contributions were made by teaching professionals in comparison to working library and information officers. Single-authored contributions dominated (44 per cent) in all periodicals of the Asian region, indicating low amount of teamwork/collaborative contributions to library and information science (LIS) research by the authors of this region. To know the subject distribution of articles, the study was limited to 27 subfields within the broad spectrum of LIS. Annals of Library and Information Sciences (ALIS) published in India carried the highest number of articles (165) followed by Journal of Library and Information Sciences (JLIS) from Taiwan. The findings of the study also indicate that there is varied distribution of topics within the Asian LIS literature published in OA journals. Most popular areas of writing among authors in OA journals have been found to be bibliometics, webometrics, research productivity or research methods besides information seeking pattern, information need of users and digital libraries. Design/methodology/approach – To gather data for the present investigation, survey of OA e-journals was made across the Web. The collection of data from OA journals and content was accompanied by searching the DOAJ. After selecting the OA journals, these were analyzed using the descriptions on their content page and key words chosen from each contribution. Selection of additional key words, i.e. words not in the title, was also made. Analysis of this data is discussed in this paper. Findings – OA removes restrictions that exist on access to scholarly information and knowledge, it empowers the readers to read, download, distribute and make use of relevant literature, besides giving authors and their work fairly good visibility, readership and impact. The OA movement is gaining importance and the scholarly community is now realizing that tolled or subscribed access is creating a barrier and preventing their work from wider accessibility and readership. A number of journals across the world are now being published in OA mode. The present study attempts to map the growth of LIS literature in OA journals with special reference to periodicals published from Asian countries. The finding of this sample study suggests that many counties are promoting OA journals. While USA ranks first in publication of OA journals in the world. Taiwan publishes the highest number of articles in Asia. Majority of OA journals are published in English, and English appears to be most popular language for communicating research information. Of the four OA LIS journals analyzed in detail, it is observed that single-authored contributions are most popular. Collaborative contributions to LIS research were not so evident among authors of the Asian community. The teaching professionals or LIS teachers contributed the greatest number of articles, except for the Indian journal ALIS, demonstrating that working professional are more actively involved in writing and they outnumber the teaching community. Contributions from research students in all OA journals have been fairly significant. Research students may be encouraged to publish their master’s and doctoral research work in OA periodicals for better visibility, readership and impact. The study further reveals that ALIS from India and JLIS from Taiwan carried the highest number of articles. While areas like bibliometrics, webometrics and e-resources and OA are most popular areas of writing among Indian authors, information-seeking pattern, information need, digital and virtual libraries have been popular among authors from Taiwan. Webology from Iran has predominant articles on Web study or evaluation and social networking. Universities and LIS need to come forward to take a need-based approach to LIS research, suggesting ways for improving existing LIS services in their respective countries. To get the correct picture of growth of OA journals in the Asian region, more exhaustive and extensive study may be required. Researchers interested to carry further investigation will have to adopt appropriate measures to overcome the limitations mentioned in the study, for example, the source of data DOAJ may not be very extensive to give correct picture of OA journals. It is likely that some journals may not have been included in this directory. Researchers interested to carry further investigations will have to adopt appropriate measures to overcome these constraints. Research limitations/implications – Scope and limitation access to data and timely completion are the two vital factors for the success and accomplishment of the objectives of any investigation. Hence, considering the vast range of literature from every geographical region and limited time to complete research, the present study adhered to the following limitations. The study covers in its scope literature published in the period of five years (accessed from March 28 to May 25, 2011, only). The study includes only those publications/journals contributed by authors in English. The study includes four OA journals having full-text articles in English, abstracts not included. It considers those publications primarily inclined and relevant to library and information services. The study includes only those OA LIS journals listed or included in DOAJ. Originality/value – The present study has been taken with view to analyze the growth of OA journals in LIS with special reference to Asian countries. While several studies have been conducted on growth and publishing of traditional LIS journals, the present study is perhaps an interesting attempt to make a comprehensive review of the phenomena. The finding of the recent study will be of interest to many LIS professionals, researchers and academicians as it demonstrate the growth of OA journals.

The article deals with publication activity as a part of the set of scientometric indicators used to assess national scientific potential. The international and national ratings of the publishing activity, in which the Ukrainian universities are involved, have been presented and analyzed, as well as with the help of some analytical and search tools of the scientific platform Web of Science, the publishing activity of the leading universities of the country have been studied. The dynamics of inclusion of Ukrainian higher education institutions in SCImago Institutional Ranking has been monitored and their most significant achievements have been determined by major groups of rating indicators – “Innovation”, “Social Impact” and “Research”. Identity of SCImago rating and all-Ukrainian Osvita.ua rating has been demonstrated for Ukrainian universities. The methodology and principles of CWTS Leiden Ranking and National Taiwan University Ranking, which are based on Web of Science, have been reviewed. With input from the Essential Science Indicators (ESI) Web of Science tool the publication activity of Ukrainian scientific organizations on the whole has been identified, and by means of “Result Analysis” tools the 2019 scientific periodicals have been identified where the researchers from four largest educational institutions in our country were published. It has been concluded that among Ukrainian scientists the trend towards increasing the total number of publications in periodicals with a low level of scientific influence and citation, as well as with their general misunderstanding of the importance of scientific and publication collaborations with researchers from foreign universities is still prevailing. Suggestions have been formulated to increase publication activity and to represent better the university's scientific results in international citation indices.

Introduction. This article describes the Xinhai Revolution in China. The authors, with the help of the Samara periodicals, highlighted the beginning, course and completion of the revolution, the activities of Sun Yatsen and Yuan Shikai, as well as the social aspects of this period. October 10, 2021, the legitimate successors of the Xinhai Revolution of the PRC and the Republic of China in Taiwan celebrate 110 years. The significance of the presented material is undoubted, since it is based on real historical sources – periodicals of 1911–1912. The purpose of the article is to determine the historical place of the Xinhai Revolution and its importance for the further history of China on the basis of newspaper materials. Materials and Methods. The most important in the study, based on the provisions formulated by the above authors, is the historical method, or, as it is also formulated, the principle of historicism. In carrying out this scientific research, the author relied primarily on special historical or general historical methods. Research Results. The study showed that starting with the Wuchansk uprising on October 10, 1911, metropolitan and provincial newspapers actively followed and published materials about the revolution. The outbreak of riots and uprisings in the provinces were reflected in detail by journalists and editors of Samara newspapers. The left-wing liberal party press, in contrast to the semi-official press, perceived the revolutionary movement of the popular masses in China positively. Discussion and Conclusion. Any revolution is always a large and controversial topic for scientific discussion. The Xinhai Revolution did not lead to the expected results, both among the people and among the bourgeoisie, the intelligentsia and the upper class. It was followed by further turmoil, which led first to the government of the Kuomintang, and then the Communists. It can be concluded that the theme of the Chinese Revolution of 1911–1912 is still relevant. The proposed provisions and conclusions create the prerequisites for further study of this problem.

<p>&quot;萬波教（マンナミ オシエ，1918年1月10日─1997年12月1日）畢業於臺北高等學校、臺北帝國大學文政學部，後任職於臺北第二師範學校等。在日治時期作為一位《四季》派抒情詩人活躍於臺灣文壇。在美術成就上，曾入選第一回臺灣總督府美術展覽會，並為多本期刊繪製封面與插圖，是位文學、藝術、教育三棲的文化人。引揚後，持續作為一位師長指導學生進行文藝創作，而後投入公務體制之中，跟隨相葉有流創作俳句。萬波教作為過往少被關注的在臺日人作家，其創作數量以及當時參與團體皆有一定代表性，因此本文欲以萬波教為討論中心，自萬波教的出生為起始，至晚年撰寫俳句獲得「有流賞」為終。以報紙、同人誌、學籍資料、名簿等第一手資料作為研究材料，詳盡梳理萬波教的生平、作品，以及其時代意義。 最後，本文不僅作為一篇作家研究，更期望將萬波教置於「在臺日人作家」、「臺灣─日本」引揚文學的脈絡之下。重新補足日治時期臺灣文學史上，少被審視的區塊，並且重新給予萬波教新的歷史定位以及評價。「酷兒未來」議題的機會。本文則藉著分析電影《大佛普拉斯》，試圖鼓勵臺灣研究介入這種未來主義的論述舞臺。片中庶民角色宛如本土歷史活化石「羅漢腳」，同時體現三種落差：中產異性戀男人與羅漢腳的情欲落差、國語使用者與臺語使用者之間的語言落差、手機使用者與科技邊緣人之間的數位落差。這些落差，未必意味這部片無法達到未來主義的預設標準，反而揭發所謂標準的侷限。這部片值得納入酷兒研究，並不是因為它是「酷兒電影」或「同志電影」，也不是因為羅漢腳等於同性戀者，而是因為它暴露出酷兒研究比較少關注的生命樣態：傾向社群（公）而不傾向個人主義（私）的羅漢腳。</p> <p>&nbsp;</p><p>MANNAMI OSHIE (萬波教，1918.1.10 - 1997.12.1) graduated from Taihoku High School and Taihoku Imperial University, and later worked at Taihoku Second Normal School. During the Japanese Colonial period, he was active in Taiwan Literature Field as a lyric poet of &ldquo;SHIKI（四季）&rdquo;. In terms of artistic achievements, he was selected for the first Taiwan Governor-General’s Art Exhibition to paint covers and illustrations for many periodicals. After returning Japan, he continued to guide students in literature and arts, joined the public service system, and followed Aiba Yuryu(相葉有流) to write Haiku(俳句). A Japanese writer in Taiwan receiving little attention in the past, MANNAMI OSHIE was representative because of his creations and participation at that time. This article focuses on the discussion of MANNAMI OSHIE, delineating his life journey from birth to the receiving of &ldquo;youliu reward(有流賞) &rdquo;for writing haiku in his later years. This article employs first-hand materials including newspapers, doujinshi(同人誌), student registration materials, and name lists, trying to articulate MANNAMI OSHIE&rsquo;s life and works. Finally, this article also aims to place MANNAMI OSHIE under the context of&ldquo;Japanese writers in Taiwan&rdquo;and &ldquo;Taiwan-Japan&rdquo;HIKIAGE literature(引揚文學), in hope to make up for the less examined areas in the history of Taiwanese literature during the Japanese colonial period and give MANNAMI OSHIE a new historical evaluation.</p> <p>&nbsp;</p>

<p>目的：台灣近數十年來因環境衛生改善A型肝炎盛行率逐年降低，1982年以後出生者大多無保護性抗體。供膳作業人員若感染急性A型肝炎，可能經由其製備之食物傳播造成A型肝炎群聚感染。本研究目的在探討2019-2021年於台灣南部某醫院進行週期性體檢之供膳作業人員A型肝炎血清偵測結果分析。</p> <p>方法：本研究採用化學冷光微粒免疫分析法Chemiluminescent Microparticle Immunoassay (CMIA)測定檢體，定義anti-HAV IgM Signal/Cutoff (S/CO) &ge;1.2為陽性、0.8&le;S/CO<1.2為邊緣陽性、S/CO<0.8為陰性。並進一步將陽性及邊緣陽性定義為anti-HAV IgM異常（IgM異常）。將個案年齡分為三組：20歲以下、21-40歲及41歲以上。進行羅吉斯迴歸分析性別及年齡分組與IgM異常之相關性。</p> <p>結果：2019-2021年共收案4,798件anti-HAV IgM檢體，其中供膳體檢佔4,532件(94%)。供膳體檢4,532件中，陽性12件(0.3%)，邊緣陽性27件(0.6%)。IgM異常者以女性及41歲以上組較多（女性30件 vs. 男性9件 [p=0.012]；41歲以上組31件 vs. 21-40歲組8件 [p<0.001]）。20歲以下組243人檢體皆為陰性。羅吉斯迴歸分析發現女性(AOR 2.66 [CI 1.26-5.63])及41歲以上組(AOR 5.23 [CI 2.40-11.42])是IgM異常的獨立影響因子。在IgM異常者之次分析中，檢體呈邊緣陽性之個案肝指數皆正常。檢體呈陽性之個案中有兩位肝指數異常，但這兩位供膳作業者並無臨床症狀且後續病毒檢測(HAV RT-PCR)皆為陰性，排除急性A型肝炎感染。</p> <p>結論：自2019至2021年週期性供膳作業人員體檢anti-HAV IgM篩檢陽性率為0.9%，但絕大多數排除急性A型肝炎。其中女性及41歲以上者較易有偽陽性之情形。</p> <p>&nbsp;</p><p>Purpose: In Taiwan, the prevalence of hepatitis A has decreased since 1982 thanks to improved sanitation. Most of the citizens born after 1982 do not have protective antibodies against hepatitis A. Protection is of crucial importance for food handlers as hepatitis A in this population cause cluster infection. The study aims to evaluate the seroprevalence of hepatitis A among food handlers receiving periodical health examinations during the period from 2019 to 2021 in our hospital in Tainan.</p> <p>Method: We collected 4,798 anti-HAV IgM specimens during the study period, of 4,532 specimens (94%) were from food handlers receiving health examinations. Chemiluminescent microparticle immunoassay (CMIA) method was used to analyze anti-HAV IgM. We defined anti-HAV IgM signal/cutoff (S/CO)&ge;1.2 as positive, 0.8&le;S/CO<1.2 as borderline, and S/CO<0.8 as negative. Positive and borderline results were further defined as abnormal anti-HAV IgM. We separated the participants into 3 age groups, <20 years old; 21-40 years old, and >41 years old. Multivariate logistic regression model was applied to evaluate the association between sex, age groups, and abnormal anti-HAV IgM.</p> <p>Results: Among the 4,532 anti-HAV IgM specimens, 12 positive results (0.3%) and 27 borderline results (0.6%) were detected. A greater cases of abnormal anti-HAV IgM was detected in the female group and the >41 years old group (30 in the female group vs. 9 in the male group [p=0.012]; 31 in the >41 years old group vs. 8 in the 21-40 years old group [p<0.001]). There was no abnormal anti-HAV IgM in the <20 years old group. Adjusting for multiple covariates, we found that being female and an aged over 41 years old were independent risk factors for abnormal anti-HAV IgM. Results of subgroup analysis indicated that all subjects in the borderline group had normal liver enzymes. In the positive group, two subjects had abnormal liver enzymes. However, they received HAV RT-PCR and the results were negative, suggesting the absence of acute hepatitis A.</p> <p> Conclusion: Our survey on anti-HAV IgM among food handlers receiving health examinations during the period from 2019 to 2021 indicated a 0.9% abnormality rate. However, acute hepatitis A was excluded in most of the examined cases. Females and those aged over 41 years old were identified to be more likely to have anti-HAV IgM false positive.</p> <p>&nbsp;</p>

The aim of this study is to propose a new term "prosperous food (盛食)" instead of "surplus food (剩食)", in order to change the concept of consumers. Since the term “surplus” imply a negative image while the term “prosperous” owed the positive image. This can reduce the wasting food in our society and build a new business model. The start-up plan wishes to build a prosperous food restaurant and at this space can sale prosperous food directly and also the food of re-produce prosperous food. This restaurant plays the role to distribute the prosperous of farm products to consumers. Then we also to hold the prosperous food holiday market and recruit consumers to harvest farm product in farm periodically. We hope we can promote this model over Taiwan after we stabilize this model in Tainan first.

There are four shelf-incising submarine canyons off SW Taiwan. They are distributed along the active continental margin, which is periodically flushed by gravity flows. Shelf-incising canyons, such as Kaoping Canyon, may not only be affected by oceanographic conditions but also by extreme climate change due to the direct input of river sediment. In the canyons along the SW margin of Taiwan, strong sedimentary flows are reflected in highly abundant nutrient input and physical disturbances. The Kaoping Canyon possesses habitats that promote biodiversity but that are sensitive to environmental change. The aims of this study are to review the canyons along the SW margin of Taiwan and to present their geomorphological features and associated ecosystems.

Stock tape reading involves surveilling stock prices once in a while and recording stock prices. The method of observing stock prices may be television or stock exchange. The time step for recoding stock prices is every stock user’s experience and their theory, perhaps 3 min or 2 h and so on. As an example, the Taiwan stock market starts at 9:00 a.m. to 13:30 p.m. It will have a 4 h operating time. Splitting the 4 h operating time for tape reading is the skill of stock users. The stock price sequence generated by tape reading can be predicted by stock users, but finally, it is the stock user’s experience. Therefore, the meaning of tape reading is to record the stock price, but its concept should have no prediction purpose. This study used thread technology and proposed a tape-reading method with web scraping. This method can periodically scrape stock prices and generate a stock price sequence to Excel file. This application can satisfy the demand of these stock users, who are called day trading users. Because these day trading users want to gain stock price sequences minute by minute, rather than the stock exchange format day by day, and also ones which are better than the those provided by the stock website service, because its stock sequence format is limited and not normalized, these day trading users think that minute-by-minute stock price sequences are very clear to forecast. This study implemented the prior scheme and designed the GUI to query a company’s stock price and its stock news, even per second, etc., and how long it took to update the stock price, and the GUI also included a time-up feature to stop scraping stock prices if users just wanted to scrape stock prices periodically.

The present study demonstrates that the complicated genetic structure of the hilly lineage of the Neolucanus swinhoei complex was driven by its biological features and habitat requirements as well as hindrance by the CMR during periodical Pleistocene glaciations. The results revealed a tendency of geographical differentiation and major and sub- lineage divergences before and after the Riss glaciation, followed by stable population growth during Würm glaciation. At least four refugia were inferred for N. swinhoei during the Riss–Würm glaciations. The ancestral haplotype retention in the cytochrome oxidase subunit I (COI) gene and compensated substitution in 16S rRNA gene is a possible evolutionary scenario resulting in the inconsistent evolution pattern between COI and 16S rRNA gene coupled with the long-distance dispersal of N. swinhoei. Although the CMR did hinder the dispersal of N. swinhoei, its ancestors may have dispersed to eastern Taiwan through the northern and southern low mountains of the CMR before the Riss glaciation. Our finding suggests that the population growth in the Würm glaciation led a dispersal back to western Taiwan, which is contrast to the more common dispersal scenario from western Taiwan to eastern populations proposed in other studies.

Abstract In this study, submonthly wave patterns under the periodically fluctuating Japan–South China Sea (JSCS) pattern were separated into intraseasonal oscillation (ISO) westerly and easterly phases. The composite results showed that the wave patterns in the westerly JSCS high and low phases were more effectively organized and situated in a more intense monsoon trough than their counterparts in the easterly phase. Tropical cyclones (TCs) tended to occur over cyclonic systems of the wave patterns where minimal vertical shear axes were also located. More TCs formed in the westerly JSCS phases near areas where maximal moisture convergence was located. Taiwan experienced heavier rainfall during the westerly JSCS phases because the ISO enhanced the monsoon troughs for the cyclonic system of the wave pattern to develop near Taiwan in the westerly JSCS high phase. Additionally, in the westerly JSCS low phase, a stronger southeasterly mean flow generated by the ISO steered the wave pattern and TCs farther west and thus closer to Taiwan. Therefore, the ISO influenced the mean state circulation systems and then steered TCs and the wave patterns to affect Taiwan’s weather.

Abstract This article analyzes how the photographs of overseas Chinese performing Peking opera projected the Chinese nationalism of the Kuomintang (KMT) across Taiwan (the Republic of China, ROC) and the Philippines during the Cold War. The analysis focuses on images in the periodical Drama and Art (1964–1972), examining theater and photography as mediums that worked together to (re)shape a ROC-approved vision of “Chineseness.” In addition to studying the circulation of these photographs, the discussion further looks into those aspects of the performances rendered invisible by the periodical, explicating how the Chineseness of overseas Chinese was produced and performed based on the KMT’s needs. Peking opera performance also functioned as a form of “emotional compensation” for Chinese-Filipino performers to act out fantasies of power while facing anti-Chinese sentiment in the Philippines. This article therefore argues that Peking opera was intricately linked to the conceptual construction of overseas Chineseness and its embodied practice.

AbstractDelivery records of public hospitals and birth certificates of household registration offices were examined to study the epidemiological characteristics of twinning rate from 1955 to 1984 in Taiwan. The MZ twinning rate was consistently higer than the DZ rate during the study period. The DZ rate declined steadily from 2.7 per 1000 in 1955 to 1.3 per 1000 in 1975, and then gradually increased to 3.6 per 1000 in 1984. The MZ rate peaked periodically in 1956, 1966 and 1976, and gradually increased from 3.3 per 1000 in 1978 to 5.9 per 1000 in 1986. Both MZ and DZ rates were higher in urban than in rural areas and they were also higher in northern Taiwan than elsewhere in the island. While both MZ and DZ rates increased with maternal age and parity, the maternal age difference and the parity difference were more striking in DZ than in MZ rates. The international comparison also showed a greater racial difference in maternal age-specific DZ than MZ twinning rates; and the older the maternal age, the greater the international discrepancy in DZ rates.

The National Digital Library of Theses and Dissertations and the NCL (National Central Library) Taiwan Periodical Literature database were used to analyze dissertations and journal articles on early childhood life education. The researcher explored the research themes of life education for young children aged 3 to 6 years in Taiwan and offered strategies for improving learning in early childhood life education. Eight categories of themes were examined. In addition, the curriculum development of learning in early childhood life education was identified: (1) life event core curriculum, (2) sympathy core curriculum, (3) example core curriculum, and (4) anima core curriculum. Several teaching approaches of learning in early childhood life education are proposed: (1) teaching through picture books, (2) learning through experience, (3) teaching through instructional media, (4) teaching through concept mapping, (5) teaching through stories, and (6) teaching through parent–teacher collaboration. Developing and implementing the strategies of learning in early childhood life education is crucial for cultivating psychological wellbeing in young children and improving the quality of Taiwan’s early childhood education system.

To determine the relationships between exposure to environmental contaminants in water and chronic kidney disease (CKD), we investigated the associations of 61 water attributes with the prevalence of CKD and End-Stage Renal Disease (ESRD) using data from 2005 to 2011 from all 22 counties and cities in the main island of Taiwan. We acquired patient information from the Taiwan Longitudinal Health Insurance Database to calculate the age-standardized CKD and ESRD prevalence rates and linked the patients’ residences to the water quality monitoring data, which were sampled periodically for a total of over 45,000 observations obtained from the Taiwan Environmental Water Quality Information Database. The association analysis adjusting for gender, age, and annual effects showed that the zinc (Zn), ammonia, chemical oxygen demand (COD), and dissolved oxygen in rivers were weakly correlated with CKD (τ = 0.268/0.250/0.238/−0.267, p = 6.01×10−6/2.52×10−5/6.05×10−5/3.30×10−5, respectively), but none for ESRD. The importances of Zn and COD in rivers were also demonstrated in a CKD regression model. Moreover, an unusually high CKD prevalence was related to arsenic contamination in groundwater. A further prospective cohort study would improve our understanding of what level of environmental water with risky properties could affect the development of CKD.

e19283 Background: Taiwan has 32 biobanks under Government’ governance. The Ministry of Health and Welfare have established a National Biobank Consortium of Taiwan to unify the specimen quality and the medical record database. The total recruited participants exceed 350,000. The National Health Research Institutes in Taiwan hold the responsibility of establish a common data model for aggregating data elements from electronic health records (EHRs) of institutes through direct feeds. The goals are to assemble a set of common oncology data elements and to facilitate cancer data interoperability for patient care and research across institutes of Biobank Consortium. Methods: We first conduct a thorough review of available EHR data elements for patient characteristics, diagnosis/staging, treatments, laboratory results, vital signs and outcomes. The data dictionary was organized based on HL7 FHIR and also included data elements from Taiwan Cancer Registry (TCR) and National Health Insurance (NHI) Program, which the common definition has already been established and implemented for years. Data elements suggested by ASCO CancerLinQ and minimal Common Oncology Data Elements (mCODE) are also referenced during planning. The final common model was then reviewed by a panel of experts consisting oncologists as well as data science specialists. Results: There are finally 9 data tables with 281 data elements, in which 248 of them are from the routinely uploaded data elements to government agencies (TCR & NHI) and 33 elements are collected with partial common definition among institutes. There are 164 data elements which are to be collected one observation per case, while 117 elements will be accumulated periodically. Conclusions: A comprehensive understanding of genetics, phenotypes, disease variation as well as treatment responses is crucial to fulfill the needs of real-world studies, which potentially would lead to personalized treatment and drug development. At the first stage of this project, we aim to accumulate available EHR structured data elements and to maintain sufficient cancer data quality. Consequently, the database can provide real-world evidence to promote evidence-based & data-driven cancer care.

In Taiwan, peritoneal dialysis (PD) was launched in 1984. Since then, the Taiwan Society of Nephrology (TSN) has taken the responsibility for supervising PD programs. All PD programs are required to pass evaluations from the TSN before inception. Every new PD patient receives individual training from a qualified PD nurse. The training, accompanied by a review test, is usually provided in the hospital during the week right after catheter implantation. To evaluate the effect of the patient training program on PD outcomes, we designed a retrospective observation study and reviewed the post-training tests of 100 new PD patients. The post-training test has 10 parts: anatomy and physiology, overview of chronic kidney disease, overview of PD, complications of peritonitis and exit-site infection, diet control, cardiovascular complications, PD skills and procedures, aseptic techniques, management of peritonitis, and routine tasks. The relationship between the post-training test scores and peritonitis was analyzed. Results showed that risk of peritonitis is not related to the post-training test score. However, based on our experiences, we believe that PD patient training should be lengthened and repeated periodically as suggested by the International Survey of Peritoneal Dialysis Training Programs. Training on certain issues such as the signs and symptoms of peritonitis should be especially enhanced.

AbstractWe analyzed a 21-year old progeny test of Konishii fir (Cunninghamia lanceolata(Lamb.) Hook. var.konishii) involving 75 families. Tree height and diameter at breast height (DBH) were periodically recorded. At age 21, average height, DBH, and volume were 15.2 m, 20.2 cm, and 278 dm3, respectively. At this age, family accounted for 9, 12, and 11% of the total variance in height, DBH and volume, respectively. Also at age 21, individual tree heritability was 0.35, 0.49, and 0.45 for height, DBH and volume, respectively, and family heritability was 0.53, 0.69, and 0.66 for the three respective characteristics. The age trend for all genetic parameters was more stable for DBH than for height and volume. Family (backward) selection for DBH at age 21 resulted in a 9.6% gain and indirectly 5.1 and 21.0% gains for height and volume, respectively, compared to 5.2 and 20.1% gains for height and volume, respectively, when selection for these characteristics is done directly. DBH is an effective proxy trait for selection in growth. DBH is also less susceptible than height to typhoon damage, which frequently afflicts tree plantations in Taiwan. Therefore, DBH should be considered as the primary trait for selection for Konishii fir in Taiwan. Konishii fir is a genetically variable species despite its limited geographic range, and is fast growing which makes it a viable candidate species for tree improvement.

Microbes in coral reef sediments are thought to play an important role in organic matter remineralization and nutrient recycling. Microbial communities also reflect the environmental conditions, such as nutrient status, of an ecosystem. This study investigates the relationship between microbial community diversity in the reef sediments and environmental conditions at Liuqiu Island. We sampled sediments seasonally from four sites around the island, Beauty Cave, Geban Bay, Houshi Fringing Reef, and Lobster Cave, from 2015–2020. The V5–V6 hypervariable region of 16S rRNA was amplified and sequenced using the Illumina MiSeq platform to identify the microbial communities. The results showed that the high abundance of Pseudomonadota, Planctomycetota, and Bacteroidota might reflect the eutrophic environments of the sediments on Liuqiu Island. Second, the identification of putative pathogens and human-related genera suggests that human activities have affected the marine environment of Liuqiu Island. Third, the insignificant spatial differences and the significant temporal differences in the microbial communities of Liuqiu Island indicate that annual or periodical events, such as the Kuroshio Branch Current and South China Sea Surface Current, could shape the microbial communities of Liuqiu Island. Furthermore, the abundance of human-related genera—Cutibacterium, Herbaspirillum, Corynebacterium 1, Escherichia-Shigella, and Kocuria—increased dramatically in the Lobster Cave site in September 2015 and may have been induced by a strong climate event, such as a typhoon or heavy rainfall. Our results revealed that the microbial communities of Liuqiu Island are dynamic and sensitive to adjacent environmental conditions. The sedimented microbial communities could monitor the bacteria and pathogens related to human activities and even reveal the putative events that could affect the ecological environments.

The Kuroshio Current has its origin in the northwestern Pacific, flowing northward to the east of Taiwan and the northern part of Luzon Island. As the Kuroshio Current flows northward, it quasi-periodically intrudes (hereafter referred to as Kuroshio intrusion (KI)) into the northern South China Sea (SCS) basin through the Luzon Strait. Despite the complex generation mechanisms of KI, the purpose of this study is to improve our understanding of the effects of KI through the Luzon Strait on the regional atmospheric and weather variations. Long-term multiple satellite observations, including absolute dynamic topography, absolute geostrophic currents, sea surface winds by ASCAT, multi-scale ultra-high resolution sea surface temperature (MURSST) level-four analysis, and research-quality three-hourly TRMM multi-satellite precipitation analysis (TMPA), was used to systematically examine the aforementioned scientific problem. Analysis indicates that the KI is interlinked with the consequential anomalous precipitation off southwestern Taiwan. This anomalous precipitation would lead to ~560 million tons of freshwater influx during each KI event. Subsequently, independent moisture budget analysis suggests that moisture, mainly from vertical advection, is the possible source of the precipitation anomaly. Additionally, a bulk formula analysis was applied to understand how KI can trigger the precipitation anomaly through vertical advection of moisture without causing an evident change in the low-level flows. These new research findings might reconcile the divisiveness on why winds are not showing a synchronous response during the KI and consequential anomalous precipitation events.

In Taiwan, more than 20% of the major rivers are mildly to heavily polluted by domestic, industrial, and agricultural wastewaters due to the low percentage of sewers connected to wastewater treatment plants. Thus, constructed or engineered wetlands have been adopted as the major alternatives to clean up polluted rivers. Constructed wetlands are also applied as the tertiary wastewater treatment systems for the wastewater polishment to meet water reuse standards with lower operational costs. The studied Kaoping River Rail Bridge Constructed Wetland (KRRBCW) is the largest constructed wetland in Taiwan. It is a multi-function wetland and is used for polluted creek water purification and secondary wastewater polishment before it is discharged into the Kaoping River. Although constructed wetlands are feasible for contaminated water treatment, wetland sediments are usually the sinks for organics and metals. In this study, water and sediment samples were collected from the major wetland basins in KRRBCW. The investigation results show that more than 97% of total coliforms (TC), 55% of biochemical oxygen demand (BOD), and 30% of nutrients [e.g. total nitrogen (TN), total phosphorus (TP)] were removed via the constructed wetland system. However, results from the sediment analyses show that wetland sediments contained high concentrations of metals (e.g. Cu, Fe, Zn, Cr, and Mn), organic contents (sediment oxygen demand = 1.7 to 7.6 g O2/m2 d), and nutrients (up to 18.7 g/kg of TN and 1.22 g/kg of TN). Thus, sediments should be excavated periodically to prevent the release the pollutants into the wetland system and causing the deterioration of wetland water quality. Results of polymerase chain reaction (PCR), denaturing gradient gel electrophoresis (DGGE), and nucleotide sequence analysis reveal that a variation in microbial diversity in the wetland systems was observed. Results from the DGGE analysis indicate that all sediment samples contained significant amounts of microbial ribospecies, which might contribute to the carbon degradation and nitrogen removal. Gradual disappearance of E. coli was also observed along the flow courses through natural attenuation mechanisms.

<p>諮商心理理論與實務在企業中實踐員工諮商與心理健康。本研究旨在回顧台灣地區企業員工諮商與心理健康文獻，有助於了解台灣企業員工諮商與心理健康研究的發展背景。本研究採用文獻回顧分析了解台灣地區有關企業員工諮商與心理健康迄今的研究成果，探討重要研究變項。研究資料來源為「台灣期刊論文索引系統」、「華藝資料庫」，以企業諮商、員工協助方案、職場心理健康等關鍵字進行資料搜尋，迄2022年4月止，符合本研究目的的論文共51筆。研究結果顯示：(一) 研究類別依序為諮商輔導與教育心理類 (73％)、管理與勞工安全類 (20%)、醫療與健康類（8%）。(二) 研究方法依序為文獻回顧（35%）、實務應用 (27%)、質性 (22%)、量化 (12%)、質量混合 (4%)，研究內容包含企業員工諮商對員工工作效率影響、職場心理健康等。(三) 論文發表以2016-2021年期間發表量占總論文數量之42%為最高。(四) 51篇論文中僅有8篇量化研究，且多著重在壓力來源的探討與員工諮商使用意願調查，未將員工諮商與員工請假或生產力變化做連結；13篇質性研究中有5篇均提及企業諮商師的倫理觀點由單一案主轉移至雙重案主，最大的挑戰在於如何兼顧個案守密倫理原則與提供企業主諮商效益的數據化分析。(五) 在台灣，企業員工諮商與心理健康實證研究多以質性訪談為主，較少量化分析，且分析結果多與員工主觀滿意感受相關，未與員工請假時數或生產力等客觀數字作關聯分析。本研究除了將51筆企業員工諮商與心理健康文獻做描述性統計之分析外，同時整理了其中8篇量化研究（包含2篇質量混合研究）之量化研究方法及研究結果提供未來研究之參考。</p> <p>&nbsp;</p><p>Applying the theories and methods of counseling psychology in an enterprise is the core of workplace counseling and mental health. Reviewing related research on workplace counseling and mental health can facilitate understanding the development of workplace counseling and mental health research in Taiwan. This study adopted the literature review to understand the research results of workplace counseling and mental health in Taiwan. The key words of workplace counseling, employee assistance programs, and workplace mental health were used to conduct the search in the &quot; Index to Taiwan Periodical Literature System&quot; and &quot;Airiti Library&quot;. Up until April 2022, there were 51 papers that matched the purpose of the study and were thus selected and analyzed. The results indicated that: (1) The research categories are counseling and education (73%), management and labor safety (20%), medical care and health (8%). (2) The research methods are literature review (35%), practical application (27%), qualitative research (22%), quantitative research (12%), and mixed methods research (4%). The contents of workplace counseling involved employee work efficiency, mental health, etc. (3) The papers on workplace counseling and mental health with the period of 2016 to 2021 accounting for 42% of all 51 papers. (4) Among the 51 papers, there are only 8 quantitative studies, and most of them focus on the discussion of the source of stress and the survey of employees’ willingness to use counseling. They do not link employee counseling with employees’ leave or productivity changes, 5 of the 13 qualitative studies mentioned that the ethical viewpoint of business counselors has shifted from a single client to dual client. The biggest challenge for workplace counselors were how to balance the ethical principles of client confidentiality and the benefits of counseling for business owners. (5) In Taiwan, most of the empirical researches on workplace counseling and mental health were based more on qualitative interviews than on quantitative analysis, the analysis results were based on personal feelings of employees’ satisfaction, and no analysis was conducted concerning objective factors such as employee absent hours or productivity. In addition to the descriptive statistical analysis of 51 corporate consultation documents, this study also sorted out the quantitative research methods and research results of 8 quantitative studies (including 2 qualitative mixed studies) to provide reference for future research. According to these findings, detailed results and suggestions for further research were discussed.</p> <p>&nbsp;</p>

Objective. To investigate the effect of auricular acupoint stimulation on overweight and obese adults. Methods. We searched databases including PubMed, EMBASE, Allied and Complementary Medicine Database, National Knowledge Infrastructure, and the PerioPath Index to Taiwan Periodical Literature. The modified Jadad scale was used to assess study quality. We investigated the effect of auricular acupoint stimulation on anthropometric measurements. Results. Eighteen randomized controlled trials (RCTs) were included in our systematic review. Thirteen RCTs were pooled in a meta-analysis that revealed a significant reduction in body weight (BW) with a mean difference (MD) of -1.21 kg and a 95% confidence interval (CI) from -1.94 to -0.47 with a heterogeneity of I2 = 88%. Significant decreases in body mass index (BMI; MD: -0.57 kg/m2; 95% CI -0.82 to -0.33; I2 = 78%), body fat (BF; MD: -0.83%; 95% CI -1.43 to -0.24; I2 = 0%), and waist circumference (WC; MD: -1.75 cm; 95% CI -2.95 to -0.55; I2 = 87%) were also revealed. Conclusions. This meta-analysis shows that auricular acupoint stimulation improves physical anthropometric parameters including BW, BMI, BF, and WC in overweight and obese adults. These methods are less effective on hip circumference and waist-to-hip ratio.

Introduction:More than one million runners have joined the marathon games since 2007 in Taiwan. There were over 150 marathon games held in Taiwan in 2018. The increase rate was 21% as compared to that of 2014. The medical encounter rate was 1.33% in 2015 and increased to 1.41% in 2017. The most common type of injury was muscle spasm. The second most common was abrasion due to falls. The treatment for muscle spasm was RICE only. Cardiac arrest of marathon runners was reported occasionally and time is critical for rescue.Aim:To shorten the rescue time of the runners in an emergency. Base on the prodromal research, BLE communication technology is further used to improve the rescue positioning communication technology in the marathon.Methods:After rescue notification devices have been set up in each 0.5 km on the runway of the marathon, the runner can send a rescue signal through the rescue notification devices in case of emergency. The rescue signal, periodically advertisement SN# with rescue mark, of the runner can be precisely located and the rescue can be started very soon.Results:In the simulation, the rescue signal can be located in 7.5 minutes, fastest in 3 seconds. The precision rate of timing is ±160ms/6σ that under IAAF accuracy requirement. The location error is less than 20 meters, and the rescue time can be shortened to one half as before.Discussion:The rescue time of runner is correlated with the quality of marathon EMS. It is critical to the runner, especially in cardiac arrest. By using BLE communication devices, the runner can be located faster and more precisely. As rescue time shortened, CPR & AED can be given sooner. The quality of marathon EMS will be improved substantially.

This study synthesizes the effect of mindfulness-based cognitive therapy (MBCT) on depression and suicidal ideation among patients with major depressive disorder (MDD). During treatment, patients with MDD may experience repeated episodes, negative counseling, and suicidal ideation, which can lead to further depression and ultimately affect quality of life. Recent studies have shown that MBCT can improve the level of depression and suicidal ideation in patients with MDD. A systematic review and meta-analysis of randomized controlled trials was conducted. The literature search for articles up to December 2021 was performed in the following electronic databases: Airiti Library, PsycINFO, CINAHL, Cochrane Library, PubMed/MEDLINE, ProQuest, and the Index of the Taiwan Periodical Literature System. Records were independently evaluated by two reviewers. Disagreements were resolved through consensus. The quality of study was evaluated using the Modified Jadad Scale score. A meta-analysis was performed using Review Manager Version 5.3.5 software with a random-effects model. Thirteen studies (1159 participants) investigating MBCT for patients with MDD were included. The MBCT sessions lasted 1.5–2.5 h and were delivered by therapists five times per week for 8 weeks. The meta-effects of MBCT among patients with MDD showed significant improvement in depression and suicidal ideation. Future research should evaluate the long-term effects of MBCT. MBCT is relatively convenient and effective for preventing and alleviating depression and suicidal ideation. Further research can provide detailed suggestions for effective MBCT implementation.

Abstract Cunninghamia konishii is the island race of the species complex C. lanceolata, and is native to Taiwan. It is a valuable timber species. A comprehensive provenance- family test was established in 1973. Height and diameter were measured periodically until age 26, which was close to the species’ harvest age of about 30. These data offered an opportunity to examine the species’ growth characteristics by fitting asymptotic growth functions. We adopted the concept of repeated measures data analyses, i.e., a combination of variance component analysis and growth curve fitting, the latter involved fitting the individual tree height and diameter data to a Weibull-based function. A severe typhoon in 1996 caused serious damage to the plantation, mostly to tree heights. To prevent this damage from influencing our results, we limited the analyses to those trees judged relatively free of typhoon damage, and focused on the diameter growth data. Fitting a Weibull function with parameters a, b, and c was statistically successful (e.g. the mean R2 for diameter was 0.98). Both analyses indicate substantial variation among provenances and families, and thus opportunities for genetic selection and breeding. We particularly expound on the practical applications of growth curve fitting as an analytical tool for elucidating the mechanistic process of tree growth to assist decisions on the age for selection, even retrospectively, and modeling the response of tree growth to future climate.

Excessive gestational weight gain and postpartum weight retention are risk factors for female obesity. The present study was to examine dietary intakes and weight history from a prospective follow-up study from early pregnancy to 1 year postpartum. A total of 151 pregnant women within 20 weeks of pregnancy in Taipei, Taiwan were interviewed periodically to collect dietary and lifestyle information. The participants had an average age of 30 years and the average gestational weight gain was 14 kg, with an average daily intake of 7830 kJ (1870 kcal) in the 1 year following parturition. By bivariate analyses, maternal age, pre-pregnancy BMI and breast-feeding were not related to postpartum weight retention, but gestational weight gain had significant positive correlations (r 0·54 at 6 months, r 0·44 at 1 year; P < 0·05). The generalised estimating equations showed that the average weight before pregnancy, at 6 months and 1 year postpartum was 53·35 kg, 55·75 kg (weight retention 2·36 kg; P < 0·01) and 54·75 kg (weight retention 1·48 kg; P < 0·01), respectively. After controlling for age, pre-pregnancy BMI, gestational weight gain and parity, we found at 6 months that the adjusted weight retention at postpartum was 0·79 kg (P < 0·01), but at 1 year it was − 0·08 kg (P>0·05). From multivariate analyses, dietary energy intake and energy intake per kg body weight as a long-term physical activity index could explain 24 % of the variation at 6 months and 27 % of the variation at 1 year in postpartum weight retention. These results suggest that pregnant women should be advised to control gestational weight gain, decrease energy intakes after child-bearing and maintain regular exercise in order to prevent postpartum obesity.

Scoliosis refers to a three-dimensional deviation in the axis of the spine. Muscle imbalance is believed to play a role in scoliosis. Botulinum neurotoxin (BoNT) can reduce muscle overactivity and may have the potential to ameliorate spinal scoliosis. This study investigated the effectiveness of intramuscular BoNT injection in vertebral curve correction and reviewed the possible influencing factors. PubMed, Medline, Cochrane Central Register of Controlled Trials, Web of Science, Airiti Library, and Index of the Taiwan Periodical Literature System databases were searched from inception until 7 September 2022 for eligible studies. The main outcome was the change in Cobb angle after BoNT application. Subgroup analysis was conducted according to differences in study designs, etiology of scoliosis, and methods used for target muscle selection. We enrolled three studies including 31 participants aged between 2 and 18 years. The meta-analysis revealed no significant reduction in the Cobb angle after BoNT injection (standardized mean difference, −0.783, 95% CI, −2.142 to 0.576). Study designs (p = 0.011) and methods used for target muscle selection (p = 0.017) but not etiology of scoliosis (p = 0.997) reached statistical significance between subgroups. In conclusion, the current meta-analysis does not support the application of BoNT in children and adolescents with scoliosis. However, a decisive conclusion could not be made due to high between-study heterogeneity and small sample size. More randomized controlled trials with appropriate target muscle selection and standard outcome measurement should be conducted to examine the efficacy of botulinum neurotoxin in treating scoliosis. INPLASY ID: INPLASY202290031.

SUMMARYCombustion of biogas containing hydrogen sulphide (H2S) yields highly corrosive sulphur oxides, thereby limiting the use of biogas for heat and power generation. The current study developed and tested a pilot-scale biogas bio-filter system (BBS) to replace conventional water scrubbing systems at a commercial pig farm in Miaoli County, Taiwan. A 62·8-litre pilot-scale BBS, packed with dried aerial roots from the common tree fern (Sphaeropteris lepifera) and a mixture of dried aerial roots and plastic rings as bio-carriers and inoculated with sulphur oxidizing bacteria, was installed at a commercial pig farm. H2S concentration was 5600 mg/m3 and the biogas flow rate was 4 litres/min. The pilot-scale BBS could remove 26·9 g H2S/m3/h using a bio-filter that operated at a 7% (v/v) O2 level continuously for >200 days. It was found that most H2S was oxidized to elemental sulphur (S0) and accumulated on the surface of the dried aerial roots (0·084 g S0/g aerial root) in the BBS. The dried aerial roots and plastic Raschig ring mixture was more efficent at sulphur dioxide removal than the dried aerial roots on their own. The pH and sulphate (SO42−) concentrations of water dropping from the BBS were 1·6 ± 1·0 and 28 680 ± 8253 mg/l, respectively. However, sulphur is the dominant product of sulphur oxidizers at the 7% O2 level. Periodical flushing of the bio-filter with the effluent from the wastewater treatment system on the farm can maintain high efficiency of H2S removal.

The purpose of this cross-sectional study was to explore the determinants of hemoglobin A1c (HbA1c) levels in insulin-treated patients with Type 2 diabetes mellitus (T2DM) based on demographic and disease characteristics, self-reported regimen adherence factors (adherence in insulin regimen and self-monitoring of blood glucose), and psychosocial factors (decisional balance for insulin injection, health literacy, self-efficacy for insulin injection, diabetes distress, and empowerment perceptions). Via convenience sampling, 255 insulin-treated patients with T2DM were recruited from two endocrinology clinics in Taiwan. A self-report questionnaire was used to collect demographic and disease characteristics, regimen adherence factors, and psychosocial factors. The first HbA1c level measured after completion of the questionnaire was the dependent variable. The last HbA1c level measured before patients started insulin therapy as well as body mass index (BMI) was collected from medical records. Results indicated that adherence in insulin regimen was relatively good. Regimen adherence factors did not significantly correlate with HbA1c levels, but empowerment perception, decisional balance for insulin injection, health literacy, and diabetes distress did. The hierarchical multiple regression models indicated that BMI, the last HbA1c levels before starting insulin therapy, empowerment perception, and diabetes distress were important determinants of HbA1c levels. Nurses could periodically assess the diabetes distress of insulin-treated patients with T2DM and refer to mental health professionals when needed. Furthermore, applying empowerment approaches such as enhancing self-awareness of improved glycemic control and sharing more decision-making power with insulin-treated patients with T2DM might have benefits for their glycemic control.

Background Anxiety is commonly experienced during the delivery process and has shown to have adverse effects on maternal and infant health outcomes. Music interventions tend to reduce the effects of anxiety in diverse populations, are low cost, are easily accessible, and have high acceptability. The aim of this review and meta-analysis was to assess the effectiveness of music interventions in reducing anxiety levels among women during labor. Methods Seven databases from inception to the end of December, 2018, without any language or time restriction including Embase, PubMed, the Cochrane Library, the Cumulative Index to Nursing and Allied Health, PsycINFO, Airiti Library, and PerioPath: Index to Taiwan Periodical Literature were searched using key terms related to pregnancy, anxiety, and music. Randomized controlled trials that assessed the effect of music during labor and measured anxiety levels as an outcome were included. Meta-analyses were conducted to assess anxiety reduction following a music intervention compared to that after placebo treatment. Results A total of 14 studies that investigated a total of 1,310 participants were included in this review. The meta-analyses indicated that those in the intervention group had a significant decrease in anxiety scores (standardized mean difference = −2.40, 95% confidence interval (CI) [−3.29 to −1.52], p < 0.001; I2 = 97.66%), heart rate (HR) (difference in means = −3.04 beats/min, 95% CI [−4.79 to −1.29] beats/min, p = 0.001; I2 = 0.00%), systolic blood pressure (SBP) (difference in means = −3.71 mmHg, 95% CI [−7.07 to −0.35] mmHg, p = 0.031; I2 = 58.47%), and diastolic blood pressure (DBP) (difference in means = −3.54 mmHg, 95% CI [−5.27 to −1.81] mmHg, p < 0.001; I2 = 0.00%) as compared to the women in the control group. Conclusions Music interventions may decrease anxiety scores and physiological indexes related to anxiety (HR, SBP, and DBP). Music interventions may be a good non-pharmacological approach for decreasing anxiety levels during labor.

IntroductionThe pragmatic design has received much attention in the field of acupuncture clinical trials because of insufficient information about the specific effects of acupuncture. However, pragmatism in pragmatic acupuncture trials has not been comprehensively investigated. The PRECIS-2 tool was developed and has been gradually used to design pragmatic trials; therefore, we will apply the PRECIS-2 tool to investigate the pragmatism of pragmatic acupuncture trials in this study.Methods and analysisIn this systematic review, self-declared ‘pragmatic’ randomised clinical trials (RCTs) or protocols of self-declared ‘pragmatic’ RCTs investigating acupuncture will be searched and included to be reviewed. MEDLINE, EMBASE, the Cochrane Central Register for Controlled Trials, CINAHL, Allied and Complementary Medicine Database (AMED), China National Knowledge Infrastructure, VIP, WANFANG, Taiwan Periodical Literature Database, KoreaMed, KMbase, Research Information Service System, Oriental Medicine Advanced Searching Integrated System, CiNii and ClinicalTrials.gov for registered trials will be electronically searched from inception to March 2022. Protocols of published RCTs or secondary analysis of RCTs will be excluded. Additionally, no language restriction will be applied. Two authors will independently extract descriptive information and assess the pragmatism of pragmatic acupuncture trials using nine domains of the PRECIS-2 tool and one additional domain—control. Descriptive statistics will be reported for each domain and the overall score, and a one-sample t-test will be used to statistically analyse whether the score is greater than 3 (equally pragmatic and explanatory). The wheel diagrams of the nine domains of the PRECIS-2 tool will be used to demonstrate the pragmatism of the included studies.Ethics and disseminationEthical approval is not warranted as this study will obtain data from previously reported articles. The results will be disseminated through peer-reviewed journals and conferences.PROSPERO registration numberCRD42021236975.

The proportion of pet keeping has increased significantly. According to the survey results of Business Next, the proportion of Taiwan families keeping pets was 70% in 2020. Among them, the total number of fish pets was close to 33% of the overall pet proportion. Therefore, aquarium pets have become indispensable companions for families. At present, many studies have discussed intelligent aquarium systems. Through image recognition based on visual sensors, we may be able to detect and interpret the physiological status of the fish according to their physiological appearance. In this way, it can help to notify the owner as soon as possible to treat the fish or isolate them individually, so as to avoid the spread of infection. However, most aquarium pets are kept in groups. Traditional image recognition technologies often fail to recognize each fish’s physiological states precisely because of fish swimming behaviors, such as grouping swimming, shading with each other, flipping over, and so on. In view of this, this paper tries to address such problems and then proposes a practical scheme, which includes three phases. Specifically, the first phase tries to enhance the image recognition model for small features based on the prioritizing rules, thus improving the instant recognition capability. Then, the second phase exploits a designed fish-ID tracking mechanism and analyzes the physiological state of the same fish-ID through coherent frames, which can avoid temporal misidentification. Finally, the third phase leverages a fish-ID correction mechanism, which can detect and correct their IDs periodically and dynamically to avoid tracking confusion, and thus potentially improve the recognition accuracy. According to the experiment results, it was verified that our scheme has better recognition performance. The best accuracy and correctness ratio can reach up to 94.9% and 92.67%, which are improved at least 8.41% and 26.95%, respectively, as compared with the existing schemes.

Automatic packet reporting system (APRS) is selected as a candidate for automatic dependent surveillance-broadcast (ADS-B) like solution for unmanned aircraft system traffic management (UTM). The APRS on-board unit (OBU) at 0.5 W radio power and a proper ground transceiver station (GTS) deployment together makes up the infrastructure for unmanned aerial vehicle (UAV) surveillance. The airborne APRS OBU, designed and built using an available LightAPRS module, and the GTS to relay received data into the UTM Cloud is developed in this study. By system integration, the APRS OBU reports position data and flight data periodically to UTM Cloud. This paper presents the development of the ADS-B like operation for UTM using APRS. To avoid communication jamming by HAMs, the adopted APRS shifts its carrying frequency from 144.64 MHz to 144.61 MHz. In addition, the data period is tuned to around 10 s to test its functional capability. The APRS OBU downlinks 90 bytes of surveillance data onto the UTM cloud using the Internet, including position and flight data from Pixhawk flight controller (FC). A series of system performance verifications are conducted to examine APRS ADS-B like reliability and continuity with coverage limit. Through 19 flight tests, the GTS collected 1330 packets of data out of 1331 transmitted from the APRS OBU. Each data packet has the complete 90 bytes for surveillance with position and six degree-of-freedom (DoF) flight data on the UTM cloud. The APRS GTS deployment, with a low rate of missing data, covers a 40 km radius at the specific frequency of 144.61 MHz. The test results verify the functional capability of APRS to support an ADS-B like for UTM in Taiwan.

The influences of indoor plants on people have been examined by only three systematic reviews and no meta-analyses. The objective of this study was therefore to investigate the effects of indoor plants on individuals’ physiological, cognitive, health-related, and behavioral functions by conducting a systematic review with meta-analyses to fill the research gap. The eligibility criteria of this study were (1) any type of participants, (2) any type of indoor plants, (3) comparators without any plants or with other elements, (4) any type of objective human function outcomes, (5) any type of study design, and (6) publications in either English or Chinese. Records were extracted from the Web of Science (1990–), Scopus (1970–), WANFANG DATA (1980–), and Taiwan Periodical Literature (1970–). Therefore, at least two databases were searched in English and in Chinese—two of the most common languages in the world. The last search date of all four databases was on 18 February 2021. We used a quality appraisal system to evaluate the included records. A total of 42 records was included for the systematic review, which concluded that indoor plants affect participants’ functions positively, particularly those of relaxed physiology and enhanced cognition. Separate meta-analyses were then conducted for the effects of the absence or presence of indoor plants on human functions. The meta-analyses comprised only 16 records. The evidence synthesis showed that indoor plants can significantly benefit participants’ diastolic blood pressure (−2.526, 95% CI −4.142, −0.909) and academic achievement (0.534, 95% CI 0.167, 0.901), whereas indoor plants also affected participants’ electroencephalography (EEG) α and β waves, attention, and response time, though not significantly. The major limitations of this study were that we did not include the grey literature and used only two or three records for the meta-analysis of each function. In brief, to achieve the healthy city for people’s health and effective functioning, not only are green spaces needed in cities, but also plants are needed in buildings.

Background During the COVID-19 pandemic, personal health records (PHRs) have enabled patients to monitor and manage their medical data without visiting hospitals and, consequently, minimize their infection risk. Taiwan’s National Health Insurance Administration (NHIA) launched the My Health Bank (MHB) service, a national PHR system through which insured individuals to access their cross-hospital medical data. Furthermore, in 2019, the NHIA released the MHB software development kit (SDK), which enables development of mobile apps with which insured individuals can retrieve their MHB data. However, the NHIA MHB service has its limitations, and the participation rate among insured individuals is low. Objective We aimed to integrate the MHB SDK with our developed blockchain-enabled PHR mobile app, which enables patients to access, store, and manage their cross-hospital PHR data. We also collected and analyzed the app’s log data to examine patients’ MHB use during the COVID-19 pandemic. Methods We integrated our existing blockchain-enabled mobile app with the MHB SDK to enable NHIA MHB data retrieval. The app utilizes blockchain technology to encrypt the downloaded NHIA MHB data. Existing and new indexes can be synchronized between the app and blockchain nodes, and high security can be achieved for PHR management. Finally, we analyzed the app’s access logs to compare patients’ activities during high and low COVID-19 infection periods. Results We successfully integrated the MHB SDK into our mobile app, thereby enabling patients to retrieve their cross-hospital medical data, particularly those related to COVID-19 rapid and polymerase chain reaction testing and vaccination information and progress. We retrospectively collected the app’s log data for the period of July 2019 to June 2021. From January 2020, the preliminary results revealed a steady increase in the number of people who applied to create a blockchain account for access to their medical data and the number of app subscribers among patients who visited the outpatient department (OPD) and emergency department (ED). Notably, for patients who visited the OPD and ED, the peak proportions with respect to the use of the app for OPD and ED notes and laboratory test results also increased year by year. The highest proportions were 52.40% for ED notes in June 2021, 88.10% for ED laboratory test reports in May 2021, 34.61% for OPD notes in June 2021, and 41.87% for OPD laboratory test reports in June 2021. These peaks coincided with Taiwan’s local COVID-19 outbreak lasting from May to June 2021. Conclusions This study developed a blockchain-enabled mobile app, which can periodically retrieve and integrate PHRs from the NHIA MHB's cross-hospital data and the investigated hospital's self-pay medical data. Analysis of users’ access logs revealed that the COVID-19 pandemic substantially increased individuals’ use of PHRs and their health awareness with respect to COVID-19 prevention.

Background Improving HIV screening in key populations is a crucial strategy to achieve the goal of eliminating AIDS in 2030. Social networking platforms can be used to recruit high risk-taking men who have sex with men (MSM) to promote the delivery of voluntary counseling and testing (VCT) as mobile HIV testing. Therefore, client recruitment and availability of mobile HIV testing through social networking platforms requires further evaluation. Objective The aim of this study is to compare the effects of targeting high risk-taking MSM and HIV case finding between two mobile HIV testing recruitment approaches: through the traditional website-based approach and through social networking platforms. Methods A comparative study design and propensity score matching was applied. The traditional VCT model, that is, the control group, recruited MSM through a website, and a trained research assistant visited the walk-in testing station at a gay village on Friday and Saturday nights. The social networking VCT model, the experimental group, recruited MSM from social networking platforms by periodically reloading into and conducting web-based discussions on dating apps and Facebook. The participants then referred to others in their social networks via a popular messenger app in Taiwan. The test was conducted at a designated time and place during weekdays by a trained research assistant. Across both modes of contact, before the mobile HIV testing, participants needed to provide demographic characteristics and respond to a questionnaire about HIV risk-taking behaviors. Results We recruited 831 MSM over 6 months, with a completion rate of 8.56% (616/7200) in the traditional VCT model and 20.71% (215/1038) in the social networking VCT model. After propensity score matching, there were 215 MSM in each group (mean age 29.97, SD 7.61 years). The social networking model was more likely to reach MSM with HIV risk-taking behaviors, that is, those seeking sexual activity through social media, having multiple sexual partners and unprotected anal intercourse, having experience of recreational drug use, and never having or not regularly having an HIV test, compared with the traditional model. HIV positive rates (incidence rate ratio 3.40, 95% CI 1.089-10.584; P=.03) and clinic referral rates (incidence rate ratio 0.03, 95% CI 0.001-0.585; P=.006) were significantly higher among those in the social networking VCT model than in the traditional VCT model. Conclusions Through effective recruitment strategies on social networking platforms, the social networking VCT mode can be smoothly promoted, as compared with the traditional VCT model, to target high risk-taking MSM and increase testing outcomes.

The past few years we have witnessed a crystallization of soft computing as a means towards the conception and design of intelligent systems. Soft Computing is a synergetic integration of neural networks, fuzzy logic and evolutionary computation including genetic algorithms, chaotic systems, and belief networks. In this volume, we are featuting seven papers devoted to soft computing as a special issue. These papers are selected from papers submitted to the "The eighth International Fuzzy Systems Association World Congress (IFSA'99)", held in Taipei, Taiwan, in August 1999. Each paper received outstanding recommendations from its reviewers. G-H Tzeng et al. integrate fuzzy numbers, fuzzy regression, and a fuzzy DEA approach as a performance evaluation model for forecasting the productive efficiency of a set of production units when some data are fuzzy numbers. A case of Taipei City Bus Company is adopted for illustration. Y. Shi et al. adopts a fuzzy programming approach to solve a MCMDM (multiple criteria and multiple decision makers) capital budget problem. A solution procedure is proposed to systematically identify a fuzzy optimal selection of possible projects. N. Nguyen et al. propose a new formalism (Chu spaces) to describe parallelism and information flow. Chu spaces provide uniform explanations for different choices of fuzzy methodology, such as choices of fuzzy logical operations of membership functions or defuzzifications. M-C Su et al. propose a technique based on the SOM-based fuzzy systems for voltage security margin estimation. This technique was tested on 1604 simulated data randomly generated from operating conditions on the IEEE 30-bus system to indicate its high efficiency. By defining the concept of approximate dependency and a similarity measure, S-L Wang et al. present a method of using analogical reasoning to infer approximate answers for null queries on similarity-based fuzzy relational databases. K.Yeh et al. use adaptive fuzzy sliding mode control for the structural control of bridges. Combing fuzzy control and sliding mode control can reduce the complexity of fuzzy rule bases and ensure the stability and robustness. This model is demonstrated by three types of bridges, with LRB, sliding isolators and no isolation device. Based on a novel fuzzy clustering algorithm, Y-H Kuo et al. propose an adaptive traffic prediction approach to generalize and unveil the hidden structure of traffic patterns with features of robustness, high accuracy and high adaptability. The periodical, Poisson and real video traffic patterns have been used to verify their approach and investigate its properties. We would like to express our sincere gratitude to everyone who has contributed to this special issue including the authors, the co-reviewers, the JACI Editors-in-Chief Toshio Fukuda and Kaoru Hirota.

In massive bleaching events (losing symbiotic algae from corals), more sensitive corals are bleached earlier than other corals. To perform a comparison of bleaching susceptibility within and across coral species, a simple quantitative method is required. Accordingly, we present a laboratory-based method for comparing the bleaching susceptibility of various coral species by using a standardized image analysis protocol. Coral fragments were sampled from the colonies of five species selected from Kenting, southern Taiwan, and maintained in the same aquarium tank with circulating seawater; 2 seawater temperature regimes were used (i.e., fast-heating program (FHP), with a heating rate of 1 °C per day; and slow-heating program (SHP), with a heating rate of 1 °C per 3 days). Each coral fragment was photographed periodically, and the colored images were subsequently converted to grayscale images and then digitally analyzed to determine the standardized grayscale values (G0) by comparing with that of standard color strip. The G0 of a sample at each time of photographing during bleaching was divided by the difference of G0 between the acclimating and the same but completely bleached fragment to derive the relative grayscale (RG%) at a particular stage of bleaching; this is done for each coral fragment of a colony. The smaller the RG% of a coral fragment the closer it is approaching completely bleached condition. The level of decrease in RG% within a time series of images in each heating regime was used to establish a bleaching time index (BTI). The lower the BTI, the sooner to reach a defined bleaching level (e.g., 30%), this indicates the coral is more sensitive to thermal bleaching. In the experiment, we compared the bleaching susceptibility of the five species. Based on the proposed BTI, the five species were ranked in terms of bleaching susceptibility, and the rankings were identical between the two temperature regimes; three species in Pocilloporidae had lower BTI, whereas the hydrocoral Millepora species had the highest BTI. Within each heating regime, the BTI of different species were ranked and used to indicate susceptibility. In the FHP, the three Pocilloporidae species could be divided into two groups in terms of bleaching susceptibility. FHP not only displayed a higher differentiating capability on coal bleaching susceptibility than SHP, but also had a faster completion time, thus reducing the likelihood of unforeseen complications during the tank experiments. Our color-based method is easier and less effort-intensive than methods involving the assessment of zooxanthellae densities. Moreover, it requires much fewer replicates and all samples in one large tank (e.g., 300 L) for the studies considering multiple species comparisons. This method opens opportunities for studying the effects of species types, acclimatization (e.g., seasons), and environmental factors other than temperature on coral bleaching.

<p>當今全球暖化，城市面臨氣候變遷及二氧化碳排放量遽增，進而產生更明顯的都市熱島效應，所以現在更需加強城市整體耗能之未來減緩及調適策略訂定。本研究對臺中市及臺南市兩個城市都會區，進行碳收支項目的剖析與研究，並完整呈現出影響臺灣本土都會區總耗能量之特性。臺中市都會區採以單一案例街廓為基本單元，首重詳解建築碳排放量及交通碳排放量等項目，臺南市都會區以都市網格解析。本研究除量化都會區整體碳收支，更兼具涵蓋都市小尺度及大尺度範圍，並建立本土城市各項二氧化碳排放量多項式簡算法。兩個都會區中，針對各行政區的人口密度及整體耗能的關聯分析顯示，當一個行政區的人口密度愈高時，單位土地面積的碳排放量愈少，此趨勢特徵與都市基礎設施及其分擔之服務單位人口數有關。另本研究剖析都市各項影響因子及整合城市宜居環境評估指標後，首先提出建築運輸指標及地價財經指標，含括建築、交通、地價及收入等發展相關指標，得到臺中市都會區總碳排放量與建築運輸指標及地價財經指標，皆為正相關性，並與臺南市都會區因郊區使用分區的使用特性相比，產生兩者都會區明顯差異性。本研究同時建構出完整的關鍵城市耗能評估指標及策略模式，續以應用及推廣於辦理都市計畫定期通盤檢討。</p> <p>&nbsp;</p><p>Due to global warming, cities face climate change and increasing carbon dioxide emissions, making the urban heat island effect more pronounced. It is therefore necessary to strengthen mitigation and adjustment strategies for the city’s overall energy consumption in the future. This research analyzes and compares two metropolitan areas’ carbon budget projects in Taichung and Tainan, and comprehensively presents the characteristics that affect Taiwan’s metropolitan areas’ total energy consumption. The Taichung metropolitan area uses a single-case block profile as the basic unit and focuses on detailed building carbon emissions and transportation carbon emissions. In terms of the Tainan metropolitan area, the analysis is based on the urban grid. In addition to quantifying the metropolitan area’s overall carbon budget, this study also covers both small-scale and large-scale urban areas and establishes a simplified model for various carbon dioxide emissions in local cities. The overall energy consumption of the two metropolitan areas shows that an area with higher population density will induce less carbon emissions, which may due to the relationship between urban infrastructure and its quantity of service populations. Based on our analysis using the city’s livable environment’s assessment indicators, the evaluation results of building-transport indicators and real estate pricing indicators we developed an index which includes building, transport, land price, and income factors. The overall carbon emissions of the Taichung metropolitan area are positively correlated with building-transport indicators and real estate pricing indicators. Compared with the Tainan metropolitan area’s usage characteristics, due to suburban use, there are apparent differences between the two metropolitan areas. This research helped develop a complete urban energy consumption indicator and future strategy model, which can be promoted through regulations for the periodical review of urban planning. </p> <p>&nbsp;</p>

In this issue of Journal of Disaster Research, we introduce nine papers on societal responses to recent catastrophic disasters with special focus on long-term recovery processes in Japan and the United States. As disaster impacts increase, we also find that recovery times take longer and the processes for recovery become more complicated. On January 17th of 1995, a magnitude 7.2 earthquake hit the Hanshin and Awaji regions of Japan, resulting in the largest disaster in Japan in 50 years. In this disaster which we call the Kobe earthquake hereafter, over 6,000 people were killed and the damage and losses totaled more than 100 billion US dollars. The long-term recovery from the Kobe earthquake disaster took more than ten years to complete. One of the most important responsibilities of disaster researchers has been to scientifically monitor and record the long-term recovery process following this unprecedented disaster and discern the lessons that can be applied to future disasters. The first seven papers in this issue present some of the key lessons our research team learned from the studying the long-term recovery following the Kobe earthquake disaster. We have two additional papers that deal with two recent disasters in the United States – the terrorist attacks on World Trade Center in New York on September 11 of 2001 and the devastation of New Orleans by the 2005 Hurricane Katrina and subsequent levee failures. These disasters have raised a number of new research questions about long-term recovery that US researchers are studying because of the unprecedented size and nature of these disasters’ impacts. Mr. Mammen’s paper reviews the long-term recovery processes observed at and around the World Trade Center site over the last six years. Ms. Johnson’s paper provides a detailed account of the protracted reconstruction planning efforts in the city of New Orleans to illustrate a set of sufficient and necessary conditions for successful recovery. All nine papers in this issue share a theoretical framework for long-term recovery processes which we developed based first upon the lessons learned from the Kobe earthquake and later expanded through observations made following other recent disasters in the world. The following sections provide a brief description of each paper as an introduction to this special issue. 1. The Need for Multiple Recovery Goals After the 1995 Kobe earthquake, the long-term recovery process began with the formulation of disaster recovery plans by the City of Kobe – the most severely impacted municipality – and an overarching plan by Hyogo Prefecture which coordinated 20 impacted municipalities; this planning effort took six months. Before the Kobe earthquake, as indicated in Mr. Maki’s paper in this issue, Japanese theories about, and approaches to, recovery focused mainly on physical recovery, particularly: the redevelopment plans for destroyed areas; the location and standards for housing and building reconstruction; and, the repair and rehabilitation of utility systems. But the lingering problems of some of the recent catastrophes in Japan and elsewhere indicate that there are multiple dimensions of recovery that must be considered. We propose that two other key dimensions are economic recovery and life recovery. The goal of economic recovery is the revitalization of the local disaster impacted economy, including both major industries and small businesses. The goal of life recovery is the restoration of the livelihoods of disaster victims. The recovery plans formulated following the 1995 Kobe earthquake, including the City of Kobe’s and Hyogo Prefecture’s plans, all stressed these two dimensions in addition to physical recovery. The basic structure of both the City of Kobe’s and Hyogo Prefecture’s recovery plans are summarized in Fig. 1. Each plan has three elements that work simultaneously. The first and most basic element of recovery is the restoration of damaged infrastructure. This helps both physical recovery and economic recovery. Once homes and work places are recovered, Life recovery of the impacted people can be achieved as the final goal of recovery. Figure 2 provides a “recovery report card” of the progress made by 2006 – 11 years into Kobe’s recovery. Infrastructure was restored in two years, which was probably the fastest infrastructure restoration ever, after such a major disaster; it astonished the world. Within five years, more than 140,000 housing units were constructed using a variety of financial means and ownership patterns, and exceeding the number of demolished housing units. Governments at all levels – municipal, prefectural, and national – provided affordable public rental apartments. Private developers, both local and national, also built condominiums and apartments. Disaster victims themselves also invested a lot to reconstruct their homes. Eleven major redevelopment projects were undertaken and all were completed in 10 years. In sum, the physical recovery following the 1995 Kobe earthquake was extensive and has been viewed as a major success. In contrast, economic recovery and life recovery are still underway more than 13 years later. Before the Kobe earthquake, Japan’s policy approaches to recovery assumed that economic recovery and life recovery would be achieved by infusing ample amounts of public funding for physical recovery into the disaster area. Even though the City of Kobe’s and Hyogo Prefecture’s recovery plans set economic recovery and life recovery as key goals, there was not clear policy guidance to accomplish them. Without a clear articulation of the desired end-state, economic recovery programs for both large and small businesses were ill-timed and ill-matched to the needs of these businesses trying to recover amidst a prolonged slump in the overall Japanese economy that began in 1997. “Life recovery” programs implemented as part of Kobe’s recovery were essentially social welfare programs for low-income and/or senior citizens. 2. Requirements for Successful Physical Recovery Why was the physical recovery following the 1995 Kobe earthquake so successful in terms of infrastructure restoration, the replacement of damaged housing units, and completion of urban redevelopment projects? There are at least three key success factors that can be applied to other disaster recovery efforts: 1) citizen participation in recovery planning efforts, 2) strong local leadership, and 3) the establishment of numerical targets for recovery. Citizen participation As pointed out in the three papers on recovery planning processes by Mr. Maki, Mr. Mammen, and Ms. Johnson, citizen participation is one of the indispensable factors for successful recovery plans. Thousands of citizens participated in planning workshops organized by America Speaks as part of both the World Trade Center and City of New Orleans recovery planning efforts. Although no such workshops were held as part of the City of Kobe’s recovery planning process, citizen participation had been part of the City of Kobe’s general plan update that had occurred shortly before the earthquake. The City of Kobe’s recovery plan is, in large part, an adaptation of the 1995-2005 general plan. On January 13 of 1995, the City of Kobe formally approved its new, 1995-2005 general plan which had been developed over the course of three years with full of citizen participation. City officials, responsible for drafting the City of Kobe’s recovery plan, have later admitted that they were able to prepare the city’s recovery plan in six months because they had the preceding three years of planning for the new general plan with citizen participation. Based on this lesson, Odiya City compiled its recovery plan based on the recommendations obtained from a series of five stakeholder workshops after the 2004 Niigata Chuetsu earthquake. <strong>Fig. 1. </strong> Basic structure of recovery plans from the 1995 Kobe earthquake. <strong>Fig. 2. </strong> “Disaster recovery report card” of the progress made by 2006. Strong leadership In the aftermath of the Kobe earthquake, local leadership had a defining role in the recovery process. Kobe’s former Mayor, Mr. Yukitoshi Sasayama, was hired to work in Kobe City government as an urban planner, rebuilding Kobe following World War II. He knew the city intimately. When he saw damage in one area on his way to the City Hall right after the earthquake, he knew what levels of damage to expect in other parts of the city. It was he who called for the two-month moratorium on rebuilding in Kobe city on the day of the earthquake. The moratorium provided time for the city to formulate a vision and policies to guide the various levels of government, private investors, and residents in rebuilding. It was a quite unpopular policy when Mayor Sasayama announced it. Citizens expected the city to be focusing on shelters and mass care, not a ban on reconstruction. Based on his experience in rebuilding Kobe following WWII, he was determined not to allow haphazard reconstruction in the city. It took several years before Kobe citizens appreciated the moratorium. Numerical targets Former Governor Mr. Toshitami Kaihara provided some key numerical targets for recovery which were announced in the prefecture and municipal recovery plans. They were: 1) Hyogo Prefecture would rebuild all the damaged housing units in three years, 2) all the temporary housing would be removed within five years, and 3) physical recovery would be completed in ten years. All of these numerical targets were achieved. Having numerical targets was critical to directing and motivating all the stakeholders including the national government’s investment, and it proved to be the foundation for Japan’s fundamental approach to recovery following the 1995 earthquake. 3. Economic Recovery as the Prime Goal of Disaster Recovery In Japan, it is the responsibility of the national government to supply the financial support to restore damaged infrastructure and public facilities in the impacted area as soon as possible. The long-term recovery following the Kobe earthquake is the first time, in Japan’s modern history, that a major rebuilding effort occurred during a time when there was not also strong national economic growth. In contrast, between 1945 and 1990, Japan enjoyed a high level of national economic growth which helped facilitate the recoveries following WWII and other large fires. In the first year after the Kobe earthquake, Japan’s national government invested more than US$ 80 billion in recovery. These funds went mainly towards the repair and reconstruction of infrastructure and public facilities. Now, looking back, we can also see that these investments also nearly crushed the local economy. Too much money flowed into the local economy over too short a period of time and it also did not have the “trickle-down” effect that might have been intended. To accomplish numerical targets for physical recovery, the national government awarded contracts to large companies from Osaka and Tokyo. But, these large out-of-town contractors also tended to have their own labor and supply chains already intact, and did not use local resources and labor, as might have been expected. Essentially, ten years of housing supply was completed in less than three years, which led to a significant local economic slump. Large amounts of public investment for recovery are not necessarily a panacea for local businesses, and local economic recovery, as shown in the following two examples from the Kobe earthquake. A significant national investment was made to rebuild the Port of Kobe to a higher seismic standard, but both its foreign export and import trade never recovered to pre-disaster levels. While the Kobe Port was out of business, both the Yokohama Port and the Osaka Port increased their business, even though many economists initially predicted that the Kaohsiung Port in Chinese Taipei or the Pusan Port in Korea would capture this business. Business stayed at all of these ports even after the reopening of the Kobe Port. Similarly, the Hanshin Railway was severely damaged and it took half a year to resume its operation, but it never regained its pre-disaster readership. In this case, two other local railway services, the JR and Hankyu lines, maintained their increased readership even after the Hanshin railway resumed operation. As illustrated by these examples, pre-disaster customers who relied on previous economic output could not necessarily afford to wait for local industries to recover and may have had to take their business elsewhere. Our research suggests that the significant recovery investment made by Japan’s national government may have been a disincentive for new economic development in the impacted area. Government may have been the only significant financial risk-taker in the impacted area during the national economic slow-down. But, its focus was on restoring what had been lost rather than promoting new or emerging economic development. Thus, there may have been a missed opportunity to provide incentives or put pressure on major businesses and industries to develop new businesses and attract new customers in return for the public investment. The significant recovery investment by Japan’s national government may have also created an over-reliance of individuals on public spending and government support. As indicated in Ms. Karatani’s paper, individual savings of Kobe’s residents has continued to rise since the earthquake and the number of individuals on social welfare has also decreased below pre-disaster levels. Based on our research on economic recovery from the Kobe earthquake, at least two lessons emerge: 1) Successful economic recovery requires coordination among all three recovery goals – Economic, Physical and Life Recovery, and 2) “Recovery indices” are needed to better chart recovery progress in real-time and help ensure that the recovery investments are being used effectively. Economic recovery as the prime goal of recovery Physical recovery, especially the restoration of infrastructure and public facilities, may be the most direct and socially accepted provision of outside financial assistance into an impacted area. However, lessons learned from the Kobe earthquake suggest that the sheer amount of such assistance may not be effective as it should be. Thus, as shown in Fig. 3, economic recovery should be the top priority goal for recovery among the three goals and serve as a guiding force for physical recovery and life recovery. Physical recovery can be a powerful facilitator of post-disaster economic development by upgrading social infrastructure and public facilities in compliance with economic recovery plans. In this way, it is possible to turn a disaster into an opportunity for future sustainable development. Life recovery may also be achieved with a healthy economic recovery that increases tax revenue in the impacted area. In order to achieve this coordination among all three recovery goals, municipalities in the impacted areas should have access to flexible forms of post-disaster financing. The community development block grant program that has been used after several large disasters in the United States, provide impacted municipalities with a more flexible form of funding and the ability to better determine what to do and when. The participation of key stakeholders is also an indispensable element of success that enables block grant programs to transform local needs into concrete businesses. In sum, an effective economic recovery combines good coordination of national support to restore infrastructure and public facilities and local initiatives that promote community recovery. Developing Recovery Indices Long-term recovery takes time. As Mr. Tatsuki’s paper explains, periodical social survey data indicates that it took ten years before the initial impacts of the Kobe earthquake were no longer affecting the well-being of disaster victims and the recovery was completed. In order to manage this long-term recovery process effectively, it is important to have some indices to visualize the recovery processes. In this issue, three papers by Mr. Takashima, Ms. Karatani, and Mr. Kimura define three different kinds of recovery indices that can be used to continually monitor the progress of the recovery. Mr. Takashima focuses on electric power consumption in the impacted area as an index for impact and recovery. Chronological change in electric power consumption can be obtained from the monthly reports of power company branches. Daily estimates can also be made by tracking changes in city lights using a satellite called DMSP. Changes in city lights can be a very useful recovery measure especially at the early stages since it can be updated daily for anywhere in the world. Ms. Karatani focuses on the chronological patterns of monthly macro-statistics that prefecture and city governments collect as part of their routine monitoring of services and operations. For researchers, it is extremely costly and virtually impossible to launch post-disaster projects that collect recovery data continuously for ten years. It is more practical for researchers to utilize data that is already being collected by local governments or other agencies and use this data to create disaster impact and recovery indices. Ms. Karatani found three basic patterns of disaster impact and recovery in the local government data that she studied: 1) Some activities increased soon after the disaster event and then slumped, such as housing construction; 2) Some activities reduced sharply for a period of time after the disaster and then rebounded to previous levels, such as grocery consumption; and 3) Some activities reduced sharply for a while and never returned to previous levels, such as the Kobe Port and Hanshin Railway. Mr. Kimura focuses on the psychology of disaster victims. He developed a “recovery and reconstruction calendar” that clarifies the process that disaster victims undergo in rebuilding their shattered lives. His work is based on the results of random surveys. Despite differences in disaster size and locality, survey data from the 1995 Kobe earthquake and the 2004 Niigata-ken Chuetsu earthquake indicate that the recovery and reconstruction calendar is highly reliable and stable in clarifying the recovery and reconstruction process. <strong>Fig. 3.</strong> Integrated plan of disaster recovery. 4. Life Recovery as the Ultimate Goal of Disaster Recovery Life recovery starts with the identification of the disaster victims. In Japan, local governments in the impacted area issue a “damage certificate” to disaster victims by household, recording the extent of each victim’s housing damage. After the Kobe earthquake, a total of 500,000 certificates were issued. These certificates, in turn, were used by both public and private organizations to determine victim’s eligibility for individual assistance programs. However, about 30% of those victims who received certificates after the Kobe earthquake were dissatisfied with the results of assessment. This caused long and severe disputes for more than three years. Based on the lessons learned from the Kobe earthquake, Mr. Horie’s paper presents (1) a standardized procedure for building damage assessment and (2) an inspector training system. This system has been adopted as the official building damage assessment system for issuing damage certificates to victims of the 2004 Niigata-ken Chuetsu earthquake, the 2007 Noto-Peninsula earthquake, and the 2007 Niigata-ken Chuetsu Oki earthquake. Personal and family recovery, which we term life recovery, was one of the explicit goals of the recovery plan from the Kobe earthquake, but it was unclear in both recovery theory and practice as to how this would be measured and accomplished. Now, after studying the recovery in Kobe and other regions, Ms. Tamura’s paper proposes that there are seven elements that define the meaning of life recovery for disaster victims. She recently tested this model in a workshop with Kobe disaster victims. The seven elements and victims’ rankings are shown in Fig. 4. Regaining housing and restoring social networks were, by far, the top recovery indicators for victims. Restoration of neighborhood character ranked third. Demographic shifts and redevelopment plans implemented following the Kobe earthquake forced significant neighborhood changes upon many victims. Next in line were: having a sense of being better prepared and reducing their vulnerability to future disasters; regaining their physical and mental health; and restoration of their income, job, and the economy. The provision of government assistance also provided victims with a sense of life recovery. Mr. Tatsuki’s paper summarizes the results of four random-sample surveys of residents within the most severely impacted areas of Hyogo Prefecture. These surveys were conducted biannually since 1999,. Based on the results of survey data from 1999, 2001, 2003, and 2005, it is our conclusion that life recovery took ten years for victims in the area impacted significantly by the Kobe earthquake. Fig. 5 shows that by comparing the two structural equation models of disaster recovery (from 2003 and 2005), damage caused by the Kobe earthquake was no longer a determinant of life recovery in the 2005 model. It was still one of the major determinants in the 2003 model as it was in 1999 and 2001. This is the first time in the history of disaster research that the entire recovery process has been scientifically described. It can be utilized as a resource and provide benchmarks for monitoring the recovery from future disasters. <strong>Fig. 4.</strong> Ethnographical meaning of “life recovery” obtained from the 5th year review of the Kobe earthquake by the City of Kobe. <strong>Fig. 5.</strong> Life recovery models of 2003 and 2005. 6. The Need for an Integrated Recovery Plan The recovery lessons from Kobe and other regions suggest that we need more integrated recovery plans that use physical recovery as a tool for economic recovery, which in turn helps disaster victims. Furthermore, we believe that economic recovery should be the top priority for recovery, and physical recovery should be regarded as a tool for stimulating economic recovery and upgrading social infrastructure (as shown in Fig. 6). With this approach, disaster recovery can help build the foundation for a long-lasting and sustainable community. Figure 6 proposes a more detailed model for a more holistic recovery process. The ultimate goal of any recovery process should be achieving life recovery for all disaster victims. We believe that to get there, both direct and indirect approaches must be taken. Direct approaches include: the provision of funds and goods for victims, for physical and mental health care, and for housing reconstruction. Indirect approaches for life recovery are those which facilitate economic recovery, which also has both direct and indirect approaches. Direct approaches to economic recovery include: subsidies, loans, and tax exemptions. Indirect approaches to economic recovery include, most significantly, the direct projects to restore infrastructure and public buildings. More subtle approaches include: setting new regulations or deregulations, providing technical support, and creating new businesses. A holistic recovery process needs to strategically combine all of these approaches, and there must be collaborative implementation by all the key stakeholders, including local governments, non-profit and non-governmental organizations (NPOs and NGOs), community-based organizations (CBOs), and the private sector. Therefore, community and stakeholder participation in the planning process is essential to achieve buy-in for the vision and desired outcomes of the recovery plan. Securing the required financial resources is also critical to successful implementation. In thinking of stakeholders, it is important to differentiate between supporting entities and operating agencies. Supporting entities are those organizations that supply the necessary funding for recovery. Both Japan’s national government and the federal government in the U.S. are the prime supporting entities in the recovery from the 1995 Kobe earthquake and the 2001 World Trade Center recovery. In Taiwan, the Buddhist organization and the national government of Taiwan were major supporting entities in the recovery from the 1999 Chi-Chi earthquake. Operating agencies are those organizations that implement various recovery measures. In Japan, local governments in the impacted area are operating agencies, while the national government is a supporting entity. In the United States, community development block grants provide an opportunity for many operating agencies to implement various recovery measures. As Mr. Mammen’ paper describes, many NPOs, NGOs, and/or CBOs in addition to local governments have had major roles in implementing various kinds programs funded by block grants as part of the World Trade Center recovery. No one, single organization can provide effective help for all kinds of disaster victims individually or collectively. The needs of disaster victims may be conflicting with each other because of their diversity. Their divergent needs can be successfully met by the diversity of operating agencies that have responsibility for implementing recovery measures. In a similar context, block grants made to individual households, such as microfinance, has been a vital recovery mechanism for victims in Thailand who suffered from the 2004 Sumatra earthquake and tsunami disaster. Both disaster victims and government officers at all levels strongly supported the microfinance so that disaster victims themselves would become operating agencies for recovery. Empowering individuals in sustainable life recovery is indeed the ultimate goal of recovery. <strong>Fig. 6.</strong> A holistic recovery policy model.

Aim: Examining the association between HLA-A/B alleles and different carbamazepine (CBZ)-induced cutaneous adverse reactions in the Chinese population. Methods: A systematic review and meta-analysis of case–control studies was conducted. A systematic search was conducted of PubMed, Embase, the Cochrane Library, National Knowledge Infrastructure, the Chinese Biomedical Literature database and Wanfang Digital Periodicals. Results: 23 studies with a total of 1174 patients were included. In the Han population, HLA-B*15:02 is significantly associated with the increased risk of CBZ-related Stevens–Johnson syndrome/toxic epidermal necrolysis, and this correlation was not related to geographic distribution. HLA-A*31:01, B*38:02 are associated with CBZ-related maculopapular eruption in South Han population. HLA-A*31:01 is associated with CBZ-DRESS in Taiwan Han population. Conclusion: HLA-B*15:02, A*31:01 and B*38:02 genes were found to be involved in the occurrence of CBZ cutaneous adverse reactions in Han Chinese.

AbstractBackgroundRare mutations in NADH:ubiquinone oxidoreductase complex assembly factor 5 (NDUFAF5) are linked to Leigh syndrome.ObjectiveWe aimed to describe clinical characteristics and functional findings in a patient cohort with NDUFAF5 mutations.MethodsPatients with biallelic NDUFAF5 mutations were recruited from multi‐centers in Taiwan. Clinical, laboratory, radiological, and follow‐up features were recorded and mitochondrial assays were performed in patients' skin fibroblasts.ResultsNine patients from seven unrelated pedigrees were enrolled, eight homozygous for c.836 T > G (p.Met279Arg) in NDUFAF5 and one compound heterozygous for p.Met279Arg. Onset age had a bimodal distribution. The early‐onset group (age <3 years) presented with psychomotor delay, seizure, respiratory failure, and hyponatremia. The late‐onset group (age ≥5 years) presented with normal development, but slowly progressive dystonia. Combing 25 previously described patients, the p.Met279Arg variant was exclusively identified in Chinese ancestry. Compared with other groups, patients with late‐onset homozygous p.Met279Arg were older at onset (P = 0.008), had less developmental delay (P = 0.01), less hyponatremia (P = 0.01), and better prognosis with preserved ambulatory function into early adulthood (P = 0.01). Bilateral basal ganglia necrosis was a common radiological feature, but brainstem and spinal cord involvement was more common with early‐onset patients (P = 0.02). A modifier gene analysis showed higher concomitant mutation burden in early—versus late‐onset p.Met279Arg homozygous cases (P = 0.04), consistent with more impaired mitochondrial function in fibroblasts from an early‐onset case than a late‐onset patient.ConclusionsThe p.Met279Arg variant is a common mutation in our population with phenotypic heterogeneity and divergent prognosis based on age at onset. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Abstract Background Reporting quality is a critical issue in health sciences. Adopting the reporting guidelines has been approved to be an effective way of enhancing the reporting quality and transparency of clinical research. In 2012, we found that only 7 (7/1221, 0.6%) journals adopted the Consolidated Standards of Reporting Trials (CONSORT) statement in China. The aim of the study was to know the implementation status of CONSORT and other reporting guidelines about clinical studies in China. Methods A cross-sectional bibliometric study was conducted. Eight medical databases were systematically searched, and 1039 medical journals published in mainland China, Hong Kong, Macau, and Taiwan were included. The basic characteristics, including subject, language, publication place, journal-indexed databases, and journal impact factors were extracted. The endorsement of reporting guidelines was assessed by a modified 5-level evaluation tool, namely i) positive active, ii) positive weak, iii) passive moderate, iv) passive weak and v) none. Results Among included journals, 24.1% endorsed CONSORT, and 0.8% endorsed CONSORT extensions. For STROBE (STrengthening the Reporting of Observational Studies in Epidemiology), PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), STARD (An Updated List of Essential Items for Reporting Diagnostic Accuracy Studies), CARE (CAse REport guidelines), the endorsement proportion were 17.2, 16.6, 16.4, and 14.8% respectively. The endorsement proportion for SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials), TRIPOD (Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis), AGREE (Appraisal of Guidelines, Research, and Evaluation), and RIGHT (Reporting Items for Practice Guidelines in Healthcare) were below 0.7%. Conclusions Our results showed that the implementation of reporting guidelines was low. We suggest the following initiatives including i) enhancing the level of journal endorsement for reporting guidelines; ii) strengthening the collaboration among authors, reviewers, editors, and other stakeholders; iii) providing training courses for stakeholders; iv) establishing bases for reporting guidelines network in China; v) adopting the endorsement of reporting guidelines in the policies of the China Periodicals Association (CPA); vi) promoting Chinese medical journals into the international evaluation system and publish in English.

Abstract Background Bereavement experience is shaped by cultural and social contexts. No systematically constructed reviews were identified to explore the bereavement experience for people who are influenced by Chinese culture valuing filial piety and mutual dependence. This review aimed to systematically review the bereavement experience of Taiwanese family members living in Taiwan following an expected death. Methods MEDLINE, PsycINFO, CINAHL, China Academic Journal Database, and Chinese Electronic Periodical Services were searched with no date restrictions from inception to 20 October 2022. The methodological rigour of studies was assessed using Hawker’s appraisal tool. A narrative synthesis approach using Popay’s work was employed to synthesise the findings of the studies. Studies investigating Taiwanese family members’ bereavement experiences were included. We excluded papers studying bereavement through the death of a child. Results Searches retrieved 12,735 articles (after de-duplication), 17 of which met the inclusion criteria and were included for synthesis: English [9] and Chinese [8], published between 2006 and 2021. The studies varied in quality with scores ranging from 22 to 33 out of 36. The studies differed in the relationship between participants and the deceased, the bereaved time frames, and the definitions of bereavement. Most studies focussed on family members of cancer patients receiving specialist palliative care. Three bereavement theories and four tools were used. Risk factors of bereavement outcomes included family members feeling less prepared for death and deaths where palliative sedative therapy was used. Protective factors were higher caregiving burden and longer caregiving periods. Four themes regarding Taiwanese bereavement experience were generated: multiple impacts of death; problem-based coping strategies; importance of maintaining connections; influential religious beliefs and rituals. Conclusion Continuing the relationship with the deceased is a key element of Taiwanese bereavement experience and it is influenced by religious and cultural beliefs. Suppressing or hiding emotions during bereavement to connect with the deceased and maintain harmonious relationships needs to be acknowledged as culturally acceptable and encouraged by some religions in Taiwan. The findings could be potentially relevant for other Chinese populations, predominantly Buddhist countries or other East Asian societies. The role of preparing for death in bereavement outcomes is little understood and requires further research.

Abstract Background Preventive health checkups have gained in importance over the last decade. The association of health checkups and the number of diseases with health-related quality of life (HRQoL), including physical and mental health, remains unclear. We sought to investigate the aforementioned association among Taiwanese public servants. Methods A cross-sectional survey was conducted using randomized and multistage stratified cluster sampling based on proportional probabilistic sampling. The questionnaires addressed demographics, job characteristics, health behaviors, health status, 3 types of health checkups during the preceding 3 years (government-paid health checkup [GPHC], self-paid health checkup [SPHC], and no health checkup [NOHC]), and physical component summary (PCS) and mental component summary (MCS) scores of the Short-Form Health Survey. In total 11,454 middle-aged public servants were analyzed. A multivariate general linear model (GLM) was used to estimate PCS and MCS scores by using least square means. Results Health checkup types were associated with a significant difference in PCS scores among the public servants. Scores of PCS and MCS were both significantly higher in the GPHC group than in the NOHC group for those with no chronic diseases (51.20 vs. 50.66 [P = 0.008] and 46.23 vs. 45.58 [P = 0.02], respectively). Compared with the NOHC group, both scores of GPHC and SPHC groups were significantly associated with higher PCS scores for public servants with ≥ 2 chronic diseases (46.93 vs. 45.13 [P = 0.002] and 46.52 vs. 45.13 [P = 0.009], respectively). Conclusion In Taiwan, public servants undergoing GPHCs are more likely to report higher PCS scores than are those undergoing SPHCs. It is crucial that encourage periodically using the health checkup to improve health status and HRQoL.

AbstractCross‐shelf penetrating fronts (CPFs) induce significant cross‐shelf exchange of water properties and nutrients, and thus are important to coastal environments. In this study, the characteristics and mechanisms of realistic large‐scale CPFs in the East China Sea in summer were investigated based on a data assimilative model. The model reproduced CPFs matched well with satellite observations. Although the cross‐shelf currents were predominantly offshore off the Zhe‐Min Coast, only three strong large‐scale CPFs occurred in the summer of 2014. The three‐dimensional structure of CPF in the model was similar with that observed in previous research. Two different mechanisms were responsible for the formation of observed CPFs. Two CPFs formed as a result of the convergence of the Taiwan Warm Current (TWC) and the Zhe‐Min Coastal Current (ZMCC), while the other one was caused by the undulation of thermocline. Heat budget analysis suggests that the undulation of thermocline was caused by horizontal and vertical advection. Sensitivity experiments suggest that southerly wind relaxation and tidal forcing are indispensable conditions for CPF formation. Tidal forcing makes the axis of the ZMCC shift offshore by ∼50 km, so that the ZMCC could impinge right against the axis of the TWC. The relaxation of the southerly winds allows the ZMCC to extend southward. Southerly wind relaxation in summer is mostly associated with tropical cyclones. Without winds and synoptic variation of the TWC, CPFs form periodically due to the strengthening of the ZMCC during neap tide period.

Abstract Background Pragmatic acupuncture trials (PATs) are a research tool for assessing the effectiveness of acupuncture treatments in a real-world setting. This study aimed to provide a comprehensive methodological analysis of PATs using the PRECIS-2(PRagmatic Explanatory Continuum Indicator Summary-2) tool to determine their pragmatism. Methods The MEDLINE, EMBASE, Cochrane Central Register for Controlled Trials, CINAHL, Allied and Complementary Medicine Database, China National Knowledge Infrastructure, VIP, WANFANG, Taiwan Periodical Literature Database, KoreaMed, KMbase, Research Information Service System, Oriental Medicine Advanced Searching Integrated System, CiNii and ClinicalTrials.gov were searched. The search included randomised controlled trials (RCTs) and protocols of RCTs that investigated all types of acupuncture and used self-declared pragmatic design. Two authors independently collected the basic information and characteristics of the studies and assessed their pragmatism using the nine PRECIS-2 domains and the additional domain of control. Results A total of 93 studies were included. The means of eligibility, recruitment, organisation, primary outcome, primary analysis, and control domains were statistically larger than three and were shown to be pragmatic. The means of setting, flexibility:delivery, and follow-up domains were not greater than three and were shown to be non-pragmatic. For flexibility:adherence domain was inappropriate for assessment owing to insufficient information in the studies. Conclusions PATs were pragmatic in the domain of eligibility, recruitment, organisation, primary outcome, primary analysis, and control and were not pragmatic in the domain of setting, flexibility:delivery, and follow-up. Future PATs need to strengthen the pragmatism in the setting, flexibility:delivery, and follow-up domains and to describe the flexibility:adherence domain in more detail. Trial registration CRD42021236975.