Business English reading teaching under the mode of“literature circles”focuses on cultivating students’autonomy in reading,group cooperation,and the exchange of ideas among group members.In this teaching mode,teach...Business English reading teaching under the mode of“literature circles”focuses on cultivating students’autonomy in reading,group cooperation,and the exchange of ideas among group members.In this teaching mode,teachers are no longer the masters of the reading classroom,but the helpers,participants,and researchers in the process of students’reading.The reconstruction of teachers’role can promote the benign development of relationship not only between teachers and students,but also between students and students,inject new impetus and vitality into the classroom,and improve students’reading literacy.展开更多
During the most recent years, a variety of new techniques of penile reconstruction have been described in the literature. This paper focuses on the most recent advances in male genital reconstruction after trauma, exc...During the most recent years, a variety of new techniques of penile reconstruction have been described in the literature. This paper focuses on the most recent advances in male genital reconstruction after trauma, excision of benign and malignant disease, in gender reassignment surgery and aphallia with emphasis on surgical technique, cosmetic and functional outcome.展开更多
Conductivities tomography with the interactions of magnetic field, electrical field, and ultrasound field is presented in this paper. We utilize a beam of ultrasound in scanning mode instead of the traditional ultraso...Conductivities tomography with the interactions of magnetic field, electrical field, and ultrasound field is presented in this paper. We utilize a beam of ultrasound in scanning mode instead of the traditional ultrasound field generated by point source. Many formulae for the reconstruction of conductivities are derived from the voltage signals detected by two electrodes arranged somewhere on tissue's surface. In a forward problem, the numerical solutions of ultrasound fields generated by the piston transducer are calculated using the angular spectrum method and its Green's function is designed approximately in far fields. In an inverse problems, the magneto-acousto-electrical voltage signals are proved to satisfy the wave equations if the voltage signals are extended to the whole region from the boundary locations of transducers. Thus the time-reversal method is applied to reconstructing the curl of the reciprocal current density. In addition, a least square iteration method of recovering conductivities from reciprocal current densities is discussed.展开更多
In Shamir’s(t,n) threshold of the secret sharing scheme, a secret is divided into n shares by a dealer and is shared among n shareholders in such a way that (a) the secret can be reconstructed when there are t or mor...In Shamir’s(t,n) threshold of the secret sharing scheme, a secret is divided into n shares by a dealer and is shared among n shareholders in such a way that (a) the secret can be reconstructed when there are t or more than t shares;and (b) the secret cannot be obtained when there are fewer than t shares. In the secret reconstruction, participating users can be either legitimate shareholders or attackers. Shamir’s scheme only considers the situation when all participating users are legitimate shareholders. In this paper, we show that when there are more than t users participating and shares are released asynchronously in the secret reconstruction, an attacker can always release his share last. In such a way, after knowing t valid shares of legitimate shareholders, the attacker can obtain the secret and therefore, can successfully impersonate to be a legitimate shareholder without being detected. We propose a simple modification of Shamir’s scheme to fix this security problem. Threshold cryptography is a research of group-oriented applications based on the secret sharing scheme. We show that a similar security problem also exists in threshold cryptographic applications. We propose a modified scheme to fix this security problem as well.展开更多
When the historic probabilistic S-N curves are given under special survival probability and confidence levels and there is no possible to re-test, fatigue reliability analysis at other levels can not be done except fo...When the historic probabilistic S-N curves are given under special survival probability and confidence levels and there is no possible to re-test, fatigue reliability analysis at other levels can not be done except for the special levels. Therefore, the wide applied curves are expected. Monte Carlo reconstruction methods of the test data and the curves are investigated under fatigue life following lognormal distribution. To overcome the non-conservative assessment of existent man-made enlarging the sample size up to thousands, a simulation policy is employed to address the true production where the sample size is controlled less than 20 for material specimens, 10 for structural component specimens and the errors matching the statistical parameters are less than 5 percent. Availability and feasibility of the present methods have been indicated by the reconstruction practice of the test data and curves for 60Si2Mn high strength spring steel of railway industry.展开更多
The primary objective of this study is to apply the Evaluation Grid Method(EGM)and the continuous fuzzy Kano quality model to explore the cognitive preferences of Taiwan China residents regarding the beauty of Taiwan...The primary objective of this study is to apply the Evaluation Grid Method(EGM)and the continuous fuzzy Kano quality model to explore the cognitive preferences of Taiwan China residents regarding the beauty of Taiwan’s China landscape paintings.The aim is to contribute to the development of social and cultural art and promote the widespread appeal of art products.Through a literature review,consultations with aesthetic experts,and the application of Miryoku Engineering’s EGM,this paper consolidates the factors that contribute to the attractiveness of painting art products among Taiwan China residents,taking into account various aesthetic qualities.Simultaneously,the paper introduces the use of the triangular fuzzy golden ratio scale semantics,specifically the equal-ratio aesthetic scale semantics,as a replacement for the traditional subjective consciousness model.Departing from the traditional discrete Kano model that employs the mode as the standard for evaluating quality,this study applies triangular fuzzy numbers to the continuous Kano quality model to analyze the diverse preferences and evaluation standards of the public.The hope is that this research methodology will not only deepen Taiwan China residents’understanding and aesthetic literacy of painting art but also serve as a reference for the popularization of art products.展开更多
<strong>Introduction: </strong>Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of li...<strong>Introduction: </strong>Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of life. BREAST-Q is a PROM (Patient Reported Outcome Measures) that has proven useful in measuring satisfaction with breast reconstruction results from the patient’s point of view. <strong>Objectives:</strong> To measure the satisfaction index and improvement in quality of life after breast reconstruction for breast cancer sequelae in our hospital in the last 5 years.<strong> Materials and Methods:</strong> Descriptive Study that includes patients with Breast cancer diagnosis that underwent mastectomy and breast reconstruction (prosthesis or autologous tissue) in “Hospital Central Sur de Petroleos Mexicanos” (January 2015 to January 2020), whose satisfaction index was measured with BREAST-Q one year after reconstruction. <strong>Results:</strong> 153 patients were included in the analysis. Mean global satisfaction was 74 points. We observed a tendency towards higher psychosocial, sexual and appearance satisfaction in patients who underwent reconstruction with autologous tissue. The mean satisfaction with provided information was 64 points and with the medical team > 90 points. <strong>Conclusion:</strong> Breast reconstruction is associated to a high satisfaction index and quality of life improvement regardless of the technique. BREAST-Q proved to be useful in evaluating patient experience and it helped us identify areas of opportunity to improve our care.展开更多
Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their pro...Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their process against the ones who start it but did not finish it. The aim of our retrospective study was to analyze the results in terms of satisfaction after one year of undergoing to complete breast reconstruction (CBR) vs incomplete breast reconstruction (IBR). Materials and Methods: Retrospective study of patients that underwent breast reconstruction (BR) surgery after mastectomy for breast cancer treatment. Performed at Hospital Central Sur de Alta Especialidad PEMEX in Mexico City, including patients from January 1, 2015 to January 01, 2020. Demographic baseline variables were included. BREAST-Q satisfaction questionnaires one year after the last reconstructive procedure were analyzed. Results: A total of 44 patients fulfilled the inclusion criteria. Of these 44 patients, 11 were included in the IBR group, and 33 patients in the CBR group. There were no statistically significant differences between the two groups in terms of age (IBR 56.09 vs CBR 53.06 years, p = 0.321);BMI (IBR 27.94 vs CBR 26.40, p = 0.253), time from mastectomy to first reconstructive procedure (IBR 22.8 vs CBR 31 months, p = 0.957), history of chemotherapy (IBR 27.3% vs CBR 33.3%, p = 0.709) and radiotherapy (IBR 54.5% vs CBR 42.4%, p = 0.484), additionally type of reconstruction, affected side or complication rate were not significantly different. Regarding postoperative satisfaction, only the second module of satisfaction with breasts displayed statistically significant differences, with a higher score in the CBR group (46.27 vs 52.27, p = 0.019). Other items explored didn’t show significant differences. Discussion: The data reported in this study suggest that regardless of whether the last stage of a BR is reached, the results in these settings can be very similar in terms of psychosocial well-being, sexual well-being, physical well-being regarding the chest area, with some degree of better perception of her breasts. Conclusion: This study suggests that the results in terms of satisfaction in BR after mastectomy for breast cancer are quite similar for patients who decide to take only the first reconstructive stage, compared with those that finished all the process along, this may be a valuable tool for decision making.展开更多
The novel Banengannen’s Soccer Team published in 1967has been classified as historical"meta narration"of Kenzaburo Oe.In the novel,there are two main characters—Mitsusaburo and Takashi,both of whom represe...The novel Banengannen’s Soccer Team published in 1967has been classified as historical"meta narration"of Kenzaburo Oe.In the novel,there are two main characters—Mitsusaburo and Takashi,both of whom represent two ways of exploring the historical truth.In the process of exploration of the two characters,Kenzaburo Oe symbolically analyzed the value presetting of the Japanese people—getting one’s own value through projecting the"Emperor",recreating a new chapter of history from personal experience.展开更多
An alternative concept or framework of reference is presented in this paper on the basis of Science of Human Settlements through the discussion of the relationship between the reconstruction and the development of the...An alternative concept or framework of reference is presented in this paper on the basis of Science of Human Settlements through the discussion of the relationship between the reconstruction and the development of the economy and society. Unprecedented conflicts and problems have emerged on an unprecedented scale in the urban and rural construction, which is moving forward at an unprecedented speed. In this context it appears significant to set up and develop a science which studies the "conservation and development" in the general terms of the human habitat.展开更多
BACKGROUND Barrett’s esophagus(BE)is a pre-malignant condition associated with the development of esophageal adenocarcinoma.The prevalence of BE in the general populations of Asian countries ranges from 0.06%to 1%.Ho...BACKGROUND Barrett’s esophagus(BE)is a pre-malignant condition associated with the development of esophageal adenocarcinoma.The prevalence of BE in the general populations of Asian countries ranges from 0.06%to 1%.However,with lifestyle changes in Asian countries and adoption of western customs,the prevalence of BE might have increased.AIM To determine the current prevalence of BE in Taiwan,and to investigate risk factors predicting the presence of BE.METHODS This retrospective study was conducted at the Health Evaluation Center of Kaohsiung Veterans General Hospital in Taiwan.Between January 2015 and December 2015,3385 subjects undergoing routine esophagogastroduodenoscopy examinations as part of a health check-up at the Health Evaluation Center were included.Patient characteristics and endoscopic findings were carefully reviewed.Lesions with endoscopic findings consistent with BE awaiting histological evaluation were judged as endoscopically suspected esophageal metaplasia(ESEM).BE was defined based on extension of the columnar epithelium≥1 cm above the gastroesophageal junction and was confirmed based on the presence of specialized intestinal metaplasia(IM)in the metaplastic esophageal epithelium.Clinical factors of subjects with BE and subjects without BE were compared,and the risk factors predicting BE were analyzed.RESULTS A total of 3385 subjects(mean age,51.29±11.42 years;57.1%male)were included in the study,and 89 among them were confirmed to have IM and presence of goblet cells via biopsy examination.The majority of these individuals were classified as short segment BE(n=85).The overall prevalence of BE was 2.6%.Multivariate analysis disclosed that old age[odds ratio(OR)=1.033;95%confidence interval(CI):1.012-1.055;P=0.002],male gender(OR=2.106;95%CI:1.145-3.872;P=0.017),ingestion of tea(OR=1.695;95%CI:1.043-2.754;P=0.033),and presence of hiatal hernia(OR=3.037;95%CI:1.765-5.225;P<0.001)were significant risk factors predicting BE.The independent risk factor for the presence of IM in ESEM lesions was old age alone(OR=1.029;95%CI:1.006-1.053;P=0.014).CONCLUSION Current prevalence of BE among the general population in Taiwan is 2.6%.Old age,male gender,ingestion of tea and hiatal hernia are significant risk factors for BE.展开更多
Spatial autocorrelation methodologies, including Global Moran’s I and Local Indicators of Spatial Association statistic (LISA), were used to describe and map spatial clusters of 13 leading malignant neoplasms in Taiw...Spatial autocorrelation methodologies, including Global Moran’s I and Local Indicators of Spatial Association statistic (LISA), were used to describe and map spatial clusters of 13 leading malignant neoplasms in Taiwan. A logistic regression fit model was also used to identify similar characteristics over time. Two time periods (1995-1998 and 2005-2008) were compared in an attempt to formulate common spatio-temporal risks. Spatial cluster patterns were identified using local spatial autocorrelation analysis. We found a significant spatio-temporal variation between the leading malignant neoplasms and well-documented spatial risk factors. For instance, in Taiwan, cancer of the oral cavity in males was found to be clustered in locations in central Taiwan, with distinct differences between the two time periods. Stomach cancer morbidity clustered in aboriginal townships, where the prevalence of Helicobacter pylori is high and even quite marked differences between the two time periods were found. A method which combines LISA statistics and logistic regression is an effective tool for the detection of space-time patterns with discontinuous data. Spatio-temporal mapping comparison helps to clarify issues such as the spatial aspects of both two time periods for leading malignant neoplasms. This helps planners to assess spatio-temporal risk factors, and to ascertain what would be the most advantageous types of health care policies for the planning and implementation of health care services. These issues can greatly affect the performance and effectiveness of health care services and also provide a clear outline for helping us to better understand the results in depth.展开更多
The twentieth century the seventies and eighties of the modern influx of Chinese mainland pop music-music school in Taiwan,with its pristine purity of musical styles,catchy melodies fresh,really meaningful lyrics,the ...The twentieth century the seventies and eighties of the modern influx of Chinese mainland pop music-music school in Taiwan,with its pristine purity of musical styles,catchy melodies fresh,really meaningful lyrics,the arrangement is simple and unique form of singing affect generation after gen-eration of young people. It is both spirited and close to the voice of young people (especially close to the university campus life),among young people a strong resonance. At the same time,it is the emergence of China's Mainland the concept of pop mu-sic’s aesthetic,value orientation,creative tactics,techniques and style of singing had a dramatic impact,as well as future changes in the mainland pop and development has injected new impetus.展开更多
Taking Economic Zone on the Western Coast of the Taiwan Straits as the study area,we use GIS,remote sensing,mathematical statistics and other methods,to analyze the forest pattern and its variation characteristics in ...Taking Economic Zone on the Western Coast of the Taiwan Straits as the study area,we use GIS,remote sensing,mathematical statistics and other methods,to analyze the forest pattern and its variation characteristics in Economic Zone on the Western Coast of the Taiwan Straits during the period 1992-2008;use canonical correspondence analysis(CCA)to examine the effects of environmental factors on changes in forest pattern.The results show that the forest resources are rich in Economic Zone on the Western Coast of the Taiwan Straits,accounting for 61.40% of the total area,but the geographical distribution is very uneven,with obvious regional and elevation gradient difference;since1992,the forest has been dwindling in Economic Zone on the Western Coast of the Taiwan Straits,from 89 300 km2 in 1992 to 88 300 km2 in 2008;in terms of changes in region and elevation gradient,there is obvious difference in the forest,and the central and western forest of Wuyi Mountain tends to decline obviously;the main environmental factors influencing changes in forest pattern in Economic Zone on the Western Coast of the Taiwan Straits include temperature,sunshine hours,GDP per capita and precipitation;evaporation,evaporation and population density have weak effects on changes in forest pattern.展开更多
This paper focused on Japan who was as a new colonial government in Taiwan under Japanese rule,during the period of which took official buildings or urban planning mainly of a series of Western European-style architec...This paper focused on Japan who was as a new colonial government in Taiwan under Japanese rule,during the period of which took official buildings or urban planning mainly of a series of Western European-style architecture as a ruler’s cultural identity and a modern Taiwan policy.However,in the context of East Asian modernity,the basic colonial not only mixed Eurocentric,but also included Japan Center and the interaction between the two.Therefore,the scope of research and discussion shall have regarded to the non-Western,non-white nature of the Japanese Empire,and its colonial/modernity construction is another new model.Taiwan Governor-General’s Residence as the Governor-General’s residence for Japanese government combined administrative office,daily living,and social life,showing a symbol of Japan’s colonial ruling class,and a hostel to greet Japanese royal family and the nobility from time to time.As a mansion of both Western Baroque and Japanese style,its architectural design has class meaning,therefore it featured with a class-separation building,also combined the leisure of Western high society.The associated festivals at that time included tea party,fairs and royal family welcoming pilgrimage,the part of which with a strong political implication.This paper mainly uses the images of the Taiwan Governor-General’s Residence during the Japanese rule period and the literature at that time to restore the mixed taste and Japanese-Western style of Taiwan at that time.The Japanese colonists ruled the complex interactions of different ethnic groups in Taiwan.展开更多
Surgical treatment of Peyronie's disease(PD) is still a challenge and a gold standard approach does not exist; however the main goal is to straight penile shaft, and to restore penetrative and coital capacity. The...Surgical treatment of Peyronie's disease(PD) is still a challenge and a gold standard approach does not exist; however the main goal is to straight penile shaft, and to restore penetrative and coital capacity. The less invasive approach aims to correct curvature without intervening directly on the fibrous plaque while the more complex "corporoplasty" applies specific geometric criteria and uses different autologous and heterologous grafts. Each approach has its pros and cons and decisionmaking should be tailored to the individual patient's expectations. Other surgical options include different use of patches to cover the tunica albuginea defect, with the choice depending on the surgeon's personal experience. Despite the wide range of autologous(buccal mucosa, vein, dermis, etc.) and heterologous grafts(bovine pericardium, swine intestinal submucosa, porcine dermis, etc.) none currently represents the real "gold standard" because the data are extremely variable and frequently not representative. Several factors seem to favor buccal mucosa grafts over inert biocompatible materials: as vital tissue, buccal mucosa tends to heal rapidly, immediately integrating with the surrounding albuginea tissue. This translates into a more rapid resumption of spontaneous erections(after 3/4 d) and sexual activity and into a reduced risk of curvature relapse and erectile dysfunction after surgery. Another advantage of the buccal mucosa graft is its low cost. In conclusion, despite the recent development of some exciting new surgical techniques we are still unable to deliver a definitive take-home message about reconstructive surgery in PD because the majority of the studies reported insufficient data. However, since it is clear that major outcomes, besides the cosmetic result, are the patient's and partner's satisfaction and the economic impact of each technique, we recommend they be included among the outcome assessment parameters in further展开更多
Taiwan’s administrative divisions have been changed several times throughout history.At the end of 2010,Taiwan Region(including Taiwan Island and its off-shore islands)is divided administratively into five municipali...Taiwan’s administrative divisions have been changed several times throughout history.At the end of 2010,Taiwan Region(including Taiwan Island and its off-shore islands)is divided administratively into five municipalities(直轄市),three cities(市),and 14 counties(縣).And in 2014,Taoyuan County was designated a municipality because its population is over 200 million persons.With this administration division,this paper is attempted to discuss the issue of water resource utilization with a comparative perspective in the six municipalities from north to south:Taipei City(台北市),New Taipei City(新北市),Taoyuan City(桃園市),Taichung City(台中市),Tainan City(台南市),and Kaohsiung City(高雄市).Statistics of population and fresh water provision will be utilized to analyze the related issues.It is hoped that through this comparative study,the strength and limitation of each municipality in terms of water resource utilization can be illustrated and evaluated.展开更多
基金“Research on Reading Teaching Mode of Business English Majors From the Perspective of Literature Circles”(Project No.:2021SCG112)Laboratory Opening Project in Quzhou University(Project No.KFXM201808).
文摘Business English reading teaching under the mode of“literature circles”focuses on cultivating students’autonomy in reading,group cooperation,and the exchange of ideas among group members.In this teaching mode,teachers are no longer the masters of the reading classroom,but the helpers,participants,and researchers in the process of students’reading.The reconstruction of teachers’role can promote the benign development of relationship not only between teachers and students,but also between students and students,inject new impetus and vitality into the classroom,and improve students’reading literacy.
文摘During the most recent years, a variety of new techniques of penile reconstruction have been described in the literature. This paper focuses on the most recent advances in male genital reconstruction after trauma, excision of benign and malignant disease, in gender reassignment surgery and aphallia with emphasis on surgical technique, cosmetic and functional outcome.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.51137004,51277169,and 61271424)
文摘Conductivities tomography with the interactions of magnetic field, electrical field, and ultrasound field is presented in this paper. We utilize a beam of ultrasound in scanning mode instead of the traditional ultrasound field generated by point source. Many formulae for the reconstruction of conductivities are derived from the voltage signals detected by two electrodes arranged somewhere on tissue's surface. In a forward problem, the numerical solutions of ultrasound fields generated by the piston transducer are calculated using the angular spectrum method and its Green's function is designed approximately in far fields. In an inverse problems, the magneto-acousto-electrical voltage signals are proved to satisfy the wave equations if the voltage signals are extended to the whole region from the boundary locations of transducers. Thus the time-reversal method is applied to reconstructing the curl of the reciprocal current density. In addition, a least square iteration method of recovering conductivities from reciprocal current densities is discussed.
文摘In Shamir’s(t,n) threshold of the secret sharing scheme, a secret is divided into n shares by a dealer and is shared among n shareholders in such a way that (a) the secret can be reconstructed when there are t or more than t shares;and (b) the secret cannot be obtained when there are fewer than t shares. In the secret reconstruction, participating users can be either legitimate shareholders or attackers. Shamir’s scheme only considers the situation when all participating users are legitimate shareholders. In this paper, we show that when there are more than t users participating and shares are released asynchronously in the secret reconstruction, an attacker can always release his share last. In such a way, after knowing t valid shares of legitimate shareholders, the attacker can obtain the secret and therefore, can successfully impersonate to be a legitimate shareholder without being detected. We propose a simple modification of Shamir’s scheme to fix this security problem. Threshold cryptography is a research of group-oriented applications based on the secret sharing scheme. We show that a similar security problem also exists in threshold cryptographic applications. We propose a modified scheme to fix this security problem as well.
基金Project supported by the National High Technology Research and Development Program of China(863 Program) (No.2006AA04Z406)the National Natural Science Foundation of China (Nos.50375130, 50323003 and 50575189)+1 种基金the Special Foundation for the Authors of National Excellent Doctoral Dissertations (No.200234)the Program for New Century Excellent Talents in University(No.NCET040890)
文摘When the historic probabilistic S-N curves are given under special survival probability and confidence levels and there is no possible to re-test, fatigue reliability analysis at other levels can not be done except for the special levels. Therefore, the wide applied curves are expected. Monte Carlo reconstruction methods of the test data and the curves are investigated under fatigue life following lognormal distribution. To overcome the non-conservative assessment of existent man-made enlarging the sample size up to thousands, a simulation policy is employed to address the true production where the sample size is controlled less than 20 for material specimens, 10 for structural component specimens and the errors matching the statistical parameters are less than 5 percent. Availability and feasibility of the present methods have been indicated by the reconstruction practice of the test data and curves for 60Si2Mn high strength spring steel of railway industry.
文摘The primary objective of this study is to apply the Evaluation Grid Method(EGM)and the continuous fuzzy Kano quality model to explore the cognitive preferences of Taiwan China residents regarding the beauty of Taiwan’s China landscape paintings.The aim is to contribute to the development of social and cultural art and promote the widespread appeal of art products.Through a literature review,consultations with aesthetic experts,and the application of Miryoku Engineering’s EGM,this paper consolidates the factors that contribute to the attractiveness of painting art products among Taiwan China residents,taking into account various aesthetic qualities.Simultaneously,the paper introduces the use of the triangular fuzzy golden ratio scale semantics,specifically the equal-ratio aesthetic scale semantics,as a replacement for the traditional subjective consciousness model.Departing from the traditional discrete Kano model that employs the mode as the standard for evaluating quality,this study applies triangular fuzzy numbers to the continuous Kano quality model to analyze the diverse preferences and evaluation standards of the public.The hope is that this research methodology will not only deepen Taiwan China residents’understanding and aesthetic literacy of painting art but also serve as a reference for the popularization of art products.
文摘<strong>Introduction: </strong>Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of life. BREAST-Q is a PROM (Patient Reported Outcome Measures) that has proven useful in measuring satisfaction with breast reconstruction results from the patient’s point of view. <strong>Objectives:</strong> To measure the satisfaction index and improvement in quality of life after breast reconstruction for breast cancer sequelae in our hospital in the last 5 years.<strong> Materials and Methods:</strong> Descriptive Study that includes patients with Breast cancer diagnosis that underwent mastectomy and breast reconstruction (prosthesis or autologous tissue) in “Hospital Central Sur de Petroleos Mexicanos” (January 2015 to January 2020), whose satisfaction index was measured with BREAST-Q one year after reconstruction. <strong>Results:</strong> 153 patients were included in the analysis. Mean global satisfaction was 74 points. We observed a tendency towards higher psychosocial, sexual and appearance satisfaction in patients who underwent reconstruction with autologous tissue. The mean satisfaction with provided information was 64 points and with the medical team > 90 points. <strong>Conclusion:</strong> Breast reconstruction is associated to a high satisfaction index and quality of life improvement regardless of the technique. BREAST-Q proved to be useful in evaluating patient experience and it helped us identify areas of opportunity to improve our care.
文摘Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their process against the ones who start it but did not finish it. The aim of our retrospective study was to analyze the results in terms of satisfaction after one year of undergoing to complete breast reconstruction (CBR) vs incomplete breast reconstruction (IBR). Materials and Methods: Retrospective study of patients that underwent breast reconstruction (BR) surgery after mastectomy for breast cancer treatment. Performed at Hospital Central Sur de Alta Especialidad PEMEX in Mexico City, including patients from January 1, 2015 to January 01, 2020. Demographic baseline variables were included. BREAST-Q satisfaction questionnaires one year after the last reconstructive procedure were analyzed. Results: A total of 44 patients fulfilled the inclusion criteria. Of these 44 patients, 11 were included in the IBR group, and 33 patients in the CBR group. There were no statistically significant differences between the two groups in terms of age (IBR 56.09 vs CBR 53.06 years, p = 0.321);BMI (IBR 27.94 vs CBR 26.40, p = 0.253), time from mastectomy to first reconstructive procedure (IBR 22.8 vs CBR 31 months, p = 0.957), history of chemotherapy (IBR 27.3% vs CBR 33.3%, p = 0.709) and radiotherapy (IBR 54.5% vs CBR 42.4%, p = 0.484), additionally type of reconstruction, affected side or complication rate were not significantly different. Regarding postoperative satisfaction, only the second module of satisfaction with breasts displayed statistically significant differences, with a higher score in the CBR group (46.27 vs 52.27, p = 0.019). Other items explored didn’t show significant differences. Discussion: The data reported in this study suggest that regardless of whether the last stage of a BR is reached, the results in these settings can be very similar in terms of psychosocial well-being, sexual well-being, physical well-being regarding the chest area, with some degree of better perception of her breasts. Conclusion: This study suggests that the results in terms of satisfaction in BR after mastectomy for breast cancer are quite similar for patients who decide to take only the first reconstructive stage, compared with those that finished all the process along, this may be a valuable tool for decision making.
文摘The novel Banengannen’s Soccer Team published in 1967has been classified as historical"meta narration"of Kenzaburo Oe.In the novel,there are two main characters—Mitsusaburo and Takashi,both of whom represent two ways of exploring the historical truth.In the process of exploration of the two characters,Kenzaburo Oe symbolically analyzed the value presetting of the Japanese people—getting one’s own value through projecting the"Emperor",recreating a new chapter of history from personal experience.
文摘An alternative concept or framework of reference is presented in this paper on the basis of Science of Human Settlements through the discussion of the relationship between the reconstruction and the development of the economy and society. Unprecedented conflicts and problems have emerged on an unprecedented scale in the urban and rural construction, which is moving forward at an unprecedented speed. In this context it appears significant to set up and develop a science which studies the "conservation and development" in the general terms of the human habitat.
基金Supported by the In-Hospital Research Project Funding of Kaohsiung Veterans General Hospital,No.VGHKS107-040
文摘BACKGROUND Barrett’s esophagus(BE)is a pre-malignant condition associated with the development of esophageal adenocarcinoma.The prevalence of BE in the general populations of Asian countries ranges from 0.06%to 1%.However,with lifestyle changes in Asian countries and adoption of western customs,the prevalence of BE might have increased.AIM To determine the current prevalence of BE in Taiwan,and to investigate risk factors predicting the presence of BE.METHODS This retrospective study was conducted at the Health Evaluation Center of Kaohsiung Veterans General Hospital in Taiwan.Between January 2015 and December 2015,3385 subjects undergoing routine esophagogastroduodenoscopy examinations as part of a health check-up at the Health Evaluation Center were included.Patient characteristics and endoscopic findings were carefully reviewed.Lesions with endoscopic findings consistent with BE awaiting histological evaluation were judged as endoscopically suspected esophageal metaplasia(ESEM).BE was defined based on extension of the columnar epithelium≥1 cm above the gastroesophageal junction and was confirmed based on the presence of specialized intestinal metaplasia(IM)in the metaplastic esophageal epithelium.Clinical factors of subjects with BE and subjects without BE were compared,and the risk factors predicting BE were analyzed.RESULTS A total of 3385 subjects(mean age,51.29±11.42 years;57.1%male)were included in the study,and 89 among them were confirmed to have IM and presence of goblet cells via biopsy examination.The majority of these individuals were classified as short segment BE(n=85).The overall prevalence of BE was 2.6%.Multivariate analysis disclosed that old age[odds ratio(OR)=1.033;95%confidence interval(CI):1.012-1.055;P=0.002],male gender(OR=2.106;95%CI:1.145-3.872;P=0.017),ingestion of tea(OR=1.695;95%CI:1.043-2.754;P=0.033),and presence of hiatal hernia(OR=3.037;95%CI:1.765-5.225;P<0.001)were significant risk factors predicting BE.The independent risk factor for the presence of IM in ESEM lesions was old age alone(OR=1.029;95%CI:1.006-1.053;P=0.014).CONCLUSION Current prevalence of BE among the general population in Taiwan is 2.6%.Old age,male gender,ingestion of tea and hiatal hernia are significant risk factors for BE.
文摘Spatial autocorrelation methodologies, including Global Moran’s I and Local Indicators of Spatial Association statistic (LISA), were used to describe and map spatial clusters of 13 leading malignant neoplasms in Taiwan. A logistic regression fit model was also used to identify similar characteristics over time. Two time periods (1995-1998 and 2005-2008) were compared in an attempt to formulate common spatio-temporal risks. Spatial cluster patterns were identified using local spatial autocorrelation analysis. We found a significant spatio-temporal variation between the leading malignant neoplasms and well-documented spatial risk factors. For instance, in Taiwan, cancer of the oral cavity in males was found to be clustered in locations in central Taiwan, with distinct differences between the two time periods. Stomach cancer morbidity clustered in aboriginal townships, where the prevalence of Helicobacter pylori is high and even quite marked differences between the two time periods were found. A method which combines LISA statistics and logistic regression is an effective tool for the detection of space-time patterns with discontinuous data. Spatio-temporal mapping comparison helps to clarify issues such as the spatial aspects of both two time periods for leading malignant neoplasms. This helps planners to assess spatio-temporal risk factors, and to ascertain what would be the most advantageous types of health care policies for the planning and implementation of health care services. These issues can greatly affect the performance and effectiveness of health care services and also provide a clear outline for helping us to better understand the results in depth.
文摘The twentieth century the seventies and eighties of the modern influx of Chinese mainland pop music-music school in Taiwan,with its pristine purity of musical styles,catchy melodies fresh,really meaningful lyrics,the arrangement is simple and unique form of singing affect generation after gen-eration of young people. It is both spirited and close to the voice of young people (especially close to the university campus life),among young people a strong resonance. At the same time,it is the emergence of China's Mainland the concept of pop mu-sic’s aesthetic,value orientation,creative tactics,techniques and style of singing had a dramatic impact,as well as future changes in the mainland pop and development has injected new impetus.
基金Supported by Special Financial Project of the Ministry of Environmental Protection(2110203)
文摘Taking Economic Zone on the Western Coast of the Taiwan Straits as the study area,we use GIS,remote sensing,mathematical statistics and other methods,to analyze the forest pattern and its variation characteristics in Economic Zone on the Western Coast of the Taiwan Straits during the period 1992-2008;use canonical correspondence analysis(CCA)to examine the effects of environmental factors on changes in forest pattern.The results show that the forest resources are rich in Economic Zone on the Western Coast of the Taiwan Straits,accounting for 61.40% of the total area,but the geographical distribution is very uneven,with obvious regional and elevation gradient difference;since1992,the forest has been dwindling in Economic Zone on the Western Coast of the Taiwan Straits,from 89 300 km2 in 1992 to 88 300 km2 in 2008;in terms of changes in region and elevation gradient,there is obvious difference in the forest,and the central and western forest of Wuyi Mountain tends to decline obviously;the main environmental factors influencing changes in forest pattern in Economic Zone on the Western Coast of the Taiwan Straits include temperature,sunshine hours,GDP per capita and precipitation;evaporation,evaporation and population density have weak effects on changes in forest pattern.
文摘This paper focused on Japan who was as a new colonial government in Taiwan under Japanese rule,during the period of which took official buildings or urban planning mainly of a series of Western European-style architecture as a ruler’s cultural identity and a modern Taiwan policy.However,in the context of East Asian modernity,the basic colonial not only mixed Eurocentric,but also included Japan Center and the interaction between the two.Therefore,the scope of research and discussion shall have regarded to the non-Western,non-white nature of the Japanese Empire,and its colonial/modernity construction is another new model.Taiwan Governor-General’s Residence as the Governor-General’s residence for Japanese government combined administrative office,daily living,and social life,showing a symbol of Japan’s colonial ruling class,and a hostel to greet Japanese royal family and the nobility from time to time.As a mansion of both Western Baroque and Japanese style,its architectural design has class meaning,therefore it featured with a class-separation building,also combined the leisure of Western high society.The associated festivals at that time included tea party,fairs and royal family welcoming pilgrimage,the part of which with a strong political implication.This paper mainly uses the images of the Taiwan Governor-General’s Residence during the Japanese rule period and the literature at that time to restore the mixed taste and Japanese-Western style of Taiwan at that time.The Japanese colonists ruled the complex interactions of different ethnic groups in Taiwan.
文摘Surgical treatment of Peyronie's disease(PD) is still a challenge and a gold standard approach does not exist; however the main goal is to straight penile shaft, and to restore penetrative and coital capacity. The less invasive approach aims to correct curvature without intervening directly on the fibrous plaque while the more complex "corporoplasty" applies specific geometric criteria and uses different autologous and heterologous grafts. Each approach has its pros and cons and decisionmaking should be tailored to the individual patient's expectations. Other surgical options include different use of patches to cover the tunica albuginea defect, with the choice depending on the surgeon's personal experience. Despite the wide range of autologous(buccal mucosa, vein, dermis, etc.) and heterologous grafts(bovine pericardium, swine intestinal submucosa, porcine dermis, etc.) none currently represents the real "gold standard" because the data are extremely variable and frequently not representative. Several factors seem to favor buccal mucosa grafts over inert biocompatible materials: as vital tissue, buccal mucosa tends to heal rapidly, immediately integrating with the surrounding albuginea tissue. This translates into a more rapid resumption of spontaneous erections(after 3/4 d) and sexual activity and into a reduced risk of curvature relapse and erectile dysfunction after surgery. Another advantage of the buccal mucosa graft is its low cost. In conclusion, despite the recent development of some exciting new surgical techniques we are still unable to deliver a definitive take-home message about reconstructive surgery in PD because the majority of the studies reported insufficient data. However, since it is clear that major outcomes, besides the cosmetic result, are the patient's and partner's satisfaction and the economic impact of each technique, we recommend they be included among the outcome assessment parameters in further
文摘Taiwan’s administrative divisions have been changed several times throughout history.At the end of 2010,Taiwan Region(including Taiwan Island and its off-shore islands)is divided administratively into five municipalities(直轄市),three cities(市),and 14 counties(縣).And in 2014,Taoyuan County was designated a municipality because its population is over 200 million persons.With this administration division,this paper is attempted to discuss the issue of water resource utilization with a comparative perspective in the six municipalities from north to south:Taipei City(台北市),New Taipei City(新北市),Taoyuan City(桃園市),Taichung City(台中市),Tainan City(台南市),and Kaohsiung City(高雄市).Statistics of population and fresh water provision will be utilized to analyze the related issues.It is hoped that through this comparative study,the strength and limitation of each municipality in terms of water resource utilization can be illustrated and evaluated.