The Impact of Nursing Staff’s Work Attitude on the Fear of Patients Recovering from Benign Tumors:Family Support as a Mediating Variable

The perception of nursing staff’s attitude influences patient fear.Understanding this dynamic is crucial for fostering a supportive environment conducive to patient well-being and effective healthcare practices.The purpose of this research is to investigate how the attitudes and behaviours of nursing staff influence the fear and anxiety levels of patients recovering from benign tumors,aiming to improve patient care and recovery outcomes.Data was collected from a sample of 100 participants,comprising 20 nursing staff and 80 patients recovering from benign tumors.Surveys were administered to gather quantitative data on attitudes and fear levels.Participants were selected randomly from hospital records and outpatient clinics.Our analysis encompassed nursing staff attitude,patient fear levels,the influence of family support,progression of tumor recovery,patient-reported satisfaction,and the quality of healthcare services provided.The quantitative aspect utilized PLS-SEM software to perform regression analysis,evaluating both direct and indirect effects.Statistical analysis assessed the relationships between nursing staff attitudes,patient fear during benign tumor recovery,and the mediating role of family support.The findings of the study demonstrate that better nurse attitudes(Hypothesis 1,β=0.45,p<0.001)and stronger family support(Hypothesis 2,β=0.32;p<0.001) are linked to lower levels of patient fear.Partially mediating the relationship between nurse attitudes and patient fear,according to Hypothesis 3(β=0.28,p<0.002),is family support.Patients’perceptions of family support are highly influenced by nursing behaviour,as demonstrated by Hypothesis 4(β=0.38;p<0.001).Our research showed a strong relationship between the attitudes of nursing personnel and patient fear levels.Family support demonstrated a strong mediating effect on patient fear.Patient-reported satisfaction is positively correlated with family support.However,no significant relationship was found between healthcare service quality and patient fear.

Prevalence and risk factors for Barrett’s esophagus in Taiwan

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.

Pre-hepatectomy type Ⅳ collagen 7S predicts post-hepatectomy liver failure and recovery

BACKGROUND Liver resection is an effective treatment for benign and malignant liver tumors.However,a method for preoperative evaluation of hepatic reserve has not yet been established.Previously reported assessments of preoperative hepatic reserve focused only on liver failure in the early postoperative period and did not consider the long-term recovery of hepatic reserve.When determining eligibility for hepatectomy,the underlying pathophysiology needs to be considered to determine if the functional hepatic reserve can withstand both surgery and any postoperative therapy.AIM To identify pre-hepatectomy factors associated with both early postoperative liver failure and long-term postoperative liver function recovery.METHODS This study was a retrospective cohort study.We retrospectively investigated 215 patients who underwent hepatectomy at our hospital between May 2013 and December 2016.Early post-hepatectomy liver failure(PHLF)was defined using the International Study Group of Liver Surgery’s definition of PHLF.Long-term postoperative recovery of liver function was defined as the time taken for serum total bilirubin and albumin levels to return to levels of<2 mg/dL and>2.8 g/dL,respectively,and the time taken for Child-Pugh score to return to Child-Pugh class A.RESULTS Preoperative type IV collagen 7S was identified as a significant independent factor associated with both PHLF and postoperative long-term recovery of liver function.Further analysis revealed that the time taken for the recovery of Child-Pugh scores and serum total bilirubin and albumin levels was significantly shorter in patients with type IV collagen 7S≤6 ng/mL than in those with type IV collagen 7S>6 ng/mL.In additional analyses,similar results were observed in patients without chronic viral hepatitis associated with fibrosis.CONCLUSION Preoperative type IV collagen 7S is a preoperative predictor of PHLF and longterm postoperative liver function recovery.It can also be used in patients without chronic hepatitis virus.

Change in connection between corticospinal tract and Broca's area during motor recovery in a patient with an intracerebral hemorrhage

The present study reported a 42-year-old male patient who underwent conservative management for a spontaneous intracerebral hemorrhage in the left corona radiata and the basal ganglia. The patient presented with complete weakness of the right upper and lower extremities at the onset of intracerebral hemorrhage; however, he showed progressive motor recovery to the level that he was able to extent the affected extremities against some resistance at 5 weeks after onset. The corticospinal tract of the affected （left） hemisphere connected to the left Broca＇s area at 3 weeks after onset as shown by diffusion tensor tractography. By contrast, this connection had disappeared at 5 weeks after onset as shown by diffusion tensor tractogaphy. Transcranial magnetic stimulation study showed that no motor evoked potential was elicited from the affected （left） hemisphere at 3 weeks after onset, but motor evoked potentials were elicited at 5 weeks after onset. These findings suggest that the connection between the injured corticospinal tract and Broca＇s area in this patient appears to be a compensation for severe motor weakness; consequently, the connection seems to disappear with motor recovery.

Spatial autocorrelation analysis of 13 leading malignant neoplasms in Taiwan: a comparison between the 1995-1998 and 2005-2008 periods

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.

A novel type curve for estimating oil recovery factor of gas flooding

A novel type curve is presented for oil recovery factor prediction suitable for gas flooding by innovatively introducing the equivalent water-gas cut to replace the water cut,comprehensively considering the impact of three-phase flow(oil,gas,water),and deriving the theoretical equations of gas flooding type curve based on Tong’s type curve.The equivalent water-gas cut is the ratio of the cumulative underground volume of gas and water production to the total underground volume of produced fluids.Field production data and the numerical simulation results are used to demonstrate the feasibility of the new type curve and verify the accuracy of the prediction results with field cases.The new type curve is suitable for oil recovery factor prediction of both water flooding and gas flooding.When a reservoir has no gas injected or produced,the gas phase can be ignored and only the oil and water phases need to be considered,in this case,this gas flooding type curve returns to the Tong’s type curve,which can evaluate the oil recovery factor of water flooding.For reservoirs with equivalent water-gas cuts of 60%-80%,the regression method of the new type curve works well in predicting the oil recovery factor.For reservoirs with equivalent water-gas cuts higher than 80%,both the regression and assignment methods of the new type curve can accurately predict the oil recovery factor of gas flooding.

Discussed in the early 80s Taiwan campus song shallowly to mainland pop music influence

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.

The Forest Pattern and Its Variation Characteristics in Economic Zone on the Western Coast of the Taiwan Straits

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.

The Mixture Japanese and Western Style in the Image of theGovernor-General’s Residence of Taiwan Under Japanese Rule 1

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.

THEOREMS OF PEANO'S TYPE FOR BIVARIATE FUNCTIONS AND OPTIMAL RECOVERY OF LINEAR FUNCTIONALS

The best recovery of a linear functional Lf, f=f(x,y), on the basis of given linear functionals L jf,j=1,2,...,N in a sense of Sard has been investigated, using analogy of Peano's theorem. The best recovery of a bivariate function by given scattered data has been obtained in a simple analytical form as a special case.

Feasible Multiple Satellite Mission Scenarios Flying in a Constellation for Refinement of the Gravity Field Recovery

Improving the gravity field recovery in terms of error levels and more isotropic noise distribution by adding cross-track and radial information to the satellite observables has been investigated through a number of studies by a variety of satellite constellations, i.e. satellite pairs that orbit the Earth in alternative configurations than the current GRACE (Gravity Recovery And Climate Experiment) gravity mission. This contribution gives for the first time a comparative study considering the recovery of the global gravity field from three constellations flying in satellite pairs in different directions (i.e. along-track, cross-track and radial). The three constellations include: 1) Foursatellite Bender configuration (flying in two pairs) of type along-track observations, 2) Three-satellite GRAPEN (combined GRACE with Pendulum formations) configuration of type cross-alongtrack observations, 3) Four-satellite Cartwheel configuration (flying in two pairs) of type radialalong-track observations. Additionally, a GRACE mission scenario is added as a reference “comparative” mission. The orbits of all satellites are considered to fly with drag-free system, however, realistic white noise has been added to the simulated observations to mimic the error associated with the drag-free measurement. The results are analyzed in the spectral wavelength spectrum of the gravity field up to a spherical harmonics degree of n = 100 and are plotted spatially on earth maps. The results show that the Three-satellite GRAPEN constellation provides, besides its low economically launches, an improved gravity field solution with respect to the Four-satellite Bender and the Four-satellite Cartwheel constellations.

Water Resource Utilization in Taiwan’s Municipalities: A Comparative Perspective

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.

Spatial analysis of tuberculosis in four main ethnic communities in Taiwan during 2005 to 2009

The aim of the present study was to assess spatial features of tuberculosis prevalence and their relationships with four main ethnic communities in Taiwan. Methods of spatial analysis were clustering pattern determination (such as global version of Moran’s test and local version of Gi*(d) statistic), using logistic regression calculations to identify spatial distributions over a contiguous five years and identify significant similarities, discriminant analysis to classify variables, and geographically weighted regression (GWR) to determine the strength of relationships between tuberculosis prevalence and ethnic variables in spatial features. Tuberculosis demonstrated decreasing trends in prevalence in both genders during 2005 to 2009. All results of the global Moran’s tests indicated spatial heterogeneity and clusters in the plain and mountainous Aboriginal townships. The Gi*(d) statistic calculated z-score outcomes, categorized as clusters or non-clusters, at at 5% significance level. According to the stepwise Wilks’ lambda discriminant analysis, in the Aborigines and Hoklo communities townships with clusters of tuberculosis cases differentiated from townships without cluster cases, to a greater extent than in the other communities. In the GWR models, the explanatory variables demonstrated significant and positive signs of parameter estimates in clusters occurring in plain and mountainous aboriginal townships. The explanatory variables of both the Hoklo and Hakka communities demonstrated significant, but negative, signs of parameter estimates. The Mainlander community did not significantly associate with cluster patterns of tuberculosis in Taiwan. Results indicated that locations of high tuberculosis prevalence closely related to areas containing higher proportions of the Aboriginal community in Taiwan. This information is relevant for assessment of spatial risk factors, which, in turn, can facilitate the planning of the most advantageous types of health care policies, and implementation of effective health care services.

Exploring Taiwan’s China Landscape Painting Aesthetic Preferences Through Evaluation Grid Method and the Continuous Fuzzy Kano Model

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.

La_(2)FeMO_(6)双钙钛矿中的不对称氧空位用于促进氧活化和H2S选择性氧化

金属氧化物催化剂表面O_(2)分子的活化对于多相催化中氧化还原反应具有重要意义.硫化氢(H_(2)S)选择性氧化是一个典型的氧化反应,通常用于去除克劳斯工艺尾气中有害的H_(2)S,同时回收化工产品硫磺.受克劳斯反应的热力学限制,工艺尾气中仍有近1%的H_(2)S残留,在焚烧炉中会转化为有害的SO_(x),造成不必要的硫损失以及严重的环境问题.研究表明,氧分子活化解离产生的活性氧物种是H_(2)S选择氧化的关键活性物种.然而,受限于氧分子的低效活化,传统催化剂需提高反应温度以获得令人满意的H_(2)S转化率,这也促进了副反应的进行并生成有害副产物SO_(2).因此,迫切需要在较低温度下实现氧分子的高效活化以促进H_(2)S选择氧化反应的进行,从而最大限度地提高克劳斯工艺硫回收效率并降低运营成本.目前,大多数研究通过引入更多的氧空位促进氧分子的活化及氧化反应的进行,但很少有人考虑氧空位本身结构的影响.近年来,研究者更多地关注不对称氧/空位(M_(1)-O-M_(2)或M_(1)-VO-M_(2)),该特殊结构可以有效地优化氧分子的活化,提高催化性能.本文报道了一种简单的氧空位调控策略用于H_(2)S选择氧化,通过过渡金属(M=Mn,Co和Mo)取代策略在LaFeO_(3)钙钛矿催化剂中引入不对称氧空位,从而激发氧分子活化以促进H_(2)S选择氧化的进行.X射线粉末衍射、Raman光谱及透射电镜结果表明,Mn和Co的引入形成了均匀的La_(2)FeMO_(6)以及La_(2)FeCoO_(6)双钙钛矿相,而Mo的引入则形成了La_(2)Mo_(2)O_(9)和LaFeO_(3)钙钛矿的混相.X射线光电子能谱及M?ssbauerr谱结果表明,Mn取代形成的La_(2)FeMO_(6)双钙钛矿催化剂由于其结构中Mn与Fe的完全交替取代形成了丰富的不对称Fe-VO-Mn位点,结合H_(2)程序升温还原及O_(2)程序升温解吸结果,可以推断不对称空位促进了催化剂上氧分子的活化,进而提高了催化剂的氧迁移率和还原性.模拟计算了氧分子在LaFeO_(3)及La_(2)FeMO_(6)催化剂上的吸附及解离过程,结果表明,氧分子在对称的Fe-VO-Fe位点上具有较高的吸附能及解离能,在不对称的Fe-VO-Mn位点上不存在稳定的吸附态,倾向于直接解离形成活性氧物种.具有丰富不对称Fe-VO-Mn位点的La_(2)FeMO_(6)催化剂的H_(2)S选择氧化低温活性和稳定性显著提高,在较宽的温度窗口内均可保持较好的H_(2)S转化率(>90%)与硫选择性(接近100%).综上,本文通过取代策略实现了对催化剂氧空位结构的调控,揭示了不对称氧空位对氧分子活化行为的促进机制.研究结果不仅为合理设计高效氧化催化剂探明了一条可行的途径,还对氧分子活化过程中氧空位结构的促进机制提供了深入的见解,有望激发更多关于开发氧化还原反应高效催化材料的研究.

具有饱和恢复率的SEIR时滞模型的行波解

研究一类具有饱和恢复率的SEIR时滞模型的行波解.首先,考虑一类二维系统初值问题的适定性;然后,通过构造一对有界的向量值上、下解得到一个闭凸集;最后,利用Schauder不动点定理证明:当基本再生数R^(0)>1,波速c>c^(*)时模型存在非平凡行波解.

船用烟气余热S-CO_(2)布雷顿循环发电系统性能分析

开展船舶主机不同负荷工况下的S-CO_(2)布雷顿循环余热系统热力学特性和效能分析是其实现工程应用的必要环节。本文通过性能分析确定系统热力学参数对净输出功率和平准化能源成本的影响变化趋势,最佳运行参数范围以及系统关键热力学参数。通过主机典型负荷工况下的效能评估,分析集成S-CO_(2)再压缩布雷顿循环余热发电系统后的船舶节能减排效益。结果表明:主压缩机入口压力和压比对整个余热发电系统热力学性能和经济性影响最为显著,可调节这2个关键热力学参数以确保系统在船舶主机不同负荷下获得良好系统性能;集成该余热发电系统后,MAN8S90ME-C10.2型主机系统热效率最高可提高0.91%,燃油消耗量平均每年可减少51 t,NO_(2)和CO_(2)的排放量每年可分别减少2.28 t和760 t。

海上热采油田H_(2)S成因机理研究

随着我国海上稠油油田的深入开发,热采蒸汽驱规模逐步扩大,相应的H_(2)S系列问题也愈发凸显。H_(2)S不仅危害人的健康,还能腐蚀金属设备,严重影响生产的安全平稳运行。本文以L稠油油田为例,在调研目标油田储层概况和H_(2)S生成情况的基础上,通过黄金管热模拟实验、色谱分析等方式,探究海上热采油田的H_(2)S的成因机理。实验结果表明,L稠油油田H_(2)S生成的物源主要为原油和地层水,岩屑能够起到催化作用;温度和时间是影响H_(2)S的主控因素,温度越高、时间越长,生成的H_(2)S量越高;L油田H_(2)S生成的主要原因是发生了地层水热裂解、硫酸盐还原反应。该研究成果能够为其他热采油田的H_(2)S成因研究提供探索思路,为油田H_(2)S治理指明方向。