Taiwan Department Research Articles

Learning about gender on campus: an analysis of the hidden curriculum for medical students.

Gender sensitivity is a crucial factor in the provision of quality health care. This paper explores acquired gendered values and attitudes among medical students through an analysis of the hidden curriculum that exists within formal medical classes and informal learning. Discourse analysis was adopted as the research method. Data were collected from the Bulletin Board System (BBS), which represented an essential communication platform among students in Taiwan before the era of Facebook. The study examined 197 gender-related postings on the BBS boards of nine of 11 universities with a medical department in Taiwan, over a period of 10 years from 2000 to 2010. The five distinctive characteristics of the hidden curriculum were as follows: (i) gendered stereotypes of physiological knowledge; (ii) biased treatment of women; (iii) stereotyped gender-based division of labour; (iv) sexual harassment and a hostile environment, and (v) ridiculing of lesbian, gay, bisexual and transgender (LGBT) people. Both teachers and students co-produced a heterosexual masculine culture and sexism, including 'benevolent sexism' and 'hostile sexism'. As a result, the self-esteem and learning opportunities of female and LGBT students have been eroded. The paper explores gender dynamics in the context of a hidden curriculum in which heterosexual masculinity and stereotyped sexism are prevalent as norms. Both teachers and students, whether through formal medical classes or informal extracurricular interactive activities, are noted to contribute to the consolidation of such norms. The study tentatively suggests three strategies for integrating gender into medical education: (i) by separating physiological knowledge from gender stereotyping in teaching; (ii) by highlighting the importance of gender sensitivity in the language used within and outside the classroom by teachers and students, and (iii) by broadening the horizons of both teachers and students by recounting examples of the lived experiences of those who have been excluded and discriminated against, particularly members of LGBT and other minorities.

Advanced Functional Nanomaterials Synthesis and Nanocrystal Growth Technology

1 Instrument Technology Research Center, National Applied Research Laboratories, Hsinchu City, Taiwan 2Department of Photonics, National Chiao Tung University, Hsinchu City 30076, Taiwan 3Department of Electrical and Electronic Engineering, Faculty of Science and Technology, Saga University, Saga 840-8502, Japan 4Department of Electronic Engineering, Chang Gung University, Taoyuan City 33302, Taiwan 5Department of Photonics Engineering, Yuan Ze University, Taoyuan City 32003, Taiwan 6Department of Electrical and Electronic Engineering, University of Bristol, Bristol BS8 1TH, UK

New Contribution to the Advancement of Fixed Point Theory, Equilibrium Problems, and Optimization Problems 2014

1Department of Mathematics, National Kaohsiung Normal University, Kaohsiung 824, Taiwan 2Department of Mathematics, Atilim University, Incek, 06836 Ankara, Turkey 3Nonlinear Analysis and Applied Mathematics Research Group (NAAM), King Abdulaziz University, Jeddah, Saudi Arabia 4Department of Mathematics, National Changhua University of Education, Changhua 50058, Taiwan 5Department of Applied Mathematics, Pukyong National University, Busan 608-737, Republic of Korea

Information Management and Applications of Intelligent Transportation System

1Department of Information Management and Finance, National Chiao Tung University, 1001 University Road, Hsinchu 300, Taiwan 2Department of Computing, Coventry University, Priory Street, Coventry CV1 5FB, UK 3Department of Management Information Systems, National Pingtung University of Science and Technology, 1 Shuefu Road, Neipu, Pingtung 912, Taiwan 4Telecommunication Laboratories, Chunghwa Telecom Co., Ltd., 99 Dianyan Road, Yangmei District, Taoyuan 326, Taiwan 5Department of Communication and Technology, National Chiao Tung University, 1001 University Road, Hsinchu 300, Taiwan 6School of Computing and Information Systems, Athabasca University, 1 University Drive, Athabasca, AB, Canada T9S 3A3

Mathematical Problems in Emerging Manufacturing Systems Management

1 Institute of Manufacturing Information and Systems, National Cheng Kung University, Tainan 70101, Taiwan 2Department of Transportation and Logistics Management, National Chiao Tung University, Taipei 100, Taiwan 3Department of Industrial and Systems Engineering, The Hong Kong Polytechnic University, Hong Kong 4Department of Industrial Engineering, University of Ulsan, Ulsan 680-749, Republic of Korea 5Bristol Business School, University of the West of England, Bristol BS16 1QY, UK

Bifurcation in Deterministic Discrete Dynamical Systems: Advances in Theory and Applications

1Department of Health Informatics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia 2Department of Mathematical Sciences, United Arab Emirates University, P.O. Box 17551, Al-Ain, UAE 3Department of Mathematics, National Tsing Hua University, Taiwan 4Department of Mathematics, University of Rhode Island, Kingston, RI 02881, USA

Advanced VLSI Architecture Design for Emerging Digital Systems

1Department of Electronic Engineering, National Taipei University of Technology, Taipei 10608, Taiwan 2Department of Electrical and Computer Engineering, University of New Hampshire, Durham, NH 03824, USA 3Department of Electrical Engineering and Information Technology, Hochschule Darmstadt-University of Applied Sciences, Birkenweg 8, 64295 Darmstadt, Germany 4Department of Electrical Engineering, National Ilan University, Yilan 260, Taiwan 5Division for Biomedical & Industrial IC Technology, Industrial Technology Research Institute, Hsinchu 310, Taiwan

Corrigendum to "Inter-annual variation of chlorophyll in the northern South China Sea observed at the SEATS Station and its asymmetric responses to climate oscillation" published in Biogeosciences, 10, 7449–7462, 2013

K.-K. Liu1, L.-W. Wang1, M. Dai2, C.-M. Tseng3, Y. Yang4, C.-H. Sui5, L. Oey1, K.-Y. Tseng1, and S.-M. Huang1 1Institute of Hydrological and Oceanic Sciences, National Central University, Chungli, Taiwan 2State Key Laboratory of Marine Environmental Science, Xiamen University, Xiamen, China 3Institute of Oceanography, National Taiwan University, Taipei, Taiwan 4Taiwan Ocean Research Institute, National Applied Research Laboratories, Kaohsiung, Taiwan 5Department of Atmospheric Science, National Taiwan University, Taipei, Taiwan

Building a two-stage integrated model for outpatient appointment service

There are many medical departments in Taiwan’s hospitals which make the patients not easily selecting the appropriate outpatient appointment. Patients often make their selection based on their own experience. This may lead incorrect appointment, delay of treatment, and waste of time. To help patients in making appropriate choice of outpatient appointment, this study has built a two-stage integrated model for decision support applications. artificial neural networks (ANN), support vector machine (SVM), and classification and regression tree (CART) are used in combination for modeling of the system. The first is to input the symptoms into the classifier and generate the category of outpatient department. The second stage is for continued classification of input symptoms and generates the recommended medical specialty/division for appointment. The results show ANN-SVM model has achieved the highest overall yield of 93.94%. ANN-CART and SVM-CART models achieved 80.75 and 78.57%, respectively. This two-stage model is a cost-effective tool in medical decision support and helps providing efficient medical service.

The Impact of Small-for-gestational-age on Neonatal Outcome Among Very-low-birth-weight Infants

This study aimed to evaluate the impact of small-for-gestational-age (SGA) on mortality and morbidity in very-low-birth-weight (VLBW) infants. We conducted a retrospective cohort study on VLBW infants registered at the Premature Baby Foundation of Taiwan between 2007 and 2011. All 21 neonatal departments in Taiwan participated in the data collection, and a total of 4636 VLBW infants were registered during the study period. The SGA group (n=560) was selected from the database on the basis of birth weight below the 10(th) percentile for gestational age, whereas the appropriate-weight-for-gestational-age (AGA) group (n=1120) included infants randomly selected via incidence density sampling with a 2:1 match for each SGA case. The association of SGA with individual outcome variables including mortality, respiratory distress syndrome, necrotizing enterocolitis, retinopathy of prematurity (ROP), intraventricular hemorrhage, periventricular leukomalacia, and bronchopulmonary dysplasia (BPD) was evaluated after adjustment for potential confounders. The SGA group was associated with increased risks of mortality [odds ratio (OR) 1.89; 95% confidence interval (CI) 1.39‒2.58], severe ROP (OR 1.56; 95% CI 1.13-2.14), and BPD (OR 2.08; 95% CI 1.58-2.75) compared to the AGA group. Further subgroup analysis showed that SGA had significant effects on mortality in the VLBW infants with a gestational age of 24-29 weeks, as well as on BPD in those with a gestational age of 27-32 weeks. By contrast, the association of SGA with severe ROP was only significant in the VLBW infants with a gestational age of 27-29 weeks. Our data provide evidence that SGA may be associated with increased risks of neonatal mortality, ROP, and BPD in VLBW infants.

Develop a framework of creative thinking teaching mode for RN-BSN students on the basis of the creative process of clinical nurses in Taiwan

The purpose of this study was to develop a framework of creative thinking teaching mode for RN-BSN students on the basis of the creative process of clinical nurses in Taiwan. Purposive samples have earned creativity awards recruited from the medical, surgical, maternity, paediatric, community and psychiatric departments in Taiwan. Semi-structured interview was focused on creative process of clinical nurses along with the content analysis from the first interview, and closed until data analysis approached at saturation on the 18th nurse’s information. This study was conducted from August 2009 to July 2010 across Taiwan. A teaching framework of creative thinking on the basis of the creative process of nurses was generated according to the factors of creative thinking, the process of creative thinking, attributes of teaching for creative thinking and evaluating indicators of creative thinking. Empirical testing of this teaching framework was recommended as the future study for nursing education.

Paronychia‐like digital cutaneous metastasis

British Journal of DermatologyVolume 171, Issue 3 p. 663-665 Correspondence Paronychia-like digital cutaneous metastasis J.-H. Ko, J.-H. Ko Department of Dermatology, Taipei Medical University Hospital, Taipei, TaiwanSearch for more papers by this authorA. Young, A. Young Department of Radiation Oncology, Wang Fan Hospital, Taipei, Taiwan Department of Radiation Oncology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanSearch for more papers by this authorK.-H. Wang, Corresponding Author K.-H. Wang Department of Dermatology, Taipei Medical University Hospital, Taipei, Taiwan Department of Dermatology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan Correspondence: K.-H. Wang. E-mail: khwang@tmu.edu.twSearch for more papers by this author J.-H. Ko, J.-H. Ko Department of Dermatology, Taipei Medical University Hospital, Taipei, TaiwanSearch for more papers by this authorA. Young, A. Young Department of Radiation Oncology, Wang Fan Hospital, Taipei, Taiwan Department of Radiation Oncology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanSearch for more papers by this authorK.-H. Wang, Corresponding Author K.-H. Wang Department of Dermatology, Taipei Medical University Hospital, Taipei, Taiwan Department of Dermatology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan Correspondence: K.-H. Wang. E-mail: khwang@tmu.edu.twSearch for more papers by this author First published: 01 April 2014 https://doi.org/10.1111/bjd.13025Citations: 3 Funding sources: None. Conflicts of interest: None declared. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume171, Issue3September 2014Pages 663-665 RelatedInformation

The Assessment of Taiwanese College Students’ Conceptions of and Approaches to Learning Computer Science and Their Relationships

The aim of this study was to explore Taiwanese college students’ conceptions of and approaches to learning computer science and then explore the relationships between the two. Two surveys, Conceptions of Learning Computer Science (COLCS) and Approaches to Learning Computer Science (ALCS), were administered to 421 college students majoring in computer science-related departments in Taiwan. The COLCS survey included the following seven factors, in a hierarchical order: learning computer science as “Memorizing,” “Testing,” “Calculating and practicing,” “Programming,” “Increasing one’s knowledge,” “Application and understanding,” and “Seeing in a new way.” Particularly, differing from previous learning conception studies, one newly developed factor, “Programming,” was added to COLCS to incorporate this unique feature for computer science students. The ALCS survey consisted of four factors: “Surface motive,” “Surface strategy,” “Deep motive,” and “Deep strategy.” The results showed that these two surveys were deemed to be sufficiently reliable for assessing students’ conceptions of and approaches to learning computer science. It was also found that the “Programming” factor should be considered as a higher-level learning conception, similar to the other higher-level conceptions in COLCS such as “Increase one’s knowledge,” “Application and understanding,” and “Seeing in a new way.” Furthermore, the “Application” and “Understanding” factors were merged into a single factor, “Application and understanding,” in this study. However, it was indicated that both Taiwanese college students’ lower- and higher-level learning conceptions were positively correlated to their surface motivations to learn computer science.

Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.

BackgroundPrevious studies have analyzed factors associated with renal infarction so that patients can be provided with earlier diagnosis and treatment. However, the factors associated with development of chronic kidney disease (CKD) following renal infarction are unknown.MethodsWe retrospectively reviewed the records of patients with a diagnosis of renal infarction based on enhanced computed tomography. All patients were admitted to a single emergency department in Taiwan from 1999 to 2008. Univariate and multivariate analysis were used to assess the effect of different factors on development of CKD based on estimates of the glomerular filtration rate (eGFR) at admission and at 3–12 months after discharge.ResultsUnivariate analysis indicated significantly increased risk of CKD in patients older than 50 years, with symptoms for 24 h or less before admission, lower eGFR at admission, APACHE II score greater than 7, SOFA score greater than 1, ASA score greater than 2, and SAPS II score greater than 15. Multivariate analysis indicated that only SOFA score greater than 1 was significantly and independently associated with CKD at follow-up (p<0.001).ConclusionsA total of 32.5% of patients admitted for renal infarction over a ten-year period developed CKD at 3–12 months after discharge. A SOFA score greater than 1 was significantly and independently associated with development of CKD in these patients.

Acute Pancreatitis Associated With Quetiapine Use in Schizophrenia

Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan and Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan and Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan and Department of Psychiatry Chung Shan Medical University, Taichung, Taiwan Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan and Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan and Department of Psychiatry, Chung Shan Medical University, Taichung, Taiwan and Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan [email protected]

Periodontal Therapy is Associated With Decreased Risk of Developing End-stage Renal Disease – A Study Using the Taiwan National Health Insurance Database

Surgical treatment for patients with periodontal disease reduces risk of end-stage renal disease: A nationwide population-based retrospective cohort study. Lee C-F, Lin C-L, Lin M-C, Lin S-Y, Sung F-C, Kao C-H. J Periodontol 2014;85(1):50-6. Ronald G. Craig, DMD, PhD This retrospective study used claims data from the Taiwan National Health Insurance Database to ask whether surgical periodontal therapy, defined as root planing or flap surgery, was associated with a reduced risk of end-stage renal disease (ESRD) when compared to periodontal disease without surgical periodontal therapy. Government: Taiwan Department of Health Clinical Trial and Research Center (DOH102-TD-B-111-004), Taiwan Department of Heath Cancer Research Center (DOH102-TD-C-111-005) and International Research Intensive Centers of Excellence in Taiwan (i-RICE) (NSC101-2911-1-002-303) Retrospective cohort study Level 2: Limited-quality patient-oriented evidence Not applicable

Secondhand smoke exposure leads transition from physiological aging hypertrophy to pathological heart failure (540.5)

The aim of this study was to examine secondhand smoke exposure in age‐related heart failure. The older rats were placed in exposure chamber, and exposure 10 cigarettes for 30 min, for 1 day. Left ventricular (LV) morphological assessed on histopathologic of LV sections were stained with hematoxylin‐eosin staining. Echocardiography assessed LV function. Related molecular mechanisms of LV hypertrophy signaling pathways by western blot. Results showed heart and LV weight, heart (LV)/body weight ratio, heart (LV)/tibia ratio were increased in the aging and aged SHS exposure. In aging heart, we observed LV muscle fiber rearrangement was disorder, interstitial space large and fibrosis. From echocardiography results, we found EF (%) and FS (%) were apparently decreases, LVID, LVPW and IVS at systolic and diastolic diameters were decreased in the aging and aged SHS exposure. In aged SHS exposure, we found myocytes numbers decreased, extracellular space (%), cell length (μm) and collagen occupied (%) were increased, in the aging rats cardiomyocytes width (μm) increased. Indeed, related molecular mechanisms trend to pathological LV hypertrophy (dilation) and heart failure.Grant Funding Source: Taiwan Department of Health Clinical Trial and Research Center of Excellence (DOH102‐TD‐B‐111‐004)

Nursing Inequalities in Elderly Suicides: An Empirical Study of Taiwan

Suicide is an important public health issue worldwide. Suicidal behavior in the elderly population represents a huge potential burden on national health care systems and economies, as the average lifespan has increased significantly in most countries in recent decades. The purpose of this study is to explore the relationship between nursing care and the overall suicide rate in the elderly. We used a fixed-effect model to analyze panel data comprising suicide-related events in Taiwan from 2001 to 2009. Two data sets provided by the Taiwan Department of Health of the Executive Yuan, Taiwan, and the Taiwan Demographic Fact Book produced by the Taiwan Ministry of the Interior were used. Death by suicide was defined as those coded E950-E958 according to the International Classification of Disease, Ninth Revision (ICD-9). These data comprised a longitudinal population-based survey of a nationwide sample of 23, 224, 912 residents. Our study suggests that suicides in the elderly can be prevented with medical care offered by nurses. Our findings show that increasing the number of nursing staff reduced suicidal ideation in older adults. Although the results regarding elderly male suicides were not statistically significant, elderly female suicides were found to be significantly reduced. This study concluded that it is possible to reduce this public health issue and decrease the associated national financial burden by increasing the nursing workforce.

Prospective associations between different categories of physical activity and insomnia in older adults

(*) National Taiwan University of Physical Education and Sport, Taiwan (**) Centre for Exercise, Nutrition and Health Sciences, University of Bristol, and School of Sport and Exercise Sciences, University of Birmingham, UK (***) Family Medicine Department, Taipei City Hospital Zhongxing Branch, Taiwan (°) Department of Leisure and Recreation Management at Nan Kei University of Technology, Taiwan (°°) National Changhua University of Education, and Community Medicine Research Center, National Yang-Ming University, Taiwan

Advances on Multivalued Operators and Related Fixed Point Problems

1 Department of Applied Mathematics, National Hsinchu University of Education, Taiwan 2Department of Mathematics, Atilim University, Incek, 06836 Ankara, Turkey 3 Nonlinear Analysis and Applied Mathematics Research Group (NAAM), King Abdulaziz University, Jeddah, Saudi Arabia 4Department of Mathematics, National Kaohsiung Normal University, Kaohsiung 824, Taiwan 5Department of Mathematics, College of Education of Jubai, Dammam University, Dammam, Saudi Arabia 6 Instituto Universitario de Matematica Puray Aplicada, Universitat Politecnica de Valencia, Cami de Vera s/n, 46022 Valencia, Spain