Taiwan Society Research Articles

Elucidating International Travelers’ Tourism Image of Taiwan: A Qualitative Approach

Although Western alien visitors to Taiwan have a unique, well-informed perspective of what appeals to tourists from their countries, little research has been conducted to assess their insights, representing a significant research gap. To fill this gap, this study aims to elucidate how international tourists perceive Taiwan as a tourist destination by collecting detailed qualitative data via in-depth interviews of twenty-four international expatriates. This study illustrated the image differences before and after the visit of international tourists by analyzing the dimensions of tourists’ consensus maps and the changes in their perception of the natural, social, cultural, gourmet food, and Aboriginal image of Taiwan. This study provides a better understanding of how international tourists in Taiwan view its current and potential appeal as a tourist destination, so as to identify ways of attracting new tourists from their cultures. Patterns emerged that suggest new approaches for promoting Taiwan tourism and tourism sustainability which might not occur to Taiwanese tourism professionals due to the interviewees’ unique points of view. This research concludes that the application of cultural promotion strategies, planned tour packages, and improvement of the image of nature, culture, society, food, and Aboriginal people in Taiwan will thereby improve the overall satisfaction of international tourists, building online image, and forming e-word-of-mouth.

Real-World Evidence of Effectiveness and Safety of Vedolizumab for Inflammatory Bowel Disease in Taiwan: A Prospective Nationwide Registry (VIOLET) Study.

This nationwide prospective registry study investigated the real-world effectiveness, safety, and persistence of vedolizumab (VDZ) in inflammatory bowel disease (IBD) patients in Taiwan. Disease relapse rates after VDZ discontinuation due to reimbursement restriction were assessed. Data were collected prospectively (January 2018 to May 2020) from the Taiwan Society of IBD registry. Overall, 274 patients (147 ulcerative colitis [UC] patients, 127 Crohn's disease [CD] patients) were included. Among them, 70.7% with UC and 50.4% with CD were biologic-naïve. At 1 year, 76.0%, 58.0%, 35.0%, and 62.2% of UC patients and 57.1%, 71.4%, 33.3%, and 30.0% of CD patients achieved clinical response, clinical remission, steroid-free remission, and mucosal healing, respectively. All patients underwent hepatitis B and tuberculosis screening before initiating biologics, and prophylaxis was recommended when necessary. One hepatitis B carrier, without antiviral prophylaxis due to economic barriers, had hepatitis B reactivation during steroid tapering and increasing azathioprine dosage, which was controlled with an antiviral agent. No tuberculosis reactivation was noted. At 12 months, non-reimbursement-related treatment persistence rates were 94.0% and 82.5% in UC and CD patients, respectively. Moreover, 75.3% of IBD patients discontinued VDZ due to mandatory drug holiday. Relapse rates after VDZ discontinuation at 6 and 12 months were 36.7% and 64.3% in CD patients and 42.9% and 52.4% in UC patients, respectively. The findings demonstrated VDZ effectiveness in IBD patients in Taiwan, with high treatment persistence rates and favorable safety profiles. A substantial IBD relapse rate was observed in patients who had mandatory drug holiday.

A Preliminary Study of the Effectiveness of Information Technology in Promoting Healthcare Learning among Aging Learners in COVID-19 pandemic: Use the Ape-like On-the-spot Super Slow Jogging as an Example

The global outbreak of the COVID-19 pandemic in 2020 has turned a new exercise Ape-like On-the-spot Super Slow Jogging that was originally taking place in the physical world into an online mode. In order to understand the characteristics, and steps and effectiveness of the Jogging, this study adopts a mixed-method methodology to analyze the effectiveness of MOOCs like course on YouTube and the two-way Line based community to assist online practice learning. The research subjects are 33 participants who completed the 100-day foundation building program within six months. The results of the quantitative and qualitative cross-comparison analysis show that this group of participants could achieve physical and mental improvement through technology-mediated blended learning in the midst of the pandemic. We hope the emerging blended learning method will reduce the burden of long-term health care in an aging society in Taiwan and improve the quality of life as well in the future.

Bariatric surgery trends and progress in Taiwan: 2010–2021

IntroductionTaiwan is a leading country regarding bariatric surgery in Asia-Pacific. Since 2010, the Taiwan Society for Metabolic and Bariatric Surgery (TSMBS) has been accountable for the national evolution of bariatric surgery and inaugurated a national database accordingly. This study aimed to analyze the bariatric surgery trends and progress in Taiwan from 2010 to 2021. Materials and methodsThe TSMBS database was collected on the basis of structured inquiries filled out by bariatric surgeons in Taiwan. All patients involving bariatric surgery were included. The data were stratified with the following objectives, including the types of bariatric procedures, demographic characteristics, and perioperative variables. A nationwide database was comprehensively analyzed and evaluated to determine the trends in the applications of the procedure. ResultsData of 30,026 patients were enrolled. A 2.5-fold increase was observed in bariatric procedures, from 1218 in 2010 to 3005 in 2021. Within 12 years, female accounts for 61.8 %. The revisional rate was 3.40 % during the exploration stage (2010–2013), 2.77 % during the maturity stage (2013–2018), and 5.10 % during the expansion stage (2019–2021). The top five of primary bariatric surgery is sleeve gastrectomy (SG, 63.05 %), gastric clipping surgery (GC, 11.17 %), Roux-en-Y gastric bypass (RYGB, 9.34 %), one anastomosis gastric bypass (OAGB, 8.80 %), and sleeve plus surgery (SG plus, 4.43 %). ConclusionThe trends and progress of Taiwan’s bariatric surgery within recent decades are presented in this article. Taiwan's bariatric surgery case number has increased steadily from 2010 to 2021. Amongst all, SG has become the most dominant procedure since 2011 while OAGB takes up second place in 2020.

2023 Guidelines of the Taiwan Society of Cardiology on the Diagnosis and Management of Chronic Coronary Syndrome.

Coronary artery disease (CAD) covers a wide spectrum from persons who are asymptomatic to those presenting with acute coronary syndromes (ACS) and sudden cardiac death. Coronary atherosclerotic disease is a chronic, progressive process that leads to atherosclerotic plaque development and progression within the epicardial coronary arteries. Being a dynamic process, CAD generally presents with a prolonged stable phase, which may then suddenly become unstable and lead to an acute coronary event. Thus, the concept of "stable CAD" may be misleading, as the risk for acute events continues to exist, despite the use of pharmacological therapies and revascularization. Many advances in coronary care have been made, and guidelines from other international societies have been updated. The 2023 guidelines of the Taiwan Society of Cardiology for CAD introduce a new concept that categorizes the disease entity according to its clinical presentation into acute or chronic coronary syndromes (ACS and CCS, respectively). Previously defined as stable CAD, CCS include a heterogeneous population with or without chest pain, with or without prior ACS, and with or without previous coronary revascularization procedures. As cardiologists, we now face the complexity of CAD, which involves not only the epicardial but also the microcirculatory domains of the coronary circulation and the myocardium. New findings about the development and progression of coronary atherosclerosis have changed the clinical landscape. After a nearly 50-year ischemia-centric paradigm of coronary stenosis, growing evidence indicates that coronary atherosclerosis and its features are both diagnostic and therapeutic targets beyond obstructive CAD. Taken together, these factors have shifted the clinicians' focus from the functional evaluation of coronary ischemia to the anatomic burden of disease. Research over the past decades has strengthened the case for prevention and optimal medical therapy as central interventions in patients with CCS. Even though functional capacity has clear prognostic implications, it does not include the evaluation of non-obstructive lesions, plaque burden or additional risk-modifying factors beyond epicardial coronary stenosis-driven ischemia. The recommended first-line diagnostic tests for CCS now include coronary computed tomographic angiography, an increasingly used anatomic imaging modality capable of detecting not only obstructive but also non-obstructive coronary plaques that may be missed with stress testing. This non-invasive anatomical modality improves risk assessment and potentially allows for the appropriate allocation of preventive therapies. Initial invasive strategies cannot improve mortality or the risk of myocardial infarction. Emphasis should be placed on optimizing the control of risk factors through preventive measures, and invasive strategies should be reserved for highly selected patients with refractory symptoms, high ischemic burden, high-risk anatomies, and hemodynamically significant lesions. These guidelines provide current evidence-based diagnosis and treatment recommendations. However, the guidelines are not mandatory, and members of the Task Force fully realize that the treatment of CCS should be individualized to address each patient's circumstances. Ultimately, the decision of healthcare professionals is most important in clinical practice.

"I agree with LGBT rights, but…": Authoritarianism and social dominance orientation underlying hypocritical attitudes of Taiwan society.

In the modern public sphere, ordinary people may display hypocrisy in political participation, showing contradictory attitudes across different social issues. But there still exists another type of hypocritical attitude within one single issue, such as agreeing with LGBT rights but refusing to amend the current Civil Code simultaneously in the case of Taiwan. In the same-sex marriage legalizing process, the hypocritical attitude could be observed in Taiwan's conservative campus, together with the explicitly prejudiced attitude. In this article, we explored the existence of the hypocritical attitude on this issue and discovered its psychological foundations. We conducted an online questionnaire survey in 2018 (N = 544) to measure Taiwanese participants' attitudes toward same-sex marriage and their psychological dispositions of Right-Wing Authoritarianism (RWA) and Social Dominance Orientation (SDO). Our results showed that while attitudes toward LGBT rights and special-law were negatively correlated, several participants showed the hypocrisy of positive attitudes toward the two sets of questions simultaneously. The hypocritical people shared similar psychological dispositions with the explicitly prejudiced people as high in RWA and SDO while differentiated from the LGBT-friendly people. Attitudinal hypocrisy and explicit prejudice constitute two sides of the conservative camp in Taiwan, which is based on the Confucianism cultural value of interpersonal harmony. The cultural and societal implications were discussed.

Consensus and inconsistency between different consensus documents on renal denervation worldwide: the way forward.

Given the unsatisfactory hypertension control rates and high rates of non-adherence to antihypertensive medications worldwide, device therapy which can safely provide durable blood pressure-lowering effects can fulfill the unmet need. A series of second-generation randomized sham-controlled renal denervation (RDN) trials have demonstrated the efficacy and safety of RDN in a wide range of hypertensive patients. The four representative consensus documents on RDN (from the Chinese Taiwan Hypertension Society and Taiwan Society of Cardiology [THS/TSOC 2019], Asia Renal Denervation Consortium 2019, European Society of Hypertension [ESH 2021], and Society for Cardiovascular Angiography & Intervention and National Kidney Foundation [SCAI/NKF 2021]) consistently recommend RDN as an alternative or complementary treatment strategy for patients with uncontrolled hypertension. In addition, both documents from Asia further recommend that RDN can be considered as an initial treatment strategy for drug-naïve hypertensive patients. There is still inconsistency regarding whether ambulatory blood pressure monitoring should be used routinely both before and after RDN, and whether patients with a secondary cause of hypertension could be treated with RDN if their blood pressure remains uncontrolled after definitive treatment (treatment-resistant secondary hypertension). The THS/TSOC consensus provides acronyms to summarize key aspects of patient selection (RDNi2) and pre-RDN assessments (RAS). The ESH and SCAI/NKF documents recommend establishing structured pathways for clinical practice and issues regarding reimbursement. All documents identify knowledge gaps in RDN, from identifying predictors of super-responders to demonstrating effects on cardiovascular events. These gaps should be urgently filled to facilitate the wider application of this device therapy for patients with hypertension.

The Response of Tribal Cultural Care to the Physical and Emotional Needs of Older Adults During the COVID-19 Pandemic

As Taiwan's society ages, Tribal Cultural Health Stations serve as in situ long-term care centers that are committed to building a long-term care service model for indigenous peoples based on cultural care. The cultural sensitivity, cultural ability, and tribal ability of long-term care planners and professional helpers remains insufficient, making it difficult to achieve the policy goals of "designing for the tribes and for the locals" and "creating a cultural care mechanism". However, based on a foundation of local blood and geo-relationship and through the care expertise and interpersonal network established through long-term tribal cultivation and service, a cultural care mechanism that meets local awareness, local needs, and human trust has been formed by expanding linkages among the resources of all local stakeholders. During the COVID-19 epidemic, this has helped facilitate the recovery of the emotional and physical health of older tribal adults. For example, caregivers have been able to help ease the anxieties among older adults in indigenous communities regarding vaccination, fear of infection, isolation, and interpersonal suspicions. In addition, the positive role of the tribal cultural care mechanism as a social safety valve during the pandemic has been demonstrated.

Management of cancer-related fatigue in Taiwan: an evidence-based consensus for screening, assessment and treatment.

Cancer-related fatigue is one of the most common and persistent issues experienced by cancer patients. Cancer-related fatigue is a distinct form of fatigue that is subjective, long-lasting and unalleviated by rest or sleep. Studies have shown that almost all cancer patients experience severe fatigue that disrupts the quality of life and physical function, but cancer-related fatigue remains under-addressed in clinical care, and only about half of all patients receive treatment. To increase the awareness of cancer-related fatigue and improve current management, the Taiwan Society of Cancer Palliative Medicine and the Taiwan Oncology Nursing Society convened a consensus committee to develop recommendations for the screening, assessment and treatment of cancer-related fatigue. Thirteen consensus recommendations were subsequently developed based on the best available evidence and the clinical experience of committee members. These recommendations are expected to facilitate the standardization of cancer-related fatigue management across Taiwan and may also serve as a reference for other clinicians.

Economic evaluation of new blood pressure target for hypertensive patients in Taiwan according to the 2022 hypertension clinical practice guidelines of the Taiwan society of cardiology: a simulation modeling study.

With the promising cardiovascular benefits in the STEP and SPRINT trials, the2022 Taiwan's hypertension guidelines redefined the hypertension threshold as 130/80 mmHg and a universal blood-pressure target of <130/80 mmHg. This study's objective was to examine the cost-effectiveness of the intensive blood-pressure target for hypertensive patients using estimated lifetime medical costs and quality-adjusted life years (QALY) from the Taiwan national payer's perspective. We developed a lifetime Markov model comparing the intensive and conservative blood-pressure targets. Incremental cost-effectiveness ratio (ICER) against the willing-to-pay thresholds at the one-time [US$34,000(NT$1,020,000)] and three-time [US$100,000(NT$3,000,000)] gross domestic product per capita were defined as very cost-effect and only cost-effective. The cost-effectiveness in different age stratifications and cardiovascular risks treated with a more intensive target (120 mmHg) were examined in the subgroup analyses. The new blood-pressure treatment target produced more lifetime medical costs [US$31,589(NT$947,670) versus US$26,788(NT$803,640)] and QALYs (12.54 versus 12.25), and the ICER was US$16,589(NT$497,670), which was 99.1% and 100% probability of a very cost-effective and cost-effective strategy. The ICERs in all age stratifications had more than a 90% probability of being very cost-effective, and ICERs decreased with age. More intensive control in patients with high cardiovascular risks produced a lower ICER [US$14,547(NT$436,410)]. In conclusion, Taiwan's new blood-pressure treatment target can prevent more cardiovascular events with acceptable costs per QALY below the willing-to-pay thresholds. The cost-effectiveness of intensive control is consistent across different ages and more pronounced with the increase in age and cardiovascular risk.

Living alone decreased calcaneus ultrasound T-score in a large Taiwanese population follow-up study.

BackgroundOsteoporosis is associated with many serious health conditions that have a severely negative impact on quality of life, as well as higher rates of morbidity and mortality. Due to the aging society and low birth rate in Taiwan, an increasing number of people are living alone. This longitudinal study was aimed to assess the relationship between living alone and calcaneus ultrasound T-score in a large cohort in Taiwan.MethodsA total of 118,853 participants enrolled in the Taiwan Biobank since 2008 to 2016, who had complete calcaneus ultrasound examinations were collected in the baseline study. Of these participants, 26,850 received complete follow-up measurements after a median of 4 years. The T-score (g/cm2) of the calcaneus in the non-dominant foot was measured using ultrasound. Changes in the calcaneus ultrasound T-score (ΔT-score) were calculated as follow-up T-score minus baseline T-score. We analyzed these data in 2022. We used multivariable linear regression analysis to investigate correlation between living alone with baseline T-score and ΔT-score. We also carried out separate analyses for men and women.ResultsThe mean age of the participants was 49.89 ± 10.95 years, and multivariable analysis showed that living alone was significantly correlated to low baseline T-score in whole cohort (β = −0.040; p = 0.012) and women (β = −0.055; p = 0.023). Furthermore, living alone (coefficient β = −0.049; p = 0.048) was significantly correlated to a low ΔT-score after 4 years of follow-up.ConclusionIn this large population-based longitudinal study, living alone may be related to low baseline calcaneus ultrasound T-score and ΔT-score. Adopting long-term community-based care policies to increase the activity of people living alone may help to prevent osteoporosis and decrease the risk of fractures in Taiwan.

TEMPOROMANDIBULAR JOINT DISLOCATION DUE TO NEAR SELF-EXTUBATION

TEMPOROMANDIBULAR JOINT DISLOCATION DUE TO NEAR SELF-EXTUBATION

The Image of the Relationship between Religious Beliefs, Political Behaviors, and Morality in a Modern Taiwanese Society

Taiwan is a multi-religious country and the religions have a certain influence on society. This study found that religion indeed plays a significant role in Taiwan. Taiwan society is highly diversified in terms of religious belief. Almost religious organization has its own doctrine. Does religion unite or divide Taiwan society? More or less, religions indeed play a role in Taiwan, but it also may not have the function of divide society. However, on the issue of same-sex marriage, some political parties are still fighting on the LGBT rights. On the other hand, in order to get votes from religious beliefs people, some parties advocated the abolition of the same-marriage law. Homosexual remains a controversial issue.

Real-World Experience of Angiotensin Receptor–Neprilysin Inhibition in Reduced Ejection Fraction Heart Failure Patients With Advanced Kidney Disease

ObjectiveTo investigate the effectiveness and safety of angiotensin receptor-neprilysin inhibitors (ARNIs) in real-world patients with heart failure with reduced ejection fraction (HFrEF) and advanced chronic kidney disease (estimated glomerular filtration rate [eGFR] < 30 mL/min per 1.73 m2), which have been excluded from the landmark trials. Patients and MethodsThis study examined 3281 patients pooled from two multicenter HFrEF cohorts, and 661 patients with baseline eGFR less than 30 mL/min per 1.73 m2 were further analyzed (the Taiwan Society of Cardiology – Heart Failure with reduced Ejection Fraction (TSOC-HFrEF) registry: May 1, 2013 to October 31, 2014, and the Treatment with Angiotensin Receptor neprilysin inhibitor fOr Taiwan Heart Failure patients (TAROT-HF) study: March 1, 2017, to December 31, 2018). Propensity score matching was performed to adjust for confounders. At 1-year follow-up, all-cause mortality, total heart failure hospitalizations, renal function, and left ventricular ejection fraction (LVEF) were used as the endpoints. ResultsAfter propensity score matching, 510 patients (age, 69.8±13.9 years; male, 61.0%; mean LVEF, 29.8±7.3%; mean eGFR, 19.8±9.0 mL/min per 1.73 m2) were included in the final analysis, including 278 patients receiving ARNI treatment (ARNI group) and 232 patients not on ARNI treatment (non-ARNI group). Baseline characteristics were comparable between the two groups. At 1 year, eGFR and LVEF measurements were significantly higher in the ARNI group than in the non-ARNI group (25.0±17.1 mL/min per 1.73 m2 vs 21.4±17.5 mL/min per 1.73 m2; P=.04; and 40.1±12.9% vs. 33.1±10.8%, P<.001, respectively). The ARNI group had significantly lower risks of 1-year all-cause mortality (19.4 vs 30.9 per 100-person year; P=.02), and total HF rehospitalizations (70.0 vs 110.4 per 100-person year; P=.01) than non-ARNI users. ConclusionOur results show the effectiveness of ARNIs in HFrEF patients with advanced chronic kidney disease in a real-world setting.

Dual Antiplatelet Therapy in the Management of Acute Minor Ischemic Stroke and High-Risk Transient Ischemic Attack: An Expert Consensus Statement From Taiwan Stroke Society and Taiwan Society of Emergency Medicine.

The aim of this review is to achieve a consensus between Taiwan Stroke Society (TSS) and Taiwan Society of Emergency Medicine (TSEM) to manage acute non-cardioembolic minor ischemic stroke (MIS) and high-risk transient ischemic attack (TIA). The methodology is to review the recent findings from clinical trials of dual antiplatelet therapy (DAPT) from 2010 to 2021 and updates in clinical practice guidelines from 2018 to 2022 for non-cardioembolic MIS/TIA management at the acute stage. Four leading clinical studies, CHANCE, POINT, THALES, and CHANCE-2 along with other relevant studies introducing DAPT, are discussed in this review. The risk-benefit profile between stroke recurrence reduction and major bleeding increase is also elucidated. TSS and TSEM concluded that for patients presenting with non-cardioembolic MIS or high-risk TIA who did not receive intravenous alteplase, initiation of DAPT within 24 hours after stroke onset and continued up to 21 days, followed by antiplatelet monotherapy, is effective in reducing recurrent ischemic stroke for a period of up to 90 days.

The ‘national’ imagining of contemporary Taiwan: the representation of cultural heritage from the Japanese colonial era

ABSTRACT This study aims to discuss how the government and society of Taiwan have appropriated the heritage from Japanese colonial rule into the discourse of Taiwanese culture to bolster the national identity of Taiwan. The interconnected theoretical concepts of ‘imagined communities’ and ‘nationalising the past’ ground the analytical framework of this study. With a focus on the ‘selective’ presentations of the colonial heritage in historic Tainan City, this study explores how the official and social discourses have trivialised, reorganised, simplified, and recontextualised the historical intricacies of legacies of the Japanese colonial era through the process of heritagisation. The research results suggest that the meaning of colonial legacies has been shaped and reshaped from being a mark of the dark past and deprivation to constitute a glorious contribution fulfilling the discourse of multi-faceted Taiwanese culture. This case also suggests the possibility for a post-colonial society to extricate itself from a mimicking mentality and to redevelop their culture discourse as a buttress of the national identity.

Introduction: Language and Society in Taiwan

Abstract This topical section brings together five essays that cover different aspects in the intersection of language and society in contemporary Taiwan. Briefly outlining the contents of each essay, this introduction focuses on the question how the essays complement each other in terms of level of analysis, empirical basis, and interdisciplinary approach. It shows how research on language planning on the national level and its underlying ideology ties in with analyses of the language choice behaviour of individual speakers at the receiving end of language planning. Claims derived from individual case studies in turn require quantitative data to allow for generalisability. Finally, interdisciplinary research in the intersection of language and media studies helps us to understand how language standards and dominant language ideologies are disseminated, reproduced, and challenged.

Incidence and predictors of idiopathic pneumonia syndrome in hematopoietic stem cell transplant patients: a nationwide registry study

Idiopathic pneumonia syndrome (IPS) is a rare but deadly complication of hematopoietic stem cell transplantation (HSCT). This study characterized the incidence and risk factors for IPS after HSCT in Taiwan. Data from January 2009 to February 2019 was collected from the Taiwan Society of BMT national registry. Forty-three (1.1%) of 3924 HSCT patients who developed IPS were identified. Incidence of IPS was lower in patients who received autologous HSCT than patients who received allogeneic HSCT (0.68% vs 1.44%, P = 0.022). Multivariate analysis showed that use of TBI and intravenous busulfan in the conditioning regimen were each independent predictor of IPS after HSCT. In addition, development of IPS was significantly associated with increased risk of death in the first 120days post-HSCT (HR, 2.09; 95% CI, 1.08 to 4.05, P = 0.029) and 2years post-HSCT (HR, 1.65; 95% CI, 1.07 to 2.542, P = 0.023), but not beyond 2years post-HSCT. However, survival outcomes did not differ significantly between patients with IPS who received autologous versus allogeneic HSCT (P = 0.52). In conclusion, despite the relatively low incidence of post-HSCT IPS in Taiwan, mortality remains high. The results of this study will help to identify high-risk patients for early intervention and guide future therapeutic research.

A Taiwanese Widow’s Journey to Redefine Her Social Identity

The author is a counseling psychologist. When she was forty-five years old, she lost her beloved husband to cancer. The reflective account in this report examines the cultural underpinnings of the challenges that she encountered as she was seeking to redefine her social identity after this traumatic loss. The unspoken norms in a patriarchal tradition thrust her into unexpected confusions and struggles—norms with residues that still permeate modern society in Taiwan. To sort through these conundrums and dilemmas, she turned to autoethnography. After two years of writing, two prominent themes emerged. The first theme centers on the insider/outsider tug-of-war manifested in her interactions with her in-laws. The second pertains to how she is perceived by the society now that her wedded partner has passed away. Is she married? Is she single? Through writing, the sociocultural threads embedded in what she experienced slowly crystallized. She was afforded a more detached vantage point to reflect on her feelings and thoughts and the dimensions that had eluded her before. This enlightenment empowered her and contributed in a meaningful way to moving her forward on her journey to redefine her new identity.

Coronationalism: The Nationalist Discourses of Taiwanese Professional Baseball in the Media During the Outbreak of COVID-19

&lt;p&gt;新冠肺炎於2020年爆發初期，臺灣管控相對得宜，中華職棒於4月以閉門比賽搶先全球開打，並於Twitter進行英語直播，吸引美日等地球迷關注。本研究探討2020年臺灣職棒於疫情中開打後，與象徵臺灣公衛的疫情控制成就互相結合，構成「新冠國族主義」。媒體國族論述將職棒賽事與防疫成就視為國族驕傲，藉由翻譯外電及外國球評推文，強調全世界「看見臺灣」。再者，「中職改名」論戰，反映了臺灣社會內部的國族認同之衝突。最後，疫情期間的國族論述複製全球化的世界體系，以美國與日本棒球作為標準。臺灣的新冠國族主義論述與其他國家的種族歧視與排外情緒有明顯差異，強調職棒與防疫作為國族之光，並作為全球危機中受到國際社會承認與接納的具體象徵。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Since Taiwan controlled well against the outbreak of the COVID-19 pandemic in beginning of 2020, the Chinese Professional Baseball League in Taiwan (CPBL) was able to hold ball games without attendance in April and became the &amp;ldquo;only&amp;rdquo; professional baseball season in the world at that time. The CPBL launched live English-language broadcast on Twitter to attract sports fans from the U.S., Japan, and the rest of the world. This paper critically examined the &amp;ldquo;coronationalism&amp;rdquo; (the nationalist discourses during the outbreak) in Taiwan. First, Taiwanese professional baseball games, as well as the relative success in controlling the spread of coronavirus, were regarded as a national glory during the pandemic. Related news reports in foreign media and tweets from foreign baseball commentators were evidences that &amp;ldquo;the whole world was watching Taiwan.&amp;rdquo; Moreover, the debate of renaming the CPBL reflected the conflicting national identities within Taiwan society. Furthermore, the nationalist discourses duplicated the world system of baseball modeled after professional baseball leagues in the U.S. and in Japan. The nationalist discourses in Taiwan during the pandemic, which emphasized the CPBL games, the pandemic management as the national glory, and the world&amp;rsquo;s recognition of Taiwan, were distinctively different from racism and xenophobia observed in many other countries during this global public health crisis.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;