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        Suture Repair in Endoscopic Surgery for Craniovertebral Junction

        Mei-Yin Yeh,Wen-Cheng Huang,Jau-Ching Wu,Chao-Hung Kuo,Hsuan-Kan Chang,Tsung-Hsi Tu,Peng-Yuan Chang,Yu-Shu Yen,Henrich Cheng 대한척추신경외과학회 2019 Neurospine Vol.16 No.2

        Objective: Endoscopic approaches to the craniovertebral junction (CVJ) have been established as viable and effective surgical treatments in the past decade. One of the major complications is leakage of the cerebrospinal fluid (CSF). This study aimed to investigate the efficacy and feasibility of suture closure at the nasopharyngeal mucosa upon durotomy. Methods: A series of consecutive patients who underwent different endoscopic approaches to the CVJ were retrospectively reviewed. The pathologies, surgical corridors, neurological and functional outcomes, radiological evaluations, and complications were analyzed. Different strategies of repair for the intraoperative CSF leakage were described and compared. Results: A total of 22 patients covering 13 years were analyzed. There were 12, 2, and 8 patients who underwent transnasal, transoral, and combined approaches, respectively. There were 8 patients (36.4%) who experienced intraoperative CSF leakage, and were grouped into 2: 4 in the nonsuture (NS) group and 4 in the suture-repaired (SR) group. The NS group had 3 (75%) persistent CSF leakages postoperation that caused 1 mortality, whereas patients of the SR group had only 1 minor CSF rhinorrhea that healed spontaneously within days. Conclusion: In this series of 22 patients who required anterior endoscopic resection of pathologies at the CVJ, there was 1 (4.5%) serious complication related to CSF leakage. For patients who had no durotomy, the mucosal incision at the nasopharynx usually healed rapidly and there were few procedure-related complications. For patients with intraoperative CSF leakage, suture closure was technically challenging but could significantly lower the risks of postoperative complications.

      • Development of a Sorting System for Inspection of Mushroom Mycelium Growth

        ( Vivian Liao ),( Suming Chen ),( Chao-yin Tsai ),( Kuang-wen Hsieh ),( Kuo-chih Tung ) 한국농업기계학회 2018 한국농업기계학회 학술발표논문집 Vol.23 No.1

        Mushroom cultivation is one of the important industries in Taiwan's agriculture. In current mushroom cultivation process, which includes spawn production, substrate preparation & bottling, inoculation, spawning, scratching, fruiting, harvest and packing, required a large amount of labor. In this research, the improvement in fault inspection for spawn level and bacterial infection before scratching process was conducted. The aim of this research is to establish an inspection system using machine vision, pneumatic mechanism and Programmable Logic Controller (PLC). First, an experiment-used small lighting chamber was made to study the image processing method, which can get the development (expansion) of self-made simulated samples from its side view image. The accuracy to recognize the fault in self-made simulated samples is up to 99.9%. In real cultivation bottle samples fault inspection, it spent for about 10 seconds and can get well recognition. A prototype of sorting system has also been established to conduct the inspecting process and remove bottles with fault conditions of spawn level and bacterial infection.

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        Effects of nitrogen and carbon doping on properties and photocatalytic activity of TiO2-In2O3 composite

        Chung-Hsin Wu,Chao-Yin Kuo,Jui-Tai Wu,Pui-Kwan Andy Hong,Chih-Hao Lai,Wei-Yang Chung 한국화학공학회 2015 Korean Journal of Chemical Engineering Vol.32 No.5

        TiO2-In2O3 (Ti-In) was synthesized by the sol-gel method and the composite was further doped with nitrogen and carbon to create Ti-In-N and Ti-In-C, respectively. The dye C.I. Reactive Red 2 (RR2) was used a model compound to be subjected to various composites and measured for removal by photocatalytic degradation and adsorption. Ti-In-N possessed a larger mean diameter than Ti-In-C, while the latter possessed a greater anatase content and surface area than the former. After N or C doping, the spectra of corresponding Ti-In-N and Ti-In-C showed absorption edges at longer wavelengths than the parent Ti-In. Ti-N-O and Ti-O-C bonds were found in Ti-In-N and Ti-In-C composites, respectively. Ti-In-N was more effective for RR2 photodegradation than Ti-In-C, and the Ti-In-C removed more RR2 by adsorption than Ti-In-N.

      • The Evaluation of Drying Qualities of Tea Dryers in Taiwan

        ( Cheng-hou Chang ),( Suming Chen ),( Chao-yin Tsai ),( Kuo-chih Tung ) 한국농업기계학회 2018 한국농업기계학회 학술발표논문집 Vol.23 No.1

        Tea drying is a necessary process of tea manufacturing to prevent deterioration, stabilize the tea quality, and to facilitate packaging and storage. Therefore, the tea dryer is an essential equipment for the tea industry; and the tea drying quality is an index to evaluate tea dryers. In this study, four types of tea dryers were used to conduct tea leaves drying experiments. Four tests of sensory evaluation, color analysis, soluble ingredients analysis and chemical composition analysis were used to evaluate the drying quality of the tea dryers. The experiment results showed that the vacuum roller dryer (VRD) in the overall tea drying qualities had a better evaluation, the next were low-humidity dryer (LHD) and multiple-layer conveyer dryer (MLD), the electric hot air dryer (HAD) was worst among all tea dryers. The comprehensive evaluation of tea drying qualities were investigated using area analysis of radar chart which were VRD (2.38) > LHD (2.15) > MLD(2.12) > HAD(2.06). Therefore, the vacuum drying with moderate stirring could improve qualities of tea drying. Based on the results of this study, tea farmers or makers can choose the proper dryer, and tea equipment manufacturers can improve and enhance the performance of tea dryers

      • Impact of Adjuvant Chemotherapy in Elderly Breast Patients in Taiwan, A Hospital-Based Study

        Lee, Hsiu Chuan,Chen, Wei Yu,Huang, Wen Tsung,Cheng, Kuo Chen,Tian, Yu Feng,Ho, Chung Han,Tsao, Chao Jung,Feng, Yin Hsun Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.10

        Purpose: Decisions as to whether to provide adjuvant treatment in older breast cancer patients remains challenging. Side effects of chemotherapy have to be weighed against life expectancy, comorbidities, functional status, and frailty. To aid decision-making, we retrospectively analyzed 110 women with breast cancer treated with a curative intention from 2006 to 2012. Survival data with clinical and pathological parameters were evaluated to address the role of adjuvant chemotherapy in this study population. Method: A total of 110 elderly (>70 years) patients that received mastectomy at two hospitals in Taiwan were observed retrospectively for a medium of 51 months. After mastectomy, patients received conservative treatment or adjuvant chemotherapy, or hormone therapy following clinical guidelines or physician's preference. Data were collected from the cancer registry system. Results: Median age at diagnosis was 75.7 years. Thirty-five percent of patients received adjuvant chemotherapy, these having a significantly younger age ($mean=74.0{\pm}5.3$ vs $77.5{\pm}5.3$, p<0.001) and higher tumor staging (p=0.003) compared with their non-chemotherapy counterparts.Five-year overall survival was non-significantly higher in patients who received adjuvant chemotherapy (with chemotherapy 64.2% vs without chemotherapy 62.6%, p=0.635), while five-year recurrence free survival was non-significantly lower (with chemotherapy 64.1% vs without chemotherapy 90.5%, p=0.80). Conclusions: In this analysis, adjuvant chemotherapy tended to be given to patients with a younger age and higher tumor staging at our institute. It was not associated with any statistically significant improvement in survival and recurrence rate. Until age specific recommendations are available, physicians must use their clinical judgment and assess the tumor biology with the patient's comorbidities to make the best choice. Clinical trials focusing on this critical issue are warranted.

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