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Yu-Shiu SHIH,Dr. Wei-Te LIU 한국직업자격학회 2017 한국직업자격학회 학술대회 Vol.2017 No.10
The purpose of this study is to study the effect of Chinese medicine aromatherapy on olfactory conduction course design, which is based on the action research method design and individual research. The research object background is a 62-year-old female office worker, who is a Management Adviser in a public telecommunications company. The method adopted is pre-test and post-test method, for 4 weeks period; for the first two weeks pre-test , is to fill in the pressure index measurement table, insomnia self-rating table, and morning and evening record of blood pressure and pulse and sleep time. For the third week, before going to bed, started to use lavender highland essential oil diluted with Simmondsia chinensis vegetable oil to release stress and help to sleep, which can be directly smeared on philtrum and continue to record morning and evening (blood pressure BP), ( Pulse P) and sleep time. For the fourth week, started the post-test and then filled out the pressure index measurement table, insomnia self-rating table, and data analysis of case free writing; for the pre-test, the morning and early blood pressure pulse were 114 / 58mmHg P62 & 105 / 53mmHg P65 and for sleep, every day average sleep time was 7 hours and 21 minutes. And for post-test, the average daily sleep was 7 hours and 1 minutes, while morning and evening blood pressure pulse were 114 / 57mmHgp 63 & 107 / 55mmHg P69.Stress index measurement table for the pre-test, there were 10 questions with answer yes, 2 questions with answer no, while for the post-test, there were 5 questions with answer yes and 7 questions with answer no. Insomnia self-rating table for the pre-test was 12 points and 5 points for the post-test, and from these results for the study we can learn that the introduction of Chinese medicine aromatherapy olfactory conduction program actually can help the elderly to release stress and sleep well. This study suggests that the promotion of Chinese medicine aromatherapy olfactory conduction course and the establishment of personal health self-management habits could not only adjust the balance of body and mind at daily time but also improve insomnia caused by stress, and then improve the quality of life; especially due to daily records self-view and management, if necessary, it could timely provide effective medical data for reference so as to reduce the cost of medical expenses.
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Shu-Li Cheng,Fu-Chi Yang,Hsuan-Te Chu,Chia-Kuang Tsai,Shih-Chieh Ku,Yu-Ting Tseng,Ta-Chuan Yeh,Chih-Sung Liang 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.12
Objective Schizophrenia has been associated with dysfunction of the hypothalamic-pituitary-adrenal axis. Furthermore, alterations in neurotrophic factors might contribute to the pathogenesis of schizophrenia. We aimed to evaluate the effects of a simulated laughter intervention on the levels of cortisol and BDNF and to determine whether the effects associated with simulated laughter could be sustained after discontinuation of the intervention. Methods In this randomized controlled study, patients with schizophrenia according to DSM-IV clinical criteria were randomly assigned to receive either 8-week-long simulated laughter intervention (n=32) or treatment-as-usual group (control group, n=27). The serum levels of BDNF and cortisol were measured at baseline, week 8, and four weeks after discontinuation (week 12) of the intervention program. Results After an 8-week simulated laughter intervention, the laughter group had significantly higher levels of BDNF; however, four weeks after discontinuation of the intervention, the levels of BDNF significantly dropped. Interestingly, the levels of cortisol did not change significantly at week 8, but they were significantly elevated at week 12. The levels of BDNF and cortisol in the control group did not change significantly between week 0 and week 8. Conclusion These findings suggest that the simulated laughter intervention has an early effect on neurogenesis with a significant delayed effect on stress regulation in subjects with schizophrenia.
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An Automatic Environmental Monitoring and Cooling System to Reduce Heat Stress in Dairy Cows
( Yu-chi Tsai ),( Chen-yu Cheng ),( Jih-tay Hsu ),( Shih-torng Dnig ),( Ta-te Lin ) 한국농업기계학회 2018 한국농업기계학회 학술발표논문집 Vol.23 No.1
In tropical and subtropical regions with high temperature and humidity conditions, one of the problems in dairy farm management is the effect of heat stress on animal productivity. Due to this problem, the utilization of an automatic environmental monitoring system for cooling, labor-saving and heat stress reduction is necessary. In this study, an environmental monitoring and automatic cooling system based on an embedded system for dairy farms was designed. The system aims to regulate the environmental condition by means of direct feedback depending on the monitoring of heat stress index (HSI) augmented by dairy cow drinking behavior. The system is composed of two sub-systems: data acquisition and environmental control. The data acquisition module collects images, temperature and humidity data. The cooling system is controlled based on the real-time environmental data, and the historical data are recorded and uploaded to the server for display and analysis. The data are analyzed on the environmental monitoring panel on the farm and on the website, which can be remotely accessed. The control parameters are adjusted using the image results from the dairy cow drinking behavior with a fixed time interval. The results of the conducted experiments show that there is labor saving improvement and an increment in milk production compared to the same period in the previous year when the system was not installed. The automatic environmental monitoring cooling system exhibits high efficiency and can perform real-time control and self-adjustment. The system can be used for fully automated dairy cow system application, as well as dairy cow behavior analysis through both environmental and image information.
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Ashok Thorat,Long-Bin Jeng,Horng-Ren Yang,Chun-Chieh Yeh,Shih-Chao Hsu,Te-Hung Chen,Kin-Shing Poon 한국간담췌외과학회 2017 Annals of hepato-biliary-pancreatic surgery Vol.21 No.4
Backgrounds/Aims: The protective effect of everolimus (EVR) in hepatocellular carcinoma (HCC) patients who receive liver transplantation in terms of reducing the recurrence has not been sufficiently investigated in clinical trials. In this second stage of our ongoing study, we intend to analyze the effects of EVR as an immunosuppressant, when it is started in the early phase after living donor liver transplantation (LDLT), on HCC recurrence in patients with HCC within the University of California at San Francisco (UCSF) criteria. Methods: From January 2011 to June 2013, a total of 250 patients underwent LDLT for HCC at our institute. The patients with HCC within the UCSF criteria were included in the study and divided in two groups depending upon the postoperative immunosuppression. Group A: HCC patients that received EVR+TAC based immunosuppressive regimen (n=37). Group B: HCC patients that received standard TAC based immunosuppressive regimen without EVR (n=29). The target trough level for EVR was 3 to 5 ng/ml while for TAC it was 8-10 ng/ml. Results: For group A patients, the mean trough level of the EVR was 3.47±1.53 ng/ml (range, 1.5-11.2) with a daily dose of 1.00±0.25 mg/day. For group A and B, the average TAC trough levels were 6.97±3.98 ng/ml (range, 2.50 to 11.28 ng/ml) and 6.93±2.58 (range, 2-16.30), respectively. The 1-year, 3-year and 4-year overall survival achieved for Group A patients was 94.95%, 86.48% and 86.48%, respectively while for Group B patients it was 82.75%,68.96%, and 62.06%, respectively (p=0.0217). Conclusions: EVR use in liver transplant recipients in the early stage after transplantation reduces the HCC recurrence rates in HCC patients within the UCSF criteria.
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An Imaging System for Monitoring the Feeding Behavior of Dairy Cows
( Cheng-yu Kuan ),( Yu-chi Tsai ),( Chen-yu Cheng ),( Jih-tay Hsu ),( Shih-torng Dnig ),( Ta-te Lin ) 한국농업기계학회 2018 한국농업기계학회 학술발표논문집 Vol.23 No.1
In sub-tropical countries, dairy cows tend to experience heat stress problems. This phenomenon may lead to declines in feed intake, milk production, and fertility. Under normal conditions, the dairy cows have a regular feeding and drinking time. For this reason, changes in feeding behavior can be a possible indicator to detect heat stress phenomena that can help farm owners monitor dairy cow health. In order to monitor and record the feeding behavior of dairy cows, an imaging system is proposed herein. The imaging system uses Raspberry Pi 3, as the embedded system, and a camera module to acquire images for dairy cow face detection in front of the feeding area to confirm if the dairy cow is eating. The dairy cow faces are detected through cascade-AdaBoost algorithms which can automatically select weak classifiers to form a strong classifier with fast processing speed in an embedded system. The factors affecting the performance of the dairy cow face detection algorithm have been tested and optimized. The system has been tested in a feeding area in National Taiwan University’s dairy farm, which has 25 dairy cows in total. By converting the frequency of dairy cow face detection into feeding time, the feeding behavior of grouped dairy cows can be analyzed. Furthermore, combining the temperature humidity index (THI) and feeding behavior can provide the farm owners with an index to evaluate the level heat stress of dairy cows.
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The development of Taiwan Fracture Liaison Service network
Lo-Yu Chang,Keh-Sung Tsai,Jen-Kuei Peng,Chung-Hwan Chen,Gau-Tyan Lin,Chin-Hsueh Lin,Shih-Te Tu,I-Chieh Mao,Yih-Lan Gau,Hsusan-Chih Liu,Chi-Chien Niu,Min-Hong Hsieh,Jui-Teng Chien,Wei-Chieh Hung,Rong-S 대한골다공증학회 2018 Osteoporosis and Sarcopenia Vol.4 No.2
Osteoporosis and its associated fragility fractures are becoming a severe burden in the healthcare system globally. In the Asian-Pacific (AP) region, the rapidly increasing in aging population is the main reason accounting for the burden. Moreover, the paucity of quality care for osteoporosis continues to be an ongoing challenge. The Fracture Liaison Service (FLS) is a program promoted by International Osteoporosis Foundation (IOF) with a goal to improve quality of postfracture care and prevention of secondary fractures. In this review article, we would like to introduce the Taiwan FLS network. The first 2 programs were initiated in 2014 at the National Taiwan University Hospital and its affiliated Bei-Hu branch. Since then, the Taiwan FLS program has continued to grow exponentially. Through FLS workshops promoted by the Taiwanese Osteoporosis Association (TOA), program mentors have been able to share their valuable knowledge and clinical experience in order to promote establishments of additional programs. With 22 FLS sites including 11 successfully accredited on the best practice map, Taiwan remains as one of the highest FLS coverage countries in the AP region, and was also granted the IOF Best Secondary Fracture Prevention Promotion award in 2017. Despite challenges faced by the TOA, we strive to promote more FLS sites in Taiwan with a main goal of ameliorating further health burden in managing osteoporotic patients.
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