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      • KCI등재

        Breastfeeding Experiences of Taiwanese Mothers of Infants with Breastfeeding or Breast Milk Jaundice in Certified Baby-Friendly Hospitals

        Kuei-Hui Chu,Shuh-Jen Sheu,Mei-Hwa Hsu,Jillian Liao,Li-Yin Chien 한국간호과학회 2019 Asian Nursing Research Vol.13 No.2

        Purpose: The purpose was to explore the breastfeeding experiences of mothers of infants with breastfeeding or breast milk jaundice. Methods: In-depth qualitative interviews and content analysis were conducted with nine mothers of newborns with breastfeeding and/or breast milk jaundice who breastfed their babies during the first year postpartum. Results: Mothers' experiences can be described in four phases and six themes. (1) Prenatal stage: build breastfeeding belief, i.e., breastfeeding is best and a natural behavior, without awareness of neonatal jaundice; (2) stage after neonatal jaundice started to appear: include two themes, questioning beliefs in breastfeeding and happiness in being a mother. Mothers lacked knowledge and ignored the threat of neonatal jaundice, mainly focused on their physical discomforts and worried about insufficient breast milk; they also felt an intimate mothereinfant bond through breastfeeding; (3) stage when newborns had confirmed diagnosis of breastfeeding or breast milk jaundice that required medical attention: include two themes, diagnosis of breastfeeding or breast milk jaundice and phototherapy caused negative emotions and regaining original beliefs about breastfeeding. They struggled through emotional swings and inconsistent advices about whether phototherapy and formula supplementation are needed. Then, they decided breastfeeding or breast milk jaundice is only temporary and retrieved initial beliefs of breastfeeding. (4) Stage after neonatal jaundice faded and mothers continued breastfeeding: insisting and adapting. Conclusion: Breastfeeding mothers were unaware of neonatal jaundice until medical attention was required; they experienced physical and mental distress and gradually learned to manage jaundice while insisting on breastfeeding through their breastfeeding beliefs and happiness in being mothers.

      • KCI등재

        Experimental investigation of a process cooling system retrofitted with HFC-404A refrigerant for precise manufacturing application

        Fu-Jen Wang,Kuei-I Tsai,Yao-Jun Wang,Hao-Chuan Lee 대한기계학회 2011 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.25 No.2

        Precise-manufacturing facilities, which emphasize accurate and stable machining of the working components to be used in semiconductor industry, cannot function properly without appropriate and precise cooling. HCFC (hydro-chloro-floro-carbon) has been commonly used as the coolant for precise manufacturing facilities; but it is facing the pressing schedule to be phased out. Additionally, the dramatic variation of heat load during high-accuracy and high-speed applications need a critical control of coolant (brine or water) temperature. Use of eco-friendly HFC 404A to replace HFC has been suggested as an effective alternative to alleviate the problems. In this study, the performance of a process cooling system retrofitted with HFC-404A refrigerant was evaluated; the energy efficiency ratio and accuracy of temperature control specific to -15℃ precise manufacturing application were examined. Effects of using thermostatic expansion valve associated with hot-gas by-pass control scheme under different loading conditions have been investigated extensively. The energy efficiency ratio and accuracy of temperature control for the cooling system were measured and analyzed for comparing and evaluating HCFC-22 and HFC-404A using different throttling devices under specific coolant temperatures. The comprehensive studies on improving the accuracy of temperature control and energy-saving efficiencies through different temperature control strategies are presented in this paper.

      • KCI등재

        Supplementation with Soybean Peptides, Taurine, Pueraria Isoflavone, and Ginseng Saponin Complex Improves Endurance Exercise Capacity in Humans

        Tzu-Shao Yeh,Kuei-Hui Chan,Mei-Chich Hsu,Jen-Fang Liu 한국식품영양과학회 2011 Journal of medicinal food Vol.14 No.3

        The purpose of this study was to investigate the effects of a proprietary blend of soybean peptides, taurine,Pueraria isoflavone, and ginseng saponin complex (STPG capsule) on exercise performance in humans. Fourteen male volunteers were randomly assigned to two crossover treatments in which they consumed either four STPG capsules (STPG treatment) or placebo (P treatment) for 15 days before a 75% maximal oxygen uptake (VO_(2 max)) exhaustive cycling test. Blood samples and respiratory gas were collected prior to the exercise (Pre-Ex), at 10 (Ex-10), 15 (Ex-15), 20 (Ex-20), and 25 (Ex-25) minutes during exercise, and immediately after exercise (exhaustion) to assess the blood metabolites, cardiorespiratory responses, and energy substrate utilization. The result showed that exercise time to exhaustion of the 75% VO_(2 max) exhaustive cycling test of the STPG-treated subjects was significantly greater than with the P treatment (30.99 ± 2.01 vs. 28.05 ± 1.48minutes). The plasma lactate concentrations at Ex-20 and Ex-25 in the STPG treatment were significantly lower with STPG treatment than with P treatment (10.5 ± 0.7 vs. 11.5 ± 0.8 and 10.7 ± 0.9 vs.12.3 ± 1.0 mmol=L, respectively). Nonesterified fatty acid levels at Ex-15, Ex-20, Ex-25, and exhaustion in the STPG group (0.27 ± 0.03, 0.32 ± 0.04, 0.32 ± 0.06, and 0.37 ± 0.05 mmol=L, respectively) were significantly higher than those in the P treatment (0.21 ± 0.03, 0.23 ± 0.03, 0.24 ± 0.03,and 0.25 ± 0.03 mmol=L, respectively). It was concluded that supplementation of four capsules (2 g) of STPG complex,consisting of soybean peptides, taurine, Pueraria isoflavone, and ginseng saponin, for 15 days was effective in promoting utilization of free fatty acids and improving exhaustive cycling test performance in humans.

      • KCI등재

        The structural and non–linear dynamic analysis for radioactive waste container

        Shen Yu-Yu,Cheng Kuei-Jen,Chou Hsoung-Wei 한국원자력학회 2023 Nuclear Engineering and Technology Vol.55 No.8

        In recent years, the development of radioactive waste containers for nuclear facility decommissioning and dismantling is a critical issue because the Taiwan domestic boiling water reactor nuclear power plant is going to be decommissioned. The main purpose of this research is to design a metal container that meets the structural requirements of related regulations. At first, the shielding analysis was performed by varying dimensions of radioactive waste to determine the storage efficiency of the container. Then, a series of structural analyses for operational and accidental conditions of the container with full load were conducted, such as lifting, stacking, and drop impact conditions. On the other hand, the field drop impact tests were carried out to ensure structural integrity. The present research demonstrates the structural safety of the developed container for decommissioned nuclear facilities in Taiwan.

      • KCI등재

        Laser Interference Lithography and Nanoimprint Techniques for Lower Reflection Transparent Conducting Oxide Hybrid Films

        Ta-Hsin Chou,Kuei-Yuan Cheng,Chih-Chieh Su,Tien-Li Chang,Chih-Wei Hsieh,Jen-Hui Tsai 한국정밀공학회 2010 International Journal of Precision Engineering and Vol.11 No.4

        The transparent conducting oxide (TCO) film is a significant component in flat panel display industry, applied for flexible display, e-paper, and touch panel. The TCO materials have high refractive index, so the phenomenon of high reflectance is the major issue and needs solved in present and future market. In this study, the structure and process of new lower reflection TCO hybrid film is introduced. The laser interference lithography and UV nanoimprint are combined for fabrication of sub-wavelength structures on PET film, then the tin-doped indium oxide (ITO) deposited on structures. Finally, the best result of this hybrid film is reflectance reduced to 3.3% at wavelength 550nm, just 13% of the original film, and the resistance of ITO layer is 1.05x10-3 Ω-cm. This result is useful for the TCO film applied in low reflection demand products in the future.

      • KCI등재

        Piecewise exact solution for analysis of base-isolated structures under earthquakes

        C. S. Tsai,Tsu-Cheng Chiang,Bo-Jen Chen,Kuei-Chi Chen 국제구조공학회 2005 Structural Engineering and Mechanics, An Int'l Jou Vol.19 No.4

        Base isolation technologies have been proven to be very efficient in protecting structures from seismic hazards during experimental and theoretical studies. In recent years, there have been more and more engineering applications using base isolators to upgrade the seismic resistibility of structures. Optimum design of the base isolator can lessen the undesirable seismic hazard with the most efficiency. Hence, tracing the nonlinear behavior of the base isolator with good accuracy is important in the engineering profession. In order to predict the nonlinear behavior of base isolated structures precisely, hundreds even thousands of degrees-of-freedom and iterative algorithm are required for nonlinear time history analysis. In view of this, a simple and feasible exact formulation without any iteration has been proposed in this study to calculate the seismic responses of structures with base isolators. Comparison between the experimental results from shaking table tests conducted at National Center for Research on Earthquake Engineering in Taiwan and the analytical results show that the proposed method can accurately simulate the seismic behavior of base isolated structures with elastomeric bearings. Furthermore, it is also shown that the proposed method can predict the nonlinear behavior of the VCFPS isolated structure with accuracy as compared to that from the nonlinear finite element program. Therefore, the proposed concept can be used as a simple and practical tool for engineering professions for designing the elastomeric bearing as well as sliding bearing.

      • KCI등재후보

        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.

      • KCI등재
      • SCIESCOPUS

        Piecewise exact solution for analysis of base-isolated structures under earthquakes

        Tsai, C.S.,Chiang, Tsu-Cheng,Chen, Bo-Jen,Chen, Kuei-Chi Techno-Press 2005 Structural Engineering and Mechanics, An Int'l Jou Vol.19 No.4

        Base isolation technologies have been proven to be very efficient in protecting structures from seismic hazards during experimental and theoretical studies. In recent years, there have been more and more engineering applications using base isolators to upgrade the seismic resistibility of structures. Optimum design of the base isolator can lessen the undesirable seismic hazard with the most efficiency. Hence, tracing the nonlinear behavior of the base isolator with good accuracy is important in the engineering profession. In order to predict the nonlinear behavior of base isolated structures precisely, hundreds even thousands of degrees-of-freedom and iterative algorithm are required for nonlinear time history analysis. In view of this, a simple and feasible exact formulation without any iteration has been proposed in this study to calculate the seismic responses of structures with base isolators. Comparison between the experimental results from shaking table tests conducted at National Center for Research on Earthquake Engineering in Taiwan and the analytical results show that the proposed method can accurately simulate the seismic behavior of base isolated structures with elastomeric bearings. Furthermore, it is also shown that the proposed method can predict the nonlinear behavior of the VCFPS isolated structure with accuracy as compared to that from the nonlinear finite element program. Therefore, the proposed concept can be used as a simple and practical tool for engineering professions for designing the elastomeric bearing as well as sliding bearing.

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