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The Revolution of Diamond Synthesis Technology
Sung James-C.,Hu Shao-Chung,Lin I-Chiao,Tsai Chia-Cheng 한국분말야금학회 2006 한국분말야금학회 학술대회논문집 Vol.2006 No.1
The ultrahigh pressure process for synthesizing diamond grits is due to make a quantum leap: the raw materials will incorporate diamond seeds with a predetermined pattern. The result is doubling the diamond yield with a narrower size distribution. Moreover, the shape of diamond crystals can be precisely tuned. For example, diamond octahedra or diamond cubes, that are not available today, can be mass-produced. The new technology is now being implemented worldwide so the future diamond grits will have improved quality at reduced prices.
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Type 2 Diabetes Mellitus Increases Peritonsillar Abscess Susceptibility: Real-World Evidence
Ching-Lung Wu,Ming-Shao Tsai,Ta-Jen Lee,Yun-Ting Wang,Chia-Yen Liu,Yao-Hsu Yang,Yao-Te Tsai,Cheng-Ming Hsu,Ching-Yuan Wu,Pey-Jium Chang,Geng-He Chang 대한이비인후과학회 2021 Clinical and Experimental Otorhinolaryngology Vol.14 No.3
Objectives. Type 2 diabetes mellitus (T2DM) is a risk factor for deep neck infection (DNI) and leads to complications and poor outcomes. Our study aimed to investigate the risk, prognosis, and complications of peritonsillar abscess (PTA) in patients with T2DM. Methods. We extracted data of patients newly diagnosed as having T2DM between January 2000 and December 2011 from Taiwan’s National Health Insurance Research Database. These patients were matched with patients without T2DM, and PTA incidence was compared between both cohorts. Results. In total, 67,852 patients with and 135,704 patients without T2DM were enrolled. PTA incidence was significantly higher in patients with T2DM (incidence rate ratio, 1.91; P<0.001); moreover, PTA incidence was higher at 1 to 5 years after T2DM diagnosis than at <1 and >5 years after T2DM diagnosis. Cox regression analysis showed that patients with T2DM had an approximately 2-fold higher PTA risk (adjusted hazard ratio [aHR]: 1.89, P<0.001). Patients with a higher adapted Diabetes Complications Severity Index (aDCSI) had higher PTA risk than those with a lower aDCSI (aHRs: 2.17 for aDCSI ≥1, P=0.006 and 1.81 for aDCSI=0, P=0.002). T2DM patients with a high aDCSI (≥1) had a nonsignificantly longer hospitalization duration and a higher rate of DNI complications than did those with a low aDCSI (=0). Conclusion. In patients with T2DM, PTA incidence was relatively high, and it increased with T2DM severity. Moreover, T2DM patients should be particularly careful about PTA within 1 to 5 years after the diagnosis, and physicians should keep in mind that the prognosis of PTA was correlated with T2DM severity.
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The Use of a Multiple Risk Level Model to Tackle the Duration of Risk for Construction Activity
Hsien-Kuan Chang,Wen-der Yu,Shao-Tsai Cheng,Tao-Ming Cheng 대한토목학회 2019 KSCE JOURNAL OF CIVIL ENGINEERING Vol.23 No.6
The project evaluation and review technique (PERT) is the most well-known method to handle the risk due to uncertain activity durations, previous studies show that the β-distribution-based PERT estimation tends to be over-optimistic and it offers no control of the project in terms of risk duration. This study proposes a multiple risk-level (MRL) model that uses a site spatial constraint, environmental effects and the “5 Ms” of construction management to tackle the duration of risk during a construction project. A Risk-based Critical Path Scheduling Method (R-CPSM) that uses MRL is developed to calculate the duration of the project. A case study using a project selected from a previous study is used to compare the four estimation methods: two traditional PERT methods (3.2σs and 6σs), a Monte Carlo Simulation and the proposed MRL model. The results show that, compared with traditional approaches to estimate durations of uncertain activity, the proposed R-CPSM method is more systematic that can be combined with a cost estimation process and offers a rectification mechanism that dynamically monitors and adjusts the important factors that affect the risk duration. This method gives a more realistic estimate that is in agreement with the results of previous studies.
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Palliative Care for Adult Patients Undergoing Hemodialysis in Asia: Challenges and Opportunities
Wei-Min Chu,Hung-Bin Tsai,Yu-Chi Chen,Kuan-Yu Hung,Shao-Yi Cheng,Cheng-Pei Lin 한국호스피스완화의료학회 2024 한국호스피스.완화의료학회지 Vol.27 No.1
This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families. Numerous challenges impede the provision of effective palliative care, including difficulties in prognosis, delayed referrals, cultural misconceptions, lack of clinician confidence, and insufficient collaboration among healthcare professionals. The article proposes potential solutions, such as targeted training for clinicians, the use of telemedicine to facilitate shared decision-making, and the introduction of time-limited trials for dialysis to overcome these obstacles. The integration of palliative care into routine renal treatment and the promotion of transparent communication among healthcare professionals represent key strategies to enhance the quality of life and end-of-life care for people on hemodialysis. By embracing innovative strategies and fostering collaboration, healthcare providers can deliver more patient-centered, holistic care that meets the complex needs of seriously ill patients within an aging population undergoing hemodialysis.
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