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        Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan

        Yu-Jia Lin,Hsiao-Ting Chang,Ming-Hwai Lin,Ru-Yih Chen,Ping-Jen Chen,Wen-Yuan Lin,Jyh-Gang Hsieh,Ying-Wei Wang,Chung-Chieh Hu,Yi-Sheng Liou,Tai-Yuan Chiu,Chun-Yi Tu,Yi-Jen Wang,Bo-Ren Cheng,Tzeng-Ji Ch 한국한의학연구원 2021 Integrative Medicine Research Vol.10 No.2

        Background: Medical staff may have difficulties in using conventional medicine to manage symptoms among terminally ill patients, including adverse effects of the treatment. Traditional Chinese medicine (TCM) is regarded as a complementary or alternative medicine, and has been increasingly used in the field of palliative medicine in recent years. This study aimed to investigate the experiences of and attitudes toward using TCM among palliative care professionals, and to provide preliminary information about its use in palliative care. Methods: This was a cross-sectional survey study conducted in eight inpatient hospice wards in Taiwan between December 2014 and February 2016. The questionnaire was self-administered, and was analyzed with descriptive statistics including Pearson’s Chi-square test and Fisher’s exact test. Results: A total of 251 palliative care professionals responded to the questionnaire, of whom 89.7% and 88.9% believed that the use of TCM could improve the physical symptoms and quality of life in terminally ill patients, respectively. Overall, 59.8%, of respondents suggested that TCM had rare side effects, and 58.2% were worried that TCM could affect the liver and kidney function of patients. In total, 89.7% and 88.0% of professionals agreed there were no suitable clinical practice guidelines and educational programs, respectively, for TCM use in palliative care. Conclusions: Most of the respondents agreed there was insufficient knowledge, skills-training, and continuing education on the use of TCM in terminally ill patients in Taiwan. These results show that to address patient safety considerations, guidelines about use of TCM in palliative care should be established.

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        Optimization Design of the Electromagnetic Torque for Surface-Mounted PMSM Using GA and Finite Element Analysis for Electric Vehicle

        Wong Edric Wee Ming,Mohd-Shafri Syauqina Akmar,Tiang Tow Leong,Tan Choo Jun,Ishak Dahaman,Ahmad Mohd Saufi,Leong Jenn Hwai,Ong Hui Lin 대한전기학회 2022 Journal of Electrical Engineering & Technology Vol.17 No.5

        This research off ers an optimization design for a three-phase surface-mounted permanent magnet synchronous machine (SMPMSM) by employing the computer framework consists of fi nite element analysis (FEA) and genetic algorithm (GA) utilized in the applications of electric vehicles. This framework aims to evaluate and determine the optimal setting of SMPMSMs, which require maximum average electromagnetic torque ( T em_avg ) and minimum its ripple ( T em_rip ). Several motor performances, such as magnetic fi eld distribution across the motor, magnetic fl ux density distribution in the mid air gap, phase back-EMF, electromagnetic torque, and its ripple, are investigated for the initial and optimal designs of PM machines during open-circuit and on-load conditions by using FEA. The important parameter of PM machines, i.e. the magnet pole-arc and slot opening angle are taken into account. In order to determine the objective function of the GA framework, the T em_avg and the T em_rip are used to formulate the computing equations where the fi tness value provided by the computing framework is further assessed. The GA framework is used to assess the comparison of parameters and motor performance between the initial and optimal designs of 12s/8p PM motors in terms of electromagnetic torque under BLAC operation. Consequently, the framework of FEA and GA has been proven in the design of SMPMSM, which is very viable for electric cars by reducing the magnet materials and electromagnetic torque ripple.

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