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The Effect of High-Intensity Interval Training on Patients with Type 2 Diabetes: A Meta-Analysis
No full text背景：在慢性疾病當中，第二型糖尿病的確診人數有逐年攀升的趨勢，誘發的因素有許多種，日常生活中最為相關的運動習慣似乎是現代人最缺乏的問題之一。根據多篇文獻指出，養成良好的運動習慣對於第二型糖尿病患者的好處不僅改善血糖的控制，同時也連帶許多其他改善的效果，因此本篇將進一步探討第二型糖尿病患者藉由高強度間歇運動後的變化及改善。
目的：為了解高強度間歇運動(HIIT)對於第二型糖尿病患者的血糖方面有無效果，以及在生化檢驗數據上，如糖化血色素、血壓及最大攝氧量等有無變化，本篇主要以第二型糖尿病患者為主，利用統合分析整合文獻來研究之成效，以探討在患者衛教上做為臨床建議的實證。
方法：利用系統性搜尋，以Pubmed及Airiti Library華藝線上圖書館這兩個資料庫進行文獻搜尋，設定的年份時間為西元2000年1月1日至2020年6月30日止，這期間所發表的中文、英文文獻。搜尋文獻時，先利用關鍵字進行搜尋，初步藉由閱讀文獻標題及摘要進行篩選，之後再依據其研究目的以及閱讀全文後，依訂定的那入籍排除標準選出文獻。
結果: 根據分析結果顯示，空腹血糖在HIIT(+)和HIIT(-)組有顯著差異(P=0.03)，而HIIT(a)和MICT(b)組無顯著差異(P=0.57)。HbA1c在HIIT(+)和HIIT(-)組有顯著差異(P=0.03)，而HIIT(a)和MICT(b)組無顯著差異(P=0.71)。血壓的呈現分為收縮壓(SBP)與舒張壓(DBP)，在HIIT(+)和HIIT(-)組的SBP利用固定效應模組有顯著差異而隨機效應模組無顯著差異(SBP: P=0.0006；P=0.74)，同樣，DBP利用固定效應模組有顯著差異而隨機效應模組無顯著差異(P=0.001；P=0.39)；HIIT(a)和MICT(b)組的SBP與DBP皆無顯著差異(P=0.53；P=0.35)。三酸甘油脂在HIIT(+)和HIIT(-)組無顯著差異(P= 0.61)，HIIT(a)和MICT(b)組利用固定效應模組有顯著差異而隨機效應模組無顯著差異(P=0.0006；P= 0.34)。體重在HIIT(+)和HIIT(-)組有顯著差異(P=0.0004)，HIIT(a)和MICT(b)組無顯著差異(P=0.56)。
結論：根據分析結果顯示，兩組皆個別分析的項目分別為空腹血糖、HbA1c、血壓、三酸甘油脂和體重，在HIIT(+)和HIIT(-)組對於第二型糖尿病患者的空腹血糖、HbA1c和體重的改善是有助益的，相反，HIIT(a)和MICT(b)組則無顯著差異，但這樣的結果並不代表MICT的介入無效果，而是不論是進行HIIT或是MICT，對於第二型糖病患者皆有益處，只是兩者的效果來說HIIT會更優於MICT
The Changes of Knowledge, Attitude and Behavior in Learners Studying a How to Face Breast Cancer MOOC
No full text
Comparison between AERMOD and ISCST3 in the conditions of low winds, complex terrain, and building downwash
No full text指導教授林清和台灣目前的法規模式是美國環保署發展之ISCST3模式，但正評估擬以同樣為美國環保署發展之AERMOD模式取代ISCST3模式。本論文從低風速、複雜地形、建築物下洗等三個面向比較AERMOD和ISCST3模式模擬結果之差異性與優劣性。以上三個評估面向之評估結果顯示AERMOD模式的表現均優於ISCST3模式。本文也利用風洞實驗室進行簡單之煙流擴散實驗，實驗結果也顯示煙流在低風速、複雜地形、建築物影響條件下，其行為比較符合AERMOD模式的機制設計
Discussion on the Applicability of Nozaki Mixing Layer Height Estimation Method in Taiwan
No full text指導教授林清和混合層高度為空氣污染物於大氣環境中能垂直擴散的高度，是空氣品質模式中會使用到的重要參數。透過解析臺灣四個不同地表使用型態地區之地表參數與實場觀測混合層高度特性，本論文發現地表粗糙度越大之地區，平均混合層發展會越高。以 Nozaki法、可感熱通量累加法與Holzworth法等三種混合層高度推估結果與實際觀測混合層高度比較，發現 Nozaki於兩個地區表現最好， Holzworth法與可感熱通量法各在一地區表現為最佳。本文依照各地區實場所觀測高度對 Nozaki法提出熱力紊流修正及機械紊流修正 修正後之 Nozaki法能 有效改善各區之平均混合層高度預測與提升預測高度與觀測高度之相關係數
The role of self-congruence, marketing models, and product conspicuousness in college students’ online cosmetics shopping
No full textThe online service of the cosmeceutical industry is booming in recent times, the business model is no longer traditional, but towards e-commerce to social commerce; thereby inducing existing customers to increase brand identification degree through a better marketing model and acceptance of the brand’s products. In this study, we focused on the online service of the cosmeceutical product platform to determine the self-conspicuousness, brand identification, product conspicuousness, and different marketing model that promotes online cosmetics shopping among college students. We propose a research model and used a 2*2 experimental design approach to investigate the factors impacting online purchase intention. The interference degree of different marketing models for two products from two different conspicuous brands indicates their influence on purchase intention. The study data were collected from 246 online users. The results indicate: (1) Self-congruence positively affects brand identification, and self-congruence and brand identification both positively affect purchase intention. (2) The marketing model moderates the relationship between self-congruence and brand identification and their effect on purchase intention. (3) Product conspicuousness does not significantly moderate the relationship between self-congruence and brand identification on purchase intention. The theoretical and practical implications of our study results are discussed, and suggestions are provided for future research
Student nurses' bullying, social support and their health status during clinical practicum programmes
No full textAims
This study was to explore the student nurses' bullying, social support and their health status during clinical practicum programmes and the predictors of health status among student nurses during clinical practicum programmes.
Methods
A cross-sectional design with structured questionnaires was used, recruiting 200 student nurses in a 5-year junior college programme in south Taiwan.
Results
The significant predictors of nursing students' health status during clinical practicum programmes were ‘whether experiencing bullying situations during clinical practicum’ and ‘low social support’.
Conclusion
In order to prevent bullying during clinical practicum, encouraging nursing students to report all the clinical practicum bullying incidents, providing counselling to nursing students and arranging clinical practicum bullying prevention courses to students were important. Moreover, providing instructors and nursing staff with teaching, communication and feedback skills might help nursing students prevent bullying incidents during clinical practicum programmes. A longitudinal study design was suggested for the future study in order to assess the cause–effect relationship of the bullying and social support on health among students during clinical practicu
Exploring Primiparae Parturition in Childbirth Experience-A Parse Nursing Research Method
No full text背景：分娩是婦女深層的渴望與刻骨銘心的痛苦經驗，也是備受祝福的人生大事。其意義取決於社會文化環境與分娩的情境因素，對健康有長遠的影響，更是產科照護的重要議題。臨床較少根據帕西（Parse）護理研究法於初產婦的分娩經驗。目的：探討初產婦的分娩經驗。方法：研究設計為帕西護理研究法之質性研究，自2017年4月至6月間，於南部一家婦產專科醫院採立意取樣進行收案，藉著研究者與個案一對一的深入對談，再進行擷取與綜合與啟發性的詮釋過程，直到資料分析達飽和共收案4人。研究結果：顯示初產婦的分娩共通生活經驗結構是：一、危機展開，境隨心轉，珍惜是轉機。二、猶豫在揭露－隱藏間，全力投入。三、逆境的瞬間，驚喜改變人生。結論：帕西人的成長理論是人性化科學，以尊重和真誠應用於分娩的照護，提供個別性的護理服務品質與健康生活經驗的瞭解，增進彼此的信任感及安全感，營造友善生產環境