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    Spiritual Distress of Cancer Patients at Two General Hospitals in Northern Vietnam

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    Background Spirituality is very important for cancer patients during the illness based on the literature evidences; however, literature on the spirituality of cancer patients were mainly focused on Western population, but few literature were found in Asians. Specially, there is no one spiritual study on cancer patients found in Vietnamese hospitals. Therefore, the investigator would like to understand the spiritual distress of cancer patients in Vietnam. Aim The purpose of this study was to survey the spiritual distress of cancer patients at two general hospitals in northern Vietnam. Especially, the investigator would like to understand the spiritual distress of cancer patients in terms of the relationship with themselves, others, religion, and facing death. Methods This is a quantitative study with cross sectional design. This study used purposively sampling with fitting the inclusion criteria of totally 132 cancer patients. The scale in this study was used Spiritual Distress Scale (SDS) with the appropriate reliability and validity. The data collection is by the investigator in the bedside of two general hospitals in northern Vietnam after IRB approving by the Research Council. Samples of cancer patients in the study must agree and sign the consent forms to participate in research following the ethic principles of benefits, fairness, and confidentiality. Analysis of data used the SPSS software 16.0 by the descriptive and advanced statistical data analysis. Results The good content and construct validitys of the SDS-Vietnam version were identified after forward and backward translations with three experts' evaluations as well as the factor analysis. In terms of the demographics and spiritual distress, age and income did correlate with the spiritual distress significantly among 132 Vietnam cancer patients. Among four dimensions of SDS-Vietnam version, the majority of cancer patients reported the good relationship with others and religion. Regarding the relationship with the patients themselves, more than 50% of cancer patients expressed suffering (64.4%) and sorrow (53.8%). However, the majority of them did not feel lonliness due to the good relationship with others. Regarding facing the death, the majority of them were not afraid to discuss the death and worry about dying ceremony; however, they were worry about dying situation (70.5%). Additionally, 128 Vietnam cancer patients reported top three spiritual needs and demands including illness progress better, a peaceful death, and hoping to prolong life. Conclusion The aging and poverty issues in Vietnam 132 cancer patients were correlated with their SDS significantly. Additionally, they did feel suffering and sorrow as well as worry about the dying situation in the SDS. However, the relationship with others and religions of SDS were in the good status for Vietnam 132 cancer patients. Furthermore, Vietnam cancer patients concerned about their illness progress with hoping to prolong life as their spiritual needs and demands. Clinical implication Since the relationship with others and religions of SDS were in the good status for Vietnam 132 cancer patients, the healthcare professionals could study the effective strategies for applying the above strengths into reducing the suffering and sorrow problems in the relationship with themselves of SDS. Additionally, in the future, the cross-culture study of SDS between Chinese and Vietnam cancer patients could compare the cultural differences in the relationship with themselves, others, religion, and facing death of SDS

    孕婦飲食與身體活動對於妊娠糖尿病的相關性研究

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    執行機構:輔英科技大學研究期間: 2019/08/01-2020/07/3

    應用人工智慧方法發展屏東平原之安全與永續地下水使用計畫

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    計畫編號: MOST 108-2410-H-242-004執行機構:輔英科技大學研究期間: 2019/08/01-2020/07/31本計畫發展與應用人工智慧方法發展屏東平原安全與永續地下水使用計畫,此安全與永續地下水使用計畫同時考慮安全的水質與減低抽水所造成的洩降,本計畫結果預期可提供政府單位規劃優先加強地下水水質監測之地區、採取有效措施控制地下水污染、減少地下水抽水量、提供更完善之水資源管理計畫以及人體健康促進與保護計畫

    新編社區衛生護理學 八版

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    健康促進,中老年病防治與護

    The Effects of Yi Jin Jing Qigong for The Muscle Mass, Heart Rate Variability, Sleep Quality and Quality of Life in Elderly People.

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    指導教授:陳靜修背景:肌少症是老年人常見的健康問題,因肌肉力量和肌肉質量隨著年齡的增長而下降,使老年人有較高的死亡風險,影響自理生活的能力,從而影響生活品質量。因此,如何預防老年人的肌肉減少症是重要的議題。 目的:本研究旨在探討12週易筋經氣功之介入對於老年人的肌肉質量、心率變異、睡眠品質及生活品質之改善成效。 方法:本研究設計採用隨機對照試驗方法。選取高雄某社區年齡介於60?80歲有意願參與之年長者,將研究對象隨機分為實驗組(n=42)或對照組(n=40)。實驗組接受每週3次、每次30分鐘,共12週易筋經氣功。而對照組在相同時間內維持原本生活型態。兩組分別於介入前、介入後第四、八和十二週進行生理指標測量和問卷資料收集。統計方法採用廣義估計方程式分析,以檢視組別及時間對於成效之差異性。 結果:實驗組平均年齡為71.7±6.19歲,對照組為71.7±4.69歲。兩組在生理指標之體重(β=-0.49, p=0.04)、上肢肌力(β=4.89, p=0.01)、上肢肌耐力(β=37.18, p=0.00)、下肢肌耐力(β=3.74, p=0.00)、平衡(β=21.01, p=0.00)、步行速度(β=-1.79, p=0.00)、睡眠品質(β=-5.96, p=0.00)、生活品質之生理功能(β=3.51, p=0.00)、心理功能(β=3.06, p=0.00)、社會角色(β=1.52, p=0.00)與環境範疇(β=2.76, p=0.00)等皆達統計之顯著差異。在心率變異指標方面,實驗組優於對照組,但未達統計之差異(β=0.307, p>0.504)。 結論:經過12週的易筋經氣功,可以改善老年人之肌肉質量、睡眠品質和生活品質。建議未來研究可以延長介入週數並追蹤心率變異之延宕成效

    The study of methyltransferase production by recombinant E. coli

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    指導教授吳聲祺自然界中,大豆異黃酮以三種分子結構(如genistein、daidzein、glycitein)存在,是以較不具生物活性的配糖体(glycosides)形式存在(指與糖結合的形式),當經過發酵或腸道消化等流程後能轉換為去除醣基的形式(aglycone)才能被人體所利用,近年來,在人體上的應用更為廣泛,由於在人體中能發揮類似雌激素的功效,因此又稱為植物雌激素。 近期流行病學觀察也發現,攝取較多黃豆製品的亞洲女性(特別是中國與日本)除了有較低的更年期熱潮紅症狀發生率(約25%,相較於北美的85% ),且雌激素相關癌症(乳癌)、心血管疾病、骨質疏鬆等發病率也低於西方國家女性,認為與當中所富含的植物異黃酮(isoflavones)有關。 本研究經過實驗設計得出,用於基因重組大腸桿菌中進行甲基化轉移酶之生產條件最適化,並用於異黃酮之生物轉化,希望能增加轉化效率

    Principal Component Analysis and Mapping to Characterize the Emission of Volatile Organic Compounds in a Typical Petrochemical Industrial Park

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    The petrochemical industry generates a notorious amount of VOC pollution. Given the vastness and complexity of this particular industry as well as dissimilarities between the sectors and companies, comprehensively understanding and controlling these VOC emissions is a challenge in many countries. This study demonstrates an approach of characterizing and identifying critical sources by using multivariate analysis, including principal component analysis (PCA) and projection pursuit. A representative petrochemical industrial park in southern Taiwan comprising 20 up-, mid-, and downstream companies and 519,442 emission sources from 2012 till 2014 was selected for analysis. The results indicated that although the total emissions decreased during this period, which was attributable to controlling upstream vendors (65.5–72.1% of the total emission) and larger sources, such as equipment components (ECs; 63.5% of the total emission in 2012, which decreased to 59.3% in 2014), significant emissions were associated with the mid- and downstream companies and other sources, such as cooling towers (CTs) and storage tanks. PCA revealed that the sources in 5 PCs—namely, in decreasing importance, storage tanks, CTs, ECs, wastewater treatment plants, and stacks—explained 88.7% of the data variability. Furthermore, the variance in emission exhibited stronger correlations with the mid- and downstream sectors than their upstream counterpart. In addition to the amount of emissions they produce, key sources that must be controlled in order to effectively reduce VOCs in the petrochemical industry may be indicated by the correlation among their emission variations

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