Integrated Bed and Breakfast into Eco-Tourism in Guan Ziling areas in Taiwan

AbstractThis research was to explore integrated the Bed and Breakfast (B & B) into eco-tourism through the visitors in the Guan Ziling area in Taiwan. This research used the convenience sampling method to carry on the questionnaire survey. The methods of investigation on this research obtained material analysis method, descriptive statistics, factor analysis, letter analysis, independent sample t examination analysis, single factor variance analysis and correlation analysis. The findings on this research are shown: (1) there is no remarkable difference in gender between “Bed and Breakfast” and “eco-tourism”; (2) there is no significant difference in age various between “Bed and Breakfast” and “eco-tourism”; it is makeable significant in the ecology landscape; (3) there are no remarkable difference between “Bed and Breakfast” and “eco-tourism” in the salary level, education level, the attraction in the different type of “Bed and Breakfast”, and the view of lodging attraction; (4) there is remarkable significant between “Bed and Breakfast” and “the eco-tourism” in the union variable relativities

Constructing Employability Indicators for Enhancing the Effectiveness of Engineering Education for the Solar Industry

The aim of this research is to establish a set of employability indicators that capture the competency requirements and performance expectations that solar energy enterprises have of their employees. In the qualitative component of the study, 12 administrators and 32 engineers in the industry were interviewed, and meetings with focus groups were conducted to formulate a questionnaire for a survey of Taiwanese solar energy companies for the confirmation and prioritisation of the employability indicators. On the basis of the results of the quantitative component, an interpretational model relating competence, job performance, working attitude, and employability for solar corporation recruitment and training purposes as well as for school curricular development was developed. The interpretation model formulated effectively interprets the relationship between solar enterprises’ expectations and students’ employability. The research contributes a framework for the selection and cultivation of talent, as well as providing a basis for fundamental development of the solar engineering curriculum

Building Professional Competencies Indices in the Solar Energy Industry for the Engineering Education Curriculum

This study aims to develop professional competency indices and their subindices as needed by the solar energy industry, to establish a basis for development of the engineering education curriculum. The methodologies adopted by the study are literature analysis, expert advisories, and focus groups. The study focuses on the establishment of competency indices by experts at stock market-listed companies and then confirms these competencies with focus groups. The study found that the competencies required by the solar industry consist of knowledge, skills, and attitudes in the areas of materials development and applications, photovoltaic technology, cell manufacturing technology, biotechnology, chemical technology, power generation and electricity, process development and improvement, data collection and analysis, industry regulation, green energy beliefs, and working attitudes and values. The results of this study can be used as the basis for the cultivation, selection, and employment of industry professionals

The effects of postintubation hypertension in severe traumatic brain injury

Introduction. The effect of post-intubation hypertension in severe traumatic brain injury (TBI) patients remains uncertain. We aimed to determine the relationship between post-intubation hypertension (mean arterial pressure (MAP) > 110mmHg) and outcomes in severe TBI. Methods. In this retrospective cohort study, adults who presented with isolated TBI and a MAP 70mmHg were assessed. Data were retrieved from our institutional trauma registry and the admission list of our neurosurgical intensive care unit (ICU). Results. We enrolled 126 patients, 81 of whom had a MAP 110 mmHg after intubation and were assigned to group 1; 45 patients who had a MAP > 110 mmHg were assigned to group 2. Only age (P = 0.008), heart rate (HR; P = 0.036), and MAP before intubation (P 110 mmHg, P < 0.034, OR 3.119, 95% CI 1.087–8.953). Conclusion. Post-intubation hypertension was associated with longer ventilator-dependent and ICU stays in patients with severe TBI

The effects of postintubation hypertension in severe traumatic brain injury

Introduction. The effect of post-intubation hypertension in severe traumatic brain injury (TBI) patients remains uncertain. We aimed to determine the relationship between post-intubation hypertension (mean arterial pressure (MAP) > 110mmHg) and outcomes in severe TBI. Methods. In this retrospective cohort study, adults who presented with isolated TBI and a MAP 70mmHg were assessed. Data were retrieved from our institutional trauma registry and the admission list of our neurosurgical intensive care unit (ICU). Results. We enrolled 126 patients, 81 of whom had a MAP 110 mmHg after intubation and were assigned to group 1; 45 patients who had a MAP > 110 mmHg were assigned to group 2. Only age (P = 0.008), heart rate (HR; P = 0.036), and MAP before intubation (P 110 mmHg, P < 0.034, OR 3.119, 95% CI 1.087–8.953). Conclusion. Post-intubation hypertension was associated with longer ventilator-dependent and ICU stays in patients with severe TBI

Outcome of Laparoscopic Live Donor Nephrectomy and Impact of Double Renal Arteries: Results From Two Transplant Centres

ObjectiveLive donor kidney transplantation is consistently superior to deceased donor kidney transplantation. Laparoscopic donor nephrectomy (LDN) is increasingly accepted as a safe and preferred surgical option. To evaluate the outcome of LDN and the impact of multiple arteries, a retrospective review was conducted on patients in two transplant centres.MethodsFifty patients including eight with double vessels were studied. Standard left transperitoneal LDN was performed. Grafts including those with double vessels were prepared using the bench technique. Postoperative outcomes (up to 1 year) for donors and recipients were studied. The outcomes of recipients of a single or double vessel graft were compared.ResultsAll donors had an eventful recovery. No difference was found between the single and multiple vessels groups for operating time (168.21 ± 5.712 minutes vs. 197.50 ± 15.755 minutes) or hospital stay (3.21±0.165 days vs. 4.13±0.789 days). The recipient outcomes including hospital stay (10.17±0.596 days vs. 12.13 ± 1.797 days) and creatinine levels at day 7 (106.53 ± 5.583 μmol/L vs. 107.13 ± 11.857 μmol/L) and 1 year (120.21 ± 6.562 μmol/L vs. 124.75 ± 11.857 μmol/L) were similar. No ureteric stricture or graft loss was noted at 1-year follow-up. Recipient complications included lymphocoele (n = 2), haematoma (n = 3 with 2 requiring exploration), sepsis (n = 1), renal artery stenosis (n = 2 with 1 stented), repeated anastomosis (n = 1), and incisional hernia (n = 1). No differences were noted between the two groups.ConclusionOur results showed that overall donor morbidity rate was low, as reflected by the short hospital stay. Also, the overall parameters of the recipients were good. In particular, no ureteric stricture was noted, and graft survival was 100% at 1 year. The outcomes of the reconstructed group, despite the technical challenge, were similar to those of the single-vessel group

Infectious Alopecia in a Dog Breeder After Renal Transplantation

Tinea capitis rarely occurs in renal transplant recipients. We report this living-related renal transplant patient receiving cyclosporine-based therapy who initially presented with severe exfoliation of the scalp with yellowish-white scales and marked hair loss. The lesions extended to the frontal area and both cheeks, resulting in several skin ulcers with perifocal erythematous inflammatory changes, and palpable cervical lymph nodes. A biopsy of a skin lesion revealed fungal infection and culture yielded Microsporum canis. The patient mentioned an outbreak of ringworm in her breeding dogs during this period. After adequate treatment of the patient and her infected animals with griseofulvin and disinfection of the environment, her skin lesions resolved dramatically, with regrowth of hair

Emergency Open Cardiac Massage via Subxyphoid Approach in Ruptured Type A Aortic Dissection

Patient sustained cardiac tamponade caused by rupture of type A aortic dissection may result in sudden death. Pericardiocentesis is a lifesaving procedure; nevertheless, blood may occlude the catheter and fail to relieve the pressure. However, open-chest cardiac massage in resuscitation has been studied in animal models by some medical centers and laboratories with inspiring results. We report a 58-year-old woman who was transferred from a local hospital with the diagnosis of cardiac tamponade caused by ruptured type A aortic dissection. Pulseless electrical activity followed by cardiac arrest occurred thereafter. Successful resuscitation in the emergency department was achieved using open cardiac massage through the sub-xyphoid region by opening a pericardial window. Therefore, in unstable patients with cardiac tamponade due to aortic dissection, this resuscitative procedure is feasible, safe and efficient