The Evaluation And Using Intention For Digital Teaching Materials Of Penghu Basalt

The Bureau of Culture of Penghu County produced the Penghu Basalt Digital Teaching Materials, which are supplementary teaching materials for local curriculums in elementary and middle schools in Penghu County. But just what are the teachers’ and students’ opinions of the said teaching materials? Are they willing to use them? Are they suitable? These questions are, indeed, worth further research. The questionnaire survey was conducted to gather the opinions of 142 teachers and 151 students of elementary and middle schools in Penghu County. In addition, using the quasi-experimental and experimental teaching methods, after comparing the pre-test and post-test results to the control group, the learning effectiveness was determined. The results indicate that teachers and students have the highest evaluation for the interface design aspect of this teaching material. The teachers’ evaluation for the teaching materials is significantly higher than the students’. Furthermore, the teaching materials are evaluated highly in terms of attracting attention, generating interest and willingness to use, indicating that the digital teaching materials have potential for promotion in Penghu. After the experimental teaching, only the vocational high school students’ scores before and after the experiment showed significantly improvement, while the scores of the students in the other levels of schools did not. &nbsp

Refinement treatment of nasal bone fracture: A 6-year study of 329 patients

SummaryBackgroundThe reliability of X-ray radiography for diagnosing nasal bone fractures (NBFs) remains controversial. Recent studies show that, for determining the orientation and location of the displaced/depressed fracture, nasal sonography is as accurate as facial computed tomography. This retrospective study compared conductor-assisted nasal sonography (CANS) to conventional diagnostic tools and reported subjective patient satisfaction and discomfort after closed reduction combined with tube technique.MethodsThis retrospective study reports the results of 329 refinement treatments for nasal bone fracture (including 199 men and 130 women) performed from 2005 to 2011. All patients were assessed with CANS and completed a survey immediately prior to removing the packing. Questionnaires were adapted from the nasal obstruction symptom evaluation (NOSE) scale.ResultsThe study found that CANS has a 97.2% rate of accuracy in diagnosing NBF. The visual analog scale scores of nasal obstruction, nasal congestion, sleep disturbance, trouble breathing, and inability to move air through the nose were analyzed. The experimental group scores were significantly different from the control group for all scores (p < 0.001).ConclusionCompared to conventional methods, CANS is more accurate for detecting NBF. We recommend its use as an alternative tool for diagnosing a nasal fracture. Because the tube technique balances pressure between the nasopharynx and middle ear during swallowing, patient comfort is enhanced. Application of these modifications can improve accuracy in diagnosing NBF and can improve the quality of NBF treatment

Applying the Resilience to the Community Development in Taiwan

In 1999, the Shishui community in Nantou County, Taiwan was severely damaged by the 921 earthquakes, with many houses collapsing and community facilities suffering unprecedented damage. In late 2001, a community development association was established, and with the efforts of residents, the community was awarded the title of Classic Rural Area by the government in 2007, becoming a nationally recognized leisure agriculture demonstration base. However, with the subsequent reduction of external resources, continuous loss of internal talents, and operational dysfunction of community organizations, the Shishui community eventually stagnated. How can we evaluate the community\u27s resilience in this situation? This study takes the Shishui community as its research field, integrates expert and scholar research on community resilience, constructs the elements of Shishui community development resilience through in-depth interviews with community residents, and analyzes Shishui community resilience indicators using the Fuzzy Delphi Method (FDM), with five main dimensions: sustainable development capacity, organizational leadership capacity, financial management capacity, community cohesion, and network resource capacity. Then, using the Similarity-based Importance-Performance Analysis (SBIPA) method, the study analyzes the evaluations of Shishui community residents on the satisfaction and importance of each resilience indicator. Finally, a total of 18 issues that residents consider important but have not yet reached the expected level of performance are identified, such as community resources and mechanisms to support young people returning to their hometowns and fair distribution of community resources by community organizations, which will become important directions for future community governance improvement

Stepwise Increases in Left Ventricular Mass Index and Decreases in Left Ventricular Ejection Fraction Correspond with the Stages of Chronic Kidney Disease in Diabetes Patients

Aims. Patients with diabetic nephropathy are reported to have a high prevalence of left ventricular structural and functional abnormalities. This study was designed to assess the determinants of left ventricular mass index (LVMI) and left ventricular ejection fraction (LVEF) in diabetic patients at various stages of chronic kidney disease (CKD). Methods. This cross-sectional study enrolled 285 diabetic patients with CKD stages 3 to 5 from our outpatient department of internal medicine. Clinical and echocardiographic parameters were compared and analyzed. Results. We found a significant stepwise increase in LVMI (P < 0.001), LVH (P < 0.001), and LVEF <55% (P = 0.013) and a stepwise decrease in LVEF (P = 0.038) corresponding to advance in CKD stages. Conclusions. Our findings suggest that increases in LVMI and decreases in LVEF coincide with advances in CKD stages in patients with diabetes

QUANTITATIVE ANALYSIS OF THE DYNAMIC BALANCE ABILITY BETWEEN THE COLLEGE STUDENTS AND HANDBALL PLAYERS

The purpose of this study was to investigate the differences of dynamic standing ability (Balance keeping time; BKT) and the change of the angular velocity (deg. / s) of a platform between healthy non-athelete female students and handball players using an unstable platform-like seesaw. Methods: The seesaw is capable of rotating side to side in both directions of right and left; it was set horizontally at an angle of zero degrees as a base, with the maximum degree of the seesaw inclination set at 25 degrees. In addition, a high-speed digital video camera (SONY-HDR-CX520V) was set to record the BKT and the changes of motion in the frontal plane from both sides of the plate. Results: There is a significant difference observed in both BKT and the change of angular velocity between non-athletes and handball players. Conclusion: The findings suggest the data gained from the experiments may establish a dynamic balance fitness norm and can be used as an assessment method of the lower extremity coordination ability