Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey

Abstract Background Low health literacy is considered a worldwide health threat. The purpose of this study is to assess the prevalence and socio-demographic covariates of low health literacy in Taiwanese adults and to investigate the relationships between health literacy and health status and health care utilization. Methods A national survey of 1493 adults was conducted in 2008. Health literacy was measured using the Mandarin Health Literacy Scale. Health status was measured based on self-rated physical and mental health. Health care utilization was measured based on self-reported outpatient clinic visits, emergency room visits, and hospitalizations. Results Approximately thirty percent of adults were found to have low (inadequate or marginal) health literacy. They tended to be older, have fewer years of schooling, lower household income, and reside in less populated areas. Inadequate health literacy was associated with poorer mental health (OR, 0.57; 95% CI, 0.35-0.91). No association was found between health literacy and health care utilization even after adjusting for other covariates. Conclusions Low (inadequate and marginal) health literacy is prevalent in Taiwan. High prevalence of low health literacy is not necessarily indicative of the need for interventions. Systematic efforts to evaluate the impact of low health literacy on health outcomes in other countries would help to illuminate features of health care delivery and financing systems that may mitigate the adverse health effects of low health literacy.http://deepblue.lib.umich.edu/bitstream/2027.42/78252/1/1471-2458-10-614.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78252/2/1471-2458-10-614.pdfPeer Reviewe

Microstructure characterization of ODS-RAFM steels

Results of the microstructural characterization of four different RAFM ODS Eurofer 97 batches are presented and discussed. Analyses and observations were performed by nuclear microprobe and scanning and transmission electron microscopy. X-ray elemental distribution maps obtained with proton beam scans showed homogeneous composition within the proton beam spatial resolution and, in particular, pointed to a uniform distribution of ODS (yttria) nanoparticles in the Eurofer 97 matrix. This was confirmed by transmission electron microscopy. Scanning electron microscopy coupled with energy dispersive spectroscopy made evident the presence of chromium carbide precipitation. Precipitates occurred preferentially along grain boundaries (GB) in three of the batches and presented a discrete distribution in the other, as a result of different thermo-mechanical routes. Additional electron backscattered diffraction experiments revealed the crystalline textures in the ferritic polycrystalline structure of the ODS steel samples

Microstructure characterization of ODS-RAFM steels

Results of the microstructural characterization of four different RAFM ODS Eurofer 97 batches are presented and discussed. Analyses and observations were performed by nuclear microprobe and scanning and transmission electron microscopy. X-ray elemental distribution maps obtained with proton beam scans showed homogeneous composition within the proton beam spatial resolution and, in particular, pointed to a uniform distribution of ODS (yttria) nanoparticles in the Eurofer 97 matrix. This was confirmed by transmission electron microscopy. Scanning electron microscopy coupled with energy dispersive spectroscopy made evident the presence of chromium carbide precipitation. Precipitates occurred preferentially along grain boundaries (GB) in three of the batches and presented a discrete distribution in the other, as a result of different thermo-mechanical routes. Additional electron backscattered diffraction experiments revealed the crystalline textures in the ferritic polycrystalline structure of the ODS steel samples

Effects of laser prepulses on laser-induced proton generation

Low-intensity laser prepulses (<10(13) W cm(-2), nanosecond duration) are a major issue in experiments on laser-induced generation of protons, often limiting the performances of proton sources produced by high-intensity lasers (approximate to 10(19) W cm(-2), picosecond or femtosecond duration). Depending on the intensity regime, several effects may be associated with the prepulse, some of which are discussed in this paper: (i) destruction of thin foil targets by the shock generated by the laser prepulse; (ii) creation of preplasma on the target front side affecting laser absorption; (iii) deformation of the target rear side; and (iv) whole displacement of thin foil targets affecting the focusing condition. In particular, we show that under oblique high-intensity irradiation and for low prepulse intensities, the proton beam is directed away from the target normal. Deviation is towards the laser forward direction, with an angle that increases with the level and duration of the ASE pedestal. Also, for a given laser pulse, the beam deviation increases with proton energy. The observations are discussed in terms of target normal sheath acceleration, in combination with a laser-controllable shock wave locally deforming the target surface

Photoinduced 3D orientational order in side chain liquid crystalline azopolymers

We apply experimental technique based on the combination of methods dealing with principal refractive indices and absorption coefficients to study the photoinduced 3D orientational order in the films of liquid crystalline (LC) azopolymers. The technique is used to identify 3D orientational configurations of trans azobenzene chromophores and to characterize the degree of ordering in terms of order parameters. We study two types of LC azopolymers which form structures with preferred in-plane and out-of-plane alignment of azochromophores, correspondingly. Using irradiation with the polarized light of two different wavelengths we find that the kinetics of photoinduced anisotropy can be dominated by either photo-reorientation or photoselection mechanisms depending on the wavelength. We formulate the phenomenological model describing the kinetics of photoinduced anisotropy in terms of the isomer concentrations and the order parameter tensor. We present the numerical results for absorption coefficients that are found to be in good agreement with the experimental data. The model is also used to interpret the effect of changing the mechanism with the wavelength of the pumping light.Comment: uses revtex4 28 pages, 10 figure

Pair Creation and an X-ray Free Electron Laser

Using a quantum kinetic equation coupled to Maxwell's equation we study the possibility that focused beams at proposed X-ray free electron laser facilities can generate electric field strengths large enough to cause spontaneous electron-positron pair production from the QED vacuum. Our approach yields the time and momentum dependence of the single particle distribution function. Under conditions reckoned achievable at planned facilities, repeated cycles of particle creation and annihilation take place in tune with the laser frequency. However, the peak particle number density is insensitive to this frequency and one can anticipate the production of a few hundred particle pairs per laser period. Field-current feedback and quantum statistical effects are small and can be neglected in this application of non-equilibrium quantum mean field theory.Comment: 4 pages, LaTeX2

Bulk Electronic structure of Na0.35_{0.35}CoO2_{2}.1.3H2_{2}O

High-energy (h$\nu$ = 5.95 keV) synchrotron Photoemission spectroscopy (PES) is used to study bulk electronic structure of Na$_{0.35}$CoO$_{2}$.1.3H$_{2}$O, the layered superconductor. In contrast to 3-dimensional doped Co oxides, Co $\it{2p}$ core level spectra show well-separated Co$^{3+}$ and Co$^{4+}$ ions. Cluster calculations suggest low spin Co$^{3+}$ and Co$^{4+}$ character, and a moderate on-site Coulomb correlation energy U$_{dd}\sim$3-5.5 eV. Photon dependent valence band PES identifies Co $\it{3d}$ and O $\it{2p}$ derived states, in near agreement with band structure calculations.Comment: 4 pages 4 figures Revised text added referenc

Natural history of Arabidopsis thaliana and oomycete symbioses

Molecular ecology of plant–microbe interactions has immediate significance for filling a gap in knowledge between the laboratory discipline of molecular biology and the largely theoretical discipline of evolutionary ecology. Somewhere in between lies conservation biology, aimed at protection of habitats and the diversity of species housed within them. A seemingly insignificant wildflower called Arabidopsis thaliana has an important contribution to make in this endeavour. It has already transformed botanical research with deepening understanding of molecular processes within the species and across the Plant Kingdom; and has begun to revolutionize plant breeding by providing an invaluable catalogue of gene sequences that can be used to design the most precise molecular markers attainable for marker-assisted selection of valued traits. This review describes how A. thaliana and two of its natural biotrophic parasites could be seminal as a model for exploring the biogeography and molecular ecology of plant–microbe interactions, and specifically, for testing hypotheses proposed from the geographic mosaic theory of co-evolution