AN EMPIRICAL STUDY ON THE PHYSICIANS’ BEHAVIORAL INTENTION WITH ELECTRONIC MEDICAL RECORD SYSTEMS IN TAIWAN

Currently in healthcare organizations paper-based patient record management faces many challenges. Most countries are promoting the full implementation of electronic medical records in every hospital. Medical environments change frequently and dramatically, which makes full acceptance of electronic medical records (EMR) by physicians an important issue. This empirical study combines the theory on reasoned action (TRA) and information technology acceptance model (TAM) resulted in a modified TAM to find what critical factors influence the acceptance behavior of EMR by physicians. To test these hypotheses, this study administered a cross-sectional mailed questionnaire survey during the period of three months in 2012. The survey was deployed to1000 physicians randomly from the estimated total 2000 physicians of 50 regional acute hospitals (more than 300 beds) in Taiwan currently. From these, 252effective responses were received, resulting in a net response rate of 25%. These research findings indicate that four variables significantly positively impact the intention to adopt EMR. Among these, attitude has the most significant positive impact on adoption intentions. Moreover, it shows that the professional autonomy might play an important role to moderate the attitude with significant statistics. These results maintain enough explanatory power (R2 =78.4%) to help explain the attitudes and intentions of physicians in adopting electronic medical record information systems. Our analysis revealed the importance of the perception usefulness which moderated by professional autonomy and pragmatism by physicians for their adoption electronic medical record systems in clinical practice

Clinical applicability of quantitative nailfold capillaroscopy in differential diagnosis of connective tissue diseases with Raynaud's phenomenon

Background/PurposeNailfold capillaroscopy is a useful tool to distinguish primary from secondary Raynaud's phenomenon (RP) by examining the morphology of nailfold capillaries but its role in disease diagnosis is not clearly established. The purpose of this study was to evaluate the roles of quantitative nailfold capillaroscopy in differential diagnosis of connective tissue diseases (CTDs) with RP.MethodsThe data between the year 2005 and 2009 were retrieved from the nailfold capillaroscopic database of National Taiwan University Hospital (NTUH). Only the data from the patients with RP were analyzed. The criteria for interpretation of capillaroscopic findings were predefined. The final diagnoses of the patients were based on the American College of Rheumatology classification criteria for individual diseases, independent of nailfold capillaroscopic findings. The sensitivity and the specificity of each capillaroscopic pattern to the diseases were determined.ResultsThe data from a total of 67 patients were qualified for the current study. We found the sensitivity and specificity of scleroderma pattern for systemic sclerosis (SSc) were 89.47% and 80%, and the specificity of the early, active, and late scleroderma patterns for SSc reached 87.5%, 97.5%, and 95%, respectively. The sensitivity/specificity of systemic lupus erythematosus (SLE) pattern for SLE and polymyositis/dermatomyositis (PM/DM) pattern for PM/DM were 33.33%/95.45% and 60%/96.3%, respectively. The sensitivity/specificity of mixed connective tissue disease (MCTD) pattern for MCTD were 20%/100%.ConclusionThe nailfold capillaroscopic (NC) patterns may be useful in the differential diagnosis of CTDs with RP. The NC patterns for SSc and PM/DM are both sensitive and specific to the diseases, while the SLE and MCTD patterns exhibit high specificity but relatively low sensitivity

Quantum circuit architecture search: error mitigation and trainability enhancement for variational quantum solvers

Quantum error mitigation techniques are at the heart of quantum hardware implementation, and are the key to performance improvement of the variational quantum learning scheme (VQLS). Although VQLS is partially robust to noise, both empirical and theoretical results exhibit that noise would rapidly deteriorate the performance of most variational quantum algorithms in large-scale problems. Furthermore, VQLS suffers from the barren plateau phenomenon---the gradient generated by the classical optimizer vanishes exponentially with respect to the qubit number. Here we devise a resource and runtime efficient scheme, the quantum architecture search scheme (QAS), to maximally improve the robustness and trainability of VQLS. In particular, given a learning task, QAS actively seeks an optimal circuit architecture to balance benefits and side-effects brought by adding more quantum gates. Specifically, while more quantum gates enable a stronger expressive power of the quantum model, they introduce a larger amount of noise and a more serious barren plateau scenario. Consequently, QAS can effectively suppress the influence of quantum noise and barren plateaus. We implement QAS on both the numerical simulator and real quantum hardware, via the IBM cloud, to accomplish data classification and quantum chemistry tasks. Numerical and experimental results show that QAS significantly outperforms conventional variational quantum algorithms with heuristic circuit architectures. Our work provides practical guidance for developing advanced learning-based quantum error mitigation techniques on near-term quantum devices.Comment: 8+9 pages. See also a concurrent paper that appeared yesterday [arXiv:2010.08561

Landslide Potential Evaluation Using Fragility Curve Model

The geological environment of Taiwan mainly contains steep topography and geologically fragile ground surface. Therefore, the vulnerable environmental conditions are prone to landslides during torrential rainfalls and typhoons. The rainfall-induced shallow landslide has become more common in Taiwan due to the extreme weathers in recent years. To evaluate the potential of landslide and its impacts, an evaluation method using the historical rainfall data (the hazard factor) and the temporal characteristics of landslide fragility curve (LFC, the vulnerability factor) was developed and described in this chapter. The LFC model was based on the geomorphological and vegetation factors using landslides at the Chen-Yu-Lan watershed in Taiwan, during events of Typhoon Sinlaku (September 2009) and Typhoon Morakot (August 2009). The critical hazard potential (Hc) and critical fragility potential (Fc) were introduced to express the probability of exceeding a damage state of landslides under certain conditions of rainfall intensity and accumulated rainfall. Case studies at Shenmu village in Taiwan were applied to illustrate the proposed method of landslide potential assessment and the landslide warning in practice. Finally, the proposed risk assessment for landslides can be implemented in the disaster response system and be extended to take debris flows into consideration altogether

Group Signatures and Accountable Ring Signatures from Isogeny-based Assumptions

Group signatures are an important cryptographic primitive providing both anonymity and accountability to signatures. Accountable ring signatures combine features from both ring signatures and group signatures, and can be directly transformed to group signatures. While there exists extensive work on constructing group signatures from various post-quantum assumptions, there has not been any using isogeny-based assumptions. In this work, we propose the first construction of isogeny-based group signatures, which is a direct result of our isogeny-based accountable ring signature. This is also the first construction of accountable ring signatures based on post-quantum assumptions. Our schemes are based on the decisional CSIDH assumption (D-CSIDH) and are proven secure under the random oracle model (ROM)

Fabrication of Inorganic Coatings Incorporated with Functionalized Graphene Oxide Nanosheets for Improving Fire Retardancy of Wooden Substrates

Flame-retardant chemicals are frequently used within consumer products and can even be employed as a treatment on the surface of different types of materials (e.g., wood, steel, and textiles) to prevent fire or limit the rapid spread of flames. Functionalized graphene oxide (FGO) nanosheets are a promising construction coating nanomaterial that can be blended with sodium metasilicate and gypsum to reduce the flammability of construction buildings. In this work, we designed and fabricated novel and halogen-free FGO sheets using the modified Hummers method; and subsequently functionalized them by pentaerythritol through a chemical impregnation process before dispersing them within the construction coating. Scanning electron microscopic images confirm that the FGO-filled coating was uniformly dispersed on the surface of wooden substrates. We identified that the FGO content is a critical factor affecting the fire retardancy. Thermogravimetric analysis of the FGO coating revealed that higher char residue can be obtained at 700 °C. Based on the differential scanning calorimetry, the exothermic peak contained a temperature delay in the presence of FGO sheets, primarily due to the formation of a thermal barrier. Such a significant improvement in the flame retardancy confirms that the FGO nanosheets are superior nanomaterials to be employed as a flame-retardant construction coating nanomaterial for improving thermal management within buildings

Microwave-Assisted Thermal Remediation of Diesel Contaminated Soil

Leakage of petroleum products, gasoline and diesel, at gas station had become one of major soil contamination sources in Taiwan. Total number of 154 petroleum contaminated gas stations was successively ascertained since the implementation of Soil and Groundwater Remediation Act in 2002. One of the contaminated gas stations, mainly diesel polluted, was studied for the feasibility of microwave-assisted thermal remediation. The average of total petroleum hydrocarbons (TPHt) in hotspot of this site was 2,845 mg/kg exceeding regulatory limit (1,000 mg/kg). According to the groundwater condition in the site, soil samples treated by microwave radiation with and without water as saturation and vadose zones were respectively tested in laboratory. The results show that a 12-min microwave energy can heat soil with water to reach 235°C and degrade its TPHt to 934 mg/kg; additionally, a 5 min microwave energy can heat soil without water to reach 220°C and degrade its TPHt to 520 mg/kg. Both soil samples passed TPHt regulatory limit and microwave remediation with fast and effective advantages for petroleum products contaminated soil was also verified

Anatomical Asymmetry in Goiter: A Demonstration by Three-dimensional Power Doppler Ultrasound

The aim of the present study was to examine the anatomical differences in volumetric and intraparenchymal vascular parameters between the two thyroid lobes of patients with goiter, using three-dimensional power Doppler ultrasound. A total of 89 outpatients with goiter, including 55 with autoimmune thyroid disease (ATD) and 34 with simple goiter (SG), were evaluated by three-dimensional power Doppler ultrasound. Volumetric and intraparenchymal vascular indices including vascularization index, flow index and vascular flow index of each lobe were measured using the Virtual Organ Computer-Aided Analysis system. In all patients with goiter, the volume and vascular indices (vascularization index, flow index and vascular flow index) of the right thyroid lobe were significantly greater than those of the left lobe (p < 0.05). Differences in vascular indices were present in SG but not in ATD. ATD was associated with a larger thyroid volume and higher vascular indices compared with those of SG (p < 0.001), but there were no significant differences in volumetry and vascular indices between euthyroid ATD and SG. In conclusion, the right thyroid lobe was found to be significantly larger and more vascular than the left lobe in subjects with goiter, as measured by three-dimensional power Doppler ultrasound. In addition, ATD was associated with a higher thyroid volume and vascular indices compared with those of SG