Healthcare Information and the Utilization of Pap-smear Testing amongst Taiwanese Women

This study is to investigate the determinants of healthcare information amongst women in Taiwan aged between 25 and 69 years, and the association with cervical cancer screening.A two-stage estimation model was adopted for this investigation. In the first stage, the determinants of healthcare information were estimated by the OLS method, with the predicted values of the healthcare information then being linked to the decision to undergo Pap-smear testing. The nationwide survey dataset was obtained from the 2002‘Health Promotion of Knowledge, Attitudes and Practice' (HPKAP) in Taiwan, provided by the Bureau of Health Promotion. A total of 9,106 individuals were included in the analysis. The results reveal that the variations in the level of healthcare information are an important contributory factor to the utilization of cervical cancer screening in Taiwan. Therefore, in addition to providing free screening under the NHI, it is important for the healthcare authorities to place greater effort into strengthening the knowledge and information on cervical cancer screening and Pap-smear testing, for those who are currently less informed, so as to enhance the overall efficiency of the screening program.Health information; Pap-smear testing; Cervical cancer; National Health Insurance; Taiwan

The Use of e-Learning Course during the COVID-19: A Systems Thinking Approach

In the era of theInternet, most educators have been supported by powerful tools ranging from e-books and e-learning sites to cloud services, and students’ learning environment has been a mix between traditional study (in class) and e-learning through some kind of online learning platform. Due to the uncertainty of the rapidly changing COVID-19 situation, all colleges and universities have to shutter their physical campuses and move their courses to remote and online formats hastily. This prompted many to wonder if all of the faculty are ready and qualified to teach online courses and/or if all of the students are ready to learn in the comprehensive online environment. If not, what ultimate impact will be to our higher education during this national emergency virus pandemic since there is no choice but depend on where they sit currently, not to mention the negative reviews and concerns regarding the online education. To make this transfer seamlessly and conflict mitigation, this paper applied systems thinking for an e-Learning course and proposed a flexible grading method for an e-learning environment, which will enhance students’ grades by allowing students to control their own study paces and the amount of efforts spent in the course, which can bring a successful online learning experience

Evaluation of agricultural ecosystem services in fallowing land based on farmers' participation and model simulation

Fallowing with green fertilizer can benefit agricultural ecosystem services (AES). Farmers in Taiwan do not implement fallow practices and plant green fertilizer because the current subsidy level (46,000 NT$per ha) is too low to manage fallowing. This paper defines the objective of government agriculture policy or the farmer’s objective as maximization of farm productivity, approximated to the value of social welfare and AES. Farms, which do not follow proper fallowing practices, often have poorly maintained fallow land or left farmland abandoned. This results in negative environmental consequences such as cutworm infestations in abandoned land, which in turn can affect crops in adjacent farmlands. The objectives of this study are twofold. First, it determines the proper fallowing subsidy based on the concept of payment for ecosystem services to entice more farmers to participate in fallowing. Second, it simulates the benefit of planting green manure in fallow land to the supply of AES based on the rate of farmers who are willing to participate in fallow land practices and essential parameters that can affect soil fertility change. The approach involves a series of interviews and a developed empirical model. The value of AES when the rate of farmer participation is 100$perha)istoolowtomanagefallowingThispaperdefinestheobjectiveofgovernmentagriculturepolicyorthefarmer’sobjectiveasmaximizationoffarmproductivityapproximatedtothevalueofsocialwelfareandAESFarmswhichdonotfollowproperfallowingpracticesoftenhavepoorlymaintainedfallowlandorleftfarmlandabandonedThisresultsinnegativeenvironmentalconsequencessuchascutworminfestationsinabandonedlandwhichinturncanaffectcropsinadjacentfarmlandsTheobjectivesofthisstudyaretwofoldFirstitdeterminestheproperfallowingsubsidybasedontheconceptofpaymentforecosystemservicestoenticemorefarmerstoparticipateinfallowingSeconditsimulatesthebenefitofplantinggreenmanureinfallowlandtothesupplyofAESbasedontherateoffarmerswhoarewillingtoparticipateinfallowlandpracticesandessentialparametersthatcanaffectsoilfertilitychangeTheapproachinvolvesaseriesofinterviewsandadevelopedempiricalmodelThevalueofAESwhentherateoffarmerparticipationis100 ) over the value at the current participation rate of 14%. This study further concludes that the appropriate fallowing subsidy has a large positive impact on AES and social welfare (e.g., benefit from food and biofuel supplies) and is seen as a basis of ecological governance for sustainable agro-ecosystems

Determining the Student Services which Align with Undergraduate Student Expectations A Study of Student Perceptions and University Service Delivery

Extant research demonstrates that student support services are a vital link in the success of students and a major component in student per- sistence to graduation. This paper reports the results of an empirical study examining enrolled undergraduate student attitudes and expec- tations regarding student services at two-similarly-sized universities in a major metropolitan area in the southwestern United States. Using survey data and a sample of several hundred students at each school, it analyzes their knowledge of and attitudes about student services, such as health services, career counseling, computer laboratories, student organizations and clubs, and sporting events. This study compares student perspectives at private versus public universities and further analyzes possible differing student needs and expectations that may occur among various student demographic groups. The results of this study are important for several reasons. First, it compares student and administrator perspectives on university services to see if they are similar or if there are possible differences in their views. Since the data informs universities about student attitudes and expectations, the data can help universities to do a better job in aligning services to student perceived needs. Second, the study tests the view that students at private universities may have higher expectations of services versus public university students, and then we explore possible differences between various student demographic groups, clarifying how the needs and expectations may differ among these demographic groups. Finally, the results can help universities to determine the services that are viewed as most critical and invest in those services which are more successfully attracting and retaining those students

Evaluation on Higher Education Using Data Envelopment Analysis

The goal of higher education is to provide students an equal opportunity to access their education for success. With significant competition within the peer group, potential students look for quality, flexibility, and affordability in the educational environment. In addition, the relationship between students and the institution involves a concentrated and more specific set of expectations. In order to improve students’ academic performance and fulfill individual needs, universities aim to enhance the quality of students’ learning environment and academic achievements. The higher education system relies on efficient operation and strategic planning to fulfill students’ needs through an internal emphasis on institutional performance improvement. A study on measuring the performance of higher education is presented. The research was focused on four-year and above, public and not-for-profit private universities in the southern region (AL, AR, KY, LA, MS, OK, TN, and TX) of the United States. The data includes 270 universities which were obtained from the Institute of Education Sciences, U.S. Department of Education. This study applied the Data Envelopment Analysis (DEA) approach; the purpose is to use a linear programming model to demonstrate a novel benchmarking process of higher education institutional performance and determine an overall benchmark for institutions within each classified group. From the results, suggestions are provided for the general guidance of planners and decision makers in the higher education system

On the Distribution of Neutral Tone in Southern Min: LCC and Beyond

The aim of this paper is to address an often-overlooked topic in Southern Min tonology: neutral tone. We show that the tone sandhi domain in Southern Min is not always isomorphic with an XP in syntax or a phonological phrase. In fact, this domain may be smaller than what has been predicted, as evidenced in the phrase-final functional morphemes as well as in the rhythmic effect. We propose that the tone sandhi domain in Southern Min is defined by a constituent Tone Sandhi Domain (TSD, τ) between the p-phrase and the p-word. A TSD is required to bear a final prominence, and only a p-word, mapped from a contentive or focused element in syntax, can be a “prominence-bearing unit.

Signs of outflow feedback from a nearby young stellar object on the protostellar envelope around HL Tau

HL Tau is a Class I-II protostar embedded in an infalling and rotating envelope and possibly associated with a planet forming disk, and it is co-located in a 0.1 pc molecular cloud with two nearby young stellar objects. Our ALMA observations revealed two arc-like structures on a 1000 au scale connected to the disk, and their kinematics could not be explained with any conventional model of infalling and rotational motions. In this work, we investigate the nature of these arc-like structures connected to the HL Tau disk. We conducted new observations in the 13CO and C18O (3-2; 2-1) lines with JCMT and IRAM 30m, and obtained the ACA data with the 7-m array. With the single-dish, ACA, and ALMA data, we analyzed the gas motions on both 0.1 pc and 1000 au scales in the HL Tau region. We constructed new kinematical models of an infalling and rotating envelope with the consideration of relative motion between HL Tau and the envelope. By including the relative motion between HL Tau and its protostellar envelope, our kinematical model can explain the observed velocity features in the arc-like structures. The morphologies of the arc-like structures can also be explained with an asymmetric initial density distribution in our model envelope. In addition, our single-dish results support that HL Tau is located at the edge of a large-scale (0.1 pc) expanding shell driven by the wind or outflow from XZ Tau, as suggested in the literature. The estimated expanding velocity of the shell is comparable to the relative velocity between HL Tau and its envelope in our kinematical model. These results hints that the large-scale expanding motion likely impacts the protostellar envelope around HL Tau and affects its gas kinematics. We found that the mass infalling rate from the envelope onto the HL Tau disk can be decreased by a factor of two due to this impact by the large-scale expanding shell.Comment: Accepted by A&

Acute morphine induces matrix metalloproteinase-9 up-regulation in primary sensory neurons to mask opioid-induced analgesia in mice

<p>Abstract</p> <p>Background</p> <p>Despite decades of intense research efforts, actions of acute opioids are not fully understood. Increasing evidence suggests that in addition to well-documented antinociceptive effects opioids also produce paradoxical hyperalgesic and excitatory effects on neurons. However, most studies focus on the pronociceptive actions of chronic opioid exposure. Matrix metalloproteinase 9 (MMP-9) plays an important role in neuroinflammation and neuropathic pain development. We examined MMP-9 expression and localization in dorsal root ganglia (DRGs) after acute morphine treatment and, furthermore, the role of MMP-9 in modulating acute morphine-induced analgesia and hyperalgesia in mice.</p> <p>Results</p> <p>Subcutaneous morphine induced a marked up-regulation of MMP-9 protein in DRGs but not spinal cords. Morphine also increased MMP-9 activity and mRNA expression in DRGs. MMP-9 up-regulation peaked at 2 h but returned to the baseline after 24 h. In DRG tissue sections, MMP-9 is expressed in small and medium-sized neurons that co-express mu opioid receptors (MOR). In DRG cultures, MOR agonists morphine, DAMGO, and remifentanil each increased MMP-9 expression in neurons, whereas the opioid receptor antagonist naloxone and the MOR-selective antagonist <smcaps>D</smcaps>-Phe-Cys-Tyr-<smcaps>D</smcaps>-Trp-Arg-Thr-Pen-Thr-NH₂(CTAP) suppressed morphine-induced MMP-9 expression. Notably, subcutaneous morphine-induced analgesia was enhanced and prolonged in <it>Mmp9 </it>knockout mice and also potentiated in wild-type mice receiving intrathecal injection of MMP-9 inhibitors. Consistently, intrathecal injection of specific siRNA targeting MMP-9 reduced MMP-9 expression in DRGs and enhanced and prolonged morphine analgesia. Subcutaneous morphine also produced heat hyperalgesia at 24 h, but this opioid-induced hyperalgesia was not enhanced after MMP-9 deletion or inhibition.</p> <p>Conclusions</p> <p>Transient MMP-9 up-regulation in DRG neurons can mask opioid analgesia, without modulating opioid-induced hyperalgesia. Distinct molecular mechanisms (MMP-9 dependent and independent) control acute opioid-induced pronociceptive actions (anti-analgesia in the first several hours and hyperalgesia after 24 h). Targeting MMP-9 may improve acute opioid analgesia.</p