Performance evaluation on the implementation of Pre-established Medical Processes for nurse practitioners in the hospitals

In 2015, Taiwan announced the establishment of “Pre-established Medical Processes” and related regulations to assist nurse practitioners in the clinical tasks, maintain medical quality and patient safety, and provide protection in clinical practice. However, the effectiveness of implementation still needs to be improved and strengthened. This study adopts the TAM and the TTF as the research framework, and a cross-sectional design. The questionnaires are administered to the professional nurse practitioners in the hospitals of central Taiwan. A total of 300 questionnaires were distributed, and Smart PLS 3.0 and SPSS 24.0 were both applied to verify interpretability. The questionnaire recovery rate was 88.3%, and the overall predictive power was 65.2%. Technological characteristics and TTF had a significant impact on perceived usefulness

FACTORS AFFECTING CONSUMERS’ VALUE CREATION IN ONLINE GROUP BUYING

Drawing upon the social capital theory (SCT), this study integrates social capital factors with the perspectives of consumer hedonic participation and platform capability of online group buying sites to explore how they af ect consumer value creation toward online group buying (OGB). Data from 663 valid responses were obtained using an online large-scale survey. The conceptual framework was validated by using the partial least squares (PLS) technique. The research findings show that 1) the consumers’ value created by engaging in OGB is contributed collectively by social capital factors (i.e., social interaction tie, trust, and shared value), hedonic participation and OGB platform capabilities; 2) the social capital enhances consumers’ value creation by increasing their hedonic participation; 3) The OGB platform capabilities has a positive impact on social capital, hedonic participation and value creation. The proposed research model explains 64.1 % of variance for consumers’ value creation, 52.6 % of variance for their hedonic participation and 46.1% of variance for social capital in OGB. Our findings provide insights into how OGB administrators can govern OGB initiatives to expand OGB members’ social capital and OGB platform capability, thereby leading to ef ective consumer value creation

Calcium oscillations coordinate feather mesenchymal cell movement by SHH dependent modulation of gap junction networks

Collective cell migration mediates multiple tissue morphogenesis processes. Yet how multi-dimensional mesenchymal cell movements are coordinated remains mostly unknown. Here we report that coordinated mesenchymal cell migration during chicken feather elongation is accompanied by dynamic changes of bioelectric currents. Transcriptome profiling and functional assays implicate contributions from functional voltage-gated Ca^(2+) channels (VGCCs), Connexin-43 based gap junctions, and Ca^(2+) release activated Ca^(2+) (CRAC) channels. 4-Dimensional Ca^(2+) imaging reveals that the Sonic hedgehog-responsive mesenchymal cells display synchronized Ca^(2+) oscillations, which expand progressively in area during feather elongation. Inhibiting VGCCs, gap junctions, or Sonic hedgehog signaling alters the mesenchymal Ca^(2+) landscape, cell movement patterns and feather bud elongation. Ca^(2+) oscillations induced by cyclic activation of opto-cCRAC channels enhance feather bud elongation. Functional disruption experiments and promoter analysis implicate synergistic Hedgehog and WNT/β-Catenin signaling in activating Connexin-43 expression, establishing gap junction networks synchronizing the Ca^(2+) profile among cells, thereby coordinating cell movement patterns

An earthquake slip zone is a magnetic recorder

International audienceDuring an earthquake, the physical and the chemical transformations along a slip zone lead to an intense deformation within the gouge layer of a mature fault zone. Because the gouge contains ferromagnetic minerals, it has the capacity to behave as a magnetic recorder during an earthquake. This constitutes a conceivable way to identify earthquakes slip zones. In this paper, we investigate the magnetic record of the Chelungpu fault gouge that hosts the principal slip zone of the Chi-Chi earthquake (Mw 7.6, 1999, Taiwan) using Taiwan Chelungpu-fault Drilling Project core samples. Rock magnetic investigation pinpoints the location of the Chi-Chi mm-thick principal slip zone within the 16-cm thick gouge at ~1 km depth. A modern magnetic dipole of Earth magnetic field is recovered throughout this gouge but not in the wall rocks nor in the two other adjacent fault zones. This magnetic record resides essentially in two magnetic minerals; magnetite in the principal slip zone, and neoformed goethite elsewhere in the gouge. We propose a model where magnetic record: 1) is preserved during inter-seismic time, 2) is erased during co-seismic time and 3) is imprinted during post-seismic time when fluids cooled down. We suggest that the identification of a stable magnetic record carried by neoformed goethite may be a signature of friction-heating process in seismic slip zone

Transmission of acute infectious illness among cases of Kawasaki disease and their household members

Background/purposeKawasaki disease (KD) is a disease of unknown cause and the causative agent is most likely to be infectious in nature. To investigate the household transmission pattern of infectious illness and etiology, we thus initiated a prospective case and household study.MethodsWe enrolled KD cases and their household members from February 2004 to September 2008. The KD cases and their household members accepted questionnaire-based interviews of the contact history, signs of infection, and symptoms to check whether clusters of infectious illness occurred.ResultsA total of 142 KD cases and 561 household members were enrolled. Among the 142 KD cases, 136 cases (96%) were typical KD, and six (4%) were atypical KD. Of the 561 household members, 17% were siblings, 46% were parents, 18% were grandparents, and the others were cousins or babysitters. Prior to the onset of their KD illness, 66% (94/142) KD cases had contact with ill household members. On the same day of the onset of KD cases' illness, 4% (6/142) KD cases had household members with illness. After KD cases' disease onset, 70% (100/142) KD cases had at least one other family member with illness. Overall, 61% (343/561) of all the household members had acute infectious illness during KD cases' acute stage, and 92% (130/142) of the families had clusters of infectious illness.ConclusionA total of 66% KD cases had positive contact with ill household members prior to their disease onset and 92% of families had clusters of infectious illness, so KD is strongly associated with infections

Phase Separation and Chemical Inhomogeneity in the Iron Chalcogenide Superconductor Fe1+yTexSe1-x

We report investigation on Fe1+yTexSe1-x single crystals by using scanning transmission electron microscopy (STEM) and electron energy loss spectroscopy (EELS). Both nonsuperconducting samples with excess iron and superconducting samples demonstrate nanoscale phase separation and chemical inhomogeneity of Te/Se content, which we attribute to a miscibility gap. The line scan EELS technique indicates ~20% or less fluctuation of Te concentration from the nominal compositions

Photoemission and x-ray absorption study of MgC_(1-x)Ni_3

We investigated electronic structure of MgC_(1-x)Ni_3 with photoemission and x-ray absorption spectroscopy. Both results show that overall band structure is in reasonable agreement with band structure calculations including the existence of von Hove singularity (vHs)near E_F. However, we find that the sharp vHs peak theoretically predicted near the E_F is substantially suppressed. As for the Ni core level and absorption spectrum, there exist the satellites of Ni 2p which have a little larger energy separation and reduced intensity compared to the case of Ni-metal. These facts indicate that correlation effects among Ni 3d electrons may be important to understand various physical properties.Comment: 12 pages, 4 figure

Nonlinear impact of the Arctic Oscillation on extratropical surface air temperature

The Arctic Oscillation (AO) is the leading climate mode of sea level pressure (SLP) anomalies during cold season in the Northern Hemisphere. To a large extent, the atmospheric climate anomalies associated with positive and negative phases of the AO are opposite to each other, indicating linear impact. However, there is also significant nonlinear relationship between the AO and other winter climate variability. We investigate nonlinear impacts of the AO on surface air temperature (SAT) using reanalysis data and a multi-millennial long climate simulation. It is found that SAT response to the AO, in terms of both spatial pattern and magnitude, is almost linear when the amplitude of the AO is moderate. However, the response becomes quite nonlinear as the amplitude of the AO becomes stronger. First, the pattern shift in SAT depends on AO phase and magnitude, and second, the SAT magnitude depends on AO phase. In particular, these nonlinearities are distinct over the North America and Eurasian Continent. Based on the analyses of model output, we suggest that the nonlinear zonal advection term is one of the critical components in generating nonlinear SAT response, particularly over the North America. Key Points: - We investigate nonlinear impacts of the AO on surface air temperature - The response becomes nonlinear for the strong AO events - The nonlinear advection is a critical component for the nonlinear SAT respons

Medium Access Control for Opportunistic Concurrent Transmissions under Shadowing Channels

We study the problem of how to alleviate the exposed terminal effect in multi-hop wireless networks in the presence of log-normal shadowing channels. Assuming node location information, we propose an extension of the IEEE 802.11 MAC protocol that sched-ules concurrent transmissions in the presence of log-normal shadowing, thus mitigating the exposed terminal problem and improving network throughput and delay performance. We observe considerable improvements in throughput and delay achieved over the IEEE 802.11 MAC under various network topologies and channel conditions in ns-2 simulations, which justify the importance of considering channel randomness in MAC protocol design for multi-hop wireless networks