A retrospective study of magnetic resonance-guided focused ultrasound ablation for uterine myoma in Taiwan

AbstractObjectiveTo report our experiences with 40 patients who were treated with magnetic resonance-guided focused ultrasound surgery (MRgFUS) for uterine fibroids and their 6-month follow-up status.Materials and MethodsA total of 40 patients with uterine fibroids underwent MRgFUS from January 2009 to November 2011. The Uterine Fibroid Symptoms and Quality of Life Questionnaire was used to determine the patients' Symptom Severity Scores (SSS) prior to and 6 months after treatment. The nonperfused volume (NPV) values and NPV ratio were obtained immediately at the end of the treatment and at 6 months follow-up.ResultsNo procedure-related complications were noted throughout the 6-month follow-up period among the 40 patients who underwent MRgFUS for uterine fibroids. The mean reduction in SSS in our patients after 6 months was 43.7%, and the mean reduction of fibroid volume was 31.7%. In addition, the mean reduction of NPV and mean NPV ratio was 52.7% and 33.3%, respectively.ConclusionThe results obtained from this study demonstrated that MRgFUS can be safely and effectively used to ablate uterine fibroids to produce a significant decrease in mean fibroid volume and improve SSS for up to 6 months after treatment

Exploring the effect of AR filter on perceived brand image: The mediating role of realistic experience

Following its extensive application in study on consumers\u27 retail experience, AR (augmented reality) technology has been increasingly applied in social media, notably the AR filter service, which has been embraced by quite a few brands as a novel marketing tool, taking advantage of its entertaining value and dissemination effect to boost brands\u27 perceived image among consumers. However, there have been fewer studies that examine the effectiveness of brand-developed AR filter services in enhancing consumer perceptions of brand image in the context of social media. To bridge the research gap, the study, based on the S-O-R model, looked into the effect of consumers\u27 cognition of AR-filter features on the realism of their experience and thus their perceived brand image. The study was carried out via a questionnaire survey of users of AR filters developed by brand-developed in social media, with its findings having both academic and practical implications for this field

On the Effect of Lubricant on Pool Boiling Heat Transfer Performance

   For typical vapor compression processes, lubricant oil is very essential for lubricating and sealing the sliding parts and the lubricant also takes part in cushioning cylinder valves. However lubricants may migrate to the evaporator to alter the heat transfer characteristics. This is can be made clear from the viscosity and surface tension of lubricant since the viscosity of lubricant oil is about two to three orders higher than that of refrigerant whereas the corresponding surface tension of lubricant is approximately one order higher. Typically, the presence of lubricant may deteriorate heat transfer performance, yet this phenomenon becomes more severe when the lubricant mass fraction is higher. However, some previous literatures had clearly showed that the presence of lubricant oil may favor the heat transfer performance at a low lubricant fraction and the heat transfer performance may peak at a specific oil concentration. In this study, the authors aim at clarifying this phenomenon subject to pool boiling condition. Various parameters affecting the heat transfer coefficient, such as viscosity, surface tension, critical solution temperature and other thermodynamic and transport properties will be examined.    During pool boiling process, the lubricant accumulates on the surface since the refrigerant is preferential to evaporate. Hence, excess lubricant enrichment on the surface results in a thin lubricant excess layer and a thermal boundary layer, which influence the heat transfer performance, either enhancement or degradation. The excess layer may bring about a liquid-solid surface energy reduction which increases site density and reduces the bubble departure diameter, causing enhancement and degradation in heat transfer performance, respectively. However, the effect of the bubble departure diameter normally surpasses the influence of site density. This may be the crucial reason that gives rise to an occurrence of the plateau of heat transfer coefficient and followed by an apparent decline of heat transfer coefficient with a further increase of lubricant concentration.    Moreover, with the preferential evaporation of the refrigerant, a surface tension gradient is formed, which induces the Marangoni effect through which refrigerant/lubricant mixtures is supplied toward the contact line. From the phase equilibrium diagram, the maximum of the Marangoni number may occur at the low lubricant concentration with a maximum temperature difference. Hence, the presence of Marangoni effect may also be the favor the heat transfer accordingly. Also, a small fraction of lubricant will increase a larger viscosity that provide a thicker thermal boundary layer which may activate more site density, and enhances the heat transfer performance. Furthermore, miscibility may also play a crucial factor that affects the pool boiling heat transfer performance. The fluid with a smaller difference between the bulk fluid temperature and critical solution temperature may yield a better heat transfer performance by drawing superheated liquid onto the bubble sides.

Experimental verification of a self-consistent theory of the first-, second-, and third-order (non)linear optical response

We show that a combination of linear absorption spectroscopy, hyper-Rayleigh scattering, and a theoretical analysis using sum rules to reduce the size of the parameter space leads to a prediction of the two-photon absorption cross-section of the dye AF455 that agrees with two-photon absorption spectroscopy. Our procedure, which demands self-consistency between several measurement techniques and does not use adjustable parameters, provides a means for determining transition moments between the dominant excited states based strictly on experimental characterization. This is made possible by our new approach that uses sum rules and molecular symmetry to rigorously reduce the number of required physical quantities.Comment: 10 pages, 9 figure

Applying a Kano quality model for intelligent green building design strategies in Taiwan

Intelligent green building (IGB) industry has received considerable global recognition due to the rapid development of advanced technology, intelligent materials, innovative products, and services in recent years. Although various cross-domain experiments and practices with respect to IGB projects are ready for operation, the notion and benefits of IGB are still ambiguous and debatable. The purpose of this study is to apply a Kano quality model and a customer satisfaction matrix to evaluate professional designers’ and general users’ satisfaction, preferences, and acceptability of IGB design strategies. The study result reveals that the proposed approach could be a useful tool to explore similarities and discrepancies of strategy preferences between designers and users, and these findings could effectively decrease the communication gap for future IGB design

Prevalence of latent tuberculosis infection in BCG-vaccinated healthcare workers by using an interferon-gamma release assay and the tuberculin skin test in an intermediate tuberculosis burden country

BackgroundThe risk of healthcare workers (HCWs) acquiring tuberculosis (TB) infection is high. We determined the prevalence of latent TB infection (LTBI) in HCWs with a high Bacille Calmette-Guérin (BCG) vaccine coverage in an intermediate TB burden country by using an interferon-gamma release assay [QuantiFERON-TB Gold (QFT-G)] and by using the tuberculin skin test (TST). Risk factors associated with a positive test were determined.MethodsThis prospective cross-sectional study enrolled HCWs from a medical center in Taiwan. Participants were grouped into workers without exposure (Group 1) and workers who self-reported a history of TB exposure (Group 2). All participants completed a questionnaire to collect demographic information and risk factors for acquiring TB. The QFT-G test and the TST were administered and risk factors for a positive test were analyzed.ResultsWe recruited 193 HCWs [149 (77.2%) female workers] with a mean age of 35.6 years. All were BCG-vaccinated. The prevalence of LTBI was 88.8% (based on the TST) and 14.5% (based on the QFT-G test). There was no difference between HCWs with and without known exposure to TB. Agreement between the tests was poor (i.e., the kappa value was less than 0.05). Multivariable logistic regression showed that only the QFT-G test was associated with age (35 years or greater) (adjusted OR, 2.53; p = 0.03).ConclusionBy using the QFT-G test or TST, this study found a similar prevalence of LTBI in HCWs with and without known exposure to TB. This suggests that in intermediate TB burden countries exposure to TB may occur within the hospital and within the community. Compared to the TST, the QFT-G test was correlated better with age, which is a known risk factor for latent TB infection