The Road Less Taken: A Qualitative Inquiry of Christian Homeschooling in Taiwan

The primary purpose of this study is to examine how Christian homeschooling works in Taiwan by investigating the intentions, implementation, challenges and implications of homeschooling practice. With regard to homeschooling as an increasingly popular educational option in Taiwan, particularly among Christian families, the following research questions are used to guide this study: (1) What are the reasons and goals of Christian parents in Taiwan to choose homeschooling for their children? (2)What does their homeschooling look like in practice? (3) What do the Christian homeschoolers perceive to be the advantages and challenges of homeschooling in Taiwan? (4) What are the implications of the Christian homeschooling movement for education in Taiwan? Based on the qualitative research method of Elliot Eisner\u27s educational connoisseurship and criticism, this study presents a vivid description and analysis of Christian homeschooling experience in Taiwan. Four homeschooling families were studied: two in Taipei City and two in Hsinchu City. A conceptual framework incorporating six dimensions of schooling is used to guide the data collection; these dimensions include the intentional, the structural, the curricular, the pedagogical, the evaluative and the school-community relationship. In the homeschooling literature, a wide range of studies have been conducted to investigate homeschooling in the United States; however, only a few studies found are related to homeschooling in the East Asian contexts. Through this qualitative inquiry, it helps readers better understand how Christian homeschooling is practiced in Taiwan. Several important themes emerged from this study, including learning by homeschooling, family involvement, uncertainties about the future, and the combination of family, religion, and education in homeschooling, among others. Furthermore, this study indicates the challenges of homeschooling and discusses this educational choice as the road-less-taken in Taiwan

Using the Clinical Frailty Scale to Predict the Length of Stay in Otolaryngology Unit in Taiwan

Frailty was a common syndrome in geriatric clinic and general internal medical wards. Some authors had identified the Clinical Frailty Scale (CFS) as a predictor of length of stay in the acute medicine unit. However, the role of the Clinical Frailty Scale in the length of stay in otolaryngology unit had not been well studied. The objective of this study was to find out the correlation of the CFS in elderly patients admitted to otolaryngology unit and their length of stay. A retrospective medical chart review of 203 elderly patients admitted to the otolaryngology ward from January, 2014 to December, 2018 was performed. These patients were hospitalized for treating otorhinolaryngological (ENT) disease or for otorhinolaryngological surgery except for those of ENT related malignancies at Kaohsiung Municipal United Hospital (KMUH). Patients\u27 demographics, CFS scores, Charlson comorbidities Index (CCI), and length of stay (LOS) were recorded. All the participants were divided into three groups: non-frail (CFS 1- 4), mildtomoderately frail (CFS 5- 6), and severely frail (CFS7- 8). Severely frail group had longer lengths of stay (mean= 8.76±0.97 days), comparing to mild to moderate frail group (mean=6.25±0.72 days), and non-frail group (mean= 3.93±0.38 days, p=0.000). For the length of stay stratified by each individual CFS score, it was significant that patients with higher CFS scores had longer lengths of stay (p=.000). The group with higher CFS scores had higher CCI when compared with non-frail group (6.76±1.35 for severely frail, vs. 5.41±1.10 for mild to moderately frail vs. 3.02±0.95 for non-frail, p=0. 000). The use of the CFS for assessment of the elderly patients could help the otolaryngologist to predict the length of stay in otolaryngology unit in Taiwan

Pilot test results of a video-based HIV intervention for Chinese college students in the United States

Background: No culturally relevant and appropriate HIV/sexually transmitted infection (STI) programs are available to Chinese college students in the United States. This study evaluated the effectiveness of a translated Center for Disease Control and Prevention (CDC) intervention, Video Opportunities for Innovative Condom Education and Safer Sex (VOICES), to change condom use intention and self-efficacy, perceived benefits and barriers, and HIV/AIDS knowledge among Chinese students in a U.S. university. The VOICES program includes video viewing and a facilitated small-group discussion. Methods: A quasi-experimental design with single-group pretest-posttest was conducted in Chinese. Chinese students (N=67) from a local university were recruited to watch a 20-minute video with Chinese captions followed by a 25-minute small group discussion and condom feature education. The questions collected reports of demographic information, condom use, condom use in different situations in relation to self-efficacy, perceived benefits and barriers to using condoms, and knowledge of HIV/AIDS. Results: McNemar’s test showed that students significantly increased their condom use intention between pretest and posttest (77.6% vs. 95.2%, McNemar P=0.002). Significant posttest increases in self-efficacy (P\u3c0.0001), perceived benefits (P=0.008), and HIV/AIDS knowledge (P\u3c0.0001) were also observed using paired t-tests. Students demonstrated significantly lower posttest perceived barrier scores. Conclusions: The use of a translated VOICES for Chinese students suggests increased empowerment and knowledge about condom use and HIV/AIDS. Universities with Chinese students may consider incorporating this intervention during orientation. The transtheoretical model (TTM) has implications for designing HIV programs

HPV Knowledge, Attitudes, and Vaccination Among Hispanic/Latino College Students in the USA

This study evaluated Human Papillomavirus-related knowledge and attitudes, vaccination practices, and explored associated factors among Hispanic/Latino college students in the United States of America. Using a self-administered survey, a descriptive, cross-sectional quantitative study was conducted in 2018 at colleges and universities in the United States of America. Our results indicate that Hispanic/Latino college students had a low level of HPV-related knowledge, a moderately positive attitude, and a moderate rate of HPV vaccination. Students who were in a health-related major, married/divorced, and had health insurance had greater knowledge and more positive attitudes towards HPV and its vaccines. This study is important due to the disproportionate high rate of HPV associated cervical cancers among Hispanic/Latinos when compared to other races and ethnicities. Our findings will inform the development of innovative intervention to promote HPV vaccination uptake across educational institutions

A size-dependent nanoscale metal–insulator transition in random materials

Insulators and conductors with periodic structures can be readily distinguished, because they have different band structures, but the differences between insulators and conductors with random structures are more subtle. In 1958, Anderson provided a straightforward criterion for distinguishing between random insulators and conductors, based on the \u27diffusion\u27 distance ζ for electrons at 0 K (ref. 3). Insulators have a finite ζ, but conductors have an infinite ζ. Aided by a scaling argument, this concept can explain many phenomena in disordered electronic systems, such as the fact that the electrical resistivity of \u27dirty\u27 metals always increases as the temperature approaches 0 K (refs 4–6). Further verification for this model has come from experiments that measure how the properties of macroscopic samples vary with changes in temperature, pressure, impurity concentration and applied magnetic field, but, surprisingly, there have been no attempts to engineer a metal–insulator transition by making the sample size less than or more thanζ. Here, we report such an engineered transition using six different thin-film systems: two are glasses that contain dispersed platinum atoms, and four are single crystals of perovskite that contain minor conducting components. With a sample size comparable to ζ, transitions can be triggered by using an electric field or ultraviolet radiation to tune ζ through the injection and extraction of electrons. It would seem possible to take advantage of this nanometallicity in applications

Arthritis imaging using a near-infrared fluorescence folate-targeted probe

A recently developed near-infrared fluorescence-labeled folate probe (NIR2-folate) was tested for in vivo imaging of arthritis using a lipopolysaccharide intra-articular injection model and a KRN transgenic mice serum induction mouse model. In the lipopolysaccharide injection model, the fluorescence signal intensity of NIR2-folate (n = 12) and of free NIR2 (n = 5) was compared between lipopolysaccharide-treated and control joints. The fluorescence signal intensity of the NIR2-folate probe at the inflammatory joints was found to be significantly higher than the control normal joints (up to 2.3-fold, P < 0.001). The NIR2-free dye injection group showed a persistent lower enhancement ratio than the NIR2-folate probe injection group. Excessive folic acid was also given to demonstrate a competitive effect with the NIR2-folate. In the KRN serum transfer model (n = 4), NIR2-folate was applied at different time points after serum transfer, and the inflamed joints could be detected as early as 30 hours after arthritogenic antibody transfer (1.8-fold increase in signal intensity). Fluorescence microscopy, histology, and immunohistochemistry validated the optical imaging results. We conclude that in vivo arthritis detection was feasible using a folate-targeted near-infrared fluorescence probe. This receptor-targeted imaging method may facilitate improved arthritis diagnosis and early assessment of the disease progress by providing an in vivo characterization of active macrophage status in inflammatory joint diseases

Proportional and Preemption-enabled Traffic Offloading for IP Flow Mobility:Algorithms and Performance Evaluation

IP Flow Mobility (IFOM) enables a user equipment to offload data traffic at the IP flow level. Although the procedure of IFOM-based flow offloading has been specified by 3GPP, how many IP flows should be offloaded and when offloading should be performed are not defined. Consequently, IP flows may be routed to a target access network which has a strong signal strength but with backhaul congestion or insufficient access capability. In this paper, we propose two algorithms, referred to as proportional offloading (PO), and proportional and preemption-enabled offloading (PPO), respectively, for IP flow offloading in hybrid cellular and wireless local area networks. The PO algorithm decides an optimal proportion of IP flows which could be offloaded by considering available resources at the target access network. In the PPO algorithm, both service continuity and network utilization are taken into consideration. Furthermore, a detailed analytical model is developed in order to evaluate the behavior of the proposed algorithms. The analytical model is validated through extensive simulations. The results show that by dynamically adjusting the percentage of traffic flows to be offloaded, PO can reduce blocking probability and increase resource utilization. PPO further improves the performance at the cost of slightly higher offloading overhead