Always Open, Seven-Eleven: Education Targeting Healthier Food Choices in a High Convenience Store Density Area in Taipei

To enhance children's health, the promotion of nutrition literacy in school is vital as it helps prevent the development of health conditions and diseases and maintain healthy lifestyles. Taiwan features the top highest ratio of convenience stores per population density. Convenience stores, an increasingly popular dining place, were linked to the development of eating behavior and body weight issues in children. An eight-week classroom-based nutrition intervention, employing the Traffic Light Diet as a framework, targeting children's perception of and intention to visit the convenience store was implemented. The study conducted a quasi-experimental pretest-posttest research design with a comparison group. A total of 49 students participated in the study, with 25 in the intervention and 24 in the comparison group. Data were collected by utilizing surveys, interviews, and observations. The study's findings demonstrated the positive trajectory of the impact of this intervention on increasing food-and-nutrition-related knowledge and improving healthier diet choices at convenience stores among children. One main theme was identified in coding interviews: parent involvement in meal preparation may reduce convenience store use and increase consumption of vegetables among children. Assessing the influence of parental support for healthy dietary choices, eating nutritious foods at home, and involving the family in meal preparation is an area for future research

Validation of the Action Research Arm Test using item response theory in patients after stroke

Objective: To validate the unidimensionality of the Action Research Arm Test (ARAT) using Mokken analysis and to examine whether scores of the ARAT can be transformed into interval scores using Rasch analysis. Subjects and methods: A total of 351 patients with stroke were recruited from 5 rehabilitation departments located in 4 regions of Taiwan. The 19-item ARAT was administered to all the subjects by a physical therapist. The data were analysed using item response theory by non-parametric Mokken analysis followed by Rasch analysis. Results: The results supported a unidimensional scale of the 19-item ARAT by Mokken analysis, with the scalability coefficient H = 0.95. Except for the item pinch ball bearing 3rd finger and thumb'', the remaining 18 items have a consistently hierarchical order along the upper extremity function's continuum. In contrast, the Rasch analysis, with a stepwise deletion of misfit items, showed that only 4 items (grasp ball'', grasp block 5 cm(3)'', grasp block 2.5 cm(3)'', and grip tube 1 cm(3)'') fit the Rasch rating scale model's expectations. Conclusion: Our findings indicated that the 19-item ARAT constituted a unidimensional construct measuring upper extremity function in stroke patients. However, the results did not support the premise that the raw sum scores of the ARAT can be transformed into interval Rasch scores. Thus, the raw sum scores of the ARAT can provide information only about order of patients on their upper extremity functional abilities, but not represent each patient's exact functioning

Pituitary macroadenoma co-existent with supraclinoid internal carotid artery cerebral aneurysm: a case report and review of the literature

With improved angiographic techniques and magnetic resonance angiography available today, an increasing number of incidental aneurysms are being detected. Occurrence of an intracranial aneurysm together with a pituitary adenoma presents tremendous risk to the patient, particularly when the aneurysm lies near the operative field

Experiences with a simple laparoscopic gastric tube construction

BACKGROUND: Minimally invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described. Our aim was to evaluate use of a simple method of laparoscopic gastric tube construction as minimally invasive surgery for patients with esophageal cancer. METHODS: We performed a retrospective review of 26 consecutive patients who underwent MIE for esophageal cancer in the Koo Foundation Sun Yat-Sen Cancer Center between September 2009 and August 2011. Perioperative data and postoperative complications were statistically analyzed. RESULTS: The patient group consisted of 22 men and 4 women. MIE was performed successfully in all patients. The mean operative time was 430.4 ± 60.6 minutes, and the mean estimated operative blood loss was 135.0 ± 97.8 mL. There were no cases of conversion to open surgery during the procedure. The postoperative complication rate was 53.8%, and there was no surgical mortality. CONCLUSIONS: We recommend this novel method of total laparoscopic staplized formation of gastric tube to facilitate gastric pull-up

Effect of variable shipping frequency on production-distribution policy in a vendor-buyer integrated system

This paper investigates the effect of variable shipping frequency on production-distribution policy in a vendor-buyer integrated system. In a recent article Chiu et al. [1] derived the optimal replenishment lot size for an economic production quantity problem with multi-delivery and quality assurance, based on an assumption that the number of shipment is a given constant. However, in a vendor-buyer integrated system in supply chain environment, joint determination of replenishment lot size and number of shipments may help such a system to gain significant competitive advantage in terms of becoming a low-cost producer as well as having tight linkage to customer. For this reason, the present study extends the work of Chiu et al. [1] by considering shipping frequency as one of the decision variables and incorporating customer’s stock holding cost into system cost analysis. Hessian matrix equations are employed to certify the convexity of cost function that contains two decision variables, and the effect of variable shipping frequency on production-distribution policy is investigated. A numerical example is provided to demonstrate practical usage of the research result

Girdling improved berry coloration in summer but suppressed return growth in the following spring in 'Kyoho' grapevines cultivated in the subtropical double cropping system

Improving berry skin coloration is one of the major challenges in the tropical and subtropical viticulture. In this paper we aimed to document the effects of girdling at veraison on berry coloration and quality in grapevines on different rootstocks and we assessed the seasonal variations of girdling effects in the subtropical double cropping system. In the first experiment, gird-ling at veraison was tested in 'Kyoho' on 5C rootstocks. In the second experiment, own-rooted 'Kyoho', 5C or 1202C rootstocks were compared. Vines were trained to a horizontal overhead trellis with a single trunk and two short arms. One arm of each vine was girdled at veraison and the other arm served as the control. Girdling at veraison significantly improved skin color of berries from own-rooted vines or 5C rootstocks in the summer cropping cycle but was less effective in the winter cropping cycle. Girdling improved total soluble solids in own-rooted vines in the summer cropping cycle and in vines on 1202C in the winter cropping cycle. Girdling made in the winter cropping cycle did not completely heal until post-bloom in the following spring and reduced length of the fruiting shoot, number of leaves per shoot, and length of inflorescences of the next summer cropping cycle. We concluded that girdling at veraison is a good practice to improve berry color and quality for the summer cropping cycle but is not recommended for the winter cropping cycle

Aorta Fluorescence Imaging by Using Confocal Microscopy

The activated leukocyte attacked the vascular endothelium and the associated increase in VEcadherin number was observed in experiments. The confocal microscopic system with a prism-based wavelength filter was used for multiwavelength fluorescence measurement. Multiwavelength fluorescence imaging based on the VEcadherin within the aorta segment of a rat was achieved. The confocal microscopic system capable of fluorescence detection of cardiovascular tissue is a useful tool for measuring the biological properties in clinical applications

Association between health examination items and body mass index among school children in Hualien, Taiwan

BACKGROUND: To assess the prevalence of obesity and major physical examination items including dental caries, myopia, pinworm, hematuria, and proteinuria among school children in Hualien, Taiwan. In addition, the health status differences between gender, grader, levels of residence urbanization, and body mass index (BMI) were examined. METHODS: Cross-sectional studies with a total of 11,080 students (age, 7–14 years) in grades 1, 4, and 7 were evaluated for weight, height, routine physical examination, and urine analysis during the 2010 Student Health Examination in Hualien. Frequencies, Chi-square test, and logistic regression were conducted using SPSS. RESULTS: Of the 11,080 students evaluated, 1357 (12.2%) were overweight, and 1421 (12.8%) were obese. There were significant differences in overweight/obese prevalence by gender, by grader, and by levels of residence urbanization. Dental caries, myopia, and obesity were the most prevalent health problems among these students (75.6%, 33.0%, and 12.8%, respectively). In crude and adjusted analyses, research results showed that there were significant differences in the prevalence of major physical examination items between different gender, grader, levels of residence urbanization, and BMI groups. Girls had a higher prevalence of dental caries, myopia, and hematuria than boys (all p < 0.01), whereas boys had a higher prevalence of pinworm than girls (p = 0.02). Students in higher grades had significantly higher prevalence of myopia, hematuria, and proteinuria (all p < 0.01), whereas students in lower grades had higher prevalence of dental caries and pinworm (p < 0.01). Students with abnormal BMI had lower prevalence of pinworm (p < 0.01). Students residing in suburban and rural areas had higher prevalence of dental caries, pinworm, and hematuria (all p < 0.01), and lower prevalence of myopia than students residing in urban areas (all p < 0.01). CONCLUSION: Routine health examination provides an important way to detect students’ health problems. Our study elucidated major health problems among school children in Hualien, Taiwan. In addition, the results also indicated that the prevalence of health problems had a significant relationship with gender, grader, levels of residence urbanization, and BMI. It is suggested that school health interventions should consider students’ health profiles along with their risk factors status in planning