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COVID‐19 is an ongoing pandemic and alarming public health issue throughout the globe. Nursing staff encounter patient deaths many times throughout their careers. The death of a patient is one of the most common stressors associated with their clinical duties. Failing to address these issues mystifies the experience and leads to nurses suppressing their emotions out of fear and discomfort. These barriers hold nurses back from reflecting and prevent them from effectively coping with patient deaths, which negatively impacts their physical and mental health .A qualitative evidence synthesis was conducted to assess the experience of nursing staff with patient deaths and during postmortem care. The databases were searched for qualitative studies published after 2009. The search resulted in a total of 802 articles that were screened for eligibility. Duplicate studies were excluded. After eligibility screening, four qualitative studies on nurses’ experience of patient deaths and postmortem care were identified and included in the analysis. An integrated analysis was conducted on the four qualitative studies. The studies were based in the United States, South Africa, Taiwan, and the United Kingdom. A total of 30 nursing staff reported their experiences of postmortem care. Three themes were identified: concerns associated with postmortem care, anxiety associated with death, and emotional alienation.

While performing unilateral TEP herniorrhaphy, controversy still exists about whether to do contralateral exploration or not. Routine contralateral exploration has been proposed to prevent metachronous contralateral hernias by the repair of incidental contralateral occult hernias. Some surgeons have even proposed to do prophylactic bilateral TEP herniorrhaphy for unilateral hernia patients. To evaluate the appropriateness of not doing contralateral exploration in unilateral TEP herniorrhaphy, we reviewed our experiences under our practice of no contralateral exploration and we also reviewed other published literature. A total of 305 patients who underwent 313 TEP herniorrhaphies for inguinal hernias by a single surgeon during August 2012–July 2016 at Chia-Yi Christian Hospital were enrolled in this retrospective study. Demographic, perioperative and follow-up data were obtained for analysis and review. Of the 305 patients, 261 patients had unilateral TEP herniorrhaphy and 44 patients had bilateral TEP herniorrhaphy. The mean operation time for the unilateral TEP herniorrhaphy group was 59.8 min, and for the bilateral TEP herniorrhaphy group it was 85.2 min (p

© 2015 Taylor & Francis. Mountain destinations are often managed not only to support tourism and recreation but also to maintain a range of sensitive ecological processes and services. Resource use and management activities in mountain destinations are manifestations of various representations of mountain landscapes that may contribute to tension and conflicts, or collaboration and learning between stakeholders of mountain destinations. Adaptive co-management (ACM) that adopts a social learning model to forge collaborative natural resource management provides one approach to managing complex and dynamic social-ecological systems in mountain destinations. Social representations (SR) theory, as a theory of social knowledge and social change, offers one theoretical lens with which to gain insights into the representations that different stakeholders ascribe to mountain landscapes and to assist in developing functioning ACM. The utility of SR theory for ACM arrangements is examined using a case study that explores the representations of the mountain landscape within Yushan National Park (YNP) in Taiwan from the perspectives of three resource user groups: committed mountaineers, professional guides, and mountain tourists. The study findings are used to demonstrate how the processes of representations and dialogical antinomies embedded in representations can impede or facilitate stakeholder interactions in ACM.

Malignant pleural effusions (MPEs) are often observed in lung cancer, especially adenocarcinoma. Epidermal growth factor receptor (EGFR) gene mutations are usually detected in lung adenocarcinoma. The purpose of the present study was to investigate the EGFR mutation rate in MPEs of lung adenocarcinoma. Between June 2005 and December 2006, 136 MPEs from lung adenocarcinoma were collected for EGFR mutation detection. In addition, between April 2001 and November 2004, 91 surgically resected specimens of lung adenocarcinoma from patients without MPEs were assessed for EGFR mutation. The EGFR mutation rate was significantly higher in the patients with MPEs than in the patients without (68.4% versus 50.5%). The EGFR mutation rate in patients with MPEs was not associated with sex, smoking history, age or cancer stage. By multivariate analysis, an age of

This paper reports the design process for the manufacture of higher-power rare-earth permanent-magnet (PM) motors using postassembly magnetization. Difficulties can be encountered in production using normal manufacturing processes due to the high intensity of rare-earth magnets that are premagnetized. Postassembly magnetization utilizes the stator windings of a PM motor to magnetize the magnets after assembly. With this method, some parameters, such as slot-fill factor, number of turns, wire diameter, etc., must be considered for the magnetization and motor operation. In this paper, a design process that incorporates the design considerations for postassembly magnetization (for complete magnetization) together with the design requirements is described for successful motor operation. A 6-kW surface-mounted PM (SPM) motor is designed using the proposed process as a demonstration, which is verified using finite-element analysis. Another 400-W SPM motor is also designed for experimental purpose. The experimental results validate the effectiveness of the proposed method. © 2010 IEEE.

This paper reports the design process for the manufacture of higher power rare-earth permanent-magnet motors using post-assembly magnetization. With these machines, difficulties can be encountered in production using normal manufacturing processes due to the high intensity of rare-earth magnets that are pre-magnetized. Post-assembly magnetization utilizes the stator windings of a permanent-magnet motor to magnetize the magnets after complete assembly (so that the problem can be solved). However, with post-assembly magnetization, some parameters such as slot-fill factor, number of turns, wire diameter, etc., must be considered for the magnetization, as well as the motor operation. The machine design should be able to meet the required specification as a motor and ensure correct magnetization is possible. In this paper, a design process is described that incorporates the design considerations for post-assembly magnetization (for the requirements for complete magnetization) together with the design requirements for successful motor operation. A 6kW surface-mounted permanent-magnet motor is designed using the proposed process, and finite element analysis verifies the feasibility of the presented method. ©2007 IEEE.

This paper illustrates a method for verifying the full magnetization of a rare-earth permanent-magnet motor when it is magnetized using a post-assembly method. The usual method of manufacturing a rare-earth magnet machine is to premagnetize before assembly, however, the assembly can be cumbersome. It is possible to magnetize after assembly. This is a critical procedure. If the magnetizing current is too low, then incomplete magnetization occurs. If it is too high, then the winding will overheat and be damaged. A simple method can be used to ascertain the correct magnetization current and this is put forward here. The method is verified experimentally. © 2007 IEEE.

This paper presents an analytical approach for the calculation of end winding inductance in motor windings. The method aims to provide a rapid and accurate solution for inclusion in motor and drive design, analysis and simulation programs. In this paper, Laplace's equation is first applied to derive the magnetic vector potential within the end winding region. The flux density is then obtained from the magnetic vector potential. Hence, the inductance can be determined by consideration of the flux linkage. This analytical method is experimentally verified using a specially constructed experimental rig. Comparison with other available methods is also made. It is found that the presented method has a better accuracy than the others based on the experimental results. The experiments also show that the end winding inductance can be increasingly significant as the stack length decreases. © 2007 IEEE.