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This study examined gender differences in the associations between perceived environmental factors and walking for recreation in Taiwanese adults. In 2014, a telephone-based, cross-sectional survey targeting Taiwanese adults (20–64 years) was conducted. Data on nine items about environmental perception, time spent in walking for recreation, and socio-demographic variables were obtained from 1,065 adults using the International Physical Activity Questionnaire-long version and its environmental module. Adults who perceived good aesthetics (adjusted odds ratio [AOR] = 1.74; 95% confidence interval [CI]: 1.36–2.23) and reported seeing people being active (AOR = 1.58; 95% CI: 1.21–2.06) were more likely to perform 150 minutes of recreational walking per week. Furthermore, significant interactions regarding walking for recreation were observed between gender and five environmental correlates: access to shops (p =.046), the presence of sidewalks (p <.001), access to recreational facilities (p =.02), seeing people being active (p =.001), and aesthetics (p <.001). These five perceived environmental factors were positively associated with recreational walking in women but not in men. Gender is a potential modifier between perceived environment and walking for recreation in adults. Perceived environmental factors appear to be more critical for women in performing health-enhancing levels of recreational walking than they are for men. [ABSTRACT FROM PUBLISHER]

Extant research has increasingly recognized that local reputation determines creative firms’ competitiveness. However, current research over-emphasizes that the spatial cluster facilitates the innovation dynamic of creative industries rather than investigating whether the trans-local dynamic of trade fairs and competitions underpins the reputation-building process of local creative industries. This paper contributes to exploring the reputation-building process and spatial strategy of creative industries through a case study of product design firms in Taipei. Drawing on a qualitative methodology, this paper analyses 35 in-depth interviews with product design company executives, concluding that the spatial strategy of product design firms situated in the Taipei city context must acknowledge local strategic advantage and increasingly build a reputation through connections to trans-local design fairs and competitions. Meanwhile, the reputation-building process reflects that product design firms must capture and negotiate symbolic value through a strategic co-presence in local, regional, and global temporary event spaces. Finally, the process and strategies imply that the design industry needs a new form of intervention in latecomer cities to respond to the uneven development of the global design economy. [ABSTRACT FROM AUTHOR]

A new design of conjugated heat transfer in double-pass parallel-plate laminar countercurrent operations of power law fluids under wall isoflux was investigated experimentally and theoretically. The analytical solutions were obtained with a superposition model by introducing an eigenfunction expansion in terms of a power series for the homogeneous part and an asymptotic solution for the inhomogeneous part. The influence of the power law index on the average Nusselt numbers with the various design and operating parameters is also delineated. The theoretical predictions of the experimental results are represented graphically. The heat transfer performance was considerably improved when compared with a single-pass parallel-plate heat exchanger (without inserting a solid separator sheet). Suitable adjustments of the solid separator sheet position can effectively enhance the heat transfer efficiencies for such a recycling double-pass device, as compared with the efficiencies of single- and double-pass devices. [ABSTRACT FROM AUTHOR]

In predicting time series, if a trend includes a structural break, then a state space model can be applied to revise the predictive method. Some scholars suggest that restricted damped trend models yield excellent prediction results by automatically revising unforeseen structural break factors in the prediction process. Restricted damped trend models add a smoothed error statistic to a local-level model and use the exponentially weighted moving average ( EWMA) method to make corrections. This paper applies the generally weighted moving average ( GWMA) concept and method to a restricted damped trend model that changes the smoothed error statistic from the EWMA form to the GWMA form and adds the correction parameter λ, which distinguishes three situations [ABSTRACT FROM AUTHOR]

This study examined the effects of aromatic cores and spacer lengths of chromophore structures on photoreactivity and mesomorphic properties of a series of azobenzene- and stilbene-based chromophores bearing electron-withdrawing (NO2) terminal groups caused by esterification reactions. The chromophores were composed of liquid crystalline mesophases with six or 11 methylene segments as spacers and with azobenzene (NN) and stilbene (CC) aromatic cores. The target compounds were further characterised using nuclear magnetic resonance spectroscopy, differential scanning calorimetry, polarising optical microscopy, absorption and photoluminescence spectroscopies. All of the azobenzene and stilbene derivatives with six or 11 methylene segments showed enantiotropic mesophases and revealed chiral nematic phases (cholesteric, exhibiting oily streaks textures). S6 and S11 with stilbene cores showed broader phase transition temperature ranges than A6 and A11 with azobenzene cores because of the molecular interaction enhancement of the planar stilbene structure. We investigated the effects of these photochromic compounds' structures on E/Z photoisomerisation under UV irradiation. UV irradiation caused E/Z photoisomerisation at NN and CC segments of the chromophores, leading to reversible and irreversible isomerisation respectively. These synthesised chromophores with functionally photoisomerised groups might have potential application for photoinduced alignments in liquid crystal industries. [ABSTRACT FROM AUTHOR]

The maker movement, as a global subcultural diffusion, has taken root in East Asian cities. A series of urban strategies have been implemented to formalize a worlding city practice through imagining makerspaces as the hub of urban economic development. However, the fluidity and territorialization of maker communities are central to facilitate the emergence of makerspaces as a grassroots-oriented worlding practice, but this issue remains relatively unexplored. This paper contributes to exploring the bottom-up dimension of worlding city practices by analysing the socio-spatial strategies of the maker community in Taipei makerspaces. Using a context-specific natural inquiry method, qualitative data were collected from eleven in-depth, semi-structured interviews and field observations conducted at Taipei makerspaces. By emphasizing the tension between the state and maker communities, this paper argues that Taipei makerspaces constitute an experimentation zone in which a maker community enacts interconnectedness, multiplicity and fluidity practices through socio-spatial strategies in multiple spaces. Meanwhile, maker communities' worlding practices encourage downscaling strategies that obviously conflict with state-led upscaling strategies. Attention to the unruly nature of makerspaces manifests the hidden tensions between state interventions and maker communities in Taipei. • Craft-based makers as an emerging subcultural communities. • Identifying the local mutation of the global maker movement in Taipei City. • An alternative worlding practice through the socio-spatial strategies of maker communities. • The bottom-up worlding practices manifest the hidden tensions between state interventions and maker communities in Taipei. [ABSTRACT FROM AUTHOR]

We aimed to analyze the different patient characteristics and treatment outcomes (such as sustained viral response, SVR) between incarcerated patients with chronic hepatitis C (CHC) and those with CHC from the outpatient department through an on-site integrated screening and microelimination program in a detection center. In this retrospective study, which ran from May 2021 to April 2022, we included 32 consenting male prisoners aged at least 20 years who were willing to participate in the study. Members of the control group (who received DAAs in an outpatient setting) were selected from the treated CHC patient databank of individuals who received DAA regimens at Chi Mei Hospital between January 2021 and December 2022. The patients in the two groups did not differ significantly in terms of age, FIB-4 score, HCV RNA, HBV coinfection, hemogram findings, coagulation profiles, and renal function tests. However, the patients in the incarcerated group had a significantly different genotype distribution compared to the control group, significantly lower liver enzyme levels, and higher albumin and bilirubin levels compared to those in the control group. The rate of SVR to DAA treatment obtained among incarcerated patients did not differ significantly from that obtained among patients in the control group. Loss to follow-up (for several reasons) is a major reason for treatment discontinuation among these patients. [ABSTRACT FROM AUTHOR]

Background: Kaposi sarcoma is a vascular tumor highly related to human herpesvirus-8 and Kaposi sarcoma-associated herpesvirus. Kaposi sarcoma usually manifests as skin or mucosal lesions; involvement in visceral organs such as the gastrointestinal tract is rare. Kaposi sarcoma can occur in immunocompromised patients receiving immunosuppressive therapy, in which case it is known as iatrogenic Kaposi sarcoma or drug-induced Kaposi sarcoma. Intestinal Kaposi sarcoma in patients with inflammatory bowel disease is extremely rare.Case Presentation: A 46-year-old East Asian male with recently diagnosed Crohn's disease was administered azathioprine and prednisolone; however, the patient complained of persistent abdominal pain and diarrhea following treatment. Endoscopy revealed small bowel Kaposi sarcoma. The patient was treated with systemic chemotherapy successfully without relapse.Conclusions: This is the fifth case of Kaposi sarcoma developed over the small intestine in a patient with Crohn's disease following administration of immunomodulators. Additionally, this case indicated that even short-term immunomodulator use can induce Kaposi sarcoma in patients with inflammatory bowel disease. Thus, in patients with inflammatory bowel disease, if symptoms are aggravated or do not abate after immunomodulators prescription, and before intending to upgrade immunomodulators, endoscopy should be considered. Finally, chemotherapy can also be considered if both medication withdrawal and surgical intervention are not feasible. [ABSTRACT FROM AUTHOR]

Background and aim: Patients with chronic hepatitis B patients (CHB) with low-level viremia (LLV) are not necessarily at low risk of developing hepatocellular carcinoma (HCC). The question of whether CHB patients with LLV require immediate antiviral agent (AVT) or long-term AVT remains controversial. The study aims to investigate the risk of HCC development and the risk factors in CHB patients with LLV and construct a nomogram model predicting the risk of HCC. Methods: We conducted a retrospective cohort study that enrolled 16,895 CHB patients from January 2008 to December 2020. The patients were divided into three groups for comparison: the LLV group, maintained virological response (MVR) group and HBV-DNA>2000 group. The cumulative incidence of progression to HCC was assessed. Cox regression analysis was performed to determine the final risk factors, and a nomogram model was constructed. The 10-fold Cross-Validation method was utilized for internal validation. Results: A total of 408 new cases of HCC occurred during the average follow-up period of 5.78 years. The 3, 5, and 10-year cumulative HCC risks in the LLV group were 3.56%, 4.96%, and 9.51%, respectively. There was a significant difference in the cumulative risk of HCC between the HBV-DNA level > 2000 IU/mL and LLV groups (p = 0.049). Independent risk factors for HCC development in LLV group included male gender, age, presence of cirrhosis, and platelets count. The Area Under the Curve (AUC) values for the 3-year and 5-year prediction from our HCC risk prediction model were 0.75 and 0.76, respectively. Conclusion: Patients with LLV and MVR are still at risk for developing HCC. The nomogram established for CHB patient with LLV, incorporating identified significant risk factors, serves as an effective tool for predicting HCC-free outcomes. This nomogram model provides valuable information for determining appropriate surveillance strategies and prescribing AVT., Competing Interests: Competing Interests: The authors have declared that no competing interest exists., (© The author(s).)

Objective: The roles of MTFR1 in the drug resistance of lung adenocarcinoma (LAC) to cisplatin remain unexplored. In this study, the expression, clinical values and mechanisms of MTFR1 were explored, and the relationship between MTFR1 expression and immune microenvironment was investigated in LAC using bioinformatics analysis, cell experiments, and meta-analysis., Methods: MTFR1 expression and clinical values, and the relationship between MTFR1 expression and immunity were explored, through bioinformatics analysis. The effects of MTFR1 on the growth, migration and cisplatin sensitivity of LAC cells were identified using cell counting kit-8, wound healing and Transwell experiments. Additionally, the mechanisms of drug resistance of LAC cells involving MTFR1 were investigated using western blotting., Results: MTFR1 was elevated in LAC tissues. MTFR1 overexpression was associated with sex, age, primary therapy outcome, smoking, T stage, unfavourable prognosis and diagnostic value and considered an independent risk factor for an unfavourable prognosis in patients with LAC. MTFR1 co-expressed genes involved in the cell cycle, oocyte meiosis, DNA replication and others. Moreover, interfering with MTFR1 expression inhibited the proliferation, migration and invasion of A549 and A549/DDP cells and promoted cell sensitivity to cisplatin, which was related to the inhibition of p-AKT, p-P38 and p-ERK protein expression. MTFR1 overexpression was associated with stromal, immune and estimate scores along with natural killer cells, pDC, iDC and others in LAC., Conclusions: MTFR1 overexpression was related to the unfavourable prognosis, diagnostic value and immunity in LAC. MTFR1 also participated in cell growth and migration and promoted the drug resistance of LAC cells to cisplatin via the p-AKT and p-ERK/P38 signalling pathways.

Background: Campylobacter-related infectious gastroenteritis is common and usually self-limited. Intestinal perforation is a rare complication of the infectious colitis caused by Campylobacter, and only handful of cases have been reported. This is the first published case report of pediatric Campylobacter intestinal perforation located in the sigmoid colon., Case Presentation: A 15-year-old previously Taiwanese healthy boy presented with 5 days of fever up to 39.8 °C, with right lower quadrant abdominal pain and watery diarrhea. Although he received antimotility agents and antipyretics at a local clinic to relieve symptoms, he came to the emergency department with signs of shock manifesting as hypothermia to 35.2 °C, tachycardia, and low blood pressure. Laboratory testing demonstrated leukocytosis with left shift and significant elevation of C-reactive protein. Stool and blood cultures were obtained, and he was admitted for fluid challenge and antibiotic treatment. On the second day of admission, he suffered from sudden onset of severe, diffuse abdominal pain. Physical examination revealed muscle guarding, rebounding tenderness, and silent bowel sound. Abdominal X-ray showed subdiaphragmatic free air at standing view. The patient underwent emergent exploratory laparotomy, which revealed sigmoid colon perforation about 0.5 cm. Enterolysis and repair of sigmoid colon were performed. Intraoperative stool specimen nucleic acid amplification testing had turned positive for Campylobacter spp. with negative results for other bacterial pathogens. His symptoms improved and he tolerated food well, and was discharged 15 days after admission., Conclusions: We present this case because of the rarity of Campylobacter-induced sigmoid colon perforation in the pediatric population. It is important to keep in mind that sigmoid colon perforation can be due to an infectious cause, and one of the culprits can be Campylobacter. Infectious colitis caused by Campylobacter spp. should be managed cautiously and the use of antimotility agents in such conditions should be considered judiciously., (© 2022. The Author(s).)

Piezoelectric materials have demonstrated applicability in clean energy production and environmental wastewater remediation through their ability to initiate a number of catalytic reactions. In this study, we used a conventional sol-gel method to synthesize lead-free rhombohedral R 3 c bismuth sodium titanate (BNT) particles of various sizes. When used as a piezocatalyst to generate H 2 through water splitting, the BNT samples provided high production rates (up to 506.70 μmol g -1 h -1 ). These piezocatalysts also degraded the organic pollutant methylene blue (MB, 20 mg L -1 ) with high efficiency (up to k = 0.039 min -1 ), suggesting their potential to treat polluted water. Finally, we found that the piezopotential caused band tilting in the semiconductor and aided charge transfer such that recombination was suppressed and the rate of H 2 production increased. The mechanism of piezoelectric catalysis involved oxygen vacancies, the size of the catalyst, and the internal electric field playing important roles to enhance electron-hole separation, which further enhanced the catalysis reactions.

In this study, we observed the enhanced photocatalytic activity of a few-layer WS 2 /ZnO (WZ) heterostructure toward dye degradation and H 2 production. The few-layer WS 2 acted as a co-catalyst that separated photogenerated electron/hole pairs and provided active sites for reactions, leading to the rate of photocatalytic H 2 production of WZ being 35% greater than that over the bare ZnO nanoparticles. Moreover, vortex-stirring accelerated the mass-transfer of the reactants, leading to the efficiency of dye photodegradation being 3 times higher than that obtained without high-speed stirring. We observed a similar effect for H 2 production, with greater photocatalytic performance arising from the increased mass-transfer of H 2 from the catalyst surface to the atmosphere., Competing Interests: The authors declare no competing financial interest., (© 2022 The Authors. Published by American Chemical Society.)

Ambient particulate matter is one of the main risk factors of chronic obstructive pulmonary disease (COPD) in developing countries. However, the studies were scant in China concerning the health effects of the fine particulate matter (PM 2.5 ; particulate matter ≤ 2.5 μm in diameter) on hospital visits for COPD. We applied a generalized additive model (GAM) to calculate relative risks (RRs) with 95% confidence intervals (CIs) for the associations between hospital visits for COPD and an interquartile range (24.50 μg/m 3 ) increment of ambient PM 2.5 concentrations in Yinzhou District between 2016 and 2018. The ambient PM 2.5 concentration was positively associated with hospital visits for COPD at a distributed lag of 0-7 days (RR = 1.073, 95% CI, 1.016, 1.133). In the stratified analysis, we found that the association between ambient PM 2.5 and COPD was stronger during the warm season (April to September) than that during the cold season (October to March), but we did not observe statistically significant differences in age groups (< 60 years and ≥ 60 years) or gender groups (male and female) related to the effects of PM 2.5 . The associations between ambient PM 2.5 and COPD became partially attenuated after the adjustment for gaseous pollutants in subgroups. Our findings could provide evidence that regulations for controlling both PM 2.5 and gaseous pollutants should be implemented to protect the overall population.

Background: Neoadjuvant concurrent chemoradiotherapy (CCRT) followed by surgery is the mainstay of treatment for locally advanced rectal cancer. Several heparin-binding associated proteins have been reported to play a critical role in cancer progression. However, the clinical relevancies of such proteins and their associations with CCRT response in rectal cancer have not yet to be fully elucidated., Methods: The analysis of a public transcriptome of rectal cancer indicated that thrombospondin 2 (THBS2) is a predictive factor for CCRT response. Immunohistochemical analyses were conducted to evaluate the expression of THBS2 in pretreatment biopsy specimens from rectal cancer patients without distant metastasis. Furthermore, the relationships between THBS2 expression and various clinicopathological factors or survival were analyzed., Results: Low expression of THBS2 was significantly associated with advanced pretreatment tumor (P<0.001) and nodal status (P=0.004), post-treatment tumor (P<0.001) and nodal status (P<0.001), increased vascular invasion (P=0.003), increased perineural invasion (P=0.023) and inferior tumor regression grade (P=0.015). In univariate analysis, low THBS2 expression predicted worse outcomes for disease-free survival, local recurrence-free survival and metastasis-free survival (all P<0.001). In multivariate analysis, low expression of THBS2 still served as a negative prognostic factor for disease-free survival (Hazard ratio=3.057, P=0.002) and metastasis-free survival (Hazard ratio=3.362, P=0.012)., Conclusion: Low THBS2 expression was correlated with advanced disease status and low tumor regression after preoperative CCRT and that it acted as an independent negative prognostic factor in rectal cancer. THBS2 may represent a predictive biomarker for CCRT response in rectal cancer.