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Glucose-6-phosphate dehydrogenase (G6PD) deficiency predisposes affected individuals highly susceptible to oxidative stress, which is one of the risk factors for diabetes. To evaluate the relationship between blood level of G6PD activity and diabetes in Taiwan, blood G6PD activity was analyzed among 237 patients with diabetes and 656 healthy subjects. A significant difference in the distribution of G6PD activities as grouped by an increment of 100 U/10(12) red blood cells (RBCs) was observed between diabetic patients and healthy subjects. The odds ratio for diabetes was 1.46 (95% confidence interval = 1.11-1.92) for every decrement of 100 U/10(12) RBC G6PD activities in these subjects. The data indicate that low G6PD activity is another risk factor for diabetes.

In Taiwan, the prevalence of circulating anti-HCV is 2 percent among first-time voluntary Chinese blood donors, 10 percent among donors with elevated ALT levels (greater than 45 IU/L), and higher among older men. The carrier rate for HBsAg was 18.6 percent and the frequency of positive HBV marker(s) (HBsAg, anti-HBc, anti-HBs) was 86.4 percent among first-time donors. There is no significant correlation between HBV and HCV infections in Taiwan, because there is no significant difference in the frequency of anti-HCV among donors with or without HBV markers. The frequency of anti-HCV among qualified donors in Taiwan (ALT less than 45 IU/L, not tested for anti-HBc) is 1.8 percent, which is not significantly different from the frequency (1.6%) in donors with normal ALT and negative for HBV marker(s) (qualified donors by Western Standards). Therefore, ALT is the most important surrogate marker for HCV infection in Taiwan.

We explored the symbiotic relationship of villages on the Jimei Peninsula from the perspective of new human ecology adopting literature analysis and field investigation, and the four steps of reading, sorting, analysis, and induction for qualitative research. Two stages of Jimei Peninsula's development from natural areas to human ecosystems were analyzed by using the survey data in this research, and the spatial evolution process of Jimei Peninsula's development from a fishing village to a Jimei School Village was analyzed. The key factors in the formation of natural areas were political rather than economic, and the human ecosystem is determined by the spatial pattern embedded in the village and the school. After adaptation, growth, and evolution, Jimei School Village and the environment of the peninsula formed a symbiotic relationship of convergence and complementarity.

In both ecological research and engineering, the selection of indicator species is crucial. Biodiversity has always been an important policy objective for ecologists and environmental managers. Based on this target requirement, we developed a method that reveals the individual contributions of species to biodiversity to quantitatively identify indicator species for selection during environmental monitoring. The Siangshan Wetland in Hsinchu, Taiwan, was selected as an application case. The spread of mangroves not only changed the original habitat composition and function of benthic organisms in wetlands, but also led to problems such as estuary filling, flooding, and black mosquito breeding. Therefore, a large-scale mangrove removal project was undertaken by the Hsinchu City Government from October 2015 to March 2016. In this study, the biological effects of mangrove removal on benthic organisms and adjacent habitats were investigated from October 2015 to September 2016. According to biodiversity contribution algorithms, we identified five indicator species, namely, Mictyris brevidactylus, Macrophthalmus banzai, Uca arcuata, U. lacteal, and U. borealis. These indicator species had the most prominent biodiversity contribution, and they provided direct evidence of the beneficial effect of mangrove removal for wetland restoration. After mangrove deforestation, tidal flat species returned to their original habitats, and their related densities increased significantly in mangrove removal areas. Improving our understanding of the relationships between biodiversity and indicator species is crucial for the development of coastal management processes. Mangrove removal can be confirmed as an appropriate habitat rehabilitation strategy for benthic organisms. Consequently, these indicator species and the results obtained can provide valuable ecological information for those involved in coastal management or other officials seeking to control the spread of mangroves.

Oral anticoagulants (OAC) are recommended for preventing stroke and systemic embolism in atrial fibrillation. Proper use is imperative for maximizing anticoagulation therapy’s effectiveness and safety. In preparation for the implementation of a smartphone-based SmartMed app (application) aiming to promote patient self-management, medication adherence, and data collection for patients on anticoagulation therapy, its usability assessment can ensure the value of OAC app development and adoption. We evaluated the SmartMed app’s usability using the System Usability Scale (SUS) and the app-specific domain of the Mobile App Rating Scale (MARS) for its perceived impact on taking OAC regularly. We recruited 25 OAC users and their home caregivers and 59 healthcare professionals, including pharmacists, nurses, and cardiac surgeons from one medical center and one regional hospital in Taiwan. All participants (n = 84) thought the SmartMed app was useful, with mean SUS and MARS scores of 81.49 (±14.42) and 4.65 (±0.49), respectively. Usability evaluation revealed that fewer experiences with smartphone apps and different healthcare professionals (pharmacists versus nurses or cardiac surgeons) were associated with lower SUS scores and perceived impact. Throughout the evaluation process, the SmartMed app’s design was considered helpful from multiple stakeholders’ perspectives. Further ongoing mobile technology supports are necessary to establish the SmartMed app’s effectiveness.

In 1974, the Taiwan National Blood Program had not yet been fully developed. The volunteer donor base was less than 5% and there was no organized national structure or regulation of blood services. Following the founding of the Blood Donation Association and the Blood Services Foundation, promotion of an all-volunteer blood program, increased utilization of blood components and the standardization of laboratory methods were strategies that led to the development of the Taiwan National Blood Program. In 1991, 1,066,082 units of blood were collected in Taiwan, serving a population of about 20 million. There are currently 6 major blood centers and 13 blood stations. Blood donation is now 100% volunteer and 78% of all blood collected is separated into 10 available components. With national organization and regulation, the transition has taken 17 years and has resulted in a community-based, all-volunteer blood supply.