1980년대 이후 대만 음식(cuisine)의 형성

마이클 사오(Hsin-Huang Michael Hsiao),메이창(May Yu-Hsin Chang),메이-후이첸(Mei-Hui Chen),권정화(번역자) 서울대학교 아시아연구소 2015 아시아리뷰 Vol.5 No.1

대만 음식의 출현은 대만의 민주화 과정과 1980년대 이래 국가 정체성의 성장과 관련이 깊다. 어떠한 측면에서 대만 음식의 형성은 중국 본토의 장저(江浙) 음식, 쓰촨(四川) 음식, 광둥(廣東) 음식 체계가 우세한 가운데 대만 내 두 개의 주요 민족음식, 즉 민난과 학카 음식이 자유화된 것으로 볼 수도 있다. 한족의 음식으로 알려진 민난과 학카 음식이 대만을 대표하는 요리로 급부상하게 된 것이다. 그러나 한족이 아닌 원주민 음식은 여전히 대만 음식으로 통합되지 않고 있는 점 또한 주목해야 한다. 이 글은 대만 음식의 부상이 정치적 변환과 문화적 변화를 뛰어넘는 사회적 산물이라는 점에 주목하고 있다. 민난과 학카 민족 음식의 소비는 가정의 범주를 넘어 레스토랑에서 볼 수 있는 상품화된 ‘요리’로서 빠르게 자리잡고 있다. 이 글은 민난과 학카 민족 음식의 ‘요리화’와 ‘대중화’의 특징과 변화를 설명하고자 한다. 또한 민난, 학카 음식이 어떻게 ‘표현’되고, 어떠한 ‘위치’에 있고, 대만 국가 음식으로써 ‘어느 정도’ 역할을 하는지도 주목한다. 결론에서는 민주주의, 민족성, 국가정체성이 어떻게 연관되어 있고, 이들의 관계가 대만의 현대 음식에 어떻게 반영되어 있는지를 살펴본다. The emergence of Taiwanese cuisine has much to do with the democratization process and the growth of Taiwan national identity since the 1980s. In one way, the making of Taiwanese cuisine can be seen as the liberalization of two major ethnic foods, Mainan and Hakka, from the dominance of Mainland China’s provincial food customs such as that of Jiang-Zhe, Szechuan, and Guandong. The two ethnic Han food of Minnan and Hakka have thus been ungraded to constitute the new core components of the rising Taiwan’s national cuisine. It is equally important to note that, however, the non-Han aborigine food has not been considered as an integral part of Taiwanese cuisine. This paper intends to argue that the rise of Taiwanese cuisine is the direct social product of the above political transformation and cultural change. The Minnan and Hakka ethnic foods have since then been rapidly commercialized to become the recognized “cuisine” popularly served in restaurants beyond household consumption. The rise of “cuisinization” as well as “popularization” of ethnic Mainnan and Hakka foods will then be discussed in this paper by identifying the main features and changes of each of the ethnic food. Special attention is also paid to how Minnan and Hakka food are being “presented,” “positioned” and “weighted” in the constitution of “Taiwanese national cuisine.”Finally, in the conclusion, the interplay of democracy, ethnicity and national identity and its impact on Taiwan’s contemporary foodscape will be highlighted.

The Experience of Receiving Cryoablation in Elderly Patients with Prostate Cancer

Hsiao-Yu Chang,Hung-Ru Lin 한국간호과학회 2015 한국간호과학회 학술대회 Vol.2015 No.10

Factors Related to Treatment Refusal in Taiwanese Cancer Patients

Chiang, Ting-Yu,Wang, Chao-Hui,Lin, Yu-Fen,Chou, Shu-Lan,Wang, Ching-Ting,Juang, Hsiao-Ting,Lin, Yung-Chang,Lin, Mei-Hsiang Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.8

Background: Incidence and mortality rates for cancer have increased dramatically in the recent 30 years in Taiwan. However, not all patients receive treatment. Treatment refusal might impair patient survival and life quality. In order to improve this situation, we proposed this study to evaluate factors that are related to refusal of treatment in cancer patients via a cancer case manager system. Materials and Methods: This study analysed data from a case management system during the period from 2010 to 2012 at a medical center in Northern Taiwan. We enrolled a total of 14,974 patients who were diagnosed with cancer. Using the PRECEDE Model as a framework, we conducted logistic regression analysis to identify independent variables that are significantly associated with refusal of therapy in cancer patients. A multivariate logistic regression model was also applied to estimate adjusted the odds ratios (ORs) with 95% confidence intervals (95%CI). Results: A total of 253 patients (1.69%) refused treatment. The multivariate logistic regression result showed that the high risk factors for refusal of treatment in cancer patient included: concerns about adverse effects (p<0.001), poor performance(p<0.001), changes in medical condition (p<0.001), timing of case manager contact (p=.026), the methods by which case manager contact patients (p<0.001) and the frequency that case managers contact patients (${\geq}10times$) (p=0.016). Conclusions: Cancer patients who refuse treatment have poor survival. The present study provides evidence of factors that are related to refusal of therapy and might be helpful for further application and improvement of cancer care.

Using Ultrasonography Measurements to Determine the Depth of the GB 21 Acupoint to Prevent Pneumothorax

Hsiao-Neng Chen,Chau-Yi Chang,Lian-Zen Chen,Yu-Jun Chang,Jaung-Geng Lin 사단법인약침학회 2018 Journal of Acupuncture & Meridian Studies Vol.11 No.6

Introductions: Pneumothorax is the most frequent severe acupuncture-related adverse event occurring at the GB 21 acupoint. This study used ultrasonography (US) to measure the depth of the GB 21 acupoint in adults and assessed its applicability for ensuring safe acupuncture practices. Materials and methods: A US probe was used to measure the vertical depth from the skin to the pleural line of the apex of the lungs at the right and left GB 21 acupoints. The sex, age, body weight, height, and body mass index of each person were recorded. Student t test and generalized estimating equations were used for statistical analysis. Results: Sixty women and 41 men with a median age of 29 years were included in this study. The depth of GB 21 increased with body weight, height, and body mass index (p < 0.001). The mean depth of GB 21 in men (17.4 mm) was greater than that in women (14.6 mm;p < 0.001). The depth difference between the right and left shoulders was significant in men (p < 0.001) but not in women. Conclusions: US can be used to measure GB 21 acupoint depth. Further control studies on its use to ensure safe clinical practices, including preventing acupuncture-related pneumothorax, are warranted.

Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan

Yu-Jia Lin,Hsiao-Ting Chang,Ming-Hwai Lin,Ru-Yih Chen,Ping-Jen Chen,Wen-Yuan Lin,Jyh-Gang Hsieh,Ying-Wei Wang,Chung-Chieh Hu,Yi-Sheng Liou,Tai-Yuan Chiu,Chun-Yi Tu,Yi-Jen Wang,Bo-Ren Cheng,Tzeng-Ji Ch 한국한의학연구원 2021 Integrative Medicine Research Vol.10 No.2

Background: Medical staff may have difficulties in using conventional medicine to manage symptoms among terminally ill patients, including adverse effects of the treatment. Traditional Chinese medicine (TCM) is regarded as a complementary or alternative medicine, and has been increasingly used in the field of palliative medicine in recent years. This study aimed to investigate the experiences of and attitudes toward using TCM among palliative care professionals, and to provide preliminary information about its use in palliative care. Methods: This was a cross-sectional survey study conducted in eight inpatient hospice wards in Taiwan between December 2014 and February 2016. The questionnaire was self-administered, and was analyzed with descriptive statistics including Pearson’s Chi-square test and Fisher’s exact test. Results: A total of 251 palliative care professionals responded to the questionnaire, of whom 89.7% and 88.9% believed that the use of TCM could improve the physical symptoms and quality of life in terminally ill patients, respectively. Overall, 59.8%, of respondents suggested that TCM had rare side effects, and 58.2% were worried that TCM could affect the liver and kidney function of patients. In total, 89.7% and 88.0% of professionals agreed there were no suitable clinical practice guidelines and educational programs, respectively, for TCM use in palliative care. Conclusions: Most of the respondents agreed there was insufficient knowledge, skills-training, and continuing education on the use of TCM in terminally ill patients in Taiwan. These results show that to address patient safety considerations, guidelines about use of TCM in palliative care should be established.

Feline mammary carcinoma-derived extracellular vesicle promotes liver metastasis via sphingosine kinase-1-mediated premetastatic niche formation

Yi-Chih Chang,Hao-Ping Liu,Hsiao-Li Chuang,Jiunn-Wang Liao,Pei-Ling Kao,Hsun-Lung Chan,Ter-Hsin Chen,Yu-Chih Wang 한국실험동물학회 2023 Laboratory Animal Research Vol.39 No.4

Background: Feline mammary carcinoma (FMC) is one of the most prevalent malignancies of female cats. FMC is highly metastatic and thus leads to poor disease outcomes. Among all metastases, liver metastasis occurs in about 25% of FMC patients. However, the mechanism underlying hepatic metastasis of FMC remains largely uncharacterized. Results: Herein, we demonstrate that FMC-derived extracellular vesicles (FMC-EVs) promotes the liver metastasis of FMC by activating hepatic stellate cells (HSCs) to prime a hepatic premetastatic niche (PMN). Moreover, we provide evidence that sphingosine kinase 1 (SK1) delivered by FMC-EV was pivotal for the activation of HSC and the formation of hepatic PMN. Depletion of SK1 impaired cargo sorting in FMC-EV and the EV-potentiated HSC activation, and abolished hepatic colonization of FMC cells. Conclusions: Taken together, our findings uncover a previously uncharacterized mechanism underlying liver-metastasis of FMC and provide new insights into prognosis and treatment of this feline malignancy.

Bathymetry enhancement by altimetry-derived gravity anomalies in the East Sea (Sea of Japan)

Kim, Kwang Bae,Hsiao, Yu-Shen,Kim, Jeong Woo,Lee, Bang Yong,Kwon, Yi Kyun,Kim, Chang Hwan Springer-Verlag 2010 Marine geophysical researches Vol.31 No.4

Integration of in-situ load experiments and numerical modeling in a long-term bridge monitoring system on a newly-constructed widened section of freeway in Taiwan

Chiu, Yi-Tsung,Lin, Tzu-Kang,Hung, Hsiao-Hui,Sung, Yu-Chi,Chang, Kuo-Chun Techno-Press 2014 Smart Structures and Systems, An International Jou Vol.13 No.6

The widening project on Freeway No.1 in Taiwan has a total length of roughly 14 kilometers, and includes three special bridges, namely a 216 m long-span bridge crossing the original freeway, an F-bent double decked bridge in a co-constructed section, and a steel and prestressed concrete composite bridge. This study employed in-situ monitoring in conjunction with numerical modeling to establish a real-time monitoring system for the three bridges. In order to determine the initial static and dynamic behavior of the real bridges, forced vibration experiments, in-situ static load experiments, and dynamic load experiments were first carried out on the newly-constructed bridges before they went into use. Structural models of the bridges were then established using the finite element method, and in-situ vehicle load weight, arrangement, and speed were taken into consideration when performing comparisons employing data obtained from experimental measurements. The results showed consistency between the analytical simulations and experimental data. After determining a bridge's initial state, the proposed in-situ monitoring system, which is employed in conjunction with the established finite element model, can be utilized to assess the safety of a bridge's members, providing useful reference information to bridge management agencies.

Integration of in-situ load experiments and numerical modeling in a long-term bridge monitoring system on a newly-constructed widened section of freeway in Taiwan

Yi-Tsung Chiu,Tzu-Kang Lin,Hsiao-Hui Hung,Kuo-Chun Chang,Yu-Chi Sung 국제구조공학회 2014 Smart Structures and Systems, An International Jou Vol.13 No.6

The widening project on Freeway No.1 in Taiwan has a total length of roughly 14 kilometers,and includes three special bridges, namely a 216 m long-span bridge crossing the original freeway, an F-bentdouble decked bridge in a co-constructed section, and a steel and prestressed concrete composite bridge. This study employed in-situ monitoring in conjunction with numerical modeling to establish a real-timemonitoring system for the three bridges. In order to determine the initial static and dynamic behavior of thereal bridges, forced vibration experiments, in-situ static load experiments, and dynamic load experimentswere first carried out on the newly-constructed bridges before they went into use. Structural models of thebridges were then established using the finite element method, and in-situ vehicle load weight, arrangement,and speed were taken into consideration when performing comparisons employing data obtained fromexperimental measurements. The results showed consistency between the analytical simulations andexperimental data. After determining a bridge's initial state, the proposed in-situ monitoring system, which isemployed in conjunction with the established finite element model, can be utilized to assess the safety of abridge's members, providing useful reference information to bridge management agencies.

Treatment outcomes of patients with stage II pure endometrioid-type endometrial cancer: a Taiwanese Gynecologic Oncology Group (TGOG-2006) retrospective cohort study

Hung-Chun Fu,Jen-Ruei Chen,Min-Yu Chen,Keng-Fu Hsu,Wen-Fang Cheng,An Jen Chiang,Yu-Min Ke,Yu-Chieh Chen,Yin-Yi Chang,Chia-Yen Huang,Chieh-Yi Kang,Yuan-Yee Kan,Sheng-Mou Hsiao,Ming-Shyen Yen 대한부인종양학회 2018 Journal of Gynecologic Oncology Vol.29 No.5

Objective: Choice of hysterectomy and adjuvant treatment for International Federation of Gynecology and Obstetrics (FIGO) 2009 stage II endometrioid endometrial cancer (EEC) is still controversial. Aims of this study were to evaluate survival benefits and adverse effects of different hysterectomies with or without adjuvant radiotherapy (RT), and to identify prognostic factors. Methods: The patients at 14 member hospitals of the Taiwanese Gynecologic Oncology Group from 1992 to 2013 were retrospectively investigated. Patients were divided into simple hysterectomy (SH) alone, SH with RT, radical hysterectomy (RH) alone, and RH with RT groups. Endpoints were recurrence-free survival (RFS), overall survival (OS), disease-specific survival (DSS), adverse effects and prognostic factors for survival. Results: Total of 246 patients were enrolled. The 5-year RFS, OS, DSS and recurrence rates for the entire cohort were 89.5%, 94.3%, 96.2% and 10.2%, respectively. Patients receiving RH had more adverse effects including blood loss (p<0.001), recurrent urinary tract infections (p=0.013), and leg lymphedema (p=0.038). Age over 50-year (HR=9.2; 95% confidence interval [CI], 1.2–70.9) and grade 3 histology (HR=7.28; 95% CI, 1.45–36.6) were independent predictors of OS. Grade 3 histology was an independent predictor of RFS (HR=5.13; 95% CI, 1.38–19.1) and DSS (HR=5.97; 95% CI, 1.06–58.7). Patients receiving adjuvant RT had lower locoregional recurrence (p=0.046), but no impact on survival. Conclusion: Different treatment modalities yield similar survival outcomes. Patients receiving SH with RT had lower locoregional recurrent with acceptable morbidity. Age and tumor grading remained significant predictors for survival among patients with FIGO 2009 stage II EEC.