Taiwan Nurses Association

Introduction: First aid is multifaceted, with one scenario involving mass casualty incidents where multiple patients are injured simultaneously. In such situations, triage must first be conducted, followed by the allocation of appropriate medical resources according to the severity of injuries and the available resources. However, emergency care education in Taiwan rarely addresses this topic, often focusing solely on one-on-one scenarios, leading to a disconnect between education and real-world practice. This study surveys perceptions of mass casualty incidents to explore the importance of community people learning to triage, and then provides scientific suggestions on the design of resilience education for Taiwanese people to jointly build a resilient urban and rural area. Methods: According to the medical treatment process of injured and injured patients, it can be divided into three stages: first aid/first response, ambulance transfer, and medical treatment in the hospital. Therefore, this study focuses on “Community people”, “Civilian rescuer”, “Emergency medical practitioners (including fire department)”, and “Hospital medical staff” are the research objects for which questionnaires are distributed. Then use Standard deviation, One-way ANOVA, Scheffe’s method/Tukey’s range test to analyze and obtain key information. Results: The study found that all four groups agreed that courses on “first aid education under 39 hours” and “disaster preparedness education” should include triage training. Additionally, the study found that hospital-based medical personnel and emergency medical practitioners believe that community members with basic first aid training, volunteers of disaster response teams, and community leaders should learn triage, rather than requiring everyone to learn it. Conclusion: This study suggests that triage training should be included as an extension/supplementary course in disaster resilience education or as part of continuing/in-service education. Give priority to those who already have first aid knowledge and disaster prevention teaming skills to improve their survival rate and resilience in emergencies.

ABSTRACTThe effectiveness of Emotionally Focused Couple Therapy (EFCT) has been well‐documented, yet its application with Chinese couples remains underexplored. This is the first qualitative study examining therapists' perspectives on using EFCT with Chinese couples in clinical settings. Thematic analysis of semi‐structured interviews with 20 therapists from mainland China, Taiwan, and Hong Kong revealed that therapists viewed EFCT as a useful approach for Chinese couples. EFCT was reported to be helpful for couples with relationship distress and mental health concerns. However, therapists emphasized the importance of understanding cultural values and nuances that influence presenting problems. Overall, therapists recommended adjusting EFCT skills to better serve the needs of Chinese couples, understanding cultural impacts on couples' presenting problems, and incorporating additional components and training for therapists working with Chinese couples. These findings provide a foundation for culturally adapted EFCT, ensuring its relevance for Chinese couples while honoring their unique relational and cultural contexts.

Background and Objectives: In modern soccer, players frequently perform curved sprinting (CS) actions that combine speed, agility, and neuromuscular control, highlighting the importance of assessing CS performance in youth athletes. This study aimed to investigate age-related differences in CS performance and its relationship with key components of physical fitness—including aerobic capacity, vertical jump height, and agility-based field tests—in U14 and U16 male soccer players. Materials and Methods: A total of 76 registered players participated, evenly divided between the two age groups. Statistical analyses included t-tests, correlation, and regression modeling to determine key predictors of curve-sprint performance. Results: U16 players showed significant between-group differences, with faster CS times on both the good and weak sides (p < 0.001, d = 0.93–1.08), as well as superior performance in the countermovement jump (p < 0.001, d = 1.12), Illinois Agility Test (p < 0.01, d = 0.70), and 5-0-5 change-of-direction (COD) test (p < 0.01, d = 0.74). Significant negative correlations were found between CMJ height and CS times (r = –0.40 to –0.73), indicating that greater explosive power was associated with better CS performance. Moderate to very strong positive correlations were observed between CS and agility measures (r = 0.43 to 0.79), particularly in the U16 group, whereas VO2max showed no meaningful relationship with CS performance (r = –0.16 to –0.30, p > 0.05). Conclusions: These results suggest that CS may serve as an indicator of neuromuscular power and agility, both of which improve with age. From a practical perspective, regular curve-sprint assessments and multidirectional drills may support talent development by helping coaches monitor neuromuscular efficiency and movement coordination in young players.

ABSTRACTBackgroundWhile road traffic injuries (RTIs) are a significant global health concern, medical attention has predominantly addressed physical injuries, often overlooking the psychological impact on survivors. The mental health consequences of such traumatic events remain understudied and inadequately addressed in clinical practice.Aims:This study examined the association between RTIs and subsequent mental health disorders.Methods and ProceduresWe conducted a retrospective cohort analysis using claims data from Taiwan's National Health Insurance Research Database (NHIRD) between 2000 and 2015. The exposed cohort comprised 39,870 patients hospitalized following RTIs. These individuals were matched 1:27 with 1,076,911 control patients hospitalized for non‐RTI‐related conditions, using propensity score matching based on sex, age, and admission date. Multivariable Cox proportional hazards regression models were employed to compute adjusted hazard ratios (aHRs), assessing the risk of psychiatric diagnoses in the RTI group compared to controls.Outcomes and ResultsPatients hospitalized following RTIs demonstrated a substantially increased risk of subsequent mental health disorders compared to matched controls (adjusted hazard ratio [aHR] = 2.20, 95% confidence interval [CI]: 1.66‐2.79). This elevated risk remained statistically significant after comprehensive adjustment for potential confounding variables.

ABSTRACTThis study aims to compare the differences in professional environment, job characteristics, and feelings of powerlessness between nurses and nurse aides (NAs) in residential long‐term care institutions, and to analyze the predictors of powerlessness. This study employed a comparative and correlational design, utilizing convenience sampling. Participants were recruited from 24 residential long‐term care institutions in central Taiwan between April 2023 and March 2024. The research tools included a Practice Environment Survey Scale, a Work Design Questionnaire, and a Powerlessness Scale. A total of 338 participants (156 nurses and 182 NAs) took part in this study. Both nurses and NAs reported moderate to low levels of powerlessness, with average scores of 42.18 and 37.07, respectively. However, nurses experienced more powerlessness than NAs (t = 3.046, p = 0.003). Hierarchical regression analysis indicated that professional environment (β = −0.381, p < 0.01) and job characteristics (β = −0.285, p = 0.005) were significant predictors of powerlessness among nurses, explaining 41.7% of the variance. In contrast, the only predictor of powerlessness for NAs was the professional environment (β = −0.695, p < 0.001), which explained 42.4% of the variance.

Background: Cancer and fibrotic diseases represent major global health challenges, underscoring the need for safe, multifunctional natural therapies. Although natural products possess notable anticancer properties, their clinical translation is often hindered by non-selective cytotoxicity toward normal cells. Moreover, their therapeutic potential against chronic conditions such as idiopathic pulmonary fibrosis (IPF) remains insufficiently explored. This study aimed to evaluate the efficacy and safety of a natural hydrosol blend, The Greatest Love of Nature (TGLON), in inhibiting cancer cell proliferation and mitigating IPF. Methods: TGLON, composed of 12 steam-distilled plant hydrosols, was chemically characterized by gas chromatography–mass spectrometry (GC-MS). Its cytotoxicity was assessed using the MTT assay against five human cancer cell lines (A-549, HepG2, MCF-7, MKN-45, and MOLT-4) and normal human lung fibroblasts (MRC-5). In vivo safety and therapeutic efficacy were evaluated in Sprague Dawley rats and a bleomycin-induced IPF mouse model, following protocols approved by the Institutional Animal Care and Use Committee (IACUC). Results: TGLON maintained >90% viability in MRC-5 cells at an 80-fold dilution and significantly inhibited the proliferation of A-549 (41%), HepG2 (84%), MCF-7 (50%), MKN-45 (38%), and MOLT-4 (52%) cells. No signs of toxicity were observed in rats administered TGLON orally at 50% (v/v), 10 mL/kg. In mice, TGLON alleviated bleomycin-induced pulmonary inflammation and fibrosis. Conclusions: TGLON exhibited selective anticancer and anti-fibrotic activities under non-toxic conditions, supporting its potential as a bioactive agent for early-stage disease prevention and non-clinical health maintenance.

ObjectiveThe purpose of the study was to investigate the liability heritability of incidence of angel wing (LHIAW) on growth and egg production performance.MethodsA total of 1,696 geese including 990 offspring from the heavy body weight line (selecting for 6 generations) and 775 offspring from the high egg production line (selecting for 3 generations), and 69 birds of their parent group of the two lines were observed of incidence of angel wing (IAW).ResultsIn the heavy body weight line of the White Roman geese, the IAW was 54.6%. Among 294 progenies from families, the IAW was 65.6%. The estimated LHIAW for this line was 0.39. In the high egg production line of the White Roman geese, the IAW was 42.3%. Among 124 progenies from families, the IAW was 43.5%. The estimated LHIAW for this line was 0.03. The both-side angel wing type of geese was significantly heavier on body weight than those of normal wing type and right angel wing type at 8 weeks old (4.19 vs 4.07 and 4.07 kg/bird; p = 0.0116) in the heavy body weight line. The normal wing type of geese was significantly heavier on body weight than those of left angel wing type at 14 weeks old (4.86 vs 4.69 kg/bird; p = 0.0213) in the high egg production line.ConclusionThe LHIAW in the heavy body weight line and the high egg production line were separately estimated as 0.39 and 0.03, respectively. The results imply that selection for heavy body weight may concomitantly select the gene of angel wings.