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Simple Summary: This study reviews the development of the cetacean stranding response program in Taiwan from 1994 to 2018, and examines 1320 stranding events involving 1698 animals across at least 27 species. The stranding rates have increased significantly over the years, with a notable rise in annual events from 16 to over 90. Seasonal variation demonstrates higher stranding rates during the northeastern monsoon season. The study highlights the spatial distribution of strandings, with the highest frequency in northern Taiwan and mass strandings predominantly in the southwest. Additionally, live strandings accounted for 29.5% of events and 38.9% of animals. The rescue and rehabilitation of some individuals have been conducted, and 15 individuals have been released since 2000. The findings underscore the diversity and stranding patterns of cetaceans around Taiwanese waters, and provide valuable information for developing conservation strategies in the western Pacific. A national cetacean stranding response program in Taiwan has evolved significantly in the past three decades. Initially co-ordinated by National Taiwan University from 1994, the program transitioned to the Taiwan Cetacean Society in 1999, and local governments took on a more prominent role after 2009. A comprehensive stranding database (1994–2018) has been maintained, which documented 1320 stranding events involving 1698 animals from at least 27 species. The most commonly stranded species include finless porpoises, bottlenose dolphins, Kogia spp., and Risso's dolphins. The stranding rates varied annually and seasonally, with increases noted from an average of 16 events per year for the first 3 years to 44–58 events per year between 1997 and 2015, and a sharp rise to over 90 events per year for the period of the last three years. Seasonal variations were also significant, with higher stranding rates during the northeastern monsoon (NEM, October to next April) than that during southwestern monsoon (SWM, May to September). From the aspect of distribution, more frequent and even strandings occurred along the coast of northern Taiwan, while mass strandings were concentrated in the southwestern counties during NEM. Among all strandings, 390 events (29.5%) and 660 animals (38.9%) were live ones. Under great effort in rescuing and rehabilitating 52 cases, 15 cetacean individuals have been released since 2000. Additionally, there have been 56 mass strandings involving at least 11 species since 1994, predominated by pygmy killer whales, particularly during the NEM season along the southwest coast. This study not only contributes to our understanding of the stranding patterns and diversity of the cetaceans in Taiwan, but also provides valuable insights for future conservation strategies on cetaceans in the western Pacific. [ABSTRACT FROM AUTHOR]

In response to relatively little evidence on the determinants of the financial distress in cooperative financial institutions (e.g., Credit Unions), this paper proposes a distress indicator of Merton Distance to default (Merton DD), which was constructed with a z-score, possessed improved predictive capability, but reducing equity volatility. This model possesses the advantages of both hazard and modified Merton DD model, which could timely reflect market volatility and predict when distress would occur. As a demonstration, we applied this model to forecast the financial distress of credit unions in Taiwan. The results can provide more information to researchers. [ABSTRACT FROM AUTHOR]

Routine maintenance of fishing vessels and wastewater discharges are primary sources of heavy metals in fishing ports. Sediment pollution assessment is necessary in fishing port management, including sediment dredging and disposal, sewage treatment facility construction, and pollution source control. In this study, sediment heavy metal contents in Qianzhen Fishing Port, the largest pelagic fishery port in Taiwan, were investigated to assess the contamination levels and related potential ecological risks using multiple sediment pollution indices. Normalization methods were applied to identify the potential sources of heavy metals in fishing port sediments. Results showed that Cu, Zn, Pb, and Cr contents in the sediments of the inner fishing port (averages of 276, 742, 113, and 221 mg/kg, respectively) were 3–5 times greater compared to those along the port entrance and outside, indicating the strong impacts of anthropogenic pollution (EFCu: 5.6–12.5; EFZn: 2.8–4.3; EFPb: 2.4–5.4; EFCr: 1.1–3.2). Copper pollution was more severe, with high maxima contamination factor (CFCu: 15.1–24.8), probably contributed by copper-based antifouling paints used in fishing vessels. The sediments in the inner fishing port are categorized as having considerable ecological risk and toxicity (mERMq: 0.61–0.91; ΣTU: 7.5–11.7) that can potentially cause adverse effects on benthic organisms. Qianzhen Fishing Port sediments can be characterized as high Cu/Fe and Pb/Fe, moderate Zn/Fe, and high total grease content, indicating that the potential sources of heavy metals are primarily antifouling paints and oil spills from the fishing vessels. This study provides valuable data for pollution control, remediation, and environmental management of fishing ports. [ABSTRACT FROM AUTHOR]

This study investigated the concentrations of monobutyltin (MBT), dibutyltin (DBT) and tributyltin (TBT) in the sediments of the Qianzhen Fishing Port (Taiwan) in 2020. Further, the pollution status, composition, and potential ecotoxicity of BTs were evaluated. This case study provides a reference for the benefits of the ban of TBT-based antifouling paint to date. Results showed that the total butyltin (ΣBTs, sum of TBT, DBT, and MBT) concentrations measured in the sediments of the Qianzhen Fishing Port ranged between 14.2–807 ngSn·g−1 dw, with an average of 356 ± 305 ngSn·g−1 dw. TBT was the most dominant species, with an average concentration of 303 ± 287 ngSn·g−1 dw. This average TBT concentration is about 4.3 times lower than in 2003, showing the progress of gradual degradation of TBT in the sediments. Still, the degradation is rather slow, with a half-life of about 8.09 years. An analysis of the effects of TBT on organisms in the sediments of the Qianzhen Fishing Port was carried out according to the TBT toxicity guidelines of the US Environmental Protection Agency and the assessment class criterion for imposex (ACCI) of the Oslo and Paris Commission (OSPAR). The results showed that TBT levels in 80% of the sediments may pose negative effects on sensitive gastropods, and half of the sediments may even have an impact on gastropod reproduction. These show that marine life is still affected and threatened by TBT compounds, despite the decline of TBT concentrations since the ban of TBT-containing antifouling paints on ships in 2008. Therefore, it is necessary to continue paying attention to the changes of TBT concentrations and their potential ecological risks in the marine environment, and to formulate TBT management plans and strategies to mitigate their impacts in marine ecosystems. [ABSTRACT FROM AUTHOR]

Background: This study aimed to evaluate the cost-effectiveness of treating transplant-ineligible myeloma patients with either a bortezomib plus thalidomide plus dexamethasone (VTD) or a bortezomib plus melphalan plus prednisolone (VMP) treatment in Taiwan. Methods: Newly diagnosed, transplant-ineligible myeloma patients with VTD or VMP therapy were enrolled from two medical centers in southern Taiwan. Quality-adjusted life years (QALYs) were used as the measurement unit of the effectiveness evaluation, and the incremental cost-effectiveness ratio (ICER) was used for comparison between the two groups. A net monetary benefit approach and cost-effectiveness acceptability curve were also used for the cost-effectiveness assessment. A one-way sensitivity analysis was used to check the impact of different parameters. In total, 77 patients were enrolled in the study with 43 patients in the VTD group and 34 patients in the VMP group. Clinical presentations were similar without significant difference, except the VTD group had a higher survival rate (p = 0.029). Comparisons of the two groups over an eight-month time horizon revealed a significant lower mean of direct medical costs in the VTD group than in the VMP group (p < 0.001), and a significantly higher average QALY was gained (p < 0.001). Conclusions: The study demonstrated the greater clinical benefit and cost-effectiveness of VTD compared to VMP therapy in transplant-ineligible, newly diagnosed myeloma patients. [ABSTRACT FROM AUTHOR]

Online social media platforms play an important role in political communication where users can freely express and exchange their political opinion. Political entities have leveraged social media platforms as essential channels to disseminate information, interact with voters, and even influence public opinion. For this purpose, some organizations may create one or more accounts to join online political discussions. Using these accounts, they could promote candidates and attack competitors. To avoid such misleading speeches and improve the transparency of the online society, spotting such malicious accounts and understanding their behaviors are crucial issues. In this paper, we aim to use network-based analysis to sense influential human-operated malicious accounts who attempt to manipulate public opinion on political discussion forums. To this end, we collected the election-related articles and malicious accounts from the prominent Taiwan discussion forum spanning from 25 May 2018 to 11 January 2020 (the election day). We modeled the discussion network as a multilayer network and used various centrality measures to sense influential malicious accounts not only in a single-layer but also across different layers of the network. Moreover, community analysis was performed to discover prominent communities and their characteristics for each layer of the network. The results demonstrate that our proposed method can successfully identify several influential malicious accounts and prominent communities with apparent behavior differences from others. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the association between drunk riding, unhelmeted riding, unlicensed riding, and running-off-road (ROR) crashes. Multiple logistic regression was used to calculate the adjusted odds ratio (AOR) by using the National Taiwan Traffic Crash Dataset for 2011-2016. The results revealed that unhelmeted riding was associated with 138% (AOR = 2.38; CI (confidence interval) = 2.34-2.42) and 47% (AOR = 1.47; CI = 1.45-1.49) higher risks of drunk riding and unlicensed riding, respectively. The risk of unhelmeted riding increased with blood alcohol concentrations (BACs), and riders with the minimum BAC (0.031-0.05%) had nearly five times (AOR = 4.99; CI = 4.74-5.26) higher odds of unlicensed riding compared with those of riders with a negative BAC. Unhelmeted riding, drunk riding, and unlicensed riding were associated with 1.21 times (AOR = 1.21; CI = 1.13-1.30), 2.38 times (AOR = 2.38; CI = 2.20-2.57), and 1.13 times (AOR = 1.13; CI = 1.06-1.21) higher odds of ROR crashes, respectively. The three risky riding behaviours (i.e., unhelmeted riding, drunk riding, and unlicensed riding) were significantly related to ROR crashes. The risk of unhelmeted riding and ROR crashes increased with BACs.

Unaccounted-for migrant workers (UMWs), who have left their employment placement and whose whereabouts are unknown, make up a vulnerable population in Taiwan. The children of UMWs have a particularly precarious status because they are undocumented/stateless, immigrant, and young. Living with this precarious status limits their children's rights to survival and development. Moreover, services for female UMWs and their undocumented children are underdeveloped. This study explores the accessibility and availability of social services for UMWs and undocumented children, based on interviews with 12 stakeholders from multiple systems, including a local government, a child welfare placement center, a migrant worker detention center, a hospital, a regional religious center, and a foreign country office. Preliminary findings indicate the following: First, UMWs' rights to healthcare are not preserved, and they experience greater prenatal risks because their illegal status excludes them from universal health coverage. Second, undocumented children's rights to survival and development are concerning because these children can be placed in residential care without individualized care or environmental stimulation. Third, children's rights to cultural identity and permanency are uncertain in that repatriation or adoption does not guarantee their future best interests.

Background: Studies have suggested that trauma centre-related risk factors, such as distance to the nearest trauma hospital, are strong predictors of fatal injuries among motorists. Few studies have used a national dataset to study the effect of trauma centre-related risk factors on fatal injuries among motorists and motorcyclists in a country where traffic is dominated by motorcycles. This study investigated the effect of distance from the nearest trauma hospital on fatal injuries from two-vehicle crashes in Taiwan from 2017 to 2019., Methods: A crash dataset and hospital location dataset were combined. The crash dataset was extracted from the National Taiwan Traffic Crash Dataset from 1 January 2017 through 31 December 2019. The primary exposure in this study was distance to the nearest trauma hospital. This study performed a multiple logistic regression to calculate the adjusted odds ratios (AORs) for fatal injuries., Results: The multivariate logistic regression models indicated that motorcyclists involved in crashes located ≥5 km from the nearest trauma hospital and in Eastern Taiwan were approximately five times more likely to sustain fatal injuries (AOR = 5.26; 95% CI: 3.69-7.49)., Conclusions: Distance to, level of, and region of the nearest trauma centre are critical risk factors for fatal injuries among motorcyclists but not motorists. To reduce the mortality rate of trauma cases among motorcyclists, interventions should focus on improving access to trauma hospitals.