Search Results (42)

Global climate change has emerged as a critical challenge for human society in the 21st century. As hubs of population and economic activity, urban and rural areas are increasingly exposed to complex and compounded disaster risks. To systematically evaluate the role of educational intervention in climate adaptability capacity building, this study employs a case study approach, focusing on the “Climate Change Adaptation Education and Teaching Alliance Program” launched in Taiwan in 2014. Through a comprehensive analysis of its institutional structure, curriculum, alliance network, and practical activities, the study explores the effectiveness of educational innovation in cultivating climate resilience talent. The study found that the program, through interdisciplinary collaboration and a practice-oriented teaching model, successfully integrated climate adaptability content into 57 courses, training a total of 2487 students. Project-based learning (PBL) and workshops significantly improved students’ systems thinking and practical abilities, and many of its findings were adopted by local governments. Based on these empirical results, the study proposes that urban and rural planning education should be promoted in the following ways: first, updating teaching materials to reflect regional climate characteristics and local needs; second, enhancing curriculum design by introducing core courses such as climate-resilient planning and promoting interdisciplinary collaboration; third, enriching hands-on learning through real project cases and participatory workshops; and fourth, deepening integration between education and practice by establishing multi-stakeholder partnerships supported by dedicated funding and digital platforms. Through such an innovative educational framework, we can prepare a new generation of professionals capable of supporting global sustainable development in the face of climate change. This study provides a replicable model of practice for education policymakers worldwide, particularly in promoting the integration of climate resilience education in developing countries, which can help accelerate the achievement of UN Sustainable Development Goals (SDG11) and foster interdisciplinary collaboration to address the global climate crisis. Full article

Background/Objectives: Chronic hepatitis C virus (HCV) remains a major public health concern in Taiwan, particularly in southern regions with high endemicity. While HCV elimination is a national priority, resources are often limited. Relying solely on broad, township-level prevalence rates is inefficient, as the true disease burden can vary dramatically at the village level. Therefore, identifying local hotspots through fine-scale mapping is critical for efficient resource allocation and targeted intervention. This study aimed to validate village-level prevalence estimates and evaluate the efficiency of a community-based, targeted screening approach utilizing this detailed prevalence data in Chiayi County. Methods: We integrated data from the Chiayi Health Bureau and Chiayi Chang Gung Memorial Hospital (2000–2015) to generate village-level risk maps for five townships: Lioujiao (LJ), Yijhu (YH), Dongshih (DS), Taibao (TB), and Lucao (LC). Between 2018 and 2021, we conducted door-to-door community screening using anti-HCV testing with reflex HCV antigen (Ag) testing. Anti-HCV/HCV Ag prevalence, number needed to test (NNT), and linkage-to-care rates were calculated to validate prevalence estimates and assess screening efficiency. Results: Among 3910 participants, anti-HCV prevalence ranged from 5.4% (TB) to 8.7% (DS). Estimated and observed village-level prevalence showed moderate-to-strong correlation (r = 0.696–0.830, p < 0.001). Screening efficiency was highest in DS (NNT = 21) and lowest in TB (NNT = 42). Of 132 antigen-positive individuals, 131 (99.2%) initiated direct-acting antiviral therapy. Conclusions: The village-level risk maps accurately predicted local HCV burden, enabling targeted screening with high diagnostic yield and near-complete treatment uptake. This approach maximizes resource efficiency and may serve as a scalable model for advancing Taiwan and the WHO’s 2030 HCV elimination goals. Full article

This study presents the first comprehensive analysis of the wood essential oil from Juniperus morrisonicola Hayata (Jm-EO), an endemic conifer in Taiwan. Gas chromatography–mass spectrometry (GC-MS) revealed a sesquiterpenoid-rich profile, with cedrol, widdrol, and thujopsen comprising over 55% of the total essential oil content. Jm-EO exhibited significant anti-inflammatory activity in vitro, notably inhibiting nitric oxide production in lipopolysaccharide (LPS)-stimulated RAW264.7 macrophages (IC₅₀ = 12.9 μg/mL). Among the major constituents, widdrol demonstrated the most potent anti-inflammatory activity (IC₅₀ = 24.7 μM), followed by thujopsene and cedrol, representing the first report of widdrol’s anti-inflammatory activity. Jm-EO also showed cytotoxic effects against HepG2 hepatocellular carcinoma cells (IC₅₀ = 41.5 μg/mL at 48 h) and achieved complete inhibition of Laetiporus sulphureus at 100 ppm. These findings suggest that Jm-EO is a promising natural resource with potential applications in anti-inflammatory drug development and as an eco-friendly wood preservative. Full article

In Taiwan, hydro-meteorological data are fragmented across multiple agencies, limiting the effectiveness of coordinated flood response. To address this challenge and the increasing uncertainty associated with extreme rainfall, a real-time disaster prevention platform has been developed. This system integrates multi-source data and geospatial information through a cluster-based architecture to enhance pluvial flood management. Built on a Service-Oriented Architecture (SOA) and incorporating Internet of Things (IoT) technologies, AI-based convolutional neural networks (CNNs), and 3D drone mapping, the platform enables automated alerts by linking sensor thresholds with real-time environmental data, facilitating synchronized operational responses. Deployed in New Taipei City over the past three years, the system has demonstrably reduced flood risk during severe rainfall events. Region-specific action thresholds and adaptive strategies are continually refined through feedback mechanisms, while integrated spatial and hydrological trend analyses extend the lead time available for emergency response. Full article

This in vitro study examines the anti-oral cancer effects and mechanisms of a combined X-ray/SK2 treatment, i.e., X-ray and 6-n-butoxy-10-nitro-12,13-dioxa-11-azatricyclo[7.3.1.0^2,7]trideca-2,4,6,10-tetraene (SK2). ATP cell viability and flow cytometry-based cell cycle, apoptosis, oxidative stress, and DNA damage assessments were conducted. The X-ray/SK2 treatment exhibited lower viability in oral cancer (Ca9-22 and CAL 27) cells than in normal (Smulow–Glickman, S-G) cells, i.e., 32.0%, 46.1% vs. 59.0%, which showed more antiproliferative changes than with X-ray or SK2 treatment. Oral cancer cells under X-ray/SK2 treatment showed slight subG1 and G2/M increments and induced high annexin V-monitored apoptosis compared to X-ray or SK2 treatment. The X-ray/SK2 treatment showed higher caspase 3 and 8 levels for oral cancer cells than other treatments. X-ray/SK2 showed a higher caspase 9 level in CAL 27 cells than other treatments, while Ca9-22 cells showed similar levels under X-ray and/or SK2. The X-ray/SK2 treatment showed higher reactive oxygen species (ROS) generation and mitochondrial membrane potential (MMP) depletion than other treatments. Meanwhile, the mitochondrial superoxide (MitoSOX) and glutathione levels in X-ray/SK2 treatment did not exhibit the highest rank compared to others. Moreover, oral cancer cells had higher γH2AX and/or 8-hydroxy-2-deoxyguanosine levels from X-ray/SK2 treatment than others. All these measurements for X-ray/SK2 in oral cancer cells were higher than in normal cells and attenuated by N-acetylcysteine. In conclusion, X-ray/SK2 treatment showed ROS-dependent enhanced antiproliferative, apoptotic, and DNA damage effects in oral cancer cells with a lower cytotoxic influence on normal cells. Full article

Manoalide provides preferential antiproliferation of oral cancer but is non-cytotoxic to normal cells by modulating reactive oxygen species (ROS) and apoptosis. Although ROS interplays with endoplasmic reticulum (ER) stress and apoptosis, the influence of ER stress on manoalide-triggered apoptosis has not been reported. The role of ER stress in manoalide-induced preferential antiproliferation and apoptosis was assessed in this study. Manoalide induces a higher ER expansion and aggresome accumulation of oral cancer than normal cells. Generally, manoalide differentially influences higher mRNA and protein expressions of ER-stress-associated genes (PERK, IRE1α, ATF6, and BIP) in oral cancer cells than in normal cells. Subsequently, the contribution of ER stress on manoalide-treated oral cancer cells was further examined. ER stress inducer, thapsigargin, enhances the manoalide-induced antiproliferation, caspase 3/7 activation, and autophagy of oral cancer cells rather than normal cells. Moreover, N-acetylcysteine, an ROS inhibitor, reverses the responses of ER stress, aggresome formation, and the antiproliferation of oral cancer cells. Consequently, the preferential ER stress of manoalide-treated oral cancer cells is crucial for its antiproliferative effect. Full article

Immune checkpoint inhibitors (ICIs) combined with multitarget tyrosine kinase inhibitors (MTKIs) exert a synergistic effect and are effective in unresectable hepatocellular carcinoma (uHCC). However, precise data regarding the real-world clinical applications of these combination therapies in uHCC are lacking. This study compared the treatment efficacy of sorafenib versus lenvatinib in combination with programmed cell death protein-1 (PD-1) inhibitors in patients with uHCC in a clinical setting. Among 208 patients with uHCC treated with PD-1 inhibitors, 88 were administered with ICIs in combination with sorafenib or lenvatinib. The treatment response and survival outcomes were evaluated. Predictors of survival were assessed by multivariate analysis. A total of 49 patients were treated with PD-1 inhibitors combined with sorafenib, and 39 patients were treated with PD-1 inhibitors combined with lenvatinib. The lenvatinib group exhibited a stronger objective response rate (ORR) (20.51% vs. 16.33%) and had a higher disease control rate (41.03% vs. 28.57%) than did the sorafenib group. The median overall survival was longer in the lenvatinib group than the sorafenib group (13.1 vs. 7.8 months; hazard ratio = 0.39, p = 0.017). The incidence of treatment-related adverse events was similar. PD-1 inhibitors combined with lenvatinib can be a feasible treatment strategy for HCC patients receiving MTKI-based combination therapy. PD-1 inhibitors combined with lenvatinib resulted in more favorable survival outcomes without increased toxic effects compared with PD-1 inhibitors with sorafenib. Additional larger-scale and prospective studies should be conducted to verify the study results. Full article

Evidence supports the view that postural sway in a quiet stance increases with clinical disease severity and dopaminergic therapy in idiopathic Parkinson’s disease (PD), which, in turn, increases the risk of falling. This study evaluated the feasibility of combining disease-specific and balance-related measures as risk predictors for future falls in patients with PD. The patients with PD underwent postural sway measurements (area, length, and velocity traveled by the excursion of the center of pressure) and clinical functional scores (Parkinson’s Disease Rating Scale [UPDRS] and Tinetti balance and gait score assessment) in both the on- and off-states of dopaminergic therapy. The outcome was defined as the development of a new fall. The sway area, velocity, and length increased after the medication administration. The Cox proportional hazards model showed that only previous fall history, Tinetti balance and gait score (on-state), and levodopa equivalent daily dose (LEDD) were associated with the development of future falls. The cumulative risk of fall development showed that the sway length and velocity were associated with future falls after more than six months. The combined LEDD, Tinetti balance and gait score (on-state), and velocity and length of postural sway (on-state) had the highest diagnostic accuracy (area under the curve = 0.9, p < 0.0001). Dopaminergic therapy can improve clinical functional scores but worsen balance-related measures. Increased sway length and velocity during the medication state are hallmarks of future falls, particularly in advanced PD. Combining disease-specific and balance-related measures can serve as an auxiliary diagnosis as risk predictors for future falls. Full article

The COVID-19 pandemic has evolved to immune escape and threatened small children and the elderly with a higher severity and fatality of non-pulmonary diseases. These life-threatening non-pulmonary COVID-19 diseases such as acute necrotizing encephalopathies (ANE) and multisystem inflammatory syndrome in children (MIS-C) are more prevalent in children. However, the mortality of multisystem inflammatory syndrome in adults (MIS-A) is much higher than that of MIS-C although the incidence of MIS-A is lower. Clarification of immunopathogenesis and genetic susceptibility of inflammatory non-pulmonary COVID-19 diseases would provide an appropriate guide for the crisis management and prevention of morbidity and fatality in the ongoing pandemic. This review article described three inflammatory non-pulmonary COVID-19 diseases including (1) meningoencephalitis (ME), (2) acute necrotizing encephalopathies (ANE), and (3) post-infectious multisystem inflammatory syndrome in children (MIS-C) and in adults (MIS-A). To prevent these life-threatening non-pulmonary COVID-19 diseases, hosts carrying susceptible genetic variants should receive prophylactic vaccines, avoid febrile respiratory tract infection, and institute immunomodulators and mitochondrial cocktails as early as possible. Full article

Physapruin A (PHA), a Physalis peruviana-derived withanolide, exhibits antiproliferation activity against oral and breast cancer cells. However, its potential antitumor effects in combined treatments remain unclear. This investigation focused on evaluating the impact of the combined treatment of ultraviolet-C with PHA (UVC/PHA) on the proliferation of oral cancer cells. The UVC-caused antiproliferation was enhanced by combination with PHA in oral cancer (Ca9-22 and CAL 27) but not normal cells (SG), as evidenced by ATP detection, compared with UVC or PHA alone. UVC/PHA showed a greater extent of subG1 increase, G2/M arrest, annexin-V-assessed apoptosis, caspase 3/7 activation, and reactive oxygen species (ROS) in the UVC or PHA treatment of oral cancer compared to normal cells. Moreover, the mitochondrial functions, such as mitochondrial superoxide bursts and mitochondrial membrane potential destruction, of oral cancer cells were also enhanced by UVC/PHA compared to UVC or PHA alone. These oxidative stresses triggered γH2AX and 8-hydroxyl-2’-deoxyguanosine-assessed DNA damage to a greater extent under UVC/PHA treatment than under UVC or PHA treatment alone. The ROS inhibitor N-acetylcysteine reversed all these UVC/PHA-promoted changes. In conclusion, UVC/PHA is a promising strategy for decreasing the proliferation of oral cancer cells but shows no inhibitory effect on normal cells. Full article

Presenilin-1 (PSEN1) is a crucial subunit within the γ-secretase complex and regulates β-amyloid (Aβ) production. Accumulated evidence indicates that n-butylidenephthalide (BP) acts effectively to reduce Aβ levels in neuronal cells that are derived from trisomy 21 (Ts21) induced pluripotent stem cells (iPSCs). However, the mechanism underlying this effect remains unclear. This article aims to investigate the possible mechanisms through which BP ameliorates the development of Alzheimer’s disease (AD) and verify the effectiveness of BP through animal experiments. Results from RNA microarray analysis showed that BP treatment in Ts21 iPSC-derived neuronal cells reduced long noncoding RNA (lncRNA) CYP3A43-2 levels and increased microRNA (miR)-29b-2-5p levels. Bioinformatics tool prediction analysis, biotin-labeled miR-29b-2-5p pull-down assay, and dual-luciferase reporter assay confirmed a direct negative regulatory effect for miRNA29b-2-5p on lnc-RNA-CYP3A43-2 and PSEN1. Moreover, BP administration improved short-term memory and significantly reduced Aβ accumulation in the hippocampus and cortex of 3xTg-AD mice but failed in miR-29b-2-5p mutant mice generated by CRISP/Cas9 technology. In addition, analysis of brain samples from patients with AD showed a decrease in microRNA-29b-2-5p expression in the frontal cortex region. Our results provide evidence that the LncCYP3A43-2/miR29-2-5p/PSEN1 network might be involved in the molecular mechanisms underlying BP-induced Aβ reduction. Full article

At present, nearly half of the population of China live in water-deficient areas where water needs to be transferred from surrounding or remote water sources to meet local water demands. Although the water transfer project has alleviated the demands for water in the water-deficient areas, and brought water-supply income to water source regions, it has also posed some cross-regional negative impacts, including the changes in the original ecology within the water source, the impacts on the downstream water demands, and the risk of biological invasion in the distant water receiving areas. Therefore, it can be seen that the impact of water transfer is complicated and will be manifested in various aspects. The Middle Route of China’s South–North Water Transfer Project (SNWTP-MR), as the world’s largest cross-watershed water transfer project, exerts particularly important effects on regional sustainable development; however, it also produces complex interactions within the ecological environment itself, downstream and in the distant water receiving cities. Thus, this work attempts to apply a metacoupling analysis framework of water transfer to explore the ecological interaction of water transfer in SNWTP-MR on each system. The metacoupling framework can be divided into intracoupling, pericoupling and telecoupling. This study focuses on the analysis of the causes and effects of the intracoupling, pericoupling and telecoupling of SNWTP-MR from the perspective of ecological values and ecological risks. We found that the coupling of water transfer brings about 23 billion yuan of ecological service value to the water source annually, but also increases the internal ecological risk index by 9.31%, through the calculation of changes in land use; secondly, the power generation benefit significantly increases, and the flood control standards have shifted from once-in-20 years to once-in-a-century. However, the ecological risks are also significant, such as poor water quality, eutrophication of water resources, competition for water between industry and agriculture, deterioration of waterway shipping, and threats to biodiversity, etc. Considering only water supply, the population carrying capacity of the water resource in distant water receiving cities is increased by 16.42 million people, which enhances the value of water resources and creates a cross-regional green ecological landscape belt. Nevertheless, the biological invasion and water pollution have greatly affected the safety of water supply. It can be seen that the cross-regional water transfer does not always damage the interests of the sending system and the spillover system while benefiting the receiving system; its impacts are complex and variable. Through this paper, it is hoped to provide a reference for the analysis of the ecological compensation, resource development and allocation in SNWTP-MR by revealing the metacoupling relationship of SNWTP-MR. This paper will provide new ideas for researching the metacoupling relationship, thereby offering valuable reference for the study of the interaction generated by large-scale water transfer. Full article

Zn-air batteries have attracted considerable attention from researchers owing to their high theoretical energy density and the abundance of zinc on Earth. The modification of battery component materials represent a common approach to improve battery performance. The effects of cell design on cell performance are seldom investigated. In this study, we designed four battery structures as follows. Cell 1: close-proximity electrode, Cell 2: equal-area electrode, Cell 3: large zinc electrode, and Cell 4: air channel flow. The effects of four factors: (1) carbon paste, (2) natural and forced air convection, (3) anode/cathode area ratio, and (4) anode–cathode distance were also investigated. Results showed that the addition of carbon paste on the air side of 25BC increased cell power density under forced air convection. Moreover, cell performance also improved by increasing the anode/cathode ratio and by decreasing the anode–cathode distance. These four types of cells were compared based on the oxygen reduction reaction electrode area. Cell 3 displayed the highest power density. In terms of volumetric power density, the proximity cell (Cell 1) exhibited the highest power density among the cells. Therefore, this cell configuration may be suitable for portable applications. Full article

The impact of climate change in recent years has caused considerable risks to both urban and rural systems. How to mitigate the damage caused by extreme weather events has attracted much attention from countries in recent years. However, most of the previous studies on resilience focused on either urban areas or rural areas, and failed to clearly identify the difference between urban and rural resilience. In fact, the exploration of the difference between the resilience characteristics of cities and villages under climate change can help to improve the planning strategy and the allocation of resources. In this study, the indicators of resilience were firstly built through a literature review, and then a Principal Component Analysis was conducted to construct an evaluation system involving indicators such as “greenland resilience”, “community age structure resilience”, “traditional knowledge resilience”, “infrastructure resilience” and “residents economic independence resilience”. Then the analysis of Local Indicators of Spatial Association showed some resilience abilities are concentrated in either urban or rural. Binary logistic regression was performed, and the results showed urban areas have more prominent abilities in infrastructure resilience (the coefficient value is 1.339), community age structure resilience (0.694), and greenland resilience (0.3), while rural areas are more prominent in terms of the residents economic independence resilience (−0.398) and traditional knowledge resilience (−0.422). It can be seen that urban areas rely more on the resilience of the socio-economic structure, while rural areas are more dependent on their own knowledge and economic independence. This result can be used as a reference for developing strategies to improve urban and rural resilience. Full article

Combined treatment is an effective strategy to improve anticancer therapy, but severe side effects frequently limit this application. Drugs inhibiting the proliferation of cancer cells, but not normal cells, display preferential antiproliferation to cancer cells. It shows the benefits of avoiding side effects and enhancing antiproliferation for combined treatment. Nitrated [6,6,6]tricycles derivative (SK2), a novel chemical exhibiting benzo-fused dioxabicyclo[3.3.1]nonane core with an n-butyloxy substituent, exhibiting preferential antiproliferation, was chosen to evaluate its potential antioral cancer effect in vitro by combining it with ultraviolet C (UVC) irradiation. Combination treatment (UVC/SK2) caused lower viability in oral cancer cells (Ca9-22 and OC-2) than single treatment (20 J/m² UVC or 10 μg/mL SK2), i.e., 42.3%/41.1% vs. 81.6%/69.2%, and 89.5%/79.6%, respectively. In contrast, it showed a minor effect on cell viability of normal oral cells (HGF-1), ranging from 82.2 to 90.6%. Moreover, UVC/SK2 caused higher oxidative stress in oral cancer cells than normal cells through the examination of reactive oxygen species, mitochondrial superoxide, and mitochondrial membrane potential. UVC/SK2 also caused subG1 increment associated with apoptosis detections by assessing annexin V; panaspase; and caspases 3, 8, and 9. The antiproliferation and oxidative stress were reverted by N-acetylcysteine, validating the involvement of oxidative stress in antioral cancer cells. UVC/SK2 also caused DNA damage by detecting γH2AX and 8-hydroxy-2′-deoxyguanosine in oral cancer cells. In conclusion, SK2 is an effective enhancer for improving the UVC-caused antiproliferation against oral cancer cells in vitro. UVC/SK2 demonstrated a preferential and synergistic antiproliferation ability towards oral cancer cells with little adverse effects on normal cells. Full article