http://140.112.115.32:8080/ir/handle/987654321/6 厚生健康學院師生研究成果 Search the Channel s http://140.112.115.32:8080/ir/simple-search http://140.112.115.32:8080/ir/handle/987654321/2870 title: 高齡者的學習參與及生活滿意度關係之研究：以自我價值為中介變項 abstract: 高齡者的學習參與有助於提升其生活滿意度，已被許多研究加以證實。然而，過去研究並未深入探究高齡者的學習參與是如何地影響其生活滿意度。許多文獻指出，高齡者積極地參與社會活動，將有助其正向自我概念的發展，並進而彰顯其生命存在的意義與價值，但目前較少有研究以自我價值為中介變項，探究其與學習參與、生活滿意度之間的關係。因此，本研究依據文獻，提出自我價值為一影響高齡者的學習參與及生活滿意度之中介變項的模式，並採問卷調查法，以大臺北地區343位高齡者為對象，探究其學習參與、自我價值與生活滿意度的關係。研究結果證實，高齡者的學習參與可提升其自我價值，並進一步增進其生活滿意度。 <br> http://140.112.115.32:8080/ir/handle/987654321/2869 title: 全球減碳風潮下資訊通信技術之減排潛力 http://140.112.115.32:8080/ir/handle/987654321/2868 title: 工程規設與施工階段之碳、水足跡與環境衝擊暨其減排芻議：以地下管推工法為例 abstract: 邇年來因氣候變遷引致之環境生態困局；與能、資源短缺所造成之生存危機，各項產業無不尋思解決之道。以碳排放為例，臺灣高居世界第21名(2014)，其中土木建築相關事業之碳排高佔居總量之33%；再以水資源為例，臺灣缺水排名為全世界18名(2015)，其中營建工地用水平均多達10-20ton/day(2013)，亦亟待改進。故相關工程不僅應就傳統管理面向之安全、進度、成本與品質作考量；更應對碳排放量與水資源消耗量進行減量策略且加以探討。 因維生管線攸關國家競爭力之民生基礎建設；且地下開挖工程不確定性最高，故本文以土木營造業之地下開挖的管推工程為例，先行檢討盤查之依據與功能單位之確立後，在規劃設計階段，先依國內公共工程委員會發展之公共工程經費電腦估價系統(PCCES)檢索其機、料之資源統計表，不確定處則依情境估算其碳、水足跡與環境衝擊之上、下限；再於施工階段之現地進行調查，使能與前階段之規設階段作比對驗證，其中生命週期評估需用兩種軟體SimaPro 8與Umberto碳足跡計算器，分析其碳排放量、水資源消耗量與環境衝擊，由結果相互驗證，則檢討其改善策略，以整全「價值工程」之精義為研究題旨。 研究首創於線型營建工程(路、橋、隧)提出可供進行互相比對之「正規化」功能單位。以苗栗某管推工程案例作調查；並與相同工法之既有案例先作比對驗證以確保量化數據之合理性。此調查以兩大主軸為對象，即垂直工作井開挖及水平污水套管推進求算之「正規化」功能單位：碳排放當量(tCO2e/m2/m)、單位水資源消耗量(m3/m2/m)、單位環境衝擊值(pt/m2/m, pt=point)，其中相關之熱點與敏感度分析亦為檢討改善策略之執行要項。對於本案例之後續因應之減排策略亦擬作相關工、料之芻議。其排碳與水資源應可量化改善，環境衝擊值亦可降低。針對本案之工序與工項檢討其改善策略之流程再造，冀能提供後續近似耗碳量大(熱點)的地下開挖工程設計及施工之研調；與重新建構專案管理中，其價值工程指標化之增益(value-added)參佐。 <br> http://140.112.115.32:8080/ir/handle/987654321/2867 title: Triangular configuration with headless compression screws in the fixation of transverse patellar fracture abstract: A triangular configuration with three parallel cannulated screws is an established treatment for fixing transverse patellar fractures; however, the stability achieved with this approach is slightly lower than that attained with cannulated screws combined with anterior wiring. In the present study, triangular configurations were modified by partially or totally replacing the cannulated screws with headless compression screws (HCSs). Through finite element simulation involving a model of distal femoral, patellar, and proximal tibial fractures, the mechanical stability levels of the modified triangular configurations were compared with that of two cannulated screws combined with anterior wiring. Four triangular screw configurations were developed: three HCSs in a forward and backward triangular configuration, two deep cannulated screws along with one superficial HCS, and two superficial cannulated screws with one deep HCS. Also considered were two parallel cannulated screws (inserted superficially or deeply) combined with anterior wiring. The six approaches were all examined in full knee extension and 45° flexion under physiological loading. The highest stability was obtained with the three HCSs in a backward triangular configuration, as indicated by the least fragment displacement and the smallest fracture gap size. In extension and flexion, this size was smaller than that observed under the use of two deeply placed parallel cannulated screws with anterior wiring by 50.3% (1.53 vs. 0.76 mm) and 43.2% (1.48 vs. 0.84 mm), respectively. Thus, the use of three HCSs in a backward triangular configuration is recommended for the fixation of transverse patellar fractures, especially without the use of anterior wiring. <br>