1. Department of Medicine Chung Shan Medical University Taichung Taiwan
2. Department of Nursing Chung Shan Medical University Taichung Taiwan
3. Department of Allergy, Immunology & Rheumatology Chung Shan Medical University Hospital Taichung Taiwan
4. Institute of Medicine Chung Shan Medical University Taichung Taiwan
5. Graduate Institute of Integrated Medicine China Medical University Taichung Taiwan