Efficacy of Sanfujiu to Treat Allergies: Patient Outcomes at 1 Year after Treatment

Sanfujiu is a treatment method of applying herbal paste onto the acupoints Fengmen and Feishu during the three hottest days of summer to treat patients with allergies. The objectives of this study were to determine the treatment efficacy at 1 year after the Sanfujiu treatment, and examine variations in the perceived efficacy of Sanfujiu among different subgroups, based on the patients' ages, diagnoses and number of reactive symptoms immediately after the treatment. We enrolled 105 patients who completed Sanfujiu treatment at a medical university hospital in Taipei as the subjects. One year after treatment, trained interviewers conducted telephone interviews with the patients. Approximately 60% of them perceived the treatment as being effective at 1 year later, which was higher than that at 1 week after treatment (45.7%). Younger subjects (<19 years of age) and patients with asthma were more likely to report the treatment as being effective. Patients who had more reactive symptoms after the third Sanfujiu treatment were more likely to report the treatment as being effective. The results demonstrated that Sanfujiu was moderately effective, as perceived by patients in Taiwan, in treating their allergic symptoms

Effects of spray angle variation on mixing in a cold supersonic combustor with kerosene fuel

Abstract: Effective fuel injection and mixing is of particular importance for scramjet engines to be operated reliably because the fuel must be injected into high-speed crossflow and mixed with the supersonic air at an extremely short time-scale. This study numerically characterizes an injection jet under different spray angles in a cold kerosene-fueled supersonic flow and thus assesses the effects of the spray angle on the mixing between incident shock wave and transverse cavity injection. A detailed computational fluid dynamics model is developed in accordance with the real scramjet combustor. Next, the spray angles are designated as 45º, 90º, and 135º respectively with the other constant operational conditions (such as the injection diameter, velocity and pressure). Next, a combination of a three dimensional Couple Level Set & Volume of Fluids with an improved Kelvin-Helmholtz & Rayleigh-Taylor model is used to investigate the interaction between kerosene and supersonic air. The numerical predictions are focused on penetration depth, span expansion area, angle of shock wave and sauter mean diameter distribution of the kerosene droplets with or without evaporation. Finally, validation has been implemented by comparing the calculated to the measured in literature with good qualitative agreement. Results show that no matter whether the evaporation is considered, the penetration depth, span-wise angle and expansion area of the kerosene droplets are all increased with the spray angle, and most especially, that the size of the kerosene droplets is surely reduced with the spray angle increase. These calculations are beneficial to better understand the underlying atomization mechanism in the cold kerosene-fueled supersonic flow and hence provide insights into scramjet design improvement

A systematic search for SNPs/haplotypes associated with disease phenotypes using a haplotype-based stepwise procedure

<p>Abstract</p> <p>Background</p> <p>Genotyping technologies enable us to genotype multiple Single Nucleotide Polymorphisms (SNPs) within selected genes/regions, providing data for haplotype association analysis. While haplotype-based association analysis is powerful for detecting untyped causal alleles in linkage-disequilibrium (LD) with neighboring SNPs/haplotypes, the inclusion of extraneous SNPs could reduce its power by increasing the number of haplotypes with each additional SNP.</p> <p>Methods</p> <p>Here, we propose a haplotype-based stepwise procedure (HBSP) to eliminate extraneous SNPs. To evaluate its properties, we applied HBSP to both simulated and real data, generated from a study of genetic associations of the bactericidal/permeability-increasing (BPI) gene with pulmonary function in a cohort of patients following bone marrow transplantation.</p> <p>Results</p> <p>Under the null hypothesis, use of the HBSP gave results that retained the desired false positive error rates when multiple comparisons were considered. Under various alternative hypotheses, HBSP had adequate power to detect modest genetic associations in case-control studies with 500, 1,000 or 2,000 subjects. In the current application, HBSP led to the identification of two specific SNPs with a positive validation.</p> <p>Conclusion</p> <p>These results demonstrate that HBSP retains the essence of haplotype-based association analysis while improving analytic power by excluding extraneous SNPs. Minimizing the number of SNPs also enables simpler interpretation and more cost-effective applications.</p

An Impact Model for Experiential Activities of Farming and Food Education in Agricultural Sustainable Tourism

This paper examines the development, implementation, and implications of farming and food experiential activities and the effects of these activities on agricultural sustainable tourism. A model is proposed that examines the major correlates and possible impacts related to these variables. A heuristic inquiry research design was adopted, employing a major multiple case study approach. In addition to secondary data, primary data were collected through 18 interviews with farmers, customers, government employees, community leaders and scholars, as well as 132 quantitative surveys from tourists and visitors involved in the activities on site. The major cases of the Small Bee Project, Pitaya Tour and three other examples of farming and food education programs are introduced. Results show that farming and food educational experiences provide participants with more awareness of ecological sustainability, food safety, and a sense of sociability, as well as an appreciation of the linkages between farming and safe food. Farming and food education are still developing and need more promotion, training and support. More cooperation is desired among both the private and public sectors, as well as the local community. The local farmers could benefit from training to increase knowledge about the latest scientific advances and technology tools, adopt practices that are less harmful to the environment, reduce food contamination, build professional tours for farming and food education, and increase profits. This study concludes that a comprehensive farming and food education program includes farming experiences, nutrition, food safety, and environmental education about respecting sustainable development. The major correlates of farming and food educational experiences include positive attitudes towards green tourism and potential demands for authentic experiences and educational experiences in food safety. These correlates contribute to the perceived value of experiential activities in farming and food education. Further, possible impacts of these experiential education activities on participants in this type of agricultural sustainable tourism include more awareness of ecological sustainability and food safety

On the Inherent Privacy Properties of Discrete Denoising Diffusion Models

Privacy concerns have led to a surge in the creation of synthetic datasets, with diffusion models emerging as a promising avenue. Although prior studies have performed empirical evaluations on these models, there has been a gap in providing a mathematical characterization of their privacy-preserving capabilities. To address this, we present the pioneering theoretical exploration of the privacy preservation inherent in discrete diffusion models (DDMs) for discrete dataset generation. Focusing on per-instance differential privacy (pDP), our framework elucidates the potential privacy leakage for each data point in a given training dataset, offering insights into data preprocessing to reduce privacy risks of the synthetic dataset generation via DDMs. Our bounds also show that training with $s$-sized data points leads to a surge in privacy leakage from $(\epsilon, \mathcal{O}(\frac{1}{s^2\epsilon}))$-pDP to $(\epsilon, \mathcal{O}(\frac{1}{s\epsilon}))$-pDP during the transition from the pure noise to the synthetic clean data phase, and a faster decay in diffusion coefficients amplifies the privacy guarantee. Finally, we empirically verify our theoretical findings on both synthetic and real-world datasets

Abnormal Gastroscopy Findings Were Related to Lower Meridian Energy

According to the theories of Traditional Chinese Medicine (TCM), energy runs through 12 meridians longitudinally up and down the body. The study objectives were to compare the meridian energy between subjects with and without abnormal gastroscopy findings. We applied a cross-sectional and correlational research design. The study included 1,223 participants who had their health examinations at a university hospital in Taipei from 1st August 2005 through 31st August 2007. Meridian energy was examined using a meridian energy analysis device. The gastroscopy was operated by certified gastroenterologists. Participants with abnormal stomach and esophageal findings using gastroscopy had significantly lower mean meridian energy. There were no significant differences in meridian energy between participants with and without abnormal duodenum findings. When all of the meridians were examined individually, participants with abnormal findings in esophagus and stomach had significantly lower meridian energy in each of the meridians. The results of this study demonstrated that structural abnormality in the gastric area was related to lower meridian energy. Whether enhancing meridian energy could improve gastric and esophageal health merits further studies

Effectiveness of Traditional Chinese Medicine for Liver Protection and Chemotherapy Completion among Cancer Patients

While traditional Chinese medicine (TCM) is widely used among Chinese patients with cancer, studies evaluating the effectiveness of TCM using objective indicators are rare. We examined the effectiveness of TCM for liver protection and completion of chemotherapy among patients with cancer receiving chemotherapy. We used a case-control design to examine the medical records of patients with cancer who received chemotherapy in a teaching hospital in Taipei in 2004. A total of 184 courses of chemotherapy among 89 patients were studied. Of the 184 courses, 42 used TCM jointly with chemotherapy served as cases, while the remaining 142 courses served as controls. Outcome variables included counts of cancelled or delayed chemotherapies and liver function (aspartate aminotransferase, AST and alanine aminotransferase, ALT) 1 week before, during and 2 weeks after chemotherapy. Generalized estimating equations were used to analyze the data. Patients who had concomitant TCM with chemotherapy had lower serum ALT and AST during chemotherapy than the controls given that the age, sex, cancer stage, radiotherapy sites, cancer diagnosis and potential hepatotoxicity of the chemotherapeutic drugs were controlled for in the model [β  = −3.48, 95% confidence interval (CI) −10.08 to 3.11 for AST; β  = −5.95, 95% CI: −11.47 to −0.44 for ALT]. There was no significant difference between the case and control groups for odds of completing one course of chemotherapy. Use of TCM with chemotherapy resulted in protection of the liver during chemotherapy, as manifested by lower serum AST and ALT levels

Prevalence of iron and folic acid supplements consumption and associated factors among pregnant women in Eswatini: a multicenter cross-sectional study

Background: During pregnancy, nutritional requirements increase and if not met, pregnancy-related complications may manifest. To prevent these undesirable outcomes, the World Health Organization recommends daily oral iron and folic acid (IFA) supplementation as part of antenatal care. Despite this recommendation, the use of IFA supplements is still very low in several developing countries. Additionally, no prior information exists regarding the level of consumption of IFA in Eswatini. Thus, this study aimed to determine the prevalence of consumption of IFA supplements and to identify factors associated with the consumption of IFA supplements among pregnant women in Eswatini. Methods: A cross-sectional questionnaire survey was conducted among 330 pregnant women aged ≥ 18 years in their third trimester in Eswatini. Participants were recruited from eight purposively selected healthcare facilities from July 2019 to October 2019. Good consumption was defined as consuming all or almost all IFA supplements throughout pregnancy. Results: During the first trimester, 10.3 % of the participants consumed all or almost all IFA supplements. In the second and third trimesters, those who consumed all or almost all supplements were 37 and 39.7 %, respectively, for iron and 37.6 and 40.9 %, respectively, for folic acid. Barriers, including side effects, forgetfulness, safe previous pregnancies without IFA, others’ advice against consumption, IFA stock-outs, inability to meet transport costs, and inadequate supply of IFA tablets, contribute to low consumption of IFA. Multivariate logistic regression models showed that the barriers were inversely associated with good consumption of IFA supplements. Better knowledge and attitude toward IFA and older maternal age were positively associated with good consumption of IFA supplements

Comparison of the mismatch-specific endonuclease method and denaturing high-performance liquid chromatography for the identification of HBB gene mutations

<p>Abstract</p> <p>Background</p> <p>Beta-thalassemia is a common autosomal recessive hereditary disease in the Meditertanean, Asia and African areas. Over 600 mutations have been described in the beta-globin (<it>HBB</it>), of which more than 200 are associated with a beta-thalassemia phenotype.</p> <p>Results</p> <p>We used two highly-specific mutation screening methods, mismatch-specific endonuclease and denaturing high-performance liquid chromatography, to identify mutations in the <it>HBB </it>gene. The sensitivity and specificity of these two methods were compared. We successfully distinguished mutations in the <it>HBB </it>gene by the mismatch-specific endonuclease method without need for further assay. This technique had 100% sensitivity and specificity for the study sample.</p> <p>Conclusion</p> <p>Compared to the DHPLC approach, the mismatch-specific endonuclease method allows mutational screening of a large number of samples because of its speed, sensitivity and adaptability to semi-automated systems. These findings demonstrate the feasibility of using the mismatch-specific endonuclease method as a tool for mutation screening.</p