In vitro propagation of Gentiana scabra Bunge – an important medicinal plant in the Chinese system of medicines

Background: Gentiana scabra Bunge commonly known as `Long dan cao\u27 in China has been used in traditional Chinese medicines for more than 2000 years. Dry roots and rhizome of the herb have been used for the treatment of inflammation, anorexia, indigestion and gastric infections. Iridoids and secoiridoids are the main bioactive compounds which attribute to the pharmacological properties of this plant. The species is difficult to mass propagate by seed due to the low percentage of germination and limited dormancy period. Wild populations in some locations are considered to be in the endangered category due to over exploitation. Results: In the present study, we report an efficient micropropagation system. Shoot apices of six weeks old in vitro grown G. scabra plants were used as explants for the in vitro propagation. Induction of multiple shoots (9.1/explant) was achieved on the culture of shoot apices on half strength Murashige and Skoog\u27s basal medium (MSBM) containing 2.0 mg/L 1 6-benzylaminopurine (BA), 3% sucrose and 0.9% Difco agar. In vitro shoots induced profuse rooting on half strength of MSBM supplemented with 0.1 mg/L 1 1-naphthaleneacetic acid (NAA), 3% sucrose and 0.3% gelrite. A two-stage ventilation closure procedure during the in vitro culture, and transparent sachet technique enhanced the survival rate of G. scabra plantlets to 96% in the greenhouse. Tissue culture plants flowered after 5 months of transfer to pots. Conclusions: A simple and an efficient in vitro propagation protocol of Gentiana scabra Bunge by optimizing the medium composition and ventilation closure treatments has been developed. The protocol can be very useful in germplasm conservation and commercial cultivation of G. scabra plants

Multi-almost periodicity and invariant basins of general neural networks under almost periodic stimuli

In this paper, we investigate convergence dynamics of $2^N$ almost periodic encoded patterns of general neural networks (GNNs) subjected to external almost periodic stimuli, including almost periodic delays. Invariant regions are established for the existence of $2^N$ almost periodic encoded patterns under two classes of activation functions. By employing the property of $\mathscr{M}$-cone and inequality technique, attracting basins are estimated and some criteria are derived for the networks to converge exponentially toward $2^N$ almost periodic encoded patterns. The obtained results are new, they extend and generalize the corresponding results existing in previous literature.Comment: 28 pages, 4 figure

Equity in access to MRI equipment: the Portuguese case

Magnetic resonance imaging (MRI) is a method of image diagnose proven to be of undeniable importance when it comes to neuro and cardio related diseases. In fact, these diseases (such as: ischemic heart disease, stroke and acute myocardial infection) have high incidence in Portugal. For these reasons, the allocation of this medical technology should not be considered with light thoughts. In fact, making decision of resource allocation in health care can be a very complex and contested matter. The impacts of new technology allocation, such MRI, can be assessed in a variety of ways. However, a fundamental component should always be present: the use of evidence-based decision-making methods. One of these methods is Technology Assessment (TA). This paper aims to characterize the equity on access of the Portuguese population in general, to a specific medical device such as MRI, under the TA point of view. It is hoped to promote a bridge of scientific knowledge between the gap on research and policy-making through TA that can emerge as a tool to aid decision-makers in the organization of health systems. There are gaps in providing healthcare, due to geographical imbalances, with some areas unable to provide certain specialized services, as hospitals in the countryside do not provide all medical specialties. Portugal has also a large independent private sector that provides diagnostic and therapeutic services to NHS users under contracts called conventions. These medical contracts cover ambulatory health facilities for laboratory tests and examinations such as diagnostic tests and Radiology. However, there is no convention from the NHS when concerning the MRI exam. Therefore, this reality can be considered a limitation in the access of the general population to this kind of clinical exam. TA can play an useful and important role in helping the decision-makers to explore potential gains that might be achieved by introducing a more rational decision making into health care management, namely into the Radiology area, regarding the allocation of MRI equipment.Orientadores: António Brandão Moniz (FCT-UNL) e Michael Decker (ITAS-KIT

Urethral discharge as an early manifestation of urinary tract infection in children ≤24 months old

BackgroundChildren with febrile urinary tract infections (UTIs) are prone to kidney scarring if they are not treated promptly; however, ambiguous symptoms before fever onset makes the early detection of UTIs difficult. Our study aimed to identify urethral discharge as an early manifestation in children with UTI.MethodsThis study enrolled 678 children younger than 24 months with paired urinalysis and culture performed between 2015 and 2021; 544 children were diagnosed with UTIs. Clinical symptoms, urinalysis, and paired urine culture results were compared.ResultsUrethral discharge was observed in 5.1% of children with UTI and yielded a specificity of 92.5% for diagnosing UTI. Children with urethral discharge had a less severe UTI course, furthermore, nine of them received antibiotics before fever occurred and seven of them were free of fever during UTI course. Urethral discharge was associated with alkalotic urine and Klebsiella pneumonia infection.ConclusionsUrethral discharge is an early symptom in children with UTI; it may present before fever onset and help ensure prompt antibiotic intervention

Record linkage research and informed consent: who consents?

BACKGROUND: Linking computerized health insurance records with routinely collected survey data is becoming increasingly popular in health services research. However, if consent is not universal, the requirement of written informed consent may introduce a number of research biases. The participants of a national health survey in Taiwan were asked to have their questionnaire results linked to their national health insurance records. This study compares those who consented with those who refused. METHODS: A national representative sample (n = 14,611 adults) of the general adult population aged 20 years or older who participated in the Taiwan National Health Interview Survey (NHIS) and who provided complete survey information were used in this study. At the end of the survey, the respondents were asked if they would give permission to access their National Health Insurance records. Information given by the interviewees in the survey was used to analyze who was more likely to consent to linkage and who wasn't. RESULTS: Of the 14,611 NHIS participants, 12,911 (88%) gave consent, and 1,700 (12%) denied consent. The elderly, the illiterate, those with a lower income, and the suburban area residents were significantly more likely to deny consent. The aborigines were significantly less likely to refuse. No discrepancy in gender and self-reported health was found between individuals who consented and those who refused. CONCLUSION: This study is the first population-based study in assessing the consent pattern in a general Asian population. Consistent with people in Western societies, in Taiwan, a typical Asian society, a high percentage of adults gave consent for their health insurance records and questionnaire results to be linked. Consenters differed significantly from non-consenters in important aspects such as age, ethnicity, and educational background. Consequently, having a high consent rate (88%) may not fully eliminate the possibility of selection bias. Researchers should take this source of bias into consideration in their study design and investigate any potential impact of this source of bias on their results

INVITATION: An Elderly Friendly ICT-enabled Interactive Installation to Promote Social Participations

Many countries are facing significant challenges posed by aging populations, and many of these elderly people are increasingly socially isolated, raising the need to develop senior-friendly services and settings for community life. ICT-enabled technologies can be used to help the elderly maintain adequate degrees of social participation. This paper reports the design and production of an innovative recreation installation featuring elderly friendly technologies to enhance the social lives of elderly Chinese people. The contents are composed of modernized visualization elements of traditional Chinese painting designed to engage elderly Chinese people and promote interaction and participation.</p

A way to learn : the service learning between Indonesia (SCU) and Taiwan (FJU)

Gills and Maclellan (2010) conducted a 1999-2009 systemic literature review service learning in nursing education, outcomes suggest that students who participate in international programs having an increase in self-perceived cultural competency, encouraging lifelong commitment to continue serving, developing students into a positive force of change in healthcare abroad and within their own communities. The purpose of this study is in depth to analyze nursing students\u27 learning process through the service learning. Design: Action research method was used and a total number of 6 nursing students were participated in this study. One Taiwanese and one Indonesia students as a team shared a bed and lived with Indonesia family for 11 days. During this period students logs, field notes, reflection sheets and team working records as raw materials together to be used as content analysis, the reliability and validity is based on Lincoln and Guba (1985) proposed vetting reliability and validity of qualitative research methods. Results: After intensively living and working with Indonesia students and family in this international service learning program, the results come up as an agricultural process. It is improving students\u27 cross-culture communication in spread period. Follow by cultivated period that participants established cross-cultural sensitivities and culture respect. In the final harvest period, through the serving activities, participant fulfilled the role as givers and receivers among Indonesia partners and families and able to understand the meaning of love. In conclusion, this study confirmed the previous studies outcomes and showed the dynamic interaction amongst nursing students who joined service learning, and enhanced students understanding among the cultures, with the respect on inner or outer levels

The role of autologous bone graft in surgical treatment of hypertrophic nonunion of midshaft clavicle fractures

AbstractBackgroundThis study was conducted to evaluate the results of treating hypertrophic nonunion of mid-shaft clavicle fracture with a limited contact dynamic compression plate (LC-DCP) without autologous cancellous bone graft.MethodsFrom 1995 to 2008, 51 cases of hypertrophic nonunion of mid-shaft clavicle fracture were managed with open reduction and internal fixation by LC-DCP without bone graft involvement. Of these 51 cases, 30 had nonunion after failure of initial surgical treatment (Group 1), and 21 had nonunion after failure of conservative treatment (Group 2). Preoperative and postoperative case management were the same for both groups, with the average follow-up period being 20.4 months (range 18–36). Our study evaluated the radiographic results and functional outcomes of these cases according to the quick disability of arm, shoulder, and hand score.ResultsAll 51 cases resulted in uneventful unions. There was no statistically significant difference between the two groups regarding patient demography, cause of injury, preoperative and postoperative functional scores, length of operation, union time, and duration of hospitalization (p>0.05).ConclusionLC-DCP fixation is an effective method for treating hypertrophic nonunion of mid-shaft clavicle fracture. Local bone graft is sufficient to achieve necessary union, and autologous bone graft from other sites of the body appears unnecessary