Does Chinese medicine consultation share features and effects of cognitive-behavioural therapy? Using traditional acupuncture as an example

Background: Acupuncture, as part of Chinese medicine (CM), is based on a holistic therapeutic theory. Individualised differential diagnosis is the essence and an integral part of its practice. It leads to an individualised treatment plan. Little research on the nature and effects of the CM consultation has been conducted. Previous studies showed behavioural and cognitive changes after traditional acupuncture treatment. In this article, through a hypothetical case, we illustrated a CM consultation process, examined the changes produced and compared the features between CM consultation and cognitive-behavioural therapy (CBT). Main text: The two therapies share nine out of eleven features, including five specific factors that took different forms in CM and CBT and four non-specific factors known to partially mediate the relationship between psychological therapies and positive therapeutic outcomes. Although Chinese medicine treatments induce changes in behaviours as well as cognition, CM consultation does not share two essential features of CBT, namely a framework of the interaction between behaviour and cognition and teaching patients how to identify and dispute dysfunctional thoughts. Discussion: CM consultation has CBT-like features and effects. Existing qualitative studies suggest that changes in behaviours and cognition after traditional acupuncture treatment are probably due to the CM consultation process or its combined effect with needling, rather than acupuncture needling alone. This hypothesis provides a new perspective on the contributing factors to acupuncture effect. CBT-like features and effects of traditional acupuncture is underestimated by practitioners and researchers, and need to be taken into consideration in acupuncture trial design and clinical practice

Selective Laser Melting of Pure Tin: Microstructure Study

Selective Laser Melting (SLM) of pure tin was examined and 3D samples were successfully fabricated. High relative density of 99.9 % was achieved. Microstructure study was carried out via a combination of X-ray diffraction (XRD), light microscopy (LOM) and electron backscatter diffraction (EBSD). Under LOM, columnar structures, some spanning the entire height of the sample, are observed in the vertical plane. This study also examines the variation of relative density against process parameters such as hatch spacing and the input volumetric energy density for the SLM of tin.Mechanical Engineerin

Numerical investigation of conjugated heat transfer in a channel with a moving depositing front

This article presents numerical simulations of conjugated heat transfer in a fouled channel with a moving depositing front. The depositing front separating the fluid and the deposit layer is captured using the level-set method. Fluid flow is modeled by the incompressible Navier–Stokes equations. Numerical solution is performed on a fixed mesh using the finite volume method. The effects of Reynolds number and thermal conductivity ratio between the deposit layer and the fluid on local Nusselt number as well as length-averaged Nusselt number are investigated. It is found that heat transfer performance, represented by the local and length-averaged Nusselt number reduces significantly in a fouled channel compared with that in a clean channel. Heat transfer performance decreases with the growth of the deposit layer. Increases in Reynolds, Prandtl numbers both enhance heat transfer. Besides, heat transfer is enhanced when the thermal conductivity ratio between the deposit layer and the fluid is lower than 20 but it decreases when the thermal conductivity ratio is larger than 2

Síntesis de ésteres de acetato hexilo, mediante transesterificación química a partir de palma como base sintética de fluidos para sondeos

In the present study the synthesis of a palm based ethylhexyl ester was examined through a transesterification reaction of palm oil methyl ester (POME) with 2-ethylhexanol (EH). A sodium methoxide in methanol solution was used as a catalyst. The reaction was carried out at a fixed pressure of 1.5 mbar by varying the temperature (80–140 °C), POME/2EH molar ratio (1:1.5–1:2.2), reaction time (0.5–4 h) and catalyst concentration (1–2% w/w). The reaction with 2-ethylhexanol involved a single step reversible reaction, thus, the reaction was completed in a very short time. The optimum conditions were obtained in less than 30 minutes with 1.5 mbar pressure, 70 °C, and 1:2 molar ratio of POME to 2EH. The analysis of the final product (ethylhexyl ester) was performed using gas chromatography which exhibited 98% of ethyl hexyl ester yield. The gas chromatography analysis of ethyl hexyl ester revealed two major esters peaks i.e. ethyl hexyl palmitate and ethylhexyl oleate.En el presente estudio se analizó la síntesis de ésteres de acetato de hexilo de palma mediante reacción de transesterificación de los ésteres metílicos de aceite de palma (PME) con 2-etilhexanol (EH). Como catalizador se utiliza una solución de metóxido de sodio en metanol. La reacción se lleva a cabo a presión fija de 1,5 mbar mediante la variación de temperatura (80–140 °C), relación molar POME/2EH (1:1.5–1:2.2), tiempo de reacción (0,5–4 h) y concentración de catalizador (1–2% w / w). La reacción con 2-etilhexanol implica un solo paso de una reacción reversible, por lo tanto, ésta se completa en un tiempo muy corto. Las condiciones óptimas se obtuvieron en menos de 30 min a 1,5 mbar, 70 °C y una relación molar de 1:2 de POME al 2EH. El análisis del producto final se realizó usando cromatografía de gases que mostró un rendimiento del 98% del etilhexil éster. El análisis de la cromatografía de gases del etilhexil éster muestra dos grandes picos correspondientes a los ésteres palmitato y oleato de etilhexilo

Antimicrobial and anti-biofilm activities of plant extracts against Pseudomonas aeruginosa – a review

Antimicrobial resistance among bacterial pathogens, including Pseudomonas aeruginosa, is a global problem that has led to research on naturally occurring compounds as an alternative source of antibacterial and anti-biofilm agents. This review focuses on determining plant extracts' antimicrobial and anti-biofilm activities against P. aeruginosa, an opportunistic pathogen contributing to microbial and biofilm-associated infections in humans. Medicinal plants are being widely researched as they are rich sources of phytochemicals, including flavonoids, alkaloids, tannins and terpenoids. These phytochemicals have been well known for their antibacterial activity, which contributes to the effectiveness of certain plants, including Punica granatum and Triumfetta welwitschia, against P. aeruginosa. Hypericum perforatum and Berginia ciliata contains phytochemicals that directly inhibit the quorum sensing mechanism, inhibiting the direct cell-to-cell communication, thereby preventing or reducing biofilm formation by P. aeruginosa. Plant extracts also inhibit bacterial growth and should be considered an alternative to antibiotics. Furthermore, plant extracts can be used with antibiotics for better efficacy against P. aeruginosa. However, more research must be carried out to select plants with a broad spectrum of activity against not only P. aeruginosa infections but other gram-negative bacteria in general. It would be economically viable to develop as a therapeutic drug. This would align with the third United Nations sustainable development goals on good health and well-being and is a significant step forward in the battle against antibiotic resistance

On the asymptotic and practical complexity of solving bivariate systems over the reals

This paper is concerned with exact real solving of well-constrained, bivariate polynomial systems. The main problem is to isolate all common real roots in rational rectangles, and to determine their intersection multiplicities. We present three algorithms and analyze their asymptotic bit complexity, obtaining a bound of \sOB(N^{14}) for the purely projection-based method, and \sOB(N^{12}) for two subresultant-based methods: this notation ignores polylogarithmic factors, where $N$ bounds the degree and the bitsize of the polynomials. The previous record bound was \sOB(N^{14}). Our main tool is signed subresultant sequences. We exploit recent advances on the complexity of univariate root isolation, and extend them to sign evaluation of bivariate polynomials over two algebraic numbers, and real root counting for polynomials over an extension field. Our algorithms apply to the problem of simultaneous inequalities; they also compute the topology of real plane algebraic curves in \sOB(N^{12}), whereas the previous bound was \sOB(N^{14}). All algorithms have been implemented in MAPLE, in conjunction with numeric filtering. We compare them against FGB/RS, system solvers from SYNAPS, and MAPLE libraries INSULATE and TOP, which compute curve topology. Our software is among the most robust, and its runtimes are comparable, or within a small constant factor, with respect to the C/C++ libraries. Key words: real solving, polynomial systems, complexity, MAPLE softwareComment: 17 pages, 4 algorithms, 1 table, and 1 figure with 2 sub-figure

Thomas Decomposition of Algebraic and Differential Systems

In this paper we consider disjoint decomposition of algebraic and non-linear partial differential systems of equations and inequations into so-called simple subsystems. We exploit Thomas decomposition ideas and develop them into a new algorithm. For algebraic systems simplicity means triangularity, squarefreeness and non-vanishing initials. For differential systems the algorithm provides not only algebraic simplicity but also involutivity. The algorithm has been implemented in Maple

HIV testing in re-education through labour camps in Guangxi Autonomous Region, China (a cross-sectional survey)

Objective: HIV testing is mandatory in re-education-through-labour camps (laojiaosuo) in China yet no studies have reported on the process. Methods: The survey response rate was 100% although 29 detainees were excluded because they were under 18 years of age. A cross-sectional face-to-face survey was conducted in three labour camps in Guangxi, located in the south-western region of China. Results: Of the 755 detainees surveyed, 725 (96%) reported having a blood test in the labour camps of whom 493 (68%) thought this included an HIV test. 61 detainees self-reported they were HIV infected, their status confirmed by medical records, if available. Of these, 53 (87%) recalled receiving post-test HIV education, and 15 (25%) were currently receiving HIV antiretroviral therapy. Pretest education on HIV was provided to 233/725 (32%) detainees. The study further reports on detainees’ reactions and feelings towards non-disclosure and disclosure of their HIV test results in the labour camps. Conclusions: Mandatory testing is almost universal in the labour camps although a proportion of detainees were unaware that this included an HIV test. HIV test results should be disclosed to all labour camp detainees to reduce their distress of not knowing and prevent misconceptions about their HIV status. Labour camps provide another opportunity to implement universal treatment (‘Test and Treat’) to prevent the spread of HIV