Researchers and extensionists would pursue their interests to develop new inventions and encourage rubber smallholders to adopt new technology and practices to increase production of their holdings. Three interrelated...Researchers and extensionists would pursue their interests to develop new inventions and encourage rubber smallholders to adopt new technology and practices to increase production of their holdings. Three interrelated systems, research and development （R＆D） system, extension/delivery system and client （smallholders） system, are responsible to make the rubber industry viable and dynamic. The extension system is also encouraged to identify and carry out related research activities besides its own core function to enhance clients＇ understanding and to use the findings as basis to plan effective strategies for implementation. Knowledge acquisition among clients is critical in capacity building process. With knowledge, clients tend to develop favorable attitude and use it to develop specific skill to practice recommended technology and new practices. Necessity is the mother of invention in times of need, especially when rubber price is low. Researchers, extensionists and smallholders are ＂forced＂ to collaborate and become creative to fred alternative ways and uses of natural rubber to increase demand of the commodity. When natural rubber price is low, funding for research needs to be maintained at current level, or in some cases, funding is increased to ensure that the industry is not void of new technology and new products. The main goal of the rubber industry is to ensure that new technology and practices are continuously being generated and developed by researchers to be adopted by rubber smallholders. The adoption of new technology and practices by smallholders ensures that production of natural rubber continues to increase, while income of smallholders is maintained or increased at an appreciative level to offset low rubber prices. There is an inclination in the rubber industry that when the commodity＇s price is low, activities and programs related to research and dissemination of research results would follow to be reduced, resulting in stagnation and opportunities for future growth of the industry. The National Blue Ocean Strategy （NBOS） should be used to harness expertise in research among researchers of local universities, as well as to cooperate among extensionists from agencies at state and national levels to help disseminate research results. The NBOS can reduce cost, and has bigger impacts and wider applications of natural rubber for local and international markets.展开更多
Objective To observe the clinical efficacy of acupuncture and moxibustion in treatment of functional amenorrhea by establishing artificial cycle.Method One hundred and twelve eligible patients with functional amenorrh...Objective To observe the clinical efficacy of acupuncture and moxibustion in treatment of functional amenorrhea by establishing artificial cycle.Method One hundred and twelve eligible patients with functional amenorrhea were divided into an acupuncture-moxibustion group（64 cases） and a western medication group（48 cases） by adopting random method.According to the pattern differentiation of amenorrhea of traditional Chinese medicine,the patients in the acupuncture-moxibustion group were classified into two types：amenorrhea due to blood depletion and amenorrhea due to stagnation of blood.For patients with amenorrhea due to blood depletion,Guanyuan（关元 CV4）,Zhongji（中极CV 3）,GuiTlai（归来ST 29）,Geshu（膈俞 BL 17）,Ganshu（肝俞BL 18）,Pishu（脾俞 BL 20） and Shenshu（肾俞 BL 23） were selected.At first,BL 17,BL 18,BL 20 and BL 23 were needled;after deqi,reinforcing method was applied,and the needles were not retained.Then,warmingneedle moxibustion was applied at CV 4,CV 3 and ST 29,and the needles were retained for 30 min.For patients with amenorrhea due to stagnation of blood,CV 3,Qihai（气海CV 6）,Xuehai（血海 SP 10）,Sanyinjiao（三阴交 SP 6）and Xingjian（行间 LR 2） were selected,reducing method was applied,and the needles were retained for 30 min.The treatment was performed once a day,and treatment for 15 consecutive days were the 1st cycle.The 2nd and3 rd cycles started from the 5th day of menstruation（for the patients still not menstruating,the 2nd and 3rd cycles started from the 29 th and 57 th days since the 1st day of treatment）,and the treatment lasted for 15 days.Three cycles were needed.In the western medicine group,estrogen-progestogen was taken orally for 21 days（one cycle） to establish a artificial cycle.The levels of FSH and LH were tested and compared on the 3rd day of menstruation before treatment and after the 3rd cycle of treatment,and the adverse effects were analyzed statistically.Follow-up visit was conducted for the patients after treatment for three cycles,and the recurrence rate was calculated.Result The levels of FSH and LH of patients with functional amenorrhea were enhanced significantly through establishing artificial cycle by acupuncture and moxibustion.There was no significant difference between the acupuncture-moxibustion group and the western medication group in effective rate（P〉0.05）;but the adverse effect rate（1.49%） and recurrence rate（25.0%） of the acupuncture-moxibustion group were lower than that of the western medication group（with the adverse effect rate of 4.14%,and recurrence rate of 69.8%）（both P〈0.05）.Conclusion The levels of FSH and LH of patients with functional amenorrhea can be enhanced significantly through establishing artificial cycle by acupuncture and moxibustion.The efficacy of acupuncture and moxibustion in treatment of functional amenorrhea by establishing artificial cycle is equivalent to that of oral administration of estrogen-progestogen in treatment of functional amenorrhea by establishing artificial cycle,but the adverse effect rate and recurrence rate of acupuncture and moxibustion group are lower.展开更多
文摘Researchers and extensionists would pursue their interests to develop new inventions and encourage rubber smallholders to adopt new technology and practices to increase production of their holdings. Three interrelated systems, research and development （R＆D） system, extension/delivery system and client （smallholders） system, are responsible to make the rubber industry viable and dynamic. The extension system is also encouraged to identify and carry out related research activities besides its own core function to enhance clients＇ understanding and to use the findings as basis to plan effective strategies for implementation. Knowledge acquisition among clients is critical in capacity building process. With knowledge, clients tend to develop favorable attitude and use it to develop specific skill to practice recommended technology and new practices. Necessity is the mother of invention in times of need, especially when rubber price is low. Researchers, extensionists and smallholders are ＂forced＂ to collaborate and become creative to fred alternative ways and uses of natural rubber to increase demand of the commodity. When natural rubber price is low, funding for research needs to be maintained at current level, or in some cases, funding is increased to ensure that the industry is not void of new technology and new products. The main goal of the rubber industry is to ensure that new technology and practices are continuously being generated and developed by researchers to be adopted by rubber smallholders. The adoption of new technology and practices by smallholders ensures that production of natural rubber continues to increase, while income of smallholders is maintained or increased at an appreciative level to offset low rubber prices. There is an inclination in the rubber industry that when the commodity＇s price is low, activities and programs related to research and dissemination of research results would follow to be reduced, resulting in stagnation and opportunities for future growth of the industry. The National Blue Ocean Strategy （NBOS） should be used to harness expertise in research among researchers of local universities, as well as to cooperate among extensionists from agencies at state and national levels to help disseminate research results. The NBOS can reduce cost, and has bigger impacts and wider applications of natural rubber for local and international markets.
文摘Objective To observe the clinical efficacy of acupuncture and moxibustion in treatment of functional amenorrhea by establishing artificial cycle.Method One hundred and twelve eligible patients with functional amenorrhea were divided into an acupuncture-moxibustion group（64 cases） and a western medication group（48 cases） by adopting random method.According to the pattern differentiation of amenorrhea of traditional Chinese medicine,the patients in the acupuncture-moxibustion group were classified into two types：amenorrhea due to blood depletion and amenorrhea due to stagnation of blood.For patients with amenorrhea due to blood depletion,Guanyuan（关元 CV4）,Zhongji（中极CV 3）,GuiTlai（归来ST 29）,Geshu（膈俞 BL 17）,Ganshu（肝俞BL 18）,Pishu（脾俞 BL 20） and Shenshu（肾俞 BL 23） were selected.At first,BL 17,BL 18,BL 20 and BL 23 were needled;after deqi,reinforcing method was applied,and the needles were not retained.Then,warmingneedle moxibustion was applied at CV 4,CV 3 and ST 29,and the needles were retained for 30 min.For patients with amenorrhea due to stagnation of blood,CV 3,Qihai（气海CV 6）,Xuehai（血海 SP 10）,Sanyinjiao（三阴交 SP 6）and Xingjian（行间 LR 2） were selected,reducing method was applied,and the needles were retained for 30 min.The treatment was performed once a day,and treatment for 15 consecutive days were the 1st cycle.The 2nd and3 rd cycles started from the 5th day of menstruation（for the patients still not menstruating,the 2nd and 3rd cycles started from the 29 th and 57 th days since the 1st day of treatment）,and the treatment lasted for 15 days.Three cycles were needed.In the western medicine group,estrogen-progestogen was taken orally for 21 days（one cycle） to establish a artificial cycle.The levels of FSH and LH were tested and compared on the 3rd day of menstruation before treatment and after the 3rd cycle of treatment,and the adverse effects were analyzed statistically.Follow-up visit was conducted for the patients after treatment for three cycles,and the recurrence rate was calculated.Result The levels of FSH and LH of patients with functional amenorrhea were enhanced significantly through establishing artificial cycle by acupuncture and moxibustion.There was no significant difference between the acupuncture-moxibustion group and the western medication group in effective rate（P〉0.05）;but the adverse effect rate（1.49%） and recurrence rate（25.0%） of the acupuncture-moxibustion group were lower than that of the western medication group（with the adverse effect rate of 4.14%,and recurrence rate of 69.8%）（both P〈0.05）.Conclusion The levels of FSH and LH of patients with functional amenorrhea can be enhanced significantly through establishing artificial cycle by acupuncture and moxibustion.The efficacy of acupuncture and moxibustion in treatment of functional amenorrhea by establishing artificial cycle is equivalent to that of oral administration of estrogen-progestogen in treatment of functional amenorrhea by establishing artificial cycle,but the adverse effect rate and recurrence rate of acupuncture and moxibustion group are lower.
