Objectives. The use of complementary and alternative medicine (CAM)has grown substantially in North America and has drawn the attention of conventional-medicine practitioners. Conventional-medicine practitioners have ...Objectives. The use of complementary and alternative medicine (CAM)has grown substantially in North America and has drawn the attention of conventional-medicine practitioners. Conventional-medicine practitioners have expressed concern about the potential for unregulated CAM therapies to cause harm, the sometimes-uncertain cost-benefit ratios associated with these therapies, and the possibility that some CAM providers might advise against established conventional therapies, such as vaccination. These concerns are heightened with respect to the pediatric use of CAM products. To address this issue, we conducted a systematic audit of pediatric and adolescent case files at a large, college-based, Canadian naturopathic teaching clinic. We specifically sought to describe the demographic characteristics, reasons for presentation, use of CAM products, and vaccinations status of children presenting for naturopathic assessment. We also determined factors associated with the use of CAM products and vaccination status. Methods. We identified all charts for children (< 18 years of age) who presented to the Robert Schad Naturopathic Clinic, the teaching clinic of the Canadian College of Naturopathic Medicine, between February 1 and May 31, 2002. Data were abstracted directly from the standardized patient intake forms and from clinical notes recorded during the patient’s initial visit to the clinic. The following data were obtained: age, gender, chief presenting complaints reported by parents, CAM product use at presentation, vaccination status, and reactions to vaccination. We conducted logistic regression analyses to identify factors associated with both CAM product use and vaccination status. Results. A total of 482 charts were identified. The mean age of patients was 6.5 years (95%confidence interval [CI]: 1.6-11.4 years). The ratio of female subjects to male subjects was 1.09:1 (248:227). The most common reasons for presentation were skin disorders (23%), gastrointestinal complaints (17%), and psychiatric/behavioral disorders (15%). Thirty-five percent of children were using CAM products at presentation (21.2%when both vitamins and minerals were excluded). Vitamins were the most commonly used products (34.6%), followed by herbal remedies (14.9%), oil blends/fats (7.2%), minerals (5.6%), probiotics (4.5%), and homeopathic remedies (3.7%). Of charts with vaccination information, 8.9%indicated that children had not been vaccinated; possible vaccine-associated adverse events were reported for 27%of those who had been vaccinated. Partial or unvaccinated status was associated with younger age, attending the Canadian College of Naturopathic Medicine for advice regarding vaccination, and greater use of CAM products. CAM product use was associated with unvaccinated or partially vaccinated status (odds ratio [OR]: 2.86; 95%CI: 1.46-5.63), presenting with poor energy or fatigue (OR: 3.36; 95%CI: 1.00-11.26), or presenting with throat or sinus infections (OR: 4.06; 95%CI: 1.23-13.04). Conclusions. Children present for naturopathic assessment for diverse reasons, are high-level consumers of CAM products, and have lower rates of vaccination than population averages. The conventional medicine community should work with naturopaths to address public health concerns in this population.展开更多
Numerical simulation of enhanced fluid flow characteristics in a three-stage double-stirring extraction tank was conducted with the coupling of an Eulerian multiphase flow model and a Morsi-Alexander interphase drag f...Numerical simulation of enhanced fluid flow characteristics in a three-stage double-stirring extraction tank was conducted with the coupling of an Eulerian multiphase flow model and a Morsi-Alexander interphase drag force model. Results show that the addition of a stirring device into the settler can efficiently reduce the volume fraction of out-of-phase impurity in the outlet, and accelerate the settling separation of oil-water mixture. Such addition can also effectively break down the oil-water-wrapped liquid droplets coming from the mixer, inhibit reflux from the outlet, and improve the oil-water separation. The addition of a stirring device induces ignorable power consumption compared with that by the mixer, and can thus facilitate the commercialized promotion of this novel equipment.展开更多
The volatile oils from leaves of Michelia chapensis Dandy and M. foveolata Merr.ex Dandy were isolated by organic solvent extraction and their components were analyzed and quantified by GC/MS. Then, the total anti-oxi...The volatile oils from leaves of Michelia chapensis Dandy and M. foveolata Merr.ex Dandy were isolated by organic solvent extraction and their components were analyzed and quantified by GC/MS. Then, the total anti-oxidation capacity and simulated SOD activity were tested. Forty-four compounds in M. chapensis were identified and the main constituents are aromatic (11.057%), ester (5.041%) and terpenoid compounds (19.772%). Fifty-two compounds in M. foveolata were identified, and their main constituents are aromatic (21.293%), alcohol (17.403%), alkene (6.909%), ester (5.657%) and alkane compounds (5.134%). The results showed that the two oils have strong anti-oxidation capacity and simulated SOD activity. The total anti-oxidation capacities were the highest when the volatile oil from M. foveolata was diluted by 50 times and that from M.chapensis by 100 times. The simulated SOD activity of volatile oil from M. chapensis was higher than that from M. foveolata, and CuZn-SODs in the two oils held 73%-74% of the total SOD. These results will provide scientific foundation for the exploration of the bioactivity of M. chapensis and M. foveolata.展开更多
The soot surface growth plays significant role on the soot mass accumulation,which starts with H(hydrogen)atom abstraction forming activated soot surface sites,and is followed by the acetylene addition process.In this...The soot surface growth plays significant role on the soot mass accumulation,which starts with H(hydrogen)atom abstraction forming activated soot surface sites,and is followed by the acetylene addition process.In this study,the effect of the mixture inhomogeneity and combustion temperature on the soot surface activity and soot formation was investigated by developing a new multi-step phenomenological(MSP)soot model of diesel engines.A new detailed soot surface growth mechanism was proposed by correlation analysis of combustion parameters with soot formation.The inhomogeneity coefficient of soot surface activityαCH and the specific rate of soot surface growth R CH were derived to highlight the effect of inhomogeneity of mixture and combustion temperature on soot formation.The predicted diesel engine-out soot agreed well with experimental findings in wide ranges of combustion conditions.In the case of lower engine load with single fuel injection and higher EGR(exhaust gas recirculation)rate,it had quiet homogeneous mixtures before ignition when the combustion temperature dominated the soot surface activity.At medium engine load with multi-pulse fuel injections,it got mixture slightly stratified before ignition and revealed that the mixture inhomogeneity became more dominated on soot surface activity than the combustion temperature.An increased soot surface activity led to increased soot emission.Under the full engine loads with single fuel injection but quite high boost pressure over 0.4 MPa,it led to the combustion conditions of higher mixture density and higher mixture heat capacity,which benefits the mixture homogeneity.The decay rate of soot surface activity became lower due to the decreased combustion temperature and the soot surface activity decreased due to improved mixture homogeneity.In addition,the lowered intake oxygen concentration due to usage of EGR played a role to lower the specific rate of soot surface growth R CH,but to increase the soot surface activityαCH.展开更多
文摘Objectives. The use of complementary and alternative medicine (CAM)has grown substantially in North America and has drawn the attention of conventional-medicine practitioners. Conventional-medicine practitioners have expressed concern about the potential for unregulated CAM therapies to cause harm, the sometimes-uncertain cost-benefit ratios associated with these therapies, and the possibility that some CAM providers might advise against established conventional therapies, such as vaccination. These concerns are heightened with respect to the pediatric use of CAM products. To address this issue, we conducted a systematic audit of pediatric and adolescent case files at a large, college-based, Canadian naturopathic teaching clinic. We specifically sought to describe the demographic characteristics, reasons for presentation, use of CAM products, and vaccinations status of children presenting for naturopathic assessment. We also determined factors associated with the use of CAM products and vaccination status. Methods. We identified all charts for children (< 18 years of age) who presented to the Robert Schad Naturopathic Clinic, the teaching clinic of the Canadian College of Naturopathic Medicine, between February 1 and May 31, 2002. Data were abstracted directly from the standardized patient intake forms and from clinical notes recorded during the patient’s initial visit to the clinic. The following data were obtained: age, gender, chief presenting complaints reported by parents, CAM product use at presentation, vaccination status, and reactions to vaccination. We conducted logistic regression analyses to identify factors associated with both CAM product use and vaccination status. Results. A total of 482 charts were identified. The mean age of patients was 6.5 years (95%confidence interval [CI]: 1.6-11.4 years). The ratio of female subjects to male subjects was 1.09:1 (248:227). The most common reasons for presentation were skin disorders (23%), gastrointestinal complaints (17%), and psychiatric/behavioral disorders (15%). Thirty-five percent of children were using CAM products at presentation (21.2%when both vitamins and minerals were excluded). Vitamins were the most commonly used products (34.6%), followed by herbal remedies (14.9%), oil blends/fats (7.2%), minerals (5.6%), probiotics (4.5%), and homeopathic remedies (3.7%). Of charts with vaccination information, 8.9%indicated that children had not been vaccinated; possible vaccine-associated adverse events were reported for 27%of those who had been vaccinated. Partial or unvaccinated status was associated with younger age, attending the Canadian College of Naturopathic Medicine for advice regarding vaccination, and greater use of CAM products. CAM product use was associated with unvaccinated or partially vaccinated status (odds ratio [OR]: 2.86; 95%CI: 1.46-5.63), presenting with poor energy or fatigue (OR: 3.36; 95%CI: 1.00-11.26), or presenting with throat or sinus infections (OR: 4.06; 95%CI: 1.23-13.04). Conclusions. Children present for naturopathic assessment for diverse reasons, are high-level consumers of CAM products, and have lower rates of vaccination than population averages. The conventional medicine community should work with naturopaths to address public health concerns in this population.
基金financially supported by the National 863 Plan(2010AA03A405and 2012AA062303)+4 种基金the National 973 Plan(2012CBA01205)the National Natural Science Foundation of China(U120227451204040)the National Science and Technology Support Program(2012BAE01B02)the Fundamental Research Funds for the Central Universities(N130702001 and N130607001)
文摘Numerical simulation of enhanced fluid flow characteristics in a three-stage double-stirring extraction tank was conducted with the coupling of an Eulerian multiphase flow model and a Morsi-Alexander interphase drag force model. Results show that the addition of a stirring device into the settler can efficiently reduce the volume fraction of out-of-phase impurity in the outlet, and accelerate the settling separation of oil-water mixture. Such addition can also effectively break down the oil-water-wrapped liquid droplets coming from the mixer, inhibit reflux from the outlet, and improve the oil-water separation. The addition of a stirring device induces ignorable power consumption compared with that by the mixer, and can thus facilitate the commercialized promotion of this novel equipment.
基金"Research and demonstration of ‘dot’ of ecological network of Chinese urban forest"(2001BA516A15-07) of China scientific andtechnological key projects in "tenth five-year" and "Regional test of arbor and ecological function trees afforested in city and town" (2002-17A)sponsored by State Forestry Administration.
文摘The volatile oils from leaves of Michelia chapensis Dandy and M. foveolata Merr.ex Dandy were isolated by organic solvent extraction and their components were analyzed and quantified by GC/MS. Then, the total anti-oxidation capacity and simulated SOD activity were tested. Forty-four compounds in M. chapensis were identified and the main constituents are aromatic (11.057%), ester (5.041%) and terpenoid compounds (19.772%). Fifty-two compounds in M. foveolata were identified, and their main constituents are aromatic (21.293%), alcohol (17.403%), alkene (6.909%), ester (5.657%) and alkane compounds (5.134%). The results showed that the two oils have strong anti-oxidation capacity and simulated SOD activity. The total anti-oxidation capacities were the highest when the volatile oil from M. foveolata was diluted by 50 times and that from M.chapensis by 100 times. The simulated SOD activity of volatile oil from M. chapensis was higher than that from M. foveolata, and CuZn-SODs in the two oils held 73%-74% of the total SOD. These results will provide scientific foundation for the exploration of the bioactivity of M. chapensis and M. foveolata.
基金supported by the National Natural Science Foundation of China through its key project funding CNFS(Grant No.51236005)the Ministry of Science and Technology through its 973 National Key Project(Grant No.2013CB228401)
文摘The soot surface growth plays significant role on the soot mass accumulation,which starts with H(hydrogen)atom abstraction forming activated soot surface sites,and is followed by the acetylene addition process.In this study,the effect of the mixture inhomogeneity and combustion temperature on the soot surface activity and soot formation was investigated by developing a new multi-step phenomenological(MSP)soot model of diesel engines.A new detailed soot surface growth mechanism was proposed by correlation analysis of combustion parameters with soot formation.The inhomogeneity coefficient of soot surface activityαCH and the specific rate of soot surface growth R CH were derived to highlight the effect of inhomogeneity of mixture and combustion temperature on soot formation.The predicted diesel engine-out soot agreed well with experimental findings in wide ranges of combustion conditions.In the case of lower engine load with single fuel injection and higher EGR(exhaust gas recirculation)rate,it had quiet homogeneous mixtures before ignition when the combustion temperature dominated the soot surface activity.At medium engine load with multi-pulse fuel injections,it got mixture slightly stratified before ignition and revealed that the mixture inhomogeneity became more dominated on soot surface activity than the combustion temperature.An increased soot surface activity led to increased soot emission.Under the full engine loads with single fuel injection but quite high boost pressure over 0.4 MPa,it led to the combustion conditions of higher mixture density and higher mixture heat capacity,which benefits the mixture homogeneity.The decay rate of soot surface activity became lower due to the decreased combustion temperature and the soot surface activity decreased due to improved mixture homogeneity.In addition,the lowered intake oxygen concentration due to usage of EGR played a role to lower the specific rate of soot surface growth R CH,but to increase the soot surface activityαCH.
