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Eul-Matern, Christina. "Allergiebehandlung in der TCVM." Zeitschrift für Ganzheitliche Tiermedizin 35, no. 02 (May 2021): 42–45. http://dx.doi.org/10.1055/a-1368-1326.
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ZusammenfassungDie traditionelle chinesische Medizin (TCM) betrachtet und behandelt Zustände wie allergische Reaktionen nicht auf der Oberfläche der äußeren Zeichen wie Juckreiz, Schwellung, Rötung, sondern interpretiert körperliche Reaktionen im Außen als Zeichen tiefer liegender Schwächung des Systems wegen anhaltender Reizung durch einen pathogenen Restfaktor. Laut Kapitel 63 des Ni Jing Su Wen werden die Hauptleitbahnen durch Sonderleitbahnen enger verknüpft, sodass eine stabile Innen-Außen-Beziehung besteht. Außerdem bringen sie das Qi und Blut aller Meridiane bis zum Gesicht und Kopf. Sie transportieren Wei Qi und Yuan Qi. Über sie können exogene pathogene Faktoren nach innen und außen gelangen. Ihre Aufgabe ist der Schutz der tiefer liegenden Organe (Zang Fu) und der Hauptmeridiane. Insbesondere werden sie aktiv, wenn das Yuan Qi nicht jahreszeitlich angepasst reagieren kann und allergische Reaktionen auftreten. Durch spezielle Akupunkturkonzepte ist es möglich, den jeweiligen pathogenen Restfaktor über die betroffene Sonderleitbahn auszuleiten und den Organismus zu entlasten.
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DENG, YUNFEI. "Aralia wangshanensis (Araliaceae)—the legitimate name for Aralia franchetii." Phytotaxa 402, no. 1 (April 18, 2019): 73. http://dx.doi.org/10.11646/phytotaxa.402.1.11.
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Aralia Linnaeus (1753: 273) consists of approximately 65 species distributed in eastern to southeastern Asia and the Americas (Wen, 1993). In the past there has been much disagreement over whether Aralia should be recognized in a broad or narrow sense (Li 1942, Hoo & Tseng 1965, 1978, Shang 1985a, 1985b, Shang & Li 1990, Wen 1993, 2002, 2011, Wen et al. 2002, Xiang & Lowry 2007). The broad sense of Aralia is supported by recent studies on the basis of morphological characters and molecular evidence (Wen 1993, Wen et al. 2001, 2002), and therefore some segregated genera, Coudenbergia Marchal (1879: 514), Pentapanax Seemmann (1864: 290, 294), Hunaniopanax Qi et Cao (1988: 47), Neoacanthophora Bennet (1979: 283), Sciadodendron Grisebach (1858: 7), Parapentapax Hutchinson (1967: 56) and Megalopanax E. Ekman ex Harms (1924:122), are reduced to the synonymies of Aralia (Wen 1993. Wen et al. 2002). Wen (2011) divided the genus into six sections: sect. Aralia, sect. Dimorphanthus (Miquel 1840: 95) Miquel (1863: 6), sect. Humiles Harms (1896: 13), sect. Nanae Harms (1896: 12), sect. Pentapanax (Semm.) Wen (2002: 31) and sect. Sciadodendron (Griseb.) Wen (2011: 29).
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Wu, Fatima, Zheng Shu Shen, Huang Jichi, and Lu Weilian. "Zao qi Xiang-Gang xin wen xue zuo pin xuan, 1927-1941." World Literature Today 73, no. 4 (1999): 818. http://dx.doi.org/10.2307/40155275.
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Lee Chun Young. "Analysis on the Rhymes System of Wen-qi-ji(問奇集)." Journal of Chinese Language and Literature ll, no. 53 (June 2009): 263–310. http://dx.doi.org/10.15792/clsyn..53.200906.263.
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Ushiroyama, Takahisa, Toshimitsu Hosotani, Kuniko Mori, Yoshiki Yamashita, Atsushi Ikeda, and Minoru Ueki. "Effects of Switching to Wen-Jing-Tang (Unkei-To) from Preceding Herbal Preparations Selected by Eight-Principle Pattern Identification on Endocrinological Status and Ovulatory Induction in Women with Polycystic Ovary Syndrome." American Journal of Chinese Medicine 34, no. 02 (January 2006): 177–87. http://dx.doi.org/10.1142/s0192415x06003746.
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The objective of this study was to investigate the effects of switching therapy to Wen-jing-tang (Unkei-to) from previous selected herbal preparations on endocrine levels and induction of ovulation in women with polycystic ovary syndrome (PCOS). Sixty-four anovulatory women diagnosed with PCOS were enrolled in the study. After Kampo diagnosis, subjects received matched Kampo preparations (43 cases: Dang-gui-shao-yao-san, 21 cases: Gui-zhi-fu-ling-wan) selected by the matching theory of eight-principle pattern identification and Kampo diagnosis based on concepts of the qi, blood, and fluids as the physiologic activity. Fifty-four women who failed to ovulate after an 8-week treatment were randomly allocated to continuation of treatment with the preceding Kampo prescription (continuation group, n = 27) or treatment with Wen-jing-tang (switching group, n = 27). Plasma FSH, LH and estradiol levels were measured and ovulation rates were determined at the beginning and after an 8-week treatment with the preceding Kampo prescription, as well as after the subsequent 8-week treatment with the same preparation or Wen-jing-tang. No decrease in mean plasma LH level was observed in the 54 women who failed to ovulate among the 64 treated with a Kampo preparation. After the 8-week treatment with Wen-jing-tang, plasma LH levels were decreased by 58.2% ( p < 0.0001) and 49.4% ( p = 0.0005) in the groups switched from Dang-gui-shao-yao-san and Gui-zhi-fu-ling-wan, respectively. In the group switched from Dang-gui-shao-yao-san, a tendency towards increase in plasma estradiol level was observed (1.51-fold, p = 0.055), which was significant compared with that in the group switched from Gui-zhi-fu-ling-wan ( p = 0.032). The ovulation rate with switching of treatment to Wen-jing-tang was significantly higher (59.3%) than that with continued use of the same preparation (7.4%, p = 0.0036). This study confirmed that Wen-jing-tang was effective in improving endocrine condition in the treatment of disturbances of ovulation in patients with PCOS without taking eight-principle pattern identification into consideration. This finding indicates that Wen-jing-tang is appropriate for use in treating PCOS in women with various constitutions (as determined by the matching theory of eight-principle pattern identification) in clinical practice and may prove to be a potent therapeutic agent with a wide therapeutic spectrum.
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Sagart, Laurent. "Le Wen Qi Ji et le dialecte de Nanchang à la fin du 16ème siècle." Cahiers de linguistique - Asie orientale 21, no. 2 (1992): 309–12. http://dx.doi.org/10.3406/clao.1992.1425.
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SAGART, Laurent. "LE WEN QI JI ET LE DIALECTE DE NANCHANG A LA FIN DU 16ème SIECLE." Cahiers de Linguistique Asie Orientale 21, no. 2 (March 12, 1992): 309–12. http://dx.doi.org/10.1163/19606028-90000333.
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Dai, Zhifeng, and Huan Zhu. "A Modified Hestenes-Stiefel-Type Derivative-Free Method for Large-Scale Nonlinear Monotone Equations." Mathematics 8, no. 2 (January 30, 2020): 168. http://dx.doi.org/10.3390/math8020168.
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The goal of this paper is to extend the modified Hestenes-Stiefel method to solve large-scale nonlinear monotone equations. The method is presented by combining the hyperplane projection method (Solodov, M.V.; Svaiter, B.F. A globally convergent inexact Newton method for systems of monotone equations, in: M. Fukushima, L. Qi (Eds.)Reformulation: Nonsmooth, Piecewise Smooth, Semismooth and Smoothing Methods, Kluwer Academic Publishers. 1998, 355-369) and the modified Hestenes-Stiefel method in Dai and Wen (Dai, Z.; Wen, F. Global convergence of a modified Hestenes-Stiefel nonlinear conjugate gradient method with Armijo line search. Numer Algor. 2012, 59, 79-93). In addition, we propose a new line search for the derivative-free method. Global convergence of the proposed method is established if the system of nonlinear equations are Lipschitz continuous and monotone. Preliminary numerical results are given to test the effectiveness of the proposed method.
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洪光勳. "'Wen ru qi ren文如其人' Theory's Aspects of Development and Its Literary Effect." Journal of Chinese Language and Literature ll, no. 36 (March 2008): 175–201. http://dx.doi.org/10.26586/chls.2008..36.010.
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Wu, Fatima, Zheng Shusen, Huang Jichi, and Lu Weiluan. "Guo gong nei zhan shi qi Hong Kong ben di ui nan lai wen ren zuo pin xuan." World Literature Today 74, no. 3 (2000): 579. http://dx.doi.org/10.2307/40155852.
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Chiu, Ling-Ting. "A New Page of Literati Painting from Singapore and Malaysia: A Study of Chen Wen Hsi and Chung Chen Sun." Translocal Chinese: East Asian Perspectives 15, no. 1 (July 1, 2021): 93–130. http://dx.doi.org/10.1163/24522015-15010006.
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Abstract In the early twentieth century, Chinese literati painting was embroiled in arguments on the relationship between ancient and modern or east and west. Therefore, the artistic practices of Wu Changshuo, Chen Shizeng, Qi Baishi, Xu Beihong and so on, were in response to this development. However, with the occurrence of World War ii and changes in the post-war situation, literati painting underwent further, new changes in different regions. This article intends to discuss the overseas Chinese painters Chen Wen Hsi and Chung Chen Sun as examples in exploring the new development of literati painting in Singapore and Malaysia in the second half of the twentieth century. Chen Wen Hsi was born in Jieyang County, Guangdong Province in 1906. He studied at Shanghai Fine Arts College and Xinhua Art College. He went to Singapore and held an exhibition in 1948. In 1950, he taught at The Chinese High School, and the following year also began teaching Chinese ink painting at Nanyang Fine Arts College. Chung Chen Sun, a native of Mei County, Guangdong Province, was born in 1935 in Malacca, Malaysia. In 1953, he entered the Department of Art Education of Nanyang Academy of Fine Arts, which was founded by Lim Hak Tai. Chung was inspired by predecessors such as Cheong Soo-pien, Chen Wen Hsi and Chen Chong-swee who had pursued the Nanyang style. In 1967, Chung founded the Malaysian Academy of Art. Their styles of painting not only incorporate the Eastern aesthetics and Western theory but also include diverse elements. Their paintings wrote a new page in the history of literati painting during the Cold War era.
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Hsieh, Chuan-Fa, Huan-Cheng Chang, Song-Lih Huang, Chien-Lung Chen, Wei-Ta Chen, and Chen-Chang Yang. "Prescribed Renoprotective Chinese Herbal Medicines Were Associated with a Lower Risk of All-Cause and Disease-Specific Mortality among Patients with Chronic Kidney Disease: A Population-Based Follow-Up Study in Taiwan." Evidence-Based Complementary and Alternative Medicine 2017 (2017): 1–11. http://dx.doi.org/10.1155/2017/5632195.
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Chinese herbal medicines (CHMs) containing aristolochic acid (AA) are associated with chronic kidney disease (CKD), but some prescribed CHMs have been shown to possess renoprotective effects. We conducted a nationwide retrospective cohort study to delineate the role of prescribed CHMs on the CKD progression. Renoprotective CHM (RPCHM) was defined if a CHM contained dong chong xia cao (Cordyceps sinensis (Berk.) Sacc.), da huang (Rheum palmatum L), huang qi (Astragalus membranaceus), dan shen (Salvia miltiorrhiza Bge.), and dong quai (Angelica sinensis (Oliv.) Diels) or belonged to specific mixture herbal formulations (Yishen capsule, Saireito, or Wen Pi Tang). Subjects who had ever used AA-containing CHMs, had cancer or HIV prior to CKD diagnosis, or died within the first month of CKD diagnosis were excluded. A total of 11,625 patients were eligible subjects. The adjusted hazard ratio (aHR) for all-cause mortality was 0.6 (p < 0.001) and 0.6 (p = 0.013) among subjects receiving RPCHMs containing Angelica sinensis and those receiving other RPCHMs, respectively. For CKD-related mortality, the aHR among subjects receiving RPCHMs containing Angelica sinensis was 0.6 (p = 0.025). The use of specific RPCHMs, especially those that contained Angelica sinensis, was associated with a lower risk of mortality among CKD patients.
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Yee, Sienho. "Zhu Wen-Qi, Outline of international humanitarian law, Peter Chan Publishers/International Committee of the Red Cross, Hong Kong/Shanghai, 1997, 182 pages — in Chinese, with an English résumé." International Review of the Red Cross 37, no. 321 (December 1997): 734–41. http://dx.doi.org/10.1017/s0020860400077858.
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Yee, Sienho. "Zhu Wen-Qi, Outline of International Humanitarian Law, Hong Kong/Shanghai, Peter Chan Publishers/International Committee of the Red Cross, 1997, 182 pages — en chinois, accompagné d'un résumé en anglais." Revue Internationale de la Croix-Rouge 79, no. 828 (December 1997): 780–88. http://dx.doi.org/10.1017/s0035336100057300.
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Yee, Sienho. "Zhu Wen-Qi, Outline of international humanitarian law (Esbozo del derecho internacional humanitario), Peter Chan Publishers/International Committee of the Red Cross, Hong Kong/Shangai, 1997, en chino, con un resumen en inglés, 182 páginas." Revista Internacional de la Cruz Roja 22, no. 144 (December 1997): 780–87. http://dx.doi.org/10.1017/s0250569x00018252.
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Lin, Li-Jen, Chin-Jen Wu, Shulhn-Der Wang, and Shung-Te Kao. "Qi-Wei-Du-Qi-Wan and its major constituents exert an anti-asthmatic effect by inhibiting mast cell degranulation." Journal of Ethnopharmacology 254 (May 2020): 112406. http://dx.doi.org/10.1016/j.jep.2019.112406.
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Yanamadala, Mamata, Jeffrey Hawley, Richard Sloane, Jonathan Bae, Mitchell T. Heflin, and Gwendolen T. Buhr. "Development and Assessment of a Web-Based Clinical Quality Improvement Curriculum." Journal of Graduate Medical Education 6, no. 1 (March 1, 2014): 147–50. http://dx.doi.org/10.4300/jgme-d-13-00140.1.
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Abstract Background Understanding quality improvement (QI) is an important skill for physicians, yet educational interventions focused on teaching QI to residents are relatively rare. Web-based training may be an effective teaching tool in time-limited and expertise-limited settings. Intervention We developed a web-based curriculum in QI and evaluated its effectiveness. Methods During the 2011–2012 academic year, we enrolled 53 first-year internal medicine residents to complete the online training. Residents were provided an average of 6 hours of protected time during a 1-month geriatrics rotation to sequentially complete 8 online modules on QI. A pre-post design was used to measure changes in knowledge of the QI principles and self-assessed competence in the objectives of the course. Results Of the residents, 72% percent (37 of 51) completed all of the modules and pretests and posttests. Immediate pre-post knowledge improved from 6 to 8.5 for a total score of 15 (P < .001) and pre-post self-assessed competence in QI principles on paired t test analysis improved from 1.7 to 2.7 on a scale of 5 for residents who completed all of the components of the course. Conclusions Web-based training of QI in this study was comparable to other existing non–web-based curricula in improving learner confidence and knowledge in QI principles. Web-based training can be an efficient and effective mode of content delivery.
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Berger, Jeffrey S., Geoffrey Ho, Courtney Paul, Anne Cioletti, and Kathryn Marko. "A Novel, Web-Based Quality Improvement Platform to Address ACGME CLER Requirements." Journal of Graduate Medical Education 12, no. 1 (February 1, 2020): 80–85. http://dx.doi.org/10.4300/jgme-d-19-00339.1.
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ABSTRACT Background In 2014, the Accreditation Council for Graduate Medical Education (ACGME) formally mandated trainee (resident and fellow) participation in health care quality improvement (QI) projects as one of the Clinical Learning Environment Review (CLER) Pathways to Excellence. Subsequent national reviews showed large variations in how QI education is conducted, as well as a significant mismatch between educational and organizational goals. Objective We developed a web-based platform to engage trainees in QI that better aligned with best practice methodology and matched identified institutional priorities. Methods A needs assessment survey was distributed to trainees to understand the obstacles to compliance with ACGME QI requirements. Based on the results, a web-based clearinghouse, called the QI Platform, was developed and launched in July 2016, and utilization was analyzed in February 2019. Results A total of 196 of 440 needs assessment surveys (45%) were completed. Themes extracted from surveys to identify barriers in QI participation included difficulties designing projects, lack of mentorship or expert support, and difficulty engaging an interprofessional team. Over 2.5 years, 151 projects were registered on the platform. Of these, 17 (11%) were collaborative entries. At the time of analysis, 166 of 437 trainees (38%) were listed as participants in active QI projects. A total of 22 projects were archived as complete, and 68 incomplete projects were reassigned to the “Ideas” section as works in progress after lead trainee graduation. Conclusions An institutional QI Platform clearinghouse for GME QI projects was feasible to develop and maintain, and it appeared acceptable to most GME programs and trainees for recording and tracking QI projects, and linking these to hospital QI priorities.
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Huang, Chung-Yu, Yueh-Ting Tsai, Jung-Nien Lai, and Feng-Lin Hsu. "Prescription Pattern of Chinese Herbal Products for Diabetes Mellitus in Taiwan: A Population-Based Study." Evidence-Based Complementary and Alternative Medicine 2013 (2013): 1–10. http://dx.doi.org/10.1155/2013/201329.
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Background.Traditional Chinese medicine (TCM), when given as a therapy for symptom relief, has gained widespread popularity among diabetic patients. The aim of this study is to analyze the utilization of TCM among type 2 diabetic patients in Taiwan.Methods.The use of TCM for type 2 diabetic patients were evaluated using a randomly sampled cohort of 1,000,000 beneficiaries recruited from the National Health Insurance Research Database.Results.Overall, 77.9%(n=31,289)of type 2 diabetic patients utilized TCM and 13.9%(n=4,351)of them used TCM for the treatment of type 2 diabetes. Among the top ten most frequently prescribed herbal formulae, four remedies,Zhi-Bo-Di-Huang-Wan, Qi-Ju-Di-Huang-Wan, Ji-Sheng-Shen-Qi-WanandBa-Wei-Di-Huang-Wanare derivative formulae ofLiu-Wei-Di-Huang-Wan.In other words,Liu-Wei-Di-Huang-Wanand its derivatives were found to be the most common herbal formulae prescribed by TCM doctors for the treatment of diabetes in Taiwan.Conclusion.Although some evidence does support the use TCM to treat diabetes, the results from the current study may have been confounded by placebo effect, which emphasize the need for well conducted, double-blind, randomized, placebo-controlled studies in order to further evaluate the efficacy ofLiu-Wei-Di-Huang-Wanon patients with type 2 diabetes.
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Gregory, Megan E., Jennifer L. Bryan, Sylvia J. Hysong, Isabelle S. Kusters, Rebecca S. Miltner, Diana E. Stewart, Natalie Polacek, et al. "Evaluation of a Distance Learning Curriculum for Interprofessional Quality Improvement Leaders." American Journal of Medical Quality 33, no. 6 (March 26, 2018): 590–97. http://dx.doi.org/10.1177/1062860618765661.
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As health care systems move toward value-based care, training future leaders in quality improvement (QI) is essential. Web-based training allows for broad dissemination of QI knowledge to geographically distributed learners. The authors conducted a longitudinal evaluation of a structured, synchronous web-based, advanced QI curriculum that facilitated engagement and real-time feedback. Learners (n = 54) were satisfied (overall satisfaction; M = 3.31/4.00), and there were improvements in cognitive (immediate QI knowledge tests; P = .02), affective (self-efficacy of QI skills; P < .001), and skill-based learning (Quality Improvement Knowledge Application Tool; P < .001). There was significant improvement in affective transfer (interprofessional attitudes on the job; p < .01) but no significant change on cognitive (distal QI knowledge test; P = .91), or skill-based transfer (self-reported interprofessional collaboration job skills; P = .23). The findings suggest that this model can be effective to train geographically distributed future QI leaders.
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Muhammad Apandi, Nur Hidayah, Fauzan Ahmad, Siti Nur Fatin Zuikafly, Mohd Haniff Ibrahim, and Sulaiman Wadi Harun. "Bismuth (III) Telluride (Bi2Te3) topological insulator embed in PVA as passive Q-switcher at 2 micron region." Photonics Letters of Poland 8, no. 4 (December 31, 2016): 101. http://dx.doi.org/10.4302/plp.2016.4.04.
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We demonstrate a passive Q-switched at 2 um region by integrating Bismuth (III) Telluride (Bi2/Te3) embedded in Polyvinyl Alcohol (PVA). Bi2Te3 was embedded in PVA by solution casting approach to develop a Bi2/Te3-PVA film and integrated in the laser cavity with ring configuration to generate pulse laser. The experimental works show that the proposed passive saturable absorber operates at input pump power ranges from 637 mW to 784 mW with central wavelength of 1957.6 nm. We observed the tunable repetition rate from 12.6 kHz to 26.1 kHz with the shortest pulse width of 2.22 us. The laser produces maximum instantaneous output peak power and pulse energy of 0.42 W and 0.94 uJ, respectively. Full Text: PDF ReferencesC. Zhao, H. Zhang, X. Qi, Y. Chen, Z. Wang, S. Wen, and D. Tang, "Ultra-short pulse generation by a topological insulator based saturable absorber", Appl. Phys. Lett. 101, 211106 (2012). CrossRef Z. C. Luo, M. Liu, H. Liu, X.-W. Zheng, A.-P. Luo, C.-J. Zhao, H. Zhang, S. C. Wen, and W.-C. Xu, "2GHz passively harmonic mode-locked fiber laser by a microfiber-based topological insulator saturable absorber", Opt. Lett. 38, 5212 (2013). CrossRef J. Lee, J. Koo, Y. M. Jhon, and J. H. Lee, "A femtosecond pulse erbium fiber laser incorporating a saturable absorber based on bulk-structured Bi2Te3 topological insulator", Opt. Express 22, 6165 (2014). CrossRef M. Jung, J. Lee, J. Koo, J. Park, Y. W. Song, K. Lee, S. Lee, and J. H. Lee, "A femtosecond pulse fiber laser at 1935 nm using a bulk-structured Bi2Te3 topological insulator", Opt. Express 22, 7865(2014). CrossRef Y. H. Lin, C. Y. Yang, S.-F. Lin, W. H. Tseng, Q. Bao, C. I. Wu, and G.R. Lin, "Soliton compression of the erbium-doped fiber laser weakly started mode-locking by nanoscale p-type Bi2Te3 topological insulator particles", Laser Phys. Lett. 11, 055107(2014). CrossRef J. Lee et al., "All-fiberized, passively Q-switched 1.06 ?m laser using a bulk-structured Bi2Te3 topological insulator", Journal of Optics 16, 085203(2014). CrossRef Y. Chen, et al., "Large Energy, Wavelength Widely Tunable, Topological Insulator Q-Switched Erbium-Doped Fiber Laser", IEEE Journal of Selected Topics in Quantum Electronics 20, 315(2014). CrossRef M. Wu et al., "Nanosecond Q -Switched Erbium-Doped Fiber Laser With Wide Pulse-Repetition-Rate Range Based on Topological Insulator", IEEE Journal of Quantum Electronics 50, 393(2014). CrossRef J. Lee et al., "Dry Etched Waveguide Laser Diode on GeOI", IEEE Journal of Selected Topics in Quantum Electronics 21, 31(2015). CrossRef J. Li et al., "3-?m mid-infrared pulse generation using topological insulator as the saturable absorber ", Optics Letters 40, 3659(2015). CrossRef Z. Luo et al., "Topological-Insulator Passively Q-Switched Double-Clad Fiber Laser at 2 ?m Wavelength", IEEE J. Sel. Topics Quantum Electron 20, 0902708 (2014). CrossRef M. C. Paul, A. Dhar, S. Das, A. A. Latiff,M. T. Ahmad,and S. W. Harun, "Enhanced Erbium?Zirconia?Yttria?Aluminum Co-Doped Fiber Amplifier" IEEE Photonics Journal 7, 7100408 (2015). CrossRef H. Liu et al., "Femtosecond pulse generation from a topological insulator mode-locked fiber laser", Optics Express 22, 6868 (2014). CrossRef Z. Sun, T. Hasan, and A. C. Ferrari, "Ultrafast lasers mode-locked by nanotubes and graphene", Physica E 44, 1082(2012). CrossRef J. Lee, M. Jung, J. Koo, C. Chi, and J. Lee, "Dry Etched Waveguide Laser Diode on GeOI", IEEE Journal of Selected Topics in Quantum Electronics 21, 0900206 (2015). CrossRef H. Ahmad, A. Z. Zulkifli, K. Thambiratnam, and S. W. Harun, "2.0-?m Q-Switched Thulium-Doped Fiber Laser With Graphene Oxide Saturable Absorber", IEEE Photonics Journal5, 1501108(2013). CrossRef
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Ralt, Dina. "Qi, Information and the Net of Life." Acupuncture in Medicine 17, no. 2 (December 1999): 131–33. http://dx.doi.org/10.1136/aim.17.2.131.
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There have been a variety of Western explanations for the Qi of traditional Chinese medicine, but all have essentially had to compromise between expression of energy, matter and flow. The author suggests that a non-linear, fractal approach, similar to that of Chaos theory, offers a tool to understand Qi; the yin-yang and five phases theories of Chinese philosophy can be regarded as fractals. Qi, as the “net of life”, can also be looked on as an information network with close parallels to the computer-based web of the internet. This article therefore suggests a new Western definition of Qi, proposing that: “The Qi of Chinese medicine is inter-cellular information communicated within the body: information which enables all bodily functions and is a key component in regulation”. Referring to Qi as information offers the chance to integrate Chinese medical philosophy with current biological research on cellular communication.
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Ko, Kam-Ming, and Po-Yee Chiu. "Biochemical Basis of the "Qi-Invigorating" Action of Schisandra Berry (Wu-Wei-Zi) in Chinese Medicine." American Journal of Chinese Medicine 34, no. 02 (January 2006): 171–76. http://dx.doi.org/10.1142/s0192415x06003734.
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Schisandra berry or Wu-Wei-Zi, meaning the "the fruit of five tastes" in Chinese, is a commonly used herb in traditional Chinese medicine (TCM). Based on the "Five-Element" theory in TCM, while the "five tastes" of Schisandra berry refer to its influence on the five visceral organs in the body, ancient Chinese herbalists specifically trumpeted the berry's beneficial effect on the "Qi" of the five visceral organs. "Qi" is a Chinese term used as a broad description of energy-dependent body functions. Over the past ten years, our laboratory has attempted to define the biochemical properties of Schisandra berry in regard to its purported "Qi-invigorating" properties. We have found, for the first time, an ability of Schisandra berry to fortify mitochondrial antioxidant status, thereby offering the body a generalized protection against noxious challenges both of internal and external origin. Given the indispensable role of the mitochondrion in generating cellular energy, the linking of Schisandra berry to the safeguarding of mitochondrial function provides a biochemical explanation for its "Qi-invigorating" action.
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He, Liqun. "On the development of Buddhist sculpture in Ye City and the “Ye City Style” reflected by the Bei Wuzhuang hoard." Chinese Archaeology 16, no. 1 (November 27, 2016): 189–200. http://dx.doi.org/10.1515/char-2016-0018.
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Abstract The Ye City was the important Buddhist cultural center of the Central Plains and North China since the 6th century CE. Since the 1950s, rather large amounts of Buddhist sculptures have been unearthed within the scope of the Ye City Site, of which the hoard at Bei Wuzhuang found in January 2012 was the most noticeable. Through the analyses to the materials, motifs, assemblages and sculpturing characteristics of some typical samples from this hoard, the Buddhist sculptures during the Northern Dynasties in the Ye City area could be divided into four phases, which are the mid through late Northern Wei Dynasty, the end of the Northern Wei through the early Eastern Wei Dynasties, the late Eastern Wei through the early Northern Qi Dynasties and the mid through late Northern Qi Dynasty. Moreover, referring to the given historic background, the derivation of the Buddhist thoughts and the cultural communication between China and the West at that time, this paper points out that the so-called dragon-tree-shaped back screen statues popular in the mid through late Northern Qi Dynasty was a brand-new sculpture type integrated the technical tradition and composition characteristics of the white marble sculpture in the Wuding Era of the Eastern Wei Dynasty and the Gupta sculpture style newly introduced in; the creation and diffusion of this sculpture type were tightly related to the Xianbeization and Western Barbarianization policies applied by the imperial court after the founding of the Northern Qi Dynasty and the reform of monastic restrictions managed by Fashang, the Buddhist comptroller-in-chief of the empire from Zhaoxuan Monastery.
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Boggan, Joel C., George Cheely, Bimal R. Shah, Randy Heffelfinger, Deanna Springall, Samantha M. Thomas, Aimee Zaas, and Jonathan Bae. "A Novel Approach to Practice-Based Learning and Improvement Using a Web-Based Audit and Feedback Module." Journal of Graduate Medical Education 6, no. 3 (September 1, 2014): 541–46. http://dx.doi.org/10.4300/jgme-d-14-00016.1.
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Abstract Background Systematically engaging residents in large programs in quality improvement (QI) is challenging. Objective To coordinate a shared QI project in a large residency program using an online tool. Methods A web-based QI tool guided residents through a 2-phase evaluation of performance of foot examinations in patients with diabetes. In phase 1, residents completed reviews of health records with online data entry. Residents were then presented with personal performance data relative to peers and were prompted to develop improvement plans. In phase 2, residents again reviewed personal performance. Rates of performance were compared at the program and clinic levels for each phase, with data presented for residents. Acceptability was measured by the number of residents completing each phase. Feasibility was measured by estimated faculty, programmer, and administrator time and costs. Results Seventy-nine of 86 eligible residents (92%) completed improvement plans and reviewed 1471 patients in phase 1, whereas 68 residents (79%) reviewed 1054 patient charts in phase 2. Rates of performance of examination increased significantly between phases (from 52% to 73% for complete examination, P < .001). Development of the tool required 130 hours of programmer time. Project analysis and management required 6 hours of administrator and faculty time monthly. Conclusions An online tool developed and implemented for program-wide QI initiatives successfully engaged residents to participate in QI activities. Residents using this tool demonstrated improvement in a selected quality target. This tool could be adapted by other graduate medical education programs or for faculty development.
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McCarthy, Siobhán Eithne, Samira Barbara Jabakhanji, Jennifer Martin, Maureen Alice Flynn, and Jan Sørensen. "Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review." BMJ Open Quality 10, no. 3 (July 2021): e001319. http://dx.doi.org/10.1136/bmjoq-2020-001319.
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ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conducted in Ireland, to review the quality of their reporting and to assess outcomes and costs.DesignScoping review.Data sourcesSystematic searches were conducted in PubMed, Web of Science, Embase, Google Scholar, Lenus and rian.ie. Two researchers independently screened abstracts (n=379) and separately reviewed 43 studies identified for inclusion using a 70-item critique tool. The tool was based on the Quality Improvement Minimum Quality Criteria Set (QI-MQCS), an appraisal instrument for QI intervention publications, and health economics reporting criteria. After reaching consensus, the final dataset was analysed using descriptive statistics. To support interpretations, findings were presented at a national stakeholder workshop.Eligibility criteriaQI studies implemented and evaluated in Ireland and published between January 2015 and April 2020.ResultsThe 43 studies represented various QI interventions. Most studies were peer-reviewed publications (n=37), conducted in hospitals (n=38). Studies mainly aimed to improve the ‘effectiveness’ (65%), ‘efficiency’ (53%), ‘timeliness’ (47%) and ‘safety’ (44%) of care. Fewer aimed to improve ‘patient-centredness’ (30%), ‘value for money’ (23%) or ‘staff well-being’ (9%). No study aimed to increase ‘equity’. Seventy per cent of studies described 14 of 16 QI-MQCS dimensions. Least often studies reported the ‘penetration/reach’ of an initiative and only 35% reported health outcomes. While 53% of studies expressed awareness of costs, only eight provided at least one quantifiable figure for costs or savings. No studies assessed the cost-effectiveness of the QI.ConclusionIrish QI studies included in our review demonstrate varied aims and high reporting standards. Strategies are needed to support greater stimulation and dissemination of QI beyond the hospital sector and awareness of equity issues as QI work. Systematic measurement and reporting of costs and outcomes can be facilitated by integrating principles of health economics in QI education and guidelines.
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Yin, Minzhen, Mei Yang, Shanshan Chu, Renqing Li, Yujiao Zhao, Huasheng Peng, Zhilai Zhan, and Hai Feng Sun. "Quality Analysis of Different Specification Grades of Astragalus membranaceus var. mongholicus (Huangqi) from Hunyuan, Shanxi." Journal of AOAC INTERNATIONAL 102, no. 3 (May 1, 2019): 734–40. http://dx.doi.org/10.5740/jaoacint.18-0308.
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Abstract Background: Huangqi is a famous Chinese medicinal material whose Dao-di producing area is Hunyuan, Shanxi. Huangqi produced in Hunyuan, Shanxi, were divided into several different specifications and grades according to the diameters and different positions of root system. Objective: This article investigates the quantitative characteristics of chemical compositions in different specifications and grades of Astragalus membranaceus var. mongholicus roots, aiming to elucidate the correlation between specifications and/or grades and chemical compositions in Huangqi. Methods: Based on the field investigation, samples of Huangqi collected from Hunyuan, Shanxi, were divided into different specifications and grades. The content of seven flavonoids and five saponins in Astragalus membranaceus var. mongholicus roots of different specifications and grades were determined simultaneously by HPLC–diode–array detection–evaporative light-scattering detection (HPLC–DAD–ELSD). Results: Huangqi was processed by traditional methods, and its commercial specification was classified by different parts of the root system, such as ge-da-tou, hong-lan-qi, zheng-bai-qi, fu-bai-qi, mao-wei-zi, and qi-jian. The total content of seven flavonoids and five saponins in ge-da-tou, qi-jian were lower. The total content of seven flavonoids in hong-lan-qi was much higher, while that of five saponins was much lower. The total content of seven flavonoids in lateral roots or fibrous roots were higher, and that of five saponins was lower, such as zheng-bai-qi, fu-bai-qi, and mao-wei-zi. According to the root diameters, Huangqi was classified to special grade, grade I, grade II, grade III, grade IV, or grade V. Among six grades of Huangqi, the total content of seven flavonoids in grade III, grade IV, and grade V were lower, while the total content of five saponins in them were much higher. Conclusions: There is an obvious difference on the distribution pattern of contents of seven flavonoids and five saponins in Huangqi of different specifications and grades, which provide a certain scientific basis for the quality evaluation of Huangqi. Highlights: The content of seven flavonoids and five saponins in Huangqi were determined by HPLC-DAD-ELSD. The relationship between the commercial specification grades and chemical components of Dao-di herbs Astragalus membranaceus var. mongholicus (Huangqi ) from Hunyuan, Shanxi were revealed, which provided a chemical basis for the classification of commercial specification grades of dao-herbs Astragalus membranaceus var. mongholicus (Huangqi ) from Hunyuan, Shanxi.
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Liu, Fanxiao, Qingqi Meng, Heyong Yin, and Zexing Yan. "Stem Cells in Rotator Cuff Injuries and Reconstructions: A Systematic Review and Meta-Analysis." Current Stem Cell Research & Therapy 15, no. 7 (October 14, 2020): 646. http://dx.doi.org/10.2174/1574888x1507200810105414.
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Current Stem Cell Research & Therapy, 2019, 14(8): 683-697 <P> Heyong Yin’s affiliation should be: Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing China; <P> Zexing Yan’s affiliation should be: Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong University, No.324, Road Jing Wu Wei Qi, Jinan 250021, Shandong, China. <P> The Original Paragraph Provided is Mentioned Below: <P> Fanxiao Liu1, Qingqi Meng2, Heyong Yin3,* and Zexing Yan3,* <P> 1Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong University, No.324, Road Jing Wu Wei Qi, Jinan 250021, Shandong, China; 3Department of Trauma Surgery, University of Regensburg, Am biopark 9, 93049 Regensburg, Germany
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O’Riordan, F., F. Shiely, S. Byrne, and A. Fleming. "Quality indicators for hospital antimicrobial stewardship programmes: a systematic review." Journal of Antimicrobial Chemotherapy 76, no. 6 (March 31, 2021): 1406–19. http://dx.doi.org/10.1093/jac/dkab034.
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Abstract Background Measuring the quality and effectiveness of antimicrobial stewardship (AMS) programmes with quality indicators (QIs) is an area of increasing interest. We conducted a systematic review to identify QIs of AMS programmes in the hospital setting and critically appraise their methodological quality. Methods We searched the Cochrane Library, PubMed, MEDLINE, EMBASE, CINAHL, Scopus/web of science databases and the grey literature for studies that defined and/or described the development process and characteristics of the QIs developed. The Appraisal of Indicators through Research and Evaluation (AIRE) instrument was used to critically appraise the methodological quality of the QI sets. Results We identified 16 studies of QI sets consisting of 229 QIs. The QI sets addressed a broad range of areas of AMS in the hospital setting and consisted of 75% process indicators, 24% structural indicators and 1% outcome indicators. There was a wide variation in the information and level of detail presented describing the methodological characteristics of the QI sets identified. Conclusions The QIs identified in this study focused on process and structural indicators with few outcome indicators developed—a major deficiency in this area. Future research should focus on the development of outcome indicators or the use of process or structural indicators linked to outcomes to assess AMS. Testing of the QIs in practice is an essential methodological element of the QI development process and should be included in the QI development study or as planned validation work.
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Ballard, Andrew. "Framing Bias in the Interpretation of Quality Improvement Data: Evidence From an Experiment." International Journal of Health Policy and Management 8, no. 5 (March 2, 2019): 307–14. http://dx.doi.org/10.15171/ijhpm.2019.08.
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Background: A growing body of public management literature sheds light on potential shortcomings to quality improvement (QI) and performance management efforts. These challenges stem from heuristics individuals use when interpreting data. Evidence from studies of citizens suggests that individuals’ evaluation of data is influenced by the linguistic framing or context of that information and may bias the way they use such information for decision-making. This study extends prospect theory into the field of public health QI by utilizing an experimental design to test for equivalency framing effects on how public health professionals interpret common QI indicators. Methods: An experimental design utilizing randomly assigned survey vignettes is used to test for the influence of framing effects in the interpretation of QI data. The web-based survey assigned a national sample of 286 city and county health officers to a "positive frame" group or a "negative frame" group and measured perceptions of organizational performance. The majority of respondents self-report as organizational leadership. Results: Public health managers are indeed susceptible to these framing effects and to a similar degree as citizens. Specifically, they tend to interpret QI information presented in a "positive frame" as indicating a higher level of performance as the same underlying data presenting in a "negative frame." These results are statistically significant and pass robustness checks when regressed against control variables and alternative sources of information. Conclusion: This study helps identify potential areas of reform within the reporting aspects of QI systems. Specifically, there is a need to fully contextualize data when presenting even to subject matter experts to reduce the existence of bias when making decisions and introduce training in data presentation and basic numeracy prior to fully engaging in QI initiatives.
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Rattray, Nicholas A., Teresa M. Damush, Edward J. Miech, Barbara Homoya, Laura J. Myers, Lauren S. Penney, Jared Ferguson, Brenna Giacherio, Meetesh Kumar, and Dawn M. Bravata. "Empowering Implementation Teams with a Learning Health System Approach: Leveraging Data to Improve Quality of Care for Transient Ischemic Attack." Journal of General Internal Medicine 35, S2 (September 1, 2020): 823–31. http://dx.doi.org/10.1007/s11606-020-06160-y.
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Abstract Background Questions persist about how learning healthcare systems should integrate audit and feedback (A&F) into quality improvement (QI) projects to support clinical teams’ use of performance data to improve care quality. Objective To identify how a virtual “Hub” dashboard that provided performance data for patients with transient ischemic attack (TIA), a resource library, and a forum for sharing QI plans and tools supported QI activities among newly formed multidisciplinary clinical teams at six Department of Veterans Affairs (VA) medical centers. Design An observational, qualitative evaluation of how team members used a web-based Hub. Participants External facilitators and multidisciplinary team members at VA facilities engaged in QI to improve the quality of TIA care. Approach Qualitative implementation process and summative evaluation of observational Hub data (interviews with Hub users, structured field notes) to identify emergent, contextual themes and patterns of Hub usage. Key Results The Hub supported newly formed multidisciplinary teams in implementing QI plans in three main ways: as an information interface for integrated monitoring of TIA performance; as a repository used by local teams and facility champions; and as a tool for team activation. The Hub enabled access to data that were previously inaccessible and unavailable and integrated that data with benchmark and scientific evidence to serve as a common data infrastructure. Led by champions, each implementation team used the Hub differently: local adoption of the staff and patient education materials; benchmarking facility performance against national rates and peer facilities; and positive reinforcement for QI plan development and monitoring. External facilitators used the Hub to help teams leverage data to target areas of improvement and disseminate local adaptations to promote resource sharing across teams. Conclusions As a dynamic platform for A&F operating within learning health systems, hubs represent a promising strategy to support local implementation of QI programs by newly formed, multidisciplinary teams.
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Kusters, Isabelle S., Megan E. Gregory, Jennifer L. Bryan, Sylvia J. Hysong, LeChauncy D. Woodard, Aanand D. Naik, and Kyler M. Godwin. "Development of a Hybrid, Interprofessional, Interactive Quality Improvement Curriculum as a Model for Continuing Professional Development." Journal of Medical Education and Curricular Development 7 (January 2020): 238212052093077. http://dx.doi.org/10.1177/2382120520930778.
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Over the past 20 years, there has been an increased focus on quality improvement (QI) in health care, which is critical in achieving care that is patient-centered, safer, timelier, and more effective, efficient, and equitable. At the center of this movement is QI education, which is known to lead to learning, behavior change, and improved outcomes. However, there is a need for the development and provision of long-duration, interactive, interprofessional training in QI, to allow for in-depth learning and application of learned skills. To this end, we designed a curriculum for an established interprofessional, interactive, web-based QI fellowship for doctorally prepared clinicians. Curricular content is delivered virtually to geographically dispersed learners over a 2-year time span. The didactic curriculum and experiential learning opportunities provide learners with the foundational knowledge and practical skills to engage in—and eventually, lead—QI initiatives around the country. Evaluation of learner satisfaction and cognitive, affective, and skills-based learning has found that this model is an effective method to train geographically distributed learners. A hybrid training structure is used, where learners interact with the material through 3 distinct delivery modes: (1) virtual instruction in QI topics; (2) face-to-face training, mentorship, and the opportunity for practical application of applied knowledge and skills through the completion of QI projects; and (3) opportunities for other types of training, tailored to each learner’s Individual Development Plan. This training program model holds value for QI learning in various health care settings, which are interprofessional by nature. These foundational concepts of hybrid learning to distributed learners—wherein an instructor delivers curriculum in small, face-to-face batches, interprofessional learning is supplemented in a virtual, longitudinal manner, and learners are allowed the opportunity to put skills into action for real-world problems in interdisciplinary clinical teams—can be applied in a multitude of settings, with comparatively lower time and cost expenditure than traditional training programs.
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Wei, Guoxin, and Lingzhong Zeng. "Estimates for Eigenvalues of Poly-Harmonic Operators." Advanced Nonlinear Studies 16, no. 1 (February 1, 2016): 31–44. http://dx.doi.org/10.1515/ans-2015-5020.
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AbstractIn this paper, we study the eigenvalues of the poly-Laplacian with arbitrary order on a bounded domain in an n-dimensional Euclidean space and we obtain a lower bound which generalizes the results due to Cheng and Wei [5] and gives an improvement of the results due to Cheng, Qi and Wei [3].
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Radwan, Tarek F., Yvette Agyako, Alireza Ettefaghian, Tahira Kamran, Omar Din, Mohammad Aumran Tahir, Peter Schofield, and Veline L'Esperance. "Improving the management of type 2 diabetes through large-scale general practice: the role of a data-driven and technology-enabled education programme." BMJ Open Quality 10, no. 1 (February 2021): e001087. http://dx.doi.org/10.1136/bmjoq-2020-001087.
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A quality improvement (QI) scheme was launched in 2017, covering a large group of 25 general practices working with a deprived registered population. The aim was to improve the measurable quality of care in a population where type 2 diabetes (T2D) care had previously proved challenging. A complex set of QI interventions were co-designed by a team of primary care clinicians and educationalists and managers. These interventions included organisation-wide goal setting, using a data-driven approach, ensuring staff engagement, implementing an educational programme for pharmacists, facilitating web-based QI learning at-scale and using methods which ensured sustainability. This programme was used to optimise the management of T2D through improving the eight care processes and three treatment targets which form part of the annual national diabetes audit for patients with T2D. With the implemented improvement interventions, there was significant improvement in all care processes and all treatment targets for patients with diabetes. Achievement of all the eight care processes improved by 46.0% (p<0.001) while achievement of all three treatment targets improved by 13.5% (p<0.001). The QI programme provides an example of a data-driven large-scale multicomponent intervention delivered in primary care in ethnically diverse and socially deprived areas.
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Xu, Qi-Wei, Qiu-Shuang Wang, Shan-Shan Li, and Xia Li. "Correction: Cu(ii)/Ni(ii)–organic frameworks constructed from the homometallic clusters by 5-(2-carboxyphenoxy)isophthalic acid and N-ligand: synthesis, structures and visible light-driven photocatalytic properties." RSC Advances 9, no. 30 (2019): 17414. http://dx.doi.org/10.1039/c9ra90043h.
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Correction for ‘Cu(ii)/Ni(ii)–organic frameworks constructed from the homometallic clusters by 5-(2-carboxyphenoxy)isophthalic acid and N-ligand: synthesis, structures and visible light-driven photocatalytic properties’ by Qi-Wei Xu et al., RSC Adv., 2019, 9, 16305–16312.
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Hanafiah, Novita, Jaka Hartanto, Yulyani Arifin, Hengky Frans, and Winardi Cristian. "A Web-Based Chinese Chess Xiang Qi using n-tier Architecture Model." Procedia Computer Science 59 (2015): 14–18. http://dx.doi.org/10.1016/j.procs.2015.07.332.
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Lin, Yiyou, Jieying Zhang, Yunbo Fu, Liting Ji, Luning Lin, Hongshu Chen, Yuanxiao Yang, and Changyu Li. "The Protective Effect of Shen Qi Wan on Adenine-Induced Podocyte Injury." Evidence-Based Complementary and Alternative Medicine 2020 (November 20, 2020): 1–9. http://dx.doi.org/10.1155/2020/5803192.
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Podocytes are a special type of differentiated epithelial cells that maintain the glomerular filtration barrier in the kidney. Injury or damages in podocytes can cause kidney-related disorders, like CKD. The injury or dysfunction of podocytes can occur by different metabolic disorders. Due to the severity and complexity of podocyte injuries, this state is considered as a serious health issue worldwide. Here, we examined and addressed the efficacy of an alternative Chinese medicine, Shen Qi Wan (SQW), on podocyte-related kidney injury. We evaluated the role and mechanism of action of SQW in podocyte injury. We observed that SQW significantly reduced 24-hour urinary protein and blood urea nitrogen levels and alleviated the pathological damage caused by adenine. Moreover, SQW significantly decreased the expression of nephrin and increased the expression of WT1 and AQP1 in the kidney of mice treated with adenine. We observed that SQW did not effectively reduce the high level of proteinuria in AQP1−/− mice indicating the prominent role of AQP1 in the SQW-ameliorating pathway. Transmission electron microscopy (TEM) images indicated the food processes effacement in AQP1−/− mice were not lessened by SQW. In conclusion, podocyte injury could alter the pathological nature of the kidney, and SQW administration relieves the nature of pathogenesis by activating AQP1.
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Zhang, Ning, Chang Li, Ying Guo, and Hai-cui Wu. "Study on the Intervention Effect of Qi Gong Wan Prescription on Patients with Phlegm-Dampness Syndrome of Polycystic Ovary Syndrome Based on Intestinal Flora." Evidence-Based Complementary and Alternative Medicine 2020 (September 29, 2020): 1–18. http://dx.doi.org/10.1155/2020/6389034.
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Objective. This was a population-based cohort study, to compare the type and structure of intestinal flora in patients with polycystic ovary syndrome (PCOS) with phlegm-dampness syndrome, nonphlegm-dampness syndrome, and normal population. Besides, changes in the intestinal flora and the clinical curative effects of Jiawei Qi Gong Wan on phlegm-dampness syndrome in patients with polycystic ovary syndrome (PCOS) were evaluated. Patients and Methods. A total of 22 patients with PCOS with phlegm-dampness syndrome, 21 PCOS patients with nonphlegm-dampness syndrome, and 20 control volunteers were selected for this study. The general index, sex hormone index, fasting blood glucose (FPG), and serum fasting insulin (FINS) were determined in each of the groups. The intestinal flora of each group was determined by the 16s rDNA high-throughput sequencing technique. Besides, the PCOS with phlegm-dampness syndrome group was treated with Jiawei Qi Gong Wan, and the changes in TCM syndrome, sex hormone index, BMI, WHR, FPG, FINS, HOMA-IR, and intestinal flora were determined before and after treatment. Results. PCOS patients with phlegm-dampness syndrome showed characteristics of obesity and insulin resistance. There were several differences in both structure and function of the intestinal flora between PCOS patients with phlegm-dampness syndrome, PCOS patients with nonphlegm-dampness syndrome, and the control group. An imbalance in the intestinal flora may be a key factor in the pathogenesis of PCOS with phlegm-dampness syndrome and also has a specific influence on glucose and lipid metabolism, obesity, and the menstrual cycle in PCOS patients with phlegm-dampness syndrome. Besides, the imbalance is associated with a decrease in the number of butyrate-producing bacteria, an increase in the number of lipopolysaccharide-producing bacteria, and an increase in proinflammatory bacteria. The intestinal flora in PCOS patients with phlegm-dampness syndrome was found to be linked to obesity, impaired glucose tolerance, and hyperandrogenemia. Treatment with Jiawei Qi Gong Wan was found to increase the diversity of intestinal flora, increase the number of intestinal probiotics, and improve the structure and functional genes of intestinal flora which improved the state of insulin resistance, regulated endocrine metabolism, and improved the overall symptoms. Conclusions. Intestinal flora imbalance is a key factor in the pathogenesis of PCOS with phlegm-dampness syndrome. Besides, Jiawei Qi Gong Wan improves insulin resistance which is linked to the status of the intestinal flora in PCOS patients with phlegm-dampness syndrome.
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Thornburg, Courtney, Heidi Lane, Katharine Farrow, Rosalie Brooks, Mina Jahan, and Maria Scopelliti. "Increasing Quality Improvement Capability in a Hemophilia Treatment Center." Blood 128, no. 22 (December 2, 2016): 5908. http://dx.doi.org/10.1182/blood.v128.22.5908.5908.
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Abstract Introduction Persons with hemophilia require complex medical care by a multi-disciplinary team throughout life. There are opportunities for Hemophilia Treatment Centers (HTC) to enhance the care of persons with hemophilia through participation in quality improvement (QI) initiatives. Maintaining comprehensive care and excellent health outcomes are national priorities for Health Resources and Services Administration (HRSA) and the American Thrombosis and Hemostasis Network (ATHN), the National Hemophilia Program Coordinating Center (NHPCC). Rady Children's Hospital San Diego (RCHSD) HTC participated in the NHPCC Dartmouth Improvement Program pilot program with the aim to develop QI capabilities within the HTCs to enhance the care of persons with hemophilia. Methods RCHSD participated in the NHPCC Dartmouth Improvement Program starting in December 2015. A QI team was established including the HTC medical director, nurse case managers, pediatric social worker and the social worker of the collaborating adult HTC. The QI team was coached by an expert TDIMA coach and a "coach in training" from another HTC. The team learned QI methods through in person training, web-based training and weekly team meetings with the coaches. The team assessed HTC data (The 5Ps-purpose, patients, professionals, processes, and patterns) to gain system knowledge and insights to determine a QI theme, global aim, specific aims and associated PDSA cycles. Results The RCHSD HTC QI team established a QI theme to focus on the transfer from pediatric to adult care. The Global Aim of the team is to improve autonomous communication in RCHSD HTC. The process begins with the 12 year old comprehensive clinic visit and ends with a new patient visit at an adult HTC. By working on the process, we expect patients to have the communication skills to be able to arrange medical insurance, call the home care company to order factor and to communicate their health and personal care needs to adult health care providers. We developed four specific aims which are in various stages of testing in PDSA cycles (Table 1). For Aim 1, we found that patients have only basic knowledge of insurance information. For Aim 2, we found that we needed to adjust our clinic process to make sure that patients receive their "after visit summary" that includes the insurance information prior to leaving clinic. Conclusions We developed a QI program within RCHSD HTC focused on improving transfer of care. Once we have completed the specific aim PDSA cycles we will standardize the new and improved procedures. We will continue to develop the program based on internal needs assessment and family input. This training model may be adapted by other HTCs to enhance patient care. Disclosures Thornburg: Mast Pharmaceuticals: Research Funding; Bayer Pharmaceuticals: Research Funding; Shire: Consultancy; Biogen Idec: Other: Data Safety Monitoring Board; Bluebird inc: Other: Data Safety Monitoring Board.
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Stolldorf, Deonni P., Jeffrey L. Schnipper, Amanda S. Mixon, Mary Dietrich, and Sunil Kripalani. "Organisational context of hospitals that participated in a multi-site mentored medication reconciliation quality improvement project (MARQUIS2): a cross-sectional observational study." BMJ Open 9, no. 11 (November 2019): e030834. http://dx.doi.org/10.1136/bmjopen-2019-030834.
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ObjectivesMedication reconciliation (MedRec) is an important patient safety strategy and is widespread in US hospitals and globally. Nevertheless, high quality MedRec has been difficult to implement. As part of a larger study investigating MedRec interventions, we evaluated and compared organisational contextual factors and team cohesion by hospital characteristics and implementation team members’ profession to better understand the environmental context and its correlates during a multi-site quality improvement (QI) initiative.DesignWe conducted a cross-sectional observational study using a web survey (contextual factors) and a national hospital database (hospital characteristics).SettingHospitals participating in the second Multi-Centre Medication Reconciliation Quality Improvement Study (MARQUIS2).ParticipantsImplementation team members of 18 participating MARQUIS2 hospitals.OutcomesPrimary outcome: contextual factor ratings (ie, organisational capacity, leadership support, goal alignment, staff involvement, patient safety climate and team cohesion). Secondary outcome: differences in contextual factors by hospital characteristics.ResultsFifty-five team members from the 18 participating hospitals completed the survey. Ratings of contextual factors differed significantly by domain (p<0.001), with organisational capacity scoring the lowest (mean=4.0 out of 7.0) and perceived team cohesion and goal alignment scoring the highest (mean~6.0 out of 7.0). No statistically significant differences were observed in contextual factors by hospital characteristics (p>0.05). Respondents in the pharmacy profession gave lower ratings of leadership support than did those in the nursing or other professions group (p=0.01).ConclusionsHospital size, type and location did not drive differences in contextual factors, suggesting that tailoring MedRec QI implementation to hospital characteristics may not be necessary. Strong team cohesion suggests the use of interdisciplinary teams does not detract from cohesion when conducting mentored QI projects. Organisational leaders should particularly focus on supporting pharmacy services and addressing their concerns during MedRec QI initiatives. Future research should correlate contextual factors with implementation success to inform how best to prepare sites to implement complex QI interventions such as MedRec.
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Maes-Carballo, Marta, Yolanda Gómez-Fandiño, Carlos Roberto Estrada-López, Ayla Reinoso-Hermida, Khalid Saeed Khan, Manuel Martín-Díaz, and Aurora Bueno-Cavanillas. "Breast Cancer Care Quality Indicators in Spain: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 12 (June 13, 2021): 6411. http://dx.doi.org/10.3390/ijerph18126411.
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Breast cancer (BC) management care requires an increment in quality. An initiative to improve the BC quality care is registered, and quality indicators (QIs) are studied. We appraised the appearance of QIs and their standards systematically in Spain. A prospective systematic search (Prospero no: CRD42021228867) for clinical pathways and integrated breast cancer care processes was conducted through databases and the World Wide Web in February 2021. Duplicate data extraction was performed with 98% reviewer agreement. Seventy-four QIs (QI per document mean: 11; standard deviation: 10.59) were found in 15 documents. The Catalonian document had the highest number of QIs (n = 30). No QI appeared in all the documents. There were 9/74 QIs covering structure (12.16%), 53/74 covering process (71.62%), and 12/74 covering outcome (16.22%). A total of 22/66 (33.33%) process and outcome QIs did not set a minimum standard of care. QIs related to primary care, patient satisfaction, and shared decision making were deficient. Most of the documents established a BC QI standard for compliance, but the high variability hinders the comparison of outcomes. Establishing a consensus-based set of QIs needs urgent attention.
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Yeh, C., S. Cope, T. Thompson, S. McGilvray, A. Petrosoniak, V. Chin, K. Karkouti, et al. "LO41: The development of a standardized provincial massive hemorrhage protocol with a built-in continuous quality improvement framework." CJEM 22, S1 (May 2020): S21—S22. http://dx.doi.org/10.1017/cem.2020.96.
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Background: Massive hemorrhage protocols (MHPs) streamline the complex logistics required for prompt care of the bleeding patient, but their uptake has been variable and few regions have a system to measure outcomes from these events. Aim Statement: We aim to implement a standardized MHP with uniform quality improvement (QI) metrics to increase uptake of evidence-based MHPs across 150-hospitals in Ontario between 2017 and 2021. Measures & Design: We performed ongoing PDSA cycles; 1) stakeholder analysis by surveying the Ontario Regional Blood Coordinating Network (ORBCoN), 2) problem characterization and Ishikawa analysis for key QI metrics based on areas of MHP variability in 150 Ontario hospitals using a web-based survey, 3) creation of a consensus MHP via a modified Delphi process, 4) problem characterization at ORBCoN for the design of a freely available toolkit for provincial implementation by expert working groups, 5) design of 8 key QI metrics by a modified Delphi process, and 6) identification of process measures for QI data collection by implementation metrics. Evaluation/Results: PDSA1-2; 150-hospitals were surveyed. 33% of hospitals lacked MHPs, mostly in smaller sites. Major areas for QI were related to activation criteria, hemostatic agents, protocolized hypothermia management, variable MHP naming, QI metrics and serial blood work requirements. PDSA3; 3 Delphi rounds were held to reach 100% expert consensus for 42 statements and 8 CQI metrics. Major areas for modification were protocol name, laboratory resuscitation targets, cooler configurations, and role of factor VIIa. PDSA4; adaptable toolkit is under development by the steering committee and expert working groups. Implementation is scheduled for Spring 2020. PDSA5; the 8 CQI metrics are: TXA administration < 1 h, RBC transfusion < 15 min, call to transfer for definitive care < 60 min, temp >35°C at end of protocol, Hgb kept between 60-110g/L, transition to group-specific RBC by 90 min, appropriate activation defined by ≥6 units RBC in the first 24 hours, and any blood component wastage. Discussion/Impact: MHP uptake, content, and tracking is variable. A standardized MHP that is adaptable to diverse settings decreases complexity, improves use of evidence-based practices, and provides a platform for continuous QI. PDSA6 will occur after implementation; we will complete an implementation survey, and design a pilot and feasibility study for prospective tracking of patient outcomes using existing prospectively collected inter-hospital and provincial databases.
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Puk, Wing Kin. "Review of Wei Quan’s Shi lin jiao you yu feng qi bian qian." Jiuzhou Xuelin 2011, no. 28 (April 1, 2012): 203–16. http://dx.doi.org/10.5404/jiuzhou.2011.28.10.
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Song, Jun-hyuk. "Eastern Wei-Northern qi Period Bingzhou Area Tomb Murals-Relations with Goguryeo Murals." Sogang Journal of Early Korean History 18 (December 31, 2014): 207–52. http://dx.doi.org/10.35160/sjekh.2014.12.18.207.
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Baz, Rachid, Roy Furman, Katherine Simondsen, and Christine Stone. "Quality Improvement at an Academic Cancer Center: Venous Thromboembolism Prophylaxis in Patients With Multiple Myeloma." Cancer Control 27, no. 2 (April 1, 2020): 107327482093020. http://dx.doi.org/10.1177/1073274820930204.
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Patients with multiple myeloma are at elevated risk of venous thromboembolism (VTE), the second leading cause of death in patients with cancer, but physician adherence to VTE prevention guidelines is low. Several organizations partnered in designing and implementing a 2-year quality improvement (QI) program in a tertiary care/academic cancer center, to increase awareness of VTE prophylaxis for patients with multiple myeloma and thus improve adherence to prophylaxis guidelines and protocols. The QI arm included 2 chart audits, conducted 2 years apart, of unmatched cohorts of 100 patients with multiple myeloma. An Education arm included 2 grand rounds presentations, 3 web-based case discussions, and a patient education module. Twenty providers took part in the continuous QI arm. More than 1100 learners participated in the online cases; the patient education curriculum reached 112 multiple myeloma patients. The initiative proved helpful in defining barriers to guideline adherence and identifying data-driven practice improvement strategies for VTE prophylaxis. It also increased learner awareness of VTE guidelines, patient risk stratification, and optimal thromboprophylaxis strategies. There was a reduction in VTE events (primary clinical outcome) from 10% at baseline to 4% in the follow-up cohort, although this was not statistically significant. Higher rates of guideline-based prophylaxis were observed in low-risk patients, and a lower incidence of VTE was observed in multiple myeloma patients with a prior history of VTE. Additional research is needed to refine prophylaxis guidelines. With appropriate institutional support, this type of QI program can be readily adopted by other organizations to address practice improvement needs.
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Fleischer, Tom, Tung-Ti Chang, Jen-Huai Chiang, Mao-Feng Sun, and Hung-Rong Yen. "Improved Survival With Integration of Chinese Herbal Medicine Therapy in Patients With Acute Myeloid Leukemia: A Nationwide Population-Based Cohort Study." Integrative Cancer Therapies 16, no. 2 (August 16, 2016): 156–64. http://dx.doi.org/10.1177/1534735416664171.
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Purpose. Acute myeloid leukemia (AML) is the most deadly subtype of leukemia, and many patients with this disease seek other complementary therapies, one of which is Chinese medicine. We set out to provide reliable data regarding the benefit of Chinese herbal medicine (CHM) for AML patients, using mortality as the main outcome measure. We also characterized the herbal prescriptions of patients. Methods. Using the Taiwanese National Health Insurance Research Database, we performed a nationwide population-based cohort study among AML patients from 1997 to 2010. The Cox regression model was used to adjust for comorbidities and other variables, and the hazard ratios (HRs) of CHM users and non–CHM users were compared. Results. After 1:1 matching, 498 patients were included into the study. The HR of the CHM group was 0.41 (95% CI = 0.26-0.65; P = .0001) compared with the non-CHM group. This decrease in HR was also shown to be dose dependent ( P < .001). The 3 single-herbs most commonly prescribed were Salvia miltiorrhiza (Dan Shen), Astragalus membranaceus (Huang Qi), and Spatholobus suberectus (Ji Xue Teng). The 3 mutli-herb products most commonly prescribed were Jia Wei Xiao Yao San, Gui Pi Tang, and Qi Ju Di Huang Wan. Conclusion. Prospective controlled clinical data is still needed, however, this study provides real-world data regarding the benefit AML patients may have from CHM. This study suggests that all AML patients, regardless of age or other prognostic factors, may achieve longer survival times when receiving CHM in addition to standard therapy.
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Ulm. "Differentialtherapie im Spätstadium der Parkinson'schen Krankheit unter spezieller Berücksichtigung adjuvanter Therapieansätze." Praxis 93, no. 45 (November 1, 2004): 1869–72. http://dx.doi.org/10.1024/0369-8394.93.45.1869.
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Parkinson-Patienten mit Spätsyndromen, also Fluktuationen/Dyskinesien und/oder psychiatrischen Nebenwirkungen der Therapie, bedürfen in der Regel eines ausgefeilten, individuellen und oft komplizierten Therapieregimes. Dabei kann es nötig werden, alle Medikamentengruppen einzusetzen. Die mehr oder weniger regelmässigen Anpassungen der Medikation an die fortschreitende Symptomatik sollten stationär, am besten in Spezialeinrichtungen erfolgen, auch – oder gerade dann – wenn psychiatrische Symptome auftreten. Eine Vielzahl adjuvanter Therapien wird von verschiedenen Anbietern propagiert. Durch Studien belegt ist kaum eine. In der Praxis hat sich jedoch gezeigt, dass die etablierten Anwendungen wie Physiotherapie, Massagen und Logopädie auch in Spätstadien sinnvoll sind. Die Deutsche Parkinson Vereinigung (dPV) hat Studien zur Wirkung der Ohrakupunktur (als Dauerimplantat), zur Anwendung von Qi-Gong und zu Coenzym Q10 veranlasst. Die besten Aussichten, einen Wirkungsnachweis zu erbringen, scheint Q10 zu haben, obwohl die Studien noch nicht abgeschlossen sind. Die Ohrakupunktur kann nicht empfohlen werden, Qi-Gong nur bedingt.
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Schröder, Sven, Kathrin Beckmann, Giovanna Franconi, Gesa Meyer-Hamme, Thomas Friedemann, Henry Johannes Greten, Matthias Rostock, and Thomas Efferth. "Can Medical Herbs Stimulate Regeneration or Neuroprotection and Treat Neuropathic Pain in Chemotherapy-Induced Peripheral Neuropathy?" Evidence-Based Complementary and Alternative Medicine 2013 (2013): 1–18. http://dx.doi.org/10.1155/2013/423713.
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Chemotherapy-induced neuropathy (CIPN) has a relevant impact on the quality of life of cancer patients. There are no curative conventional treatments, so further options have to be investigated. We conducted a systematic review in English and Chinese language databases to illuminate the role of medical herbs. 26 relevant studies on 5 single herbs, one extract, one receptor-agonist, and 8 combinations of herbs were identified focusing on the single herbsAcorus calamus rhizoma,Cannabis sativa fructus,Chamomilla matricaria,Ginkgo biloba,Salvia officinalis,Sweet bee venom,Fritillaria cirrhosae bulbus,and the herbal combinations Bu Yang Huan Wu, modified Bu Yang Huan Wu plus Liuwei Di Huang, modified Chai Hu Long Gu Mu Li Wan,Geranii herbaplusAconiti lateralis praeparata radix, Niu Che Sen Qi Wan (Goshajinkigan), Gui Zhi Jia Shu Fu Tang (Keishikajutsubuto), Huang Qi Wu Wu Tang (Ogikeishigomotsuto), and Shao Yao Gan Cao Tang(Shakuyakukanzoto). The knowledge of mechanism of action is still limited, the quality of clinical trials needs further improvement, and studies have not yielded enough evidence to establish a standard practice, but a lot of promising substances have been identified. While CIPN has multiple mechanisms of neuronal degeneration, a combination of herbs or substances might deal with multiple targets for the aim of neuroprotection or neuroregeneration in CIPN.
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Gao, Xi-yan, Xing-rui Li, Qiao-lin Ma, Xin-ji Zhao, Su-ju Shao, Yu-long Wei, and Wei-xia Sun. "Clinical observation on insomnia treated by Wei-defensive qi-regulating and brain-strengthening needling technique." Journal of Acupuncture and Tuina Science 5, no. 3 (June 2007): 152–55. http://dx.doi.org/10.1007/s11726-007-0152-z.
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Sernelj, Téa. "The Problem of the Authenticity of the Aesthetic Concept qiyun shengdong." Asian Studies 9, no. 1 (January 8, 2021): 159–80. http://dx.doi.org/10.4312/as.2021.9.1.159-180.
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The article explores Xu Fuguan’s analysis and interpretation of the concept of qiyun shengdong 氣韻生動, which is considered to be one of the most important, fundamental and complex concepts in Chinese aesthetics and art. It was created by Xie He in the Wei Jin period (220–420 AD), which is marked as a turning point in the development of Chinese aesthetics. The complexity of the concept of qiyun shengdong is reflected in literary works, painting, calligraphy, and music, as well as in literary theory and the theory of painting. According to Xu Fuguan, qi refers to the external features of the artwork, while yun expresses the internal characteristics that are a matter of the human spirit. For Xu, shengdong signifies the manifestation and fusion of qi and yun in the artwork. Xu Fuguan claimed that the profound comprehension of this concept is fundamental for understanding the essence of Chinese art. The article also addresses the problem of translating this aesthetic concept into English and discusses the problem of its authenticity.