Traditional medicine use by cancer patients in Thailand

Ethnobotanical relevance Cancer patients commonly use traditional medicines (TM) and in Thailand these are popular for both self-medication and as prescribed by TM practitioners, and are rarely monitored. A study was conducted at Wat Khampramong, a Thai Buddhist temple herbal medicine hospice, to document some of these practices as well as the hospice regime. Materials and methods Cancer patients (n=286) were surveyed shortly after admission as to which TMs they had previously taken and perceptions of effects experienced. They were also asked to describe their current symptoms. Treatment at the hospice is built upon an 11-herb anti-cancer formula, yod-ya-mareng, prescribed for all patients, and ideally, its effects would have been evaluated. However other herbal medicines and holistic practices are integral to the regime, so instead we attempted to assess the value of the patients׳ stay at the hospice by measuring any change in symptom burden, as they perceived it. Surviving patients (n=270) were therefore asked to describe their symptoms again just before leaving. Results 42% of patients (120/286; 95% CI 36.4%, 47.8%) had used herbal medicines before their arrival, with 31.7% (38/120; 95% CI 24%, 40.4%) using several at once. Mixed effects were reported for these products. After taking the herbal regime at Khampramong, 77% (208/270 95% CI; 71.7%, 81.7%) reported benefit, and a comparison of the incidence of the most common (pain, dyspepsia, abdominal or visceral pain, insomnia, fatigue) showed statistical significance (χ2 57.1, df 7, p<0.001). Conclusions A wide range of TMs is taken by cancer patients in Thailand and considered to provide more benefit than harm, and this perception extends to the temple regime. Patients reported a significant reduction in symptoms after staying at Khampramong, indicating an improvement in quality of life, the aim of hospices everywhere. Based on this evidence, it is not possible to justify the use of TM for cancer in general, but this study suggests that further research is warranted. The uncontrolled use of TMs, many of which are uncharacterised, raises concerns, and this work also highlights the fact that validated, robust methods of assessing holistic medical regimes are urgently needed.

Cancer patients taking herbal medicines: a review of clinical purposes, associated factors, and perceptions of benefit or harm

Ethnopharmacological relevance: Cancer patients in all cultures are high consumers of herbal medicines (HMs) usually as part of a regime consisting of several complementary and alternative medicine (CAM) modalities, but the type of patient, the reasons for choosing such HM-CAM regimes, and the benefits they perceive from taking them are poorly understood. There are also concerns that local information may be ignored due to language issues. This study investigates aspects of HM-CAM use in cancer patients using two different abstracting sources: Medline, which contains only peer-reviewed studies from SCI journals, and in order to explore whether further data may be available regionally, the Thai national databases of HM and CAM were searched as an example. Materials and methods: the international and Thai language databases were searched separately to identify relevant studies, using key words chosen to include HM use in all traditions. Analysis of these was undertaken to identify socio-demographic and clinical factors, as well as sources of information, which may inform the decision to use HMs. Results: Medline yielded 5,638 records, with 49 papers fitting the criteria for review. The Thai databases yielded 155, with none relevant for review. Factors associated with HM-CAM usage were: a younger age, higher education or economic status, multiple chemotherapy treatment, late stage of disease. The most common purposes for using HM-CAM cited by patients were to improve physical symptoms, support emotional health, stimulate the immune system, improve quality of life, and relieve side-effects of conventional treatment. Conclusions: Several indicators were identified for cancer patients who are most likely to take HM-CAM. However, interpreting the clinical reasons why patients decide to use HM-CAM is hampered by a lack of standard terminology and thematic coding, because patients' own descriptions are too variable and overlapping for meaningful comparison. Nevertheless, fears that the results of local studies published regionally are being missed, at least in the case of Thailand, appeared to be unfounded.

Why cancer patients choose in-patient complementary therapy in palliative care: a qualitative study at Arokhayasala Hospice in Thailand

Cancer patients often choose complementary and alternative medicine (CAM) in palliative care, often in addition to conventional treatment and without medical advice or approval. Herbal medicines (HM) are the most commonly used type of CAM, but rarely available on an in-patient basis for palliative care. The motivations which lead very ill patients to travel far to receive such therapies are not clear. A qualitative study was therefore carried out to investigate influences on choosing to attend a CAM herbal hospice, to identify cancer patients’ main concerns about end-of-life care. Semi-structured interviews with 32 patients were conducted and analysed using thematic analysis. Patients were recruited from Arokhayasala, a Buddhist cancer hospice in Thailand which provides CAM, in the form of HM, a restricted diet, Thai yoga, deep-breathing exercises, meditation, chanting, Dhamma, laughter and music therapy, free-of-charge. The main factors influencing decision-making were a positive attitude towards HMs and previous use of them, dissatisfaction with conventional treatment, the home environment and their relationships with hospital doctors. Patients’ own perceptions and experiences were more important in making the decision to use CAM, and especially HM, in palliative cancer care than referral by healthcare professionals or scientific evidence of efficacy. Patients were prepared to travel far and live away from home to receive such care, especially as it was cost-free. In view of patients’ previously stated satisfaction with the regime at the Arokhayasala, these findings may be relevant to the provision of in-patient cancer palliative care to other patients.

High genetic diversity in field isolates of Trypanosoma theileri assessed by analysis of cathepsin L-like sequences disclosed multiple and new genotypes infecting cattle in Thailand

In this study, we describe the first survey in Thailand of Trypanosoma theileri, a widespread and prevalent parasite of cattle that is transmitted by tabanid flies. Investigation of 210 bovine blood samples of Thai cattle from six farms by hematocrit centrifuge technique (HCT) revealed 14 samples with trypanosomes morphologically compatible to T. theileri. Additional animals were positive for T. theileri by PCR based on the Cathepsin L-like sequence (TthCATL-PCR) despite negative by HCT, indicating cryptic infections. Results revealed a prevalence of 26 +/- 15% (95% CI) of T. theileri infection. Additionally, 12 samples positive for T. theileri were detected in cattle from other 11 farms. From a total of 30 blood samples positive by HCT and/or PCR from 17 farms, seven were characterized to evaluate the genetic polymorphism of T. theileri through sequence analysis of PCR-amplified CATL DNA sequences. All CATL sequences of T. theileri from Thai cattle clustered with sequences of the previously described phylogenetic lineages TthI and TthII, supporting only two major lineages of T. theileri in cattle around the world. However, 11 of the 29 CATL sequences analyzed showed to be different, disclosing an unexpectedly large polymorphic genetic repertoire, with multiple genotypes of T. theileri not previously described in other countries circulating in Thai cattle. (C) 2011 Elsevier B.V. All rights reserved.

A gravity model for trade between Vietnam and twenty-three European countries

This thesis examines the bilateral trade between Vietnam and twenty three European countries based on a gravity model and panel data for years 1993 to 2004. Estimates indicate that economic size, market size and real exchange rate of Vietnam and twenty three European countries play major role in bilateral trade between Vietnam and these countries. Distance and history, however, do not seem to drive the bilateral trade. The results of gravity model are also applied to calculate the trade potential between Vietnam and twenty three European countries. It shows that Vietnam’s trade with twenty three European countries has considerable room for growth.

The impact of foreign direct investment and openness on Vietnamese economy

This thesis examines the impact of foreign direct investment (FDI) on Vietnamese economy based on Partial Adjustment Model and time series data from 1976 to 2004. FDI is shown to have not only short run but also long run effect on gross domestic product (GDP) of Vietnam. However, elasticity of GDP with respect to FDI is small and it will take many years to fully manifest itself. The impact of trade openness on GDP has also been examined and it is shown to be stronger than that of FDI. The paper offers a number of explanations and discusses briefly suggestions in order to increase the contribution of FDI to Vietnam’s economic development.

Corporate identity through graphic design

The degree project has been implemented abroad in Brisbane, Australia. A literature study has beenperformed parallel to the practical work within the subject »Corporate identity through graphicaldesign«. In this study deeper research has been made concerning the establishment and manifestationof a corporate identity and its program. The knowledge given from this study has been put into practicethrough two larger projects.The first project was carried out at De Pasquale, advertising agency in Brisbane, where a corporateidentity program was designed for a new company. The company is a fitness centre, called KnockoutFitness, which specializes in different types of boxing training sessions such as Boxing, Thai Bow andBoxercise but also Aqua aerobics. They needed a full corporate identity program including a logotype,business card, letter paper-paper and address labels.The second project was carried out at Queensland University of Technology in Brisbane. A promotioncampaign was designed for the Department of Visual Arts, which included two information folders andone advertisement. The purpose of the campaign was to promote both the undergraduate and postgraduatecourses offered within the department.

Estimating economic interactions of financial suppliers in Thailand

This paper presents a methodology to estimate and identify different kinds of economic interaction, whenever these interactions can be established in the form of spatial dependence. First, we apply the semi-parametric approach of Chen and Conley (2001) to the estimation of reaction functions. Then, the methodology is applied to the analysis financial providers in Thailand. Based on a sample of financial institutions, we provide an economic framework to test if the actual spatial pattern is compatible with strategic competition (local interactions) or social planning (global interactions). Our estimates suggest that the provision of commercial banks and suppliers credit access is determined by spatial competition, while the Thai Bank of Agriculture and Agricultural Cooperatives is distributed as in a social planner problem.

Desempenho de três linhagens de tilápia submetidas ao tratamento com 17-α-metiltestosterona em condições ambientais não controladas

Este estudo foi realizado para descrever o efeito da reversão sexual de linhagens de tilápia sobre as taxas de sobrevivência, o crescimento e o percentual de machos fenotípicos em condições ambientais variáveis. Foram utilizadas duas linhagens de Oreochromis niloticus (tilápia-do-nilo comum e tailandesa) e uma híbrida Oreochromis sp (vermelha), que receberam o hormônio masculinizante 17-α-metiltestosterona incorporado à ração (60 mg/kg) durante os primeiros 30 dias de vida. Aos 90 dias de idade, a taxa de sobrevivência da tilápia-do-nilo comum superou a da tilápia tailandesa em 39,00% e da tilápia vermelha em 22,70%, enquanto a taxa instantânea de crescimento foi similar nas linhagens comum e tailandesa e significativamente inferior na linhagem vermelha. O percentual de machos, de acordo com o exame de gônadas, decresceu na seguinte ordem: tilápia-do-nilo comum, tailandesa e vermelha. em situações de oscilação de temperatura, a linhagem comum tem maior desempenho produtivo, mas são necessários estudos para comprovação da pureza genética e análise do manejo reprodutivo de linhagens de tilápia.

Retardadores de crescimento na produção de plantas floridas envasadas de açafrão-da-cochinchina

A introdução de novos produtos na floricultura brasileira é importante para o crescimento do setor. O açafrão-da-cochinchina (Curcuma alismatifolia) possui inflorescência e folhagem altamente decorativas e grande potencial para produção como florífera envasada, com o auxílio de retardadores de crescimento, usados na produção de plantas compactas e atrativas. Avaliou-se o efeito de retardadores de crescimento na produção de açafrão-da-cochinchina `Pink', de 3/12/2004 a 28/4/2005, sob ambiente protegido, em Holambra (SP). Instalou-se experimento em blocos casualizados com três repetições e onze tratamentos: controle, paclobutrazol (20; 25; 30 e 35 mg i.a./vaso, via substrato), duas, três e cinco pulverizações de daminozide na concentração de 2,125 g L-1 e duas, três e cinco pulverizações de solução de daminozide (1,275 g L-1) mais chlormequat (0,2 g L-1). O propágulo foi plantado em vaso plástico (1,0 L) com substrato comercial e fertirrigado diariamente. Paclobutrazol (35 mg i.a./vaso) reduziu significativamente a altura da parte aérea e da folhagem e o comprimento da haste floral, sem alterar o comprimento da inflorescência e atrasar o ciclo de produção. Entretanto, as plantas não ficaram suficientemente compactas para atender às exigências de qualidade do mercado. Os demais retardadores estudados não afetaram significativamente a altura da folhagem e o comprimento da haste floral comparado ao controle.

Modelos para estimativa da área foliar de Curcuma alismatifolia e Vurcuma zedoaria

O presente estudo determina modelos para estimativa da área foliar de Curcuma alismatifolia e de Curcuma zedoaria. Para utilização destas espécies como ornamentais, é necessário o estabelecimento de técnicas de produção adequadas. Assim, a determinação da área foliar é importante, pois é usada para avaliar a resposta da planta a fatores ambientais e técnicas culturais. O uso de modelos para estimar a área foliar é um método simples, de boa precisão e não destrutivo. No estádio de floração foram coletadas cem folhas de C.alismatifolia ('Pink' e 'White') e de C.zedoaria. Determinaram-se o comprimento (C) e a largura (L) máximos e a área foliar real (AFR), com auxílio de integrador de área foliar (LI-3100). Estudaram-se as relações entre a AFR e o C, L e CL (produto do comprimento pela largura da folha), por meio de modelos de regressão linear. Os modelos AFR = 0,59048 CL (C.alismatifolia 'Pink'), AFR = 6,08410 + 0,52162 CL (C.alismatifolia 'White') e AFR = 0,70233 CL (C.zedoaria) são estatisticamente adequados para estimar a área foliar real.

Valores bioquímicos séricos de tilapia del Nilo (Oreochromis niloticus) en cultivo intensivo

The aim of the study was to evaluate the serum biochemical parameters of the Nile tilapia (Oreochromis niloticus), Thai Chitralada lineage, raised under an intensive pisciculture system and captured by the cast net technique. Blood samples from 40 individuals were obtained by caudal venopuncture. Mean body weight was 453 ± 52 g. The serum biochemical parameters evaluated were total protein, albumin, globulins, acid uric, creatinine, urea, calcium, inorganic phosphorus, Ca/P ratio, alkaline phosphatase, and magnesium. In general, the data showed similar parameters in comparison to those established for scale fish, exception of the acid uric.

Desempenho produtivo e crescimento muscular de linhagens de tilápia-do-nilo cultivadas na fase inicial

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Histologia hepática e produção em tanques-rede de tilápia-do-nilo masculinizada hormonalmente ou não masculinizada

The aim of this work was to evaluate the performance and the liver structure health of Nile tilapia hormonally masculinized or nonmasculinized, reared in cages with two protein levels. Two groups of Nile tilapia of Thai lineage (total 2,400), with 127 g initial average weight, were distributed in a completely randomized design with four treatments, in a 2x2 factorial arrangement, corresponding to the groups of hormonally masculinized or nonmasculinized fish, and to diet protein level of 28 or 32% of crude protein, with three replicates. After 115 days feeding, there was no interaction between the factors for final weight, weight gain, feed conversion rate, final length and survival. There was no difference between hormonally masculinized and nonmasculinized fish for final weight, weight gain, and survival, which shows the possibility of their production in cages, without the need of hormonal masculinization. Crude protein at 32% in the diet enables a better performance for both groups. Histological changes in the liver - such as increased cell volume, disruption of the cord-like arrangements, and increase of vesicles in the hepatocytes - are found in hormonally masculinized fish, and are more pronounced in fish fed 32% crude protein in the diet.

Dysregulation of Anti-Inflammatory Annexin A1 Expression in Progressive Crohns Disease

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)