Pharmacopuncture Effects on Insomnia Disorder: Protocol for a Multi-Site, Randomized, Acupuncture-Controlled, Clinical Trial.

Insomnia is a common health problem that can lead to various diseases and negatively impact quality of life. Pharmacopuncture is a new type of acupuncture that involves applying herbal medicine extracts to acupoints. Korean medicine doctors frequently use it to treat insomnia disorder. However, there is insufficient evidence to support the effectiveness and safety of pharmacopuncture for insomnia disorder. We designed a pragmatic randomized controlled trial to compare the effectiveness of pharmacopuncture and acupuncture for insomnia disorder. This multi-site, randomized, acupuncture-controlled trial will enroll 138 insomnia patients. The subjects will be randomly assigned to one of two groups, pharmacopuncture or acupuncture, at a 2:1 ratio. For 4 weeks, the participants will receive ten sessions of pharmacopuncture or acupuncture treatment and will be followed up for 4 weeks after the treatment ends. The Pittsburgh Sleep Quality Index score is the primary outcome measure. Insomnia severity index score, sleep parameters recorded using actigraphy and sleep diaries, physical symptoms associated with insomnia, emotions, quality of life, medical costs, and safety are the secondary outcome measures. The findings of this trial willprovide evidence that will be useful in clinical decision-making for insomnia treatment strategies.

Phosphorous recovery from sewage sludge using calcium silicate hydrates.

Phosphorous is an essential limiting nutrient for which there is no substitute. Its efficient recovery from sewage treatment plants is important to mitigate both dependence on limited reserves of exploitable phosphate rock and eutrophication of surface waters. Here, we evaluate the use of calcium silicate hydrates (CSH) to recover phosphorous eluted from sewage sludge. Phosphorous elution experiments were conducted with acid and base leaching solutions. The phosphorous recovery efficiency with CSH was compared to that with other calcium compounds, and the final product was analyzed to assess its potential value as fertilizer. Dried sewage sludge from the West Lake Ecological Water Resource Center, South Korea, having 123 g-P kg-1, was used for these tests. About 55% of the phosphorus in the sludge was released with an elution solution of 0.1 M H2SO4. A dose of 15 g L-1 of CSH recovered 89.6% of the eluted phosphorous without the need for additional pre-treatment, and the resulting calcium phosphate product (in brushite form, based on XRD analysis) exhibited superior settleability than that resulting from Ca(OH)2- and CaCl2-induced precipitation. XRD peaks of the calcium sulfate hydrate (in gypsum form) and residual CSH were also observed. The final product contained a relatively high content of the total P2O5 eluted in a 2% citric acid solution (43.1%), which suggests that it might be readily used to fertilize crops.

The Pilot Survey of the Perception on the Practice Pattern, Diagnosis, and Treatment on Korean Medicine Insomnia: Focusing on the Difference between Korean Medical Neuropsychiatry Specialists and Korean Medical General Practitioners.

INTRODUCTION: This study aims to investigate the clinical practice states on the diagnosis and treatment for insomnia between Korean medical general practitioners (KMGPs) and Korean medical neuropsychiatry specialists (KMNPSs). METHODS: We distributed questionnaires via email or in person to 1,017 KMGPs and via email to 165 KMNPSs. We collected and analyzed responses from 305 (30.00%) KMGPs and 53 (32.12%) KMNPSs. RESULTS: Most KMGPs and KMNPSs responded that the number of new patients visiting the clinic for treatment of insomnia was less than 10 per month (78.2%). Frequently utilized therapies for insomnia are acupuncture and herbal decoctions. Particularly acupoint GV20 and Guipi decoction were chosen with the highest response rate. There was no difference between KMNPSs and KMGPs in the traditional Korean medical diagnosis methods. However, KMNPSs utilized more various methods to diagnose, treat, and evaluate insomnia and educated more actively sleep hygiene compared to KMGPs. CONCLUSIONS: This survey showed how insomnia is currently diagnosed and treated in Korean medical care settings. Moreover, we identified some differences between KMNPSs and KMGPs. Further research is required to explore the underlying reasons for these discrepancies among KMDs and to improve the quality of Korean medical clinical practice in treating insomnia.

Photocatalytic pre-treatment with food-grade TiO(2) increases the bioavailability and bioremediation potential of weathered oil from the Deepwater Horizon oil spill in the Gulf of Mexico.

Using the 2010 Deepwater Horizon oil spill in the Gulf of Mexico as an impetus, we explored the potential for TiO(2)-mediated photocatalytic reactive oxygen species (ROS) generation to increase the bioavailability (solubility) and biodegradability of weathered oil after a spill. Food grade TiO(2), which is FDA approved for use as food additive in the United States, was tested as a photocatalyst for this novel application. Photocatalytic pre-treatment (0.05 wt.% TiO(2), UV irradiation 18 W m(-2), 350-400 nm) for 24 h in a bench top photoreactor increased the soluble organic carbon content of weathered oil by 60%, and enhanced its subsequent biodegradation (measured as O(2) consumption in a respirometer) by 37%. Photocatalytic pre-treatment was also tested outdoors under sunlight illumination, but no significant increase in solubility or biodegradation was observed after 11 d of exposure. Although sunlight irradiation of food-grade TiO(2) generated ROS (assessed by the degradation of 4-chlorophenol as a probe compound), the efficacy of weathered oil pre-treatment was apparently hindered by sinking of the photocatalysts under quiescent conditions and illumination occlusion by the oil. Overall, results indicate that photocatalytic pre-treatment to stimulate bioremediation of weathered oil deserves further consideration, but controlling the buoyancy and surface hydrophobicity of the photocatalysts will be important for future efforts to enable ROS generation in proximity to the target compounds.

Characteristics of phosphorus adsorption for a titanium mesostructure synthesized with various surfactants.

Eutrophication due to excessive phosphorus in water has been considered one of the most important environmental problems. In this study, a titanium mesostructure, prepared with different surfactant templates, was tested to confirm its applicability as an adsorbent for the removal of phosphorus and to evaluate the phosphorus removal efficiency. An X-ray diffraction analysis, the phosphorus adsorption isotherm and a kinetic test were performed on the titanium mesostructure synthesized with various molar ratios of base material to surfactant and different surfactant templates. It was revealed that the mesostructure synthesized with the molar ratio of 1.00/0.25 was the most uniformly and clearly formed and had the maximum adsorption capacity.