Many foreign medicinal materials that were imported to China via the Silk Road and maritime trade have enriched Chinese medicine. Imported foreign medicines reached a high point by the Tang and Song Dynasties, particularly in the case of aromatic medicines, which supplemented domestic Chinese aromatics and were widely employed in official dispensaries in the Song Dynasty. This study investigated historical records related to imported Chinese medicines in the Tang and Song periods, focusing on their varieties, quantity, use, and localization trends. Foreign medicines were assimilated as Chinese medical theory was applied to interpret their effects, and aromatics such as frankincense that were extremely expensive in the Tang Dynasty became accessible to common people by the Song Dynasty. By the Song Dynasty, some foreign medicines began to be domestically cultivated and the boundary between foreign and traditional Chinese medicines became blurred; foreign medicines gradually transformed into Chinese medicines. The importation of foreign medicines during the Tang and Song Dynasties was a historical turning point that contributed greatly to the development of traditional Chinese medicine.

OBJECTIVEIn spite of the World Health Organization's recommendations over the past decades, Ghana features pluralistic rather than truly integrated medical system. Policies about the integration of complementary medicine into the national health care delivery system need to account for individual-level involvement and cultural acceptability of care rendered by health care providers. Studies in Ghana, however, have glossed over the standpoint of the persons of the illness episode about the intercultural health care policy framework. This paper explores the health care users, and providers' experiences and attitudes towards the implementation of intercultural health care policy in Ghana.

METHODSIn-depth interviews, augmented with informal conversations, were conducted with 16 health service users, 7 traditional healers and 6 health professionals in the Sekyere South District and Kumasi Metropolis in the Ashanti Region of Ghana. Data were thematically analysed and presented based on the a posteriori inductive reduction approach.

RESULTSFindings reveal a widespread positive attitude to, and support for integrative medical care in Ghana. However, inter-provider communication in a form of cross-referrals and collaborative mechanisms between healers and health professionals seldom occurs and remains unofficially sanctioned. Traditional healers and health care professionals are skeptical about intercultural health care policy mainly due to inadequate political commitment for provider education. The medical practitioners have limited opportunity to undergo training for integrative medical practice. We also find a serious mistrust between the practitioners due to the "diversity of healing approaches and techniques." Weak institutional support, lack of training to meet standards of practice, poor registration and regulatory measures as well as negative perception of the integrative medical policy inhibit its implementation in Ghana.

CONCLUSIONIn order to advance any useful intercultural health care policy in Ghana, the government's total commitment in informed training and provider education, enforcement of regulatory instrument and improved community engagement is needed. Evidence-based incorporation of traditional medical therapies into clinical practice will provide safer, faster and more effective health care for the underserved and resource-poor, particularly in the rural areas.

Objective:To recommend reference composition for sourceless efficiency calibration of food gamma spectrometry by analyzing the composition of common foods based on a combination of sourceless efficiency calibration and active validation.Methods:Thirty common types of food samples in countrywide monitoring of radioactively contaminated foods were analyzed to statistically determine the reference composition of grains and vegetables. Combined with the parameters provided for white quinoa standard source, LabSOCS was applied to carry out the simulation of sourceless efficiency for its different compositions, and to calculate its measured activity, and analyzing its relative deviation to the those given in the certificate.Results:The analytical result of these 30 types of food samples showed that the five elements C, H, O, N and S accounted for 77.0%-93.7% of the food composition, being the main component of these samples. By applying white quinoa′s components and grain-based reference components to the simulation of the sourceless efficiency of white quinoa standard sources, the relative deviations of activity calculations to their certificated activities were in the range of 0.37%-5.86% and 0.38%-5.87% in absolute value, respectively.Conclusions:The white quinoa′s composition and the grain reference composition were applied to the sourceless efficiency simulation of the white quinoa standard source, and the relative deviation of the calculated measured activity to the activity of the standard source certificate was basically identical, so that if the gamma spectrometry-based sourceless efficiency simulation is used to measure the unknown composition of the food samples and it is inconvenient to carry out the analysis of the food samples′ compositions, especially in the case of emergency, it can be referred to the use of the reference compositions obtained in the present study.

Objective To further extend the application of coincidence summing correction factor transfer experiments through the analysis of relevant measurements. Methods The passive efficiency was simulated using BE5030 high-purity germanium (HPGe) γ-energy spectrometer equipped with LabSOCS, and the total efficiency was simulated using LabSOCS in GENIE 2000 spectrum analysis software, which was used for calculating the coincidence summing correction factor. The coincidence summing correction factor transfer experiments were performed using the measurements with the point source containing ¹³⁴Cs, ⁶⁰Co, and ¹³⁷Cs as well as the body source to obtain the coincidence summing correction factors of other HPGe γ-energy spectrometers. Results The coincidence summing correction factors for ¹³⁴Cs and ⁶⁰Co were obtained using the BE5030 γ-energy spectrum. In verification by certificate activity, the absolute value of the maximum deviation was within 3.53%. Using coincidence summing correction factor transfer experiments, these factors were transferred to other high-purity germanium γ spectrometers. In verification by certificate activity, the absolute value of the maximum deviation was within 5.86%. Conclusion The coincidence summing correction factors calculated using simulated total efficiency by calling LabSOCS in the GENIE 2000 spectrum analysis software are effective in correction, and can be used as correction factors in standard laboratories. Through coincidence summing correction factor transfer experiments, the coincidence summing correction of other high-purity germanium γ-energy spectrometers can be achieved, which broadens the application of coincidence summing correction method.

Objective To develop a large-volume sample cassette in the shape of a formalin cup suitable for portable HPGe γ spectrometer, to determine the detection limits of the cassette at different detection times through fresh sample measurements, and to provide a reference for responding to and monitoring of nuclear and radiation emergencies. Methods According to the formula for calculation of detection limit described in the GB/T 16145—2022, ¹³¹I and ¹³⁷Cs were measured using the sourceless efficiency calibration software Angle and the portable HPGe γ spectrometer for the optimization of the large-volume sample cassette. Fresh salmon samples were measured using a formalin cup-shaped large-volume sample cassette. The detection times were 2, 4, 6, 8, 10, 19, 19, 22, and 24 hours. The relationship between detection time and detection limit was assessed. Results Using sample cassettes with 15 cm radius and 10 L volume, the simulated detection efficiency of the formalin cup-shaped large-volume sample cassette was 30%-46% higher and the detection limit was lower as compared with the cake-shaped large-volume sample cassette. The detection limit obtained by measuring fresh salmon samples decreased with the extension of the detection time. These results provided a reference for the detection limits of measuring fresh samples for nuclides of concern in nuclear contaminated water with different detection times. Conclusion The formalin cup-shaped large-volume sample cassette developed by combining the optimization of detection limit provides a geometry for quantitative analysis in on-site monitoring of γ nuclides in the case of emergencies. Measurement of fresh samples using the cassette with different detection times showed that 8-10 hours of detection was optimal in balancing the detection limit and the detection time.

Objective: To evaluate the effectiveness of the "Internet Plus-based AIDS Comprehensive Prevention Service System" among men who have sex with men in Guangzhou. Methods: Data through case-reporting and follow-up programs on MSM HIV/AIDS in Guangzhou was collected from the China Information System for Disease Control and Prevention, which including those from the referral and follow-up treatment compliance programs in 2008-2014 (pre-treatment) and 2017-2018 (post-treatment). According to the types of care services, three groups were set as: with "Internet Plus" service, with 'HIV counseling/testing service’ or with 'routine medical service’. General Estimating Equation (GEE) was used to analyze the follow up situation of HIV/AIDS cases, annually. Cox proportional hazard regression model was used to analyze the proportions of treatment referral, within the 30 days of diagnosis. Results: Before the implementation of immediate treatment after HIV diagnosis, 90.6% (707/780) of the HIV/AIDS cases received the first follow up program including the CD₄⁺ T cells counts (CD₄) test service within 90 days of diagnosis, in the "Internet Plus-based HIV/AIDS care service" group presented 1.19 times (95%CI: 1.14-1.25) of the routine medical service group. The implementation of immediate treatment after HIV diagnosis, compared with the routine medical service group, the "Internet Plus" service group presented 1.71 times (95%CI: 1.03- 2.83) more treatment referrals within the 30 days of diagnosis, when the first testing CD₄ was ≤200 cells/μl. Compared with the routine medical service group, the HIV counseling and testing service group showed 1.37 times (95%CI: 1.20-1.56) more of the treatment referrals within the 30 days of HIV diagnosis, after the first testing CD₄ counts as >200 cells/μl. Conclusion Standardized care and follow-up service should be promoted as soon as the referral and treatment programs were set after the diagnosis was made, under the "Internet Plus-based AIDS Comprehensive Prevention Service System" for the MSM population, in Guangzhou.