Alternative therapies in health and medicine最新文献

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Observational Study: Clinical characteristics and Survival Rates in Patients with Prostate Cancer with Normal Prostate-Specific Antigen Concentrations. 观察性研究:前列腺特异性抗原浓度正常的前列腺癌患者的临床特征和存活率。
IF 1.9 4区 医学
Xiaoshun Li, Dongli Ruan, Jianxin Ni, Ruixiao Li, Guojun Wu
{"title":"Observational Study: Clinical characteristics and Survival Rates in Patients with Prostate Cancer with Normal Prostate-Specific Antigen Concentrations.","authors":"Xiaoshun Li, Dongli Ruan, Jianxin Ni, Ruixiao Li, Guojun Wu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the clinical characteristics of patients with prostate cancer with prostate-specific antigen (PSA) concentrations of less than 4 ng/mL (normal PSA) to provide clinical insights regarding diagnosis and treatment.</p><p><strong>Methods: </strong>We recruited 35 patients with prostate cancer with normal PSA who were admitted to Xi'an People's Hospital from January 2013 to January 2018, and further determined their clinical characteristics, serum PSA concentration, prostate volume, tumor pathology, surgical margins, seminal vesicle invasion, lymph node metastasis, Gleason score, TNM staging, risk classification, and survival, and described the patients' interventions and treatments. All patients and their families signed informed consent forms before enrollment.</p><p><strong>Results: </strong>In our study, we observed a 3-year survival rate of 77.14% for patients with prostate cancer and normal PSA concentrations. This outcome can be attributed to several clinical characteristics, including the absence of obvious clinical presentation, a high detection rate of seminal vesicle invasion, as well as high Gleason scores and risk levels. The primary outcome, 3-year survival rate, reflects the long-term prognosis of this specific patient subgroup. We also conducted correlation analyses to better understand the relationships between these clinical characteristics and patient survival.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary Artery Disease And Melatonin: The Mechanisms and Therapeutic Applications. 冠状动脉疾病与褪黑激素:机制与治疗应用》(Coronary Artery Disease and Melatonin: The Mechanisms and Therapeutic Applications.
IF 1.9 4区 医学
Zhezheng Li, Ruxin Chen, Peng Yu, Deju Zhang, Jing Zhang, Xiao Liu, Renqiang Yang
{"title":"Coronary Artery Disease And Melatonin: The Mechanisms and Therapeutic Applications.","authors":"Zhezheng Li, Ruxin Chen, Peng Yu, Deju Zhang, Jing Zhang, Xiao Liu, Renqiang Yang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Delaying the formation of atherosclerosis and reducing cardiac ischemia-reperfusion injury remain pressing issues. Melatonin (MLT) possesses anti-inflammatory and antioxidant properties, rendering it a promising candidate for clinical application in coronary artery disease (CAD) patients. While numerous in vivo experiments have elucidated the regulatory mechanisms of MLT in animal models and clinical trials have preliminarily demonstrated the excellent therapeutic potential of MLT in CAD, several key questions remain unanswered. In this review, the authors elucidate the mechanisms underlying CAD's occurrence, progression, and prognosis; delineate the pathways through which MLT exerts its effects; and present compelling evidence supporting its efficacy in CAD. In addition, the authors also describe unresolved issues in the treatment of CAD with MLT, thus providing scholars with directions for future research.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139641362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application Value of Target Management Mode Based on Chronic Illness Trajectory Framework in Elderly Patients with Diabetes Mellitus and Cardiovascular Diseases. 基于慢性病轨迹框架的目标管理模式在糖尿病合并心血管疾病老年患者中的应用价值
IF 1.9 4区 医学
Yinhong Zhang, Ping Hu, Yihui Huang, Chong Fu, Zhu Dong
{"title":"Application Value of Target Management Mode Based on Chronic Illness Trajectory Framework in Elderly Patients with Diabetes Mellitus and Cardiovascular Diseases.","authors":"Yinhong Zhang, Ping Hu, Yihui Huang, Chong Fu, Zhu Dong","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Diabetes and cardiovascular diseases represent significant global health challenges, leading to organ dysfunction and increased mortality rates. Managing these conditions is complex, especially in the elderly population. The study addresses this pressing issue by exploring the application of the Chronic Illness Trajectory Framework (CITF), aiming to improve self-care and quality of life in elderly patients with diabetes and cardiovascular diseases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 127 patients with diabetes mellitus and cardiovascular diseases admitted to the hospital were enrolled between January 2020 and January 2022. According to the implementation of CITF management mode, they were divided into a control group (62 cases, non-implementation) and an observation group (65 cases, implementation). The control group was given routine intervention, while the observation group was given CITF-based target management mode for 3 months. The changes in blood glucose, blood lipid, negative emotions, self-efficacy, self-management, compliance, and quality of life before and after intervention in both groups were observed. This study was approved by the Ethics Committee of Zhujiang Hospital.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;After intervention, levels of fasting plasma glucose (FPG), 2h plasma glucose (2hPG), hemoglobin A1c (HbA1c), total cholesterol (TC), triglyceride (TG) and low-density lipoprotein cholesterol (LDL-C), scores of self-rating depression scale (SDS), self-rating anxiety scale (SAS) and Diabetes Specific Quality of Life Scale (DSQL) were decreased (P &lt; .05), while scores of General Self-Efficacy Scale (GSES) and Scale of the Diabetes Self-Care Activities Chinese version (SDSCA), and compliance rate were increased in both groups (P &lt; .05). The levels of FPG, 2hPG, HbA1c, TC, TG, and LDL-C, scores of SDS, SAS, and DSQL in the observation group were lower than those in the control group (P &lt; .001), and scores of GSES and SDSCA, and compliance rate were higher than those in the control group (P &lt; .001). These results highlight the positive role of comprehensive intervention in improving the physical and mental health of patients with diabetes and provide strong support for the application of comprehensive intervention strategies in diabetes management.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;CITF-based target management mode can alleviate negative emotions in patients with diabetes mellitus and cardiovascular diseases, improve self-management, self-efficacy, and compliance, effectively control blood glucose and lipids, and improve quality of life. The study conclusions highlight the importance of CITF management models in improving the management of patients with diabetes and cardiovascular disease. This comprehensive intervention helps reduce negative emotions, improve self-management and compliance, effectively control blood sugar and blood lipids, and improve quality of life. These results have important cli","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139641383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Effect of a Prospective Nursing Model Combined with Humanistic Care in Patients with Acute Stroke. 前瞻性护理模式与人文关怀相结合对急性中风患者的临床效果。
IF 1.9 4区 医学
Lingling Wang, Ningning Dai, Maling Xiang, Jiucai Zhao
{"title":"Clinical Effect of a Prospective Nursing Model Combined with Humanistic Care in Patients with Acute Stroke.","authors":"Lingling Wang, Ningning Dai, Maling Xiang, Jiucai Zhao","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical effects of applying a prospective nursing model combined with humanistic care in patients with acute stroke.</p><p><strong>Methods: </strong>A total of 160 patients with acute stroke who received treatment at The First Affiliated Hospital of Soochow University from July 2019 to July 2021 were selected as the study subjects. According to different nursing methods, the patients were divided into a control group of 80 patients, who received basic routine nursing care, and an observation group of 80 patients, who received a prospective nursing model combined with humanistic care. Hemodynamic status, the concentrations of interleukin-6 (IL-6), IL-8, and tumor necrosis factor, concentrations, SF-36 Survey scores, Self-Rating Anxiety Scale and Self-Rating Depression Scale scores, and nursing satisfaction were compared between the 2 groups.</p><p><strong>Results: </strong>The hemodynamic status of the patients in the observation group, as measured by heart rate, arterial pressure, and blood oxygen saturation, was significantly improved compared with patients in the control group (P < .05). The concentrations of interleukin-6 (IL-6), IL-8, and tumor necrosis factor were significantly lower in the observation group than in the control group (P < .05). The SF-36 Survey scores were higher in the observation group than in the control group (P < .05). The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores were lower in the observation group than in the control group (P < .05). Nursing satisfaction was higher in the observation group than in the control group (P <.05).</p><p><strong>Conclusion: </strong>The application of a prospective nursing model combined with humanistic care in patients with acute stroke can effectively reduce concentrations of inflammatory factors, improve blood oxygen saturation, alleviate negative emotions such as depression and anxiety, and enhance the patients' quality of life and nursing satisfaction. Therefore, this model is worthy of clinical promotion and application.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
LACC1 Promoted Nerve Injury in an Anesthesia-Induced Cognitive Disorder Model via RIP2 Expression through ROS-NOD2 Induction. LACC1通过ROS-NOD2诱导RIP2表达促进麻醉诱导认知障碍模型中的神经损伤
IF 1.9 4区 医学
Kai Lu, Yadong Li, Haiwei Xiao
{"title":"LACC1 Promoted Nerve Injury in an Anesthesia-Induced Cognitive Disorder Model via RIP2 Expression through ROS-NOD2 Induction.","authors":"Kai Lu, Yadong Li, Haiwei Xiao","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the impact of laccase domain-containing 1 (LACC1) on the model of anesthesia-induced cognitive disorder and its underlying mechanisms.</p><p><strong>Methods: </strong>We collected and analyzed data from 24 patients with postoperative cognitive dysfunction (POCD) through microarray analysis. In the animal model, mice were exposed to 1.3% isoflurane in a humidified atmosphere with 30% oxygen as the carrier gas. Additionally, PC12 cells were stimulated with 2% isoflurane.</p><p><strong>Results: </strong>In mice subjected to anesthesia, both mRNA and protein expression levels of LACC1 were up-regulated. Moreover, LACC1 expression was increased in the anesthesia-induced cognitive disorder model. In vitro, LACC1 promoted the production of reactive oxygen species (ROS). Furthermore, LACC1 was found to exacerbate cognitive impairment in mice under anesthesia. The induction of RIP2 expression mediated this effect via the ROS-NOD2 pathway. The regulation of ROS-NOD2 played a critical role in controlling the impacts of LACC1 in both in vivo and in vitro models.</p><p><strong>Conclusions: </strong>Our findings demonstrate that LACC1 contributes to nerve injury in the anesthesia-induced cognitive disorder model by inhibiting the ROS-NOD2/RIP2 signaling pathway. This discovery offers a novel perspective for understanding anesthesia-induced cognitive disorders.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Task-Oriented Biomechanical Perception-Balance Training on Motor Gait in Stroke Patients With Hemiplegia. 以任务为导向的生物力学感知-平衡训练对中风偏瘫患者运动步态的影响
IF 1.9 4区 医学
Lisuo Gao, Qiaomei Jin, Chuanjiao Zhou, Yan Huang, Jun Liu, Yiqi Chen, Huili Hu, Yangyang Dai, Rongxiang Jin
{"title":"Effect of Task-Oriented Biomechanical Perception-Balance Training on Motor Gait in Stroke Patients With Hemiplegia.","authors":"Lisuo Gao, Qiaomei Jin, Chuanjiao Zhou, Yan Huang, Jun Liu, Yiqi Chen, Huili Hu, Yangyang Dai, Rongxiang Jin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of task-oriented biomechanical sensors-balance training on lower limb motor function and gait balance function in stroke patients with hemiplegia.</p><p><strong>Methods: </strong>Researchers divided 106 stroke patients with hemiplegia into observation and control groups. All received essential rehabilitation training treatment. The observation group's rehabilitation consisted of task-oriented biomechanical sensors-balance training. The modified Ashworth Scale score, FuGL-Meyer Motor Function Scale score, and other indicators measured the results of the two groups.</p><p><strong>Results: </strong>The Berg balance scale score and FuGL-Meyer Motor Function Scale score in the observation group were higher than in the control group (P < .05). The modified Ashworth Scale score of the triceps calf muscle in the observation group was significantly lower than that in the control group (P < .05). The observation group's step length, step frequency, maximum angle of hip extension, and knee flexion exceeded those of the control group. In contrast, the maximum angle of knee extension was smaller than those in the control group (P < .05).</p><p><strong>Conclusion: </strong>Basic rehabilitation training combined with task-oriented biomechanical perception-balance training can improve the lower limb motor function of stroke patients with hemiplegia.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Seamless Care Management Under FOCUS-PDCA for Patients with Acute Cerebral Infarction Complicated with Dysphagia and its Influence on Nutritional Status and Neurological Functions. FOCUS-PDCA下无缝护理管理对急性脑梗死合并吞咽困难患者的疗效及对营养状况和神经功能的影响
IF 1.9 4区 医学
Yue Niu, Luoxia Zhang, Xianghui Sun
{"title":"Efficacy of Seamless Care Management Under FOCUS-PDCA for Patients with Acute Cerebral Infarction Complicated with Dysphagia and its Influence on Nutritional Status and Neurological Functions.","authors":"Yue Niu, Luoxia Zhang, Xianghui Sun","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate the efficacy of seamless care management under FOCUS-PDCA for patients with acute cerebral infarction (ACI) complicated with dysphagia and its influence on nutrition status and neurological functions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 98 patients with acute cerebral infarction complicated with dysphagia admitted to our hospital from March 2019 to December 2022 were selected and divided into two groups with equal numbers. The control group received routine nursing management. The study group implemented seamless nursing management under FOCUS-PDCA based on the control group. The therapeutic effect, nutritional status, and neurological function of the two groups were compared before and after intervention. Patients in both groups were intervened for 1 month.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;(1) After the intervention, the Water Drinking Test (WDT) Grade I and Grade II of the study group increased from 0.00% before the intervention to 32.65%, and the control group also increased from 0.00% before the intervention to 14.29% and 22.45%. , while the number of Grade III, Grade IV, and Grade V decreased in both the control group and the study group. That is, the WDT level test of both groups after the intervention was better than before the intervention, and the research group was better than the control group, and the difference was statistically significant (Z=2.732, P = .006). (2) There was no statistical significance in the GUSS score and SWAL-QOL of the two groups before the intervention (P &gt; .05); after the intervention, the GUSS score of the control group (16.32±4.26) was lower than that of the study group (18.52±4.85) (P &lt; .001) , the SWAL-QOL score of the control group (116.48±31.05) was lower than that of the study group (143.08±33.85) (P &lt; .001), and the GUSS scores and SWAL-QOL of the two groups after the intervention were higher than before the intervention (P &lt; .001). (3) Compared with the nutritional status of the two groups, there was no statistical significance in PA, ALB, and Hb before intervention (P &gt; .05); after intervention, PA, ALB, and Hb in the control group were (218.15±27.15) and (38.67±5.84) respectively. (120.85±31.05), all lower than the study group (261.15±22.52), (42.84±6.32), (134.18±30.47) (P &lt; .01), and the PA, ALB and Hb of the two groups after intervention were all higher than before intervention (P &lt; .001). (4) Comparing TSF and MAMC between the two groups, there was no statistical significance in TSF and MAMC before intervention (P &gt; .05); after intervention, TSF and MAMC in the control group were (13.84±6.38) and (28.61±4.15) respectively, both of which were low. Compared with the study group (16.94±6.69), (33.15±3.84) (P &lt; .001), and the TSF and MAMC of the two groups after the intervention were higher than before the intervention (P &lt; .001). (5) Comparing the neurological function and limb function between the two groups, there was no statistical significance in ","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136395803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinicopathological Characteristics of Three Cases with Recurrent Orbital Solitary Fibrous Tumors: A Retrospective Study and Literature Review. 三例复发性眼眶孤立性纤维瘤的临床病理特征:回顾性研究与文献综述。
IF 1.9 4区 医学
Jinlong Cui, Xiawei Wang, Yan Long, Dongyu Guo, Hongguang Cui
{"title":"Clinicopathological Characteristics of Three Cases with Recurrent Orbital Solitary Fibrous Tumors: A Retrospective Study and Literature Review.","authors":"Jinlong Cui, Xiawei Wang, Yan Long, Dongyu Guo, Hongguang Cui","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Solitary fibrous tumor (SFT) is a spindle cell neoplasm that rarely occurs in orbit. This study aimed to report the clinical, imaging, and pathological features of three patients with recurrent orbital SFTs.</p><p><strong>Methods: </strong>Clinical, imaging, and pathological data of the three patients were retrospectively reviewed, and the results were compared with those of previously reported cases with recurrent orbital SFT.</p><p><strong>Results: </strong>One female and two male patients (mean age, 54 years old) were included in this study. The present cases and literature review showed that the average time to recurrence in patients who aged under 50 years old was shorter than that in those who aged over 50 years old. The most common site for recurrent orbital SFT was the retrobulbar area of the orbit (23.8%). Imaging examinations showed consistent intensity of MRI signals before and after recurrence. Immunohistochemical results of all cases revealed the expressions of CD34. The mitotic rate increased in 4/8 cases, and the percentage of Ki-67-positive cells was elevated in 5/16 cases.</p><p><strong>Conclusion: </strong>These results suggested that young patients were more likely subjected to recurrent orbital SFT. The postoperative pathological diagnosis revealed that patients with recurrent orbital SFT had more nuclear abnormalities and mitotic activity, as well as a higher percentage of Ki-67-positive cells, indicating that orbital recurrent SFT tended to be malignant according to both morphological features and immunohistochemistry results.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electroacupuncture Activated Impaired Brain Areas and Improved Mental Status and Sleep Quality in Primary Insomnia Patients. 电针激活受损脑区,改善原发性失眠患者的精神状态和睡眠质量
IF 1.9 4区 医学
Ganbin Qiu, Liang Wang, Weixiong Liao, Yonghui Liu, Zhongyan Wen, Guangcheng Zou, Ting Wu, Jincan Chen
{"title":"Electroacupuncture Activated Impaired Brain Areas and Improved Mental Status and Sleep Quality in Primary Insomnia Patients.","authors":"Ganbin Qiu, Liang Wang, Weixiong Liao, Yonghui Liu, Zhongyan Wen, Guangcheng Zou, Ting Wu, Jincan Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the specific neurological mechanisms underlying the effects of electroacupuncture at Shenmen (Heart 7) with Neiguan (Pericardium 6) acupoints in patients with primary insomnia (PI). We sought to understand these mechanisms by comparing changes in areaal homogeneity (ReHo) before and after treatment in PI patients and healthy controls (HC).</p><p><strong>Methods: </strong>Between November 2019 and November 2021, we recruited 17 primary insomnia patients (PI group) and 20 matched healthy controls (HC group) as study subjects from Zhaoqing First People's Hospital. Before electroacupuncture treatment, all participants completed the Pittsburgh Sleep Quality Index (PSQI), Hamilton Depression Rating Scale (HAMD), and Hamilton Anxiety Rating Scale (HAMA) assessments. Resting-state magnetic resonance imaging (MRI) scans were conducted before and after two sessions of electroacupuncture at Shenmen and Neiguan acupoints.</p><p><strong>Results: </strong>Before treatment, primary insomnia patients showed higher PSQI (χ2=1.964; P = .017), HAMA (χ2=2.016; P = .027), and HAMD scores (χ2=2.367; P = .013) compared to healthy controls, and increased ReHo values were observed in the left amygdala, bilateral middle temporal gyrus, and left posterior cingulate gyrus in PI patients, while decreased ReHo values were found in the left posterior cingulate gyrus, right middle frontal gyrus, and right precuneus. After treatment, ReHo values increased in the left superior frontal gyrus, right parahippocampal gyrus, and right cingulate gyrus, while they decreased in the left amygdala and right angular gyrus. Primary insomnia disrupts brain areas in the default network, salience network, and parts of the affective cognitive network.</p><p><strong>Conclusion: </strong>Electroacupuncture at Shenmen and Neiguan acupoints partially activated impaired brain areas in patients with primary insomnia, leading to improvements in mental status and sleep quality. This offers a novel perspective for the clinical treatment of primary insomnia.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Potential of Asl-us-Soos (Glycyrrhiza glabra L.) in the Treatment of Respiratory Diseases-An Ethnomedicinal and Pharmacological Review. 探索 Asl-us-Soos(Glycyrrhiza glabra L.)治疗呼吸系统疾病的潜力--民族药学和药理学综述。
IF 1.9 4区 医学
Fuzela Sherwani, Mohammad Nawab
{"title":"Exploring the Potential of Asl-us-Soos (Glycyrrhiza glabra L.) in the Treatment of Respiratory Diseases-An Ethnomedicinal and Pharmacological Review.","authors":"Fuzela Sherwani, Mohammad Nawab","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Asl-us-Soos (Glycyrrhiza glabra L.) has been used as a therapeutic agent in the treatment of respiratory, digestive, and neurological disorders since ancient times in Unani Medicine. Its therapeutic uses have been documented in Unani pharmacopeia, classical textbooks, and manuscripts based on experience in clinical practices. Asl-us-Soos (AS) and its compound preparations are recommended in the treatment of respiratory diseases such as Dhat al-Janb (pleurisy), Dhat al-Ri'a (pneumonia), Jamod us Sadr (pulmonary apoplexy), Diq al-Nafas (asthma), Sil (thiasis), and Diq (pulmonary tuberculosis).</p><p><strong>Objectives: </strong>This review aimed to provide insight into ethno-medicinal uses, pharmacological activities, and phytochemical profile of AS. The review also highlights the prospects in the development of potential drug molecules for various respiratory ailments.</p><p><strong>Methods: </strong>This review is based on a search of authentic Unani classical literature and major databases such as Science Direct, Medline (via PubMed), Google Scholar, Scopus, and Web of Science. The studies published between January 2001 and February 2022 were included in this study.</p><p><strong>Results: </strong>This review found that AS had medicinal uses in various respiratory disorders. Its roots are used as single drug and compound formulations for the treatment of dry cough, bronchial asthma, bronchitis, and pneumonia. In addition, AS contains active phytoconstituents such as glycyrrhizin (glycyrrhizic acid), isoliquiritigenin, glabridin, and licochalcone A. They have been extensively studied using in vitro and in vivo models and were found to exhibit pharmacological effects in pulmonary tuberculosis, pulmonary carcinoma, emphysema, bronchial asthma, pneumonia, and upper respiratory tract infections. Moreover, glycyrrhizin has been found to possess therapeutic potential against COVID-19.</p><p><strong>Conclusion: </strong>This review concludes that AS is a potent anti-tumor, anti-inflammatory, anti-microbial, anti-oxidant, expectorant, and antitussive drug. This plant could be an important source for the development of new drug compounds for various respiratory diseases.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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