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1.
Artículo en Inglés | MEDLINE | ID: mdl-38437072

RESUMEN

Utilizing injectable devices for monitoring animal health offers several advantages over traditional wearable devices, including improved signal-to-noise ratio (SNR) and enhanced immunity to motion artifacts. We present a wireless application-specific integrated circuit (ASIC) for injectable devices. The ASIC has multiple physiological sensing modalities including body temperature monitoring, electrocardiography (ECG), and photoplethysmography (PPG). The ASIC fabricated using the CMOS 180 nm process is sized to fit into an injectable microchip implant. The ASIC features a low-power design, drawing an average DC power of 155.3 µW, enabling the ASIC to be wirelessly powered through an inductive link. To capture the ECG signal, we designed the ECG analog frontend (AFE) with 0.3 Hz low cut-off frequency and 45-79 dB adjustable midband gain. To measure PPG, we employ an energy-efficient and safe switched-capacitor-based (SC) light emitting diode (LED) driver to illuminate an LED with milliampere-level current pulses. A SC integrator-based AFE converts the current of photodiode with a programmable transimpedance gain. A resistor-based Wheatstone Bridge (WhB) temperature sensor followed by an instrumentation amplifier (IA) provides 27-47 °C sensing range with 0.02 °C inaccuracy. Recorded physiological signals are sequentially sampled and quantized by a 10-bit analog-to-digital converter (ADC) with the successive approximation register (SAR) architecture. The SAR ADC features an energy-efficient switching scheme and achieves a 57.5 dB signal-to-noise-and-distortion ratio (SNDR) within 1 kHz bandwidth. Then, a back data telemetry transmits the baseband data via a backscatter scheme with intermediate-frequency assistance. The ASIC's overall functionality and performance has been evaluated through an in vivo experiment.

2.
Spectrochim Acta A Mol Biomol Spectrosc ; 270: 120849, 2022 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-35007905

RESUMEN

Hexagonal boron nitrides (hBNs) have a very high luminescence efficiency and are promising materials for deep-UV emitters. Although intense deep-UV emissions have been recorded in various forms of hBN excited by photons or energetic electrons, information on the electronic structure of the conduction band has been derived mainly from theoretical works. Therefore, there is a lack of high-resolution absorption data in the far-UV region. In this study, the far-UV absorption spectra of chemical-vapor-deposition-grown mono- and multilayer hBNs were recorded at 10 and 298 K. In addition to the previously reported band at 6.10 eV, two absorption bands at 6.82 and 8.86 eV were observed for the first time in thin-film hBN. Furthermore, excitation of the hBN thin film samples with 6.89-eV photons revealed intense emission peaks at 6.10 (mono) and 5.98 (multi) eV with a bandwidth of ∼0.7 eV. Comparing the absorption and photoluminescence data, we believe that both direct and indirect transitions occur in the radiative processes.

3.
J Chem Phys ; 152(20): 204308, 2020 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-32486679

RESUMEN

The infrared (IR) spectrum of monobridged Si2H4 (denoted as mbr-Si2H4) isolated in solid Ar was recorded, and a set of lines (in the major matrix site) observed at 858.3 cm-1, 971.5 cm-1, 999.2 cm-1, 1572.7 cm-1, 2017.7 cm-1, 2150.4 cm-1, and 2158.4 cm-1 were characterized. The species was produced by the electron bombardment of an Ar matrix sample containing a small proportion of SiH4 during matrix deposition. Upon photolysis of the matrix samples using 365 nm and 160 nm light, the content of mbr-Si2H4 increased. The band positions, relative intensity ratios, and D-isotopic shift ratios of the observed IR features are generally in good agreement with those predicted by the B3LYP/aug-cc-pVTZ method. In addition, the photochemistry of the observed products was discussed.

4.
J Phys Chem A ; 123(22): 4750-4754, 2019 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-31074982

RESUMEN

The 1-methylvinoxy radical (1-MVO) is an important intermediate in the combustion and tropospheric reaction of OH. However, the vibrational structures of this species and its anionic form, 1-methylvinoxide anion (1-MVO-), are not fully known. Thus, in this study, we obtained the infrared (IR) absorption spectra of 1-MVO and 1-MVO- trapped in a solid Ar matrix. 1-MVO- anions were produced by electron bombardment during matrix deposition of Ar containing a small amount of acetone. The anions were destroyed upon irradiation at 675, 365, and 160 nm, although the formation of 1-MVO was only observed upon irradiation at 675 nm. The assignment of the IR bands of 1-MVO- and 1-MVO was based on the expected chemistry upon photoexcitation and comparison of line wavenumbers, relative IR intensities, and D-isotopic shift ratios with those predicted at the B3LYP/aug-cc-pVTZ level of theory.

5.
Sci Rep ; 8(1): 14392, 2018 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-30258064

RESUMEN

The direct infrared (IR) absorption spectra of propargyl cations were recorded. These cations were generated via the electron bombardment of a propyne/Ar matrix sample during matrix deposition. Secondary photolysis with selected ultraviolet (UV) light was used for grouping the observed bands of various products. The band assignment of the propargyl cation in solid Ar was performed according by referring to the previous infrared photodissociation (IRPD) and velocity-map imaging photoelectron (VMI-PE) data, and via theoretical predictions of the anharmonic vibrational wavenumbers, band intensities, and deuterium-substituted isotopic ratios. Almost all the IR active bands with an observable intensity were recorded and the ν11 mode was reported for the first time.

6.
Spectrochim Acta A Mol Biomol Spectrosc ; 196: 233-237, 2018 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-29454251

RESUMEN

Electron bombardment during deposition of an Ar matrix containing a small proportion of allene generated allene cations. Further irradiation of the matrix sample at 385 nm destroyed the allene cations and formed propyne cations in solid Ar. Both cations were identified according to previously reported IR absorption bands. Using a similar technique, we recorded the ultraviolet absorption spectrum of allene cations in solid Ar. The vibrationally resolved progression recorded in the range of 266-237 nm with intervals of about 800 cm-1 was assigned to the A2E ← X2E transition of allene cations, and the broad continuum absorption recorded in the region of 229-214 nm was assigned to their B2A1 ← X2E transition. These assignments were made based on the observed photolytic behavior of the progressions and the vertical excitation energies and oscillator strengths calculated using time-dependent density functional theory.

7.
J Chem Phys ; 148(7): 074307, 2018 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-29471652

RESUMEN

The infrared (IR) spectrum of borane(3) anions (BH3-) isolated in solid Ar was recorded; two vibrational modes were observed at 2259.4 and 606.6 cm-1, which were assigned to the BH2 stretching (ν3) and out-of-plane large-amplitude (ν2) modes, respectively. These anions were produced by the electron bombardment of an Ar matrix sample containing a small proportion of B2H6 and H2 during matrix deposition or by the photolysis of single-bridged-B2H5- in an Ar matrix with the selected ultraviolet light. The band positions, relative intensity ratios, isotopic splitting pattern, and isotopic shift ratios of the observed IR features of BH3- are generally in good agreement with those predicted by the B2PLYP/aug-cc-pVTZ method.

8.
J Chem Phys ; 147(11): 114301, 2017 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-28938810

RESUMEN

To facilitate direct spectroscopic observation of hydrogen chloride anions (HCl-), electron bombardment of CH3Cl diluted in excess Ar during matrix deposition was used to generate this anion. Subsequent characterization were performed by IR spectroscopy and quantum chemical calculations. Moreover the band intensity of HCl- decays slowly when the matrix sample is maintained in the dark for a prolonged time. High-level ab inito calculation suggested that HCl- is only weakly bound. Atom-in-molecule charge analysis indicated that both atoms of HCl- are negatively charged and the Cl atom is hypervalent.

9.
Sci Rep ; 7(1): 2984, 2017 06 07.
Artículo en Inglés | MEDLINE | ID: mdl-28592793

RESUMEN

Hypervalent molecules are one of the exceptions to the octet rule. Bonding in most hypervalent molecules is well rationalized by the Rundle-Pimentel model (three-center four-electron bond), and high ionic bonding between the ligands and the central atom is essential for stabilizing hypervalent molecules. Here, we produced one of the simplest hypervalent anions, HF-, which is known to deviate from the Rundle-Pimentel model, and identified its ro-vibrational features. High-level ab inito calculations reveal that its bond dissociation energy is comparable to that of dihalides, as supported by secondary photolysis experiments with irradiation at various wavelengths. The charge distribution analysis suggested that the F atom of HF- is negative and hypervalent and the bonding is more covalent than ionic.

10.
J Phys Chem B ; 121(5): 1054-1067, 2017 02 09.
Artículo en Inglés | MEDLINE | ID: mdl-28055205

RESUMEN

Although the significance of aqueous interfaces has been recognized in numerous important fields, it can be even more prominent for nanoscaled aqueous aerosols because of their large surface-to-volume ratios and prevalent existence in nature. Also, considering that organic species are often mixed with aqueous aerosols in nature, a fundamental understanding of the electronic and structural properties of organic species in aqueous nanoaerosols is essential to learn the interplay between water and organic solutes under the nanoscaled size regime. Here, we report for the first time the vacuum ultraviolet photoelectron spectroscopy of phenol and three dihydroxybenzene (DHB) isomers including catechol, resorcinol, and hydroquinone in the aqueous nanoaerosol form. By evaluating two photoelectron features of the lowest vertical ionization energies originated from the b1(π) and a2(π) orbitals for phenolic aqueous nanoaerosols, their interfacial solvation characteristics are unraveled. Phenolic species appear to reside primarily on/near the aqueous nanoaerosol interface, where they appear only partially hydrated on the aqueous interface with the hydrophilic hydroxyl group more solvated in water. An appreciable proportion of phenol is found to coexist with phenolate at/near the nanoaerosol interface even under a high bulk pH of 12.0, indicating that the nanoaerosol interface exhibits a composition distribution and pH drastically different from those of the bulk. The surface pH of phenol-containing aqueous nanoaerosols is found to be ∼2.2 ± 0.1 units more acidic than that of the bulk interior, as measured at the bulk pH of 12.0. From the photoelectron spectra of DHB aqueous nanoaerosols, the effects of numbers/arrangements of -OH groups are assessed. This study shows that the hydration extents, pH values, deprotonation status, and numbers/relative arrangements of -OH groups are crucial factors affecting the ionization energies of phenolic aqueous nanoaerosols and thus their redox-based activities. The multifaceted implications of the present study in the aerosol science, atmospheric/marine chemistry, and biological science are also addressed.

11.
J Phys Chem B ; 120(39): 10181-10191, 2016 10 06.
Artículo en Inglés | MEDLINE | ID: mdl-27589590

RESUMEN

Glutathione (GSH), the most abundant nonenzymatic antioxidant in living systems, actively scavenges various exogenous/endogenous oxidizing species, defending important biomolecules against oxidative damages. Although it is well established that the antioxidant activity of GSH originates from the cysteinyl thiol (-SH) group, the molecular origin that makes the thiol group of GSH a stronger reducing agent than other thiol-containing proteins is unclear. To gain insights into the molecular basis underlying GSH's superior antioxidant capability, here we report, for the first time, the valence electronic structures of solvated GSH in the aqueous aerosol form via the aerosol vacuum ultraviolet photoelectron spectroscopy technique. The pH-dependent electronic evolution of GSH is obtained, and the possible correlations between GSH and its constituting amino acids are interrogated. The valence band maxima (VBMs) for GSH aqueous aerosols are found at 7.81, 7.61, 7.52, and 5.51 ± 0.10 eV at a pH of 1.00, 2.74, 7.00, and 12.00, respectively, which appear to be lower than the values of their corresponding hybrid counterparts collectively contributed from the three isolated constituting amino acids of GSH. An additional photoelectron feature is observed for GSH aqueous aerosols at pH = 12.00, where the thiol group on its Cys residue becomes deprotonated and the relatively well-separated feature allows its vertical ionization energy (VIE) to be determined as 6.70 ± 0.05 eV. Compared to a VIE of 6.97 ± 0.05 eV obtained for a similar thiolate feature observed previously for isolated Cys aqueous aerosols ( Su et al. VUV Photoelectron Spectroscopy of Cysteine Aqueous Aerosols: A Microscopic View of Its Nucleophilicity at Varying pH Conditions . J. Phys. Chem. Lett. 2015 , 6 , 817 - 823 ), a 0.27 eV reduction in the VIE is found for GSH, indicating that the outermost electron corresponding to the nonbonding electron on the thiolate group can be removed more readily from the GSH tripeptide than that from Cys alone. The possible origins underlying the decrease in the VBM of GSH with respect to that of each corresponding hybrid counterpart and the decrease in the VIE of the thiolate feature of GSH with respect to that of the isolated Cys are discussed, providing hints to understand the superior antioxidant capability of GSH from a molecular level.

12.
J Chem Phys ; 145(7): 074314, 2016 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-27544112

RESUMEN

Three-center two-electron bonds are important for understanding electron-deficient molecules. To examine such a molecule, we produced a diborane(5) anion with a single-bridged structure upon electron bombardment during matrix deposition of Ar containing a small proportion of diborane(6). The diborane(5) anion was destroyed upon photolysis at 180, 220, 385, and 450 nm, but not at 532 nm. Moreover, the possible formation of neutral diborane(5) was observed upon photolysis at 385 and 450 nm, whereas neutral diborane(3) was observed upon photolysis at 180 and 220 nm. The observed line wavenumbers, relative intensities, and isotopic ratios of the diborane(5) anion agreed satisfactorily with those predicted by density functional theory calculations at the B3LYP/aug-cc-pVTZ level of theory. Thus, this method produced the boron hydride anion of interest with few other fragments, which enabled us to clearly identify the IR spectrum of the diborane(5) anion.

13.
J Ethnopharmacol ; 171: 223-30, 2015 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-26051833

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: Uterine fibroid (myoma) is one of the most common diseases in women. Although there are several studies on the efficacy of Chinese herbs, there is a lack of large-scale survey on the use of traditional Chinese medicine (TCM) for the treatment of uterine fibroid. This study aimed to investigate the utilization of Chinese herbal products for patients with uterine fibroid, prescribed by licensed TCM doctors in Taiwan. MATERIALS AND METHODS: A random sample comprised of one million individuals with newly diagnosed uterine fibroid between 2002 and 2010 from the Taiwanese National Health Insurance Research Database was analyzed. Demographic characteristics, TCM usage, the frequency as well as average daily dose of Chinese herbal formulas and the single herbs prescribed for patients with uterine fibroid, were analyzed. RESULTS: Overall, 35,786 newly diagnosed subjects with uterine fibroid were included. Majority of these patients (87.1%; n=31,161) had visited TCM clinics. Among them, 61.8% of their visits used Chinese herbal remedies. Patients less than 45 years of age tended to use TCM more frequently than elder patients. Gui-Zhi-Fu-Ling-Wan (Cinnamon Twig and Poria Pill) was the most frequently prescribed Chinese herbal formula, while San-Leng (Rhizoma Sparganii) was the most commonly prescribed single herb. CONCLUSIONS: Our study identified the characteristics and prescription patterns of TCM for patients with uterine fibroid in Taiwan. Further basic mechanistic studies and clinical trials are needed to confirm the therapeutic effects and mechanisms.


Asunto(s)
Medicamentos Herbarios Chinos/uso terapéutico , Leiomioma/tratamiento farmacológico , Pautas de la Práctica en Medicina , Adolescente , Adulto , Femenino , Humanos , Medicina Tradicional China , Persona de Mediana Edad , Taiwán , Adulto Joven
14.
Int J Pediatr Otorhinolaryngol ; 79(4): 591-7, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25704847

RESUMEN

OBJECTIVES: Allergic rhinitis (AR) is a common allergic disorder in children, some of whom seek complementary treatments, including acupuncture and Chinese herbs. Little, however, is known about the treatment of pediatric AR with traditional Chinese medicine (TCM). To characterize TCM use in pediatric AR, we conducted a nationwide population-based study. METHODS: We screened one million randomly sampled beneficiaries of the National Health Insurance Program in Taiwan from 2002 to 2010 to identify children <18 years of age with newly diagnosed allergic rhinitis (ICD-9 code 477.9). The subjects were categorized according to their use of TCM. RESULTS: We identified 97,401 children newly diagnosed with AR for inclusion in the study. Among these children, 63.11% (N=61,472) had used TCM. There were significantly more TCM users than non-users among school-age children and adolescents (P<0.001). Most (99.1%) pediatric TCM users received Chinese herbal remedies (99.1%); only 0.9% received acupuncture or manipulative therapies. Xin-Yi-Qing-Fei-Tang (Magnolia Flower Lung-Clearing Decoction) was the most frequently prescribed TCM formulation (23.44%), and the most commonly prescribed single herb was Chan-Tui (Periostracum cicadae; 13.78%). Regarding syndrome differentiation (ZHENG) according to TCM theory, prescriptions for the Cold Syndrome exceeded those for the Hot Syndrome throughout the year in Taiwan. CONCLUSIONS: We found that approximately two-thirds of pediatric AR patients were prescribed TCM treatments in Taiwan. Further research is warranted to examine the efficacy and safety of TCM for pediatric AR patients.


Asunto(s)
Medicamentos Herbarios Chinos/uso terapéutico , Medicina Tradicional China/estadística & datos numéricos , Rinitis Alérgica/terapia , Terapia por Acupuntura/estadística & datos numéricos , Adolescente , Factores de Edad , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Manipulaciones Musculoesqueléticas/estadística & datos numéricos , Programas Nacionales de Salud , Rinitis Alérgica/diagnóstico , Rinitis Alérgica/epidemiología , Taiwán/epidemiología
15.
Complement Ther Med ; 22(3): 481-8, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24906588

RESUMEN

OBJECTIVES: Traditional Chinese medicines in treating systemic lupus erythematosus are not uncommon. However, logic of pattern diagnosis and consensus on treating this disease is lacking. This study aimed to explore the correlation between the pattern diagnosis of and its corresponding prescription in systemic lupus erythematosus. DESIGN: Clinical data including patterns and prescriptions from the electronic medical records of lupus patients in a medical center were collected. Using a specific coding system (B-code) to encode the patterns and prescriptions provided a platform for data processing and statistics, and nonlinear canonical correlation analysis was employed to examine the correlation between them. RESULTS: In the 261 valid visits collected, a total of 46 patterns and 193 prescriptions were encoded into 57 B-codes. In our database, "Yin, Vacuity, Heat, and Dampness" were the most common B-codes (more than 90%) in both patterns and prescriptions. "Anemarrhena, Phellodendron, and Rehmannia Pill (Zhi-Bai-Di-Huang-Wan)" and "Miltiorrhizae Radix (Dan-Shen)" were the most frequently used formula (52%) and herb (48%), respectively. Water-rheum, kidney, and stasis were among the three most effective variable sets for correlating the patterns and prescriptions. CONCLUSION: By using B-code with nonlinear canonical correlation analysis, the clinical dataset can be examined to shed light on the logic of pattern differentiation and principle of treatment for a specific disease.


Asunto(s)
Codificación Clínica/métodos , Lupus Eritematoso Sistémico , Medicina Tradicional China , Bases de Datos Factuales , Humanos , Lupus Eritematoso Sistémico/diagnóstico , Lupus Eritematoso Sistémico/epidemiología , Lupus Eritematoso Sistémico/fisiopatología , Lupus Eritematoso Sistémico/terapia
16.
Complement Ther Med ; 22(3): 500-10, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24906590

RESUMEN

OBJECTIVES: To characterize the application of traditional Chinese medicine (TCM) among pediatric patients. DESIGN AND SETTING: This study examined data sets from the National Health Insurance Research Database in Taiwan. Two cohorts, each with one million patients who were randomly sampled from the beneficiaries of the National Health Insurance Program from January 1 to December 31 in 2005 or 2010, were chosen for analysis. Children had at least one TCM outpatient clinical record were defined as TCM users, whereas children who had no TCM outpatient records were defined as non-TCM users. MAIN OUTCOME MEASURES: The demographic data, treatment modalities and the disease distributions of the pediatric TCM users were analyzed from two randomly sampled cohorts. RESULTS: Overall, 22% and 22.5% of the children used TCM in 2005 and 2010, respectively. The utilization rate of TCM increased with age. Herbal remedies were the most commonly used therapeutic approach, followed by manipulative therapy and acupuncture. There was an increasing trend of using herbal remedies (increased from 65.6% to 74.4%) and acupuncture (increase from 7.5% to 11.4%), but there was a markedly decreased use of manipulative therapies from 25.6% to 12.3% from 2005 to 2010. There is an obvious increasing use of TCM due to diseases of the digestive system, skin/subcutaneous tissue and genitourinary system from 2005 to 2010. A further comparison of the prevalence rates between TCM and non-TCM visits indicated that allergic rhinitis, dyspepsia, injury and musculoskeletal diseases, as well as menstrual disorders, were the main diseases that children tended to visit TCM clinics in Taiwan. CONCLUSIONS: Our nationwide population-based study revealed the high prevalence and specific usage patterns of TCM in the pediatric population in Taiwan. The results of this study should provide valuable information for physicians, parents and the government concerning pediatric healthcare.


Asunto(s)
Medicina Tradicional China/estadística & datos numéricos , Adolescente , Niño , Preescolar , Estudios Transversales , Humanos , Lactante , Recién Nacido , Masculino , Taiwán/epidemiología
17.
Complement Ther Med ; 22(2): 258-65, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24731897

RESUMEN

OBJECTIVES: To characterize the application of traditional Chinese medicine (TCM) among children with idiopathic precocious puberty (IPP). DESIGN AND SETTING: This study examined data sets from patients diagnosed with IPP at Chang Gung Memorial Hospital between 2010 and 2012. The patients were allocated into three groups according their voluntary choice of treatment modalities: TCM users (received TCM treatment only), Western medicine (WM) users (received WM treatment only), and "no treatment" group (received no medical treatment at all). MAIN OUTCOME MEASURES: The demographic data of children with IPP were characterized. The prescription patterns and frequencies of TCM for IPP patients were analyzed. The patients' bone maturation rates and the change of predicted height after different approaches were measured as outcomes. RESULTS: There were 3390 patients enrolled in the study. Zhi-Bai-Di-Huang-Wan (70.62%) was the most common herbal formula and Mai-Ya (Hordei Fructus Germinatus) (51.58%) was the most common single herb prescribed for IPP in all of the 2784 prescriptions. The bone maturation rates of TCM users (0.95±0.20) and WM users (0.69±0.05) were both decelerated but the "no treatment" group had an accelerated bone maturation rate of 1.33±0.04. TCM and WM users also had higher predicted height after treatment (1.15±1.19cm versus 1.73±0.29cm), while the "no treatment" group had a decreased predicted height (-0.52±0.23cm). CONCLUSIONS: Our study revealed a comprehensive list of TCM prescriptions for IPP patients. Future well-designed, randomized, double-blinded, and placebo-controlled clinical trials are warranted to evaluate the efficacy and safety of TCM for precocity.


Asunto(s)
Medicamentos Herbarios Chinos/uso terapéutico , Medicina Tradicional China/métodos , Fitoterapia/métodos , Pubertad Precoz/tratamiento farmacológico , Niño , Comorbilidad , Femenino , Huesos de la Mano/diagnóstico por imagen , Humanos , Masculino , Pubertad Precoz/diagnóstico por imagen , Pubertad Precoz/epidemiología , Radiografía , Estudios Retrospectivos , Muñeca/diagnóstico por imagen
18.
Complement Ther Med ; 22(1): 141-7, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24559829

RESUMEN

OBJECTIVES: Complementary and alternative therapies in treating atopic dermatitis are not uncommon. However, substantial evidence and consensus on treating atopic dermatitis is lacking. The aim of this study is to investigate the characteristics and utilization of traditional Chinese medicine in patients with atopic dermatitis. DESIGN: We retrospectively collected patients with atopic dermatitis at the Chang Gung Memorial Hospital in Taiwan between 2002 and 2011. Patients' demographic data, duration and frequency of treatment, serum total immunoglobulin E levels, and traditional Chinese medicine treatment principles and prescription were analyzed. RESULTS: There were 4145 patients (8.8%) received traditional Chinese medicine therapy between 2002 and 2011. Among them, 2841 (68.54%) chose TCM only and 1304 (31.46%) chose to combine TCM and WM therapies. Those who chose combination therapy were younger, and needed more times of visit and longer duration of treatment. The most frequent comorbid conditions accompany atopic dermatitis were allergic rhinitis (46.06%) and asthma (21.46%). Among the 87,573 prescriptions written for Chinese medicine, the most frequently prescribed herbal formula and single herb were Xiao-Feng-San (Eliminate Wind Powder) (16.98%) and Bai-Xian-Pi (Cortex Dictamni) (12.68%), respectively. The most commonly used therapeutic principles of herbal formulas and single herbs were releasing exterior (20.23%) and clearing heat (41.93%), respectively. CONCLUSION: Our hospital-based study characterized the utilization patterns of traditional Chinese medicine in atopic dermatitis patients. This information could be used as references for clinical application and provide valuable information for future clinical trials.


Asunto(s)
Dermatitis Atópica/epidemiología , Dermatitis Atópica/terapia , Prescripciones de Medicamentos/estadística & datos numéricos , Medicamentos Herbarios Chinos/uso terapéutico , Medicina Tradicional China , Adolescente , Adulto , Niño , Preescolar , Comorbilidad , Femenino , Hospitales , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Taiwán , Adulto Joven
19.
Complement Ther Med ; 21(5): 525-8, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24050591

RESUMEN

OBJECTIVE: Presentation of a case illustrating the benefits of traditional Chinese herbal granules for treatment of immune thrombocytopenic purpura in children. CLINICAL FEATURES: A 4-year-old girl presented with persistent immune thrombocytopenic purpura refractory to the first-line conventional treatment of steroids and intravenous immunoglobulin over 7 months. She was brought to the traditional Chinese medical clinic at the Chang Gung Memorial Hospital in 2011 for alternative therapy. She received a modified Chinese herbal formula, Zi-Ying-Jiang-Huo-Tang (Phellodendri Combination), for 6 months and was followed clinically by both a pediatrician and a traditional Chinese medical doctor. The patient had a dramatic improvement in platelet count and entered complete remission after treatment with the traditional Chinese medicine. There was no recurrence of disease or side effects of treatment noted during the 12-month follow-up period. CONCLUSIONS: Our case report suggests that collaborative monitoring of treatments with traditional Chinese medicine may prove beneficial in the management of childhood persistent immune thrombocytopenic purpura. A larger clinical study is warranted for further evaluation of the role of Zi-Ying-Jiang-Huo-Tang in treating immune thrombocytopenic purpura.


Asunto(s)
Medicamentos Herbarios Chinos/uso terapéutico , Inmunoglobulinas Intravenosas/uso terapéutico , Púrpura Trombocitopénica Idiopática/tratamiento farmacológico , Púrpura Trombocitopénica Idiopática/fisiopatología , Preescolar , Femenino , Humanos , Recuento de Plaquetas
20.
Invest Ophthalmol Vis Sci ; 54(10): 6757-66, 2013 Nov 05.
Artículo en Inglés | MEDLINE | ID: mdl-23989186

RESUMEN

PURPOSE: This study investigated the effects of dietary α-lipoic acid (α-LA) against ultraviolet B (UVB)-induced corneal and conjunctival degeneration in a mouse model. METHODS: Female CBA mice were randomly divided into five study groups, including blank control, UVB without α-LA, and UVB with dietary α-LA at 1, 10, and 100 mg/kg body weight. Following UVB exposure, corneal surfaces were assessed along with immunohistochemistry for nuclear factor-κB (NF-κB), cyclooxygenase-2 (COX-2), malondialdehyde (MDA) accumulation, and P63⁺ basal cell distribution. Matrix metalloproteinase (MMP)-2 and MMP-9 activities were determined by gelatin zymography. ELISA assay was performed to confirm the findings of immunohistochemistry for NF-κB, COX-2, and MDA, along with the levels of TNF-α and IL-6. Tear production and goblet cell density were determined after tear strip assay and periodic acid Schiff staining, respectively. RESULTS: The results showed that UVB irradiation caused corneal surface damage, polymorphonuclear leukocyte infiltration, and loss of P63⁺ basal cells. Dietary α-LA ameliorated the UVB-induced corneal damage while simultaneously reducing MDA accumulation and maintaining P63⁺ basal cell survival. NF-κB-p65, COX-2, TNF-α, IL-6, and MMP-9 activity were all reduced by dietary α-LA. In addition, α-LA helped to reverse aqueous tear reduction, conjunctival squamous epithelium metaplasia, and goblet cell loss after UVB exposure. CONCLUSIONS: Dietary α-LA can prevent UVB-induced corneal damage and can be used as a prophylactic agent prior to excessive UVB exposure.


Asunto(s)
Conjuntiva/efectos de la radiación , Enfermedades de la Conjuntiva/prevención & control , Córnea/efectos de la radiación , Enfermedades de la Córnea/prevención & control , Suplementos Dietéticos , Estrés Oxidativo/efectos de los fármacos , Ácido Tióctico/administración & dosificación , Animales , Antioxidantes/administración & dosificación , Supervivencia Celular , Conjuntiva/metabolismo , Conjuntiva/patología , Enfermedades de la Conjuntiva/etiología , Enfermedades de la Conjuntiva/patología , Córnea/metabolismo , Córnea/patología , Enfermedades de la Córnea/etiología , Enfermedades de la Córnea/patología , Modelos Animales de Enfermedad , Femenino , Inmunohistoquímica , Ratones , Ratones Endogámicos CBA , Resultado del Tratamiento , Rayos Ultravioleta/efectos adversos
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