Effect of Qizhitongluo capsule on lower limb rehabilitation after stroke: A randomized clinical trial.

BACKGROUND: An individual's level of lower limb motor function is associated with his or her disability level after stroke, and motor improvement may lead to a better prognosis and quality of life. Data from animal models show that Qizhitongluo (QZTL) capsule facilitates recovery after focal brain injury. We aimed to validate the efficacy and safety of the QZTL capsule for promoting lower limb motor recovery in poststroke patients. METHODS: In this randomized, multicenter, double-blind, placebo- and active-controlled trial from 13 sites in China, participants with ischemic stroke and Fugl-Meyer motor scale (FMMS) scores of <95 were eligible for inclusion. Patients were randomly assigned in a 2:1:1 ratio to the QZTL group, Naoxintong (NXT) group or placebo group for 12 weeks at 15-28 days after the onset of stroke. The primary outcome was the change in the Lower Limb FMMS (FMMS-LL) score from baseline over the 12-week intervention period. RESULTS: 622 participants were randomly assigned to the QZTL group (309), NXT group (159), or placebo group (154). The FMMS-LL score increased by 4.81 points (95 % CI, 4.27-5.35) in the QZTL group, by 3.77 points (95 % CI, 3.03-4.51) in the NXT group and by 3.00 points (95 % CI, 3.03-4.51) in the placebo group at week 12. The QZTL group showed significantly larger improvements compared with the placebo group at each interview from weeks 4-12 (difference, 0.89 [0.30,1.49] at week 4, P = 0.0032; difference, 1.83[1.01,2.66] at 90 days poststroke, P < 0.0001; difference, 1.81[0.88,2.74] at week 12, P = 0.0001). CONCLUSION: The QZTL capsule is an effective treatment for lower limb motor impairment. The finding indicates that the QZTL capsule may be used as a potential new strategy for stroke rehabilitation.

Investigation on dung beetle's (Heliocopris Hope, 1838) chitosan valorisation for hydrogel 3D printing.

Biopolymers and their derivatives are materials with increasing interest for industry and especially for sustainable engineering development. Among such kind of materials, carbohydrate polymer like highly deacetylated chitin (chitosan) is widely used for a wide range of applications, including material and biomedical developments. The majority of industrially produced chitosan is based on chitin extracted from crustacean exoskeleton. However, with increase of interest on this material, chitosan's production will rapidly become insufficient and other species should be investigated as new sources of chitosan. In the present work, we focus on the preparation of chitosan from giant dung beetles (Genus Heliocopris, Hope, 1838). This genus was chosen to show the possibility to take animals that develop and leave near dejection and valuate them for material applications. This work includes all the chitosan extraction procedures, chitosan characterisation IR, SEM, NMR, ash content, and deacetylation degree. Finally, the prepared carbohydrate polymer is used to form hydrogel. The prepared gel has been characterised and used for 3D printing, to show the compatibility of extracted chitosan with biomaterial application.