Analysis of risk factors for hypokalemia caused by amphotericin B liposome / 中国药房

OBJECTIVE To investigate the risk factors for hypokalemia caused by amphotericin B liposome， and to provide reference for clinical use of drugs. METHODS A retrospective analysis was used to collect the information of patients who used amphotericin B liposome during the hospitalization in First Affiliated Hospital of Hainan Medical College from January 2012 to December 2021. The details of use information about amphotericin B liposome and the potassium supplementation were collected. The patients were divided into hypokalemia group and normal group according to the occurrence of hypokalemia. Univariate and multi-variate Logistic regression analyses were used to analyze the risk factors for hypokalemia induced by amphotericin B liposome. RESULTS Of the 121 patients included in this analysis， 60 patients were in hypokalemia group， 61 patients were in normal group. The following parameters of the hypokalemic group were significantly higher or longer than those of the normal group， such as the maintenance dose， cumulative dose and maximum daily dose （in patients with severe hypokalemia） of amphotericin B liposome， treatment days， the maintained days of hypokalemia， daily dose of potassium supplement （in patients with moderate or severe hypokalemia）， the duration of potassium supplement （in patients with moderate hypokalemia）. Results of single factor analysis showed that the cumulative dose of amphotericin B liposome ≥200 mg and the duration of treatment ≥5 days were independent risk factors of hypokalemia caused by this drug （P＜0.05）. Multi-variate analysis results showed that the presence of basic hypokalemia， body weight ＜50 kg， cumulative dose of amphotericin B liposome ≥200 mg and the duration of treatment ≥5 days were the independent risk factors for hypokalemia caused by amphotericin B liposome （P＜0.05）. CONCLUSIONS The incidence of hypokalemia caused by amphotericin B liposome is high， the independent risk factors for hypokalemia include cumulative dose ≥200 mg， treatment days ≥5 days， the presence of basic hypokalemia and body weight ＜ 50 kg. It is suggested that serum potassium should be elevated to normal level before amphotericin B liposome treatment， and the level of serum potassium should be monitored during medication to reduce the occurrence of hypokalemia.

Combining scalp acupuncture with feedback can relieve post-stroke spasticity and paralysis of the lower extremities / 中华物理医学与康复杂志

Objective:To observe the effect of combining scalp acupuncture with feedback training on muscle tone, motor ability, plantar pressure distribution and joint range of motion of stroke survivors with lower limb spastic paralysis.Methods:A total of 212 stroke survivors were randomly divided into a combination group ( n=70), an exercise group ( n=70) and a scalp acupuncture group ( n=72) according to a random number table. All of the patients received routine medication and 120 minutes of rehabilitation training six days a week for 8 consecutive weeks. The rehabilitation training included guidance on good posture, posture change training, balance training and gait training. The scalp acupuncture and exercise groups were additionally provided with 40 minutes of scalp acupuncture and lower limb intelligent feedback training, while the combination group was given both. Muscle tension, balance and lower extremity movement were quantified before and after the training, and a gait evaluation system was used to detect the plantar pressure distribution on the affected side and the range of motion range of the lower limb joints during walking. Results:After the treatment, significant differences were observed in the average modified Ashworth scores, modified Berg scale scores, Fugl-Meyer lower extremity ratings and modified Barthel Index scores compared with before the treatment. The average scores of the combination group were then significantly better than those of the other two groups. The average load bearing ratios of the affected toes, metatarsal bones Ⅰ-V, medial arch, external arch, medial heel and external heel had improved significantly in all of the groups, with the improvement of the combination group again significantly greater than those of the other groups. The same pattern of improvement was observed in the groups′ average pelvic rotation angles, hip flexion angles, knee flexion angles and ankle dorsiflexion angles.Conclusion:Combining scalp acupuncture with intelligent feedback can significantly improve lower extremity functioning after a stroke. That should improve performance in the activities of daily living of stroke survivors.

Influences of enhanced UV-B radiation and drought stress on biomass accumulation and allocation of Fagopyrum dibotrys / 中国中药杂志

<p><b>OBJECTIVE</b>To study the influences of enhanced UV-B radiation and drought stress on the biomass accumulation and allocation of Fagopyrum dibotrys, and so as to provide a theoretical basis for the cultivation, the protection and use of F. dibotrys.</p><p><b>METHOD</b>By experiment of potted plant, the biomass accumulation and allocation of F. dibotrys were measured under different drought stresses and UV-B radiations.</p><p><b>RESULT</b>In conditions of adequate water, enhanced UV-B radiation significantly reduced biomass accumulation to root, biomass accumulation to leaves, total biomass accumulation and biomass allocation to root in F. dibotrys, while it could increase biomass allocation to stem. In conditions of moderate drought stress, enhanced UV-B radiation increased biomass accumulation to root, biomass accumulation to stem and biomass accumulation to root. In the conditions of severe drought stress, enhanced UV-B radiation increased biomass accumulation to root, it also could lead in a certain increase to biomass accumulation to stem. Biomass allocation to root, stem and leaves was not sensitive to enhanced UV-B radiation.</p><p><b>CONCLUSION</b>The influences of enhanced UV-B radiation in simulation and drought stress on the biomass accumulation and allocation of F. dibotrys were determined by water conditions and different apparatus. Overall, we verified that enhanced UV-B radiation would reduce the influences of biomass accumulation of F. dibotrys by drought.</p>

RAPD analysis for genetic diversity of medicinal plant Coptis omeiensis / 中国中药杂志

<p><b>OBJECTIVE</b>To discuss the genetic diversity of Coptis omeiensis.</p><p><b>METHOD</b>The genetic diversity of 110 individuals from 10 populations was analyzed by RAPD.</p><p><b>RESULT</b>14 primers were selected to produce highly reproducible RAPD bands. Among 132 amplified bands, 98 showed polymorphism, the percentage of polymorphic bands reached to 74.24%. Nei's gene diversity index (H) was 0.2863, Shannon's information index (I) was 0.3624, G(st) was 0.2305. The genetic distance coefficient and the similarity were 0.1931-0.5245 and 0.5016-0.8843, respectively.</p><p><b>CONCLUSION</b>There exists a held high genetic diversity in C. omeiensis and the majority of genetic variation occurs in the populations. By cluster analysis, the geographical distribution is very obvious. The RAPD marker can be used for the analysis of the genetic diversity and genetic variation of C. omeiensis.</p>

RAPD analysis for genetic diversity of Fagopyrum cymosum / 中国中药杂志

<p><b>OBJECTIVE</b>To study the genetic diversity of Fagopyrum cymosum.</p><p><b>METHOD</b>The genetic diversity of 87 individuals from 10 populations was analyzed by random amplified polymorphic DNA (RAPD).</p><p><b>RESULT</b>Twelve primers were selected to produce highly reproducible RAPD bands. Among 85 amplified bands, seventy-five showed polymorphism, the percentage of polymorphic bands reached to 88.24%. Nei's gene diversity index (H) was 0. 3103, Shannon information index (I) was 0.5632, Gst was 0.1924. The genetic similarity coefficient and the genetic distance were 0.6720-0.9678 and 0.0328-0.3975, respectively.</p><p><b>CONCLUSION</b>F. cymosum shows high genetic diversity and the majority of genetic variation occurs in populations. By cluster analysis, the geographical distribution is very obvious. The RAPD marker can be used for the analysis of the genetic diversity and genetic variation of F. cymosum.</p>

Leaf epidermal features of 21 medicinal plants of Euonymus in China / 中国中药杂志

<p><b>OBJECTIVE</b>To accumulate taxonomic data of the leaf epidermal features of the medicinal species of Euonymus.</p><p><b>METHOD</b>Twenty-nine materials of 21 taxa (including 16 species, 4 varieties and 1 form) representing 5 sections of Euonymus are examined by using both of light microscopy and scanning electron microscopy.</p><p><b>RESULT</b>The form of epidermal cells in Euonymus is usually polygonal or irregular. The stomata were anomocytic in all the species examined except E. maackii and E. bungeanus var. semipersistens. Stomatal types of all species studied may be anomocytic, anisocytic, cycolocytic or the transitional types among them.</p><p><b>CONCLUSION</b>The results show that some characteristics (including cuticular membrane, shape of guard cells, inner margin of outer stomatal rim, outer stomatal rim and stomata type) of the leaf epidermis can provide some anatomical evidence for the classification. The characteristics of leaf epidermis support following treatments: E. acanthocarpus var. longipes, E. acanthocarpus var. scandens and E. acanthocarpus var. sutchuanensis should be merged into E. acanthocarpus; E. bungeanus var. semipersistens should be merged into E. maackii; E. hamiltonianus f. lanceifolius should be merged into E. hamiltonianus.</p>