[Re-evaluation of systematic reviews of acupuncture and moxibustion for children with cerebral palsy].

OBJECTIVE: To assess the methodological quality, report quality and evidence quality of the Meta-analysis and systematic reviews of acupuncture and moxibustion for children with cerebral palsy, aiming to provide decision-making basis for clinical treatment. METHODS: The systematic reviews and Meta-analysis of acupuncture and moxibustion for children with cerebral palsy were searched in CNKI, Wanfang, VIP, SinoMed, Cochrane Library, PubMed and EMbase. The retrieval time was from the database establishment to June 30th, 2022. AMSTAR 2 (a measurement tool to assess systematic reviews) was used to evaluate the methodological quality， and PRISMA (preferred reporting items for systematic reviews and Meta-analyses) was used to evaluate the report quality, and GRADE was used to evaluate the quality of evidence. RESULTS: A total of 14 systematic reviews were included, including 37 primary outcome indexes. According to AMSTAR 2 evaluation results, there were 4 low quality studies, 10 very low quality studies, and low scores on items 2, 4, 7, 10 and 16. PRISMA scores ranged from 15 to 25, and the main reporting problems reflected in structured abstracts, program and registration, retrieval, and funding sources, etc. According to the GRADE classification results, there were 3 high quality evidences, 7 medium quality evidences, 10 low quality evidences and 17 very low quality evidences. The main downgrading factors were limitations, imprecision and publication bias. CONCLUSION: Acupuncture and moxibustion has a certain effect for cerebral palsy in children, but the quality of methodology, reporting and evidence in the included literature is poor, and the comparison of curative effect between different acupuncture and moxibustion methods is unclear.

Practitioners' perspectives on acupuncture treatment for postpartum depression: A qualitative study.

BACKGROUND: Acupuncture may become a treatment for postpartum depression (PPD). Currently, little is known about the use of acupuncture in the treatment of PPD from the point of view of practitioners. The aim of this study was to explore practitioners' perspectives on the treatment of PPD with acupuncture and provide suggestions for future improvement. METHODS: This study employed a qualitative descriptive method. Semistructured, open-ended interviews were conducted with 14 acupuncture practitioners from 7 hospitals via face-to-face or telephone interviews. The data were collected using interview outline from March to May 2022 and analysed using qualitative content analysis. RESULTS: In general, the use of acupuncture for treating PPD was positively regarded by practitioners. They claimed that acupuncture is both safe and helpful for breastfeeding women who are experiencing emotional discomfort and that it can alleviate a variety of somatic symptoms. The following three themes were extracted: (a) patient acceptance and compliance; (b) acupuncture as a treatment for PPD; and (c) the advantages and drawbacks of acupuncture treatment. CONCLUSION: Practitioners' optimistic outlooks demonstrated that acupuncture is a promising treatment option for PPD. However, the time cost was the most significant barrier to compliance. Future development will focus mostly on improving acupuncture equipment and the style of service.

Effectiveness of non-pharmacological treatments for postpartum depression: an umbrella review protocol.

INTRODUCTION: Non-pharmacological treatments for postpartum depression have been investigated in various systematic reviews, and their efficacy has been evaluated. However, the quality of the evidence as a whole has not been quantified. The quality of this evidence may influence the choice of interventions and even cause misleading clinical decisions. This study aims to provide an objective presentation of the methodological bias and identify treatments supported by solid evidence. METHODS AND ANALYSIS: For the purpose of conducting systematic reviews and meta-analyses, a comprehensive search of the relevant published literature will be conducted in English databases such as PubMed, Embase, Cochrane Library, PsycINFO and Scopus, as well as in four Chinese databases: the Chinese Biomedical Databases (CBM), Wan fang database, China National Knowledge Infrastructure and VIP Database (VIP). The time of publication will be limited from their inception to 31 May 2022. We will extract the following data from the included literature: title, first author, journal type of included literature, number and sample size, intervention/control measures, outcome indicators and main study outcomes. The Assessment of Multiple Systematic Reviews-2 will be used to measure the quality of the methods. In addition, we will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement to evaluate the quality of the reporting, as well as the Grading of Recommendations Assessment, Development and Evaluation to evaluate the quality of the evidence. PROSPERO REGISTRATION NUMBER: CRD42021285470.

Sweet tea (Rubus Suavissmus S. Lee) polysaccharides promote the longevity of Caenorhabditis elegans through autophagy-dependent insulin and mitochondrial pathways.

The fine structure of sweet tea polysaccharide (STP-60a) has been characterized. However, the biological activity of STP-60a has not been extensively explored. This study aims to evaluate the anti-aging activity of STP-60a using Caenorhabditis elegans (C. elegans) as a model and to investigate the underlying molecular mechanism. 400 µg/mL of STP-60a increased the mean lifespan of C. elegans by 22.88%, reduced the lipofuscin content by 33.01%, and improved the survival rate under heat stress and oxidative stress by 32.33% and 27.63%, respectively. Further research in lifespan-related mutants revealed that STP-60a exerted anti-aging effects mainly through insulin and mitochondrial signaling pathways. Through qRT-PCR and microscopic imaging of transgenic nematodes, we found that 400 µg/mL of STP-60a increased the expression of daf-16, skn-1, and hsf-1 downstream of the insulin pathway by 1.68-fold, 1.88-fold, and 1.03-fold, respectively, and promoted the accumulation of daf-16 and skn-1 in the nucleus. STP-60a also significantly regulated the function of the mitochondrial respiratory chain and unfolded protein recovery system. Furthermore, STP-60a activated the autophagy level in C. elegans, and the mutation of daf-2 or clk-1 inhibited the upregulation of autophagy genes by STP-60a, suggesting that autophagy acted as an effector of the insulin and mitochondrial pathways during STP-60a antiaging.

Improved process performance of the acidification phase in a two-stage anaerobic digestion of complex organic waste: Effects of an iron oxide-zeolite additive.

Improvement of the acidification phase is an attractive alternative to break through the rate-limiting step in the two-phase anaerobic digestion of complex organic wastes. An additive named iron oxide-zeolite was introduced into the acidification phase at mesophilic and room temperature. By virtue of the additive supplemented, significantly improved hydrolysis/fermentation in regard to higher soluble chemical oxygen demand (sCOD) concentration (21.53-27.30%) and better lignocellulosic degradation at both temperatures has been obtained. Furthermore, an optimized volatile fatty acid formation type (more favorable acetate and less undesired propionate) has been achieved. The favorable environment of the acidogenic effluent facilitated the subsequent methanogenesis. The increased microbial community abundances of some hydrolytic, acetogenic and cellulolytic bacteria may provide the explanation on the promoted hydrolysis/acidogenesis. The results in this study suggested that supplementation of the iron oxide-zeolite into the acidification phase is a valuable alternative to improve hydrolysis/acidogenesis of the complex substrates.

Characterization of free and conjugated phenolic compounds in fruits of selected wild plants.

A gas chromatography-mass spectrometric (GC-MS) method was utilized for the separation, and systematic characterization of phenolic compounds as trimethylsilyl derivatives in fruits of wild plants including Olive, Jujube and Common Fig. Both the free and conjugate phenolic acids (rarely determined before and several are reported first time here) were characterized. A baseline separation of the 20 phenolics was achieved in 25 min with standard calibration curves linear over the concentration range from the detection limits to 20 µg/mL. Total of fourteen phenolic acids were identified in wild Olive fruit, eight in wild Jujube fruit and ten in wild Common Fig fruit, out of which 2,4-dihydroxybenzoic acid and trans-cinnamic acid were dominant in these fruits with concentration of 87.02, 5.25 and 14.16 mg/kg and 32.43, 5.77 and 11.70 mg/kg (dry weight), respectively. The results of this study support the utilization of the tested wild fruits as a potential source of valuable phenolics for functional food and nutraceutical applications.