Perforating cutaneous vessels: A key feature of acupoints - Anatomical evidence from five-Shu acupoints in the upper limbs.

Acupuncture has been proven an effective clinical treatment for numerous pathological conditions and malfunctions. However, substantial anatomical evidence for acupuncture points (APs) and meridians is still lacking, so the location of APs is relatively subjective and understanding of the biological mechanisms of acupuncture is limited. All these problems hinder the clinical applications and worldwide acceptance of acupuncture. Our long-term microsurgery experience has indicated that Perforating Cutaneous Vessels (PCVs) are highly relevant to APs but the anatomical evidence is insufficient. To address this lack, two specimens of fresh adult human upper limbs were dissected using an advanced vascular perfusion-fixation method and then examined. The results show that all 30 five-Shu APs in the upper limbs have corresponding PCVs. Both specimens showed a 100% coincidence rate between APs and PCVs, indicating that PCVs could be critical anatomical features of APs. This study also provides an anatomical basis for locating APs objectively via preliminary detection of PCVs. The findings could lead to a better theoretical understanding of mechanisms of acupuncture and the essence of meridians.

Implantable Epigallocatechin Gallate Sustained-Release Nanofibers for the Prevention of Immobilization-Induced Muscle Atrophy.

Long-term immobilization of joints can lead to disuse atrophy of the muscles in the joints. Oral nutrients are used clinically for rehabilitation and therapeutic purposes, but bioavailability and targeting are limited. Here, we report tea polyphenols (dietary polyphenols), sustained-release nanofilms that release tea polyphenols through slow local degradation of core-shell nanofibers in muscles. This dietary polyphenol does not require gastrointestinal consumption and multiple doses and can directly remove inflammatory factors and superoxide generated in muscle tissue during joint fixation. The quality of muscles is increased by 30%, and muscle movement function is effectively improved. Although nanofibers need to be implanted into muscles, they can improve bacterial infections after joint surgery. To investigate the biological mechanism of this core-shell nanomembrane prevention, we conducted further transcriptomic studies on muscle, confirming that in addition to achieving antioxidation and anti-inflammation by inhibiting TNF-α and NF-κB signaling pathways, tea polyphenol core-shell nanofibers can also promote muscle formation by activating the p-Akt signaling pathway.

Accuracy analysis of traditional acupoint location and the coincidence of cutaneous arterial perforators and acupoints.

Several reports have shown a coincidence relationship between perforators and acupoints. However, there have been few previous reports of objective experimental methods to verify the reliability of the accuracy of acupoint location (APL) with nearby perforators. This research aimed to determine the internal agreement of the APL of five acupuncturists and to analyze the coincidence rate of acupoints with nearby perforators. Three two healthy volunteers were recruited with the inclusion and exclusion criteria. Three TCM clinical physicians determined acupoints in areas of the lower limb of participants. Two microsurgeons sketched corresponding regions based on the most common skin flap operation sites, located bone markers, and drew the skin flap axis. Doppler ultrasound was used to mark the perforator point and the distances measured for both points. There is no significant difference in the distance between the acupoints and perforators localization in different groups, and there are significant differences between the angle formed by acupoints and penetrators in all groups. All the points located by the traditional Chinese medicine (TCM) therapists are distributed around the dot. The distance between the coordinate point (A-B) of Wenliu (LI7) localization is the largest, reaching 16.6 mm. The accuracy of the acupoint location of each physician is limited by the clinical experience of physicians, and the difference among them is significant. There is a certain correspondence between the location of acupoints and perforators, which needs further studies to confirm.

Ultrafast-Response/Recovery Flexible Piezoresistive Sensors with DNA-Like Double Helix Yarns for Epidermal Pulse Monitoring.

A key challenge in textile sensors is to adequately solve the hysteresis for more broad and exacting applications. Unlike the conventional strategy in integrating elastic polymers into the textile, the hysteretic issue is critically addressed here through the structural design of yarns to provide a twisting force. The underlying mechanism is fully discussed based on theory and modeling, which are in good agreement with experimental data. Impressively, the pressure sensor outperforms almost all reported textile-based sensors in terms of recovery index, which refers to the ability to overcome the lagged deformation reflected by the hysteresis (5.3%) and relaxation time (2 ms). Besides, the sensor superiority is also demonstrated by way of its ultrafast response time (2 ms). Thanks to these merits, this pressure sensor is demonstrated to be capable of monitoring epidermal pulses and meanwhile shows great potential to advance the standardization and modernization of pulse palpation in traditional Chinese medicine.

Robust Effects of Graphene Oxide on Polyurethane/Tourmaline Nanocomposite Fiber.

The use of energy therapy including tourmaline/negative ions has gained huge popularity due to their long-standing historical evidence in improving human health and the technology development. However, the limitations of tourmaline based polyurethane fibers including the unsatisfied mechanical properties and negative ions releasing performances hind their further applications for wearable energy therapy. In this study, graphene oxide was modified within the polyurethane/tourmaline nanocomposite and then the wet-spinning method was used to prepare the fibers. As expected, the results proved that polyurethane/tourmaline/graphene oxide fiber had enhanced Young's modulus (8.4 MPa) and tensile stain at break (335%). In addition, the number of released negative ions from polyurethane/tourmaline/graphene oxide fiber was significantly improved 17 times and 1.6 times more than that of neat polyurethane fiber and polyurethane/tourmaline fiber, respectively. Moreover, the releasing number of negative ions was significantly decreased after being applying voltage. We envision that the proposed polyurethane/tourmaline/graphene oxide fiber will provide valuable insights into the development of the wearable energy products.

Designing of advanced smart medical stocking using stress-memory polymeric filaments for pressure control and massaging.

Compression treatment for the patients with chronic disorders such as venous ulcers and varicose veins needs the proper and adequate level of pressure sustainability. This has been a great challenge for health practitioners and stocking manufacturers even till today. There is an imperious need of any research, where internal compression pressure can be controlled or readjusted externally. In line with this, for the first time this study is focused mainly to design and optimize the smart stocking structure by integrating the stress-memory polymeric filament as a main load bearing element. Six different structures were employed to prepare the stocking fabric tubes. All the structures were investigated for pressure analysis and studied the effect of physical parameters such as temperature, strain, and leg radius. It is possible to control the level of massage effect by varying the stocking structures. An empirical relationship is derived, which provides the knowledge for how to control the stocking pressure with structural modifications like never done before. The effect of massage function on blood flow velocity in the popliteal vein on lower limb was objectively measured by Doppler ultrasound scanning. This study also sheds the insight of stocking structural modification for pressure control and provide the benchmark for achieving the efficient compression. This advanced stress-memory polymeric filaments based multifunctional compression stocking provides static pressure, massage effect, and easy size fitting in a more controlled manner for smart compression therapy.

Toxicity of Smokeless Tobacco Extract after 184-Day Repeated Oral Administration in Rats.

The use of smokeless tobacco (ST) is growing rapidly and globally. The consumption of ST is associated with an increased risk for developing chronic diseases, such as diabetes, hypercholesterolemia, and myocardial infarction, and has led to many public health problems. It is very important to access the toxicity of ST. This experiment presents data from 184-day toxicology studies in Sprague-Dawley (SD) rats designed to characterize the chronic effects of a smokeless tobacco extract (STE). The control group and treatment groups were matched for a range of nicotine levels. Animals were given STE by oral gavage with doses of 3.75 (low-dose), 7.50 (mid-dose) and 15.00 (high-dose) mg · nicotine/kg body weight/day for 184 days, followed by 30 days for recovery. Variables evaluated included body weights, feed consumption, clinical observations, clinical and anatomic pathology (including organ weights), and histopathology. Decreased body weights and organ weights (heart, liver and kidney) were found in animals in the mid-dose and high-dose groups. STE also showed moderate and reversible toxicity in esophagus, stomach, liver, kidney and lung.