RESUMO
OBJECTIVE: To investigate the impact of the combination of CICARE (C - Connect, I - Introduce, C - Communicate, A - Ask, R - Respond, E - Exit) communication model and traditional Chinese medicine (TCM) poultice on muscle strength and depression levels in patients. METHODS: Patients were divided into three groups: basic treatment group, basic treatment + TCM poultice group, and combined treatment group. Conventional rehabilitation therapy, TCM poultice external application, and the combination of both with the CICARE communication model were applied in the respective groups. Muscle strength (AMA muscle strength grading scale), self-care abilities (Barthel Index), depression symptoms (Hamilton Depression Rating Scale), neurological deficit status (NIHSS score) and serum inflammatory factor levels were assessed at admission, 3 weeks, and 8 weeks of treatment. RESULTS: After 3 and 8 weeks of treatment, the combined treatment group had higher AMA muscle strength scores and improved Barthel Index scores compared to other groups (p < 0.05). Depressive symptoms also improved significantly in the combined treatment group, with lower HDRS scores at 3 and 8 weeks (p < 0.05). After 8 weeks, IL-1, IL-6, and hs-CRP levels decreased in all groups, with the combined treatment group showing the lowest levels (p < 0.05). NIHSS scores decreased significantly in all groups post-intervention, with the combined treatment group showing the greatest improvement (p < 0.05). CONCLUSION: The integration of CICARE communication model with TCM poultice shows notable benefits in enhancing muscle strength, daily living self-care abilities, reducing depression, neurological impairment, and inflammatory factors in post-stroke hemiplegia patients.
RESUMO
Codonopsis pilosula (Franch.) Nannf. is a traditional Chinese herbal medicinal plant and a low-cost succedaneum for Panax ginseng and contains various bioactivity components. In this work, we first evaluated the effects of the inoculation of the plant growth-promoting rhizobacteria Bacillus amyloliquefaciens strain GB03 on growth and metabolite accumulation of C. pilosula. The results demonstrated that application of B. amyloliquefaciens GB03 significantly improved the growth of C. pilosula compared to DH5α, Luria broth medium, and water treatment, respectively. On the other hand, we observed that the content of lobetyolin, one of the most important secondary metabolites in C. pilosula, was obviously improved by inoculation of GB03 and almost reached twice that compared to the other three treatments. In addition, some amino acids of roots were elevated by GB03, although not significantly. In conclusion, B. amyloliquefaciens GB03 could induce positive effects on the growth and further stimulate accumulation of secondary metabolites in C. pilosula.
Assuntos
Inoculantes Agrícolas , Bacillus amyloliquefaciens/fisiologia , Codonopsis/metabolismo , Codonopsis/microbiologia , Codonopsis/crescimento & desenvolvimento , Medicamentos de Ervas Chinesas , Fotossíntese , Plantas Medicinais/crescimento & desenvolvimento , Plantas Medicinais/metabolismo , Plantas Medicinais/microbiologia , Poli-Inos/metabolismo , Metabolismo SecundárioRESUMO
Recently, magnetic sorbents have received considerable attention because of their excellent segregative features and sorption capacities. Herein, attapulgite/iron oxide magnetic (ATP/IOM) composites were prepared and characterized. The sorption results indicated that ATP/IOM composites were superior to ATP and iron oxides individually for the removal of U(VI) from aqueous solution. Based on X-ray photoelectron spectroscopy (XPS) analysis and surface complexation model, the main sorption species of U(VI) on ATP were==X(2)UO(2)(0) below pH 4.0 and==S(s)OUO(2)(+), ==S(w)OUO(2)CO(3)(-), and==S(w)OUO(2)(CO(3))(2)(3-) above pH 5.0. However the prevalent species on ATP/IOM composites were==S(s)OUO(2)(+) and==S(w)OUO(2)(CO(3))(2)(3-) over the observed pH range. ATP/IOM composites are a promising candidate for pre-concentration and immobilization of radionuclides from large volumes of aqueous solutions, as required for remediation purposes.
Assuntos
Compostos Férricos/análise , Compostos de Magnésio/análise , Magnetismo , Compostos de Silício/análise , Urânio/isolamento & purificação , Poluentes Químicos da Água/análise , Purificação da Água/métodos , Trifosfato de Adenosina/química , Adsorção , Compostos Férricos/química , Concentração de Íons de Hidrogênio , Íons , Modelos Químicos , Poluentes Radioativos/análise , Radioisótopos/isolamento & purificação , Propriedades de Superfície , Urânio/análiseRESUMO
Seven oleanane-type triterpenes and two 8-O-4'-neolignans, along with five known compounds (three 28-noroleanane-type triterpenes, one sarratane triterpene, and one neolignan), were isolated from roots of Nannoglottis carpesioides. Their structures were elucidated by spectroscopic methods, including 1D and 2D NMR, HRMS, and CD. The absolute configurations of two triterpenes were determined by experimental and calculated circular dichroism (CD) and optical rotation values. Ten compounds were evaluated for their cytotoxicity against human promyelocytic leukaemia (HL-60) and human hepatoma (Hep-G2) cells using the MTT assay. The antioxidant activities of these compounds were assessed by ABTS radical-scavenging assays. Among the tested compounds, three compounds exhibited moderate radical-scavenging activity against ABTS·âº, with IC50 values of 22.4, 17.4, and 23.2 µM, respectively.
Assuntos
Antineoplásicos Fitogênicos/química , Asteraceae/química , Lignanas/química , Extratos Vegetais/química , Triterpenos/química , Antineoplásicos Fitogênicos/análise , Antineoplásicos Fitogênicos/isolamento & purificação , Antioxidantes/metabolismo , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Humanos , Lignanas/análise , Lignanas/isolamento & purificação , Estrutura Molecular , Raízes de Plantas/química , Triterpenos/análise , Triterpenos/isolamento & purificaçãoRESUMO
Six new sesquiterpene lactones, scorzoaustriacoside (1), scorzoaustriacin (2), scorzoaustriacin 3-O-beta-d-glucoside (3), 4-epi-dihydroestafiatol (4), 14-isovaleroxyscorzoaustricin (5), and 14-isovaleroxyscorzoaustricin sulfate (6), along with five known guaianolides, were isolated from an acetone extract of the roots of Scorzonera austriaca. The structures of the new compounds were elucidated mainly by interpretation of their 1D and 2D NMR and HRMS data. Several isolates obtained in this investigation were evaluated against a small panel of cancer cell lines.
Assuntos
Antineoplásicos Fitogênicos/isolamento & purificação , Medicamentos de Ervas Chinesas/isolamento & purificação , Lactonas/isolamento & purificação , Scorzonera/química , Sesquiterpenos/isolamento & purificação , Antineoplásicos Fitogênicos/química , Antineoplásicos Fitogênicos/farmacologia , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacologia , Humanos , Células K562 , Lactonas/química , Lactonas/farmacologia , Estrutura Molecular , Raízes de Plantas/química , Sesquiterpenos/química , Sesquiterpenos/farmacologiaRESUMO
OBJECTIVE: To evaluate the efficacy and adverse reaction of total glucosides of paeony (TGP) combined with sulfasalazine (SSZ) in the treatment of ankylosing spondylitis (AS). METHODS: Sixty-seven AS patients were randomly assigned to 2 groups: the treatment group (34 cases) treated with TGP and SSZ, the control group (33 cases) with methotrexate (MTX) and SSZ. Changes of clinical efficacy related indexes including lumber pain index, morning stiffness time, peripheral joint pain index, thoracic expansion, Schober test, Bath AS disease active index (BASDAI), Bath AS functional index (BASFI), the levels of erythrocyte sedimentation (ESR) and C-reactive protein (CRP), and X-ray of sacroiliac joint were observed. RESULTS: The clinical efficacy indexes were significantly improved after treatment in the two groups (P < 0.05). Except that the improvement of lumber pain index and peripheral joint pain index was better in the treatment group than that in the control group (P < 0.05), no significant difference was found in the other indexes between the two groups. The occurrence of adverse reation was less in the treatment group than in the control group (P < 0.05). CONCLUSION: TGP treatment combined with SSZ shows favorable effect on AS with less and milder adverse reaction.