Stigma and Efficacy of Zhizhu Kuanzhong Capsules Versus Doxepin in the Treatment of Refractory Functional Dyspepsia: A Randomized Controlled Trial.

Background/Aims: Stigma related with antidepressants is prevalent in patients with functional dyspepsia. It affects medication compliance and efficacy. Herbal medicine acquired a deep-rooted cultural identity in relieving dyspeptic symptoms in Asians. The research was designed to compare the effectiveness of Zhizhu Kuanzhong capsules (ZZKZ) versus doxepin hydrochloride (doxepin) on alleviating stigma and medication nonadherence among patients with refractory FD (rFD). Methods: Patients with rFD from February 2021 to February 2022 were randomly allocated to receive either doxepin (n = 56) or ZZKZ (n = 57) combined with omeprazole for 4 weeks. Medication possession ratio (MPR), the disease- and medication-associated stigma were analyzed. The scales were utilized to assess dyspeptic symptoms (Leeds Dyspepsia Questionnaire) and psychological conditions (Generalized Anxiety Disorder Questionnaire and Patient Health Questionnaire). Results: The MPR values for ZZKZ were significantly higher than those for doxepin (P < 0.001). The stigma scores decreased in ZZKZ group while increased in doxepin group compared to baseline after treatment. The proportion of patients showing ZZKZ-associated stigma was significantly lower than doxepin-associated stigma (P < 0.001). The MPR values were negatively correlated with post-treatment stigma scores in both groups (P < 0.001). Dyspeptic symptoms and psychological condition were improved in both groups after treatment, with no significant difference on post-treatment Leeds Dyspepsia Questionnaire, Generalized Anxiety Disorder Questionnaire, or Patient Health Questionnaire scores between 2 groups. Conclusion: ZZKZ is superior to doxepin in alleviating stigma and medication non-adherence, with comparable efficacy in improving dyspeptic symptoms and psychological condition of patients with rFD.

Encapsulation of resveratrol-loaded Pickering emulsions in alginate/pectin hydrogel beads: Improved stability and modification of digestive behavior in the gastrointestinal tract.

In this study, alginate/pectin hydrogel beads were prepared with different mixing ratios (9:1, 8:2, 7:3, 6:4, and 5:5) to encapsulate resveratrol-loaded Pickering emulsions using Ca2+ crosslinking. The system with a suitable ratio of pectin and alginate can enhance the encapsulation efficiency and loading capacity. Scanning electron microscopy (SEM) study confirmed that the hydrogel beads were spherical, in which Pickering emulsion was distributed evenly within the polymer network. Fourier Transform Infrared Spectroscopy (FTIR) study indicated that the hydrogel beads were formed by physical cross-linking. X-ray diffraction (XRD) study demonstrated that resveratrol existed in hydrogel beads with an amorphous or dissolved form. Besides, the stability and antioxidant capacity suggested that hydrogel beads could offer protection to resveratrol by preventing degradation through environmental stresses, while maintaining its antioxidant capacity. Importantly, hydrogels significantly reduced the release of free fatty acids and resveratrol during in vitro digestion compared to emulsions, especially with the appropriate ratio of sodium alginate and pectin. Overall, Pickering emulsions-loaded alginate/pectin hydrogel beads could offer a novel option for the preparation of low-calorie foods and a potential substitute model for controlling the release of free fatty acids contributing to the transportation of resveratrol.

Assessment and management of nonpoint source pollution based on multicriteria analysis.

Assessing the potential impacts of nonpoint source (NPS) pollution and proposing sound control strategies are significant global challenges. However, few studies have provided insights into the quantitative risk analysis and efficient management of NPS pollution. This study formulated four evaluation criteria to characterize both the generation and migration of diffuse phosphorus. Multicriteria analysis and the technique for order preference by similarity to ideal solution were combined to develop a NPS pollution risk index model for the evaluation of the potential phosphorus loss at the basin scale. The proposed model is a simple and efficient tool that considers most factors that affect diffuse phosphorus. In the GIS environment, the spatial distribution of the risk index of diffuse phosphorus could be mapped and visualized in the Huai River Basin. With the natural breaks classification method, the study area was divided into the following five regions: a potentially polluted region (3.5%), a lightly polluted region (15.4%), a moderately polluted region (40.7%), a highly polluted region (31.5%), and a seriously polluted region (8.9%). Based on land use composition, geographical location, and sources of diffuse phosphorus of these five regions, corresponding prevention measures were introduced, thus facilitating the management of NPS pollution for policy makers.

Sodium butyrate ameliorates Corynebacterium pseudotuberculosis infection in RAW264.7 macrophages and C57BL/6 mice.

Corynebacterium pseudotuberculosis (CP) infection in livestock has become highly difficult to control. To decrease the incidence of CP infection, the supplementation of feed with non-antibiotic antibacterial substances is a potential approach. The aim of this study was to assess the effects of sodium butyrate (NaB), a potential alternative to antibiotics, on CP infection in RAW264.7 macrophages and C57BL/6 mice. Our data showed that NaB (2 mM) significantly ameliorated CPinfection in RAW264.7 macrophages and decreased the bacterial load in the spleens of infected mice. By real-time PCR, we found that NaB induced significant decreases in zinc-dependent superoxide dismutase (sodC) and tip protein C (spaC) expression in CP from infected-RAW264.7 cells and in phospholipase D (pld) and spaC expression in CP from the spleens of infected mice. NaB treatment significantly up-regulated cathelicidin-related antimicrobial peptide (cramp) expression in spleens of mice infected with CP. Furthermore, NaB alleviated histopathological changes in spleens of CP-infected mice. In conclusion, NaB ameliorated CP infection in RAW264.7 macrophages and C57BL/6 mice, and these effects may be related to the modulation of sodC, spaC, pld, and cramp expression.

A Retrospective Analysis on 1330 Adverse Event Reports of Qingkailing in China: Further Perception of Its Risks and Rational Use.

Qingkailing (QKL) is a modern preparation exploited according to the traditional Chinese medicine theory. It becomes the second leading cause of adverse drug events (ADEs) in all traditional Chinese medicine injections. The safety evaluation and rational use of QKL are of special importance. This retrospective study used data from Adverse Drug Reaction Monitoring Center of Hubei Province in China from January 2012 to December 2014. ADE cases induced by QKL were collected and analyzed according to patients' demographics, characteristics of drugs involved, characteristics of ADEs, causality, and outcomes. A total of 1330 qualified ADEs were included. Most ADEs occurred within 30 min after administration and the 0-10 years old age group had the highest number of ADEs. The common ADEs included anaphylactic reaction, dyspnea and nausea. Serious reactions accounted for 5.19%. Combination with cephalosporin (74/146, 50.69%) caused more ADEs than other drugs did. Serious attention should be paid when QKL is used for children, and combination with cephalosporin should be avoided.

Spatial scale and seasonal dependence of land use impacts on riverine water quality in the Huai River basin, China.

Land use pattern is an effective reflection of anthropic activities, which are primarily responsible for water quality deterioration. A detailed understanding of relationship between water quality and land use is critical for effective land use management to improve water quality. Linear mixed effects and multiple regression models were applied to water quality data collected from 2003 to 2010 from 36 stations in the Huai River basin together with topography and climate data, to characterize the land use impacts on water quality and their spatial scale and seasonal dependence. The results indicated that the influence of land use categories on specific water quality parameter was multiple and varied with spatial scales and seasons. Land use exhibited strongest association with dissolved oxygen (DO) and ammonia nitrogen (NH3-N) concentrations at entire watershed scale and with total phosphorus (TP) and fluoride concentrations at finer scales. However, the spatial scale, at which land use exerted strongest influence on instream chemical oxygen demand (COD) and biochemical oxygen demand (BOD) levels, varied with seasons. In addition, land use composition was responsible for the seasonal pattern observed in contaminant concentrations. COD, NH3-N, and fluoride generally peaked during dry seasons in highly urbanized regions and during rainy seasons in less urbanized regions. High proportion of agricultural and rural areas was associated with high nutrient contamination risk during spring. The results highlight the spatial scale and seasonal dependence of land use impacts on water quality and can provide scientific basis for scale-specific land management and seasonal contamination control.

Investigation of free amino acid, total phenolics, antioxidant activity and purine alkaloids to assess the health properties of non-Camellia tea

To find novel functional beverages from folk teas, 33 species of frequently used non-Camellia tea (plants other than Camellia) were collected and compared with Camellia tea (green tea, pu-erh tea and black tea) for the first time. Data are reported here on the quantities of 20 free amino acids (FAAs) and three purine alkaloids (measured by UHPLC), total polyphenols (measured by Folin-Ciocalteu assay), and antioxidant activity (DPPH). The total amounts of FAAs in non-Camellia tea (0.62-18.99 mg/g) are generally less than that of Camellia tea (16.55-24.99 mg/g). However, for certain FAAs, the quantities were much higher in some non-Camellia teas, such as γ-aminobutyric acid in teas from Ampelopsis grossedentata, Isodon serra and Hibiscus sabdariffa. Interestingly, theanine was detected in tea from Potentilla fruticosa (1.16±0.81 mg/g). Furthermore, the content of polyphenols in teas from A. grossedentata, Acer tataricum subsp. ginnala are significantly higher than those from Camellia tea; teas from I. serra, Pistacia chinensis and A. tataricum subsp. ginnala have remarkable antioxidant activities similar to the activities from green tea (44.23 μg/mL). Purine alkaloids (caffeine, theobromine and theophylline) were not detected in non-Camellia teas. The investigation suggest some non-Camellia teas may be great functional natural products with potential for prevention of chronic diseases and aging, by providing with abundant polyphenols, antioxidants and specific FAAs.

New Ent-Kaurane-Type Diterpene Glycosides and Benzophenone from Ranunculus muricatus Linn.

Two new ent-kaurane diterpene glycosides, ranunculosides A (1) and B (2), and a new benzophenone, ranunculone C (3), were isolated from the aerial part of Ranunculus muricatus Linn. The chemical structures of compounds 1-3 were established to be (2S)-ent-kauran-2ß-ol-15-en-14-O-ß-d-glucopyranoside, (2S,4S)-ent-kauran-2ß,18-diol-15-en-14-O-ß-d-glucopyranoside, and (R)-3-[2-(3,4-dihydroxybenzoyl)-4,5-dihydroxy-phenyl]-2-hydroxylpropanoic acid, respectively, by spectroscopic data and chemical methods. The absolute configuration of 1 was determined by the combinational application of RP-HPLC analysis and Mosher's method.

Soft matter strategies for controlling food texture: formation of hydrogel particles by biopolymer complex coacervation.

Soft matter physics principles can be used to address important problems in the food industry. Starch granules are widely used in foods to create desirable textural attributes, but high levels of digestible starch may pose a risk of diabetes. Consequently, there is a need to find healthier replacements for starch granules. The objective of this research was to create hydrogel particles from protein and dietary fiber with similar dimensions and functional attributes as starch granules. Hydrogel particles were formed by mixing gelatin (0.5 wt%) with pectin (0 to 0.2 wt%) at pH values above the isoelectric point of the gelatin (pH 9, 30 °C). When the pH was adjusted to pH 5, the biopolymer mixture spontaneously formed micron-sized particles due to electrostatic attraction of cationic gelatin with anionic pectin through complex coacervation. Differential interference contrast (DIC) microscopy showed that the hydrogel particles were translucent and spheroid, and that their dimensions were determined by pectin concentration. At 0.01 wt% pectin, hydrogel particles with similar dimensions to swollen starch granules (D3,2 ≈ 23 µm) were formed. The resulting hydrogel suspensions had similar appearances to starch pastes and could be made to have similar textural attributes (yield stress and shear viscosity) by adjusting the effective hydrogel particle concentration. These hydrogel particles may therefore be used to improve the texture of reduced-calorie foods and thereby help tackle obesity and diabetes.

Characteristics of germplasm resources in Coix from xishuangbanna / 中国中药杂志

<p><b>OBJECTIVE</b>To evaluate the genetic diversity among wild germplasm resources of Coix that distributed at altitude of 550-1550 m in Xishuangbanna, Yunnan province by comparing the morphological variation, biological and economical factors.</p><p><b>METHOD</b>The field plot experiments were conducted to observation the germination rate, growth period. While the milled rice rate, content of protein, crude fat and ethanol extract of 9 wild Coix germplasm resources were measured.</p><p><b>RESULT</b>The germination rate of 9 germplasm was from 22% to 81%, and the growth period was among 139-156 d, which belongs to the medium-late mature type. The germination rate, growth stage, plant height, leaf length and width, tiller number, ramification number, seed number per stem of 9 Coix germplasm were significantly different (P < 0.05), respectively. The range of seed total protein contents were from 15.63% 25.74%, crude fat contents were from 5.05%-7.14%, and the contents of alcohol extract, which showed antitumor activity, were from 5.85%-7.27%.</p><p><b>CONCLUSION</b>The fact of quite different in plant morphological, biological and quality characters of 9 germplasm suggested that the genetic diversity in the wild populations of Coix distributed throughout the regions of Xishuangbanna is relatively abundant.</p>

Variation of ginsenosides in infected roots of American ginseng (Panax quinquefolium) / 中国中药杂志

<p><b>UNLABELLED</b>To study the infected root of Panax quinquefolium on the contents of ginsenosides.</p><p><b>METHOD</b>The contents of three major ginsenosides Rg1, Re and Rb1 were determined by HPLC compared quantitatively between the different degree infected roots and normal root in the phloem and xylem.</p><p><b>RESULT</b>Rg1 in phloem and xylem of varying degrees infected root showed no significant difference, but Rb1 decreased 26.3% and 28.3% respectively in medium and serious infected roots comparing to normal root. Re in phloem of seriously infected roots decreased in xylem significantly.</p><p><b>CONCLUSION</b>The results indicate that the variation of ginsenosides in different degrees infected roots exists and the proportion of Rg1, Re and Rb1 in the total ginsenosides changes.</p>