Safety and effectiveness of a Tai Chi-based cardiac rehabilitation programme for chronic coronary syndrom patients: study protocol for a randomised controlled trial.

INTRODUCTION: Preliminary evidence from clinical observations suggests that Tai Chi exercise may offer potential benefits for patients with chronic coronary syndrom (CCS). However, the advantages for CCS patients to practice Tai Chi exercise as rehabilitation have not been rigorously tested and there is a lack of consensus on its benefits. This study aims to develop an innovative Tai Chi Cardiac Rehabilitation Program (TCCRP) for CCS patients and to assess the efficacy, safety and acceptability of the programme. METHODS AND ANALYSIS: We propose to conduct a multicentre randomised controlled clinical trial comprising of 150 participants with CCS. The patients will be randomly assigned in a 1:1 ratio into two groups. The intervention group will participate in a supervised TCCRP held three times a week for 3 months. The control group will receive supervised conventional exercise rehabilitation held three times a week for 3 months. The primary and secondary outcomes will be assessed at baseline, 1 month, 3 months after intervention and after an additional 3-month follow-up period. Primary outcome measures will include a score of 36-Item Short Form Survey and Chinese Perceived Stress Scale. The secondary outcome measures will include body composition, cardiopulmonary exercise test, respiratory muscle function, locomotor skills, echocardiogram, New York Heart Association classification, heart rate recovery time and laboratory examination. Other measures also include Seattle Angina Scale, Pittsburgh Sleep Quality Index, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7 and Berg Balance Scale. All adverse events will be recorded and analysed. ETHICS AND DISSEMINATION: This study conforms to the principles of the Declaration of Helsinki and relevant ethical guidelines. Ethical approval has been obtained from the Ethics Committee of Chinese People's Libration Army General Hospital (approval number: S2019-060-02). Findings from this study will be published and presented at conferences for widespread dissemination of the results. TRIAL REGISTRATION NUMBER: NCT03936504.

[Effects of shade and competition of Chenopodium album on photosynthesis, fluorescence and growth characteristics of Flaveria bidentis].

It is necessary to elucidate its growth mechanism in order to prevent and control the further spread of Flaveria bidentis, an invasive plant in China. The effects of shading (shading rate of 0, 50% and 80%, respectively) and planting pattern (single cropping of F. bidentis, single cropping of Chenopodium album and their intercropping) on germination rate, fluorescence characteristics and growth characteristics of the two plants were investigated. The results showed that moderate shading contributed to emergence rate, but emergence rate of F. bidentis was not uniform, which was one of important factors as a stronger invader. With the increasing light intensity, net photosynthetic rate (Pn), photochemical quenching (qP), electron transport rate of PS II (ETR), quantum yield of PS II (Y), non-photochemical quenching (qN), water use efficiency (WUE), shoot bio-mass rate (SMR), crown width (CW) and dry biomass (DM) increased, specific leaf area (SLA) decreased, LMR of F. bidentis significantly increased, LMR of C. album changed insignificantly, and the increment of DM of F. bidentis was higher than that of C. album. In 80% shade treatment, Pn and DM of F. bidentis were lower than those of C. album. In natural light treatment, Pn, qN, WUE and relative competitive index (RCI) were the highest, CW and DM of intercropped F. bidentis and Pn, Y of C. album were significantly lower than that of the respective single treatment. F. bidentis had higher light saturation point (LSP) and light compensation point (LCP). In conclusion, the shade-tolerant ability of F. bidentis was weaker than that of C. album, but it was reversed in natural light treatment. The two plants adapted to the weak light in 80% shade treatment by increasing SLA and decreasing LMR. F. bidentis improved competition under natural light by increasing SMR and decreasing CW.