ABSTRACT
The skin, being the largest organ of the human body, is susceptible to damage resulting in wounds that are vulnerable to pathogenic attacks and fail to provide effective protection for internal tissues. Therefore, it is crucial to expedite wound healing. In recent years, microneedles have garnered significant attention as an innovative drug delivery system owing to their noninvasive and painless administration, simplified application process, precise control over drug release, and versatile loading capabilities. Consequently, they hold immense potential for the treatment of skin wound. This review presents a comprehensive design strategy for the microneedle system in promoting skin wound healing. First, the process of skin wound healing and the characteristics of specific wounds are elucidated. The design strategies for microneedles are subsequently presented and classified based on their structural and therapeutic methodologies. Finally, a succinct recapitulation of the previously discussed points and a prospective analysis are provided.
Subject(s)
Biocompatible Materials , Needles , Skin , Wound Healing , Wound Healing/drug effects , Humans , Skin/metabolism , Biocompatible Materials/chemistry , Biocompatible Materials/pharmacology , Animals , Drug Delivery Systems , Materials Testing , Equipment DesignABSTRACT
This study aimed to elucidate the mechanisms by which microRNA-99b (miR-99b) regulates CD4+ T cell differentiation induced by Bacillus Calmette-Guerin (BCG)-infected immature dendritic cells (imDCs). Levels of miR-99b, interferon-gamma (IFN-γ), Foxp3, interleukin (IL)-10, IL-17, IL-23, and ROR-γt were assessed. Effects of miR-99b inhibition and mechanistic target of rapamycin (mTOR) agonist on Th17/Treg cell ratio and cytokine levels (IL-6, IL-17, IL-23) were studied. Expression of mTOR, S6K1, and 4E-BP1 related to miR-99b was analyzed. BCG-infected imDCs led to CD4+ T cell differentiation and altered levels of IFN-γ, Foxp3, IL-10, miR-99b, IL-17, IL-23, and ROR-γt. Inhibition of miR-99b increased the Th17/Treg cell ratio in CD4+ T cells co-cultured with BCG-infected imDCs, and this effect was further enhanced by the mTOR agonist. Additionally, the miR-99b inhibitor elevated the levels of IL-6, IL-17, and IL-23 when CD4+ T cells were co-cultured with BCG-infected imDCs, and the mTOR agonist further amplified this increase. Notably, miR-99b negatively regulated mTOR signaling, as the miR-99b inhibitor upregulated the expression levels of mTOR, S6K1, and 4E-BP1 while decreasing miR-99b. It was concluded that miR-99b modulates CD4+ T cell differentiation via mTOR pathway in response to BCG-infected im-DCs. Inhibiting miR-99b affects Th17/Treg ratio and pro-inflammatory cytokines, potentially impacting tuberculosis immunotherapies.
Subject(s)
MicroRNAs , Mycobacterium bovis , Humans , BCG Vaccine , CD4-Positive T-Lymphocytes , Cell Differentiation , Cytokines/metabolism , Dendritic Cells , Forkhead Transcription Factors , Interferon-gamma , Interleukin-17 , Interleukin-23 , Interleukin-6 , MicroRNAs/genetics , Mycobacterium bovis/metabolism , Nuclear Receptor Subfamily 1, Group F, Member 3/genetics , TOR Serine-Threonine Kinases/metabolismABSTRACT
The rarity of efficient tools with spatiotemporal resolution and biocompatibility capabilities remains a major challenge for further progress and application of signaling manipulation. Herein, biomimetic conjugated oligomeric nanoparticles (CM-CONs) were developed to precisely modulate blood glucose homeostasis via the two-pronged activation of calcium channels. Under near-infrared (NIR) laser irradiation, CM-CONs efficiently generate local heat and reactive oxygen species (ROS), thereby simultaneously activating thermosensitive transient receptor potential V1 (TRPV1) and ROS-sensitive transient receptor potential A1 (TRPA1) calcium channels in small intestinal endocrine cells. The activation of the channels mediates inward calcium flow and then promotes glucagon-like peptide (GLP-1) secretion. Both in vitro and in vivo studies indicate that CM-CONs effectively regulate glucose homeostasis in diabetic model mice upon NIR light irradiation. This work develops a two-pronged attack strategy for accurately controlling blood glucose homeostasis, holding great prospects in the treatment for diabetes.
Subject(s)
Blood Glucose , Nanoparticles , Mice , Animals , Reactive Oxygen Species/metabolism , Calcium Channels , Homeostasis , Calcium/metabolismABSTRACT
Adult hippocampal neurogenesis (AHN) is associated with hippocampus-dependent cognitive function, and its initiation is attributed to neural stem cells (NSCs). Dysregulated AHN has been identified in Alzheimer's disease (AD) and may underlie impaired cognitive function in AD. Modulating the function of NSCs and stimulating AHN are potential ways to manipulate AD. Plasmalogen (PLA) are a class of cell membrane glycerophospholipids which exhibit neuroprotective properties. However, the effect of PLA on altered AHN in AD has not been investigated. In our study, PLA(10µg/mL) -attenuated Aß (1-42) (5µM) induced a decrease in NSC viability and neuronal differentiation of NSCs, partially through regulating the Wnt/ß-catenin pathway. Additionally, AD mice were supplemented with PLA (67mg/kg/day) for 6 weeks. PLA treatment improved the impaired AHN in AD mice, including increasing the number of neural stem cells (NSCs) and newly generated neurons. The memory function of AD mice was also enhanced after PLA administration. Therefore, it was summarized that PLA could regulate NSC differentiation by activating the Wnt/ß-catenin pathway and ameliorate AD-related memory impairment through up-regulating AHN.
ABSTRACT
Memory impairment is a characteristic of brain aging, and it is associated with a decrease in neurogenesis. Therefore, enhancing neurogenesis is a potential method for mitigating brain aging. Nobiletin (NOB) is a natural polymethoxylated flavonoid derived from citrus peels. It acts as an antioxidant, enhances anti-inflammation, and displays neuroprotective properties. However, the mechanism of NOB on brain aging has not been elucidated. In this study, D-galactose-induced aging mice were treated with NOB (100 mg/kg/day) for 10 weeks. NOB administration attenuated D-galactose-induced memory impairment and restored hippocampal neurogenesis, including the number of newborn neurons and neural stem cells in mice. Furthermore, it downregulated the pro-inflammatory mediators IL-1 ß, IL-6, and pP65 (by 42.2%, 22.9%, and 46.4% of those in the D-galactose treated group, respectively) in the hippocampus and blocked microglia and astrocyte activation. In vitro, NOB inhibited D-galactose-induced inflammatory responses in BV2 cells, and the conditioned medium prepared from NOB- and D-galactose-co-treated BV2 cells elevated the viability (90.3% of control) and differential ability (94.9% of control) of C17.2 cells, compared to the D-galactose-treated group alone. It was concluded that NOB could restore memory impairment via the improvement of neurogenesis by ameliorating neuroinflammation in the hippocampus. Overall, NOB is a potential candidate neurogenesis enhancer for improving brain function.
Subject(s)
Flavones , Galactose , Animals , Mice , Galactose/toxicity , Flavones/pharmacology , Neurogenesis , Memory Disorders/chemically induced , Memory Disorders/drug therapy , HippocampusABSTRACT
In the management of the global COVID-19 pandemic, the mandated closure of workplaces and stay-at-home orders have forced workers to adapt to a prolonged period of unplanned telecommuting, which we term epidemic-induced telecommuting. Although epidemic-induced telecommuting has drastically altered how work is conducted, scant attention is being paid to this emerging work arrangement. To this end, we combine psychological reactance theory and person-environment fit theory to advance the concept of misfit between worker and environment as a core determinant of employees' work experience in the epidemic-induced telecommuting. Particularly, we distinguish between supply-value and demand-ability misfits as constraints on workers' freedom at work. Having analyzed data collected through a survey administered on remote workers, we discovered that both misfits positively influenced workers' perceived psychological reactance, which led to work exhaustion and counter-productive behaviors. We also found that the utilization of collaborative technologies moderated the effects of misfit on workers' psychological reactance.
ABSTRACT
Neuroinflammation is one of the important manifestations of the amyloid ß peptide (Aß) protein-induced neurotoxic signaling pathway in which the aggregation of Aß causes an increase in reactive oxygen species (ROS) and Ca2+ concentration. Here, near-infrared (NIR) photothermal-responsive conjugated polymer nanoparticles were designed to regulate ROS and Ca2+ signaling to alleviate neuroinflammation. Under 808 nm laser irradiation, the nanoparticles effectively penetrated the blood-brain barrier (BBB) and reduced the aggregation of Aß and partially disaggregated the aggregates outside the cell, thereby reducing ROS content which downregulated the oxidative stress damage to cells. Meanwhile, the nanoparticles reduced the concentration of Ca2+ by inhibiting the transient receptor potential melastatin-related 2 (TRPM2) ion channel inside the cell. Ultimately, the concentration of inflammatory factor tumor necrosis factor-α was decreased. This study provides an effective strategy to reduce neuroinflammation by simultaneously regulating ROS and Ca2+ signaling.
Subject(s)
Nanoparticles , TRPM Cation Channels , Humans , Amyloid beta-Peptides/metabolism , Calcium/metabolism , Nanoparticles/chemistry , Neuroinflammatory Diseases , Polymers/metabolism , Reactive Oxygen Species/metabolism , TRPM Cation Channels/metabolism , Calcium SignalingABSTRACT
Non-adaptive evacuation behavior refers to a safety risk that cannot be disregarded throughout the evacuation process. In order to lower the risky behavior of evacuation, enhancing people's psychological states and behaviors plays a significant role. This study developed a conceptual model connecting risk communication and non-adaptive evacuation behavior by analyzing the interaction between risk communication, risk perception, emotional exhaustion, and non-adaptive evacuation behavior. The structural equation model was adopted to analyze the 557 questionnaires collected, by which the findings demonstrated that risk communication has a negative impact on non-adaptive evacuation behavior, which is also indirectly affected by risk perception and emotional exhaustion. With the aim to prevent non-adaptive evacuation behavior during the evacuation process, enterprises and organizations can adjust the behavior level, psychological state, and physiological condition of individuals from the perspectives of risk communication, risk perception, and emotional exhaustion.
Subject(s)
Emotions , Hazardous Substances , China , Communication , Humans , PerceptionABSTRACT
The gated state of anion channels is involved in the regulation of proliferation and migration of tumors. Specific regulators are urgently needed for efficacious cancer ablation. For this purpose, it is essential to understand the molecular mechanisms of interaction between the regulators and anion channels and apply this knowledge to regulate anion channels. Transmembrane 16A (TMEM16A) is the molecular basis of the calcium-activated chloride channels. It is an anion channel activated by Ca2+, and the inhibition of TMEM16A is associated with a decrease in tumorigenesis. Herein, we characterized a natural compound procyanidin (PC) as an efficacious and selective inhibitor of TMEM16A with an IC50 of 10.6 ± 0.6 µM. Our research revealed the precise sites (D383, R535, and E624) of electrostatic interactions between PC and TMEM16A. Near-infrared (NIR)-light-responsive photothermal conjugated polymer nanoparticles encapsulating PC (CPNs-PC) were established to remotely target and regulate the TMEM16A anion channel. Upon NIR irradiation, CPNs-PC downregulated the signaling pathway downstream of TMEM16A and arrested the cell cycle progression of cancer cells and improved the bioavailability of PC. The tumor inhibition ratio of CPNs-PC was superior to PC by 13.4%. Our findings enabled the development of a strategy to accurately and remotely regulate anion channels to promote tumor regression using NIR-light-responsive conjugated polymer nanoparticles containing specific inhibitors of TMEM16A.
Subject(s)
Chloride Channels , Signal Transduction , Anions , Anoctamin-1/metabolism , Calcium/metabolism , Chloride Channels/metabolism , Polymers/metabolismABSTRACT
Ca2+ overload is caused by the abnormal accumulation of Ca2+, which is a potential therapeutic strategy for inhibiting tumor growth. However, due to the limited intracellular Ca2+ concentration, its anticancer effect is non-significant. Herein, near-infrared (NIR)-responsive nanoparticles NPs-PCa (DPPC-DSPE-PEG2000-NH2@PDPP@CaO2@DOX) were designed and prepared to achieve photothermal trigger of Ca2+ release, thereby increasing intracellular Ca2+ content. Furthermore, the nanoparticles convert light to heat to activate the transient receptor potential cation channel subfamily V member 1 (TRPV1) ion channels, allowing external Ca2+ to flow into the cells, further increasing the Ca2+ concentration. NPs-PCa nanoparticles overcome the limitation of insufficient concentration by increasing Ca2+ in both internal and external approaches. Meanwhile, an imbalance of intracellular Ca2+ induces mitochondrial dysfunction and ultimately results in cancer cell death. This study provides an effective strategy for inhibiting breast cancer tumor growth by regulating Ca2+ concentration.
Subject(s)
Breast Neoplasms , Nanoparticles , Apoptosis , Doxorubicin/pharmacology , Female , Humans , Nanoparticles/therapeutic useABSTRACT
The regulation of reactive oxygen species (ROS)-sensitive calcium (Ca2+) channels is of great significance in the treatment of tumors. Here, a simple ROS generation system is developed to activate ROS-sensitive ion channels for enhancing calcium-cascade-mediated tumor cell death under near-infrared (NIR) light irradiation. Upon irradiation with an 808 nm laser, a low-lethality amount of ROS facilitates plasmid transient potential receptor melastatin-2 (pTRPM2) gene release via cleavage of the Se-Se bonds, which contributed to enhancing the expression of TRPM2 in tumor cells. Meanwhile, ROS could potently activate TRPM2 for Ca2+ influx to inhibit early autophagy and to further induce intracellular ROS production, which ultimately led to cell death in TRPM2 expressing tumor cells. Both in vitro and in vivo data show that nanoparticles have an excellent therapeutic effect on cancer upon NIR light. This work presents a simple modality based on NIR light to remotely control the ROS-sensitive ion channel for cancer therapy.
Subject(s)
Nanoparticles , Neoplasms , TRPM Cation Channels , Calcium/metabolism , Calcium Channels/genetics , Humans , Nanoparticles/chemistry , Nanoparticles/therapeutic use , Neoplasms/therapy , Reactive Oxygen Species/metabolism , TRPM Cation Channels/genetics , TRPM Cation Channels/metabolismABSTRACT
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) activating therapy has received wide attention due to its capacity to precisely induce cancer cell apoptosis. However, drug resistance and the poor pharmacokinetic properties of TRAIL protein are obstacles in TRAIL-based therapy for cancer. Herein, a strategy is developed to remotely control and specifically initiate TRAIL-mediated apoptotic signaling to promote TRAIL-resistant cancer cell apoptosis using near-infrared (NIR) light-absorbing conjugated polymer nanoparticles (CPNs). Upon 808 nm laser excitation, the promoter 70 kilodalton heat shock protein (HSP70) initiates transcription of the TRAIL gene in response to heat shock, thereby expressing TRAIL protein in breast cancer cells, which activates the TRAIL-mediated apoptosis signaling pathway. Simultaneously, the CPNs locally release W-7, which targets calmodulin (CaM) and further promotes caspase-8 cleavage and enhances cancer cell apoptosis. Both in vitro and in vivo results demonstrate that CPNs/W-7/pTRAIL produces an excellent synergistic therapeutic effect on breast cancer upon near-infrared light with low toxicity. Therefore, this work provides a strategy for overcoming drug resistance through dual-targeting TRAIL-mediated apoptotic signaling in breast cancer.
ABSTRACT
Cancer cells survive by relying on oxidative stress defense against the accumulation of reactive oxygen species (ROS) during tumor formation. ROS-sensitive TRPA1 ion channels are overexpressed in breast cancer cells and induce a large influx of Ca2+ which upregulates the anti-apoptotic pathway to lead breast cancer cells to produce oxidative stress defense and enhance the resistance to ROS related chemotherapy. Targeting and inhibiting the TRPA1 ion channels are critical for breaking down the oxidative stress defense system and overcoming cellular resistance. Here, near-infrared (NIR) light-responsive conjugated polymer nanoparticles are designed and prepared to promote apoptosis of breast cancer cells, reduce cell drug resistance and suppress tumor growth through the remote and precise regulation of TRPA1 ion channels. Upon 808 nm laser irradiation, the nanoparticles block the formation of Ca2+ /CaM complex and regulate the content of MCL-1 protein. Especially, the nanoparticles overcome drug resistance of cancer cells, therefore accelerating apoptosis of cancer cells and suppressing tumor growth in mice. Compared with carboplatin, the volume of tumor induced by NPs-H decreases by 54.1%. This work provides a strategy to disrupt the oxidative stress defense system and downregulate the antiapoptotic signaling pathway in cancer cells.
Subject(s)
Breast Neoplasms , Nanoparticles , Animals , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Cell Line, Tumor , Female , Humans , Mice , Nanoparticles/therapeutic use , Polymers/therapeutic use , Reactive Oxygen Species/metabolism , TRPA1 Cation Channel/metabolismABSTRACT
OBJECTIVE: To explore the regularities and features of compound reinforcing-reducing manipulation of acupuncture filiform needles in the treatment of clinical conditions or diseases by using data mining technique, so as to guide clinical practice. METHODS: At first, the data base about the reinforcing-reducing manipulation (CRRM) of filiform needles for different clinical problems was established by collection, sorting, screening, recording, collation, data extraction of the related original papers published in journals and conferences and related academic dissertations from Jan. 1 of 1950 to Jan. 31 of 2015 by using key words of "acupuncture" "moxibustion" "needling" "filiform needle", and according to the included and excluded standards. RESULTS: A total of 130 835 papers met the included standards were collected. Outcomes of data mining in the present study showed that (1) the ORRM is most frequently applied in the internal medicine, followed by surgery, gynecology, ophthalmology and otorhinolaryngology, dermatology, and pediatrics, successively, mostly for lumbago and leg pain; (2) the heat-producing needling manipulation is the most frequently applied technique, followed by cool-producing needling, dragon-tiger warring, yang occluding in yin, yin occluding in yang techniques; (3) the highest effective rate of CRRM is for problems of the pediatrics, followed by those of the internal medicine, surgery, ophthalmology and otorhinolaryngology, dermatology, and gynecology; (4) the most fre- quently used acupoints are Zusanli (ST 36), then Sanyinjiao (SP 6), stimulated by heat-producing needling, and Zusanli (ST 36), then Quchi (LI 11), stimulated by cool-producing needling, and Huantiao (GB 30), stimulated by dragon-tiger warring needling. CONCLUSION: The compound reinforcing-reducing manipulation of acupuncture is most frequently applied to problems in the inter- nal medicine, predominately for lumbago and leg pain, and the best effectiveness is for pediatric conditions. The heat-producing needling and cool-producing needling are most frequently applied at Zusanli (ST 36) and the dragon-tiger warring manipulation is most frequently applied at Huantiao (GB 30).
Subject(s)
Acupuncture Therapy , Acupuncture Points , Acupuncture Therapy/instrumentation , Acupuncture Therapy/methods , Animals , Data Mining , Humans , MeridiansABSTRACT
OBJECTIVE: To analyze the diseases and effects of the manipulations to promote qi by filiform needles, with the help of data mining technique. METHODS: Literature about different manipulations to promote qi by filiform needles in recent 60 years was collected in China National Knowledge Infrastructure(CNKI). Then databases were established to mine the relativities among the diseases, subjects, acupoints selection law,routes and directions of meridian qi and effects. RESULTS: â Total 489 articles were included. The basic manipulations with the frequency of 630 were on the top. The auxiliary and four methods of Feijingzouqi respectively appeared 70 times. The diseases in the internal medicine were treated with the basic and auxiliary methods of the higher frequencies, 311 and 44 times separately. While the four methods of Feijingzouqi were mostly used in the surgical area, 37 timestotally. â¡The diseases treated from high to low by lifting, thrusting and twirling represented retention of urine, sequelae of stroke, pain in waist and lower limbs, of which the effect for retention of urine was better than those of the other two, and the lifting and thrusting method was superior to twirling. â¢As for the auxiliary methods, 25 times were found about vibration needling; 18 times, twisting. The highest frequency of 6 times for the vibration needling was on the sequelae of stroke; while 4 times for the twisting, stranguria. â£As to the four methods of Feijingzouqi, Cangguitanxue was most frequently applied, and its highest frequency of 18 was on bi syndrome. CONCLUSIONS: Manipulations to promote qi by filiform needles are crucial to achieving the effects of acupuncture. The basic methods are widely used in clinic and have been seen good efficacy. While the auxiliary means assist to promote qi to stimulate the body,among which the four methods of Feijingzouqi are mainly to smooth the meridians and drive qi of patients with surgical diseases and take meridian blocking the priority.
Subject(s)
Acupuncture Points , Acupuncture Therapy/methods , Acupuncture Therapy/statistics & numerical data , Data Mining , Needles , Qi , China , Humans , MeridiansABSTRACT
OBJECTIVE: To explore the regularities and features of clinical application of simplex reinforcing or reducing manipulation of filiform acupuncture needles by data mining in order to guide clinical decision in a better way. METHODS: A database about simplex reinforcing and reducing manipulations of filiform acupuncture needle was established first after collection, sorting, screening, type-in, and collation of the related papers, academic dissertations and theses of academic conferences published from January 1st of 1950 to January 31 of 2015 by using key word "acupuncture" "acupuncture and moxibustion" "needle manipulation" and "filiform needle" from database of China National Knowledge Infrastructure (CNKI, a full-text database of Chinese journals), followed by data extraction and statistical analysis. RESULTS: A total of 1 304 articles were found to meet the standards formulated in the present study. Among them, 800 papers belong to the internal medicine covering apoplectic sequelae (153 papers), apoplexy (52), headache (63) and insomnia (60), 271 to surgery involving soft tissue injury (63) and backleg pain (46); 93 to five-sense-organs involving nasosinusitis (14), 64 gynecology involving dysmenorrhea (13), 41 to dematology involving struma (20), and 35 to pediatrics covering five kinds of tardy growth and five flaccid syndromes(8). These 1 304 papers contain 2 542 of simplex reinforcing and reducing manipulations, including 895 of twirling-thrusting reducing, 611 of twirling-rotating reinforcing, 571 of lifting-thrusting reducing, 303 of lifting-thrusting reinforcing, 32 of reinforcing and 32 of reducing in cooperation wihpatients' respiration, 23 open-close reducing, 12 open-close reinforcing, 21 reducing and 16 of reinforcing achieved by inserting the needle along or against the meridian, 14 rapid-slow reinforcing, and 12 rapid-slow reducing. Regarding the acupoint selection, distal and local acupoints are most frequently used, followed by symptoms-determined and syndrome-determined, respectively. The acupuncture needle retained time was from 0 min to 45 mn, and the therapeutic effect was relatively better for post-stroke. The totally therapeutic effects of the simplex reinforcing and reducing manipulations were 96.07% for problems of demotology, 94.19% for gynecology, 96. 58% for surgery, 92.85% for pediatrics, 91.78% for five-sense organs and 93. 70% for internal medicine, respectively. CONCLUSION: Simplex reinforcing and reducing manipulations of acupuncture has a definite effect in the treatment of different problems particularly in the internal medicine and surgery. Often, the twirling-rotating and lifting-thrusting reinforcing and reducing manipulations of acupuncture are employed in clinical practice.
Subject(s)
Acupuncture Therapy/methods , Acupuncture Points , Acupuncture Therapy/instrumentation , Clinical Trials as Topic , Data Mining , Humans , Meridians , NeedlesABSTRACT
OBJECTIVE: To explore the specific efficacy of different moxibustion techniques in treatment of common diseases and clinical indications, and compare the specificity in clinical indications and efficacy among different moxibustion techniques so as to guide clinical practice better. METHODS: The modern computerization and data mining technology were adopted to set up moxibustion literature database. The relevant literature of moxibustion techniques in recent 60 years were collected, screened, examined, extracted and analyzed statistically so as to explore the advantages of different moxibustion techniques in clinical treatment. RESULTS: (1) Of 2,516 literature, moxa stick, moxe cone and moxa device were used in the highest frequency in internal medicine department, for 730 times, 278 times and 102 times respectively. The warm needling technique was used in the highest frequency, for 70 times in the surgical department. (2) In the dermatology department, the curative rate with moxa cone was the highest, 75%. In the ear-nose-throat department, the warm needing technique and moxa device achieved the highest curative rate, 49% for both of them. In the internal medicine department and surgical department, the curative rate of warm needling technique was 53% and 58% respectively. In the gynecology department, the curative rate of moxa device was the highest, 59%. In the pediatrics department, the curative rate of moxa cone was the highest, 80%. (3) The numbers of priority disorders, frequency ≥20 times: 24 kinds of disease for moxa stick, five kinds of disease for moxa cone, 2 kinds of disease for warm needling technqiue and one disorder for moxa device. Facial paralysis, diarrhea, lumbar and leg pain and elbow and knee swelling pain were of the highest priority, treated with these 4 moxibustion techniques, with a certain of literature research values. (4) The warm needling technique achieved the better efficacy on elbow and knee swelling pain, lumbar and leg pain and diarrhea compared with the other three techniques and the curative rate was higher. The moxa device tecnique achieved the higher curative rate for facial paralysis compared with the other three techniques. CONCLUSION: Through the comparison of application frequency, curative rate, clinical application frequency in disorders and the efficacy of priority disorders in the treatment with different moxibustion techniques, it is found that moxa stick, moxa cone and moxa device are simple in manipulation, safe and effective. Hence, they can be extensively used in the treatment of common disorders in every department in clinic. The warm needling technique acts on the body by the co-work of needling and warming stimulation of mugwort. It achieves the particular effect on the disorders with complicated etiologies compared with the other three techniques. It can be chosen in priority for the disorders caused by blockage in meridian and collateral and stagnation of qi and blood.
Subject(s)
Moxibustion/methods , Clinical Trials as Topic , Data Mining , Humans , Meridians , Treatment OutcomeABSTRACT
OBJECTIVE: To discuss the specificity of diseases treated by moxibustion and fire needling in clinical practice, so as to provide references for clinical treatment. METHODS: With data mining of modern computer technique, journal and literature databases regarding moxibustion and fire needling were established, respectively. Literature regarding moxibustion and fire needling for the past 60 years has been collected, screened, included, reviewed and abstracted. The utility rate of moxibustion and fire needling in each department was calculated, frequency of diseases in clinical practice was summarized, and diseases which had differences in clinical practice in each department were screened; also the advantages of disease categories and clinical practice between two kinds of therapies in each department were compared. RESULTS: (1) The utility rate of moxibustion was highest in department of internal medicine and surgery, which were 43.6% and 28.1%, respectively; the utility rate of fire needling was highest in surgery and dermatological department, which were 53.7% and 23.8%, respectively. (2) According to the comparison and analysis on diseases treated by two therapies in clinic, among 26 kinds of gynecology diseases that were treated by moxibustion, 20 kinds were not involved with fire needling; among 22 kinds of pediatrics diseases that were treated by moxibustion, 20 kinds were not involved with fire needling. It was certain that the difference of the two therapies in clinical application was more significant in gynecology and pediatrics than that in the rest four departments. (3) Among the diseases which had differences in clinical practice in each department, the ones involved with moxibustion alone were insomnia, distention and fullness, consumptive fatigue in the department of internal medicine, blood-vessel Bi, stiff neck and hernia in surgery department, urticarial, skin Bi and skin cancer in dermatological department, malposition, infertility and amenorrhea in gynecology department, diarrhea, indigestion and stomachache in pediatrics department, blepharoptosis, blurred vision and dryness syndrome in ENT department; the ones involved with fire needling alone were numbness, coldness syndrome and acute renal colic in the department of internal medicine, lipoma, soft tissue injury and papilloma in surgery department, bromhidrosis, freckle and erysipelas in dermatological department, uterine fibroid in gynecology department, umbilical polyp in pediatrics department, auricle pseudocyst, starred nebula and phlegmatic mass in ENT department. CONCLUSION: Moxibustion is frequently applied in department of internal medicine and surgery, while fire needling is frequently used in surgery and dermatological department; the application of moxibustion is broader than that of fire needling in gynecology and pediatrics department. Among the diseases which have differences in clinical practice in each department, moxibustion is commonly seen for clinical symptoms featured with deficiency syndrome, while fire needling is commonly applied for the diseases that have obvious local symptoms.
Subject(s)
Acupuncture Therapy/methods , Moxibustion/methods , Acupuncture Therapy/instrumentation , Clinical Trials as Topic , Data Mining , Humans , Moxibustion/instrumentationABSTRACT
OBJECTIVE: To explore the regularities and characteristics of application of moxibustion therapy for different clinical problems or diseases by using data mining technique. METHODS: A database on moxibustion therapy was established first by collection, sorting, screening, recording, collation, data extraction of the related literatures published in recent 60 years. By analyzing the appearance-frequency of clinical disorders treated by moxibustion and their effective rates, the regularities and characteristics were summed up. RESULTS: Moxibustion therapy has been used to treat 193 types of clinical disorders or diseases up to now, mostly in internal medicine for 72 types (accounting for 37%). Of the collected 2 516 articles about moxibustion therapy, 1 107 are for problems of the internal medicine, accounting for 44% ; those of facial paralysis and uroschesis are 139 and 108 respectively. The second and third mostly seen articles are surgery and gynecology respectively. Analysis on the therapeutic effect showed that moxibustion therapy is effective for relieving many types of clinical conditions or diseases, particularly those of pediatrics, surgery and dermatology. By taking both the appearing frequency and efficacy into account, analysis on the therapeutic effect shows that a total of 29 types of clinical disorders are preferably treated by moxibustion, including 12 types (41. 4%) attributed to the department of internal medicine, 10 types (34. 5%) to the department of surgery, 2 types to the department of dermatology, 3 types to the department of gynecology, one to the pediatrics and one to the department of five-organs. CONCLUSION: Moxibustion therapy is effective for many clinical disorders, particularly for those of the department of internal medicine and surgery.
Subject(s)
Data Mining , Moxibustion , Facial Paralysis/therapy , HumansABSTRACT
In order to further studying the relationship between the gastrointestinal endocrine cells and the hibernation of Chinese fire-bellied newt, histological techniques were used in this study to explore the distributed density and morphology of argentaffine cells in the digestive tract during hibernation and non-hibernation. The argentaffine cells could be observed throughout the digestive tract of Chinese fire-bellied newt during hibernation and non-hibernation and mainly distributed in the acinar epithelial cells, epithelial cells and intrinsic membrane. They had appeared in the shape of goblet, pyramid, ellipse, round, cone-shaped, spindle-shaped. The cytoplasm contains secretory granules at the basal regions with spherical nuclei in the basal regions. Most of them had processes in different directions, suggesting that the argentaffine cells have combined the function of endocrine and exocrine. The distribution density curves of argentaffine cells were generally wavelike during the two periods. It was highest in the body of stomach in hibernation, while in non-hibernation it was highest in the pyloric. Totally the density of argentaffine cells was higher in hibernation period than that in non-hibernation period. The results showed that the activity of the digestive tract was expectedly weakened during the hibernation, but the function of endocrine was actually strengthened.
Con el fin de promover el estudio de la relación entre las células endocrinas gastrointestinales y la hibernación del tritón vientre de fuego chino, fueron utilizados técnicas histológicas para explorar la densidad de distribuición y la morfología de las células argentafines en el tracto digestivo durante la hibernación y la no hibernación. Las células argentafines pudieron ser observadas en todo el tracto digestivo de tritón vientre de fuego chino durante la hibernación y no hibernación, y se distribuyeron principalmente en las células epiteliales acinares, células epiteliales y la membrana intrínseca. Aparecieron de forma caliciforme, piramidal, elíptica, redonda, cónica y de huso. El citoplasma contenía gránulos de secreción en las regiones basales con núcleos esféricos en esa región. La mayoría de ellos tenía procesos en diferentes direcciones, lo que sugiere que las células argentafines combinaron la función del sistema endocrino y exocrino. Las curvas de densidad de distribución de las células argentafines fueron generalmente ondulante durante los dos períodos. Esta fue más alta en el cuerpo del estómago en estado de hibernación, mientras que en la no hibernación fue mayor en el píloro. En total, la densidad de las células argentafines era mayor en el periodo de hibernación. Los resultados mostraron que la actividad del tracto digestivo se debilitó, como era de esperar, durante la hibernación, pero la función del sistema endocrino se fortaleció.