Studies on Nutritional Effects of Traditional Chinese Tonics with Nutrients Fortification on Pregnantrats

Ｓｔｕｄｉｅｓ　ｏｎ　Ｎｕｔｒｉｔｉｏｎａｌ　Ｅｆｆｅｃｔｓ　ｏｆ　Ｔｒａｄｉｔｉｏｎａｌ　Ｃｈｉｎｅｓｅ　Ｔｏｎｉｃｓ　ｗｉｔｈ　Ｎｕｔｒｉｅｎｔｓ　Ｆｏｒｔｉｆｉｃａｔｉｏｎ　ｏｎ　Ｐｒｅｇｎａｎｔ　Ｗｏｍｅｎ　ａｎｄ　Ｐｒｅｇｎａｎｔ　Ｒａｔｓ...     

Effect of Xueguantong on plasma endothelin and calcitonin gene-related peptide in quail atherosis modelon plasma endothelin and calcitonin gene-related peptide in quail atherosis model

Objective: To explore the antiatherogenic mechanism of the action of Xueguantong at molecular level.Methods: After being established by feeding with high fat diet for 12 weeks, the quail atherosis models were given Xueguantong for 30 days. Then, their plasma endothelin and calcitonin gene-related peptide (CGRP) were determined with radioimmunoassay (RIA) and the effects of Xueguantong on plasma endothelin and CGRP in the models were observed.Results: The plasma endothelin increased and CGRP decreased during quail atherosis formation. The plasma endothelin was decreased (P < 0.05) and CGRP increased (P < 0.05) by Xueguantong.Conclusion: One of antiatherogenic mechanisms of Xueguantong was decreasing endothelin and increasing CGRP.     

The MEDIGATE Graphical User Interface for Entry of Physical Findings: Design Principles and Implementation

The solution to many of the problems of the computer-based recording of the medical record has been elusive, largely due to difficulties in the capture of those data elements that comprise the records of the Present Illness and of the Physical Findings. Reliable input of data has proven to be more complex than originally envisioned by early work in the field. This has led to more research and development into better data collection protocols and easy to use human-computer interfaces as support tools. The M edical E xamination D irect I conic and G raphic A ugmented T ext E ntry S ystem (MEDIGATE System) is a computer enhanced interactive graphic and textual record of the findings from physical examinations designed to provide ease of user input and to support organization and processing of the data characterizing these findings. ^(27,30) The primary design objective of the MEDIGATE System is to develop and evaluate different interface designs for recording observations from the physical examination in an attempt to overcome some of the deficiencies in this major component of the individual record of health and illness.     

Clinical observation on patients with endometriosis treated by tonifying Kidney and removing blood stasis

Endometriosisisacommonlyandfrequentlyencounteredgynecologicaldisease.FollowingthetheoryoftraditionalChinesemedicine(TCM),'theKidneyisinchargeofreproduction",andi'theafterbirthandfetusareconnectedwiththeKidneyi',togetherwiththefollowingmanifestationsofendometriosis:dysmenorrhea,infertility,irregularmenstruation,dyspareunia,tinnitus,lassitudeintheloinandknees,hyposexuality,havingnodesandmasses,etc.,weholdthattheSyndromeDifferentiationforendometriosisshouldbe)'Kidneydeficiencyandbloodstasis"(l…     

Bailong tablet and chemotherapy in the treatment of moderate and advanced cancersand chemotherapy in the treatment of moderate and advanced cancers

Objective: To determine the effectiveness of Bailong Tablet and chemotherapy on treatment of moderate and advanced cancers.Methods: The patients were divided randomly into two groups. The treated group (n= 41) was treated with chemotherapy plus Bailong Tablet; and the control group (n= 22) treated with chemotherapy alone. Treatment effectiveness was measured with Karnofsky scores.Results: Karnofsky performance status in the treated group before and after treatment was 66.0 ± 8.7 and 68.0 ± 5.9 respectively, that in the control group was 67. 0 ± 6.8 and 53. 0 ± 7.3 respectively. The completion rate of chemotherapy in the treated group (92.6%, 38/41) was higher than that in control (77.2%, 17/22,P < 0.05). The side-effects caused by chemotherapy in the treated group were lower than that in the control group (P < 0.05). CD₃ ⁺, CD₄ ⁺ and CD₄ ⁺ /CD₈ ⁺ ratio were higher in the treated group.Conclusion: Bailong Tablet can enhance the therapeutic effect and reduce the side-effects of chemotherapy. One possible mechanism is the modulation of cellular immune function.     

International Maternal Mortality Reduction: Outcome of Traditional Birth Attendant Education and Intervention in Angola

Background. As a result of war and periodic natural disasters, Angola has among the highest infant and maternal mortality rates in the world. In response to the acute health needs of the population, the International Medical Corps (IMC) developed a traditional birth attendant educational course designed to reduce the preventable causes of maternal and infant mortality. Methods. From 1994 until 1998, Angolan traditional birth attendants (TBAs) participated in an intensive 38-hr training course on prenatal, delivery, and postnatal care. Following the birth of a child, the trained TBAs completed a registration form containing information regarding the health of the mother. Previous studies of Angolan maternal mortality served as historic comparisons. Findings. Complete data including maternal mortality data were available for 19,666 deliveries (83% of total). Fifty five maternal deaths were recorded, which corresponds to a maternal mortality rate of 293 per 100,000 live births. The average historic maternal mortality rate for available comparison groups was 1241 per 100,000 live births. Interpretation. The maternal mortality rate was reduced among women managed by IMC-trained TBAs when compared with historical control data.     

Experimental Study on Effect of Cordyceps Sinensis on Renal Protection,Urinary Enzymes and Nephrotox icity of Cyclosporine A in Rats

Ｅｘｐｅｒｉｍｅｎｔａｌ　Ｓｔｕｄｙ　ｏｎ　Ｅｆｆｅｃｔ　ｏｆ　Ｃｏｒｄｙｃｅｐｓ　Ｓｉｎｅｎｓｉｓ　ｏｎ　Ｒｅｎａｌ　Ｐｒｏｔｅｃｔｉｏｎ,Ｕｒｉｎａｒｙ　Ｅｎｚｙｍｅｓ　ａｎｄ　Ｎｅｐｈｒｏｔｏｘｉｃｉｔｙ　Ｏｆ　Ｃｙｃｌｏｓｐｏｒｉｎｅ　Ａ　ｉ...     

Comparative study of Tiaoxue Yisui recipe with SSL regimen in treating infantile chronic aplastic anemia) with SSL regimen in treating infantile chronic aplastic anemia

Objective: To find the effective method in treating infantile chronic aplastic anemia (ICAA) by using traditional Chinese medicine (TCM).Methods: Seventy-eight cases of ICAA were observed, 48 in the treated group were treated with Tiaoxue Yisui recipe, and 30 cases in the control group with SSL regimen.Results: The remission rate and total effective rate in the treated group were 52.08% and 81.25% respectively, which were higher than those in the control group (P < 0.05). After one year’s treatment the ratio of hemopoietic and non-hemopoietic cells in the treated group was higher than that in the control group (P < 0.05).Conclusion: Tiaoxue Yisui recipe could improve the living quality of ICAA patients. The therapeutical mechanism of the recipe might be related to its promoting the proliferation of hemopoietic stem cells and regulating the immune function.     

Clinical studies on Liangxue Piyan Granule No. 2 2 in treatment of psoriasisin treatment of psoriasis

Objective: To evaluate the therapeutic mechanism of Liangxue Piyan Granule No. 2 (LPG, 2 ) on psoriasis.Methods: Ninety six patients with psoriasis were treated with LPG, another 32 patients treated with Fufang Qingdai Capsule (FQC, ) were taken as control; clinical comparison was done with experimental studies.Results: The total effective rate of LPG group was 84.7 %, that of the control 71.9%, there was no significant difference (P<0.05). However, the recurrence rate of LPG group (3.6%) was significantly lower than that of the control (21.7%),P<0.01. Conclusions: LPG could modulate the immune function of the body, by inhibiting directly the proliferation of epidermal cells and the production of interleukin-6.     

Clinical and experimental study on treatment of mid-late stage rheumatoid arthritis with Shuguan Granules ())

Objective: To explore the therapeutic mechanism of Shuguan Granule ( , SGG) in treating mid-late stage rheumatoid arthritis (RA).Methods: Based on the principle of reinforcing Kidney to treat arthritis, removing phlegm to relieve stasis, two SGG, Shuguan Wenjing (SW) and Shuguan Qingluo (SQ) were prepared and used to treat 44 and 43 mid-late stage patients of RA respectively. The clinical results were compared with those of Wangbi Granule. Animal experiments on the effect of these two SGG were conducted.Results: The total effective rate of the SW, SQ and control group was 88.64%, 93.02% and 73.17% respectively. Results of experimental studies in rats with adjuvant-induced arthritis showed that the two SGG obviously raise the level of serum superoxide dismutase, and lowered the levels of serum interleukin-1, plasma prostaglandin E₂ and thromboxane B₂, as compared with the model group, the difference was significant (P < 0.05,P < 0.01).Conclusion: The two SGG have a comprehensive function of anti-inflammatory, analgesic, antioxidatory, antihypercoagulatory and immunoregulatory effect.     

Comparison Between Different Effects Gained by Courses Of Different Length in Treating Falciparum Malaria with Artesunate Tablet

Ｃｏｍｐａｒｉｓｏｎ　Ｂｅｔｗｅｅｎ　Ｄｉｆｆｅｒｅｎｔ　Ｅｆｆｅｃｔｓ　Ｇａｉｎｅｄ　ｂｙ　Ｃｏｕｒｓｅｓ　Ｏｆ　Ｄｉｆｆｅｒｅｎｔ　Ｌｅｎｇｔｈ　ｉｎ　Ｔｒｅａｔｉｎｇ　Ｆａｌｃｉｐａｒｕｍ　Ｍａｌａｒｉａ　ｗｉｔｈ　Ａｒｔｅｓｕｎａｔｅ　Ｔａｂ...     

Effects of supplemented Taohe Chengqi Decoction in treating insulin resistance in rats with non-insulin Dependent Diabetes Mellitus) in treating insulin resistance in rats with non-insulin Dependent Diabetes Mellitus

Objective: To investigate the effect of supplemented Taohe Chengqi Decoction ( , STHCQD) in treating non-insulin dependent diabetes mellitus (NIDDM).Methods: The model of rats with NIDDM was formed with injection of streptozotocin and fed on high calorie diet to study the effects of STHCQD on the release of insulin sensitivity.Results: (1) Fasting serum glucose, serum insulin, intake of food and water were significantly decreased (P < 0.05- 0.01) in STHCQD-treated diabetic rats as compared with untreated diabetic rats, while the insulin sensitivity was significantly increased (P < 0.05). (2) The liver cell membranes from STHCQD-treated diabetic rats released the quantity of insulin receptor which inhibited adenylate cyclase activity, but this effect was blunted in untreated diabetic rats (P < 0.05). (3) A significantly increased glucose oxidation in adipocyte of STHCQD-treated diabetic rats was found as compared with those of untreated diabetic rats (P < 0.05).Conclusions: STHCQD therapy increased sensitivity and responsiveness of target cells to insulin, i.e. it might decrease insulin resistance at receptor sites and post-receptor sites in rats with NIDDM, but could not reverse the insulin resistance.     

Clinical and experimental study on treatment of infantile autumn diarrhea by retention enema with Qilian Liquid ()

Objective: To find out the effective treatment for infantile autumn diarrhea (IAD).Methods: Retention enema with Qilian Liquid(QLL) was applied to 106 patients of IAD with positive antigen of rotavirus in stool, and the result in the treated group was compared with that in the control group(82 patients) in aspects of clinical effect, negative conversion rate of rotavirus in stool and change of serum immunoglobulin. Animal experimental study was also conducted.Results: The disappearance time of principal symptoms, negative conversion rate of rotavirus in stool and serum levels of IgA and IgG in the treated group were significantly better than those in the control group (P<0.01,P< 0.05). Experimental study showed that QLL not only has the antiviral effects to stop diarrhea, but also has effects in enhancing immune function and protecting intestinal mucous membrane.Conclusion:Retention enema with QLL is an effective therapy for the treatment of IAD.     

Study on effect of Baoyuan Qiangshen Capsule No. II on tubular interstitial injury in chronic renal failure patientsCapsule No. II on tubular interstitial injury in chronic renal failure patients

Objective: To explore the protective effect of Baoyuan Qiangshen Capsule No. II (BYQS) and its mechanism in treating chronic renal failure (CRF).Methods: Sixty CRF patients were divided into 2 groups randomly, the treated group used BYQS combined with Lotensin and the control group administered with essential amino acid combined with Lotensin. Changes of renal functions and tubular labelled proteins were observed.Results: The markedly effective rate and total effective rate of the treated group were 63.3% and 93.3% respectively, and those of the control group were 30.0% and 56.7% respectively, the effect of the treated group was obviously better than that of the control group (P < 0.01). In the treated group after medication, blood urea nitrogen, serum creatinine and clearance rate of creatinine were improved significantly (P < 0.01), while Tamm-Horfau protein increased significantly (P < 0.01).Conclusion: BYQS could alleviate tubular interstitial injury significantly so as to improve the renal function and enhance the effective rate in treating CRF.     

An Adaptive Semantic based Mediation System for Data Interoperability among Health Information Systems

Heterogeneity in the management of the complex medical data, obstructs the attainment of data level interoperability among Health Information Systems (HIS). This diversity is dependent on the compliance of HISs with different healthcare standards. Its solution demands a mediation system for the accurate interpretation of data in different heterogeneous formats for achieving data interoperability. We propose an adaptive AdapteR Interoperability ENgine mediation system called ARIEN, that arbitrates between HISs compliant to different healthcare standards for accurate and seamless information exchange to achieve data interoperability. ARIEN stores the semantic mapping information between different standards in the Mediation Bridge Ontology (MBO) using ontology matching techniques. These mappings are provided by our System for Parallel Heterogeneity (SPHeRe) matching system and Personalized-Detailed Clinical Model (P-DCM) approach to guarantee accuracy of mappings. The realization of the effectiveness of the mappings stored in the MBO is evaluation of the accuracy in transformation process among different standard formats. We evaluated our proposed system with the transformation process of medical records between Clinical Document Architecture (CDA) and Virtual Medical Record (vMR) standards. The transformation process achieved over 90 % of accuracy level in conversion process between CDA and vMR standards using pattern oriented approach from the MBO. The proposed mediation system improves the overall communication process between HISs. It provides an accurate and seamless medical information exchange to ensure data interoperability and timely healthcare services to patients.     

Experimental Study on the Insulin-Sensitivity-Increasing Effect of Berberine in Insulin Resistant Rat Models

Ｅｘｐｅｒｉｍｅｎｔａｌ　Ｓｔｕｄｙ　ｏｎ　ｔｈｅ　Ｉｎｓｕｌｉｎ－Ｓｅｎｓｉｔｉｖｉｔｙ－Ｉｎｃｒｅａｓｉｎｇ　Ｅｆｆｅｃｔ　ｏｆ　Ｂｅｒｂｅｒｉｎｅ　ｉｎ　Ｉｎｓｕｌｉｎ　Ｒｅｓｉｓｔａｎｔ　Ｒａｔ　ＭｏｄｅｌｓＧＡＯＣｏｎｇ－ｒｏｎｇ,ＺＨＡＮ...     

Study on treatment of uloerative colitis with Liver-Qi stagnation by nourishing the Liver

Objective: To study the links between stagnation of the Liver-Qi and the pathogenesis of ulcerative colitis (UC) were studied clinically and experimentally.Methods: Using the principle of nourishing the Liver in the treated group and invigorating the Spleen in the control group.Results: The effective rate was 96% in the treated group and 82% in the control group, and the difference was significant (P<0.05); the formation rate of E rosettes and the transformation rate of lymphocytes were significantly raised in the two groups compared with the pre-treatment period, and the rate of adjusting dysfunction of vegetative nerve system in the treated group was evidently higher than that in the control group (P < 0.01). The level of intestinal styrenated phenol (SP) and vasoactive intestinal polypeptide (VIP) of UC model were determined in rats, and results showed that the level of SP and VIP significantly increased in the UC model group. They were markedly lowered in the treated group compared with model group (P < 0. 01) and there was significant difference from the control group (P<0.01).Conclusion: Wei Chang Ning , a drug to nourish the Liver, had the action of regulating neurological-endocrinological (gastrointestinal hormone)-immunological system.     

A Clinical Decision Support System with an Integrated EMR for Diagnosis of Peripheral Neuropathy

This paper shows how the combined use of agent and web services technologies can help to design an architectural style for dynamic medical Cross-Organizational Workflow (COW) management system. Medical COW aims at supporting the collaboration between several autonomous and possibly heterogeneous medical processes, distributed over different organizations (Hospitals, Clinic or laboratories). Dynamic medical COW refers to occasional cooperation between these health organizations, free of structural constraints, where the medical partners involved and their number are not pre-defined. More precisely, this paper proposes a new architecture style based on agents and web services technologies to deal with two key coordination issues of dynamic COW: medical partners finding and negotiation between them. It also proposes how the proposed architecture for dynamic medical COW management system can connect to a multi-agent system coupling the Clinical Decision Support System (CDSS) with Computerized Prescriber Order Entry (CPOE). The idea is to assist the health professionals such as doctors, nurses and pharmacists with decision making tasks, as determining diagnosis or patient data analysis without stopping their clinical processes in order to act in a coherent way and to give care to the patient.     

Effect of Zhuchun Pill on immunity and endocrine function of senile Kidney-Yang Deficiency) on immunity and endocrine function of senile Kidney-Yang Deficiency

Objective: To evaluate the effect of Zhuchun pill (ZCP) on senile Kidney-Yang Deficiency (KYD).Methods: By single blind method, 45 elderly males with KYD were divided randomly into the ZCP group (treated by ZCP) and the control group (treated by placebo, starch capsule) and treated for 3 months.Results: ZCP could greatly improve the main symptoms of KYD,P < 0. 01 in comparison with the control group. After treatment, in the ZCP group, the³H-TdR lymphocyte transformation rate, levels of serum C₃, IgA, IgD, IgG and IgM, superoxide dismutase, plasma adrenocortical hormone, testosterone and cyclic adenosine monophosphate all increased,P < 0.01, and plasma lipid peroxide decreased,P < 0.01. While in the control group, no remarkable change was found in these parameters.Conclusion: ZCP could improve the KYD through regulating the immunity, endocrine function and scavenging the free radicals in organism.     

Clinical observation on effect of Xiaoyu Zhixue Tablet on 104 patients with idiopathic multifocal bleeding and pletelet aggregation defect

Objective: To explore the effect and pharmacological mechanism of Xiaoyu Zhixue Tablet (XZT).Methods: XZT mainly composed of Chinese medical herbs to replenish Qi and remove stasis was used to treat patients with idiopathic multifocal bleeding and platelet aggregation defect. Patients were divided into 2 groups, the TCM group (104 cases) treated with XZT, and the control group (84 cases) with vitamin C, K and P, adrenosin and/or artificial menstruation, for at least 4 months.Results: The hemostatic effective rate was 92.3% in the TCM group and 27.4% in the control group (P< 0.005), the recovery rate of platelet aggregation after 6 months’ therapy was 69.2% and only 1.8% respectively. The difference between the two groups was very significant (P < 0.005).Conclusion: XZT could regulate the hemostatic action and platelet aggregation