Is Acupuncture An Effective Treatment For Diabetic Peripheral Neuropathy?

OBJECTIVE: The objective of this selective EBM review is to determine whether or not acupuncture is an effective treatment for diabetic peripheral neuropathy STUDY DESIGN: Review of three English language primary studies, one published in 2007 and two of which were published in 2010. DATA SOURCES: Randomized controlled trials investigating the use of acupuncture for the treatment of diabetic peripheral neuropathy (DPN). Sources were found using PubMed and Cochrane databases. OUTCOMES MEASURED: The outcomes measured include the severity of pain from DPN, blood glucose control, and effects on quality of life such as sleep, mood states, and gain or loss of sensations. The tools used to measure were the participant’s opinions on whether the symptoms were relieved, improved, or failed to improve, the 11-point Likert Scale daily pain severity score, glucose levels or use of insulin, nerve conduction velocity, and standardized and comprehensive questionnaires provided to participants. RESULTS: Two of the three studies results supported acupuncture for the treatment of DPN. Ahn et al demonstrated that acupuncture improved blood circulation, controlled blood glucose, and helped promote functional recovery of damaged nerves. Tong et al determined that acupuncture improved nerve conduction velocity and decreased the painful symptoms of DPN. According to Zhang et al, results were inconclusive due to the small sample size however, did suggest improvement in patients symptoms. CONCLUSIONS: The results of the RCT’s reviewed are inconclusive however, do suggest that acupuncture may be an effective treatment for DPN. Due to small sample sizes and limitations within studies, this topic does warrant additional research. Further studies conducted should include patients that are acupuncture naïve and blinded to the type of acupuncture administered

Linkages between the circulation and distribution of dissolved organic matter in the White Sea, Arctic Ocean

AbstractThe White Sea is a semi-enclosed Arctic marginal sea receiving a significant loading of freshwater (225–231km3yr−1 equaling an annual runoff yield of 2.5m) and dissolved organic matter (DOM) from river run-off. We report discharge weighed values of stable oxygen isotope ratios (δ18O) of −14.0‰ in Northern Dvina river for the period 10 May–12 October 2012. We found a significant linear relationship between salinity (S) and δ18O (δ18O=−17.66±0.58+0.52±0.02×S; R2=0.96, N=162), which indicates a dominant contribution of river water to the freshwater budget and little influence of sea ice formation or melt. No apparent brine additions from sea-ice formation is evident in the White Sea deep waters as seen from a joint analysis of temperature (T), S, δ18O and aCDOM(350) data, confirming previous suggestions about strong tidal induced vertical mixing in winter being the likely source of the deep waters. We investigated properties and distribution of colored dissolved organic matter (CDOM) and dissolved organic carbon (DOC) in the White Sea basin and coastal areas in summer. We found contrasting DOM properties in the inflowing Barents Sea waters and White Sea waters influenced by terrestrial runoff. Values of absorption by CDOM at 350nm (aCDOM(350)) and DOC (exceeding 10m−1 and 550µmoll−1, respectively) in surface waters of the White Sea basin are higher compared to other river-influenced coastal Arctic domains. Linear relationship between S and CDOM absorption, and S and DOC (DOC=959.21±52.99–25.80±1.79×S; R2=0.85; N=154) concentrations suggests conservative mixing of DOM in the White Sea. The strongest linear correlation between CDOM absorption and DOC was found in the ultraviolet (DOC=56.31±2.76+9.13±0.15×aCDOM(254); R2=0.99; N=155), which provides an easy and robust tool to trace DOC using CDOM absorption measurements as well as remote sensing algorithms. Deviations from this linear relationship in surface waters likely indicate contribution from different rivers along the coast of the White Sea. Characteristics of CDOM further indicate that there is limited removal or change in the DOM pool before it exits to the Barents Sea

Experimental evidence of high pressure decoupling between charge transport and structural dynamics in a protic ionic glass-former

In this paper the relaxation dynamics of ionic glass-former acebutolol hydrochloride (ACB-HCl) is studied as a function of temperature and pressure by using dynamic light scattering and broadband dielectric spectroscopy. These unique experimental data provide the first direct evidence that the decoupling between the charge transport and structural relaxation exists in proton conductors over a wide T-P thermodynamic space, with the time scale of structural relaxation being constant at the liquid-glass transition (τα = 1000 s). We demonstrate that the enhanced proton transport, being a combination of intermolecular H+ hopping between cation and anion as well as tautomerization process within amide moiety of ACB molecule, results in a breakdown of the Stokes-Einstein relation at ambient and elevated pressure with the fractional exponent k being pressure dependent. The dT g /dP coefficient, stretching exponent βKWW and dynamic modulus E a /ΔV # were found to be the same regardless of the relaxation processes studied. This is in contrast to the apparent activation volume parameter that is different when charge transport and structural dynamics are considered. These experimental results together with theoretical considerations create new ideas to design efficient proton conductors for potential electrochemical applications

Synthesis of Silver Nanoparticles Using Curcumin-Cyclodextrins Loaded into Bacterial Cellulose-Based Hydrogels for Wound Dressing Applications.

Chronic wounds are often recalcitrant to treatment because of high microbial bioburden and the problem of microbial resistance. Silver is a broad-spectrum natural antimicrobial agent with wide applications extending to proprietary wound dressings. Recently, silver nanoparticles have attracted attention in wound management. In the current study, the green synthesis of nanoparticles was accomplished using a natural reducing agent, curcumin, which is a natural polyphenolic compound that is well-known as a wound-healing agent. The hydrophobicity of curcumin was overcome by its microencapsulation in cyclodextrins. This study demonstrates the production, characterization of silver nanoparticles using aqueous curcumin:hydroxypropyl-β-cyclodextrin complex and loading them into bacterial cellulose hydrogel with moist wound-healing properties. These silver nanoparticle-loaded bacterial cellulose hydrogels were characterized for wound-management applications. In addition to high cytocompatibility, these novel dressings exhibited antimicrobial activity against three common wound-infecting pathogenic microbes , , and

In Vivo Retinal Pigment Epithelium Imaging using Transscleral Optical Imaging in Healthy Eyes.

To image healthy retinal pigment epithelial (RPE) cells in vivo using Transscleral OPtical Imaging (TOPI) and to analyze statistics of RPE cell features as a function of age, axial length (AL), and eccentricity. Single-center, exploratory, prospective, and descriptive clinical study. Forty-nine eyes (AL: 24.03 ± 0.93 mm; range: 21.9-26.7 mm) from 29 participants aged 21 to 70 years (37.1 ± 13.3 years; 19 men, 10 women). Retinal images, including fundus photography and spectral-domain OCT, AL, and refractive error measurements were collected at baseline. For each eye, 6 high-resolution RPE images were acquired using TOPI at different locations, one of them being imaged 5 times to evaluate the repeatability of the method. Follow-up ophthalmic examination was repeated 1 to 3 weeks after TOPI to assess safety. Retinal pigment epithelial images were analyzed with a custom automated software to extract cell parameters. Statistical analysis of the selected high-contrast images included calculation of coefficient of variation (CoV) for each feature at each repetition and Spearman and Mann-Whitney tests to investigate the relationship between cell features and eye and subject characteristics. Retinal pigment epithelial cell features: density, area, center-to-center spacing, number of neighbors, circularity, elongation, solidity, and border distance CoV. Macular RPE cell features were extracted from TOPI images at an eccentricity of 1.6° to 16.3° from the fovea. For each feature, the mean CoV was < 4%. Spearman test showed correlation within RPE cell features. In the perifovea, the region in which images were selected for all participants, longer AL significantly correlated with decreased RPE cell density (R Spearman, Rs = -0.746; P < 0.0001) and increased cell area (Rs = 0.668; P < 0.0001), without morphologic changes. Aging was also significantly correlated with decreased RPE density (Rs = -0.391; P = 0.036) and increased cell area (Rs = 0.454; P = 0.013). Lower circular, less symmetric, more elongated, and larger cells were observed in those > 50 years. The TOPI technology imaged RPE cells in vivo with a repeatability of < 4% for the CoV and was used to analyze the influence of physiologic factors on RPE cell morphometry in the perifovea of healthy volunteers. Proprietary or commercial disclosure may be found after the references