Effects of Tai Chi on stress and cardiovascular function in people with coronary heart disease and/or hypertension

Cardiovascular disease (CVD) is the number one cause of morbidity and mortality worldwide. Coronary heart disease (CHD) is the most common type of CVD. Hypertension is the leading cause of heart disease and stroke. Stress, anxiety and depression are associated with the development and progression of CVD and its complications, reduces health-related quality of life, impedes physical functioning, and increases recurrent cardiac events and risk of mortality. People with established CVDs often suffer from stress, anxiety and depression, which are frequently undertreated with current management strategies. In recent years, research on Tai Chi for health and well-being has increased. Numerous studies have demonstrated various physical and psychological benefits of Tai Chi, including improvements in psychological stress, anxiety, depression, quality of life and cardiovascular function. However, there is still a lack of studies primarily investigating the effectiveness of a Tai Chi intervention on psychological stress, anxiety and depression, particularly in patients with CHD and/or hypertension. This doctoral project was conducted to explore the effects of a Tai Chi intervention on psychological well-being and cardiovascular function in people with CHD and/or hypertension. It included a systematic review, an international, multicentre RCT and a qualitative sub-study undertaken during 2015 to 2017

A non-cooperative game approach for power control MAC in wireless sensor networks

U bežičnim senzorsim mrežama, uspješna komunikacija je glavni cilj protokola za kontrolu pristupa bežičnom mediju za prijenos podataka (MAC). Istovremeni prijenos je jedan od glavnih načina rješavanja pitanja tradicionalnih MAC protokola s malom propusnošću i akumuliranim zastojem u bežičnim senzorskim mrežama s visokim opterećenjem i intenzivnim čvorovima. U ovom se radu predlaže novi MAC protokol s istovremenim prijenosom koji koristi zahvat kanala omogućujući uspješni istovremeni prijenos da bi se osigurala učinkovita komunikacija. Koristimo algoritam kontrole snage temeljen na ne-kooperativnoj teoriji igre s nepoptpunim informacijama u svrhu postizanja istovremenog prijenosa višestruke veze na istom kanalu. Uz to, uvodi se Bayesian-Nashov poučak ekvilibrija za dobivanje dokaza o njegovom postojanju i jedinstvenosti. Rezultati simulacije pokazuju da protokol koji predlažemo može dobro funkcionirati u okruženju interferencije za istovremeni prijenos podataka. Značajno je da je poboljšan protok mreže i da su smanjeni zastoji u širenju podataka te je tako došlo i do uštede energije. Također, budući da efikasno koristimo resurse kanala, učinkovitost ponovne uporabe prostora značajno je poboljšana.In wireless sensor networks, efficient communication is the ultimate goal of a wireless medium access control (MAC) protocol. Concurrent transmission is one of the main ways to solve the issues of traditional MAC protocols with low throughput and accumulated delay in wireless sensor networks with high-load and intensive nodes. In this paper, a novel concurrent transmission MAC protocol is proposed that exploits channel capture allowing successful concurrent transmission to ensure effective communication. We use a power control algorithm based on non-cooperative game theory with incomplete information to achieve multiple link concurrent transmission on the same channel. Moreover, the Bayesian-Nash equilibrium theorem is introduced to determine its existence and uniqueness proof. Simulation results show that the protocol we proposed can perform well in an interference environment for concurrent data transmission. Significantly, the network throughput is improved and the data propagation delays are reduced therefore saving energy. Also, since we use the channel resources effectively, spatial reusing efficiency is improved significantly

Is caffeine intake a risk factor leading to infertility? A protocol of an epidemiological systematic review of controlled clinical studies

Background: Previous studies showed that high dose of caffeine intake may induce some specific human reproductive system diseases, even lead to infertility. Objectives: In consideration of the high consumption of caffeine according to the latest population-based survey, this review is aimed to systematically review the evidence from all controlled clinical studies of caffeine intake for infertility. Designs: Relevant randomized/quasi-randomized controlled trials, non-randomized clinical studies, cohort studies, and case-control studies will be included in this review. Participants will be either those without a history of infertility who are willing to have a baby (for prospective studies) or infertile patients with confirmed diagnosis (for retrospective studies). Caffeine or caffeine-containing beverage will be observed as the exposure factor. The key outcome will be the diagnosis of infertility in participants. All relevant published/unpublished or ongoing studies will be searched from seven databases and four online systems until December 2015. Two authors will screen the literatures and extract the data independently. Methodological quality of the included studies will be assessed by two authors according to either Risk of Bias Assessment or Newcastle-Ottawa Scale. We will use R software to analyze the data. Dose of caffeine will be quantified on a daily basis, and relative risk with their 95 % confidence interval will be measured. If data permit, meta-analysis and dose-response analysis will be conducted

An improvement of sufficient condition for kk-leaf-connected graphs

For integer $k\geq2,$ a graph $G$ is called $k$-leaf-connected if $|V(G)|\geq k+1$ and given any subset $S\subseteq V(G)$ with $|S|=k,$ $G$ always has a spanning tree $T$ such that $S$ is precisely the set of leaves of $T.$ Thus a graph is $2$-leaf-connected if and only if it is Hamilton-connected. In this paper, we present a best possible condition based upon the size to guarantee a graph to be $k$-leaf-connected, which not only improves the results of Gurgel and Wakabayashi [On $k$-leaf-connected graphs, J. Combin. Theory Ser. B 41 (1986) 1-16] and Ao, Liu, Yuan and Li [Improved sufficient conditions for $k$-leaf-connected graphs, Discrete Appl. Math. 314 (2022) 17-30], but also extends the result of Xu, Zhai and Wang [An improvement of spectral conditions for Hamilton-connected graphs, Linear Multilinear Algebra, 2021]. Our key approach is showing that an $(n+k-1)$-closed non-$k$-leaf-connected graph must contain a large clique if its size is large enough. As applications, sufficient conditions for a graph to be $k$-leaf-connected in terms of the (signless Laplacian) spectral radius of $G$ or its complement are also presented.Comment: 15 pages, 2 figure

Effectiveness of Stimulation of Acupoint KI 1 by Artemisia vulgaris

Objective. A systematic review of randomized controlled trials has been performed to assess the effectiveness of stimulation of acupoint KI 1 by Artemisia vulgaris (the Japanese name is moxa) to lower blood pressure compared to antihypertensive drugs. Methods and Findings. Articles published from 1980 to August 2013 in databases of CENTRAL, Pubmed, CBM, CNKI, VIP, and online clinical trial registry websites were searched. Studies included were randomized controlled trials (RCTs); moxibustion-type intervention on KI 1 compared with antihypertensive drugs; meta-analysis showed superior effects of moxibustion plus antihypertensive drugs on systolic blood pressure (WMD: −4.91 [−7.54, −2.28]; P=0.0003) but no superior effects on diastolic blood pressure (WMD: −6.38 [−17.17, 4.41]; P=0.25). Conclusions. Our systematic review of the current literature shows a beneficial effect of using moxibustion interventions on KI 1 to lower blood pressure compared to antihypertensive drugs. However, the results are influenced by the existing differences in design of the current trials

Chinese herbal medicine Guizhi Fuling Formula for treatment of uterine fibroids : a systematic review of randomized clinical trials

Background: Guizhi Fuling Formula is widely applied for uterine fibroids in China. Many clinical trials are reported. This study assessed the efficacy and safety of Guizhi Fuling Formula for the treatment of uterine fibroids. Methods: PubMed, Cochrane CENTRAL, EMBASE, and four Chinese databases were searched through May 2013. We included randomised controlled trials (RCTs) that tested Guizhi Fuling Formula for uterine fibroids, compared with no intervention, placebo, pharmaceutical medication, or other Chinese patent medicines approved by the State Food and Drug Administration of China. Authors extracted data and assessed the quality independently. We applied RevMan 5.2.0 software to analyse data of included randomised trials. Results: A total of 38 RCTs involving 3816 participants were identified. The methodological quality of the included trials was generally poor. Meta-analyses demonstrated that Guizhi Fuling Formula plus mifepristone were more effective than mifepristone alone in reducing the volume of fibroids (in total volume of multiple fibroids, MD −19.41 cm3, 95% CI −28.68 to −10.14; in average volume of multiple fibroids, MD −1.00 cm3, 95% CI −1.23 to −0.76; in average volume of maximum fibroids, MD −3.35 cm3, 95% CI −4.84 to −1.87, I2 = 93%, random effects model). Guizhi Fuling Formula significantly improved symptoms of dysmenorrhea either when it was used alone (RR 2.27, 95% CI 1.04 to 4.97) or in combination with mifepristone (RR 2.35, 95% CI 1.15 to 4.82). No serious adverse events were reported. Conclusions: Guizhi Fuling Formula appears to have additional benefit based on mifepristone treatment in reducing volume of fibroids. However, due to high risk of bias of the trials, we could not draw confirmative conclusions on its benefit. Future clinical trials should be well-designed and avoid the issues that are identified in this study

Protective effect of vanillin in streptozotocin-induced diabetes in neonatal rats via attenuation of oxidative stress and inflammation

Purpose: To evaluate the antidiabetic activity of vanillin in streptozotocin (STZ)-induced diabetic rats.Methods: Diabetes was induced in 2-day old male pups by intraperitoneal (i.p.) administration of STZ (90 mg/kg). The pups were then randomly assigned to four groups: control group which received citrate buffer only in place of STZ; negative control group, i.e., diabetic group; and vanillin-treated groups which received vanillin (100 or 200 mg/kg, p.o.) continuously from the 6th week of age to the 10th week. The antidiabetic effect of vanillin was determined by measuring the serum levels of insulin, triglycerides and glucose in the diabetic rats. Oral glucose tolerance, kidney and liver function tests were also performed at the end of the protocol. Moreover, the oxidative stress and inflammatory cytokines in liver tissues, and histopathological changes in pancreatic tissues were assessed.Results: Vanillin treatment significantly decreased serum glucose and triglyceride levels and increased the level of insulin, when compared to the negative control group. There was higher insulin sensitivity in the vanillin-treated group than in the negative control group. In addition, vanillin improved liver and renal functions in STZ-induced diabetic neonatal rats. Hepatic oxidative stress and inflammatory mediators, as well as histopathological changes in pancreas were attenuated by vanillin treatment.Conclusion: These results reveal that vanillin attenuates hyperglycemia in STZ-induced neonatal diabetic rat model by decreasing oxidative stress and inflammatory cytokines. There, further studies are required to develop the anti-diabetic potentials of vanillin for clinical applications.Keywords: Vanillin, Streptozotocin, Diabetes, Oxidative stress, Insulin, Neonata

Chinese Herbal Medicine Qi Ju Di Huang Wan for the Treatment of Essential Hypertension: A Systematic Review of Randomized Controlled Trials

Background. Chinese herbs are potentially effective for hypertension. Qi Ju Di Huang Wan (QJDHW) is a commonly used Chinese herbal medicine as a monotherapy or in combination with other antihypertensive agents for the treatment of essential hypertension (EH). However, there is no critically appraised evidence such as systematic reviews or meta-analyses on the effectiveness and safety of QJDHW for EH. Methods and Findings. CENTRAL, PubMed, CBM, CNKI, VIP, and online clinical trial registry websites were searched for published and unpublished randomized controlled trials (RCTs) of QJDHW for essential hypertension up to January 2013 with no language restrictions. A total of 10 randomized trials involving 1024 patients were included. Meta-analysis showed that QJDHW combined with antihypertensive drugs was more effective in lowering blood pressure and improving TCM syndrome for the treatment of essential hypertension than antihypertensive drugs used alone. No trials reported severe adverse events related to QJDHW. Conclusions. Our review suggests that QJDHW combined with antihypertensive drugs might be an effective treatment for lowering blood pressure and improving symptoms in patients with essential hypertension. However, the finding should be interpreted with caution because of the poor methodological quality of included trials. There is an urgent need for well-designed, long-term studies to assess the effectiveness of QJDHW in the treatment of essential hypertension

Diabetes Mellitus, cognitive impairment, and traditional Chinese medicine

Diabetes mellitus (DM) is a metabolic disorder affecting a large number of people worldwide. Numerous studies have demonstrated that DM can cause damage to multiple systems, leading to complications such as heart disease, cancer, and cerebrovascular disorders. Numerous epidemiological studies have shown that DM is closely associated with dementia and cognition dysfunction, with recent research focusing on the role of DM-mediated cerebrovascular damage in dementia. Despite the therapeutic benefits of antidiabetic agents for the treatment of DM-mediated cognitive dysfunction, most of these pharmaceutical agents are associated with various undesirable side-effects and their long-term benefits are therefore in doubt. Early evidence exists to support the use of traditional Chinese medicine (TCM) interventions, which tend to have minimal toxicity and side-effects. More importantly, these TCM interventions appear to offer significant effects in reducing DM-related complications beyond blood glucose control. However, more research is needed to further validate these claims and to explore their relevant mechanisms of action. The aims of this paper are (1) to provide an updated overview on the association between DM and cognitive dysfunction and (2) to review the scientific evidence underpinning the use of TCM interventions for the treatment and prevention of DM-induced cognitive dysfunction and dementia