Background
Acupuncture is used to treat chronic functional constipation (CFC) in China, despite limited evidence. We aim to assess the effectiveness and safety of acupuncture in managing CFC.
Methods
...A multicenter randomized controlled trial was performed involving 684 patients with CFC; the patients were randomly allocated to receive He acupuncture (n = 172), Shu‐mu acupuncture (n = 171), He‐shu‐mu acupuncture (n = 171), or oral administration of mosapride (n = 170). Sixteen sessions of acupuncture were given in the treatment duration of 4 weeks. The primary outcome was the change in spontaneous bowel movements (SBMs) at week 4 (at the end of treatment) compared to baseline. The secondary outcomes included stool consistency (Bristol scale), the degree of straining during defecation, and adverse events.
Key Results
The SBMs increased in all the four groups at week 4, and the magnitude of increase was equivalent in the four groups (He acupuncture, 2.7 95% CI, 2.3‐3.1; Shu‐mu acupuncture, 2.7 95% CI, 2.3‐3.0; He‐shu‐mu acupuncture, 2.2 95% CI, 1.9‐2.5; and mosapride, 2.4 95% CI, 2.0‐2.9; P = .226). However, the change in SBMs at week 8 was significantly smaller in mosapride group (1.4 95% CI, 1.0‐1.8) than the three acupuncture groups (2.4 95% CI, 2.1‐2.7, 2.3 95% CI, 1.9‐2.7, 2.1 95% CI, 1.7‐2.5 in He, Shu‐mu, and He‐shu‐mu group, respectively, P = .005).
Conclusions & Interferences
The three acupuncture treatments were as effective as mosapride in improving stool frequency and stool consistency in CFC, but the magnitude of the treatment effect is unknown due to the lack of sham acupuncture control.
The effectiveness of acupuncture in the treatment of chronic functional constipation is unknown. Our study result showed that acupuncture treatments are as effective as mosapride in improving stool frequency and stool consistency.
Abstract
We present a flip-flop dual-component model to treat quantum dynamics of relativistic particles with a rest mass and investigate the matter waves’ phase and amplitude modulations due to ...Heisenberg’s uncertainty principle. Their matter waves behave like a traveling Gaussian-shaped wave packet accompanied by a guiding pilot wave, and the phase modulations result in mass oscillations. These effects are more prominent for light-weighted elementary particles, such as neutrinos and electrons. This mechanism is solely due to the uncertainty principle and has nothing to do with the flavor-mixing of neutrinos. Simulations using neutrinos and electrons are presented, which indicate an oscillation period on the order of ps. This study primarily focuses on the predicted mass oscillations induced by the uncertainty principle. A slit-type interference experiment using neutrinos and electrons from reactors is proposed to test the predicted behaviors.
Aberrant DNA hypermethylation contributes to myelomagenesis by silencing tumor-suppressor genes. Recently, a few reports have suggested that a novel class of small non-coding RNAs, called ...Piwi-interacting RNAs (piRNAs), may be involved in the epigenetic regulation of cancer. In this study, for the first time we provided evidence that the expression of piRNA-823 was upregulated in multiple myeloma (MM) patients and cell lines, and positively correlated with clinical stage. Silencing piRNA-823 in MM cells induced deregulation of cell cycle regulators and apoptosis-related proteins expression, accompanied by inhibition of tumorigenicity in vitro and in vivo. Moreover, piRNA-823 was directly relevant to de novo DNA methyltransferases, DNMT3A and 3B, in primary CD138(+) MM cells. The inhibited expression of piRNA-823 in MM cells resulted in marked reduction of DNMT3A and 3B at both mRNA and protein levels, which in turn led to decrease in global DNA methylation and reexpression of methylation-silenced tumor suppressor, p16(INK4A). In addition, piRNA-823 abrogation in MM cells induced reduction of vascular endothelial growth factor secretion, with consequent decreased proangiogenic activity. Altogether, these data support an oncogenic role of piRNA-823 in the biology of MM, providing a rational for the development of piRNA-targeted therapeutic strategies in MM.
Critical factors that determine the percolation threshold of carbon nanotube (CNT)‐reinforced polymer nanocomposites are studied. An improved analytical model is developed based on an interparticle ...distance concept. Two dispersion parameters are introduced in the model to correctly reflect the different dispersion states of CNTs in the matrix—entangled bundles and well‐dispersed individual CNTs. CNT–epoxy nanocomposites with different dispersion states are fabricated from the same constituent materials by employing different processing conditions. The corresponding percolation thresholds of the nanocomposites vary over a wide range, from 0.1 to greater than 1.0 wt %, and these variations are explained in terms of dispersion parameters and aspect ratios of CNTs. Important factors that control the percolation threshold of nanocomposites are identified based on the comparison between modeling data and experimental results.
Experiments and modeling are used to study the effect of carbon nanotube (CNT) dispersions and aspect ratios on the percolation threshold of CNT–polymer nanocomposites. Four different processing conditions are used to achieve mixtures of individual CNTs and entangled bundles (see figure), and their electrical properties are characterized.
Two new phosphorescent iridium(III) cyclometalated complexes, Ir(DPA‐Flpy)3 (1) and Ir(DPA‐Flpy)2(acac) (2) ((DPA‐Flpy)H = (9,9‐diethyl‐7‐pyridinylfluoren‐2‐yl)diphenylamine, Hacac = acetylacetone), ...have been synthesized and characterized. The incorporation of electron‐donating diphenylamino groups to the fluorene skeleton is found to increase the highest occupied molecular orbital (HOMO) levels and add hole‐transporting ability to the phosphorescent center. Both complexes are highly amorphous and morphologically stable solids and undergo glass transitions at 160 and 153 °C, respectively. These iridium phosphors emit bright yellow to orange light at room temperature with relatively short lifetimes (< 1 μs) in both solution and the solid state. Organic light‐emitting diodes (OLEDs) fabricated using 1 and 2 as phosphorescent dopant emitters constructed with a multilayer configuration show very high efficiencies. The homoleptic iridium complex 1 is shown to be a more efficient electrophosphor than the heteroleptic congener 2. Efficient electrophosphorescence with a maximum external quantum efficiency close to 10 % ph/el (photons per electron), corresponding to a luminance efficiency of ∼ 30 cd A–1 and a power efficiency of ∼ 21 lm W–1, is obtained by using 5 wt.‐% 1 as the guest dopant.
New homoleptic and heteroleptic cyclometalated iridium complexes of (9,9‐diethyl‐7‐pyridinylfluoren‐2‐yl)diphenylamine (see figure) are shown to be amorphous solids with high glass‐transition temperatures. Organic LEDs fabricated using these iridium‐based phosphors as dopant emitters and constructed with a multilayer configuration show very high efficiencies.
Abstract Renal regeneration approaches offer great potential for the treatment of chronic kidney disease, but their availability remains limited by the clinical challenges they pose. In the present ...study, we used continuous detergent perfusion to generate decellularized (DC) rat kidney scaffolds. The scaffolds retained intact vascular trees and overall architecture, along with significant concentrations of various cytokines, but lost all cellular components. To evaluate its potential in renal function recovery, DC scaffold tissue was grafted onto partially nephrectomized rat kidneys. An increase of renal size was found, and regenerated renal parenchyma cells were observed in the repair area containing the grafted scaffold. In addition, the number of nestin-positive renal progenitor cells was markedly higher in scaffold-grafted kidneys compared to controls. Moreover, radionuclide scan analysis showed significant recovery of renal functions at 6 weeks post-implantation. Our results provide further evidence to show that DC kidney scaffolds could be used to promote renal recovery in the treatment of chronic kidney disease.
Creating oxide interfaces with precise chemical specificity at the atomic layer level is desired for the engineering of quantum phases and electronic applications, but highly challenging, owing ...partially to the lack of in situ tools to monitor the chemical composition and completeness of the surface layer during growth. Here we report the in situ observation of atomic layer-by-layer inner potential variations by analysing the Kikuchi lines during epitaxial growth of strontium titanate, providing a powerful real-time technique to monitor and control the chemical composition during growth. A model combining the effects of mean inner potential and step edge density (roughness) reveals the underlying mechanism of the complex and previously not well-understood reflection high-energy electron diffraction oscillations observed in the shuttered growth of oxide films. General rules are proposed to guide the synthesis of atomically and chemically sharp oxide interfaces, opening up vast opportunities for the exploration of intriguing quantum phenomena at oxide interfaces.
Traumatic brain injury (TBI) can lead to different neurological and psychiatric disorders. Circular RNAs (circRNAs) are highly expressed in the nervous system and enriched in synapses; yet, the ...underlying role and mechanisms of circRNAs in neurological impairment and dysfunction are still not fully understood. In this study, we investigated the expression of circRNAs and their relation with neurological dysfunction after TBI. RNA-Seq was used to detect differentially expressed circRNAs in injured brain tissue, revealing that circIgfbp2 was significantly increased. Up-regulated hsa_circ_0058195, which was highly homologous to circIgfbp2, was further confirmed in the cerebral cortex specimens and serum samples of patients after TBI. Moreover, correlation analysis showed a positive correlation between hsa_circ_0058195 levels and the Self-Rating Anxiety Scale scores in these subjects. Furthermore, knockdown of circIgfbp2 in mice relieved anxiety-like behaviors and sleep disturbances induced by TBI. Knockdown of circIgfbp2 in H
O
treated HT22 cells alleviated mitochondrial dysfunction, while its overexpression reversed the process. Mechanistically, we discovered that circIgfbp2 targets miR-370-3p to regulate BACH1, and down-regulating BACH1 alleviated mitochondrial dysfunction and oxidative stress-induced synapse dysfunction. In conclusion, inhibition of circIgfbp2 alleviated mitochondrial dysfunction and oxidative stress-induced synapse dysfunction after TBI through the miR-370-3p/BACH1/HO-1 axis. Thus, circIgfbp2 might be a novel therapeutic target for anxiety and sleep disorders after TBI.
The moiré-pattern with slightly interlayer-twisted bilayer two-dimensional (2D) materials has recently been receiving substantial attention. One of the major characters for these intriguing ...structures is the appearance of low-energy ultra-flat bands and thus a package of new physics associated with strong electron correlation emerges. However, such new physics may become vague unless the twist-angle θ is sufficiently small such as θ ∼ 1°, making practical applications and control-flexibility hard to handle. In this work, we explore the possible flat-band moiré physics in recently concerned 2D bilayer α-In2Se3 which is antiferroelectric with sublayer out-of-plane (OP) polarizations, addressing the potential role of polarization-bound charges in modulation of electron–electron correlation and interlayer hybridization, based on the extensive first-principles calculations. On one hand, it is found that the low energy band becomes extremely flat in the bilayer α-In2Se3 moiré-pattern with relatively large twist-angle, e.g. θ = 13.17°, which is more easily accessible experimentally. On the other hand, the impact of the sublayer OP polarizations on the band structure is asymmetric, and the flattening effect is much more remarkable for the end-to-end polarization alignment but weaker for the head-to-head alignment. This work thus opens a broad roadmap for technological access to artificial fabrication of novel moiré-patterned 2D materials by means of low-dimensional ferroelectricity.
Single- and few-layer graphene sheets with sizes up to 0.1 mm were fabricated by simply quenching hot graphite in an ammonium hydrogen carbonate aqueous solution. The identity and thickness of ...graphene sheets were characterized with transmission electron microscopy, atomic force microscopy, and Raman spectroscopy. In addition to its simplicity and scalability, the present synthesis can produce graphene sheets with excellent qualities in terms of sizes, purity, and crystal quality. The as-produced graphene sheets can be easily transferred to solid substrates for further processing. Field-effect transistors based on individual graphenes were fabricated and shown to have high ambipolar carrier mobilities.
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