Objectives: Peripheral neuropathy (PN) is a significant contributor to disability in the elderly. It is also one of the most prevalent complications of type 2 diabetes, prediabetes and metabolic syndrome. PN is common...Objectives: Peripheral neuropathy (PN) is a significant contributor to disability in the elderly. It is also one of the most prevalent complications of type 2 diabetes, prediabetes and metabolic syndrome. PN is commonly associated with pain, numbness, tingling, burning, and cramping in the feet and legs. Current treatment options are limited to controlling pain, seizures and use of antidepressant medications. These treatments have undesirable side effects and don’t stop PN progression. Here we utilized a combination of individual-specific modalities to improve local circulation and relieve PN symptoms. Methods: We conducted an open-label, multicenter pilot trial with 34 subjects (19 males and 15 females ranging from 40 - 85 years of age). All of the participants were diagnosed with peripheral neuropathy and had bilateral symptoms in their feet, and many reported the same symptoms (pain, numbness, tingling, burning, and cramping) in their lower legs. The duration of symptoms ranged from four months to over six years. On Day 0, subjects were given a 90-day supply of the oral supplement with dosing instructions and a LED light therapy device. They also received three platelet-rich plasma (PRP) injections in their lower extremities. Subjects also received an extracorporeal shockwave therapy (ESWT) treatment for each foot and subsequently twice per week for the first six weeks, then once weekly for the duration of the study. Subjects filled out the Brief Pain Index (BPI) at weekly intervals. On Day 90, subjects completed the Patient Global Impression of Change (PGIC) survey. Results: There were significant responses to pain, as evidenced by BPI scores at weeks 8, 9, 10 and 11 (p = 0.02, 0.01, 0.02, and 0.003, respectively). Analysis of the final day PGIC survey showed a favorable outcome for 73% of participants (p = 0.003), with the majority reporting Very Much Improved. Conclusions: By utilizing a multi-modality treatment protocol that includes PRP, LED light therapy, ESWT and an oral dietary supplement, we observed significant reductions in BPI scores. Quality of life and their overall impression of change (PGIC) were significantly improved, and there were no significant side effects.展开更多
There are more people but less land in China,so food safety has always been a most important issue government concerned.With continuous population increase,economic development and environment protection,cropland occu...There are more people but less land in China,so food safety has always been a most important issue government concerned.With continuous population increase,economic development and environment protection,cropland occupation and supplement are unavoidable.It not only leads to the variation of cropland area,but also makes the light-temperature potential productivity per unit area different due to regional climate differentiation,therefore impacts the total potential productivity and food output eventually.So,it is necessary to analyze the climate differentiation between occupation and supplement cropland areas and to study its impact on total potential productivity,which is significant to reasonably develop natural resources and instruct agricultural arrangement.This study firstly discussed the variation and distribution of occupation and supplement croplands in China from 2000 to 2008,then analyzed the climate differentiation between occupation and supplement cropland areas and its effect on light-temperature potential productivity.The results demonstrate:1) From 2000 to 2008,the cropland variation presented occupation in the south and supplement in the north,but overall decreased.Supplement cropland was mainly from ecological reclamation(77.78%) and was mainly distributed in Northeast China and Northwest China with poor climatic and natural conditions.Occupation cropland was mainly used for construction(52.88%) and ecological restoration(44.78%) purposes,and was mainly distributed in the Huang-Huai-Hai Plain,and the middle and lower reaches of the Changjiang(Yangtze) River with better climatic and natural conditions.2) The climate conditions were quite different in supplement and occupation cropland areas.The annual precipitation,annual accumulated temperature and average annual temperature were lower in the supplement cropland area,and its average po-tential productivity per unit was only 62% of occupation cropland area,which was the main reason for the decrease of total potential productivity.3) Cropland occupation and supplement led to the variation of total potential productivity and its spatial distribution.The productivity decreased in the south and increased in the north,but had a net loss of 4.38315×107 t in the whole country.The increase of cropland area was at the cost of reclaiming natural forest and grassland resources,and destroying natural ecological environment,while the decrease of cropland area was mainly due to a lot of cropland occupied by urban-rural construction,which threatened the sustainable use of cropland resources.展开更多
文摘Objectives: Peripheral neuropathy (PN) is a significant contributor to disability in the elderly. It is also one of the most prevalent complications of type 2 diabetes, prediabetes and metabolic syndrome. PN is commonly associated with pain, numbness, tingling, burning, and cramping in the feet and legs. Current treatment options are limited to controlling pain, seizures and use of antidepressant medications. These treatments have undesirable side effects and don’t stop PN progression. Here we utilized a combination of individual-specific modalities to improve local circulation and relieve PN symptoms. Methods: We conducted an open-label, multicenter pilot trial with 34 subjects (19 males and 15 females ranging from 40 - 85 years of age). All of the participants were diagnosed with peripheral neuropathy and had bilateral symptoms in their feet, and many reported the same symptoms (pain, numbness, tingling, burning, and cramping) in their lower legs. The duration of symptoms ranged from four months to over six years. On Day 0, subjects were given a 90-day supply of the oral supplement with dosing instructions and a LED light therapy device. They also received three platelet-rich plasma (PRP) injections in their lower extremities. Subjects also received an extracorporeal shockwave therapy (ESWT) treatment for each foot and subsequently twice per week for the first six weeks, then once weekly for the duration of the study. Subjects filled out the Brief Pain Index (BPI) at weekly intervals. On Day 90, subjects completed the Patient Global Impression of Change (PGIC) survey. Results: There were significant responses to pain, as evidenced by BPI scores at weeks 8, 9, 10 and 11 (p = 0.02, 0.01, 0.02, and 0.003, respectively). Analysis of the final day PGIC survey showed a favorable outcome for 73% of participants (p = 0.003), with the majority reporting Very Much Improved. Conclusions: By utilizing a multi-modality treatment protocol that includes PRP, LED light therapy, ESWT and an oral dietary supplement, we observed significant reductions in BPI scores. Quality of life and their overall impression of change (PGIC) were significantly improved, and there were no significant side effects.
基金Under the auspices of Knowledge Innovation Programs of Chinese Academy of Sciences (No KSCX1-YW-09-01)
文摘There are more people but less land in China,so food safety has always been a most important issue government concerned.With continuous population increase,economic development and environment protection,cropland occupation and supplement are unavoidable.It not only leads to the variation of cropland area,but also makes the light-temperature potential productivity per unit area different due to regional climate differentiation,therefore impacts the total potential productivity and food output eventually.So,it is necessary to analyze the climate differentiation between occupation and supplement cropland areas and to study its impact on total potential productivity,which is significant to reasonably develop natural resources and instruct agricultural arrangement.This study firstly discussed the variation and distribution of occupation and supplement croplands in China from 2000 to 2008,then analyzed the climate differentiation between occupation and supplement cropland areas and its effect on light-temperature potential productivity.The results demonstrate:1) From 2000 to 2008,the cropland variation presented occupation in the south and supplement in the north,but overall decreased.Supplement cropland was mainly from ecological reclamation(77.78%) and was mainly distributed in Northeast China and Northwest China with poor climatic and natural conditions.Occupation cropland was mainly used for construction(52.88%) and ecological restoration(44.78%) purposes,and was mainly distributed in the Huang-Huai-Hai Plain,and the middle and lower reaches of the Changjiang(Yangtze) River with better climatic and natural conditions.2) The climate conditions were quite different in supplement and occupation cropland areas.The annual precipitation,annual accumulated temperature and average annual temperature were lower in the supplement cropland area,and its average po-tential productivity per unit was only 62% of occupation cropland area,which was the main reason for the decrease of total potential productivity.3) Cropland occupation and supplement led to the variation of total potential productivity and its spatial distribution.The productivity decreased in the south and increased in the north,but had a net loss of 4.38315×107 t in the whole country.The increase of cropland area was at the cost of reclaiming natural forest and grassland resources,and destroying natural ecological environment,while the decrease of cropland area was mainly due to a lot of cropland occupied by urban-rural construction,which threatened the sustainable use of cropland resources.
