Intervention of hypertension by acupuncture-related therapies: A network meta-analysis.

BACKGROUND: The prevalence of essential hypertension contributed significantly to morbidity and mortality rates. Acupuncture-related therapies were commonly employed in hypertension treatment. Nevertheless, a lack of conclusive evidence left uncertainties regarding the optimal strategies for managing hypertensive populations. OBJECTIVES: Conduct a comprehensive systematic review to evaluate the existing clinical evidence about the effectiveness of acupuncture and moxibustion-related therapies in managing hypertension, by employing network meta-analysis techniques. METHODS: A comprehensive electronic search was conducted across n of databases. This search covered studies available up to October 2022. Randomized controlled trials assessing acupuncture and moxibustion-related therapies in managing hypertension based on traditional Chinese medicine were screened. Primary outcome measures included the antihypertensive effectiveness rate, variations in blood pressure and the incorporation of Traditional Chinese Medicine (TCM) syndrome manifestations. The review follows the guidelines outlined in the PRISMA statement. RESULTS: We identified a total of 24 trials with 1867 patients, which evaluated the efficacy of various acupuncture-related therapies for hypertension management. Network meta-analysis showed that moxibustion and auricular point sticking combined with medication therapy had the best effect in terms of antihypertensive effective rate (medication + moxibustion + auricular pressure vs. medication = 1.29 [1.09, 1.54]; sucra = 85.9, p < .05) and hypertension symptom improvement (medication + moxibustion + auricular pressure vs. medication = -1.55 [-2.98, -0.13]; sucra = 96.1, p < .05). Acupuncture combined with moxibustion combined with medication therapy had the best effect in reducing systolic pressure (medication + moxibustion + acupuncture vs. medication = -8.50 [-10.19, -6.80]; sucra = 100, p < .05) and diastolic blood pressure (medication + moxibustion + acupuncture versus medication = -4.72 [-6.71, -2.72]; sucra = 99.71, p < 0.05). CONCLUSIONS: Network meta-analysis suggested that the combined use of moxibustion and auricular point application in conjunction with drug therapy showed the highest likelihood of being the most effective treatment in terms of antihypertensive efficiency rates and improvement in hypertension symptoms. Furthermore, the combination of acupuncture and moxibustion alongside drug treatment emerged as the most promising approach for reducing systolic blood pressure and diastolic blood pressure. Limited by the methodological quality and quantity of the included studies, the results need to be interpreted with caution. It is necessary to conduct more high-quality randomized controlled trials of acupuncture-related therapies for the adjuvant treatment of hypertension in the future. IMPLICATIONS FOR PRACTICE: Clinicians can use acupuncture-related therapies to inform their treatment decisions and potentially incorporate acupuncture-related therapies into their hypertension management protocols.

Factors influencing self-quantification for patients with hypertension: A cross-sectional Study.

This study aimed to investigate the level of self-quantification among patients with hypertension and identify the factors influencing this behavior. This study aimed to investigate self-quantification levels and identify influencing factors among 400 patients diagnosed with hypertension. Employing a convenience sampling method, the research was conducted across diverse healthcare settings, including a tertiary hospital, 2 community hospitals, 2 pension institutions, and 5 residential areas. Participants underwent assessment using a self-quantification scale. The collected data underwent thorough analysis using various statistical methods, including descriptive analysis for an overview, 2 independent samples t test for mean comparisons, one-way analysis of variance for variations among groups, and multiple linear regression analysis to identify influential factors. This robust methodology was applied to gain comprehensive insights into the self-quantification behaviors of patients with hypertension. The total self-quantification score for patients with hypertension was found to be (96.64 ±â€…14.16). The average value for all dimensions was (3.22 ± 0.47). Notably, medical insurance type, education level, age, and complications were identified as significant factors influencing self-quantification among patients with hypertension. The study concludes that patients without medical insurance, with lower education levels, older age, and no complications tended to have lower levels of self-quantification. These findings underscore the necessity for targeted interventions to improve self-quantification in these specific patient groups. By addressing the identified influencing factors, healthcare providers can implement measures to enhance self-quantification among patients with hypertension.

Multi-stimuli-responsive photonics films based on chiral nematic cellulose nanocrystals.

Multiple-stimuli-responsive bio-based materials have received considerable attention for intelligent packaging and anti-counterfeiting applications. Herein, we present a unique biobased photonics film with multi-stimuli responsive behavior based on cellulose nanocrystals (CNCs), sorbitol (S) and anthocyanin (Anth). The resulting photonics film exhibits multi-stimuli responsive behavior to humidity, solvent and pH stimuli. Notably, the photonics film showed dramatic invertible color from blue to fuchsia and high sensitivity at a relative humidity from 50% to 100%. Moreover, the photonics film exhibited fast response and good reversibility under different ethanol concentrations. Significant color changes of the photonics film were also observed in response to pH change in the range of 2 to 12. Particularly, the humidity, solvent and pH responsiveness of the photonics film did not interfere with each other.

Chiral Cellulose Nanocrystal Humidity-Responsive Iridescent Films with Glucan for Tuned Iridescence and Reinforced Mechanics.

The fabrication of biomimetic photonic materials with environmental stimuli-responsive functions from entirely biobased materials is becoming increasingly challenging with the growing demand for biodegradable materials. Herein, the effect of glucan with different molecular weights on the mechanical performance and tunable structural color of iridescent CNC composite films was investigated. The existence of glucan did not influence the self-assembly performance of CNCs, but rather led to an improvement in the mechanical performance, enabling cholesteric CNC composite films with an adjustable structural color. Simultaneously, the iridescent films showed a conspicuous redshift and enlarged initial pitch without obstruction of the chiral structure. In response to environmental humidity, the structural colors of the iridescent composite films can be changed by regulating their chiral nematic structure. In particular, the films demonstrate a reversible structural color change between blue and red at RH between 50 and 98%. The resulting biobased iridescent composite films have potential applications in decorative coating, optical and humidity sensing, and anticounterfeiting.

Processing and characterization of thermoplastic corn starch-based film/paper composites containing microcrystalline cellulose.

BACKGROUND: Different thermoplastic starch (TPS) films were prepared with or without the addition of microcrystalline cellulose (MCC) obtained via the melt-extrusion method, and then the hot-press method was used to produce environmentally friendly TPS-based film/paper composites to replace petroleum-based materials. RESULTS: The paper-plastic composites exhibited good interfacial adhesion from the scannign elctron microscopy images. It was seen that 5 wt.% MCC was added to reinforce the mechanical properties of TPS films, such that it also improved the barrier properties of MCC@TPS/paper composites and extended the path of water vapor through TPS films, which decreased the water vapor transmission rate of MCC@TPS/paper composites. TPS/paper composites and MCC@TPS/paper composites have better physical properties (i.e. smoothness, flexibility and folding resistance) than only paper. In particular, it was found that the water contact angle of MCC@TPS/paper composites and TPS/paper composites were higher than single-layer paper. Furthermore, MCC reinforced paper-plastic composites demonstrated good barrier properties which can meet the requirement of the need for lower water sensitive materials in the food packaging industry. CONCLUSION: Thermoplastic corn starch-based film/paper composites have good application properties as a potential source of bioplastic materials. © 2021 Society of Chemical Industry.

Effect of Cellulose Nanocrystal Addition on the Physicochemical Properties of Hydroxypropyl Guar-Based Intelligent Films.

As an important functional material in food industry, intelligent packaging films can bring great convenience for consumers in the field of food preservation and freshness detection. Herein, we fabricated pH-sensing films employing hydroxypropyl guar (HPG), 1-butyl-3-methylimidazolium chloride (BmimCl), and anthocyanin (Anth). Besides, the effects of adding cellulose nanocrystals (CNC) into the composite films upon the films' structures and physicochemical properties are elucidated. The addition of CNC promoted more compact film structures. Moreover, CNC dramatically improved several properties of the pH-sensing films, including the distinguishability of their color changes, sensitivity to pH, permeability to oxygen and water vapor, solvent resistance, durability, and low-temperature resistance. These results expand the application range of pH-sensing films containing CNC in the fields of food freshness detection and intelligent packaging.

Fabrication of environmental humidity-responsive iridescent films with cellulose nanocrystal/polyols.

Herein, we fabricated flexible and humidity-sensitive composite films employing cellulose nanocrystal (CNC) and polyols, i.e., glycerol (G), xylitol (X) and sorbitol (S). The effects of polyols with different molecular weights on the structure, optical properties, mechanical strength and humidity response of the composite films were investigated. Notably, the CNC-S film exhibited obvious reversible colour changes from light green to red upon a relative humidity (RH) change from 30 % to 95 %. Moreover, it was found that the composite films had a large colour-change range, good reversibility (>10 cycles), and excellent stability (>10 weeks). Overall, the results demonstrated that the CNC-S composite film can be used as a functional material for the preparation of flexible humidity sensors for the detection of environmental humidity changes in agriculture, industry, and other fields.

Advancing the State of the Fog Computing to Enable 5G Network Technologies.

Fog Computing (FC) is promising to Internet architecture for the emerging of modern technological approaches such as Fifth Generation (5G) networks and the Internet of Things (IoT). These are the advanced technologies that enable Internet architecture to enhance the data dissemination services based on numerous sensors generating continuous sensory information. It is tough for the current Internet architecture to meet up with the growing demands of the users for such a massive amount of information. Therefore, it needs to adopt modern technologies for efficient data dissemination services across the Internet. Thus, the FC and 5G are updating the data transmission using new technological approaches that are intelligently processing data to provide enhanced communications. This study proposes necessary measures to boost the growth of FC to 5G network usage. It is done by taking an extensive review of how 5G operates as well as studying its taxonomy, the idea of IoT, reviewed projects on IoT applicability, comparison of computing technologies, and the importance of FC. Moreover, it elaborates dynamic issues of computing network technologies, and information is provided on how to remedy these for future recommendations in the field of research and computing network technologies. This paper heavily focuses on the applications of FC as an enabler to the 5G network by identifying the necessary services and network-oriented features that are needed to be used in the place for an improved future enterprise network technology.

DCS: Distributed Caching Strategy at the Edge of Vehicular Sensor Networks in Information-Centric Networking.

Information dissemination in current Vehicular Sensor Networks (VSN) depends on the physical location in which similar data is transmitted multiple times across the network. This data replication has led to several problems, among which resource consumption (memory), stretch, and communication latency due to the lake of data availability are the most crucial. Information-Centric Networking (ICN) provides an enhanced version of the internet that is capable of resolving such issues efficiently. ICN is the new internet paradigm that supports innovative communication systems with location-independent data dissemination. The emergence of ICN with VSNs can handle the massive amount of data generated from heterogeneous mobile sensors in surrounding smart environments. The ICN paradigm offers an in-network cache, which is the most effective means to reduce the number of complications of the receiver-driven content retrieval process. However, due to the non-linearity of the Quality-of-Experience (QoE) in VSN systems, efficient content management within the context of ICN is needed. For this purpose, this paper implements a new distributed caching strategy (DCS) at the edge of the network in VSN environments to reduce the number of overall data dissemination problems. The proposed DCS mechanism is studied comparatively against existing caching strategies to check its performance in terms of memory consumption, path stretch ratio, cache hit ratio, and content eviction ratio. Extensive simulation results have shown that the proposed strategy outperforms these benchmark caching strategies.

Biodegradable blends of graphene quantum dots and thermoplastic starch with solid-state photoluminescent and conductive properties.

Polymer composites based on blends of graphene quantum dots (GQDs) with thermoplastic starch (TPS) were prepared by melt-extrusion combined with hot pressing. The GQDs/TPS films were characterized as potential novel, high-performance, and ecofriendly composites replacing traditional non-biodegradable plastic packaging materials. GQDs stock solutions of different concentrations were incorporated into TPS matrices in order to analyze the solid-state fluorescent properties and conductive properties of GQDs/TPS films. The fluorescent, conductive, morphological, mechanical, and optical properties of the GQDs/TPS films were characterized by ultraviolet-visible spectroscopy, surface resistance measurement, scanning electron microscopy, Fourier-transform infrared (FT-IR) spectroscopy, tensile testing, and X-ray diffraction (XRD). FT-IR studies indicated hydrogen bonding between the oxygen-containing groups on GQDs surfaces and the -OH groups in the TPS. The mechanical testing results showed the optimum GQDs loading of 10.9 wt% in the blend. XRD and TEM studies indicated uniform graphene dispersions in the TPS matrix for ≤10.9 wt% GQDs loading; further increases in loading caused agglomeration. The maximum photoluminescence intensity and conductivity of the materials were obtained at 10.9 wt% GQDs loading. These materials have potential applicability in flexible optoelectronic packaging materials.

Graphene/cardanol modified phenolic resin for the development of carbon fiber paper-based composites.

Carbon fiber paper-based composites (GCPC) were prepared by impregnating carbon fiber papers in a solution of graphene and cardanol modified phenolic resin (GCP). GCP was characterized by thermal gravimetric analysis (TGA), and the electrical conductivity, mechanical properties, pore distribution, and porosity of GCPC were investigated by a four-probe tester, universal testing machine, microtopography, and porous material analyzer, respectively. The results show that the electrical properties and mechanical strength of GCPC were improved with the increase of graphene and cardanol content. The porosity decreased and the proportion of small holes increased with the increase of graphene, while the porosity increased and the proportion of small holes decreased with the increase of cardanol. When the content of cardanol was 20% (mass fraction), the tensile strength of the composite reached 38.17 MPa, the resistivity reached 18.46 mΩ cm, and the porosity reached 67.46%.

Enhancing cellulose dissolution in ionic liquid by solid acid addition.

It's challenging to dissolve natural cellulose in most solvents due to its highly ordered crystalline structure. In this paper, we developed an efficient cellulose dissolution system which incorporates solid acid (SA) with 1-butyl-3-methylimidizolium chloride (BmimCl). The results showed that addition of solid acid both Amberlyst® 15 and CsxH3-xPW12O40 could significantly enhance cellulose dissolution in BmimCl, which attributed to the synergistic action of free hydrogen proton from SA and chloride anion in BmimCl on hydroxyl groups of cellulose, and DMF as co-solvent also could facilitate cellulose dissolution in SA/BmimCl. In contrast to BmimCl system, the SA/BmimCl system for cellulose dissolution achieves better efficiency at mild treatment conditions and facile recovery of solvents. In addition, characterization of the regenerated celluloses showed that SA/BmimCl is a non-derivatizing solvent for cellulose, which helps achieve complete dissolution on crystalline cellulose. Attributed to its low cost and environmentally friendliness for biomass processing, SA/BmimCl systems is a promising and effective solvent system.