Traditional Chinese Medicine for Metabolic Syndrome via TCM Pattern Differentiation: Tongue Diagnosis for Predictor.

Metabolic syndrome is a morbid condition, which is manifested by central obesity, abnormal glucose tolerance, lipodystrophy, and hypertension. Traditional Chinese medicine (TCM) clarifies that obesity is classified as phlegm-dampness. It is often accompanied with qi stagnation and blood stasis. One hundred and two overweight adults, who did not receive lipid-lowering drugs, were enrolled for analysis. The exclusion criteria were adults having malignancy disease, DM, and renal disease or who were pregnant or lactating. The study was divided into two groups: metabolic syndrome group (MetS) and nonmetabolic syndrome group (nMetS). The modern tongue analysis and heart rate variability devices for data analysis and Council on Nutrition Appetite Questionnaire (CNAQ) for appetite evaluation were used. Obesity patients with metabolic syndrome obviously have lower CNAQ score. The 6 items of CNAQ between two groups have significant difference in variation (P < 0.001). The nMetS average was above 28 scores (96%) and the MetS was all in 17-28 scores. The tongue appearance showed that MetS group have white coating different from the nMetS group with white and yellow coating (P < 0.05). However the HRV is not different from nMetS group significantly. Our results try to explore the relationship between the TCM pattern, nutrition appetite, and heart rate variability in metabolic syndrome patients.

Sequential hydrolysis of waste newspaper and bioethanol production from the hydrolysate.

A practical process was developed for production of a high quality hydrolysate of waste newspaper that ensured its complete fermentability to bioethanol. After pretreatment with 0.1N NaOH for 12h and sequential acid and enzyme hydrolysis, 10.1g/L of glucose (50.5%), 1.38 g/L of mannose (6.9%) and 0.28 g/L of galactose (1.4%), a total of 11.76 g/L of fermentable sugars was obtained, which accounts for 88.7% of saccharification efficiency. The Saccharomyces cerevisiae BCRC20271 showed excellent co-fermentability of glucose, mannose and galactose in hydrolysate of waste newspaper. After cultivation of the hydrolysate at 24°C in static culture for 48 h, the final ethanol concentration of 5.72 g/L (96% conversion efficiency) was produced. Overall, 1000 kg of waste newspaper will produce 286 kg (362 L) of ethanol by the process developed, which reveals that waste newspaper has higher potential than many other lignocellulosic and seaweed feedstocks for bioethanol production.

Sequential acid and enzymatic hydrolysis in situ and bioethanol production from Gracilaria biomass.

Gracilaria sp., a red alga, was used as a feedstock for the production of bioethanol. Saccharification of Gracilaria sp. by sequential acid and enzyme hydrolysis in situ produced a high quality hydrolysate that ensured its fermentability to produce ethanol. The optimal saccharification process resulted in total 11.85g/L (59.26%) of glucose and galactose, Saccharomyces cerevisiae Wu-Y2 showed a good performance on co-fermentability of glucose and galactose released in the hydrolysate from Gracilaria sp. The final ethanol concentrations of 4.72g/L (0.48g/g sugar consumed; 94% conversion efficiency) and the ethanol productivity 4.93g/L/d were achieved. 1g of dry Gracilaria can be converted to 0.236g (23.6%) of bioethanol via the processes developed. Efficient alcohol production by immobilized S. cerevisiae Wu-Y2 in batch and repeated batch fermentation was also demonstrated. The findings of this study revealed that Gracilaria sp. can be a potential feedstock in biorefinery for ethanol production.

Cultivation of medicinal caterpillar fungus, Cordyceps militaris (Ascomycetes), and production of cordycepin using the spent medium from levan fermentation.

A process of tandem cultivation for the production of green and invaluable bioproducts (levan and Cordycepes militaris) useful for medical applications has been successfully developed. The process involves first cultivating Bacillus subtilis strain natto in sucrose medium to produce levan, followed by the subsequent cultivation of C. militaris in liquid- and solid-state cultures using the spent medium from levan fermentation as substrates. The factors affecting the cell growth and production of metabolites of C. militaris were investigated, and the various metabolites produced in the culture filtrate, mycelia, and fruiting body were analyzed. In addition, cordycepin was prepared from the solid waste medium of C. militaris. This is an excellent example in the development of cost effective biorefineries that maximize useful product formation from the available biomass. The preparation of cordycepin from solid waste medium of C. militaris using a method with high extraction efficiency and minimum solvent usage is also environmentally friendly.

Optimization of the production and characterization of milk clotting enzymes by Bacillus subtilis natto.

Suitable medium for production of milk clotting enzyme (MCE) by Bacillus subtilis (natto) Takahashi in submerged liquid-state fermentation was screened, the nutrient factors affecting MCE production was optimized by response surface methodology. The MCE production by B. subtilis (natto) Takahashi was increased significantly by 428% in the optimal medium developed. The MCE was filtered and concentrated by ultrafiltration. The retentate after tandem filtration carried out with the combined membranes of MWCO 50kDa and 5 kDa showed two major bands between 25kDa and 30kDa on SDS-PAGE, and the MCA and MCA/PA improved significantly in comparison with those in the initial broth. The crude enzyme thus obtained showed MCA and MCA/PA ratio of 48,000 SU/g and 6,400, which are commensurate with those (MCA 26,667 SU/g and MCA/PA 6,667) of the commercial rennet. It had optimal pH and temperature at pH 6 and 60°C, and showed excellent pH and thermal stability.

Clinical effects of combined bilateral arm training with functional electrical stimulation in patients with stroke.

Cerebral vascular disease (or stroke) is the main cause of disabilities in adults. Upper-limb dysfunction after stroke usually exists, leading to severe limits of motor capabilities as well as daily activities. Therefore, effective treatment interventions for upper-limb rehabilitation after stroke are needed. Based on the neurophysiological evidence and clinical measures, combined bilateral arm training (BAT) with functional electric stimulation (FES) could improve hand function in stroke patients. In this study, we attempt to combine BAT with FES applying to the post-stroke paretic arm. A linear guide platform with FES feedback control was developed to execute the training of bilateral reaching movements. 35 stroke subjects were recruited and divided into two groups (BAT with FES and BAT alone). 23 participants completed this experiment with 3-week intervention. According to our preliminary results, a favorable trend toward improvement in experimental group (BAT with FES) existed after treatment and at follow-up. Further analysis would be conducted to investigate the kinematic change on motor performance. Moreover, various treatment doses as well as more functional approaches would also be considered for better effects of upper limb rehabilitation after stroke.

A fast approach for level set segmentation / 南方医科大学学报

To propose an optimal level set approach for fast medical image segmentation. By confining the computation quantity of the level sets function and using the image characteristics, we improved the efficiency of segmentation and decreased the parameter setting in some degree for DSA vascular segmentation.