Economic evaluation of treating herpes zoster with various methods of acupuncture and moxibustion.

OBJECTIVE: To analyze the cost effect of surrounding acupuncture plus electric acupuncture, cotton-sheet moxibustion, puncturing with red-hot needles, tapping plus cupping on herpes zoster. METHODS: Five hundred patients with herpes zoster were randomly divided into group A (surrounding acupuncture plus electric acupuncture), group B (cotton-sheet moxibustion), group C (puncturing with red-hot needles), group D (tapping plus cupping), and group E (Western medicine). The treatment was carried out twice a day in group E and once a day in the other four groups. The curative effect was observed on the 10th day of treatment; the cost was calculated for the five therapies, and the cost-effect ratio (C/E) and increment ratio (delta C/delta E) were analyzed. RESULTS: After the 10-day treatment, there was no statistical difference (P > 0.05) in the curative effect among the five groups. Pain being alleviated one day faster than in group E amounted to a saving of RMB 21.90 yuan in group A, a saving of RMB 21.87 yuan in group B, a saving of RMB 26.00 yuan in group C, and a saving of RMB 20.23 yuan in group D. Compared with group C, the values of delta C/delta E were RMB 1.55, 2.81, and 0.21 yuan in groups A, B, and D, respectively. CONCLUSIONS: The curative effect in groups A, B, C, and D was similar to that in group E, but the C/E was better than in group E.

Responses of Mikania micrantha, an invasive weed to elevated CO2: induction of ß-caryophyllene synthase, changes in emission capability and allelopathic potential of ß-caryophyllene.

To better understand the effect of predicted elevated levels of carbon dioxide (CO2) on an invasive weed Mikania micrantha, we constructed a suppressive subtractive hybridization (SSH) library from the leaves of M. micrantha exposed to CO2 at 350 and 750 ppm for 6 d, and isolated a novel gene named ß-caryophyllene synthase. ß-Caryophyllene synthase catalyses the conversion of farnesyl diphosphate to ß-caryophyllene, a volatile sesquiterpene with allelopathic potential. Real-time PCR analysis revealed that gene expression of ß-caryophyllene synthase in M. micrantha leaves was strongly induced in response to elevated CO2. Gas chromatography-mass spectrometry (GC-MS) and gas chromatography (GC) analyses showed that emission levels of ß-caryophyllene from leaves of M. micrantha increased when exposed to 750 ppm CO2. Bioassays showed that phytotoxicity of ß-caryophyllene against Raphanus sativus, Brassica campestris, Lactuca sativa, and M. micrantha was dose-dependent and varied with the receptor plants and concentrations of CO2. ß-Caryophyllene displayed higher phytotoxic effects at 750 ppm than those at 350 ppm CO2, especially on R. sativus. These results suggest that elevated atmospheric CO2 levels may enhance biosynthesis and phytotoxicity of allelochemicals in M. micrantha, one of the worst invasive weeds in the world, which in turn might enhance its potential allelopathic effect on neighboring native plants if released in bioactive concentrations. Further investigations are required to determine the adaptive responses of both invasive and native plants to a gradual increase of atmospheric CO2 to 750 ppm predicted over a 100 year period.

[A study on differences of curative effects of acupuncture and nCPAP for treatment of OSAHS].

OBJECTIVE: To compare curative effects of acupuncture and nasal continuous positive airway pressure (nCPAP) on obstructive sleep apnea-hypopnea syndrome(OSAHS), and to explore the characteristics and advantages of acupuncture in treatment of this disease. METHODS: Sixty-six cases of OSAHS were randomly divided into an acupuncture group (n = 44) treated by acupuncture at Lianquan (CV 23) and Tianrong (SI 17) etc., and a nCPAP group (n = 22) treated by nCPAP. Indexes of respiration, blood oxygen and sleep were monitored before, during and after treatment. RESULTS: Compared with those before treatment, no significant differences of these indexes were found in the acupuncture group during treatment (P > 0.05), but hypopnea index (HI), apnea-hypopnea index (AHI), the maximal apnea duration, the maximal hypopnea duration, sleep time spent when SaO2 was below 90% (SaO2 < 90%T) and the microarousal index improved significantly at the end of treatment (P < 0.05 or P < 0.01); while all the indexes improved significantly in the nCPAP group during treatment (P < 0. 01), but the therapeutic effect was not maintained at the end of treatment with no significant difference as compared with those before treatment. The therapeutic effect in the nCPAP group was better than that in the acupuncture group during the treatment (P < 0.05 or P < 0.01), but no significant difference of the therapeutic effect was found between the two groups at the end of treatment (P > 0.05). CONCLUSION: The therapeutic effect of nCPAP on OSAHS produces during treatment and the therapeutic effect of acupuncture produces after treatment, indicating they possibly have different mechanisms.