1.Efficacy of Home Tele-rehabilitation Guidance on Activities of Daily Living and Motor Function in Patients after Cerebral Infarction
Jiong LI ; Liqing WU ; Shuling SHANG ; Linghai MENG ; Jingbo QI
Chinese Journal of Rehabilitation Theory and Practice 2011;17(9):887-888
Objective To observe the effects of the home tele-rehabilitation guidance on activities of daily living and motor function in patients after cerebral infarction. Methods 101 cases with cerebral infarction at recovery stage were divided into control (n=50) and rehabilitation (n=51) group. The rehabilitation group received home tele-rehabilitation guidance. They were assessed with the Barthel index (BI) and the simplified Fugl-Meyer assessment (FMA) before and 3 month after treatment. Results There is no significant difference in both the BI and FMA between these groups before treatment, and the rehabilitation group improved more after treatment (P<0.05). ConclusionHome tele-rehabilitation guidance can facilitate the recovery of activities of daily living and motor function in cerebral infarction patients.
2.Keap1-tat peptide attenuates oxidative stress damage in hippocampal CA1 region and learning and memory deficits following global cerebral ischemia
Jingyi TU ; Ying ZHU ; Shuling SHANG ; Xi ZHANG ; Hui TANG ; Ruimin WANG
Journal of Peking University(Health Sciences) 2016;48(1):154-159
Objective:To design Keap1-tat peptide and explore its neuroprotective role on hipocampal CA1 neuron,as well as the effect on spacial learning and memory function following global cerebral ische-mia.Methods:Adult male Sprague Dawley (SD)rats were subjected to global cerebral ischemia (GCI) by four-vessel occlusion for 1 5 min and randomly divided into five groups:sham,sham+Keap1-tat,is-chemia/reperfusion (I/R),Keap1-tat peptide-and vehicle-administrated groups.For Keap1-tat or vehi-cle groups,the rats were treated with Keap1-tat (30,50,1 00 μg in 5 μL 0.9%saline)or the same vo-lume vehicle by intracerebroventricular injection (icv)30 min prior to ischemia.Cresyl violet staining was used to observe the surviving neurons and 4-hydroxy-2-noneal (4-HNE ) and 8-hydroxy-2′-deox-yguanosine (8-OHdG)immunostaining were used to detect the change of markers response to oxidative stress in hippocampal CA1 region.The spatial learning and memory function of the rats was evaluated using Morris water maze.Results:Compared with sham group,the number of surviving neurons in ische-mia-reperfusion and vehicle groups significantly decreased in the hippocampal CA1 region (P<0.05 ), while administration of Keap1-tat significantly decreased the damage following GCI (P<0.05),and the dose of 50 μg existed the most effective neuroprotective role.Furthermore,immunostaining intensity of 4-HNE and 8-OHdG,markers of oxidative stress damage attenuated by Keap1-tat peptide as compared with vehicle group in CA1 region.Of significant interest,the time of finding underwater platform in Keap1-tat group animals was significantly short,and after removing the platform,the probe time of Keap1-tat group animals in the original quadrant where the platform was significantly increased compared with that of vehi-cle and I/R group animals (P<0.05).Conclusion:Keap1-tat peptide can effectively attenuate neuro-nal damage in hippocampal CA1 region and improve learning and memory function,which might bedue to the attenuation of oxidative stress caused by GCI.
3.Reflection on the Discipline Construction of Traditional Chinese Medicine Cardio-Oncology
Kaige ZHANG ; Liangzhen YOU ; Shuling LIU ; Qianqian XU ; Hongcai SHANG
Journal of Traditional Chinese Medicine 2024;65(13):1313-1317
Cardio-oncology is an emerging cross-discipline, which has received extensive attention and rapid development at home and abroad in recent years, while the construction of related disciplines in the field of traditional Chinese medicine (TCM) is still in its initial stage. By sorting out the construction of oncology and cardiology related disciplines at home and abroad at this stage, and clarifying the significance and main research contents of the discipline, it is proposed that the construction of TCM related disciplines should be oriented to the four main aspects, including clinical practice, scientific research, talent training and promotion of cultural characteristics. Therefore, actively carrying out multidisciplinary crossing, cultivating related professional talent team, and forming TCM diagnosis and treatment guidelines or consensus to support clinical practice is the essential foundation for the construction of TCM cardio-oncology discipline. Meanwhile, fully exploring the characteristics and advantages of TCM is the key to the construction process of the discipline, such as writing and summarising and analysing relevant high-quality clinical case reports of TCM for evidence-based optimisation, as well as widely applying the concept of "treating disease before it arises" of TCM characteristics to the clinical prevention and treatment of the relevant diseases and scientific research, etc., so as to comprehensively guarantee the development of the discipline of TCM cardio-oncology.