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| 1 | Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management-White Paper 2017显示文摘The United States(U.S.) is facing a national opioid epidemic, and medical systems are in need of nonpharmacologic strategies that can be employed to decrease the public's opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture's cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, andneonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successful y and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care. | arthur yin fan david w.miller bonnie bolash matthew bauer john mcdonald sarah faggert hongjian he yong ming li amy matecki lindy camardella mel hopper koppelman jennifer a.m.stone lindsay meade john pang | 2017 | Journal of Integrative Medicine2017，15，6： | 29 |
| 2 | Dietary stimulation of the endogenous somatotropic axis in weaner and growerfinisher pigs using medium chain triglycerides and cysteamine hydrochloride显示文摘Background: Three experiments were conducted to examine the overall hypothesis that addition of medium chain triglycerides(MCT) and cysteamine hydrochloride(CSH) into the diets of young and growing pigs would stimulate the endogenous somatotropic axis to improve growth and performance.Results: In Experiment 1, weaner pigs were given either a 5 d dietary supplement of 5 % MCT(n = 8) or a control diet(n = 8). MCT increased the plasma concentration of growth hormone(GH; P < 0.05) and the GH secretagogue,ghrelin(P < 0.05). Additionally, the MCT treatment reduced scouring(P < 0.05), maintained villous height in the small intestine(P < 0.05) and stabilised daily weight gain(P < 0.05), compared to the controls. Experiment 2compared the effects of 4 levels(0, 1, 3 and 6 % v/v) of MCT supplementation in grower-finisher male pigs, of approximately 35 kg live weight(n = 15 per treatment). Blood samples taken after 7 wk of treatment showed that the MCT supplementation increased circulating ghrelin(P < 0.001), GH(P < 0.01) and insulin(P < 0.05)concentrations in a dose-dependent manner. Daily weight gain, feed intake and feed conversion ratio were not affected by the MCT diets. In Experiment 3, 64 female pigs of approximately 60 kg live weight were allocated to one of three dietary treatments: control(n = 20); 6 % MCT(n = 21); and 70 mg/kg CSH(n = 21). After 3 wk of supplementation, the MCT treated pigs had a higher plasma concentration of ghrelin compared to the control and CSH pigs(P < 0.05). Plasma concentrations of GH and weight were not affected by any of the dietary treatments.Conclusions: Evidence is provided in Experiment 1 to support the use of dietary MCT supplements, perhaps acting via stimulation of somatotropic endocrine pathways, to minimise weaning-associated disorders such as slowing of growth and diarrhoea. In Experiments 2 and 3, although there was no effect on weight gain or feed conversion ratio in either experiment, MCT and CSH increased endocrine components of the somatotropic axis. | David W.Miller Zoe Prosser Edward Y.W.Chee Christian F.Hansen Frank R.Dunshea Bruce P.Mullan John R.Pluske | 2017 | Journal of Animal Science and Biotechnology2017，8，2： | 3 |
| 3 | Effect of mucin 4 allele on susceptibility to experimental infection with enterotoxigenic F4 Escherichia coli in pigs fed experimental diets显示文摘Background: This study investigated the validity of the DNA-marker based test to determine susceptibility to ETECF4 diarrhoea by comparing the results of two DNA sequencing techniques in weaner pigs following experimental infection with F4 enterotoxigenic Escherichia coli(ETEC-F4). The effects of diet and genetic susceptibility were assessed by measuring the incidence of piglet post-weaning diarrhoea(PWD), faecal E. coli shedding and the diarrhoea index.Results: A DNA marker-based test targeting the mucin 4 gene(MUC4) that encodes F4 fimbria receptor identified pigs as either fully susceptible(SS), partially or mildly susceptible(SR), and resistant(RR) to developing ETEC-F4 diarrhoea. To further analyse this, DNA sequencing was undertaken, and a significantly higher proportion of C nucleotides was observed for RR and SR at the Xba I cleavage site genotypes when compared to SS. However, no significant difference was found between SR and RR genotypes. Therefore, results obtained from Sanger sequencing retrospectively allocated pigs into a resistant genotype(MUC4–), in the case of a C nucleotide, and a susceptible genotype(MUC4+), in the case of a G nucleotide, at the single nucleotide polymorphism site. A total of 72 weaner pigs(age ~ 21 days), weighing 6.1 ± 1.2 kg(mean ± SEM), were fed 3 different diets:(i) positive control(PC) group supplemented with 3 g/kg zinc oxide(Zn O),(ii) negative control(NC) group(no Zn O or HAMSA),and(iii) a diet containing a 50 g/kg high-amylose maize starch product(HAMSA) esterified with acetate. At days five and six after weaning, all pigs were orally infected with ETEC(serotype O149:F4;toxins LT1, ST1, ST2 and EAST). The percentage of pigs that developed diarrhoea following infection was higher(P = 0.05) in MUC4+ pigs compared to MUC4– pigs(50% vs. 26.8%, respectively). Furthermore, pigs fed Zn O had less ETEC-F4 diarrhoea(P = 0.009) than pigs fed other diets, however faecal shedding of ETEC was similar(P > 0.05) between diets.Conclusion: These results confirm that MUC4+ pigs have a higher prevalence of ETEC-F4 diarrhoea following exposure, and that pigs fed Zn O, irrespective of MUC4 status, have reduced ETEC-F4 diarrhoea. Additionally,sequencing or quantifying the single nucleotide polymorphism distribution at the Xba I cleavage site may be more reliable in identifying genotypic susceptibility when compared to traditional methods. | Samantha O.Sterndale Danica J.Evans Josephine P.Mansfield Julie Clarke Shafi Sahibzada Sam Abraham Mark O’Dea David W.Miller Jae Cheol Kim John R.Pluske | 2019 | Journal of Animal Science and Biotechnology2019，10，4： | 0 |
| 4 | 日粮中添加中链甘油三酯和半胱胺酸盐对断 奶仔猪和生长育肥猪内源性生长轴的影响显示文摘该文通过3个试验来检验总体假设,即在仔猪和生长猪的日粮中添加中链甘油三酯(MCT)和半胱胺酸盐(CSH)将会刺激其内源性生长轴,从而改善其生长和性能。试验1结果显示:日粮中添加MCT增加了断奶仔猪血浆中生长激素(GH)(P<0.05)和生长激素促分泌素(Ghrelin)的浓度(P<0.05)。此外,与对照组相比,MCT处理组减少了仔猪腹泻(P<0.05),维持了其小肠绒毛高度(P<0.05)且仔猪日增重稳定(P<0.05)。试验2结果显示,MCT的添加增加了生长激素促分泌素(Ghrelin)(P<0.001)、GH(P<0.01)和胰岛素(P<0.05)的浓度,且呈现出剂量依赖性;而日粮中添加MCT对猪只的日增重、采食量和饲料转化率无影响。试验3结果显示,饲喂3周后,与对照组和CSH处理组相比,MCT处理组的猪只血浆Ghrelin浓度明显升高(P<0.05),而血浆GH浓度和体重则不受任何处理的影响。结论:试验1的结果表明日粮中添加MCT,可能是通过刺激生长激素内分泌途径将断奶相关病症(例如生长迟缓和腹泻)降到最低。在试验2和试验3中,尽管MCT和CSH的添加对猪只的增重或饲料转化率没有影响,但是增加了其生长轴的内分泌组分。 | 孟春春(译) david w.miller zoe prosser edward y.w.chee christian f.hansen frank r.dunshea bruce p.mullan john r.pluske | 2016 | 猪业科学2016，33，12： | 0 |
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