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The Use of Medicinal Herbs by Diabetic Jordanian Patients 约旦糖尿病患者对草药的使用
Pub Date : 2006-01-01 DOI: 10.1080/J157v06n02_03
S. Otoom, Saafan A. Al-Safi, Z. Kerem, A. Alkofahi
Diabetes mellitus is the most common metabolic disorder worldwide. To date, there have been no reports on the frequency of use of herb medicines in the managements of diabetes mellitus in Jordan. This cross-sectional study was conducted by interviewing 310 diabetic patients visiting two medical centers in Jordan: Jordan University of Science & Technology Medical Center and Sarih Medical Center between December 2003 and August 2004. It is found that 31% of interviewed patients have used herbal products (96 patients). The results revealed that the most commonly used herbs by diabetic patients in Jordan were Trigonella foenumgraecum (22.9%), Lupinus albus (14.6%), Alliumm sativum (11.5%), Allium cepa (5.2%), Nigella sativa (7.3%), Zea mays L. (6.3%), Urtica dioica L. (8.3%), Eucalyptus globules LA (9.4%), Olea europea L. (3.1%), Cumminum cyminum (9.4%), Coriandrum sativum (10.4%), Salvia officinalis L. (3.1%), and Tilia cordata (1%). Furthermore, it is found that 47.9% of the patients used herbs according to advice from their friends on a daily basis. The side effects were reported by 36.5% of the patients and include headache, nausea, dizziness, itching, palpitation, and sweating. Among the patients, 72.9% used the herbs as adjunctive therapy along with their anti-diabetic drugs and 80.2% of the patients informed their physicians about their use. A 79.2% of the sample confirmed their intention to re-use these herbs as 86.5% of them were satisfied with their diabetes control. There was a significant relationship between the use of herbs, the patient’s place of residence and his/her level of education. The main conclusion of this survey is that the use of medicinal herbs among diabetic patient in Jordan is common. Therefore, it is essential to increase the level of awareness among diabetic patients and health care providers regarding the efficacy and toxicity of these medicinal herbs.
糖尿病是世界上最常见的代谢性疾病。迄今为止,还没有关于在约旦治疗糖尿病时使用草药频率的报告。本横断面研究是在2003年12月至2004年8月期间访问约旦两个医疗中心:约旦科技大学医疗中心和Sarih医疗中心的310名糖尿病患者进行的。调查发现,有31%的受访患者(96例)使用过草药产品。结果显示,约旦糖尿病患者最常使用的草药依次为三角铃草(22.9%)、白lupus(14.6%)、Allium(11.5%)、Allium cepa(5.2%)、Nigella sativa(7.3%)、玉米(6.3%)、荨麻(8.3%)、桉树(9.4%)、欧洲油橄榄(3.1%)、Cumminum cyminum(9.4%)、芫荽(10.4%)、鼠尾草(3.1%)和天麻(1%)。此外,47.9%的患者根据朋友的建议每天使用草药。36.5%的患者报告了副作用,包括头痛、恶心、头晕、瘙痒、心悸和出汗。72.9%的患者在服用降糖药的同时使用中药作为辅助治疗,80.2%的患者告知医生使用情况。79.2%的人确认他们有意重复使用这些草药,86.5%的人对他们的糖尿病控制感到满意。中药的使用、患者的居住地和受教育程度之间存在显著的关系。本调查的主要结论是,在约旦糖尿病患者中使用草药是常见的。因此,必须提高糖尿病患者和卫生保健提供者对这些草药的功效和毒性的认识水平。
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引用次数: 95
Herb Use Among Health Care Professionals Enrolled in an Online Curriculum on Herbs and Dietary Supplements 在草药和膳食补充剂在线课程中注册的医疗保健专业人员中的草药使用
Pub Date : 2006-01-01 DOI: 10.1080/J157v06n02_05
P. Gardiner, A. Legedza, Charles R. Woods, R. Phillips, K. Kemper
Background: Although many adults in the United States use herbs, little is known about the personal use of herbs by health care professionals (HCPs) and factors associated with use. Methods: We performed a cross-sectional study of HCPs prior to their enrollment in an online course about herbs and dietary supplements between September 2004 and May 2005. We used multivariable logistic regression to analyze demographic and practice factors associated with herb use. Results: Of the 1249 health care professionals surveyed, 51% reported using an herb in the last week. The rates of use were highest among physician assistants or nurse practitioners (PA or NP) (63%), clinical nurses (59%), and HCP students (52%), while physicians (48%), dietitians (40%), and pharmacists (37%) had lower rates. Among health care professionals who reported herb use, the most common herbs taken were green tea (24%), flax seed (18%), chamomile (11%), and aloe vera (8%). Factors associated with herb use included older age, being a nurse, a HCP student, an NP or PA compared with being a physician, being non-Caucasian, living outside of North Carolina and having increased knowledge of herbs and dietary supplements.
背景:尽管美国有许多成年人使用草药,但人们对卫生保健专业人员(HCPs)个人使用草药的情况以及与使用相关的因素知之甚少。方法:在2004年9月至2005年5月期间,我们对参加草药和膳食补充剂在线课程之前的HCPs进行了横断面研究。我们使用多变量逻辑回归分析与草药使用相关的人口统计学和实践因素。结果:在接受调查的1249名卫生保健专业人员中,51%的人报告在上周使用了一种草药。医师助理或执业护士(PA或NP)的使用率最高(63%),临床护士(59%)和HCP学生(52%),而医生(48%),营养师(40%)和药剂师(37%)的使用率较低。在报告使用草药的卫生保健专业人员中,最常见的草药是绿茶(24%),亚麻籽(18%),洋甘菊(11%)和芦荟(8%)。与草药使用相关的因素包括年龄较大,是护士,HCP学生,与医生相比是NP或PA,非高加索人,居住在北卡罗来纳州以外,对草药和膳食补充剂的了解有所增加。
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引用次数: 10
The neuropharmacology of L-theanine(N-ethyl-L-glutamine): a possible neuroprotective and cognitive enhancing agent. l-茶氨酸(n -乙基- l-谷氨酰胺)的神经药理学:一种可能的神经保护和认知增强剂。
Pub Date : 2006-01-01
Pradeep J Nathan, Kristy Lu, M Gray, C Oliver

L-theanine (N-ethyl-L-glutamine) or theanine is a major amino acid uniquely found in green tea. L-theanine has been historically reported as a relaxing agent, prompting scientific research on its pharmacology. Animal neurochemistry studies suggest that L-theanine increases brain serotonin, dopamine, GABA levels and has micromolar affinities for AMPA, Kainate and NMDA receptors. In addition has been shown to exert neuroprotective effects in animal models possibly through its antagonistic effects on group 1 metabotrophic glutamate receptors. Behavioural studies in animals suggest improvement in learning and memory. Overall, L-theanine displays a neuropharmacology suggestive of a possible neuroprotective and cognitive enhancing agent and warrants further investigation in animals and humans.

l-茶氨酸(n -乙基- l-谷氨酰胺)或茶氨酸是绿茶中唯一发现的主要氨基酸。l -茶氨酸历来被报道为一种放松剂,促使人们对其药理学进行科学研究。动物神经化学研究表明,l -茶氨酸增加脑血清素、多巴胺、GABA水平,并对AMPA、Kainate和NMDA受体具有微摩尔亲和力。此外,在动物模型中已被证明可能通过其对1组代谢谷氨酸受体的拮抗作用发挥神经保护作用。对动物的行为研究表明,学习和记忆能力有所提高。总的来说,l -茶氨酸显示出一种神经药理学暗示,可能是一种神经保护和认知增强剂,值得在动物和人类中进一步研究。
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引用次数: 0
Punica granatum (pomegranate) extract is active against dental plaque. 石榴提取物对牙菌斑有效。
Pub Date : 2006-01-01
Silvana M S Menezes, Luciana Nunes Cordeiro, Glauce S B Viana

In the present work, we studied the effect of the hydroalcoholic extract (HAE) from Punica granatum (pomegranate) fruits on dental plaque microorganisms. The study was conducted on 60 healthy patients (33 females and 27 males, with age ranging from 9 to 25 years) using fixed orthodontic appliances, and randomly distributed into 3 groups of 20 patients each. The first group (control) used distilled water, while the second and third groups used chlorhexidine (standard) and HAE as mouth-rinses, respectively. The dental plaque material was collected from each patient, before and after a 1-min mouth-rinse with 15 ml of either distilled water, chlorhexidine or HAE. In both dental plaque collections, the material was removed from patients without oral hygiene, for 24 h (no tooth brushing). Dental plaque samples were diluted in phosphate buffered saline (PBS) plated on Mueller-Hinton agar, and incubated for 48 h, at 37 degrees C. Results, expressed as the number of colony forming units per milliliter (CFU/mL), show that the HAE was very effective against dental plaque microorganisms, decreasing the CFU/ml by 84% (CFU x 10(5)), before mouth-rinse: 154.0 +/- 41.18; after mouthrinse: 25.4 +/- 7.76). While similar values were observed with chlorhexidine, used as standard and positive control (79% inhibition), only an 11% inhibition of CFU/ml was demonstrated in the distilled water group, negative control (CFU x 10(5)), before mouth-rinse: chlorhexidine, 208.7 +/- 58.81 and distilled water, 81.1 +/- 10.12; after mouth-rinse: chlorhexidine, 44.0 +/- 15.85 and distilled water, 71.9 +/- 8.68). The HAE presented also an antibacterial activity against selected microorganisms, and may be a possible alternative for the treatment of dental plaque bacteria.

在本研究中,我们研究了石榴果实水酒精提取物(HAE)对牙菌斑微生物的影响。研究对象为60例使用固定正畸器的健康患者,其中女性33例,男性27例,年龄9 ~ 25岁,随机分为3组,每组20例。第一组(对照组)使用蒸馏水,第二组和第三组分别使用氯己定(标准)和HAE作为漱口水。在每位患者用15ml蒸馏水、氯己定或HAE漱口1分钟前后,收集牙菌斑材料。在两种牙菌斑收集中,在没有口腔卫生的情况下将材料从患者身上取出24小时(不刷牙)。将牙菌斑样品在muller - hinton琼脂上的磷酸盐缓冲盐水(PBS)中稀释,并在37℃下孵育48小时。结果,以每毫升菌落形成单位(CFU/mL)表示,表明HAE对牙菌斑微生物非常有效,减少了84%的CFU/mL (CFU × 10(5)),漱口前:154.0 +/- 41.18;漱口后:25.4±7.76)。用氯己定作为标准品和阳性对照(抑制率79%)观察到相似的值,但在漱口前用蒸馏水组(CFU × 10(5))对CFU/ml的抑制率仅为11%:氯己定为208.7 +/- 58.81,蒸馏水为81.1 +/- 10.12;漱口后:洗必泰,44.0 +/- 15.85,蒸馏水,71.9 +/- 8.68。HAE还显示出对特定微生物的抗菌活性,可能是治疗牙菌斑细菌的一种可能的替代方法。
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引用次数: 0
Analysis of Ephedra-Free Labeled Dietary Supplements Sold in the San Francisco Bay Area in 2003 2003年在旧金山湾区销售的无麻黄标签膳食补充剂的分析
Pub Date : 2006-01-01 DOI: 10.1080/J157V06N02_01
J. Tam, C. Dennehy, R. Ko, C. Tsourounis
Objective: To sample dietary supplements (DS) labeled as ephedra-free to evaluate whether products met their labeling claim. Methods: One control DS product containing ephedra alkaloids and 29 DS labeled as ephedra-free were purchased from various retail locations in San Francisco. All products were sent to the California Department of Health Services (CDHS), Food and Drug Laboratory for content and quantity analysis. All laboratory personnel were blinded to product names and labeled contents. All DS products were screened for the presence of undeclared drugs, ephedra alkaloids, and heavy metals including lead, arsenic, cadmium and mercury. All products were also evaluated for compliance with the labeling requirements of the Dietary Supplement Health and Education Act (DSHEA) of 1994. Results: None of the DS labeled as ephedra-free tested positive for the presence of ephedra alkaloids; as expected, the control product did test positive. Heavy metals were detected in three ephedra-free labeled DS products. All 24 products that tested positive for caffeine listed caffeine or a botanical source of caffeine on the DS label. All but two products were in compliance with DS labeling as required by DSHEA. Conclusions: This study demonstrates that manufacturers met their labeling claims for ephedra-free products. Special attention should be given to the presence of heavy metals and other drugs like caffeine, synephrine, and botanical sources of caffeine as these ingredients have replaced ephedra.
目的:对标记为不含麻黄的膳食补充剂进行抽样,以评估产品是否符合其标签要求。方法:从旧金山各零售场所购买1种含麻黄生物碱的对照DS产品和29种不含麻黄的DS产品。所有产品被送往加州卫生服务部(CDHS)食品和药物实验室进行含量和数量分析。所有实验室人员都不知道产品名称和标签内容。所有DS产品都经过筛选,以检查是否存在未申报的药物、麻黄生物碱以及铅、砷、镉和汞等重金属。所有产品也被评估是否符合1994年膳食补充剂健康和教育法(DSHEA)的标签要求。结果:无麻黄标签的DS均未检出麻黄生物碱;正如预期的那样,对照产品确实检测呈阳性。在三种不含麻黄标签的DS产品中检测出重金属。所有24种咖啡因检测呈阳性的产品都在DS标签上列出了咖啡因或咖啡因的植物来源。除两款产品外,其余产品均符合DSHEA要求的DS标签。结论:本研究表明,制造商符合他们的标签声称麻黄无产品。应该特别注意重金属和其他药物的存在,如咖啡因、辛弗林和植物来源的咖啡因,因为这些成分已经取代了麻黄。
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引用次数: 7
Antioxidant Activity of Pepticare, an Herbomineral Formulation, in Experimentally Induced Renal and Cardiac Damage 肽康,一种草药制剂,在实验性诱导的肾和心脏损伤中的抗氧化活性
Pub Date : 2006-01-01 DOI: 10.1080/J157v06n01_01
P. Bafna, R. Balaraman
Pepticare, a herbomineral formulation, was administered orally to rats at the dose levels of 125,250,500 and 1000 mg/kg to investigate its effect on isoproterenol-induced myocardial infarction and cisplatin-induced renal damage. The drug reduced the levels of serum creatine kinase (CK), glutamic oxaloacetate transaminase (GOT), lactate dehydrogenase (LDH) and uric acid in isoproterenol-induced cardiac damage. In cisplatin-induced renal damage, Pepticare reduced the serum levels of creatinine, urea, blood urea nitrogen (BUN) and uric acid. It was further found that administration of Pepticare increased the levels of superoxide dismutase (SOD), catalase (CAT), reduced glutathione (GSH), membrane bound enzymes like Ca2+ ATPase, Mg2+ ATPase and Na+ K+ATPase and decreased lipid peroxidation (MDA) in heart and kidney, respectively. Thus it can be concluded that Pepticare possesses antioxidant activity and protects the heart and kidney from damage caused by isoproterenol and cisplatin, respectively.
采用125,250,500和1000 mg/kg给药大鼠,观察其对异丙肾上腺素致心肌梗死和顺铂致肾损害的影响。该药可降低异丙肾上腺素致心脏损伤患者血清肌酸激酶(CK)、谷草酰乙酸转氨酶(GOT)、乳酸脱氢酶(LDH)和尿酸水平。在顺铂引起的肾损害中,Pepticare降低了血清肌酐、尿素、血尿素氮(BUN)和尿酸水平。进一步发现,Pepticare增加了心脏和肾脏中超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、还原性谷胱甘肽(GSH)、Ca2+ atp酶、Mg2+ atp酶和Na+ K+ atp酶等膜结合酶的水平,降低了脂质过氧化(MDA)。由此可见,Pepticare具有抗氧化活性,可保护心脏和肾脏免受异丙肾上腺素和顺铂的损伤。
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引用次数: 7
Colon cleansing: a popular, but misunderstood natural therapy. 结肠清洁:一种流行但被误解的自然疗法。
Pub Date : 2006-01-01
Steven Horne

Intestinal inflammation and leaky gut syndrome can be at the root of many health problems. Colon cleansing is a popular therapy among alternative practitioners, but many myths surround it. The scientifically inaccurate way many traditional healers try to explain therapeutic mechanisms is one of the obstacles that inhibits dialog between traditional healers and practitioners of modern medicine. The therapy actually has clinical value, but the explanations used to promote the therapies are the stuff of herbal legends, not scientific fact. The concept of cleansing is actually a metaphorical explanation for a therapy that improves detoxification via the liver and gastrointestinal tract and reduces inflammation or irritation to mucous membranes of the GI tract.

肠道炎症和漏肠综合征可能是许多健康问题的根源。结肠清洗是一种很流行的治疗方法,但围绕它有很多误解。许多传统治疗师试图解释治疗机制的方式在科学上是不准确的,这是阻碍传统治疗师和现代医学从业者之间对话的障碍之一。这种疗法实际上具有临床价值,但用于推广这种疗法的解释是草药传说,而不是科学事实。清洁的概念实际上是对一种疗法的隐喻性解释,这种疗法通过肝脏和胃肠道改善排毒,减少对胃肠道粘膜的炎症或刺激。
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引用次数: 0
Agave (Agave americana): an evidence-based systematic review by the natural standard research collaboration. 龙舌兰(Agave americana):自然标准研究合作的循证系统评价。
Pub Date : 2006-01-01
Dana A Hackman, Nicole Giese, John S Markowitz, Adam McLean, Steven G Ottariano, Chris Tonelli, Wendy Weissner, Shannon Welch, Catherine Ulbricht

An evidence-based systematic review including written and statistical analysis of scientific literature, expert opinion, folkloric precedent, history, pharmacology, kinetics/dynamics, interactions, adverse effects, toxicology, and dosing.

以证据为基础的系统评价,包括对科学文献、专家意见、民间先例、历史、药理学、动力学/动力学、相互作用、不良反应、毒理学和剂量的书面和统计分析。
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引用次数: 0
Effects of extracts of lupine seed on blood glucose levels in glucose resistant mice: antihyperglycemic effects of Lupinus albus (white lupine, Egypt) and Lupinus caudatus (tailcup lupine, Mesa Verde National Park). 羽扇豆种子提取物对葡萄糖抵抗小鼠血糖水平的影响:白色羽扇豆(埃及)和尾羽扇豆(尾羽扇豆,梅萨维德国家公园)的降糖作用。
Pub Date : 2006-01-01 DOI: 10.1080/j157v06n03_04
Kathryn T Knecht, Hoa Nguyen, Adrienne D Auker, David H Kinder

Lupine is a medicinal food plant with potential value in the management of diabetes. In white mice, extracts of seeds of the white lupine [Lupinus albus (L. termis L.)] were associated with increased tolerance to an oral glucose bolus. Antihyperglycemic activity was present in extracts of the whole seed but not extracts of the seed coat, and was not detected when glucose was administered intraperitoneally rather than orally. However, in contrast to results seen with the prescription drug, acarbose, lupine extract did not appear to increase the bulk or carbohydrate content of the feces. Antihyperglycemic activity was also seen in extracts of the tailcup lupine (L. caudatus) found in the Four Corners Region of the United States.

羽扇豆属药用食品植物,在糖尿病治疗中具有潜在价值。在小白鼠中,白色羽扇豆种子的提取物(Lupinus albus (L. termis L.))与口服葡萄糖丸耐受性增加有关。抗高血糖活性存在于整个种子的提取物中,而不存在于种皮的提取物中,并且当葡萄糖被腹腔而不是口服给药时没有检测到。然而,与处方药物阿卡波糖相比,羽扇豆提取物似乎并没有增加粪便的体积或碳水化合物含量。在美国四角地区发现的尾杯羽扇豆(L. caudatus)提取物中也发现了抗高血糖活性。
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引用次数: 25
Marigold (Calendula officinalis L.): an evidence-based systematic review by the Natural Standard Research Collaboration. 金盏花(Calendula officinalis L.):自然标准研究合作组织的循证系统评价。
Pub Date : 2006-01-01 DOI: 10.1080/j157v06n03_08
Ethan Basch, Steve Bent, Ivo Foppa, Sadaf Haskmi, David Kroll, Michelle Mele, Philippe Szapary, Catherine Ulbricht, Mamta Vora, Sophanna Yong

An evidence-based systematic review including written and statistical analysis of scientific literature, expert opinion, folkloric precedent, history, pharmacology, kinetics/dynamics, interactions, adverse effects, toxicology and dosing.

以证据为基础的系统评价,包括对科学文献、专家意见、民间先例、历史、药理学、动力学/动力学、相互作用、不良反应、毒理学和剂量的书面和统计分析。
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引用次数: 5
期刊
Journal of herbal pharmacotherapy
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