The objective of this paper was to review recent studies on nutrient synchrony and the effects of synchronization of energy and N supply in the rumen on nitrogen utilization and animal performance. Theoretically, synchronization of energy and N supply in the rumen should allow more efficient use of nutrients by rumen microbes, increase microbial protein and fermentation end products, and thus increase available nutrients in the small intestine. Efficient use of nutrients possibly improves animal performance and reduces nutrient excretion to the environment. However, a number of studies showed contradictory results in microbial protein synthesis, nitrogen retention and animal production performance. Since there are additional challenges to nutrient synchrony that must be addressed, further research is required to apply the nutrient synchrony concept directly to the field situation.
Objective. To identify the optimum treatment protocol for insomnia among auricular, body, and abdominal needling methods. Methods. A three-factor (3 needling protocols) and three-level experimental scheme was designed based on orthogonal method. 54 patients of insomnia differentiated as internal harassment of phlegm-heat syndrome were given two courses of acupuncture treatment (each with 20 times of acupuncture). The therapeutic effects were evaluated by comparing the Pittsburgh sleep quality index (PSQI), Hamilton Depression Scale (HAMD) scores, and Hamilton Anxiety Scale (HAMA) scores of patients before treatment, after one course of treatment, and after two courses of treatment as well as one month after treatment. Results. Body, auricular, and abdominal acupuncture treatments all alleviated symptoms of insomnia, depression, and anxiety, but body and auricular acupuncture had stronger therapeutic effects. Conclusions. Body acupuncture at basic points shall be given priority in protocol selection for insomnia. The second-best choice is auricular acupuncture with basic points combined with points based on Traditional Chinese Medicine (TCM) theories. Abdominal needling with very quick effect can be an alternative protocol with basic points combined with syndrome differentiation points.
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