Analysis of Characteristics and Meteorological Influencing Factors of Air Pollution in Luojiang District,Deyang City

Based on the monitoring data of ambient air quality and meteorological observation data,the characteristics and meteorological influencing factors of air pollution in Luojiang District of Deyang City from 2018 to 2022 were analyzed.The results show that from 2018 to 2022,the main air pollutants affecting the air quality of Luojiang District of Deyang City were PM_(2.5) and PM_(10),and the primary pollutant on heavy pollution days was basically PM_(2.5).PM_(2.5) and PM_(10) pollution showed obvious seasonal differences,and PM_(2.5) concentration exceeded the limit mainly in spring and winter,among which it was the most serious in early spring,especially in January and February,followed by December.PM_(10) exceeding the standard had a high seasonal correlation with PM_(2.5) exceeding the standard,mainly in spring and winter,among which it was the most serious in winter,especially in December,followed by January.PM_(2.5) and PM_(10) pollution showed an overall weakening trend.PM_(2.5) and PM_(10) concentration were closely related to meteorological factors such as temperature,relative humidity,wind speed,precipitation and air pressure,and were mainly affected by rainfall.

Coordinated responses of leaf and nodule traits contribute to the accumulation of N in relay intercropped soybean

Maize(Zea mays L.)-soybean(Glycine max L.Merr.)relay intercropping provides a way to enhance land productivity.However,the late-planted soybean suffers from shading by the maize.After maize harvest,how the recovery growth influences the leaf and nodule traits remains unclear.A three-year field experiment was conducted to evaluate the effects of genotypes,i.e.,supernodulating(nts1007),Nandou 12(ND12),and Guixia 3(GX3),and crop configurations,i.e.,the interspecific row spacing of 45(I45),60(I60),75 cm(I75),and sole soybean(SS),on soybean recovery growth and N fixation.The results showed that intercropping reduced the soybean total leaf area(LA)by reducing both the leaf number(LN)and unit leaflet area(LUA),and it reduced the nodule dry weight(NW)by reducing both the nodule number(NN)and nodule diameter(ND)compared with the SS.The correlation and principal component analysis(PCA)indicated a co-variability of the leaf and nodule traits in response to the genotype and crop configuration interactions.During the recovery growth stages,the compensatory growth promoted soybean growth to reduce the gaps of leaf and nodule traits between intercropping and SS.The relative growth rates of ureide(RGR_U)and nitrogen(RGR_N)accumulation were higher in intercropping than in SS.Intercropping achieved more significant sucrose and starch contents compared with SS.ND12 and GX3 showed more robust compensatory growth than nts1007 in intercropping.Although the recovery growth of relay intercropping soybean improved biomass and nitrogen accumulation,ND12 gained a more significant partial land equivalent ratio(pLER)than GX3.The I60 treatment achieved more robust compensation effects on biomass and N accumulation than the other configurations.Meanwhile,I60 showed a higher nodule sucrose content and greater shoot ureide and N accumulation than SS.Finally,intercropping ND12 with maize using an interspecific row spacing of 60 cm was optimal for both yield advantage and N accumulation.

Ascertaining the influences of auxiliary qubits on the Einstein–Podolsky–Rosen steering and its directions

Einstein–Podolsky–Rosen(EPR) steering is an example of nontrivial quantum nonlocality and characteristic in the non-classical world.The directivity(or asymmetry) is a fascinating trait of EPR steering,and it is different from other quantum nonlocalities.Here,we consider the strategy in which two atoms compose a two-qubit X state,and the two atoms are owned by Alice and Bob,respectively.The atom of Alice suffers from a reservoir,and the atom of Bob couples with a bit flip channel.The influences of auxiliary qubits on EPR steering and its directions are revealed by means of the entropy uncertainty relation.The results indicate that EPR steering declines with growing time t when adding fewer auxiliary qubits.The EPR steering behaves as damped oscillation when introducing more auxiliary qubits in the strong coupling regime.In the weak coupling regime,the EPR steering monotonously decreases as t increases when coupling auxiliary qubits.The increases in auxiliary qubits are responsible for the fact that the steerability from Alice to Bob(or from Bob to Alice) can be more effectively revealed.Notably,the introductions of more auxiliary qubits can change the situation that steerability from Alice to Bob is certain to a situation in which steerability from Bob to Alice is certain.

Mott Gap Filling by Doping Electrons through Depositing One Sub-Monolayer Thin Film of Rb on Ca_(2)CuO_(2)Cl_(2)

Understanding the doping evolution from a Mott insulator to a superconductor probably holds the key to resolve the mystery of unconventional superconductivity in copper oxides. To elucidate the evolution of the electronic state starting from the Mott insulator, we dose the surface of the parent phase Ca_(2)CuO_(2)Cl_(2) by depositing Rb atoms, which are supposed to donate electrons to the CuO_(2) planes underneath. We successfully achieved the Rb sub-monolayer thin films in forming the square lattice. The scanning tunneling microscopy or spectroscopy measurements on the surface show that the Fermi energy is pinned within the Mott gap but close to the edge of the charge transfer band. In addition, an in-gap state appears at the bottom of the upper Hubbard band(UHB), and the Mott gap will be significantly diminished. Combined with the Cl defect and the Rb adatom/cluster results, the electron doping is likely to increase the spectra weight of the UHB for the double occupancy. Our results provide information to understand the electron doping to the parent compound of cuprates.

Analysis of the Current Situation of Stigma Among Elderly Hemodialysis Patients and its Influencing Factors

Objective:To understand the current situation of stigma among elderly hemodialysis patients and to analyze its influencing factors.Methods:Convenience sampling was used to select 242 elderly patients undergoing hemodialysis in one of the two tertiary hospitals in Mianyang City.The survey was carried out from December 2022 to March 2023,with the Basic Information Questionnaire,the Social Influence Scale,and the Collaborative Social Support Scale.All influencing factors were analyzed by correlation analysis,univariate analysis,and multiple linear regression.Results:The average stigma score among elderly hemodialysis patients was 72.94±9.58,and the influencing factors of stigma among elderly hemodialysis patients were determined to be social support and economic status(P<0.05).Conclusion:The occurrence of stigma among elderly hemodialysis patients was at a moderate to high level,and the influencing factors were mainly economic status and social support.To reduce the occurrence of stigma in elderly hemodialysis patients,appropriate economic support from families and social support from medical personnel are needed.

Multidisciplinary strategies to enhance therapeutic effects of flavonoids from Epimedii Folium:Integration of herbal medicine,enzyme engineering,and nanotechnology

Flavonoids such as baohuoside I and icaritin are the major active compounds in Epimedii Folium(EF)and possess excellent therapeutic effects on various diseases.Encouragingly,in 2022,icaritin soft capsules were approved to reach the market for the treatment of hepatocellular carcinoma(HCC)by National Medical Products Administration(NMPA)of China.Moreover,recent studies demonstrate that icaritin can serve as immune-modulating agent to exert anti-tumor effects.Nonetheless,both production efficiency and clinical applications of epimedium flavonoids have been restrained because of their low content,poor bioavailability,and unfavorable in vivo delivery efficiency.Recently,various strategies,including enzyme engineering and nanotechnology,have been developed to increase productivity and activity,improve delivery efficiency,and enhance therapeutic effects of epimedium flavonoids.In this review,the structure-activity relationship of epimedium flavonoids is described.Then,enzymatic engineering strategies for increasing the productivity of highly active baohuoside I and icaritin are discussed.The nanomedicines for overcoming in vivo delivery barriers and improving therapeutic effects of various diseases are summarized.Finally,the challenges and an outlook on clinical translation of epimedium flavonoids are proposed.

Nanomedicine-boosting icaritin-based immunotherapy of advanced hepatocellular carcinoma

Traditional treatments for advanced hepatocellular carcinoma(HCC),such as surgical resection,transplantation,radiofrequency ablation,and chemotherapy are unsatisfactory,and therefore the exploration of powerful therapeutic strategies is urgently needed.Immunotherapy has emerged as a promising strategy for advanced HCC treatment due to its minimal side effects and long-lasting therapeutic memory effects.Recent studies have demonstrated that icaritin could serve as an immunomodulator for effective immunotherapy of advanced HCC.Encouragingly,in 2022,icaritin soft capsules were approved by the National Medical Products Administration(NMPA)of China for the immunotherapy of advanced HCC.However,the therapeutic efficacy of icaritin in clinical practice is impaired by its poor bioavailability and unfavorable in vivo delivery efficiency.Recently,functionalized drug delivery systems including stimuli-responsive nanocarriers,cell membrane-coated nanocarriers,and living cell-nanocarrier systems have been designed to overcome the shortcomings of drugs,including the low bioavailability and limited delivery efficiency as well as side effects.Taken together,the development of icaritin-based nanomedicines is expected to further improve the immunotherapy of advanced HCC.Herein,we compared the different preparation methods for icaritin,interpreted the HCC immune microenvironment and the mechanisms underlying icaritin for treatment of advanced HCC,and discussed both the design of icaritin-based nanomedicines with high icaritin loading and the latest progress in icaritinbased nanomedicines for advanced HCC immunotherapy.Finally,the prospects to promote further clinical translation of icaritin-based nanomedicines for the immunotherapy of advanced HCC were proposed.

Small molecule inhibitors of RORγt for Th17 regulation in inflammatory and autoimmune diseases

As a ligand-dependent transcription factor,retinoid-associated orphan receptor gt(RORγt)that controls T helper(Th)17 cell differentiation and interleukin(IL)-17 expression plays a critical role in the progression of several inflammatory and autoimmune conditions.An emerging novel approach to the therapy of these diseases thus involves controlling the transcriptional capacity of RORγt to decrease Th17 cell development and IL-17 production.Several RORγt inhibitors including both antagonists and inverse agonists have been discovered to regulate the transcriptional activity of RORγt by binding to orthosteric-or allosteric-binding sites in the ligand-binding domain.Some of small-molecule inhibitors have entered clinical evaluations.Therefore,in current review,the role of RORγt in Th17 regulation and Th17-related inflammatory and autoimmune diseases was highlighted.Notably,the recently developed RORγt inhibitors were summarized,with an emphasis on their optimization from lead compounds,efficacy,toxicity,mechanisms of action,and clinical trials.The limitations of current development in this area were also discussed to facilitate future research.

Spatiotemporal hemodynamic monitoring via configurable skin-like microfiber Bragg grating group

Systemic blood circulation is one of life activity’s most important physiological functions.Continuous noninvasive hemodynamicmonitoring is essential for the management of cardiovascular status.However,it is difficult to achieve systemichemodynamic monitoring with the daily use of current devices due to the lack of multichannel and time-synchronized operationcapability over the whole body.Here,we utilize a soft microfiber Bragg grating group to monitor spatiotemporalhemodynamics by taking advantage of the high sensitivity,electromagnetic immunity,and great temporal synchronizationbetween multiple remote sensor nodes.A continuous systemic hemodynamic measurement technique is developedusing all-mechanical physiological signals,such as ballistocardiogram signals and pulse waves,to illustrate the actualmechanical process of blood circulation.Multiple hemodynamic parameters,such as systemic pulse transit time,heartrate,blood pressure,and peripheral resistance,are monitored using skin-like microfiber Bragg grating patches conformallyattached at different body locations.Relying on the soft microfiber Bragg grating group,the spatiotemporal hemodynamicmonitoring technique opens up new possibilities in clinical medical diagnosis and daily health management.

Visualizing and witnessing first-order coherence,Bell nonlocality and purity by using a quantum steering ellipsoid in the non-inertial frame

A quantum steering ellipsoid(QSE)is a visual characterization for bipartite qubit systems,and it is also a novel avenue for describing and detecting quantum correlations.Herein,by using a QSE,we visualize and witness the first-order coherence(FOC),Bell nonlocality(BN)and purity under non-inertial frames.Also,the collective influences of the depolarizing channel and the non-coherence-generating channel(NCGC)on the FOC,BN and purity are investigated in the QSE formalism.The results reveal that the distance from the center of the QSE to the center of the Bloch sphere visualizes the FOC of a bipartite system,the lengths of the QSE semiaxis visualize the BN,and the QSE's shape and position dominate the purity of the system.One can capture the FOC,BN and purity via the shape and position of the QSE in the non-inertial frame.The depolarizing channel(the NCGC)gives rise to the shrinking and degradation(the periodical oscillation)of the QSE.One can use these traits to visually characterize and detect the FOC,BN and purity under the influence of external noise.Of particular note is that the condition for the QSE to achieve the center of the Bloch sphere cannot be influenced by the depolarizing channel and the NCGC.The characterization shows that the conditions for the disappearance of the FOC are invariant under the additional influences of the depolarizing channel and NCGC.

水下固化弹性密封胶/纳米SiO_2复合材料的研制及性能

采用弹性环氧树脂、憎水型固化剂、改性nano-SiO_2制备了一种能在水下固化的弹性密封材料,其最佳配方体系为:100 phr MS-1086T弹性环氧树脂、80 phr憎水型固化剂、10%改性nano-SiO_2。采用万能材料试验机、动态力学热分析(DMA)和扫描电镜对密封胶材料进行了研究。结果表明,随着固化剂含量的增加,密封胶的断裂伸长率由99.50%增加到173.10%,拉伸强度由4.80 MPa减小到1.75 MPa,拉伸剪切强度由7.02 MPa减小到2.98 MPa。DMA结果表明,nanoSiO_2可使材料的玻璃化转变温度(Tg)升高到70.55℃,改性nano-SiO_2可使材料的Tg降低到8.36℃;模拟实验结果表明,该密封胶有良好的密封性能,同时在80℃条件下,使用寿命可达22.70年。

Influences of SiO2/Na2O Molar Ratio on Aging and Chemical Modification of Water Glass

In this paper, the content of water glass before and after adding modifying agent was measured by Trimethylsilyl-gas-chromatography. The experimental results showed that different modulus of water glass could generate different content of mono-silicate acid and oligomeric silicate acid in water glass. After a period of storage, different modulus of water glass led to decrease of silicate content at different levels. Because higher content of Na2O in water glass tended to incur the alkaline polymerization, the occurrence of depolymerization of silicate species would lead to an increase of oligomeric silicate species, resulting in a drawback of silicate species content after a period of storage. And contrary to that, lower content of Na2O in water glass tended to incur the acidic polymerization. When the modifying agent was added to the newly made water glass, the amount of mono-silicate acid and oligomeric silicate acid also decreased. In modified water glass, the change of each silicate acid species was less than that in unmodified water glass. These results showed that the modifying agent retarded the aging of water glass. It had remarkable significance on the theory and practical application of water glass chemistry.

无创正压通气与同步间歇指令通气治疗早产儿呼吸窘迫综合征的疗效比较

目的比较无创正压通气(NIPPV)与同步间歇指令通气(SIMV)治疗早产儿呼吸窘迫综合征(NRDS)的疗效。方法选取2017年1月-2018年6月桂林医学院附属医院NRDS早产儿80例,采用随机数字表法将患儿分为对照组和观察组,每组40例。对照组患儿给予SIMV模式治疗,观察组患儿给予NIPPV模式治疗。比较两组血气分析指标、呼吸机参数、治疗时间及并发症发生率。结果治疗0、24和48 h时,观察组各指标与对照组比较,差异有统计学意义(P<0.05),观察组在24和48 h血氧分压(PaO2)、动脉血氧饱和度(SaO2)、氧指数(OI)水平高于对照组,动脉血二氧化碳分压(PaCO2)、吸入氧浓度(FiO2)低于对照组。观察组氧疗时间、呼吸机使用时间及住院时间与对照组比较,差异有统计学意义(P <0.05),观察组短于对照组。治疗期间两组患者均出现呼吸机相关性肺炎、颅脑出血、肺出血等并发症,且两组并发症发生率差异无统计学意义(P>0.05)。结论相对SIMV有创通气模式,NIPPV通气疗法对ARDS患儿通气、氧合状态的改善程度及治疗时间优势更为明显,且安全可靠。

含醚疏水缔合聚合物的合成及性能

用壬基酚聚氧乙烯醚(TX-10)与氯丙烯合成了一种含醚单体(TXA),再用丙烯酰胺(AM)、丙烯酸(AA)与TXA采用自由基聚合法合成了疏水缔合聚丙烯酰胺(TXPAM)。确定了TXPAM的最佳合成条件为:n(AM)∶n(AA)∶n(TXA)=100∶20∶0.4,总单体含量为20%,体系pH为6.5,反应温度为40℃,引发剂加量0.2%,反应时间为5 h。采用红外光谱法和核磁共振氢谱对TXPAM的结构进行了表征,采用元素分析法对TXPAM的C,H,O,N元素的含量进行了测定,3种表征方法证实了TXPAM符合预期设计。考察了TXPAM的耐温抗盐抗剪切性能和驱油性能,与常规PAM相比,耐温达到80℃,抗盐8000 mg/L,抗剪切10000 s^(-1),提高采收率16.03%,有进一步研究的意义。

不同年龄胃肠胰神经内分泌肿瘤患者预后分析

目的:本研究旨在描述中国不同诊断年龄胃肠胰神经内分泌肿瘤(gastroenteropancreatic neuroendocrine neoplasms,GEPNENs)患者的临床病理特征和治疗信息,探讨诊断年龄与术后5年生存率之间的关系。方法:作为一项以医院为基础的全国多中心临床流行病学研究,本研究回顾性收集了2001年1月至2010年12月在研究医院就诊的GEP-NENs患者的病历信息和术后生存情况。采用Cox风险比例回归模型估计研究对象的术后死亡风险比和95%可信区间(95%CI)。结果:共2002例患者被纳入最终分析。患者按照诊断年龄分为≤50岁组和>50岁组。术后5年生存数据分析显示,与年龄≤50岁的患者相比,年龄>50岁的患者术后死亡风险显著增加(HR=2.83,95%CI:1.87~4.28)。在调整了原发部位、功能状态、TNM分期、分级、肿瘤浸润和转移情况、放化疗、靶向治疗和生物治疗情况后,不同年龄组之间的死亡风险差异无统计学意义(HR=1.63,95%CI:0.98~2.72)。对性别亚组进行多因素分析结果显示,在男性患者中,年龄>50岁组患者术后死亡风险显著增加(HR=2.65,95%CI:1.28~5.47)。结论:不同年龄组GEP-NENs患者的临床病理特征和治疗方式选择存在差异,但年龄不是GEP-NENs患者预后的独立影响因素,提示对于诊断年龄不同的患者,临床医生应根据现有临床实践指南及患者个体情况,选择精准治疗方案。

Recent Advances on MOF Derivatives for Non-Noble Metal Oxygen Electrocatalysts in Zinc-Air Batteries

Oxygen electrocatalysts are of great importance for the air electrode in zinc-air batteries(ZABs).Owing to the high specific surface area,controllable pore size and unsaturated metal active sites,metal-organic frameworks(MOFs)derivatives have been widely studied as oxygen electrocatalysts in ZABs.To date,many strategies have been developed to generate efficient oxygen electrocatalysts from MOFs for improving the performance of ZABs.In this review,the latest progress of the MOF-derived non-noble metal-oxygen electrocatalysts in ZABs is reviewed.The performance of these MOF-derived catalysts toward oxygen reduction,and oxygen evolution reactions is discussed based on the categories of metal-free carbon materials,single-atom catalysts,metal cluster/carbon composites and metal compound/carbon composites.Moreover,we provide a comprehensive overview on the design strategies of various MOF-derived non-noble metal-oxygen electrocatalysts and their structure-performance relationship.Finally,the challenges and perspectives are provided for further advancing the MOF-derived oxygen electrocatalysts in ZABs.

Ramulus Cinnamomi extract attenuates neuroinflammatory responses via downregulating TLR4/MyD88 signaling pathway in BV2 cells

Ramulus Cinnamomi （RC）, a traditional Chinese herb, has been used to attenuate inflammatory responses. The purpose of this study was to investigate the effect of RC extract on lipopolysaccharide （LPS）-induced neuroinflammation in BV2 microglial cells and the underlying mechanisms involved. BV2 cells were incubated with normal medium （control group）, LPS, LPS plus 30 pg/mL RC extract, or LPS plus 100 pg/mL RC extract. The BV2 cell morphology was observed under an optical microscope and cell viability was detected by MTT assay. Nitric oxide level in BV2 cells was detected using Griess regents, and the levels of interleukin-6, interleukin-1 β, and tumor necrosis factor u in BV2 cells were determined by ELISA. The expression levels of cyclooxygenase-2, Toll-like receptor 4 and myeloid differentiation factor 88 proteins were detected by western blot assay. Compared with the LPS group, both 30 and 100 μg/mL RC extract had no significant effect on the viability of BV2 cells. The levels of nitric oxide, interleukin-6, interleukin-1β and tumor necrosis factor ct in BV2 cells were all significantly increased after LPS induction, and the levels were significantly reversed after treatment with 30 and 100 μg/mL RC extract. Furthermore, RC extract significantly inhibited the protein expression levels of cyclooxygenase-2, Toll-like receptor 4 and myeloid differentiation factor 88 in LPS-induced BV2 cells. Our findings suggest that RC extract alleviates neuroinflammation by downregulating the TLR4/MyD88 signaling pathway.

The primary controlling parameters of porosity, permeability,and seepage capability of tight gas reservoirs:a case study on Upper Paleozoic Formation in the eastern Ordos Basin,Northern China

Tight sandstone gas(hereafter"tight gas")has become a subject of unconventional gas exploration globally.The large-scale development and use of tight gas resources in the USA,in particular,facilitated the rapid rebound of natural gas production in the USA,in addition to driving the rapid development of tight gas worldwide.In the eastern Ordos Basin,the Upper Paleozoic feature includes multiple layers of gas,a shallow depth,and notable potential for exploration and development.However,the reservoirs in the area are relatively tight,exhibit strong heterogeneity,and possess a complex micropore structure,thus restricting the eff ective economic development of oil and gas.Thus,research on the primary parameters controlling pore throat structure and the seepage capability of low-permeability reservoirs will be beneficial for the effcient exploration and development of natural gas in the eastern Ordos Basin.The parameters of reservoir porosity and percolation ability,as well as permeability,were analyzed using systematic sampling of the of the Upper Paleozoic Benxi,Taiyuan,and Shanxi Formations in the eastern Ordos Basin,constant-rate mercury injection experiments,nuclear magnetic resonance analysis,and gas–water-phase experimental studies.The results indicate that reservoir porosity is controlled by the effective pore volume and number,whereas permeability is controlled by the largest throat radius,rather than the average.The effective pore volume controls the movable fluid saturation,while reservoir percolation capability is controlled by the effective pore volume,irreducible water saturation,and size of the gas–water two-phase seepage zone.

Effects of shading after pollination on kernel filling and physicochemical quality traits of waxy maize

Understanding the effects of shading after pollination on kernel filling and physicochemical properties of waxy maize could improve kernel quality.Experiments were conducted to investigate the effects of shading(30% and 50% light deprivation,taken plants without shading as control) on kernel weight,size,and physicochemical properties during kernel development in 2013 and 2014 using two waxy maize varieties(Suyunuo 5 and Yunuo 7).Results indicated that shading reduced kernel filling rate and decreased kernel size and weight,and the influence was large under severe light deprivation conditions.The large reduction in kernel weight and volume of Suyunuo 5 in response to shading indicated that it was more sensitive to shading than Yunuo 7.Starch content was reduced and protein content was increased by shading,especially under severe shading after 22 days after pollination(DAP).The iodine binding capacity of Yunuo 7 was not affected by shading at fresh and maturity stages but was gradually decreased by shading at the newly formed stage,while the values for Suyunuo 5were decreased at 7 and 40 DAP only by moderate shading and were similar among three treatments at 22 DAP.Severe shading decreased crystallinity at all kernel development stages,whereas moderate shading decreased crystallinity at fresh stage and increased it at mature stage for Suyunuo 5.Crystallinity in Yunuo 7 was increased by shading at 7 DAP and decreased by shading at 40 DAP,whereas the value at 22 DAP was increased by moderate shading and reduced by severe shading,respectively.The average gelatinization temperatures at different stages were decreased by shading and showed no difference between two shading levels.The retrogradation percentage at 7 DAP for both varieties was increased by shading.The value at 22 DAP was increased by moderate shading for Suyunuo 5 and decreased by severe shading for Yunuo 7,respectively.The retrogradation percentage at 40 DAP was decreased by shading treatments for Suyunuo 5 and reduced only by moderate shading for Yunuo 7.Peak viscosity was decreased by shading at fresh stage for Yunuo 7 and at maturity for Suyunuo 5.In conclusion,shading after pollination inhibited kernel filling of waxy maize and reduced paste viscosity quality,but kernel retrograde quality,crystallinity and starch iodine binding capacity in response to shading were dependent on stage and variety.

Antidepressants for bipolar disorder A meta-analysis of randomized, double-blind, controlled trials

OBJECTIVE： To examine the efficacy and safety of short-term and long-term use of antidepres- sants in the treatment of bipolar disorder. DATA SOURCES： A literature search of randomized, double-blind, controlled trials published until December 2012 was performed using the PubMed, ISI Web of Science, Medline and Cochrane Central Register of Controlled Trials databases. The keywords ＂bipolar disorder, bipolar I disorder, bipolar II disorder, bipolar mania, bipolar depression, cyclothymia, mixed mania and depression, rapid cycling and bipolar disorder＂, AND ＂antidepressant agent, antidepressive agents second- generation, antidepressive agents tricyclic, monoamine oxidase inhibitor, noradrenaline uptake in- hibitor, serotonin uptake inhibitor, and tricyclic antidepressant agent＂ were used. The studies that were listed in the reference list of the published papers but were not retrieved in the above-mentioned databases were supplemented. STUDY SELECTION： Studies selected were double-blind randomized controlled trials assessing the efficacy and safety of antidepressants in patients with bipolar disorder. All participants were aged 18 years or older, and were diagnosed as having primary bipolar disorder. Antidepressants or antidepressants combined with mood stabilizers were used in experimental interventions. Placebos, mood stabilizers, antipsychotics and other antide pressants were used in the control interventions. Studies that were quasi-randomized studies, or used antidepressants in combination with antipsy- chotics in the experimental group were excluded. All analyses were conducted using Review Man- ager 5.1 provided by the Cochrane Collaboration.