Clinical research report on traditional Chinese patent medicines and traditional Chinese classic famous prescriptions(2022)

Objective:The paper is to comprehensively summarize and analyze the basic situation and methodological quality of clinical randomized controlled trials(RCTs)of traditional Chinese patent medicines and traditional Chinese classic famous prescriptions published in 2022,to provide evidence and reasonable suggestions for the advancement of clinical research and the formulation of policies and guidelines.Methods:The Evidence Database System of clinical evidence-based evaluation of traditional Chinese medicine was searched,and data from China National Knowledge Infrastructure(CNKI),PubMed,and other databases were supplemented.The search duration was from January 1,2022,to December 31,2022.RCTs of traditional Chinese patent medicines and traditional Chinese classic famous prescriptions were included as the source of clinical evidence,and published information,sample size,intervention,control measures,treatment course,methodological quality,and key link report were analyzed and evaluated.Results:A total of 1,464 RCTs of traditional Chinese patent medicines were included,which comprised 667 types of traditional Chinese patent medicines;“traditional Chinese patent medicines+Western medicine vs.Western medicine”was the most widely used intervention and control setting,involving 417 RCTs(28.48%).A total of 245 RCTs of traditional Chinese classic famous prescriptions were included,comprising 55 types of traditional Chinese classic famous prescriptions.“Decoction+conventional treatment vs.conventional treatment”was the most widely used intervention and control setting,with 87 RCTs(35.51%).Published RCTs on traditional Chinese patent medicines and traditional Chinese classic famous prescriptions were limited by the study design and implementation.Most“allocation concealment”and“blinding of patients and personnel”were rated as medium to high risk.There are insufficient reports on key research links such as experimental registration and ethical approval.Conclusions:The number of RCTs on traditional Chinese patent medicines has decreased in 2022,but there has been a slight improvement in the research quality and impact.There are relatively few studies on traditional Chinese classic famous prescriptions.Measures must be taken to improve clinical trial design,implementation,and reporting.Methodological experts should be invited to provide professional technical guidance on the trial design.In the research implementation process,attention should be paid to quality control,particularly the standardization of the randomized execution.

The Association Between Daily Physical Activity and Risk of Hypertension in Middle-Aged and Older Adults:A Nationwide Cohort Study in China

Physical activity (PA) plays a key role in the treatment of hypertension, and moderate to vigorous PA has been documented to lower the risk of developing hypertension. However, dose-response relationships between PA and hypertension are not consistent, and little is known about this relationship within the Chinese middle-aged and older people. We investigated the relationship between PA and hypertension within this population using China Health and Nutrition Survey 1991-2015 data. Physical activity was expressed in terms of the metabolic equivalent task (MET) and participants were divided into groups according to quartiles, namely, Q1 (< 32.97 METs-h/w), Q2 (32.97-60.38 METs-h/ w), Q3 (60.38-98.95 METs-h/w), and Q4 (> 98.95 METs-h/w). Compared with the Q1 group, the odds ratio of risk with hypertension (95% CIs) after adjusting for confounding factors were 0.63 (0.35, 1.12), 0.49 (0.28, 0.86), and 0.62 (0.35, 1.09) for those in Q2, Q3, and Q4, respectively. Restricted cubic spline functions were used and a U-shaped relationship between physical activity and hypertension risk was found, indicative of an optimal level of physical activity, which was found to be 112 METs-h/w. Our data suggest maintenance of optimal levels of total daily physical activity may be important for preventing hypertension in Chinese adults over the age of 40.

新型冠状病毒感染核酸/抗原转阴后常见症中医诊断与疗效评价专家共识

部分新冠康复患者在核酸/抗原检测转阴后,仍然存在一系列持续、反复或新发症状,这已成为需要关注的新公共卫生问题。中医药在新冠病毒感染的预防、治疗和康复阶段均发挥了重要作用。为进一步规范临床医生对中医药治疗新冠核酸/抗原转阴后常见症的诊疗行为,特邀请一线临床专家就新冠感染核酸/抗原转阴后常见症的概念、病因病机、临床表现、中医治疗及注意事项等进行讨论,形成专家共识。中医、西医、中西医结合医师在临床实践和研究中可参考本文件。

The“Top 50 High Impact Researches of Traditional Medicine”published in 2021

In recent years,significant progress has been achieved in both basic and clinical research within the field of traditional medicine,garnering increasing attention worldwide.To further promote a high-quality and international development of traditional medicine,the editorial board of Acupuncture and Herbal Medicine provided a collection of the“Top 50 High-impact Researches of Traditional Medicine”published in 2021 through objective indicators and a strict selection process.The findings of the selected articles have a significant academic influence and possess considerable academic value both nationally and internationally.The selected articles cover a wide range of topics,including clinical research,acupuncture,pharmacology,chemistry,biosynthesis,medicinal plant resources,and new formulation and drug delivery system research on traditional medicine.Therefore,this article outlines the selection process of the top 50 high-impact research articles,analyzes their research characteristics,and provides a brief summary of their new findings and perspectives in the field of traditional medicine.

中国高黎贡山缺脉舞虻亚属Coptophlebia六新种(双翅目:舞虻科)

缺脉舞虻亚属Coptophlebia Bezzi是舞虻属Empis Linnaeus最大的亚属之一,目前已知160余种,分布于世界各地,我国已知38种。云南高黎贡山缺脉舞虻亚属已知3种,本文又报道该地区亮缺脉舞虻种团Empis(Coptophlebia)hyalea-group 6新种:短指突缺脉舞虻Empis(Coptophlebia)brevidigitata sp.nov.,长端刺缺脉舞虻Empis(Coptophlebia)longistylus sp.nov.,泸水缺脉舞虻Empis(Coptophlebia)lushuiana sp.nov.,腾冲缺脉舞虻Empis(Coptophlebia)tengchongana sp.nov.,轩昆缺脉舞虻Empis(Coptophlebia)xuankuni sp.nov.,艳磊缺脉舞虻Empis(Coptophlebia)yanleiae sp.nov.。文中还编制了高黎贡山缺脉舞虻亚属分种检索表。

琼脂粉体系的凝胶质构特性

利用旋转黏度计与质构仪探究不同种类和价态的金属离子(包括氯化钠、氯化钙、氯化铁)和木糖醇、山梨糖醇等小分子多羟基化合物以及其他食品胶体等对琼脂粉体系的凝胶性能影响。结果表明,琼脂粉浓度可以有效影响琼脂粉的黏度与凝胶硬度;金属离子会阻碍琼脂分子的相互作用,导致黏度、硬度和弹性降低,随着价态升高,三价金属离子会使体系形成微小悬浮物,而阻碍凝胶的形成;小分子糖醇的影响很小;加入其他食品胶,能够有效调控琼脂粉体系的黏度、硬度和弹性。

Core Outcome Set for Clinical Trials on Coronavirus Disease 2019(COS-COVID)

自2019年12月新型冠状病毒肺炎(Coronavirus Disease 2019, COVID-19)暴发以来,已有大量相关临床研究完成注册或已启动。然而,不同研究间临床结局指标存在显著的异质性,同时一些不关键的指标会造成研究资源的浪费。本研究旨在构建COVID-19临床试验核心结局指标集(core outcome set, COS),为相关临床研究方案设计、开展和证据转化提供参考。本研究的实施参照《有效性试验核心结局指标(COMET)手册》(1.0版),研究组成员包括呼吸系统和危重医学、中医学、循证医学、临床药理学、统计学专家以及医学杂志编辑等。通过检索临床试验注册网站(chictr.org.cn和clinicaltrials.gov)中COVID-19相关临床研究方案,提取方案中的结局指标,形成指标池。78个COVID-19临床试验方案纳入研究,收集结局指标259个,合并规范后确定132个结局指标,涉及7个指标域。经遴选,形成了包括58个结局指标在内的初始指标清单。经过两轮德尔菲调查和一轮共识会议,最终确立针对COVID-19不同临床分型的核心指标集(COS-COVID)。COS-COVID包括1个轻型指标(病毒核酸检测转阴时间)、4个普通型指标(住院时间、复合事件发生率、临床症状积分和病毒核酸检测转阴时间)、5个重型指标(复合事件发生率、住院时间、PaO2/FiO2、机械通气时间和病毒核酸检测转阴时间)、1个危重型指标(全因死亡率)及1个康复期指标(肺功能)。COS-COVID作为目前临床评价COVID-19干预效果最具临床价值及操作性的指标集合,对证据评估和决策具有重要意义。随着对疾病认知的不断深入和COS-COVID应用的反馈,课题组将对本核心指标集进行进一步完善并更新。

Potential Treatment of COVID-19 with Traditional Chinese Medicine: What Herbs Can Help Win the Battle with SARS-CoV-2?

Traditional Chinese medicine(TCM)has been successfully applied worldwide in the treatment of coronavirus disease 2019(COVID-19),which is caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).However,the pharmacological mechanisms underlying this success remain unclear.Hence,the aim of this review is to combine pharmacological assays based on the theory of TCM in order to elucidate the potential signaling pathways,targets,active compounds,and formulas of herbs that are involved in the TCM treatment of COVID-19,which exhibits combatting viral infections,immune regulation,and amelioration of lung injury and fibrosis.Extensive reports on target screening are elucidated using virtual prediction via docking analysis or network pharmacology based on existing data.The results of these reports indicate that an intricate regulatory mechanism is involved in the pathogenesis of COVID-19.Therefore,more pharmacological research on the natural herbs used in TCM should be conducted in order to determine the association between TCM and COVID-19 and account for the observed therapeutic effects of TCM against COVID-19.

Core outcome set for stable angina pectoris in traditional Chinese medicine(COS-SAP-TCM)

Objective:This study aimed to develop a core outcome set(COS)for use in future studies of stable angina pectoris(SAP)in traditional Chinese medicine(TCM).Methods:Systematic literature reviews and qualitative interviews with cardiologists and patients with SAP treated using TCM were conducted to generate a set of outcomes.Outcomes were prioritized by stakeholders via two rounds of an online Delphi survey and face-to-face consensus meetings.Following the final consensus meeting,a final COS was generated.Results:An initial set of 324 outcomes was identified.A preliminary list of 65 outcomes was employed in the Delphi study.In total,223 participants from seven stakeholder groups were invited to score outcomes in the first Delphi round:87 completed round 1 and 47 completed round 2.Thirty-one participants attended the consensus meeting and agreed on a final core set of outcomes comprising six items across four domains:frequency of angina attack,duration of angina attack,Seattle angina questionnaire,total exercise duration in the exercise treadmill test,cardiovascular events,and QT interval on electrocardiography.Conclusions:The COS developed in this study provides the minimum requirements for measurement and reporting in future TCM clinical trials for the treatment of SAP.The employment of this COS may reduce heterogeneity across trials and facilitate evidencebased decision-making for stakeholders.

人格因素如何影响知识在组织内的传播:基于社会网络分析的视角

知识分享是重要的人际传播和组织传播的过程。以往研究已阐明人格特质在组织背景下对知识分享行为的影响,但大多是通过整体方式而非通过调查特定的成对人员的方式来探究知识分享。由于知识分享涉及多种对象和渠道,本研究从社会网络分析的视角出发,研究团队内人格与知识分享网络中心度(出度和入度)之间的关系。本研究把知识划分为新知识、一般知识以及技能知识。研究结果表明:人格各维度与新知识分享网络中心度无关,宜人性与一般知识和技能知识分享网络的出度及入度正相关,责任心与一般知识和技能知识分享网络出度正相关,神经质与技能知识分享网络出度负相关。文章同时从促进知识分享的角度对团队建设给出建议,并对未来研究方向进行了讨论。

Post COVID-19 burden:focus on the short-term condition

The catastrophic pandemic of the coronavirus disease 2019(COVID-19)has caused serious harm to human life and global social economy.As of June 13,2022,there were more than 530 million confirmed cases of COVID-19 and over 6.3 million deaths[1].During the past 2 years,global studies on prevention and therapies for COVID-19 have achieved a series of promising findings,including antiviral drugs(Remdesivir,Molnupiravir,Paxlovid)and monoclonal antibodies(Bamlanivimab and Etesevimab,Sotrovimab,Casirivimab and Imdevimab)[2].

Census report on Chinese urological surgeons

Objective:To grasp the general situation of Chinese urological surgeons and the status quo of their scientific research,work and training,thus providing valuable recommendations for urological talent team construction in future.Methods:The survey respondentswere the urological surgeons,who held the Certificate ofMedical Practitioner in the People’s Republic of China,whose scope of practice was confined to urological surgery.The urological surgeons involved in the project completed an online questionnaire survey.All the data were collected through the internet.Results:There were a total of 18981 urological surgeons in China in 2015,of whom 15875 from 2602 hospitals participated in this project,with a mean age of 39.64 years old.In 2015,1949631 cases of surgery were performed,including 493723 cases of open surgery,1146444 cases of endoscopic/laparoscopic surgery(robot-assisted laparoscopic surgery were excluded),6259 robot-assisted surgery and other types of urological surgery.Besides,Chinese urological surgeons published 1358 monographs as well as 14558 academic papers,and also obtained 2064 scientific funds in 2015.A total of 92122 person-time participated in academic conferences.Urological surgeons with higher educational degrees as well as higher academic titles and from Eastern China or higher-level hospitals hadmore opportunities to participate in further education and training.

Retrieval,reporting and methodological characteristics for systematic reviews/meta-analyses of animal models:a meta-epidemiological study

The study aimed to analyze the reporting and methodological quality of systematic reviews(SRs)/meta-analyses(MAs)of animal models to provide references for later studies and avoid the waste of medical resources.EMBASE and MEDLINE databases were searched from inception to November 2017,with no language restriction.Two reviewers selected inclusion dependently and extracted the basic characteristics.Review Manager 5.3,stata 12.0,and SPSS 21 software were used to conduct analyses.A total of 46 SRs/MAs were included.The results showed that the English databases with high retrieval frequency are PubMed/MEDLINE,EMBASE,and Web of Science.67.31%(31/46)of the articles reported the search strategy in the full text or the appendix.65.22%(30/46)reported the literature screening flow diagram,and only 19.57%(9/46)reported the number of works of literature retrieved in each database.60.87%(28/46)illustrated supplement retrieval.Through 2 subgroup analyses,it was found that there were no significant differences in the quality of reports of PRISMA items.But referring to the methodological quality or reporting of PRESS items,SCI was better than that of non-SCI,while there seemed a source of funding to have no significant impact on the methodological quality or the items of PRESS.The results of PRESS,AMSTAR 2,and PRISMA were correlated,and the correlation between PRISMA and AMSTAR 2 was strong.These results demonstrated that search strategies of animal model SRs/MAs are still not enough comprehensive,report specification and methodological quality still need to be ameliorated.To show users the scientificity and rigor of the study,future research should focus on these various guidelines like PRESS,PRISMA,and AMSTAR 2 checklists that have been issued,it can help to increase the value of research and improve the utilization of medical resources.

First record of the shore fly genus Ptilomyia Coquillett(Diptera: Ephydridae) to the Oriental Region, with description of a new species

Genus Ptilomyia Coquillett(Diptera: Ephydridae) is reported from the Oriental Region and China for the first time. A new species, P. chinensis sp. nov., is described and illustrated. A key to the Oriental and Palaearctic regions of Ptilomyia is given. The types are kept in the Entomological Museum of China Agricultural University(CAU), Beijing.

Two new species of the genus Tachydromia(Diptera:Empididae)from Shaanxi,China

Tachydromia Meigen is a somewhat large genus in the family Empididae with 112 known species distributed worldwide.Ten species were previously known to occur in China.Here the genus Tachydromia is newly recorded from Shaanxi.The following two new species belonging to the Tachydromia arrogans species group are described:Tachydromia basiflava sp.nov.and Tachydromia crassisetosa sp.nov.A key to the species of Tachydromia from China is provided.

Development of Methylene Bis-Benzotriazolyl Tetramethylbutylphenol-grafted lignin sub-microspheres loaded with TiO_(2) for sunscreen applications

Lignin serves as a promising Ultraviolet(UV)absorber within sunscreen industry.However,the commercial development of lignin-containing sunscreens faces challenges due to their low sun protection factor(SPF)and dark color in cosmetics industry.In this study,dual modifications on the chemical and physical structures of lignin were conducted to address these challenges.Initially,methylene bis-benzotriazolyl tetramethylbutylphenol(MBBT)was grafted onto alkali lignin(AL)through an atom transfer radical polymerization reaction,resulting in a polymer of AL-graft-MBBT_(3)(AL-g-MBBT_(3)).The sunscreen prepared with 10%AL-g-MBBT_(3) displays outstand-ing sun protection performance with a SPF of 42.93 and a light color with a color difference value(ΔE)of 45.6,in contrast to 10%AL with a SPF of 4.74 and aΔE value of 49.5.Subsequently,AL-g-MBBT_(3) was transformed into normal submicron spheres(AL-g-MBBT_(3) N)and TiO_(2)-loading submicron spheres(AL-g-MBBT_(3)/TiO_(2)).The sun protection performances of 10%AL-g-MBBT_(3) N@C and AL-g-MBBT_(3)/TiO_(2)@C sunscreens obviously surpass that of AL-g-MBBT_(3)@C sunscreen,achieving SPFs of 60.38 and 66.20,respectively.Additionally,there is a considerable improve-ment in the color of these sunscreens,withΔE values of 41.8 and 36.3,respectively.These results provide valuable insights into exploring lignin’s high-value applications in sunscreen.

Traditional Chinese medicine in COVID-19

COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2(SARSCo V-2)has spread across the globe,posing an enormous threat to public health and safety.Traditional Chinese medicine(TCM),in combination with Western medicine(WM),has made important and lasting contributions in the battle against COVID-19.In this review,updated clinical effects and potential mechanisms of TCM,presented in newly recognized three distinct phases of the disease,are summarized and discussed.By integrating the available clinical and preclinical evidence,the efficacies and underlying mechanisms of TCM on COVID-19,including the highly recommended three Chinese patent medicines and three Chinese medicine formulas,are described in a panorama.We hope that this comprehensive review not only provides a reference for health care professionals and the public to recognize the significant contributions of TCM for COVID-19,but also serves as an evidence-based in-depth summary and analysis to facilitate understanding the true scientific value of TCM.

Multi-scale strength analysis of bolted connections used in integral thermal protection system

Efficient and accurate strength analysis of bolted connections is essential in analyzing the integral thermal protection system（ITPS） of hypersonic vehicles, since the system bears severe loads and structural failures usually occur at the connections. Investigations of composite mechanical properties used in ITPS are still in progress as the architecture of the composites is complex. A new method is proposed in this paper for strength analysis of bolted connections by investigating the elastic behavior and failure strength of three-dimensional C/C orthogonal composites used in ITPS. In this method a multi-scale finite element method incorporating the global–local method is established to ensure high efficiency in macro-scale and precision in meso-scale in analysis.Simulation results reveal that predictions of material properties show reasonable accuracy compared with test results. And the multi-scale method can analyze the strength of connections efficiently and accurately.

Clinical research of traditional Chinese medicine in big data era

With the advent of big data era, our thinking, technology and methodology are being transformed. Data-intensive scientific discovery based on big data, named ＂The Fourth Paradigm,＂ has become a new paradigm of scientific research. Along with the development and application of the Internet information technology in the field of healthcare, individual health records, clinical data of diagnosis and treatment, and genomic data have been accumulated dramatically, which generates big data in medical field for clinical research and assessment. With the support of big data, the defects and weakness may be overcome in the methodology of the conventional clinical evaluation based on sampling. Our research target shifts from the ＂causality inference＂ to ＂correlativity analysis.＂ This not only facilitates the evaluation of individualized treatment, disease prediction, prevention and prognosis, but also is suitable for the practice of preventive healthcare and symptom pattern differentiation for treatment in terms of traditional Chinese medicine （TCM）, and for the post-marketing evaluation of Chinese patent medicines. To conduct clinical studies involved in big data in TCM domain, top level design is needed and should be performed orderly. The fundamental construction and innovation studies should be strengthened in the sections of data platform creation, data analysis technology and big-data professionals fostering and training.

Predicting lean blow-off of bluffbody stabilized flames based on Damkohler number

Lean Blow-Off(LBO) prediction is important to propulsion system design. In this paper,a hybrid method combining numerical simulation and Da(Damk?hler) model is proposed based on bluffbody stabilized flames. In the simulated reacting flow, Practical Reaction Zone(PRZ) is built based on OH radical concentration, and it is considered to be the critical zone that controls LBO.Da number is obtained based on the volume-averaged parameters of PRZ. The flow time scale(s_f)indicates the residence time of the fresh mixture flowing through the PRZ. It is obtained based on the characteristic length and volume-averaged axial velocity of the PRZ. The chemical time scale(s_c) indicates the shortest time needed to trigger the reaction of the mixture. It is obtained by commercial software CHEMKIN through monitoring the transient variation of the reactor temperature. The result shows that the average Da number under different LBO conditions is 1.135(the Da number under each LBO condition ranges from 0.673 to 1.351). This indicates that the flow time scale and chemical time scale are comparable. The combustion is in a critical state where LBO is easy to occur. With the increase of the fuel mass flow rate(the global fuel/air ratio increases from 0.004761 to 0.01095), s_f increases from 0.001268 s to 0.007249 s, and s_c decreases from 0.00124 s to0.00089 s. Accordingly, Da number increases from 1.023 to 8.145, which shows that the combustion becomes more stable. The above results show that the method proposed in the present study can properly predict the LBO limits of combustors, which provides important technical supports for combustor design and optimization.