Comparison of external treatment of Acupuncture and moxibustion and intervention of Chinese and Western Medicine on postoperative pain of hemorrhoids:A systematic review and meta-analysis

Background To evaluate the clinical efficacy and safety of acupuncture and moxibustion in the treatment of postoperative pain of hemorrhoids compared with traditional Chinese medicine and western medicine.Methods CNKI,PubMed,Cochrane Library,Science Direct,Wan Fang,VIP,CBM,WOS,Bailian Yun Library and other databases were systematically retrieved from January 1,2017 to October 31,2022 for clinical randomized controlled trials of acupuncture versus traditional Chinese medicine and Western medicine for postoperative pain in hemorrhoids.The two evaluators independently retrieved,sifted through literature and extracted data for inclusion in a randomized controlled trial of acupuncture for the treatment of hemorrhoid pain that matched the study.Literature quality assessment was performed using RevMan5.4 for meta-analysis.Results A total of 540 related literature articles were retrieved,of which 139 were from CNKI,104 from Wan Fang,26 from VIP,7 from PubMed,9 from Cochrane Library,35 from WOS,173 from CMB,1 from Science Direct and 46 from the Bailian Yun Library,Screening resulted in inclusion of 10 RCTs including 870 patients.Meta analysis showed no statistically significant difference between the degree of pain in 2 hours[MD=-0.01,95%CI(-0.23,0.24),P=0.95].And it showed that the total effective rate of the two groups was[RR=1.14,95%CI(1.06,1.24),P=0.001],intervention for 2 days pain degree was[MD=0.41,95%CI(0.13,0.69),P=0.004],the length of hospital stay was[SMD=1.10,95%CI(0.73,1.48),P<0.00001],the incidence of adverse reaction was[RR=0.15,95%CI(0.03,0.79),P=0.03],the difference was statistically significant(P<0.05).Conclusion Drug treatment is effective quickly,analgesia effect is better than acupuncture in early treatment,but the effect is not lasting.Acupuncture treatment is slow to start but the effects of acupuncture will gradually become apparent at a later stage.However,due to the poor quality of collection,multicenter,large sample size and double-blind randomized controlled trials are still needed.

Effectiveness of traditional Chinese medicine in treating AIDS related diarrhoea:a meta-analysis

Background:To evaluate the efficacy of traditional Chinese medicine(TCM)in treating Acquired Immune Deficiency Syndrome(AIDS)related diarrhoea.Methods:Chinese and English databases(CBM,CNKI,Wanfang Database,PubMed,Web of Science,Cochrane Library)were searched up to November 2021.Studies that compared TCM with western medicine were included.RevMan 5.4,Stata 17,and Grading of Recommendations Assessment Development and Evaluation system were used for data analyses.The inclusion and exclusion criteria,quality assessment process,and potential biases were specified.Result:24 randomized controlled trial with a total of 1,766 participants of TCM compared with western medicine were included,12 of which reported random assignment methods.Meta-analyses showed that,TCM was more effective than western medicine in treating AIDS-related diarrhoea[RR=1.32,95%CI(1.26,1.39),P<0.01],internal treatment of TCM[RR=1.37,95%CI(1.28,1.46),P<0.01],external treatment of TCM[RR=1.27,95%CI(1.17,1.39)],internal and external treatment of TCM[RR=1.21,95%CI(1.07,1.37),P<0.01],Shenlingbaizhu Powder/Pill[RR=1.25,95%CI(1.13,1.39),P<0.01],Xielikang Capsules[RR=1.57,95%CI(1.33,1.84),P<0.01],Jianpizhixie Recipe[RR=1.31,95%CI(1.05,1.65),P<0.01],Moxibustion[RR=1.19,95%CI(1.07,1.32),P<0.01],Ginger Moxibustion[RR=1.24,95%CI(1.04,1.47),P<0.01],when compared to using western medicine alone and with significant differences.Conclusion:Shenlingbaizhu Powder/Pill,Xielikang Capsules,Jianpizhixie Recipe,Moxibustion and Ginger Moxibustion had certain advantages in improving the effective rate of AIDS-related diarrhoea,they needed to be further validated by high quality clinical trials.

Incipient motion of sediment in presence of submerged flexible vegetation

The presence of submerged vegetation on river beds can change the water flow structure and alter the state of sediment motion. In this study, the incipient motion of sediment in the presence of submerged flexible vegetation in open channels was investigated in a laboratory experiment. The vegetation was simulated with flexible rubber cylinders arranged in parallel arrays. The effect of the vegetation density, water depth, and sediment grain size on the incipient motion was investigated. The experimental results indicate that the incipient motion velocity of sediment increases as the vegetation density decreases and the water depth and sediment grain size increase. With flexible plants, the incipient motion velocity of sediment is lower than it is without vegetation, and is larger than it is with rigid vegetation. A general incipient motion velocity equation was derived, which can be applied to both flexible and rigid vegetation conditions.

Current status of Mycoplasma pneumoniae infection in China

Mycoplasma pneumoniae(M.pneumoniae)is one of the most important pathogens for community-acquired pneumonia worldwide,especially in children and adolescents[1,2].M.pneumoniae is easily transmitted through droplets or direct contact in densely populated,enclosed,or poorly ventilated environments.The incubation period is 1-3 weeks,and it is contagious from the incubation period to a few weeks after clinical symptom relief.M.pneumoniae infection can occur in any season,and there are differences in the epidemic seasons among regions in China[3].The most suitable culture temperature for M.pneumoniae is between 35℃C and 37 C,and therefore,hot weather may make it survive longer in the environment and spread further.Infection is more common in autumn and winter in northern China,while it is more prevalent in summer and autumn in southern China.

Cobalt-loaded carbon nanotubes boosted aerobic ciprofloxacin transformation driven by sulfide:A comprehensive mechanism investigation

Sulfide oxidation under aerobic conditions can produce active oxygen for the transformation of organic pollutants in aquatic environments.However,the catalytic performance of transition metal-supported carbon material on this process is poor understood.This study found that Co-loaded carbon nanotubes(CNTs)was able to realize the efficient aerobic transformation of antibiotic ciprofloxacin(CIP)by sulfide,with the pseudo-first order reaction rate constant improved from 0.013 h^(-1)without catalyst to 0.44–0.71 h^(-1)with 100 mg/L Co-loaded CNTs.Singlet oxygen(^(1)O_(2))was the main active specie playing key roles in the process of CIP aerobic transformation with presence of Co-loaded CNTs.Mechanism studies indicated that the excellent electron transfer ability of Co-loaded CNTs might play an important role to promote the electron transfer and facilitate the formation of intermediate H_(2)O_(2)and^(1)O_(2).Additionally,the Co-loaded CNTs/sulfide system effectively reduced the acute toxicity of organic pollutant,and Co-loaded CNTs showed remarkable cycling stability and negligible leaching.This study gives a better understanding for the Co-loaded CNTs mediated aerobic antibiotics transformation by sulfide,and provide a reference for the application of Co-loaded carbon materials on organics aerobic transformation by sulfide.

Increased interleukin-6 is associated with long COVID-19:a systematic review and meta-analysis

Background Coronavirus disease 2019(COVID-19)can involve persistence,sequelae,and other clinical complications that last weeks to months to evolve into long COVID-19.Exploratory studies have suggested that interleukin-6(IL-6)is related to COVID-19;however,the correlation between IL-6 and long COVID-19 is unknown.We designed a systematic review and meta-analysis to assess the relationship between IL-6 levels and long COVID-19.Methods Databases were systematically searched for articles with data on long COVID-19 and IL-6 levels published before September 2022.A total of 22 published studies were eligible for inclusion following the PRISMA guidelines.Analysis of data was undertaken by using Cochran's Q test and the Higgins I-squared(I2)statistic for heterogeneity.Random-effect meta-analyses were conducted to pool the IL-6 levels of long COVID-19 patients and to compare the differences in IL-6 levels among the long COVID-19,healthy,non-postacute sequelae of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection(non-PASC),and acute COVID-19 populations.The funnel plot and Egger's test were used to assess potential publication bias.Sensitivity analysis was used to test the stability of the results.Results An increase in IL-6 levels was observed after SARS-CoV-2 infection.The pooled estimate of IL-6 revealed a mean value of 20.92 pg/ml(95%CI=9.30–32.54 pg/ml,I2=100%,P<0.01)for long COVID-19 patients.The forest plot showed high levels of IL-6 for long COVID-19 compared with healthy controls(mean difference=9.75 pg/ml,95%CI=5.75–13.75 pg/ml,I2=100%,P<0.00001)and PASC category(mean difference=3.32 pg/ml,95%CI=0.22–6.42 pg/ml,I2=88%,P=0.04).The symmetry of the funnel plots was not obvious,and Egger’s test showed that there was no significant small study effect in all groups.Conclusions This study showed that increased IL-6 correlates with long COVID-19.Such an informative revelation suggests IL-6 as a basic determinant to predict long COVID-19 or at least inform on the“early stage”of long COVID-19.

Nitrogen-doped pyrogenic carbonaceous matter facilitates azo dye decolorization by sulfide: The important role of graphitic nitrogen

Pyrogenic carbonaceous matter(PCM) catalyzes azo dye decolorization by sulfide, but the nitrogen doping catalytic mechanisms are poorly understood. In this study, we found that stagnate time of azo dye methyl orange(MO) decolorization was reduced to 0.54-18.28 min in the presence of various nitrogen-doped graphenes(NGs), remarkably lower compared to graphene itself. Particularly, graphitic nitrogen played a critical role in NGs-catalyzed MO decolorization by sulfide. Gas chromatography-mass spectrometry and in-situ surface Raman analysis demonstrated that doping nitrogen, especially graphite one facilitated reactive intermediate polysulfides formation. This is attributed to the improved electron conductivity through graphitic nitrogen doping, and the enhanced interactions between sulfide and carbon atoms bonded to graphitic nitrogen. This study not only provides a better understanding of PCM impact on transformations and fates of organic pollutants in natural environments, but also offer a new regulation strategy for more efficient wastewater treatment processes in PCM-catalyzed engineering systems.

Tackling global health security by building an academic community for One Health action

Background One Health approach is crucial to tackling complex global public health threats at the interface of humans, animals, and the environment. As outlined in the One Health Joint Plan of Action, the international One Health community includes stakeholders from different sectors. Supported by the Bill & Melinda Gates Foundation, an academic community for One Health action has been proposed with the aim of promoting the understanding and real-world implementation of One Health approach and contribution towards the Sustainable Development Goals for a healthy planet.Main text The proposed academic community would contribute to generating high-quality scientific evidence, distilling local experiences as well as fostering an interconnected One Health culture and mindset, among various stakeholders on different levels and in all sectors. The major scope of the community covers One Health governance, zoonotic diseases, food security, antimicrobial resistance, and climate change along with the research agenda to be developed. The academic community will be supported by two committees, including a strategic consultancy committee and a scientific steering committee, composed of influential scientists selected from the One Health information database. A workplan containing activities under six objectives is proposed to provide research support, strengthen local capacity, and enhance global participation.Conclusions The proposed academic community for One Health action is a crucial step towards enhancing communication, coordination, collaboration, and capacity building for the implementation of One Health. By bringing eminent global experts together, the academic community possesses the potential to generate scientific evidence and provide advice to local governments and international organizations, enabling the pursuit of common goals, collaborative policies, and solutions to misaligned interests.

圆柱形植物斑块水动力特性的大涡模拟研究

为阐明天然河道典型植物群落的水动力特性,该文使用基于浸没边界法的大涡模拟技术,构建了以半透性圆柱斑块为植物群落的水动力数学模型,开展了不同的植株密度下三维水流数值模拟研究,并根据水槽实验数据对该数值模型的可靠性进行了验证。研究结果表明:流经半透性植物斑块的水流可分为两侧绕流及贯穿流动,且斑块的阻流效应与其植株密度呈现正相关。植物斑块密度的差异直接影响时均流场与紊动流场的特征,显著改变了下游流速分布规律:高密度植物斑块的贯穿流动较弱,斑块周围能够形成较为清晰完整的马蹄涡及分离涡结构,同时在尾流区一定区域内(4<x/D<6)出现卡门涡街分布;而随着斑块密度的降低,贯穿斑块流动增强,尾流区流速梯度减小,流线分布较为平顺,未出现涡街分布,斑块附近的涡旋结构也较为稀疏破碎。

Towards a global One Health index: a potential assessment tool for One Health performance

Background:A One Health approach has been increasingly mainstreamed by the international community, as it provides for holistic thinking in recognizing the close links and inter-dependence of the health of humans, animals and the environment. However, the dearth of real-world evidence has hampered application of a One Health approach in shaping policies and practice. This study proposes the development of a potential evaluation tool for One Health performance, in order to contribute to the scientific measurement of One Health approach and the identification of gaps where One Health capacity building is most urgently needed.Methods:We describe five steps towards a global One Health index (GOHI), including (i) framework formulation;(ii) indicator selection;(iii) database building;(iv) weight determination;and (v) GOHI scores calculation. A cell-like framework for GOHI is proposed, which comprises an external drivers index (EDI), an intrinsic drivers index (IDI) and a core drivers index (CDI). We construct the indicator scheme for GOHI based on this framework after multiple rounds of panel discussions with our expert advisory committee. A fuzzy analytical hierarchy process is adopted to determine the weights for each of the indicators.Results:The weighted indicator scheme of GOHI comprises three first-level indicators, 13 second-level indicators, and 57 third-level indicators. According to the pilot analysis based on the data from more than 200 countries/territories the GOHI scores overall are far from ideal (the highest score of 65.0 out of a maximum score of 100), and we found considerable variations among different countries/territories (31.8–65.0). The results from the pilot analysis are consistent with the results from a literature review, which suggests that a GOHI as a potential tool for the assessment of One Health performance might be feasible.Conclusions:GOHI—subject to rigorous validation—would represent the world’s first evaluation tool that constructs the conceptual framework from a holistic perspective of One Health. Future application of GOHI might promote a common understanding of a strong One Health approach and provide reference for promoting effective measures to strengthen One Health capacity building. With further adaptations under various scenarios, GOHI, along with its technical protocols and databases, will be updated regularly to address current technical limitations, and capture new knowledge.

Dispersion features of pollutants in a compound channel with vegetated floodplains

The planting of the vegetation on the floodplain helps the ecological restoration,which is the main form of the river’s ecological corridor.Therefore,the current research of the river dynamics focuses on the water movement under a compound channel with the vegetated floodplains.Two simulated vegetation species are selected in this paper for the flume simulation experiments of the floodplain vegetation,and the compound channel is divided into three subregions in the transverse direction.The Navier-Stokes equation and the eddy viscosity theory are applied to obtain the transverse distribution of the depth-averaged velocity and the results agree well with the experimental data.This paper proposes a new method based on the analytical solution of the flow velocity distribution to calculate the average flow velocity in each section.Calculation results can effectively simulate the average flow velocity of the measured sections.The description of the pollutant transport processes in a moving stream requires a refined determination of the dispersion coefficients in the compound channel.The process of the pollutant concentrations in each zone and the reasons for their occurrence are elucidated on the basis of the experimental results.Simultaneously,the measured values of the longitudinal dispersion coefficients are obtained by the“routing procedure,”and a two-zone model of the pollutant dispersion is constructed on the basis of the hydrodynamic study.The prediction method for the longitudinal dispersion coefficients is also presented.Applying the predicted and measured section average flow velocities to the two-zone model to predict the longitudinal dispersion coefficient,and the average relative errors are only 4.17%,7.15%,respectively.This result indicates that the two-zone model can effectively predict the longitudinal dispersion coefficients.The calculation methods for the longitudinal dispersion coefficients from—various studies are compared.The results reveal that the predicted values of these calculation methods are all larger than the measured values,indicating that the vegetation has a considerable influence on the dispersion process.This study comprehensively shows the dispersion features of the pollutants and provides a theoretical basis for the planning and the design of the vegetated ecological corridors.

Two Bisligand-Coordinated Luminescent Zn(Ⅱ)-Coordination Polymers for Sensing of Ions and Pesticides in Aqueous Solutions

Two coordination polymers(CPs) [Zn(PTA)(DTP)(HO)]·(DMF)(CP-1) and [Zn(BTC)(DTP)]·(CHCN)·(HO)(CP-2) with one-and two-dimensional architectures were synthesized from Zn(Ⅱ) ion and different organic linkers like terephthalic acid(HPTA), benzene-1,3,5-tricarboxylic acid(HBTC), and 3,5-di(1,2,4-triazol-1-yl) pyridine(DTP). The fluorescent sensing experiments showed that the two CPs displayed effective, sensitive, and selective abilities towards Feand CrO. For sensing the pesticides, CP-1 outperforms in sensing of metamitron(MMT) and CP-2 is ultrasensitive towards imidacloprid(IMI). The possible mechanisms involved in the quenching of the fluorescence intensity include the inner filter effect(IFE) and the fluorescence resonance energy transfer(FRET) effect.

Features and formulae of sediment incipient motion in vegetated flow environment

Aquatic vegetation is a vital component of natural river ecosystems,playing a crucial role in maintaining ecological balance,providing habitat and improving water quality.However,the presence of vegetation results in increased resistance in vegetated channels compared with non-vegetated channels,rendering traditional sediment movement predictions inadequate for the latter.Consequently,the concept of a vegetation influence factor,denoted by CDah,has been proposed by previous researchers to represent the effect of vegetation on sediment movement in watercourses.In this study,we focus on exploring the vegetation resistance coefficient(CD)among the vegetation influence factors,evaluating two different calculation methods for vegetation resistance coefficient,and presenting two expressions through genetic algorithm analysis to predict the incipient flow velocity of sediment in vegetated watercourses.The predicted values from the new formulae show excellent agreement with measured data,highlighting the high accuracy of the proposed methods in predicting the incipient flow velocity of sediment.Our results provide a solid theoretical basis for understanding the influence of aquatic vegetation on sediment particle movement.