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Effect of Jianpi Shengxue Tablet on Iron Metabolism and Nutritional Status in Patients with Renal Anemia:A Prospective,Randomized,Open,Parallel Controlled and Multicenter Clinical Study
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作者 Juan YANG Meng-yuan LIANG +15 位作者 Yu LI Hao ZHANG Wei LI Jing LV Li-ping DONG Jing-song JIN Cheng YANG Qing-hong ZHANG Li LONG Rong ZOU Yi GAO Dan SONG Chun-qin PAN Ying YAO Xiao-lin ZHAN Xiao-hui WANG 《Current Medical Science》 SCIE CAS 2024年第3期603-610,共8页
Objective This study aimed to analyze the clinical efficacy of the Jianpi Shengxue tablet for treating renal anemia.Methods A total of 200 patients with renal anemia from December 2020 to December 2022 were enrolled a... Objective This study aimed to analyze the clinical efficacy of the Jianpi Shengxue tablet for treating renal anemia.Methods A total of 200 patients with renal anemia from December 2020 to December 2022 were enrolled and randomly divided into two groups.Patients in the control group were treated with polysaccharide-iron complex,and those in the experimental group were administered Jianpi Shengxue tablet.After 8 weeks of continuous treatment,the therapeutic outcomes regarding anemia were compared between the two groups.Results After treatment,the red blood cell(RBC)count,hematocrit(HCT),reticulocyte percentage(RET),ferritin(SF),serum iron(SI),transferrin saturation(TSAT),and serum albumin(ALB)all increased(P<0.01),and the clinical symptom score and total iron binding capacity decreased(P<0.01)in the experimental group.Moreover,the improvements in RBC,HCT,RET,SF,SI,TAST,ALB,and clinical symptoms(fatigue,anorexia,dull skin complexion,numbness of hands and feet)in the experimental group were significantly greater than those in the control group(P<0.05).The total effective rate for treating renal anemia was significantly higher in the experimental group than in the control group(P<0.01).Conclusion The Jianpi Shengxue tablet demonstrates efficacy in treating renal anemia,leading to significant improvements in the laboratory examination results and clinical symptoms of patients with renal anemia. 展开更多
关键词 Jianpi Shengxue tablet renal anemia RANDOMIZED OPEN parallel control multicenter clinical study
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Effects of Lycium barbarum polysaccharide on cytokines in adolescents with subthreshold depression:a randomized controlled study
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作者 Xiaoyue Li Tao Liu +6 位作者 Xuan Mo Runhua Wang Xueyan Kong Robin Shao Roger S.Mclntyre Kwok-Fai So Kangguang Lin 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第9期2036-2040,共5页
Strong evidence has accumulated to show a correlation between depression symptoms and inflammatory responses.Moreover,anti-inflammatory treatment has shown partial effectiveness in alleviating depression symptoms.Lyci... Strong evidence has accumulated to show a correlation between depression symptoms and inflammatory responses.Moreover,anti-inflammatory treatment has shown partial effectiveness in alleviating depression symptoms.Lycium barbarum polysaccharide(LBP),derived from Goji berries,exhibits notable antioxidative and anti-inflammatory properties.In our recent double-blinded randomized placebo-controlled trial,we found that LBP significantly reduced depressive symptoms in adolescents with subthreshold depression.It is presumed that the antidepressant effect of LBP may be associated with its influence on inflammatory cytokines.In the double-blinded randomized controlled trial,we enrolled 29 adolescents with subthreshold depression and randomly divided them into an LBP group and a placebo group.In the LBP group,adolescents were given 300 mg/d LBP.A 6-week follow up was completed by 24 adolescents,comprising 14 adolescents from the LBP group(15.36±2.06 years,3 men and 11 women)and 10 adolescents from the placebo group(14.9±1.6 years,2 men and 8 women).Our results showed that after 6 weeks of treatment,the interleukin-17A level in the LBP group was lower than that in the placebo group.Network analysis showed that LBP reduced the correlations and connectivity between inflammatory factors,which were associated with the improvement in depressive symptoms.These findings suggest that 6-week administration of LBP suppresses the immune response by reducing interleukin-17A level,thereby exerting an antidepressant effect. 展开更多
关键词 adolescents CYTOKINES EFFICACY Goji berry inflammatory responses INTERLEUKIN-17A Lycium barbarum polysaccharide randomized controlled study subthreshold depression
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Periodontal disease is associated with increased coronary heart disease risk:A meta-analysis based on 38 case-control studies 被引量:1
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作者 Wei-Dong Leng Xian-Tao Zeng +2 位作者 Yong-Ji Chen Zhong-Qun Zhan Yong Yang 《World Journal of Meta-Analysis》 2013年第1期47-56,共10页
AIM: To investigate whether periodontal disease(PD) is associated with increasing coronary heart disease(CHD) risk by performing a meta-analysis.METHODS: Two authors independently searched Pub Med and China National K... AIM: To investigate whether periodontal disease(PD) is associated with increasing coronary heart disease(CHD) risk by performing a meta-analysis.METHODS: Two authors independently searched Pub Med and China National Knowledge Infrastructure up to January 10 th, 2013 for relevant case-control studies that investigated the association between PD and CHD. After quality assessment using Newcastle-Ottawa Scale and data extraction by two independent authors, the overall and subgroup meta-analyses were performed and publication bias were examined using the Comprehensive Meta-Analysis V2 software. Potential publication bias was assessed using visual inspection of the funnel plots, Egger linear regression test, and trims and fill method.RESULTS: Finally 38 relevant case-control studies were identified, involving 4950 CHD patients and 5490 controls. Eleven studies were rated low quality and 27 were high quality. Based on random-effects, a significant association was identified between PD and CHD(OR 3.79, 95%CI: 2.23-6.43, P < 0.001, I2 = 98.59%), and sensitivity analysis showed that this result was robust. Subgroup analyses according to adjusted/unadjusted ORs, source of control, methodological quality, end point, assessment of PD/CHD, and ethnicity also indicated a significant association. Publication bias was detected, and the estimated OR including the "missing" studies did not substantially differ from our estimate with adjustment for missing studies(OR 4.15, 95%CI: 2.62-6.54, P < 0.001).CONCLUSION: Based on the meta-analysis, PD is probably associated with CHD risk independently and significantly. 展开更多
关键词 Periodontal disease Coronary heart disease Case-control study Risk factor META-ANALYSIS
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Study design in evidence-based surgery:What is the role of case-control studies?
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作者 Amy M Cao Michael R Cox Guy D Eslick 《World Journal of Methodology》 2016年第1期101-104,共4页
Randomized controlled trials(RCTs) are the gold standard in terms of study design, however, in the surgical setting conducting RCTs can often be unethical or logistically impossible. Case-control studies should become... Randomized controlled trials(RCTs) are the gold standard in terms of study design, however, in the surgical setting conducting RCTs can often be unethical or logistically impossible. Case-control studies should become the major study design used in surgical research when RCTs are unable to be conducted and definitely replacing case series which offer little insight into surgical outcomes and disease processes. 展开更多
关键词 Research studies CASE-control studies RANDOMIZED CLINICAL trials BIAS SAMPLE size
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Studies on high-yielding cultivation of rice in Guangdong by diagnosis and control of chlorophyll content and LAI
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作者 LIN Xiuzhen HUANG Qiumei TU Zengping Rice Research Institute,Guangdong Academy of Agricultural Sciences(GAAS),Guangzhou 510640,China 《Chinese Rice Research Newsletter》 1991年第2期4-6,共3页
During the 1970’s and 1980’s studies on the rela-tion between LAI and yield had been carried out inGAAS.The main results were as follows:(1)Usingthe accumulated LAI value at three stages,i.e.panicle initiation(PI),h... During the 1970’s and 1980’s studies on the rela-tion between LAI and yield had been carried out inGAAS.The main results were as follows:(1)Usingthe accumulated LAI value at three stages,i.e.panicle initiation(PI),heading(H)and 20 d afterheading(H),to analyze the relation between LAIand yield was more accurrate than only using theLAI value at H stage(see table);(2)Reaching cer- 展开更多
关键词 studies on high-yielding cultivation of rice in Guangdong by diagnosis and control of chlorophyll content and LAI high
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Functional and psychosocial effects of pulmonary Daoyin on patients with COPD in China:study protocol of a multicenter randomized controlled trial 被引量:15
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作者 Xue-qing Yu Jian-sheng Li +5 位作者 Su-yun Li Yang Xie Ming-hang Wang Hai-long Zhang Hai-feng Wang Zhi-wan Wang 《Journal of Integrative Medicine》 SCIE CAS CSCD 2013年第2期140-146,共7页
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major public health problem worldwide. Pulmonary rehabilitation (PR) is an established intervention for the management of patients with COPD. Exercise... BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major public health problem worldwide. Pulmonary rehabilitation (PR) is an established intervention for the management of patients with COPD. Exercise training is an important part of PR, and its effectiveness in patients with COPD is well established. However, alternative methods of PR training such as Daoyin have not been appropriately studied. Hence, alternative forms of exercise training that require less exercise equipment and no specific training place should be evaluated. This paper describes the study protocol of a clinical trial that aims to determine if pulmonary Daoyin training will improve the exercise capacity and psychosocial function of patients with COPD in China. METHODS AND DESIGN: A multicenter, randomized, controlled trial will be conducted. A total of 464 patients meeting the inclusion criteria will be enrolled into this study with 232 patients in each of the trial group and the control group. Based on patient education, patients in the trial group will receive pulmonary Daoyin and continue with their usual therapy for three months. In the control group, patients will continue with their usual therapy. The primary outcome measures are exercise capacity assessed by the six-minute walking distance test and lung function. Secondary outcomes include dyspnea and quality of life. Measurements will be taken at baseline (month 0) and after the study period (month 3). DISCUSSION: It is hypothesized that pulmonary Daoyin will have beneficial effects in improving exercise capacity and psychosocial function of patients with stable COPD, and will provide an alternative form of exercise training that is accessible for the large number of people with COPD. TRIAL REGISTRATION: This trial has been registered in ClinicalTrials.gov. The identifier is NCT01482000. 展开更多
关键词 chronic obstructive pulmonary disease DAOYIN randomized controlled trial study protocol
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Human umbilical cord mesenchymal stem cells to treat spinal cord injury in the early chronic phase: study protocol for a prospective, multicenter, randomized, placebo-controlled, single-blinded clinical trial 被引量:9
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作者 Yang Yang Mao Pang +5 位作者 Yu-Yong Chen Liang-Ming Zhang Hao Liu Jun Tan Bin Liu Li-Min Rong 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第8期1532-1538,共7页
Human umbilical cord mesenchymal stem cells(hUC-MSCs)support revascularization,inhibition of inflammation,regulation of apoptosis,and promotion of the release of beneficial factors.Thus,they are regarded as a promisin... Human umbilical cord mesenchymal stem cells(hUC-MSCs)support revascularization,inhibition of inflammation,regulation of apoptosis,and promotion of the release of beneficial factors.Thus,they are regarded as a promising candidate for the treatment of intractable spinal cord injury(SCI).Clinical studies on patients with early chronic SCI(from 2 months to 1 year post-injury),which is clinically common,are rare;therefore,we will conduct a prospective,multicenter,randomized,placebo-controlled,single-blinded clinical trial at the Third Affiliated Hospital of Sun Yat-sen University,West China Hospital of Sichuan University,and Shanghai East Hospital,Tongji University School of Medicine,China.The trial plans to recruit 66 early chronic SCI patients.Eligible patients will undergo randomization at a 2:1 ratio to two arms:the observation group and the control group.Subjects in the observation group will receive four intrathecal transplantations of stem cells,with a dosage of 1×106/kg,at one calendar month intervals.Subjects in the control group will receive intrathecal administrations of 10 mL sterile normal saline in place of the stem cell transplantations.Clinical safety will be assessed by the analysis of adverse events and laboratory tests.The American Spinal Injury Association(ASIA)total score will be the primary efficacy endpoint,and the secondary efficacy outcomes will be the following:ASIA impairment scale,International Association of Neural Restoration-Spinal Cord Injury Functional Rating Scale,muscle tension,electromyogram,cortical motor and cortical sensory evoked potentials,residual urine volume,magnetic resonance imaging–diffusion tensor imaging,T cell subtypes in serum,neurotrophic factors and inflammatory factors in both serum and cerebrospinal fluid.All evaluations will be performed at 1,3,6,and 12 months following the final intrathecal administration.During the entire study procedure,all adverse events will be reported as soon as they are noted.This trial is designed to evaluate the clinical safety and efficacy of subarachnoid transplantation of hUC-MSCs to treat early chronic SCI.Moreover,it will establish whether cytotherapy can ameliorate local hostile microenvironments,promote tracking fiber regeneration,and strengthen spinal conduction ability,thus improving overall motor,sensory,and micturition/defecation function in patients with early chronic SCI.This study was approved by the Stem Cell Research Ethics Committee of the Third Affiliated Hospital of Sun Yat-sen University,China(approval No.[2018]-02)on March 30,2018,and was registered with ClinicalTrials.gov(registration No.NCT03521323)on April 12,2018.The revised trial protocol(protocol version 4.0)was approved by the Stem Cell Research Ethics Committee of the Third Affiliated Hospital of Sun Yat-sen University,China(approval No.[2019]-10)on February 25,2019,and released on ClinicalTrials.gov on April 29,2019. 展开更多
关键词 clinical study early chronic phase efficacy human umbilical cord mesenchymal stem cell multicenter trial prospective study randomized controlled trial safety spinal cord injury study protocol
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Experimental Study on Characteristics of NiMnGa Magnetically Controlled Shape Memory Alloy 被引量:8
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作者 Fengxiang WANG Wenjun LI Qingxin ZHANG Chenxi LI Xinjie WU 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2006年第1期55-58,共4页
The static and dynamic magnetic controlling characteristics of NiMnGa magnetically controlled shape memory alloy (MSMA) were experimentally studied. The results show that the characteristics of induced strain with r... The static and dynamic magnetic controlling characteristics of NiMnGa magnetically controlled shape memory alloy (MSMA) were experimentally studied. The results show that the characteristics of induced strain with respect to the magnetic field are nonlinear with saturation nature, and dependent on the temperature as well as the load applied to the MSMA. The magnetic shape memory effect can be observed only in complete martensite phase at room temperature. The magnetic permeability of MSMA is not constant and reduces with the increment of magnetic field. The relative saturation magnetic permeability of MSMA is about 1.5. 展开更多
关键词 NIMNGA Magnetically controlled shape memory alloy CHARACTERISTICS Experimental study
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Stochastic resonance whole body vibration reduces musculoskeletal pain:A randomized controlled trial 被引量:4
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作者 Achim Elfering Jan Thomann +1 位作者 Volker Schade Lorenz Radlinger 《World Journal of Orthopedics》 2011年第12期116-120,共5页
AIM:To examined the effects of stochastic resonance whole-body vibration training on musculoskeletal pain in young healthy individuals.METHODS:Participants were 43 undergraduate students of a Swiss University.The stud... AIM:To examined the effects of stochastic resonance whole-body vibration training on musculoskeletal pain in young healthy individuals.METHODS:Participants were 43 undergraduate students of a Swiss University.The study was designed as a randomized controlled trial(RCT)with randomized group allocation.The RCT consisted of two groups each given 12 training sessions during four weeks with either 5 Hz-Training frequency(training condition)or 1.5 Hz Training frequency(control condition).Outcome was current musculoskeletal pain assessed in the evening on each day during the four week training period.RESULTS:Multilevel regression analysis showed musculoskeletal pain was significantly decreased in the training condition whereas there was no change in the control condition(B=-0.023,SE=0.010,P=0.021).Decrease in current musculoskeletal pain over four weeks was linear.CONCLUSION:Stochastic resonance whole-body vibration reduced musculoskeletal pain in young healthy individuals.Stochastic resonance vibration and not any other exercise component within training caused pain reduction. 展开更多
关键词 RANDOMIZED controlled TRIAL MUSCULOSKELETAL PAIN Training study STOCHASTIC vibration
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Selected elements of rock burst state assessment in case studies from the Silesian hard coal mines 被引量:4
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作者 KABIESZ Józef MAKóWKA Janusz 《Mining Science and Technology》 EI CAS 2009年第5期660-667,共8页
Exploitation of coal seams in the Upper Silesian Coal Basin is conducted in complex and difficult conditions. These difficulties are connected with the occurrence of many natural mining hazards and limitations resulti... Exploitation of coal seams in the Upper Silesian Coal Basin is conducted in complex and difficult conditions. These difficulties are connected with the occurrence of many natural mining hazards and limitations resulting from the existing in this area surface infrastructure. One of the most important problems of Polish mining is the rock burst hazard and reliable evaluation of its condition. During long-years’ mining practice in Poland a comprehensive system of evaluation and control of this hazard was developed. In the paper the main aspects of rock burst hazard state evaluation will be presented, comprising: 1) rock mass inclination for rock bursts, i.e., rock strength properties investigation, comprehensive parametric evaluation of rock mass inclination for rock bursts, prognosis of seismic events induced by mining operations, methods of computer-aided modelling of stress and rock mass deformation parameters distribution, strategic rock mass classification under rock burst degrees; 2) immediate seismic and rock burst hazard state evaluation, i.e., low diameter test drilling method, seismologic and seismoacoustic method, comprehensive method of rock burst hazard state evaluation, non-standard methods of evaluation; 3) legal aspects of rock burst hazard state evaluation. Selected elements of the hazard state evaluation system are illustrated with specific practical examples of their application. 展开更多
关键词 coal mine rock bursts control case studies
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A Controlled Study on Comparing Differences in CT Perfusion Imaging between Rabbits inoculated with VX2 Lung Tumor and Patients with Squamous Cell Carcinoma of the Lung 被引量:3
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作者 Qiang ZHANG Qi-bao SHI Zhao-xin LIU Ming-min ZHANG 《Clinical oncology and cancer researeh》 CAS CSCD 2010年第6期366-372,共7页
OBJECTIVE By analysis and evaluation of the perfusion images and perfusion parameters of the rabbits with VX2 lung tumor, the association between the perfusion parameters and tumor angiogenesis of patients with squamo... OBJECTIVE By analysis and evaluation of the perfusion images and perfusion parameters of the rabbits with VX2 lung tumor, the association between the perfusion parameters and tumor angiogenesis of patients with squamous cell carcinoma of the lung has been studied in order to establish a non-invasive and effective way to detect tumor blood supply, which is be able to exhibit hemodynamic data in tumors during cancer treatments. METHODS Fifteen Netherlands rabbits inoculated with VX2 lung tumor (rabbit group) and 25 patients with squamous cell carcinoma of the lung (patient group) received a multi-slice spiral CT perfusion imaging test using the Netherlands PHILIPS Brilliance 16-slice spiral CT and a U.S. MEDRAD binocular highpressure syringe. Image postprocessing was done using the special perfusion software and EBW 4.0 Workstation. Perfusion volume (PV), peak enhanced increment (PEI), transit time peak (TTP), and blood volume (BV) were measured and analyzed. RESULTS In the rabbit group, the values of the PV, PEI, TTP, and BV of the tumor margin were (53.89 ± 13.38) mL/(min.mL), (45.71 ± 15.52) Hu, (39.29 ± 10.10) sec, and (31.45 ± 18.19) mL/100 g, respectively; these values of the tumor center were (36.57 ± 14.17) mL/(min.mL), (28.64 ± 11.74) Hu, (39.00 + 9.78) sec, and (19.76 ± 13.95) mL/100 g, respectively; the values of the muscles were (12.45± 4.38) mL/(min.mL), (10.98 ± 5.03) Hu, (38.86 ± 10.04) sec, and (5.38 ±2.87) mL/100 g, respectively. The values of the relative perfusion volume (RPV), relative peak enhanced increment (RPEI), and relative blood volume (RBV) of the tumor margin were 4.38 ± 1.45, 3.96± 1.45, 9.99 ± 11.7, respectively; these values of the tumor center were 2.14 ± 1.08, 1.83±1.45, 4.17 ±3.39, respectively. The values of the PV, PEL BV of the tumor margin vs. the values of the muscles developed t-values, which were 15.028, 10.79, and 5.88, respectively (P ≤ 0.01), with statistical significance; the values of the PV, PEI, BV of the tumor center vs. the values of the muscles produced t-values, which were 8.67, 7.49, and 4.55, respectively (P 〈 0.01), with statistical significance. The values of the TTP of the tumor margin vs. TTP values of the muscles, and the TTP values of the tumor center vs. TTP values of the muscles developed t-values, which were 1.7 and 0.806, respectively (P ≥ 0.05), without statistical significance. In the patient group, the values of the PV, PE, TTP, and BV of the tumor margin were (88.95 ± 30.89) mL/(min.mL), (61.87 ± 27.31) Hu, (37.72 ± 12.53) sec, and (18.38 ± 7.2) mL/100 g, respectively; these values of the tumor center were (39.77 ± 18.29) mL/(min.mL), (14.57 ± 8.1) Hu, (35.64 ± 12.41) sec, and (11.22 ± 6.02) mL/100 g, respectively; these values of the muscles were (12.45 ± 6.5) mL/(min.mL), (6.14 ± 2.66) Hu, (35.68± 12.35) sec, and (2.23 ± 1.11) mL/100 g, respectively. The values of the RPV, RPEI, and RBV of the tumor margin were 8.05 ± 5.04, 8.87 ± 4.32, and 12.16 ± 8.49, respectively; these values of the tumor center were 2.39 ± 1.68, 2.97 ± 2.1, 3.53 ± 2.82, respectively. The values of the PV, PEI, BV of the tumor margin in the patient group vs. the values of the muscles produced t-values, which were 13.8, 10.85, and 12.22, respectively (P 〈 0.01), with significant differences; these values of the tumor center vs. the values of the muscles developed t-values, which were 9.158, 6.26, 8.654, respectively (P 〈 0.01), with significant differences. The TTP value of the tumor margin vs. that of the muscles produced t-value, which was 0.371, and the TTP value of the tumor center vs. that of the muscles developed t-value, which was 1 (P 〉 0.05), without statistical difference. CONCLUSION CT perfusion imaging technics demonstrates directly dynamic changes of blood flow to tumors, which assists in identifying tumor growth and necrosis, therefore, this research provides an evidence-based guidelines for the treatment of human lung squamous cell carcinoma and has far-reaching clinical significance. 展开更多
关键词 perfusion imaging lung neoplasms controlled study.
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Synthesis and controlled release of cloprop herbicides from cloprop-layered double hydroxide and cloprop-zinc-layered hydroxide nanocomposites 被引量:1
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作者 Norhayati Hashim Mohd Zobir Hussein +4 位作者 Illyas Md Isa Azlan Kamari Azmi Mohamed Adila Mohamad Jaafar Hafsah Taha 《Open Journal of Inorganic Chemistry》 2014年第1期1-9,共9页
Two phenoxyherbicide nanocomposites, namely cloprop-layered double hydroxide and cloprop-zinc- layered hydroxide nanocomposites, have been synthesized by using co-precipitation and direct reaction method. PXRD pattern... Two phenoxyherbicide nanocomposites, namely cloprop-layered double hydroxide and cloprop-zinc- layered hydroxide nanocomposites, have been synthesized by using co-precipitation and direct reaction method. PXRD pattern showed an expansion of interlayer spacing with the value of 21.0 &#197;and 22.7 &#197;for cloprop-layered double hydroxide and cloprop-zinc-layered hydroxide nanocomposite, respectively. It is evident from FTIR and elemental analyses that both nanocomposites were successfully intercalated between the interlayers of layered metal hydroxide. Controlled release of cloprop anion from interlayer of nanocomposites for both cloprop-layered double hydroxide and cloprop-zinc-layered hydroxide nanocomposite into phosphate solution was rapid initially and slow thereafter. The percentage of accumulated release of cloprop anion from cloprop-zinc-layered hydroxide nanocomposite was slightly higher than that from cloprop-layered double hydroxide nanocomposite. Kinetic behavior of cloprop release was governed by pseudo-second-order for cloprop-layered double hydroxide nanocomposite while parabolic diffusion for cloprop-zinc-layered hydroxide nanocomposite. Results from this study highlight the potential of both nanocomposites as capsulated material for controlled release of cloprop phenoxyherbicides anion. 展开更多
关键词 Cloprop Cloprop-Layered Double HYDROXIDE Cloprop-Zinc-Layered HYDROXIDE NANOCOMPOSITE controlled Release KINETIC Study
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Biodegradable stent or balloon dilatation for benign oesophageal stricture: Pilot randomised controlled trial 被引量:1
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作者 Anjan Dhar Helen Close +6 位作者 Yirupaiahgari K Viswanath Colin J Rees Helen C Hancock A Deepak Dwarakanath Rebecca H Maier Douglas Wilson James M Mason 《World Journal of Gastroenterology》 SCIE CAS 2014年第48期18199-18206,共8页
AIM: To undertake a randomised pilot study comparing biodegradable stents and endoscopic dilatation in patients with strictures.
关键词 Benign oesophageal stricture Biodegradable stent Endoscopic balloon dilatation Pilot study Randomised controlled trial DYSPHAGIA
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A STUDY ON THE PARAWALKER CONTROLLED BY EMG 被引量:1
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作者 Wang Rencheng Zhang Peiyu +1 位作者 Zhang Jichuan Jin Dewen(Dept. of Precision Instruments and Mechanology,Tsinghua UniversityBeijing 100084,China) 《Chinese Journal of Biomedical Engineering(English Edition)》 1995年第3期154-155,共2页
ASTUDYONTHEPARAWALKERCONTROLLEDBYEMGASTUDYONTHEPARAWALKERCONTROLLEDBYEMGWangRencheng;ZhangPeiyu;ZhangJichuan... ASTUDYONTHEPARAWALKERCONTROLLEDBYEMGASTUDYONTHEPARAWALKERCONTROLLEDBYEMGWangRencheng;ZhangPeiyu;ZhangJichuan;JinDewen(Dept.of... 展开更多
关键词 EMG STUDY controlled ON PARAWALKER BY
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Hypothenar fat pad flap vs conventional open release in primary carpal tunnel syndrome:A randomized controlled trial
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作者 Thepparat Kanchanathepsak Wilarat Wairojanakul +3 位作者 Thitiporn Phakdepiboon Sorasak Suppaphol Ittirat Watcharananan Tulyapruek Tawonsawatruk 《World Journal of Orthopedics》 2017年第11期846-852,共7页
AIM To compared outcomes between the hypothenar fat pad flap(HTFPF) and conventional open carpal tunnel release(COR) in primary carpal tunnel syndrome(CTS). METHODS Forty-five patients(49 hands) were enrolled into the... AIM To compared outcomes between the hypothenar fat pad flap(HTFPF) and conventional open carpal tunnel release(COR) in primary carpal tunnel syndrome(CTS). METHODS Forty-five patients(49 hands) were enrolled into the study from January 2014 to March 2016, 8 patients were excluded. Randomization was conducted in 37 patients(41 hands) by computer generated(Block of four randomization) into COR and HTFPF group. Nerve conduction study(NCS) included distal sensory latency(DSL), distal motor latency(DML), sensory amplitude (S-amp), motor amplitude(M-amp) and sensory nerve conduction velocity(SCV) were examined at 6 and 12 wk after CTR. Levine score, grip and pinch strength, pain [visual analog scale(VAS)], 2-point discrimination(2-PD), Semmes-Weinstein monofilament test(SWM), Phalen test and Tinel's sign were evaluated in order to compare treatment outcomes.RESULTS The COR group, 19 patients(20 hands) mean age 50.4 years. The HTFPF group, 20 patients(21 hands) mean age 53.3 years. Finally 33 patients(36 hands) were analysed, 5 patients were loss follow-up, 17 hands in COR and 19 hands in HTFPF group. NCS revealed significant difference of DSL in HTFPF group at 6 wk(P < 0.05) compared with the COR group. S-amp was significant improved postoperatively in both groups(P < 0.05) but not significant difference between two groups. No significant difference of DML, M-amp and SCV postoperatively in both groups and between two groups. Levine score, pain(VAS), grip and pinch strength, 2-PD, SWM, Phalen test and Tinel's sign were improved postoperatively in both groups, but there was no significant difference between two groups.CONCLUSION There is no advantage outcome in primary CTS for having additional HTFPF procedure in CTR. COR is still the standard treatment. Nevertheless, improvement of DSL and S-amp could be observed at 6 wk postoperatively. 展开更多
关键词 Hypothenar FAT pad FLAP Randomized controlled trial CARPAL TUNNEL RELEASE CARPAL TUNNEL syndrome NERVE conduction study
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Beneficial effects of fenugreek glycoside supplementation in male subjects during resistance training: A randomized controlled pilot study
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作者 Sachin Wankhede Vishwaraman Mohan Prasad Thakurdesai 《Journal of Sport and Health Science》 SCIE 2016年第2期176-182,共7页
Purpose: To evaluate the efficacy and safety of the glycoside fraction of fenugreek (Trigonellafoenum-graecum) seeds (Fenu-FG) on physiologi- cal parameters related to muscle anabolism, androgenic hormones, and b... Purpose: To evaluate the efficacy and safety of the glycoside fraction of fenugreek (Trigonellafoenum-graecum) seeds (Fenu-FG) on physiologi- cal parameters related to muscle anabolism, androgenic hormones, and body fat in healthy male subjects during an 8-week resistance training program using a prospective, randomized, double-blind, placebo controlled design. Methods: Sixty healthy male subjects were randomized to ingest capsules of Fenu-FG (1 capsule of 300 rag, twice per day) or the matching placebo at a 1:1 ratio. The subjects participated in a supervised 4-day per week resistance-training program for 8 weeks. The outcome measurements were recorded at recruitment (baseline) and at the end of the treatment (8 weeks). The efficacy outcome included serum testosterone (total and free) levels, muscle strength and repetitions to failure, metabolic markers for anabolic activity (serum creatinine and blood urea nitrogen), and % body fat. The standard safety measurements such as adverse events monitoring, vital signs, hematology, biochemistry, and urinalysis were performed. Results: Fenu-FG supplementation demonstrated significant anabolic and androgenic activity as compared with the placebo. Fenu-FG treated subjects showed significant improvements in body fat without a reduction in muscle strength or repetitions to failure. The Fenu-FG supplemen- tation was found to be safe and well-tolerated. Conclusion: Fenu-FG supplementation showed beneficial effects in male subjects during resistance training without any clinical side effects. 展开更多
关键词 ANABOLIC Androgenic Fenugreek seeds GLYCOSIDES Randomized controlled study Resistance training
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Bias-Variation Dilemma Challenges Clinical Trials: Inherent Limitations of Randomized Controlled Trials and Meta-Analyses Comparing Hernia Therapies
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作者 U. Klinge Andreas Koch +3 位作者 D. Weyhe Enrico Nicolo R. Bendavid Anette Fiebeler 《International Journal of Clinical Medicine》 2014年第13期778-789,共12页
Purpose:Evaluation of hernia therapies according to the current rules of Evidence Based Medicine is widely reduced to results of RCTs or meta-analyses. RCTs have been accepted as a most important tool to confirm a sup... Purpose:Evaluation of hernia therapies according to the current rules of Evidence Based Medicine is widely reduced to results of RCTs or meta-analyses. RCTs have been accepted as a most important tool to confirm a superior effect of an intervention. Unfortunately, in hernia surgery, comparisons of RCTs and correspondingly their use in meta-analyses, are not, surprisingly often, able to confirm any significant impact of a specific procedure due to intrinsic restrictions in a multi-causal setting with its web of influences. Methods:Based on our own experiences of clinical studies in surgery, the present article outlines several situations, with their respective reasons, which argue the severe limitations of RCTs and meta-analysis to define an optimum treatment. Results:Meta-analyses accumulate the variations of each trial, which then may cover any clear causal relationship. RCTs usually are dealing with subgroups of standard patients thus excluding the majority of our patients. Low statistical power of current cohort sizes restricts the analysis of subgroups or of effects with low incidences. Simple comparisons of means frequently are hampered by nonlinear relationships to outcome. The relevance of a specific variable is difficult to separate from other influences. The limited surveillance period of studies ignores a delayed change in outcome. Randomization cannot guarantee a standardized patient’s condition. All the arguments have to be considered as a crucial and fundamental consequence of the bias-variance dilemma or principle of uncertainty in medicine, and underline the many limitations of RCTs to evaluate any specific impact of hernia therapies on e.g. infection, pain or recurrence. Conclusions: Many surgical issues cannot be and should not be investigated by RCTs, in particular, if a marked patients’ heterogeneity has to be considered or the low incidences of the outcome readout cannot be addressed with sufficient statistical power without getting lost in the variation mire. Registries with their non-restricted data-acquisition should be regarded as reliable alternatives for postoperative outcome quality surveillance studies. 展开更多
关键词 Randomized controlled Trial HERNIA Surgery REGISTRY Meta-Analysis Clinical Study
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A Double-Blind, Randomized, Placebo-Controlled Nutritional Study Using an Insoluble Yeast Beta-Glucan to Improve the Immune Defense System 被引量:4
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作者 Hans-Joachim Graubaum Regina Busch +1 位作者 Heike Stier Joerg Gruenwald 《Food and Nutrition Sciences》 2012年第6期738-746,共9页
Purpose: In a placebo-controlled, double-blind, randomized clinical trial, the effect of an insoluble yeast beta-glucan preparation on the incidences of common colds and its effect on common cold symptoms were compare... Purpose: In a placebo-controlled, double-blind, randomized clinical trial, the effect of an insoluble yeast beta-glucan preparation on the incidences of common colds and its effect on common cold symptoms were compared to placebo. Methods: 100 healthy participants with recurring infections were randomly assigned to receive either placebo or yeast beta-glucan (Yestimun?;n = 50 each group) over a period of 26 weeks. The subjects had to document each common cold episode in a diary, and rate 6 predefined infections symptoms on a 3-point rating scale during an infection period, resulting in an infection score. The common cold episodes were confirmed by the investigators. Results: A total of 171 common cold episodes were documented. Of these, 76 were experienced by 38 subjects in the beta-glucan group and 96 were experienced by 48 subjects in the placebo group (p = 0.406). The beta-glucan group had significantly more subjects without incidences of common cold than the placebo group (15.6% vs 2.0%;p = 0.019). During the most intense infection season (first 13 weeks of the study), the beta-glucan group had significantly less infections compared to placebo (p = 0.02). Beta-glucan significantly reduced the typical cold symptoms (“sore throat and/or difficulty swallowing”, “hoarseness and/or cough” and “runny nose”) as opposed to placebo. Conclusion: The present study demonstrates a prophylactic effect of yeast beta-glucan on the occurrence of common colds as opposed to placebo. In addition, when these episodes occurred, they were from the beginning less pronounced and subsided faster. 展开更多
关键词 RANDOMIZED PLACEBO-controlled Study INSOLUBLE YEAST BETA-GLUCAN Common Cold IMMUNE System
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Agent-Based Simulation for Interconnection-Scale Renewable Integration and Demand Response Studies
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作者 David P.Chassin Sahand Behboodi +1 位作者 Curran Crawford Ned Djilali 《Engineering》 SCIE EI 2015年第4期422-435,共14页
This paper collects and synthesizes the technical requirements, implementation, and validation methods for quasi-steady agent-based simulations of interconnectionscale models with particular attention to the integrati... This paper collects and synthesizes the technical requirements, implementation, and validation methods for quasi-steady agent-based simulations of interconnectionscale models with particular attention to the integration of renewable generation and controllable loads. Approaches for modeling aggregated controllable loads are presented and placed in the same control and economic modeling framework as generation resources for interconnection planning studies. Model performance is examined with system parameters that are typical for an interconnection approximately the size of the Western Electricity Coordinating Council(WECC) and a control area about 1/100 the size of the system. These results are used to demonstrate and validate the methods presented. 展开更多
关键词 interconnection studies demand response load control renewable integration agent-based simulation electricity markets
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Development and Performance Study of Controlled Atmosphere for Fresh Tomato
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作者 Md. Farid Ahmed Md. Zahirul Islam +2 位作者 Md. Sazzat Hossain Sarker S. M. Kamrul Hasan Rakib Mizan 《World Journal of Engineering and Technology》 2016年第2期168-175,共8页
Development of a controlled atmosphere (CA) plant and shelf-life of fresh tomatoes at different storage conditions were studied in this research. The controlled chamber (4.5' × 4.5' × 4.5') with ... Development of a controlled atmosphere (CA) plant and shelf-life of fresh tomatoes at different storage conditions were studied in this research. The controlled chamber (4.5' × 4.5' × 4.5') with supplement of 1% L-ascorbic acid as antioxidant source was constructed using locally available materials. Fresh tomatoes were kept with wrapping by low density polyethylene under refrigerated and CA storage conditions. The maximum shelf-life of fresh tomato was 42 days under CA condition and followed by 35 days in refrigeration condition. Though initial cost of controlled atmosphere was high but it resulted in maximum shelf life of tomato. However, CA condition retained the physiological changes namely, color change, TSS, and weight loss of fresh tomatoes than that of stored in refrigerated condition. From nutritional point of view, it was concluded that developed CA plant could be used to extend the shelf-life of fresh tomatoes with minimum physico-chemical changes throughout the storage period. 展开更多
关键词 controlled Atmosphere TOMATO Shelf-Life Storage Study Weight Loss
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