Therapeutic effect of San Bi Tang combined with glucosamine sulfate capsules in cold-dampness-type knee osteoarthritis

BACKGROUND Cold-dampness-type knee osteoarthritis is a common middle-aged and elderly disease,but its pathogenesis is not fully understood,and its clinical treatment has limitations.Glucosamine sulfate capsules are commonly used for treating arthritis,and San Bi Tang is a classic formula of traditional Chinese medicine(TCM)that has the effects of warming yang,dispelling dampness,relaxing muscles,and activating collaterals.This research hypothesized that the combination of modified San Bi Tang and glucosamine sulfate capsules could enhance the clinical efficacy of treating cold-dampness-type knee osteoarthritis through complementary effects.AIM To analyze the clinical efficacy of San Bi Tang combined with glucosamine sulfate capsules when treating cold-dampness-type knee osteoarthritis.METHODS A total of 110 patients with cold-dampness-type knee osteoarthritis were selected as research subjects and randomly divided into a control group and an experimental group of 55 cases each.The control group received only treatment with glucosamine sulfate capsules,while the experimental group received additional treatment with modified San Bi Tang for a duration of 5 wk.The patients’knee joint functions,liver and kidney function indicators,adverse reactions,and vital signs were evaluated and analyzed using SPSS 26.0 software.RESULTS Before treatment,the two groups’genders,ages,and scores were not significantly different,indicating comparability.Both groups’scores improved after treatment,which could indicate pain and knee joint function improvement,but the test group had better scores.The TCM-specific symptoms and the clinical efficacy of the treatment in the test group were higher.Before and after treatment,there were no abnormalities in the patients’liver and kidney function indicators.CONCLUSION The combination of modified San Bi Tang and glucosamine sulfate capsules is superior to treatment with sulfated glucosamine alone and has high safety.

Experimental research and application of cold cutting to hot stamping parts based on multiphase microstructure

Among the bottlenecks that hinder the improvement of the production efficiency of hot stamping are high strength and difficulty in edge cutting and hole punching.Starting from the preparation of hot stamping multiphase microstructure materials,this paper developed a plate quenching die system with controllable surface temperature and prepared four types of hot stamping plates with different martensite volume fractions.Then,straight edge cold cutting experiments were performed to study the influence of cutting clearance and cutting force on fracture quality.The results show that the bright zone is the largest when the cutting clearance is 0.14 mm,and the cutting experience coefficient of the hot stamping sheet with each martensite volume fraction is obtained when the cutting clearance is 0.14 mm.The research results of this paper were applied to the production of hot stamping parts.

Cold snare polypectomy:A closer look at the efficacy and limitations for polyps 10-20 mm in size

Current guidelines recommend cold snare polypectomy for polyps less than 10 mm in size.Conversely,endoscopic mucosal resection is still the preferred technique for larger polyps.Concerns regarding cold snare polypectomy for larger polyps revolve around the difficulty in conducting en-bloc resection(resulting in piecemeal removal),and the potential for local residual polyp tissue and a high rate of recurrence.On the other hand,cold snare technique has the advantages of shortening procedure time,reducing delayed bleeding risks and lowering cost of treatment.Numerous ongoing and recent studies are focused on evaluating the risks and benefits of this technique for polyps larger than 10 mm,with the goal of providing clear guidelines in the near future.The aim of this editorial is to provide our readers with an overview regarding this subject and the latest developments surrounding it.

Rationale for Treatment of Common Cold and Flu with Multi-Ingredient Combination Products for Multi-Symptom Relief in Adults

This up-to-date overview will look at the rationale for the recommendation of combination products for multi-symptom relief of common cold and flu. Common cold and flu are defined by their multi-symptom nature with data showing a variety of symptoms reported simultaneously each day over the first six days of illness. Multi-ingredient combination products for multi-symptom relief are formulated to safely, simply, and simultaneously treat multiple symptoms when used as directed. The rationale for the formulation combination products for common cold and flu is therefore practical, logical and reasonable. No evidence has been found that multi-symptom relief medicines are inherently less safe than single-active ingredient medicines. Multi-symptom relief combination products containing several active ingredients provide a safe, effective, cost-effective, and convenient way of treating the multiple symptoms of common cold and flu, when used as directed. This therapy requires some special information for the patient to be provided by the physician and the pharmacist.

Microstructural evolution during hot and cold deformation of Ti-36Nb-2Ta-3Zr-0.35O alloy

The Ti-36Nb-2Ta-3Zr-0.350 （mass fraction, %） （TNTZO） alloy was produced by cold isostatic pressing and sintering from elemental powders, followed by hot and cold deformation. The effects of deformation process on microstructures and mechanical properties were investigated using the SEM, TEM, OM and the universal material testing machine. Results show that the alloy can be easily hot forged and cold swaged due to the fine-grained microstructure. Only after cold swaging by 85%, the alloy shows the typical ＂marble-like＂ structure. And thecold deformation is accompanied by stress-induced a＂ phase transformations. Moreover, both the strength and the ductility of the alloy are significantly improved by hot and cold working.

Removal of diminutive colorectal polyps: A prospective randomized clinical trial between cold snare polypectomy and hot forceps biopsy

AIMTo compare the efficacy and safety of cold snare polypectomy (CSP) and hot forceps biopsy (HFB) for diminutive colorectal polyps.METHODSThis prospective, randomized single-center clinical trial included consecutive patients ≥ 20 years of age with diminutive colorectal polyps 3-5 mm from December 2014 to October 2015. The primary outcome measures were en-bloc resection (endoscopic evaluation) and complete resection rates (pathological evaluation). The secondary outcome measures were the immediate bleeding or immediate perforation rate after polypectomy, delayed bleeding or delayed perforation rate after polypectomy, use of clipping for bleeding or perforation, and polyp retrieval rate. Prophylactic clipping after polyp removal wasn’t routinely performed.RESULTSTwo hundred eight patients were randomized into the CSP (102), HFB (106) and 283 polyps were evaluated (CSP: 148, HFB: 135). The en-bloc resection rate was significantly higher with CSP than with HFB [99.3% (147/148) vs 80.0% (108/135), P < 0.0001]. The complete resection rate was significantly higher with CSP than with HFB [80.4% (119/148) vs 47.4% (64/135), P < 0.0001]. The immediate bleeding rate was similar between the groups [8.6% (13/148) vs 8.1% (11/135), P = 1.000], and endoscopic hemostasis with hemoclips was successful in all cases. No cases of perforation or delayed bleeding occurred. The rate of severe tissue injury to the pathological specimen was higher HFB than CSP [52.6% (71/135) vs 1.3% (2/148), P < 0.0001]. Polyp retrieval failure was encountered CSP (7), HFB (2).CONCLUSIONCSP is more effective than HFB for resecting diminutive polyps. Further long-term follow-up study is required.

Efficacy and adverse events of cold vs hot polypectomy: A meta-analysis

AIM: To compare previously reported randomized controlled studies (RCTs) of cold and hot polypectomy, we systematically reviewed and clarify the utility of cold polypectomy over hot with respect to efficacy and adverse events.METHODS: A meta-analysis was conducted to evaluate the predominance of cold and hot polypectomy for removing colon polyps. Published articles and abstracts from worldwide conferences were searched using the keywords “cold polypectomy”. RCTs that compared either or both the effects or adverse events of cold polypectomy with those of hot polypectomy were collected. The patients’ demographics, endoscopic procedures, No. of examined lesions, lesion size, macroscopic and histologic findings, rates of incomplete resection, bleeding amount, perforation, and length of procedure were extracted from each study. A forest plot analysis was used to verify the relative strength of the effects and adverse events of each procedure. A funnel plot was generated to assess the possibility of publication bias.RESULTS: Ultimately, six RCTs were selected. No significant differences were noted in the average lesion size (less than 10 mm) between the cold and hot polypectomy groups in each study. Further, the rates of complete resection and adverse events, including delayed bleeding, did not differ markedly between cold and hot polypectomy. The average procedural time in the cold polypectomy group was significantly shorter than in the hot polypectomy group.CONCLUSION: Cold polypectomy is a time-saving procedure for removing small polyps with markedly similar curability and safety to hot polypectomy.

Comment on 'Efficacy and adverse events of cold vs hot polypectomy: A meta-analysis'

This is a comment on a meta-analysis of published studies comparing cold vs hot polypectomy. We believe that the conclusion of this meta-analysis that "cold polypectomy is a time-saving procedure for removing small polyps with markedly similar curability and safety to hot polypectomy" needs more rigorous evidence.

Chemical Properties of Pectin from Industry Hot and Cold Break Tomato Products

Tomato processing includes a break step, which involves rapid heating of freshly chopped tomatoes to >90°C for hot break, or 60°C to 77°C for cold break. Pectolytic enzyme deactivation is believed to be the key element in the hot break step;therefore, pectin content of different products should be qualitatively distinct. The objective of this study was to investigate the effect of hot break versus cold break on the cell-wall pectin of tomato. Cell-wall pectin from hot and cold break tomato products was isolated and analyzed for carbohydrate composition, degree of polymerization, and degree of esterification. The results showed no observable differences in the cell-wall pectin isolated from the two products, indicating that there was no significant pectolytic breakdown of the tomato in the cold break product, and the pectin might not, by itself, contribute to the differences in the final product viscosity resulting from the two processing techniques.

Internal oxidation of hot-rolled ultra-high strength steel and its effect on the surface quality of cold-rolled sheets

In this study,the scale and internal oxidation of hot-rolled ultra-high strength steel sheets were characterized.It was found that both the formation of the scale and the internal oxidation of Si and Mn depended on the coiling temperature and position of the steel sample on the strip coil.At a relatively high coiling temperature,a large amount of internal oxidation was observed on the samples cut from the middle of the coil.The depth of the internal oxidation zone exceeded 10 μm and a thin iron layer covering the scale was observed in some cases.Pickling and cold-rolling experiments were conducted on selected samples.Scale pickling was found to be greatly delayed by the formation of an iron layer,which frequently resulted in under-pickled defects.In addition,pickling of the entire internal oxidation zone was difficult,except at the grain boundaries,where the degree of internal Si and Mn oxidation was enriched.The surface of the cold-rolled steel sheet was ruined by the remaining oxidation zone in the subsurface of the pickled steel.The internal oxidation of hot-rolled ultra-high strength steel must be precisely controlled to improve the subsequent surface quality of cold-rolled steel.

Effects of Zhenren Yangzang Decoction Combined with Modified Shenling Baizhu Powder on Immune Function and Intestinal Microecology of Diarrhea Patients with Deficiency and Cold Syndrome

OBJECTIVE: To observe the effects of Zhenren Yangzang Decoction combined with modified Shenling Baizhu Powder on the immune function and intestinal microecology of diarrhea patients with deficiency and cold syndrome. METHODS: A total of 60 diarrhea patients with deficiency and cold syndrome were randomly divided into observation group and control group, with 30 cases in each group. The control group was treated with conventional western medicine. The observation group was given the treatment of Zhenren Yangzang Decoction combined with modified Shenling Baizhu Powder on the basis of the same treatment for 4 weeks. The clinical symptoms, fecal flora and immunoglobulin content of the 2 groups were observed and the clinical efficacy was evaluated. RESULTS: After treatment, the symptoms scores of fecal diarrhea, aversion to cold, cold limbs, loss of appetite, cold and painful waist and knee, abdominal fullness, abdominal distension and abdominal pain, and intestinal bacilli contents were significantly decreased(P < 0.05). The contents of lactobacillus, bifidus bacilli, IgG, IgM and IgA were significantly increased(P < 0.05), and the improvement of the above indexes in the observation group was significantly better than that in the control group(P < 0.05). The total effective rate after treatment in the observation group was 93.3%, which was significantly higher than 73.3% of the control group(P < 0.05). CONCLUSION: The treatment of diarrhea patients with deficiency and cold syndrome with Zhenren Yangzang Decoction and modified Shenling Baizhu Powder can effectively improve the intestinal micro-ecological environment, improve the immune function of patients and promote the rapid recovery of patients.

Ventilated Double Skin Facades in Hot-Summer and Cold-Winter Zones in China

Double-skin facades(DSF)are a technique developed for colder climates,so few people think about whether or not it can also be used for hot-summer and cold-winter zones in China.After analyzing the problems of using DSF for hot-summer zones,this paper explored on the possibility of applying DSF in hot-summer and cold-winter zones in China.The main existing research methods for DSF were also collected and commented.If properly managed,the ventilated DSF with controlled shading devices can be used even in hot summer in China.

THE COLD AND HOT DAMAGES TO THE CITRUS IN THE THREE GORGES AREA OF THE CHANGJIANG RIVER

Starting from the research on and collection of the damaging factors andindex of the cold and hot damages to citrus, this peper systematically studies the apparent properties in temporal and spatial distribution, differences, relationship of the twokinds of disasters and their impact on citrus production in the Three Gorges area inHubei. It also reveals the important faCt that it is warmer in winter and hotter in springsince the 1980s, which is the cause of departing to two poles of the cold and hot damages, and discusses the alleviating effect to the disasters by the Three Gorges Project.Finally some countermeasures are proposed.

The mechanism of hot crack formation in Ti-6Al-4V during cold crucible continuous casting

Hot crack is one of common defects in castings, which often results in failure of castings. This work studies the formation of hot crack during cold crucible continuous casting by means of experiments and theoretical analysis. The results show that hot crack occurs on the surface and in the circumference of ingots, where the solidified shell and the solidification front meet each other. The tendency of hot cracking decreases with the increase of withdrawal velocities in some extent. The hot crack is caused mainly by the friction force between the shell and the crucible inner wall, and it takes place when the stress resulting from friction exceeds the tensile strength of the shell. The factors of μ_m, η_t, η_s and η_m, affecting hot cracks are analyzed and verified. In order to decrease the tendency of hot cracks, technical parameters should be optimized by decreasing μ_m, η_t, η_s and η_m.

Challenges and exploration for immunotherapies targeting cold colorectal cancer

In recent years,immune checkpoint inhibitors(ICIs)have made significant breakthroughs in the treatment of various tumors,greatly improving clinical efficacy.As the fifth most common antitumor treatment strategy for patients with solid tumors after surgery,chemotherapy,radiotherapy and targeted therapy,the therapeutic response to ICIs largely depends on the number and spatial distribution of effector T cells that can effectively identify and kill tumor cells,features that are also important when distinguishing malignant tumors from“cold tumors”or“hot tumors”.At present,only a small proportion of colorectal cancer(CRC)patients with deficient mismatch repair(dMMR)or who are microsatellite instability-high(MSI-H)can benefit from ICI treatments because these patients have the characteristics of a“hot tumor”,with a high tumor mutational burden(TMB)and massive immune cell infiltration,making the tumor more easily recognized by the immune system.In contrast,a majority of CRC patients with proficient MMR(pMMR)or who are microsatellite stable(MSS)have a low TMB,lack immune cell infiltration,and have almost no response to immune monotherapy;thus,these tumors are“cold”.The greatest challenge today is how to improve the immunotherapy response of“cold tumor”patients.With the development of clinical research,immunotherapies combined with other treatment strategies(such as targeted therapy,chemotherapy,and radiotherapy)have now become potentially effective clinical strategies and research hotspots.Therefore,the question of how to promote the transformation of“cold tumors”to“hot tumors”and break through the bottleneck of immunotherapy for cold tumors in CRC patients urgently requires consideration.Only by developing an in-depth understanding of the immunotherapy mechanisms of cold CRCs can we screen out the immunotherapy-dominant groups and explore the most suitable treatment options for individuals to improve therapeutic efficacy.

An Improved Combined Power System Utilizing Cold Energy of LNG

In order to improve efficiency of a combined power system in which waste heat from exhaust gas could be efficiently recovered and cold energ^^ of liquefied natural gas （LNG） could be fully utilized as well. A system simulation and ther^nodynamic analysis were carried out, the Kalina cycle was reorganized by changing the concentration of “basic composition”, so that a better thermal matching in the heat exchanger could be obtained and the irreversibility of the system was decreased. It was found that the Kalina cycle generally used in the bottom of combined power cycle could also be used to recover the cold energy of LNG. The results show that the exergy efficiency of 42.97% is obtained. Compared with the previous system attained the exergy efficiency of 39.76%, the improved system has a better performance.

Suitability and Construction of Self-Insulation Walls in the Hot Summer and Cold Winter Zone of Southern Shaanxi

In this paper, the suitability and construction technology of self-insulation walls were studied under the specific climatic conditions and regional resources of Hanzhong and Ankang in the hot summer and cold winter zone of Southern Shaanxi. Through the calculation of heat transfer coefficient and thermal inertia index, combined with the specifications of the shale hollow brick and aerated concrete block of Hanzhong and Ankang in southern Shaanxi, the thermal performance and suitable thickness of the external wall using self-insulation materials that meet the Design Standard for Energy Efficiency of Residential Buildings(DBJ61-65-2011) in Shaanxi Province were obtained. The results showed that the self-insulation wall had technical suitability in the hot summer and cold winter zone. The research results provide not only a theoretical basis for the external wall insulation design of urban residential buildings in the hot summer and cold winter zone of southern Shaanxi, but also a reference for designers to carry out energy-saving design of external walls of residential buildings in other similar climate zones.

Verification of Hazard Analysis and Critical Control Point in Hotels and Catering Units: Evaluation of the Cleaning and Disinfection Procedures and Microbiological Monitoring of Hot and Cold Meals

The aim of the present study is to assess the efficacy of the methods used in a HACCP system by measuring the Total Viable Count (TVC) and Coliforms, after cleaning and disinfecting the surfaces used and also by monitoring TVC and enterobacteriaceae of hot and cold meals. In order to evaluate the appropriateness of the surfaces used, samples were obtained from kitchens of 37 Greek hotels/resorts, all of which operated a documented HACCP safety management scheme, while the samples of hot and cold meals were selected from the menu of a catering unit and collected from the actual point of hot and cold dishes banquette at the start time (time 0) and after 4 hours. The developed colonies were counted. The results showed that only 13.5% of the hotels presented surfaces without any TVC or coliforms and 86.5% of the hotels had surfaces with TVC or coliforms or both above the limits. However, 75.8% of the total surfaces examined were acceptable for TVC and 81.9% of the surfaces examined were coliforms. Our microbiological monitoring of food showed that the TVC content of hot meal samples after 4 hours of display (above 60℃) was not significantly different from the TVC content of the aforementioned samples at time 0, while in cold meals TVC and enterobacteriaceae content had significantly risen after 4 hours of display (below 5℃).Conclusively, insufficient application of disinfection and ineffective surface and equipment cleaning programs were found. Additionally, cold meals are more vulnerable than hot meals in developing TVC and enterobacteriaceae.

The Theoretically Studies and Field Testing of Self-Insulation Exterior Wall in the Hot Summer and Cold Winter Zone

The energy efficiency design of the exterior wall in the buildings of the hot summer and cold winter zone of China should consider the heat prevention in summer and the heat insulation in winter. The self-insulation of the exterior?wall is a more feasible design to satisfy the energy efficiency of buildings in the?zone. However, the systematic research is urgently needed for the self-insulation of the exterior wall in the hot summer and cold winter zone of China. The paper tested the thermal performance of the common non-clay materials such as shale sintered hollow brick, sand autoclaved aerated concrete block, etc. by means of indoor experiments. The energy efficiency effect of the common materials was verified using dynamic calculation soft PKPM and several constitutions of exterior wall with different main bricks and insulation materials on the heat bridge were simulated, too. Besides, the tests of the thermal performance of exterior wall in real constructions were carried out to testify the practical effect of the recommended constitutions of exterior wall with different main bricks and insulation materials on the heat bridge. The conclusions are: the physical and thermal properties of the six non-clay wall material are better than the clay porous brick;the thermal performance of the non-clay brick can be improved obviously through the rational arrangement of the holes;shale sintered hollow brick after increasing the holes and rationalizing the hole arrangement and sand autoclaved aerated concrete block are recommended for buildings in the hot summer and cold winter area of China. The dynamic calculation results show that the thermal performances?of the non-clay materials are all satisfied with the energy efficiency;The heat transfer coefficient of the exterior wall with composition?③,?in which?the main wall was sand autoclaved aerated concrete block and the material on the heat bridge was sand autoclaved aerated concrete plate, is the smallest among the three recommended compositions.

High Temperature Oxidation and Hot Corrosion Behaviour of 9Cr 1Mo Ferritic Cold Rolled Steel in Air at 900°C under Cyclic Condition

The oxidation behaviour of 10%, 30%, and 50% cold rolled and unprocessed 9Cr 1Mo ferritic steels in air have been studied under isothermal conditions at a temperature of 900°C in a cyclic manner. Oxidation kinetics was established for all samples on which experiment was conducted in air at 900°C under cyclic conditions for 50 cycles by thermogravimetric technique. Each cycle consisted of 1 hour heating at 900°C followed by 20 min of cooling in air. 10% cold rolled sample followed parabolic rate of oxidation while 30% cold rolled sample showed accelerated rate of weight gain. X-ray diffraction (XRD) and scanning electron microscopy/energy dispersive X-ray (SEM/EDAX) techniques were used to characterise the oxidized sample and their scales. 10% cold rolled steel was found to be more corrosion resistance than other in air oxidation for 50 cycles.