AIM To verify the hypothesis that the Ling classification describes the endoscopic progressive process of achalasia and determine the ability of successful peroral endoscopic myotomy (POEM) to prevent endoscopic progr...AIM To verify the hypothesis that the Ling classification describes the endoscopic progressive process of achalasia and determine the ability of successful peroral endoscopic myotomy (POEM) to prevent endoscopic progression of achalasia. METHODS We retrospectively reviewed the endoscopic findings, symptom duration, and manometric data in patients with achalasia. A total of 359 patients (197 women, 162 men) with a mean age of 42.1 years (range, 12-75 years) were evaluated. Symptom duration ranged from 2 to 360 mo, with a median of 36 mo. Patients were classified with Ling type I (n = 119), II a (n = 106),II b (n = 60),II c (n = 60), or III (n = 14), according to the Ling classification. Of the 359 patients, 349 underwent POEM, among whom 21 had an endoscopic follow-up for more than 2 years. Pre-treatment and post-treatment Ling classifications of these 21 patients were compared. RESULTS Symptom duration increased significantly with increasing Ling classification (from I to III) (p < 0.05), whereas lower esophageal sphincter pressure decreased with increasing Ling type (from I to III) (p < 0.05). There was no difference in sex ratio or onset age among the Ling types, although the age at time of diagnosis was higher in Ling types I c and III than in Ling types I, IIa, and I b. Of the 21 patients, 19 underwent high-resolution manometry both before and after treatment. The mean preoperative and postoperative lower esophageal sphincter pressure were 34.6 mmHg (range, 15.3-59.4 mmHg) and 15.0 mmHg (range, 2.1-21.6 mmHg), respectively, indicating a statistically significant decrease after POEM. All of the 21 patients were treated successfully by POEM (postoperative Eckardt score <= 3) and still had the same Ling type during a mean follow-up period of 37.8 mo (range, 24-51 mo). CONCLUSION The Ling classification represents the endoscopic progressive process of achalasia and may be able to serve as an endoscopic assessment criterion for achalasia. Successful POEM (Eckardt score <= 3) seems to have the ability to prevent endoscopic evolvement of achalasia. However, studies with larger populations are warranted to confirm our findings.展开更多
The postbuckling of the eccentrically stiffened circular cylindrical shells made of functionally graded materials (FGMs), subjected to the axial compressive load and external uniform pressure and filled inside by th...The postbuckling of the eccentrically stiffened circular cylindrical shells made of functionally graded materials (FGMs), subjected to the axial compressive load and external uniform pressure and filled inside by the elastic foundations in the thermal environments, is investigated with an analytical method. The shells are reinforced by FGM stringers and rings. The thermal elements of the shells and stiffeners in the fundamental equations are considered. The equilibrium and nonlinear stability equations in terms of the displacement components for the stiffened shells are derived with the third-order shear deformation theory and Leckhniskii smeared stiffener technique. The closed-form expressions for determining the buckling load and postbuckling load-deflection curves are obtained with the Galerkin method. The effects of the stiffeners, the foundations, the material and dimensional parameters, and the pre-existent axial compressive and thermal load are considered.展开更多
In order to solve the problem of rib spalling of high coal walls in fully-mechanized(HCWFM)mines,we used the principle of damage mechanics to analyze coal wall rib spalling.The results show that coal wall rib spalli...In order to solve the problem of rib spalling of high coal walls in fully-mechanized(HCWFM)mines,we used the principle of damage mechanics to analyze coal wall rib spalling.The results show that coal wall rib spalling is,to a certain degree,a macro-performance of the development of micro-cracks.We built a mechanical model to simulate the damage to the front of coal walls,carried out theoretical calculations of the damage parameters,analyzed the effect of mining height,original cracks,seam strength,horizontal stress,vertical displacement of the coal walls and other parameters on coal wall rib spalling, which conform well with the results of our field measurements and numerical simulation.The key to control coal wall rib spalling is to control the development of cracks in coal walls.Accelerating the speed of advancing the working face,improving the setting load of support and the horizontal force of the guard board,strengthening coal walls and other technical measures can effectively reduce the degree of damage to the coal walls and control coal wall rib spalling at HCWFM faces.展开更多
“Shen Yan Ling”(SYL 肾炎灵) is a compoundherbal preparation consisting of 16 ingredients:HerbaEcliptae,Radix Rhemanniae,Rhizoma Cibotii,RadixAngelica Sinensis,Rhizoma Ligustici Chuanxiong,Radix Paeoniac Rubra,Rhizom...“Shen Yan Ling”(SYL 肾炎灵) is a compoundherbal preparation consisting of 16 ingredients:HerbaEcliptae,Radix Rhemanniae,Rhizoma Cibotii,RadixAngelica Sinensis,Rhizoma Ligustici Chuanxiong,Radix Paeoniac Rubra,Rhizoma Diosocoreae,Poria,Radix Sanguisorbae,Radix Rubiae,Herba Portulacae,Fructus Gardeniae,Herba Cirsii Japonici,HerbaCephalanoploris.etc.In animal experiments,SYLwas shown to have therapeutic effect for Masugi’snephritis models.It has also been used with satis-factory results in the treatment of 314 cases of chronicglomerulonephritis of the common type with manifes-tations of Yin deficiency and endogenous heat.展开更多
Two new eremophilane sesquiterpene lactones, 1β-angeloyloxy-6β, 10β-dihydroxy-8β- methoxyeremophila-7(ll)en-8α,12-olide and 1β-angeloyloxy-6β,10α-dihydroxy-8α-methoxyeremo- phila-7( 11)en-8β, 12-olide we...Two new eremophilane sesquiterpene lactones, 1β-angeloyloxy-6β, 10β-dihydroxy-8β- methoxyeremophila-7(ll)en-8α,12-olide and 1β-angeloyloxy-6β,10α-dihydroxy-8α-methoxyeremo- phila-7( 11)en-8β, 12-olide were isolated from the extract of the whole plant of Ligularia myriocephala Ling. Their structures and stereochemistry were elucidated by various spectroscopic methods including intensive 2D-NMR techniques (COSY, gHMQC, gHMBC and ^1H-^1H NOESY) and HR-ESIMS.展开更多
Objective:To explore and verify the mechanism of Gan Dou Ling in improving liver fibrosis in Wilson disease(WD)by network pharmacology and copper loaded mice experiments.Methods:The main chemical components and corres...Objective:To explore and verify the mechanism of Gan Dou Ling in improving liver fibrosis in Wilson disease(WD)by network pharmacology and copper loaded mice experiments.Methods:The main chemical components and corresponding gene targets of each drug in Gan Dou Ling were obtained by using TCMSP database.The database of gene mutation and disease related gene was searched through the GeneCards database,DrugBank database,PharmGKB database and the DisGeNET database.After the intersection of drug and disease target genes.The STRING website was used to analyze the protein-protein interaction degree of target genes,and import the data to Cytoscape software 38.2 to analyze protein interaction network.The GO databases and KEGG databases were obtained in R language for enrichment analysis.On this basis,Masson staining were used to observe the degree of liver fibrosis in copper loaded mouse model,and the results of network pharmacological analysis were verified by Western Blot(WB).Results:A total of 108 drug disease intersection genes were analyzed by network pharmacology.Through PPI network analysis,JUN was found to be the key genes.The enrichment analysis of KEGG pathway showed that MAPK signal pathway was the important potential target pathways.Animal experiments showed that Gan Dou Ling could reduce liver fibrosis and inhibit the phosphorylation of P38,JNK and C-JUN in copper loaded mice.Conclusion:Gan Dou Ling may achieve the effect of treating WD liver fibrosis by inhibiting P38/JNK signaling pathway.展开更多
Short Retraction Notice The paper does not meet the standards of “Chinese Medicine ". This article has been retracted to straighten the academic record. In making this decision the Editorial Board follows COPE...Short Retraction Notice The paper does not meet the standards of “Chinese Medicine ". This article has been retracted to straighten the academic record. In making this decision the Editorial Board follows COPE's Retraction Guidelines. The aim is to promote the circulation of scientific research by offering an ideal research publication platform with due consideration of internationally accepted standards on publication ethics. The Editorial Board would like to extend its sincere apologies for any inconvenience this retraction may have caused. Editor guiding this retraction: Prof. Maythem Saeed (EiC of CM) The full retraction notice in PDF is preceding the original paper, which is marked "RETRACTED".展开更多
Objective:To evaluate the efficacy and safety of Shen Zhi Ling oral liquid(SZL)alone or combined with basic treatment in treating Alzheimer's Disease(AD).Methods:Databases including PubMed,the Cochrane Library,Emb...Objective:To evaluate the efficacy and safety of Shen Zhi Ling oral liquid(SZL)alone or combined with basic treatment in treating Alzheimer's Disease(AD).Methods:Databases including PubMed,the Cochrane Library,Embase,Web of science,China National Knowledge Infrastructure(CNKI),Wanfang Database and the Chinese Science and Technology Journal Database(VIP)were searched from inception to September 20,2020 to collect relevant randomized controlled trials(RCTs)comparing SZL with other nootropic drugs for AD.The primary clinical outcomes were scores of the Mini Mental State Examination(MMSE)and the Activities of Daily Living(ADL)during treatment.The secondary outcomes of our study included other neuropsychological scale scores including Rapid Verbal Retrieve(RVR),Digit Span(DS),Fuld Object-Memory Evaluation(FOM)and adverse events or reactions.Two authors searched and screened the literature independently,then extracted the data and evaluated the methodological quality by using the handbook of Cochrane Collaboration,and analyzed the data via the Review Manager 5.3 software.Results:In total,we included four studies,covering 217 participants.All studies were in a low methodological quality.The result of MMSE score,ADL score,RVR score,DS score and FOM score in the meta-analysis showed that no statistically significant difference(P>0.05)between the treatment groups and control groups,and the statistical heterogeneity of all meta-analyses was small(I2<50%).SZL was indicated no better than other nootropic drugs.Among the included studies,no study described adverse events.Conclusions:Considering the low quality of the included trials and the different levels of AD patients,we are unable to come to any conclusion about the efficacy and safety of SZL compared with other nootropic drugs.Moreover,we still need rigorously designed,multi-center,large-scale trials to further confirm the efficacy and safety of SZL.展开更多
In the female writers of "5.4" , the quantity of Ling Shuhua' s works is not large, but the achievement isn't low because of her practiced skill and acute observation. By taking the novels for example, it is a ref...In the female writers of "5.4" , the quantity of Ling Shuhua' s works is not large, but the achievement isn't low because of her practiced skill and acute observation. By taking the novels for example, it is a reflection on three aspects: a kind of sad feeling under the poetic charm; the contrast of backward and new thought; the concealed comment and revealed value judgment. From these contrasts, people can know the Chinese female' s true state in the transition and the writer' s skill of fiction creation.展开更多
"未来实质上扎根于每个人对于生活的期望",Linge Roset的总监Pierre and Michel Roset以寄于回忆、趣事的写实手法架起了Linge Roset过去与未来的桥梁。Linge Roset的设计思维是:新鲜事物会培育设计文化。比如,菲利普·尼格罗的C..."未来实质上扎根于每个人对于生活的期望",Linge Roset的总监Pierre and Michel Roset以寄于回忆、趣事的写实手法架起了Linge Roset过去与未来的桥梁。Linge Roset的设计思维是:新鲜事物会培育设计文化。比如,菲利普·尼格罗的Confluences座椅系列和弗朗索瓦·巴其特的罗马人储藏类家具系列项目都体现了Linge Roset的情感概念。展开更多
On February 25, the Unit 1 of Ling’ao Nuclear Power Plant phase II underwent a 41-day-long hot functional test successfully with its major systems satisfying the requirements for
Last May 29 was the 20th anniversary of the death Of Mme Soong Ching Ling. In memory of this great woman of the 20th century the Soong Ching Ling Foundation sponsored a series of commemorative activities at her former...Last May 29 was the 20th anniversary of the death Of Mme Soong Ching Ling. In memory of this great woman of the 20th century the Soong Ching Ling Foundation sponsored a series of commemorative activities at her former residence in Beijing, including an exhibition of events in her life and a seminar Israel Epstein, editor-in-chief emeritus of China Today and vice-chairman of the Soong Ching Ling Foundation, was once a close friend of Mme Soong. He gave an interview to China Today on her memorial day. - Ed.展开更多
Construction of Ling’ao Nuclear Power Plant in Guangdong Province, the country’s second-largest nuclear power project between 1996-2000, chalked up notable progress this year. On July, 15, all foreign suppliers in t...Construction of Ling’ao Nuclear Power Plant in Guangdong Province, the country’s second-largest nuclear power project between 1996-2000, chalked up notable progress this year. On July, 15, all foreign suppliers in the project were given official notice that both sides should start to implement the contracts. "The move marked a significant step forward in the project’s construction," said Zeng Wenxing, General Manager of Ling’ ao Nuclear Power Co Ltd, set up in展开更多
文摘AIM To verify the hypothesis that the Ling classification describes the endoscopic progressive process of achalasia and determine the ability of successful peroral endoscopic myotomy (POEM) to prevent endoscopic progression of achalasia. METHODS We retrospectively reviewed the endoscopic findings, symptom duration, and manometric data in patients with achalasia. A total of 359 patients (197 women, 162 men) with a mean age of 42.1 years (range, 12-75 years) were evaluated. Symptom duration ranged from 2 to 360 mo, with a median of 36 mo. Patients were classified with Ling type I (n = 119), II a (n = 106),II b (n = 60),II c (n = 60), or III (n = 14), according to the Ling classification. Of the 359 patients, 349 underwent POEM, among whom 21 had an endoscopic follow-up for more than 2 years. Pre-treatment and post-treatment Ling classifications of these 21 patients were compared. RESULTS Symptom duration increased significantly with increasing Ling classification (from I to III) (p < 0.05), whereas lower esophageal sphincter pressure decreased with increasing Ling type (from I to III) (p < 0.05). There was no difference in sex ratio or onset age among the Ling types, although the age at time of diagnosis was higher in Ling types I c and III than in Ling types I, IIa, and I b. Of the 21 patients, 19 underwent high-resolution manometry both before and after treatment. The mean preoperative and postoperative lower esophageal sphincter pressure were 34.6 mmHg (range, 15.3-59.4 mmHg) and 15.0 mmHg (range, 2.1-21.6 mmHg), respectively, indicating a statistically significant decrease after POEM. All of the 21 patients were treated successfully by POEM (postoperative Eckardt score <= 3) and still had the same Ling type during a mean follow-up period of 37.8 mo (range, 24-51 mo). CONCLUSION The Ling classification represents the endoscopic progressive process of achalasia and may be able to serve as an endoscopic assessment criterion for achalasia. Successful POEM (Eckardt score <= 3) seems to have the ability to prevent endoscopic evolvement of achalasia. However, studies with larger populations are warranted to confirm our findings.
基金Project supported by the Vietnam National Foundation for Science and Technology Development(No.107.02-2015.11)
文摘The postbuckling of the eccentrically stiffened circular cylindrical shells made of functionally graded materials (FGMs), subjected to the axial compressive load and external uniform pressure and filled inside by the elastic foundations in the thermal environments, is investigated with an analytical method. The shells are reinforced by FGM stringers and rings. The thermal elements of the shells and stiffeners in the fundamental equations are considered. The equilibrium and nonlinear stability equations in terms of the displacement components for the stiffened shells are derived with the third-order shear deformation theory and Leckhniskii smeared stiffener technique. The closed-form expressions for determining the buckling load and postbuckling load-deflection curves are obtained with the Galerkin method. The effects of the stiffeners, the foundations, the material and dimensional parameters, and the pre-existent axial compressive and thermal load are considered.
基金provided by the Independent Research Fund(No.SKLCRSM09X02)the Open Research Fund of the State Key Laboratory of Coal Resources and Safety Mining (No.08KF12)the Qinglan Project of Jiangsu Province and the Graduate Students Innovation Fund of Colleges and Universities in Jiangsu(No.CX09B_120Z)
文摘In order to solve the problem of rib spalling of high coal walls in fully-mechanized(HCWFM)mines,we used the principle of damage mechanics to analyze coal wall rib spalling.The results show that coal wall rib spalling is,to a certain degree,a macro-performance of the development of micro-cracks.We built a mechanical model to simulate the damage to the front of coal walls,carried out theoretical calculations of the damage parameters,analyzed the effect of mining height,original cracks,seam strength,horizontal stress,vertical displacement of the coal walls and other parameters on coal wall rib spalling, which conform well with the results of our field measurements and numerical simulation.The key to control coal wall rib spalling is to control the development of cracks in coal walls.Accelerating the speed of advancing the working face,improving the setting load of support and the horizontal force of the guard board,strengthening coal walls and other technical measures can effectively reduce the degree of damage to the coal walls and control coal wall rib spalling at HCWFM faces.
文摘“Shen Yan Ling”(SYL 肾炎灵) is a compoundherbal preparation consisting of 16 ingredients:HerbaEcliptae,Radix Rhemanniae,Rhizoma Cibotii,RadixAngelica Sinensis,Rhizoma Ligustici Chuanxiong,Radix Paeoniac Rubra,Rhizoma Diosocoreae,Poria,Radix Sanguisorbae,Radix Rubiae,Herba Portulacae,Fructus Gardeniae,Herba Cirsii Japonici,HerbaCephalanoploris.etc.In animal experiments,SYLwas shown to have therapeutic effect for Masugi’snephritis models.It has also been used with satis-factory results in the treatment of 314 cases of chronicglomerulonephritis of the common type with manifes-tations of Yin deficiency and endogenous heat.
基金supported by the National Natural Sciences Foundation of China(No.20021001,20372029 and 20475057).
文摘Two new eremophilane sesquiterpene lactones, 1β-angeloyloxy-6β, 10β-dihydroxy-8β- methoxyeremophila-7(ll)en-8α,12-olide and 1β-angeloyloxy-6β,10α-dihydroxy-8α-methoxyeremo- phila-7( 11)en-8β, 12-olide were isolated from the extract of the whole plant of Ligularia myriocephala Ling. Their structures and stereochemistry were elucidated by various spectroscopic methods including intensive 2D-NMR techniques (COSY, gHMQC, gHMBC and ^1H-^1H NOESY) and HR-ESIMS.
基金supported by the National Natural Science Foundation of China(No.81973825)the Natural Science Research Foundation of Anhui Province Universities(No.KJ2020A0436)。
文摘Objective:To explore and verify the mechanism of Gan Dou Ling in improving liver fibrosis in Wilson disease(WD)by network pharmacology and copper loaded mice experiments.Methods:The main chemical components and corresponding gene targets of each drug in Gan Dou Ling were obtained by using TCMSP database.The database of gene mutation and disease related gene was searched through the GeneCards database,DrugBank database,PharmGKB database and the DisGeNET database.After the intersection of drug and disease target genes.The STRING website was used to analyze the protein-protein interaction degree of target genes,and import the data to Cytoscape software 38.2 to analyze protein interaction network.The GO databases and KEGG databases were obtained in R language for enrichment analysis.On this basis,Masson staining were used to observe the degree of liver fibrosis in copper loaded mouse model,and the results of network pharmacological analysis were verified by Western Blot(WB).Results:A total of 108 drug disease intersection genes were analyzed by network pharmacology.Through PPI network analysis,JUN was found to be the key genes.The enrichment analysis of KEGG pathway showed that MAPK signal pathway was the important potential target pathways.Animal experiments showed that Gan Dou Ling could reduce liver fibrosis and inhibit the phosphorylation of P38,JNK and C-JUN in copper loaded mice.Conclusion:Gan Dou Ling may achieve the effect of treating WD liver fibrosis by inhibiting P38/JNK signaling pathway.
文摘Short Retraction Notice The paper does not meet the standards of “Chinese Medicine ". This article has been retracted to straighten the academic record. In making this decision the Editorial Board follows COPE's Retraction Guidelines. The aim is to promote the circulation of scientific research by offering an ideal research publication platform with due consideration of internationally accepted standards on publication ethics. The Editorial Board would like to extend its sincere apologies for any inconvenience this retraction may have caused. Editor guiding this retraction: Prof. Maythem Saeed (EiC of CM) The full retraction notice in PDF is preceding the original paper, which is marked "RETRACTED".
基金This work was supported by the second batch of the“Ten thousand plan”,a national high-level talent special support plan(W02020052).
文摘Objective:To evaluate the efficacy and safety of Shen Zhi Ling oral liquid(SZL)alone or combined with basic treatment in treating Alzheimer's Disease(AD).Methods:Databases including PubMed,the Cochrane Library,Embase,Web of science,China National Knowledge Infrastructure(CNKI),Wanfang Database and the Chinese Science and Technology Journal Database(VIP)were searched from inception to September 20,2020 to collect relevant randomized controlled trials(RCTs)comparing SZL with other nootropic drugs for AD.The primary clinical outcomes were scores of the Mini Mental State Examination(MMSE)and the Activities of Daily Living(ADL)during treatment.The secondary outcomes of our study included other neuropsychological scale scores including Rapid Verbal Retrieve(RVR),Digit Span(DS),Fuld Object-Memory Evaluation(FOM)and adverse events or reactions.Two authors searched and screened the literature independently,then extracted the data and evaluated the methodological quality by using the handbook of Cochrane Collaboration,and analyzed the data via the Review Manager 5.3 software.Results:In total,we included four studies,covering 217 participants.All studies were in a low methodological quality.The result of MMSE score,ADL score,RVR score,DS score and FOM score in the meta-analysis showed that no statistically significant difference(P>0.05)between the treatment groups and control groups,and the statistical heterogeneity of all meta-analyses was small(I2<50%).SZL was indicated no better than other nootropic drugs.Among the included studies,no study described adverse events.Conclusions:Considering the low quality of the included trials and the different levels of AD patients,we are unable to come to any conclusion about the efficacy and safety of SZL compared with other nootropic drugs.Moreover,we still need rigorously designed,multi-center,large-scale trials to further confirm the efficacy and safety of SZL.
文摘In the female writers of "5.4" , the quantity of Ling Shuhua' s works is not large, but the achievement isn't low because of her practiced skill and acute observation. By taking the novels for example, it is a reflection on three aspects: a kind of sad feeling under the poetic charm; the contrast of backward and new thought; the concealed comment and revealed value judgment. From these contrasts, people can know the Chinese female' s true state in the transition and the writer' s skill of fiction creation.
文摘"未来实质上扎根于每个人对于生活的期望",Linge Roset的总监Pierre and Michel Roset以寄于回忆、趣事的写实手法架起了Linge Roset过去与未来的桥梁。Linge Roset的设计思维是:新鲜事物会培育设计文化。比如,菲利普·尼格罗的Confluences座椅系列和弗朗索瓦·巴其特的罗马人储藏类家具系列项目都体现了Linge Roset的情感概念。
文摘On February 25, the Unit 1 of Ling’ao Nuclear Power Plant phase II underwent a 41-day-long hot functional test successfully with its major systems satisfying the requirements for
文摘Last May 29 was the 20th anniversary of the death Of Mme Soong Ching Ling. In memory of this great woman of the 20th century the Soong Ching Ling Foundation sponsored a series of commemorative activities at her former residence in Beijing, including an exhibition of events in her life and a seminar Israel Epstein, editor-in-chief emeritus of China Today and vice-chairman of the Soong Ching Ling Foundation, was once a close friend of Mme Soong. He gave an interview to China Today on her memorial day. - Ed.
文摘Construction of Ling’ao Nuclear Power Plant in Guangdong Province, the country’s second-largest nuclear power project between 1996-2000, chalked up notable progress this year. On July, 15, all foreign suppliers in the project were given official notice that both sides should start to implement the contracts. "The move marked a significant step forward in the project’s construction," said Zeng Wenxing, General Manager of Ling’ ao Nuclear Power Co Ltd, set up in