Objective There are many clinical reports on traditional Chinese medicine(TCM)combined with nucleoside(acid)analogues(NAs)for the treatment of chronic hepatitis B(CHB),but its efficacy and safety are not completely cl...Objective There are many clinical reports on traditional Chinese medicine(TCM)combined with nucleoside(acid)analogues(NAs)for the treatment of chronic hepatitis B(CHB),but its efficacy and safety are not completely clear.This meta-analysis aims to evaluate the clinical efficacy and safety thus providing evidence for clinical applications.Methods We searched Chinese databases the China National Knowledge Infrastructure(CNKI),Wanfang Data,and China Science and Technology Journal Database(VIP),as well as English databases Pub Med and Cochrane Library,from time of establishment to April 14,2021.Literature quality was evaluated according to the bias risk assessment criteria of Cochrane Collaboration network.Rev Man 5.3 and Stata 12.0 software were used to perform this research.Results A total of 23 articles,3282 patients,and 25 TCM prescriptions were included in this study.NAs plus TCM remarkably improved the clinical total effective rate[Odds ratio(OR)=3.92,P<0.00001],TCM syndrome score(Mean difference=-3.73,P<0.00001),hepatitis B virus(HBV)DNA negative conversion rate(OR=1.49,P=0.0001),hepatitis Be antigen(HBe Ag)negative conversion rate(OR=2.03,P<0.00001),alanine aminotransferase levels[Std mean difference(SMD)=-0.95,P<0.00001],and aspartate aminotransferase levels(SMD=-0.70,P=0.0004).Adverse reaction rates did not increase in the combined treatment group(OR=0.97,P=0.84).A comprehensive analysis of the 25 TCM prescriptions suggested that the combination of spleen-strengthening prescriptions with NAs showed better effects than other prescriptions.Conclusion TCM in combination with NAs,demonstrated better clinical efficacy against CHB than NAs alone.In addition,the combination of spleen-strengthening prescriptions and NAs was identified as the best therapeutic strategy.However,more randomized controlled trials of high quality are needed to provide more reliable clinical basis for the application of TCM.展开更多
Our field experiments showed that the cultivation of pearl mussels formed a new biocoene composed of filamentous algae, protozoa, porifera and coelenterate. It effectively reduced nitrogen, phosphorus, chemical oxygen...Our field experiments showed that the cultivation of pearl mussels formed a new biocoene composed of filamentous algae, protozoa, porifera and coelenterate. It effectively reduced nitrogen, phosphorus, chemical oxygen demand and biochemical oxygen demand in the water by 67.3%, 73.2%, 38.1% and 15.5%, respectively, during May to September 1998 when the water eutrophication was developing. This could control water eutrophication and produce pearls, shellfish meat and shells. This is an economical and effective way to control water eutrophication by using the ultra strong filtering capability of freshwater pearl mussels.展开更多
Objective: To evaluate the therapeutic effects and safety of the XIA's No.1 Sleeping Prescription for the treatment of insomnia of the deficiency type. Methods: 120 cases conformed to the diagnostic criteria of the...Objective: To evaluate the therapeutic effects and safety of the XIA's No.1 Sleeping Prescription for the treatment of insomnia of the deficiency type. Methods: 120 cases conformed to the diagnostic criteria of the Chinese Classification of Mental Disorders-Version 3 (CCMD-3) and were diagnosed as having insomnia of the deficiency type were divided randomly into a treatment group and a control group, 60 cases in each group. The treatment group was treated with the XIA's No.1 Sleeping Prescription, while the control group was given estazolam (ling) for 6 weeks. The Athens Insomnia Scale (AIS) was used to evaluate the clinical therapeutic effects, while the treatment emergent symptom scale (TESS) was used to evaluate adverse reactions. Results: The total effective rate of the treatment group (80%) was higher than that of the control group (70%), but with no significant difference (P〉0.05). The effective rate for long-term insomnia was 77.8% in the treatment group and 52.4% in the control group, with a significant difference between the two groups (P〈0.05). The adverse reactions shown in the treatment group were obviously fewer and milder than those in the control group. Conclusion: The XIA's No. 1 Sleeping Prescription is effective for insomnia of the deficiency type and with no obvious toxic side effects.展开更多
Davenport's Problem asks:What can we expect of two polynomials,over Z,with the same ranges on almost all residue class fields? This stood out among many separated variable problems posed by Davenport,Lewis and Sch...Davenport's Problem asks:What can we expect of two polynomials,over Z,with the same ranges on almost all residue class fields? This stood out among many separated variable problems posed by Davenport,Lewis and Schinzel.By bounding the degrees,but expanding the maps and variables in Davenport's Problem,Galois stratification enhanced the separated variable theme,solving an Ax and Kochen problem from their Artin Conjecture work.Denef and Loeser applied this to add Chow motive coefficients to previously introduced zeta functions on a diophantine statement.By restricting the variables,but leaving the degrees unbounded,we found the striking distinction between Davenport's problem over Q,solved by applying the Branch Cycle Lemma,and its generalization over any number field,solved by using the simple group classification.This encouraged Thompson to formulate the genus 0 problem on rational function monodromy groups.Guralnick and Thompson led its solution in stages.We look at two developments since the solution of Davenport's problem.Stemming from MacCluer's 1967 thesis,identifying a general class of problems,including Davenport's,as monodromy precise.R(iemann)E(xistence)T(heorem)'s role as a converse to problems generalizing Davenport's,and Schinzel's (on reducibility).We use these to consider:Going beyond the simple group classification to handle imprimitive groups,and what is the role of covers and correspondences in going from algebraic equations to zeta functions with Chow motive coefficients.展开更多
基金We thank for the funding support from the Hundred Talents Program of Hunan Province(No.9999004007)the Startup grant of Hunan University of Chinese Medicine(No.999900201107).
文摘Objective There are many clinical reports on traditional Chinese medicine(TCM)combined with nucleoside(acid)analogues(NAs)for the treatment of chronic hepatitis B(CHB),but its efficacy and safety are not completely clear.This meta-analysis aims to evaluate the clinical efficacy and safety thus providing evidence for clinical applications.Methods We searched Chinese databases the China National Knowledge Infrastructure(CNKI),Wanfang Data,and China Science and Technology Journal Database(VIP),as well as English databases Pub Med and Cochrane Library,from time of establishment to April 14,2021.Literature quality was evaluated according to the bias risk assessment criteria of Cochrane Collaboration network.Rev Man 5.3 and Stata 12.0 software were used to perform this research.Results A total of 23 articles,3282 patients,and 25 TCM prescriptions were included in this study.NAs plus TCM remarkably improved the clinical total effective rate[Odds ratio(OR)=3.92,P<0.00001],TCM syndrome score(Mean difference=-3.73,P<0.00001),hepatitis B virus(HBV)DNA negative conversion rate(OR=1.49,P=0.0001),hepatitis Be antigen(HBe Ag)negative conversion rate(OR=2.03,P<0.00001),alanine aminotransferase levels[Std mean difference(SMD)=-0.95,P<0.00001],and aspartate aminotransferase levels(SMD=-0.70,P=0.0004).Adverse reaction rates did not increase in the combined treatment group(OR=0.97,P=0.84).A comprehensive analysis of the 25 TCM prescriptions suggested that the combination of spleen-strengthening prescriptions with NAs showed better effects than other prescriptions.Conclusion TCM in combination with NAs,demonstrated better clinical efficacy against CHB than NAs alone.In addition,the combination of spleen-strengthening prescriptions and NAs was identified as the best therapeutic strategy.However,more randomized controlled trials of high quality are needed to provide more reliable clinical basis for the application of TCM.
文摘Our field experiments showed that the cultivation of pearl mussels formed a new biocoene composed of filamentous algae, protozoa, porifera and coelenterate. It effectively reduced nitrogen, phosphorus, chemical oxygen demand and biochemical oxygen demand in the water by 67.3%, 73.2%, 38.1% and 15.5%, respectively, during May to September 1998 when the water eutrophication was developing. This could control water eutrophication and produce pearls, shellfish meat and shells. This is an economical and effective way to control water eutrophication by using the ultra strong filtering capability of freshwater pearl mussels.
文摘Objective: To evaluate the therapeutic effects and safety of the XIA's No.1 Sleeping Prescription for the treatment of insomnia of the deficiency type. Methods: 120 cases conformed to the diagnostic criteria of the Chinese Classification of Mental Disorders-Version 3 (CCMD-3) and were diagnosed as having insomnia of the deficiency type were divided randomly into a treatment group and a control group, 60 cases in each group. The treatment group was treated with the XIA's No.1 Sleeping Prescription, while the control group was given estazolam (ling) for 6 weeks. The Athens Insomnia Scale (AIS) was used to evaluate the clinical therapeutic effects, while the treatment emergent symptom scale (TESS) was used to evaluate adverse reactions. Results: The total effective rate of the treatment group (80%) was higher than that of the control group (70%), but with no significant difference (P〉0.05). The effective rate for long-term insomnia was 77.8% in the treatment group and 52.4% in the control group, with a significant difference between the two groups (P〈0.05). The adverse reactions shown in the treatment group were obviously fewer and milder than those in the control group. Conclusion: The XIA's No. 1 Sleeping Prescription is effective for insomnia of the deficiency type and with no obvious toxic side effects.
文摘Davenport's Problem asks:What can we expect of two polynomials,over Z,with the same ranges on almost all residue class fields? This stood out among many separated variable problems posed by Davenport,Lewis and Schinzel.By bounding the degrees,but expanding the maps and variables in Davenport's Problem,Galois stratification enhanced the separated variable theme,solving an Ax and Kochen problem from their Artin Conjecture work.Denef and Loeser applied this to add Chow motive coefficients to previously introduced zeta functions on a diophantine statement.By restricting the variables,but leaving the degrees unbounded,we found the striking distinction between Davenport's problem over Q,solved by applying the Branch Cycle Lemma,and its generalization over any number field,solved by using the simple group classification.This encouraged Thompson to formulate the genus 0 problem on rational function monodromy groups.Guralnick and Thompson led its solution in stages.We look at two developments since the solution of Davenport's problem.Stemming from MacCluer's 1967 thesis,identifying a general class of problems,including Davenport's,as monodromy precise.R(iemann)E(xistence)T(heorem)'s role as a converse to problems generalizing Davenport's,and Schinzel's (on reducibility).We use these to consider:Going beyond the simple group classification to handle imprimitive groups,and what is the role of covers and correspondences in going from algebraic equations to zeta functions with Chow motive coefficients.