RESUMEN
This study aims to systematically evaluate the clinical efficacy and safety of Kushen Gelatum combined with antibiotics for treating bacterial vaginosis. The randomized controlled trial(RCT) of Kushen Gelatum for treating bacterial vaginosis were retrieved from CNKI, Wanfang, VIP, SinoMed, PubMed, and Cochrane Library with the time interval from inception to January 2023. Data were extracted from the included RCT by 2 investigators, including the sample size, characteristics of patients, interventions and controls, outcome indicators, and adverse effects. The Cochrane collaboration network's bias risk assessment tool was used for methodolo-gical quality evaluation of the included trials. RevMan 5.4 was employed to perform the Meta-analysis. A total of 19 RCTs were inclu-ded, involving 1 980 patients with bacterial vaginosis. Meta-analysis showed that, compared with nitroimidazoles alone, Kushen Gelatum + nitroimidazoles improved the total response rates in terms of clinical symptoms and laboratory tests(RR=1.24, 95%CI[1.13, 1.36], P<0.000 01), laboratory tests(RR=1.16, 95%CI[1.06, 1.26], P=0.000 9), and clinical symptoms(RR=1.26, 95%CI[1.08, 1.46], P=0.003), and reduced the leukocyte esterase positive rate(RR=0.29, 95%CI[0.17, 0.48], P<0.000 01) and the recurrence rate(RR=0.37, 95%CI[0.23, 0.58], P<0.000 1). Compared with lincomycin antibiotics(clindamycin) alone, Kushen Gelatum + lincomycin antibiotics(clindamycin) improved the total response rates in terms of clinical symptoms and laboratory tests(RR=1.18, 95%CI[1.06, 1.31], P=0.003) and laboratory tests(RR=1.27, 95%CI[1.04, 1.54], P=0.02), reduced the recurrence rate(RR=0.20, 95%CI[0.05, 0.75], P=0.02), and shortened the time to relief of burning sensation(MD=-1.70, 95%CI[-2.15,-1.26], P<0.000 01), vaginal itching(MD=-0.82, 95%CI[-1.30,-0.34], P=0.000 8), and abnormal leucorrhea(MD=-1.52, 95%CI[-1.98,-1.06], P<0.000 01). Compared with nitroimidazoles + probiotics, Kushen Gelatum + nitroimidazoles + probiotics improved the total response rate in terms of clinical symptoms and laboratory tests(RR=1.18, 95%CI[1.02, 1.36], P=0.03) and reduced the recurrence rate(RR=0.27, 95%CI[0.09, 0.76], P=0.01). Kushen Gelatum combined with antibiotics demonstrates a potential therapeutic effect on bacterial vaginosis, whereas the number and quality of the relevant clinical studies remain to be improved. The process of clinical trial should be standardized to improve the quality of evidence, so as to provide strong evidence to guide the application of Kushen Gelatum in clinical practice.
Asunto(s)
Nitroimidazoles , Vaginosis Bacteriana , Femenino , Humanos , Antibacterianos/efectos adversos , Clindamicina/efectos adversos , Vaginosis Bacteriana/tratamiento farmacológico , Vaginosis Bacteriana/inducido químicamente , Nitroimidazoles/efectos adversosRESUMEN
Three series of copper-lanthanide/lanthanide coordination polymers (CPs) Ln(III) Cu(II) Cu(I) (bct)3 (H2 O)2 [Ln=La (1), Ce (2), Pr (3), Nd (4), Sm (5), Eu (6), Gd (7), Tb (8), Dy (9), Er (10), Yb (11), and Lu (12), H2 bct=2,5-bis(carboxymethylmercapto)-1,3,4-thiadiazole acid], Ln(III) Cu(I) (bct)2 [Ln=Ce (2 a), Pr (3 a), Nd (4 a), Sm (5 a), Eu (6 a), Gd (7 a), Tb (8 a), Dy (9 a), Er (10 a), Yb (11 a), and Lu (12 a)], and Ln(III) 2 (bct)3 (H2 O)5 [Ln=La (1 b), Ce (2 b), Pr (3 b), Nd (4 b), Sm (5 b), Eu (6 b), Gd (7 b), Tb (8 b), and Dy (9 b)] have been successfully constructed under hydrothermal conditions by modulating the reaction time. Structural characterization has revealed that CPs 1-12 possess a unique one-dimensional (1D) strip-shaped structure containing two types of double-helical chains and a double-helical channel. CPs 2 a-12 a show a three-dimensional (3D) framework formed by Cu(I) linking two types of homochiral layers with double-helical channels. CPs 1 b-9 b exhibit a 3D framework with single-helical channels. CPs 6 b and 8 b display visible red and green luminescence of the Eu(III) and Tb(III) ions, respectively, sensitized by the bct ligand, and microsecond-level lifetimes. CP 8 b shows a rare magnetic transition between short-range ferromagnetic ordering at 110â K and long-range ferromagnetic ordering below 10â K. CPs 9 a and 9 b display field-induced single-chain magnet (SCM) and/or single-molecule magnet (SMM) behaviors, with Ueff values of 51.7 and 36.5â K, respectively.
RESUMEN
In the title heterodinuclear complex, [CuNa(C(8)H(7)O(3))(2)(ClO(4))(CH(3)OH)](n), the Cu(II) ion is five-coordinated by four O atoms from two 2-formyl-6-meth-oxy-phenolate anions and one O atom from a perchlorate anion in a distorted square-pyramidal geometry. The Na(+) ion is six-coordinated by four O atoms from two 2-formyl-6-meth-oxy-phenolate ligands, one O atom of a methanol mol-ecule and one O atom of a perchlorate anion. The perchlorate anions link the Na(+) and Cu(II) ions, forming a chain along [010]. O-Hâ¯O hydrogen bonds connect the chains. π-π inter-actions are present between the benzene rings [centroid-centroid distances = 3.566â (2) and 3.702â (2)â Å]. The O atoms of the perchlorate anion are disordered over two sets of sites, with an occupancy ratio of 0.481â (8):0.519â (8).
RESUMEN
In the dinuclear salen-type title complex, [CuNa(BF(4))(C(18)H(18)N(2)O(4))(CH(3)OH)], the Cu(II) atom is chelated by two O atoms and two N atoms of the deprotonated Schiff base in a square-planar geometry. The Na atom is seven-coordinate as it is linked to four O atoms of the same Schiff base ligand, one O atom of the methanol and two tetra-fluorido-borate F atoms. The remaining two F atoms of the anion are disordered over two sites in a 0.598â (18):0.402â (18) ratio.
RESUMEN
OBJECTIVE: To measure the diameter and length of infrarenal inferior vena cava (IVC) in Shandong Peninsula adult through digital subtraction angiography (DSA) for better vena cava filter (VCF) choice and placement. METHODS: From April 2008 to June 2010, 83 discontinuous patients (49 males and 34 females, mean age 56.4 years) with deep venous thrombosis (DVT) of lower extremity were placed VCF through DSA according to ACCP-8. During operation, diameter and length of infrarenal IVC were measured. At the same time, the renal vein location and the type of the IVC were identified to help the VCF choice. RESULTS: All the VCFs were placed successfully, no complications occurred. The diameter of infrarenal IVC was 10 to 26 mm with a mean of (19 ± 5) mm. The average length from beginning of IVC to the lower renal vein was (10.6 ± 2.8) cm. The renal vein was located between the first and second lumbar vertebra, the IVC beginning was located between the fourth and fifth lumbar vertebra. CONCLUSIONS: Diameter and length measurement of infrarenal IVC is helpful to the VCF selection and the domestic VCF research. Vena cava angiography is very important to the accurate placement of VCF.
Asunto(s)
Vena Cava Inferior/diagnóstico por imagen , Pueblo Asiatico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Flebografía , Filtros de Vena CavaRESUMEN
A new Dy2-dimer-based two-dimensional network Dy(L)(HL)(phen) (1-Dy) has been synthesized by a hydrothermal method. 1-Dy displays an obvious single-molecule magnet (SMM) behavior with a high Ueff value of approximately 160 K under a zero dc field.
RESUMEN
Three transition metal organopolymolybdate hybrid compounds, namely, H2[Mn(H2O)4L3(γ-Mo8O26)] 8H2O (), H[M2(CH3O)(H2O)6L3(γ-Mo8O26)] [M = Zn () and Co ()] [L = 1,4-bis(3-pyridinecarboxamido)benzene] have been synthesized under solvothermal conditions and characterized by IR spectroscopy, TG analysis, powder XRD and single-crystal X-ray diffraction. Compounds were obtained by the one-pot method, and the mixture of methanol and water with different ratios was used as the solvent. In compound , the γ-Mo8 anions were connected with pyridine groups of ligand L by the Mo-N bond, forming an uncommon 1D γ-Mo8-L chain. The adjacent chains were connected by [MnL2(H2O)4](2+) moieties through hydrogen bonding interaction to construct a 2D supramolecular network. Compounds and are isostructural, which show a 3D 2,4,6-connected {4(4)·6(2)}{4(4)·6(6)·8(4)·10}{6} framework. The γ-Mo8 anions were connected by [M(H2O)2(CH3O)](+) [M = Zn () and Co ()] subunits forming 1D M-Mo8 chains, which were connected by [ML2(H2O)4](2+) moieties to construct a 2D layer. In compounds and , there also exist the same 1D γ-Mo8-L chains as in , which extended the 2D networks to 3D frameworks. The Mo-N bond with pyridyl groups was formed under the solvothermal conditions, which is scarcely reported to our knowledge. The effect of the solvent on the assembly of the title compounds and the formation of the Mo-N bond, as well as the role of metal-organic moieties on the construction of diverse organopolymolybdate compounds have been discussed in detail. Furthermore, the electrochemical and photocatalytic properties of have been investigated.
RESUMEN
Through using two kinds of bis(pyrazolyl) ligands, four polyoxometalate (POM)-based compounds were hydrothermally synthesized and structurally characterized, [Ag3(Hbhpe)2(H2O)(H2PMo12O40)]·H2O (1), [Ag(H2bdpm)2(H2PW12O40)]·4H2O (2), [Ag6(H2bdpm)6(HPW(VI)8W(V)4O40)]·2H2O (2) and [Ag4(H2bdpm)4(H2P2W18O62)]·3H2O (4) (H2bhpe = 1,2-bis(1-H-pyrazolate)ethane, H2bdpm = 1,1'-bis(3,5-dimethyl-1H-pyrazolate)methane). In compound 1, the Ag-Hbhpe subunit is a 2D layer containing large penta-membered cycles and small tri-nuclear Ag(I) clusters. The Keggin anions covalently float on the large cycles. In compound 2, the Keggin anions are fused by [Ag(H2bdpm)2](+) subunits to form a 1D chain. Compound contains hexa-membered metal-organic cycles, which are further linked by Keggin anions to build a 1D chain. Adjacent chains share the Ag(I) ions to construct a 3D framework of 3. Compound 4 exhibits a wavy double-track chain structure, with the Wells-Dawson anions covalently suspended up and down this chain. The steric hindrance of -CH3 groups in H2bdpm leads to the formation of mono-nuclear Ag(I) subunits in 2 - 4. The influence of -CH3 steric hindrance in bis(pyrazolyl) ligands on the structures of 1 - 4 is discussed. The electrochemical and photocatalytic properties of the title compounds have been studied.
Asunto(s)
Compuestos Organometálicos/síntesis química , Pirazoles/química , Plata/química , Compuestos de Tungsteno/química , Catálisis , Cristalografía por Rayos X , Peróxido de Hidrógeno/química , Ligandos , Modelos Moleculares , Estructura Molecular , Nitritos/química , Compuestos Organometálicos/química , Oxidación-Reducción , Espectroscopía Infrarroja por Transformada de Fourier , TermogravimetríaRESUMEN
Seven new coordination polymers, [Co(3-bpcd)(1,3-BDC)(H(2)O)(3)]·H(2)O (1), [Co(3-bpcd)(1,2-BDC)(H(2)O)]·H(2)O (2), [Co(3)(3-bpcd)(1,2,4-BTC)(2)(H(2)O)(4)]·4H(2)O (3), [Co(3-bpcd)(NPH)]·2H(2)O (4), [Cu(3-bpcd)(1,3-BDC)] (5), [Cu(3-bpcd)(1,2-BDC)] (6), [Cu(3-bpcd)(1,3,5-HBTC)(H(2)O)](2)·2H(2)O (7) (3-bpcd = N,N'-bis(pyridin-3-yl)cyclohexane-1,4-dicarboxamide, 1,3-H(2)BDC = 1,3-benzenedicarboxylic acid, 1,2-H(2)BDC = 1,2-benzenedicarboxylic acid, 1,2,4-H(3)BTC = 1,2,4-benzenetricarboxylic acid, H(2)NPH = 3-nitrophthalic acid and 1,3,5-H(3)BTC = 1,3,5-benzenetricarboxylic acid) have been hydrothermally synthesized by assembling transition-metal cobalt-copper salts with semi-rigid bis-pyridyl-bis-amide ligand 3-bpcd and different aromatic polycarboxylic acids. Complex 1 exhibits a one-dimensional (1D) sinusoidal-like chain, which is further assembled into a three-dimensional (3D) supramolecular framework through hydrogen-bonding interactions. Complex possesses a 3D framework with 4-connected 6(6) topology, which contains a two-dimensional (2D) distorted asymmetric hexagonal grid. When 1,2,4-BTC is used in complex , a 3D framework with (6(3)·8(2)·10)(2)(6(5)·8)(2)(8) topology is constructed. Complex 2 possesses a 3D framework with 4-connected 6(6) topology, which contains a two-dimensional (2D) distorted asymmetric hexagonal grid. When 1,2,4-BTC is used in complex 3, a 3D framework with (6(3)·8(2)·10)(2)(6(5)·8)(2)(8) topology is constructed. Complex 4 possesses a 3D framework with 4-connected 6(6) topology, which is similar to that of 2 except for containing a 2D symmetric hexagonal grid. When Co(II) ion is replaced by Cu(II) ion, the 3D framework of complex 5 with (4·6(2))(4·6(6)·8(3)) topology based on 3-bpcd and 1,3-BDC ligands is obtained. Complex 6 shows a 2D cross network consisting of a superposed Cu-3-bpcd 1D chain and 1,2-BDC, which is further expanded into a 3D supramolecular framework by hydrogen-bonding interactions. In complex 7, 1,3,5-HBTC is employed as the auxiliary ligand, and a 3D supramolecular framework based on the undulated 2D layers is formed through π-π stacking and hydrogen-bonding interactions. Both the metal ions and polycarboxylates play important roles in the construction of the title complexes. In addition, the electrochemical behaviors and the fluorescence properties of the seven complexes have been investigated.