[Moxibustion at Baihui combined with acupuncture for cervical vertigo: a Meta-analysis and trial sequential analysis].

OBJECTIVE: To evaluate the efficacy and safety of moxibustion at Baihui (CV20) combined with acupuncture in treatment of cervical vertigo. METHODS: From the databases, such as CNKI, VIP, WanFang, CBM, PubMed, Cochrane Library and Embase, the studies of randomized controlled trials (RCTs) on moxibustion at CV20 combined with acupuncture for cervical vertigo were searched from inception to September 15th, 2021. The Cochrane risk of bias assessment tool was utilized to evaluate the quality of the included literature. Using RevMan5.3, Stata12.0 and TSA0.9.5.0 10 Beta software, the Meta-analysis and trial sequential analysis (TSA) were performed. RESULTS: Seventeen RCTs with 1 232 patients were included. Meta-analysis showed that in the trial group (moxibustion at CV20 combined with acupuncture), the total effective rate (RR=1.17, 95%CI［1.12, 1.22］, P<0.000 1), the curative and remarkably-effective rate (RR＝1.28，95%CI［1.20，1.36］，P<0.000 1) and the score of cervical vertigo (WMD=2.88, 95%CI［1.87, 3.89］, P<0.000 1) were all better when compared with the control group (simple acupuncture or electroacupuncture group). The results of trial sequential analysis indicated that for the cumulative Z-score of each RCT, the Z-curve crossed the conventional test boundary and TSA boundary, which further confirmed the clinical efficacy of moxibustion at CV20 combined with acupuncture on cervical vertigo. CONCLUSION: The clinical efficacy of moxibustion at CV20 combined with acupuncture is determined in treatment of cervical vertigo.

Investigation of calcium carbonate synthesized by steamed ammonia liquid waste without use of additives.

The aim of this work is to study the effect of reaction conditions using steamed ammonia liquid waste without the use of additives on the crystallization of calcium carbonate. CaCO3 was prepared by steamed ammonia liquid waste (CaCl2) and (NH4)2CO3 solution. The produced crystals were characterized by scanning electron microscopy (SEM), Fourier transform infrared spectrometry (FTIR) and X-ray diffraction (XRD). We have investigated the effect of the concentration of reactants, stirring speed, Ca2+ : CO3 2- ratio, aging time and adding mode on the particle size and size distribution, final morphology and polymorph of calcium carbonate crystals during precipitation. The influence of concentration of reactants, stirring speed, Ca2+ : CO3 2- ratio, aging time and adding mode on the morphology, size and polymorph of CaCO3 particles and possible formation mechanism were discussed. The exploration provides the possibility for large-scale synthesis of CaCO3 materials with controllable morphology and crystallographic structure by steamed ammonia liquid waste without use of additives at room temperature.