ABSTRACT
Severe pneumonia is one of the most common infectious diseases and the leading cause of sepsis and septic shock. Preventing infection, balancing the patient's immune status, and anti-coagulation therapy are all important elements in the treatment of severe pneumonia. As multi-target agents, Xuebijing injection (XBJ) has shown unique advantages in targeting complex conditions and saving the lives of patients with severe pneumonia. This review outlines progress in the understanding of XBJ's anti-inflammatory, endotoxin antagonism, and anticoagulation effects. From the hundreds of publications released over the past few years, the key results from representative clinical studies of XBJ in the treatment of severe pneumonia were selected and summarized. XBJ was observed to effectively suppress the release of pro-inflammatory cytokines, counter the effects of endotoxin, and assert an anticoagulation effect in most clinical trials, which are consistent with experimental studies. Collectively, this evidence suggests that XBJ could play an important and expanding role in clinical medicine, especially for sepsis, septic shock and severe pneumonia. Please cite this article as: Zhang M, Zheng R, Liu WJ, Hou JL, Yang YL, Shang HC. Xuebijing injection, a Chinese patent medicine, against severe pneumonia: Current research progress and future perspectives. J Integr Med. 2023; 21(5): 413-422.
Subject(s)
Humans , Nonprescription Drugs , Shock, Septic/drug therapy , Sepsis/drug therapy , Endotoxins , Anticoagulants/therapeutic useABSTRACT
OBJECTIVES@#To retrospectively analyze homicide cases of death after injection and provide reference for forensic identification.@*METHODS@#Six homicide cases of death after injection which were investigated by the Criminal Investigation Team of Shanghai Public Security Bureau were collected and analyzed, including case situation, scene investigation, autopsy and other materials.@*RESULTS@#The 6 cases were premeditated crimes, 5 cases took place in private spaces, and 5 cases involved the victims approached by suspects' decoy. There were no obvious abnormalities at the scene of the 6 cases. In 6 cases, the victim's body surface injury was mild or no, lividity color was abnormal, and the needlestick injury showed different manifestations from conventional medical measures.@*CONCLUSIONS@#Death after injection is a highly concealed crime and easy to be ignored. For the suspected injection injury found in autopsy, it is necessary to carefully examine, identify and analyze, be alert to the situation of injecting poison (drug) and do a good job in evidence fixation and material extraction.
Subject(s)
Autopsy , China/epidemiology , Homicide , Poisons , Retrospective StudiesABSTRACT
Objective To characterize alcohol-related deaths which were not caused by traffic accident in Shanghai and to provide data support for alcohol-related policy and intervention.Methods All alcohol-positive fatal deaths collected in 2007-2016 from Shanghai Public Security Bureau were classified based on blood alcohol concentration (BAC) and distributed by year,gender,age,season,cause of death (COD),manner of death (MOD) and combined drugs.Results There was no significant correlation of alcohol BAC with year or season.Males (88.4％) were more than females (11.6％).Age of 20-39 years (57.1％),mechanical injury (70.1％),homicide (64.6％) and combined illicit use (37.2％) were the largest proportions in respective categories of age,COD,MOD and drug combination.With the BAC rising,mechanical injury and homicide showed decreased proportions,while burn and accidents showed increased proportions.Conclusions Male and the age of 20-39 years are the major populations for alcohol-related deaths in Shanghai.With the rise of BAC,mechanical injury and homicide decrease,while burn and accident increase.Among the combined use of alcohol and drugs,death from acute intoxication should be paid special attention.
ABSTRACT
OBJECTIVE@#To study the causes of false-positive hyoid fractures and forensic identification.@*METHODS@#Twelve cases of false-positive hyoid fractures were collected and analyzed.@*RESULTS@#Improper dissection technique (4 cases) and congenital separation (8 cases) were the main reasons for false-positive hyoid fractures.@*CONCLUSION@#True fractures can be differentiated from false-positive hyoid fractures. False-positive hyoid fracture caused by improper dissection technique can be identified through examination of peripheral muscle, soft tissue hemorrhage, and the characteristics of fracture end.