Aidi injection combined with chemotherapy in the treatment of cancer patients: a systematic review of systematic reviews and meta-analyses.

The objective of the study was to evaluate and summarize the evidence from systematic reviews and meta-analyses regarding the efficacy and safety of Aidi injection combined with chemotherapy in the treatment of cancer patients. PubMed, EMBASE, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Chong qing VIP databases, and Wanfang databases were searched for systematic reviews/meta-analyses on the topic of Aidi treating cancer patients published from inception to 20 December 2020. Google Scholar and OpenGrey were searched for grey literature and International Prospective Register of Systematic Reviews for ongoing reviews. Two investigators independently selected eligible studies, extracted data, and assessed the methodological quality of included systematic reviews/meta-analyses using the measurement tool to assess systematic reviews 2 (AMSTAR-2) tool, and the strength of evidence was assessed with the grade of recommendation, assessment, development, and evaluation (GRADE) system. Twenty-seven systematic reviews/meta-analyses were identified in the study. The methodological quality of all 27 systematic reviews/meta-analyses were critically low when evaluated by AMSTAR-2, and the evidence quality of all outcomes rated as either low or very low based on the GRADE system. The available evidence is currently insufficient to support or refute the use of Aidi in the treatment of cancer patients, thus high-quality trials with large sample sizes are needed to explore its efficacy and safety in cancer patients.

Influent salinity affects substrate selection in surface flow constructed wetlands.

To identify the effect of influent salinity on substrate selection, a study was conducted in pilot-scale surface flow constructed wetlands (SFCWs). Compared with gravel and sand SFCWs, soil SFCWs performed similarly or worse at low salinities, while at high salinities, soil SFCWs performed similarly or better in removal efficiency (RE) of salt, total nitrogen (TN), total phosphorous (TP), and chemical oxygen demand (COD). Soil generally increased macrophyte growth (especially at high salinity) in terms of biomass, leaf chlorophyll concentration, root activity, and root catalase and superoxide dismutase activities. A general decrease in bacterial α-diversity in the rhizosphere was observed at high salinity, while compared with gravel or sand, soil improved rhizosphere bacterial community stability at varying salinities. At high salinity, compared with that of gravel or sand, the soil support of macrophytes and rhizosphere microorganisms increased pollutant RE in SFCWs. This finding highlights the necessity of varying substrate selection in SFCWs with influent salinities for both increasing pollutant RE and reducing input cost, with soil recommended at high influent salinity.

Mutual promotion of submerged macrophytes and biofilms on artificial macrophytes for nitrogen and COD removal improvement in eutrophic water.

Both submerged macrophytes (SMs) and artificial macrophytes (AMs) have been widely used to improve water quality in eutrophic water. However, in heavily eutrophic aquatic ecosystems, the purification function of SMs is often restricted by the poor growth state due to competition from algae, while the purification function of AMs is often restricted by the limited carbon source supply for biofilm microbes attached to the AM surface. The objective of this study was to develop a new strategy to increase pollutant removal efficiency (RE) by combining the use of SMs and AMs. Pilot-scale microcosms, including treatments with both SMs and AMs (S&A), only SMs (SO) and only AMs (AO), were established to identify the performance of the new strategy. The results suggest that treatment S&A obtained REs of 88.9% for total nitrogen (TN) and 48.1% for chemical oxygen demand (COD); as comparison, treatments SO and AO obtained REs of 77.4% and 81.2% for TN and REs of -13.7% and 39.0% for COD, respectively. Compared with SO, the S&A treatment benefited SM growth in biomass, leaf chlorophyll concentration and root activity by inhibiting algae growth. In addition, compared with treatment AO, S&A increased the biofilm microbial biomass and the relative abundance of nitrifiers of families Nitrosomonadaceae and Nitrospira attached to AM surfaces. Therefore, by the mutual promotion of SMs and biofilms on AMs, the synergic application of SMs and AMs is a useful strategy for improving TN and COD REs in eutrophic water bodies such as rivers and constructed wetlands. A strategy was developed to increase nitrogen and COD removal in eutrophic water by the mutual promotion of submerged macrophytes and biofilms on artificial macrophytes.

Effect of influent salinity on the selection of macrophyte species in floating constructed wetlands.

Pilot-scale floating constructed wetlands (FCWs) under varying influent salinities were implemented, and the effects of influent salinity on pollutant removal efficiency (RE) and macrophyte species selection were identified. The results suggest that a salinity increase generally decreased pollutant REs, while some macrophytes, such as Iris pseudacorus, could effectively resist this decrease. The average coefficients of variation between macrophyte species in REs of chemical oxygen demand, ammonium nitrogen, nitrate nitrogen and total phosphorus increased from 28.6% at low salinity to 91.3% at high salinity, which suggests the greater importance of macrophyte selection under high salinity. With an increase in salinity, the rhizosphere bacterial community showed convergent evolution or convergence followed by slight divergent evolution between macrophyte species, while the importance of macrophyte parameter selection in characterizing pollutant REs decreased. Therefore, influent salinity is a key factor to consider in macrophyte selection and application, especially in FCWs without soil.

[Clinical and genetic characteristics of primary carnitine deficiency identified by neonatal screening].

OBJECTIVE: To study the prevalence, clinical and genetic characteristics of primary carnitine deficiency (PCD). METHODS: From January 2013 to December 2017, 720 667 newborns and their mothers were tested for PCD by tandem mass spectrometry. Potential mutations of carnitine transporter gene SLC22A5 among suspected PCD patients were analyzed. Dietary guidance and L-carnitine supplementation were provided to the parents. Growth and intelligence development were surveyed during follow-up. RESULTS: In total 21 neonates and 6 mothers were diagnosed with PCD, which yielded an incidence of 1 in 34 317. Eighteen SLC22A5 mutations were detected, which included 4 novel mutations, namely c.1484T>C, c.394-1G>T, c.431T>C and c.265-266insGGCTCGCCACC. Eighteen patients were found to carry compound heterozygous mutations and 3 have carried homozygous SLC22A5 mutations. Three mothers carried compound heterozygous mutations and 2 carried homozygous mutations. Common mutations included c.1400C>G (42.3%), c.760C>T (11.5%) and c.51C>G (7.7%). During the 8-42 month follow-up, neonates with PCD showed no clinical symptoms but normal growth. Blood level of free carnitine was raised in all mothers after the treatment. CONCLUSION: The incidence of neonatal PCD in Henan is 1 in 34 317, with the most common mutation being c.1400C>G. Above finding has enriched the spectrum of SLC22A5 gene mutations.

Effect of cadmium contamination on the eutrophic secondary pollution of aquatic macrophytes by litter decomposition.

The objective of this study was to identify the effect of cadmium (Cd) contamination on the decomposition of aquatic macrophyte litter and its eutrophic secondary pollution. A laboratory experiment was conducted with three treatments: water Cd contamination (Cd-w), litter Cd contamination (Cd-l) and control (CK). The results showed that CK and Cd-w exhibited the typical decomposition dynamics of litter, i.e., early rapid decomposition followed by slow decomposition, while the litter biomass loss (BL) in Cd-l exhibited an approximately linear relationship with time over the 64-day experimental period. The BL in Cd-l was only 10.8% in the initial 4 days, while that in CK and Cd-w was 59.0% and 54.8%, respectively. Cd inhibited the fluctuation of the water chemical oxygen demand (COD) by reducing both the early increase and the subsequent decrease. The increases in water total nitrogen (TN) and total phosphorus (TP) were inhibited by Cd contamination throughout most of the decomposition period. The alterations of litter quality during the plant growth period and of the bacterial community during the litter decomposition period by Cd contamination could explain the variations in litter decomposition rate and its eutrophic secondary pollution during the early and late decomposition stages, respectively. The Cd inhibition of the eutrophic secondary pollution of aquatic macrophytes has great significance for the improved evaluation of Cd contamination.

Decreasing but still significant facilitation effect of cold-season macrophytes on wetlands purification function during cold winter.

To identify the facilitation effect of a cool-season aquatic macrophyte (FEam) for use in effluent purification via constructed floating wetlands (CFWs) and to determine the possible pathways used during a winter period with an average temperature of less than 5 °C, pilot-scale CFWs were planted with the cold-season macrophyte Oenanthe clecumbens and were operated as batch systems. Although some leaves withered, the roots retained relatively high levels of activity during the winter, which had average air and water temperatures of 3.63 and 5.04 °C, respectively. The N and P removal efficiencies in CFWs decreased significantly in winter relative to those in late autumn. The presence of cool-season plants resulted in significant improvements in N and P removal, with a FEam of 15.23-25.86% in winter. Microbial N removal accounted for 71.57% of the total N removed in winter, and the decrease in plant uptake was the dominant factor in the wintertime decrease in N removal relative to that in late autumn. These results demonstrate the importance of cold-season plants in CFWs for the treatment of secondary effluent during cold winters.

Therapeutic effects of DCDDP, a calcium channel blocker, on chronic pulmonary hypertension in rat.

To explore the effect of dimethyl 4-(2-chlorophenyl)-1,4-dihydro-2,6-dimethyl-3,5-pyridinedicarboxylate (DCDDP) on pulmonary hypertension (PH) induced by monocrotaline (MCT), the parameters of pulmonary hemodynamics, the contents of endothelin-like immunoreactivity, nitric oxide (NO), malondialdehyde, and superoxide dismutase in plasma and pulmonary homogenate were measured. DCDDP was administered in 5, 50, and 500 microg x kg(-1) x day(-1) ip doses, once a day for 28 days. The antiserotonin effect of DCDDP was investigated by using immunohistochemistry, image analysis, and cell culture technique. The results showed that pulmonary arterial pressure was significantly dropped and pulmonary resistance was decreased in DCDDP groups, compared with the MCT group. DCDDP had no influence on endothelin-like immunoreactivity levels in plasma and pulmonary homogenate but reduced the contents of NO, superoxide dismutase, and malondialdehyde in pulmonary homogenate enhanced by MCT. DCDDP also significantly inhibited the increase in numbers of 5-hydroxytryptamine (5-HT) and 5-HT receptor-positive cells in pulmonary tissue of PH rats induced by MCT. The proliferation and contraction of pulmonary arterial smooth muscle cells and the increase in concentration of free Ca(2+) in them evoked by 5-HT were inhibited significantly by DCDDP. The results suggest that DCDDP reduces the production of free radicals and content of 5-HT and 5-HT receptor and the increase in NO in pulmonary tissue, which underlies the mechanisms of DCDDP against MCT-induced PH.