Distribution, source identification and ecological effects of aerosol dissolved nutrients in the Bohai Bay.

The atmospheric aerosols around the Bohai Bay are affected intensively by the surrounding industrial, shipping and other human activities. Although atmospheric dry deposition is an important way for nutrients to enter the Bohai Bay, few studies explore the distribution patterns, source and deposition fluxes of typical nutrients in aerosols and their impacts on the marine ecosystem. This paper explored the spatial-temporal distribution of typical aerosol nutrients in summer and autumn, and their source and ecological effects were illustrated further. The mean concentration of dissolved total phosphorus (DTP), dissolved total nitrogen (DTN), dissolved organic nitrogen (DON), dissolved inorganic nitrogen (DIN), ammonium (NH4-N), nitrate (NO3-N), nitrite (NO2-N), silicate (SiO3-Si), phosphate (PO4-P), and dissolved organic phosphorus (DOP) were 31.22, 847.22, 288.19, 559.77, 288.19, 304.00, 253.65, 2.12, 15.74 and 15.48 nmol/m3, respectively, while their fluxes were corresponding to 0.61, 8.36, 2.52, 4.90, 1.41, 2.49, 0.02, 0.04, 0.19 and 0.26 mmol/(m2 month). Typical aerosol nutrient concentrations in autumn were mostly higher than those in summer, with high values occurring mainly in the central region. The potential sources of pollution were mainly concentrated in Shandong and Mongolia, and the sources of pollution were mainly agriculture, dust and industry. The large N:P and N:Si ratios in the dry deposition likely exacerbated Si and P limitation in the water column. These results provided the data basis for evaluating the pollution status and revealed that the dry deposition of aerosol nutrients should not be neglected by the ecological environment in the Bohai Bay.

The efficacy of Da Chaihu decoction combined with metformin tablets for type 2 diabetes mellitus: A systematic review and meta-analysis.

OBJECTIVE: To assess the efficacy of Da Chaihu decoction combined with metformin tablets on patients with type 2 diabetes compared with metformin alone. METHODS: This systematic review and meta-analysis is written based on 2020 PRISMA Extension for Chinese Herbal Medicines 2020 (PRISMA-CHM 2020) reporting guidelines. We reviewed all the relevant studies from a search of the following databases from inception to February 2022 without any language restriction: Excerpta Medica Database (EMBASE), Google Scholar, PubMed, Cochrane Library, China National Knowledge Infrastructure (CNKI), VIP Information, Wanfang Data, and the Chinese Biomedical Literature Database(CBM). Data were extracted and the quality was independently evaluated by two reviewers, based on the inclusion and exclusion criteria. Data were analyzed using the Cochrane software RevMan 5.3. RESULTS: Six randomized controlled trials comprising 516 participants were included. The meta-analysis revealed the Da Chaihu decoction combined with metformin tablets group was significantly superior to the metformin tablets group in terms of fasting blood glucose(FPG) (-0.66 mmol/L; 95 % CI (confidence intervals) [- 1.28, - 0.04]), plasma glucose 2 h after meal (2-h PG) (-1.18 mmol/L; 95 % CI [-1.94, -0.42]) in six RCTs, body mass index (BMI) (-3.07 mmol/L; 95 % CI [-6.89, 0.75]) in three RCTs, glycosylated hemoglobin (HbAlc) (-0.36 mmol/L; 95 % CI [-1.04, 0.31]) in three RCTs, and triglycerides (TG) (-0.76 mmol/L; 95 % CI [-1.37, -0.15]) in two RCTs. In two RCTs, there were significant differences in terms of total cholesterol (TC) (-0.97 mmol/L; 95 % CI [-1.18, -0.76]). CONCLUSIONS: Very low-quality research shows that Da Chaihu decoction combined with metformin tablets exert a certain level of efficacy on patients with type 2 diabetes compared with metformin alone. However, random sequence generation methodology was reported in five studies leading to the low quality of the included studies. None of the six studies depicted the blinding method, allocation concealment, selective reporting, and assessed the purity and potency of the product. This observation requires verification through high-quality, multi-center, double-blinded randomized controlled trials, and assesses the purity and potency of the product.