Efficacy and Safety of Huachansu as an Adjuvant Therapy for Non-Small Cell Lung Cancer: An Overview of Systematic Reviews and Meta-Analyses.

OBJECTIVE: The purpose of this overview is to assess systematic reviews (SRs)/ meta-analyses (MAs) of Huachansu (HCS) combination chemotherapy for treating non-small cell lung cancer (NSCLC) and provide summarized evidence for clinical decision making. METHODS: From the creation of the database to JUNE 2023, 8 databases in English and Chinese were searched. SRs/MAs that met the inclusion and exclusion criteria were included. Two reviewers independently screened research, extracted data and assessed methodological quality, risk of bias, report quality and evidence quality by using relevant criteria from AMSTAR-2, ROBIS scale, PRISMA, and GRADE system. RESULTS: The short-term effect, long-term effect, quality of life improvement, safety and pain relief effect in 8 included SRs/MAs were assessed in this overview according to quantitative synthesis. Results assessed by AMSTAR-2, PRISMA, and ROBIS were generally unsatisfactory, with the results of the AMSTAR-2 assessment showing that all of them were of low or critically low quality; the number of items in the included research that were fully reported (compliance was 100%) by the PRISMA checklist was only 50%, while there were 38.10% of the research reporting less than 60% completeness; the ROBIS assessment showed a small number of systems to be low risk of bias. In addition, 26 items were rated as moderate quality, while 50.94% of items were rated as low or critically low quality by GRADE. CONCLUSION: HCS may be a promising adjuvant therapy for NSCLC. However, high-quality SRs/MAs and randomized control trials (RCTs) should be conducted to provide sufficient evidence so as to draw a definitive conclusion.

[Accumulative levels of organochlorine pesticides of HCHs, DDTs in breast milk and risk factors analysis in Shenzhen].

OBJECTIVE: To first investigate the accumulative levels of DDTs and HCHs in human breast milk of primipara in Shenzhen area, analyze influencing factors and assess exposure risk of infant in Shenzhen. METHODS: From April in 2011 to April in 2012, 85 primiparas who have lived in Shenzhen over 3 years after parturition 4 - 6 weeks were recruited, and their breast milk were collected and questionnaires were filled out simultaneously. The samples were extracted five times with hexane, cleaned up by gel permeation chromatograph (GPC) and SPE, and quantified by gas chromatography-election capture detection (GC-ECD). Correlations between DDTs, HCHs and maternal age, weight, dietary, living time as well as infant birth weight and length were also analyzed with the SPSS 13.0 statistical software respectively. RESULTS: Among the several groups of DDTs and HCHs metabolites, p,p'-DDE were detected in total 85 samples and beta-HCH were detected in 58 samples, which accounted for 68.2% of the breast milk. The median levels of sigmaHCHs and sigma DDTs were 2.980 ng/g whole weight (80.200 ng/g fat) and 9.610 ng/g whole weight (268.390 ng/g fat). Both levels of sigmaHCHs and sigmaDDTs in the human milk had a positive association with maternal age among the demographic characteristics of primiparas. Furthermore, levels of sigma HCHs were positively correlated with freshwater fish consumption. However, sigma DDTs levels which were calculated in fat had a positive association only with the amount of poultry meat intake. CONCLUSION: Beta-HCH and p,p'-DDE were detected in human breast milk, and correlated with age and dietary intake. The average estimated daily intakes of HCHs and DDTs by infants are 0.468, 1.842 microg/(kg x BW x d) respectively, lower than acceptable daily intakes (ADI) proposed by the Ministry of Health of China and (the WHO/FAO) Joint Meeting of Pesticide Residues (JMPR). The average levels of HCHs, DDTs in the breast milk in Shenzhen general population are lower than those of Chinese average level.

[A rapid gas chromatographic method for determination of P-tert-butyl toluene in the air of workplace].

OBJECTIVE: To establish a rapid gas chromatographic method for determination of P-tert-Butyl toluene in the air of workplace. METHODS: The air samples were collected by syringes, injected directly to the GC system, and then separated by a FFAP capillary column (30m x 0.53mm x 0.25 microm), finally determined by a Flame Ionization Detector. RESULTS: This method showed good linear correlation within a range of 0 - 320 microg/ml, with regression formula Y = 26437 + 4836X, r = 0.9994. The air sample could be stably stored in the syringe for 5 hours. The relative standard deviation (RSD) of repeated injection of P-tert-butyl toluene standard solutions at three concentration levels by six times was 0.65% - 1.98%. The minimum detectable concentration was calculated to be 1.12 mg/m3. Other volative organic solvents, e. g., M-tert-butyltoluene, ethyl acetate, methylethyl ketone, O-tert-butyl toluene, toluene, O-xylene are not interferences. CONCLUSION: This method meets the requirement of "Guide for establishing occupational health standards--Part 4: Determination methods of air chemicals in workplace". It is applicable for determination of P-tert-butyl toluene in the air of workplace.