Meta-analysis of the Clinical Efficacy and Safety of High- and Low-dose Methylprednisolone in the Treatment of Children With Severe Mycoplasma Pneumoniae Pneumonia.

BACKGROUND: Mycoplasma pneumoniae pneumonia is generally a self-limiting disease, but it can develop into severe Mycoplasma pneumoniae pneumonia (SMPP). Immunologic mechanisms are thought to play an important role in the pathogenesis of SMPP. Therefore, the use of systemic glucocorticoids may have beneficial effects. However, to date, the use of glucocorticoid therapy in SMPP is limited to small case series, and the glucocorticoid dosage for children with SMPP has not been established. METHODS: Here, we used a meta-analysis method to collect data from randomized control trials of different doses of methylprednisolone in SMPP to assess the safety and efficacy of treatment with low- versus high-dose methylprednisolone in children with SMPP. RESULTS: We included 13 Chinese randomized control trials that included 1049 children. The high- and low-dose groups were comprised of 524 and 525 children, respectively. The high-dose group was significantly more effective than the low-dose group in clinical efficacy [risk ratio = 1.30, 95% confidence interval (CI) (1.23, 1.38), P < 0.05]. In addition, compared with low-dose methylprednisolone, high-dose methylprednisolone significantly shortened hospital stays and antipyretic therapy, pulmonary rales disappearance, cough disappearance and pulmonary shadow absorption times. There was no significant difference in adverse events between the high- and low-dose groups: risk ratio= 0.85, 95% CI (0.53, 1.36), P > 0.05. CONCLUSIONS: We conclude that high-dose methylprednisolone is effective in the treatment of SMPP without increasing the incidence of adverse reactions.

Comparative study of surgical knots using a domestically produced Chinese surgical robot, laparoscope, or barehanded approach.

BACKGROUND: We conducted a comparative analysis of the first domestically produced Chinese surgical robot, 'MicroHand', laparoscopic, and barehanded approaches in tying surgical knots. METHODS: Four surgeons performed square or triple knots individually using the three approaches and documented the operational time, circumference, the bearable tension and action trajectory for each knot. RESULTS: MicroHand took more time than the barehanded method but nearly the same as with the laparoscope. The barehanded method generated the smallest knots among the three approaches and MicroHand produced smaller square knots than those by laparoscope. MicroHand and barehanded methods produced square knots displaying higher bearable tension than those produced by the laparoscope. For the action trajectory, MicroHand operated in a smaller space than that needed by the laparoscope. CONCLUSIONS: The square knots produced by MicroHand were tighter and more solid than those by laparoscope, although the triple knots generated by the two methods were similar. Also MicroHand required a smaller operational space than the laparoscope.

[Predicting the impact of climate change in the next 40 years on the yield of maize in China].

Climate change will significantly affect agricultural production in China. The combination of the integral regression model and the latest climate projection may well assess the impact of future climate change on crop yield. In this paper, the correlation model of maize yield and meteorological factors was firstly established for different provinces in China by using the integral regression method, then the impact of climate change in the next 40 years on China's maize production was evaluated combined the latest climate prediction with the reason be ing analyzed. The results showed that if the current speeds of maize variety improvement and science and technology development were constant, maize yield in China would be mainly in an increasing trend of reduction with time in the next 40 years in a range generally within 5%. Under A2 climate change scenario, the region with the most reduction of maize yield would be the Northeast except during 2021-2030, and the reduction would be generally in the range of 2.3%-4.2%. Maize yield reduction would be also high in the Northwest, Southwest and middle and lower reaches of Yangtze River after 2031. Under B2 scenario, the reduction of 5.3% in the Northeast in 2031-2040 would be the greatest across all regions. Other regions with considerable maize yield reduction would be mainly in the Northwest and the Southwest. Reduction in maize yield in North China would be small, generally within 2%, under any scenarios, and that in South China would be almost unchanged. The reduction of maize yield in most regions would be greater under A2 scenario than under B2 scenario except for the period of 2021-2030. The effect of the ten day precipitation on maize yield in northern China would be almost positive. However, the effect of ten day average temperature on yield of maize in all regions would be generally negative. The main reason of maize yield reduction was temperature increase in most provinces but precipitation decrease in a few provinces. Assessments of the future change of maize yield in China based on the different methods were not consistent. Further evaluation needs to consider the change of maize variety and scientific and technological progress, and to enhance the reliability of evaluation models.

[Effects of climate change on flax development and yield in Guyuan of Ningxia, Northwest China].

Based on variations of the annual mean temperature and precipitation analyzed using ob- servation data in Guyuan of Ningxia, the effects of climate change on the local flax developmental process and yield were investigated. The results showed that the annual mean temperature had an increasing trend (0.3 °C · (10 a)-1) and the annual precipitation had a decreasing trend (-20 mm · (10 a) -1) from 1957 to 2012. While the increasing trend of mean temperature during growing season of flax was more obviously than that of the annual temperature, the decreasing trend of precipitation during growing season was similar to that of annual precipitation. With temperature increasing and precipitation decreasing, the flax development rate was accelerated, resulting in the reduced growing period. Seedling stage was advanced 0.7 d with 1 °C increase in temperature during the period from sowing to seedling emergence. The duration from seedling emergence to two pairs of needles was shortened by 0.8 d with 1 °C increase in temperature and 0.1 d with 1 mm decrease in precipitation. Maturity stage was advanced 1.8 d with 1 °C increase in temperature and 0.1 d with 1 mm decrease in precipitation during the period from technical maturity to maturity. The flax development was accelerated because of temperature increasing and precipitation decreasing in the vegetative growth phase, which was one of the main causes of flax yield reduction year by year. Meanwhile, flower bud differentiation and pollination of flax were influenced by temperature increasing in the reproductive growth phase, which would affect the number of capsules and the seed setting rate per plant and lead to the decrease of flax yield. Therefore, adjusting plant structure and enlarging the planting area of late or middle-late variety were the important measures to reduce the effects of climate change on local flax production.