Effect of post-rewarming fever after targeted temperature management in cardiac arrest patients: a systematic review and meta-analysis.

BACKGROUND: Targeted temperature management (TTM), as a therapeutic temperature control strategy for cardiac arrest (CA), is recommended by guidelines. However, the relationship between post-rewarming fever (PRF) and the prognosis of CA patients is unclear. Therefore, we aim to summarize the studies regarding the influence of PRF on patients with CA. METHODS: EMBASE, PubMed, and Cochrane Central databases were searched from inception to March 13, 2022. Randomized clinical trials (RCTs) and cohort studies on PRF in CA patients were included. According to the heterogeneity, the meta-analysis was performed using a random effects model or fixed effects model to calculate the pooled odds ratios (ORs) and corresponding 95% confidence intervals (CI s). The outcome data were unfavorable neurological outcome and mortality. RESULTS: The meta-analysis included 11 observational studies involving 3,246 patients. The results of the meta-analysis show that PRF (body temperature >38.0 °C) has no effect on the neurological outcome of CA patients (OR 0.71, 95% CI 0.43-1.17, I 2 82%) and has a significant relationship with lower mortality (OR 0.63; 95% CI 0.49-0.80, I 2 39%). However, PRF with a stricter definition (body temperature >38.5 °C ) was associated with worse neurological outcome (OR 1.44, 95% CI 1.08-1.92, I 2 45%) and higher mortality (OR 1.71, 95% CI 1.25-2.35, I 2 47%). CONCLUSION: This study suggests that PRF >38.0 °C may not affect the neurological outcome and have a lower mortality in CA patients who completed TTM. However, PRF >38.5 °C is a potential prognostic factor for worse outcomes in CA patients.

Molecular epidemiology of Echovirus 30 in Fujian, China between 2001 and 2011.

Echovirus 30 (E-30) was responsible for an outbreak of aseptic meningitis between April 1 and June 2, 2011 in Fujian Province, China. A molecular epidemiology study of 115 E-30 strains was performed to characterize the genetic features of the etiologic agent of the 2011 aseptic meningitis outbreak. The phylogenetic trees of the complete VP1 gene (876 bp) from 74 of 115 isolates and 50 reference sequences were analyzed. Three lineages (E-30_h, i, and j) were detected that had co-circulated in Fujian in the last decade, of which E-30_j was new. The other 72 Fujian strains and 16 representative strains from other provinces of China all belong to E-30_h and E-30_i. Two distinct E-30 clusters including virus isolates obtained during adult surveillance were associated with the 2011 outbreak and differed from Fujian isolates prior to 2011, suggesting that the viruses may vary and adult infections play an important role in viral transmission. Thus, the multiple lineages of E-30 in Fujian and variant viruses enhanced transmissibility, which may be related to the epidemic activity of E-30.

[Analysis of neutralized antibody level of the poliomyelitis in healthy population in Fujian province].

OBJECTIVE: To understand the neutralized antibody level of the poliomyelitis among healthy people and provide scientific evidence for the immunization strategy since routine and intensified immunization with oral polio vaccine (OPV) in Fujian province. METHODS: The poliomyelitis antibody level of healthy people were detected by neutralization test of the micro cells. RESULTS: The neutralizing antibody positive rates were 99.0%, 99.3%, 97.5% and GMTs were 1:79.1, 1:31.2, 1:24.7 for polio I, II, III respectively in 400 serum specimens from 1-59 years old. GMTs present a trend of decreasing as age's increasing. CONCLUSION: A protective barrier had been built against poliomyelitis in healthy people in Fujian province through routine and intensified immunization with OPV.

[Effect of loop configuration on appliance stiffness of stainless steel round wire].

OBJECTIVE: To investigate the effect of loop configuration on appliance stiffness of stainless steel round wire. METHODS: Some stainless steel round wires with various cross-sectional dimension (0.36, 0.41, 0.46 mm) were selected. Box loops, double horizontal loops, and double vertical loops were manufactured according to established parameters, and loading experiments were carried out with a micro-orthodontic archwire testing apparatus. RESULTS: When the cross-sectional dimension and the span were identical, the appliance stiffness of the box loops, double horizontal loops, and double vertical loops increased successively. CONCLUSION: Configuration of loops exert a great influence on appliance stiffness, and the mechanical properties of box loop are optimal. The force generated by box loop was lighter, slowly decreasing, and easier to be controlled. The activation range of box loop (0.41 mm) was appropriate when the produced optimal moment was between 0.01-0.02 N.m. Box loop (0.41 mm) is preferred to rectify the individual tooth with mild or moderate mesiodistal displacement.