[Meta-analysis and GRADE evaluation of Shuxuetong Injection in treatment of stroke in progressive].

This study aims to systematically evaluate the efficacy and safety of Shuxuetong Injection in the treatment of stroke in progressive. Randomized controlled trials of Shuxuetong Injection in the treatment of stroke in progressive were searched from CNKI, Wanfang, VIP, CMB, PubMed and EMbase. After strict literature screening, data extraction and quality evaluation, a total of 22 articles were included for analysis by RevMan 5.3. The Meta-analysis showed that Shuxuetong Injection combined with conventional treatment was superior to the conventional treatment alone in the major outcome indicators including effective rate(RR=1.27, 95%CI[1.20, 1.33], Z=9.18, P<0.000 01), deterioration rate(RR=0.38, 95%CI[0.22, 0.68], Z=3.31, P=0.000 9), NIHSS scores(MD=-3.89, 95%CI[-4.34,-3.43], Z=16.83, P<0.000 01), CSS scores(MD=-5.59, 95%CI[-6.42,-4.76], Z=13.20, P<0.000 01) and activity of daily living scores(MD=12.02, 95%CI[10.31, 13.72], Z=13.83, P<0.000 01), mortality during treatment was not increased(RR=0.40, 95%CI[0.13, 1.26], Z=1.56, P=0.12). Moreover, Shuxuetong Injection combined with conventional treatment further reduced the secondary outcome indicators including fibrinogen(MD=-0.35, 95%CI[-0.58,-0.13], Z=3.09, P=0.002), triglyceride(MD=-0.38, 95%CI[-0.67,-0.10], Z=2.65, P=0.008), low density lipoprotein cholesterol(MD=-0.72, 95%CI[-0.83,-0.61], Z=12.64, P<0.000 01), serum hypersensitive C-reactive protein(MD=-4.41, 95%CI[-6.96,-1.86], Z=3.38, P=0.000 7), and interleukin-6(MD=-5.43, 95%CI[-6.91,-3.96], Z=7.22, P<0.000 01). GRADE evaluation results showed that the major outcome indicators had low quality of evidence. Shuxuetong Injection in the treatment of stroke in progressive can improve the clinical effective rate, reduce the deterioration rate, improve the neurological function and activity of daily living, down-regulate the levels of fibrinogen, triglyceride, low density lipoprotein cholesterol and alleviate the inflammatory response. Although most studies have reported no adverse reactions, there are selective reports. The safety of Shuxuetong Injection needs to be further verified by more high-quality randomized controlled trial.

[Meta-analysis of Tanreqing Injection in adjuvant treatment of stroke-associated pneumonia].

To systematically evaluate the efficiency and safety of Tanreqing Injection in the treatment of stroke-associated pneumonia(SAP). Seven domestic and foreign databases(CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library, EMbase) were retrieved from the establishment to July 2020. According to the inclusion and exclusion criteria, randomized controlled trial of the effect of Tanreqing Injection in the treatment of SAP was selected. NoteExpress software was used to screen out literatures. RevMan 5.4 software was used for data analysis. GRADE system was used to evaluate the evidence quality of the outcome indicators. A total of 1 755 cases in 21 studies were retrieved, including 879 cases in experimental group and 876 cases in control group. In general, the quality of stu-dies received was not high. According to Meta-analysis,(1) in terms of shortening the length of hospital stay, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(MD=-4.04, 95%CI[-4.43,-3.65], P<0.000 01);(2) in terms of increasing effective rate, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(RR=1.22, 95%CI[1.17, 1.27], P<0.000 01);(3) in terms of reducing inflammation indicators, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(MD_(CRP)=-10.75, 95%CI[-15.61,-5.88], P<0.000 01; MD_(WBC count)=-1.62, 95%CI[-2.55,-0.69], P=0.000 6; MD_(PCT)=-0.58, 95%CI[-0.89,-0.26], P=0.000 3];(4) in terms of improving symptoms and signs, Tanreqing Injection combined with conventional wes-tern medicine was better than conventional western medicine(MD_(cough)=-2.73, 95%CI[-4.93,-0.53], P=0.02; MD_(antipyretic)=-1.07, 95%CI[-1.17,-0.98), P<0.000 01];(5) in terms of decreasing the NIHSS scores, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(MD=-3.02, 95%CI[-4.91,-1.13], P=0.002);(6) in terms of adverse reactions, there was no statistically significant difference between Tanreqing Injection combined with conventio-nal western medicine compared with conventional western medicine treatment(RR=1.19, 95%CI[0.61,2.29], P=0.61). GRADE system showed that the evidence levels of above outcome indicators were low and extremely low. The results proved that Tanreqing Injection combined with conventional western medicine had a good advantage in the treatment of SAP, with better observation indicators better than western medicine conventional treatment, and no increase in the incidence of adverse reactions. However, this study had certain limitations. The overall quality of the included studies was low, which affected the reliability of the results. Therefore, the conclusions of this study shall be used cautiously.

[Efficiency of clear aligners in extrusion of posterior teeth evaluated by 3-dimensional model superimposition].

PURPOSE: To explore the efficiency of posterior teeth extrusion with clear aligners by 3-dimensional model superimposition, which provides a reference for the design of clinical programs. METHODS: We selected 24 patients with clear aligners whose posterior teeth were designed to extend more than 0.5 mm, and a total of 126 teeth were included. Digital models were obtained before and after treatment by intraoral scanning with iTero, named as "actual initial" and "achieved" digital models. Initial and final models from the ClinCheck, labeled as "virtual initial" and "predicted" models respectively. Initial, predicted, and achieved digital dental models were exported as stereolithography files and subsequently imported into Geomagic Studio. Extrusive measurements were made from the superimposition of the initial and predicted models (predicted movement) and from the superimposed initial and achieved models (achieved movement). Statistical analysis was performed with SPSS 23.0 and GraphPad Prism 5.0 software package. The extrusion efficiency of the posterior teeth was calculated, at the meanwhile the influencing factors were analyzed. RESULTS: The mean extrusion efficiency of posterior teeth during clear aligners treatment was 30.2%. The actual extrusion was linearly related to the expected(P<0.05), and the linear regression equation was y=0.305x-0.010. The difference between the actual and the predicted extrusion was positively correlated with the number of appliances(P<0.05), and also positively correlated with the predicted extrusion value(P<0.001). This difference was larger in low-angle patients than in patients with average angle (P<0.05). CONCLUSIONS: The extrusion rate of posterior teeth is relatively low during clear aligners treatment, and the average efficiency is 30.2%. Vertical growth pattern affects the extrusion efficiency. So more overcorrections can be designed for average angle patients.

Five Dinuclear Lanthanide Complexes Based on 2,4-dimethylbenzoic Acid and 5,5'-dimethy-2,2'-bipyridine: Crystal Structures, Thermal Behaviour and Luminescent Property.

A series of new complexes, [Ln (2,4-DMBA)3(5,5'-DM-2,2'-bipy)]2 (Ln = Sm(1), Eu (2)), [Pr (2,4-DMBA)3 (5,5'-DM-2,2'-bipy)]2·0.5(C2H5OH) (3), [Ln (2,4-DMBA)3 (5,5'-DM-2,2'-bipy)]2·0.5(2,4-DMBAH)·0.25(5,5'-DM-2,2'-bipy) (Ln = Tb (4), Dy (5)) (2,4-DMBA = 2,4-dimethylbenzoate, 5,5'-DM-2,2'-bipy = 5,5'-dimethy-2,2'-bipyridine) were synthesized via hydrothermal reaction conditions. The complexes were characterized through elemental analysis, Infrared spectra (IR), Raman (R) spectra, UV-Vis spectra, single X-ray diffraction. Single crystal data show that complexes 1-5 are binuclear complexes, but they can be divided into three different crystal structures. The thermal decomposition mechanism of complexes 1-5 were investigated by the technology of simultaneous TG/DSC-FTIR. What's more, the luminescent properties of complexes 1-2 and 4 were discussed, and the luminescence lifetime (τ) of complexes 2 and 4 were calculated.

[Bioaccumulation of Halogenated Flame Retardants in Fish of Dongjiang River].

Bioaccumulation factor (BAF) plays a key role in identification of bioaccumulative substance and in assessment of chemical risks.In order to reveal the bioaccumulation behavior of fish in Dongjiang River,sediment,water and fish samples were collected from Dongjiang River and PBDEs,DBDPE,DP,TBBPA and HBCDs were measured.The ranges of lgBAF were 5.0-7.4,6.1-7.1,4.6-7.9,2.6-4.6 and 4.8-7.7,respectively.In the present study,most HFRs had a lgBAF of higher than 3.7,which suggested that they might be bioaccumulative.The BAF values of HFRs increased with increasing lgKow,when lgKow>7,the bioaccumulation extent decreased with the increase of lgKow.Biotransformation of γ-HBCD toward α-HBCD and the metabolism of BDE66 and BDE99 of these isomers might attribute to the deviation from the general trend predicted by Kow.More attention should be paid to DBDPE,since its BAF value was higher than that of BDE209.The BSAF values of most PBDEs,DBDPE,DP,TBBPA and HBCDs congeners in three fish species were less than 1,indicating that these compounds were unlikely to become a source of pollution to the aquatic organisms due to the poor bioavailability.

[Concentrations and Partitioning of Halogenated Flame Retardants in Industrial Water of Dongjiang River].

The concentrations and partitioning of Halogented Flame Retardants (HFRs) were measured in industrial water of Dongjiang River. Polybrominated biphenyl ether (PBDEs) was the predominant pollutant accounting for 41.0% of the HFRs, dominated by BDE209 in the particulate phase, with the concentration ranging from 1102.3-3666.9 pg·L-1. The concentrations of Tetrabromobisphenol A (TBBPA) ranged from 1120.9-2856.5 pg·L-1, accounting for 32.4% of total halogenated flame retardants. The concentrations of other flame retardants, such as Decabromodiphenyl ethane(DBDPE), dechlorane plus (DP) and Hexabromocyclododecanes (HBCDs), accounting for 16.3%, 7.3% and 3.0%, were in the ranges of 397.7-1736.8, 235.7-778.1 and 9.5-266.8 pg·L-1, respectively. PBDEs, DBDPE, DP and HBCDs mainly existed in the particle phase, while TBBPA mainly existed in the dissolved phase due to its higher water solubility. Significant correlation between lgKoc and lgKow of HFRs was observed in the partitioning between the particulate phase and dissolved phase, but the observed organic carbon partition coefficients (lgKoc) were different from the predicted organic carbon partition coefficient (lgKoc), which may be controlled by the suspended particulate matter (SPM) content and dissolved organic carbon (DOC). In addition, whether the equilibrium was attained between dissolved phase and particle phase is another influencing factor for the observation.