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Objective: To assess the use of evidence-based research (EBR) approach in randomized controlled trials (RCTs) of acupuncture-related therapies for primary dysmenorrhea (PD). Methods: PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Database, and China Science and Technology Journal Database were searched from January 2013 to December 2022 for RCTs of acupuncture on PD. The full text and references of each RCT were read to assess whether systematic reviews (SRs) or other types of studies with similar research questions and end-users' perspectives were cited to justify and design the trial. In addition, the discussion section were analyzed to evaluate whether trials placed the new result in the existing SRs to draw a conclusion. Multivariable logistic regression was used to find variables that associated with 3 aspects of EBR approach: (1) citing clinical studies for justification, (2) citing relevant studies that obtain the perspectives of end users, and (3) citing clinical studies for results discussion. Results: Of 473 RCTs included, 45.67% (216) of the trials cited relevant similar studies, 21.56% (102) referenced to the studies that collected end-users' perspectives, and 10.99% (52) placed result in the context of the previous research. Few RCTs appropriately applied EBR approach. Among all the included studies, 3.17% (15) of the trials used SRs to inform study questions but none of them used updated SRs with acceptable quality; 1.05% (5) of the trials cited SRs of end-user's perspectives in the justification and design of the study, and only 1 trial added results in existing SR to draw a conclusion. Year of publication, language, funding, registration, ethical approval and number of sites were significantly associated with 1 of the 3 aspects of EBR approach. Conclusions: Few RCTs in acupuncture-related therapies for PD used the EBR approach to minimize research redundancy. Researchers, research institutes, funding agencies, ethics committees, journals and peer reviewers in acupuncture should make efforts to use and promote the EBR approach to ensure the value of new trials. [ABSTRACT FROM AUTHOR]

Aims: This study aimed to explore the relationship between workplace bullying among nurses and their professional quality of life, as well as the mediating role of coping styles between the two factors. Background: In China, the overall status of nurses' professional quality of life is not optimistic, and the problems of low compassion satisfaction and high compassion fatigue persist. Workplace bullying, which is a serious global issue, can negatively impact the mental health and professional quality of nurses. However, it has still not attracted enough attention from managers. Methods: The study used a cross-sectional research design and surveyed 297 clinical nurses from two tertiary grade A hospitals in Wuhan, China. Data were collected through an online questionnaire survey from March to May 2022. The data were analyzed using descriptive statistical methods, including Pearson correlation analysis and structural equation modeling. Results: The score for nurses' workplace bullying was 38.72 ± 12.30. The scores for the three dimensions of professional quality of life were 27.56 ± 4.79 for compassion satisfaction, 30.51 ± 4.33 for burnout, and 28.47 ± 4.65 for secondary trauma stress. The scores for positive coping style and negative coping style were 34.59 ± 5.72 and 20.34 ± 5.08 points, respectively. Workplace bullying had a direct negative effect on compassion satisfaction, as well as positive direct effects on burnout and secondary traumatic stress. Coping styles played a mediating effect between workplace bullying and the pairwise relationships of compassion satisfaction, burnout, and secondary trauma stress. Conclusion: Workplace bullying hurts nurses' professional quality of life while coping styles plays an mediating role between workplace bullying and professional quality of life. Nursing managers can improve nurses' professional quality of life by reducing workplace bullying and enhancing positive coping style. Implications for nursing management: Nursing managers can employ management wisdom and techniques to mitigate the presence and detrimental effects of workplace bullying. This, in turn, promotes a positive work environment and enhances the professional quality of life for nurses. [ABSTRACT FROM AUTHOR]

The tarsonemid mite Tarsonemus confusus Ewing has become an economically important pest in orchards in China. This study investigated the temperature-dependent development and reproduction of T. confusus at 15, 20, 25, 30, 33 and 35 °C. Eggs failed to hatch at 35 °C. When temperature increased from 15 to 30 °C, the developmental rate of eggs, larvae and quiescent larvae and that from egg to adulthood of both sexes significantly increased, and the time period required by females to commence oviposition significantly decreased. The lower temperature threshold (T0) for the development of eggs, larvae and quiescent larvae was between 9.3 and 12.0 °C and both sexes required about 60 degree days (DD) to complete a life cycle. Females were expected to start oviposition at 12.9 °C. The number of eggs laid, the number of female offspring produced and the egg hatch rate were significantly higher at 20, 25 and 30 °C than at 15 and 33 °C. Increasing temperature shortened the longevity of both sexes but increased the intrinsic rate of increase (rm) and finite capacity for increase (λ) with significantly shorter generation time (T) and doubling time (DT) within a temperature range of 15–30 °C. The net reproductive rate (R0) was highest at 25 °C. Results of this study may improve our knowledge of fundamental biology and ecology in genus Tarsonemus in general and in T. confusus in particular. Based on the local climate conditions, the applications of these results in predicting the seasonal population dynamics of T. confusus and timing the pest management are discussed. [ABSTRACT FROM AUTHOR]

Taxon delimitation and identification are important in many areas of biology, especially in taxonomy and conservation. Taxonomic treatment is required to establish and justify recommendations in conservation biology for the group being considered. Imperfect and controversial taxonomy can undermine conservation assessment. We studied 71 populations; 665 individuals corresponding to the morphology of the Rosa sericea complex (including six taxa, one of which has extremely narrow distributions) were collected from sympatric, parapatric, and allopatric populations distributed in China. This study aims to investigate whether the complex species are macromorphologically different species and evaluate the rare taxa of the complex for conservation priority. The morphological characters and principal component analysis (PCA) of the R. sericea complex showed that the complex species have overlapping characters but can distinguish morphologically. The species of R. sericea complex systematics status based on previous DNA sequencing is controversial. The ecological habitat's current morphological characters only delimit the R. morrisonensis (in Taiwan). To evade mistakes in species conservation, we recommend that taxonomical knowledge be needed to ensure success in protecting target species. Thus, the complementarity of systemic and conservation assurance makes conservation actions more necessary for the complex's rare taxa. The ecological niche modelling (ENM) results showed that habitats of these conspecific taxa would be shrunken. With the presence of snapshots in time, the geography of taxa might decrease rapidly in representative entirely of the Geographic space (G-space) and Environmental space (E-space) that such taxa are bright to inhabit. So far, the significant inferences meant for the niche occupy the most incredible comparative research, taking the impermanent nature of taxa distributions and undertaking that such species are at a state of stability. If the artificially identified species (rarely distributed) are based on morphological identification, they must be conserved. [ABSTRACT FROM AUTHOR]

To retrospectively analyze the off‐label prescriptions at a plastic surgery hospital in China and conduct a literature review. The prescriptions in outpatient department from January 1, 2018 to December 31, 2018 were collected and compared with the related drug instructions in indications, dosage, frequency and route of administration to identify the off‐label prescriptions. According to related literatures, guidelines, and MICROMEDEX, the rationality of off‐label drug uses was evaluated. A total of 39 836 prescriptions were screened and 3395 (8.52%) off‐label prescriptions were identified. It involved 23 items off‐label medication uses. 20 items were off‐label used in indication and three items were in indication and administration route. These off‐label prescriptions involved 19 medicines and 12 indications and the dermatology related drug usage accounted for the largest proportion (91.3%). Additionally, five items (21.7%) were Chinese patent medicine related. Of the 23 items, seven (30.4%) have been recommended by guidelines and two (8.7%) by Thomson Grading System of Micromedex. All of them have been proved by literature evidence of level 1 to 4, in which 19 (82.6%) by Level 1 evidence, 21 (91.3%) by Level 1 to 2 evidence and 2 (8.7%) only by level 3 to 4 evidence. This can provide a theoretical basis to clinicians in prescribing. Our next work is to perfect some details about evidence assessment to improve the reliability. [ABSTRACT FROM AUTHOR]

Previous studies indicate that vegetation and lakes in arid and semi-arid regions are closely related to climate change. However, the responses of vegetation and lakes to climate-related variables have rarely been contrastively studied. The Hulun Lake (HLL) and its surrounding grasslands in Northeast Inner Mongolia of China comprise a semi-arid region that has experienced intense climate change over the last several decades. This study aims to understand the key factors that control the variations in the lake area and vegetation cover over the last five decades in the HLL region, as well as contrastively investigate the different responses of the lake area and vegetation cover to climate-related variables. Analysis results indicate that the variations with increasing change rates in the HLL area were mainly controlled by precipitation fluctuation. Moreover, an increase or decrease in the air temperature and relative humidity could affect the response time of the HLL area to the change in precipitation. The Normalized Difference Vegetation Index (NDVI) variations from 1990 to 1999 around the HLL region were mainly controlled by the intense local grazing rather than climatic restrictions. The fluctuation in NDVI after 1999 reflects the response of the vegetation cover to climatic change. The correlation analysis shows that the variations in the HLL area were closely related to the multi-year tendency of precipitation amount and to the Standardized Precipitation Evapotranspiration Index (SPEI) with a long timescale. However, NDVI is sensitive to changes in short-term precipitation amount, such as seasonal precipitation, and in SPEI with a monthly timescale. The soil moisture at shallow depths (< 0.1 m) was the key root–zone soil moisture that could influence NDVI, whereas soil moisture at depths of 0.4 to 1.0 m and the HLL area were closely related and had similar responses to climatic change. [ABSTRACT FROM AUTHOR]

Pyemotes zhonghuajia Yu, Zhang and He is a newly discovered native ectoparasitic mite that efficiently controls stem borers in China. To provide a steady and sufficient supply, extend adult lifespan and synchronize field augmentative releases of P. zhonghuajia, we determined the optimal cold storage temperature and duration by storing 1-day-old mated females at 8, 10 and 12 °C for 10–90 days with a 10-day interval in the laboratory. We then recorded mite survival during storage and monitored the post-storage reproductive performance of mites at a control temperature of 25 °C. We found that all mites survived at 10 and 12 °C for different durations, but mortality occurred when mites were stored at 8 °C for ≥ 30 days with more than 70% of mites dead when the storage duration prolonged up to 50 days. The proportion of reproductive females was higher at 10 °C but decreased with the prolonged storage duration at all test temperatures. Storage temperature had no significant effect on the pre-reproductive period and offspring sex ratio, whereas prolonged storage induced longer pre-reproductive period and lower proportion of female offspring. The reproductive period increased with increasing storage temperature and with prolonged storage up to 50 and 60 days; however, the longer reproductive period did not directly translate into greater reproductive output. We found that compared with the control, mites stored at 10 °C for up to 30 days did not significantly reduce their survival, proportion of reproductive success and number and sex ratio of offspring, suggesting that 10 °C and ≤ 30 days were the optimal cold storage temperature and duration, respectively, for post-mass production storage before the field augmentative release of P. zhonghuajia. [ABSTRACT FROM AUTHOR]

Lead, a ubiquitous heavy metal, can be found in the environment and food. The present study is the first to estimate the lead dietary exposure of Shenzhen adults (≥ 20 years old) in various age-gender subgroups, and to assess the associated health risk. Food samples that represented the Shenzhen people's dietary pattern were collected and prepared for analysis. Lead was determined in 13 food groups using 276 individual cooked samples by inductively coupled plasmamass spectrometry (ICP-MS). Dietary exposures were estimated by combining the analytical results with the local food consumption data of Shenzhen adults. The mean and 95th percentile lead exposure of Shenzhen adults were 0.59-0.73 and 0.75-0.94 µg kg-1 bw day-1, respectively. In all food groups, the highest lead exposure was from 'Eggs and their products' (42.4-51.6% of the total exposure); preserved eggs being the main contributor. The other major contributors to lead exposure of Shenzhen adults were 'Fish and seafood, and their products' (14.3-16.7% of the total exposure) and 'Vegetables and their products' (15.5.16.2% of the total exposure). The margin of exposure (MOE) approach was used for the risk assessment of lead, and the results showed that the risk was considered to be low in all age.gender groups for Shenzhen adults. However, having considered a number of toxic effects of lead, it is suggested that more efforts should be made to reduce the lead levels in foodstuff for Shenzhen adults. [ABSTRACT FROM AUTHOR]

[Display omitted] • LiCl@CCP-PPy is simple and inexpensive to prepare, with fast water absorption–desorption capacity and cyclic stability. • LiCl@CCP-PPy is a hydrophilic macroporous material with a water absorption capacity of up to 2.86 g/g at 35 % RH and 25 °C. • LiCl@CCP-PPy has good storage capacity and ensures that the salt does not leak. • The water collection rate of LiCl@CCP-PPy in a single hygroscopic-desorption cycle in the Tengger Desert was 0.64 L/m2/d. Solar-driven atmospheric water harvesting (SAWH) has been recognized as a promising strategy to alleviate the freshwater crisis. Herein, we developed an efficient porous polymeric foam, LiCl@CCP-PPy, which has low preparation cost, strong adaptability and portability, and is very suitable for use as a wicking material in SAWH systems. LiCl@CCP-PPy contains abundant –NH 2 and –OH groups. These hydrophilic groups and excellent pore structure (porosity is 80.22 %) make it have a good moisture absorption effect even in low humidity environment. The moisture absorption capacity can reach 2.86 g/g at 35 % RH and 25 °C, and 4.48 g/g at 25 °C and 90 % RH. The saturated water absorption effect was 27.48 g/g. LiCl@CCP-PPy can be scaled up for production. In addition, LiCl@CCP-PPy has a high light absorption rate of more than 90 %, and the strong photothermal conversion ability of Polypyrene (PPy) enables the material to warm up rapidly under natural light, thereby accelerating the desorption process (96 % desorption rate at 1 kW/m2 for 3 h). Based on the above properties, LiCl@CCP-PPy was applied to the Tengger desert in northwest China. The final water production efficiency was 0.64 L/m2/d, and the collected water quality met the international drinking water standard. [ABSTRACT FROM AUTHOR]

Background: Pregnancy in acromegaly is uncommon and still in debate for fear of tumor progression or potential threat to both mother and fetus's health. Besides, the data for pregnancy complications in uncontrolled acromegaly is limited. Thus, the objective of this study was to summarize pregnancy safety and disease courses after pregnancy in acromegalic patients and review their clinical characteristics based on disease activity in the literature., Methods: An evaluation of eight acromegalic women from Peking Union Medical College Hospital (PUMCH) with 11 pregnancies was conducted. We also summarized a literature review of 82 disease-active pregnancies and 63 disease-controlled pregnancies with acromegaly. A second analysis was conducted to compare pregnancy courses and outcomes in different disease activities., Results: Before pregnancy, all patients had macroadenomas and underwent pituitary surgery. Pregnancy occurred at a median of 6 years (4-10) after the diagnosis of acromegaly. Assisted reproductive therapy was needed in 42.9% of participants. No cases had a premature birth or congenital malformations. Biochemical control was achieved in 50% of females before pregnancy and 75% at the last follow-up after delivery. Data analysis showed no differences in the prevalence of gestational diabetes mellitus (GDM) or pregnancy-induced hypertension (PIH) between acromegaly-active or acromegaly-controlled groups. The GDM prevalence in patients diagnosed during pregnancy (33.3%) was higher than that in patients diagnosed before pregnancy (4.8%) (p = 0.001)., Conclusion: Pregnancy without biochemical control in acromegaly and receiving medical treatment during pregnancy are not rare and generally safe for the fetus. There could be a higher prevalence of PIH in acromegalic pregnancies. The treatment of acromegaly and related complications can be managed with regular follow-up after pregnancy., (© 2023. The Author(s).)

Objectives: To identify, examine and summarize the available evidence on the effectiveness and safety of acupuncture for in vitro fertilisation (IVF) outcomes., Methods: Eight electronic databases, including PubMed, EMBASE, Cochrane Database of Systematic Review, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Database and VIP Database, were searched, supplemented by manual searches. Two researchers independently conducted the literature screening, data extraction, and methodological quality assessments. A narrative description was provided to show the general information and specific characteristics of the included studies. A bubble plot was used to visually display the overall effects of acupuncture on IVF outcomes., Results: Eighty-two studies were identified, including 64 primary studies and 18 systematic reviews. Transcutaneous electrical acupoint stimulation, electric acupuncture and manual acupuncture were applied in most studies and compared with no acupuncture, sham acupuncture and placebo acupuncture control groups. Sixty-three (98.4%) primary studies reported clinical pregnancy rate, and positive effects of acupuncture were found in 34 studies (54.0%). Live birth rate was reported in only 18 (28.1%) primary studies, of which 10 (55.6%) showed positive results. In addition, only 8 and 2 systematic reviews showed that acupuncture could increase clinical pregnancy events and live birth events, respectively. However, none of these reviews was of high methodological quality., Conclusions: Available evidence suggests that acupuncture therapy could improve clinical pregnancy rates. However, whether acupuncture could increase live birth events was difficult to determine based on the few studies that have reported this outcome indicator. Furthermore, the methodological quality of most systematic reviews was assessed as critically low or low. Studies with a rigorous design and standardized implementation should be performed to refine the available evidence., (© 2021. The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature.)

Objective: The aim of this study was to validate a novel pictorial-based Longshi Scale for evaluating a patient's disability by healthcare professionals and non-professionals., Design: Prospective study., Setting: Rehabilitation departments from a grade A, class 3 public hospital, a grade B, class 2 public hospital, and a private hospital and seven community rehabilitation centers., Subjects: A total of 618 patients and 251 patients with functional disabilities were recruited in a two-phase study, respectively., Main Measures: Outcome measure : pictorial scale of activities of daily living (ADLs, Longshi Scale). Reference measure : Barthel Index. The Spearman correlation coefficient was used to analyze the validity of Longshi Scale against Barthel Index., Results: In phase 1 study, from March 2016 to August 2016, the results demonstrated that the Longshi Scale was both reliable and valid (intraclass correlation coefficient based on two-way random effect (ICC 2,1 ) = 0.877-0.974 for intra-rater reliability; ICC 2,1 = 0.928-0.979; κ = 0.679-1.000 for inter-rater reliability; intraclass correlation coefficient based on one-way random effect (ICC 1,1 ) = 0.921-0.984 for test-retest reliability and Spearman correlation coefficient = 0.836-0.899). In the second phase, in March 2018, results further demonstrated that the Longshi Scale had good inter-rater and intra-rater reliability among healthcare professionals and non-professionals including therapists, interns, and personal care aids (ICC 1,1 = 0.822-0.882 on Day 1; ICC 1,1 = 0.842-0.899 on Day 7 for inter-rater reliability). In addition, the Longshi Scale decreased assessment time significantly, compared with the Barthel Index assessment ( P < 0.01)., Conclusion: The Longshi Scale could potentially provide an efficient way for healthcare professionals and non-professionals who may have minimal training to assess the ADLs of functionally disabled patients.

Carbon storage in the Loess Plateau is affected by land use. In order to assess the differences in soil organic carbon (SOC) and soil inorganic carbon (SIC) under different land use patterns in deep soil profiles, we investigated the distribution characteristics of SOC and SIC at 0-20.0 m soil depth at three locations in the northern Shaanxi province (i.e., an economical plantation in Mizhi, a reforestation area in Shenmu, and a wind break and sand fixation forest district in Yuyang). The results showed that the order for SOC content was:pruning jujube tree (2.00 g·kg -1 ) > jujube tree (1.54 g·kg -1 ) > Caragana (0.97 g·kg -1 ) > degraded artificial grassland (0.81 g·kg -1 ) > pine forests (0.70 g·kg -1 ) > natural grass field (0.45 g·kg -1 ), which indicated significant differences between SOC content and land use types ( P <0.05). Similarly, the order of SIC content was:pruning jujube tree (11.66 g·kg -1 ) > jujube tree (11.59 g·kg -1 ) > Caragana (9.62 g·kg -1 ) > degraded artificial grassland (8.07 g·kg -1 ) > pine forests (4.32 g·kg -1 ) > natural grass field (0.47 g·kg -1 ). There were no significant differences between SIC content and soil profiles under the economical plantation of Mizhi and the reforestation area of Shenmu. There were significant differences for SIC content between an artificial economic forest, an area returning farmland to a forest (grass) profile, and a windbreak and sand fixation forest ( P <0.05). The SIC densities for pruning jujube tree, jujube tree, Caragana, degraded artificial grassland, pine forest, and natural grass field were 6.19, 7.71, 10.70, 10.78, 5.91, and 1.03 times that of its corresponding SOC density, respectively. It has been concluded that the soil carbon storage was significantly different for different land use patterns, and the SIC content was much higher than the SOC content in the soil profile.

Two new tricycloalternarenes I (1) and J (2), together with five known derivatives (3-7), were isolated from the culture of marine fungus Alternaria sp. The structures were elucidated by a combination of spectroscopic approach ((1)H, (13)C NMR, HMBC, COSY, and NOESY) and the low-temperature (100 K) single-crystal X-ray crystallography analysis. The antimicrobial assays of tricycloalternarenes I (1) and J (2) were tested.