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Objective To evaluate the clinical effect of integrated Traditional Chinese and Western medicine on abdominal distention and constipation after surgery for thoracolumbar fracture. Methods The CNKI, CBM, VIP and Wanfang Date databases were searched by computer. Randomized controlled trials (RCTs) on the efficacy of integrated Traditional Chinese and Western medicine in the treatment of abdominal distention and constipation after surgery for thoracolumbar fracture were included. RevMan 5. 4 software was used for data analysis from database construction to March 2022, and Jadad scale was used to evaluate the literature quality and funnel plot was used to analyze whether there were publication offset results in the included literature. Results After screening, 7 literatures were included, including 590 subjects: 301 in the experimental group and 289 in the control group. Meta-analysis showed that the nursing measures of integrated Traditional Chinese and Western medicine were significantly better than conventional nursing measures in treating and relieving postoperative abdominal distention and constipation(P＜0. 05). Conclusion Based on the current clinical evidence, the full application of the dialectical theory of traditional Chinese medicine and the adoption of appropriate Chinese medicine prescriptions combined with routine orthopedic nursing measures can effectively relieve the symptoms of abdominal distension and constipation in patients with thoracolumbar fracture after surgery, relieve discomfort and improve nursing satisfaction, which can provide clinical reference (目的 通过Meta分析系统评价中西医结合治疗胸腰段骨折术后腹胀便秘的临床效果。方法 计算机检索中国知网(CNKI)、中国生物医学文献库(CBM)、维普数据库(VIP)和万方数据(Wanfang Data)数据库, 纳入中西医结合治疗胸腰段骨折术后腹胀便秘疗效的随机对照试验(RCTs), 选取文献时间从建库至2022年3月。采用RevMan 5. 4软件进行数据分析、Jadad量表对文献质量进行评价、漏斗图分析纳入的文献是否存在发表偏移。结果 经筛选后最终纳入7个文献, 共590人, 试验组301人, 对照组289人。Meta分析结果表明中西医结合的护理措施在治疗和缓解患者术后腹胀便秘的症状明显优于常规护理措施(P＜0. 05)。结论 基于目前临床证据表明, 充分应用中医辨证论治理论, 采用合适的中药方剂结合骨科护理常规等措施, 能有效缓解胸腰段骨折术后患者腹胀便秘症状, 减轻不适感, 提高护理满意度, 可为临床提供参考。)

The biodiversity of the mycobiome, an important component of the oral microbial community, and the roles of fungal-bacterial and fungal-immune system interactions in the pathogenesis of oral lichen planus (OLP) remain largely uncharacterized. In this study, we sequenced the salivary mycobiome and bacteriome associated with OLP. First, we described the dysbiosis of the microbiome in OLP patients, which exhibits lower levels of fungi and higher levels of bacteria. Significantly higher abundances of the fungi Candida and Aspergillus in patients with reticular OLP and of Alternaria and Sclerotiniaceae_unidentified in patients with erosive OLP were observed compared to the healthy controls. Aspergillus was identified as an "OLP-associated" fungus because of its detection at a higher frequency than in the healthy controls. Second, the co-occurrence patterns of the salivary mycobiome-bacteriome demonstrated negative associations between specific fungal and bacterial taxa identified in the healthy controls, which diminished in the reticular OLP group and even became positive in the erosive OLP group. Moreover, the oral cavities of OLP patients were colonized by dysbiotic oral flora with lower ecological network complexity and decreased fungal-Firmicutes and increased fungal-Bacteroidetes sub-networks. Third, several keystone fungal genera (Bovista, Erysiphe, Psathyrella, etc.) demonstrated significant correlations with clinical scores and IL-17 levels. Thus, we established that fungal dysbiosis is associated with the aggravation of OLP. Fungal dysbiosis could alter the salivary bacteriome or may reflect a direct effect of host immunity, which participates in OLP pathogenesis.

Featured Application: The research provides a theoretical reference for transformer closing-control strategies, in which the superposition effect decreases as the reclosing interval increases. When a transformer suffers a permanent fault, it will suffer a short-circuit impulse again after reclosing. If the previous vibration of the winding is not attenuated completely and the winding is subjected to a secondary impulse within a short time, the secondary vibration response will have a superposition. The aim of this study was to analyze the effect of the anti-short-circuit ability of operational transformers subjected to a secondary short-circuit current impulse. In this paper, a model is established for calculating axial vibration in transformer windings and effects on the vibration response of windings under different closing phase angles and short-circuit intervals are analyzed. The results show that the vibration acceleration of windings is a V-shaped variation at phase angles from 0° to 180°, reaching the maximum values at 0° and 180° and reaching the minimum value at 90°. When the transformer recloses on a permanent short circuit, due to the superposition effect, the vibration acceleration amplitude of the secondary impulse will be greater than that of the primary impulse, but as the reclosing interval increases, the superposition effect decreases continuously. When the interval is 600 ms, the superposition effect for the vibration acceleration of the secondary impulse attenuates to 83.3%. The superposition effect is not significant after 600 ms. The research provides a theoretical reference for transformer closing-control strategies. [ABSTRACT FROM AUTHOR]

Two-dimensional (2D) MoS2 was grown on AlGaN(GaN) substrates by chemical vapor deposition (CVD) and 2D-3D MoS2-AlGaN(GaN) heterostructures were formed. The MoS2 crystal on AlGaN surface has a mixed and irregular shape including single and multiple layers, while the single layer of triangular MoS2 is basically prepared on GaN surface. Combined with theoretical first-principles analysis, it is found the adsorption of AlGaN to MoS2 is lower than that of GaN, which leads to the deposition of MoS2 molecules on AlGaN surface, forming multilayer shapes. In addition, Both the MoS2-AlGaN(GaN) heterostructures exhibit indirect band gaps and broad-band light absorption performances. [ABSTRACT FROM AUTHOR]