Search

Background: Autism spectrum disorder (ASD) is a complex neurodevelopmental condition, which is characterized by impairment in social interaction or communication and lack of flexibility of imagination and behavior. Acupuncture is one of the most common modality of Traditional Chinese medicine (TCM) and has been used to treat various disease in clinical practice for more than 2000 years in China by correcting disharmony and dysregulation of body. It has sometimes been used as a treatment aimed at improving ASD symptoms and outcomes, but its clinical effectiveness and safety has not been rigorously reviewed. We will plan to conduct a systematic review and meta-analysis to summarize the current evidence on the effects and safety of acupuncture for ASD. Methods: The following databases will be searched: PubMed, the Cochrane Library, Embase, Wanfang Data, China National Knowledge Infrastructure, SinoMed, and VIP. Randomised controlled trials will be included to evaluate the effect and safety of acupuncture on patients with ASD. The primary outcome will be the core features of ASD. The risk of bias will be assessed by the Cochrane risk of bias tool. We will conduct a meta-analysis and sensitivity analysis, as well as a subgroup analysis if high heterogeneity is present, using Revman 5.3. We will use funnel plots to identify potential reporting biases. The Grading of Recommendations Assessment, Development and Evaluation will be used to evaluate the quality of evidence. Results: This study will be to assess the effect and safety of acupuncture for ASD. Conclusions: This study will assess the effect of acupuncture for ASD and provide reliable evidence for the choice of treatments. Ethics and dissemination: The protocol will not need ethical approval because no issues of participant privacy exist. The results of this systematic review will provide evidence about the effect and safety of acupuncture for ASD. The results will be disseminated through peer review.

The comprehensive analysis of environmental risk for heavy metals in pig manure was essential for optimization of pyrolysis conditions and scientific utilization of pig manure biochars as soil amendment. However, in previous studies, the selected pyrolysis temperature points were limited and temperature interval was large, it’s was difficult to accurately verify the effect of pyrolysis temperature on chemical speciation and environmental risk of heavy metals. Therefore, in this study, pig manure was pyrolyzed at 300–700 °C with a small interval of 50 °C to study the effect of pyrolysis temperature on characteristics and environmental risk of Cr, Mn, Cu and Zn in pig manure biochar. Results indicated that the characteristics of biochars (>500 °C) were relatively stable. The biochar obtained at 700 °C exhibited the largest surface area (8.28 m2 g−1) and pore volume (25.17 m3 kg−1), secondly is the biochar derived at 500 °C. The total percentages of exchangeable and acid fraction and reducible fraction decreased from 16.98% to 9.43% for Cr, 85.60% to 65.55% for Mn, 57.26% to 10.61% for Cu, 37.90% to 13.78% for Zn, respectively, suggesting that exchangeable and acid fraction and reducible fraction of Cr, Mn, Cu and Zn in pig manure were transformed into oxidizable and residual fractions after pyrolysis. The leaching rates, risk assessment code and potential ecological risk index values significantly decreased after pyrolysis and presented lower value at 500 and 700 °C. Biochars derived at 300–700 °C conditions posed no phytotoxicity with germination index >80%. Correlation analyses revealed that larger surface area, pore volume and pH values of biochars may help to immobilize heavy metals and reduce bioavailability. These findings demonstrated that bioavailability and toxicity of Cr, Mn, Cu and Zn in pig manure biochar were greatly reduced after pyrolysis and the optimum temperature was 500 °C considering energy cost.