ABSTRACT
Background: Chinese herbal medicine (CHM) has advantages in treating sequela symptoms of pediatric pneumonia convalescence. Hence, this study aims to evaluate the efficacy and safety of CHM using a meta-analysis approach. Methods: The randomized controlled trials (RCTs) that met the search strategy were selected from seven databases from the inception date to December 17, 2021. Based on the Cochrane handbook, the quality of the selected studies was assessed using the risk of bias. Data were expressed as relative risk (RR) or mean difference (MD) and with 95% confidence interval (CI). Subgroup analyses and sensitivity analyses were performed. The Grading Recommendation Assessment, Development, and Evaluation (GRADE) method was used to assess the evidence certainty. Result: Twenty RCTs with 2,241 participants were identified using the search criteria. CHMs included Danshen injection, Liujunzi decoction, Qingfei Tongluo decoction, Yiqi Huoxue decoction, Yupingfeng granule, XiaoErFeiKe granule, Sha-Sheng-Mai-Dong decoction, and so on. Results indicated that CHM combined with Western medicine (WM) or CHM alone improved the total clinical effective rate (RR = 1.22; 95% CI: 1.15-1.29), reduced cough relief time (MD = -2.16; 95% CI: -2.46 to -1.85), lung rales disappearance time (MD = -1.82; 95% CI: -2.17 to -1.47), and length of hospital stay (MD = -2.01, 95% CI: -3.81 to -0.22) in the treatment of pneumonia convalescence in children. However, there was no significant statistical difference regarding the incidence of adverse reactions (RR = 0.57; 95% CI: 0.23-1.43). Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/; Identifier CRD42022298936.
ABSTRACT
The effect of biosidal treatment of initial sediment, addition of inhibitor and addition of phosphorus on the transform of nitrogen and phosphorus in the sediment-water simulative system were studied. S. quadricaudain was cultured in overlying waters took from the above experiment sets when the above experiment completed. The result indicated that, biosidal treatment enhanced the concentration of TP while there was no obvious effect on N. The TP, DTP and TN concentrations were closely between inhibitor addition set and the control set in the sediment-water simulative system but the content of NO3(-)-N of the set with inhibitor addition reached 19.2 mg x L(-1), which was much higher than that of the control set. The sediment significantly adsorbed the P added to the system, and the content of TP decreased when the system reached balance. Algae biomass of the biosidal treatment set was higher than that of the control set, and the main cause was sterilizer leaded to higher concentration of TP of the biosidal treatment set. The highest Algae biomass of the group with inhibitor (224.5 x 10(4) unit x L(-1)) was much higher than that of the control set (26 x 10(4) unit x L(-1)), and that was 5-10 times than that of other sets (sterilized set 22.5 x 10(4) unit x L(-1), set with P added 38.5 x 10(4) uni x L(-1)). Inhibitor restrained the microorganism from using some nutrition which was important to alga's growth. At the beginning, the addition of P had no remarkable effect on the alga growth, but along with the experiment, the alga of the P addition set adapted to the environment and algae biomass exceed that of the control set. The increase of biological bioavailable phosphorus of sediment in biosidal treatment set and addition of inhibitor sets were caused by the increase of algae biomass and thus the increase of liable organic phosphorus.
