[Outcomes and measurements of randomized controlled trial for traditional Chinese medicine in treatment of endometriosis].

This study aims to analyze the outcomes and measurements of randomized controlled trial(RCT) for traditional Chinese medicine(TCM) treatment of endometriosis(EM) and provide a basis for the building of the core outcome set(COS) of EM. The RCT for TCM treatment of EM was retrieved from medical literature databases with the time interval from inception to February 3, 2022. The Cochrane risk of bias assessment tool was employed to evaluate the risk of bias of the included RCT, and descriptive analyses of the extracted information were carried out. A total of 519 RCTs were included, with the sample sizes ranging from 28-582 patients and 239 outcome indicators(8 outcome indicators per RCT on average). According to the functional properties, the reported outcome indicators were classified into 7 indicators: clinical efficacy assessment, indicators of clinical symptoms and signs, TCM symptom efficacy indicators, physical and chemical examinations, quality of life, long-term prognosis, and safety events. All the 519 RCTs had problems, such as the lack of differentiation between primary and secondary outcome indicators(1.73% RCTs reported such differen-tiation), poor quality, confused criteria for composite outcome indicators and arbitrary combination of indicators(45 criteria for the single outcome indicator of efficiency), and messy measurements(as many as 18 measurements for TCM symptom score). In addition, as a chronic disease, EM requires long-term management. The outcome indicators vary for the patients in different disease stages, such as EM pain, EM infertility, and post-operative EM, while the specific outcome indicator sets for different EM populations remain to be developed. In addition, the time point of measurement for EM long-term outcomes remains unclear, and the definition of TCM syndromes lacks standards. The RCT for TCM treatment had a variety of problems, such as the lack of differentiation of outcome indicators, confusion in criteria and measurements, lack of specific outcome indicator sets for different EM populations, and unclear time points for long-term outcomes. Therefore, the studies about COS need to be carried out urgently.

[Effect of Composite Leaching on Cadmium Removal Efficiency in Plow Layer Soil of Agricultural Land and Its Functional Regulation].

In order to explore the feasibility of soil leaching and the remediation of agricultural land polluted by medium (heavy) cadmium (Cd), the soil column was used to simulate in-situ leaching, and the citric acid (CA)+ferric chloride (FeCl3) composite leaching agent was selected. Under the optimal concentration combination and the addition amount of the composite leaching agent, the distribution characteristics of Cd in the plow-layer soil and below were investigated. The influence of the leaching process on soil health and the regulation effect of biochar were also investigated. The results showed that:① 0.1 mol·L-1 CA and 0.01 mol·L-1 FeCl3 were the best concentration combinations; under this concentration combination, when the eluent reached 9 pore volume, the content of Cd in the 20 cm soil column was lower than the risk screening value of 0.4 mg·kg-1 (GB 15618-2018) in the corresponding pH value of the tested soil after leaching. ② Under the optimal leaching conditions, the longitudinal distribution of Cd in the 60 cm soil column showed that the content of total Cd increased with the increase in soil depth after leaching, and the leachate of the soil column contained a certain amount of Cd, indicating that the leaching process promoted the downward migration of Cd. The content of available Cd in the soil after composite leaching also increased with the increase in soil depth, which was partly due to the change in exchangeable and carbonate-bound Cd in different soil layers. ③ A portion of the soil health indexes and enzyme activities decreased after CA+FeCl3 composite leaching. The addition of biochar can improve the health status of the soil after leaching; the soil health indexes and enzyme activities were restored significantly, and the risk of Cd reactivation also decreased after the addition of biochar. The results showed that part of Cd in the soil can be leached below the plow layer by CA+FeCl3 composite leaching; however, the leaching process may have a certain impact on soil health, and biochar has a significant effect on the recovery of soil after leaching.

[Interaction and Mechanism Between Conditioning Agents and Two Elements in the Soil Enriched with Phosphorus and Cadmium].

Focusing on agricultural soil enriched in phosphorus and cadmium (total Cd=0.94 mg·kg-1 and total P=0.86g·kg-1), indoor cultivation experiments were conducted according to the length of the middle rice growth period and the following crop planting period in Hubei. The bioavailability of soil phosphorus and cadmium were examined along with their morphological changes and coupling effect under the influence of material biochar (BC), calcium magnesium phosphate fertilizer (CMP), and fly ash (FA). The results showed that:① When cultured for 140 days, the content of available phosphorus in the soil treated with the conditioning agents was significantly increased compared with the control soil, available phosphorus reached 22.47-37.81mg·kg-1, and the optimal growth requirements of rice were met without additional application of phosphate fertilizer, and adding BC had the best effect. ② The phosphorus in the test soil is mainly inorganic orthophosphate, and the content of different forms of inorganic phosphorus increased under the action of the conditioning agents. The fixed O-P and Ca10-P in the soil gradually changed to more active forms (Ca2-P, Ca8-P, Al-P and Fe-P) over time. ③ The effective Cd content of the soil treated with the conditioning agents was significantly reduced by 8.74%-17.48% relative to the control treatment, which was mainly related to the effect of the three conditioning agents on soil pH. At the same time, compared with the control, the addition of a conditioning agent significantly reduced the exchangeable Cd, and the carbonate-bound Cd and the residual Cd were increased. The abundance of active groups at the surface is related to the adsorption and chelation of Cd2+. The results showed that the three conditioners have the dual functions of phosphorus activation and cadmium passivation in phosphorus-and cadmium-enriched soil, and the effect of biomass carbon and calcium magnesium phosphate fertilizer was greatest, which persisted across the entire rice growth period to the sowing date of the next crop.