The blind-hole method is the most widely used approach to experimentally determine the distribution of residual stress. This paper aims to improve test accuracy of welding residual stress and conducts an experimental ...The blind-hole method is the most widely used approach to experimentally determine the distribution of residual stress. This paper aims to improve test accuracy of welding residual stress and conducts an experimental study on the strain release factors involved when using the blind-hole method for Q235 and Q345, two steels commonly used in building structures. The ranges of strain release factors A and B in the elastic stage, the effects of strain release factors on residual stress calculated values, and the plastic corrected strain release factors are analyzed considering of the effect of plastic deformation around the blind hole on measurement accuracy. Finally, a simplified calculation formula to determine strain release factors is proposed for use with the blind-hole method. Results show that in the elastic stage, strain release factor A for Q235 and Q345 ranges from-0.399 to-0.525 and strain release factor B from-0.791 to-0.960. Changing the strain release factors A and B shows that calculated residual tensile stress varies in relation to a decrease in both factor values. However, there is a increase in calculated residual compressive stress with a decrease in the strain release factor A value, but there is an decrease with a decrease in strain release factor B value. Calculated residual stress applied to elastic strain release factors is compared with that applied to amended plastic strain release factors for Q235 steel. The maximum deviation between calculated residual stress and test stress is reduced from 21.1 to 1.0%,and for Q345 steel from 26.5 to 1.2%. It is thus evident that the plastic correction formula proposed in this paper can be used in calculations when conducting a residual stress test.展开更多
The robustness of the subspace method for blind signature waveform estimation with respect to channel order is analyzed in asynchronous DS-CDMA systems theoretically. Theoretical analysis and simulation results show t...The robustness of the subspace method for blind signature waveform estimation with respect to channel order is analyzed in asynchronous DS-CDMA systems theoretically. Theoretical analysis and simulation results show that the overestimating of the channel order will lead to the degradation of the quality of the estimated signature waveform. So we should adopt the channel order as small as possible.展开更多
Real-time liquefaction monitoring and warning techniques are new ways to mitigate liquefaction hazard. A key point is to establish a reverse liquefaction detection method based on seismic records. However, the existin...Real-time liquefaction monitoring and warning techniques are new ways to mitigate liquefaction hazard. A key point is to establish a reverse liquefaction detection method based on seismic records. However, the existing methods are quite limited and the reliability requires verification. On Feb. 22, 2011 an earthquake of magnitude 6.3 struck at New Zealand＇s South Island. Remarkable liquefaction phenomena were reported, which provide an opportunity to verify the existing liquefaction detection methods. 27 acceleration records within 50 km to the epicenter were selected to perform a blind detection by using the existing methods, including Miyajima method, Suzuki method, Kostadinov-Yamazaki method and Yuan-Sun method. The blind detection results indicate that Yuan-Sun method gives correct results for seven confirmed sites, and Suzuki method and Yuan-Sun method yield correct detection for a reported non-liquefied site. Four methods including the Yuan-Sun method give identical detection for four sites and three methods also including the Yuan-Sun method give identical detection for ten sites. Besides, there are five sites, for which the four methods give opposite detection.展开更多
A subspace-based blind channel estination algo rithm for MIMO-OFDM systems is proposed. This algorithm exploits the cyclostationarity introduced by cyclic prefix of OFDM to estimate the channel parameters. The propose...A subspace-based blind channel estination algo rithm for MIMO-OFDM systems is proposed. This algorithm exploits the cyclostationarity introduced by cyclic prefix of OFDM to estimate the channel parameters. The proposed new algorithm is found to be outperforming the other algorithm with respect to convergence rate and achievable mean square error and robustness to channel order over determination.展开更多
Computed tomography(CT) blurring caused by point spread function leads to errors in quantification and visualization. In this paper, multichannel blind CT image restoration is proposed to overcome the effect of point ...Computed tomography(CT) blurring caused by point spread function leads to errors in quantification and visualization. In this paper, multichannel blind CT image restoration is proposed to overcome the effect of point spread function. The main advantage from multichannel blind CT image restoration is to exploit the diversity and redundancy of information in different acquisitions. The proposed approach is based on a variable splitting to obtain an equivalent constrained optimization formulation, which is addressed with the alternating direction method of multipliers and simply implemented in the Fourier domain. Numerical experiments illustrate that our method obtains a higher average gain value of at least 1.21 d B in terms of Q metric than the other methods, and it requires only 7 iterations of alternating minimization to obtain a fast convergence.展开更多
Recently we have developed an eigenvector method (EVM) which can achieve the blind deconvolution (BD) for MIMO systems. One of attractive features of the proposed algorithm is that the BD can be achieved by calculatin...Recently we have developed an eigenvector method (EVM) which can achieve the blind deconvolution (BD) for MIMO systems. One of attractive features of the proposed algorithm is that the BD can be achieved by calculating the eigenvectors of a matrix relevant to it. However, the performance accuracy of the EVM depends highly on computational results of the eigenvectors. In this paper, by modifying the EVM, we propose an algorithm which can achieve the BD without calculating the eigenvectors. Then the pseudo-inverse which is needed to carry out the BD is calculated by our proposed matrix pseudo-inversion lemma. Moreover, using a combination of the conventional EVM and the modified EVM, we will show its performances comparing with each EVM. Simulation results will be presented for showing the effectiveness of the proposed methods.展开更多
BACKGROUND Even in the immuno-oncology era,transcatheter arterial chemoembolisation(TACE)is the most effective way to treat intermediate stage hepatocellular carcinoma(HCC).Postembolisation syndrome(PES)is the most co...BACKGROUND Even in the immuno-oncology era,transcatheter arterial chemoembolisation(TACE)is the most effective way to treat intermediate stage hepatocellular carcinoma(HCC).Postembolisation syndrome(PES)is the most common side effect from TACE and there is still no standard prevention guideline.AIM To evaluate the efficacy of single dose intravenous dexamethasone regimen to prevent PES after TACE among patients with HCC.METHODS This study enrolled patients with HCC who had eligible indication for TACE without macrovascular invasion/extrahepatic metastasis.Patients were randomly assigned to either an intravenous single dose of dexamethasone 8 mg or placebo one hour before TACE.The primary outcome was a negative result of PES at 48 h after TACE,which was defined as score<2 of Southwest Oncology Group toxicity coding criteria using fever,nausea,vomiting and pain to calculated.And the secondary end point was duration of admission between two groups.RESULTS One hundred patients were randomly assigned 1:1.Under intention-to-treat analysis,49 patients were randomly assigned to the dexamethasone and 51 to the placebo groups.Both groups were similar for baseline characteristics.The negative PES rate was significantly higher in the dexamethasone group than in the placebo group(63.3%vs 29.4%;P=0.005).Mean Southwest Oncology Group toxicity coding PES was 2.14(95%CI:1.41-2.8)vs 3.71(95%CI:2.97-4.45)between the dexamethasone and placebo groups,respectively.Cumulative incidence of fever was significantly lower in dexamethasone group with P<0.001,pain,nausea and vomiting were also lower in the dexamethasone group compared with the placebo group(P=0.16,P=0.11,and P=0.49).The dexamethasone regimen was generally well tolerated by patients with HCC patients including those with hepatitis B virus infection and well-controlled diabetes mellitus.CONCLUSION Single dose dexamethasone was effective at preventing PES among patients with HCC treated with TACE.The study showed no adverse events of special interest related to dexamethasone.展开更多
BACKGROUND： Rheumatoid arthritis（RA） is a systemic inflammatory disease characterized by functional disability and pain. Although acupuncture is widely used, until now Western acupuncture studies on RA have not sho...BACKGROUND： Rheumatoid arthritis（RA） is a systemic inflammatory disease characterized by functional disability and pain. Although acupuncture is widely used, until now Western acupuncture studies on RA have not shown conclusive positive results. Acupuncture is regarded as a reflex therapy that has effects on the human autonomic nervous system. By establishing a traditional Chinese medicine（TCM） diagnosis first, the practitioner is able to choose acupoints according to the state of each individual patient.METHODS/DESIGN： We are interested if acupuncture, using a classical diagnostic procedure to allocate acupoints to the patient according to the Shang Han Lun theory, can be effective in relieving pain, improving hand function and increasing health-related quality of life in RA.The authors intend to harmonize TCM diagnosis according to clinical and genetic profiles. Patients with the TCM diagnosis of a so-called Turning Point syndrome will be followed up in a randomized, prospective, double-blind, placebo-controlled, multicenter and three-armed parallel-group study with a standardized treatment in order to optimize potential therapeutic effects of acupuncture on pain, strength and muscle function of patients with RA as well as the influence on inflammation and quality of life.DISCUSSION： The findings of this study will provide important clinical information about the feasibility and efficacy of acupuncture treatment for RA patients. In addition, it will explore the feasibility of further acupuncture research.TRIAL REGISTRATION NUMBER： Clinical Trials.gov Identifier NCT02553005.展开更多
Objective： To investigate the influence of the depth of skin press in blunt tip placebo acupuncture needles on patient blinding and its relationship to needle diameter.Methods： Forty healthy volunteers were enrolled...Objective： To investigate the influence of the depth of skin press in blunt tip placebo acupuncture needles on patient blinding and its relationship to needle diameter.Methods： Forty healthy volunteers were enrolled as subjects for patient blinding. Four acupuncturists applied the following needles randomly at three points in each forearm： 0.18 mm and 0.25 mm diameter penetrating needles inserted to a depth of 5 mm, and 0.18 mm and 0.25 mm diameter skin-touch needles depressing the skin at the acupoint to a depth of 1 mm and 2 mm from the skin surface. The subjects reported their guesses at the nature of needles they received, and rated needle pain and de qi. A blinding index was calculated to define the success of blinding for subjects.Results： The blinding status of subjects for 1 mm press needles of 0.18 mm diameter was ＂random guess＂,but ＂unblinded＂ for 1 mm press needles of 0.25 mm diameter. For 2 mm press needles of both diameters,the blinding status was ＂opposite guess＂ and the blinding status for penetrating needles of both diameters was ＂unblinded.＂ The percentages of ＂felt pain＂ with 2 mm press needles of both diameters were similar to that with penetrating needles, but those were not similar for 1 mm press needles. The frequency of de qi occurrence with 2 mm press needles of 0.18 mm diameter was similar to that of penetrating needles of both diameters.Conclusion： Placebo needles of 2 mm press made more subjects guess that the needles penetrated the skin than 1 mm press needles. The use of small diameter needles increased patient blinding.展开更多
The GRACE(Gravity Recovery and Climate Experiment)space mission recorded temporal variation characteristics of the global gravity field at decadal timescales.The gravity data have been shown to capture the dynamics of...The GRACE(Gravity Recovery and Climate Experiment)space mission recorded temporal variation characteristics of the global gravity field at decadal timescales.The gravity data have been shown to capture the dynamics of flows within the outer core and their effects on the core-mantle boundary.We first aim to remove global surface process gravity signals from the GRACE data.We then construct the global core magnetic field according to the CHAOS-7 model.Finally,we apply the blind source separation method to decompose the processed gravity signals and core magnetic signals and compute the power spectral density of the gravity and magnetic field signals by using the Lomb-Scargle periodogram approach.We have discovered a signal cycle(of~6 years)in the principal components of the core magnetic and gravity signals,potentially as a result of deep Earth processes.The main principal components of the core magnetic and gravity signals reveal that the variation trends in the second-order time derivative of the core magnetic field are similar to those in the gravity field.After 2014,the second-order time derivative of the core magnetic field exhibited linear and rapid change characteristics,which were the same as the change in the gravity field and are consistent with existing research results.展开更多
Background： Lipid-lowering effect ofRhus coriaria L. （Rhus） has been investigated in multiple animal stud- ies with promising results. Nonetheless, its clinical efficacy has not been adequately examined. Objective...Background： Lipid-lowering effect ofRhus coriaria L. （Rhus） has been investigated in multiple animal stud- ies with promising results. Nonetheless, its clinical efficacy has not been adequately examined. Objective： The aim of this study was to evaluate the lipid-lowering effects of Rhus among patients with hyperlipidemia. Design, setting, participants and interventions： The study was designed as a two-arm, double-blind placebo-controlled randomized clinical trial, using a parallel design. Eighty patients with primary hyper- lipidemia were randomly assigned to receive Rhus capsules or placebo for 6 weeks. Main outcome measures： The serum lipid levels, apolipoprotein-A1 （Apo-A1） and apolipoprotein-B （Apo-B） were measured. Results： Mean serum high-density lipoprotein cholesterol （HDL-C） and Apo-Al levels were significantly increased in the Rhus group, compared with the placebo group, after 6 weeks of intervention （P= 0.001）. The analysis of covariance test including age, gender, body mass index （BMI）, and smoking as co-variables revealed that the increase in HDL-C and Apo-A1 levels remained significant, and increases in HDL-C were dependent on the increase in Apo-A1 levels. No significant difference was observed between Rhus and placebo groups in terms of mean reductions in total cholesterol, low-density lipopro- tein cholesterol and triglyceride levels; however, more significant improvement was observed among obese patients （BMI≥ 30 kg/m^2）. Conclusion： The study showed significant increases in HDL-C and Apo-Al levels in response to Rhus sup- plementation in patients with hyperlipidemia. Trial registration： ClinicalTrials.gov ID： NCT02295293.展开更多
OBJECTIVE: To evaluate the safety and efficacy of Tongkuaixiao ointment(TKXO) in treating moderate-to-severe cancer induced somatalgia.METHODS: Totally 130 patients with moderateto-severe cancer induced somatalgia wer...OBJECTIVE: To evaluate the safety and efficacy of Tongkuaixiao ointment(TKXO) in treating moderate-to-severe cancer induced somatalgia.METHODS: Totally 130 patients with moderateto-severe cancer induced somatalgia were randomly divided into a TKXO group and a control group.The patients were treated with either TKXO applied externally or placebo, with opioid analgesics orally at the same time. Observation parameters were included numerical rating scale(NRS) scores,analgesic efficacy, initiation effective time, persistent analgesic time, equivalent morphine dose,National Comprehensive Cancer Network(NCCN)grade in Impact of Pain Measurement Scores, and safety and satisfaction extent investigation.RESULTS: NRS scores and NCCN grade in Impact of Pain Measurement Scores decreased significantly after 5-days' treatment in the two groups(P <0.0001). Compared to the control group, initiation effective time was significantly shorter(P < 0.05)and persistent analgesic time was significantly longer(P < 0.01), equivalent oral morphine doses of the first day and the whole treatment course were significantly decreased in the TKXO treatment group(P < 0.01 or P < 0.05). No obvious adverse effects were found in the TKXO group.CONCLUSION: TKXO combined with opioid analgesics possesses the advantages of high efficacy,fast action, long persistent action, safety and convenience in use, and it can reduce the dose of opioid.展开更多
基金supported by the National Natural Science Foundation of China (no. 51478120)
文摘The blind-hole method is the most widely used approach to experimentally determine the distribution of residual stress. This paper aims to improve test accuracy of welding residual stress and conducts an experimental study on the strain release factors involved when using the blind-hole method for Q235 and Q345, two steels commonly used in building structures. The ranges of strain release factors A and B in the elastic stage, the effects of strain release factors on residual stress calculated values, and the plastic corrected strain release factors are analyzed considering of the effect of plastic deformation around the blind hole on measurement accuracy. Finally, a simplified calculation formula to determine strain release factors is proposed for use with the blind-hole method. Results show that in the elastic stage, strain release factor A for Q235 and Q345 ranges from-0.399 to-0.525 and strain release factor B from-0.791 to-0.960. Changing the strain release factors A and B shows that calculated residual tensile stress varies in relation to a decrease in both factor values. However, there is a increase in calculated residual compressive stress with a decrease in the strain release factor A value, but there is an decrease with a decrease in strain release factor B value. Calculated residual stress applied to elastic strain release factors is compared with that applied to amended plastic strain release factors for Q235 steel. The maximum deviation between calculated residual stress and test stress is reduced from 21.1 to 1.0%,and for Q345 steel from 26.5 to 1.2%. It is thus evident that the plastic correction formula proposed in this paper can be used in calculations when conducting a residual stress test.
文摘The robustness of the subspace method for blind signature waveform estimation with respect to channel order is analyzed in asynchronous DS-CDMA systems theoretically. Theoretical analysis and simulation results show that the overestimating of the channel order will lead to the degradation of the quality of the estimated signature waveform. So we should adopt the channel order as small as possible.
基金National Natural Science Foundation of China Under Grant No.50078165
文摘Real-time liquefaction monitoring and warning techniques are new ways to mitigate liquefaction hazard. A key point is to establish a reverse liquefaction detection method based on seismic records. However, the existing methods are quite limited and the reliability requires verification. On Feb. 22, 2011 an earthquake of magnitude 6.3 struck at New Zealand＇s South Island. Remarkable liquefaction phenomena were reported, which provide an opportunity to verify the existing liquefaction detection methods. 27 acceleration records within 50 km to the epicenter were selected to perform a blind detection by using the existing methods, including Miyajima method, Suzuki method, Kostadinov-Yamazaki method and Yuan-Sun method. The blind detection results indicate that Yuan-Sun method gives correct results for seven confirmed sites, and Suzuki method and Yuan-Sun method yield correct detection for a reported non-liquefied site. Four methods including the Yuan-Sun method give identical detection for four sites and three methods also including the Yuan-Sun method give identical detection for ten sites. Besides, there are five sites, for which the four methods give opposite detection.
基金Supported by the Scientific Development Fund of Shanghai Scientific Committee(037062022)
文摘A subspace-based blind channel estination algo rithm for MIMO-OFDM systems is proposed. This algorithm exploits the cyclostationarity introduced by cyclic prefix of OFDM to estimate the channel parameters. The proposed new algorithm is found to be outperforming the other algorithm with respect to convergence rate and achievable mean square error and robustness to channel order over determination.
基金Supported by the National Natural Science Foundaton of China(No.61340034)China Postdoctoral Science Foundation(No.2013M530873)the Research Program of Application Foundation and Advanced Technology of Tianjin(No.13JCYBJC15600)
文摘Computed tomography(CT) blurring caused by point spread function leads to errors in quantification and visualization. In this paper, multichannel blind CT image restoration is proposed to overcome the effect of point spread function. The main advantage from multichannel blind CT image restoration is to exploit the diversity and redundancy of information in different acquisitions. The proposed approach is based on a variable splitting to obtain an equivalent constrained optimization formulation, which is addressed with the alternating direction method of multipliers and simply implemented in the Fourier domain. Numerical experiments illustrate that our method obtains a higher average gain value of at least 1.21 d B in terms of Q metric than the other methods, and it requires only 7 iterations of alternating minimization to obtain a fast convergence.
文摘Recently we have developed an eigenvector method (EVM) which can achieve the blind deconvolution (BD) for MIMO systems. One of attractive features of the proposed algorithm is that the BD can be achieved by calculating the eigenvectors of a matrix relevant to it. However, the performance accuracy of the EVM depends highly on computational results of the eigenvectors. In this paper, by modifying the EVM, we propose an algorithm which can achieve the BD without calculating the eigenvectors. Then the pseudo-inverse which is needed to carry out the BD is calculated by our proposed matrix pseudo-inversion lemma. Moreover, using a combination of the conventional EVM and the modified EVM, we will show its performances comparing with each EVM. Simulation results will be presented for showing the effectiveness of the proposed methods.
文摘BACKGROUND Even in the immuno-oncology era,transcatheter arterial chemoembolisation(TACE)is the most effective way to treat intermediate stage hepatocellular carcinoma(HCC).Postembolisation syndrome(PES)is the most common side effect from TACE and there is still no standard prevention guideline.AIM To evaluate the efficacy of single dose intravenous dexamethasone regimen to prevent PES after TACE among patients with HCC.METHODS This study enrolled patients with HCC who had eligible indication for TACE without macrovascular invasion/extrahepatic metastasis.Patients were randomly assigned to either an intravenous single dose of dexamethasone 8 mg or placebo one hour before TACE.The primary outcome was a negative result of PES at 48 h after TACE,which was defined as score<2 of Southwest Oncology Group toxicity coding criteria using fever,nausea,vomiting and pain to calculated.And the secondary end point was duration of admission between two groups.RESULTS One hundred patients were randomly assigned 1:1.Under intention-to-treat analysis,49 patients were randomly assigned to the dexamethasone and 51 to the placebo groups.Both groups were similar for baseline characteristics.The negative PES rate was significantly higher in the dexamethasone group than in the placebo group(63.3%vs 29.4%;P=0.005).Mean Southwest Oncology Group toxicity coding PES was 2.14(95%CI:1.41-2.8)vs 3.71(95%CI:2.97-4.45)between the dexamethasone and placebo groups,respectively.Cumulative incidence of fever was significantly lower in dexamethasone group with P<0.001,pain,nausea and vomiting were also lower in the dexamethasone group compared with the placebo group(P=0.16,P=0.11,and P=0.49).The dexamethasone regimen was generally well tolerated by patients with HCC patients including those with hepatitis B virus infection and well-controlled diabetes mellitus.CONCLUSION Single dose dexamethasone was effective at preventing PES among patients with HCC treated with TACE.The study showed no adverse events of special interest related to dexamethasone.
文摘BACKGROUND： Rheumatoid arthritis（RA） is a systemic inflammatory disease characterized by functional disability and pain. Although acupuncture is widely used, until now Western acupuncture studies on RA have not shown conclusive positive results. Acupuncture is regarded as a reflex therapy that has effects on the human autonomic nervous system. By establishing a traditional Chinese medicine（TCM） diagnosis first, the practitioner is able to choose acupoints according to the state of each individual patient.METHODS/DESIGN： We are interested if acupuncture, using a classical diagnostic procedure to allocate acupoints to the patient according to the Shang Han Lun theory, can be effective in relieving pain, improving hand function and increasing health-related quality of life in RA.The authors intend to harmonize TCM diagnosis according to clinical and genetic profiles. Patients with the TCM diagnosis of a so-called Turning Point syndrome will be followed up in a randomized, prospective, double-blind, placebo-controlled, multicenter and three-armed parallel-group study with a standardized treatment in order to optimize potential therapeutic effects of acupuncture on pain, strength and muscle function of patients with RA as well as the influence on inflammation and quality of life.DISCUSSION： The findings of this study will provide important clinical information about the feasibility and efficacy of acupuncture treatment for RA patients. In addition, it will explore the feasibility of further acupuncture research.TRIAL REGISTRATION NUMBER： Clinical Trials.gov Identifier NCT02553005.
基金supported by Grant-in-Aid for Scientific Research(JP15K08938 and JP16K09266)
文摘Objective： To investigate the influence of the depth of skin press in blunt tip placebo acupuncture needles on patient blinding and its relationship to needle diameter.Methods： Forty healthy volunteers were enrolled as subjects for patient blinding. Four acupuncturists applied the following needles randomly at three points in each forearm： 0.18 mm and 0.25 mm diameter penetrating needles inserted to a depth of 5 mm, and 0.18 mm and 0.25 mm diameter skin-touch needles depressing the skin at the acupoint to a depth of 1 mm and 2 mm from the skin surface. The subjects reported their guesses at the nature of needles they received, and rated needle pain and de qi. A blinding index was calculated to define the success of blinding for subjects.Results： The blinding status of subjects for 1 mm press needles of 0.18 mm diameter was ＂random guess＂,but ＂unblinded＂ for 1 mm press needles of 0.25 mm diameter. For 2 mm press needles of both diameters,the blinding status was ＂opposite guess＂ and the blinding status for penetrating needles of both diameters was ＂unblinded.＂ The percentages of ＂felt pain＂ with 2 mm press needles of both diameters were similar to that with penetrating needles, but those were not similar for 1 mm press needles. The frequency of de qi occurrence with 2 mm press needles of 0.18 mm diameter was similar to that of penetrating needles of both diameters.Conclusion： Placebo needles of 2 mm press made more subjects guess that the needles penetrated the skin than 1 mm press needles. The use of small diameter needles increased patient blinding.
基金the National Natural Science Foundation of China(Grant Nos.42274003,41974007,and 41774019).
文摘The GRACE(Gravity Recovery and Climate Experiment)space mission recorded temporal variation characteristics of the global gravity field at decadal timescales.The gravity data have been shown to capture the dynamics of flows within the outer core and their effects on the core-mantle boundary.We first aim to remove global surface process gravity signals from the GRACE data.We then construct the global core magnetic field according to the CHAOS-7 model.Finally,we apply the blind source separation method to decompose the processed gravity signals and core magnetic signals and compute the power spectral density of the gravity and magnetic field signals by using the Lomb-Scargle periodogram approach.We have discovered a signal cycle(of~6 years)in the principal components of the core magnetic and gravity signals,potentially as a result of deep Earth processes.The main principal components of the core magnetic and gravity signals reveal that the variation trends in the second-order time derivative of the core magnetic field are similar to those in the gravity field.After 2014,the second-order time derivative of the core magnetic field exhibited linear and rapid change characteristics,which were the same as the change in the gravity field and are consistent with existing research results.
基金supported by a grant from Shiraz University of Medical Sciences–Iran (Grant No. 92-5581)
文摘Background： Lipid-lowering effect ofRhus coriaria L. （Rhus） has been investigated in multiple animal stud- ies with promising results. Nonetheless, its clinical efficacy has not been adequately examined. Objective： The aim of this study was to evaluate the lipid-lowering effects of Rhus among patients with hyperlipidemia. Design, setting, participants and interventions： The study was designed as a two-arm, double-blind placebo-controlled randomized clinical trial, using a parallel design. Eighty patients with primary hyper- lipidemia were randomly assigned to receive Rhus capsules or placebo for 6 weeks. Main outcome measures： The serum lipid levels, apolipoprotein-A1 （Apo-A1） and apolipoprotein-B （Apo-B） were measured. Results： Mean serum high-density lipoprotein cholesterol （HDL-C） and Apo-Al levels were significantly increased in the Rhus group, compared with the placebo group, after 6 weeks of intervention （P= 0.001）. The analysis of covariance test including age, gender, body mass index （BMI）, and smoking as co-variables revealed that the increase in HDL-C and Apo-A1 levels remained significant, and increases in HDL-C were dependent on the increase in Apo-A1 levels. No significant difference was observed between Rhus and placebo groups in terms of mean reductions in total cholesterol, low-density lipopro- tein cholesterol and triglyceride levels; however, more significant improvement was observed among obese patients （BMI≥ 30 kg/m^2）. Conclusion： The study showed significant increases in HDL-C and Apo-Al levels in response to Rhus sup- plementation in patients with hyperlipidemia. Trial registration： ClinicalTrials.gov ID： NCT02295293.
基金Supported by the Eleventh Five-year National Plan of Sciences and Technology(Clinical Research of Traditional Chinese Medicine External Treatment by Investigating Pathogenesis and Syndrome Differentiation of Cancer Pain,No.2008BAI53B023)Key Project of Beijing Municipal Science and Technology Commission(Standardization of Traditional Chinese Medicine External Treatment in Cancer Induced Pain,Ascites or Pleural Effusion,No.D13110002213004)the Postdoctoral Fund of Sciences(Effects of the Method for Tonifying Kidney to Strengthen the Bone in Treating Bone Cancer Pain,No.2012M510358)
文摘OBJECTIVE: To evaluate the safety and efficacy of Tongkuaixiao ointment(TKXO) in treating moderate-to-severe cancer induced somatalgia.METHODS: Totally 130 patients with moderateto-severe cancer induced somatalgia were randomly divided into a TKXO group and a control group.The patients were treated with either TKXO applied externally or placebo, with opioid analgesics orally at the same time. Observation parameters were included numerical rating scale(NRS) scores,analgesic efficacy, initiation effective time, persistent analgesic time, equivalent morphine dose,National Comprehensive Cancer Network(NCCN)grade in Impact of Pain Measurement Scores, and safety and satisfaction extent investigation.RESULTS: NRS scores and NCCN grade in Impact of Pain Measurement Scores decreased significantly after 5-days' treatment in the two groups(P <0.0001). Compared to the control group, initiation effective time was significantly shorter(P < 0.05)and persistent analgesic time was significantly longer(P < 0.01), equivalent oral morphine doses of the first day and the whole treatment course were significantly decreased in the TKXO treatment group(P < 0.01 or P < 0.05). No obvious adverse effects were found in the TKXO group.CONCLUSION: TKXO combined with opioid analgesics possesses the advantages of high efficacy,fast action, long persistent action, safety and convenience in use, and it can reduce the dose of opioid.
