Respiratory disease symptoms in children are aggravated by frequent changes in meteorological conditions. The net effective temperature (NET) integrates temperature, relative humidity, and wind speed as a cooling indicator. This study aims to assess the effect of daily changes in meteorological factors and corresponding NET data on children's hospitalizations for different ages, genders and subtypes of respiratory infections in Baotou, China. Distributed lag non-linear models were constructed to simultaneously assess the exposure–response associations between daily admission counts of children with respiratory diseases and daily NET and other meteorological factors, as well as their lag dependencies. As air pollution significantly affects the respiratory tract, it was considered as confounding factor. In general, the cumulative meteorological factors had greater effects on lower respiratory tract infections than upper respiratory tract infections (RR: temperature [5.21 vs. 2.33], wind speed [4.89 vs. 3.12], and humidity [1.77 vs. 0.97]). The effects of cumulative meteorological factors on female children were greater than those on male children (RR: temperature [2.14 vs. 1.82], wind speed [5.46 vs. 1.90], and humidity [1.60 vs. 1.55]). Temperature and wind speed showed an influence on 4–7-year-old children, but these factors had no influence on other age groups; humidity only showed an influence on the 0–3-year-old group. The NET value had a large effect on lower respiratory infections, in the 4–7-year-old group and female children. In conclusion, a complex non-linear relationship exists between climate variability and children's respiratory diseases. The results of the study can be used to support the development of important meteorological information tools for early warnings of respiratory disease events in children. Concurrently, the NET values can be used for comprehensive assessments of climate change in the future, which will help the government and health authorities better minimize the impacts of children's respiratory diseases.
Background Chitosan supplementation has been shown to modulate glycemic levels; however, studies have reported conflicting results. The present meta-analysis with trial sequential analysis was conducted to verify the overall influence of chitosan on glycemic levels in patients with metabolic syndrome. Methods The PubMed, Cochrane library, and EMBASE databases were systematically searched for randomized controlled studies of chitosan intake and glycemic levels. Results A total of ten clinical trials including 1473 subjects were included in this meta-analysis. Pooled effect sizes were determined by random-effects meta-analysis. Subgroup analysis was performed to analyze the sources of heterogeneity and their influence on the overall results. The results revealed a significant reduction in fasting glucose levels (SMD: − 0.39 mmol/L, 95% CI: − 0.62 to − 0.16) and hemoglobin A1c (HbA1c) levels (SMD: -1.10; 95% CI: − 2.15 to − 0.06) following chitosan supplementation but no effect on insulin levels (SMD: − 0.20 pmol/L, 95% CI: − 0.64 to 0.24). Subgroup analyses further demonstrated significant reductions in fasting glucose levels in subjects administered 1.6–3 g of chitosan per day and in studies longer than 13 weeks. Trial sequential analysis of the pooled results of the hypoglycemic effect demonstrated that the cumulative Z-curve crossed both the conventional boundary and trial sequential monitoring boundary for glucose and HbA1c. Conclusions The glucose level of patients who are diabetic and obese/overweight can be improved by supplementation with chitosan for at least 13 weeks at 1.6–3 g per day. Additional clinical research data are needed to confirm the role of chitosan, particularly in regulating glycosylated hemoglobin and insulin.
In previous studies, Gentianella acuta (Michx.) Hulten was reported to contain xanthones, iridoids, terpenoids, and sterols and is mainly used to cure hepatitis, jaundice, fever, headache, and angina pectoris. In this study, we used bioassay guided fractionation to identify compounds from G. acuta and investigated their activity against hydrogen peroxide (H2O2)-induced apoptosis of H9c2 cells using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) method. The levels of nuclear factor erythroid 2-related factor 2 (Nrf2), heme oxygenase-1 (HO-1), and glutamate-cysteine ligase catalytic (GCLC) expression were assessed using quantitative real-time polymerase chain reaction (qRT-PCR). Protein expression was evaluated using western blot. The results showed that all four compounds had protective effects on H9c2 cells. The transcription levels of HO-1 and GCLC significantly increased in H9c2 cells pretreated with norswertianolin (1), swetrianolin (2), demethylbellidifolin (3), and bellidifolin (4). However, compared to the model group, the transcription levels of Nrf2 were not enhanced by pretreatment with compounds 1, 2, and 4. The protein expression levels of HO-1 and GCLC in H9c2 cells were greater than that in the H2O2-treated group, and the expression of Nrf2 was not significantly changed except by swetrianolin treatment; inhibitors can reverse the protective effect by ZnPP (15 μM), BSO (10 μM), and brusatol (10 μM). The results indicated that the four compounds isolated from G. acuta inhibited the oxidative injury induced by H2O2 by activating the Nrf2/ARE pathway in H9c2 cells and provide evidence that G. acuta may be a potential therapeutic agent for the treatment of cardiovascular diseases.
The relationship between air temperature and the hospital admission of adult patients with community-acquired pneumonia (CAP) was analyzed. The hospitalization data pertaining to adult CAP patients (age ≥ 18 years) in two tertiary comprehensive hospitals in Baotou, Inner Mongolia Autonomous Region, China from 2014 to 2018 and meteorological data there in the corresponding period were collected. The exposure–response relationship between the daily average temperature and the hospital admission of adult CAP patients was quantified by using a distributed lag non-linear model. A total of 4466 cases of adult patients with CAP were admitted. After eliminating some confounding factors such as relative humidity, wind speed, air pressure, long-term trend, and seasonal trend, a lower temperature was found to be associated with a higher risk of adult CAP. Compared to 21 °C, lower temperature range of 4 to –12 °C was associated with a greater number of CAP hospitalizations among those aged ≥ 65 years, and the highest relative risk (RR) was 2.80 (95% CI 1.15–6.80) at a temperature of − 10 °C. For those < 65 years, lower temperature was not related to CAP hospitalizations. Cumulative lag RRs of low temperature with CAP hospitalizations indicate that the risk associated with colder temperatures appeared at a lag of 0–7 days. For those ≥ 65 years, the cumulative RR of CAP hospitalizations over lagging days 0–5 was 1.89 (95% CI 1.01–3. 56). In brief, the lower temperature had age-specific effects on CAP hospitalizations in Baotou, China, especially among those aged ≥ 65 years.
Background: The classification and application of Daur medicine is an essential part of Chinese ethnomedicinal knowledge. However, the cataloging of traditional Daur medicine is still limited. As Daur medicine is gradually being replaced by traditional Chinese and modern medicine, further research is urgently needed.Methods: We collected ethnobotany and ethnozoology data via semi-structured interviews, focus group discussions, and extensive literature reviews. Medicinal samples and specimens were collected during field investigations from June 2015 to October 2018. Attending diseases and ailments were classified according to the International Classification of Diseases 11th (ICD-11). The expression correlation of medicine classification, medicine and disease was assessed using Cytoscape 3.6.1 software. Use values were calculated to determine the importance of tradition medicinal plants and animals.Results: We documented 30 plant species (from 19 families) and 21 animal species (from 11 families). The majority of the species were previously collected from natural habitats but they have gradually become cultivated. The most widely utilized plants were herbs (21 species), followed by shrubs (4), trees (3), and fungus (2). The most utilized groups of animals were mammals (14 species), followed by birds (5), amphibians (1), and reptiles (1). Medicines were mostly administered orally (39), but were also externally applied (11), or via both routes (9). Informants indicated that medicines were prepared via decoction (21), grinding (11), boiling (10), extraction (8), and burning (7). Most medicines are taken/consumed as a drink (37), eaten (16), or made into pills and powders (7), but also used as an anointment/wash (6), wrap/dressing (5), in the nose, eyes, and mouth (4), or as a fumigate (2). The reported traditional Daur medicines treated 76 human diseases or ailments classified under 13 disease categories, based on the ICD-11. The most commonly used medicinal species were Cervus elaphus, Cervus nippon, Capreolus capreolus, Gallus gallus, Canis lupus familiaris, Betula platyphylla, and Artemisia integrifolia.Conclusions: A wealth of ethnobiological and ethnozoological knowledge exists, which may lead to the development of new drugs; thus, such knowledge urgently requires documentation. The information documented in the present study will be useful for future studies on the ethnopharmacological and traditional knowledge of the Daur region.
Background: The traditional medical practices of the Daur region are an important element in Chinese ethnomedicinal knowledge. However, relatively little recording of traditional Daur medicine (TDM) has been carried out. As it is gradually being replaced by traditional Chinese medicine (TCM) and modern medicine, further research is urgently needed. Methods: We collected ethnobotany and ethnozoology data about their local name, parts used and diseases to be treated, dosage, and route for administration through semi-structured interviews with 114 informants (18 sessions), focus group discussions (6 sessions), and extensive literature reviews. Medicinal samples and specimens were collected during field investigations from June 2015 to October 2018. The diseases and ailments reported as being treated were classified according to the International Classification of Diseases 11 th (ICD-11). The expression correlation of medicine classification, medicine, and disease was assessed using Cytoscape 3.6.1 software. Quantitative indices such as informant consensus factor (ICF) and use value (UV) were used to evaluate the importance of ethnomedicinal data. Results: We documented 30 plant species (from 19 families) and 21 animal species (from 11 families). In the past, the majority of plant species were collected from natural habitats, but now they are mainly cultivated. The most widely utilized plants were herbs (21 species), followed by shrubs (4), trees (3), and fungus (2). The most utilized groups of animals were mammals (14 species), followed by birds (5), amphibians (1), and reptiles (1). Medicines were mostly administered orally (43) but were also applied externally (11) or delivered via both routes (9). Informants indicated that medicines were prepared via decoction (21), grinding (11), boiling (10), extraction (8), and burning (7). Medicines were taken as a drink (37), eaten (16), or made into pills and powders (7), but could also be administered as an ointment/wash (6), wrap/dressing (5), in the nose, eyes, and mouth (4), or as a fumigate (2). The TDMs investigated in this study treated 76 human diseases or ailments classified under 13 disease categories, based on the ICD-11. The highest ICF (1.00) was reported for neoplasms and visual system diseases and childbirth or the puerperium, followed by injury, poisoning, or other diseases resulting from external causes (0.92), and symptoms, signs or clinical findings, not elsewhere classified (0.82). The most used medicinal species were Cervus elaphus , Cervus nippon , Capreolus , Gallus , Canis lupus familiaris , Betula platyphylla , and Artemisia integrifolia . Conclusions: A substantial body of ethnobotanical and ethnozoological knowledge could lead to the development of new medicines. Therefore, research into Daur ethnic medicines is urgently required The current research can make an important contribution to the body of knowledge about the national medicine of the Daur people. This is particularly important because the younger generation is not interested in learning and preserving their traditional medical practices. The information documented in the present study will provide a useful basis for future investigations into the ethnopharmacological and traditional knowledge of the Daur region.
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