| 1 | Combination therapy of thiamine,vitamin C and hydrocortisone in treating patients with sepsis and septic shock:a meta-analysis and trial sequential analysis显示文摘Background:The objective of this study was to evaluate the clinical efficacy of thiamine and vitamin C with or without hydrocortisone coadministration on the treatment of sepsis and septic shock.Methods:MEDLINE,EMBASE and CENTRAL databases were searched for randomized controlled trials(RCTs)that made a comparative study between the combination therapy of vitamin C and thiamine with or without hydrocortisone and the administration of placebo in patients with sepsis or septic shock.Two reviewers independently performed study selection,data extraction and quality assessment.Both short-term mortality and change in the sequential organ failure assessment(SOFA)score from baseline(delta SOFA)were set as the primary outcomes.Secondary endpoints included intensive care unit(ICU)mortality,new onset of acute kidney injury,total adverse events,ICU and hospital length of stay,duration of vasopressor usage and ventilator-free days.Meanwhile,trial sequential analysis was conducted for primary outcomes.Results:Eight RCTs with 1428 patients were included in the current study.The results showed no significant reduction of short-term mortality in sepsis and septic shock patients who received combination therapy of vitamin C and thiamine with or without hydrocortisone compared to those with placebo{risk ratio(RR),1.02[95%confidence interval(CI),0.87 to 1.20],p=0.81,I2=0%;risk difference(RD),0[95%CI,−0.04 to 0.05]}.Nevertheless,the combination therapy was associated with significant reduction in SOFA score[mean difference(MD),−0.63,(95%CI,−0.96 to−0.29,p<0.001,I^(2)=0%]and vasopressors duration(MD,−22.11[95%CI,−30.46 to−13.77],p<0.001,I2=6%).Additionally,there were no statistical differences in the pooled estimate for other outcomes.Conclusions:In the current meta-analysis,the combination therapy of vitamin C and thiamine,with or without hydrocortisone had no impact on short-term mortality when compared with placebo,but was associated with significant reduction in SOFA score among patients with sepsis and septic shock. | Renqi Yao Yibing Zhu Yue Yu Zhixuan Li Lixue Wang Liyu Zheng Jingyan Li Huibin Huang Guosheng Wu Feng Zhu Zhaofan Xia Chao Ren Yongming Yao | 2021 | Burns & Trauma2021，9，1： | 2 |
| 2 | High-resolution velocity structure and seismogenic potential of strong earthquakes in the Bamei-Kangding segment of the Xianshuihe fault zone显示文摘On September 5,2022,a strong MS6.8 earthquake struck the Luding area in the Kangding-Moxi segment of the Xianshuihe fault zone,which is the northern boundary of the Sichuan-Yunnan rhombic block,causing considerable casualties.The Bamei-Kangding segment of the Xianshuihe fault zone,which is located only tens of kilometers away from the Luding earthquake,has hosted frequent moderate to strong earthquakes in history and is a dangerous earthquake-prone zone.Therefore,it is critical to investigate the regional seismogenic environment for strong earthquakes and to evaluate the impact of the Luding earthquake in this area.For this purpose,we deployed a dense seismic array comprising over 200 short-period nodes in this region from July to August,2022 and acquired seismic ambient noise for over 30 days.Using the collected data,we conducted surface wave tomography and obtained a high-resolution 3-D shear wave velocity model for the regional shallow crust down to 8 km in depth.The key findings include:(1)the Bamei-Kangding segment of the Xianshuihe fault zone exhibits widespread stripped lowvelocity anomalies,suggesting shear movements at a relatively high temperature of the Xianshuihe fault zone;the Zheduoshan granitic pluton situated between the Zheduotang and southern Selaha faults shows a distinct low-velocity anomaly,which may be attributed to the localized high-temperature anomaly resulted by a deep magmatic heat source and the recent rapid uplift of the Zheduoshan area;(2)a ten-kilometer-wide high velocity body found below 4 km in depth near the Zhonggu area in the Bamei segment coincides with the seismic gap of moderate to strong earthquakes in this region,suggesting that the high velocity body may act as a seismic barrier;(3)the heterogeneity of the velocity structure along the Bamei-Kangding segment of the Xianshuihe fault zone corresponds to the regional changes in temperature,which reveals the reason for the spatially varying seismogenic potential in this segment;especially,the Selaha and Zheduotang faults which are located along the boundaries between the high and low velocity anomalies may possess considerable seismogenic potential;(4)the Coulomb failure stress calculations indicate that the Luding earthquake has imposed nontrivial stress loading in the Bamei-Kangding segment,and may shorten the earthquake recurrence intervals of the southern Selaha fault,the Zheduotang fault,and the Xuemenkan segment of the Xianshuihe fault zone.Thus,the Luding earthquake may potentially pose threats to the Sichuan-Xizang railway passing through this region. | Yan ZHAO Junlun LI Jian XU Huajian YAO Gaohua ZHU Hongfeng YANG Jinyu ZHANG Renqi LU | 2023 | Science China Earth Sciences2023，66，9： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员