Effect of acupuncture inclusion in the enhanced recovery after surgery protocol on tumor patient gastrointestinal function: a systematic review and meta-analysis of randomized controlled studies

IntroductionAcupuncture has been shown to be effective in restoring gastrointestinal function in tumor patients receiving the enhanced recovery after surgery (ERAS) protocol. The present systematic review and meta-analysis aimed to evaluate the rationality and efficacy of integrating acupuncture in the ERAS strategy to recuperate gastrointestinal function.MethodsWe searched eleven databases for relevant randomized clinical trials (RCTs) of acupuncture for the treatment of gastrointestinal dysfunction in tumor patients treated with the ERAS protocol. The quality of each article was assessed using the Cochrane Collaboration risk of bias criteria and the modified Jadad Scale. As individual symptoms, the primary outcomes were time to postoperative oral food intake, time to first flatus, time to first distension and peristaltic sound recovery time (PSRT). Pain control, adverse events, and acupoint names reported in the included studies were also investigated.ResultsOf the 211 reviewed abstracts, 9 studies (702 patients) met eligibility criteria and were included in the present systematic review and meta‑analysis. Compared to control groups, acupuncture groups showed a significant reduction in time to postoperative oral food intake [standardized mean difference (SMD) = -0.77, 95% confidence interval (CI) -1.18 to -0.35], time to first flatus (SMD=-0.81, 95% CI -1.13 to -0.48), time to first defecation (SMD=-0.91, 95% CI -1.41 to -0.41, PSRT (SMD=-0.92, 95% CI -1.93 to 0.08), and pain intensity (SMD=-0.60, 95% CI -0.83 to -0.37).The Zusanli (ST36) and Shangjuxu (ST37) acupoints were used in eight of the nine included studies. Adverse events related to acupuncture were observed in two studies, and only one case of bruising was reported. DiscussionThe present systematic review and meta‑analysis suggested that acupuncture significantly improves recovery of gastrointestinal function and pain control in tumor patients receiving the ERAS protocol compared to the control group. Moreover, ST36 and ST37 were the most frequently used acupoints. Although the safety of acupuncture was poorly described in the included studies, the available data suggested that acupuncture is a safe treatment with only mild side effects. These findings provide evidence-based recommendations for the inclusion of acupuncture in the ERAS protocol for tumor patients.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/ PROSPERO, identifier CRD42023430211

Differential expression of cyclins CCNB1 and CCNG1 is involved in the chondrocyte damage of kashin-beck disease

The purpose of this study was clarify the relationship between the differential expression of cyclins CCNB1 and CCNG1 and chondrocyte damage in Kashin-Beck disease. Systematic review and high-throughput sequencing of chondrocytes derived from Kashin-Beck disease patients were combined to identify the differentially expressed cyclins and cyclin-dependent kinase genes. In parallel, weaned SD rats were treated with low selenium for 4 weeks and then T-2 toxin for 4 weeks. Knee cartilage was collected to harvest chondrocytes for gene expression profiling. Finally, the protein expression levels of CCNB1 and CCNG1 were verified in knee cartilage tissue of Kashin-Beck disease patients and normal controls by immunohistochemical staining. The systematic review found 52 cartilage disease-related cyclins and cyclin-dependent kinase genes, 23 of which were coexpressed in Kashin-Beck disease, including 15 upregulated and 8 downregulated genes. Under the intervention of a low selenium diet and T-2 toxin exposure, CCNB1 (FC = 0.36) and CCNG1 (FC = 0.73) showed a downward expression trend in rat articular cartilage. Furthermore, compared to normal controls, CCNB1 protein in Kashin-Beck disease articular cartilage was 71.98% and 66.27% downregulated in the superficial and middle zones, respectively, and 12.06% upregulated in the deep zone. CCNG1 protein was 45.66% downregulated in the superficial zone and 12.19% and 9.13% upregulated in the middle and deep zones, respectively. The differential expression of cyclins CCNB1 and CCNG1 may be related to articular cartilage damage in Kashin-Beck disease

Research on Identifying Method of Freezing-Thawing Soil Hydraulic Properties

International audienceThe identification of freezing-thawing soil hydraulic properties is the basis and key problem of studying soil water movement. Current identifying methods of the properties have many limitations, such as big error, high uncertainty and low operability. Thus, the identifying method of freezing-thawing soil hydraulic properties was researched in the research. The estimating parameters of soil freezing characteristic curve were calculated by classical statistical method. Targeting at the maximum absolute difference between measured and simulated value of unsaturated soil hydraulic properties, the particle swarm optimization algorithm was used to estimate the optimal values of soil water characteristic curve, unsaturated hydraulic conductivity and specific water capacity. The numerical simulation of freezing-thawing soil water movement proved that the measured and simulated value of soil unfrozen water content had high degree of agreement. The identifying method proposed in the research is effective and feasible

Variability of Soil Water Heat and Energy Transfer Under Different Cover Conditions in a Seasonally Frozen Soil Area

In a seasonally frozen soil area, there is frequent energy exchange between soil and environment, which changes the hydrological cycle process, and then has a certain impact on the prediction and management of agricultural soil moisture. To reveal the effects of different modes of regulation on the energy budget of soil in a region with seasonally frozen soil, four treatments, including the regulation of bare land (BL), biochar (CS), and straw (JS), and the combined regulation of biochar and straw (CJS), were used in field experiments. The variations in the soil temperature, liquid water content, and total water content were analyzed, the energy budget of the soil was calculated, the response functions of the soil energy were determined, and the mechanism of soil energy transfer was elucidated. The results showed that, during the freezing period, the JS treatment reduced the amplitudes of the variations in the soil temperature and liquid water content and increased the water content at the soil surface. During the thawing period, the CJS treatment effectively improved the soil hydrothermal conditions. During the freezing period, the heat absorbed by the CS and JS treatments reduced the fluctuation of the soil energy budget. At a soil depth of 10 cm, the spectral entropy of a time series of the soil net energy was 0.837 under BL treatment, and the CS, JS, and CJS treatments decreased by 0.015, 0.059, and 0.045, respectively, compared to the BL treatment. During the thawing period, the CS treatment promoted energy exchange between the soil and the external environment, and the spectral entropy of a time series of the soil net energy was increased; the JS treatment had the opposite effect. The CJS treatment weakened the impact of environmental factors on the soil energy budget during the freezing period, while it enhanced the energy exchange between the soil and the environment during the thawing period. This study can provide important theoretical and technical support for the efficient utilization of soil hydrothermal resources on farmland in cold regions

Analysis of Irrigation Canal System Characteristics in Heilongjiang Province and the Influence on Irrigation Water Use Efficiency

Irrigation water use efficiency is a primary evaluation index that links economic production development with the efficient use of water resources. Canal water conveyance is an important part of irrigation, and the distribution characteristics of canal systems have an important influence on irrigation water use efficiency. In this paper, 75 irrigated districts in Heilongjiang Province in 2015 were selected as the study objects. The main, branch, lateral, and sublateral canals were graded into first-, second-, third-, and fourth-order classes, respectively. The irrigation districts were divided into three classes, that is, four-order, three-order, and two-order, according to the canal orders that the irrigation districts contained. The canal system framework was described by Horton’s law. The fractal dimension of the canal system was calculated based on the bifurcation ratio and length ratio of the canals. The relationships between fractal dimensions and irrigation water use efficiency were evaluated. The results showed that the irrigation water use efficiency of the four-order and three-order irrigation districts initially increased and then decreased with increases in the fractal dimension (D). In the irrigation districts, an irrigation water use efficiency of more than 10 × 103 hm2 and less than 0.67 × 103 hm2 was proportional to the increase in the fractal dimension, whereas the opposite result was found for districts with (0.67–10) × 103 hm2. The irrigation water use efficiency of the four-order and two-order irrigation districts with less than 3.3 × 103 hm2 had the greatest potential to increase the water use efficiency. Therefore, canal system reconstruction suggestions for different irrigation districts were provided. The results have important theoretical significance and practical value for the improvement of irrigation construction and the promotion of irrigation water efficiency planning

The Critical Depth of Freeze-Thaw Soil under Different Types of Snow Cover

Snow cover is the most common upper boundary condition influencing the soil freeze-thaw process in the black soil farming area of northern China. Snow is a porous dielectric cover, and its unique physical properties affect the soil moisture diffusion, heat conduction, freezing rate and other variables. To understand the spatial distribution of the soil water-heat and the variable characteristics of the critical depth of the soil water and heat, we used field data to analyze the freezing rate of soil and the extent of variation in soil water-heat in a unit soil layer under bare land (BL), natural snow (NS), compacted snow (CS) and thick snow (TS) treatments. The critical depth of the soil water and heat activity under different snow covers were determined based on the results of the analysis, and the variation fitting curve of the difference sequences on the soil temperature and water content between different soil layers and the surface 5-cm soil layer were used to verify the critical depth. The results were as follows: snow cover slowed the rate of soil freezing, and the soil freezing rate under the NS, CS and TS treatments decreased by 0.099 cm/day, 0.147 cm/day and 0.307 cm/day, respectively, compared with that under BL. In addition, the soil thawing time was delayed, and the effect was more significant with increased snow cover. During freeze-thaw cycles, the extent of variation in the water and heat time series in the shallow soil was relatively large, while there was less variation in the deep layer. There was a critical stratum in the vertical surface during hydrothermal migration, wherein the critical depth of soil water and heat change gradually increased with increasing snow cover. The variance in differences between the surface layer and both the soil water and heat in the different layers exhibited “steady-rising-steady” behavior, and the inflection point of the curve is the critical depth of soil freezing and thawing. This critical layer is a demarcation point between frozen soil and non-frozen soil, delineating the boundary between soil water and heat migration and non-migration. Furthermore, with increasing snow cover thickness and increasing density, the critical depth gradually increased

EMD-RBFNN Coupling Prediction Model of Complex Regional Groundwater Depth Series: A Case Study of the Jiansanjiang Administration of Heilongjiang Land Reclamation in China

The accurate and reliable prediction of groundwater depth is the basis of the sustainable utilization of regional groundwater resources. However, the complexity of the prediction has been ignored in previous studies of regional groundwater depth system analysis and prediction, making it difficult to realize the scientific management of groundwater resources. To address this defect, taking complexity diagnosis as the research foundation, this paper proposes a new coupling forecast strategy for evaluating groundwater depth based on empirical mode decomposition (EMD) and a radial basis function neural network (RBFNN). The data used for complexity analysis and modelling are the monthly groundwater depth series monitoring data from 15 long-term monitoring wells from 1997 to 2007, which were collected from the Jiansanjiang Administration of Heilongjiang Agricultural Reclamation in China. The calculation results of the comprehensive complexity index for each groundwater depth series obtained are based on wavelet theory, fractal theory, and the approximate entropy method. The monthly groundwater depth sequence of District 8 of Farm Nongjiang, which has the highest complexity among the five farms in the Jiansanjiang Administration midland, was chosen as the modelling sample series. The groundwater depth series of District 8 of Farm Nongjiang was separated into five intrinsic mode function (IMF) sequences and a remainder sequence by applying the EMD method, which revealed that local groundwater depth has a significant one-year periodic character and an increasing trend. The RBFNN was then used to forecast and stack each EMD separation sequence. The results suggest that the future groundwater depth will remain at approximately 10 m if the past pattern of water use continues, exceeding the ideal depth of groundwater. Thus, local departments should take appropriate countermeasures to conserve groundwater resources effectively

Utilization threshold of surface water and groundwater based on the system optimization of crop planting structure

Based on the diversity of the agricultural system, this research calculates the planting structures of rice, maize and soybean considering the optimal economic-social-ecological aspects. Then, based on the uncertainty and randomness of the water resources system, the interval two-stage stochastic programming method, which introduces the uncertainty of the interval number, is used to calculate the groundwater exploitation and the use efficiency of surface water. The method considers the minimum cost of water as the objective of the uncertainty model for surface water and groundwater joint scheduling optimization for different planting structures. Finally, by calculating harmonious entropy, the optimal exploitation utilization interval of surface water and groundwater is determined for optimal cultivation in the Sanjiang Plain. The optimal matching of the planting structure under the economic system is suitable when the mining ratio of the surface is in 44.13%—45.45% and the exploitation utilization of groundwater is in 54.82%—66.86%, the optimal planting structure under the social system is suitable when surface water mining ratio is in 47.84%—48.04% and the groundwater exploitation threshold is in 67.07%—72.00%. This article optimizes the economic-social-ecological-water system, which is important for the development of a water- and food-conserving society and providing a more accurate management environment