Abstract Tea polysaccharides was one of the active ingredients of Qingzhuan dark tea, which had antioxidant, anti-tumor, and immune-enhancing effects. The complexation of metal ions of tea polysaccharides was one of the current research hotspots. It can combine the advantages of tea polysaccharides and their complexed trace metal elements, and had great potential development. In this study, the trace element-copper required by the human body was used for complexation with Qingzhuan dark tea polysaccharides, and the structure was characterized by various chemical methods. The copper complexes of Qingzhuan dark tea polysaccharides were characterized by UV spectroscopy, FT-IR, thermogravimetric analysis, X-ray diffraction (XRD), SEM, AFM and X-ray photoelectron spectroscopy (XPS). The tests results show that it was successfully complexed with tea polysaccharides. Meanwhile, the Qingzhuan dark tea polysaccharides copper complex compound (termed TPS-Cu) showed higher scavenging activity of hydroxyl radical and ABTS free radical than the tea polysaccharides (termed TPS). Therefore, TPS-Cu can be used as a potentially effective and stable copper supplement and preventive agent.

Abstract To produce Qingzhuan dark tea polysaccharide–zinc (TPS–Zn), tea polysaccharides (TPS) were isolated from Qingzhuan dark tea and complexed with a zinc salt in the present study. The thermogravimetric analysis, molecular weight analysis, atomic absorption spectrum, Fourier transform infrared spectrum, ultraviolet spectrum, scanning electron microscope, X-ray diffraction, X-ray photoelectron spectroscopy, and atomic mechanical microscope were used for qualitative and quantitative characterisation. The findings demonstrated and verified that complex reactions between zinc ions and TPS had occurred. After the Zn2+ complex was modified, the structure of TPS became more stable. The complex was homogeneous in composition and did not comprise any nucleic acid or protein. It is a zinc supplement that may be studied.

Abstract Anaemia, caused by iron deficiency, is a common disease in some parts of the world. A traditional medicine for treating anaemia resulting from iron deficiency is inorganic iron, which is represented by ferrous sulfate. However, serious irritation to the gastrointestinal tract is one of the side effects caused by inorganic iron. We extracted the tea polysaccharide (TPS) from Qingzhuan Dark Tea and employed a green technology to prepare a polysaccharide–iron [TPS-Fe(III)] complex. We further characterised the structure through thermogravimetric analysis, molecular weight analysis, atomic absorption spectroscopy, Fourier-transform infrared spectroscopy, ultraviolet spectroscopy (UV), 1H nuclear magnetic resonance spectroscopy, scanning electron microscopy, X-ray diffraction analysis, X-ray photoelectron spectroscopy, and atomic mechanics microscopy. We performed a comparative evaluation of the antioxidant properties of the TPS-Fe(III) complex and TPS. The results indicated that the antioxidant activity of the TPS-Fe(III) complex is superior to that of TPS. The scavenging activity was determined using 2,2-diphenyl-1-picrylhydrazyl, hydroxyl, superoxide anion, and 2,2'-azobis-(3-ethylbenzothiazoline-6-sulfonic acid) radical scavenging activity assays and malondialdehyde inhibition assay. The structure of the TPS-Fe(III) complex formed by the complexation of the tea polysaccharide with iron ions was highly stable, which significantly improved its antioxidant activity in vitro. Thus, the TPS-Fe (III) complex can provide additional health benefits compared with other typical non-antioxidant iron nutritional supplements.

Abstract The destruction of the pulmonary epithelial barrier in acute respiratory distress syndrome is caused by the damage of the alveolar epithelial cells. Oroxin A is an effective flavonoid component derived from the medicinal plant Oroxylum indicum (L.) Kurz. In this study, the oleic acid (OA)-induced A549 cell injury model was established in vitro to explore the protective mechanism of Oroxin A. The experiment was divided into the following groups: control, OA and OA + Oroxin A group. The OA-induced A549 cell injury was dose (time)-dependent and was detected by the CCK-8 assay. The protein and mRNA expression levels associated with pyroptosis are detected by Western blotting and RT-qPCR. After Oroxin A treatment, the levels of IL-1β, IL-18 and LDH released were significantly lower than the OA group. In terms of pyroptosis, Oroxin A can inhibit the expression of pyroptosis-related protein and mRNA. Significantly, the surfactant protein C (SPC) level in the OA + Oroxin A group was significantly higher than that in the OA group. The treatment with Oroxin A alleviates the OA-induced injury in the A549 cells, and its mechanism may be related to the inhibition of A549 cells pyroptosis and prevention of the degradation of the SPC.

Background: The impact of enteral nutrition (EN) on surgical risk in Crohn's disease (CD) patients suffering from spontaneous intra-abdominal abscess (IAA) was evaluated. Methods: CD patients diagnosed with spontaneous IAA from 2008 to 2015 were included in the study. The impact of EN on surgical risk was evaluated using both univariate and multivariate analyses. Results: A total of 87 patients were enrolled, 66 (75.9%) were male. The mean age at the development of an abscess was 30.2 ± 10.1 years and the median duration of illness from CD diagnosis until the development of an abscess was three (2-6) years. After a median follow-up of 1.9 (1.1-2.9) years, surgical intervention was performed in 42 patients (48.3%). Patients treated with EN were less likely to require surgical intervention (26.1% vs 56.3%, p = 0.01). Multivariate analysis showed that EN was an independent protective factor for the risk of surgery with a hazard ratio of 0.27 (95% confidence interval: 0.11-0.65, p = 0.004) after adjusting for abdominal pain, history of abdominal surgery, concomitant intestinal stenosis and prior use of antibiotics within three months. Conclusions: Surgical intervention is common for CD patients with IAA. Appropriate application of EN may help obviate the need for surgical treatment.

RESUMO OBJETIVO: Avaliar o valor da orientação por ultrassonografia (US) em tempo real para bloqueio do plexo braquial por via axilar (BPBA) pela taxa de sucesso e tempo de latência. MÉTODOS: Uma metanálise foi feita no Departamento de Anestesiologia do Segundo Hospital Afiliado da Universidade de Soochow, Suzhou, província de Jiangsu, China. Fizemos uma pesquisa bibliográfica nas bases de dados Medline, Embasa e Cochrane de 2004 a 2014. A pesquisa foi feita com títulos de assuntos médicos e palavras de texto livre: axilla, axillary, brachial plexus, ultrasonography, ultrasound, ultrasonics. Dois revisores fizeram a pesquisa e avaliaram os estudos de forma independente. RESULTADOS: Sete estudos clínicos randômicos, um estudo de coorte e três estudos retrospectivos foram incluídos. Foram identificados 2.042 pacientes, dos quais 1.157 foram submetidos ao BPBA guiado por ultrassom (grupo US); o grupo controle incluiu 885 pacientes, dos quais 246 foram submetidos à abordagem tradicional (TRAD) e 639 à estimulação do nervo (EN). Nossa análise mostrou que a taxa de sucesso foi maior no grupo US em comparação com o grupo controle (90,64% vs. 82,21%, p< 0,00001). As médias do tempo necessário para fazer o bloqueio e do tempo de latência foram mais curtas no grupo US do que no grupo controle. CONCLUSÃO: O presente estudo demonstrou que a orientação por ultrassom em tempo real para o bloqueio do plexo braquial por via axilar melhora a taxa de sucesso e reduz a média do tempo de início da anestesia e do tempo de execução do bloqueio.

ABSTRACT OBJECTIVE: To evaluate the value of real-time ultrasound (US) guidance for axillary brachial plexus block (AXB) through the success rate and the onset time. METHODS: The meta-analysis was carried out in the Anesthesiology Department of the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China. A literature search of Medline, EMBASE, Cochrane database from the years 2004 to 2014 was performed. The literature searches were carried out using medical subject headings and free-text word: "axilla", "axillary", "brachial plexus", "ultrasonography", "ultrasound", "ultrasonics". Two different reviewers carried out the search and evaluated studies independently. RESULTS: Seven randomized controlled trials, one cohort study and three retrospective studies were included. A total of 2042 patients were identified. 1157 patients underwent AXB using US guidance (US group) and the controlled group included 885 patients (246 patients using traditional approach (TRAD) and 639 patients using nerve stimulation (NS)). Our analysis showed that the success rate was higher in the US group compared to the controlled group (90.64% vs. 82.21%, p < 0.00001). The average time to perform the block and the onset of sensory time were shorter in the US group than the controlled group. CONCLUSION: The present study demonstrated that the real-time ultrasound guidance for axillary brachial plexus block improves the success rate and reduce the mean time to onset of anesthesia and the time of block performance.

South Asian monsoon occurs in most parts of the Indian subcontinent including Pakistan, India and Bangladesh during the period June to September of every year. These winds rich in moisture are forced to lift by the Himalayas causing extreme precipitation in different parts of the subcontinent, especially in Pakistan. The aim of this study is to explore the characteristics of atmospheric energy conversion and distribution during the heavy rainfall in Sindh, Pakistan for the period August-September 2011. The results show that when the energy value is greater than or equal to seven, the atmosphere jumps from stable to unstable. Under the influence of atmospheric circulations and terrain conditions, the kinetic energy is blocked by the mountains and is continuously converted into potential energy inside rainfall system. The peak phase of energy persisting for a considerable amount of time can lead to heavy rainfall. Moisture of this heavy rainfall mainly comes from the Arabian Sea and the Bay of Bengal.

El monzón del sudeste asiático se presenta todos los años de junio a septiembre en la mayor parte del subcontinente indio, lo cual incluye a Paquistán, la India y Bangladesh. Estos vientos ricos en humedad son forzados a elevarse por la cordillera del Himalaya, lo que ocasiona precipitación extrema en varias partes del subcontinente, especialmente en Paquistán. El objetivo de este estudio es analizar las características y distribución de la conversión de energía atmosférica durante la intensa precipitación registrada en Sindh, Paquistán, durante el periodo agosto-septiembre de 2011. Los resultados muestran que la atmósfera cambia de estable a inestable cuando el valor de la energía es igual o mayor a siete. Bajo la influencia de las circulaciones atmosféricas y las condiciones del terreno, la energía cinética es bloqueada por las montañas y convertida de manera continua en energía potencial dentro del sistema de precipitación. Cuando la fase de energía máxima persiste por un tiempo considerable, puede ocasionar precipitaciones intensas cuya humedad procede principalmente del Mar Arábico y la bahía de Bengala.