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Objective. This research intends to investigate the clinical efficacy of radiofrequency ablation and electrocautery in treating grade I or II vaginal intraepithelial neoplasia (VaIN). Methods. This is a single-center retrospective study, which collected the clinical data of 100 patients with VaIN diagnosed by colposcopy and pathological biopsy in the Gynecology and Cervical Center of Xiangzhu Branch of the Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region between January 2020 and June 2021. Patients were divided into the study group (radiofrequency ablation treatment) and the control group (electrocautery) according to differences in treatment approaches. 6- and 12-month follow-ups were performed on all patients. Gynecological examination results, liquid-based thin-layer cytology (TCT), negative conversion of human papillomavirus (HPV), curative effects, and prognosis were recorded. Results. All patients completed regular follow-ups that lasted for 6 and 12 months. The 6- and 12-month cure rates of the study group were 76.0% and 92.0%, respectively, and the data in the control group were 70.0% and 82.0%, respectively. In terms of the 6- and 12-month negative conversion rates of HPV, the data in the study group were 68.0% and 78.0%, versus 60% and 68% in the control group, respectively. The lesion duration rate showed no statistical significance between the study group (8.0%) and the control group ( P > 0.05). The analysis of postoperative follow-up complications revealed that the study group had a statistically lower overall incidence of vaginal bleeding, excessive vaginal discharge, vaginal burning sensation, and decreased vaginal elasticity than the control group (8.0% vs. 24.0% P

Fluid is a key agent for the mass transfer between the subducting slab and the mantle wedge, which greatly affects the evolution of the crust-mantle system at convergent plate boundaries. A geochemical study was carried out for coesite-bearing jadeite quartzite and its country rock granitic gneiss from the Dora Maira Massif in the Western Alps. The results provide new insights into the composition of metamorphic fluids and fluid-rock interaction processes in the continental subduction zone. Coesite inclusions are found for the first time in metamorphic zircons of the granitic gneiss. The ultrahigh-pressure (UHP) metamorphism was dated to occur at 34.7 ± 0.3 Ma, confirming that the country rock experienced the UHP metamorphism synchronously with the whiteschist and jadeite quartzite. The jadeite quartzite occurs as layers and boudins within the coesite-bearing whiteschist, and shows similar whole-rock REE distribution patterns to both granitic gneiss and whiteschist. In addition, relict domains of magmatic zircon in the three types of UHP metamorphic rocks exhibit similar U-Pb ages and δ18O values, indicating that they have the same protolith of granites. However, metamorphic zircons in the jadeite quartzite show significantly lower δ18O values of 6.1–7.3‰ than the relict magmatic domains of 9.4–10.6‰. Furthermore, the jadeite quartzite has whole-rock δ18O values of 7.9–8.7‰, significantly lower than those of 9.5–10.9‰ for the granitic gneiss but higher than 6.5–7.9‰ for the whiteschist. These differences suggest that the jadeite quartzite was probably formed through metasomatism of metagranite by external fluids with relatively low δ18O values. The jadeite quartzite shows high δ56Fe values of 0.69–0.87‰, considerably higher than those of 0.18–0.38‰ for the granitic gneiss, but falling within the range of 0.32–1.03‰ for the whiteschist from the same outcrop. The Fe isotope modeling results suggest that the metasomatic fluids responsible for the formation of jadeite quartzite were possibly derived from the host whiteschist under UHP metamorphic conditions. Such fluids are enriched in Si, Al and Mg, and have high δ56Fe but low δ18O values. Therefore, the jadeite quartzite records the action of metamorphic supercritical fluids at the subarc depth. If the metasomatized rocks in the continental subduction zone would dehydrate to generate fluids with variable geochemical compositions due to multistage fluid-rock interactions, the fluids could further infiltrate the surrounding rock and possibly the mantle wedge to result in further geochemical transfer from the subducting slab to the mantle wedge.

Objective To observe the clinical therapeutic effect of laser acupuncture on type 2 diabetes mellitus (T2DM) of qi and yin deficiency type. Methods Laser acupuncture was used to treat 32 patients of T2DM. Acupoint selection: Feishū (肺俞BL13), Pishū (脾俞BL20), Shenshū (肾俞BL23), Wǎnxiashū (胃脘下俞EX-B3), Sānyīnjiāo (三阴交SP6) and Zusānlĭ 足三里(ST36). It took 20 min in each treatment, five treatments a week. There were 2 days of interval in 2 weeks of treatment. Before and after treatment, the changes in fasting plasma glucose (FPG), postprandial 2 h glucose (2hPG), fasting insulin (FINS), glycosylated albumin (GA), insulin resistance index (HOMA-IR) and the symptom score of traditional Chinese medicine (TCM) were observed in the patients. The therapeutic effect was evaluated. Results Of 32 cases, 8 cases were remarkably effective, 18 cases effective and 6 cases failed. The total effective rate was 81.3%. At the end of treatment course, the level of every indicator after treatment was significantly lower than that before treatment (all P Conclusion Laser acupuncture achieves the significant therapeutic effect on T2DM of qi and yin deficiency and this therapy deserves to be promoted in clinical application.

The withdrawal reflex is a defensive reaction to nociceptive stimuli and can be used to regulate locomotor gait during rehabilitation. We investigated the effect of successive needle-pricking of the plantar and dorsal foot surfaces on poststroke lower limb function. Thirty-five hemiplegic patients, within one month after primary stroke, with an affected lower limb (Brunnstrom stage III) were randomly divided into intervention and control groups. Both groups received routine drug treatment, rehabilitation training, and upper limb acupuncture treatment on the hemiplegic side. The control group also received routine acupuncture on the hemiplegic side of the lower limb, while the intervention group received successive needle-pricking on the sole and instep of both the unaffected and affected side feet. Outcomes were assessed before inception (D0) and after three (D3) and six (D6) treatment days, using Brunnstrom stage (Ueda assessment), total Fugl–Meyer lower extremity assessment (FMA-LE) and its subscores (FMA-LE-ss), active lower limb range of motion (AROM-LL), Modified Ashworth Scale Score (MAS-LL), and manual muscle testing (MMT-LL). The Brunnstrom stage was better in the intervention group than in the control group at both D3 and D6 P<0.01. The total FMA-LE score and sections B, C, D, and G FMA-LE-ss were significantly better in the intervention group than in the control group at D3 and D6 P<0.05. The AROM-LL hip and knee flexion and hip extension improved more in the intervention group than in the control group P<0.05. In the intervention group, MAS-LL hip flexion significantly improved at D6 P<0.01. Improvement in lower limb joints on the MMT-LL in the intervention group exceeded that in the control group at D6 P<0.01. Successive needle-pricking on the plantar and dorsal foot aspects of Brunnstrom stage III in poststroke patients contributed to rapid lower limb motor function improvement via the withdrawal reflex. This trial is registered with ChiCTR1900020633.

Fluids released by subducting slabs are important to the geochemical evolution of Earth’s crust-mantle system. However, it is still not well constrained for the mobility of redox sensitive elements (like Fe, C or S) in subduction zone fluids, and its effect on the redox property of the overlying mantle wedge and its derived arc magmas. Iron isotope fractionation is sensitive to the redox state and speciation of Fe in fluids, which can potentially provide clues on the oxygen fugacity (fO2) of slab-derived fluids. Whiteschists at the Dora-Maira Massif in the Western Alps have experienced ultrahigh-pressure metamorphism at subarc depths. They are rich in both SiO2 (mostly >65 wt.%) and MgO (4–10 wt.%), and mainly composed of pyrope, quartz/coesite, talc, phengite and kyanite. They were demonstrated to have a granite protolith, but metasomatized by serpentinite-derived Mg-rich fluids at the slab-mantle interface in a subduction channel. Thus these rocks provide an excellent target to explore the fluid-rock interaction by Fe isotopes. The whiteschists show extremely high δ56Fe values of +0.32 to +1.22‰, being much higher than those of +0.10 to +0.38‰ for the surrounding metagranites. The Fe isotope composition of whiteschists significantly deviates from the igneous differentiation trend defined by rocks with basaltic to rhyolitic compositions. The heavy Fe isotope compositions must be produced by a metasomatic process. The much lower Fe2O3 and FeOt contents and Fe3+/∑Fe ratios but higher δ56Fe values for the whiteschists relative to their protolith suggest the reduction of Fe3+ to Fe2+ and the loss of isotopically light Fe, probably in the form of Fe(II)-Cl and/or Fe(II)-(HS) complexes, through saline fluids and/or HS- bearing fluids. The reduction of Fe3+ to Fe2+ and the possible presence of HS- suggests the occurrence of relatively reduced fluids. Such reduced fluids were probably derived from serpentinite dehydration at the slab-mantle interface in the subduction channel. Therefore, the Fe isotope results demonstrate that the fO2 at the slab-mantle interface can be locally highly heterogeneous, leading to various oxidation states in the mantle wedge and arc magmas.

We have explored the potential of auricular intradermal acupuncture (AIA) in standard rehabilitation and acupuncture treatment for motor recovery in poststroke patients. This was a randomized, controlled preliminary clinical study in which the patients were randomly assigned to the CT group (conventional treatment, standard rehabilitation, and routine acupuncture) or AIA group (AIA combined with conventional treatment) and underwent 6 sessions in 1 week (6 days). Standard procedures and previously reported acupuncture points were used. Clinical outcomes were measured by the Fugl-Meyer motor assessment (FMA) of flexor and extensor synergy movement (FSM and ESM) of the upper and lower extremities (UE and LE) at days 0, 3, and 6. The assessment was performed by blinded assessors. The AIA group showed a significant increase in FMA-UE/FMA-LE scores on day 3 (P=0.012 and 0.001, respectively) and day 6 (P=0.041 and P<0.001, respectively), but this was not observed in the CT group. Furthermore, unlike the CT group, the AIA group exhibited a significant increase in the FMA-LE score on day 3 (P=0.004) and the FMA-UE scores on day 6 (P=0.048). Finally, the correlation between ESM and FMA-UE/FMA-LE was higher than that between FSM and FMA-UE/FMA-LE after treatment: for ESM and UE, r = 0.759, P=0.007; for ESM and LE, r = 0.697, P=0.003; for FSM and UE, r = 0.604, P=0.049; for FSM and LE, r = 0.347, P=0.188. AIA is useful for motor rehabilitation in poststroke patients, particularly in terms of improving extensor synergy. This trial is registered with CHiCTR1800020150.

Moxibustion has been widely accepted as an alternative therapy for major depressive disease (MDD). However, the efficacy of moxibustion treatment on MDD is highly variable because of its irregular operation. This study was designed to investigate how therapeutic duration and extent influence the anti-depression effect of moxibustion and the underlying mechanism involved. Rats with lipopolysaccharide-induced depression-like behavior were treated by moxibustion treatment. The anti-depression effect was determined by forced swimming test and open field test. Tryptophan (Trp) transport and its metabolism to serotonin (5-HT) and kynurenine (Kyn) were evaluated to explore the anti-depression mechanism. The results showed that moxibustion treatment could alleviate the depression-like behavior in rats. Trp transport and 5-HT generation were significantly increased, and the Trp-Kyn pathway was moderately inhibited by moxibustion. Prolonged therapy could be beneficial to the anti-depression effect by promoting the brain uptake of Trp and shifting the Trp metabolism to 5-HT. An enhanced therapeutic extent could increase 5-HT generation. In conclusion, this study determined that the anti-depression effect of moxibustion involves improved Trp transport and metabolism. The therapeutic duration benefits antidepressant effects, but the complex influence of the therapeutic extent on moxibustion efficacy requires further studies.

Quality management of supply chain refers to management of producing, forming and realizing of production quality, so to achieve the quality assurance of product quality in the supply chain environment. Therefore, the establishment of a complete and effective supply chain quality management system, to ensure that the supply chain has a sustained and stable quality assurance capabilities, so that the needs of customers and the market can be responded rapidly, and to provide better service to customers. With the arrival of the information age, the quality of data has become a key point in the quality management of supply chain, and the source of data problems is put forward, and the quality of data is considered in the whole supply chain quality management process. Six Sigma management system framework based on data quality is established.