Aims
To evaluate the effectiveness and safety of topical β‐receptor blocker in treating superficial infantile haemangiomas (SIH) and compare the effectiveness and safety of topical β‐receptor blocker against other therapies.
Methods
A search of the literature using PubMed, Embase, Cochrane Review database, China National Knowledge Infrastructure and Wanfang were performed to identify the studies that estimated the effectiveness and safety of topical β‐receptor blocker in treating SIH, the fixed‐effect or random‐effects meta‐analytical techniques were applied to assess the outcomes.
Results
Twenty studies, involving 2098 patients, were included to conduct this analysis. Topical propranolol and topical timolol were discovered to be as effective as oral propranolol in treating SIH (propranolol, odds ratio [OR] = 0.486, 95% confidence interval [CI] 0.165, 1.426, P = .189; timolol, OR = 0.955; 95%CI 0.700, 1.302; P = .769), and topical timolol was more effective than topical imiquimod (OR = 2.561; 95%CI 1.182, 5.550; P = .017), observation (OR = 18.458; 95%CI 5.660, 60.191; P < .001) and topical saline solutions (OR = 19.193; 95%CI 8.837, 41.683; P < .001) in treating SIH. The comparison between topical propranolol and oral propranolol led to no discovery of significant difference in the incidence of adverse effects (OR = 1.258; 95%CI 0.471, 3.358; P = .647). Compared with oral propranolol, topical timolol was associated with fewer incidences of adverse effects (OR = 0.191; 95%CI 0.043, 0.858; P = .031). No significant difference in the incidence of adverse effects was found when topical timolol and topical imiquimod were compared (OR = 0.077; 95%CI 0.005, 1.206; P = .068).
Conclusion
This meta‐analysis provided evidence that topical β‐receptor blockers (propranolol and timolol), especially timolol, may replace oral propranolol as a first‐line treatment for SIH.
In this paper, we consider an initial boundary value problem for the 3‐dimensional nonhomogeneous incompressible magnetohydrodynamic equations with density‐dependent viscosity and resistivity coefficients over a bounded smooth domain. Global in time unique strong solution is proved to exist when the L2 norms of initial vorticity and current density are both suitably small with arbitrary large initial density, and the vacuum of initial density is also allowed.
Finally, we revisit the Navier‐Stokes model without electromagnetic effect. We find that this initial boundary problem also admits a unique global strong solution under other conditions. In particular, we prove small kinetic‐energy strong solution exists globally in time, which extends the recent result of Huang and Wang.
The combination of a simple modification of the sample addition method to generate a sort of continuously accumulated external stimulation with only minute increments in amplitude and the introduction of probe molecules (herein aniline) within the micelle allow the direct continuous in situ spectroscopic monitoring of possible micellar transitions. In this way, a sphere-to-ellipsoid and further an ellipsoid-to-bilayer micellar transition of sodium dodecyl sulfate (SDS) induced by camphor sulfuric acid (CSA) is observed to experience four stages in the time sequence: (i) the accumulated protons released from CSA in the hydration layer of the micelle stimulate the rearrangement of SDS micelles; (ii) the micelles transform into ellipsoidal shapes as evidenced by the characteristic chemical shift anisotropy and the corresponding molecular dynamic properties from probe molecules; (iii) further protonation of aniline induces the micelle to turn into lamellar structures; (iv) aniline is freed from the micelle while leaving the SDS bilayers undistorted. Moreover, polyaniline nanosheets incorporating SDS bilayers in sandwich structures, which can display excellent capacitive behavior at relatively high current densities for the fabricated supercapacitors, are prepared from the aniline oriented by the bending energy of the SDS bilayers.
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