Stroke was demonstrated to correlate with seasonal variation. However, the relevant studies were incongruous. To better understand the rules of seasonal impact on ischemic stroke (IS) patients, we performed this meta-analysis. We systematically searched relevant observational studies in Pubmed, Web of science and Embase from January 1, 1980, to November 1, 2017, in English. Patients included in this study were adults who suffered from IS. Stata version 12.0 software was used to pool useful data and calculate incidence rate ratios (IRRs) and their 95% confidence intervals (CIs). We also performed heterogeneity and sensitivity analyses and evaluated publication bias. Thirty-three observational studies involving 234,196 participants were incorporated into the meta-analysis. Summer and December were regarded as reference, respectively. The IRRs were calculated showing: IRRWinter 1.05 (95% CI 1.04–1.07), IRRAutumn 1.03 (95% CI 1.02–1.04), IRRSpring 1.02 (95% CI 1.01–1.03). No obvious difference existed among 12 months. Stratified analyses on Köppen classification were also conducted. Between-study heterogeneity was discovered; however, predefined stratified analyses and meta-regression could not reduce this heterogeneity. Our meta-analysis has revealed very little seasonal variation in the overall study. Both cold and hot months may be high risky for IS after stratified by Köppen Climate Classification. Thus, a rationale to environmental setting of risky patient management could be provided. More studies with specific assessments are warranted for further comprehensive investigation.
A novel SBM-C-PBR was constructed for microalgae cultivation.Membrane fouling was greatly mitigated by membrane carbonation.NH4+ and P removal rates were around 80% in SBM-C-PBR.Biomass was completely retained by membrane. In this study, a novel sequence batch membrane carbonation photobioreactor was developed for microalgae cultivation. Herein, membrane module was endowed functions as microalgae retention and CO2 carbonation. The results in the batch experiments expressed that the relatively optimal pore size of membranes was 30 nm, photosynthetically active radiation was 36 W/m2 and the CO2 concentration was 10% (v/v). In long-term cultivation, the microalgal concentration separately accumulated up to 1179.0 mg/L and 1296.4 mg/L in two periods. The concentrations of chlorophyll a, chlorophyll b and carotenoids were increased about 23.2, 14.9 and 6.3 mg/L respectively in period I; meanwhile, the accumulation was about 25.0, 14.5, 6.6 mg/L respectively in the period II. Furthermore, the pH was kept about 5.5–7.5 due to intermittent carbonation mode, which was suitable for the growth of microalgae. Transmembrane pressure (TMP) was only increased by 0.19 and 0.16 bar in the end of periods I and II, respectively. The pure flux recovered to 75%–80% of the original value by only hydraulic cleaning. Scanning electron microscope images also illustrated that carbonation through membrane module could mitigate fouling levels greatly. 相似文献