opathy pre-existing renal dysfunction found no preventive effect of statins. Multiple nonreversible pathogenetic mechanisms involved in advanced renal failure may attenuate the response for statins, especially for their vasodilatation and anti-inflammatory effects. In addition, although a higher serum level was expected in CKD patients, local drug concentration still might be compromised due to renal scar and structural impairment. So the safety, pharmacokinetics and permeability of various statins in CKD patients should be well evaluated in future studies. Third, N-acetylcysteine, a thiol-containing antioxidant, was a promising agent to prevent contrast induced nephropathy because of its antioxidative and haemodynamic effects in the renal medulla and its general organprotective effects described in several ischaemia-reperfusion models. In the subgroup analysis of statin plus NAC versus “1659636 NAC only, the difference were not significant. This could be attributed to that 
statin and NAC might decrease CIN occurrence through the similar pathways, such as scavenging oxygen free radicals produced after contrast exposure; therefore, the second agent could not exert addictive renal protection if NAC offered full protection available through antioxidants. There are several potential limitations in this meta-analysis. Firstly, although all included studies reported the incidence of CIN, few trials designed to investigate the effect of statins on hard clinical outcomes such as acute renal failure requiring dialysis, length of hospital stay and in-hospital mortality. Secondly, we did not have access to patient-level data to determine whether the risk factors could influence the effect of shortterm high-dose statin treatment on the risk of contrast-induced nephropathy. Finally, studies included in this meta-analysis analyzed the efficacy of statin with different type of statins for varied periods of time. It is possible that dose, duration and type of statin may have differential effect in AZ-6102 chemical information prevention of CIN. An accepted uniform statin protocol would be helpful in both the clinical and research arenas. In conclusion, although this meta-analysis supports the use of statin to reduce the incidence of CIN, this result must be considered in the context of variable patient demographics. Only a limited recommendation can be made in favour of the use of statin based on current data. Considering the limitations of included studies, a large, well designed trial that incorporates the evaluation of clinically relevant outcomes in participants with different underlying risks of CIN is required to more adequately assess the role for statin in CIN prevention. Bacterial and viral pneumonia represents ” a significant cause of morbidity and mortality worldwide. Bacterial pneumonia is a commonly encountered lung infection in both hospital acquired and community acquired settings. Infection with either gram negative or gram positive bacteria results in lung inflammation, tissue damage, and in some cases life-threatening sepsis. Despite numerous antibiotic therapies, these infections often result in poor patient outcomes. Influenza A infection by either seasonal or pandemic virus is of increasing epidemiologic importance in recent years. Influenza A infection results in lung cell apoptosis, injury, and remodeling. In worst cases, severe inflammation and coinfection may lead to mortality. Anti-viral therapies are effective at reducing viral burden; however, lung injury often pe