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Effectiveness and safety of acupuncture for treating functional constipation: An Overview of systematic reviews

Journal of Integrative Medicine 2022年第1期20卷 13-25页

作者： Jun-peng Yao Li-ping Chen Xian-jun Xiao Ting-hui Hou Si-yuan Zhou Ming-min Xu Kai Wang Yu-jun Hou Lin Zhang Ying Li Acupuncture and Tuina School Chengdu University of Traditional Chinese MedicineChengdu 610075Sichuan ProvinceChina School of Health Preservation and Rehabilitation Chengdu University of Traditional Chinese MedicineChengdu 610075Sichuan ProvinceChina Department of General Practice West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina Graduate School Chengdu University of Traditional Chinese MedicineChengdu 610075Sichuan ProvinceChina

Background: Functional constipation(FC) is one of the most prevalent functional gastrointestinal disorders. Dissatisfaction with medications prescribed to treat FC may lead patients to seek alternative treatments. Numerous systematic reviews(SRs) examining the use of acupuncture to treat FC have reported inconsistent results, and the quality of these studies has not been fully evaluated.Objective: In this Overview, we evaluated and summarized clinical evidence on the effectiveness and safety of acupuncture for treating FC and evaluated the quality and bias of the SRs we reviewed.Search strategy: The search strategy was structured by medical subject headings and search terms such as‘‘acupuncture therapy" and ‘‘functional constipation." Electronic searches were conducted in eight databases from their inception to September 2020.Inclusion criteria: SRs that investigated the effectiveness and safety of acupuncture for managing FC were included.Data extraction and analysis: Two authors independently extracted information and appraised the methodology, reporting accuracy, quality of evidence, and risk of bias using the following critical appraisal tools:(1) A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2);(2) Risk of Bias in Systematic Reviews(ROBIS);(3) Preferred Reporting Items for Systematic Reviews and Meta-analyses for Acupuncture(PRISMA-A);and(4) the Grading of Recommendations, Assessment, Development and Evaluations(GRADE). A j index was used to score the level of agreement between the 2 reviewers.Results: Thirteen SRs that examined the clinical utility of acupuncture for treating FC were identified.Using the AMSTAR 2 tool, we rated 92.3%(12/13) of the SRs as ‘‘critically low" confidence and one study as ‘‘low" confidence. Using the ROBIS criteria, 38.5%(5/13) of the SRs were considered to have ‘‘low risk"of bias. Based on PRISMA-A, 76.9%(10/13) of the SRs had over 70% compliance with reporting standards.The inter-rater agreement was good for AMSTAR 2, ROBIS, and PRISMA-A. Using the GRADE tool, we cla

关键词： Functional constipation Acupuncture Overview Systematic review Meta-analysis

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Interventions for preventing influenza: An Overview of Cochrane systematic reviews and a Bayesian network meta-analysis

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Journal of Integrative Medicine 2021年第6期19卷 503-514页

作者： Yi Yuan Rui-ting Wang Jun Xia Hui-juan Cao Department of Tuina and Pain Management Dongzhimen HospitalBeijing University of Chinese MedicineBeijing 100700China Department of Cardiology Dongzhimen HospitalBeijing University of Chinese MedicineBeijing 100700China Nottingham Ningbo GRADE Centre The University of Nottingham NingboNingbo 315100Zhejiang ProvinceChina Division of Epidemiology and Public Health School of MedicineUniversity of NottinghamNottingham NG72RDUK Centre for Evidence-Based Chinese Medicine Beijing University of Chinese MedicineBeijing 100029China

Background:Influenza places a heavy public health burden in numerous countries every year.In addition to vaccines,there are some interventions that are effective in preventing influenza.Objective:This Overview of systematic reviews(SRs)aimed to evaluate the efficacy and safety of interventions for influenza prevention.Search strategy:We searched the Cochrane Database of Systematic Reviews,2020,Issue 1 for relevant Cochrane SRs using the keywords‘‘common cold,"‘‘influenza,"and‘‘flu."Inclusion criteria:Cochrane SRs that investigated the prevention of influenza were included.Participants included the general population without influenza or influenza-like symptoms,who were treated with preventative interventions and compared to individuals receiving no treatment or placebo.Data extraction and analysis:Two reviewers independently screened citations against pre-defined inclusion criteria and extracted data.The methodological quality of these SRs was evaluated using the Assessing the Methodological Quality of Systematic Reviews-II(AMSTAR-II)guidelines.The primary outcome of our analysis was the incidence of influenza,and the secondary outcomes were the incidence of influenza-like illness and hospitalization.In addition to the narrative summary of SR findings,we also pooled data from homogeneous trials among these SRs and produced evidence mapping.We conducted a network meta-analysis to compare the effect across interventions and used the Cochrane approach to grading of recommendations,assessment,development,and evaluation(GRADE)to assess the quality of evidence.Results:Eleven Cochrane SRs were included,covering five medications,eleven vaccinations and four complementary therapies.Among these SRs,73%scored"high"quality on AMSTAR-II rating.We found that eight interventions,including amantadine,garlic,and six different vaccines,were beneficial for reducing the incidence of influenza compared to placebo,while oseltamivir,zanamivir,Ganmao capsule,Echinacea,and another three types of vaccine were probably beneficial.Ganmao ca

关键词： Influenza Preventive measure Overview Network meta-analysis Evidence mapping Systematic review

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Acupuncture for Chronic Fatigue Syndrome:An Overview of Systematic Reviews

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Chinese Journal of Integrative Medicine 2021年第12期27卷 940-946页

作者： YIN Zi-han WANG Lin-jia CHENG Ying CHEN Jiao HONG Xiao-juan ZHAO Ling LIANG Fan-rong School of Acu-Mox and Tuina Chengdu University of Traditional Chinese MedicineChengdu(610075)China Acupuncture Clinical Research Center Chengdu University of Traditional Chinese MedicineChengdu(610075)China

Objective To evaluate the quality of the existing studies and summarize evidence of important outcomes of meta-analyses/systematic reviews(MAs/SRs)of CFS.Methods Potentially eligible studies were searched in the following electronic databases from inception to 1 September,2019:Chinese Biomedical Literature Database(CBM),China Science and Technology Journal Database(VIP),China National Knowledge Infrastructure(CNKI),WanFang Database(WF),Web of Science,Embase,PubMed and Cochrane Library.Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)was used to evaluate the quality of evidence.The methodological quality of the literature was evaluated by A Measure Tool to Assess Systematic Reviews-2(AMSTAR-2)and the quality of the report was assessed by Preferred Reporting Items for Systematic Reviews and Meta-analyses(PRISMA).The intra-class correlation coefficient was used to assess the consistency of the reviewers,with an overall intraclass correlation coefficient score of 0.967.Results Ten MAs/SRs were included.The overall conclusions were that acupuncture had good safety and efficacy in the treatment of CFS,but some of these results were contradictory.The GRADE indicated that out of the 17 outcomes,high-quality evidence was provided in 0(0%),moderate in 3(17.65%),low in 10(58.82%),and very low in 4(23.53%).The results of AMSTAR-2 showed that the methodological quality of all included studies was critically low.The PRISMA statement revealed that 8 articles(80%)were in line with 20 of the 27-item checklist,and 2 articles(20%)matched with 10-19 of the 27 items.Conclusion We found that acupuncture on treating CFS has the advantage for efficacy and safety,but the quality of SRs/MAs of acupuncture for CFS need to be improved.

关键词： chronic fatigue syndrome acupuncture Overview AMSTAR-2 GRADE PRISMA

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Cupping Therapy for Diseases: An Overview of Scientific Evidence from 2009 to 2019

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Chinese Journal of Integrative Medicine 2021年第5期27卷 394-400页

作者： WANG Song-zi LU Yong-hui WU Min CHEN Ke-ji LIU Yue LIU Long-tao Department of Acupuncture and Moxibustion Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijing 100091China General Department Guang’anmen HospitalChina Academy of Chinese Medical ScienceBeijing 100053China Department of Cardiovascular Diseases Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijing 100091China

Cupping therapy has been accepted worldwide,and many studies have been conducted to reveal its curative effects and mechanisms.To comprehensively evaluate the effect of cupping therapy,database including China Network Knowledge Infrastructure(CNKI),Chinese Scientific Journal Database VIP,Wan Fang Database,Chinese Biomedicine(CBM),Pub Med and Web of Science were searched from 2009–2019.We summarized all the meta-analyses,randomized controlled trials,clinical trials and the mechanisms studies of cupping therapy in the previous 10 years,hoping to provide a reference for the clinical applications and studies.

关键词： cupping Overview clinical trial efficacy mechanism non-drug therapy

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Chinese herbal medicine combined with Western medicine for Mycoplasma pneumoniae pneumonia in children:An Overview of systematic reviews

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Journal of Traditional Chinese Medical Sciences 2024年第1期11卷 131-139页

作者： Si Zhang Xuan Zhang Yuehua Cui Juan Huang Fei Fan Simeng Wang Fei Han Guang'anmen Hospital China Academy of Chinese Medical SciencesBeijing 100053China School of Chinese Medicine Hong Kong Baptist UniversityHong Kong 999077China

Objective:To summarize the characteristics and evaluate the quality of the methodology and evidence within systematic reviews(SRs)of Chinese herbal medicine(CHM)for Mycoplasma pneumoniae pneumonia(MPP)inchildren.Methods:SRs of randomized controlled trials were searched using PubMed,the Cochrane Library,Embase,the Chinese National Knowledge Infrastructure Databases(CNKI),the Chinese Scientific Journals Database(VIP),Wanfang,and the SinoMed Database.SRs on the use of CHM alone or in combination with Western medications for MPP in children were included.The study compared the effects of Western medicine alone with those of CHM.The evidence quality using the A Measurement Tool to Assess Systematic Reviews(AMSTAR)2,the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)2020,and the Grading of Recommendations,Assessment,Development,and Evaluation(GRADE)criteria.The primary indicators were the total effective rate,fever subsidence time,and cough disappearance time.The secondary outcomes were pulmonary rale disappearance time,average hospitalization time,lung X-ray infiltrate disappearance time,immunological indices,and inflammatory cytokine levels.Results:Twelve relevant SRs were included;75%(9/12)were assessed as very low quality,and 25%(3/12)Were rated as low quality using the AMSTAR 2 criteria.According to the PRISMA 2020 checklist,the average SR score was 20.3 out of a 27 point maximum.In all SRs,CHM demonstrated improvement in symptoms and signs among children with MPP.The evidence quality using the GRADE criteria ranged from"very low"(>50%)to"moderate"(Overview highlights the limited quality of the methodology and evidence of the included SRs.Although the included studies showed the beneficial effects of CHM on MPP in children,it was difficult to draw firm conclusions owing to methodological flaws.

关键词： Chinese herbal medicine Mycoplasma pneumoniae pneumonia Children Overview Systematic review

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Benefits and Safety of Tripterygium Glycosides and Total Glucosides of Paeony for Rheumatoid Arthritis: An Overview of Systematic Reviews

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Chinese Journal of Integrative Medicine 2019年第9期25卷 696-703页

作者： LUO Jing SONG Wei-jiang XU Yuan CHEN Guang-yao HU Qi TAO Qing-wen Traditional Chinese Medicine Department of Rheumatism China-Japan Friendship Hospital Beijing 100029 China Traditional Chinese Medicine Department Peking University Third Hospital Beijing 100191 China Graduate School Beijing University of Chinese Medicine Beijing 100029 China

Objective: To summarize the evidence from systematic reviews(SRs) on the benefits and safety of Tripterygium glycosides(TG) and total glucosides of paeony(TGP), commonly used to treat rheumatoid arthritis(RA) in China, for patients with RA. Methods: SRs of randomized controlled trials(RCTs) on TG or TGP in treating RA were included, by searching 8 databases from their inception until December 2017. Two authors extracted data independently. We assessed the quality of SRs using AMSTAR and graded the quality of evidence according to the GRADE approach. Results: Eleven SRs containing an average of 7.6 RCTs, involving a total of 7,012 participants were included in this Overview. On the basis of included SRs, TG and TGP could improve the following indexes for RA patients: American College of Rheumatology(ACR) 20 response rate, ACR50 response rate and ACR70 response rate, swollen joint count, tender joint count, erythrocyte sedimentation rate and C-reactive protein. Moreover, TGP could reduce incidence of hepatotoxicity. The most common adverse effects of TG were gastrointestinal discomfort and gonad toxicity, while for TGP was mild to moderate diarrhea. The overall quality of evidence for these findings ranged from "low" to "moderate". Conclusions: TG and TGP might be 2 potentially effective complementary and alternative drugs for patients with RA. Nevertheless, due to gonad toxicity, TG should only be considered in elderly patients or patients without reproductive needs. More evidence from high quality RCTs and SRs is warranted to support the use of TG and TGP for RA patients.

关键词： rheumatoid arthritis tripterygium glycosides total glucosides of paeony Overview systematic review

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Common traditional Chinese medicine therapies for diarrhea-predominant irritable bowel syndrome: An Overview of systematic reviews

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Journal of Traditional Chinese Medical Sciences 2022年第3期9卷 330-339页

作者： Jun Zhao Xia Li Xiaowei Chen Hui Zheng Kun Ye Yunzhou Shi Xin Xie Jianfang Wang Min Chen Zhigang Li School of Acupuncture Moxibustion and TuinaBeijing University of Chinese MedicineBeijing102488China Department of Spleen StomachLiver and Gallbladder DiseasesDongfang Hospital Affiliated to Beijing University of Chinese MedicineBeijing100078China The Third Hospital/Acupuncture and Tuina School Chengdu University of Traditional Chinese MedicineChengdu610075China Anorectal Disease Department Hospital of Chengdu University of Traditional Chinese MedicineChengdu610072China

Objective: To critically evaluate and summarize the methodological quality of systematic reviews(SRs)and present objective and important outcomes on the effectiveness of traditional Chinese medicine(TCM) therapies, including Chinese herbal medicine(CHM), acupuncture, and moxibustion, for diarrheapredominant irritable bowel syndrome(IBS-D).Methods: We conducted a comprehensive literature search for SRs in 7 databases until April 16, 2022.Two reviewers independently extracted data and assessed the methodological quality of the reviews according to the Assessing the Methodological Quality of Systematic Reviews 2(AMSTAR-2), the Risk of Bias in Systematic reviews(ROBIS) tool, and the Preferred Reporting Item for Systematic Review and Meta-analysis(PRISMA) statement. The Grading of Recommendations, Assessment, Development, and Evaluation(GRADE) was used to rate the quality of evidence.Results: IBS-D patients included in 12 reviews were diagnosed in accordance with the Rome criteria, 9 reviews focused on CHM, 2 articles observed moxibustion and heat-sensitive moxibustion, 1 article studied acupuncture and CHM. The outcomes of the SRs were the effectiveness rate, the total effectiveness rate,global symptom improvement, and adverse effects. Based on AMSTAR-2, which measures the quality of methodology, all of the included studies were of low or critically low quality. According to the ROBIS tool, 10 SRs(83.33%) had a high risk of bias. With the PRISMA checklist, only 3 SRs reached over 90% compliance.Based on GRADE, most evidence was of low quality, and there was a moderate quality of evidence that the effectiveness rate of modified-Tongxie Yaofang was superior to Western medicine in the treatment of IBS-D.Conclusion: Given the suboptimal reporting and methodological quality of existing SRs, more studies are needed to clarify whether TCM therapies are more effective or safe than pharmacological medicine.Future studies should combine evidence-based medicine with TCM research according to the characteristics of TCM.

关键词： Diarrhea-predominant irritable bowel syndrome Overview Traditional Chinese medicine therapies AMSTAR-2 GRADE PRISMA ROBIS

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Overview

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工程力学 2019年第12期 289-289页

1. Engineering Mechanics is an academic periodical supervised by the China Association for Science and Technology(CAST), sponsored by the Chinese Society of Theoretical and Applied Mechanics(CSTAM) and undertaken by t... 详细信息

关键词： Overview China

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MIMO Radar Waveform Design:An Overview

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Journal of Beijing Institute of Technology 2021年第1期30卷 44-59页

作者： Yongzhe Li School of Information and Electronics Beijing Institute of TechnologyBeijing 100081China

Waveform or code design is an important topic in many applications,which has continuously attracted attention during the past several decades.The development of waveform design has been significantly advanced since the emergence of multiple-input multiple-output(MIMO)technique.Compared to the single-waveform design for conventional radars,the multi-waveform design enables extra degrees of freedom(DOFs)for modern radars,which therefore triggers a series of relevant studies on MIMO radar.In this paper,we provide an Overview on the main techniques of MIMO radar waveform designs developed in recent years,wherein the state-of-the-art methods are reviewed in terms of different designing criteria,including the minimization of auto-and cross-correlation levels(or equivalently,the integrated sidelobe level),the information theoretic,ambiguity function shaping,and signal-to-interference-plus-noise ratio maximization-based criteria,etc.Moreover,we give detailed comments on the main issues of different waveform designs,and also provide the possibly emerging directions toward the research on MIMO radar waveform design and potential challenges.

关键词： MIMO radar waveform design different criteria Overview

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Overview of modelling techniques for greenhouse microclimate environment and evapotranspiration

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International Journal of Agricultural and Biological Engineering 2021年第9期14卷 1-8页

作者： Haofang Yan Samuel Joe Acquah Jianyun Zhang Guoqing Wang Chuan Zhang Ransford Opoku Darko State Key Laboratory of Hydrology-Water Resources and Hydraulic Engineering Nanjing Hydraulic Research InstituteNanjing 210029China Research Centre of Fluid Machinery Engineering and Technology Jiangsu UniversityZhenjiang 212013JiangsuChina Department of Water Resources Development School of Sustainable DevelopmentUniversity of Environment and Sustainable DevelopmentPMB SomanyaEastern RegionGhana Institute of Agricultural Engineering Equipment Jiangsu UniversityZhenjiang 212013JiangsuChina

Domestication of plants by man through greenhouse crop production has revolutionized agricultural farming systems worldwide.Selecting the appropriate greenhouse technology together with the user-friendly evapotranspiration(ETc)model can optimize crop water use.The greenhouse microclimate environment has nearly zero wind speed and low radiation,hence low transpiration due to high temperature and humidity.Therefore,matching the greenhouse microclimate with the appropriate ETc model will certainly optimize crop water use efficiency since water is becoming a scarce resource globally,more so in the greenhouse environment.This is one of the main reasons why the gap between the dissemination of various advanced ETc models and the application by the greenhouse crop producers’community needs to be bridged.The likelihood or chances of rapidly disseminating and adopting advances in ETc estimating technology by a larger greenhouse crop producers community will increase if greenhouse ETc models become more user-friendly and available.The contribution of the greenhouse system to increased and sustainable food production must come through improved disseminating,adopting and use of existing greenhouse ETc models.FAO recommends a standard approach for the determination of crop water requirements utilizing the product of reference evapotranspiration(ET0)and crop coefficient(Kc)values.The FAO approach can also be used in greenhouse cultivation systems.However,studies connecting greenhouse technologies and methodologies for measuring ET0 or ETc in greenhouses are not available.There are also few studies undertaken that compared the performance of ET0 or ETc models under different categories of greenhouse conditions.In this review,a link between greenhouse technology and ET0 model or ETc model,and how existing knowledge and methodologies in ET0 or ETc measurements can actually enhance the sustainability of greenhouse farming have been highlighted.The categories of greenhouses,equipment commonly used,and the data collected for ET0 and

关键词： greenhouse microclimate environment reference evapotranspiration models crop evapotranspiration Overview

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