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1.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 52(5): 636-645, 2023 Oct 06.
Article in English, Chinese | MEDLINE | ID: mdl-37899402

ABSTRACT

OBJECTIVES: To evaluate the methodological quality of randomized controlled trials (RCTs) of traditional Chinese medicines for the treatment of gastric precancerous lesions in the past 20 years. METHODS: The RCTs on traditional Chinese medicines for gastric precancerous lesions were searched from the CNKI, Wanfang database, VIP, PubMed, and Embase from January 2001 to December 2021. The retrieved articles were screened, extracted and evaluated based on the 2010 edition of CONSORT statement, Cochrane Risk of Bias Assessment Scale and additional evaluation indicators. RESULTS: A total of 840 papers were included. According to the Cochrane Risk of Bias Assessment Scale, the high risk of bias in the application of randomized methods was 5.95%; the risk of uncertainty for the allocation scheme concealment was 98.93%; the risk of uncertainty for blinding of patients or testers was 98.69%; the risk of uncertainty for blinding of the outcome assessor was 100.00%; the risk of bias for completeness of the outcome data was 2.86%; and the risk of uncertainty for selective reporting was 98.45%. The CONSORT statement evaluating the quality of reporting showed that 100.00% of the RCT articles reported the 8 entries; 36.79% of the literature mentioned the method of randomized sequence generation, but only 27.62% of the literature mentioned who implemented the randomized program, 1.07% of the literature hid the randomized program and 1.31% of the studies were blinded; 36.67% of the literature reported adverse reactions; no literature reported sample size prediction methods. Additional evaluation indicators showed that 17.02% of the studies had ethical approval; 43.81% of the literature specified Chinese medicine evidence; 16.55% of the studies excluded severe heterotrophic hyperplasia; 7.26% of the studies conducted follow-up; and 65.12% of the literature used composite efficacy indicators; 46.67% of the literature applied pathological histological evaluation; 2.62% of the literature applied quality of life evaluation. CONCLUSIONS: The overall risk of bias in RCTs of traditional Chinese medicines for gastric precancerous lesions is high, and the quality of most of the study reports needs to be improved. In the future, it is necessary to strengthen the study design of RCTs and refer to appropriate traditional Chinese medicines evidence grading standards, select study protocols according to different purposes, provide objective and strong evidence for clinical studies on traditional Chinese medicines, and carry out clinical study design and result reporting suitable for traditional Chinese medicines according to the CONSORT principle.


Subject(s)
Medicine, Chinese Traditional , Precancerous Conditions , Humans , Randomized Controlled Trials as Topic , Precancerous Conditions/drug therapy
2.
Article in English | WPRIM (Western Pacific) | ID: wpr-1009924

ABSTRACT

OBJECTIVES@#To evaluate the methodological quality of randomized controlled trials (RCTs) of traditional Chinese medicines for the treatment of gastric precancerous lesions in the past 20 years.@*METHODS@#The RCTs on traditional Chinese medicines for gastric precancerous lesions were searched from the CNKI, Wanfang database, VIP, PubMed, and Embase from January 2001 to December 2021. The retrieved articles were screened, extracted and evaluated based on the 2010 edition of CONSORT statement, Cochrane Risk of Bias Assessment Scale and additional evaluation indicators.@*RESULTS@#A total of 840 papers were included. According to the Cochrane Risk of Bias Assessment Scale, the high risk of bias in the application of randomized methods was 5.95%; the risk of uncertainty for the allocation scheme concealment was 98.93%; the risk of uncertainty for blinding of patients or testers was 98.69%; the risk of uncertainty for blinding of the outcome assessor was 100.00%; the risk of bias for completeness of the outcome data was 2.86%; and the risk of uncertainty for selective reporting was 98.45%. The CONSORT statement evaluating the quality of reporting showed that 100.00% of the RCT articles reported the 8 entries; 36.79% of the literature mentioned the method of randomized sequence generation, but only 27.62% of the literature mentioned who implemented the randomized program, 1.07% of the literature hid the randomized program and 1.31% of the studies were blinded; 36.67% of the literature reported adverse reactions; no literature reported sample size prediction methods. Additional evaluation indicators showed that 17.02% of the studies had ethical approval; 43.81% of the literature specified Chinese medicine evidence; 16.55% of the studies excluded severe heterotrophic hyperplasia; 7.26% of the studies conducted follow-up; and 65.12% of the literature used composite efficacy indicators; 46.67% of the literature applied pathological histological evaluation; 2.62% of the literature applied quality of life evaluation.@*CONCLUSIONS@#The overall risk of bias in RCTs of traditional Chinese medicines for gastric precancerous lesions is high, and the quality of most of the study reports needs to be improved. In the future, it is necessary to strengthen the study design of RCTs and refer to appropriate traditional Chinese medicines evidence grading standards, select study protocols according to different purposes, provide objective and strong evidence for clinical studies on traditional Chinese medicines, and carry out clinical study design and result reporting suitable for traditional Chinese medicines according to the CONSORT principle.


Subject(s)
Humans , Medicine, Chinese Traditional , Randomized Controlled Trials as Topic , Precancerous Conditions/drug therapy
3.
Sociol Health Illn ; 44(8): 1287-1304, 2022 09.
Article in English | MEDLINE | ID: mdl-35692110

ABSTRACT

Since the 1990s, the sociology of rationing has developed in explicit opposition to health economic and bioethical approaches to healthcare rationing. This implies a limited engagement with other disciplines and a limited impact on political debates. To bring the sociology of rationing into an interdisciplinary dialogue, it is important to understand the disciplines' analytical differences and similarities. Based on a critical interpretive literature synthesis, this article examines four disciplinary perspectives on healthcare rationing and priority setting: (1) Health economics, which seeks to develop decision models to provide for more rational resource allocation; (2) Bioethics, which seeks to develop normative principles and procedures to facilitate a just allocation of resources; (3) Health policy studies, which focus on issues of legitimacy and implementation of decision models; and lastly (4) Sociology, which analyses the uncertainty of rationing and the resulting value conflicts and negotiations. The article provides an analytical overview and suggestions on how to advance the impact of sociological arguments in future rationing debates: Firstly, we discuss how to develop the concepts and assumptions of the sociology of rationing. Secondly, we identify specific themes relevant for sociological inquiry, including the recurring problem of how to translate administrative priority setting decisions into clinical practice.


Subject(s)
Health Care Rationing , Health Policy , Humans , Sociology , Uncertainty
4.
J Matern Fetal Neonatal Med ; 35(5): 861-870, 2022 Mar.
Article in English | MEDLINE | ID: mdl-32102584

ABSTRACT

PURPOSE: Neonatal sepsis (NS) has no specific clinical manifestations and blood culture analysis requires a long period of time. Knowledge of prevalent bacterial isolates and their antibiotic susceptibility is crucial when choosing an empirical therapy to decrease morbidity and mortality. This literature review summarizes the distribution characteristics and antimicrobial resistance of bacterial pathogens associated with bloodstream infections in Chinese neonates, and thus serves as a reference for pediatricians. METHODS: The full-text journal database, CNKI, was searched using the key words "neonatal", "sepsis", and "bacterial pathogen" to retrieve relevant literature published from 2016 up to April 2018. The following data were extracted from the selected papers: title, pathogen collection time, care unit name, province (city), distribution of bacterial pathogens among bloodstream infections, and antimicrobial resistance of major pathogens. RESULTS: A total of 86 articles were searched, of which 30 complied with the study requirements and thus were included in the review; all were retrospective studies. The articles covered a total of 4098 bacterial strains from 24 cities (2494 Gram-positive bacteria, 1429 Gram-negative bacteria, 176 fungi). Among the Gram-positive bacteria, the four pathogens with the highest detection rates were coagulase-negative staphylococci (CoNS) (40.23%), Streptococci (6.81%), Enterococci (6.10%), and Staphylococcus aureus (S. aureus) (5.15%); among the Gram-negative bacteria, Klebsiella (14.52%), Escherichia coli (12.12%), Enterobacter cloacae (1.90%), and Pseudomonas (1.41%) had the highest detection rates. The detection rate of Candida and other fungi was 4.29%. Among the pathogens with high clinical detection rates, S. epidermidis and S. aureus are highly resistant to both erythromycin and penicillin. Antibacterial drugs with high efficacy for both S. epidermidis and S. aureus include vancomycin, ciprofloxacin, gentamicin, linezolid, rifampicin, and tetracycline. Klebsiella pneumoniae and Escherichia coli are highly resistant to ampicillin, but there are drugs with high efficacy for both, including imipenem, piperacillin/tazobactam, aminoglycosides (gentamicin, amikacin), and quinolones (levofloxacin, ciprofloxacin). In contrast to the drug resistance data reported by the China Antimicrobial Resistance Surveillance System (CARSS) in 2017, the detection rate of methicillin-resistant S. aureus (MRSA) and methicillin-resistant coagulase-negative staphylococci (MRCoNS) in the blood cultures of neonates with sepsis exceeded the national average drug resistance level (p < .01). The resistance rate of K. pneumoniae to third-generation cephalosporins was higher than the national average drug resistance level (p < .01), but this organism was most sensitive to carbapenems (carbapenem resistance refers to resistance to any of imipenem, meropenem, or ertapenem). The resistance of Escherichia coli to quinolones was better than the national average level (p < .01). CONCLUSIONS: Medical care-related infections in neonatal intensive care units (NICUs) were more often caused by CoNS than by S. aureus and Gram-negative bacteria. Vancomycin remains the preferred drug for treating confirmed infections, because most isolated CoNS are resistant to ß-lactam drugs including penicillin. For Gram-negative enteric bacteria, aminoglycoside and carbapenem were sufficient for treatment. Compared to the CARSS data on bacterial resistance, the data in this review on the resistance of pathogens causing NS were not favorable. The next goal in antibiotic management in NICUs must be to develop strategies to reduce the use of antibiotics.


Subject(s)
Methicillin-Resistant Staphylococcus aureus , Neonatal Sepsis , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Drug Resistance, Bacterial , Gram-Negative Bacteria , Humans , Infant, Newborn , Microbial Sensitivity Tests , Neonatal Sepsis/drug therapy , Neonatal Sepsis/epidemiology , Retrospective Studies , Staphylococcus aureus
5.
Perspect Med Educ ; 11(1): 22-27, 2022 01.
Article in English | MEDLINE | ID: mdl-34506010

ABSTRACT

INTRODUCTION: Health professions educators risk misunderstandings where terms and concepts are not clearly defined, hampering the field's progress. This risk is especially pronounced with ambiguity in describing roles. This study explores the variety of terms used by researchers and educators to describe "faculty", with the aim to facilitate definitional clarity, and create a shared terminology and approach to describing this term. METHODS: The authors analyzed journal article abstracts to identify the specific words and phrases used to describe individuals or groups of people referred to as faculty. To identify abstracts, PubMed articles indexed with the Medical Subject Heading "faculty" published between 2007 and 2017 were retrieved. Authors iteratively extracted data and used content analysis to identify patterns and themes. RESULTS: A total of 5,436 citations were retrieved, of which 3,354 were deemed eligible. Based on a sample of 594 abstracts (17.7%), we found 279 unique terms. The most commonly used terms accounted for approximately one-third of the sample and included faculty or faculty member/s (n = 252; 26.4%); teacher/s (n = 59; 6.2%) and medical educator/s (n = 26; 2.7%) were also well represented. Content analysis highlighted that the different descriptors authors used referred to four role types: healthcare (e.g., doctor, physician), education (e.g., educator, teacher), academia (e.g., professor), and/or relationship to the learner (e.g., mentor). DISCUSSION: Faculty are described using a wide variety of terms, which can be linked to four role descriptions. The authors propose a template for researchers and educators who want to refer to faculty in their papers. This is important to advance the field and increase readers' assessment of transferability.


Subject(s)
Faculty , Health Occupations , Humans , Mentors , Research Personnel
6.
Front Psychol ; 12: 629354, 2021.
Article in English | MEDLINE | ID: mdl-34456780

ABSTRACT

Cognitive biases can adversely affect human judgment and decision making and should therefore preferably be mitigated, so that we can achieve our goals as effectively as possible. Hence, numerous bias mitigation interventions have been developed and evaluated. However, to be effective in practical situations beyond laboratory conditions, the bias mitigation effects of these interventions should be retained over time and should transfer across contexts. This systematic review provides an overview of the literature on retention and transfer of bias mitigation interventions. A systematic search yielded 52 studies that were eligible for screening. At the end of the selection process, only 12 peer-reviewed studies remained that adequately studied retention over a period of at least 14 days (all 12 studies) or transfer to different tasks and contexts (one study). Eleven of the relevant studies investigated the effects of bias mitigation training using game- or video-based interventions. These 11 studies showed considerable overlap regarding the biases studied, kinds of interventions, and decision-making domains. Most of them indicated that gaming interventions were effective after the retention interval and that games were more effective than video interventions. The study that investigated transfer of bias mitigation training (next to retention) found indications of transfer across contexts. To be effective in practical circumstances, achieved effects of cognitive training should lead to enduring changes in the decision maker's behavior and should generalize toward other task domains or training contexts. Given the small number of overlapping studies, our main conclusion is that there is currently insufficient evidence that bias mitigation interventions will substantially help people to make better decisions in real life conditions. This is in line with recent theoretical insights about the "hard-wired" neural and evolutionary origin of cognitive biases.

7.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-906527

ABSTRACT

Objective:To review and summarize the current research status of traditional Chinese medicine(TCM) for the treatment of chronic atrophic gastritis(CAG),provide references and hints for relevant studies,and contribute to the further understanding of TCM and the application of TCM in the treatment of CAG with scientific evidence. Method:The PubMed and Web of Science databases were searched for relevant literature on the treatment of CAG with TCM from their establishment to August 31,2020. Eligible randomized controlled trials (RCTs) and animal studies were included according to the inclusion and exclusion criteria,and then the information of the included studies was extracted,summarized,and organized for further analysis. Result:A total of 4 RCTs and 21 animal studies (including 13 papers on compound studies,3 papers on single herb studies,and 5 papers on monomer studies) about TCM treatment for CAG were included in this study. RCTs showed that TCM could work well in improving the pathological state of gastric mucosa and clinical symptoms in patients. However,there were problems of low study quality,and non-uniform diagnostic criteria for gastric mucosal pathology and clinical efficiency evaluation. Animal experiments mainly focused on the study of drug mechanism exploration,and their results showed that TCM treatment of CAG was characterized by multi-target action. However,the animal experiments also had some problems such as inconsistence of CAG animal model establishment,positive drug selection,drug intervention methods as well as intervention cycles among different experiments. Conclusion:The efficacy of TCM in the treatment of CAG has gradually gained global recognition,but there is still a need for further standardization and unification of research methods. In the future,high-quality clinical trials and standardized animal experiments are still needed to conduct in-depth studies on the time for intervention,intervention methods,active ingredients and mechanisms of TCM,so as to make contributions to the full understanding and application of TCM in the treatment of CAG.

8.
Article in English | MEDLINE | ID: mdl-33321913

ABSTRACT

OBJECTIVE: This study attempted to integrate the gender perspective into literature studies to allow medical university students to examine internalized gender prescriptions and investigate whether the integration of the gender perspective into literature studies would create any difference among students in gender awareness and critical thinking. METHODS: This study used fifteen-week quasi-experimental research to verify the feasibility of using the gender perspective in literature studies to arouse medical university students' gender awareness and critical thinking. Before and after the intervention, a gender awareness test and a critical thinking disposition test were carried out by both the experimental group (41 students) and control group (41 students). RESULTS: The findings show that regarding gender awareness, with the integration of the gender perspective into literature studies, medical university students had significantly higher post-test scores for "public gender consciousness" and "private gender consciousness." In regard to critical thinking, they also had significantly better post-test scores in "systematicity and analyticity," "maturity and skepticism," and "inquisitiveness and conversance." CONCLUSION: This study demonstrated that the integration of the gender perspective into literature studies could result in positive learning outcomes among medical university students in terms of gender awareness and critical thinking.


Subject(s)
Education, Medical , Gender Identity , Thinking , Education, Medical/methods , Humans , Learning , Publications , Students, Medical , Students, Nursing , Universities
9.
China Pharmacy ; (12): 612-616, 2020.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-817320

ABSTRACT

OBJECTIVE:To evaluate the economics of first-line therapy drug for metastatic renal cell carcinoma (mRCC)as sunitinib,sorafenib and pazopanib ,and to provide reference for the adjustment of medical insurance list and clinical medication decision. METHODS :Using“metastatic renal cell carcinoma ”“mRCC”“sunitinib”“sorafenib”“pazopanib”“cost-effectiveness” “cost-utility”“cost-benefit”“economic analysis ”as the Chinese and English retrieval words ,relevant literatures published during Jan. 1st,2006 to Jul. 15th,2019 were retrieved from PubMed ,Web of Science ,the Cochrane Library ,CNKI,Wanfang database , VIP. The literatures were screened according to inclusion and exclusion criteria . The quality of the included literatures was evaluated with CHEERS scale. The effectiveness and economy of sunitinib ,sorafenib and pezoparib in the treatment of mRCC were compared qualitatively after the relevant data were extracted. RESULTS :A total of 10 literatures were included ,and the total coincidence rates of 7 literatures over 75.00%. Among the 4 literature studies of sulatinib vs. sorafenib ,3 literature studies pointed out that sulatinib was the absolute advantage scheme ,and 1 literature study pointed out that sorafenib was more economical ; among the 6 literature studies of sunitinib vs. pezoparib ,4 literature studies indicated that pezoparib was the absolute advantage scheme,and 2 literature studies indicated that sunitinib was more economical. CONCLUSIONS :In most cases ,the efficacy and economy of pezoparib in the treatment of mRCC is better than sunitinib and sorafenib ,but real world data shows that sunitinib is more economical.

10.
Zhen Ci Yan Jiu ; 44(7): 525-32, 2019 Jul 25.
Article in Chinese | MEDLINE | ID: mdl-31368286

ABSTRACT

DOU Han-qing (1196-1280 A.D.) is a famous acupuncturist of the Jin and Yuan dynasties in ancient China. His academic thoughts about acupuncture and moxibustion have a higher clinical practical and theoretical value and received extensive attention in China. In the present paper, we make systematic analysis and summary about the current researches on Master DOU's academic thoughts after retrieval and screening the related research literature (published from the foundation of the People's Republic of China till now) by using electronic databases. The results showed that our understanding about Master DOU's academic thoughts are mainly based on Zhenjing Zhinan (《》,A Guide to the Classic of Acupuncture), especially the Biaoyou Fu (《》,Lyrics of Recondite Principles) and the eight influential acupoints of meridians, but less attention has been paid to books DOU Taishi Zhenjing (《》,Master DOU's Acupuncture Classics), Zhenjiu Jicheng (《》,Compendium of Acupuncture-moxibustion) and Panshijin Zhici Michuan (《》,Panshijin Esoteric Techniques on Perpendicular Insertion of Acupuncture Needles). The systematicness and depth of research on Master DOU's academic theory need being improved. We propose that we should make a comprehensive study about Master DOU's books and his life stories under the academic development history of overall background of Chinese acupuncture and moxibustion, so as to get a clear, complete and objective understanding on DOU's academic thoughts.


Subject(s)
Acupuncture Therapy , Moxibustion , China
11.
Acupuncture Research ; (6): 525-532, 2019.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-844289

ABSTRACT

DOU Han-qing (1196-1280 A.D.) is a famous acupuncturist of the Jin and Yuan dynasties in ancient China. His academic thoughts about acupuncture and moxibustion have a higher clinical practical and theoretical value and received extensive attention in China. In the present paper, we make systematic analysis and summary about the current researches on Master DOU's academic thoughts after retrieval and screening the related research literature (published from the foundation of the People's Republic of China till now) by using electronic databases. The results showed that our understanding about Master DOU's academic thoughts are mainly based on Zhenjing Zhinan (《》,A Guide to the Classic of Acupuncture), especially the Biaoyou Fu (《》,Lyrics of Recondite Principles) and the eight influential acupoints of meridians, but less attention has been paid to books DOU Taishi Zhenjing (《》,Master DOU's Acupuncture Classics), Zhenjiu Jicheng (《》,Compendium of Acupuncture-moxibustion) and Panshijin Zhici Michuan (《》,Panshijin Esoteric Techniques on Perpendicular Insertion of Acupuncture Needles). The systematicness and depth of research on Master DOU's academic theory need being improved. We propose that we should make a comprehensive study about Master DOU's books and his life stories under the academic development history of overall background of Chinese acupuncture and moxibustion, so as to get a clear, complete and objective understanding on DOU's academic thoughts.

12.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-756727

ABSTRACT

Objective: To discuss the application principle in tuina manipulation for lumbar intervertebral disc herniation (LIDH) in Chinese literatures published in recent 30 years. Methods: The three major Chinese databases, Wanfang Academic Journal Full-text Database (Wanfang), Chongqing VIP Database (CQVIP) and China National Knowledge Infrastructure (CNKI), were searched to collect the studies of tuina manipulations in treatment of LIDH published in recent 30 years. Clustering analysis was applied to analyze the top 20 tuina manipulations for LIDH. Results: The top 20 most frequently used manipulations for LIDH were Gun-rolling, Rou-kneading, Dian-digital pressing, oblique Ban-pulling, An-pressing, Tanbo-plucking, Bashen-pulling and extending, horizontal Tui-pushing, Na-grasping, Anrou-pressing and kneading, Dou-shaking, Yao-rocking, Ca-scrubbing, Pai-patting, post-extension Ban-pulling, Mo-rubbing, Zhen-vibrating, Nie-pinching, fist-back Ji-tapping, and dorsal Shen-extending methods. The involved manipulations can be divided into two categories by the treated body areas. One category is applied to the soft tissues, including Gun-rolling, Rou-kneading, Dian-digital pressing, An-pressing, Tanbo-plucking, horizontal Tui-pushing, Na-grasping, Anrou-pressing and kneading, Ca-scrubbing, Pai-patting, Mo-rubbing, Zhen-vibrating, Nie-pinching, and fist-back Ji-tapping methods. The other category is applied to bones and joints, including oblique Ban-pulling, Bashen-pulling and extending, Dou-shaking, Yao-rocking, post-extension Ban-pulling, and dorsal Shen-extending methods. Conclusion: Based on the treated body area, the tuina manipulations applied to treat LIDH are predominated by the ones performed on soft tissues, assisted by those on bones and joints. From the way of force exertion, the involved manipulations are majorly the swinging methods, followed by squeezing and pressing ones. The manipulations applied to bones and joints are predominated by the Ban-pulling ones, followed by the Bashen-pulling and extending ones.

13.
Article in Japanese | WPRIM (Western Pacific) | ID: wpr-738351

ABSTRACT

Purpose: To clarify the strengths and problems of nursing in multifunctional long-term care in a small group home and home-visit nursing (MLSH).Methods: Selected case reports using Ichushi, the Current Index to Japanese Nursing Literature, and DiaL were extracted and categorized based on the descriptions of the strengths and issues of service in MLSH.Results: Strengths included "flexible and continual? users / family support", "care of users with high medical needs, including end-of-life care", "support for a smooth transition from hospital to home with consecutive stay", "reduction of economic burden of users using a fixed monthly system", and "cooperation between nurses and care workers, and growth by learning from each other". Problems included "difficulty in dealing with diverse needs", "economic burden of low-income users and welfare equipment", and "insufficient cooperation with other occupations inside and outside the office".Conclusion: The strengths of service in MLSH were demonstrated via the support of users with high medical needs and support during the transition period at home. The economic burden of users and cooperation with other occupations are both strengths and problems to be addressed. Support according to user characteristics and public awareness of the existence and strengths of MLSH are required.

14.
J Pharmacopuncture ; 20(4): 230-234, 2017 Dec.
Article in English | MEDLINE | ID: mdl-30151292

ABSTRACT

OBJECTIVE: Neurasthenia is a disease which consists of increased fatigue or bodily weakness and exhaustion plus pantalgia, dizziness, headache and other symtoms relevant to autonomic nerve dysfunction. There are plenty of studies investigating the history of diagnostic criteria of neurasthenia, which is influenced by diverse cultural(or social) environment. The obejective of this study is to provide review of the previous studys on the changes of neurasthenia diagnoses in the context of local area to find meanings of these transition and improve health care for psychiatric patient. METHODS: Literature review was conducted on studies demonstrating diagnostic criteria of neurasthenia with cultural(or social) environment. We investigated the literature reviews or observative studies which described alteration of diagnostic criteria of neurasthenia and assessed its significance. After selecting eligible studies, the authors read the articles and summarized the meaningful contents those were significant in clinical practice. RESULTS: Transformation of Chinese Classification of Mental Disorder(CCMD) integrated with internationally utilized DSM-IV or ICD-10 is controversial about its significance in that it had limited effect on public health care due to the variables of sociocultural context, but primarily differentiated neurasthenia from other disorders. The latter one can be the directing point of the diagnostic criteria of other culture-bound diseases, which is the traits of not outstanding mood(or affect) than other neurotic disorders. CONCLUSION: As diagnostic criteria of neurasthenia varies, the significance of this variation is controversial, but could be the paragon of other culture-bound diseases.

15.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-512960

ABSTRACT

Objective To explore the regularities in clinical application of acupoints in acupuncture treatment for ovulatory disorder infertility and provide guidance for clinical treatment of this disease.Methods China National Knowledge Infrastructure, Wanfang Database, VIP Chinese Scientific Journal Database and China Biomedical Literature Database were searched to retrieve clinical literature on acupuncture treatment for ovulatory disorder infertility published from 1996 to 2015 and analyze the application frequency of main acupoints statistically, acupoint meridian tropism and regions, and regularities in acupoint selection.Results A total of 98 articles were included, involvng 58 main acupoints, 608 frequencies of using main acupoints and 11 meridians to which the main acupoints were related. The four most frequently used acupoints were Guanyuan, Sanyinjiao, Zigong and Zhongji. The meridians of which the main acupoints were used at the first five highest frequencies were in order the Ren meridian, the spleen meridian, the stomach meridian, the bladder meridian and the kidney meridian.Conclusions Guanyuan, Sanyinjiao, Zigong and Zhongji are the most frequently used acupoints in modern acupuncture treatment for ovulatory disorder infertility. The principles of acupoint selection are based on visceral and meridional syndrome differentiations. Acupoint selection along the meridian and local acupoint selection are the main methods and acupoint selection according the experience is an auxiliary method.

16.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-609187

ABSTRACT

This study was aimed to analyze and summarize the intervention rule on traditional Chinese medicine (TCM) external treatment of primary dysmenorrhea,in order to provide theoretical evidences for clinical treatment.Articles on TCM external treatment of primary dysmenorrhea published both at home and abroad were search in the CNKI from January Ft,2014 to January Ft,2017.After standard screening,the frequency analysis,cluster analysis and association analysis were conducted.The results showed that acupuncture was the mostly used TCM external treatment of primary dysmenorrhea,which was far more than other types of TCM external treatments.Theoretical studies on single usie of acupuncture or single use of moxibustion were far more than clinical trials.The acupoint used with the highest frequency in primary dysmenorrhea treatment was SP-6 Sanyinjiao.RN-4 Guanyuan was the second and SP-8 Diji was the third.A total of 22 classic acupoint combinations were identified.It was concluded that the main external intervention method of primary dysmenorrhea was acupuncture with SP-6,RN-4 and SP-8 as its main acupoints.There are a total of 22 classic acupoint combinations

17.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-507615

ABSTRACT

The method of flying through the air is a qi-promoting and qi-circulating technique commonly used in clinical acupuncture. It includes four methods: the blue dragon wagging its tail, the white tiger shaking its head, the green turtle probing the cave and the red phoenix winging to the source and functions to circulate bodily meridian qi. The method of flying through the air was firstrecorded in Golden needle Fu. Later and modern doctors developed it on the basis of Golden needle Fu. This article straightens up the historical origin and development of four methods of flying through the air.

18.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-696077

ABSTRACT

This paper was aimed to study the molecular mechanism of acupoint biology effect on acupuncture experiment articles.The acupuncture experiment articles in CNKI,Wanfang Data Resource Library and the China Biomedical Literature Database (CBM) were searched.The literature on acupoint and related genes were selected according to the literature inclusion criteria and exclusion criteria.The acupoint and corresponding genes in the literature were collected and analyzed by software written in Python,Cytoscape 3.3.0 and MECODE algorithm.The results showed that 2136 articles were collected,with 233 acupoints and 793 genes.Acupoints in the top 10 frequency were ST36 (Zusanli),GV20 (Baihui),PC6 (Neiguan),GV26 (Shuigou),GV14 (Dazhui),SP6 (Sanyinjiao),BL23 (Shenshu),LI11 (Quchi),GV16 (Fengfu) and GB34 (Yanglingquan).Genes in the top 10 frequency were BCL2,FOS,BDNF,Bax,CASP3,TNFA,GFAP,NGF,HSP70 and IL1B.Acupoint-groups in the top 5 frequency were GV14 (Dazhui)-GV20 (Baihui),GV26 (Shuigou)-GV20 (Baihui),GV20 (Baihui)-ST36 (Zusanli),SP6 (Sanyinjiao)-ST36 (Zusandi),PC6 (Neiguan)-GV26 (Shuigou).ST36 (Zusanli) was in the center of the acupoint-gene network.Through module analyzing,there were some genes belong to different pathways and some acupoints in one network module.It was concluded that ST36 (Zusanli) was the core acupoint in the acupoint experiment study,the stomach meridian of foot Yangming may be closely related with the metabolic pathway.This finding may provide new research ideas for clinical and experimental research.

19.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-695847

ABSTRACT

Objective Through analyzing the literatures about acupuncture-moxibustion in releasing chemotherapyinduced nausea and vomit,to understand its current situation and progress,preparing for further studies in the future.Method Four databanks were retrieved.Two researchers independently skimmed the titles and abstracts for filtering the collected data,and then carefully read through the full texts for further selection.Snowball retrieval of the references in each recruited article completed the whole literature search.Result A total of 407 manuscripts were collected by retrieving databanks,but 80 were excluded due to ineligible designs or intervention protocols.Finally,76 articles were included.Conclusion Acupuncture-moxibustion is effective in preventing and treating nausea and vomit induced by chemotherapy.Future studies should rigorously follow the randomized controlled trials design and adopt precise efficacy evaluations,to provide foundation for subsequent evidence-based studies.

20.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-695846

ABSTRACT

Objective To discuss and summarize the point-selection rules in acupuncture-moxibustion treatment of asthma,by arranging and analyzing the relevant clinical studies with pulmonary function as the evaluation index.Method A total of 264 eligible articles of clinical trials about acupuncture-moxibustion treatment of asthma published in the last 10 years were analyzed by using frequency statistical method.Result and Conclusion In acupuncturemoxibustion treatment of asthma,acupoints frequently used majorly included Feishu (BL 13),Dingchuan (EX-B 1),Danzhong (CV 17),Pishu (BL 20),and Shenshu (BL 23),mainly distributed in the Bladder Meridian,Conception Vessel,Governor Vessel,Stomach Meridian,and extra points;syndrome differentiation,symptomatic analysis,and empiric selection were predominant in the point-selection rules.Acupuncture-moxibustion at the above points can effectively improve pulmonary function indexes and attenuate asthma symptoms,thus worth promoting in clinic.

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