Traditional Chinese acupoint massage, acupuncture, and moxibustion for people with diabetic gastroparesis: A systematic review and meta-analysis.

BACKGROUND: Traditional Chinese acupoint therapy has been used for thousands of years on gastrointestinal diseases. In this work, we evaluated the efficiency and safety of traditional Chinese acupoint therapies versus standard therapies, nursing or recovery treatments in the treatment of diabetic gastroparesis.e expect that traditional Chinese medicine acupoint therapy can be noticed by more people, so as to provide more high-quality clinical evidence. METHODS: Randomized controlled trials were included in this meta-analysis. The treatment groups received traditional Chinese acupoint therapy, while the control groups received standard therapies, nursing, or recovery treatments. The relative risk and weighted mean difference with 95% confidence interval for the total effective rate, gastrin level, gastric-emptying time, fasting blood glucose level, 2-hour blood glucose level, and glycosylated hemoglobin level were evaluated using RevMan 5.3 software. Bias assessment was performed using the Cochrane risk-of-bias tool. RESULTS: A total of 59 articles were included in the analysis. In comparison with the control groups, the acupoint therapy groups showed higher total effective rates (P < .00001), enhanced gastric-emptying rates (P < .00001), and reduced glycosylated hemoglobin levels. CONCLUSION: In comparison with Western medicine or conventional care, traditional Chinese acupoint therapies showed a significant advantage in the treatment of diabetic gastroparesis. However, considering the low quality and high risk of the included studies, more high-quality randomized controlled trials are needed to confirm the results.

How to motivate planners to participate in community micro-renewal: An evolutionary game analysis.

In China, grassroots governments have attempted to introduce community planners into community micro-renewal, using their expertise to guide the design and implementation of community micro-renewal. However, issues remain to be studied and resolved, including how to effectively play the community planner role to coordinate multiple parties' interests. This study constructed an evolutionary game model based on the behaviors of multiple subjects with participation by community planners, to establish the payment functions on both sides of the game under different choice strategies; explore evolutionary stabilization strategies by replication dynamic equations; and to analyze the conditions for the multi-party evolutionary game to reach the ideal stable state. The findings: (1) Show that financial subsidies provided by the grassroots government to community planners have a positive effect on the latter's behavioral choices; (2) Illustrate the path of the tripartite evolutionary game among the grassroots government, residents, and community planners to reach ideal stability (incentive, active participation, and positive promotion); and (3) Describe how the project benefits from community planners promoting community micro-renewal can effectively promote their positive behavioral choices.