BACKGROUND Colorectal cancer(CRC)accounts for second place of new cases in China.Chinese herbal medicine(CHM)is widely used as an integrative treatment for CRC.However,evidence on the efficacy of CHM for CRC remains u...BACKGROUND Colorectal cancer(CRC)accounts for second place of new cases in China.Chinese herbal medicine(CHM)is widely used as an integrative treatment for CRC.However,evidence on the efficacy of CHM for CRC remains unclear.AIM To evaluate quality of previous systematic reviews(SRs)and summarise evidence on CHM treatment for CRC.METHODS All available online academic databases were systematically searched from the time of their foundation to October 2025,and eligible systematic reviews investigating therapeutic effectiveness and safety of CHM in the treatment of CRC patients were incorporated into this study.Their reporting,methodological and evidence quality were evaluated using the PRISMA,AMSTAR-2,and GRADE.RESULTS Ninety-seven SRs were included in this study.Thirty of the included SRs were assessed as high in reporting quality,67 as moderate;12 SRs were assessed as moderate in methodological quality,27 as low quality,58 as critically low quality.Seven pieces of evidence assessed as moderate quality by GRADE approach,40 as low quality,and 46 as very low quality.Moderate-quality evidence showed that orally administered CHM plus XELOX increased the objective response rate(ORR)by 44%.Compound Kushen Injection plus FOLFOX increased ORR by 26%and Karnofsky Performance Status(KPS)improvement rate by 24%.Aidi Injection plus FOLFOX4 chemotherapy increased ORR by 22%,disease control rate by 10%and KPS improvement rate by 30%.CONCLUSION Orally administered CHM and CHM injections combined with chemotherapy have promising effects on tumor response and performance status of patients with advanced CRC.展开更多
Medical Data Mining published an article entitled Mapping the global research trends and hotspots on hypertensive nephropathy:A novel bibliometrics overview on 10 October 2025.The author confirmed this article’s proo...Medical Data Mining published an article entitled Mapping the global research trends and hotspots on hypertensive nephropathy:A novel bibliometrics overview on 10 October 2025.The author confirmed this article’s proof on 28 September 2025 without any questions.However,on 13 November 2025,the Editorial Office of Medical Data Mining noticed an inconsistency between the data presented in the main text and Figure 1.Specifically,erroneous Figure 1 states“a total of 56,691 literatures were obtained through database search”,while the main text in the Search results section states“According to the search term,a total of 59,220 publications were retrieved from the database.”The authors acknowledge that the original version of Figure 1 was incorrect and have provided the revised,correct version in this corrigendum.The authors would like to assert that there is no change in the body text of the article.展开更多
Traditional Chinese medicine(TCM),as a treasure of the Chinese nation,embodies the profound essence of traditional Chinese culture.It serves as a vital component and carrier of this heritage,forming a solid foundation...Traditional Chinese medicine(TCM),as a treasure of the Chinese nation,embodies the profound essence of traditional Chinese culture.It serves as a vital component and carrier of this heritage,forming a solid foundation for upholding cultural confidence in TCM.As one of Yunnan’s three major cultural cradles,Zhaotong boasts a rich accumulation of TCM culture,constituting an integral part of southern Yunnan’s medical tradition.Therefore,this paper aims to examine the development of TCM in the Zhaotong region,interpret its distinctive advantages and existing challenges,and explore potential development pathways.This effort seeks to foster a unique sense of cultural value recognition for TCM in Zhaotong and promote the inheritance and advancement of TCM within the region.展开更多
Against the backdrop of educational digital transformation,multimodal interactive teaching offers a new paradigm for the reform of area studies courses.Using the course Overview of Arab Countries as a case study,this ...Against the backdrop of educational digital transformation,multimodal interactive teaching offers a new paradigm for the reform of area studies courses.Using the course Overview of Arab Countries as a case study,this research addresses key challenges in traditional teaching approaches,such as weak cultural awareness,low student engagement,and limited cross-cultural communication skills.It proposes an optimized multimodal teaching framework based on the integration of three core components:content,methodology,and assessment,aiming to create a more dynamic and student-centered learning environment.Through the strategic use of digital resources,interactive technologies,and diversified assessment methods,the study demonstrates that multimodal interaction effectively stimulates students’learning interest,enhances their language proficiency,fosters critical thinking,and promotes deeper knowledge acquisition and competence transformation.The findings suggest that multimodal interactive teaching can significantly improve the overall effectiveness of area studies education,providing valuable insights for future pedagogical innovations in the digital era.展开更多
Artificial intelligence(AI)is a new technical discipline that uses computer technology to research and develop the theory,method,technique,and application system for the simulation,extension,and expansion of human int...Artificial intelligence(AI)is a new technical discipline that uses computer technology to research and develop the theory,method,technique,and application system for the simulation,extension,and expansion of human intelligence.With the assistance of new AI technology,the traditional medical environment has changed a lot.For example,a patient’s diagnosis based on radiological,pathological,endoscopic,ultrasonographic,and biochemical examinations has been effectively promoted with a higher accuracy and a lower human workload.The medical treatments during the perioperative period,including the preoperative preparation,surgical period,and postoperative recovery period,have been significantly enhanced with better surgical effects.In addition,AI technology has also played a crucial role in medical drug production,medical management,and medical education,taking them into a new direction.The purpose of this review is to introduce the application of AI in medicine and to provide an outiook of future trends.展开更多
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. Num...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 classified 22.5%(9/40) of the measured outcomes as ‘‘moderate" quality, 57.5%(23/40) as ‘‘low" quality, and 20.0%(8/40) as ‘‘very low" quality. The inter-rater agreement was moderate when using GRADE.Descriptive analyses indicated that acupuncture was more efficacious than sham acupuncture for improving weekly complete spontaneous bowel movements(CSBMs) and for raising the Bristol Stool Form Scale(BSFS) score. Acupuncture appeared to be superior to anti-constipation drugs for improving weekly spontaneous bowel movements, the total effective rate, and the Patient Assessment of Constipation Quality of Life score. Although ten SRs mentioned the occurrence of adverse events, serious adverse events were not associated with acupuncture treatment.Conclusion: Acupuncture may be more efficacious than sham acupuncture for improving CSBMs and BSFS scores and may be superior to anti-constipation drugs for improving bowel movement frequency, as well as quality of life. Limitations to current studies and inconsistent evidence suggest a need for more rigorous and methodologically sound SRs to draw definitive conclusions.展开更多
Objective:To assess the reliability of the methodological quality and outcome measures of systematic reviews(SR)/meta-analysis of premature ovarian insufficiency(POI) treated with acupuncture.Methods:SR/meta-analysis ...Objective:To assess the reliability of the methodological quality and outcome measures of systematic reviews(SR)/meta-analysis of premature ovarian insufficiency(POI) treated with acupuncture.Methods:SR/meta-analysis of POI treated with acupuncture were searched on POI from the databases including PubMed,Web of Science,EMBase,the Cochran Library,Chinese biomedical literature database(SinoMed),China journal full-text database(CNKI),Wanfang data knowledge service platform(Wanfang)and VIP information Chinese periodical service platform(VIP),from inception to 1 st May 2021.Using A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2) scale and Grades of Recommendations Assessment,Development and Evaluation(GRADE) system,the methodological quality and outcome measures of the included studies were appraised.Results:Ten articles of SR/meta-analysis were included,published from 2015 to 2020.Using AMSTAR 2,5 articles of SR/meta-analysis were rated as critical low quality in methods,3 articles as low quality,and2 articles as moderate quality.The results of GRADE showed that among the 50 outcomes the quality of evidence of 22 outcomes was very low,that of 25 outcomes was low and that of 3 outcomes was moderate.Conclusion:The methodological quality and the reliability of outcome measures were not high in existing SR/meta-analysis on POI treated with acupuncture,which may affect the translation of the SR/metaanalysis findings into clinical practice.It is necessary to further strengthen the methodological quality and reporting standard of SR/meta-analysis,as well as the robustness of design and implementation of randomized controlled trials(RCTs),in order to generate high quality evidences for clinical decision-making and practice.展开更多
Point cloud registration aims to find a rigid transformation for aligning one point cloud to another.Such registration is a fundamental problem in computer vision and robotics,and has been widely used in various appli...Point cloud registration aims to find a rigid transformation for aligning one point cloud to another.Such registration is a fundamental problem in computer vision and robotics,and has been widely used in various applications,including 3D reconstruction,simultaneous localization and mapping,and autonomous driving.Over the last decades,numerous researchers have devoted themselves to tackling this challenging problem.The success of deep learning in high-level vision tasks has recently been extended to different geometric vision tasks.Various types of deep learning based point cloud registration methods have been proposed to exploit different aspects of the problem.However,a comprehensive overview of these approaches remains missing.To this end,in this paper,we summarize the recent progress in this area and present a comprehensive overview regarding deep learning based point cloud registration.We classify the popular approaches into different categories such as correspondences-based and correspondences-free approaches,with effective modules,i.e.,feature extractor,matching,outlier rejection,and motion estimation modules.Furthermore,we discuss the merits and demerits of such approaches in detail.Finally,we provide a systematic and compact framework for currently proposed methods and discuss directions of future research.展开更多
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.Metho...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"(<5%).The most common downgrading factor was imprecision,followed by publication bias and inconsistency.Conclusion:This 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.展开更多
BACKGROUND Nonalcoholic fatty liver disease(NAFLD)affects more than one-quarter of the global population.Due to the lack of approved chemical agents,many patients seek treatment from traditional Chinese medicine(TCM)f...BACKGROUND Nonalcoholic fatty liver disease(NAFLD)affects more than one-quarter of the global population.Due to the lack of approved chemical agents,many patients seek treatment from traditional Chinese medicine(TCM)formulas.A variety of systematic reviews have been published regarding the effectiveness and safety of TCM formulas for NAFLD.AIM To critically appraise available systematic reviews and sort out the high-quality evidence on TCM formulas for the management of NAFLD.METHODS Seven databases were systematically searched from their inception to 28 February 2020.The search terms included“non-alcoholic fatty liver disease,”“Chinese medicines,”“systematic review,”and their synonyms.Systematic reviews involving TCM formulas alone or in combination with conventional medications were included.The methodological quality and risk of bias of eligible systematic reviews were evaluated by using A Measure Tool to Assess Systematic Reviews 2(AMSTAR 2)and Risk of Bias in Systematic Review(ROBIS).The quality of outcomes was assessed by the Grading of Recommendations Assessment,Development and Evaluation(GRADE)system.RESULTS Seven systematic reviews were ultimately included.All systematic reviews were conducted based on randomized controlled trials and published in the last decade.According to the AMSTAR 2 tool,one systematic review was judged as having a moderate confidence level,whereas the other studies were rated as having a low or extremely low level of confidence.The ROBIS tool showed that the included systematic reviews all had a high risk of bias due to insufficient consideration of identified concerns.According to the GRADE system,only two outcomes were determined as high quality;namely,TCM formulas with the HuoXueHuaYu principle were better than conventional medications in ultrasound improvement,and TCM formulas were superior to antioxidants in alanine aminotransferase normalization.Other outcomes were downgraded to lower levels,mainly because of heterogeneity among studies,not meeting optimal information sample size,and inclusion of excessive numbers of small sample studies.Nevertheless,the evidence quality of extracted outcomes should be further downgraded when applying to clinical practice due to indirectness.CONCLUSION The quality of available systematic reviews was not satisfactory.Researchers should avoid repeatedly conducting systematic reviews in this area and focus on designing rigorous randomized controlled trials to support TCM formula applications.展开更多
Permanent-magnet(PM)machines have attracted a lot of interest in various applications since they have the merits of high torque density,high power density and high efficiency.However,issue of poor fault tolerance of t...Permanent-magnet(PM)machines have attracted a lot of interest in various applications since they have the merits of high torque density,high power density and high efficiency.However,issue of poor fault tolerance of the conventional PM machines restricts their practical applications in the field of safety-critical applications,e.g.aerospace,electric vehicle,electrical propulsion and wind power generator applications.An enormous amount of work has been done to improve the fault-tolerant capability of PM machines.This paper will review research work on PM fault-tolerant machines up-to-date,including modular design,short-circuit current limitation design,redundant design,ease of thermal dissipation of PM design,and torque enhancement design techniques.The work of this paper can provide some references for future studies and engineering applications of PM fault-tolerant machines for safety-critical applications.展开更多
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, in...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.展开更多
Salmonella is a member of the family Enterobacteriaceae. This genus comprises two species, namely Salmonella enterica and Salmonella bongori. Salmonella enterica is further divided into six subspecies, namely enterica...Salmonella is a member of the family Enterobacteriaceae. This genus comprises two species, namely Salmonella enterica and Salmonella bongori. Salmonella enterica is further divided into six subspecies, namely enterica, salamae, arizonae,展开更多
Heavy oil will play an important role in future resources exploitation.Factors such as reservoir heterogeneity and adverse oil/steam mobility ratio have led to severe steam channeling and fingering,thereby reduced con...Heavy oil will play an important role in future resources exploitation.Factors such as reservoir heterogeneity and adverse oil/steam mobility ratio have led to severe steam channeling and fingering,thereby reduced conformance efficiency and affected de-velopment response.Therefore,the research on profile control and water shut-off agents becomes increasingly important for thermal recovery wells.The requirements on the performances of profile control and water shut-off agents are discussed in conjunction with the physical properties of heavy oil reservoirs and the technical conditions of steam injection in China.Based on the mechanism of action,research progress and application status,5 agents are summarized including polymer gel,solid particles plugging agent,foam,water-in-oil emulsion and salt precipitation.Problems in each agent are mentioned,and optimization solutions are put for-ward.At last,the development trend of future profile control and water shut-off agents is put forward,i.e.synthesizing agents of low cost and high-temperature resistance,intensifying mechanism research,developing composite system,and researching on new technologies that are less harmful and environmental friendly.展开更多
基金Supported by China Academy of Chinese Medical Sciences(CACMS)Innovation Fund/Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences,No.CI2023C012YLInnovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine,No ZYYCXTD-C-202205+2 种基金Health Research Project of Hunan Provincial Health Commission,No.20257728High-Level Talent Support Program of Hunan Cancer Hospital,No.20250731-1046Hunan Provincial Natural Science Foundation of China,No.2026JJ82680.
摘要BACKGROUND Colorectal cancer(CRC)accounts for second place of new cases in China.Chinese herbal medicine(CHM)is widely used as an integrative treatment for CRC.However,evidence on the efficacy of CHM for CRC remains unclear.AIM To evaluate quality of previous systematic reviews(SRs)and summarise evidence on CHM treatment for CRC.METHODS All available online academic databases were systematically searched from the time of their foundation to October 2025,and eligible systematic reviews investigating therapeutic effectiveness and safety of CHM in the treatment of CRC patients were incorporated into this study.Their reporting,methodological and evidence quality were evaluated using the PRISMA,AMSTAR-2,and GRADE.RESULTS Ninety-seven SRs were included in this study.Thirty of the included SRs were assessed as high in reporting quality,67 as moderate;12 SRs were assessed as moderate in methodological quality,27 as low quality,58 as critically low quality.Seven pieces of evidence assessed as moderate quality by GRADE approach,40 as low quality,and 46 as very low quality.Moderate-quality evidence showed that orally administered CHM plus XELOX increased the objective response rate(ORR)by 44%.Compound Kushen Injection plus FOLFOX increased ORR by 26%and Karnofsky Performance Status(KPS)improvement rate by 24%.Aidi Injection plus FOLFOX4 chemotherapy increased ORR by 22%,disease control rate by 10%and KPS improvement rate by 30%.CONCLUSION Orally administered CHM and CHM injections combined with chemotherapy have promising effects on tumor response and performance status of patients with advanced CRC.
摘要Medical Data Mining published an article entitled Mapping the global research trends and hotspots on hypertensive nephropathy:A novel bibliometrics overview on 10 October 2025.The author confirmed this article’s proof on 28 September 2025 without any questions.However,on 13 November 2025,the Editorial Office of Medical Data Mining noticed an inconsistency between the data presented in the main text and Figure 1.Specifically,erroneous Figure 1 states“a total of 56,691 literatures were obtained through database search”,while the main text in the Search results section states“According to the search term,a total of 59,220 publications were retrieved from the database.”The authors acknowledge that the original version of Figure 1 was incorrect and have provided the revised,correct version in this corrigendum.The authors would like to assert that there is no change in the body text of the article.
基金supported by the Yunnan Provincial Major Scientific and Technological Special Project Program for Biomedicine(Grant No.202401AZ070001-090)Yunnan Province’s High-level Talent Cultivation Project for Successors in Traditional Chinese Medicine Disciplines(Yun Cai She[2024]No.103)Yunnan University of Chinese Medicine Joint University-Hospital Fund Project(Grant No.XYLH2024020).
摘要Traditional Chinese medicine(TCM),as a treasure of the Chinese nation,embodies the profound essence of traditional Chinese culture.It serves as a vital component and carrier of this heritage,forming a solid foundation for upholding cultural confidence in TCM.As one of Yunnan’s three major cultural cradles,Zhaotong boasts a rich accumulation of TCM culture,constituting an integral part of southern Yunnan’s medical tradition.Therefore,this paper aims to examine the development of TCM in the Zhaotong region,interpret its distinctive advantages and existing challenges,and explore potential development pathways.This effort seeks to foster a unique sense of cultural value recognition for TCM in Zhaotong and promote the inheritance and advancement of TCM within the region.
基金a research outcome of the 2025 Undergraduate Education and Teaching Project at Beijing International Studies University,titled“Empowering the Course‘Overview of Arab Countries’Through Multimodal AI”.
摘要Against the backdrop of educational digital transformation,multimodal interactive teaching offers a new paradigm for the reform of area studies courses.Using the course Overview of Arab Countries as a case study,this research addresses key challenges in traditional teaching approaches,such as weak cultural awareness,low student engagement,and limited cross-cultural communication skills.It proposes an optimized multimodal teaching framework based on the integration of three core components:content,methodology,and assessment,aiming to create a more dynamic and student-centered learning environment.Through the strategic use of digital resources,interactive technologies,and diversified assessment methods,the study demonstrates that multimodal interaction effectively stimulates students’learning interest,enhances their language proficiency,fosters critical thinking,and promotes deeper knowledge acquisition and competence transformation.The findings suggest that multimodal interactive teaching can significantly improve the overall effectiveness of area studies education,providing valuable insights for future pedagogical innovations in the digital era.
基金supported by the National Natural Science Foundation of China(No.81974355).
摘要Artificial intelligence(AI)is a new technical discipline that uses computer technology to research and develop the theory,method,technique,and application system for the simulation,extension,and expansion of human intelligence.With the assistance of new AI technology,the traditional medical environment has changed a lot.For example,a patient’s diagnosis based on radiological,pathological,endoscopic,ultrasonographic,and biochemical examinations has been effectively promoted with a higher accuracy and a lower human workload.The medical treatments during the perioperative period,including the preoperative preparation,surgical period,and postoperative recovery period,have been significantly enhanced with better surgical effects.In addition,AI technology has also played a crucial role in medical drug production,medical management,and medical education,taking them into a new direction.The purpose of this review is to introduce the application of AI in medicine and to provide an outiook of future trends.
基金supported by grants from the National Natural Science Foundation of China(No.8207455481774430)the Foundation of the Science and Technology Department of Sichuan Province,China(No.2021YJ0197)。
摘要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 classified 22.5%(9/40) of the measured outcomes as ‘‘moderate" quality, 57.5%(23/40) as ‘‘low" quality, and 20.0%(8/40) as ‘‘very low" quality. The inter-rater agreement was moderate when using GRADE.Descriptive analyses indicated that acupuncture was more efficacious than sham acupuncture for improving weekly complete spontaneous bowel movements(CSBMs) and for raising the Bristol Stool Form Scale(BSFS) score. Acupuncture appeared to be superior to anti-constipation drugs for improving weekly spontaneous bowel movements, the total effective rate, and the Patient Assessment of Constipation Quality of Life score. Although ten SRs mentioned the occurrence of adverse events, serious adverse events were not associated with acupuncture treatment.Conclusion: Acupuncture may be more efficacious than sham acupuncture for improving CSBMs and BSFS scores and may be superior to anti-constipation drugs for improving bowel movement frequency, as well as quality of life. Limitations to current studies and inconsistent evidence suggest a need for more rigorous and methodologically sound SRs to draw definitive conclusions.
基金Supported by National Key R&D Program of China2019YFC1712200International standards research on clinical research and service of AcupunctureMoxibustion2019YFC1712205。
摘要Objective:To assess the reliability of the methodological quality and outcome measures of systematic reviews(SR)/meta-analysis of premature ovarian insufficiency(POI) treated with acupuncture.Methods:SR/meta-analysis of POI treated with acupuncture were searched on POI from the databases including PubMed,Web of Science,EMBase,the Cochran Library,Chinese biomedical literature database(SinoMed),China journal full-text database(CNKI),Wanfang data knowledge service platform(Wanfang)and VIP information Chinese periodical service platform(VIP),from inception to 1 st May 2021.Using A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2) scale and Grades of Recommendations Assessment,Development and Evaluation(GRADE) system,the methodological quality and outcome measures of the included studies were appraised.Results:Ten articles of SR/meta-analysis were included,published from 2015 to 2020.Using AMSTAR 2,5 articles of SR/meta-analysis were rated as critical low quality in methods,3 articles as low quality,and2 articles as moderate quality.The results of GRADE showed that among the 50 outcomes the quality of evidence of 22 outcomes was very low,that of 25 outcomes was low and that of 3 outcomes was moderate.Conclusion:The methodological quality and the reliability of outcome measures were not high in existing SR/meta-analysis on POI treated with acupuncture,which may affect the translation of the SR/metaanalysis findings into clinical practice.It is necessary to further strengthen the methodological quality and reporting standard of SR/meta-analysis,as well as the robustness of design and implementation of randomized controlled trials(RCTs),in order to generate high quality evidences for clinical decision-making and practice.
基金Supported by the National Key Research and Development Program of China under Grant(2018AAA0102803)the National Natural Science Foundation of China under Grants(61871325,61420106007,61671387).
摘要Point cloud registration aims to find a rigid transformation for aligning one point cloud to another.Such registration is a fundamental problem in computer vision and robotics,and has been widely used in various applications,including 3D reconstruction,simultaneous localization and mapping,and autonomous driving.Over the last decades,numerous researchers have devoted themselves to tackling this challenging problem.The success of deep learning in high-level vision tasks has recently been extended to different geometric vision tasks.Various types of deep learning based point cloud registration methods have been proposed to exploit different aspects of the problem.However,a comprehensive overview of these approaches remains missing.To this end,in this paper,we summarize the recent progress in this area and present a comprehensive overview regarding deep learning based point cloud registration.We classify the popular approaches into different categories such as correspondences-based and correspondences-free approaches,with effective modules,i.e.,feature extractor,matching,outlier rejection,and motion estimation modules.Furthermore,we discuss the merits and demerits of such approaches in detail.Finally,we provide a systematic and compact framework for currently proposed methods and discuss directions of future research.
基金supported by the Evidence-based Capacity Building Project of Traditional Chinese medicine of the National Administration of Traditional Chinese Medicine(60102)the Fundamental Research Funds for the Central Public Welfare Research Institutes(49425).
摘要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"(<5%).The most common downgrading factor was imprecision,followed by publication bias and inconsistency.Conclusion:This 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.
基金Evidence-based Capacity Building Project for Basic Traditional Chinese Medicine-Specialized Diseases,No.2019XZZX-XH012Shanghai Three-year Action Plan for Accelerating the Development of Traditional Chinese Medicine,No.ZY(2018-2020)-CCCX-2002-01.
摘要BACKGROUND Nonalcoholic fatty liver disease(NAFLD)affects more than one-quarter of the global population.Due to the lack of approved chemical agents,many patients seek treatment from traditional Chinese medicine(TCM)formulas.A variety of systematic reviews have been published regarding the effectiveness and safety of TCM formulas for NAFLD.AIM To critically appraise available systematic reviews and sort out the high-quality evidence on TCM formulas for the management of NAFLD.METHODS Seven databases were systematically searched from their inception to 28 February 2020.The search terms included“non-alcoholic fatty liver disease,”“Chinese medicines,”“systematic review,”and their synonyms.Systematic reviews involving TCM formulas alone or in combination with conventional medications were included.The methodological quality and risk of bias of eligible systematic reviews were evaluated by using A Measure Tool to Assess Systematic Reviews 2(AMSTAR 2)and Risk of Bias in Systematic Review(ROBIS).The quality of outcomes was assessed by the Grading of Recommendations Assessment,Development and Evaluation(GRADE)system.RESULTS Seven systematic reviews were ultimately included.All systematic reviews were conducted based on randomized controlled trials and published in the last decade.According to the AMSTAR 2 tool,one systematic review was judged as having a moderate confidence level,whereas the other studies were rated as having a low or extremely low level of confidence.The ROBIS tool showed that the included systematic reviews all had a high risk of bias due to insufficient consideration of identified concerns.According to the GRADE system,only two outcomes were determined as high quality;namely,TCM formulas with the HuoXueHuaYu principle were better than conventional medications in ultrasound improvement,and TCM formulas were superior to antioxidants in alanine aminotransferase normalization.Other outcomes were downgraded to lower levels,mainly because of heterogeneity among studies,not meeting optimal information sample size,and inclusion of excessive numbers of small sample studies.Nevertheless,the evidence quality of extracted outcomes should be further downgraded when applying to clinical practice due to indirectness.CONCLUSION The quality of available systematic reviews was not satisfactory.Researchers should avoid repeatedly conducting systematic reviews in this area and focus on designing rigorous randomized controlled trials to support TCM formula applications.
基金This work was supported in part by the National Natural Science Foundation of China(51422702)by the Six Talent Peaks Project of Jiangsu Province(2017-KTHY-011)。
摘要Permanent-magnet(PM)machines have attracted a lot of interest in various applications since they have the merits of high torque density,high power density and high efficiency.However,issue of poor fault tolerance of the conventional PM machines restricts their practical applications in the field of safety-critical applications,e.g.aerospace,electric vehicle,electrical propulsion and wind power generator applications.An enormous amount of work has been done to improve the fault-tolerant capability of PM machines.This paper will review research work on PM fault-tolerant machines up-to-date,including modular design,short-circuit current limitation design,redundant design,ease of thermal dissipation of PM design,and torque enhancement design techniques.The work of this paper can provide some references for future studies and engineering applications of PM fault-tolerant machines for safety-critical applications.
基金supported by the National Key Research and Development Program of China (2019YFC1709004)。
摘要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.
基金financially supported by the University of Malaya Research Grant (UMRG) (RP003A-13BIO)UM Postgraduate Research Fund (PPP) (PS319/2010B)
摘要Salmonella is a member of the family Enterobacteriaceae. This genus comprises two species, namely Salmonella enterica and Salmonella bongori. Salmonella enterica is further divided into six subspecies, namely enterica, salamae, arizonae,
摘要Heavy oil will play an important role in future resources exploitation.Factors such as reservoir heterogeneity and adverse oil/steam mobility ratio have led to severe steam channeling and fingering,thereby reduced conformance efficiency and affected de-velopment response.Therefore,the research on profile control and water shut-off agents becomes increasingly important for thermal recovery wells.The requirements on the performances of profile control and water shut-off agents are discussed in conjunction with the physical properties of heavy oil reservoirs and the technical conditions of steam injection in China.Based on the mechanism of action,research progress and application status,5 agents are summarized including polymer gel,solid particles plugging agent,foam,water-in-oil emulsion and salt precipitation.Problems in each agent are mentioned,and optimization solutions are put for-ward.At last,the development trend of future profile control and water shut-off agents is put forward,i.e.synthesizing agents of low cost and high-temperature resistance,intensifying mechanism research,developing composite system,and researching on new technologies that are less harmful and environmental friendly.