Chinese Periodical Full-text Database Research Articles

Impact of dietary inflammatory index on gestational diabetes mellitus in normal and overweight women: a systematic review and meta-analysis of observational studies.

To systematically investigate the association between the dietary inflammatory index (DII) and gestational diabetes mellitus (GDM), with a focus on the role of BMI in this relationship. A comprehensive search was conducted in PubMed, Embase, Web of Science, The Cochrane Library, Medline, CINAHL Complete, Chinese Periodical Full-text Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, and China Wanfang Database for rele-vant observational studies published up to August 2023. The quality of the included studies was assessed using the Newcastle-Ottawa Scale. The pooled effect size was calculated using a random-effects model. Sub-group and meta-regression analyses were performed to explore potential sources of heterogeneity. The study included 54,058 participants from 10 studies. Pregnant women with a higher DII, indicating a pro-inflammatory diet, had a significantly increased risk of GDM compared to those with a lower DII, indicating an anti-inflammatory diet (pooled OR: 1.17, 95% CI: 1.01-1.36; I²=70%, p <0.001). Subgroup analyses revealed a stronger association in normal weight stratification (OR: 1.25, 95%CI: 1.04-1.51), case-control studies (OR: 1.45, 95%CI: 1.03-2.05), Asia (OR: 1.26, 95%CI: 1.10-1.43), Europe (OR: 1.27, 95%CI: 1.09-1.48), 3-day dietary record as a dietary assessment tool (OR: 1.30, 95%CI: 1.16-1.46), physical activity adjustment (OR: 1.28, 95%CI: 1.13-1.46), and energy intake adjustment (OR: 1.33, 95%CI: 1.19-1.48). Meta-regression analysis confirmed that geographical region significantly influenced heterogeneity between studies (p <0.05). An elevated DII is independently linked to a higher risk of GDM, especially in women of normal weight.

Risk factors for delirium in advanced cancer patients: A systematic review and meta-analysis.

To systematically collect published research in order to identify and quantify risk factors for delirium in advanced cancer patients. The Cochrane Library, PubMed, Proquest, CINAHL, Web of Science, Ovid MEDLINE, Embase, Scopus, Chinese Wanfang Data, Chinese Periodical Full-text Database (VIP), Chinese Biomedical Literature Database (CBM), and Chinese National Knowledge Infrastructure (CNKI) were systematically searched for cohort or case-control studies reporting individual risk factors for delirium among advanced-stage cancer patients published prior to March 2022. The Newcastle-Ottawa Scale was used to assess the methodological quality of included studies. The pooled adjusted odds ratio (aOR) and its 95% confidence interval were calculated using the RevMan 5.4 software package. A total of 15 studies with data from 3106 advanced cancer patients were included in our analysis. Nine studies were high-quality and six were of moderate quality. Pooled analyses revealed that 11 risk factors were statistically significant. High-intensity risk factors included sleep disturbance, infection, cachexia and the Palliative Prognostic Index; medium-intensity risk factors included male sex, renal failure, dehydration and drowsiness; low-intensity risk factors included age, total bilirubin and opioid use. Antibiotic use was found to have been a protective factor. We identified 12 independent risk factors that were significantly associated with delirium in advanced cancer patients and provide an evidence-based foundation to implement appropriate preventive strategies.

The effect of diet quality on the risk of developing gestational diabetes mellitus: A systematic review and meta-analysis.

To examine the effect of diet quality on the risk of gestational diabetes mellitus. This review included cohort and case-control studies reporting an association between diet quality and gestational diabetes mellitus. We searched PubMed, Cochrane Library, Web of Science, Embase, PsycINFO, CINAHL Complete, Chinese Periodical Full-text Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, and China Wanfang Database for studies published from inception to November 18, 2022. The Newcastle-Ottawa Scale was used for quality assessment, and the overall quality of evidence was assessed using the GRADEpro GDT. A total of 19 studies (15 cohort, four case-control) with 108,084 participants were included. We found that better higher diet quality before or during pregnancy reduced the risk of developing gestational diabetes mellitus, including a higher Mediterranean diet (OR: 0.51; 95% CI: 0.30-0.86), dietary approaches to stop hypertension (OR: 0.66; 95% CI: 0.44-0.97), Alternate Healthy Eating Index (OR: 0.61; 95% CI: 0.44-0.83), overall plant-based diet index (OR: 0.57; 95% CI: 0.41-0.78), and adherence to national dietary guidelines (OR: 0.39; 95% CI:0.31-0.48). However, poorer diet quality increased the risk of gestational diabetes mellitus, including a higher dietary inflammatory index (OR: 1.37; 95% CI: 1.21-1.57) and overall low-carbohydrate diets (OR: 1.41; 95% CI: 1.22-1.64). After meta-regression, subgroup, and sensitivity analyses, the results remained statistically significant. Before and during pregnancy, higher diet quality reduced the risk of developing gestational diabetes mellitus, whereas poorer diet quality increased this risk. https://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022372488.

Diagnostic value of interferon-γ release assay in HIV-infected individuals complicated with active tuberculosis: a systematic review and meta-analysis.

Although the interferon-γ release assay (IGRA) has become a common diagnostic method for tuberculosis, its value in the diagnosis of tuberculosis in human immunodeficiency virus (HIV) seropositive patients remains controversial. Therefore, this systematically reviews the data for exploring the diagnostic value of IGRA in HIV-infected individuals complicated with active tuberculosis, aiming to provide a clinical basis for future clinical diagnosis of the disease. Relevant studies on IGRA for diagnosing tuberculosis in HIV-infected patients were comprehensively collected from Excerpta Medica Database (EMBASE), Medline, Cochrane Library, Chinese Sci-tech Periodical Full-text Database, Chinese Periodical Full-text Database, China National Knowledge Infrastructure (CNKI) and China Wanfang Data up to July 2020. Subsequently, Stata 15.0, an integrated statistical software, was used to analyse the sensitivity, specificity, diagnostic odds ratio (DOR), positive likelihood ratio (PLR) and negative likelihood ratio (NLR) to create receiver operator characteristic (ROC) curves. A total of 18 high-quality articles were selected, including 20 studies, 11 of which were related to QuantiFERON-TB Gold In-Tube (QFT-GIT) and nine to T-SPOT.TB. The meta-analysis indicated that the pooled sensitivity = 0.75 (95% CI 0.63-0.85), the pooled specificity = 0.82 (95% CI 0.66-0.92), PLR = 4.25 (95% CI 1.97-9.18), NLR = 0.30 (95% CI 0.18-0.50), DOR = 14.21 (95% CI 4.38-46.09) and the area under summary ROC curve was 0.85 (95% CI 0.81-0.88). IGRA has a good diagnostic value and therefore can aid in the preliminary screening of active tuberculosis in HIV-infected individuals. Its diagnostic effectiveness can be improved by modifying and optimizing the assay design.

Intravesical gemcitabine versus mitomycin for non-muscle invasive bladder cancer: a systematic review and meta-analysis of randomized controlled trial

BackgroundMitomycin (MMC) has been frequently used as the compound for intravesical treatment. The relatively new pyrimidine analog gemcitabine (GEM) has exhibited anticancer effect on various solid cancers, such as the advanced bladder cancer. In this study, the GEM and MMC in treating non-muscle invasive bladder cancer (NMIBC) cases was compared through systemic review.MethodsIn accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, the electronic databases, including Embase, PubMed, Chinese biomedicine literature database, the Cochrane Library, the National Institute for Health and Clinical Excellence, NHS Evidence, Chinese technological periodical full-text database, and Chinese periodical full-text database, were systemically reviewed from inception to October 2018. Then, the RevMan 5.0 software was applied for data analysis. Five randomized controlled trials (RCTs) involving a total of 335 patients were included.ResultsFor MMC group, the recurrence rate in the mitomycin arm increased compared with that in GEM group (OR = 0.44 95% CI [0.24, 0.78]), and the difference was statistically significant between the two groups. GEM was associated with reduced incidence of chemical cystitis compared with that of MMC (OR = 0.23 95% CI [0.12, 0.44]). Differences in hematuria (OR = 0.46 95% CI [0.16, 1.31]), skin reaction (OR = 0.49 95% CI [0.14, 1.70]) and liver and kidney function damage (OR = 0.51 95% CI [0.09, 2.85]) displayed no statistical significance between the two groups.ConclusionFindings in our study demonstrate the superior efficacy of GEM over MMC in reducing the relapse rate among NMIBC patients following transurethral resection (TUR). In addition, GEM is associated with reduced local toxic effects on the bladder compared with those of MMC. However, more future studies are needed to examine GEM safety when used as the monotherapy or polytherapy for bladder patients. More RCTs with high quality are also required to validate our findings due to the limitations of the current meta-analysis.

Meta analysis of the clinical effect of sulfasalazine combined with probiotics on the treatment of inflammatory bowel disease

Objective To evaluate the clinical efficacy of domestic sulfasalazine (SASP) combined with probiotics on the treatment of inflammatory bowel disease (IBD). Methods According to the search of Chinese periodical full-text database, PubMed and other Chinese databases as well as English databases, the cases of IBD treated with SASP combined with probiotics or metronidazole in China were collected and screened for randomized controlled trials (RCT). The results between combined group and control group were compared using odds ratio (OR) and 95% Confidence Interval (CI) indicates. The evaluation indicator was the remission rate. According to the inclusion and exclusion criteria, the literature was selected, and data was extracted. Quality assessment of the included methodologies was performed, and RevMan 5.3 software was used for meta-analysis. Results 26 studies including a total of 2 403 patients were adopted in the present study. Among them, 13 studies suggested that the remission rate of IBD in SASP combined with probiotics group was significantly improved compared with that in the SASP group alone (χ2=10.29, df=12, I2=0%, P<0.05, the effect model OR=3.70, 95% CI as 2.62-5.21), demonstrating that the combined treatment was superior to monotherapy in IBD. 10 studies suggested that the remission rate of ulcerative colitis (UC) in SASP combined with probiotics group was significantly improved compared with that in the SASP group alone (χ2=2.59, df=9, I2=0%, P<0.05, the effect model OR=3.84, 95% CI as 2.52-5.86), demonstrating that the combined treatment was superior in UC. The other 3 studies showed that the remission rate of UC with infection in SASP combined with probiotics group was significantly improved compared with that in SASP combined with metronidazole group (χ2=0.07, df=2, I2=0%, P<0.05, the effect model χ2=4.77, 95% CI as 2.27-10.02), demonstrating that treatment of SASP combined with probiotics was superior in UC with infection. Conclusions SASP combined with probiotics can improve the effective response rate in the treatment of IBD. Key words: Sulfasalazine; Probiotics; Inflammatory bowel diseases; Colitis, ulcerative; Meta-analysis

PMU67 - Analysis of the Application Status of Quality of Life Scale Based on Traditional Chinese Medicine Theory in Chronic Hepatitis in China

To understand the application status of quality of life (QOL) scales based on Traditional Chinese Medicine (TCM) theory in the field of chronic hepatitis in China. Researching “TCM", "Symptoms", "Quality of Life" and "Chronic Hepatitis" in Chinese periodical full-text database, CNKI, Wanfang, CQVIP and China Biomedical Literature Database. The search period is as of December 2017 (no starting date). Finally, there were 50 valid literature were selected. The main diseases of concern were chronic hepatitis B (30, 60%) and cirrhosis (12, 24%). There were 32 articles (64%) analyzed the development process and applicability of TCM QOL scale,11 (22%) were single evaluation of the literature on QOL of patients during studies conducted, and only 7 (14%) evaluated the impact of interventions on patient QOL. In the aspect of using the QOL scale, 35 articles (70%) used only the QOL scale based on TCM theory,7 articles (14%) also used SF-36, 6 articles (12%) additionally used the CLDQ scale, and only 2 articles (4%) used mental health measurement scale(SAS, SDS) simultaneously. These articles involved 27 QOL scales based on TCM theory, chronic hepatitis B(16, 59.26%), cirrhosis of liver (8, 29.63%) and chronic hepatitis C (3, 11.11%). TCM symptom scales (28 times, 56%) have higher application frequency, the next are The Chronic Hepatitis B Patients PRO scale (TCHB - PRO) (5 times, 10%), TCM liver disease PRO scale (4 times, 8%), Chronic Hepatitis B Chinese characteristics PRO scale (3 times, 6%), etc. The QOL scale developed on the basis of TCM theory of liver disease has gradually increased. But there are still many problems, such as not so standardized scale development program, mainly TCM syndromes, and less involved psychological and social support. The existing scales are mostly non-preference-based scales that could not be used for cost-utility analysis (CUA) of different interventions.

Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis

BackgroundThe aim of this study was to compare the outcomes of static versus articular spacers in two-stage reimplantation for the treatment of infected total knee arthroplasty (TKA).MethodsThe literature regarding the articulating and static spacers for treating infected TKA were searched in PubMed, Embase, Cochrane Library, Chinese Periodical Full-Text Database of CNKI, and Wanfang database. Data were extracted according to the inclusion and exclusion criteria and analyzed by Review Manager 5.3.ResultsTen studies were included to this meta-analysis (nine retrospective studies, one prospective study) according to the principle of PICOS. There was no significant difference regarding the eradication rate (P = 0.28) and the American Knee Society knee score (KSS) pain score (P = 0.11) between the articulating and static spacers in the two-stage revision surgery. There was no significant difference regarding quadriceps femoroplasty and tibial tubercle osteotomy between the two groups (P = 0.50). The knee range of motion (ROM), Hospital for Special Surgery (HSS) score, and KSS function score in the articulating group were significantly higher than those in the static group (P < 0.00001).ConclusionArticulating spacers can provide better ROM and knee function scores after revision surgery when compared to static spacer while not compromising the infection eradication rate, soft tissue contracture during exclusion period, and knee pain scores.

Meta-analysis of health education in patients with PICC intubation

Objective To evaluate the application effect of domestic health education on patients with PICC insertion. Methods We retrieved the China biology medicine database (CBM), CQVIP Chinese science and technology journal full-text database and Chinese periodical full-text database, collecting all the research materials about health education in patients with PICC catheter published in China from 2000 to 2014.Performing meta-analysis by RevMan 5.0. Results Sixteen randomized controlled trials and 2 404 patients had been incorporated into this project, including 1 215 cases in health education group, 1 189 cases in control group. The results of Meta analysis showed that there was statistically significant difference between the health education group and control group in health education success rate, patients′ satisfaction, quality of life, catheter complications and catheter in dwelling time (P<0.05). Conclusions Health education can reduce the incidence of the complications of PICC catheter, extend the catheter indwelling time, improve the quality of life of patients, and improve the control rate of health education and satisfaction of patients. Key words: Health education; PICC; Meta-analysis

The Chinese Periodical Full-Text Database (1911–49): searching the literature of the Republic of China

The Chinese Periodical Full-Text Database (1911–49): searching the literature of the Republic of China

Clinical features of drug-induced liver injury: a review of Chinese literatures 2007–2011

Objective To analyze the clinical characteristics of drug-induced liver injury(DILI) from Chinese literatures published in Chinese Periodical Full-text Database (CNKI) from 2007 to 2011. Methods Using drug-induced liver injury as key words, the literatures in CNKI were searched, and the data of age, gender, medication, clinical manifestation and prognosis were analyzed. Results In search of CNKI, 281 literatures were collected; finally 111 relevant papers were obtained. Total 10 693 cases of DILI were included with a male/female ratio of 1.14∶1 and a mean age of 45.6 y ranging from 7 months to 93 y. Among 1093 cases with the age grouped, the highest incidence of DILI was in age 41-60 y(38.52%)and 20.68% patients were over 60 y. Among 6592 cases with clinical manifestation recorded, 43.51% patients were asymptomatic and abnormal liver function was detected in health check-up; and others presented non-specific gastrointestinal symptoms, including fatigue, nausea, vomiting and jaundice. In 9340 cases with medication recorded, the 6 most common drugs inducing DILI were antituberculotics (32.74%), Chinese herbs(22.12%), antibiotics(9.18%), antineoplastics(6.34%), NSAIDs (4.80%)and antithyroid drugs(4.37%). The most common type of toxicity was hepatocellular injury(63.66%, 4438/6971). In general the prognosis was good with a fatality rate of 1.67%. Conclusions Antituberculotics and Chinese herbs are the main causes of DILI. Some DILI patients have occult onset and others have nonspecific gastrointestinal symptoms. Most patients have good prognosis if they are treated timely. Key words: Hepatitis, chronic, drug-induced; Review literature; Retrospective studies

Meta-analysis of effect of n-3 long-chain polyunsaturated fatty acid supplementation of pregnant women on head circumference of newborn infants

To evaluate systematically the effect of n-3 long-chain polyunsaturated fatty acid (n-3 LC-PUFA) supplementation of pregnant women on head circumference of newborn infants. A thorough literature search was done for full texts which studied the effect of n-3 LC-PUFA supplementation of pregnant women on head circumference of newborn infants among PubMed, Cochrane Library, Chinese periodical full text database and Wanfang database using the mesh terms as n-3, long chain polyunsaturated fatty acids, DHA, EPA, docosahexaenoic acid, eicosapentaenoic acid, fish oil, pregnancy, infant. Only randomized controlled trials were chosen for analysis. A total of 74 relevant articles were selected. RevMan 5.0 software was used to perform the Meta analysis on those valid studies. Weighted mean difference was calculated with inverse variance method. The sensitivity analysis was also performed. Eight articles met the inclusion criteria, among which 6 literatures were from developing countries and the other 2 from developed countries. All of them were written in English. These studies were reported from 2001 to 2011. Intervention group included 871 objects with n-3 LC-PUFA supplementation, whereas control group included 894 objects with placebo or no supplementation. Supplementation was associated with significantly greater head circumference of the infants in the intervention group than that of the control group (weighted mean difference was 0.17 cm, 95%confidence interval (CI) was 0.01 - 0.32 cm, P < 0.05). But the difference was no long significant according to the sensitivity analysis (weighted mean difference was 0.16 cm, 95%CI was -0.01 - 0.34 cm, P = 0.07). The funnel plot was symmetrical, indicating there was no publication bias between the eight studies. It can't be confirmed whether supplementation with n-3 LC-PUFA of pregnant women can increase the infants' head circumference at birth from present data acquired.