Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis

Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy (4). The key to effectively treating SHS is believed to be an expert multidisciplinary team that provides individualized therapy (5). There is a wide range of treatment options available to help manage post-stroke SHS, including physical therapy, medications, regional anesthesia techniques and neuromodulation. However, there is insufficient evidence to support their efficacy (5). Acupuncture, one of the most popular traditional Chinese medicine therapies, has been widely used in the clinical management of stroke (6). Several systematic reviews have assessed its efficacy for improving stroke rehabilitation using outcomes in motor function recovery and disability, but results are inconsistent (7–11). Three reviews published before 2010 showed acupuncture did not improve motor function or depe...
Source: Frontiers in Neurology - Category: Neurology Source Type: research

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ConclusionThis review shows that CAM may be useful for ALS treatment, but more evidence regarding the efficacy and molecular mechanisms is required to establish CAM as a good therapy for the treatment of ALS patients.
Source: Integrative Medicine Research - Category: Complementary Medicine Source Type: research
ConclusionResearch-related curricular interventions in the Chinese medicine field should directly address model validity, as it is of significant interest to a majority of students.
Source: Integrative Medicine Research - Category: Complementary Medicine Source Type: research
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Source: Reports of Practical Oncology and Radiotherapy - Category: Cancer & Oncology Source Type: research
ConclusionThese findings suggest that targeted research and interventions are necessary to address the specific needs of rural lymphoma patients and survivors. To address the disparity in health outcomes within rural populations, health care professionals and investigators can utilize these data to engage rural patients in treatment decision-making and research planning.
Source: Clinical Lymphoma Myeloma and Leukemia - Category: Cancer & Oncology Source Type: research
ConclusionThe present findings suggest that alterations in gastric cancer leading to ENE are not associated with alterations underpinning the molecular subgroups. Nonetheless, molecular subtyping on the basis of IHC and ISH is feasible and might become clinical routine. Thus, further studies are needed to clarify the mechanisms of extranodal extension in gastric cancer.
Source: Journal of Cancer Research and Clinical Oncology - Category: Cancer & Oncology Source Type: research
Publication date: Available online 18 October 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Jean-Stéphane David, Kenji Inaba
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
Publication date: Available online 18 October 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Onur Koyuncu, Sedat Hakimoğlu, Sibel Tugce Polat, Merve Yazıcı Kara
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Publication date: Available online 18 October 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Anthony J. Wilson, Sandeep NayakAbstractMedical devices are one way by which healthcare-associated infections can be transmitted. Medical equipment can be categorized based on its risk of spreading infection and these categories aid decisions about whether to decontaminate or dispose of a used medical device. Decontamination is the process by which a reusable device is rendered safe for further use through cleaning and either disinfection or sterilization. It is frequently an automated process which usually involves...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
Publication date: Available online 18 October 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Nithin Abraham Raju, Ryan Hughes, Matthew J. BrainAbstractQuantitative physicochemical models of human acid–base physiology filled a void between clinical acid–base analysis and general fluid physiology. Established approaches centred on the Henderson–Hasselbalch (HH) equation allow satisfactory bedside exploration of respiratory perturbations, but do not fully elucidate mechanisms of common non-respiratory ‘metabolic’ components. Though useful at the bedside, commonly used ‘rules...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
In this study, seven solutions, i.e., GPS-only (G), GLONASS-only (R), BDS-only (C), GPS+BDS (GC), GPS+ GLONASS (GR), GLONASS+BDS (RC), GPS+GLONASS+BDS (GRC), are used to test the regional ionosphere modeling over the experimental area. Moreover, the performances of them using single-frequency precise point positioning (SF-PPP) method are presented. The experimental results indicate that BDS has the same ionospheric monitoring capability as GPS and GLONASS. Meanwhile, multi-GNSS observations can significantly improve the accuracy of the regional ionospheric models compared with that of GPS-only or GLONASS-only or BDS-only, ...
Source: Advances in Space Research - Category: Science Source Type: research
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