To identify a safe and effective Impaired Glucose Tolerance (IGT) intervention program using Traditional Chinese Medicine (TCM) supported by Standard Health Care Advice (SHCA) for the evidence-based TCM intervention in IGT and evidence-based prevention of type 2 diabetes. A total of 510 IGT patients were randomly assigned into either control or TCM intervention group (255 patients for each group). The control group received standard health care according to SHCA. The intervention group also received TCM intervention in addition to standard health care. The study was conducted over a three-year follow-up. At the end of three years follow-up, accumulative incidence and average annual incidence rate of diabetes in the control group was 43.86% and 14.62% respectively. Accumulative incidence and average annual incidence rate of diabetes in the TCM intervention group was 22.17% and 7.39% respectively. Compared with the control treatment, TCM intervention can reduce the relative risk of IGT patients progressing to type 2 diabetes by 49.45% and absolute risk by 21.69%. In the TCM intervention group, oral glucose tolerance test (OGTT), 2 h glucose, glycated hemoglobin, insulin resistance and body mass index were all significantly improved when compared to the control group. No significant side effect was observed during the follow-up in the TCM group. The SHCA-supported TCM intervention can reduce the conversion rate of IGT to diabetes and improve insulin resistance; therefore, it is a safe and effective IGT intervention strategy.
Traditional Chinese medicine (TCM) has a history of over 2000 years in treating infectious diseases, among which the clinical treatment of the common cold (colds) and influenza (flu) is the most widespread and well-established. It is difficult to tell the difference between a cold and the flu based on the symptoms alone. The flu vaccine protects against influenza, but there is no vaccine or specific medication to protect against the common cold. Due to the lack of a reliable scientific basis, TCM has not received sufficient attention in Western medicine. Therefore, we systematically evaluated the scientific evidence proving the efficacy of TCM intervention in treating colds for the first time by examining theoretical principles, clinical research, and pharmacological perspectives, as well as the mechanisms behind this efficacy. In TCM theory, there are four important external environmental factors that may cause a cold, which are called “cold, heat, dryness, and dampness”. The scientific basis for this theory has been described and will help researchers to understand and recognize its importance. The results of the systematic review of high-quality randomized controlled clinical trials (RCTs) have shown that TCM is effective and safe for the treatment of colds. Therefore, TCM might be used as a complementary or alternative approach to cold treatment and management. Some clinical trials have demonstrated that TCM may have potential therapeutic effects in preventing colds and treating their sequelae. However, more high-quality, large-scale randomized controlled trials should be conducted in the future for further verification. Pharmacological studies have shown that active ingredients extracted from TCM for treating colds have antiviral, anti-inflammatory, immune-regulating, and anti-oxidative properties. We expect that this review will guide the optimization and rationalization of TCM clinical practice and scientific research in the treatment of colds.
The use of sequential analysis in clinical rehabilitation research allows a spectrum of analyses in the comparison of two or more treatment protocols. Researchers in rehabilitation medicine are increasingly making use of sequential designs in their clinical investigations. This review serves to highlight the optimal use of the classical sequential designs presented by Armitage and Bross in the mid-twentieth century. A discussion of the limitations of this most basic sequential analysis is presented for the information of clinical researchers considering this study design. Examples of the use of classical and group sequential designs addressing both continuous and dichotomous outcomes are provided, and the advantages and disadvantages of classical and group sequential procedures as compared to fixed sample designs are illustrated with rehabilitation examples. As little literature has been published regarding the application of sequential analysis in clinical rehabilitation trials, clinical pharmacological, and medical trials in addition to medical statistical sources were used in this review.
This article deals about the Government Perspective on the Life Science in Taiwan.
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Traditional Chinese medicine (TCM) plays an active role in the prevention and control of COVID-19 epidemic. Currently, there are many TCM intervention programs for the COVID-19 infections, and the clinical effect is better. However, there are some problems in the design of actual clinical programs. This paper analyzes the advantages and disadvantages of various TCM interventions for the COVID-19 infection from the perspective of scientific and clinical research. We can scientifically use the TCM theory to guide and design clinical research, and come up with real data and treatment, to provide new models and explorations for the research of the modernization of Chinese medicine.
This chapter covers the statistical techniques using linear regression for quantitative outcomes, logistic regression for qualitative outcomes and Cox regression for time-to-event outcomes. Examples of result interpretation and presentation by means of tables for univariate and multivariate analyses were shown.
Objective: To evaluate the therapeutic effect of Bufeiyishen Granule on chronic obstructive pulmonary disease (COPD) through clinical and experimental studies.
Methods: In the clinical study, 62 stable COPD patients were divided into treatment group and control group, treated for six months, and observed for changes of lung function and number of acute exacerbation. In the experimental study, 105 rats were randomly divided into seven groups (control group, stable model group, acute exacerbation model group, high-dose group, low-dose group, Flumucil group, and Yupingfeng group), and measured for routine blood test, artery blood gas, bronchoalveolar lavage fluid (BALF), lung function, pathological changes and matrix metalloproteinases (MMPs) at measurement points.
Results: In the clinical study, forced expiratory volume in one second, maximum mid-expiratory flow rate, peak expiratory volume and FEV1% were increased significantly (p < 0.05, p < 0.01), and the number of acute exacerbations was remarkably decreased (p < 0.01) in treatment group, but no obvious changes were found in control group. The experimental study showed higher leukocyte and neutrophil counts in the peripheral blood, bronchial BALF in the acute exacerbation model group, together with elevated levels of blood gas PaCO2, MMP-9 and MMP-2, and worse lung function and blood gas PaO2 as compared to the control and stable model groups; the low-dose group could improve the above changes.
Conclusion: Bufeiyishen Granule could improve the lung function in stable COPD patients and decrease the number of acute exacerbation. Animal models of stable COPD and acute exacerbation state were successfully created. Bufeiyishen Granule could also improve the changes of MMPs in COPD.
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