Formulation of international standards of Chinese medicine technology:clinical practice guide of Chinese medicine for cough

OBJECTIVE:To formulate the first clinical practice guideline for the treatment of cough using Chinese medicine based on the grading of recommendations assessment,development,and evaluation(GRADE)systematic approach,including clinical evidence,evaluation of ancient literature,and expert consensus.METHODS:In the process of development,the regulation of"evidence-based,consensus-assisted,and empirical"was followed,and a comprehensive systematic approach of recommendation assessment,GRADE,evidence-based evaluation,expert consensus,and the Delphi method was used.In the process of guideline development,evidence-based evaluation of ancient literature was included for the first time,and clinical evidence was fully integrated with clinical expert consensus.RESULTS:The clinical practice guidelines for the treatment of cough with Chinese herbal medicine were developed after a comprehensive consideration of evidence-based evaluation and expert opinions.The guideline recommendations focused on recommending herbal compound decoctions and Chinese patent medicines for cough in different conditions.Based on the GRADE systematic approach,we conducted an evidence-based evaluation of the recommended Chinese patent medicines one by one;meanwhile,the expert consensus method was used to unify the recommendations of both.CONCLUSION:Based on clinical evidence,ancient literature evaluation,and expert consensus,a clinical practice guideline for Traditional Chinese Medicine(TCM)in the treatment of cough was developed,providing the first current clinical practice guideline for domestic and foreign TCM and Western medicine practitioners,especially respiratory professionals at home and abroad.

The ethics of exercise in eating disorders:Can an ethical principles approach guide the next generation of research and clinical practice?

1.Introduction Eating disorders(ED)are the most common psychiatric disorders afflicting young women^1 and contribute to great detriments in psychological,social,and physical health.^(2,3)Unfortunately,ED treatments tend to be long lasting,intensive,and expensive.~4Additionally,individuals with ED seeking treatment use healthcare services more frequently than non-ED individu-

A simple practical balloon anchoring technique within the guide catheter for chronic total occlusion (CTO) of the coronary artery

Dear Editor： Chronic total occlusions （CTOs） of the coronary artery are commonly encountered complex lesionst11. Percutaneous coronary intervention （PCI） for CTO is technically challenging due to low procedural success ratesTM. Microcatheter is one of the important devices for treatment of CTOTM. It has been widely used attributed to the excellent crossability whenever angula- tion and tortuousity of the coronary artery is encoun- tered. In the process, the microcatheter has to be withdrawn from the guide wire after the wire is proved to locate in the true lumen.

A brief introduction of the pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) project

Because of the Iong-term and phased nature of tumor's treatment,most tumor patients need to survive with can cer for a long time.The remote man ageme nt of tumor-related symptoms has become a problem that needs to be solved urgently in the clinic.However,due to the lack of releva nt guida nce and specificati ons,the remote man ageme nt of tumor symptoms in Chi na still faces many obstacles.Learning from mature and successful tumor symptom remote man ageme nt projects abroad is the only way to improve Chi na's remote man ageme nt n orms.Therefore,this article will introduce the Canadian tumor symptom remote management project and its constipation symptom management guide,and provide a guide for the development of tumor symptom remote management projects in China reference.

Obesity and weight management:What can we do as gastroenterologists?

Obesity is a chronic,relapsing,multifactorial pandemic defined as the excessive or abnormal accu・mulation of body fat due to genetic,biological,microbial,and environmental factors that promote a positive energy balance mainly associated with increased intake and reduced consumption.1-3 Obesity is the consequence of enormous multisystem disorders,in eluding cardiovascular disease,4 type 2 diabetes,5 tumors,&sleep apnea,7-10 etc.,significantly increases mortality rate,11-13 and accounts for substantial elevation in health expenditures.14 Compared with Western countries.