Objective:To systematically review the efficacy and clinical safety of Qizhi Weitong Granules(气滞胃痛颗粒)(QZWT)in the treatment of irritable bowel syndrome with predominant constipation(IBS-C).Methods:Randomized con...Objective:To systematically review the efficacy and clinical safety of Qizhi Weitong Granules(气滞胃痛颗粒)(QZWT)in the treatment of irritable bowel syndrome with predominant constipation(IBS-C).Methods:Randomized controlled trials(RCTs)of QZWT in patients with IBS-C were retrieved from Pub Med,EMBASE,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),and Chinese Biological Medical Database(CBM)from inception to December 3,2022.Conventional meta-analysis with random-effects model or fixed-effects model and trial sequential analysis(TSA)were performed by Review Manager 5.4,Stata and TSA software.Results:A total of 4 RCTs and 368 patients with IBS-C were included in this study.The findings of the meta-analysis indicated that the cure and efficacy rate of the experimental group was significantly higher than that of the control group[RR=2.19;(95%CI,1.35–3.55),P<0.01;RR=1.14;(95%CI,1.03–1.27),P<0.05],while the result of Bristol Score was negative.The funnel plot was probably symmetry,and the P value was>0.05 in the Egger test,which confirmed the nonexistence of significant publication bias in this outcome.TSA showed the cumulative z-value crossed the traditional threshold and TSA threshold,while it didn't get to the required information size.Finally,2 studies reported adverse events after QZWT treatment,including 3 cases of diarrhea.No serious adverse events were reported.Conclusion:QZWT was an effective and safe complementary therapy in the treatment of IBS-C with no obvious adverse reactions.TSA analysis confirmed our meta-analysis results.Therefore,QZWT may be a potential candidate for the treatment of IBS-C.However,due to the limited quality of current studies,more long-term,randomized,double-blinded clinical trials are needed in future studies.展开更多
物种分布与环境因子之间存在着紧密的联系,因此利用环境因子作为预测物种分布模型的变量是当前最普遍的建模思路,但是绝大多数物种分布预测模型都遇到了难以解决的"高维小样本"问题。该研究通过理论和实践证明,基于结构风险...物种分布与环境因子之间存在着紧密的联系,因此利用环境因子作为预测物种分布模型的变量是当前最普遍的建模思路,但是绝大多数物种分布预测模型都遇到了难以解决的"高维小样本"问题。该研究通过理论和实践证明,基于结构风险最小化原理的支持向量机(Support vector machine,SVM)算法非常适合"高维小样本"的分类问题。以20种杜鹃花属(Rhododendron)中国特有种为检验对象,利用标本数据和11个1km×1km的栅格环境数据层作为模型变量,预测其在中国的潜在分布区,并通过全面的模型评估——专家评估,受试者工作特征(Receiver operator characteristic,ROC)曲线和曲线下方面积(Area under the curve,AUC)——来比较模型的性能。我们实现了以SVM为核心的物种分布预测系统,并且通过试验证明其无论在计算速度还是预测效果上都远远优于当前广泛使用的规则集合预测的遗传算法(Algorithm for rule-set prediction,GARP)预测系统。展开更多
基金supported by National Natural Science Foundation of China:International (regional)cooperation and exchange project (81820108033)China Academy of Chinese Medical Sciences Youth Talent Project (ZZ14-YQ-020)。
文摘Objective:To systematically review the efficacy and clinical safety of Qizhi Weitong Granules(气滞胃痛颗粒)(QZWT)in the treatment of irritable bowel syndrome with predominant constipation(IBS-C).Methods:Randomized controlled trials(RCTs)of QZWT in patients with IBS-C were retrieved from Pub Med,EMBASE,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),and Chinese Biological Medical Database(CBM)from inception to December 3,2022.Conventional meta-analysis with random-effects model or fixed-effects model and trial sequential analysis(TSA)were performed by Review Manager 5.4,Stata and TSA software.Results:A total of 4 RCTs and 368 patients with IBS-C were included in this study.The findings of the meta-analysis indicated that the cure and efficacy rate of the experimental group was significantly higher than that of the control group[RR=2.19;(95%CI,1.35–3.55),P<0.01;RR=1.14;(95%CI,1.03–1.27),P<0.05],while the result of Bristol Score was negative.The funnel plot was probably symmetry,and the P value was>0.05 in the Egger test,which confirmed the nonexistence of significant publication bias in this outcome.TSA showed the cumulative z-value crossed the traditional threshold and TSA threshold,while it didn't get to the required information size.Finally,2 studies reported adverse events after QZWT treatment,including 3 cases of diarrhea.No serious adverse events were reported.Conclusion:QZWT was an effective and safe complementary therapy in the treatment of IBS-C with no obvious adverse reactions.TSA analysis confirmed our meta-analysis results.Therefore,QZWT may be a potential candidate for the treatment of IBS-C.However,due to the limited quality of current studies,more long-term,randomized,double-blinded clinical trials are needed in future studies.
文摘物种分布与环境因子之间存在着紧密的联系,因此利用环境因子作为预测物种分布模型的变量是当前最普遍的建模思路,但是绝大多数物种分布预测模型都遇到了难以解决的"高维小样本"问题。该研究通过理论和实践证明,基于结构风险最小化原理的支持向量机(Support vector machine,SVM)算法非常适合"高维小样本"的分类问题。以20种杜鹃花属(Rhododendron)中国特有种为检验对象,利用标本数据和11个1km×1km的栅格环境数据层作为模型变量,预测其在中国的潜在分布区,并通过全面的模型评估——专家评估,受试者工作特征(Receiver operator characteristic,ROC)曲线和曲线下方面积(Area under the curve,AUC)——来比较模型的性能。我们实现了以SVM为核心的物种分布预测系统,并且通过试验证明其无论在计算速度还是预测效果上都远远优于当前广泛使用的规则集合预测的遗传算法(Algorithm for rule-set prediction,GARP)预测系统。
