Активность
-
orderpoppy4: новый статус 2 days, 22 hours назад
, and as such it is worthy of clinical promotion.
The purpose of this study was to identify the optimal treatment plan for hospitalized patients with community-acquired pneumonia (CAP) by evaluating related studies on combination therapies of β-lactams/macrolides (BLM) and β-lactams/fluoroquinolones (BLFQ) in the treatment of CAP.
A meta-analysis was performed on studies with mortality rates as the main result using PubMed, Scopus, Cochrane, and other journal databases. The literature was evaluated using GRADE and MiNORS.
A total of 17 studies were included. Various studies included the effects of combination therapy and mortality rates of β-lactam, fluoroquinolones and macrolides. compound 991 cost The quality of currently available evidence was low. In the preliminary data analysis, the mortality rate of BLFQ was higher than that of BLM (RR = 1.33, 95% CI 1.15-1.54, I
= 28%). No difference was observed in patients with bacteremia and septic shock. In a meta-analysis with adjusted mortality rates, no significant difference was shown in two therapies (RR = 1.26, 95% CI 0.95-1.67, I
= 43%).
The related studies on the relative effects of BLFQ and BLM therapies in the treatment of CAP hospitalized patients have low-quality evidence. The current data indicate that BLFQ combination therapy is associated with higher mortality rates.
The related studies on the relative effects of BLFQ and BLM therapies in the treatment of CAP hospitalized patients have low-quality evidence. The current data indicate that BLFQ combination therapy is associated with higher mortality rates.
The purpose of this study was to evaluate the effect of non-steroidal anti-inflammatory drugs (NSAIDs) on the recurrence risk of colorectal adenomas through a meta-analysis of published studies.
A meta-analysis was performed to evaluate the effect of NSAIDs on the incidence rates of colorectal adenomatous polyps, using PubMed, Ovid, Elsevier, and other journal databases. Data were processed using Review Manager 5.3 and random errors were calculated using trial sequential analysis (TSA).
A total of 8 studies published between 2003 and 2014 were selected. In the data collected, the patients on long-term usage of low-dose NSAIDs were shown to have significantly lower risk of colorectal adenoma compared with those on placebos (RR=0.80, 95% CI=0.70-0.92), with relatively low random errors. Long-term usage of low-dose NSAIDs was also found to have inhibitory effects on advanced adenomas (RR=0.66, 95% CI=0.44-0.99), but with relatively high random errors. Besides, high-dose NSAIDs were also shown to have inhibitory but inconsistent effects on adenomas and advanced adenomas (RR=0.66, 95% CI=0.59-0.72), and the withdrawal was associated with increased risks of the disease.
These results suggest that low-dose NSAIDs have an inhibitory effect on recurrent adenomas, but the efficacy for late-stage adenomas remain inconclusive. The withdrawal of the drug might be associated with increased risks of the disease.
These results suggest that low-dose NSAIDs have an inhibitory effect on recurrent adenomas, but the efficacy for late-stage adenomas remain inconclusive. The withdrawal of the drug might be associated with increased risks of the disease.
A meta-analysis of the screened data was performed to investigate the survival status of patients with second primary non-small cell lung cancer (SPNSCLC) after pulmonary lobectomy and partial pulmonary lobectomy, and assess the applicability of such option in the treatment of such disease.
Based on the databases of PubMed, Ovid, and CNKI, relevant reports on postoperative survival of patients with SPNSCLC were obtained, and the information, including authors, publication year, research type, tumor staging, tumor diameter, surgical options, reasons for resection, and overall survival (OS), was extracted. The data were analyzed using Review Manager 5.3.
A total of 11 studies published from 2010 to 2017 were collected. Patients with SPNSCLC were mainly in stage Ia and Ib, 51.4% of whom underwent pulmonary lobectomy and 34.7% of whom underwent partial pulmonary lobectomy. The analysis results showed that after the second lobectomy, the mortality rate of the patients undergoing intensive surgery was 8%, the incidence of postoperative complications was 29%, and the 5-year OS rate was 53% after the second lobectomy for patients with SPNSCLC.
The survival rate of patients with SPNSCLC is lower than that of patients with early lung cancer. In view of this, surgical resection is feasible. There are remarkable differences between pulmonary lobectomy and partial pulmonary lobectomy.
The survival rate of patients with SPNSCLC is lower than that of patients with early lung cancer. In view of this, surgical resection is feasible. There are remarkable differences between pulmonary lobectomy and partial pulmonary lobectomy.
To explore the clinical efficacy of rhBNP in patients with acute myocardial infarction (AMI) and heart failure (HF).
A systematic review and a meta-analysis were performed using the
(PRISMA) guidelines. On May 30, 2020, we consulted the electronic databases PubMed, EBSCO, Elsevier, Springer, Wiley, and Cochrane using the keywords “acute coronary syndrome (ACS)”, “brain natriuretic peptide (BNP)”, and “acute myocardial infarction (AMI)”. The quality of the data included in the study was assessed according to the
. The results of the clinical randomized controlled study reports were analyzed using Review Manager 5.1.0.
A total of nine, clinical, randomized, controlled studies were included. The effective rate in the rhBNP group was significantly higher than it was in the control group (Z = 9.50,
< 0.00001). The patients in the rhBNP group showed remarkably shorter hospital stays (Z = 24.43,
< 0.00001) and markedly increased left ventricular ejection fractions (LVEF) (Z = 245.53,
< 0h as hypotension, headaches, low heart rate, and renal insufficiency.
Endometriosis is an illness caused by the presence of foci of endometrial implants outside the uterine cavity. Laparoscopy (minimally invasive surgical method) is considered as the definitive treatment for Endometriosis.
Clinical data from January 2014 till December 2018, between the ages of 20 and 40 years were collected. A total of 175 women with pelvic Endometriosis complicated with infertility, underwent laparoscopy in our hospital, were followed up to assess fertility outcome. We analyzed using univariate logistic regression analysis as well as multivariate logistic analysis.
We analyzed the relationship between them by logistic regression analysis. Univariate logistic regression analysis indicated that the significant factors for influencing pregnancy were the following factors age, infertility types primary or secondary infertility, treatment with Gonadotrophin Releasing Hormone-agonist, r-AFS grade, operative method excision or ablation. And multivariate logistic regression using all the factors also revealed that age, infertility types primary or secondary, treatment with GnRH-a, revised- American Fertility Society grading and operative method excision or ablation were positively correlated and were the significant factors to influence pregnancy outcome.