1.Clinical Efficacy and Effects on Hemorheology of Acupuncture Therapy Combined with Gabapentin in the Treatment of Patients with Tension Headache
Jun ZHU ; Xinrong YE ; Zhiqing ZHUANG ; Weixia GU ; Molan WANG
China Pharmacist 2017;20(2):290-292
Objective:To investigate the clinical efficacy and effects on hemorheology of acupuncture therapy combined with gaba-pentin in the treatment of patients with tension headache. Methods:Totally 92 cases of patients with tension headache were randomly divided into the observation group (n=46) and the control group (n=46) according to the random number table. The control group was given gabapentin, while the observation group was treated with acupuncture therapy on the basis of treatment in the control group. The treatment course was 4 weeks. The clinical efficacy, changes of the headache indices, VAS score and hemorheology levels before and after the treatments in the two groups were compared, and the incidence of adverse reactions was observed as well. Results:The to-tal effective rate of the observation group (93. 48%) was significantly higher than that of the control group (73. 91%, P<0. 05). Af-ter the treatment, the headache indices in both groups significantly decreased (P<0. 05), and the decrease in the observation group was more significant than that in the control group (P<0. 05). The VAS scores in both groups significantly decreased after the treat-ment (P<0. 05), and the decrease in the observation group was more significant than that in the control group (P<0. 05). The plas-ma viscosity, hematocrit and platelet aggregation rate in both groups significantly decreased after the treatment (P<0. 05), and the decrease in the observation group was more notable than that in the control group (P<0. 05). No severe adverse reactions were shown in both groups during the treatment course. Conclusion: Acupuncture therapy combined with gabapentin in the treatment of patients with tension headache shows striking effects, which can improve hemorheology with promising safety and deserves further studies.
2.Global status of Toxoplasma gondii infection: systematic review and prevalence snapshots
Molan, A. ; Nosaka, K. ; Hunter, M. ; Wang, W
Tropical Biomedicine 2019;36(4):898-925
Our group sought to determine the global status of T. gondii infection and to
evaluate any continental and geographical trends by systematically examining the currently
available epidemiological data on the prevalence of T. gondii infection. A comprehensive
literature search was conducted from 10 electronic databases (Google Scholar, Science
Direct, Embase, PubMed, PLOS ONE, Web of Knowledge, SciELO, MyAIS, Free Medical
Journals, and Scopus) without date or language restrictions. Specific medical subject heading
terms were used to search for human T. gondii seroprevalence studies that recruited subjects
from general apparently healthy populations. The data were collated and analysed for both
continental and global trends. The search identified 152 published studies that examined a
total of 648,010 subjects. From these, 166,255 were seropositive for T. gondii infection
indicating an average global seroprevalence rate of 25.7% (95% CI: 25.6 – 25.8%). The overall
range of seroprevalence was determined to be 0.5 – 87.7%. African countries had the highest
average seroprevalence rate of 61.4%, followed by Oceania with 38.5%, South America with
31.2%, Europe with 29.6%, USA/Canada with 17.5%, and Asia with 16.4%. Numerous
environmental and human factors affect the differences in T. gondii seroprevalence rates
observed between the various countries and continents. Monitoring the source and
transmission may assist public health authorities to clarify the risk factors involved, as well
as focus on implementing optimal state-specific health policies targeting T. gondii transmission
control.