Exploring the relationship between glycemic variability and muscle dysfunction in adults with diabetes: A systematic review.

This review is to systematically explore the relationship between muscle dysfunction and diabetes in adults, and to examine the impact of glycemic variability on muscle health and the development of diabetes-related complications. The review was conducted using three databases: MEDLINE, Scopus, and EMBASE, targeting peer-reviewed journal articles written in English and published from January 2014 to September 2024. The methodological quality assessment of the eligible studies was conducted using Joanna Briggs Institute Critical Appraisal Checklists.

Extracorporeal membrane oxygenation in pregnancy and the post-partum period: a systematic review and meta-analysis.

Objective: There is an increase in the application data of Extracorporeal Membrane Oxygenation (ECMO) in perinatal women, particularly since the outbreak of coronavirus disease 2019. Therefore, we reviewed publications on the use of ECMO in pregnant and postpartum women and analyzed the maternal and fetal outcomes, updated the progress of ECMO in perinatal women.

Methods: We conducted a systematic literature search across PubMed, EMBASE, Cochrane Library, and the International Clinical Trials Registry (ICTRP), yielding 30 eligible clinical studies that investigated the application of ECMO during pregnancy.

Effectiveness of using implementation frameworks to facilitate the implementation of a stroke management guideline in the traditional Chinese medicine hospitals in China: protocol for a factorial randomised controlled trial.

Introduction: Traditional Chinese medicine (TCM) is commonly used alongside Western medicine for stroke management in China. However, there is significant variation in TCM practice, and the utilisation of evidence-based clinical practice guidelines is inadequate. This study aims to evaluate the effectiveness of three popular frameworks-Consolidated Framework for Implementation Research (CFIR), Theoretical Domains Framework (TDF) and Normalization Process Theory (NPT)-in improving implementation outcomes for the integrated TCM and Western medicine clinical practice guideline for stroke management.

Estimating wastewater emissions and environmental levels of typical organic contaminants based on regionalized modelling.

Organic contaminants (OCs) are released into the environment through effluent discharges from wastewater treatment plants (WWTP), posing risks to environment health. However, emissions from various source, particularly large-scale investigations across different industries, remain poorly understood. Based on both sampling and statistical data, this study estimates the emissions of 10 OCs, including perfluorooctane acid (PFOA), perfluorooctane sulfonate (PFOS), 4-nonylphenol (4-NP), 4-tert-octylphenol (4-t-OP), dibutyl phthalate (DBP), di-iso-butyl phthalate (DIBP), dimethyl phthalate (DMP), butyl benzyl phthalate (BBP), di(2-ethylhexyl) phthalate (DEHP), and bisphenol A (BPA), from the effluents of 160 factories across 8 industries, 541 municipal wastewater treatment plants (MWWTPs), and 8 waste treatment plants (WTPs) in the upper Yangtze River Basin.