Publications by authors named "Nicola Robinson"

This educational article explores the utility of bibliometrics and altmetrics in evaluating traditional, complementary, and integrative medicine (TCIM) research. We introduce the concept of bibliometrics and altmetrics, provide an overview of the opportunities and challenges in using these analytical techniques, and highlight their future potential in TCIM research. Bibliometrics, based on publication and citation information, offer insights into TCIM research activity, output, scholarly influence, field structure, and collaboration practices.

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Background: Singing bowl has traditionally been utilized to promote healing and relaxation. This systematic review aimed to analyze all available clinical evidence, and determine any beneficial or adverse effects of singing bowl in any population.

Methods: Databases searched included PubMed, Embase, the Cochrane Library, PsyINFO, CINAHL, CNKI, VIP, Wanfang, Sinomed from database inception to July 2024.

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Background: Assisted reproductive technologies (ART) are being increasingly utilized for mitigating fertility problems. Nonpharmacological interventions of traditional Chinese medicine (TCM) are widely used as an adjunct to ART, which may improve the rate of pregnancy. Currently, no standard treatment guidelines or consensus are available for non-pharmacological interventions of TCM for patients undergoing ART.

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Background: Acupressure has been widely used to help people quit for a long time in China. This study explores the feasibility and effects of acupressure on smoking cessation in young smokers with nicotine dependence to inform policy and decision-making.

Methods: This was a single-group study with a pre/posttest design.

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Objectives: To assess the therapeutic effects and safety of Tongxie Yaofang (TXYF) granules vs placebo as an alternative treatment for diarrhoea-predominant irritable bowel syndrome (IBS-D). We hypothesised that TXYF would improve clinical responses among patients with IBS-D.

Design: A randomised, double-blind, placebo-controlled, phase II, superiority trial.

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Background: Chronic coronary syndromes (CCS) is a common clinical condition that increases the risk of cardiovascular events at any time. Tongxinluo capsules (TXL) are widely used in China for treating CCS.

Objectives: To systematically evaluate the therapeutic effects and safety of adding TXL to Western medical treatment (WM) for CCS.

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Shengmai San (SMS) is a traditional Chinese medicine formula used for supplementing and and can mitigate symptoms related to malignant arrhythmia and heart failure. This systematic review aimed at exploring the effectiveness and safety of SMS for viral myocarditis (VMC). Eight databases from their inception to June 2023 were searched to identified randomized controlled trials (RCTs) focusing on SMS for VMC.

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Background: Dachaihu decoction (Dachaihu tang) plays a crucial role in treating acute illnesses. Recently, a significant number of clinical studies on Dachaihu decoction for acute cholecystitis (AC) have been published. This study was conducted to assess the efficacy and safety of Dachaihu decoction in patients with this condition.

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Article Synopsis
  • Cystic fibrosis (CF) is characterized by heightened neutrophil presence in the airways and inefficient apoptosis, prompting the investigation of whether NETosis (a form of neutrophil clearance) plays a significant role in CF lung disease.
  • In a study involving 45 CF and 15 healthy participants, researchers found higher neutrophil counts and abnormal morphology in CF sputum, alongside elevated levels of inflammatory mediators and NETs, indicating a strong link between NETs and airway inflammation.
  • Treatment with DNase reduced sputum NET levels and mitigated the pro-inflammatory effects of NETs in co-culture experiments, highlighting its potential as an anti-inflammatory therapy in CF management.
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  • A comprehensive overview of Cochrane reviews was conducted to assess the effectiveness of various smoking cessation interventions, revealing diverse outcomes across studies.
  • The analysis included 71 reviews and 3022 trials, highlighting pharmacotherapy as a more reliable method for promoting long-term abstinence compared to non-pharmacological therapies, which showed considerable variability in effectiveness.
  • Overall, the methodological quality of the reviews was good, but further research is needed to better understand and integrate non-pharmacological interventions in smoking cessation efforts.
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The aim of the study was to understand healthcare professionals, pharmacists, and patients perspectives and experiences on clinical practice of herb-drug interactions (HDIs). A systematic review of qualitative studies was conduct. 10 electronic databases were searched from inception through September 2023.

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This study aims to understand the impact of early antiretroviral therapy (ART) on HIV-specific T-cell responses measured after treatment interruption, which may inform strategies to deliver ART-free immune-mediated viral suppression. HIV-specific T-cell immunity was analysed using gamma interferon enzyme-linked immunospot assays in two studies. SPARTAC included individuals with primary HIV infection randomised to 48 weeks of ART (n = 24) or no immediate therapy (n = 37).

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Article Synopsis
  • - A scoping review was conducted to analyze existing studies on the effectiveness of acupuncture for infertility, particularly its role in achieving natural conception, focusing on data from multiple databases up to August 2023.
  • - Out of 310 articles reviewed, most studies centered on female infertility, particularly related to conditions like polycystic ovary syndrome and ovulation disorders, with some addressing male infertility.
  • - The meta-analysis indicated that acupuncture showed better results for infertility than the hormone human chorionic gonadotropin (HCG), both alone and in combination, highlighting acupuncture's potential as a treatment option.
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  • The study investigated the efficacy and safety of Shufeng Jiedu (SFJD) capsules for managing mild to moderate COVID-19 symptoms through a randomized, double-blind, placebo-controlled trial conducted in China from May to December 2022.
  • A total of 407 participants completed the trial, with those taking SFJD experiencing faster symptom relief, with a median time of 7 days compared to 8 days for the placebo group.
  • The SFJD group also showed significant reductions in fever and headache symptoms, and no serious adverse events occurred during the trial.
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Acidification of the airway surface liquid in the respiratory system could play a role in the pathology of Cystic Fibrosis, but its low volume and proximity to the airway epithelium make it a challenging biological environment in which to noninvasively collect pH measurements. To address this challenge, we explored surface enhanced Raman scattering microsensors (SERS-MS), with a 4-mercaptobenzoic acid (MBA) pH reporter molecule, as pH sensors for the airway surface liquid of patient-derived in vitro models of the human airway. Using air-liquid interface (ALI) cultures to model the respiratory epithelium, we show that SERS-MS facilitates the optical measurement of trans-epithelial pH gradients between the airway surface liquid and the basolateral culture medium.

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Article Synopsis
  • Acupuncture and related therapies have been used for smoking cessation, and a review seeks to update and summarize the evidence from systematic reviews (SRs) and randomized controlled trials (RCTs).
  • A total of 13 SRs and 20 additional RCTs were analyzed, revealing low quality and high risk of bias among many studies.
  • Results indicated that while filiform needle acupuncture was more effective than sham treatments, evidence remains low in certainty; it also showed comparable effectiveness to nicotine patches and better results than counseling for certain therapies.
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Broadly neutralising antibodies (bNAbs) targeting HIV show promise for both prevention of infection and treatment. Among these, 10-1074 has shown potential in neutralising a wide range of HIV strains. However, resistant viruses may limit the clinical efficacy of 10-1074.

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Objective: We present findings from a large cohort of individuals treated during primary HIV infection (PHI) and examine the impact of time from HIV-1 acquisition to antiretroviral therapy (ART) initiation on clinical outcomes. We also examine the temporal changes in the demographics of individuals presenting with PHI to inform HIV-1 prevention strategies.

Methods: Individuals who fulfilled the criteria of PHI and started ART within 3 months of confirmed HIV-1 diagnosis were enrolled between 2009 and 2020.

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Background: Advanced pancreatic cancer (APC) is a fatal disease with limited treatment options. This study aims to evaluate the effectiveness and safety of different Chinese herbal injections (CHIs) as adjuvants for radiotherapy (RT) in APC and compare their treatment potentials using network meta-analysis.

Methods: We systematically searched three English and four Chinese databases for randomized controlled trials (RCTs) from inception to July 25, 2023.

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Article Synopsis
  • * A total of 13 systematic reviews (SRs) covering 265 studies with over 33,000 participants were analyzed, focusing on acupoint stimulation, although most studies were of low quality and many included non-randomized trials.
  • * The findings indicated that TCM external interventions were significantly more effective than placebo for maintaining smoking abstinence over 6 months to 1 year, and they also helped reduce nicotine withdrawal symptoms without serious adverse events reported.
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An intense, nonresolving airway inflammatory response leads to destructive lung disease in cystic fibrosis (CF). Dysregulation of macrophage immune function may be a key facet governing the progression of CF lung disease, but the underlying mechanisms are not fully understood. We used 5' end centered transcriptome sequencing to profile LPS-activated human CF macrophages, showing that CF and non-CF macrophages deploy substantially distinct transcriptional programs at baseline and following activation.

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Patient derived organoids have the potential to improve the physiological relevance of disease models. However, the 3D architecture of these self-assembled cellular structures makes probing their biochemistry more complex than in traditional 2D culture. We explore the application of surface enhanced Raman scattering microsensors (SERS-MS) to probe local pH gradients within patient derived airway organoid cultures.

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Objective: To summarize and identify the available instruments/methods assessing the adequacy of acupuncture in randomized controlled trials (RCTs) for proposing a new improved instrument.

Methods: A systematic literature search was carried out in 7 electronic databases from inception until 21st November 2022. Any study evaluating the adequacy or quality of acupuncture, specifying specific acupuncture treatment-related factors as criteria of subgroup analysis, or developing an instrument/tool to assess the adequacy or quality of acupuncture in an RCT was included.

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Background: To explore the effectiveness and safety of Chinese herbal medicine (CHM) for drug-induced liver injury (DILI) in patients with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS).

Methods: A systematic search was made of eight databases (Pubmed, Cochrane Library, Web of Science, Embase, CNKI, Wanfang, VIP, Sinomed) and two trial registries (WHO ICTRP, ClinicalTrials.gov) from inception to September 2022.

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