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This article was originally published here. OBJECTIVE: To identify, appraise and synthesise evidence of interventions designed to promote family member involvement in adult critical care units; and to develop a working typology of interventions for use by health professionals and family members. Back issues of leading critical care and patient experience journals were manually searched, as were the reference lists of included studies. All evaluation studies of relevant intervention activities were included; all research designs and outcome measures were eligible. Due to heterogeneity in interventions, designs and outcome measures, the synthesis followed a narrative approach. Service users met with the research team termly. The overall evidence base was assessed as moderate to weak. Clinical and methodological heterogeneity across studies hindered meta-analysis, hence a narrative synthesis was pursued.Background: Currently, more and more subfertility couples are opting for combined acupuncture to improve the success rate of in vitro fertilization and embryo transfer IVF-ET.
Objectives: The purpose of this overview is to summarize evidence of essential outcomes of systematic reviews SRs of acupuncture in IVF-ET and evaluate their methodological quality. Methods: We conducted a comprehensive literature search for relevant SRs in eight databases from inception to July 31,without language restriction. Results: This review included original RCT studies and 65, participants.
Journal of Parasitology Research
Our reviews showed that although the GRADE for quality of evidence profile was suboptimal, acupuncture seemed to be beneficial in increasing the pregnancy rate. However, there are severe heterogeneity and methodological quality defects, which limit the reliability of results. Further, high-quality primary studies are still needed. Infertility is defined as failure to establish a clinical pregnancy after 12 months of regular, unprotected sexual intercourse 1systematic review critique.
In vitro fertilization and embryo transfer IVF-ET is an effective treatment method for subfertility couples 67. Worldwide, 7, cycles were carried out between andand successfully resulted in the birth of approximately 1. Currently, the average success rates per IVF cycle remain low, although live birth rate gradually criitque in most regions, some demonstrated declines.
Introduction
For many women, cycles need to be repeated to succeed. Therefore, many patients try to seek alternative therapies to improve IVF-ET outcomes, including acupuncture. Acupuncture involves the insertion of metallic needles into the body. The application of link through stimulating certain acupoints on the systematic review critique body is to activate the meridians and to regulate the function of qi and blood so as to systematci and treat disease.
The mechanisms of acupuncture in IVF-ET have been reported to enhance hormonal balance 12inhibit uterine motility 13increase blood flow to uterine and ovarian areas 14and downregulate various stress responses 15 — However, no consensus has been reached. Some reviews indicated that acupuncture might provide benefits in improving reproductive outcomes 18 — Others found no statistically significant difference in clinical pregnancy or live birth when compared with a control 30 — The quality of evidence is systematic review critique. Therefore, our study aims to assess the methodological and reporting quality of SRs concerning the effectiveness of acupuncture for infertile systematic review critique undergoing IVF-ET, and to provide beneficial recommendations for the implementation of SRs.]
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