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Binge-eating disorder (BED) is a type of eating disorder characterized by recurrent episodes of binge eating. Patients with BED have recurrent impulsive and out-of-controlled binge eating behavior, which can lead to gastrointestinal disorders, obesity, and the resulting metabolic and functional disorders of various systems and other physical problems; and it is also often co-morbid with affective disorder, anxiety disorders, substance use disorders, and other mental disorders, which need to be taken seriously. However, the recognition of BED in China was late, and it is difficult to achieve early identification and diagnosis, resulting in a prolonged course of disease. Therefore, under the organization of the Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association, together with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association, an expert group composed of 15 psychiatrists and evidence-based medicine experts, and 2 internal medicine experts, formulated this expert consensus based on evidence-based medical evidence, domestic and foreign guidelines and expert consensus, and expert experiences. The aim of this study is to improve the recognition, diagnosis and treatment of BED by psychiatrists, internists and general practitioners in China.

Objective To observe the effect of thunder-fire moxibustion on joint function recovery after surgery for fractures around the knee. Methods Totally 50 patients were divided into 2 groups (control group and observation group) by random number method. The control group was treated with routine treatment and nursing interventions after surgery, and the observation group was treated with thunder-fire moxibustion on the basis of routine treatment. The clinical effect of the two groups was compared. Results A total of 48 patients were followed up with complete results, including 24 cases in the control group and 24 cases in the observation group. The upper and lower diameters of the affected limb in the observation group were smaller than those in the control group after 3 and 7 days of treatment, with a significant difference(P＜0. 05). The Visual Analogue Scale (VAS) score of the observation group was significantly lower than that of the control group after 3, 5 and 7 days of treatment, with a significant difference(P＜0. 05). After 1, 3 and 5 weeks of treatment, the Hospital for Special Surgery (HSS) knee scores in two groups were higher than those before treatment (P＜0. 05), and the HSS knee score in the observation group was higher than that in the control group after 3 and 5 weeks of treatment (P＜0. 05). The range motion of the knee in the observation group was better than that of the control group after 7 days of treatment, with a significant difference(P＜0. 05). Conclusion Postoperative nursing combined with thunder-fire moxibustion can effectively reduce the swelling and pain of the affected limb, improve the range of motion and function of the knee joint, and improve the clinical treatment effect. (目的 观察雷火灸联合护理干预促进膝关节周围骨折术后关节功能恢复的效果。方法 采用随机数字表法将50例患者分为对照组和观察组。对照组给予常规治疗和护理, 观察组在对照组基础上增加雷火灸治疗。比较两组干预效果。结果 随访共得到48例患者完整结果, 对照组及观察组各24例。治疗3 d、7 d后, 观察组患者患侧上、下周径均小于对照组, 差异有统计学意义(P＜0. 05)。治疗3 d、7 d后, 观察组患者患侧VAS评分低于对照组, 差异有统计学意义(P＜0. 05)。治疗1周、3周、5周后, 观察组患者患侧膝HSS评分均较治疗前提高(P＜0. 05); 治疗3周、 5周后, 观察组患者患侧膝HSS评分高于对照组(P＜0. 05)。治疗7 d后, 观察组患者患侧膝关节活动度大于对照组, 差异有统计学意义(P＜0. 05)。结论 膝关节周围骨折术后护理配合实施雷火灸治疗, 能有效减轻患肢肿胀、疼痛, 促进康复, 改善膝关节活动度及功能, 有利于提高临床治疗效果。)

Bulimia nervosa is a type of eating disorders characterized by recurrent binge eating and compensatory behaviors to prevent weight gain, as well as excessive concern about body shape and mass. The patients with bulimia nervosa present with disturbed eating behavior, resulting in electrolyte abnormalities, gastrointestinal disorders, metabolic and endocrine disorders and other physical problems; secondly, the bulimia nervosa patients are often co-morbid with a variety of mental disorders such as bipolar disorder, depression, substance use disorders, which need to be taken seriously. However, bulimia nervosa and even eating disorders cannot be recognized and diagnosed at an early stage in China, which leads to a prolonged course of the disease. Therefore, under the organization of the Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association, in conjunction with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association, this expert consensus was formulated by 12 experts in the field of psychiatry and evidence-based medicine based on evidence-based medicine, domestic and foreign guidelines and expert consensus and expert experience, in order to improve the recognition, diagnosis and treatment of bulimia nervosa by psychiatric professionals and general practitioners in China.

Objective We aimed to investigate the feasibility and method of constructing a traditional Chinese medicine (TCM) curative effect prediction model based on the data of Kechuanting acupoint plastering therapy in the treatment of bronchial asthma (asthma). Methods Data from the Chronic Disease Management Research Platform of 303 patients with asthma who were treated with Kechuanting acupoint plastering therapy for 6 weeks in the Department of Acupuncture and Rehabilitation of Jiangsu Hospital of Traditional Chinese Medicine from June to August 2018 to 2021 were selected. We used Phyton 3.10 for statistical analysis. After data preprocessing, the influencing factors were used to build models by Logistic regression, support vector machine, K-means clustering algorithm, Bayes algorithm, random forest method and Light gradient boosting machine (LightGBM) respectively, with the improvement of asthma control test score (ACT), forced expiratory volume in one second (FEV1) and exhaled nitric oxide (FeNO) as the outcome indicators. Then, the models were compared and analyzed. Subsequently, the superior model was used to establish the efficacy prediction model and verify its stability to obtain the accuracy rate and eliminate the relatively important factors. Results The accuracy rate of the Kechuanting acupoint plastering therapy curative effect prediction model established by the LightGBM model was more than 70%. Five important factors were selected, including allergic history, tabacco and alcohol abuse, plastering duration, ACT before treatment, and FeNO before treatment. According to the classification analysis and the relationship between the important factors and the outcome indicators, Kechuanting acupoint plastering therapy significantly improved the ACT of patients with no history of allergy, no tabacco and alcohol abuse, and poor ACT:5-15 points (P < 0.05). Furthermore, Kechuanting acupoint plastering therapy improved FeNO more significantly in patients with more than 3 years of treatment than those with no more than 3 years (P < 0.05). However, Kechuanting acupoint plastering therapy only improved FeNO in a few patients with poor asthma control levels (P < 0.05) and severe airway inflammation (FeNO>50x10-9) (P>0.05). Conclusion Acupoint plastering application has a significant effect on improving the control level of asthma, but its effect on improving airway inflammation is limited. It is feasible to use data from the chronic disease management research platform to construct the prediction model. After optimization and testing, the predictive model established based on the data of this study may provide an effective evaluation tool for targeted clinical treatment. [ABSTRACT FROM AUTHOR]