OBJECTIVE： To evaluate the effectiveness and safety of the Xingnao Kaiqiao needling method for treating acute ischemic stroke.DATA SOURCES： We retrieved relevant randomized controlled trials involving Xingnao Kaiqia...OBJECTIVE： To evaluate the effectiveness and safety of the Xingnao Kaiqiao needling method for treating acute ischemic stroke.DATA SOURCES： We retrieved relevant randomized controlled trials involving Xingnao Kaiqiao acupuncture for treatment of acute ischemic stroke. The China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and Pub Med were searched from June 2006 to March 2016.DATA SELECTION： We analyzed randomized and semi-randomized clinical controlled trials that compared Xingnao Kaiqiao acupuncture with various control treatments, such as conventional drugs or other acupuncture therapies, for treatment of acute ischemic stroke. The quality of articles was evaluated according to the Cochrane Handbook for Systematic Reviews of Interventions（Version 5.1）, and the study was carried out using Cochrane system assessment methods. Rev Man 5.2 was used for the meta-analysis of the included studies.OUTCOME MEASURES： The mortality rate, disability rate, activities of daily living（Barthel Index）, and clinical efficacy were observed.RESULTS： Twelve studies met the inclusion criteria for this review. The meta-analysis showed that between Xingnao Kaiqiao acupuncture and the control treatment, Xingnao Kaiqiao acupuncture reduced the disability rate [risk ratio（RR） = 0.51, 95% confidence interval（CI） = 0.27-0.98, z = 2.03, P 〈 0.05], elevated the activities of daily living（weighted mean difference = 12.23, 95% CI： 3.66-20.08, z = 2.80, P 〈 0.005）, and had greater clinical efficacy（RR = 1.61, 95% CI： 1.23-2.09, z = 3.53, P 〈 0.0004）. However, there was no significant difference in mortality rate（RR = 0.61, 95% CI： 0.15-2.45, z = 0.70, P 〉 0.05）. CONCLUSION： The Xingnao Kaiqiao needling method is effective and safe for acute ischemic stroke. However, there was selective bias in this study, and the likelihood of measurement bias is high. Thus, more high-quality randomized controlled trials are needed to provide reliable evidence of the efficacy and safety of Xingnao Kaiqiao acupuncture in the treatment of acute ischemic stroke.展开更多
The compressive strength of concrete is one of most important mechanical parameters in the performance assessment of existing reinforced concrete structures.According to various international codes,core samples are dr...The compressive strength of concrete is one of most important mechanical parameters in the performance assessment of existing reinforced concrete structures.According to various international codes,core samples are drilled and tested to obtain the concrete compressive strengths.Non-destructive testing is an important alternative when destructive testing is not feasible without damaging the structure.The commonly used non-destructive testing(NDT)methods to estimate the in-situ values include the Rebound hammer test and the Ultrasonic Pulse Velocity test.The poor reliability of these tests due to different aspects could be partially contrasted by using both methods together,as proposed.in the SonReb method.There are three techniques that are commonly used to predict the compressive strength of concrete based on the SonReb measurements:computational modeling,artificial intelligence,and parametric multi-variable regression models.In a previous study the accuracy of the correlation formulas deduced from the last technique has been investigated in comparison with the effective compressive strengths based on destructive test results on core drilled in adjacent locations.The aim of this study is to verify the accuracy of Artificial Neural Approach comparing the estimated compressive strengths based on NDT measured parameters with the same effective compressive strengths.The comparisons show the best performance of ANN approach.展开更多
基金supported by the Support Program(Ⅱ)of Hundreds of Universities Outstanding Innovative Talents in Hebei Province of China,No.BR2-104
文摘OBJECTIVE： To evaluate the effectiveness and safety of the Xingnao Kaiqiao needling method for treating acute ischemic stroke.DATA SOURCES： We retrieved relevant randomized controlled trials involving Xingnao Kaiqiao acupuncture for treatment of acute ischemic stroke. The China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and Pub Med were searched from June 2006 to March 2016.DATA SELECTION： We analyzed randomized and semi-randomized clinical controlled trials that compared Xingnao Kaiqiao acupuncture with various control treatments, such as conventional drugs or other acupuncture therapies, for treatment of acute ischemic stroke. The quality of articles was evaluated according to the Cochrane Handbook for Systematic Reviews of Interventions（Version 5.1）, and the study was carried out using Cochrane system assessment methods. Rev Man 5.2 was used for the meta-analysis of the included studies.OUTCOME MEASURES： The mortality rate, disability rate, activities of daily living（Barthel Index）, and clinical efficacy were observed.RESULTS： Twelve studies met the inclusion criteria for this review. The meta-analysis showed that between Xingnao Kaiqiao acupuncture and the control treatment, Xingnao Kaiqiao acupuncture reduced the disability rate [risk ratio（RR） = 0.51, 95% confidence interval（CI） = 0.27-0.98, z = 2.03, P 〈 0.05], elevated the activities of daily living（weighted mean difference = 12.23, 95% CI： 3.66-20.08, z = 2.80, P 〈 0.005）, and had greater clinical efficacy（RR = 1.61, 95% CI： 1.23-2.09, z = 3.53, P 〈 0.0004）. However, there was no significant difference in mortality rate（RR = 0.61, 95% CI： 0.15-2.45, z = 0.70, P 〉 0.05）. CONCLUSION： The Xingnao Kaiqiao needling method is effective and safe for acute ischemic stroke. However, there was selective bias in this study, and the likelihood of measurement bias is high. Thus, more high-quality randomized controlled trials are needed to provide reliable evidence of the efficacy and safety of Xingnao Kaiqiao acupuncture in the treatment of acute ischemic stroke.
文摘The compressive strength of concrete is one of most important mechanical parameters in the performance assessment of existing reinforced concrete structures.According to various international codes,core samples are drilled and tested to obtain the concrete compressive strengths.Non-destructive testing is an important alternative when destructive testing is not feasible without damaging the structure.The commonly used non-destructive testing(NDT)methods to estimate the in-situ values include the Rebound hammer test and the Ultrasonic Pulse Velocity test.The poor reliability of these tests due to different aspects could be partially contrasted by using both methods together,as proposed.in the SonReb method.There are three techniques that are commonly used to predict the compressive strength of concrete based on the SonReb measurements:computational modeling,artificial intelligence,and parametric multi-variable regression models.In a previous study the accuracy of the correlation formulas deduced from the last technique has been investigated in comparison with the effective compressive strengths based on destructive test results on core drilled in adjacent locations.The aim of this study is to verify the accuracy of Artificial Neural Approach comparing the estimated compressive strengths based on NDT measured parameters with the same effective compressive strengths.The comparisons show the best performance of ANN approach.
