The composition of paper cups creates a challenge for the recycling industry,as the paperboard–plastic film composite is hard to separate.Therefore,paper cups are sent to landfills or waste incinerators.This study ex...The composition of paper cups creates a challenge for the recycling industry,as the paperboard–plastic film composite is hard to separate.Therefore,paper cups are sent to landfills or waste incinerators.This study explores the combined use of red worms(Eisenia fetida)and Greater wax moth(Galleria mellonella)in the biodegradation of paper cups.The study investigates the conditions and combinations that promote using Eisenia fetida and Galleria mellonella for degrading paper cups.The study considered the influence of environmental temperature,the presence of food waste,varying the number of Eisenia fetida worms,and the presence of a Galleria mellonella growth-slowing agent on the degradation process.To achieve the study objectives,the study followed a quantitative approach.The study monitored the degradation of paper cup cuts that were placed in jars containing different combinations of Eisenia fetida worms,Galleria mellonella larvae,food waste,bedding material,and Galleria mellonella growth-slowing agents.The study found that the best operating temperature is 30oC.The study found that using food waste improves the performance of Eisenia fetida worms and Galleria mellonella larvae significantly.The study found that adding a Galleria mellonella growth-slowing agent slightly enhances the degradation of the paper cup.Finally,a numerical model was obtained to simulate the paper cup degradation efficiency.展开更多
Acetabular cups,which are among themost important implants in total hip arthroplasty,are usually made from titanium alloys with high porosity and adequate mechanical properties.The current three-dimensional(3D)printin...Acetabular cups,which are among themost important implants in total hip arthroplasty,are usually made from titanium alloys with high porosity and adequate mechanical properties.The current three-dimensional(3D)printing approaches to fabricate customized acetabular cups have some inherent disadvantages such as high cost and energy consumption,residual thermal stress,and relatively low efficiency.Thus,in this work,a direct ink writing method was developed to print a cup structure at room temperature,followed by multi-step heat treatment to form microscale porous structure within the acetabular cup.Our method is facilitated by the development of a self-supporting titanium-6 aluminum-4 vanadium(Ti64)ink that is composed of Ti64 particles,bentonite yield-stress additive,ultraviolet curable polymer,and photo-initiator.The effects of Ti64 and bentonite concentrations on the rheological properties and printability of inks were systematically investigated.Moreover,the printing conditions,geometrical limitations,and maximum curing depth were explored.Finally,some complex 3D structures,including lattices with different gap distances,honeycomb with a well-defined shape,and an acetabular cup with uniformly distributed micropores,were successfully printed/fabricated to validate the effectiveness of the proposed method.展开更多
Bacterial transfer is a concern when sharing food and drink, so to address this concern, this study examined the bacterial transfer onto and into plastic drinking cups. Two experiments were performed to: 1) test bacte...Bacterial transfer is a concern when sharing food and drink, so to address this concern, this study examined the bacterial transfer onto and into plastic drinking cups. Two experiments were performed to: 1) test bacterial transfer to the rim of a plastic drinking cup, and 2) test residual bacteria in the liquid that was consumed from the cup. Bacteria were enumerated from the cup rim and the water in the cup. The results for both types of transfer showed higher bacterial populations on cups exposed to drinking compared to those where no drinking occurred. However, there was more bacterial transfer to the rim of the plastic cup than the liquid inside the cup.展开更多
Plastic cups commonly used by communities of Uganda lose color with time as they are used. The purpose of this study was to determine the concentrations of copper, lead and chromium in drinks placed in blue and green ...Plastic cups commonly used by communities of Uganda lose color with time as they are used. The purpose of this study was to determine the concentrations of copper, lead and chromium in drinks placed in blue and green plastic cups from two companies (anonymized as A and B) in Uganda. New blue and green polyethylene plastic cups produced from unrecycled material were purchased from company A and company B while control cups of Luminarc white (Saudi Arabia) and porcelain white glazed (China) were purchased from shops in Mbarara city. The ash from the burnt blue and green plastic cups was digested using Aqua Regia. After a holding time of 30 and 60 minutes, milk and tea samples in the four different cups were also digested using Aqua Regia. Sample analysis for the supernatants was done in triplicates using an atomic absorption spectrophotometer. The ash of blue and green cups from company A was found to contain the highest concentration of heavy metals which ranged from 0.73 to 1.86 ppm for lead, 8.05 to 38.32 ppm of copper, and 655.80 to 756.57 ppm for chromium. For company B, the heavy metal concentrations ranged from 0.76 to 1.43 ppm, 5.51 to 22.85 ppm, and 756.67 to 815.25 ppm, respectively. The concentration of the leached metals ranged from 0.001 to 5.75 ppm for copper, 0.001 to 0.60 ppm for chromium, and 0.001 to 0.41 ppm for lead for the cup of company A. For the cup from company B, the concentration ranges for the leached metals were from 0.001 to 3.59 ppm, 0.001 to 1.08 ppm, and 0.001 to 0.29 ppm, respectively. Most of the values obtained for the leached concentrations of the metals studied were above the respective drinking water in WHO and USEPA permissible limits of 1 ppm (copper), 0.05 ppm (lead) and 0.1 ppm (chromium). The blue and green plastic cups from both companies had leached concentrations of copper, lead and chromium below the permissible limits at 25°C, pH 6.2 (milk) and a holding time of 30 minutes. The control cups did not leach detectable amounts of copper, chromium and lead under the study conditions, hence it may be safe for holding the hot drinks at the temperatures experimented in this study.展开更多
The biomechanical effects of acetabular revision with jumbo cups are unclear.This study aimed to compare the biomechanical effects of bionic trabecular metal vs.titanium jumbo cups for the revision of acetabular bone ...The biomechanical effects of acetabular revision with jumbo cups are unclear.This study aimed to compare the biomechanical effects of bionic trabecular metal vs.titanium jumbo cups for the revision of acetabular bone defects.We designed and reconstructed American Academy of Orthopaedic Surgeons(AAOS)type I–III acetabular bone defect models using computed tomography scans of a man without acetabular bone defects.The implantation of titanium and trabecular metal jumbo cups was simulated.Stress distribution and relative micromotion between the cup and host bone were assessed using finite element analysis.Contact stress on the screws fixing the cups was also analyzed.The contact stress analysis showed that the peak contact stress between the titanium jumbo cup and the host bone was 21.7,20.1,and 23.8 MPa in the AAOS I–III models,respectively;the corresponding values for bionic tantalum jumbo cups decreased to 4.7,6.7,and 11.1 MPa.Analysis of the relative micromotion showed that the peak relative micromotion between the host bone and the titanium metal cup was 10.2,9.1,and 11.5μm in the AAOS I–III models,respectively;the corresponding values for bionic trabecular metal cups were 17.2,18.2,and 31.3μm.The peak contact stress on the screws was similar for the 2 cup types,and was concentrated on the screw rods.Hence,acetabular reconstruction with jumbo cups is biomechanically feasible.We recommend trabecular metal cups due to their superior stress distribution and higher relative micromotion,which is within the threshold for adequate bone ingrowth.展开更多
In this study,pre-strain ranging from 0 to 0.12 was applied through uniaxial tension on high-strength low-alloy(HSLA)specimens with four kinds of grain size.Effect of pre-strain and grain size on me-chanical property ...In this study,pre-strain ranging from 0 to 0.12 was applied through uniaxial tension on high-strength low-alloy(HSLA)specimens with four kinds of grain size.Effect of pre-strain and grain size on me-chanical property was investigated through tensile tests.Microstructures of the pre-strained and tensile tested samples were analyzed,respectively.The 30.8°v-bending and following flattening,as well as Erichson cupping tests,were performed on the pre-strained samples.Results show the elongation ratio of grain and dislocation density increases with pre-strain.Yielding platform is removed when pre-strain is larger than 0.06 while yielding plateau period decreases with pre-strain less than 0.06 due to reduction of pinning effect.The 30.8°v-bending and the following flattening tests are successfully accomplished on all the pre-strained samples with different grain size.Decrease in grain size,along with increase in pre-strain,causes increase in strength and decrease in elongation rate as well as cupping value.Pre-strain causes very slight effect on bending ability,much less than that on mechanical property and cupping test value.Reciprocal impact of the pre-strain and grain size on HSLA steel deformability is inconspicuous.展开更多
BACKGROUND Total hip arthroplasty(THA)is a common procedure for end stage osteoarthritis.The learning curve for THA is complex and challenging.One of the most difficult skills to master is acetabular reaming.We wish t...BACKGROUND Total hip arthroplasty(THA)is a common procedure for end stage osteoarthritis.The learning curve for THA is complex and challenging.One of the most difficult skills to master is acetabular reaming.We wish to identify if experience in arthroplasty leads to preservation of more bone stock.AIM To investigate if increasing surgeon experience will predict an ever decreasing acetabular cup size.METHODS A retrospective case series of four attending orthopaedic surgeons was completed.All uncemented elective total hip arthroplasties since appointment were selected for inclusion.The size of acetabular cup used was noted and logistic regression was used to identify if a trend to smaller cups existed.RESULTS A total of 1614 subjects were included with a mean age of 64 years.Overall cups were on average 0.18mm smaller per year(95%confidence interval-0.25 to-0.11,P<0.001).Individual surgeon trends showed cup sizes to decrease 0.27 mm/year for surgeon A,0.02 mm/year for surgeon B,0.15 mm/year for surgeon C and 0.29 mm/year for surgeon D.Three of the four surgeons had a more pronounced trend to smaller cups for male subjects than their female counterparts.CONCLUSION We found increasing surgeon experience to be associated with an ever-decreasing acetabular cup size.Smaller acetabular cup size may act as a surrogate marker of surgical proficiency by virtue of decreased acetabular reaming.展开更多
Background:The incidence of lumbar disc herniation(LDH)is notably high.Consensus among experts highlights non-surgical treatments as the primary therapeutic approach for LDH.Contemporary medicine frequently employs ph...Background:The incidence of lumbar disc herniation(LDH)is notably high.Consensus among experts highlights non-surgical treatments as the primary therapeutic approach for LDH.Contemporary medicine frequently employs pharmacotherapy and epidural injections in such treatments,which are associated with numerous adverse effects.Prolonged use can severely impair the liver and kidney functions of patients.Hence,the role of safe and effective traditional Chinese medicine techniques becomes pivotal.Among various traditional Chinese medicine approaches for treating LDH,fire dragon cupping,renowned for its remarkable efficacy,cost-effectiveness,and ease of application,is extensively utilised in clinical settings for managing LDH.Nonetheless,there is a scarcity of systematic and standardised evidence from evidence-based medicine studies.Therefore,conducting a meta-analysis is imperative.Methods:A comprehensive computerised search was conducted in databases including China National Knowledge Infrastructure,WanFang Data,VIP,China Biology Medicine disc,PubMed,EMbase,The Cochrane Library,Web of Science,and CINAHL.The search aimed to gather randomised controlled trials on fire dragon cupping therapy for LDH,spanning from the inception of these databases until December 2023.Two researchers independently screened the literature according to inclusion and exclusion criteria,extracted data,and assessed the methodological quality of the studies included,utilising RevMan 5.3 software for meta-analysis.Results:The results show that the fire dragon cupping therapy group had better clinical effectiveness(relative risk=1.23,95%confidence interval(CI)(1.14,1.33),P<0.00001),less pain(standardized mean difference=–1.33,95%CI(–1.49,–1.16),P<0.00001),and some improvement in lumbar function(Japanese Orthopaedic Association scores:mean difference=3.37,95%CI(2.31,4.43),P<0.00001.Conclusion:The fire dragon cupping therapy significantly alleviates LDH,warranting its extensive application.However,considering the limitations in the number and quality of studies included,the aforementioned conclusion necessitates further validation through more high-quality research.展开更多
Introduction:Cupping therapy is an integrative and complementary medicine therapy that practiced worldwide by several civilizations for thousands of years.Cupping therapy is reported to be a relatively safe practice e...Introduction:Cupping therapy is an integrative and complementary medicine therapy that practiced worldwide by several civilizations for thousands of years.Cupping therapy is reported to be a relatively safe practice especially if performed by qualified therapists.Subconjunctival hemorrhage(SCH)is a common cause of eye redness and can be classified into traumatic and spontaneous.Case presentation:This case report discussed an adverse event related to wet cupping therapy.The patient developed SCH one day after performing cupping therapy.He was completely recovered after 2 weeks.This case report should increase the knowledge of cupping therapists regarding increasing safety of patient when performing wet cupping therapy on specific body parts especially,head,neck and cervical areas.Furthermore,it highlighted the importance of conducting research regarding the mechanical and physiological effects of cupping therapy.Conclusion:Adverse events related to cupping therapy should be reported with every patient.Cupping therapists should be aware of this possible mild adverse event.To the best of our knowledge,this is the first published adult case of SCH related to wet cupping therapy session.More studies are critically needed for evaluation of cupping therapy effects and adverse events especially when performed on head and neck.展开更多
Pure bitumen is not suitable for heavy traffic loads;hence modifiers are used to improve the bitumen performance.Recently,cup lump rubber(CLR)has become a preferred modifier due to its outstanding performance and less...Pure bitumen is not suitable for heavy traffic loads;hence modifiers are used to improve the bitumen performance.Recently,cup lump rubber(CLR)has become a preferred modifier due to its outstanding performance and less cost.However,little is known about the interactions between CLR and bitumen.Thus,this study investigates the behavior of bitumen with CLR.Four percentages of CLR(2.5%,5.0%,7.5%,and 10.0%by weight of bitumen)were used to modify conventional 60/70 penetration grade bitumen.The modified bitumen was evaluated through different laboratory testing such as dynamic shear rheometer,rotational viscosity,softening point,bending beam rheometer,ductility,and elastic recovery.The testing results show that the addition of CLR increased the bitumen’s rutting resistance by 3 PG grades at high temperatures.At low pavement temperatures,the cup lump rubber modified bitumen(CMB)can withstand up to−34℃.Fourier Transform Infrared(FTIR)analysis shows that the Aromaticity index at 1600 cm^(−1) rose as the CLR percentage increased,indicating the formation of a binder with a compact structure.This is expected to improve the elasticity of bitumen throughπ-πinteractions.Atomic Force Microscopy(AFM)results showed the Catana phase increased in size and quantity at 5.0%and 7.5%CLR content.While contact angle measurement revealed that the binders are hydrophobic and tend to repel the dropped water on the bitumen surface.展开更多
Cupping,as one of the characteristic therapies of traditional Chinese medicine,has been applied for more than 2000 years and has a unique curative effect in clinic.With the evolution of the times,the types and operati...Cupping,as one of the characteristic therapies of traditional Chinese medicine,has been applied for more than 2000 years and has a unique curative effect in clinic.With the evolution of the times,the types and operation techniques of cupping method are also iterating.In the process of its inheritance and development,cupping technology is also known by more and more people.Starting from the development and efficacy of cupping method,this paper introduces the clinical operation steps and precautions of cupping method in detail,and lists the representative diseases such as lumbar muscle strain,herpes zoster,and ankylosing spondylitis,to provide reference for clinical application.展开更多
Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and...Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and detoxification,harmonizing Qi and blood,promoting blood circulation and removing blood stasis,dredging meridians and activating collaterals,reducing swelling and pain,purging heat and calming shock,clearing heat,and opening orifices.Pricking-cupping therapy has a long history and wide application.After thousands of years of development,it has made great progress.They are widely used to treat lumbar disc herniation,herpes zoster,acute arthritis,migraine,and other diseases in China.Through the clinical practice and theoretical exploration of physicians of past dynasties,the therapeutic mechanism and application scope of pricking-cupping therapy have been greatly enriched.Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients,hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy.展开更多
Cupping therapy is an ancient natural therapeutic modality which is widely practiced throughout the world.Cupping therapy mechanisms of action are not illustrated by research until now.This article gives a brief illus...Cupping therapy is an ancient natural therapeutic modality which is widely practiced throughout the world.Cupping therapy mechanisms of action are not illustrated by research until now.This article gives a brief illustration of the genetic theory as a possible mechanism of action of cupping therapy.Genetic modulation is also a suggested mechanism of action of acupuncture and massage.展开更多
基金funded by the Deanship of Scientific Research at the University of Jordan.
文摘The composition of paper cups creates a challenge for the recycling industry,as the paperboard–plastic film composite is hard to separate.Therefore,paper cups are sent to landfills or waste incinerators.This study explores the combined use of red worms(Eisenia fetida)and Greater wax moth(Galleria mellonella)in the biodegradation of paper cups.The study investigates the conditions and combinations that promote using Eisenia fetida and Galleria mellonella for degrading paper cups.The study considered the influence of environmental temperature,the presence of food waste,varying the number of Eisenia fetida worms,and the presence of a Galleria mellonella growth-slowing agent on the degradation process.To achieve the study objectives,the study followed a quantitative approach.The study monitored the degradation of paper cup cuts that were placed in jars containing different combinations of Eisenia fetida worms,Galleria mellonella larvae,food waste,bedding material,and Galleria mellonella growth-slowing agents.The study found that the best operating temperature is 30oC.The study found that using food waste improves the performance of Eisenia fetida worms and Galleria mellonella larvae significantly.The study found that adding a Galleria mellonella growth-slowing agent slightly enhances the degradation of the paper cup.Finally,a numerical model was obtained to simulate the paper cup degradation efficiency.
基金supported by the Micro Grant (PG20473) at the University of Nevada, Reno, USA
文摘Acetabular cups,which are among themost important implants in total hip arthroplasty,are usually made from titanium alloys with high porosity and adequate mechanical properties.The current three-dimensional(3D)printing approaches to fabricate customized acetabular cups have some inherent disadvantages such as high cost and energy consumption,residual thermal stress,and relatively low efficiency.Thus,in this work,a direct ink writing method was developed to print a cup structure at room temperature,followed by multi-step heat treatment to form microscale porous structure within the acetabular cup.Our method is facilitated by the development of a self-supporting titanium-6 aluminum-4 vanadium(Ti64)ink that is composed of Ti64 particles,bentonite yield-stress additive,ultraviolet curable polymer,and photo-initiator.The effects of Ti64 and bentonite concentrations on the rheological properties and printability of inks were systematically investigated.Moreover,the printing conditions,geometrical limitations,and maximum curing depth were explored.Finally,some complex 3D structures,including lattices with different gap distances,honeycomb with a well-defined shape,and an acetabular cup with uniformly distributed micropores,were successfully printed/fabricated to validate the effectiveness of the proposed method.
文摘Bacterial transfer is a concern when sharing food and drink, so to address this concern, this study examined the bacterial transfer onto and into plastic drinking cups. Two experiments were performed to: 1) test bacterial transfer to the rim of a plastic drinking cup, and 2) test residual bacteria in the liquid that was consumed from the cup. Bacteria were enumerated from the cup rim and the water in the cup. The results for both types of transfer showed higher bacterial populations on cups exposed to drinking compared to those where no drinking occurred. However, there was more bacterial transfer to the rim of the plastic cup than the liquid inside the cup.
文摘Plastic cups commonly used by communities of Uganda lose color with time as they are used. The purpose of this study was to determine the concentrations of copper, lead and chromium in drinks placed in blue and green plastic cups from two companies (anonymized as A and B) in Uganda. New blue and green polyethylene plastic cups produced from unrecycled material were purchased from company A and company B while control cups of Luminarc white (Saudi Arabia) and porcelain white glazed (China) were purchased from shops in Mbarara city. The ash from the burnt blue and green plastic cups was digested using Aqua Regia. After a holding time of 30 and 60 minutes, milk and tea samples in the four different cups were also digested using Aqua Regia. Sample analysis for the supernatants was done in triplicates using an atomic absorption spectrophotometer. The ash of blue and green cups from company A was found to contain the highest concentration of heavy metals which ranged from 0.73 to 1.86 ppm for lead, 8.05 to 38.32 ppm of copper, and 655.80 to 756.57 ppm for chromium. For company B, the heavy metal concentrations ranged from 0.76 to 1.43 ppm, 5.51 to 22.85 ppm, and 756.67 to 815.25 ppm, respectively. The concentration of the leached metals ranged from 0.001 to 5.75 ppm for copper, 0.001 to 0.60 ppm for chromium, and 0.001 to 0.41 ppm for lead for the cup of company A. For the cup from company B, the concentration ranges for the leached metals were from 0.001 to 3.59 ppm, 0.001 to 1.08 ppm, and 0.001 to 0.29 ppm, respectively. Most of the values obtained for the leached concentrations of the metals studied were above the respective drinking water in WHO and USEPA permissible limits of 1 ppm (copper), 0.05 ppm (lead) and 0.1 ppm (chromium). The blue and green plastic cups from both companies had leached concentrations of copper, lead and chromium below the permissible limits at 25°C, pH 6.2 (milk) and a holding time of 30 minutes. The control cups did not leach detectable amounts of copper, chromium and lead under the study conditions, hence it may be safe for holding the hot drinks at the temperatures experimented in this study.
基金This work was supported by funding from China Postdoctoral Science Foundation(No:2020M670863)Jilin Scientific and Technological Development Program(No:20230203089SF).
文摘The biomechanical effects of acetabular revision with jumbo cups are unclear.This study aimed to compare the biomechanical effects of bionic trabecular metal vs.titanium jumbo cups for the revision of acetabular bone defects.We designed and reconstructed American Academy of Orthopaedic Surgeons(AAOS)type I–III acetabular bone defect models using computed tomography scans of a man without acetabular bone defects.The implantation of titanium and trabecular metal jumbo cups was simulated.Stress distribution and relative micromotion between the cup and host bone were assessed using finite element analysis.Contact stress on the screws fixing the cups was also analyzed.The contact stress analysis showed that the peak contact stress between the titanium jumbo cup and the host bone was 21.7,20.1,and 23.8 MPa in the AAOS I–III models,respectively;the corresponding values for bionic tantalum jumbo cups decreased to 4.7,6.7,and 11.1 MPa.Analysis of the relative micromotion showed that the peak relative micromotion between the host bone and the titanium metal cup was 10.2,9.1,and 11.5μm in the AAOS I–III models,respectively;the corresponding values for bionic trabecular metal cups were 17.2,18.2,and 31.3μm.The peak contact stress on the screws was similar for the 2 cup types,and was concentrated on the screw rods.Hence,acetabular reconstruction with jumbo cups is biomechanically feasible.We recommend trabecular metal cups due to their superior stress distribution and higher relative micromotion,which is within the threshold for adequate bone ingrowth.
基金Funded by Natural Science Foundation of Guangxi Zhuang Autonomous Region(No.2020JJA160034)the Basic Ability Improvement of Middle and Young Teachers in Guangxi Universities Foundation(No.2020KY21018)。
文摘In this study,pre-strain ranging from 0 to 0.12 was applied through uniaxial tension on high-strength low-alloy(HSLA)specimens with four kinds of grain size.Effect of pre-strain and grain size on me-chanical property was investigated through tensile tests.Microstructures of the pre-strained and tensile tested samples were analyzed,respectively.The 30.8°v-bending and following flattening,as well as Erichson cupping tests,were performed on the pre-strained samples.Results show the elongation ratio of grain and dislocation density increases with pre-strain.Yielding platform is removed when pre-strain is larger than 0.06 while yielding plateau period decreases with pre-strain less than 0.06 due to reduction of pinning effect.The 30.8°v-bending and the following flattening tests are successfully accomplished on all the pre-strained samples with different grain size.Decrease in grain size,along with increase in pre-strain,causes increase in strength and decrease in elongation rate as well as cupping value.Pre-strain causes very slight effect on bending ability,much less than that on mechanical property and cupping test value.Reciprocal impact of the pre-strain and grain size on HSLA steel deformability is inconspicuous.
文摘BACKGROUND Total hip arthroplasty(THA)is a common procedure for end stage osteoarthritis.The learning curve for THA is complex and challenging.One of the most difficult skills to master is acetabular reaming.We wish to identify if experience in arthroplasty leads to preservation of more bone stock.AIM To investigate if increasing surgeon experience will predict an ever decreasing acetabular cup size.METHODS A retrospective case series of four attending orthopaedic surgeons was completed.All uncemented elective total hip arthroplasties since appointment were selected for inclusion.The size of acetabular cup used was noted and logistic regression was used to identify if a trend to smaller cups existed.RESULTS A total of 1614 subjects were included with a mean age of 64 years.Overall cups were on average 0.18mm smaller per year(95%confidence interval-0.25 to-0.11,P<0.001).Individual surgeon trends showed cup sizes to decrease 0.27 mm/year for surgeon A,0.02 mm/year for surgeon B,0.15 mm/year for surgeon C and 0.29 mm/year for surgeon D.Three of the four surgeons had a more pronounced trend to smaller cups for male subjects than their female counterparts.CONCLUSION We found increasing surgeon experience to be associated with an ever-decreasing acetabular cup size.Smaller acetabular cup size may act as a surrogate marker of surgical proficiency by virtue of decreased acetabular reaming.
基金supported by the 2022 study on the effectiveness of Fire Dragon Cupping in treating cold-dampness obstructive type shoulder stiffness,funded by the Bao'an District Healthcare Research Project in Shenzhen(Shen Bao Ke[2023]No.13,Project No.2022JD237)2023 study on the therapeutic observation and mechanism exploration of Fire Dragon Cupping in cold-dampness obstructive type acute gout,funded by the Guangdong Provincial Administration of Traditional Chinese Medicine(Yue Zhong Yi Han[2023]No.205,Project No.20242077)+1 种基金National Clinical Key Specialty(Traditional Chinese Medicine)Construction Project(2013-239)Sanming Project of Medicine in Shenzhen(No.SZZYSM202206014).
文摘Background:The incidence of lumbar disc herniation(LDH)is notably high.Consensus among experts highlights non-surgical treatments as the primary therapeutic approach for LDH.Contemporary medicine frequently employs pharmacotherapy and epidural injections in such treatments,which are associated with numerous adverse effects.Prolonged use can severely impair the liver and kidney functions of patients.Hence,the role of safe and effective traditional Chinese medicine techniques becomes pivotal.Among various traditional Chinese medicine approaches for treating LDH,fire dragon cupping,renowned for its remarkable efficacy,cost-effectiveness,and ease of application,is extensively utilised in clinical settings for managing LDH.Nonetheless,there is a scarcity of systematic and standardised evidence from evidence-based medicine studies.Therefore,conducting a meta-analysis is imperative.Methods:A comprehensive computerised search was conducted in databases including China National Knowledge Infrastructure,WanFang Data,VIP,China Biology Medicine disc,PubMed,EMbase,The Cochrane Library,Web of Science,and CINAHL.The search aimed to gather randomised controlled trials on fire dragon cupping therapy for LDH,spanning from the inception of these databases until December 2023.Two researchers independently screened the literature according to inclusion and exclusion criteria,extracted data,and assessed the methodological quality of the studies included,utilising RevMan 5.3 software for meta-analysis.Results:The results show that the fire dragon cupping therapy group had better clinical effectiveness(relative risk=1.23,95%confidence interval(CI)(1.14,1.33),P<0.00001),less pain(standardized mean difference=–1.33,95%CI(–1.49,–1.16),P<0.00001),and some improvement in lumbar function(Japanese Orthopaedic Association scores:mean difference=3.37,95%CI(2.31,4.43),P<0.00001.Conclusion:The fire dragon cupping therapy significantly alleviates LDH,warranting its extensive application.However,considering the limitations in the number and quality of studies included,the aforementioned conclusion necessitates further validation through more high-quality research.
文摘Introduction:Cupping therapy is an integrative and complementary medicine therapy that practiced worldwide by several civilizations for thousands of years.Cupping therapy is reported to be a relatively safe practice especially if performed by qualified therapists.Subconjunctival hemorrhage(SCH)is a common cause of eye redness and can be classified into traumatic and spontaneous.Case presentation:This case report discussed an adverse event related to wet cupping therapy.The patient developed SCH one day after performing cupping therapy.He was completely recovered after 2 weeks.This case report should increase the knowledge of cupping therapists regarding increasing safety of patient when performing wet cupping therapy on specific body parts especially,head,neck and cervical areas.Furthermore,it highlighted the importance of conducting research regarding the mechanical and physiological effects of cupping therapy.Conclusion:Adverse events related to cupping therapy should be reported with every patient.Cupping therapists should be aware of this possible mild adverse event.To the best of our knowledge,this is the first published adult case of SCH related to wet cupping therapy session.More studies are critically needed for evaluation of cupping therapy effects and adverse events especially when performed on head and neck.
基金The authors received funding for this research work through the Project No.(IFP-2020-89)from the Deputyship for Research&Innovation,Ministry of Education in Saudi Arabia.
文摘Pure bitumen is not suitable for heavy traffic loads;hence modifiers are used to improve the bitumen performance.Recently,cup lump rubber(CLR)has become a preferred modifier due to its outstanding performance and less cost.However,little is known about the interactions between CLR and bitumen.Thus,this study investigates the behavior of bitumen with CLR.Four percentages of CLR(2.5%,5.0%,7.5%,and 10.0%by weight of bitumen)were used to modify conventional 60/70 penetration grade bitumen.The modified bitumen was evaluated through different laboratory testing such as dynamic shear rheometer,rotational viscosity,softening point,bending beam rheometer,ductility,and elastic recovery.The testing results show that the addition of CLR increased the bitumen’s rutting resistance by 3 PG grades at high temperatures.At low pavement temperatures,the cup lump rubber modified bitumen(CMB)can withstand up to−34℃.Fourier Transform Infrared(FTIR)analysis shows that the Aromaticity index at 1600 cm^(−1) rose as the CLR percentage increased,indicating the formation of a binder with a compact structure.This is expected to improve the elasticity of bitumen throughπ-πinteractions.Atomic Force Microscopy(AFM)results showed the Catana phase increased in size and quantity at 5.0%and 7.5%CLR content.While contact angle measurement revealed that the binders are hydrophobic and tend to repel the dropped water on the bitumen surface.
文摘Cupping,as one of the characteristic therapies of traditional Chinese medicine,has been applied for more than 2000 years and has a unique curative effect in clinic.With the evolution of the times,the types and operation techniques of cupping method are also iterating.In the process of its inheritance and development,cupping technology is also known by more and more people.Starting from the development and efficacy of cupping method,this paper introduces the clinical operation steps and precautions of cupping method in detail,and lists the representative diseases such as lumbar muscle strain,herpes zoster,and ankylosing spondylitis,to provide reference for clinical application.
文摘Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and detoxification,harmonizing Qi and blood,promoting blood circulation and removing blood stasis,dredging meridians and activating collaterals,reducing swelling and pain,purging heat and calming shock,clearing heat,and opening orifices.Pricking-cupping therapy has a long history and wide application.After thousands of years of development,it has made great progress.They are widely used to treat lumbar disc herniation,herpes zoster,acute arthritis,migraine,and other diseases in China.Through the clinical practice and theoretical exploration of physicians of past dynasties,the therapeutic mechanism and application scope of pricking-cupping therapy have been greatly enriched.Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients,hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy.
文摘Cupping therapy is an ancient natural therapeutic modality which is widely practiced throughout the world.Cupping therapy mechanisms of action are not illustrated by research until now.This article gives a brief illustration of the genetic theory as a possible mechanism of action of cupping therapy.Genetic modulation is also a suggested mechanism of action of acupuncture and massage.