Effectiveness of high intensity interval training on cardiorespiratory fitness and endothelial function in type 2 diabetes:A systematic review

BACKGROUND Type 2 diabetes mellitus(T2DM)is a chronic metabolic syndrome characterized by insulin resistance and hyperglycemia that may lead to endothelial dysfunction,reduced functional capacity and exercise intolerance.Regular aerobic exercise has been promoted as the most beneficial non-pharmacological treatment of cardiovascular diseases.High intensity interval training(HIIT)seems to be superior than moderate-intensity continuous training(MICT)in cardiovascular diseases by improving brachial artery flow-mediated dilation(FMD)and cardiorespiratory fitness to a greater extent.However,the beneficial effects of HIIT in patients with T2DM still remain under investigation and number of studies is limited.AIM To evaluate the effectiveness of high intensity interval training on cardiorespiratory fitness and endothelial function in patients with T2DM.METHODS We performed a search on PubMed,PEDro and CINAHL databases,selecting papers published between December 2012 and December 2022 and identified published randomized controlled trials(RCTs)in the English language that included community or outpatient exercise training programs in patients with T2DM.RCTs were assessed for methodological rigor and risk of bias via the Physiotherapy Evidence Database(PEDro).The primary outcome was peak VO_(2 ) and the secondary outcome was endothelial function assessed either by FMD or other indices of microcirculation.RESULTS Twelve studies were included in our systematic review.The 12 RCTs resulted in 661 participants in total.HIIT was performed in 310 patients(46.8%),MICT to 271 and the rest 80 belonged to the control group.Peak VO_(2 ) increased in 10 out of 12 studies after HIIT.Ten studies compared HIIT with other exercise regimens(MICT or strength endurance)and 4 of them demonstrated additional beneficial effects of HIIT over MICT or other exercise regimens.Moreover,4 studies explored the effects of HIIT on endothelial function and FMD in T2DM patients.In 2 of them,HIIT further improved endothelial function compared to MICT and/or the control group while in the rest 2 studies no differences between HIIT and MICT were observed.CONCLUSION Regular aerobic exercise training has beneficial effects on cardiorespiratory fitness and endothelial function in T2DM patients.HIIT may be superior by improving these parameters to a greater extent than MICT.

Botulinum toxin type A plus rehabilitative training for improving the motor function of the upper limbs and activities of daily life in patients with stroke and brain injury

BACKGROUND:Botulinum toxin type A(BTX-A)is mostly to be used to treat various diseases of motor disorders,whereas its effect on muscle spasm after stroke and brain injury needs further observation.OBJECTIVE:To observe the effect of BTX-A plus rehabilitative training on treating muscle spasm after stroke and brain injury.DESIGN:A randomized controlled observation.SETTINGS:Department of Rehabilitation,Department of Neurology and Department of Neurosurgery,the Second Hospital of Hebei Medical University.PARTICIPANTS:Sixty inpatients with brain injury and stroke were selected from the Department of Rehabilitation,Department of Neurology and Department of Neurosurgery,the Second Hospital of Hebei Medical University from January 2001 to August 2006.They were all confirmed by CT and MRI,and had obvious increase of spastic muscle strength in upper limbs,their Ashworth grades were grade 2 or above.The patients were randomly divided into treatment group(n=30)and control group(n=30).METHODS:①Patients in the treatment group undertook comprehensive rehabilitative trainings,and they were administrated with domestic BTX-A,which was provided by Lanzhou Institute of Biological Products,Ministry of Health(S10970037),and the muscles of flexion spasm were selected for upper limbs,20-25 IU for each site.②Patients in the treatment group were assessed before injection and at 1 and 2 weeks,1 and 3 months after injection respectively,and those in the control group were assessed at corresponding time points.The recovery of muscle spasm was assessed by modified Ashworth scale(MAS,grade 0-Ⅳ;Grade 0 for without increase of muscle strength;GradeⅣfor rigidity at passive flexion and extension);The recovery of motor function of the upper limbs was evaluated with Fugl-Meyer Assessment(FMA,total score was 226 points,including 100 for exercise,14 for balance,24 for sense,44 for joint motion,44 for pain and 66 for upper limb);The ADL were evaluated with Barthel index,the total score was 100 points,60 for mild dysfunction,60-41 for moderate dysfunction,<40 for severe dysfunction).MAIN OUTCOME MEASURES:Changes of MAS grade,FMA scores and Barthel index before and after BTX-A injection.RESULTS:All the 60 patients with brain injury and stroke were involved in the analysis of results.①FMA scores of upper limbs:The FMA score in the treatment group at 2 weeks after treatment was higher than that before treatment[(14.98±10.14),(13.10±9.28)points,P<0.05],whereas there was no significant difference at corresponding time point in the control group.The FMA scores at 1 and 3 months in the treatment group[(23.36±10.69),(35.36±11.36)points]were higher than those in the control group[(20.55±10.22),(30.33±10.96)points,P<0.01].②MAS grades of upper limbs:There were obviously fewer cases of gradeⅢin MAS at 2 weeks after treatment than before treatment in the treatment group(0,9 cases,P<0.05),whereas there was no obvious difference in the control group.There were obviously fewer cases of gradeⅢin MAS at 2 weeks and 1 month after treatment in the treatment group(0,0 case)than the control group(5,2 cases,P<0.01).③Barthel index of upper limbs:The Barthel index at 2 weeks after treatment was higher than that before treatment in the treatment group[(30.36±22.25),(28.22±26.21)points,P<0.05],whereas there was no significant difference in the control group.The Barthel indexes at 1 and 3 months after treatment in the treatment group were obviously higher than those in the control group[(20.55±10.22),(30.33±10.96)points,P<0.01].CONCLUSION:BTX-A has obvious efficacy on decreasing muscle tension after stroke and brain injury,and relieving muscle spasm;Meanwhile,the combination with rehabilitative training can effectively ameliorate the motor function of upper limbs and ADL of the patients.

Study on the pattern of train arrival headway time in high-speed railway

Purpose-The design goal for the tracking interval of high-speed railway trains in China is 3 min,but it is difficult to achieve,and it is widely believed that it is mainly limited by the tracking interval of train arrivals.If the train arrival tracking interval can be compressed,it will be beneficial for China's high-speed railway to achieve a 3-min train tracking interval.The goal of this article is to study how to compress the train arrival tracking interval.Design/methodologylapproach-By simulating the process of dense train groups arriving at the station and stopping,the headway between train arrivals at the station was calculated,and the pattern of train arrival headway was obtained,changing the traditional understanding that the train arrival headway is considered the main factor limiting the headway of trains.Findings-When the running speed of trains is high,the headway between trains is short,the length of the station approach throat area is considerable and frequent train arrivals at the station,the arrival headway for the first group or several groups of trains will exceed the headway,but the subsequent sets of trains will havea headway equal to the arrival headway.This convergence characteristic is obtained by appropriately increasing the running time.Originality/value-According to this pattern,there is no need to overly emphasize the impact of train arrival headway on the headway.This plays an important role in compressing train headway and improving high-speedrailwaycapacity.

Safety of the express freight train running over a long-span bridge

Purpose-Express freight transportation is in rapid development currently.Owing to the higher speed of express freight train,the deformation of the bridge deck worsens the railway line condition under the action of wind and train moving load when the train runs over a long-span bridge.Besides,the blunt car body of vehicle has poor aerodynamic characteristics,bringing a greater challenge on the running stability in the crosswind.Design/methodology/approach-In this study,the aerodynamic force coefficients of express freight vehicles on the bridge are measured by scale model wind tunnel test.The dynamic model of the train-long-span steel truss bridge coupling system is established,and the dynamic response as well as the running safety of vehicle are evaluated.Findings-The results show that wind speed has a significant influence on running safety,which is mainly reflected in the over-limitation of wheel unloading rate.The wind speed limit decreases with train speed,and it reduces to 18.83 m/s when the train speed is 160 km/h.Originality/value-This study deepens the theoretical understanding of the interaction between vehicles and bridges and proposes new methods for analyzing similar engineering problems.It also provides a new theoretical basis for the safety assessment of express freight trains.

The therapeutic effect of aerobic exercise with resistance training in elderly men with type 2 diabetes mellitus

Objective: This study was conducted to examine the effects of aerobic exercise alone and aerobic exercise with resistance training on the quality of life in men over the age of 55 years with type 2 diabetes mellitus. Methods: A total of 54 participants were divided into the following three groups so that there were no significant differences in blood chemistry or physical ability indexes among the three groups: control, aerobic exercise, and aerobic exercise with resistance training. The latter two groups exercised for 24 weeks, while the control group performed no exercise. Blood chemistry levels and measures of physical ability in each group members were examined one day before and one day after the exercise regimens. Results: Compared with those before the study, blood glucose, glycated hemoglobin, triglycerides, cholesterol, and low-density lipoprotein levels as well as vital capacity, reaction time, sit-and-reach ability, and balancing while standing on one leg with closed eyes were significantly improved in the aerobic exercise only group(P < 0.05). All these measures as well as high-density lipoprotein levels and grip, back, and leg strength were significantly improved in the combined aerobic and resistance training group(P < 0.05). By contrast, no significant differences before and after the experiment were found in any measure for the control group(P > 0.05). Conclusion: Although both aerobic exercise and aerobic exercise combined with resistance training for 24 weeks effectively improved the quality of life in patients with type 2 diabetes, the effect of the combined training was better than that of aerobic exercise alone. These results suggest that resistance training may be safely added to the rehabilitation training regimen of patients with type 2 diabetes mellitus.

Comparison of up ladder type and terraced type normalizing heat treatments of heavy cylinder

Because of the mixed grain and coarse grain structure, the long heat treatment cycle and large energy conservation in the heavy cylinder heat treatment process, the up ladder type and terraced type normalizing heat treatment of heavy cylinder after rolling were put forward. The microstructure and mechanical properties of 2.25Cr1Mo0.25 V steel after the up ladder type normalizing, terraced type normalizing and isothermal type normalizing were studied. Experimental results show that： 1） For the grain refinement, the twice terraced type normalizing is better than the up ladder type and isothermal type normalizing, and the average grain size is 18 μm; 2） The yield strength, tensile strength and-30℃ charpy impact energy after twice terraced type normalizing are 681 MPa, 768 MPa and 181 J, respectively, and the mechanical properties are better than those of the up ladder type and isothermal type normalizing; 3） Compared with the isothermal type normalizing, the holding time of terraced type normalizing can be shortened by 30%, which greatly reduces the energy consumption.

Effects of spontaneously induced coherence on absorption of a ladder-type atom

This paper investigates the effects of spontaneously induced coherence on absorption properties in a nearly equispaced three-level ladder-type system driven by two coherent fields. It find that the absorption properties of this system with the probe field applied on the lower transition can be significantly modified if this coherence is optimized. In the case of small spontaneous decay rate in the upper excited state, it finds that such coherence does not destroy the electromagnetically induced transparency （EIT）. Nevertheless, the absorption peak on both sides of zero detuning and the linewidth of absorption line become larger and narrower than those in the case corresponding to the effects of spontaneously induced coherence; while in the case of large decay rate, it finds that, instead of EIT with low resonant absorption, a sharp absorption peak at resonance appears. That is, electromagnetically induced absorption in the nearly equispaced ladder-type system can occur due to such coherent effects.

Cruise English Compound Talents Training Pattern Practice Research

In this paper liner English compound talents training theories,on the basis of the combination of education practice,from cruise English talents for specification and different types of education personnel training mode,course system,etc.,as the standard of cruise English teaching and cruise the bilingual teaching of higher vocational cruise English compound talents training mode,and analyzes the effect of the training mode and deficiencies.

Performance Comparison among Trained Judges and Panels for the Evaluation of “Cuajada” Type Fresh Cheese in Two Regions from Oaxaca in México

Four “cuajada” type fresh cheeses were evaluated by two trained panels in different regions from Oaxaca in Mexico (Instituto Tecnológico de Comitancillo (ITC) and Universidad del Mar (UMAR)). Each panel was integrated by six judges. Analysis of variance (ANOVA) in conjunction with principal component analysis (PCA) and the Rv coefficient were used to identify similarities and consensus among trained judges and panels. The ANOVA results revealed that the judges from ITC performed significantly better (P < 0.05) in discrimination and repetitivity, while both panels showed a similar effect in discrimination. The PCA determined some similarities in the position of cheeses in the sensory space, while Rv revealed that judges and panels were consensual. In conclusion, statistical resources determined that both panels were discriminating and that similarities in the positioning of cheeses in the sensory space were found.

Skeletal Muscle Adaptation to Endurance and Resistance Training

Endurance training in the aerobic zone of metabolism promotes a transition from type II to type I muscle fibers, influences the enzyme system of the Krebs cycle, electron transport chain, capillary supply, changes in key metabolic enzymes involved in fatty acid activation, and increased oxygen uptake in skeletal muscle. First of all, the transition process is related to the contractile apparatus. 5＇adenosine monophosphate-activated protein kinase is activated in response to endurance training and related to the metabolic adaptation of skeletal muscle. The peroxisome proliferator-activated receptor isoform δ is an important regulator of skeletal muscle endurance capacity. Resistance training improves muscle contractile function and increases muscle mass as a result of an anabolic and anti catabolic effect in fast-twitch fibers. Resistance training expands the amount of the contractile apparatus in order to enlarge fiber cross-sectional area. A concomitant alteration in proteins phenotype of contractile apparatus and metabolic enzyme levels occurs in accordance with activity-induced changes in the muscle＇s fiber-type profile. Recovery of skeletal muscle mechanical properties depends on the structural and metabolic peculiarities of muscle and the character of training.

Practice and Reflection on the Apprentice Training Talents “Dual Systems Four Stages of Work Integrated Learning” Education Approach

In view of the current demand for skilled talents required by the Chinese construction industry,this paper takes the Jiuzhou Polytechnic of Xuzhou,Jiangsu Province as an example and puts forward the apprenticeship training model of“dual system,four stages of work integrated learning,”with the characteristics of vocational education from China Jiuzhou Polytechnic along with its paid study courses.

Population transfer by femtosecond laser pulses in a ladder-type atomic system

The population transfer in a ladder-type atomic system driven by linearly polarized sech-shape femtosecond laser pulses is investigated by numerically solving Schr6dinger equation without including the rotating wave approximation （RWA）. It is shown that population transfer is mainly determined by the Rabi frequency （strength） of the driving laser field and the chirp rate, and that the ratio of the dipole moments and the pulse width also have a prominent effect on the population transfer. By choosing appropriate values of the above parameters, complete population transfer can be realized.

In Vivo Testing of Canine Prosthetic Femoral Components with HA-Ti Ladder-type Coating on Vacuum Plasma-sprayed Ti Substrate

Summary： The purpose of the present study was to observe the structure and functional change of the bone-coating-prosthesis interface in vivo and to evaluate the histocompatibility of self-made prosthetic femoral components in the body and the degree of their bonding with the surrounding bone tissues as well as their stability. Six mature beagle dogs underwent bilateral hip replacement with prosthetic femur components. Three groups were established in terms of different coating of prothesis （four joints in each group）： atmosphere （A） plasma-sprayed pure titanium （Ti） prosthetic joint with hydroxyapatite （HA） coating （HA＋Ti＋A group）; vacuum （V） plasma-sprayed pure Ti prosthetic joint with HA coating （HA＋Ti＋V group）; vacuum plasma-sprayed pure Ti prosthetic joint with Ti-HA stepped coating （Ti＋HAG＋Ti＋V group）. The hip joints were functionally evaluated, and subjected to X-ray examination, biomechanics inspection, and histological examination. As a result, X-ray imaging revealed all prosthetic joints were in a good location and no dislocation of joint was found. Shear strength of interface was significantly higher in Ti＋HAG＋Ti＋V group than in HA＋Ti＋V group （P〈0.05） and HA＋Ti＋A group （P〈0.05） at 28th week. Histological examination showed the amount of newborn bone in Ti＋HAG＋Ti＋V group was more than in HA＋Ti＋V group and HA＋Ti＋A group after 28 weeks. It was suggested that vacuum plasma-sprayed pure Ti prosthetic joint with TI-HA stepped coating could improve the bonding capacity of bone-prosthesis, enhance the stability of prosthesis, and increase the fixion of prosthetic femoral components because of better bone growth. This new type of biological material in prosthetic femoral components holds promises for application in clinical practice.

Complete eigenmode analysis of a ladder-type multiple-gap resonant cavity

A theoretical model is developed for calculating the eigenmodes of the multi-gap resonant cavity. The structure of concern is a kind of ladder-type circuit, offering the advantages of easy fabrication, high characteristic impedance （R/Q）, and thermal capacity in the millimeter wave to THz regime. The eigenfunction expansion method is used to establish the field expressions for the gaps and the coupling region. Then, the match conditions at the interface are employed, which leads to a group of complicate boundary equations in the form of an infinite series. To facilitate the mathematical treatments and perform a highly efficient calculation, these boundary equations are transformed into the algebraic forms through the matrix representations. Finally, the concise dispersion equation is obtained. The roots of the dispersion equation include both the axial modes in the gaps, which include the fundamental and the high-order modes, and the cavity modes in the coupling region. Extensive numerical results are presented and the behaviors of the multi-gap resonant cavity are examined.

Exercise interventions for patients with type 1 diabetes mellitus:A narrative review with practical recommendations

Type 1 diabetes mellitus(T1DM)is a chronic endocrine disease that results from autoimmune destruction of pancreatic insulin-producingβcells,which can lead to microvascular(e.g.,retinopathy,neuropathy,and nephropathy)and macrovascular complications(e.g.,coronary arterial disease,peripheral artery disease,stroke,and heart failure)as a consequence of chronic hyperglycemia.Despite the widely available and compelling evidence that regular exercise is an efficient strategy to prevent cardiovascular disease and to improve functional capacity and psychological well-being in people with T1DM,over 60%of individuals with T1DM do not exercise regularly.It is,therefore,crucial to devise approaches to motivate patients with T1DM to exercise,to adhere to a training program,and to inform them of its specific characteristics(e.g.,exercise mode,intensity,volume,and frequency).Moreover,given the metabolic alterations that occur during acute bouts of exercise in T1DM patients,exercise prescription in this population should be carefully analyzed to maximize its benefits and to reduce its potential risks.

Effect of circuit exercise training combined with drug therapy on glucose lipid metabolism and microinflammatory state in T2DM patients

Objective: To study the effect of circuit exercise training combined with drug therapy on glucose lipid metabolism and microinflammatory state in T2DM patients. Methods: Patients with newly diagnosed T2DM who were treated in Dazhou Integrated Traditional Chinese and Western Medicine Hospital between June 2014 and October 2016 were selected and randomly divided into training intervention group and routine intervention group who received circuit exercise training intervention and routine exercise intervention respectively. The contents of glucose lipid metabolism indexes and inflammatory cytokines in serum as well as the contents of inflammatory cells in peripheral blood were determined before intervention and 8 weeks after intervention. Results: Serum FBG, F-Ins, HbA1c%, FFA, TC, LDL-C, ox-LDL, Chemerin, Resistin, IL-6, MCP-1 and CRP contents as well as peripheral blood CD14+CD16+ cell contents of both groups of patients after intervention were lower than those before intervention while HDL-C, ADP and Vaspin contents were higher than those before intervention, and serum FBG, F-Ins, HbA1c%, FFA, TC, LDL-C, ox-LDL, Chemerin, Resistin, IL-6, MCP-1 and CRP contents as well as peripheral blood CD14+CD16+ cell content of training intervention group after intervention were lower than those of routine intervention group while HDL-C, ADP and Vaspin contents were higher than those of routine intervention group. Conclusion: Circuit exercise training for T2DM can be more effective in improving glucose lipid metabolism and inhibiting inflammatory response.

复合式训练对飞行学员肌力及旋梯旋转耐受的影响

目的针对有运动训练基础的飞行学员肌力和旋梯旋转耐受提高训练效果差问题,研究不同体能训练方案对促进肌力和旋梯旋转耐受的影响。方法216名男性飞行学员作为被试,随机分为实验组(n=108)和对照组(n=108),采用为期12周的复合式体能训练(实验组)和传统体能训练(对照组),在干预实验前、中期(4、8周)以及后期(12周)进行肌力测试和旋梯旋转耐受测试。结果干预训练后,实验组和对照组上肢后拉、前推,左、右下肢最大肌力平均最大增长幅度分别为19.9%、18.0%,32.8%、33.2%和3.8%、2.1%,11.8%、12.1%,两组增长幅度差异显著(P<0.01);实验组和对照组上、下肢爆发力平均最大提高幅度为29.4%、12.7%和17.4%、2.9%,两组提高幅度显著差异(P<0.05);两组躯干前屈、后展最大肌力平均最大提高幅度无显著差异;实验组、对照组旋梯旋转速度平均最大提高幅度分别为29%、15%,两组提升幅度差异显著(P<0.01);实验组、对照组旋梯推算过载耐受平均最大提高幅度分别为82%、36%,两组提升幅度差异非常显著(P<0.01);各项测试数据均在8周训练结束后趋近于最大值。结论复合式训练方案对提高有训练基础飞行学员上、下肢最大肌力和爆发力、旋梯旋转耐受能力显著优于传统训练方案。

基于碳捕集-电转气的矿区综合能源系统协同优化调度

“双碳”战略目标下,为促进风光消纳与能源电力低碳转型、提高矿区能源利用率,提出一种含伴生能源和碳捕集与电转气耦合的矿区综合能源系统低碳经济调度模型。首先,综合考虑瓦斯、乏风、涌水等矿区伴生能源利用,建立矿区综合能源系统基本模型,并以碳捕集和电转气设备为耦合单元,促进节能减排与可再生能源消纳。然后,引入奖惩阶梯式碳交易机制,以矿区综合能源系统运行成本最小为目标,建立矿区综合能源系统协同优化调度模型。最后,以中国云南某大型煤矿为例,通过设置不同场景进行仿真分析。结果表明,所提模型能够促进矿区综合能源系统低碳经济运行,提高风光消纳率。

从规律认知到类型建构——城市设计的入门探索

城市空间具有明确的建构规律,它通过建设单元地块划分与类型建筑的组织,展现出“建筑—街坊—街区”的空间逻辑。为帮助首次接受城市设计训练的高年级学生快速认知这一逻辑,本文通过国际现代城市成熟案例的分析,完成空间建构规律总结,将其作为操作工具并完成一个当代城市街区的城市设计。具体操作分两步走:首先通过建筑的组合建构城市街坊;然后通过街坊的组合构成城市街区。不同寻常的是,要求学生在上海城市语境下完成一个抽象基地的设计工作,从而避开复杂现实条件的干扰,专注空间规律,以此揭示这种简单逻辑的深刻性及其跨越文化的属性,从而验证其对城市设计的普适意义。

考虑含HRD的光热电站和综合需求响应的综合能源系统低碳经济调度

在“双碳”的背景下,为进一步提升综合能源系统(Integrated Energy System, IES)的经济性和环境效益,文中提出一种在奖惩阶梯型碳交易机制下考虑含热回收装置(Heat Recycling Device, HRD)的光热电站和综合需求响应的IES系统低碳经济调度方法。首先,在源侧构建含热回收装置的光热电站与加装碳捕集的热电联产机组联合运行的IES架构,并分析电转气两阶段的运行原理,建立计及余热回收的电转气设备模型。其次,考虑到负荷侧电、热、气三种负荷的柔性特性,在负荷侧建立电热气综合需求响应模型。最后,引入奖惩阶梯型碳交易机制,进一步减小系统碳排放量,构建调度周期内以含购能成本、运维成本、碳交易成本等系统总运行成本最小为目标的综合能源系统低碳优化调度模型。通过算例分析结果表明,所提方法不仅能提高机组的运行潜力,而且有效降低了系统总运行成本与碳排放量。