Therapeutic effect of manual massage on early postpartum rectus abdominis separation and postpartum depression

BACKGROUND Rectus abdominis separation(DRA)affects pelvic stability and body image.No studies have explored the effects of manual massage on early postpartum DRA and postpartum depression.AIM To analyze the curative effect of massage on early postpartum DRA and its impact on postpartum depression and thus its ability promote the overall psychosomatic rehabilitation of postpartum women.METHODS Data were retrospectively collected on 70 primiparous women with postpartum DRA who underwent rehabilitation at the Postpartum Rehabilitation Center of Huzhou Maternal and Child Health Hospital from October 2022 to September 2023.The patients were divided into the Group S(35 cases,biomimetic electrical stimulation treatment)and Group L(35 cases,biomimetic electrical stimulation combined with manual massage treatment).Baseline data,the edinburgh postpartum depression scale(EPDS)score,and the visual analog scale(VAS)scores for rectus abdominis distance,waist circumference,and lower back pain before and after treatment were compared.RESULTS No significant differences were found in the baseline data,rectus abdominis distance,waist circumference,and VAS and EPDS scores between the two groups before treatment(P>0.05).After treatment,the distance between rectus abdominis and waist circumference in Group L were significantly smaller than those in Group S(P<0.05).Furthermore,lower back pain(VAS score)and the EPDS score in Group L were significantly lower than those in Group S(P<0.05).CONCLUSION Manual massage can significantly reduce early postpartum DRA,waist circumference,and back pain and improve the patient’s mental state and postpartum depression.

Combination of manual lymphatic drainage and Kinesio taping for treating pigmented villonodular synovitis:A case report

BACKGROUND Pigmented villonodular synovitis(PVNS)is a benign proliferative disorder that affects the synovial joints,bursae,and tendon sheaths.To date,few studies have reported on the treatment of postoperative pain and edema in patients with PVNS.Herein,we present the case of a woman who developed pain and edema in the left lower limb 1 wk after synovectomy and arthroscopic partial meniscectomy and was unable to walk due to limited flexion and extension of the left knee.CASE SUMMARY A 32-year-old woman underwent synovectomy and arthroscopic partial meniscectomy successively and was treated with a combination of manual lymphatic drainage(MLD)and kinesio taping(KT)in our hospital to alleviate postoperative pain and edema.The following parameters were assessed at 2 wk post-treatment and 1 wk post-discharge follow up:suprapatellar circumference,infrapatellar circumference,visual analog scale score,knee range of motion,pittsburgh sleep quality index score,hamilton anxiety rating scale(HAMA)score,and hamilton depression rating scale(HAMD)score.After treatment,the postoperative pain and edema in the patient’s left knee were effectively relieved,resulting in improved sleep quality and remarkably attenuated HAMA and HAMD scores.CONCLUSION Combined MLD and KT may be an effective approach for relieving postoperative pain and edema in patients with PVNS.

Translation Theory and Techniques in Optometry Literature: A Case Study of the “Optoform 80 Installation and Maintenance Manual”

Translation of specialized documents in optometry presents unique challenges,requiring a deep understanding of the professional context,terminology,and adherence to specific translation styles.This paper delves into the translation theory and techniques employed in the English-to-Chinese translation of the“Optoform 80 Installation and Maintenance Manual”,serving as a case study.Emphasizing Nida’s theory of functional equivalence,the paper explores the complexities of translating professional optometry literature,focusing on key points and common issues in translating installation and maintenance manuals for optometric devices.Special attention is given to the translation of professional terminology,employing methods such as addition,omission,conversion,and repetition.The translation process aims to meet specific requirements,ensuring accuracy and coherence while aligning with Chinese language conventions.The paper also analyzes translation methods and techniques concerning terminology,prepositions,conjunctions,and handling parallel elements based on practical insights from the Optoform 80 Manual.

Double Take Manual Labour Jobs

The Double Take column looks at a single topic from an African and Chinese perspective.This month we discuss whether highly educated people like college graduates should be doing manual labour work.Before I delve into the topic,I want to clarify that I do not consider manual labour jobs to be inferior or less demanding compared to white collar jobs.In fact,currently there are many services,such as Japanese-style moving,an all-inclusive moving service during which you don’t need to do anything,or repair services dedicated to single women.

Systematic Review and Meta-analysis of Randomized Controlled Trials on Manual Therapy for the Treatment of Gastroesophageal Reflux Disease

Objective The objective of our study was to systematically evaluate the clinical efficacy and safety of manual therapy in the treatment of gastroesophageal reflux disease(GERD),providing a reference value for clinical decision-making.Method Studies of randomized controlled trials(RCTs)evaluating the efficacy of manual therapy in patients with GERD were searched through Chinese National Knowledge Infrastructure,Wanfang,ViP China Science and Technology Journal Database,China Biology Medicine Database,PubMed,The Cochrane Library,OviD Medline,and Embase.Two researchers independently reviewed the literature,extracted data,and performed a risk of bias analysis using the Cochrane risk of bias assessment tool,and conducted meta-analysis analysis and publication bias evaluation,the Grading of Recommendations,Assessment,Development and Evaluation(GRADE)tool 26 was used to rate the caliber of the data in this meta-analysis.Results This study included 11 RCTs.Meta-analysis showed that the manual therapy group had a higher total effective rate(odds ratio[OR]=4.63,95%confidence interval[Cl;3.01,7.14],p<0.00001)and better Reflux Disease Questionnaire scores[weighted mean difference(WMD)=-1.59,95%CI[-2.85,-0.33],p=0.01]than the control group.The subgroup analysis showed significant differences in improving the total effective rate in manual therapy versus Western medicine,manual therapy versus Chinese medicine decoction,manual therapy+Western medicine versus Western medicine,and manual therapy+conventional treatment versus conventional treatment groups.Among the 11 trials,5 reported adverse events,and all RCTs had the possibility of publication bias.Subgroup analysis shows that the differences in age could significantly influence heterogeneity;The GRADE analysis revealed that the overall quality of evidence for all outcome indicators was low and did not support our recommendation for the outcome.Conclusion Manual therapy is more effective than medication therapy alone in relieving GERD symptoms.Furthermore,conventional therapy combined with manual therapy was found to be even more effective.Hence,it is crucial to consider these findings when applying manual therapy to GERD patients to enhance treatment outcomes.Future studies must address issues such as study quality,treatment duration,and generalizability.

菊钩逍遥散对耳石症手法复位后肝郁型残余头晕患者血浆ET-1、CGRP及NPY水平的影响

目的观察菊钩逍遥散治疗耳石症手法复位后肝郁型残余头晕(RD)的疗效,及对血浆中内皮素-1(ET-1)、降钙素基因相关肽(CGRP)及神经肽Y(NPY)水平的影响并探讨其作用机制。方法90例患者随机分成对照组、中药组和联合组3组各30例。对照组给予甲磺酸倍他司汀片口服,中药组给予菊钩逍遥散口服,联合组给予菊钩逍遥散和甲磺酸倍他司汀片口服。治疗2周后,观察各组的临床疗效、DHI评分、SAS评分和血浆中ET-1、CGRP及NPY的变化。结果联合组总有效率为93.33%,高于中药组的82.76%和对照组的66.67%(P<0.05)。3组治疗前DHI、SAS评分、ET-1、CGRP和NPY含量比较,差别均不大(均P>0.05)。3组治疗后DHI、SAS评分均较治疗前降低(均P<0.01),且中药组、联合组的DHI、SAS评分均低于对照组(均P<0.01),而中药组和联合组DHI、SAS评分比较差别均不大(P>0.05)。3组治疗后ET-1、NPY含量均较治疗前降低(均P<0.01);中药组、联合组ET-1、NPY含量均低于对照组(均P<0.01),中药组和联合组比较,差异无统计学意义(P>0.05)。3组治疗后CGRP含量均较治疗前升高(均P<0.01),且中药组、联合组CGRP含量均高于对照组,联合组CGRP含量高于中药组(均P<0.01)。治疗过程中对照组出现2例便秘,中药组出现1例胃部不适,联合组出现1例便秘,各组均未见其他明显不良反应。结论菊钩逍遥散治疗RD疗效确切,能够缓解焦虑而改善残余头晕,其作用机制可能与调节血浆中ET-1、CGRP及NPY的水平有关。

Capacity Building Needs for Manual and Computer Assisted Teaching of Pattern Drafting for Entrepreneurship in Tertiary Institutions in Nigeria

This study investigated the capacity building needs for manual and computer assisted teaching of pattern drafting for entrepreneurship in tertiary institutions in Nigeria.The study was conducted and guided by two research questions and two hypotheses.This study adopted an ex-post facto research design.The population for the study consisted of 131 Home Economics lecturers from the Universities,Polytechnic,and Colleges of Education in South East Nigeria.The entire population was studied because of its manageable size,hence there was no sampling.The results of this study showed that the Home Economics lecturers are competent in drafting patterns using manual method.Technical skills required for lecturers of Home Economics to advance from manual to computer-assisted teaching of pattern drafting were identified.They include ability to grade patterns,ability to use software packages,and ability to discuss procedures of pattern drafting among others.Based on the findings,it was recommended among others that computer assisted teaching of pattern drafting should be incorporated and applied by Home Economics lecturers to ensure that students acquire technical skills that will enable them to enter into entrepreneurship.

Exploration of Work Manual Teaching Materials in Higher Vocational Education

In order to thoroughly implement the national vocational education reform plan,vocational colleges and universities have vigorously promoted the reform of teaching materials.As a new form of teaching material,work manual teaching materials highlight the characteristics of vocational education,provide the direction of vocational education textbook reform,and act as the foundation of the“three education”reform in vocational colleges.Based on the analysis of the current situation of the construction of teaching materials for higher vocational education,we explore the ideas for the development of work manual teaching materials,aiming to provide some reference for the development of teaching materials for vocational education in the new era.

老年冠心病患者低分子肝素皮下注射后按压与出血发生率的效应研究

目的探讨老年冠心病患者皮下注射低分子肝素后是否按压与皮下出血发生率的相关性。方法纳入2019年1月至2021年12月在南京医科大学附属南京医院行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)后使用低分子肝素皮下注射的老年冠心病患者131例作为研究对象,按照注射后是否按压分为观察组67例和对照组64例。皮下注射低分子肝素的流程均按照本院已纳入规范的“低分子肝素皮下注射法护理质量督查标准”执行,其中观察组要求注射完毕后按压穿刺点3~5 min,力度以皮肤下陷1cm为准,比较两组患者皮下出血的发生率。结果观察组皮下瘀斑发生率(9.0%)与对照组(7.8%)比较差异无统计学意义(P>0.05),观察组皮下硬结发生率(4.5%)与对照组(1.6%)比较差异亦无统计学意义(P>0.05)。患者的年龄、性别、腹围以及体质量指数(body mass index,BMI)与注射低分子肝素后发生皮下出血没有显著相关性(P>0.05),而腹部皮脂厚度与皮下出血存在显著相关性(P<0.05),是预测注射低分子肝素后发生皮下出血的独立预测因子。结论老年冠心病患者低分子肝素皮下注射后按压与出血发生率无相关性,无需按压。患者的腹部皮脂厚度是预测注射低分子肝素后发生皮下出血的独立预测因子,应通过规范操作来避免皮下出血的发生。

风力发电机叶片防除冰涂层(二):温升数值计算及防除冰性能

针对电热超疏水涂层覆冰过程中表现出的三类不同冰层形貌,该文建立了电加热融冰数值计算模型,并对仿真计算结果进行了相应的试验验证,验证结果与仿真结果基本一致,该模型能有效模拟融冰过程和温度分布。临界融冰功率的计算结果表明,电热超疏水涂层融冰所需功率大于非超疏水电热涂层,尤其在乳突状冰层出现后,融冰功率将大幅增加。电热超疏水涂层防冰试验结果表明,在雨凇覆冰环境中,超疏水性能单独作用时,叶片在覆冰前期能延缓覆冰;电热性能与超疏水性能共同作用时,叶片无覆冰形成。电热超疏水涂层用于风力发电机防覆冰具有较好的效果,但用于覆冰后的融冰时将需要更多的能量。

基于记忆合金双程形状记忆效应的导线雾凇防冰方法及现场试验

输电线路覆冰严重威胁电力系统的安全运行,国内外学者对抑制导线覆冰的方法开展了大量研究。该文基于形状记忆合金在不同温度下保持不同形状的双程形状记忆效应,提出在导线表面布置形状记忆合金,利用其形状变化改变导线表面电场强度抑制导线覆冰的方法,实现输电线路不停电非人工干预式防冰。建立布置形状记忆合金导线的三维模型,并仿真分析其表面电场情况。结果表明,随着形状记忆合金形变量增大,导线表面电场强度逐渐增大。用两端向上弯曲的圆柱形铝条代替形状发生变化后的形状记忆合金,将其布置在LGJ-150/25导线表面,在重庆大学雪峰山能源装备安全国家野外科学观测研究站开展野外自然覆冰实验。实验结果表明,在导线表面布置代替形变后的记忆合金的铝条能够抑制导线的雾凇覆冰,且在导线初始表面电场强度为10 kV/cm时,效果最佳,覆冰质量和厚度分别降低了57.1%和48.7%。

基于人体工学的手动轮椅助力装置研究

针对我国失能、半失能老人使用非电动轮椅推行费力的现状,综合考虑使用者功能需求、使用环境与可行技术支撑三方面的要素,从动力系统可靠性理论计算、人体工学设计以及智能控制设计等方面开展研究,研发一款新型助力装置。该装置通过基于人体工学的集成优化设计实现了轻量化(≤5 kg)、小型化(390 mm×130 mm×140 mm)结构设计要求;创新地采用基于单手操作的快速挂接结构,实现了面向市面大部分手动轮椅的高适配要求和5 s内快速装卸的易操作要求;基于使用环境的动力学分析与设计实现了室内外行进20 km的续航里程要求;通过手环控制器和摇杆控制器的多元控制方式开发,实现了不同驱动人员对助力装置启停控制和速度控制的简易化操作要求。

熄风活血化湿汤联合手法复位治疗良性阵发性位置性眩晕的效果观察

目的:探究熄风活血化湿汤联合手法复位治疗良性阵发性位置性眩晕(BPPV)的效果。方法:选取常州市武进中医医院2018年4月—2022年4月收治的BPPV患者86例,随机分为对照组和研究组,每组43例,对照组采用手法复位治疗,研究组在对照组基础上联合熄风活血化湿汤治疗。治疗2周后,比较两组患者的中医证候积分、疗效、眩晕及呕吐的发作频次,比较汉密尔顿焦虑/抑郁量表(HAMA/HAMD)评分和不良反应及并发症发生状况。结果:治疗后,两组主症、次症评分,出现眩晕、呕吐的发作频率,HAMA评分及HAMD评分均降低(P<0.01),研究组低于对照组(P<0.01)。研究组总有效率为97.67%(42/43),高于对照组81.40%(35/43),差异有统计学意义(P<0.05)。两组患者的不良反应及并发症发生率比较,差异无统计学意义(P>0.05)。结论:熄风活血化湿汤联合手法复位治疗BPPV,有助于改善患者的临床症状,降低眩晕发生频率,改善负面情绪,疗效及安全性良好。

基于自监督的主动标签清洗

主动标签清洗利用主动学习来进行标签噪声处理,以降低人工标注成本。现有的主动标签清洗方法仍然存在人工额外标注成本较高的问题,即挑选出的可疑样本中正确样本所占比例较高。为了缓解这一问题,提出了一种基于核心集的自监督主动标签清洗方法。首先利用自监督任务进行表征学习,随后将数据映射到特征空间中,并利用贪婪的K-Center集合覆盖方法挑选出可疑样本,最后根据不确定性筛选出标签噪声样本进行重标注。并同时考虑到了样本的代表性与不确定性,能够有效降低可疑样本中正确样本的比例。在含有不同比例标签噪声的公开数据集上的实验结果表明,在各迭代轮次中明显地降低了人工额外标注成本,同时也在一定程度上缓解了冷启动问题。此外,还通过消融实验证明了方法中自监督核心集采样模块和不确定性预测模块的有效性。

Ⅱ型飞机组合体配合件的钳工加工工艺分析

海上舰船的日常维修、加工与维护是维持舰船正常运行的重要环节,在工作环境不高、无大型的机床设备以及工量夹具简单的舰船上进行Ⅱ型飞机组合体配合件钳工的加工、修配与调试是具有“万能”与“灵活”的优势。本文对Ⅱ型飞机组合体配合件加工中的钳工工艺过程、加工重难点和手工测量进行分析,为保证Ⅱ型飞机组合体配合件的加工、测量和装配质量提供较佳的参考。

高校学生学习状态监控现状的调查与建议

教师对学生学习状态进行有效监控,实时了解每个学生的学习进展、学习水平和学习需求,是因材施教的前提与基础,也是提高教学质量的关键。通过对湖南省31所高校共192名教师进行了抽样调查,发现高校教师主要以课堂观察、作业与测试等人工监控的手段粗略了解学生的学习状态,而运用网络与智能平台监控者较少,智能监控水平低,监控动力不足,监控效果欠佳,难以适应个性化教育。针对学习状态监控存在的系列问题,提出了建立健全学习状态监控激励机制,加大培训与宣传力度,增加网络与智能监控投入,完善以学生能力培养为中心的教育政策等建议。

体外膈肌起搏器联合人工膨肺技术对颈髓损伤气管切开患者肺功能康复的应用研究

目的探讨研究体外膈肌起搏器(EDP)联合人工膨肺技术(MHI)对颈髓损伤气管切开患者肺功能康复的应用效果。方法选取2021年4月至2022年4月于赣州市人民医院进行颈髓损伤气管切开治疗的50例患者作为研究对象,采用随机数字表法将其分为观察组(n=25)和对照组(n=25),对照组予以常规呼吸训练,观察组在对照组基础上联合EDP、MHI进行干预。比较两组患者治疗前后的肺功能变化。结果观察组治疗7、14、21、28 d的肺部感染评分均低于对照组,用力肺活量(FVC)水平均高于对照组,差异有统计学意义(P<0.05)。观察组治疗28 d的膈肌移动度、厚度均大于对照组,差异有统计学意义(P<0.05)。结论对于颈髓损伤气管切开患者,EDP联合MHI的应用能够有效改善患者肺功能,降低肺部感染风险,整体效果显著,值得推广。

基于骨骼的人体行为识别方法研究综述

人体行为识别在视频理解中发挥了重要作用.近年来,基于骨骼的行为识别方法因其对复杂环境的干扰更具鲁棒性而受到广泛关注.文中共整理了102种基于骨骼的人体行为识别方法,并在9个公开数据集上对其进行了对比分析.按照特征学习方式的不同,分别介绍了基于手工特征的方法和基于深度学习的方法.其中,基于手工特征的方法按特征描述符的不同分为几何描述符、动力学描述符、统计描述符3个子类;基于深度学习的方法按网络主体的不同分为循环神经网络、卷积神经网络、图卷积网络、Transformer和混合网络5个子类.通过以上分析,不仅阐述了基于骨骼的行为识别方法的发展历程,还剖析了现有方法存在的泛化能力不强、计算成本高等局限.最后,从网络结构设计、相似动作区分、领域数据集拓展、多人交互等方面对未来研究方向进行了展望.

手法淋巴引流联合“合穴”按摩综合治疗对肿瘤患者肢体淋巴水肿的影响

目的探讨手法淋巴引流联合“合穴”按摩综合治疗对肿瘤患者肢体淋巴水肿的影响。方法选择2022年6月至2023年12月在泰州市人民医院肿瘤科、妇科、乳腺外科病区住院的60例肢体淋巴水肿患者为研究对象,采用随机信封法将患者分为研究组和对照组各30例,对照组患者给予常规护理手法引流,研究组患者则开展常规护理手法引流联合“合穴”按摩综合治疗,对比两组治疗前后患肢与健肢水肿周径差值及肢体淋巴水肿治疗效果。结果研究组治疗前后肢体周径差值明显大于对照组,患者的肢体水肿情况改善明显,差异有统计学意义(P<0.05)。结论手法淋巴引流联合“合穴”按摩综合治疗对肿瘤患者肢体淋巴水肿改善效果好,能提高患者的生活质量,值得临床应用。

自动粪便分析仪与人工复核法检测粪便结果的比较分析

目的比较自动粪便分析仪与人工复核法两种粪便检测方法的检验效果。方法收集2022年9月—2023年8月三明市第二医院就诊患者的9402份新鲜粪便标本,分别使用FA160自动粪便分析仪和人工复核法检测粪便有形成分(白细胞、红细胞、脂肪球、真菌)和隐血,记录两种方法的检测结果并进行统计学分析。结果自动粪便分析仪检测白细胞、红细胞、脂肪球、真菌和隐血的阳性检出率分别为4.90%、2.67%、6.31%、4.54%、25.34%,人工复核法阳性检出率分别为4.17%、2.22%、5.55%、5.29%、25.23%,自动粪便分析仪对粪便有形成分的阳性检出率除真菌略低于人工复核外,其他各项指标均高于人工复核,且差异均有统计学意义(均P<0.05),而粪便隐血试验的阳性检出率比较差异无统计学意义(P>0.05)。以人工复核法为标准,自动粪便分析仪检测白细胞、红细胞、脂肪球、真菌、隐血的阳性符合率分别为91.07%、96.17%、94.83%、78.07%、98.19%;阴性符合率分别为98.85%、99.46%、98.90%、99.56%、99.25%;阳性预测值分别为77.44%、80.08%、83.47%、90.87%、97.77%;阴性预测值分别为99.61%、99.91%、99.69%、98.79%、99.39%。结论自动粪便分析仪与人工复核法的检测结果虽然符合率较高,但还存在漏检和误检。因此对自动分析结果必须进行人工复核,提高检测结果的准确性,为临床提供可靠的参考依据。