Fibromyalgia Being Strongly Associated with Manual Labor Among Male Patients Attending Rheumatology Clinic

Introduction: Fibromyalgia is a common chronic pain syndrome, associated with different risk factors, including trauma. Many patients with the current or past history of manual labor attend our rheumatology clinic/s. Should manual labor be considered a risk factor for the development of fibromyalgia? Patients and Methods: A prospective study, where all male patients seen at the rheumatology clinic/s with the diagnosis of fibromyalgia were asked about their present and past type of job/s. Manual job was defined as a job where the participant had a strenuous physical activity of more than 2 hours during the working day. A similar number of Ethnic- and age-matched female patients from the same clinic/s were recruited as a control group. Results: 69 and 40 Arab and Jewish male participants were recruited, respectively. 54% of the Arab male patients and 20% of the Jewish male patients were considered manual laborers. Construction and renovation accounted for 46% of the type of jobs practiced by Arab patients. Only 4% of Arab female patients were considered manual laborers. Conclusion: Manual labor seems to be a risk factor for the development of fibromyalgia among male laborers.

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.

Specification of manual lactation traditional Chinese medicine technology

Acute mastitis is one of the common diseases of postpartum lactating women,also known as lactational mastitis,which can occur during breastfeeding,especially in the postpartum 3–4 weeks.Acute mastitis can lead to the cessation of breastfeeding.Improving breastfeeding behavior and extending breastfeeding duration have become a global strategy to promote maternal and child health.Manual lactation traditional Chinese medicine technology is one of the important measures to improve the rate of breastfeeding,which can solve the problems of breast swelling,pain,and reduction of milk production.This article introduces the definition,indications,standard operating procedures,precautions,and treatment of adverse events of manual lactation in traditional Chinese medicine technology,so as to provide more comprehensive guidance for clinical workers to carry out manual lactation operations.

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.

Preliminary Study on the Differences between Automatic-observed and Manual-observed Wind Speed and Its Correction

Comparing and analyzing the difference between automatic-observed and manual-observed wind speed based on the wind speed parallel observations in two methods, we find that many elements can influence the difference between automatic-observed and manual-observed wind speed, including the levels of speed wind, observation instruments and different regions. According to these elements, correction has been conducted, and find that the correction according to the level of wind speed has the best correction effect.

完全性脊髓横断后排尿次数对神经源性膀胱模型大鼠成模率的影响

背景:脊髓损伤常导致逼尿肌反射亢进型神经源性膀胱,目前对其发病机制和治疗缺乏明确认识,建立稳定可靠的动物模型对揭示疾病的病理机制和探索治疗方法具有重要影响。目的:探究完全性脊髓横断术后辅助排尿次数对神经源性膀胱模型大鼠的影响,以提高神经源性膀胱模型大鼠术后生存率及成模率。方法:从46只雌性SD大鼠中按随机数字表法抽取6只为假手术组,剩余40只大鼠完全性脊髓横断造模后随机分为每日排尿0,1,3,5次组,每组10只。术后19 d内每隔3 d测量残余尿量,术后第19天时观察存活及成模情况,进行尿流动力学检测及离体逼尿肌肌条收缩实验。结果与结论:①存活率及成模率:每日排尿0次组存活率10%,成模率10%;每日排尿1次组存活率20%,成模率10%;每日排尿3,5次组存活率70%,成模率70%;②残余尿量:与假手术组相比,术后第3,6,9,12,15天,每日排尿3,5次组的残余尿量显著增加(P<0.01);术后第18天,每日排尿3,5次组的残余尿量增多(P<0.05);与每日排尿3次组相比,术后第6天,每日排尿5次组的残余尿量减少(P<0.05),术后第3,9,12,15,18天,每日排尿5次组的残余尿量无统计学差异;③尿流动力学:与假手术组相比,每日排尿3,5次组大鼠的漏尿点压差明显减小(P<0.01),膀胱最大容量显著增大(P<0.01);与每日排尿3次组相比,每日排尿5次组的漏尿点压差和膀胱最大容量均无统计学差异;④离体逼尿肌肌条收缩实验:与假手术组相比,每日排尿3,5次组逼尿肌肌条收缩幅度和频率显著减少(P<0.01);与每日排尿3次组相比,每日排尿5次组的逼尿肌肌条收缩幅度和频率均无统计学差异。结果表明:辅助排尿是成功构建逼尿肌反射亢进型神经源性膀胱模型的影响因素之一,每日排尿3次或5次无明显差异,结合实际工作量和成模率,建议每日排尿频率至少3次及以上。

企业双栈站点DHCP的配置及Manual隧道的实现

Manual隧道结合DHCP技术,具有配置简单,易于实现,便于维护等优点,是IPv4/IPv6隧道技术的一种适宜选择方案。文章在分析DHCP技术、Manual隧道原理、IPv6地址格式和类型的基础上,部署了一个具备双栈网络设备的企业IPv4/IPv6网络,设计了拓扑图,详细规划了路由器端口和IP地址分配表,展示和解析了双栈路由器中DHCP和Manual隧道的主要配置命令,通过ping命令和访问服务器web网页的结果验证了网络的连通性,查看路由表信息明确了路由器通过rip动态路由协议和Manual隧道技术分别获得IPv4和IPv6路由信息的方法,为Manual隧道和DHCP技术在双栈站点的应用提供参考依据。

Discussion on Semantic and Communicative Translation and Its Application to English Translation of Tour Guide Manuals

Semantic translation and communicative translation are two strategies in Newmark's translation theory.This article begins with a discussion on Newmark's two translation methods,and aims at providing a theoretical basis for the combined application of both methods in translation of tour guide manuals.

手绘导航联合径向超声在肺外周病变诊断中的应用

目的 探讨手绘导航联合径向超声在肺外周病变诊断中的有效性和安全性。方法 选取2022年1月至2024年5月于安徽医科大学第二附属医院经手绘导航联合径向超声诊断的肺外周病变患者作为研究对象,通过回顾性分析病例资料,探究手绘导航联合径向超声对于肺外周病变的诊断效率及安全性。结果 共纳入110例肺外周病变患者,经手绘导航联合径向超声病灶探及率为100%,其中72例恶性病变,经手绘导航联合径向超声确诊55例,恶性疾病的诊断率为76.39%,炎症性病变36例,经手绘导航联合径向超声确诊24例,炎症性疾病的诊断率66.67%,随访仍未明确病变2例,活检联合刷检可以提高诊断率。110例患者中6例出现中度出血,1例出现气胸。结论 手绘导航联合径向超声在肺外周病变中的诊断率较高,安全性较好。

Clinical significance of the low normal sperm morphology value as proposed in the fifth edition of the WHO Laboratory Manual for the Examination and Processing of Human Semen

The very low cut-off value for sperm morphology of 4% morphologically normal spermatozoa, as proposed in the new edition of the World Health Organization （WHO） manual on semen analysis, is in agreement with recently published values and reflects the trend of a decline in reported mean values for normal sperm morphology. The reduced value for morphologically normal spermatozoa over the years may be due to several factors. The first is the introduction of strict criteria for the evaluation of sperm morphology. Other reasons may include the introduction of additional criteria for sperm morphology abnormalities and the suggested decrease in semen parameters because of increasing negative environmental influences. Although on its own the newly proposed very low normal value may not provide the strong predictive value for a males＇ fertility potential, as originally reported for sperm morphology evaluated according to strict criteria, a good predictive value can still be obtained if the holistic, strict approach for sperm morphology evaluation is followed together with additional sperm morphology parameters now available, because certain morphology patterns and sperm abnormalities are now known to be of strong prognostic value. In addition, better international standardization of the technical methodology, consensus on the interpretation of sperm morphology evaluation criteria and standardized international external quality control （EQC） schemes, are of utmost importance to maintain the good predictive value of sperm morphology.

Comparison of Manual and Automatic Methods for Measurement of Methane Emission from Rice Paddy Fields

S The methane emission flux from rice paddies was simultaneously measured with automatic and manual methods in the suburban of Suzhou. Both methods were based on the static chamber/GC-FID techniques. Detail analysis of the experimental results indicates: a) The data of methane emission measured with the automatic method is reliable. b) About 11 or 19 o′clock of local time is recommended as the optimum sampling time for the manual spot measurement of methane emission from rice paddies. The methane emission fluxes measured by manual sampling at local time other than the optimum time have to be corrected. The correction coefficient may be determined by automatic and continuous measurement. c) In order to get a more accurate result, an empirical correction factor, such as 18%, is recommended to correct the seasonally total amount of measured methane emission by enlarging the automatically measured data or reducing the manually measured ones.

Comparison of a Manual and an Automated Tracking Method for Tibetan Plateau Vortices

Tibetan Plateau vortices （TPVs） are mesoscale cyclones originating over the Tibetan Plateau （TP） dnring the extended summer season （April-September）. Most TPVs stay on the TP, but a small number can move off the TP to the east. TPVs are known to be one of the main precipitation-bearing systems on the TP and moving-off TPVs have been associated with heavy precipitation and flooding downstream of the TP （e.g., in Sichuan province or over the Yangtze River Valley）. Identifying and tracking TPVs is difficult because of their comparatively small horizontal extent （400-800 kin） and the limited availability of soundings over the TP, which in turn constitutes a challenge for short-term predictions of TPV-related impacts and for the climatological study of TPVs. In this study, （i） manual tracking （MT） results using radiosonde data from a network over and downstream of the TP are compared with （ii） results obtained by an automated tracking （AT） algorithm applied to ERA-Interim data. Ten MT-TPV cases are selected based on method （i） and matched to and compared with the corresponding AT-TPVs identified with method （ii）. Conversely, ten AT-TPVs are selected and compared with the corresponding MT-TPVs. In general, the comparison shows good results in cases where the underlying data are in good agreement, but considerable differences are also seen in some cases and explained in terms of differences in the tracking methods, data availability/coverage and disagreement between sounding and ERA-Interim data. Recommendations are given for future efforts in TPV detection and tracking, including in an operational weather forecasting context.

The modulation of brain functional connectivity with manual acupuncture in healthy subjects:An electroencephalograph case study

Manual acupuncture is widely used for pain relief and stress control.Previous studies on acupuncture have shown its modulatory effects on the functional connectivity associated with one or a few preselected brain regions.To investigate how manual acupuncture modulates the organization of functional networks at a whole-brain level,we acupuncture at ST36 of a right leg to obtain electroencephalograph（EEG） signals.By coherence estimation,we determine the synchronizations between all pairwise combinations of EEG channels in three acupuncture states.The resulting synchronization matrices are converted into functional networks by applying a threshold,and the clustering coefficients and path lengths are computed as a function of threshold.The results show that acupuncture can increase functional connections and synchronizations between different brain areas.For a wide range of thresholds,the clustering coefficient during acupuncture and postacupuncture period is higher than that during the pre-acupuncture control period,whereas the characteristic path length is shorter.We provide further support for the presence of ＂small-world＂ network characteristics in functional networks by using acupuncture.These preliminary results highlight the beneficial modulations of functional connectivity by manual acupuncture,which could contribute to the understanding of the effects of acupuncture on the entire brain,as well as the neurophysiological mechanisms underlying acupuncture.Moreover,the proposed method may be a useful approach to the further investigation of the complexity of patterns of interrelations between EEG channels.

The Application of Surface Electromyography in the Assessment of Ergonomic Risk Factors Associated with Manual Lifting Tasks

Summary: The purpose of this study was to evaluate the ergonomic risk factors associated with manual lifting tasks using surface electromyography (EMG). 13 volunteers lifted loads of 6 and 13 kg at two speeds and at two horizontal distances in 3 different postures and three boxes of different sizes, from floor to knuckle height, performing 72 lifting tasks. For each lift, the surface electromyography signals from the erector spinae muscles, bilaterally at T_~10 and L_3, was recorded. The ergonomic risk factors associated with manual lifting tasks were evaluated by comparing the average amplitude of EMG signals from the erector spinae muscles. The EMG average amplitude for lifting the load of 13 kg was 14.3 % greater than that for lifting the load of 6 kg (t=-10.93, P<0.01). The EMG average amplitude at the site of L_3 was 10.3 % greater than that at the site of T_~10 (t=-7.98, P<0.01). The EMG average amplitude when performing “fast” lift was 5.9 %greater than the “slow” lift (t=-4.63, P<0.01). The posture of lifting affected the EMG average amplitude. It was lowest with semi-squat posture and greatest with squat posture (F=27.76, P<0.01). The result of multiple stepwise regression analysis showed that the loads of lifting, the size of box, horizontal distance, posture of lifting, the site of the spine subjected to force, lifting speed were the factors affecting the EMG average amplitude. The most significant factor was the loads of lifting, followed by the site of the spine subjected to force and the lifting speed in terms of risk. The ergonomic risk factors associated with manual lifting tasks includes the loads, posture, lifting speed, horizontal distance, the site of the spine subjected to force etc. The results of signal amplitude of EMG from the erector spinae muscles showed that semi-squat posture is the best posture for lifting tasks.

Post electrical or lightning injury syndrome: a proposal for an American Psychiatric Association's Diagnostic and Statistical Manual formulation with implications for treatment

In the past, victims of electrical and lightning injuries have been assessed in a manner lacking a system- atic formulation, and against ad hoc criteria, particularly in the area of neuropsychological disability. In this manner patients have, for example, only been partially treated, been poorly or incorrectly diagnosed, and have been denied the full benefit of compensation for their injuries. This paper contains a proposal for diagnostic criteria particularly for the neuropsychological aspects of the post injury syndrome. It pays attention to widely published consistent descriptions of the syndrome, and a new cluster analysis of post electrical injury patients. It formulates a proposal which could be incorporated into future editions of the American Psychiatric Association＇s Diagnostic and Statistical Manual （DSM）. The major neuropsycholog- ical consequences include neurocognitive dysfunction, and memory subgroup dysfunction, with ongoing consequences, and sometimes including progressive or delayed psychiatric, cognitive, and/or neurological symptoms. The proposed diagnostic criteria insist on a demonstrated context for the injury, both specifying the shock circumstance, and also physical consequences. It allows for a certain delay in onset of symptoms. It recognizes exclusory conditions. The outcome is a proposal for a DSM classification for the post electrical or lightning injury syndrome. This proposal is considered important for grounding patient treatment, and for further treatment trials. Options for treatment in electrical or lightning injury are summarised, and future trials are foreshadowed.

Modulation of electroencephalograph activity by manual acupuncture stimulation in healthy subjects:An autoregressive spectral analysis

To investigate whether and how manual acupuncture（MA） modulates brain activities,we design an experiment where acupuncture at acupoint ST36 of the right leg is used to obtain electroencephalograph（EEG） signals in healthy subjects.We adopt the autoregressive（AR） Burg method to estimate the power spectrum of EEG signals and analyze the relative powers in delta（0 Hz-4 Hz）,theta（4 Hz-8 Hz）,alpha（8 Hz-13 Hz）,and beta（13 Hz-30 Hz） bands.Our results show that MA at ST36 can significantly increase the EEG slow wave relative power（delta band） and reduce the fast wave relative powers（alpha and beta bands）,while there are no statistical differences in theta band relative power between different acupuncture states.In order to quantify the ratio of slow to fast wave EEG activity,we compute the power ratio index.It is found that the MA can significantly increase the power ratio index,especially in frontal and central lobes.All the results highlight the modulation of brain activities with MA and may provide potential help for the clinical use of acupuncture.The proposed quantitative method of acupuncture signals may be further used to make MA more standardized.

Comparison of surgically induced astigmatism in various incisions in manual small incision cataract surgery

AIMTo determine the surgically induced astigmatism (SIA) in Straight, Frown and Inverted V shape (Chevron) incisions in manual small incision cataract surgery (SICS).

Pretreatment of emulational manual acupuncture versus electroacupuncture against visceral traction pain in rats

BACKGROUND： Acupuncture and moxibustion against visceral noxious stimulation present different mechanisms in the peripheral and central nervous systems, involving release of neurotransmitter substance P, acetylcholine esterase, leucine-enkephalin, and c-Fos protein expression. However, there are few reports addressing changes in neurotransmitter expression following manual acupuncture and electroacupuncture against visceral traction pain.OBJECTIVE： To explore changes in neurotransmitter expression in the ileum and protein expression in the medullary visceral zone of visceral traction pain rats undergoing pretreatment of emulational manual acupuncture, and to investigate the differences between emulational manual acupuncture and electroacupuncture.DESIGN, TIME AND SETTING： The randomized, controlled study was performed at the Biomedical Engineering Laboratory, Shanghai University of Traditional Chinese Medicine, Shanghai, China from August 2008 to July 2009.MATERIALS： G6805 electroacupuncture apparatus （Shanghai Medical Electronic Machine Factory, China） and ZSF-I acupuncture manipulation simulation therapeutic system （Chinese Medical Engineering Room, Shanghai University of Traditional Chinese Medicine, Shanghai China） were used in the present study.METHODS： A total of 40 male Sprague Dawley rats were equally and randomly assigned to sham surgery, model, emulational manual acupuncture and electroacupuncture groups. In the emulational manual acupuncture and electroacupuncture groups, emulational manual acupuncture and electroacupuncture were applied at bilateral Zusanli （ST 36） acupoints for 30 minutes, and models of visceral traction pain were established immediately.MAIN OUTCOME MEASURES： Substance P expression, c-Fos and glial fibrillary acidic protein expression were measured using immunohistochemistry. Acetylcholine esterase activity was examined utilizing a colorimetric method. Leucine-enkephalin content was detected using a radioimmune assay. Degree of pain in rats was assessed by pain score.RESULTS： Pain score, substance P expression in the ileum, acetylcholine esterase activity, expression of c-Fos protein and glial fibrillary acidic protein in the medullary visceral zone were significantly decreased following pretreatment of emulational manual acupuncture and electroacupuncture in rats with visceral traction pain （P〈0.05）. Compared with the electroacupuncture group, the leucine-enkephalin content was significantly increased, and pain score was significantly diminished in the emulational manual acupuncture group （P〈0.05）.CONCLUSION： Emulational manual acupuncture pretreatment decreases acetylcholine esterase activity, increases leucine-enkephalin release, downregulates expression of c-Fos protein and glial fibrillary acidic protein and ultimately inhibits visceral traction pain by reducing substance P release. The effectiveness in inhibiting visceral traction pain is greater when using emulational manual acupuncture compared with electroacupuncture. This is because emulational manual acupuncture effectively increases leucine-enkephalin release.