323 research outputs found
Effectiveness of dry needling in patients with knee pain: a systematic review and meta-analysis
No full textAuthors: Mr. Johnson C.Y. Pang, Professor Amy S.N. Fu, Dr. Ryan K.L. Lee, Dr. Allan C.L. Fu
Corresponding author: Mr. Johnson C.Y. Pang and contact email: jpang@cihe,edu.hk
Abstract
Objectives
To assess the effectiveness of various approaches of dry needling (DN) for patients with knee pain and dysfunction
Search strategy
Six electronic databases: CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO were searched in November 2020 (registration number: CRD42021221419).
Screening
Risk of bias assessment and qualitative analysis were conducted by two independent reviewers using the PEDro scale.
Data management and reporting
Eight of 14 articles that met the inclusion criteria were high-quality manuscripts based on the PEDro scale. DN demonstrated positive short-term effects (from immediately after DN to <3 months) in pain reduction for both knee osteoarthritis (KOA) and patellofemoral pain syndrome (PFPS) (overall standardized mean difference [SMD]=-1.549, P=0.002). Subgroup analysis, however, revealed only significant improvement in PFPS (SMD=-3.435, P<0.001). At three months post-intervention, DN induced significant pain reduction in both KOA and PFPS (overall SMD=-0.916, P=0.022). Moreover, DN resulted in significant short-term improvement in function (overall SMD=6.069, P<0.001) in both KOA and PFPS. However, only PFPS showed a significant functional improvement in the subgroup analysis (SMD=6.089, P<0.001). At three months post-intervention, DN-induced functional improvement was significant in both groups (overall SMD=5.840, P<0.001), although only PFPS showed a significant improvement in the sub-group analysis (SMD=5.694, P=0.002). The outcomes of ultrasound (US)-guided DN on patients with knee pain are still unknown.
Conclusion
DN provides short-term benefits with respect to reducing pain and dysfunction for patients presenting with knee pain due to PFPS, but not KOA. Future research on US-guided DN for the treatment of knee pain is highly recommended
Effectiveness of dry needling in patients with knee pain: a systematic review and meta-analysis
No full textAuthors: Mr. Johnson C.Y. Pang, Professor Amy S.N. Fu, Dr. Ryan K.L. Lee, Dr. Allan C.L. Fu
Corresponding author: Mr. Johnson C.Y. Pang and contact email: jpang@cihe,edu.hk
Abstract
Objectives
To assess the effectiveness of various approaches of dry needling (DN) for patients with knee pain and dysfunction
Search strategy
Six electronic databases: CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO were searched in November 2020 (registration number: CRD42021221419).
Screening
Risk of bias assessment and qualitative analysis were conducted by two independent reviewers using the PEDro scale.
Data management and reporting
Eight of 14 articles that met the inclusion criteria were high-quality manuscripts based on the PEDro scale. DN demonstrated positive short-term effects (from immediately after DN to <3 months) in pain reduction for both knee osteoarthritis (KOA) and patellofemoral pain syndrome (PFPS) (overall standardized mean difference [SMD]=-1.549, P=0.002). Subgroup analysis, however, revealed only significant improvement in PFPS (SMD=-3.435, P<0.001). At three months post-intervention, DN induced significant pain reduction in both KOA and PFPS (overall SMD=-0.916, P=0.022). Moreover, DN resulted in significant short-term improvement in function (overall SMD=6.069, P<0.001) in both KOA and PFPS. However, only PFPS showed a significant functional improvement in the subgroup analysis (SMD=6.089, P<0.001). At three months post-intervention, DN-induced functional improvement was significant in both groups (overall SMD=5.840, P<0.001), although only PFPS showed a significant improvement in the sub-group analysis (SMD=5.694, P=0.002). The outcomes of ultrasound (US)-guided DN on patients with knee pain are still unknown.
Conclusion
DN provides short-term benefits with respect to reducing pain and dysfunction for patients presenting with knee pain due to PFPS, but not KOA. Future research on US-guided DN for the treatment of knee pain is highly recommended
Effectiveness of dry needling in patients with knee pain: a systematic review and meta-analysis
No full textAuthors: Mr. Johnson C.Y. Pang, Professor Amy S.N. Fu, Dr. Ryan K.L. Lee, Dr. Allan C.L. Fu
Corresponding author: Mr. Johnson C.Y. Pang and contact email: jpang@cihe,edu.hk
Abstract
Objectives
To assess the effectiveness of various approaches of dry needling (DN) for patients with knee pain and dysfunction
Search strategy
Six electronic databases: CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO were searched in November 2020 (registration number: CRD42021221419).
Screening
Risk of bias assessment and qualitative analysis were conducted by two independent reviewers using the PEDro scale.
Data management and reporting
Eight of 14 articles that met the inclusion criteria were high-quality manuscripts based on the PEDro scale. DN demonstrated positive short-term effects (from immediately after DN to <3 months) in pain reduction for both knee osteoarthritis (KOA) and patellofemoral pain syndrome (PFPS) (overall standardized mean difference [SMD]=-1.549, P=0.002). Subgroup analysis, however, revealed only significant improvement in PFPS (SMD=-3.435, P<0.001). At three months post-intervention, DN induced significant pain reduction in both KOA and PFPS (overall SMD=-0.916, P=0.022). Moreover, DN resulted in significant short-term improvement in function (overall SMD=6.069, P<0.001) in both KOA and PFPS. However, only PFPS showed a significant functional improvement in the subgroup analysis (SMD=6.089, P<0.001). At three months post-intervention, DN-induced functional improvement was significant in both groups (overall SMD=5.840, P<0.001), although only PFPS showed a significant improvement in the sub-group analysis (SMD=5.694, P=0.002). The outcomes of ultrasound (US)-guided DN on patients with knee pain are still unknown.
Conclusion
DN provides short-term benefits with respect to reducing pain and dysfunction for patients presenting with knee pain due to PFPS, but not KOA. Future research on US-guided DN for the treatment of knee pain is highly recommended
A Study on Ueda-akinari's Adapting Technique and Discriminatory Attitude Against Confucianism-Buddhism in Siramine
No full text日本志怪小說的傑作《雨月物語》，為江戶文?巨擎上田秋成以「翻案」(仿作)中日古典文學的手法寫成。本論文是以《雨月物語》的首篇作品〈白峰〉為探討對象。
〈白峰〉的內容是描述被迫遜位的悲劇天子崇德上黃化為厲鬼出現於原本武士後來出家的西行法師面前，為了將自己生前發動的叛亂事件正當化，針對儒家的禪讓‧篡位思想，和西行法師在黑夜的深山裏進行辯論的故事。根據兩人辯論的內容，學者之間傾向於將本篇視為日本「國學者」上田秋成的排儒黜佛論。
本論文首先比較〈白峰〉及其典據，繼之闡述作品主題，探討了一般所謂的秋成的排儒黜佛論，並提示不同的觀點。This dissertation is to discuss the first chapter of Ugetsu-monogatari, one of Ueda-akinari’s outstanding collections of eweird and mysterious stories in japan.
Ugetsu-monogatari consists of nine stories, and the first story is Siramine. It tells the tragic story of Sutokku- joko, an emperor forced to abdicate, whose malicious spirit argues with Saigyo-hosi about “usurping the thoughts of Confucianism, in order to legitimate the rebellion he arose when alive. According to the content of their debate, most scholars tend to regard this story as Ueda-akinari’s discriminatory attitude against Confucianism-Buddhism; the author will discuss this unfriendly criticism in this chapter.
In this dissertation , the author first compares Siramine with its originals, discusses its main points, the so-called discriminatory attitude against Confucianism-Buddhism, and gives hints of opposite viewpoints
Crossing between the Immortal World and the Mortal World in the Strange Stories from a Chinese Studio: Reflection on the Return of Liu Chen and Ruan Zhao and Investigation into Sentiments and the Dao
No full text《聊齋誌異》多篇揭現對仙境的營塑及探求，雜糅神話思維、宗教情操、故實承衍、倫理關懷、生命叩問及美學呈現，在在展呈蒲松齡對超拔凡俗、修行得道的壯闊想像及深切嚮往，也揭現蒲松齡對生命歸趨的多向探索，涵括情緣繫念、事親盡孝、宗嗣傳承、功名舉業及仙凡兩難的價值抉擇。本文析論《聊齋》所揭仙鄉∕人境流轉往復的動態進程，除了提挈六朝「劉、阮模式」的多樣演繹，更進而探究情緣、道念如何相持與相拒？如何超越世網纏縛，思辨功名的執守與捨離？乃至生命如何流通、重探自我？藉由仙凡兩端的迂迴辯證及仙凡異境的互融互攝，以彰明其周折婉曲之處所寄寓的人性底蘊及多重啟悟。Many tales in the Strange Stories from a Chinese Studio involve portraits and explorations of the immortal world, where myths, religions, legends, ethics, self-reflections and aesthetics are neatly interwoven. All these themes reveal the author Pu Song-Ling’s imagination, his craving for immortality and the Dao, and his multi-faceted inquiries of life, including love, filial piety, succession of heirs, pursuit of fame and honor, and the dilemma of choosing between immortality and mortality. The present paper is intended to analyze the incessant journeys between the immortal world and the mortal world in the Strange Stories. Employing the Liu-Ruan model of the Six Dynasties, the paper investigates how one deals with his/her sentiments and thoughts of the Dao, how he/she transcends the boundary of the mundane life and contemplates whether to grasp or abandon fame and honor, and how his/her life evolves and explores itself. Through the reciprocal relationship between the immortal world and the mortal world, the Strange Stories sheds light on human nature and realization
Characteristics and trends of orthopedic publications between 2000 and 2009
No full textBackground: This study was undertaken to investigate the trends of orthopedic publications during the last decade, and to document the country of origin, journal, funding source, and language of contribution using PubMed. Methods: Orthopedic articles published between 2000 and 2009 were retrieved from PubMed using the following search terms: orthopaedic[Affiliation] AND (2000/1/1[PDAT]: 2009/12/31[PDAT]) and orthopedic[Affiliation] AND (2000/1/1[PDAT]: 2009/12/31[PDAT]). The articles were downloaded in XML file format, which contained the following information: article title, author names, journal names, publication dates, article types, languages, authors' affiliations and funding sources. These information was extracted, sorted, and rearranged using the database's management software. We investigated the annual number of published orthopedic articles worldwide and the annual rate of increase. Furthermore, the country of publication origin, journal, funding source, and language of contribution were also investigated. Results: A total of 46,322 orthopedic articles were published and registered in PubMed in the last 10 years. The worldwide number of published orthopedic articles increased from 2,889 in 2000 to 6,909 in 2009, showing an annual increase of 384.6 articles, or an annualized compound rate of 10.2%. The United States ranked highest in the number of published orthopedic articles, followed by Japan, the United Kingdom, Germany, and the Republic of Korea. Among the orthopedic articles published worldwide during the last 10 years, 37.9% pertained studies performed in the United States. Fifty-seven point three percent (57.3%) of articles were published in journals established in the United States. Among the published orthopaedic articles, 4,747 articles (10.2%) disclosed financial support by research funds, of which 4,688 (98.8%) articles utilized research funds from the United States. Most articles were published in English (97.2%, 45,030 articles). Conclusions: The number of published orthopedic articles has been increasing over the last decade. The number of orthopedic articles, journals publication, and funding sources were dominated by research conducted in the United States, while share and growth of Asian countries including Japan, the Republic of Korea, and China were notable. © 2011 by The Korean Orthopaedic Association.Y
Applying adaptive design for the replacement of a weir in the Meuse River – a case study
No full textThe nature of the Meuse River is more than any other major river in the Netherlands formed by the presence of weirs. These were constructed almost one century ago to enable transport of coal; nowadays, the boundary conditions have changed and will continue to change in the future. The weirs reach the end of their lifetime around 2030; during their replacement, the uncertain future has to be considered. This paper presents an adaptive river design, which is able to adapt to the changing requirements. Special attention is given to the design of an adaptive weir in the Meuse River to replace the present weir at Belfeld. A new design methodology has been developed and applied. The methodology results shown in an adaptation scheme, give an overview of the required regional and weir adaptations. These adaptations are required to serve the scenario-dependent purposes in the future.Accepted Author ManuscriptHydraulic Structures and Flood Ris
A laboratory and numerical study of transverse momentum exchange in vegetated channels
No full textTransverse exchange processes of mass and momentum in floodplain regions of channels are of primary importance regarding the sediment transport and riverbank stability. The presence of large horizontal coherent structures (LHCSs) at the interface of the floodplain and main channel regions may contribute up to 90% the amount of transverse momentum exchange between these areas. Although many momentum exchange models have been proposed and developed, their applicability in different circumstances is still unclear as their validity is usually restricted to a narrowly ranging experiment data set. In order to obtain more insight, two unique laboratory experiments of a shallow flow field in a floodplain channel with and without vegetation have been conducted. One small scale experiment was conducted at the TU Delft Water Lab. Another large-scale experiment of floodplain vegetated channel has been conducted at the Korea Institute of Civil Engineering and Building Technology -River Experiment Center (KICT-REC). The experimental data has been used to verify state-of-the-art momentum exchange models. As the limitations of these models were analyzed, a new eddy viscosity model based on the occurrence of LHCSs was proposed and validated using a variety of experimental data sets. A numerical model mimicking physical models was constructed. The experimental results were compared with the numerical results, showing the capacity of the new eddy viscosity model. Furthermore, the experimental results confirm the presence of LHCSs in a large-scale experiment. The LHCSs have the length of about 15m, which is one order of magnitude larger than that observed in the small-scale experiment.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Environmental Fluid Mechanic
Solanum membranisepalum (Solanaceae): A new name for the Flora of China
No full textSolanum membranisepalum Li Bing Zhang & Ngan T. Lu is proposed as a replacement name for the later homonym S. griffithii (Prain) C.Y. Wu & S.C. Huan
Bank erosion in regulated navigable rivers: Towards a process-based model of bank retreat
No full textAfter the European Water Framework Directive, riverbanks in several countries had the protections removed to improve the water quality and the river ecosystem. Particularly, the Meuse River currently has several kilometres of freely eroding banks, which may have consequences for other river functions such as navigation and flood conveyance. The understanding, quantification and prediction of the morphological evolution of restored banks is thus relevant to manage the integrity of all river functions and improve future restoration practices. This work analyses the results of a recently developed model to estimate bank retreat in regulated waterways and compares them with measured profiles. The model essentially accounts for the major drivers of erosion, i.e., primary and secondary ship waves, considers homogenous cohesive banks, and computes erosion rates through a Partheniades-type of formulation. The results show a good qualitative and quantitative agreement with measurements. Erosion rates are yet not accurate with the current approach, for which future work will focus on improving the temporal representation through the inclusion of other factors and processes affecting erosion rates. These are, for instance, statistically representative time series of ship waves, currents during floods, and elements affecting erosion processes such as mass failures, slump-block dynamics and vegetation.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Environmental Fluid Mechanic
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