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Effectiveness of craniosacral therapy,Bowen therapy,static touch and standard exercise program on sleep quality in fibromyalgia syndrome:A randomized controlled trial

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Journal of Integrative Medicine 2024年第4期22卷 473-483页

作者： Reepa Avichal Ughreja prem venkatesan Dharmanand Balebail Gopalakrishna Yogesh Preet Singh Vani Lakshmi R Department of Physiotherapy Manipal College of Health ProfessionsManipal Academy of Higher EducationManipal 576104KarnatakaIndia Department of Rheumatology Manipal HospitalBengaluru 560052KarnatakaIndia Department of Clinical Immunology and Rheumatology All India Institute of Medical SciencesBilaspur 174001Himachal PradeshIndia Department of Data Science Prasanna School of Public HealthManipal Academy of Higher EducationManipal 576104KarnatakaIndia

Background:Sleep disturbance is commonly seen in fibromyalgia syndrome (FMS);however,high quality studies involving manual therapies that target FMS-linked poor sleep quality are lacking for the Indian ***:Craniosacral therapy (CST),Bowen therapy and exercises have been found to influence the autonomic nervous system,which plays a crucial role in sleep *** the paucity of evidence concerning these effects in individuals with FMS,our study tests the effectiveness of CST,Bowen therapy and a standard exercise program against static touch (the manual placebo group) on sleep quality in ***,setting,participants and intervention:A placebo-controlled randomized trial was conducted on132 FMS participants with poor sleep at a hospital in *** participants were randomly allocated to one of the four study groups,including CST,Bowen therapy,standard exercise program,and a manual placebo control group that received static ***,Bowen therapy and static touch treatments were administered in once-weekly 45-minute sessions for 12 weeks;the standard exercise group received weekly supervised exercises for 6 weeks with home exercises until 12 *** 12 weeks,all study participants performed the standard exercises at home for another 12 *** outcome measures:Sleep quality,pressure pain threshold (PPT),quality of life and fibromyalgia impact,physical function,fatigue,pain catastrophizing,kinesiophobia,and positive–negative affect were recorded at baseline,and at weeks 12 and 24 of the ***:At the end of 12 weeks,the sleep quality improved significantly in the CST group (P=0.037) and Bowen therapy group (P=0.023),and the PPT improved significantly in the Bowen therapy group(P=0.002) and the standard exercise group (P<0.001),compared to the static touch *** improvements were maintained at 24 *** between-group differences were observed for other secondary ***:CST and Bowen therapy improv

关键词： Chronic pain Complementary therapies Exercise Fibromyalgia Musculoskeletal manipulations Sleep

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A review on assessment and treatment of the trunk in stroke A need or luxury

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Neural Regeneration Research 2012年第25期7卷 1974-1977页

作者： Suruliraj Karthikbabu Mahabala Chakrapani Sailakshmi Ganeshan Kedambadi C Rakshith Syed Nafeez venkatesan prem Department of Physiotherapy Manipal College of Allied Health SciencesManipal HospitalBangalore 560017KarnatakaIndia Department of Medicine Kasturba Medical CollegeManipal UniversityMangalore 575003KarnatakaIndia Doctoral Advisory Committee Manipal UniversityManipal 576104KarnatakaIndia Department of Neurology Kasturba Medical CollegeManipal UniversityMangalore 575003KarnatakaIndia

Trunk function has been identified as an important early predictor of functional outcome after stroke and the same deteriorates on both contralateral and ipsilateral sides of the body following stroke. The primary contribution of the trunk muscles is to allow the body to remain upright, adjust weight shifts, and control movements against constant pull of gravity and is considered central key point of the body. Proximal stability of the trunk is a pre-requisite for distal limb mobility, balance, gait and functional activities and its positive correlation in hemiplegia has been demonstrated in a cross- sectional study. Both isokinetic and handheld dynamometer muscle strength testing demonstrated the weakness of bilateral trunk flexors, extensors and rotator muscles in both acute and chronic hemiplegic patients. This was confirmed by electromyography analysis which identified poor bilateral trunk muscles activity in patients with stroke. Trunk impairment scale is sensitive to evaluate the selective muscle control of upper and lower trunk, and it has been reported that lateral flexion of the trunk is easier than rotation of the trunk and the clinical observation concurs to the difficulty in lower trunk rotation of stroke patients. However, trunk exercises given early after stroke could produce enhanced balance performance post- stroke. This review attempts to report the evidence supporting the involvement of the trunk and its influence on balance and functional performance in post-stroke hemiplegia.

关键词： stroke hemiplegia trunk control balance function electromyography trunk muscle activity strength trunk impairment scale review

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How we look:European wild moufon and feral domestic sheep hybrids

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Current Zoology 2024年第3期70卷 298-303页

作者： Nikica Šprem Elena Buzan Toni Safner Faculty of Agriculture Department of FisheriesApicultureWildlife Management and Special ZoologyUniversity of ZagrebSvetošimunska cesta 2510000 ZagrebCroatia Faculty of Mathematics Natural Sciences and Information TechnologiesUniversity of PrimorskaGlagoljaška 86000 KoperSlovenia Faculty of Environmental Protection Trg mladosti 73320 VelenjeSlovenia Faculty of Agriculture Department of Plant BreedingGenetics and BiometricsUniversity of ZagrebSvetošimunska cesta 2510000 ZagrebCroatia Centre of Excellence for Biodiversity and Molecular Plant Breeding(CroP-BioDiv) Svetošimunska cesta 2510000 ZagrebCroatia

Hybridization between wild animals and feral individuals from closely related domestic species can occur when they share the same *** events are generally regarded as a threat to the genetic integrity and survival of established wild *** aim of this study is to confrm a hybridization between European moufon and feral sheep on the Adriatic island Dugi Otok,where a group of individuals phenotypically indicative of a possible introgression was *** an ovine medium-density SNP array genotypes,we provided genetic evidence of recent gene admixture between the two *** ADMIXTURE analysis suggests that two hybrid individuals had 82.2%and 94.1%of their ancestry attributable to feral sheep,respectively,with the rest of the moufon in *** analysis estimated the combined probabilities for the putative hybrid individuals belonging to one of the hybrid classes at 87.0%and 90.1%,*** main phenotypic differences in the hybrids were observed in the shape of the horns,a stronger horn circumference than in the moufon and weaker than for the sheep,pronounced horn rings,a shorter tail,and intermediate *** therefore recommend constant monitoring of the purity of the moufon population to maintain its genetic *** addition,all feral sheep should be removed from the wild,and released sheep raised in semi-wild conditions should be better controlled.

关键词： crossbreeding gene introgression livestock Ovis gmelinimusimon SNPs

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Evolution of a confined gravelly river to a braided-meandering river in the Late Cretaceous Khasi group, southern Shillong plateau, NE India

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Journal of Palaeogeography 2024年第4期13卷 754-774页

作者： Adrita Choudhuri prem Raj Uddandam Debarati Nag Birbal Sahni Institute of Palaeosciences Savitribhai Phule Pune University

This paper intends to unravel the depositional condition of the Basal Conglomerate/Jadukata Formation and the Lower Mahadek Formation in southern Shillong Plateau, NE India deposited during the Late Cretaceous period. The studied succession is entirely siliciclastics in composition and was built up on the Precambrian basement rocks. State-of-art facies analysis and palaeocurrent evidence helped us to reconstruct the palaeogeography and palaeoenvironment. The facies tracts reveal that frequent hyperconcentrated mass flow deposits dominated the proximal part of the river channels. Gradually, the river evolved to a sandy braided and finally mud-dominated, meandering system. The river channel changed its pattern through onlapping and progressive elimination of the accommodation space created by the tectonic subsidence/upliftment. Major shifts in palaeocurrent direction at different stages of the river evolution confirm the role of tectonics on the river channel evolution. QFL detrital modes of the sandstones reflecting lithic wacke composition and the recycled orogeny corroborate the interpretation. Rapid lateral and vertical facies transition suggests a pull-apart type basin due to ongoing rifting. Geochemical analyses also show signatures of the overlapping tectonic conditions supporting the pull-apart basin model.

关键词： Tectonics hyperconcentrated flows braided-meandering system pull-apart rift basin Late Cretaceous South Shillong Plateau

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Pre‑hatch thermal manipulation of embryos and post‑hatch baicalein supplementation mitigated heat stress in broiler chickens

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Journal of Animal Science and Biotechnology 2024年第3期15卷 1071-1085页

作者： Sadid Al Amaz Ajay Chaudhary prem Lal Mahato Rajesh Jha Birendra Mishra Department of Human Nutrition Food and Animal SciencesCollege of Tropical Agriculture and Human ResourcesUniversity of Hawai’i at ManoaAgSci 2161955 East‑West RdHonoluluHI 96822USA

Background High environmental temperatures induce heat stress in broiler chickens,affecting their health and pro-duction *** dietary,managerial,and genetics strategies have been tested with some success in mitigating heat stress(HS)in *** novel HS mitigation strategies for sustaining broiler production is critically *** study investigated the effects of pre-hatch thermal manipulation(TM)and post-hatch baica-lein supplementation on growth performance and health parameters in heat-stressed *** Six hundred fertile Cobb 500 eggs were incubated for 21 *** candling on embryonic day(ED)10,238 eggs were thermally manipulated at 38.5℃ with 55%relative humidity(RH)from ED 12 to 18,then transferred to the hatcher(ED 19 to 21,standard temperature)and 236 eggs were incubated at a controlled temperature(37.5℃)till *** hatch,180-day-old chicks from both groups were raised in 36 pens(n=10 birds/pen,6 replicates per treatment).The treatments were:1)Control,2)TM,3)control heat stress(CHS),4)thermal manipulation heat stress(TMHS),5)control heat stress supplement(CHSS),and 6)thermal manipulation heat stress supplement(TMHSS).All birds were raised under the standard environment for 21 d,followed by chronic heat stress from d 22 to 35(32–33℃ for 8 h)in the CHS,TMHS,CHSS,and TMHSS groups.A thermoneutral(22–24℃)environment was maintained in the Control and TM *** was constant(50%±5%)throughout the *** the data were analyzed using one-way ANOVA in R and GraphPad software at P<0.05 and are presented as mean±*** stress significantly decreased(P<0.05)the final body weight and ADG in CHS and TMHS groups compared to the other *** TM significantly increased(P<0.05)the expression of heat shock protein-related genes(HSP70,HSP90,and HSPH1)and antioxidant-related genes(GPX1 and TXN).TMHS birds showed a significant increment(P<0.05)in total cecal volatile fatty acid(VFA)concentration compared to the CHS bird

关键词： Baicalein Growth performance Gut microbiota Heat stress Thermal manipulation

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Structural build-up model for three-dimensional concrete printing based on kinetics theory

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Frontiers of Structural and Civil Engineering 2024年第7期18卷 998-1014页

作者： Prabhat Ranjan prem P.S.AMBILY Shankar KUMAR Greeshma GIRIDHAR Dengwu JIAO Advanced Materials Laboratory CSIR-Structural Engineering Research CentreChennai 600113India Department of Architecture and Civil Engineering City University of Hong KongHong Kong 999077China

The thixotropic structural build-up is crucial in extrusion-based three-dimensional(3D)concrete *** paper uses a theoretical model to predict the evolution of static and dynamic yield stress for printed *** model employs a structural kinetics framework to create a time-independent constitutive link between shear stress and shear *** model considers flocculation,deflocculation,and chemical hydration to anticipate structural *** reversible and irreversible contributions that occur throughout the build-up,breakdown,and hydration are defined based on the proposed structural ***,detailed parametric studies are conducted to evaluate the impact of model *** is revealed that the proposed model is in good agreement with the experimental results,and it effectively characterizes the structural build-up of 3D printable concrete.

关键词： structural build-up rheology thixotropy 3D printable concrete kinetics theory ultra high performance concrete

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The Rising Burden of Hepatocellular Carcinoma: Is the Gender Gap Narrowing?

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Journal of Clinical and Translational Hepatology 2024年第9期12卷 763-764页

作者： James K.H.Ho prem H.Thurairajah Daniel Q.Huang Kristie H.Fan Division of Gastroenterology and Hepatology National University HospitalNational University Health SystemSingaporeSingapore

Dear Editors,The landscape of hepatocellular carcinoma(HCC)is continuously *** global trends indicate a significant shift in the epidemiology of HCC from viral-related to non-viral-related ***-associated fatty liver disease has emerged as the fastest-growing contributor to HCC in recent years,due to the increased prevalence of obesity and metabolic risk factors.

关键词： Carcinoma epidemiology obesity

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Local excision of early rectal cancer: A multi-centre experience of transanal endoscopic microsurgery from the United Kingdom

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World Journal of Gastrointestinal Surgery 2024年第10期16卷 3114-3122页

作者： Ahmed Farid Matthew Tutton prem Thambi TS Gill Jim Khan Department of General Surgery Oncology Center Mansoura UniversityCairo 11432Egypt Department of Colorectal Surgery East Suffolk and North Essex NHS TrustColchester CO11AAEssexUnited Kingdom Department of Colorectal Surgery Portsmouth Hospitals University NHS TrustPortsmouth PO63LYHampshireUnited Kingdom Department of Surgery University Hospital of North TeesStockton on Tees TS18-TS21DarlingtonUnited Kingdom Department of General Surgery Portsmouth Hospitals NHS TrustQueen Alexandra HospitalPortsmouth PO63LYHampshireUnited Kingdom

BACKGROUND Total mesorectal excision remains the gold standard for the management of rectal cancer however local excision of early rectal cancer is gaining popularity due to lower morbidity and higher acceptance by the elderly and frail *** To investigate the results of local excision of rectal cancer by transanal endoscopic microsurgery(TEMS)approach carried out at three large cancer centers in the United *** TEMS database was retrospectively reviewed to assess demographics,operative findings and post operative clinical and oncological *** is a retro-spective review of the prospective databases,which included all patients operated with TEMS approach,for early rectal cancer(Node-negative T1-T2),selected T3 in unfit/frail *** Two hundred and twenty-two patients underwent TEMS *** included 144 males(64.9%)and 78 females(35.1%),Median age was 71 *** median distance of the tumours from the anal verge 4.5 *** tumour size was 2.6 *** most frequent operative position of the patient was lithotomy(32.3%),Full-thickness rectal wall excision was done in 204 *** operating time was 90 *** blood loss was *** were two 90-day *** excision of the tumour with free microscopic margins by>1mm were accomplished in 171 patients(76.7%).Salvage total mesorectal excision was performed in 42 patients(19.8%).Median disease-free survival was 65 months(range:3-146 months)(82.8%),and median overall survival was 59 months(0-146 months).CONCLUSION TEMS provides a promising option for early rectal cancers(Large adenomas-cT1/cT2N0),and selected therapy-responding ***-thickness complete excision of the tumour is mandatory to avoid jeopardising the oncological outcomes.

关键词： Local excision Transanal endoscopic microsurgery Early rectal cancer Rectum preservation Rectum saving

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Management of proximal tibial stress fracture associated with advanced knee osteoarthritis:A systematic review

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Chinese Journal of Traumatology 2024年第3期27卷 147-152页

作者： Mukesh Kumar Saini Mahendra Singh Devendra Singh prem Manohar Seervi Pera Jayavardhan Reddy Neelam Ramana Reddy Department of Orthopaedics Dr SN Medical CollegeJodhpur342011India Department of Orthopaedics Star HospitalsB Block Banjara HillsHyderabad500034India

Purpose:Tibial stress fracture associated with knee osteoarthritis is an unusual and difficult clinical *** is no clear existing treatment guideline for this uncommon clinical *** aim of this study is to review the impact of various treatment options for patients with advanced knee osteoarthritis associated with proximal tibial stress ***:The study was performed using the databases of PubMed and *** index for non-randomized studies score was used to evaluate the included studies’*** concluded data included the treatment approach,reported outcome measure,and time to fracture *** literature search was started in December 2021 and accomplished in January 2022.A narrative description of the different methods and comparison of their results were ***:Out of total assessed 69 studies,9 studies were included in our *** commonest treatment approach used was total knee arthroplasty by long tibial stem *** mean preoperative knee society score and knee functional score were 30.62 and 23.17,*** mean postoperative knee society knee score was 86.87,while the functional score was *** average reported time to achieve fracture union was 4 months(a range of 2.07-5.50 months).Conclusion:The optimal clinical outcome for treating either acute or mobile tibial stress fracture in patients with advanced knee osteoarthritis can be achieved with long stem total knee ***,due to heterogeneity of data,comparison of different treatment options for chronic proximal tibial stress fracture mal-union/non-union coexisting with knee osteoarthritic and such inferences need to be judged cautiously.

关键词： Tibial stress fracture Knee osteoarthritis Total knee arthroplasty

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Estimating the Yield Loss of Winter Wheat from Drought in the United States Southern Plains Region as Influenced by El Niño-Southern Oscillation (ENSO)

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Agricultural Sciences 2024年第9期15卷 1018-1034页

作者： prem Woli Gerald R. Smith Charles R. Long Francis M. Rouquette, Jr. Texas A&M AgriLife Research Center Overton USA

Wheat (Triticum aestivum L.) production is a major economic activity in most regional and rural areas in the Southern Plains, a semi-arid region of the United States. This region is vulnerable to drought and is projected to experience a drier climate in the future. Since the interannual variability in climate in this region is linked to an ocean-atmospheric phenomenon, called El Niño-Southern Oscillation (ENSO), droughts in this region may be associated with ENSO. Droughts that occur during the critical growth phases of wheat can be extremely costly. However, the losses due to an impending drought can be minimized through mitigation measures if it is predicted in advance. Predicting the yield loss from an imminent drought is crucial for stakeholders. One of the reliable ways for such prediction is using a plant physiology-based agricultural drought index, such as Agricultural Reference Index for Drought (ARID). This study developed ENSO phase-specific, ARID-based models for predicting the drought-induced yield loss for winter wheat in this region by accounting for its phenological phase-specific sensitivity to drought. The reasonable values of the drought sensitivity coefficients of the yield model for each ENSO phase (El Niño, La Niña, or Neutral) indicated that the yield models reflected reasonably well the phenomena of water stress decreasing the winter wheat yields in this region during different ENSO phases. The values of various goodness-of-fit measures used, including the Nash-Sutcliffe Index (0.54 to 0.67), the Willmott Index (0.82 to 0.89), and the percentage error (20 to 26), indicated that the yield models performed fairly well at predicting the ENSO phase-specific loss of wheat yields from drought. This yield model may be useful for predicting yield loss from drought and scheduling irrigation allocation based on the phenological phase-specific sensitivity to drought as impacted by ENSO.

关键词： ARID Drought Drought Index ENSO El Niño Growth-Stage Model Phenological-Phase Prediction Semi-Arid Wheat Yield Loss

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