Hasil untuk "Miscellaneous systems and treatments"

Ga Yeong Yi, So Rim Kim, Yeji Lee et al.

The most frequently reported cause of taste disorders is upper respiratory infection, followed by chemotherapy and idiopathic etiologies. Considering the various underlying causes, we aimed to comprehensively review clinical studies evaluating the effects of acupuncture on taste disorders. We searched the following six domestic and international databases for articles published from January 2000 to June 2025: PubMed, China National Knowledge Infrastructure, the Cochrane Library, Embase, Research Information Sharing Service, and Oriental Medicine Advanced Integrated System. Altogether, 575 articles were initially identified. After applying the inclusion and exclusion criteria, six case reports, one randomized controlled trial (RCT), one retrospective chart review, and one clinical observation study were analyzed. The frequently used acupuncture points were LR3, ST36, LI4, and SP6, which are known to promote blood circulation, regulate visceral functions, and exert anti-inflammatory effects. Acupuncture led to improvements in taste disorders, either as a stand-alone treatment or in combination with Korean medicine, electroacupuncture, pharmacopuncture, and moxibustion. Our study data suggest that acupuncture treatment may be an effective treatment option for taste disorders. To validate its clinical efficacy, future research should include large-scale RCTs and the development of standardized assessment tools.

Shunmugaram Shenbagaraj, Saraswathi Balasubramanian, Deepa Ravichandran et al.

A 32-year-old female homemaker came with a complaints of chronic low back pain, radiating to both lower limbs, stiffness especially in the morning difficulty in walking and standing with intensified pain during household chores for two years. She was diagnosed with Tantaka vātam, one of the eighty types of vātam disease which is equivalent to lumbar spondylosis. She was treated with therapeutic Varmam manipulations in every 7 days for a period of 48 days and followed for six months. Oswestry Disability Index, Siddha based diagnostic parameters were used to assess the clinical efficacy and no adverse events were noted during the treatment course and follow up period. This case report has provided a promising non-invasive and cost-effective therapeutic indication for the management of Tantaka vātam (lumbar spondylosis).

Rosani Ramos Machado, Felipa Rafaela Amadigi

Introdução: Na Universidade Federal de Santa Catarina (UFSC), a curricularização da extensão, prevista nas diretrizes regulamentadas pela Resolução nº 01/2020/Câmara de Graduação/Câmara de Extensão, busca integrar atividades extensionistas ao ensino, promovendo a formação ética, crítica e socialmente comprometida. No curso de graduação em Enfermagem da UFSC, esse processo foi concebido como estratégia para fortalecer a responsabilidade social e aproximar a formação acadêmica das demandas da comunidade. Objetivo: Descrever o processo de construção e implantação da curricularização da extensão no curso de graduação em Enfermagem da UFSC. Relato da experiência: A experiência fundamentou-se na articulação entre coordenação do curso, Núcleo Docente Estruturante e Pró-Reitoria de Graduação, com realização de discussões nos Fóruns de Graduação para adequar o currículo. O processo envolveu a inserção progressiva de atividades de extensão desde os primeiros semestres, integrando teoria e prática em contextos reais de atuação, como unidades de saúde e comunidades. A curricularização foi operacionalizada em nove disciplinas, possibilitando aos discentes o desenvolvimento de competências técnicas, éticas e cidadãs. Observou-se maior aproximação dos graduandos com a realidade social e do sistema de saúde, ampliando o diálogo com a comunidade e fortalecendo a aprendizagem significativa, ao conectar conteúdos acadêmicos às demandas coletivas. O processo também estimulou a interdisciplinaridade e potencializou a capacidade de intervenção social dos discentes. Conclusão: A inserção estruturada da extensão no currículo de Enfermagem contribuiu para a formação integral, crítica e socialmente responsável dos futuros profissionais. Embora desafios relacionados à necessidade de recursos e valorização institucional ainda se apresentem, a curricularização fortalece o papel da universidade como agente de transformação social e consolida o princípio da indissociabilidade entre ensino, pesquisa e extensão.

Ilgaz Akdoğan

Beyaz önlük töreni, henüz meslekten olmayan bir kişinin hekimliğe girişini ve sağlık mesleğinin bir üyesine dönüşümünü simgeleyen ritüel olarak tanımlanabilir. Tören ilk kez 1989 yılında bir toplantı formatında Chicago Üniversitesi Pritzker Tıp Fakültesi’nde ortaya çıkmıştır. Törende beyaz önlük verilen öğrencilere, fakültede hastalar da bulunduğu için profesyoneller gibi görünmeleri, beyaz önlük giymeleri ve rollerine uygun şekilde davranmaları istendiği belirtilmiş ve böylece beyaz önlük töreninin temeli atılmıştır. İlk organize beyaz önlük töreni ise 1993 yılında Columbia Üniversitesi Doktorlar ve Cerrahlar Koleji’nde gerçekleşmiştir. Böylece, tıp eğitiminin en başında tıpta hümanizmi vurgulamanın bir yolu olarak Beyaz önlük törenleri yapılmaya başlanmış ve giderek geleneksel hale gelmiştir. Bu çalışmanın amacı, Aydın Adnan Menderes Üniversitesi Tıp Fakültesi’nde 2024 yılında düzenlenen Beyaz Önlük Töreni’nde “Beyaz Önlüğün Anlamı” ile ilgili yaptığım konuşma metnini tanıtmaktır. Konuşma metni ülkemizin değerleri ile hekimlik mesleğinin insani, etik, toplumsal ve psikolojik boyutlarını bir araya getiren bir metindir. Empati, diğerkamlık, yardımseverlik, iyilik, fedakarlık, şefkat ve merhamet gibi doktorluğun profesyonel değerleri göz önüne alınarak yazılmış metnin, bundan sonra düzenlenecek Beyaz önlük törenlerinde okunabileceği düşüncesindeyim.

Girish Tillu, Supriya Bhalerao, Pawankumar Godatwar

Randa A. Mousa, Eman E. Elhadidy, Walaa M. Ali

Abstract Background Children with spastic diplegic cerebral palsy (CP) often demonstrate gluteus medius weakness that causes balance deficits and frequent falling during walking. Purpose The aim of the study was to evaluate the combined effects of functional task training with electrical stimulation of bilateral hip abductor muscles on motor abilities (standing and walking) and balance in children with spastic diplegic CP. Methods Thirty children with diplegic CP of both sexes whose ages ranged from 7 to 10 years were assigned randomly into two equal groups. For both groups, motor abilities were assessed by gross motor function measure (GMFM), and balance (static and dynamic) was assessed by the humac balance system before and after the study. The control group received a functional training program focusing on standing walking and balance exercises. While children in the study group received the same functional training program with bilateral electrical stimulation of gluteus medius muscles for 50 min. The treatment program for both groups was conducted for 3 sessions/week for 8 weeks. Results There were statistically significant differences between the control and study group post-treatment in GMFM as well as the center of pressure test and weight shift test in favor of the study group (p < 0.05). Conclusion Using functional task training with electrical stimulation for treatment of children with spastic diplegic CP have significant effects on improving their motor abilities and balance that suggests using it in rehabilitation for these children.

Yuchao Liao, Tosiron Adegbija, Roman Lysecky

Embedded systems continue to rapidly proliferate in diverse fields, including medical devices, autonomous vehicles, and more generally, the Internet of Things (IoT). Many embedded systems require application-specific hardware components to meet precise timing requirements within limited resource (area and energy) constraints. High-level synthesis (HLS) is an increasingly popular approach for improving the productivity of designing hardware and reducing the time/cost by using high-level languages to specify computational functionality and automatically generate hardware implementations. However, current HLS methods provide limited or no support to incorporate or utilize precise timing specifications within the synthesis and optimization process. In this paper, we present a hybrid high-level synthesis (H-HLS) framework that integrates state-based high-level synthesis (SB-HLS) with performance-driven high-level synthesis (PD-HLS) methods to enable the design and optimization of application-specific embedded systems in which timing information is explicitly and precisely defined in state-based system models. We demonstrate the results achieved by this H-HLS approach using case studies including a wearable pregnancy monitoring device, an ECG-based biometric authentication system, and a synthetic system, and compare the design space exploration results using two PD-HLS tools to show how H-HLS can provide low energy and area under timing constraints.

Yongqiang Wang

With the increasing awareness of privacy and the deployment of legislations in various multi-agent system application domains such as power systems and intelligent transportation, the privacy protection problem for multi-agent systems is gaining increased traction in recent years. This article discusses some of the representative advancements in the filed.

Erfan Mehdipour Abadi, Hamid Varmazyari, Masoud H. Nazari

This paper introduces a novel learning-based Stochastic Hybrid System (LSHS) approach for detecting and classifying various contingencies in modern power systems. Specifically, the proposed method is capable of identifying hidden contingencies that cannot be captured by existing sensing and monitoring systems, such as failures in protection systems or line outages in distribution networks. The LSHS approach detects contingencies by analyzing system outputs and behaviors. It then categorizes them based on their impact on the SHS model into physical, control network, and measurement contingencies. The stochastic hybrid system (SHS) model is further extended into an advanced closed-loop framework incorporating both system dynamics and observer-based state estimation error dynamics. Machine learning methods within the LSHS framework are employed for contingency classification and rapid detection. The practicality and effectiveness of the proposed methodology are validated through simulations on an enhanced IEEE-33 bus system. The results demonstrate that the LSHS framework significantly improves the accuracy and speed of contingency detection compared to state-of-the-art methods, offering a promising solution for enhancing power system contingency detection.

Lan Mei, Thorir Mar Ingolfsson, Cristian Cioflan et al.

Driven by the progress in efficient embedded processing, there is an accelerating trend toward running machine learning models directly on wearable Brain-Machine Interfaces (BMIs) to improve portability and privacy and maximize battery life. However, achieving low latency and high classification performance remains challenging due to the inherent variability of electroencephalographic (EEG) signals across sessions and the limited onboard resources. This work proposes a comprehensive BMI workflow based on a CNN-based Continual Learning (CL) framework, allowing the system to adapt to inter-session changes. The workflow is deployed on a wearable, parallel ultra-low power BMI platform (BioGAP). Our results based on two in-house datasets, Dataset A and Dataset B, show that the CL workflow improves average accuracy by up to 30.36% and 10.17%, respectively. Furthermore, when implementing the continual learning on a Parallel Ultra-Low Power (PULP) microcontroller (GAP9), it achieves an energy consumption as low as 0.45mJ per inference and an adaptation time of only 21.5ms, yielding around 25h of battery life with a small 100mAh, 3.7V battery on BioGAP. Our setup, coupled with the compact CNN model and on-device CL capabilities, meets users' needs for improved privacy, reduced latency, and enhanced inter-session performance, offering good promise for smart embedded real-world BMIs.

Ui Jin Park, Hye In Jeong, Kyeong Han Kim

Objectives: The aim of this systematic review and meta-analysis is to assess and compare the effectiveness of manual therapy in alleviating infant crying, a common symptom of nocturnal crying (NC) and infantile colic (IC). Methods: Total effective rate, crying time and adverse events were used as outcome indicators. To assess the quality, the risk of bias was determined for each study by two authors, using the Cochrane Collaboration's risk of bias tool. RevMan 5.0 was used for data analysis. A total of 98 articles were identified from 6 electronic databases. Results: Among them, twenty-seven studies which included 13 NC and 14 IC were included. Meta-analysis showed favorable effects tuina therapy on total effective rate (TER) of NC (RR: 1.20 [95% CI 1.05 to 1.37], p = 0.007), chiropractic therapy on crying time change of IC (SMD: -0.83 [95% CI -1.61 to -0.06], p = 0.04) and massage on total crying time of IC (SMD: -0.86 [95% CI -1.09 to -0.63], p < 0.00001). This systematic review compares different manual therapies for the treatment of NC and IC. While tuina, chiropractic, and massage show results in alleviating symptoms, the overall evidence remains limited due to the low quality and heterogeneity of the included studies. Conclusion: Therefore, further high-quality research with unified control groups is needed to establish manual therapy as a recommended treatment option for NC and IC. Protocol registration number is CRD42022348143 01/08/2022.

Junn Yong Loo, Ze Yang Ding, Vishnu Monn Baskaran et al.

Most works on joint state and unknown input (UI) estimation require the assumption that the UIs are linear; this is potentially restrictive as it does not hold in many intelligent autonomous systems. To overcome this restriction and circumvent the need to linearize the system, we propose a derivative-free Unknown Input Sigma-point Kalman Filter (SPKF-nUI) where the SPKF is interconnected with a general nonlinear UI estimator that can be implemented via nonlinear optimization and data-driven approaches. The nonlinear UI estimator uses the posterior state estimate which is less susceptible to state prediction error. In addition, we introduce a joint sigma-point transformation scheme to incorporate both the state and UI uncertainties in the estimation of SPKF-nUI. An in-depth stochastic stability analysis proves that the proposed SPKF-nUI yields exponentially converging estimation error bounds under reasonable assumptions. Finally, two case studies are carried out on a simulation-based rigid robot and a physical soft robot, i.e., robots made of soft materials with complex dynamics to validate effectiveness of the proposed filter on nonlinear dynamic systems. Our results demonstrate that the proposed SPKF-nUI achieves the lowest state and UI estimation errors when compared to the existing nonlinear state-UI filters.

Ashtavaidyan Vaidyamadham Subin Nambudiri, Jigeesh Paikkattu Purushothaman

Kerala’s contribution to Ayurveda practice and literature is held with high esteem by scholars all over the country. Literary works of Kerala comprises of both works which are unique in nature and works which have parallels in other regions of India. Despite these facts, most of these works, except a few like Sahasrayoga have not yet been studied well. The scholarliness of the authors of such works also remains unknown to the current generation. Unless a serious effort is made to study these, the concern is that the wisdom in the regional literature of Ayurveda will be lost as most of these works will become unavailable in near future. This article focuses on the life, works and achievements of Pandit C K Vasudeva Sarma, an eminent scholar physician from Kerala. The review is prepared as a life profile based on published documents, oral reports etc. Major works were identified and the parallel to Jejjata was drawn following that. Vachaspathya commentary on Carakasamhita, Hridayollasa commentary on Sushrutasamhita, Vasudeviya commentary on Ashtangahridaya, Vaidyapriya commentary on Sarngadharasamhita, commentary on Yogaratnakara called Vaidyaratnam are some of his prominent works on Sanskrit texts. Apart from authoring some unique Ayurvedic texts in Malayalam he also authored several non-Ayurveda textbooks. These rich regional diversity in the Ayurveda literature and practice worth detailed study by future generations. Value of the works of Pandit C K Vasudeva Sarma underlines the concern on regional literature and stresses the need for further studies in similar areas.

Paula Schuch Silveira, Roger dos Santos Rosa

A Rede de Atenção Psicossocial (RAPS) de Guaíba/RS (município com aproximadamente 98 mil habitantes) apresenta limitações para o planejamento das ações devido a dificuldades na elaboração do diagnóstico da utilização dos serviços. A Classificação Internacional de Atenção Primária – 2ª edição (CIAP-2) não tem sido utilizada de forma adequada nos registros dos atendimentos. O objetivo do trabalho foi qualificar os registros dos atendimentos relacionados à saúde mental mediante a elaboração de material didático para utilização por profissionais de saúde. Na etapa inicial, foi realizado um levantamento preliminar com base em relatórios administrativos públicos da codificação dos atendimentos de atenção primária à saúde (APS) realizada pelos profissionais da RAPS municipal relativos ao ano de 2021. Dos 99.053 atendimentos analisados, observou-se elevada quantidade de codificação inespecífica - 71.449 (72,1%) de códigos do capítulo A (Geral e Inespecífico). A codificação inespecífica impossibilita o conhecimento adequado do perfil de utilização dos serviços. Os códigos de classificação dos capítulos psicológico (P) e problemas sociais (Z) foram utilizados respectivamente em 3.424 (3,4%) e 572 (0,5%) atendimentos. A imprecisão nos dados acerca dos atendimentos em saúde mental realizados no âmbito da APS é uma realidade que estimulou os autores a estruturar a futura produção de material didático para a melhoria da situação.   Palavras-chave: Gestão da Informação em Saúde. Saúde Mental. Atenção Primária à Saúde.    

A. Smirne, D. Tamascelli, J. Lim et al.

We determine the conditions for the equivalence between the multi-time expectation values of a general finite-dimensional open quantum system when interacting with, respectively, an environment undergoing a free unitary evolution or a discrete environment under a free evolution fixed by a proper Gorini-Kossakowski-Lindblad-Sudarshan generator. We prove that the equivalence holds if both environments are bosonic and Gaussian and if the one- and two-time correlation functions of the corresponding interaction operators are the same at all times. This result leads to a non-perturbative evaluation of the multi-time expectation values of operators and maps of open quantum systems interacting with a continuous set of bosonic modes by means of a limited number of damped modes, thus setting the ground for the investigation of open-system multi-time quantities in fully general regimes.

Leonidas Droukas, Zoe Doulgeri, Nikolaos L. Tsakiridis et al.

This paper presents a comprehensive review of ground agricultural robotic systems and applications with special focus on harvesting that span research and commercial products and results, as well as their enabling technologies. The majority of literature concerns the development of crop detection, field navigation via vision and their related challenges. Health monitoring, yield estimation, water status inspection, seed planting and weed removal are frequently encountered tasks. Regarding robotic harvesting, apples, strawberries, tomatoes and sweet peppers are mainly the crops considered in publications, research projects and commercial products. The reported harvesting agricultural robotic solutions, typically consist of a mobile platform, a single robotic arm/manipulator and various navigation/vision systems. This paper reviews reported development of specific functionalities and hardware, typically required by an operating agricultural robot harvester; they include (a) vision systems, (b) motion planning/navigation methodologies (for the robotic platform and/or arm), (c) Human-Robot-Interaction (HRI) strategies with 3D visualization, (d) system operation planning & grasping strategies and (e) robotic end-effector/gripper design. Clearly, automated agriculture and specifically autonomous harvesting via robotic systems is a research area that remains wide open, offering several challenges where new contributions can be made.

Rui Wu, Jiaqi Chen, Zimengwei Ye et al.

Chinese medicine enema is an effective guiding method to treat diabetic kidney disease, a common chronic complication of diabetes, by regulating the function of the intestines to increase clearing and lower turbidity. We reviewed the treatment of diabetic kidney disease (DKD) with traditional Chinese medicine enemas and found that commonly used traditional Chinese medicines included Rhei Radix Et Rhizoma (Rheum palmatum L.), Ostrea concha (Ostrea gigas Thunberg), Taraxaci Herba (Taraxacum mongolicum Hand. -Mazz.), Astmgali Radix (Astragalus membranaceus Bge. var.mongholicus(Bge.) Hsiao), Salviae Miltiorrhizae Radix Et Rhizoma (Salvia miltiorrhiza Bge.), and Aconiti Lateralis Radix Praeparata (Aconitum carmichaelii Debx). The mechanism of the adjuvant therapeutic effect on DKD may relate to regulating intestinal flora, inhibiting inflammation and oxidative stress and protecting against kidney injury.

Gautam Sharma, Mooventhan A, Gitismita Naik et al.

Evidence suggests that yoga is safe and effective in improving various risk factors, quality of life (QoL), and psychological burden that is related to arrhythmia. However, this is the first-ever systematic review performed to report the role of yoga in arrhythmia. We have performed a literature search using Cochrane Library, Medline/PubMed, Web of Science Core Collection, and IndMED electronic databases up to 3, January 2018. Of 240 articles, 6 potentially eligible articles were identified and included in the review. Results showed that yoga could be considered an efficient adjuvant in reducing arrhythmia (paroxysmal atrial fibrillation, ventricular tachyarrhythmia, and palpitation) related health problems; blood pressure, heart rate, depression and anxiety scores; and in improving health-related QoL of arrhythmia patients. However, there is a lack of randomized controlled trials and a clear mechanism behind the effect of yoga; studies had relatively a small sample size and different yoga protocols.

Tanushree Roy, Sara Sattarzadeh, Satadru Dey

Cyber-physical-social connectivity is a key element in Intelligent Transportation Systems (ITSs) due to the ever-increasing interaction between human users and technological systems. Such connectivity translates the ITSs into dynamical systems of socio-technical nature. Exploiting this socio-technical feature to our advantage, we propose a cyber-attack detection scheme for ITSs that focuses on cyber-attacks on freeway traffic infrastructure. The proposed scheme combines two parallel macroscopic traffic model-based Partial Differential Equation (PDE) filters whose output residuals are compared to make decision on attack occurrences. One of the filters utilizes physical (vehicle/infrastructure) sensor data as feedback whereas the other utilizes social data from human users' mobile devices as feedback. The Social Data-based Filter is aided by a fake data isolator and a social signal processor that translates the social information into usable feedback signals. Mathematical convergence properties are analyzed for the filters using Lyapunov's stability theory. Lastly, we validate our proposed scheme by presenting simulation results.

Kirby Tuckerman, Wendy Potts, Milad Ebrahimi et al.

Abstract Background ACL reconstruction (ACLR) is a common procedure requiring rehabilitation in public hospital physiotherapy departments. The rate of re-rupture and reduced rates of return to sport following ACLR are concerning. Current guidelines recommend a progressive approach to rehabilitation based on objective criteria. The aim of this study was to determine whether a new public hospital model of care incorporating a phase-based program increased physiotherapist utilisation of objective outcome measures, improved service metrics including attendance and rehabilitation completion rates, and increased patient-reported activity and knee function. Methods Records from patients attending outpatient physiotherapy after ACL reconstruction (N = 132) were included in a retrospective chart review to assess utilisation of objective measures such as quadricep and hamstring strength assessment, patient attendance and rehabilitation completion. Phone followup (minimum 1 year) was conducted to retrieve patient-reported measures of knee function (IKDC) and activity (Tegner Activity Scale). Patients were categorised by rehabilitation model of care (contemporary - time based [N = 93] vs new - phase based [N = 39]) and logistic regression used to assess the influence of patient factors and model of care on outcomes. Results Compliance was equivalent between models of care and completion rates (formal discharge by therapist) were low (30–38%). The probability of a patient receiving objective strength assessment was associated with model of care, sex, BMI and number of sessions attended. The probability of a patient being recorded as discharged from the program was significantly associated with model of care, and duration and number of sessions. Conclusion Introduction of an updated model of care including a phase-based rehabilitation program increased physiotherapist utilisation of objective outcome measures in line with current ACLR rehabilitation recommendations, increased total rehabilitation duration and increased total number of sessions attended. Despite this, rehabilitation completion rates remained low, and self-reported activity and knee function remained equivalent. Level of evidence III, retrospective cohort study.