ABSTRACT The original two-order separating sieve has a good potato-soil separating ability, but it causes significant damage to potatoes while ensuring a high potato detection rate, which in turn affects the working effectiveness of the potato digger. Thus, it is necessary to improve the design of the original swing separation sieve with a two-order sieve surface to one with a three-order sieve surface to solve the contradiction between the potato detection and potato damage. On this basis, the movement characteristics of potatoes and the separation performance of the new sieve were experimentally investigated. The experiment was conducted in a test field in Wuchuan County using a completely randomized design in a single-factor scheme with three factors and five levels, with five crank speeds (140, 150, 180, 210 and 225 rpm), five machine forward speeds (1.41, 1.51, 1.70, 1.89 and 2.21 km h-1) and five boom-connecting rod length combinations (250-350-1,030, 250-370-1,040, 270-370-1,050, 290-370-1,060 and 310-370-1,070 mm). Each experiment was repeated three times at each level, and the average value was taken as the final result. The experimental results demonstrate that the new three-order separation sieve can ensure a high potato detection rate while maintaining a low potato skin breakage rate.

RESUMO A peneira de separação de duas ordens original tem uma boa capacidade de separação batata-solo, mas causa danos significativos às batatas ao mesmo tempo em que garante uma alta taxa de evidência de batatas, o que, por sua vez, afeta a eficácia do trabalho da escavadeira de batatas. Assim, o estudo teve como objetivo aprimorar a peneira de separação de balanço original com uma superfície de peneira de duas ordens para uma nova peneira de separação com uma superfície de peneira de três ordens para resolver a contradição entre a taxa obvia de batatas e os danos às batatas na operação da peneira original. Com base nisso, as características de movimentação das batatas e o desempenho de separação da nova peneira foram investigados experimentalmente no campo. O experimento foi conduzido em um campo de teste no Condado de Wuchuan, utilizando um delineamento completamente aleatório em um esquema de fator único com três fatores e cinco níveis, com cinco velocidades de manivela (140, 150, 180, 210 e 225 rpm), cinco velocidades de avanço da máquina (1,41, 1,51, 1,70, 1,89 e 2,21 km h-1) e cinco combinações de comprimento da haste de ligação do braço (250-350-1.030, 250-370-1.040, 270-370-1.050, 290-370-1.060 e 310-370-1.070 mm). Cada experimento foi repetido três vezes em cada nível, e o valor médio foi considerado como o resultado final. Os resultados experimentais demonstram que a nova peneira de separação de três ordens pode garantir uma alta taxa de detecção de batatas enquanto mantém uma baixa taxa de danos à casca das batatas.

Abstract Introduction: Propofol is a widely used anesthetic and its dose is closely related to aging. Telomere length (TL) is a unique heritable trait, and emerging as a biomarker of aging, health and disease. Telomerase RNA component (TERC) plays an important role in maintaining TL. We proposed a hypothesis that propofol dose in general anesthesia can be predicted by measuring TL before operation, which greatly reduced the risk of anesthesia, especially the elderly. Methods: The association between the propofol dose in anesthesia induction and: TL in the DNA of peripheral blood leukocytes; body weight; sex; difference of the Bispectral Index (BIS) before and after anesthesia induction in patients was evaluated by multivariable linear regression analyses. The mutation at the 5’end or 3’end of TERC was detected. We recruited 100 patients of elective surgery. Results: We found that propofol dose in anesthesia induction was clearly correlated significantly with TL (r = 0.78, p < 0.001), body weight (r = 0.84, p = 0.004), sex (r = 0.83, p= 0.84, p = 0.004), sex (r = 0.83, p = 0.004), and difference of BIS before and after anesthesia induction (r = 0.85, p = 0.029). By comparing the absolute values of standardized regression coefficients (0.58, 0.21, 0.19, and 0.12) of the four variables, it can be seen that TL contributes the most to the propofol dose in anesthesia induction. However, the mutation at the 5’ end or 3’ end of TERC was not found. Conclusions: These findings provide preliminary evidence that the propofol dose in anesthesia induction was clearly correlated with genetically determined TL. TL may be a promising predictor of the propofol dose, which is beneficial to improve the safety of anesthesia and reduce perioperative complications.

Abstract Objective MicroRNA-29a-3p has been reported in a variety of cancers, but its role in hypopharyngeal cancer remains unclear. This study was to determine the role of microRNA-29a-3p in the occurrence and development of hypopharyngeal cancer. Methods 40 patients with hypopharyngeal cancer who underwent surgery in the Affiliated Hospital of Jining Medical University from April 2013 to November 2017 were selected for this study. The cancer tissue samples of the patients were collected, and the patients were followed up for three years. The expression of microRNA-29a-3p in tissue samples was detected by in situ hybridization with fluorescent probe, and the relationships among microRNA-29a-3p and clinicopathological factors, postoperative recurrent-metastasis, survival time were studied. Immunohistochemical was used to detect the expression of Ki67 and E-cadherin in tissue samples. Results Combined with HE staining results showed that microRNA-29a-3p expression was relatively high in non-cancer tissue cells (red blood cells and fibroblasts in tumor interstitial vessels), but was relatively low in cancer tissue and cells. According to the follow-up data of 40 patients with hypopharyngeal cancer, tumor size, T-stage, tumor differentiation, postoperative recurrent-metastasis of hypopharyngeal cancer patients were significantly negatively correlated with microRNA-29a-3p (p< 0.05). Immunohistochemica results further confirmed that microRNA-29a-3p was negatively correlated with the expression of Ki67 and E-cadherin. The survival time of patients positively related with microRNA-29a-3p expression (p< 0.05). Moreover, ROC curve analysis showed that the area under the curve of the combined detection of miRNA-29a-3p+Ki67+E-cadherin was larger than that of the single detection of the three indexes. Conclusions The expression of microRNA-29a-3p is closely related to the occurrence, development and prognosis of hypopharyngeal cancer, and it affects the proliferation and invasion. This indicates that microRNA-29a-3p serves as a therapeutic target for the occurrence and development of hypopharyngeal cancer. The evidence of study designs of this study is IV using “Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence”.

Abstract Objectives To determine whether tinnitus negatively impacts the accuracy of sound source localization in participants with normal hearing. Methods Seventy-five participants with tinnitus and 74 without tinnitus were enrolled in this study. The accuracy of sound source discrimination on the horizontal plane was compared between the two participant groups. The test equipment consisted of 37 loudspeakers arranged in a 180° arc facing forward with 5° intervals between them. The stimuli were pure tones of 0.25, 0.5, 1, 2, 4, and 8 kHz at 50 dB SPL. The stimuli were divided into three groups: low frequency (LF: 0.25, 0.5, and 1 kHz), 2 kHz, and high frequency (HF: 4 and 8 kHz) stimuli. Results The Root Mean Square Error (RMSE) score of all the stimuli in the tinnitus group was significantly higher than that in the control group (13.45 ± 3.34 vs. 11.44 ± 2.56, p = 4.115, t < 0.001). The RMSE scores at LF, 2 kHz, and HF were significantly higher in the tinnitus group than those in the control group (LF: 11.66 ± 3.62 vs. 10.04 ± 3.13, t = 2.918, p = 0.004; 2 kHz: 16.63 ± 5.45 vs. 14.43 ± 4.52, t = 2.690, p = 0.008; HF: 13.42 ± 4.74 vs. 11.14 ± 3.68, t = 3.292, p = 0.001). Thus, the accuracy of sound source discrimination in participants with tinnitus was significantly worse than that in those without tinnitus, despite the stimuli frequency. There was no difference in the ability to localize the sound of the matched frequency and other frequencies (12.86 ± 6.29 vs. 13.87 ± 3.14, t = 1.204, p = 0.236). Additionally, there was no correlation observed between the loudness of tinnitus and RMSE scores (r = 0.096, p = 0.434), and the Tinnitus Handicap Inventory (THI) and RMSE scores (r = −0.056, p = 0.648). Conclusions Our present data suggest that tinnitus negatively impacted sound source localization accuracy, even when participants had normal hearing. The matched pitch and loudness and the impact of tinnitus on patients’ daily lives were not related to the sound source localization ability. Level of evidence 4.

RESUMO Introdução Estudantes universitários representam grande parte dos esportistas amadores na China. Nas práticas esportivas, algumas situações inevitáveis acarretam em lesões físicas que podem afetar seriamente o cotidiano desses alunos. Faz-se necessária a formulação de planos de reabilitação afim de evitar complicações secundárias e agilizar o retorno dos estudantes às suas atividades diárias. Objetivo Estudar as causas de lesões esportivas e o efeito da reabilitação esportiva no treinamento físico universitário. Métodos 720 alunos e 25 professores com histórico de lesão esportiva foram selecionados para investigar as causas de lesão esportiva dos alunos por meio de questionário e entrevista. Em seguida, foram selecionados 20 voluntários como objeto de pesquisa. Esses receberam um protocolo de treinamento em reabilitação três vezes por semana, durante 6 semanas. Foram mensurados os sinais EMG dos músculos do ombro e pescoço dos atletas. Resultados A lesão esportiva é um problema inevitável durante o treinamento físico universitário. Treinar a flexibilidade e estabilidade articular pode efetivamente melhorar os sinais EMG de superfície na área adjacente à articulação, de modo a melhorar a força muscular e o nível de amplitude articular. Conclusão Os alunos devem realizar conscientemente treinamento de reabilitação sob orientação profissional, além de receberem instrução plena sobre os procedimentos da reabilitação esportiva, envolvendo uma combinação de recuperação física e psicológica. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

ABSTRACT Introduction College students represent a large proportion of amateur athletes in China. In sports practices, some unavoidable situations lead to physical injuries that can seriously affect the daily life of these students. Formulating rehabilitation plans to avoid secondary complications and speed up the students’ return to their daily activities is necessary. Objective To study the causes of sports injuries and the effect of sports rehabilitation on university physical training. Methods Through questionnaires and interviews, 720 students and 25 teachers with a history of sports injuries were selected to investigate the causes of students’ sports injuries. Then, 20 volunteers were selected as research subjects. They received a rehabilitation training protocol three times a week for six weeks. EMG signals of the athletes’ shoulder and neck muscles were measured. Results Sports injury is an inevitable problem during college physical training. Training joint flexibility and stability can effectively improve the surface EMG signals in the area adjacent to the joint to improve muscle strength and joint amplitude level. Conclusion Students should consciously undertake rehabilitation training under professional guidance and receive full instruction in sports rehabilitation procedures involving a combination of physical and psychological recovery. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMEN Introducción Los estudiantes universitarios representan una gran parte de los deportistas aficionados en China. En las prácticas deportivas, algunas situaciones inevitables provocan lesiones físicas que pueden afectar gravemente a la vida cotidiana de estos alumnos. Es necesario formular planes de rehabilitación para evitar complicaciones secundarias y acelerar el regreso de los alumnos a sus actividades cotidianas. Objetivo Estudiar las causas de las lesiones deportivas y el efecto de la rehabilitación deportiva en el entrenamiento físico universitario. Métodos Se seleccionaron 720 estudiantes y 25 profesores con antecedentes de lesiones deportivas para investigar las causas de las lesiones deportivas de los estudiantes mediante un cuestionario y una entrevista. A continuación, se seleccionaron 20 voluntarios como sujetos de la investigación. Recibieron un protocolo de entrenamiento de rehabilitación tres veces por semana, durante 6 semanas. Se midieron las señales EMG de los músculos del hombro y del cuello de los atletas. Resultados Las lesiones deportivas son un problema inevitable durante el entrenamiento físico universitario. El entrenamiento de la flexibilidad y la estabilidad articulares pueden mejorar eficazmente las señales EMG superficiales en la zona adyacente a la articulación, de modo que se mejore la fuerza muscular y el nivel de amplitud articular. Conclusión Los estudiantes deben realizar conscientemente un entrenamiento de rehabilitación bajo la dirección de un profesional, y recibir una instrucción completa en los procedimientos de rehabilitación deportiva que impliquen una combinación de recuperación física y psicológica. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Abstract Ficus hirta Vahl chicken soup (FHV+C-S) powder is one of the most popular Chinese-style soup powders due to its high nutritional value and special flavor. In this study, infrared spectroscopy was used to investigate the compatibility between FHV and chicken after decoction, and result showed new absorption peaks (1871 and 1522 cm-1) generated in the mixed soup of FHV-chicken, indicating the interaction between FHV and chicken. The storage stability and shelf life of FHV+C-S powder were also estimated, and results indicated that storage temperature and time greatly influenced the acid value (AV) and peroxide value (POV) of FHV+C-S powder. The regression equations of FHV+C-S powder simulated by the first-order kinetic equation and the Arrhenius equation showed a high fit coefficient (R2 > 0.9), and the shelf-life of the powder was predicted to be 568 days. Gas chromatography-ion mobility spectrometry (GC-IMS) was employed to analyze the changes in volatile compounds in FHV+C-S powder during storage, and results indicated the fluctuation of flavor compounds, with some decreased with storage time prolonged, such as 2-phenylethanol, hexanal, butanone, butyraldehyde, while some other increased, such as amyl alcohol, valeraldehyde, 2-octanone, 2-heptanone. This demonstrated GC-IMS as a visualized tool for flavor compounds and stability analysis.

RESUMO Introdução A técnica no arremesso de peso e a habilidade na etapa de arremessar são dois fatores importantes que determinam a habilidade dos atletas Especialistas e treinadores qualificados atribuem grande importância ao treinamento e pesquisa sobre a habilidade da fase de arremesso e a capacidade de arremessar. Objetivo Comparar o treinamento com carga gravitacional e o treinamento com carga incremental única através de meios experimentais, analisando os impactos na habilidade de arremesso nos atletas. Métodos O método de auto-avaliação foi usado para realizar o experimento comparativo de diferentes formas de treinamento de força em 20 estudantes universitários. O esquema experimental adota o treinamento único de força de carga incremental, e o esquema de controle adota o treinamento tradicional de barra. Resultados : Após o experimento, o ângulo da mão do grupo I foi significativamente maior do que o do grupo II (P < 0,05); após o experimento, o ângulo do ombro do grupo I foi significativamente maior do que o do grupo II (P < 0,05); após o experimento, o desempenho do tiro sentado colocado no grupo I foi significativamente maior do que o do grupo II (P < 0,05), e não houve diferença significativa no desempenho em pé (P > 0,05). Conclusão O treinamento com carga incremental única pode melhorar significativamente a capacidade de arremesso dos atletas de arremesso de peso. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

ABSTRACT Introduction The technique in the shot put and the ability in the throwing stage are two important factors that determine the ability of athletes. Qualified experts and coaches attach great importance to training and research on the ability of the throwing stage and the ability to throw. Objective Compare gravity load training and single incremental load training through practical means, analyzing the impacts on throwing ability in athletes. Methods The self-assessment method was used to conduct the comparative experiment on different forms of strength training in 20 college students. The experimental scheme adopts the single incremental load strength training, and the control scheme adopts the traditional barbell training. Results : After the experiment, the hand angle of group I was significantly higher than that of group II (P < 0.05); after the experiment, the shoulder angle of group I was significantly higher than that of group II (P < 0.05); after the experiment, the performance of the seated shot placed in group I was significantly higher than that of group II (P < 0.05), and there was no significant difference in the standing performance (P > 0.05). Conclusion Single incremental load training can significantly improve the throwing ability of shot put athletes. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMEN Introducción La técnica en el lanzamiento de peso y la habilidad en la fase de lanzamiento son dos factores importantes que determinan la habilidad de los atletas. Los especialistas y entrenadores cualificados atribuyen gran importancia a la formación y a la investigación sobre la habilidad de la fase de lanzamiento y la habilidad de lanzamiento. Objetivo Comparar el entrenamiento con carga gravitacional y el entrenamiento con carga incremental única a través de medios experimentales, analizando los impactos en la capacidad de lanzamiento en los atletas. Métodos Se utilizó el método de autoevaluación para realizar el experimento comparativo de diferentes formas de entrenamiento de fuerza en 20 estudiantes universitarios. El esquema experimental adopta el entrenamiento de fuerza con una sola carga incremental, y el esquema de control adopta el entrenamiento tradicional con barra. Resultados : Después del experimento, el ángulo de la mano del grupo I fue significativamente mayor que el del grupo II (P < 0,05); después del experimento, el ángulo del hombro del grupo I fue significativamente mayor que el del grupo II (P < 0,05); después del experimento, el rendimiento del lanzamiento de peso sentado del grupo I fue significativamente mayor que el del grupo II (P < 0,05), y no hubo diferencias significativas en el rendimiento de pie (P > 0,05). Conclusión El entrenamiento con una sola carga incremental puede mejorar significativamente la capacidad de lanzamiento de los atletas de lanzamiento de peso. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Abstract Objective: To investigate the safety and efficacy of short-term (7-day) Dual Antiplatelet Therapy (DAPT) with intensive rosuvastatin in Acute Ischemic Stroke (AIS). Methods: In this study, patients with AIS in the emergency department of the hospital from October 2016 to December 2019 were registered and divided into the control group (Single Antiplatelet Therapy [SAPT] + rosuvastatin) and the study group (7-day DAPT + intensive rosuvastatin) according to the therapy regimens. The generalized linear model was used to compare the National Institute of Health Stroke Scale (NIHSS) scores between the two groups during the 21-day treatment. A Cox regression model was used to compare recurrent ischemic stroke, bleeding events, Statin-Induced Liver Injury (SILI), and Statin-Associated Myopathy (SAM) between the two groups during the 90-day follow-up. Results: Comparison of NIHSS scores after 21-day treatment: NIHSS scores in the study group decreased significantly, 0.273-times as much as that in the control group (Odds Ratio [OR] 0.273; 95% Confidence Interval [95% CI] 0.208–0.359; p < 0.001). Comparison of recurrent ischemic stroke during the 90-day follow-up: The therapy of the study group reduced the risk of recurrent stroke by 65% (7.76% vs. 22.82%, Hazard Ratio [HR] 0.350; 95% CI 0.167–0.730; p = 0.005). Comparison of bleeding events: There was no statistical difference between the two groups (7.79% vs. 6.71%, HR = 1.076; 95% CI 0.424–2.732; p = 0.878). No cases of SILI and SAM were found. Conclusions: Short-term DAPT with intensive rosuvastatin effectively relieved the clinical symptoms and significantly reduced the recurrent stroke for patients with mild-to-moderate AIS within 90 days, without increasing bleeding events, SILI and SAM.

ABSTRACT Introduction: Volleyball is a team sport where winning the confrontation at the net largely determines characteristics. Volleyball players must constantly strive to improve team cooperation, defensive ability, and speed skills to improve their ability to perform over the net. Objective: Establish a fixed intensity load model for speed training on the athlete's visual response in volleyball. Methods: This paper selected several volleyball players as research subjects, randomly divided into two groups (regular training and experimental groups). The experimental group was subjected to a visual response speed training protocol based on routine training. Mathematical statistics were employed to analyze the athletes’ reaction speed and defensive ability against the net. Results: The qualities analyzed, mainly movement speed, swing speed, agility, and endurance for fast swing and fast movement, showed a significant differential after the intervention. The speed response was concentrated in the center of body balance. The lower limbs increased the endurance for speed. After visual reaction speed training, the experimental group's ability to cope with attacks on the net was statistically superior (P<0.05). Conclusion: The proposed protocol can improve the reaction speed training of volleyball players. Volleyball players should reinforce reaction speed training daily to perform better close to the net. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMEN Introducción: El voleibol es un deporte de equipo y sus características ganadoras están determinadas en gran medida por el enfrentamiento en la red. Los jugadores de voleibol deben esforzarse constantemente por mejorar la cooperación en equipo, la capacidad defensiva y las habilidades de velocidad para mejorar su capacidad de actuación sobre la red. Objetivo: Establecer un modelo de carga de intensidad fija para el entrenamiento de velocidad sobre la respuesta visual del deportista en el voleibol. Métodos: Este trabajo selecciona a varios jugadores de voleibol como sujetos de investigación, divididos aleatoriamente en dos grupos (grupos de entrenamiento regular y grupos experimentales). El grupo experimental tuvo el diferencial de ser sometido a un protocolo de entrenamiento de la velocidad de respuesta visual basado en el entrenamiento rutinario. Se emplearon estadísticas matemáticas para analizar la velocidad de reacción y la capacidad defensiva de los atletas contra la red. Resultados: Las cualidades analizadas, principalmente la velocidad de movimiento, la velocidad de balanceo, la agilidad y la resistencia para el balanceo rápido y el movimiento rápido mostraron un diferencial significativo después de la intervención. La velocidad de respuesta se concentró en el centro de equilibrio del cuerpo. La resistencia para la velocidad se incrementó en los miembros inferiores. Tras el entrenamiento de la velocidad de reacción visual, la capacidad del grupo experimental para afrontar los ataques sobre la red fue estadísticamente superior (P<0,05). Conclusión: El entrenamiento de la velocidad de reacción de los jugadores de voleibol puede mejorar con el protocolo propuesto. Los jugadores de voleibol deben reforzar el entrenamiento de la velocidad de reacción en su formación diaria para mejorar su capacidad de actuación cerca de la red. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

RESUMO Introdução: O voleibol é um esporte coletivo e suas características de vitória são determinadas em grande parte pelo confronto em rede. Os jogadores de vôlei devem se esforçar constantemente para melhorar a cooperação da equipe, a capacidade defensiva e habilidades de velocidade para melhorar a capacidade de atuarem pela a rede. Objetivo: Estabelecer um modelo de carga de intensidade fixa para o treinamento de velocidade na resposta visual do atleta em voleibol. Métodos: Este trabalho seleciona vários jogadores de vôlei como objetos de pesquisa, divididos aleatoriamente em dois grupos (grupos de treinamento regular e grupos experimentais). O grupo experimental teve o diferencial de ser submetido a um protocolo treinamento de velocidade de resposta visual baseado no treinamento de rotina. Estatísticas matemáticas foram empregadas para analisar a velocidade de reação dos atletas e a capacidade defensiva contra a rede. Resultados: As qualidades analisadas, principalmente velocidade de movimento, velocidade de balanço, agilidade e resistência para balanço rápido e movimento rápido mostraram um diferencial significativo após a intervenção. A velocidade de resposta concentrou-se no centro de equilíbrio corporal. A resistência para a velocidade foi incrementada pelos membros inferiores. Após o treinamento da velocidade de reação visual, a capacidade do grupo experimental de enfrentar os ataques sobre a rede foi estatisticamente superior (P<0,05). Conclusão: O treinamento da velocidade de reação dos jogadores de vôlei pode ser aprimorado com o protocolo proposto. Os jogadores de vôlei devem reforçar o treinamento da velocidade de reação em seu treinamento diário afim de uma melhor capacidade de atuação próxima à rede. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

ABSTRACT Introduction: Shot put is a competitive sport that combines speed, strength, and explosiveness. Training the skill with aerobic exercise has attracted the attention of many coaches and scholars on competitive sports training. Shot put is a fast-powered activity, and its shooting speed is the determining factor for sports performance. It is believed that aerobic exercise can improve the ability of its practitioners. Objective: To analyze the impacts of aerobic exercise on the physical fitness of shot put athletes. Methods: 18 shot put athletes were randomly selected as volunteers for research that consisted of a random division between experimental and control groups. The experimental group received a protocol involving aerobic training, while the control group received regular training before, during, and after the experiment. The maximal strength and explosive power of the two groups of athletes were tested before and after the intervention, and mathematical-statistical methods were used to process the collected data. Results: The maximum strength index of both groups was improved; however, the improvement in the experimental group was statistically relevant(P<0.05). The values of the pressure index, power, and balance of the athletes from the experimental group were statistically altered to those before the experiment (P<0.01). Conclusion: The implementation of aerobic exercise in the routine of shot put athletes can effectively improve the performance in the sport and the special abilities of its practitioners. The training method analyzed was also shown to improve specific performance in the shot put athletes. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

Resumen Introducción: El lanzamiento es un deporte de competición que combina velocidad, fuerza y explosividad. El entrenamiento de la capacidad con ejercicios aeróbicos ha atraído la atención de muchos entrenadores y estudiosos del entrenamiento deportivo de competición. El lanzamiento es una actividad de potencia rápida, y su velocidad de tiro es el factor determinante para el rendimiento deportivo. Se cree que el ejercicio aeróbico puede mejorar la capacidad de sus practicantes. Objetivo: Analizar los impactos del ejercicio aeróbico en la condición física de los atletas de lanzamiento. Métodos: Se seleccionaron aleatoriamente 18 practicantes de lanzamiento como voluntarios para una investigación que consistió en la división aleatoria entre los grupos experimental y de control. El grupo experimental recibió un protocolo de entrenamiento aeróbico, mientras que el grupo de control recibió su entrenamiento habitual antes, durante y después del experimento. Se comprobó la fuerza máxima y la potencia explosiva de los dos grupos de atletas antes y después de la intervención, y se utilizaron métodos estadísticos matemáticos para procesar los datos recogidos. Resultados: El índice de fuerza máxima de ambos grupos mejoró, aunque la mejora en el grupo experimental fue estadísticamente relevante (P<0,05). Los valores del índice de presión, la potencia y el equilibrio de los atletas del grupo experimental estaban estadísticamente alterados en relación con los anteriores al experimento (P<0,01). Conclusión: La implementación del ejercicio aeróbico en la rutina de los atletas de lanzamiento puede mejorar efectivamente el rendimiento en el deporte y las habilidades especiales de sus practicantes. El método de entrenamiento analizado también ha demostrado mejorar el rendimiento específico de los atletas de lanzamiento. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

RESUMO Introdução: O arremesso é um esporte de competição que combina velocidade, força e explosividade. O treinamento da capacidade com exercício aeróbico atraiu a atenção de muitos treinadores e estudiosos sobre treinamento esportivo de competição. O arremesso é uma atividade de potência rápida, e sua velocidade de tiro é o fator determinante para o desempenho esportivo. Acredita-se que o exercício aeróbico possa melhorar a habilidade de seus praticantes. Objetivo: Analisar os impactos do exercício aeróbico na aptidão física dos atletas de arremesso. Métodos: 18 praticantes de arremesso foram selecionados aleatoriamente como voluntários para uma pesquisa que consistiu na divisão aleatória entre grupos experimental e de controle. O grupo experimental recebeu um protocolo envolvendo o treinamento aeróbico, enquanto o grupo de controle recebeu seu treinamento regular antes, durante e depois do experimento. A força máxima e o poder explosivo dos dois grupos de atletas foram testados antes e após a intervenção, foram usados métodos estatísticos matemáticos para processar os dados coletados. Resultados: O índice de força máxima dos dois grupos foi aprimorado, porém a melhoria no grupo experimental foi estatisticamente relevante(P<0,05). Os valores do índice de pressão, potência e balanço dos atletas do grupo experimental foram estatisticamente alterados em relação aqueles anteriores ao experimento (P<0,01). Conclusão: A implementação do exercício aeróbico na rotina dos atletas de arremesso pode efetivamente melhorar o desempenho no esporte e as habilidades especiais dos seus praticantes. O método de treinamento analisado também demonstrou melhorar o desempenho específico nos esportistas de arremesso. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

Abstract: The image of the “Nagas Bathing Siddhartha”, an important theme in Buddhist art, was produced in India and has appeared successively in Xinjiang, Gansu, Qinghai, Shanxi, Shaanxi, Henan, Shandong, Jiangsu, Sichuan, Tibet and other places in China during the process of Buddhism spreading to the east. However, its forms and contents differ in different regions and different periods. Therefore, it is conducive to understand the sinicization process of Indian Buddhist art and can deepen the understanding of the specific contents of Buddhist art exchanges to study the differences. The innovative point of view of this paper is that the distribution of “Nagas Bathing Siddhartha” is “regional,” and the variation of its style reflects the route and regional characteristics of Buddhist transmission.

Résumé: L’image du “Dragon baignant le prince” est un thème important dans l’art bouddhique. L’image est née en Inde, et pendant le processus de propagation du bouddhisme vers l’est, elle est apparue dans le Xinjiang, le Gansu, le Qinghai, le Shanxi, le Shaanxi, le Henan, le Shandong, le Jiangsu, le Sichuan, le Tibet et d’autres endroits en Chine. Cependant, la forme et le contenu de ces images sont différents selon les régions et les périodes. L’étude de cette différence est non seulement propice à la compréhension du processus de sinisation de l’art bouddhiste indien, mais approfondit également la compréhension du contenu spécifique de l’échange de l’art bouddhiste l’art entre la Chine et l’Inde.

Pilot trials have suggested that repetitive transcranial magnetic stimulation (rTMS) may reduce limb spasticity in multiple sclerosis (MS). We carried out the current meta-analysis to synthesize currently available evidence regarding such correlation. Up to November 2022, five international electronic databases (Cochrane CENTRAL, PubMed, Embase, Web of Science, and CINAHL) and four Chinese electronic databases (CBM, CNKI, WanFang Data, and VIP) were systematically searched to identify randomized trials comparing active rTMS and sham stimulation in patients with MS-related spasticity. Two reviewers independently selected studies and extracted data on study design, quality, clinical outcomes, and time points measured. The primary outcome was clinical spasticity relief after intervention. Secondary outcomes included spasticity at the follow-up visit 2 weeks later and post-treatment fatigue. Of 831 titles found, we included 8 studies (181 participants) in the quantitative analysis. Pooled analyses showed that rTMS therapy was associated with significant spasticity relief in the early post-intervention period [standardized mean differences (SMD): -0.67; 95%CI: -1.12 to -0.21], but there was insufficient evidence for rTMS in reducing spasticity at the follow-up visit 2 weeks later (SMD: -0.17; 95%CI: -0.52 to 0.17) and fatigue (SMD: -0.26; 95%CI: -0.84 to 0.31). This evidence supports the recommendations to treat MS-related spasticity with rTMS, but underlines the need for further large randomized trials.

Abstract Compound Danshen Dripping Pills (CDDPs) have been used in clinical treatment to protect the heart from ischemia/reperfusion (IR) injury for many years. However, the underlying mechanism implicated in the protective effects remains to be explored. Here, we determined the effects of CDDPs in Sprague-Dawley rats with the IR model. Cardiac function in vivo was assessed by echocardiography. Transmission electron microscopy, histological and immunohistochemical techniques, Western blotting and recombinant adeno-associated virus 9 transfection were used to illustrate the effects of CDDPs on IR and autophagy. Our results showed that pretreatment with CDDPs decreased the level of serum myocardial enzymes and infarct size in rats after IR. Apoptosis evaluation showed that CDDPs significantly ameliorated the cardiac apoptosis level after IR. Meanwhile, CDDPs pretreatment increased myocardial autophagic flux, with upregulation of LC3B, downregulation of p62, and increased autophagosomes and autolysosomes. Moreover, the autophagic flux inhibitor chloroquine could increase IR injury, while CDDPs could partially reverse the effects. Furthermore, our results showed that the activation of AMPK/mTOR was involved in the cardioprotective effect exerted by CDDPs. Herein, we suggest that CDDPs partially protect the heart from IR injury by enhancing autophagic flux through the activation of AMPK/mTOR.

Abstract Introduction/objectives Systemic lupus erythematosus (SLE) is a classic prototype of the multisystem autoimmune disease and follows a relapsing and remitting course. Triptolide is a diterpene triepoxide extracted from Chinese medicine Tripterygium wilfordii Hook F, with potent immunosuppressive and anti-inflammatory properties. Our previous work observed that triptolide alleviated lupus in MRL/lpr lupus mice with the upregulation of regulatory T cells (Treg) proportion in previous study. In this study, we explored the proportion of follicular T regulatory (Tfr), follicular T helper (Tfh) and germinal center (GC) B cells in lupus mice and evaluated the efficacy of triptolide for lupus treatment in vivo. Methods 20 female MRL/lpr mice were randomly divided into 2 treatment groups and treated orally with vehicle or triptolide. C3H mice were all housed as controlled group and treated orally with vehicle. The percentage of Tfr cells, Tfh cells and GC B cells in spleen of mice were detected by Flow cytometric analysis and immunohistochemistry after 13 weeks of treatment. Results We found that the percentage of Tfr cells decreased in MRL/lpr mice compared with controlled mice. The percentage of Tfh cells in MRL/lpr mice was significantly higher compared with that in controlled mice. The ratio of Tfr/Tfh is also decreased in lupus mice. After treated with triptolide in MRL/Lpr mice in vivo, the percentage of Tfr cells and ratio of Tfr/Tfh increased. The proportion of GC B cells also decreased in mice treated with triptolide by FACS and immunohistochemistry. Conclusions Our results demonstrate that the effect of triptolide in alleviating lupus is partly by reversing immune imbalance with increased percentage of Tfr cells and ratio of Tfr/Tfh. Triptolide might also has effect on immune response through inhibiting proliferating GC B cells.

Abstract Background Fever is a common symptom of Idiopathic inflammatory myopathies (IIM). However, the exact correlation between fever and the prognosis of IIM is still unclear. This study aims to clarify if the IIM patients initiated with fever are associated with poorer outcomes. Methods This was a single-center retrospective cohort study. Data were collected from 79 newly diagnosed, treatment-naive IIM patients in the Affiliated Wuxi People's Hospital of Nanjing Medical University (Wuxi, Jiangsu, China) from November 2016 to June 2020. According to the presence or absence of fever at the onset, the IIM patients were divided into two groups(fever group n = 28, without fever group n = 51) Clinical characteristics, laboratory data, treatment, and outcomes were recorded. The Kaplan-Meier and log-rank tests were used to compare the all-cause mortality, relapse rate, and acute exacerbation of interstitial lung disease (AE-ILD) incidence. The association of fever with the outcomes was assessed in the unadjusted and adjusted forward logistic regression model. Results Compared with the non-fever group, the age at onset of the fever group was higher, and mechanic's hands (MH) and interstitial lung disease (ILD) were more common. Systemic inflammation (CRP and ESR) was significantly higher in the fever group, while the level of albumin(ALB) and muscle enzymes were lower. The fever group seemed to be received more aggressive treatment, with higher dose glucocorticoids and higher rates of intravenous immunoglobulins(IVIG) use. The all-cause mortality rate and the incidence rate of AE-ILD were higher in the fever group. Even adjusted for the age at onset and treatments, fever was significantly associated with AE-ILD and all-cause mortality. Conclusion Our study has demonstrated that fever at initial diagnosis is associated with AE-ILD and mortality. Fever should serve as an early clinical warning sign for poor outcomes in IIM patients.