Oxygen Consumption

耗氧量
  • 文章类型: Journal Article
    目的研究8周远足长凳训练对远足模拟中训练有素的水手心肺和肌肉反应的影响。二十四名水手被分成两组:远足长凳训练组(HTG,n=12)和对照组(CG,n=12)。两组均保持常规训练,HTG每周进行两次额外的远足长凳训练,为期8周,而CG进行了相同的水上航行训练。在8周的训练期之前和之后,通过在帆船仿真测功机上连续进行四次3分钟的徒步旅行来评估生理反应。比较预测试,两组的最大摄氧量百分比(%VO2max)和最大心率(%HRmax)均显著下降(p<0.05);HTG在第2次和第3次发作中%VO2max下降幅度更大.股直肌(RF)的均方根(RMS),股外侧肌(VL),腹直肌(RA),外斜线明显下降(p<0.05),而射频的平均功率频率(MPF),VL,RA呈增加趋势。在最初的三个回合中,HTG中RF和RA的RMS低于CG。在第1和第2回合中,HTG中的VL和EA低于CG中的VL和EA(p<0.05)。在第2、3和4次发作中,HTG中RA的MPF显着增加(p<0.05)。为期八周的徒步旅行长凳训练可以提高徒步旅行的经济性,并激活下肢和躯干肌肉,从而延缓水手疲劳的发作。
    To investigate the effects of 8-week hiking bench training on cardiorespiratory and muscular responses of highly trained sailors during hiking emulation. Twenty-four sailors were assigned into two groups: the hiking bench training group (HTG, n = 12) and the control group (CG, n = 12). Both groups maintained their regular training with the HTG performed two additional hiking bench training sessions per week for 8 weeks, while the CG performed an equivalent duration of on-water sailing training. Physiological responses were assessed by performing four successive 3-min hiking bouts on a sailing emulation ergometer before and after the 8-week training period. Comparing the pretest, both groups exhibited a significant decrease (p < 0.05) in the percentage of maximal oxygen uptake (%VO2max) and maximal heart rate (%HRmax); the HTG experienced a greater decrease in %VO2max in bouts 2 and 3. The root mean square (RMS) of rectus femoris (RF), vastus lateralis (VL), rectus abdominis (RA), and external oblique decreased significantly (p < 0.05), whereas the mean power frequency (MPF) of RF, VL, and RA exhibited an increasing trend. The RMS of RF and RA in HTG were lower than those in CG in the initial three bouts; VL and EA in HTG were lower than those in CG in bouts 1 and 2 (p < 0.05). The MPF of RA in HTG was significantly increased in bouts 2, 3, and 4 (p < 0.05). Eight-week hiking bench training could improve hiking economy and the activation of lower limb and trunk muscles delaying the onset of fatigue in sailors.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    背景:对于患有先天性心脏病相关肺动脉高压(CHD-PAH)的患者,心肺运动试验(CPET)可以反映心肺储备功能。然而,对于高危疾病或因残疾而行动不便的患者,CPET可能不容易获得。超声心动图,另一方面,作为所有CHD-PAH患者的广泛可用的诊断工具。本研究旨在确定可以作为心肺功能和运动能力指标的超声心动图参数。
    方法:一个由70名患者组成的队列为这项研究贡献了110个配对的超声心动图和CPET结果,以1年的间隔重复检查。超声心动图和运动测试按照标准化程序进行,数据与临床相关指标一起收集,用于后续统计分析.使用t检验和卡方检验进行人口统计学比较。进行了单变量和多变量分析,以确定峰值摄氧量(峰值VO2)和二氧化碳通气当量斜率(VE/VCO2斜率)的潜在预测因子。接收器工作特性(ROC)分析用于评估参数的性能。
    结果:发现三尖瓣环平面收缩期偏移与肺动脉收缩压之比(TAPSE/PASP)是唯一与峰值VO2和VE/VCO2斜率显著相关的独立指标(均p<0.05)。此外,左心室射血分数(LVEF)和右心室面积变化(FAC)与VE/VCO2斜率独立相关(均p<0.05)。TAPSE/PASP显示出最高的ROC曲线下面积(AUC),用于预测峰值VO2≤15mL/kg/min和VE/VCO2斜率≥36(分别为AUC=0.91,AUC=0.90)。对于这两个参数,TAPSE/PASP在最佳阈值的敏感性和特异性均超过0.85。
    结论:TAPSE/PASP可能是评估运动耐量的可行超声心动图指标。
    BACKGROUND: For patients with congenital heart disease-related pulmonary arterial hypertension (CHD-PAH), cardiopulmonary exercise testing (CPET) can reflect cardiopulmonary reserve function. However, CPET may not be readily accessible for patients with high-risk conditions or limited mobility due to disability. Echocardiography, on the other hand, serves as a widely available diagnostic tool for all CHD-PAH patients. This study was aimed to identify the parameters of echocardiography that could serve as indicators of cardiopulmonary function and exercise capacity.
    METHODS: A cohort of 70 patients contributed a total of 110 paired echocardiogram and CPET results to this study, with 1 year interval for repeated examinations. Echocardiography and exercise testing were conducted following standardized procedures, and the data were collected together with clinically relevant indicators for subsequent statistical analysis. Demographic comparisons were performed using t-tests and chi-square tests. Univariate and multivariate analyses were conducted to identify potential predictors of peak oxygen uptake (peak VO2) and the carbon dioxide ventilation equivalent slope (VE/VCO2 slope). Receiver operating characteristic (ROC) analysis was used to assess the performance of the parameters.
    RESULTS: The ratio of tricuspid annular plane systolic excursion to pulmonary artery systolic pressure (TAPSE/PASP) was found to be the only independent indicator significantly associated with both peak VO2 and VE/VCO2 slope (both p < 0.05). Additionally, left ventricular ejection fraction (LVEF) and right ventricular fractional area change (FAC) were independently correlated with the VE/VCO2 slope (both p < 0.05). TAPSE/PASP showed the highest area under the ROC curve (AUC) for predicting both a peak VO2 ≤ 15 mL/kg/min and a VE/VCO2 slope ≥ 36 (AUC = 0.91, AUC = 0.90, respectively). The sensitivity and specificity of TAPSE/PASP at the optimal threshold exceeded 0.85 for both parameters.
    CONCLUSIONS: TAPSE/PASP may be a feasible echocardiographic indicator for evaluating exercise tolerance.
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  • 文章类型: Journal Article
    缺血性卒中患者血糖水平升高与预后较差相关。本研究旨在探讨高血糖是否通过增加急性缺血性卒中模型的氧提取率来促进小胶质细胞凋亡。将经历大脑中动脉闭塞的C57BL/6小鼠用于评估血糖水平和神经功能。脑氧提取率(CERO2),测定氧消耗率(OCR)和脑组织氧分压(PbtO2)。探讨NOD样受体蛋白3(NLRP3)炎症小体的意义,使用NLRP3-/-小鼠,和NLRP3,caspase‑1,全长gasderminD(GSDMD‑FL)的表达水平,GSDMD‑N域(GSDMD‑N),评估IL‑1β和IL‑18。此外,Z‑YVAD‑FMK,caspase-1抑制剂,用于治疗小胶质细胞,以确定是否需要激活NLRP3炎性体来增强高血糖对焦亡的作用。提示高血糖加速急性缺血性卒中模型的脑损伤,下降的潜伏期减少和足断层的百分比证明了这一点。高血糖通过增加氧提取率来加重缺氧,正如CERO2和OCR增加所证明的那样,和响应高糖治疗的PbtO2降低。此外,通过检测caspase‑1,GSDMD‑N水平升高证实了高血糖诱导的小胶质细胞焦亡,IL‑1β和IL‑18以及GSDMD‑FL水平降低。然而,NLRP3的敲除减弱了这些作用。caspase-1的药理学抑制也降低了GSDMD-N的表达水平,小胶质细胞中的IL‑1β和IL‑18。这些结果表明,高血糖通过增加氧提取速率刺激NLRP3炎性体激活,从而导致缺血性中风后的焦度加重。
    Elevated levels of blood glucose in patients with ischemic stroke are associated with a worse prognosis. The present study aimed to explore whether hyperglycemia promotes microglial pyroptosis by increasing the oxygen extraction rate in an acute ischemic stroke model. C57BL/6 mice that underwent middle cerebral artery occlusion were used for assessment of blood glucose level and neurological function. The cerebral oxygen extraction ratio (CERO2), oxygen consumption rate (OCR) and partial pressure of brain tissue oxygen (PbtO2) were measured. To investigate the significance of the NOD‑like receptor protein 3 (NLRP3) inflammasome, NLRP3‑/‑ mice were used, and the expression levels of NLRP3, caspase‑1, full‑length gasdermin D (GSDMD‑FL), GSDMD‑N domain (GSDMD‑N), IL‑1β and IL‑18 were evaluated. In addition, Z‑YVAD‑FMK, a caspase‑1 inhibitor, was used to treat microglia to determine whether activation of the NLRP3 inflammasome was required for the enhancing effect of hyperglycemia on pyroptosis. It was revealed that hyperglycemia accelerated cerebral injury in the acute ischemic stroke model, as evidenced by decreased latency to fall and the percentage of foot fault. Hyperglycemia aggravated hypoxia by increasing the oxygen extraction rate, as evidenced by increased CERO2 and OCR, and decreased PbtO2 in response to high glucose treatment. Furthermore, hyperglycemia‑induced microglial pyroptosis was confirmed by detection of increased levels of caspase‑1, GSDMD‑N, IL‑1β and IL‑18 and a decreased level of GSDMD‑FL. However, the knockout of NLRP3 attenuated these effects. Pharmacological inhibition of caspase‑1 also reduced the expression levels of GSDMD‑N, IL‑1β and IL‑18 in microglial cells. These results suggested that hyperglycemia stimulated NLRP3 inflammasome activation by increasing the oxygen extraction rate, thus leading to the aggravation of pyroptosis following ischemic stroke.
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  • 文章类型: Journal Article
    微塑料(MP)是污染水生环境的一类异质污染物,对水生生物有害。这项研究调查了聚苯乙烯微球(PSMPs)对游泳能力的尺寸依赖性影响,新陈代谢,和幼鱼(Ctenopharyngodonidella)的氧化应激。测试鱼暴露于四种大小的PSMPs(0.07、0.5、5和20μm),在不同的暴露时间(2、7和15天)后测试游泳能力。为了测量对游泳能力的影响,确定了临界游泳速度(Ucrit),并评估代谢作用,耗氧量(MO2),常规代谢率(RMR),最大耗氧量(MMR),并确定了运动后过量耗氧量(EPOC)。为了评估对氧化应激的影响,两种抗氧化酶的活性,在测试鱼的肝脏和g中测定了超氧化物歧化酶(SOD)和过氧化氢酶(CAT)。暴露于20μmPSMP后,Ucrit与对照组相比有显著下降(P<0.05),在第2天和第7天下降22%,在第15天下降21%。RMR和MMR显著增加(P<0.05),第2天的RMR为23.9%,第2天和第15天的MMR为17.2%,分别为44.7%和20.0%。EPOC随暴露时间的增加而降低,31%(0.07-μm),45%-(0.5-μm),49%(5-μm),15天后为57%(20μm)。与较小的PSMPs相比,暴露于较大的PSMPs的CAT和SOD活性增加更多,并且增加始于the中的SOD活性。较大的PSMP对幼鱼的危害始终大于较小的PSMP。我们的结果清楚地表明,PSMPs对幼鱼有有害影响,并提供了额外的科学证据,表明有必要对环境进行监测和调节微塑料污染。
    Microplastics (MPs) are a heterogeneous class of pollutants fouling aquatic environments and they are hazardous to aquatic organisms. This study investigated the size-dependent effects of polystyrene microspheres (PSMPs) on the swimming ability, metabolism, and oxidative stress of juvenile grass carp (Ctenopharyngodon idella). Test fish were exposed to four sizes of PSMPs (0.07, 0.5, 5, and 20-μm), and swimming ability was tested after different exposure times (2, 7, and 15 days). To measure the effect on swimming ability, critical swimming speed (Ucrit) was determined, and to assess metabolic effects, oxygen consumption (MO2), routine metabolic rate (RMR), maximum oxygen consumption (MMR), and excess post-exercise oxygen consumption (EPOC) were determined. To assess the effects on oxidative stress, the activities of two antioxidant enzymes, superoxide dismutase (SOD) and catalase (CAT) were determined in the liver and gills of test fish. After exposure to 20 μm PSMPs, there was a significant drop in Ucrit compared to the control group (P<0.05), with decreases of 22 % on Day 2 and Day 7, and 21 % on Day 15. The RMR and MMR increased significantly (P<0.05), the RMR by 23.9 % on Day 2 and the MMR by 17.2 % on Day 2 and on Day 15, 44.7 % and 20.0 % respectively. The EPOC decreased with exposure time, by 31 % (0.07-μm), 45 %-(0.5-μm), 49 % (5-μm), and 57 % (20-μm) after 15 days. Exposure to the larger PSMPs increased CAT and SOD activity more than the smaller PSMPs and the increases began with SOD activity in the gills. The larger PSMPs were consistently more harmful to juvenile grass carp than the smaller PSMPs. Our results clearly show that PSMPs have detrimental effects on juvenile grass carp and provide additional scientific evidence that environmental monitoring and regulation of microplastic pollution is necessary.
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  • 文章类型: Journal Article
    这项研究调查了运动作为改善海平面身体素质的策略是否在高海拔(HA)的独特背景下也提供了可比的好处,考虑到低氧条件的生理挑战。总的来说,将121名在青藏高原生活>2年并且在测量期间仍生活在HA的低地居民随机分为四组。每个低强度的个体(LI),中等强度(MI),和高强度(HI)组进行了20次有氧运动在HA(3680米)超过4周,对照组(CG)未进行任何干预。观察干预前后的生理反应。LI和MI组的心肺适应性得到了显着改善(峰值摄氧量增加0.27和0.35L/min[V•$\\dot{\\mathrm{V}}$O2peak],两者p<0.05)运动干预后,而血细胞比容(HCT)保持不变(p>0.05)。然而,HI锻炼对低地人的心肺健康效率较低(V·$\\dot{\\mathrm{V}}$O2peak,P>0.05),而两者的HCT(1.74%,p<0.001)和肾小球滤过率(18.41mL/min,p<0.001)随HI干预而增加。因此,LI和MI有氧运动,而不是HI,可以通过增加心肺功能和抵抗红细胞增多来帮助西藏的低地居民更加适应HA。
    This study investigates whether exercise as a strategy for improving physical fitness at sea level also offers comparable benefits in the unique context of high altitudes (HA), considering the physiological challenges of hypoxic conditions. Overall, 121 lowlanders who had lived on the Tibetan Plateau for >2 years and were still living at HA during the measurements were randomly classified into four groups. Each individual of the low-intensity (LI), moderate-intensity (MI), and high-intensity (HI) groups performed 20 sessions of aerobic exercise at HA (3680 m) over 4 weeks, while the control group (CG) did not undergo any intervention. Physiological responses before and after the intervention were observed. The LI and MI groups experienced significant improvement in cardiopulmonary fitness (0.27 and 0.35 L/min increases in peak oxygen uptake [ V ˙ $\\dot{\\mathrm{V}}$ O2peak], both p < 0.05) after exercise intervention, while the hematocrit (HCT) remained unchanged (p > 0.05). However, HI exercise was less efficient for cardiopulmonary fitness of lowlanders (0.02 L/min decrease in V ˙ $\\dot{\\mathrm{V}}$ O2peak, p > 0.05), whereas both the HCT (1.74 %, p < 0.001) and glomerular filtration rate (18.41 mL/min, p < 0.001) increased with HI intervention. Therefore, LI and MI aerobic exercise, rather than HI, can help lowlanders in Tibet become more acclimated to the HA by increasing cardiopulmonary function and counteracting erythrocytosis.
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  • 文章类型: Journal Article
    本研究旨在比较SSIT干预与不同休息分布对荷尔蒙的影响,生理,和足球运动员的表现适应。36名选手被随机分为3个SSIT组,每个人都以1:3、1:6和1:9的比率进行4组6-10次重复的6秒全力以赴的跑步。在7周培训之前和之后,使用带有气体收集系统的分级运动测试和下半身Wingate测试评估了有氧适应度指数和无氧能力,分别。此外,运动特定的生物运动能力是通过测量垂直跳跃来确定的,20米冲刺,和T-测试方向的速度变化,Yo-YoIR1和最大踢距离。还通过评估睾酮和皮质醇水平来监测激素状态。经过7周的培训,所有SSIT干预措施均显著提高(p<0.05)与足球相关的表现,生理参数,和荷尔蒙的适应,表现出从小到大的效果大小。比较分析表明,1:9SSIT在垂直跳跃中产生了更大的适应性反应(p<0.05),峰值功率,睾丸激素,和皮质醇与1:3SSIT组相比。相比之下,1:3SSIT组在平均功率输出上引起更多的适应性反应(p<0.05),最大耗氧量(V²O2max),和Yo-YoIR1与1:9SSIT组相比。因此,为了提高物理性能,尤其是垂直跳跃高度,无氧峰值功率,和荷尔蒙的适应,1:9的SSIT比率是优选的。相反,较短的休息间隔(具体地说,1:3SSIT比率)更适合在平均功率输出中引起增强的自适应响应,V♪O2max,和Yo-YoIR1在年轻男性足球运动员的7周训练期间。
    Present study aimed to compare the effects of SSIT intervention with varying rest distributions on hormonal, physiological, and performance adaptations in soccer players. Thirty-six players were randomly divided into three SSIT groups, each performing 4 sets of 6-10 repetitions of 6-second all-out running with rest intervals at ratios of 1:3, 1:6, and 1:9. Prior to and following the 7-week training period, aerobic fitness indices and anaerobic power were evaluated using a graded exercise test with a gas collection system and a lower-body Wingate test, respectively. Also, sport-specific bio-motor abilities were determined by measuring vertical jump, 20-m sprint, and T-test change of direction speed, Yo-Yo IR1 and maximal kicking distance. Hormonal status was also monitored by evaluating testosterone and cortisol levels. Following the 7-week training period, all SSIT interventions resulted in significant enhancements (p < 0.05) in soccer-related performance, physiological parameters, and hormonal adaptations, exhibiting effect sizes that ranged from small to large. Comparative analysis indicated that the 1:9 SSIT results in greater adaptive responses (p < 0.05) in the vertical jump, peak power, testosterone, and cortisol compared to the 1:3 SSIT group. By contrast, the 1:3 SSIT group induced more adaptive responses (p < 0.05) in the mean power output, maximum oxygen consumption (V̇O2max), and Yo-Yo IR1 compared to the 1:9 SSIT group. Hence, for enhancing physical performance, especially vertical jump height, anaerobic peak power, and hormonal adaptations, the 1:9 SSIT ratio is preferable. Conversely, shorter rest intervals (specifically, the 1:3 SSIT ratio) are better suited for eliciting heightened adaptive responses in mean power output, V̇O2max, and Yo-Yo IR1 over the 7-week training period among young male soccer players.
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  • 文章类型: Journal Article
    这项研究比较了年轻篮球运动员六周小边球比赛(SSG)和短距离冲刺间隔训练(sSIT)的适应性反应的个体差异。30名训练有素的年轻运动员(年龄:16.4±0.6岁;身高:190±8.4厘米;体重:84.1±8.2千克)自愿参加,并被随机分配到SSG(在全长(28m)和半宽(7.5m)球场上进行3套5分钟3v3,中间有2分钟的被动恢复),sSIT(3组12×5s短跑,两手之间恢复20s,两手之间休息2min),或CON(常规篮球技术和战术训练)组,每十个培训前后,参与者进行了一系列基于实验室和现场的测量,以评估他们的最大摄氧量(VO2max),第一和第二通气阈值(VT1和VT2),氧脉冲,峰值和平均功率输出(PPO和APO),线速度,方向变化(COD),反运动跳跃(CMJ),和垂直跳跃(VJ)。SSG和sSIT都充分刺激了与上述变量增强有关的适应性机制(p<0.05)。然而,sSIT导致较低的残差,在变化的百分比VO2max(p=0.02),O2脉冲(p=0.005),VT1(p=0.001),PPO(p=0.03),与SSG相比,运动员的线速度(p=0.01)。此外,sSIT导致的反应比SSG更多,在V♪O2max(p=0.02,φ=0.500),O2脉冲(p=0.003,φ=0.655),VT1(p=0.003,φ=0.655),VT2(p=0.05,φ=0.436),和线速度(p=0.05,φ=0.420)。我们的结果表明,sSIT比SSG产生更一致的机械和生理刺激水平,可能导致团队成员之间更多类似的适应。
    This study compared the inter-individual variability in adaptive responses to six weeks of small-sided games (SSG) and short sprint interval training (sSIT) in young basketball players. Thirty well-trained young athletes (age: 16.4 ± 0.6 years; stature: 190 ± 8.4 cm; weight: 84.1 ± 8.2 kg) voluntarily participated and were randomly assigned to SSG (3 sets of 5 min 3v3 on full length (28 m) and half-width (7.5 m) court, with 2 minutes of passive recovery in-between), sSIT (3 sets of 12 × 5 s sprinting with 20 s recovery between efforts and 2 min of rest between sets), or CON (routine basketball-specific technical and tactical drills) groups, each of ten. Before and after the training period, participants underwent a series of laboratory- and field-based measurements to evaluate their maximum oxygen uptake (V̇O2max), first and second ventilatory threshold (VT1 and VT2), oxygen pulse, peak and average power output (PPO and APO), linear speed, change of direction (COD), countermovement jump (CMJ), and vertical jump (VJ). Both SSG and sSIT sufficiently stimulated adaptive mechanisms involved in enhancement of the mentioned variables (p < 0.05). However, sSIT resulted in lower residuals in percent changes in V̇O2max (p = 0.02), O2pulse (p = 0.005), VT1 (p = 0.001), PPO (p = 0.03), and linear speed (p = 0.01) across athletes compared to the SSG. Moreover, sSIT resulted in more responders than SSG in V̇O2max (p = 0.02, φ = 0.500), O2pulse (p = 0.003, φ = 0.655), VT1 (p = 0.003, φ = 0.655), VT2 (p = 0.05, φ = 0.436), and linear speed (p = 0.05, φ = 0.420). Our results indicate that sSIT creates a more consistent level of mechanical and physiological stimulus than SSG, potentially leading to more similar adaptations across team members.
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  • 文章类型: Journal Article
    常规曝气方式为强制连续通风或等间隔曝气,在堆肥过程中,均匀的曝气速率不会发生变化。基于微生物在不同堆肥阶段的不同耗氧量的动态按需曝气方法可以解决氧气供应不足或过度曝气的问题。本研究旨在设计一种动态曝气的好氧堆肥系统,研究了动态曝气对玉米秸秆和猪粪好氧堆肥过程中温升和理化特性的影响,优化氧气浓度的控制参数。在动态曝气下实现了更高的温度和更长的高温持续时间,从而加速有机化合物的分解。动态曝气有效降低了曝气频率,对流潜热和水分损失,以及堆肥中后期的耗电量。根据排气中氧气浓度14%-17%调节的动态曝气是最佳的。在最优条件下,50℃以上的时间持续了8.5天,最高温度,有机物去除,种子萌发指数达到65.82℃,37.59%,74.59%,分别。与传统的间歇曝气相比,电耗降低了33.58%。动态曝气将是提高好氧堆肥特性,减少能耗和热废气排放的一种有竞争力的方法。尤其是在冷却成熟期,这对于实现规模化堆肥的低成本生产和促进有机肥料产业的蓬勃发展具有重要意义。
    The conventional aeration method is compulsorily continuous ventilation or aeration at equal intervals, and a uniform aeration rate does not vary during composting. A dynamic on-demand aeration approach based on the diverse oxygen consumption of microorganisms at different composting stages could solve the problems of insufficient oxygen supply or excessive aeration. This study aims to design an aerobic composting system with dynamic aeration, investigate the effects of dynamic aeration on the temperature rise and physicochemical characteristics during the aerobic composting of corn straw and pig manure, and optimise the control parameters of oxygen concentration. Higher temperatures and longer high-temperature durations were achieved under dynamic aeration, thereby accelerating the decomposition of organic compounds. Dynamic aeration effectively reduced the aeration frequency, the convective latent heat and moisture losses, and the power consumption in the middle and later stages of composting. The dynamic aeration regulated according to the oxygen concentration of 14%-17% in the exhaust was optimum. Under the optimal conditions, the period above 50 ℃ lasted 8.5 days, and the highest temperature, organic matter removal, and seed germination index reached 65.82 ℃, 37.59%, and 74.59%, respectively. The power consumption was decreased by 33.58% compared to the traditional intermittent aeration. Dynamic aeration would be a competitive approach for improving aerobic composting characteristics and reducing the power consumption and the hot exhaust gas emissions, especially in the cooling maturation stage, which was of great significance for realising the low-cost production of composting at scale and promoting the blossom of the organic fertiliser industry.
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  • 文章类型: Journal Article
    目的:了解脑卒中后心肺适能的相关特点,为患者临床康复锻炼提供参考价值。本Meta分析旨在探讨机器人辅助步态训练对脑卒中后患者心肺功能改善的效果。与常规康复训练相比。
    方法:PubMed,EMBASE,WebofScience,Cochrane系统评价数据库,CBM,一直搜索到3月18日的CNKI和万方数据库,2024.包括比较机器人辅助步态训练与对照组的有效性的随机对照试验(RCTs)。主要结果变量是峰值摄氧量。6分钟步行测试,峰值心率,峰值吸气呼气比作为我们的次要指标。采用RevMan5.3软件进行统计分析。
    结果:共包括17篇文章,涉及689名受试者。结果表明,机器人辅助步态训练对改善VO2peak(MD=1.85;95%CI:-0.13至3.57;p=0.04)和6WMT(MD=19.26;95%CI:10.43至28.08;p<0.0001)具有显着效果。然而,在HRpeak(MD=3.56;95%CI:-1.90~9.02;p=0.20)和RERpeak(MD=-0.01;95%CI:-0.04~0.01;p=0.34)中没有发现有利于机器人辅助步态训练的显著差异.
    结论:这些结果表明,机器人辅助步态训练可能对改善VO2peak和6WMT具有有益作用,根据GRADE指南具有中等推荐水平。
    OBJECTIVE: Understanding the characteristics related to cardiorespiratory fitness after stroke can provide reference values for patients in clinical rehabilitation exercise. This meta- analysis aimed to investigate the effect of robot-assisted gait training in improving cardiorespiratory fitness in post-stroke patients, compared to conventional rehabilitation training.
    METHODS: PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, CBM, CNKI and Wanfang databases were searched until March 18th, 2024. Randomized controlled trials (RCTs) comparing the effectiveness of robot-assisted gait training versus control group were included. The main outcome variable was peak oxygen uptake. 6-minute walking test, peak heart rate, peak inspiratory expiratory ratio as our secondary indicators. RevMan 5.3 software was used for statistical analysis.
    RESULTS: A total of 17 articles were included, involving 689 subjects. The results showed a significant effect for robot-assisted gait training to improve VO2peak (MD = 1.85; 95% CI: -0.13 to 3.57; p = 0.04) and 6WMT (MD = 19.26; 95% CI: 10.43 to 28.08; p < 0.0001). However, no significant difference favouring robot-assisted gait training were found in HRpeak (MD = 3.56; 95% CI: -1.90 to 9.02; p = 0.20) and RERpeak (MD = -0.01; 95% CI: -0.04 to 0.01; p = 0.34).
    CONCLUSIONS: These results showed that robot-assisted gait training may have a beneficial effect in improving VO2peak and 6WMT, with a moderate recommendation level according to the GRADE guidelines.
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