The effects of different types of Tai Chi exercises on preventing falls in older adults: a systematic review and network meta-analysis.

OBJECTIVES: Few studies comparing the effects of different types of Tai Chi exercises on preventing falls in older adults. We compared the effects for finding an optimal intervention. METHODS: We searched 12 databases, including PubMed, EMBASE, Cochrane Library, Chinese National Knowledge Infrastructure (CNKI) and so on, from their inception to January 13, 2023. Randomized controlled trials incorporating different types of Tai Chi for preventing falls in older adults were included. The outcome measures were the incidence of falls and Berg Balance Scale (BBS). Network meta-analysis (NMA) was conducted using Stata 15.1 based on a frequentist framework. RESULTS: Seventeen trials were eligible, including 3470 participants and four types of Tai Chi. They were 24-form simplified Tai Chi (24-form), Yang style Tai Chi (Yang style), Sun style Tai Chi (Sun style) and Tai Chi exercise program (TCEP). In paired meta-analysis, for incidence of falls, 24-form (Relative Risk (RR) = 0.59, 95% confidence interval (CI) [0.40, 0.86]) was more efficient than the control group. For BBS outcome, 24-form (MD (mean difference) = 2.32, 95% CI [1.42, 3.22]) was better than the control group. In the NMA, the results of incidence of falls were as follows: 24-form > Yang style > Sun style > control > TCEP. The rank probability of BBS was as follows: 24-form > TCEP > Yang style > control. CONCLUSION: Among the four types of Tai Chi studied, the 24-form simplified Tai Chi has shown better efficacy than other types.

Systematic Research on the Transport of Ball-Milled Biochar in Saturated Porous Media: Effect of Humic Acid, Ionic Strength, and Cation Types.

Ball-milled biochar (BMBC) is a typical engineering material that has promising application prospects in remediating contaminated soil and water. It is fundamental to rate the transport behaviors of BMBC in the underground environment before extensive use. In this study, the effects of the ubiquitous cations (Na+, Mg2+, and Al3+) and model organic matter (humic acid) on the transport of BMBC were investigated using laboratory column experiments. The results demonstrated the facilitated effect of HA on the transport of BMBC due to the negatively charged surface and steric effect under neutral conditions. HA and ionic strength manifested an antagonistic effect on the transport of BMBC, where the presence of one could weaken the effect from the other. We also found the charge reversal of the BMBC surface in the presence of Mg2+, thus enhancing the deposition of BMBC onto the medium surface. On the other hand, the charge reversal from Al3+-coupled acid conditions led to the restabilization and transport of BMBC in porous media. Therefore, the rational usage of BMBC is indispensable and more attention should be paid to the composition and change in underground water that might facilitate the transport of BMBC and thus lead to negative environmental implications.