Clinical efficacy of acupuncture therapy combined with core muscle exercises in treating patients with chronic nonspecific low back pain: a systematic review and meta-analysis of randomized controlled trials.

Introduction: This meta-analysis aimed to determine the clinical efficacy of acupuncture combined with core muscle exercises on pain and functional status in patients with chronic nonspecific low back pain. Methods: This study followed the Preferred Reporting Items for Systematic Reviews and meta-analysis criteria for systematic reviews and meta-analyses. Randomized controlled trials published till November 2023 were searched in PubMed, Web of Science, Cochrane, Embase, China National Knowledge Infrastructure, Chinese Biomedical Literature, and Wanfang databases. The search strategy was related to disease type, intervention, and control measures and was structured around the search terms "low back pain," "acupuncture therapy," and "exercise." Two reviewers applied inclusion and exclusion criteria. Sensitivity and fixed effects analyses were performed to determine the primary outcomes. Results: We included 11 randomized controlled trials (n = 727) on acupuncture combined with core muscle exercises in patients with chronic nonspecific low back pain. Compared with controls, clinical efficacy was significant, with improvements in pain scores (visual analog pain scale and numerical rating scale) and Oswestry Disability Index in the intervention group. Discussion: Acupuncture therapy combined with core muscle exercises improved pain and functional status in patients with chronic nonspecific low back pain, with favorable clinical outcomes compared with single-core muscle training. Multicenter large-sample trials are required to obtain more reliable conclusions.

Effects of foliar application of single-walled carbon nanotubes on carbohydrate metabolism in crabapple plants.

Carbon nanotubes (CNTs) regulate growth in many plants. Carbohydrates provide energy and carbon skeleton for cell growth. However, how CNTs influence plant carbohydrate metabolism remains largely unknown. For a comprehensive understanding the response of carbohydrate metabolism and accumulation in leaves of crabapple (Malus hupehensis Rehd) to single-walled carbon nanotubes (SWCNTs), the expression of key enzymes and genes involved in apple sugar metabolism was investigated. In this report, TEM showed that SWCNTs particles were absorbed in apple leaf. Foliar application of 10 and 20 mg/L SWCNTs promoted chlorophyll content, net photosynthetic rate, stomatal conductance and transpiration rate. SWCNTs up-regulate the activity of aldose-6-phosphate reductase (A6PR), accompanied by increased concentration of photosynthetic assimilate‒sorbitol. However, the activities of sucrose phosphate synthase (SPS) and the accumulation of sucrose did not change significantly in SWCNTs-sprayed apple leaves compared with the control. In addition, the activities of photoassimilate degradation enzyme (sorbitol dehydrogenase, SDH; sucrose synthase, SUSY; neutral invertase, NINV) and hexose degradation enzyme (fructokinase, FRK; hexokinase, HK) were higher in SWCNTs-treated apple leaves than that in the control leaves. Quantitative real-time polymerase chain reaction (qRT‒PCR) results indicated that the expression of genes associated with sugar metabolism changed significantly after SWCNTs application. Taken together, we propose that spraying apple leaves with 10 and 20 mg/L SWCNTs can improve photosynthetic activity and accelerate carbohydrate metabolism in apple leaves. Our results provide insight into understanding the biological effects of CNTs in plants and are valuable for continued use of SWCNTs in agri-nanotechnology.

Two new species of marine flatworm from southern China facilitate determination of the phylogenetic position of the genus Nerpa Marcus, 1948 and the histochemical structure of the nervous system in the genus Paucumara Sluys, 1989 (Platyhelminthes, Tricladida, Maricola).

Two new species of flatworm, collected from a beach at eastern Shenzhen, China, were studied through an integrative approach by combining morphological, histological, histochemical (acetylcholinesterase, AChE), and molecular (18S r- DNA) data. These species belong to two genera of marine triclads, previously unrecorded from China, viz. Nerpa Marcus, 1948 and Paucumara Sluys, 1989.        Nerpa fistulata Wang Chen, sp. nov. is characterized by: transparent body; principally pentamerous intestine with three distinct commissures; two very large, prepharyngeal testis follicles; a semi-circular lens in each eye cup; a penis papilla provided with a chitinized, pointed stylet; lateral bursae communicating with the oviduct and opening ventrally to the exterior via a duct. Phylogenetically N. fistulata groups with one member of the family Bdellouridae. This new, Chinese species of Nerpa introduces a major geographic disjunction, as the type species N. evelinae was described from the bay of Santos, Brazil, so that the genus is now known from both Atlantic as well as Pacific coasts.        The species Paucumara falcata Wang Li, sp. nov. is characterized by: three distinct pale yellow transverse pigmentation bands on its dorsal side, between which some snowflake-like specks are randomly distributed, and a brown transverse band anteriorly to the eyes; 8-11 testicular follicles on either side of the body, the follicles extending from immediately behind the ovaries to half-way along the pharyngeal pocket; a musculo-parenchymatic organ with a sclerotic, curved tip projecting from the anterior wall of the male atrium, ventrally to the root of the penis papilla. Phylogenetically P. falcata groups with its congener P. trigonocephala, with the genus Paucumara forming the sister taxon of the genus Ectoplana. Comparison of the nerve structure of P. falcata, as revealed by AChE histochemistry, with that of eight other species of triclad suggested that the nervous system of marine planarians is simpler than that of species of freshwater planarians, but revealed also that the nerve structure is rather variable among species.        The copulatory position exhibited by two partners in Paucumara falcata is remarkable in that they intertwine, with their heads pointing downwards and the tails pointing upwards, the entire process lasting about 10 min. Such a copulatory position has never before been reported for triclad flatworms.

Accelerate Training of Restricted Boltzmann Machines via Iterative Conditional Maximum Likelihood Estimation.

Restricted Boltzmann machines (RBMs) have become a popular tool of feature coding or extraction for unsupervised learning in recent years. However, there still lacks an efficient algorithm for training the RBM due to that its likelihood function contains an intractable normalizing constant. The existing algorithms, such as contrastive divergence and its variants, approximate the gradient of the likelihood function using Markov chain Monte Carlo. However, the approximation is time consuming and, moreover, the approximation error often impedes the convergence of the training algorithm. This paper proposes a fast algorithm for training RBMs by treating the hidden states as missing data and then estimating the parameters of the RBM via an iterative conditional maximum likelihood estimation approach, which avoids the issue of intractable normalizing constants. The numerical results indicate that the proposed algorithm can provide a drastic improvement over the contrastive divergence algorithm in RBM training. This paper also presents an extension of the proposed algorithm for how to cope with missing data in RBM training and illustrates its application using an example about drug-target interaction prediction.

Bayesian modeling of ChIP-chip data using latent variables.

BACKGROUND: The ChIP-chip technology has been used in a wide range of biomedical studies, such as identification of human transcription factor binding sites, investigation of DNA methylation, and investigation of histone modifications in animals and plants. Various methods have been proposed in the literature for analyzing the ChIP-chip data, such as the sliding window methods, the hidden Markov model-based methods, and Bayesian methods. Although, due to the integrated consideration of uncertainty of the models and model parameters, Bayesian methods can potentially work better than the other two classes of methods, the existing Bayesian methods do not perform satisfactorily. They usually require multiple replicates or some extra experimental information to parametrize the model, and long CPU time due to involving of MCMC simulations. RESULTS: In this paper, we propose a Bayesian latent model for the ChIP-chip data. The new model mainly differs from the existing Bayesian models, such as the joint deconvolution model, the hierarchical gamma mixture model, and the Bayesian hierarchical model, in two respects. Firstly, it works on the difference between the averaged treatment and control samples. This enables the use of a simple model for the data, which avoids the probe-specific effect and the sample (control/treatment) effect. As a consequence, this enables an efficient MCMC simulation of the posterior distribution of the model, and also makes the model more robust to the outliers. Secondly, it models the neighboring dependence of probes by introducing a latent indicator vector. A truncated Poisson prior distribution is assumed for the latent indicator variable, with the rationale being justified at length. CONCLUSION: The Bayesian latent method is successfully applied to real and ten simulated datasets, with comparisons with some of the existing Bayesian methods, hidden Markov model methods, and sliding window methods. The numerical results indicate that the Bayesian latent method can outperform other methods, especially when the data contain outliers.

Pseudoclimb and dislocation dynamics in superplastic nanotubes.

Plastic relaxation of carbon nanotubes under tension and at high temperature is described in terms of dislocation theory and with atomistic computer simulations. It is shown how the glide of pentagon-heptagon defects and a particular type of their pseudoclimb, with the atoms directly breaking out of the lattice, work concurrently to maintain the tube perfection. Derived force diagram quantifies the balance between these mechanisms, while simulations show both helical and longitudinal movement of the kinks, in agreement with the forces and with experimental observations.