Blood flow restriction training improves the efficacy of routine intervention in patients with chronic ankle instability.

As a new means of rehabilitation, blood flow restriction training (BFRT) is widely used in the field of musculoskeletal rehabilitation. To observe whether BFRT can improve the efficacy of routine rehabilitation intervention in patients with chronic ankle instability (CAI). Twenty-three patients with CAI were randomly divided into a routine rehabilitation group (RR Group) and a routine rehabilitation â€‹+ â€‹blood flow restriction training group (RR â€‹+ â€‹BFRT Group) according to the Cumberland Ankle Instability Tool (CAIT) score. The RR Group was treated with routine rehabilitation means for intervention, and the RR â€‹+ â€‹BFRT Group was treated with a tourniquet to restrict lower limb blood flow for rehabilitation training based on routine training. Before and after the intervention, the CAIT score on the affected side, standing time on one leg with eyes closed, comprehensive scores of the Y-balance test, and surface electromyography data of tibialis anterior (TA) and peroneus longus (PL) were collected to evaluate the recovery of the subjects. Patients were followed up 1 year after the intervention. After 4 weeks of intervention, the RR â€‹+ â€‹BFRT Group CAIT score was significantly higher than the RR Group (19.33 VS 16.73, p â€‹< â€‹0.05), the time of standing on one leg with eyes closed and the comprehensive score of Y-balance were improved, but there was no statistical difference between groups (p â€‹> â€‹0.05). RR â€‹+ â€‹BFRT Group increased the muscle activation of the TA with maximum exertion of the ankle dorsal extensor (p â€‹< â€‹0.05) and had no significant change in the muscle activation of the PL with maximum exertion of the ankle valgus (p â€‹> â€‹0.05). There was no significant difference in the incidence of resprains within 1 year between the groups (36.36% VS 16.67%, p â€‹> â€‹0.05). The incidence of ankle pain in the RR â€‹+ â€‹BFRT Group was lower than that in the RR Group (63.64% VS 9.09%, p â€‹< â€‹0.01). Therefore, four-weeks BFRT improves the effect of the routine intervention, and BFRT-related interventions are recommended for CAI patients with severe ankle muscle mass impairment or severe pain.

Complexity of line-seru conversion for different scheduling rules and two improved exact algorithms for the multi-objective optimization.

Productivity can be greatly improved by converting the traditional assembly line to a seru system, especially in the business environment with short product life cycles, uncertain product types and fluctuating production volumes. Line-seru conversion includes two decision processes, i.e., seru formation and seru load. For simplicity, however, previous studies focus on the seru formation with a given scheduling rule in seru load. We select ten scheduling rules usually used in seru load to investigate the influence of different scheduling rules on the performance of line-seru conversion. Moreover, we clarify the complexities of line-seru conversion for ten different scheduling rules from the theoretical perspective. In addition, multi-objective decisions are often used in line-seru conversion. To obtain Pareto-optimal solutions of multi-objective line-seru conversion, we develop two improved exact algorithms based on reducing time complexity and space complexity respectively. Compared with the enumeration based on non-dominated sorting to solve multi-objective problem, the two improved exact algorithms saves computation time greatly. Several numerical simulation experiments are performed to show the performance improvement brought by the two proposed exact algorithms.

Comparison of Traditional and Open-Access Appointment Scheduling for Exponentially Distributed Service Time.

This paper compares the performance measures of traditional appointment scheduling (AS) with those of an open-access appointment scheduling (OA-AS) system with exponentially distributed service time. A queueing model is formulated for the traditional AS system with no-show probability. The OA-AS models assume that all patients who call before the session begins will show up for the appointment on time. Two types of OA-AS systems are considered: with a same-session policy and with a same-or-next-session policy. Numerical results indicate that the superiority of OA-AS systems is not as obvious as those under deterministic scenarios. The same-session system has a threshold of relative waiting cost, after which the traditional system always has higher total costs, and the same-or-next-session system is always preferable, except when the no-show probability or the weight of patients' waiting is low. It is concluded that open-access policies can be viewed as alternative approaches to mitigate the negative effects of no-show patients.

The emission patterns of volatile organic compounds during aerobic biotreatment of municipal solid waste using continuous and intermittent aeration.

Because volatile organic compounds (VOCs) are one of the main concerns during municipal solid waste (MSW) treatment, the release patterns and the environmental effects of VOCs were investigated during laboratory-scale aerobic biotreatments of MSW with continuous and intermittent negative ventilation. When the same airflow amounts were used, intermittent ventilation was found to reduce the total VOC emissions from continuous ventilation process by 28%. In this study, 23 types of volatile organic compounds were analyzed, of which butyraldehyde, ethanol, and butanone were emitted in the highest concentrations of 748, 372, and 260 mg/m3, respectively. During the aerobic biotreatment process, ketones, aldehydes, and alcohols were primarily released during the first 4 days, accounting for 86-98% of the total VOC emissions during this period. The emission concentrations of malodorous sulfide compounds displayed two peaks on day 4 and day 9, with the contribution to the total VOC emissions being enhanced from less than 10% to 76-83%. The release of terpenes and aromatics lasted for more than 10 days with no significant emission peaks and the proportions of those compounds in the total VOCs increased gradually, but no more than 50% even at the end of the process. Considering the strength of the odors, aldehydes were the predominant contributors at the beginning of the experiment, whereas malodorous sulfide compounds became the most odorous compound as the biological process continued. Most of the VOCs emitted at the concentrations beneath the level causing health threat to the workers.

Release of volatile organic compounds during bio-drying of municipal solid waste.

Three treatments were tested to investigate the release concentrations of volatile organic compounds (VOCs) during the bio-drying of municipal solid waste (MSW) by the aerobic and combined hydrolytic-aerobic processes. Results showed that VOCs were largely released in the first 4 days of bio-drying and the dominant components were: dimethyl disulfide, dimethyl sulfide, benzene, 2-butanone, limonene and methylene chloride. Thus, the combined hydrolytic-aerobic process was suggested for MSW bio-drying due to fewer aeration quantities in this phase when compared with the aerobic process, and the treatment strategies should base on the key properties of these prominent components. Malodorous sulfur compounds and terpenes were mainly released in the early phase of bio-drying, whereas, two peaks of release concentrations appeared for aromatics and ketones during bio-drying. Notably, for the combined hydrolytic-aerobic processes there were also high concentrations of released aromatics in the shift from hydrolytic to aerobic stages. High concentrations of released chlorinateds were observed in the later phase. For the VOCs produced during MSW bio-drying, i.e., malodorous sulfur compounds, terpenes and chlorinateds, their release concentrations were mainly determined by production rates; for the VOCs presented initially in MSW, such as aromatics, their transfer and transport in MSW mainly determined the release concentrations.