[Effect of Fang's scalp acupuncture on perceived stress and sleep structure in insomnia patients: a randomized controlled trial].

OBJECTIVE: To compare the efficacy on insomnia between Fang 's scalp acupuncture combined with conventional acupuncture and the simple conventional acupuncture. METHODS: A total of 66 patients with insomnia were randomly divided into an observation group (33 cases, 1 case dropped off) and a control group (33 cases, 2 cases dropped off). In the control group, the routine acupuncture therapy was applied to Shenmen (HT 7), Baihui (GV 20), Zhaohai (KI 6) and Sanyinjiao (SP 6), etc. Based on the treatment as the control group, Fang's scalp acupuncture therapy was supplemented at fuxiang tou, fuzang shangjiao, fuzang zhongjiao, siwei, etc. At these scalp points, the needles were inserted perpendicularly with flying needling technique and manipulated with trembling one. In either group, the treatment was given once daily, continuously for 2 weeks. Before and after treatment, separately, the score of Pittsburgh sleep quality index (PSQI) and the score of Chinese perceived stress scale (CPSS) were observed, as well as the parameters monitored by polysomnography, i.g. total sleep time (TST), sleep onset latency (SOL), wakefulness after the sleep onset (WASO), sleep efficiency (SE), the percentages of the time of rapid eye movement sleep phase (REM) and non-rapid eye movement sleep phase 1, 2, 3 and 4 in TST (REM%, N1%, N2%, N3%). The efficacy was compared between two groups. RESULTS: After treatment, the scores of each factor and the total scores of PSQI, as well as CPSS scores were all lower than those before treatment in the two groups (P<0.01, P<0.05); except the score for sleep quality, the score of each factor and the total score of PSQI, as well as CPSS score in the observation group were lower than those in the control group (P<0.01, P<0.05). After treatment, TST, SE%, REM% and N3% were increased and SOL, WASO, N1% were decreased as compared with before treatment in the two groups (P<0.01, P<0.05), and N2% in the observation group was decreased (P<0.01); SE%, REM% and N3% in the observation group were higher than the control group (P<0.05) and N1% and N2% were lower than the control group (P<0.05). The total effective rate was 93.8% (30/32) in the observation group, higher than 87.1% (27/31) in the control group (P<0.05). CONCLUSION: Fang 's scalp acupuncture, on the base of routine acupuncture, obviously improves the sleep quality and perceived stress and adjusts the sleep structure in the patients with insomnia.

Factors Influencing the Hydration, Dimensional Stability, and Strength Development of the OPC-CSA-Anhydrite Ternary System.

Due to the advantages of high early strength and rapid setting, ternary systems consisting of ordinary Portland clinker (OPC), calcium sulphoaluminate (CSA) clinker, and anhydrite have broad application prospects. However, further studies need to be undertaken to find a more optimal mixing proportion of this ternary binder in order to meet basic performance requirements. In this paper, isothermal calorimetric tests, chemical shrinkage tests, drying shrinkage tests, and compressive strength tests were carried out to systematically identify the effect of the OPC/CSA ratio and anhydrite dosage on the hydration, mechanical property development, and dimensional stability of ternary binders. It was found that a higher CSA content leads to a higher cumulative hydration heat, a shorter acceleration period, and a delayed induction period, which can be ascribed to the retardation of C3S at a high aluminate concentration. However, a higher addition of anhydrite can retard the main peak of hydration despite promoting the intermediate peak and improving the hydration reaction rate. The drying shrinkage of blends decreases first along with the CSA proportion and then increases. Moreover, a higher anhydrite content mitigates the drying shrinkage and hinders the strength development. Finally, considering the properties of both the fresh and hardened binder, the ternary blends with 5% anhydrite and OPC/CSA ratios ranging from 3/7 to 2/8 were identified as most suitable for applications that require a high early strength, stable late strength, and small level of shrinkage.

Type-2 Fuzzy Hybrid Controller Network for Robotic Systems.

Dynamic control, including robotic control, faces both the theoretical challenge of obtaining accurate system models and the practical difficulty of defining uncertain system bounds. To facilitate such challenges, this paper proposes a control system consisting of a novel type of fuzzy neural network and a robust compensator controller. The new fuzzy neural network is implemented by integrating a number of key components embedded in a Type-2 fuzzy cerebellar model articulation controller (CMAC) and a brain emotional learning controller (BELC) network, thereby mimicking an ideal sliding mode controller. The system inputs are fed into the neural network through a Type-2 fuzzy inference system (T2FIS), with the results subsequently piped into sensory and emotional channels which jointly produce the final outputs of the network. That is, the proposed network estimates the nonlinear equations representing the ideal sliding mode controllers using a powerful compensator controller with the support of T2FIS and BELC, guaranteeing robust tracking of the dynamics of the controlled systems. The adaptive dynamic tuning laws of the network are developed by exploiting the popular brain emotional learning rule and the Lyapunov function. The proposed system was applied to a robot manipulator and a mobile robot, demonstrating its efficacy and potential; and a comparative study with alternatives indicates a significant improvement by the proposed system in performing the intelligent dynamic control.

[Sleep disorder treated mainly with flying needling therapy: a clinical randomized controlled research].

OBJECTIVE: To observe the clinical efficacy on sleep disorder in the intervention of flying needling therapy and compare the efficacy difference among flying needling therapy, estazolam and non-acupoint acupuncture. METHODS: Three hundred and fifteen cases of sleep disorder were randomized into a flying needling group (110 cases), an estazolam group (107 cases) and a non-acupoint acupuncture group (98 cases). In the flying needling group, the flying needling therapy was applied to Sanyinjiao (SP 6), Anmian (EX HN22), Shenmen (HT 7) and so on. Additionally, vitamin B1 was prescribed for oral administration and the intradermal needle method was given at the Back-shu points. In the estazolam group, estazolam was prescribed for oral administration. Also the non-acupoint acupuncture and the acupoint sticking therapy on the Back-shu points were given additionally. In the non-acupoint acupuncture group, the non-acupoint acupuncture, oral administration of vitamin B1 and the acupoint sticking therapy on the Back-shu points were applied. The treatment of 2 weeks were required in all the groups. The efficacy and the score of PSQI (Pittsburgh sleep quality index) were observed in the 2-week follow-up visit. RESULTS: The total effective rate in the flying needling group was 84.1% (90/107), which was superior to 59.7% (62/104) in the estazolam group and 25.0% (24/96) in the non-acupoint acupuncture group (both P < 0.05). In the follow-up observation, the score of each item and the total score of PSQI were lower apparently than those before treatment in each group (all P < 0.05), and those in the flying needling group were lower apparently than those in the other two groups (all P < 0.05). CONCLUSION: The flying needling therapy as the chief therapeutic method effectively improves the sleep quality for the patients with sleep disorder, which is apparently superior to estazolam and non-acupoint acupuncture.