Pulsed short wave therapy : its clinical use and physiological effects in healthy subjects and osteoarthritic patients

PSWT is a commonly used electrotherapy modality and surveys have shown it to be one of the most widely used modalities among physiotherapists in the UK. Nevertheless, the literature supporting its therapeutic effects and explaining its mechanism of actions remains scant, is of poor methodological quality and of minimal clinical value. This research program was set to examine both the nature of use and the efficacy of PSWT. The nature of PSWT use was examined in outpatient clinics using an audit and a nationwide survey. The efficacy of PSWT was examined in two randomised placebo controlled trials; one conducted in a laboratory setting on healthy subjects and the other was a clinical trial on patients with osteoarthritis. Following the same methodology and protocol, the effects of low and high dose of PSWT on skin temperature (SkT), blood volume (BVol), and nerve conduction velocity (NCV) were evaluated against a placebo and a control condition. The findings have revealed the poor documentary skills of physiotherapists, and a state of confusion ~n the clinical decision-making with regard to PSWT dosage. Based on experimentation, it was established that patients react differently from healthy subjects when similar levels of energies are applied. Whilst low dose resulted in non-significant changes in SkT and NCV in healthy subjects, the same dose significantly altered BVol, SkT, and NCV in patients. Placebo effects were found to account for 39% of the patients' response to PSWT treatments. The findings have revealed a discrepancy between evidence and practice that necessitates a reconsideration of the treatment approaches adopted by physiotherapists when using PSWT. The study has also demonstrated the physiological and therapeutic efficacy of PSWT on patients with osteoarthritis, and showed that treatment outcomes are dependent on the amount of exogenous energy applied and the type of tissue treated. The thesis also highlights areas for future research based on the literature reviewed and the experimentation conducted

Bond graph modelling of exergy in integrated energy systems

Ph. D. Thesis.Integrated municipal or district energy systems are one facet of the effort to support sustainable energy systems that work towards reducing anthropogenic climate change emissions. Current energy systems — including electricity, heat, and cooling — operate mostly independently, under the control of domain-distinct industries and regulatory bodies. Operating these separate systems in a cooperative or integrated manner promises improvements in efficiency, the ability of networks to absorb renewable energy sources and storage, emissions reductions and community-based benefits. The nature of district energy systems is that they cannot easily be modified or built upon without severe disruption to the communities they serve, so assessments of their behaviour and performance caused by potential changes must be modelled. This thesis investigates what methods can model integrated energy systems and develops a bond graph-based approach to constructing a fully-integrated system model. Although energy based methods for integrated energy system modelling exist, this thesis demonstrates that exergy can form the basis of integrated energy system models. Exergy being a measure of the usefulness of energy allows the equivalence of energy domains in a single model form, permitting development of a genuine, physically-founded integrated energy system model. An integrated model of a residential district supplied by heat and electrical networks, based on a real UK urban area, is demonstrated in OpenModelica using the developed modelling approach. The concept of an exergy storage device is introduced to provide a mechanism for mediating energy flows between the networks. The model is used to evaluate the performance of the test network, using trial cases to investigate how transferring exergy between energy domains through the mediating storage affects the overall system energy and exergy efficiencies. Operational regimes that transfer energy from the electrical to the thermal sub-system using the mediating storage are found to improve the exergy efficiency of the system.Newcastle University, Siemen

ECOS 2012

The 8-volume set contains the Proceedings of the 25th ECOS 2012 International Conference, Perugia, Italy, June 26th to June 29th, 2012. ECOS is an acronym for Efficiency, Cost, Optimization and Simulation (of energy conversion systems and processes), summarizing the topics covered in ECOS: Thermodynamics, Heat and Mass Transfer, Exergy and Second Law Analysis, Process Integration and Heat Exchanger Networks, Fluid Dynamics and Power Plant Components, Fuel Cells, Simulation of Energy Conversion Systems, Renewable Energies, Thermo-Economic Analysis and Optimisation, Combustion, Chemical Reactors, Carbon Capture and Sequestration, Building/Urban/Complex Energy Systems, Water Desalination and Use of Water Resources, Energy Systems- Environmental and Sustainability Issues, System Operation/ Control/Diagnosis and Prognosis, Industrial Ecology

Proceedings of the Scientific-Practical Conference "Research and Development - 2016"

talent management; sensor arrays; automatic speech recognition; dry separation technology; oil production; oil waste; laser technolog

Proceedings of the Scientific-Practical Conference "Research and Development - 2016"

talent management; sensor arrays; automatic speech recognition; dry separation technology; oil production; oil waste; laser technolog

A Systematic Review and Meta-Analysis of the Incidence of Injury in Professional Female Soccer

The epidemiology of injury in male professional football is well documented and has been used as a basis to monitor injury trends and implement injury prevention strategies. There are no systematic reviews that have investigated injury incidence in women’s professional football. Therefore, the extent of injury burden in women’s professional football remains unknown. PURPOSE: The primary aim of this study was to calculate an overall incidence rate of injury in senior female professional soccer. The secondary aims were to provide an incidence rate for training and match play. METHODS: PubMed, Discover, EBSCO, Embase and ScienceDirect electronic databases were searched from inception to September 2018. Two reviewers independently assessed study quality using the Strengthening the Reporting of Observational Studies in Epidemiology statement using a 22-item STROBE checklist. Seven prospective studies (n=1137 professional players) were combined in a pooled analysis of injury incidence using a mixed effects model. Heterogeneity was evaluated using the Cochrane Q statistic and I2. RESULTS: The epidemiological incidence proportion over one season was 0.62 (95% CI 0.59 - 0.64). Mean total incidence of injury was 3.15 (95% CI 1.54 - 4.75) injuries per 1000 hours. The mean incidence of injury during match play was 10.72 (95% CI 9.11 - 12.33) and during training was 2.21 (95% CI 0.96 - 3.45). Data analysis found a significant level of heterogeneity (total Incidence, X2 = 16.57 P < 0.05; I2 = 63.8%) and during subsequent sub group analyses in those studies reviewed (match incidence, X2 = 76.4 (d.f. = 7), P <0.05; I2 = 90.8%, training incidence, X2 = 16.97 (d.f. = 7), P < 0.05; I2 = 58.8%). Appraisal of the study methodologies revealed inconsistency in the use of injury terminology, data collection procedures and calculation of exposure by researchers. Such inconsistencies likely contribute to the large variance in the incidence and prevalence of injury reported. CONCLUSIONS: The estimated risk of sustaining at least one injury over one football season is 62%. Continued reporting of heterogeneous results in population samples limits meaningful comparison of studies. Standardising the criteria used to attribute injury and activity coupled with more accurate methods of calculating exposure will overcome such limitations