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OBJECTIVE: To perform a literature review aimed to analyze if acupoint stimulation increases lactation quantity. METHOD: Studies were collected from five electronic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. Eligibility criteria were full-text articles in English or Spanish with clinical trial design and observational studies, with no restriction on time of publication, in which the effect of acupoint stimulation on improving the quantity of lactation by conventional acupuncture, electroacupuncture, laser, fire needling, manual stimulation, tuina or catgut had been evaluated. Two authors independently extracted data for the characteristics and main outcomes of the studies selected for inclusion. The risk of bias (RoB 2 and Robins-I) and the quality assessments (GRADE) were performed. For the quantitative synthesis, the standardized mean difference was calculated for each individual study selected and then the data were combined using a random-effects meta-analysis. RESULTS: A total of 14 studies were included in the present review. Most of the included studies exhibited some concerns in the risk of bias assessment. The quality of the studies was moderate. The meta-analysis showed that manual acupoint stimulation improves the lactation quantity (SMD 95% CI = 1.63 [1.13-2.13]; p < 0.0001). CONCLUSION: The literature suggests that manual stimulation of acupuncture points improves the amount of milk produced during lactation.
Assuntos
Pontos de Acupuntura , Terapia por Acupuntura , Humanos , Terapia por Acupuntura/métodos , Feminino , LactaçãoRESUMO
Recently, biomimetic bioactive biomaterials have been introduced to the market for dental pulp capping. This systematic review and meta-analysis aimed to determine any variation between the effect of using TheraCal LC and other bioactive biomaterials for pulp capping is different, as measured by dentin increment and clinical success. The risk of bias was assessed using the Risk of Bias 2 and Newcastle−Ottawa tools for randomized clinical trials and observational studies. A search for relevant articles was performed on five databases. Additionally, the quality of the included studies was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria. A summary of individual studies and a meta-analysis were performed. The odds ratio of data from clinical success was combined using a random-effects meta-analysis. The meta-analysis results showed homogeneity between the studies (I2 = 0%). They revealed that the clinical success showed no differences between the patients who received TheraCal LC, light-cured calcium silicate-based biomimetic biomaterial, for dental pulp capping or the comparator biomaterials (p > 0.5). However, the certainty of the evidence was low to moderate due to the risk of bias in the included studies.
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During the phenomena modelling process in the different areas of science and engineering is common to face nonlinear equations without exact solutions; thus, the need of employing numerical methods to obtain such solutions. Therefore, in order to provide new possibilities for the isolation of variables, we propose a novel family of transcendental functions with new algebraic properties including their integration and differentiation rules. Likewise, in order facilitate the numerical evaluation for every new family set of functions, a highly accurate series of approximations is proposed by employing analytical expressions in terms of known transcendental functions and polynomials combinations. By the use of known functions for the proposed approximations, makes possible the use of any programming language for their respective implementation. In this article, three interesting case studies are presented with applications on: coastal engineering, transmission lines span on electrical engineering, and the planar one-dimensional Bratu equation. Finally, based on the results from study cases, it can be concluded that Leal-functions will have relevant impact in all areas of physics and mathematics, by providing new tools to scientists and engineers for the proposal of new mathematical models and numerical/analytical analysis, design and implementation of new theories and technological innovations.
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This work presents the novel Leal-polynomials (LP) for the approximation of nonlinear differential equations of different kind. The main characteristic of LPs is that they satisfy multiple expansion points and its derivatives as a mechanism to replicate behaviour of the nonlinear problem, giving more accuracy within the region of interest. Therefore, the main contribution of this work is that LP satisfies the successive derivatives in some specific points, resulting more accurate polynomials than Taylor expansion does for the same degree of their respective polynomials. Such characteristic makes of LPs a handy and powerful tool to approximate different kind of differential equations including: singular problems, initial condition and boundary-valued problems, equations with discontinuities, coupled differential equations, high-order equations, among others. Additionally, we show how the process to obtain the polynomials is straightforward and simple to implement; generating a compact, and easy to compute, expression. Even more, we present the process to approximate Gelfand's equation, an equation of an isothermal reaction, a model for chronic myelogenous leukemia, Thomas-Fermi equation, and a high order nonlinear differential equations with discontinuities getting, as result, accurate, fast and compact approximate solutions. In addition, we present the computational convergence and error studies for LPs resulting convergent polynomials and error tendency to zero as the order of LPs increases for all study cases. Finally, a study of CPU time shows that LPs require a few nano-seconds to be evaluated, which makes them suitable for intensive computing applications.
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RESUMEN El campo de las ecuaciones diferenciales ha cobrado auge en la actualidad por el desarrollo científico y tecnológico. Por esta situación, el estudio de nuevas metodologías para solucionarlas se ha vuelto importante. A partir de la combinación del método de Laplace Transform (LT) y el método de perturbación (PM) este trabajo presenta el método LT-PM, y su motivación se encuentra en la aplicación conocida de la LT a ecuaciones diferenciales ordinarias lineales. El objetivo de este trabajo fue presentar una modificación del método de perturbación (PM), el método de perturbación con transformada de Laplace (LT-PM), con el fin de resolver problemas perturbativos no lineales, con condiciones a la frontera definidas en intervalos finitos. La metodología consistió en aplicar LT a la ecuación diferencial por resolver y después de asumir que la solución de la misma se puede expresar como una serie de potencias de un parámetro perturbativo, se obtiene la solución del problema aplicando sistemáticamente la transformada inversa de Laplace. Los principales resultados de este trabajo se muestran a partir de dos casos de estudio presentados, donde se observa que LT-PM es potencialmente útil para encontrar soluciones múltiples de problemas no lineales. Además, LT-PM mejora la aplicabilidad del método de perturbación en algunos casos de condiciones a la frontera mixtas y de Neumann, donde PM simplemente no funciona. Con el fin de verificar la exactitud de los resultados obtenidos, se calculó su error residual cuadrático (SRE), el cual resultó muy bajo, de donde se dedujo su precisión y la potencialidad de LT-PM. Se concluye que si bien el método propuesto resulta eficiente en los casos particulares presentados, se espera que sea una herramienta potencialmente eficiente y útil para otros casos de estudio, particularmente, en aquellos relacionados con aplicaciones prácticas en ciencias e ingeniería.
ABSTRACT The field of differential equations has recently gained attention due to recent developments in science and technology. For this reason, the analysis for the use of new methodologies to solve them has become important. Based on the combination of Laplace Transform method (LT) and Perturbation Method (PM) this article pro- poses the Laplace transform-Perturbation Method (LT-PM) which finds its motivation on the application of LT to linear ordinary differential equations. The goal of this work is to propose a modification of PM - the LT-PM), in order to solve nonlinear perturbative problems with boundary conditions defined on finite intervals. The proposed methodology consisted on the application of LT to the differential equation to solve and then, assuming that its solutions can be expressed as a series of perturbative parameter powers. Thus, the solution of the problem is obtained by systematically applying the transformed inverse LT. The main results of this paper were shown through two case studies, where LT-PM is identified as potentially useful for finding multiple solutions to nonlinear problems. Additionally, the LT-PM enhances the applicability of PM, in some cases of mixed and Neumann boundary conditions, where PM is unsuitable to provide the results. With the purpose of verifying the accuracy of the obtained results, the Square Residual Error (SRE) was calculated. The resulting value was extremely low, which showed the precision and potential of LT-PM. We conclude that, although the proposed method resulted efficient for the case studies presented in this article, it is expected that LT-PM can be a potentially useful tool for other case studies. Particularly those related to the practical applications of science and engineering.