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        Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: a systematic review and meta-analysis of randomized controlled trials

        Qianwen Xie,Xueyin Chen,Jingmin Xiao,Shaonan Liu,Lihong Yang,Jing Chen,Jiaqi Lai,Rui Lan,Yi Chen,Haifang Yang,Xinfeng Guo 한국한의학연구원 2020 Integrative Medicine Research Vol.9 No.4

        Background: The evidence of Acupuncture combined with speech rehabilitation training for post-stroke dysarthria is insufficient and there is no consensus on its efficacy. Methods: We searched seven Chinese and English medicine databases for randomized controlled trials (RCTs) from their inception to November 2019. The primary outcome measure was the clinical response rate, assessed with the Frenchay Dysarthria Assessment (FDA) tool. We assessed risk of bias using the Cochrane risk-of-bias tool. We used GRADE to assess the certainty of evidence (CoE). Results: Thirty studies were included in this systematic review, 23 of which were pooled in meta-analysis. Acupuncture combined with speech rehabilitation training is likely beneficial for was response rate (n = 1685; RR = 1.37; 95% CI [1.29, 1.46], P < 0.01, I2 = 34%; 17 studies, low CoE) compared to speech rehabilitation treatment alone. Conclusion: The combination of acupuncture and speech rehabilitation training may improve total response rate of stroke patients with dysarthria. However, more RCTs with rigorous study design and validated outcome measures are needed to confirm the evidence.

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        Evaluating the Environmental Benefits of Personalized Travel Incentives in Dynamic Carpooling

        Yanshuo Sun,Shijie Chen,Qianwen Guo 대한토목학회 2022 KSCE Journal of Civil Engineering Vol.26 No.7

        In a dynamic carpooling system, drivers and riders with their own intended travel plans are matched on short notice. The performance of such a system largely depends on the carpool participants’ travel flexibility (the extent to which a detour is tolerated or the willingness to accept a slightly different drop-off location). To increase travel flexibility, an incentive scheme can be introduced for carpool participants to opt for. For instance, a driver specifies how much she/he expects to be compensated (e.g., $5) if the earliest departure time is shifted to be earlier than the originally scheduled time by a certain amount (e.g., 10 minutes). Similarly, an interested passenger reports the expected incentive to willingly accept a different destination (such as a nearby transit stop or coffee shop) deviating from the request. In this dynamic carpool matching problem with incentives, the following decisions are jointly optimized from the perspective of a carpool matching coordinator: 1) incentive allocations to drivers and riders, 2) assignments of riders to drivers, and 3) vehicle routes of drivers. A case study based on data from Washington, D.C. is conducted to evaluate the potential of the personalized incentives offered to carpool participants in mitigating the environmental impact of transportation (quantified by the reduction of vehicle miles traveled). Two notable findings are reported. First, one dollar of incentive could reduce vehicle miles travelled by 2.88 in one benchmark case. Second, driver incentives are shown to be much more effective than rider incentives under reasonable cost assumptions.

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