Malaria with other antimalarials (known as artemisinin-combination therapy, or ACT), which decreases resistance to any single drug component. These additional antimalarials include: amodiaquine, lumefantrine, mefloquine or sulfadoxine/pyrimethamine. Another recommended combination is dihydroartemisinin and piperaquine. ACT is about 90% effective when used to treat uncomplicated malaria. To treat malaria during pregnancy, the WHO recommends the use of quinine plus clindamycin early in the pregnancy (1st trimester), and ACT in later stages (2nd and 3rd trimesters). In the 2000s (decade), malaria with partial resistance to artemisins emerged in Southeast Asia. Infection with "P. vivax", "P. ovale" or "P. malariae" usually do not require
Tonic vibration reflex muscle to contract. The effects of sustained vibratory stimulation on muscle contraction, posture and kinesthetic perceptions are much more complex than merely contraction of the muscle being vibrated. Russian scientists Victor Gurfinkel, Mikhail Lebedev, Andrew Polyakov and Yuri Levick used vibratory stimulation to study human posture control and spectral characteristics of electromyographic (EMG) activity. Tonic vibration reflex Tonic vibration reflex is a sustained contraction of a muscle subjected to vibration. This reflex is caused by vibratory activation of muscle spindles — muscle receptors sensitive to stretch. Tonic vibration reflex is evoked by placing a vibrator — which in this case