Rare Bilateral Radius and Ulna Fractures: A Case Report

Introduction: Forearm fractures involving both the radius and ulna, present distinctive challenges in orthopedic trauma management. This case report explores the complexities of a rare case of bilateral fractures, emphasizing the importance of a comprehensive approach for optimal outcomes. Case Presentation: This report presents the case of a 40-year-old motorcyclist who was involved in a road accident and arrived at the emergency department shortly after the incident. Clinical examination revealed closed fractures in both forearms with mild swelling and severe tenderness. Fortunately, no neurovascular issues or compartment syndrome were detected. The patient was administered intravenous fluids and effective pain relief. Forearm splints were applied and the arms were elevated using pillows. Radiographs showed fractures in the right distal radius and ulna, as well as the left mid-shaft radius and ulna. Under general anesthesia, open reduction and internal fixation were per-formed using plates and screws for all four fractures. Postoperatively, the patient’s arms were immobilized and elevated, with gradual recovery during follow-up appointments over six months, eventually achieving full function without complaints. Conclusion: This article highlights the possibility, although infrequent, of bilateral shaft fractures of the ulna and radius. With thorough clinical assessment and radiological investigation, such fractures can be well-defined. The required definitive treatment, which usually involves open reduction and internal fixation, can be performed.

Wind-sand flow simulation and radius optimization of highway embankment under different vertical curve radius

It is of great practical value to explore the correlation between the vertical curve radius of desert highway and the increase of sand accumulation in local lines,and to select the appropriate vertical curve radius for reducing the risk of sand accumulation.In this study,three-dimensional models of desert highway embankments with different vertical curve radii were constructed,and Fluent software was used to simulate the wind-sand flow field and sand accumulation distribution of vertical curve embankments.The results show that:(1)Along the direction of the road,the concave and the convex vertical curve embankments have the effect of collecting and diverging the wind-sand flow,respectively.When the radius of the concave vertical curve is 3000 m,5000 m,8000 m,10000 m and 20000 m,the wind velocity in the middle of the vertical curve is 31.76%,22.58%,10.78%,10.53%and 10.44%,higher than that at both ends.When the radius of the convex vertical curve is 6500 m,8000 m,10000 m,20000 m and 30000 m,the wind velocity at both ends of the vertical curve is 14.06%,9.99%,6.14%,3.22%and 2.41%,higher than that in the middle.The diversion effect also decreases with the increase of the radius.(2)The conductivity of the concave and convex vertical curve embankments with different radii is greater than 1,which is the sediment transport roadbed.The conductivity increases with the increase of radius and gradually tends to be stable.When the radius of the concave and convex vertical curves reaches 8000 m and 20000 m respectively,the phenomenon of sand accumulation is no longer serious.Under the same radius condition,the concave vertical curve embankment is more prone to sand accumulation than the convex one.(3)Considering the strength of the collection and diversion of the vertical curve embankment with different radii,and the sand accumulation of the vertical curve embankment in the desert section of Wuma Expressway,the radius of the concave vertical curve is not less than 8000 m,and the radius of the convex vertical curve is not less than 20000 m,which can effectively reduce the sand accumulation of the vertical curve embankment.In the desert highway area,the research results of this paper can provide reference for the design of vertical curve to ensure the safe operation of desert highway.

Nuclear charge radius predictions by kernel ridge regression with odd-even effects

The extended kernel ridge regression(EKRR)method with odd-even effects was adopted to improve the description of the nuclear charge radius using five commonly used nuclear models.These are:(i)the isospin-dependent A^(1∕3) formula,(ii)relativistic continuum Hartree-Bogoliubov(RCHB)theory,(iii)Hartree-Fock-Bogoliubov(HFB)model HFB25,(iv)the Weizsacker-Skyrme(WS)model WS*,and(v)HFB25*model.In the last two models,the charge radii were calculated using a five-parameter formula with the nuclear shell corrections and deformations obtained from the WS and HFB25 models,respectively.For each model,the resultant root-mean-square deviation for the 1014 nuclei with proton number Z≥8 can be significantly reduced to 0.009-0.013 fm after considering the modification with the EKRR method.The best among them was the RCHB model,with a root-mean-square deviation of 0.0092 fm.The extrapolation abilities of the KRR and EKRR methods for the neutron-rich region were examined,and it was found that after considering the odd-even effects,the extrapolation power was improved compared with that of the original KRR method.The strong odd-even staggering of nuclear charge radii of Ca and Cu isotopes and the abrupt kinks across the neutron N=126 and 82 shell closures were also calculated and could be reproduced quite well by calculations using the EKRR method.

Anisotropy of Trabecular Bone from Ultra-Distal Radius Digital X-Ray Imaging: Effects on Bone Mineral Density and Age

Background: When applied to trabecular bone X-ray images, the anisotropic properties of trabeculae located at ultra-distal radius were investigated by using the trabecular bone scores (TBS) calculated along directions parallel and perpendicular to the forearm. Methodology: Data from more than two hundred subjects were studied retrospectively. A DXA (GE Lunar Prodigy) scan of the forearm was performed on each subject to measure the bone mineral density (BMD) value at the location of ultra-distal radius, and an X-ray digital image of the same forearm was taken on the same day. The values of trabecular bone score along the direction perpendicular to the forearm, TBSx, and along the direction parallel to the forearm, TBSy, were calculated respectively. The statistics of TBSx and TBSy were calculated, and the anisotropy of the trabecular bone, which was defined as the ratio of TBSy to TBSx and changed with subjects’ BMD and age, was reported and analyzed. Results: The results show that the correlation coefficient between TBSx and TBSy was 0.72 (p BMD and age was reported. The results showed that decreased trabecular bone anisotropy was associated with deceased BMD and increased age in the subject group. Conclusions: This study shows that decreased trabecular bone anisotropy was associated with decreased BMD and increased age.

Hemiarthroplasty for irreparable distal radius fractures in the elderly:A comprehensive review

BACKGROUND Elderly patients maintaining functional independence can now be candidates for primary wrist hemiarthroplasty to manage acute irreparable distal radius fractures(DRFs).However,further investigation with long-term follow-up is required to validate these initial findings.AIM To review the literature on the outcomes of distal radius hemiarthroplasty with available implants to assess its viability as a treatment option.METHODS A comprehensive review of the literature was conducted using electronic databases,including PubMed,Medline,and Scopus.The search terms employed were"distal radius fracture","hemiarthroplasty","wrist arthroplasty",and related terminology.The search was restricted to articles published in English from 1980 until June 2023.Inclusion criteria encompassed cases or case series of DRF treated with hemiarthroplasty,providing clinical or radiographic outcomes,and published in peer-reviewed journals.RESULTS A total of 2508 articles from PubMed and 883 from Scopus were identified initially.Following screening and removal of duplicates,13 articles met the inclusion criteria.These articles,predominantly clinical retrospective studies,provided insights into hemiarthroplasty outcomes,including functional improvements and complications.Hemiarthroplasty was a treatment option for complex DRF,particularly those cases with severe comminution,intraarticular involvement,or severe osteoporosis.Functional outcomes demonstrated improvements in pain relief,wrist mobility,and grip strength,with variability across studies.Complications included implant loosening,infection,nerve injury,and stiffness,with varying incidence rates influenced by surgical techniques and implant choice.Long-term outcomes were inadequately documented,warranting further research.CONCLUSION Hemiarthroplasty is a promising treatment for irreparable DRF in the elderly.Long-term outcomes and complications require further study.

RADIUS服务器防重播攻击策略研究

为提高网络信息访问的安全性,有意识减少用户在访问RADIUS服务器时可能存在被重播攻击的风险,本文探讨了RADIUS网络服务器简单有效的防御策略。通过用黑名单机制加固RADIUS服务器,来防范对RADIUS服务器的重播攻击。该策略可有效减小恶意数据的攻击的影响,提高RADIUS服务器的安全性和健壮性。

Optimal Shape Factor and Fictitious Radius in the MQ-RBF:Solving Ill-Posed Laplacian Problems

To solve the Laplacian problems,we adopt a meshless method with the multiquadric radial basis function(MQRBF)as a basis whose center is distributed inside a circle with a fictitious radius.A maximal projection technique is developed to identify the optimal shape factor and fictitious radius by minimizing a merit function.A sample function is interpolated by theMQ-RBF to provide a trial coefficient vector to compute the merit function.We can quickly determine the optimal values of the parameters within a preferred rage using the golden section search algorithm.The novel method provides the optimal values of parameters and,hence,an optimal MQ-RBF;the performance of the method is validated in numerical examples.Moreover,nonharmonic problems are transformed to the Poisson equation endowed with a homogeneous boundary condition;this can overcome the problem of these problems being ill-posed.The optimal MQ-RBF is extremely accurate.We further propose a novel optimal polynomial method to solve the nonharmonic problems,which achieves high precision up to an order of 10^(−11).

Spatial Distribution Characteristics and Coverage Rate of Commercial Facilities in 15-minute Radius Livelihood Service Circles of Chunshu Street

Building a 15-minute radius livelihood service circle from the needs of residents is a topdown process of optimizing urban layout and promoting high-quality development implemented by the government.In September 2022,Xicheng District of Beijing served as a national pilot of the 15-minute radius livelihood service circle.Based on the data of POI,urban walking network and building outline,this paper studies the coverage of commercial service facilities in the 15-minute radius livelihood service circle of Chunshu Street by using kernel density analysis and urban network analysis tools.The research shows that the commercial facilities are concentrated in Zhuangsheng Square and Dazhalan commercial district.There are large gaps in housekeeping and couriers logistics facilities,which need to be further improved.

基于RADIUS和数字证书的无线网络接入认证技术研究

随着网络技术的发展,无线网络接入认证技术的应用越来越广泛。通过远程认证拨入用户服务(Remote Authentication Dial In User Service,RADIUS)和数字证书配合使用,可以实现较为安全完善的无线网络接入认证。介绍RADIUS和数字证书的相关概念,概述使用RADIUS和数字证书进行无线网络接入时的网络拓扑与接入认证过程,给出RADIUS代理服务器、认证服务器以及数字证书的配置方法同时,给出验证该无线网络接入认证技术的方法,也是Linux客户端进行网络接入认证的方法。通过搭建RADIUS网络接入环境,使用数字证书作为认证凭证,实现客户端对无线网络的接入认证。

Jet Radius and Momentum Splitting Fraction with Dynamical Grooming in Heavy-Ion Collisions

We investigate the medium modifications of momentum splitting fraction and groomed jet radius with both dynamical grooming and soft drop algorithms in heavy-ion collisions.In the calculation,the partonic spectrum of initial hard scattering in p+p collisions is provided by the event generator PYTHIA8,and the energy loss of fast parton traversing in a hot/dense quantum-chromodynamic medium is simulated with the linear Boltzmann transport model.We predict the normalized distributions of the groomed jet radiusθ_(g)and momentum splitting fraction z_(g)with the dynamical grooming algorithm in Pb+Pb collisions at(sNN)~(1/2)=5.02 TeV,then compare these quantities in dynamical grooming at a=0.1,with that in soft drop at z_(out)=0.1 andβ=0.It is found that the normalized distribution ratios Pb+Pb/p+p with respect to z_(g)in z_(cut)=0.1,β=0 soft drop case are close to unity,those in a=0.1 dynamical grooming case show enhancement at small z_(g),and Pb+Pb/p+p with respect toθ_(g)in the dynamical grooming case demonstrate weaker modification than those in the soft drop counterparts.We further calculate the groomed jet number averaged momentum splitting fraction_(jets)and averaged groomed jet radius<θ_(g)>_(jets)in p+p and A+A for both grooming cases in three p_T~(ch jet)intervals,and find that the originally generated well balanced groomed jets will become more momentum imbalanced and jet size less narrowed due to jet quenching,and weaker medium modification of z_(g)andθ_(g)in the a=0.1 dynamical grooming case than in the soft drop counterparts.

Effects of rod radius and voltage on streamer discharge in a short air gap

Streamer discharge is the inaugural stage of gas discharge,and the average electron energy directly determines the electron collision reaction rate,which is a key parameter for studying streamer discharge.Therefore,taking into account the average electron energy,this work establishes a fluid chemical reaction model to simulate and study the course of evolution of a streamer discharge in a 5 mm rod–plate gap,considering 12 particles and 27 chemical reactions.It introduces the electron energy drift diffusion equation into the control equation,and analyzes the temporal and spatial changes of average electron energy,electric field intensity and electron density with change in rod radius and voltage.The effects of voltage and rod radius on the course of streamer discharge can be reflected more comprehensively by combining the average electron energies.Three different values of 0.3 mm,0.4 mm and 0.5 mm are set for the rod radius,and three different values of 5 k V,6 k V and 7 k V are set for the voltage.The influence of an excitation reaction on the streamer discharge is studied.The findings indicate that,as voltage raises,the streamer head’s electron density,electric field and average electron energy all rise,and the streamer develops more quickly.When the rod radius increases,the electron density,electric field and average electron energy of the streamer head all decrease,and the streamer’s evolution slows down.When an excitation reaction is added to the model,the average electron energy,the magnitude of the electric field and the density of electrons decrease,and the evolution of the streamer slows down.An increase in average electron energy will lead to an increase in electric field strength and electron density,and the development of the streamer will be faster.

Al-Biruni Earth Radius(BER)Metaheuristic Search Optimization Algorithm

Metaheuristic optimization algorithms present an effective method for solving several optimization problems from various types of applications and fields.Several metaheuristics and evolutionary optimization algorithms have been emerged recently in the literature and gained widespread attention,such as particle swarm optimization(PSO),whale optimization algorithm(WOA),grey wolf optimization algorithm(GWO),genetic algorithm(GA),and gravitational search algorithm(GSA).According to the literature,no one metaheuristic optimization algorithm can handle all present optimization problems.Hence novel optimization methodologies are still needed.The Al-Biruni earth radius(BER)search optimization algorithm is proposed in this paper.The proposed algorithm was motivated by the behavior of swarm members in achieving their global goals.The search space around local solutions to be explored is determined by Al-Biruni earth radius calculation method.A comparative analysis with existing state-of-the-art optimization algorithms corroborated the findings of BER’s validation and testing against seven mathematical optimization problems.The results show that BER can both explore and avoid local optima.BER has also been tested on an engineering design optimization problem.The results reveal that,in terms of performance and capability,BER outperforms the performance of state-of-the-art metaheuristic optimization algorithms.

Bayesian inference of the crust–core transition density via the neutron-star radius and neutron-skin thickness data

In this work,we perform a Bayesian inference of the crust-core transition density ρ_(t) of neutron stars based on the neutron-star radius and neutron-skin thickness data using a thermodynamical method.Uniform and Gaussian distributions for the ρ_(t) prior were adopted in the Bayesian approach.It has a larger probability of having values higher than 0.1 fm^(−3) for ρ_(t) as the uniform prior and neutron-star radius data were used.This was found to be controlled by the curvature K_(sym) of the nuclear symmetry energy.This phenomenon did not occur if K_(sym) was not extremely negative,namely,K_(sym)>−200 MeV.The value ofρ_(t) obtained was 0.075_(−0.01)^(+0.005) fm^(−3) at a confidence level of 68%when both the neutron-star radius and neutron-skin thickness data were considered.Strong anti-correlations were observed between ρ_(t),slope L,and curvature of the nuclear symmetry energy.The dependence of the three L-K_(sym) correlations predicted in the literature on crust-core density and pressure was quantitatively investigated.The most probable value of 0.08 fm^(−3) for ρ_(t) was obtained from the L-K_(sym) relationship proposed by Holt et al.while larger values were preferred for the other two relationships.

TWO GENERALIZATIONS OF BOHR RADIUS

The purpose of this paper is twofold.First,by using the hyperbolic metric,we establish the Bohr radius for analytic functions from shifted disks containing the unit disk D into convex proper domains of the complex plane.As a consequence,we generalize the Bohr radius of Evdoridis,Ponnusamy and Rasila based on geometric idea.By introducing an alternative multidimensional Bohr radius,the second purpose is to obtain the Bohr radius of higher dimensions for Carathéodory families in the unit ball B of a complex Banach space X.Notice that when B is the unit ball of the complex Hilbert space X,we show that the constant 1/3 is the Bohr radius for normalized convex mappings of B,which generalizes the result of convex functions on D.

Investigation of Nuclear Binding Energy and Charge Radius Based on Random Forest Algorithm

The random forest algorithm was applied to study the nuclear binding energy and charge radius.The regularized root-mean-square of error(RMSE)was proposed to avoid overfitting during the training of random forest.RMSE for nuclides with Z,N>7 is reduced to 0.816 MeV and 0.0200 fm compared with the six-term liquid drop model and a three-term nuclear charge radius formula,respectively.Specific interest is in the possible(sub)shells among the superheavy region,which is important for searching for new elements and the island of stability.The significance of shell features estimated by the so-called shapely additive explanation method suggests(Z,N)=(92,142)and(98,156)as possible subshells indicated by the binding energy.Because the present observed data is far from the N=184 shell,which is suggested by mean-field investigations,its shell effect is not predicted based on present training.The significance analysis of the nuclear charge radius suggests Z=92 and N=136 as possible subshells.The effect is verified by the shell-corrected nuclear charge radius model.

Al-Biruni Earth Radius Optimization for COVID-19 Forecasting

Several instances of pneumonia with no clear etiology were recorded in Wuhan,China,on December 31,2019.The world health organization(WHO)called it COVID-19 that stands for“Coronavirus Disease 2019,”which is the second version of the previously known severe acute respiratory syndrome(SARS)Coronavirus and identified in short as(SARSCoV-2).There have been regular restrictions to avoid the infection spread in all countries,including Saudi Arabia.The prediction of new cases of infections is crucial for authorities to get ready for early handling of the virus spread.Methodology:Analysis and forecasting of epidemic patterns in new SARSCoV-2 positive patients are presented in this research using metaheuristic optimization and long short-term memory(LSTM).The optimization method employed for optimizing the parameters of LSTM is Al-Biruni Earth Radius(BER)algorithm.Results:To evaluate the effectiveness of the proposed methodology,a dataset is collected based on the recorded cases in Saudi Arabia between March 7^(th),2020 and July 13^(th),2022.In addition,six regression models were included in the conducted experiments to show the effectiveness and superiority of the proposed approach.The achieved results show that the proposed approach could reduce the mean square error(MSE),mean absolute error(MAE),and R^(2)by 5.92%,3.66%,and 39.44%,respectively,when compared with the six base models.On the other hand,a statistical analysis is performed to measure the significance of the proposed approach.Conclusions:The achieved results confirm the effectiveness,superiority,and significance of the proposed approach in predicting the infection cases of COVID-19.

Meta-analysis of the efficacy of volar plate internal fixation versus closed reduction and external fixation in the treatment of adult distal radius fractures

Objective:To compare the efficacy of open reduction and volar locking plate internal fixation with closed reduction and external fixation in the treatment of distal radius fractures by using meta analysis.Methods:The databases of CNKI,Wanfang,Weipu,Chinese biomedical literature,Pubmed,Embase,and Cochrane Library were retrieved,and the randomized controlled studies that directly compared the efficacy of plate internal fixation and closed reduction external fixation in the treatment of distal radius fractures published publicly from the establishment of the database to April 2023 were collected.The two researchers independently screened the retrieved literature according to the inclusion and exclusion criteria,extracted data,used Cochrane risk bias assessment tool for quality assessment,and used RevMan 5.4 software for meta analysis.Results:A total of 10 randomized controlled trials were included,all of which were in English.There were 1042 patients in total,and 9 of them were rated as low risk.Meta analysis results showed that one year after the treatment of distal radius fracture with volar locking plate internal fixation,DASH score[MD=-5.64,95%CI(-7.21,-4.06),P<0.00001];One year later,PRWE score[MD=-5.90,95%CI(-8.88,-2.92),P=0.001];Palm flexion[MD=5.92,95%CI(1.29,10.55),P=0.01];Pronation[MD=2.48,95%CI(0.59,4.36),P=0.01];Postrotation[MD=4.73,95%CI(2.15,7.31),P=0.0003];Grip strength[MD=0.61,95%CI(0.12,1.10),P=0.02];palmar tilt angle[MD=9.84,95%CI(5.66,14.02),P<0.00001];Radial inclination[MD=4.33,95%CI(2.97,5.69),P<0.00001]was superior to closed reduction plaster or splint external fixation.One year later,the European Five dimensional Health Scale(EQ-5D-5L)score[MD=0.02,95%CI(-0.01,0.05),P=0.27];Back extension[MD=2.22,95%CI(-4.15,8.59),P=0.49];Ulnar deviation[MD=3.49,95%CI(-0.80,7.78),P=0.11];Radial deviation[MD=2.05,95%CI(-2.39,6.50),P=0.37];Ulnar variance[MD=-1.14,95%CI(-3.16,0.88),P=0.27];There was no significant difference in complications[MD=0.77,95%CI(0.54,1.10),P=0.16](P>0.05).Conclusion:Based on the current clinical data,internal fixation with volar locking plate is more conducive to mid-term DASH score and grip strength recovery than closed reduction plaster or splint external fixation,but there is no significant difference in the quality of life and complications of patients.For adult distal radius fractures,surgical indications should be carefully grasped,and non operative treatment should be given priority.

MHz cut-off frequency and permeability mechanism of iron-based soft magnetic composites

The lack of soft magnetic composites with high power density in MHz frequency range has become an obstacle in the efficient operation of the electrical and electronic equipments.Here,a promising method to increase the cut-off frequency of iron-based soft magnetic composites to hundreds of MHz is reported.The cut-off frequency is increased from 10 MHz to 1 GHz by modulating the height of the ring,the distribution of particles,and the particle size.The mechanism of cut-off frequency and permeability is the coherent rotation of domain modulated by inhomogeneous field due to the eddy current effect.An empirical formula for the cut-off frequency in a magnetic ring composed of iron-based particles is established from experimental data.This work provides an effective approach to fabricate soft magnetic composites with a cut-off frequency in hundreds of MHz.

Cut-off value of glycated hemoglobin A1c for detecting diabetic retinopathy in the Chinese population

BACKGROUND Glycated hemoglobin A1c(HbA1c)is considered the most suitable for diabetes mellitus diagnosis due to its accuracy and convenience.However,the effect of HbA1c on diabetic retinopathy(DR)in the Han and Korean populations in Jilin,China,remains inconclusive.AIM To determine the best cut-off of HbA1c for diagnosing DR among the Chinese.METHODS This cross-sectional study included 1933 participants from the Yanbian area of Jilin Province,China.Trained investigators employed a questionnaire-based survey,physical examination,laboratory tests,and fundus photography for the investigation.The best cut-off value for HbA1c was established via the receiver operating characteristic curve.The factors associated with HbA1c-associated risk factors were determined via linear regression.RESULTS The analysis included 887 eligible Chinese Han and Korean participants,591 of whom were assigned randomly to the training set and 296 to the validation set.The prevalence of DR was 3.27% in the total population.HbA1c of 6.2% was the best cut-off value in the training set,while it was 5.9% in the validation set.In both Chinese Han and Korean populations,an HbA1c level of 6.2% was the best cut-off value.The optimal cut-off values of fasting blood glucose(FBG)≥7 mmol/L and<7 mmol/L were 8.1% and 6.2% respectively in Han populations,while those in Korean populations were 6.9%and 5.3%,respectively.Age,body mass index,and FBG were determined as the risk factors impacting HbA1c levels.CONCLUSION HbA1c may serve as a useful diagnostic indicator for DR.An HbA1c level of 6.2% may be an appropriate cut-off value for DR detection in the Chinese population.

RADIUS在802.1x中的应用

在802.1x中使用RADIUS认证,可以为宽带网络提供一种安全的认证、授权、计费方案,而用户的统一认证、上网时限控制和同一账户的多人使用问题并没有被RADIUS本身所解决,使用目录树统一存储用户信息,并通过Schema扩展RadiusSi-multaneous和RadiusLoginTime属性以及改进认证流程可以解决上述问题。