Acquired immuno- deficiency syndrome （AIDS） is caused by human immunodeficiency virus （HIV）. It has spread all over in the world, seriously jeopardizing people＇s physical and mental health and their life since th...Acquired immuno- deficiency syndrome （AIDS） is caused by human immunodeficiency virus （HIV）. It has spread all over in the world, seriously jeopardizing people＇s physical and mental health and their life since the first case was announced by the U.S. Center for Disease Control and Prevention in 1981.展开更多
The design of footings on sands is often controlled by settlement rather than bearing capacity.Therefore,settlement predictions are essential in the design of shallow foundations.However,predicted settlements of footi...The design of footings on sands is often controlled by settlement rather than bearing capacity.Therefore,settlement predictions are essential in the design of shallow foundations.However,predicted settlements of footings are highly dependent on the chosen elastic modulus and the used method.This paper presents the use of probabilistic analysis to evaluate the variability of predicted settlements of footings on sands,focusing on the load curve(predicted settlements)characterization.Three methodologies,the first-and second-order second-moment(FOSM and SOSM),and Monte Carlo simulation(MCS),for calculating the mean and variance of the estimated settlements through Schmertmann(1970)’s equation,are presented and discussed.The soil beneath the footing is treated as an uncorrelated layered material,so the total settlement and variance are found by adding up the increments of the layers.The deformability modulus(ESi)is considered as the only independent random variable.As an example of application,a hypothetical case of a typical subsoil in the state of Espirito Santo,southeast of Brazil,is evaluated.The results indicate that there is a significant similarity between the SOSM and MCS methods,while the FOSM method underestimates the results due to the non-consideration of the high-order terms in Taylor’s series.The contribution of the knowledge of the uncertainties in settlement prediction can provide a safer design.展开更多
Dynamic supination of the foot is a common residual deformity in children with clubfeet treated with the Ponseti method. Transfer of the anterior tibialis tendon (ATT) to the lateral cuneiform is an effective method f...Dynamic supination of the foot is a common residual deformity in children with clubfeet treated with the Ponseti method. Transfer of the anterior tibialis tendon (ATT) to the lateral cuneiform is an effective method for correcting this deformity when the cuneiform is ossified in children who are 3 to 5 years of age. We describe two cases of a previously unreported method of ATT transposition for correction of bilateral residual dynamic supination in a 26-month-old and a 19-month-old patient. Both patients presented shortly after birth with bilateral congenital idiopathic clubfoot and were initially treated with the Ponseti method. Both had residual deformity following initial treatment that included posterior contracture and metatarsus adductus with dynamic forefoot supination. This was surgically corrected with a posterior release and medial release of the 1st metatarsal/1st cuneiform joint. To correct dynamic supination, the ATT was transplanted laterally into the released midfoot joint. These two patients were followed post-operatively for 7.5 years and have correction of their residual deformity in both feet based on subjective functioning, appearance, range of motion, strength, and gait. Both have excellent lateral pull of their ATT, which functions as a strong foot dorsiflexor. No residual supination is present. This is the first report of lateral transposition of the ATT as an interposition graft at the released 1st metatarsal/1st cuneiform joint in patients with relapsed clubfoot. We suggest that this method should provide a high level of functioning in children with relapsed supination deformity and whose 3rd cuneiform has not yet ossified.展开更多
The US and many parts around the world have experienced prolonged periods of heavy rainfall, severe floods, and droughts over the past 50 years. This study investigates the impacts of extreme hydrological events such ...The US and many parts around the world have experienced prolonged periods of heavy rainfall, severe floods, and droughts over the past 50 years. This study investigates the impacts of extreme hydrological events such as heavy rainfall and flood on the settlement behavior of continuous footing installed in unsaturated soil using a coupled Geotechnical-Hydrological finite element software, PLAXIS 2D. Initially, the effect of different degrees of saturation on the settlement behavior of the continuous footing of widths 1.5 m, 3.0 m, and 4.5 m w</span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">as</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> analyzed by applying a mechanical load. Then the settlement behavior of the footing was analyzed by applying heavy rainfall of intensity 102 mm/day for six days. Finally, the settlement behavior of the footing was analyzed by applying a flood head of 2.5 meters for seven days. The results indicated that the wetting front movement during heavy rainfall and flooding led to the weakening of soil strength and stiffness and induced additional settlements. The additional settlement induced by the flood was significantly higher than the heavy rainfall. The differential settlement was higher when the rainfall was applied on one side of the footing. The rebound of the elastic settlement was uniquely noticed when the flood head receded with time. The results indicated that not all the settlements were induced by the soil saturation but also due to the hydrostatic loading due to the flood head. The settlements induced by the flooding exceeded the allowable settlement of 25 mm, resulting in failure. These additional settlements caused by heavy rainfall and flood will lead to poor serviceability of the structures and cause the failure of the footing.展开更多
Ectrodactyly, termed Split-Hand/Split-Foot Malformation (SHFM) is a rare genetic condition characterized by defects of the central elements of the autopod (hand/foot). Clinical presentation is with the absence of one ...Ectrodactyly, termed Split-Hand/Split-Foot Malformation (SHFM) is a rare genetic condition characterized by defects of the central elements of the autopod (hand/foot). Clinical presentation is with the absence of one or more median rays or digits creating cone shaped clefts of the hands and/or feet. The present case of severe bilateral split-hand and foot malformations was presented in an 8-year-old girl in India. This case of SHFM involves the complete absence of the central rays of the autopod in which each of the hands and each foot is divided into two parts by a coned shape cleft tapering proximally, resembling a “lobster claw”. SHFM is often associated with other limb anomalies including monodactyly, syndactyly and aplasia and/or hypoplasia of the phalanges, metacarpals, and metatarsals. Most cases are sporadic;however familial forms do exist with pre-dominantly autosomal dominant inheritance. This case is an example of the non-syndromic form of SHFM expressed with isolated involvement of the limbs, while the syndromic form is associated with anomalies as intellectual disability, ectodermal and craniofacial findings and hearing loss. Non-syndromic isolated ectrodactyly does not usually require surgical intervention. We recommended against surgical reconstruction, due to lack of evidence of functional disability.展开更多
BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yield...BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes.However,this technique may lead to complications,including ischemia,necrosis,and over-augmentation.The most appropriate management of these complications,including infection,is immediate implant removal and revision surgery once the accompanying inflammation has healed.Occasionally,the patient may experience distress from nasal deformities during the intervention period.CASE SUMMARY Herein,we describe the case of a patient who underwent a secondary dorsal augmentation,with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal,successfully preventing dimpling of the nasal deformity.CONCLUSION This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satis-factory patient outcomes.展开更多
基金Supported by Chinese Ministry of Science and Technology(No. 2008ZX10005-004)
文摘Acquired immuno- deficiency syndrome （AIDS） is caused by human immunodeficiency virus （HIV）. It has spread all over in the world, seriously jeopardizing people＇s physical and mental health and their life since the first case was announced by the U.S. Center for Disease Control and Prevention in 1981.
基金sponsorship by the Brazilian government agencies CNPq and CAPES
文摘The design of footings on sands is often controlled by settlement rather than bearing capacity.Therefore,settlement predictions are essential in the design of shallow foundations.However,predicted settlements of footings are highly dependent on the chosen elastic modulus and the used method.This paper presents the use of probabilistic analysis to evaluate the variability of predicted settlements of footings on sands,focusing on the load curve(predicted settlements)characterization.Three methodologies,the first-and second-order second-moment(FOSM and SOSM),and Monte Carlo simulation(MCS),for calculating the mean and variance of the estimated settlements through Schmertmann(1970)’s equation,are presented and discussed.The soil beneath the footing is treated as an uncorrelated layered material,so the total settlement and variance are found by adding up the increments of the layers.The deformability modulus(ESi)is considered as the only independent random variable.As an example of application,a hypothetical case of a typical subsoil in the state of Espirito Santo,southeast of Brazil,is evaluated.The results indicate that there is a significant similarity between the SOSM and MCS methods,while the FOSM method underestimates the results due to the non-consideration of the high-order terms in Taylor’s series.The contribution of the knowledge of the uncertainties in settlement prediction can provide a safer design.
文摘Dynamic supination of the foot is a common residual deformity in children with clubfeet treated with the Ponseti method. Transfer of the anterior tibialis tendon (ATT) to the lateral cuneiform is an effective method for correcting this deformity when the cuneiform is ossified in children who are 3 to 5 years of age. We describe two cases of a previously unreported method of ATT transposition for correction of bilateral residual dynamic supination in a 26-month-old and a 19-month-old patient. Both patients presented shortly after birth with bilateral congenital idiopathic clubfoot and were initially treated with the Ponseti method. Both had residual deformity following initial treatment that included posterior contracture and metatarsus adductus with dynamic forefoot supination. This was surgically corrected with a posterior release and medial release of the 1st metatarsal/1st cuneiform joint. To correct dynamic supination, the ATT was transplanted laterally into the released midfoot joint. These two patients were followed post-operatively for 7.5 years and have correction of their residual deformity in both feet based on subjective functioning, appearance, range of motion, strength, and gait. Both have excellent lateral pull of their ATT, which functions as a strong foot dorsiflexor. No residual supination is present. This is the first report of lateral transposition of the ATT as an interposition graft at the released 1st metatarsal/1st cuneiform joint in patients with relapsed clubfoot. We suggest that this method should provide a high level of functioning in children with relapsed supination deformity and whose 3rd cuneiform has not yet ossified.
文摘The US and many parts around the world have experienced prolonged periods of heavy rainfall, severe floods, and droughts over the past 50 years. This study investigates the impacts of extreme hydrological events such as heavy rainfall and flood on the settlement behavior of continuous footing installed in unsaturated soil using a coupled Geotechnical-Hydrological finite element software, PLAXIS 2D. Initially, the effect of different degrees of saturation on the settlement behavior of the continuous footing of widths 1.5 m, 3.0 m, and 4.5 m w</span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">as</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> analyzed by applying a mechanical load. Then the settlement behavior of the footing was analyzed by applying heavy rainfall of intensity 102 mm/day for six days. Finally, the settlement behavior of the footing was analyzed by applying a flood head of 2.5 meters for seven days. The results indicated that the wetting front movement during heavy rainfall and flooding led to the weakening of soil strength and stiffness and induced additional settlements. The additional settlement induced by the flood was significantly higher than the heavy rainfall. The differential settlement was higher when the rainfall was applied on one side of the footing. The rebound of the elastic settlement was uniquely noticed when the flood head receded with time. The results indicated that not all the settlements were induced by the soil saturation but also due to the hydrostatic loading due to the flood head. The settlements induced by the flooding exceeded the allowable settlement of 25 mm, resulting in failure. These additional settlements caused by heavy rainfall and flood will lead to poor serviceability of the structures and cause the failure of the footing.
文摘Ectrodactyly, termed Split-Hand/Split-Foot Malformation (SHFM) is a rare genetic condition characterized by defects of the central elements of the autopod (hand/foot). Clinical presentation is with the absence of one or more median rays or digits creating cone shaped clefts of the hands and/or feet. The present case of severe bilateral split-hand and foot malformations was presented in an 8-year-old girl in India. This case of SHFM involves the complete absence of the central rays of the autopod in which each of the hands and each foot is divided into two parts by a coned shape cleft tapering proximally, resembling a “lobster claw”. SHFM is often associated with other limb anomalies including monodactyly, syndactyly and aplasia and/or hypoplasia of the phalanges, metacarpals, and metatarsals. Most cases are sporadic;however familial forms do exist with pre-dominantly autosomal dominant inheritance. This case is an example of the non-syndromic form of SHFM expressed with isolated involvement of the limbs, while the syndromic form is associated with anomalies as intellectual disability, ectodermal and craniofacial findings and hearing loss. Non-syndromic isolated ectrodactyly does not usually require surgical intervention. We recommended against surgical reconstruction, due to lack of evidence of functional disability.
文摘BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes.However,this technique may lead to complications,including ischemia,necrosis,and over-augmentation.The most appropriate management of these complications,including infection,is immediate implant removal and revision surgery once the accompanying inflammation has healed.Occasionally,the patient may experience distress from nasal deformities during the intervention period.CASE SUMMARY Herein,we describe the case of a patient who underwent a secondary dorsal augmentation,with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal,successfully preventing dimpling of the nasal deformity.CONCLUSION This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satis-factory patient outcomes.
