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Is it possible to foot reflexology for infants with sensorineural hearing loss?
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作者 Min Ai Hang-Hang Zhang +3 位作者 Jun-Bang Feng Chuan-Ming Li Wen-Jing Wang Meng-Die Hu 《World Journal of Clinical Cases》 SCIE 2025年第2期1-4,共4页
Foot reflexology is a non-invasive and safe complementary therapy that works by massaging the reflex zones of the feet and exerts systemic or whole-body regulation through meridian nerve conduction.This therapy is com... Foot reflexology is a non-invasive and safe complementary therapy that works by massaging the reflex zones of the feet and exerts systemic or whole-body regulation through meridian nerve conduction.This therapy is commonly used in the treatment of various conditions such as autism and Parkinson's disease.However,there is limited reporting on the use of foot reflexology therapy for infants with sensorineural hearing loss(SNHL).Currently,there is no definitive conclusion on how foot reflexology therapy can influence hearing.This editorial holds some guiding significance regarding this clinical issue.The aim is to present physiological evidence of how foot reflexology therapy can impact infants with SNHL,thereby enhancing clinician’s awareness of foot reflexology in treating infants with SNHL. 展开更多
关键词 Foot reflexology Sensorineural Hearing Loss Future perspectives LIMITATIONS Neural conduction
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Man Foots Bill for Causing Stink in Library
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作者 柳岸青 《当代外语研究》 2002年第8期15-16,共2页
一个荷兰人脚臭,但不“识相”,竟然在大学图书馆里脱鞋,致使空气 严重污染而遭罚款245美元。文短,也有文采,脱鞋就有两种表达:removing hisshoes/taking off shoes。
关键词 Man foots Bill for Causing Stink in Library
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Effect of foot reflexology on an infant with sensorineural hearing loss:A case report 被引量:4
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作者 Yu-Jun Lee Mao-Qing Chen Jie Dong 《World Journal of Clinical Cases》 SCIE 2024年第8期1437-1441,共5页
BACKGROUND Our study contributes to the further understanding of the mechanism of foot reflexology.Foot reflexology has been reported to affect hearing recovery,but no physiological evidence has been provided.This lac... BACKGROUND Our study contributes to the further understanding of the mechanism of foot reflexology.Foot reflexology has been reported to affect hearing recovery,but no physiological evidence has been provided.This lack of evidence hampers the acceptance of the technique in clinical practice.CASE SUMMARY A girl was taken to North Sichuan Medical University Affiliated Hospital for a hearing screen by her parents.Her parents reported that her hearing level was the same as when she was born.The girl was diagnosed with sensorineural hearing loss(SNHL)by a doctor in the otolaryngology department.After we introduced the foot reflexology project,the parents agreed to participate in the experiment.After 6 months of foot reflexology treatment,the hearing threshold of the girl recovered to a normal level,below 30 dB.CONCLUSION Foot reflexology should be encouraged in clinical practice and for families of infants with SNHL. 展开更多
关键词 Infant with sensorineural hearing loss Foot reflexology Functional connectivity Language development Case report
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Research progress and challenges in stem cell therapy for diabetic foot: Bibliometric analysis and perspectives 被引量:1
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作者 Hong-Shuo Shi Xin Yuan +5 位作者 Fang-Fang Wu Xiao-Yu Li Wei-Jing Fan Xiao Yang Xiao-Ming Hu Guo-Bin Liu 《World Journal of Stem Cells》 SCIE 2024年第1期33-53,共21页
BACKGROUND Stem cell therapy has shown great potential for treating diabetic foot(DF).AIM To conduct a bibliometric analysis of studies on the use of stem cell therapy for DF over the past two decades,with the aim of ... BACKGROUND Stem cell therapy has shown great potential for treating diabetic foot(DF).AIM To conduct a bibliometric analysis of studies on the use of stem cell therapy for DF over the past two decades,with the aim of depicting the current global research landscape,identifying the most influential research hotspots,and providing insights for future research directions.METHODS We searched the Web of Science Core Collection database for all relevant studies on the use of stem cell therapy in DF.Bibliometric analysis was carried out using CiteSpace,VOSviewer,and R(4.3.1)to identify the most notable studies.RESULTS A search was conducted to identify publications related to the use of stem cells for DF treatment.A total of 542 articles published from 2000 to 2023 were identified.The United States had published the most papers on this subject.In this field,Iran’s Shahid Beheshti University Medical Sciences demonstrated the highest productivity.Furthermore,Dr.Bayat from the same university has been an outstanding researcher in this field.Stem Cell Research&Therapy is the journal with the highest number of publications in this field.The main keywords were“diabetic foot ulcers,”“wound healing,”and“angiogenesis.”CONCLUSION This study systematically illustrated the advances in the use of stem cell therapy to treat DF over the past 23 years.Current research findings suggested that the hotspots in this field include stem cell dressings,exosomes,wound healing,and adipose-derived stem cells.Future research should also focus on the clinical translation of stem cell therapies for DF. 展开更多
关键词 Stem cells Diabetic foot BIBLIOMETRIC CITESPACE VOSviewer R-bibliometrix
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Surgical management of the diabetic foot:The current evidence 被引量:1
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作者 Richard Henry Randall Roberts Gareth Rhys Davies-Jones +2 位作者 James Brock Vaishnav Satheesh Greg AJ Robertson 《World Journal of Orthopedics》 2024年第5期404-417,共14页
The prevalence of diabetes mellitus and its associated complications,particularly diabetic foot pathologies,poses significant healthcare challenges and economic burdens globally.This review synthesises current evidenc... The prevalence of diabetes mellitus and its associated complications,particularly diabetic foot pathologies,poses significant healthcare challenges and economic burdens globally.This review synthesises current evidence on the surgical management of the diabetic foot,focusing on the interplay between neuropathy,ischemia,and infection that commonly culminates in ulcers,infections,and,in severe cases,amputations.The escalating incidence of diabetes mellitus underscores the urgency for effective management strategies,as diabetic foot complications are a leading cause of hospital admissions among diabetic patients,significantly impacting morbidity and mortality rates.This review explores the pathophysiological mechanisms underlying diabetic foot complications and further examines diabetic foot ulcers,infections,and skeletal pathologies such as Charcot arthropathy,emphasising the critical role of early diagnosis,comprehensive management strategies,and interdisciplinary care in mitigating adverse outcomes.In addressing surgical interventions,this review evaluates conservative surgeries,amputations,and reconstructive procedures,highlighting the importance of tailored approaches based on individual patient profiles and the specific characteristics of foot pathologies.The integration of advanced diagnostic tools,novel surgical techniques,and postoperative care,including offloading and infection control,are discussed in the context of optimising healing and preserving limb function. 展开更多
关键词 DIABETES Diabetic foot CHARCOT OSTEOMYELITIS AMPUTATION Diabetic foot attack Conservative surgery
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Global trends in publications regarding macrophages-related diabetic foot ulcers in the last two decades 被引量:1
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作者 Jian-Ping Wen Shuan-Ji Ou +7 位作者 Jia-Bao Liu Wei Zhang Yu-Dun Qu Jia-Xuan Li Chang-Liang Xia Yang Yang Yong Qi Chang-Peng Xu 《World Journal of Diabetes》 SCIE 2024年第7期1627-1644,共18页
BACKGROUND Diabetic foot ulcers(DFUs)are one of the most severe and popular complications of diabetes.The persistent non-healing of DFUs is the leading cause of amputation,which causes significant mental and financial... BACKGROUND Diabetic foot ulcers(DFUs)are one of the most severe and popular complications of diabetes.The persistent non-healing of DFUs is the leading cause of amputation,which causes significant mental and financial stress to patients and their families.Macrophages are critical cells in wound healing and perform essential roles in all phases of wound healing.However,no studies have been carried out to systematically illustrate this area from a scientometric point of view.Although there have been some bibliometric studies on diabetes,reports focusing on the investigation of macrophages in DFUs are lacking.AIM To perform a bibliometric analysis to systematically assess the current state of research on macrophage-related DFUs.METHODS The publications of macrophage-related DFUs from January 1,2004,to December 31,2023,were retrieved from the Web of Science Core Collection on January 9,2024.Four different analytical tools:VOSviewer(v1.6.19),CiteSpace(v6.2.R4),HistCite(v12.03.07),and Excel 2021 were used for the scientometric research.RESULTS A total of 330 articles on macrophage-related DFUs were retrieved.The most published countries,institutions,journals,and authors in this field were China,Shanghai Jiao Tong University of China,Wound Repair and Regeneration,and Aristidis Veves.Through the analysis of keyword co-occurrence networks,historical direct citation networks,thematic maps,and trend topics maps,we synthesized the prevailing research hotspots and emerging trends in this field.CONCLUSION Our bibliometric analysis provides a comprehensive overview of macrophage-related DFUs research and insights into promising upcoming research. 展开更多
关键词 Diabetic foot ulcers MACROPHAGE Macrophage polarization BIBLIOMETRICS Wound healing Inflammation
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Non-surgical treatment of diabetic foot ulcers on the dorsum of the foot with polydeoxyribonucleotide injection:Two case reports 被引量:1
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作者 Yooseok Ha Jeong-Hee Kim +1 位作者 Jiyoung Kim Hyeokjae Kwon 《World Journal of Clinical Cases》 SCIE 2024年第20期4446-4451,共6页
BACKGROUND Diabetic foot ulcers are caused by a variety of factors,including peripheral neuropathy,peripheral arterial disease,impaired wound healing mechanisms,and repetitive trauma.Patients with diabetic foot ulcer ... BACKGROUND Diabetic foot ulcers are caused by a variety of factors,including peripheral neuropathy,peripheral arterial disease,impaired wound healing mechanisms,and repetitive trauma.Patients with diabetic foot ulcer on the dorsum of the foot are often treated surgically.However,the right non-surgical therapy must be chosen if surgical choices are contraindicated or if the patient prefers conservative treatment over surgery.CASE SUMMARY The purpose of this case report is to highlight the efficacy of polydeoxyribonucleotide(PDRN)injection as a non-surgical treatment option for diabetic foot ulcers on the dorsum of the foot,particularly in patients who choose against surgical intervention.This case report presents two cases of diabetic foot ulcers located on the dorsum of the foot that were successfully treated with PDRN injection as a non-surgical intervention.CONCLUSION If the patient declines surgery for diabetic ulcers with Wagner grade II or below,PDRN injection can be effective if necrotic tissue is removed and the wound bed kept clean. 展开更多
关键词 Diabetic foot Wound healing Regenerative medicine POLYDEOXYRIBONUCLEOTIDES Case report
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Advances in the treatment of diabetic peripheral neuropathy by modulating gut microbiota with traditional Chinese medicine 被引量:1
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作者 Ye-Yao Li Rui-Qian Guan +2 位作者 Zhi-Bo Hong Yao-Lei Wang Li-Min Pan 《World Journal of Diabetes》 SCIE 2024年第8期1712-1716,共5页
Diabetic peripheral neuropathy(DPN)is one of the strongest risk factors for diabetic foot ulcers(neuropathic ulcerations)and the existing ulcers may further deteriorate due to the damage to sensory neurons.Moreover,th... Diabetic peripheral neuropathy(DPN)is one of the strongest risk factors for diabetic foot ulcers(neuropathic ulcerations)and the existing ulcers may further deteriorate due to the damage to sensory neurons.Moreover,the resulting numbness in the limbs causes difficulty in discovering these ulcerations in a short time.DPN is associated with gut microbiota dysbiosis.Traditional Chinese medicine(TCM)compounds such as Shenqi Dihuang Decoction,Huangkui Capsules and Qidi Tangshen Granules can reduce the clinical symptoms of diabetic nephropathy by modulating gut microbiota.The current review discusses whether TCM compounds can reduce the risk of DPN by improving gut microbiota. 展开更多
关键词 DIABETES Peripheral neuropathy Traditional Chinese medicine Gut microbiota Diabetic foot ulcer TREATMENT
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ON101 Cream Increases the Wound Healing Rate in Diabetic Patients with Uremia—Cases Report 被引量:1
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作者 Yu-Hsiu Yen Chi-Ming Pu 《Case Reports in Clinical Medicine》 2024年第5期178-186,共9页
Diabetic patients who underwent long-term dialysis may increase the prevalence of foot ulceration. In addition, diabetic foot ulcer (DFUs) patients with end-stage renal disease (ESRD) do not heal well, and the amputat... Diabetic patients who underwent long-term dialysis may increase the prevalence of foot ulceration. In addition, diabetic foot ulcer (DFUs) patients with end-stage renal disease (ESRD) do not heal well, and the amputation rate is 6.5 - 10 times higher compared to the non-nephropathic diabetic population. Thus, a suitable therapeutic agent was needed. ON101 is a topical cream that promotes diabetic wound healing through a unique macrophage-regulating ability. In this case series, we included 5 diabetes patients (mean age 54.6 ± 8.7 years, 4 mal) with ESRD (mean eGFR 7.4 ± 3.35 mL/min/1.73m<sup>2</sup>) and had experienced dialysis for at least 4.5 years. These patients also have UT (University of Texas) grade 2A DFUs that have existed for at least 1.5 months (mean ulcer duration 8.3 ± 8.97 months). These subjects were applied ON101 twice daily for up to 20 weeks, and wound size was recorded during treatment. Among these subjects, three ulcers (patient No. 1, 2, and 3) completely healed within 10 weeks upon ON101 application, and one ulcer was 99% reduced at 20<sup>th</sup> weeks (patient No. 4). Only one ulcer didn’t show an obvious response that may due to poor compliance in wound care and glucose control. In summary, the overall healing rate was 60%, suggesting ON101 performed equivalence healing efficacy in dialysis patients compared with those who did not have dialysis. 展开更多
关键词 Diabetic Foot Ulcer (DFU) UREMIA DIALYSIS Wound Healing
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Prevalence of Anemia in Patients with Diabetes Mellitus:A Systematic Review and Meta-Analysis
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作者 Monireh Faghir-Ganji Narjes Abdolmohammadi +4 位作者 Maryam Nikbina Alireza Amanollahi Alireza Ansari-Moghaddam Rozhan Khezri Hamidreza Baradaran 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第1期96-107,共12页
Objective Anemia is a common public health concern in patients with type 2 diabetes worldwide.This study aimed to identify the prevalence of anemia among patients with diabetes.Methods Electronic databases,including P... Objective Anemia is a common public health concern in patients with type 2 diabetes worldwide.This study aimed to identify the prevalence of anemia among patients with diabetes.Methods Electronic databases,including PubMed,Scopus,Web of Sciences,and Google Scholar,were searched systematically for studies published between 2010 and 2021.After removing duplicates and inappropriate reports,the remaining manuscripts were reviewed and appraised using theNewcastleOttawa Scale(NOS)tool.A random-effects model was used to calculate the pooled estimates of the extracted data using Stata version 17.Heterogeneity of the studies was assessed using the Q statistic.Results A total of 51 articles containing information on 26,485 patients with diabetes were included in this study.The articles were mainly from Asia(58.82%)and Africa(35.29%).The overall prevalence of anemia was 35.45%(95%CI:30.30–40.76),with no evidence of heterogeneity by sex.Among the two continents with the highest number of studies,the prevalence of anemia in patients with diabetes was significantly higher in Asia[40.02;95%CI:32.72–47.54]compared to Africa[28.46;95%CI:21.90–35.50](P for heterogeneity=0.029).Moreover,there has been an increasing trend in the prevalence of anemia in patients with diabetes over time,from[15.28;95%CI:9.83–22.21]in 2012 to[40.70;95%CI:10.21–75.93]in 2022.Conclusion Globally,approximately 4 in 10 patients with diabetes suffer from anemia.Therefore,routine anemia screening and control programs every 3 months might be useful in improving the quality of life of these patients. 展开更多
关键词 PREVALENCE Diabetic foot ANEMIA Diabetes mellitus
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Acute effect of foot strike patterns on in vivo tibiotalar and subtalar joint kinematics during barefoot running
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作者 Dongqiang Ye Lu Li +4 位作者 Shen Zhang Songlin Xiao Xiaole Sun Shaobai Wang Weijie Fu 《Journal of Sport and Health Science》 SCIE CSCD 2024年第1期108-117,共10页
Background:Foot kinematics,such as excessive eversion and malalignment of the hindfoot,are believed to be associated with running-related injuries.The maj ority of studies to date show that different foot strike patte... Background:Foot kinematics,such as excessive eversion and malalignment of the hindfoot,are believed to be associated with running-related injuries.The maj ority of studies to date show that different foot strike patterns influence these specific foot and ankle kinematics.However,technical deficiencies in traditional motion capture approaches limit knowledge of in vivo joint kinematics with respect to rearfoot and forefoot strike patterns(RFS and FFS,respectively).This study uses a high-speed dual fluoroscopic imaging system(DFIS)to determine the effects of different foot strike patterns on 3D in vivo tibiotalar and subtalar joints kinematics.Methods:Fifteen healthy male recreational runners underwent foot computed tomography scanning for the construction of 3-dimensional models.A high-speed DFIS(100 Hz)was used to collect 6 degrees of freedom kinematics for participants’tibiotalar and subtalar joints when they adopted RFS and FFS in barefoot condition.Results:Compared with RFS,FFS exhibited greater internal rotation at 0%-20%of the stance phase in the tibiotalar joint.The peak internal rotation angle of the tibiotalar joint under FFS was greater than under RFS(p<0.001,Cohen’s d=0.92).RFS showed more dorsiflexion at 0%-20%of the stance phase in the tibiotalar joint than FFS.RFS also presented a larger anterior translation(p<0.001,Cohen’s d=1.28)in the subtalar joint at i nitial contact than FFS.Conclusion:Running with acute barefoot FFS increases the internal rotation of the tibiotalar joint in the early stance.The use of high-speed DFIS to quantify the movement of the tibiotalar and subtalar joint was critical to revealing the effects of RF S and FFS during running. 展开更多
关键词 Foot strike patterns High-speed dual fluoroscopic imaging system In vivo kinematics Running
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The deterministic condition for the ground reaction force acting point on the combined knee valgus and tibial internal rotation moments in early phase of cutting maneuvers in female athletes
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作者 Issei Ogasawara Ken Ohta +4 位作者 Gajanan S.Revankar Shoji Konda Yohei Shimokochi Hideyuki Koga Ken Nakata 《Journal of Sport and Health Science》 SCIE CAS CSCD 2024年第3期376-386,共11页
Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact A... Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact ACL injury prevention in sports,it is necessary to elucidate how the ground reaction force(GRF)acting point(center of pressure(CoP))in the stance foot produces combined knee VL+IR moments in risky maneuvers,such as cuttings.However,the effects of the GRF acting point on the development of the combined knee VL+IR moment in cutting are still unknown.Methods:We first established the deterministic mechanical condition that the CoP position relative to the tibial rotational axis differentiates the GRF vector’s directional probability for developing the combined knee VL+IR moment,and theoretically predicted that when the CoP is posterior to the tibial rotational axis,the GRF vector is more likely to produce the combined knee VL+IR moment than when the CoP is anterior to the tibial rotational axis.Then,we tested a stochastic aspect of our theory in a lab-controlled in vivo experiment.Fourteen females performed 60˚cutting under forefoot/rearfoot strike conditions(10 trials each).The positions of lower limb markers and GRF data were measured,and the knee moment due to GRF vector was calculated.The trials were divided into anterior-and posterior-CoP groups depending on the CoP position relative to the tibial rotational axis at each 10 ms interval from 0 to 100 ms after foot strike,and the occurrence rate of the combined knee VL+IR moment was compared between trial groups.Results:The posterior-CoP group showed significantly higher occurrence rates of the combined knee VL+IR moment(maximum of 82.8%)at every time point than those of the anterior-CoP trials,as theoretically predicted by the deterministic mechanical condition.Conclusion:The rearfoot strikes inducing the posterior CoP should be avoided to reduce the risk of non-contact ACL injury associated with the combined knee VL+IR stress. 展开更多
关键词 Center of pressure Deterministic condition Foot strike pattern Injury mechanism Moment of ground reaction force
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Impact of tibial transverse transport in tissue regeneration and wound healing with perspective on diabetic foot ulcers
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作者 Sulagna Mukherjee Seung-Soon Im 《World Journal of Diabetes》 SCIE 2024年第5期810-813,共4页
In this editorial,we comment on an article by Liao et al published in the current issue of the World Journal of Diabetes.We focus on the clinical significance of tibial transverse transport(TTT)as an effective treatme... In this editorial,we comment on an article by Liao et al published in the current issue of the World Journal of Diabetes.We focus on the clinical significance of tibial transverse transport(TTT)as an effective treatment for patients with diabetic foot ulcers(DFU).TTT has been associated with tissue regeneration,improved blood circulation,reduced amputation rates,and increased expression of early angiogenic factors.Mechanistically,TTT can influence macrophage polarization and growth factor upregulation.Despite this potential,the limitations and conflicting results of existing studies justify the need for further research into its optimal application and development.These clinical implications highlight the efficacy of TTT in recalcitrant DFU and provide lasting stimuli for tissue re-generation,and blood vessel and bone marrow improvement.Immunomodu-lation via systemic responses contributes to its therapeutic potential.Future studies should investigate the underlying molecular mechanisms to enhance our understanding and the efficacy of TTT.This manuscript emphasizes the potential of TTT in limb preservation and diabetic wound healing and suggests avenues for preventive measures against limb amputation in diabetes and peripheral artery disease.Here,we highlight the clinical significance of the TTT and its importance in healing DFU to promote the use of this technique in tissue regeneration. 展开更多
关键词 Diabetes foot ulcer Tibial transverse transport Foot surgery Wound healing Tissue regeneration
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Mechanism of cross-level settlements and void accumulation of wide and conventional sleepers in railway ballast
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作者 Olga Nabochenko Mykola Sysyn +1 位作者 Norman Krumnow Szabolcs Fischer 《Railway Engineering Science》 EI 2024年第3期361-383,共23页
The cross-level and twist irregularities are the most dangerous irregularity types that could cause wheel unloading with the risk of derailments and additional maintenance expenses.However,the mechanism of the irregul... The cross-level and twist irregularities are the most dangerous irregularity types that could cause wheel unloading with the risk of derailments and additional maintenance expenses.However,the mechanism of the irregularities initiation and development is unclear.The motivation of the present study was the previous experimental studies on the application of wide sleepers in the ballasted track.The long-term track geometry measurements with wide sleepers show an enormous reduction of the vertical longitudinal irregularities compared to the conventional track.However,wide sleepers had higher twist and cross-section level irregularities.The present paper aims to explain the phenomenon by discrete element method(DEM)modeling the development process of sleeper inhomogeneous support at cross-level depending on the sleeper form.The DEM simulations show that the maximal settlement intensity is up to 3.5 times lower for a wide sleeper in comparison with the conventional one.Nevertheless,the cross-level differential settlements are almost the same for both sleepers.The particle loading distribution after all loading cycles is concentrated on the smaller area,up to the half sleeper length,with fully unloaded zones under sleeper ends.Ballast flow limitation under the central part of the sleeper could improve the resilience of wide sleepers to the development of cross-level irregularities.The mechanism of initiation of the cross-level irregularity is proposed,which assumes the loss of sleeper support under sleeper ends.The further growth of inhomogeneous settlements along the sleeper is assumed as a result of the interaction of two processes:ballast flow due to dynamic impact during void closing and on the other side high pressure due to the concentration of the pressure under the middle part of the sleeper.The DEM simulation results support the assumption of the mechanism and agree with the experimental studies. 展开更多
关键词 Wide sleeper Ballasted track Sleeper support inhomogeneity Sleeper foot form Discrete element modeling Void accumulation
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Developing a novel big dataset and a deep neural network to predict the bearing capacity of a ring footing
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作者 Ramin Vali Esmaeil Alinezhad +3 位作者 Mohammad Fallahi Majid Beygi Mohammad Saberian Jie Li 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第11期4798-4813,共16页
The accurate prediction of the bearing capacity of ring footings,which is crucial for civil engineering projects,has historically posed significant challenges.Previous research in this area has been constrained by con... The accurate prediction of the bearing capacity of ring footings,which is crucial for civil engineering projects,has historically posed significant challenges.Previous research in this area has been constrained by considering only a limited number of parameters or utilizing relatively small datasets.To overcome these limitations,a comprehensive finite element limit analysis(FELA)was conducted to predict the bearing capacity of ring footings.The study considered a range of effective parameters,including clay undrained shear strength,heterogeneity factor of clay,soil friction angle of the sand layer,radius ratio of the ring footing,sand layer thickness,and the interface between the ring footing and the soil.An extensive dataset comprising 80,000 samples was assembled,exceeding the limitations of previous research.The availability of this dataset enabled more robust and statistically significant analyses and predictions of ring footing bearing capacity.In light of the time-intensive nature of gathering a substantial dataset,a customized deep neural network(DNN)was developed specifically to predict the bearing capacity of the dataset rapidly.Both computational and comparative results indicate that the proposed DNN(i.e.DNN-4)can accurately predict the bearing capacity of a soil with an R2 value greater than 0.99 and a mean squared error(MSE)below 0.009 in a fraction of 1 s,reflecting the effectiveness and efficiency of the proposed method. 展开更多
关键词 Bearing capacity Ring footing Finite element limit analysis(FELA) BC-RF dataset Deep neural network(DNN)
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Therapeutic Effectiveness of Leukocyte-and Platelet-rich Fibrin for Diabetic Foot Ulcers:A Retrospective Study
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作者 Fen WANG Xiao-ling ZHANG +9 位作者 Jing ZHANG Song GONG Jing TAO Hui XIANG Xiao-qing FU Xu-na BIAN Xue-feng YU An-hui XU Cheng-la YI Shi-ying SHAO 《Current Medical Science》 SCIE CAS 2024年第3期568-577,共10页
Objective Diabetic foot ulcer(DFU)is one of the most serious complications of diabetes.Leukocyte-and platelet-rich fibrin(L-PRF)is a second-generation autologous platelet-rich plasma.This study aims to investigate the... Objective Diabetic foot ulcer(DFU)is one of the most serious complications of diabetes.Leukocyte-and platelet-rich fibrin(L-PRF)is a second-generation autologous platelet-rich plasma.This study aims to investigate the clinical effects of L-PRF in patients with diabetes in real clinical practice.Methods Patients with DFU who received L-PRF treatment and standard of care(SOC)from 2018 to 2019 in Tongji Hospital were enrolled.The clinical information including patient characteristics,wound evaluation(area,severity,infection,blood supply),SOC of DFU,and images of ulcers was retrospectively extracted and analyzed.L-PRF treatment was performed every 7±2 days until the ulcer exhibited complete epithelialization or an overall percent volume reduction(PVR)greater than 80%.Therapeutic effectiveness,including overall PVR and the overall and weekly healing rates,was evaluated.Results Totally,26 patients with DFU were enrolled,and they had an ulcer duration of 47.0(35.0,72.3)days.The severity and infection of ulcers varied,as indicated by the Site,Ischemia,Neuropathy,Bacterial Infection,and Depth(SINBAD)scores of 2–6,Wagner grades of 1–4,and the Perfusion,Extent,Depth,Infection and Sensation(PEDIS)scores of 2–4.The initial ulcer volume before L-PRF treatment was 4.94(1.50,13.83)cm3,and the final ulcer volume was 0.35(0.03,1.76)cm3.The median number of L-PRF doses was 3(2,5).A total of 11 patients achieved complete epithelialization after the fifth week of treatment,and 19 patients achieved at least an 80%volume reduction after the seventh week.The overall wound-healing rate was 1.47(0.63,3.29)cm3/week,and the healing rate was faster in the first 2 weeks than in the remaining weeks.Concurrent treatment did not change the percentage of complete epithelialization or healing rate.Conclusion Adding L-PRF to SOC significantly improved wound healing in patients with DFU independent of the ankle brachial index,SINBAD score,or Wagner grade,indicating that this method is appropriate for DFU treatment under different clinical conditions. 展开更多
关键词 diabetic foot ulcer autologous platelet-rich plasma leukocyte-and platelet-rich fibrin standard of care percentage volume reduction
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Foot and ankle surgery:Tourniquet placement site to cause as little postoperative pain as possible
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作者 Emerito Carlos Rodriguez-Merchan 《World Journal of Orthopedics》 2024年第6期498-500,共3页
There is controversy in the literature on where to place the tourniquet(thigh,calf,ankle)for foot and ankle surgery.While some authors prefer the ankle tourniquet to the calf tourniquet,others state that the surgeon c... There is controversy in the literature on where to place the tourniquet(thigh,calf,ankle)for foot and ankle surgery.While some authors prefer the ankle tourniquet to the calf tourniquet,others state that the surgeon can decide between using the thigh tourniquet or the ankle tourniquet,since there was no difference in postoperative pain between them.Where to place the tourniquet during foot and ankle surgery to cause the least possible postoperative pain to the patient as a result of the tourniquet is a common question in clinical practice.The reality is that,unfortunately,there is no consensus on this issue.Perhaps the only possible way to answer this question would be to conduct a comparative study with sufficient statistical power to reach scientifically sound conclusions.It does not seem easy to carry out such a study,but it would be important to be able to answer the question posed in the title of this Editorial once and for all. 展开更多
关键词 Surgery Foot ANKLE TOURNIQUET SITE Postoperative pain
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Effects of foot reflexology on disease
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作者 Ming-Ying He M Jalal Ud Din +7 位作者 Hai-Feng Xu Shang-Yu Wang Guo-Huan Ying Hao Qian Bing Wu Hong-Dan Qi Xin Wang Gang Zhang 《World Journal of Clinical Cases》 SCIE 2024年第35期6851-6854,共4页
In this article,we review a recently published article to explore the significance of foot reflexology in modern medical practice.With the advancement of modern medicine,we are increasingly committed to finding the sp... In this article,we review a recently published article to explore the significance of foot reflexology in modern medical practice.With the advancement of modern medicine,we are increasingly committed to finding the specific physiological mechanisms of foot reflexes to treat diseases,thereby better proving the therapy’s effectiveness.It has been reported that foot reflexes can activate the cerebral cor-tex and organs corresponding to the feet,stimulating blood flow,nutrition and nerves through neural and endocrine regulation to achieve the purpose of treating and preventing diseases and promoting health.The therapy shows unique po-tential and value,and provides a new perspective on integrating traditional me-dicine and modern medicine. 展开更多
关键词 FOOT REFLEXOLOGY Sense-hearing loss Alternative medicine Massage therapy
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Prevalence and risk factors of wound complications after transtibial amputation in patients with diabetic foot
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作者 Young Uk Park Seong Hyuk Eim Young Wook Seo 《World Journal of Diabetes》 SCIE 2024年第4期629-637,共9页
BACKGROUND Diabetic foot(DMF)complications are common and are increasing in incidence.Risk factors related to wound complications are yet to be established after transtibial amputation under the diagnosis of DMF infec... BACKGROUND Diabetic foot(DMF)complications are common and are increasing in incidence.Risk factors related to wound complications are yet to be established after transtibial amputation under the diagnosis of DMF infection.AIM To analyze the prognosis and risk factors related to wound complications after transtibial amputation in patients with diabetes.METHODS This retrospective cohort study included seventy-two patients with DMF complications who underwent transtibial amputation between April 2014 and March 2023.The groups were categorized based on the occurrence of wound complications,and we compared demographic data between the complication group and the non-complication group to analyze risk factors.Moreover,a multivariate logistic regression analysis was performed to identify risk factors.RESULTS The average follow-up period was 36.2 months.Among the 72 cases,31(43.1%)had wound complications.Of these,12 cases(16.7%)received further treatment,such as debridement,soft tissue stump revision,and re-amputation at the proximal level.In a group that required further management due to wound complications after transtibial amputation,the hemoglobin A1c(HbA1c)level was 9.32,while the other group that did not require any treatment had a 7.54 HbA1c level.The prevalence of a history of kidney transplantation with wound complications after transtibial amputation surgery in DMF patients was significantly greater than in cases without wound complications(P=0.02).Other factors did not show significant differences.CONCLUSION Approximately 43.1%of the patients with transtibial amputation surgery experienced wound complications,and 16.7%required additional surgical treatment.High HbA1c levels and kidney transplant history are risk factors for postoperative wound complications. 展开更多
关键词 Diabetic foot Transtibial amputation Wound complications Risk factor
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Clinical efficacy of endovascular revascularization combined with vacuum-assisted closure for the treatment of diabetic foot
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作者 Feng-Rui Lei Xiao-Fei Shen +3 位作者 Chuang Zhang Xin-Qing Li Hao Zhuang Hong-Fei Sang 《World Journal of Diabetes》 SCIE 2024年第7期1499-1508,共10页
BACKGROUND The diabetic foot is a common cause of disability and death,and comorbid foot infections usually lead to prolonged hospitalization,high healthcare costs,and a significant increase in amputation rates.And mo... BACKGROUND The diabetic foot is a common cause of disability and death,and comorbid foot infections usually lead to prolonged hospitalization,high healthcare costs,and a significant increase in amputation rates.And most diabetic foot trauma is complicated by lower extremity arteriopathy,which becomes an independent risk factor for major amputation in diabetic foot patients.AIM To establish the efficacy and safety of endovascular revascularization(ER)combined with vacuum-assisted closure(VAC)for the treatment of diabetic foot.METHODS Clinical data were collected from 40 patients with diabetic foot admitted to the Second Affiliated Hospital of Soochow University from April 2018 to April 2022.Diabetic foot lesions were graded according to Wagner’s classification,and blood flow to the lower extremity was evaluated using the ankle-brachial index test and computerized tomography angiography of the lower extremity arteries.Continuous subcutaneous insulin infusion pumps were used to achieve glycemic control.Lower limb revascularization was facilitated by percutaneous transluminal balloon angioplasty(BA)or stenting.Wounds were cleaned by nibbling debridement.Wound granulation tissue growth was induced by VAC,and wound repair was performed by skin grafting or skin flap transplantation.RESULTS Of the 35 cases treated with lower limb revascularization,34 were successful with a revascularization success rate of 97%.Of these,6 cases underwent stenting after BA of the superficial femoral artery,and 1 received popliteal artery stent implantation.In the 25 cases treated with infrapopliteal artery revascularization,39 arteries were reconstructed,7 of which were treated by drug-coated BA and the remaining 32 with plain old BA.VAC was performed in 32 wounds.Twenty-four cases of skin grafting and 2 cases of skin flap transplantation were performed.Two patients underwent major amputations,whereas 17 had minor amputations,accounting for a success limb salvage rate of 95%.CONCLUSION ER in combination with VAC is a safe and effective treatment for diabetic foot that can significantly improve limb salvage rates.The use of VAC after ER simplifies and facilitates wound repair. 展开更多
关键词 Diabetic foot REVASCULARIZATION Vacuum-assisted closure Balloon angioplasty Wound repair
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