Search Results (35)

Urban rail transit networks’ rapid expansions have led to increasing intersections between existing and new lines, particularly in dense urban areas where new stations must underpass existing infrastructure at zero distance. Deformation controls during construction are critical for maintaining the operational safety of existing stations, especially in soft soil conditions where construction-induced settlement poses significant risks to structural integrity. This study systematically investigates the influence mechanisms of different construction schemes on base plate deformation when an open-top UBIT (underground bundle composite pipe integrated by transverse pre-stressing) underpasses existing stations. Through precise numerical simulation using PLAXIS 3D, the research comparatively analyzed the effects of 12 pipe jacking sequences, 3 pre-stress levels (1116 MPa, 1395 MPa, 1674 MPa), and 3 soil chamber excavation schemes, revealing the mechanisms between the deformation evolution and soil unloading effects. The continuous jacking strategy of adjacent pipes forms an efficient support structure, limiting maximum settlement to 5.2 mm. Medium pre-stress level (1395 MPa) produces a balanced deformation pattern that optimizes structural performance, while excavating side chambers before the central chamber effectively utilizes soil unloading effects, achieving controlled settlement distribution with maximum values of −7.2 mm. The optimal construction combination demonstrates effective deformation control, ensuring the operational safety of existing station structures. These findings enable safer and more efficient urban underpassing construction. Full article

Modern tissue engineering requires not only degradable materials promoting cell growth and differentiation, but also vascularization of the engineered tissue. Porous polylactide/polycaprolactone (PLA/PCL, ratio 3/5) foam scaffolds were prepared by a combined porogen leaching and freeze-drying technique using NaCl (crystal size 250–500 µm) and a water-soluble cellulose derivative (Klucel^TM E; 10–100% w/w relative to the total PLA/PCL concentration) as porogens. Scanning electron microscopy, micro-CT, and Brunauer–Emmett–Teller analysis showed that all scaffolds contained a trimodal range of pore sizes, i.e., macropores (average diameter 298–539 μm), micropores (100 nm to 10 μm), and nanopores (mostly around 3.0 nm). All scaffolds had an open porosity of about 90%, and the pores were interconnected. The size of the macropores and the nanoporosity were higher in the scaffolds prepared with Klucel. Nanoporosity increased water uptake by the scaffolds, while macroporosity promoted cell ingrowth, which was most evident in scaffolds prepared with 25% Klucel. Human adipose-derived stem cells co-cultured with endothelial cells formed pre-vascular structures in the scaffolds, which was further enhanced in a dynamic cell culture system. The scaffolds are promising for the engineering of pre-vascularized soft tissues (relatively pliable 10% Klucel scaffolds) and hard tissues (mechanically stronger 25% and 50% Klucel scaffolds). Full article

(1) Background: Multiple lumbar spinal stenosis (LSS) is a degenerative disease that is increasingly prevalent with global aging. Multilevel fusion surgery is burdensome to perform in elderly patients, especially with osteoporosis and underlying disease. This study introduces open midline decompression (OMD) with ligament reconstruction as an alternative stabilization technique for elderly patients with multilevel LSS. (2) Methods: A retrospective review included 42 elderly patients aged 70 or older diagnosed with LSS at three or more levels and who underwent OMD with ligament reconstruction. Pre- and postoperative clinical and radiologic data were analyzed. (3) Results: Thirty-three patients underwent three-level surgeries, and twelve patients underwent four-level surgeries. The mean operative time was 240 ± 42.2 min (74.6 ± 14.9 min per level) with a mean blood loss of 282.9 ± 167.1 cc. Clinical outcome (VAS) and quality of life parameters (SF-12) showed significant improvement after surgery. Postoperative MRI showed sufficient decompression. Dynamic X-rays showed improvement in instability after surgery, but it was statistically insignificant. (4) Conclusions: OMD with ligament reconstruction provides effective neural decompression while preserving the posterior arch and offers soft stabilization with artificial ligaments. It is a safe and viable surgical option for elderly patients with multilevel LSS. Full article

To achieve the actuation of silicone-based foamed composites, a liquid–gas phase transition of the liquid captured in its pores is employed. The uncertainty of key parameters for a single or sequential open-air performance of such soft actuators limits their application. To define the main characteristics of the composites, in this work, two functions of the liquid there were separated: the pore-forming agent (FPA) and working liquid (WL). It was demonstrated that the composites can be fabricated using either ethanol or methanol as the PFA, while any of the C1-C4 alcohols can be used as the WL. The results of the sequential actuation tests of the composites revealed that pore formation depends on the composite viscosity during curation, while their expansion in single heat experiments can be approximated by a unified linear relation. Based on a Mendeleev–Clapeyron equation, the qualitative model for predicting the actuator strain is proposed. It was found that the composites with C3–C4 alcohols as the WL outperform ethanol-containing composites on the number of cycles survived under open-air conditions. These findings pave the way to control the operation of soft actuators by manipulating WL variation and PFA content during the composite cure to set the operation temperature and degree of expansion of pre-formed actuators. Full article

This narrative review evaluates the literature on the management of mandibular condyle fractures in growing patients. It aims to illustrate some fundamental biological principles and to offer a series of considerations applicable to clinical practice. The discussion is based on 116 papers published in PubMed and two relevant textbooks. Condylar fractures may be overlooked, especially in pre-scholar children, where compliance is usually reduced. However, these injuries can have disabling sequelae such as ankyloses, facial deformities, malocclusion, and chronic pain in some patients if not diagnosed and managed correctly. Due to their significance, mandibular condyle fractures in children are a subject of considerable clinical interest. As of today, there is consensus about their treatment. Four management options are available: expectative (analgesia, soft food and follow-up), functional protocols (guiding elastics, orthodontic appliances and exercises), maxillomandibular fixation (MMF), and open reduction and internal fixation (ORIF). Nondisplaced and minimally displaced fractures should be treated expectantly; severely displaced non-comminuted fractures can be safely operated on if the expertise is available, even in patients with deciduous dentition. Moderately displaced fractures can be managed with functional protocols or operatively, depending on the background and know-how of the specialist. Functional protocols can achieve good outcomes, especially in patients with deciduous dentition. MMF should be foregone in children due to its many drawbacks. Full article

Background/Objectives: Surgical management of chronic lateral ankle instability has traditionally been performed using an open technique. Arthroscopic-assisted and all-arthroscopic techniques have gained popularity as they have achieved strong clinical outcomes. However, they rely on the surgeon’s arthroscopic skills and familiarity with arthroscopic anatomy. Recently, a minimally invasive percutaneous technique without arthroscopic assistance has been developed that incorporates the benefits of arthroscopy, such as minimal soft tissue disruption, without the additional requirements of performing an arthroscopic technique. The aim of the current study is to describe the minimally invasive percutaneous technique for chronic lateral ankle instability and report on its clinical outcomes. Methods: Fifty-four consecutive patients without intra-articular ankle pathology underwent lateral ligament repair for chronic ankle instability with a percutaneous technique at a single institution by a fellowship-trained foot and ankle surgeon. Foot Function Index (FFI) score was recorded pre-operatively and post-operatively at final follow-up. All patients had a minimum follow-up of 12 months. Post-operative complications and patient satisfaction were also recorded. Results: A significant improvement (p < 0.001) in FFI compared to pre-operative values (from 55, SD 4.1, to 10, SD 1.9) was observed. A single patient required a return to the operating room for open revision with allograft reconstruction following a fall 2.5 months post-operatively. There were no other complications including infection or nerve injury. The overall rate of satisfaction after surgery was 98.1%, with one patient dissatisfied due to excessive ankle stiffness. Conclusions: The described minimally invasive percutaneous Brostrom procedure is safe and effective for the treatment of chronic lateral ankle instability without intra-articular ankle pathology. Full article

In this paper, we explore the benefits of using a magnetostrictive component in a variable reluctance energy harvester. The intrinsic magnetic field bias and the possibility to utilize magnetic force to achieve pre-stress leads to a synergetic combination between this type of energy harvester and magnetostriction. The proposed energy harvester system, to evaluate the concept, consists of a magnetostrictive cantilever beam with a cubic magnet as proof mass. Galfenol, Fe_81.6Ga_18.4, is used to implement magnetostriction. Variable reluctance is achieved by fixing the beam parallel to an iron core, with some margin to create an air gap between the tip magnet and core. The mechanical forces of the beam and the magnetic forces lead to a displaced equilibrium position of the beam and thus a pre-stress. Two configurations of the energy harvester were evaluated and compared. The initial configuration uses a simple beam of aluminum substrate and a layer of galfenol with an additional magnet fixing the beam to the core. The modified design reduces the magnetic field bias in the galfenol by replacing approximately half of the length of galfenol with aluminum and adds a layer of soft magnetic material above the galfenol to further reduce the magnetic field bias. The initial system was found to magnetically saturate the galfenol at equilibrium. This provided the opportunity to compare two equivalent systems, with and without a significant magnetostrictive effect on the output voltage. The resonance frequency tuning capability, from modifying the initial distance of the air gap, is shown to be maintained for the modified configuration (140 Hz/mm), while achieving RMS open-circuit coil voltages larger by a factor of two (2.4 V compared to 1.1 V). For a theoretically optimal load, the RMS power was simulated to be 5.1 mW. Given the size of the energy harvester (18.5 cm³) and the excitation acceleration (0.5 g), this results in a performance metric of 1.1 mW/cm³g². Full article

The authors of this paper introduce and discuss three weaker forms of soft faint continuity: soft faint semi-continuity, soft faint pre-continuity, and soft faint $\beta$-continuity. They characterize each of them in several ways. They also demonstrate how they are preserved under some restrictions. Moreover, they prove that a soft function is also soft faint semi-continuous (resp. soft faint pre-continuous, soft faint $\beta$-continuous) if its soft graph function is also soft faint semi-continuous (resp. soft faint pre-continuous, soft faint $\beta$-continuous). Moreover, they show that a soft function is soft faint semi-continuous (resp. soft faint pre-continuous, soft faint $\beta$-continuous) iff it is soft semi-continuous provided that it has a soft regular codomain. Finally, the symmetry between our new ideas and their analogous topological ones is investigated. Full article

The integration of three-dimensional (3D) cameras into clinical practice for pre-operative planning and post-operative monitoring of rhinoplasties remains controversial. However, this technology offers the advantage of capturing the 3D surface without exposing patients to potentially harmful radiation. Continuous assessment allows the follow-up of swelling patterns, cartilage alignment, and bone remodeling. The primary objective of our study was to quantify changes in nasal structure before and after rhinoplasty by using 3D photography. Our study cohort consisted of 29 patients who underwent open structural rhinoplasty. We used the Artec Space Spider camera to acquire a total of 103 3D images. We collected pre-operative and at least two or three post-operative follow-up scans, which were taken one, three, and six months after surgery. We evaluated paired scans that included various time intervals to improve our understanding of swelling behavior and to ensure an objective analysis of changes. Eleven specific anatomical landmarks were identified for measurement. Two independent raters determined the distances between these landmarks over time. The calculation of intraclass correlation coefficients showed low inter-rater variability. Statistically significant changes over time (p < 0.05) were observed for various anatomical landmarks, including soft tissue nasion, soft tissue orbitale right, soft tissue maxillofrontale left, soft tissue maxillofrontale right, nasal bridge, and nasal break point. Conversely, no significant changes (p > 0.05) were observed in the measurements of soft tissue orbitale left, pronasale, subnasale, alare right, or alare left. A visual assessment was conducted using surface distance maps. The results indicate that the complete decrease in swelling takes at least 6 months or even longer. Additionally, 3D photography can provide an objectively comparable analysis of the face and external contours. Furthermore, it allows for a comparison of external contours and therefore pre- and post-operative differences. Full article

Background: The anatomical reconstruction of the wrist is the aim when treating distal radius fractures. Current literature on the importance of preoperative reduction in fractures that are treated operatively is limited. Methods: This study investigated the effect of the preoperative closed reduction of distal radius fractures on the day of trauma and the time to surgery on postoperative palmar inclination. A total of eighty patients (48 females and 32 males, mean age 55.6 years) were studied retrospectively. All patients were treated with an open reduction and internal fixation. The palmar inclination angle was measured using X-rays by two investigators, and the interobservers and pre- and post-reduction parameters were compared. Results: When the surgical management of closed distal radius fractures is required, neither initial repositioning nor a delay of up to 14 days to the surgical treatment influences postoperative palmar inclination. Conclusions: The significance of preoperative reduction of distal radius fractures without neurovascular or extensive soft tissue damage is limited and is not leading to improved outcomes. When surgery is about to be performed, surgeons should carefully consider if reduction is really vital preoperatively. Level of evidence: III. Full article

Strawberries are by far the most produced soft fruit (blueberries, raspberries, blackberries, and strawberries) worldwide, with China and the US being the two countries with the most production. In the US, strawberries reached a farm gate value of more than USD 3 billion in 2023 and are predominantly grown in the open field on an annual cycle in hilled-up soil beds using plastic mulch (plasticulture). This process relies on adequate pre-plant fertilizer application for plant establishment and fruit development. In North Carolina (US), it is current practice to apply pre-plant fertilizer containing 67 nitrogen (N) kg/ha; however, with increasing fertilizer costs and environmental concerns, questions remain as to whether or not pre-plant full-spectrum fertilizer rates can be reduced and substituted with organic low-N fertilizer sources, such as Polysulphate, without impacting yield or fruit quality. For this reason, field trials were established to evaluate the impact of pre-plant fertilizer rates on strawberry production (‘Camarosa’). Trials were conducted in the 2019–2020 and 2020–2021 seasons at two locations in North Carolina. The following N-rate pre-plant fertilizer treatments were applied: 80.1, 67.3, 54.1, 41.1, 33.6, 28.0, and 0 kg/ha. NO₃ and NH₄ content were frequently assessed in each replicate in the raised bed profile between planting and spring fertilizer application. Marketable and total strawberry yields were assessed over 6 weeks in the spring of 2020 and 2021. Our trial results showed that, especially in sandy soil, N rapidly declined under plastic within the first 8 weeks after pre-plant fertilizer application. However, no impact between pre-plant fertilizer rates and plant yield was observed. Treatments that contained Polysulphate and lower amounts of full-spectrum fertilizer showed significantly lower N concentrations in the soil while maintaining similar yields and fruit quality compared to grower-standard pre-plant fertilizer treatments. In summary, our results show that it is possible to reduce N content in pre-plant fertilizer by up to 50% compared to current recommendations without causing yield loss in short-day strawberry cultivars. Full article

Performing a mitosis count (MC) is the diagnostic task of histologically grading canine Soft Tissue Sarcoma (cSTS). However, mitosis count is subject to inter- and intra-observer variability. Deep learning models can offer a standardisation in the process of MC used to histologically grade canine Soft Tissue Sarcomas. Subsequently, the focus of this study was mitosis detection in canine Perivascular Wall Tumours (cPWTs). Generating mitosis annotations is a long and arduous process open to inter-observer variability. Therefore, by keeping pathologists in the loop, a two-step annotation process was performed where a pre-trained Faster R-CNN model was trained on initial annotations provided by veterinary pathologists. The pathologists reviewed the output false positive mitosis candidates and determined whether these were overlooked candidates, thus updating the dataset. Faster R-CNN was then trained on this updated dataset. An optimal decision threshold was applied to maximise the F1-score predetermined using the validation set and produced our best F1-score of 0.75, which is competitive with the state of the art in the canine mitosis domain. Full article

Introduction: Peroneal disorders are a common cause of ankle pain and lateral instability and have been described in as much as 77% of patients with lateral ankle instability. Clicking, swelling, pain, and tenderness in the peroneal tendons track are frequent symptoms, but they can be confused with other causes of lateral ankle pain. The management of peroneal disorders can be conservative or surgical. When the conservative treatment fails, surgery is indicated, and open or tendoscopic synovectomy, tubularization, tenodesis or tendon transfers can be performed. The authors present a surgical technique of tendoscopy associated to minimally invasive tenodesis for the treatment of peroneal tendon tears, as well as the preliminary results of patients submitted to this procedure. Methods: Four patients with chronic lateral ankle pain who were diagnosed with peroneal brevis pathology were treated between 2020 and 2022 with tendoscopic-assisted minimally invasive synovectomy and tenodesis. Using a 2.7 mm 30° arthroscope and a 3.0 mm shaver blade, the entire length of the peroneus brevis tendon and most parts of the peroneus longus tendon can be assessed within Sammarco’s zones 1 and 2. After the inspection and synovectomy, a minimally invasive tenodesis is performed. Results: All patients were evaluated at least six months after surgery. All of them reported improvement in daily activities and in the Foot Function Index (FFI) questionnaire (pre-surgery mean FFI = 23.86%; post-surgery mean FFI = 6.15%), with no soft tissue complications or sural nerve complaints. Conclusion: The tendoscopy of the peroneal tendons allows the surgeon to assess their integrity, confirm the extent of the lesion, perform synovectomy, prepare the tendon for tenodesis, and perform it in a safe and minimally invasive way, reducing the risks inherent to the open procedure. Full article

Tectonic coal seams are characterized by soft, low permeability and high gas outburst. The traditional gas control method is the intensive drilling and extraction in this seam, which is not only large in engineering quantity, high in cost, difficult to form holes and low in extraction efficiency, but also easy to induce coal and gas outburst, which is a difficult problem for global coal mine gas control. To solve this difficult problem, the controllable shockwave equipment developed by the author’s team and successfully applied in the practice of permeability enhancement of coal seam, combined with the principles of shock vibration sound wave generation and shock wave attenuation and evolution in the rock stratum, a new idea of loading a controllable shock wave in the roof and floor of coal seam is proposed. The shock wave first attenuates and evolves into a high-strength sound wave in the roof and floor rock stratum, and then enters and loads into the coal seam to achieve the purpose of increasing permeability without damaging the physical properties of the tectonic coal seam and facilitating the opening of the original fractures. According to the new technical ideas, the implementation scheme and key parameters of the gas pre-extraction models in tectonic coal seam are designed, including the penetration drilling, roof and floor horizontal holes, shield tunneling and the high-strength acoustic wave of the working face, which provides a new technical approach to solve the problem of high efficiency and low cost gas extraction in the tectonic coal seam. Full article

Proper fixation techniques are crucial in orthopedic surgery for the treatment of various medical conditions. Fractures of the distal humerus can occur due to either high-energy trauma with skin rupture or low-energy trauma in osteoporotic bone. The recommended surgical approach for treating these extra-articular distal humerus fractures involves performing an open reduction and internal fixation procedure using plate implants. This surgical intervention plays a crucial role in enhancing patient recovery and minimizing soft tissue complications. Dynamic Compression Plates (DCPs) and Locking Compression Plates (LCPs) are commonly used for bone fixation, with LCP extra-articular distal humerus plates being the preferred choice for extra-articular fractures. These fixation systems have anatomically shaped designs that provide angular stability to the bone. However, depending on the shape and position of the bone fracture, additional plate bending may be required during surgery. This can pose challenges such as increased surgery time and the risk of incorrect plate shaping. To enhance the accuracy of plate placement, the study introduces the Method of Anatomical Features (MAF) in conjunction with the Characteristic Product Features methodology (CPF). The utilization of the MAF enables the development of a parametric model for the contact surface between the plate and the humerus. This model is created using specialized Referential Geometrical Entities (RGEs), Constitutive Geometrical Entities (CGEs), and Regions of Interest (ROI) that are specific to the human humerus bone. By utilizing this anatomically tailored contact surface model, the standard plate model can be customized (bent) to precisely conform to the distinct shape of the patient’s humerus bone during the pre-operative planning phase. Alternatively, the newly designed model can be fabricated using a specific manufacturing technology. This approach aims to improve geometrical accuracy of plate fixation, thus optimizing surgical outcomes and patient recovery. Full article