Excavation-induced deformations of earth-retaining walls(ERWs)can critically affect the safety of surrounding structures,highlighting the need for reliable prediction models to support timely decision-making during co...Excavation-induced deformations of earth-retaining walls(ERWs)can critically affect the safety of surrounding structures,highlighting the need for reliable prediction models to support timely decision-making during construction.This study utilizes traditional statistical ARIMA(Auto-Regressive Integrated Moving Average)and deep learning-based LSTM(Long Short-Term Memory)models to predict earth-retaining walls deformation using inclinometer data from excavation sites and compares the predictive performance of both models.The ARIMA model demonstrates strengths in analyzing linear patterns in time-series data as it progresses over time,whereas LSTM exhibits superior capabilities in capturing complex non-linear patterns and long-term dependencies within the time series data.This research includes preprocessing of measurement data for inclinometer,performance evaluation based on various time series data lengths and input variable conditions,and demonstrates that the LSTM model offers statistically significant improvements in predictive performance over the ARIMA model.In addition,by combining LSTM with attention mechanism,attention-based LSTM(ATLSTM)is proposed to improve the short-and long-term prediction performance and solve the problem of excavation site domain change.This study presents the advantages and disadvantages of major time series analysis models for the stability evaluation of mud walls using geotechnical inclinometer data from excavation sites,and suggests that time series analysis models can be used effectively through comparative experiments.展开更多
Hydrogen-induced cracking (HIC) is one of the most complex material problems that hydrogen can diffuse into and interact with microstructure, degrading their mechanical properties. Microstructural modification is an e...Hydrogen-induced cracking (HIC) is one of the most complex material problems that hydrogen can diffuse into and interact with microstructure, degrading their mechanical properties. Microstructural modification is an effective way to enhance the resistance to HIC. The present study focused on the relationship between the retained austenite (RA) and HIC behavior in NiCrMoV/Nb multi-alloying ultra-strength steel. Results demonstrated that the maximum volume fraction of RA of 9.31% was obtained for QL30T specimen. After the deep cryogenic pretreatment, the volume fraction of RA reduced to 8.8%. RA could reduce the effective diffusion coefficient, while deep cryogenic pretreatment increased the susceptibility of the steel to HIC by a maxim of 14.8%. This was mainly due to the transformation of retained austenite into martensite, degrading the mechanical properties under hydrogen-charged condition. In addition, the deep cryogenic pretreatment had a significant effect on the crack initiation and propagation, with the intergranular (IG) fracture becoming the dominant fracture mode where an increase in the number of secondary cracks in the section. The interfaces of RA and matrix, as well as the grain boundaries, were the preferred sites for cracks initiation.展开更多
Retaining walls are utilized to support the earth and prevent the soil from spreading with natural slope angles where there are differences in the elevation of ground surfaces.As the need for retaining structures incr...Retaining walls are utilized to support the earth and prevent the soil from spreading with natural slope angles where there are differences in the elevation of ground surfaces.As the need for retaining structures increases,the use of retaining walls is increasing.The retaining walls,which increase the stability of levels,are economical and meet existing adverse conditions.A considerable amount of retaining walls is made from steel-reinforced concrete.The construction of reinforced concrete retaining walls can be costly due to its components.For this reason,the optimum cost should be targeted in the design of retaining walls.This study presents an artificial neural network(ANN)model developed to predict the optimum dimensions of a retaining wall using soil properties,material properties,and external loading conditions.The dataset utilized to train the ANN model is generated with the Flower Pollination Algorithm.The target variables in the dataset are the length of the heel(y1),length of the toe(y2),thickness of the stem(top)(y3),thickness of the stem(bottom)(y4),foundation base thickness(y5)and cost(y6)and these are estimated by utilizing an ANN model based on the height of the wall(x1),material unit weight(x2),wall friction angle(x3),surcharge load(x4),concrete cost per m3(x5),steel cost per ton(x6)and the soil class(x7).The model is formulated and trained as a multi-output regression model,as all outputs are numeric and continuous.The training and evaluation of the model results in a high prediction performance(R20.99).In addition,the impacts of different input features on the model>predictions are revealed using the SHapley Additive exPlanations(SHAP)algorithm.The study demonstrates that when trained with a large dataset,ANN models perform very well by predicting the optimal cost with high performance.展开更多
Gob-side entry retaining(GER)is widely applied in China.Nevertheless,the stability mechanism of the GER with coal pilla r-backfill body(CPBB)under dynamic overburden load remains unexplored.A voussoir beam structure(V...Gob-side entry retaining(GER)is widely applied in China.Nevertheless,the stability mechanism of the GER with coal pilla r-backfill body(CPBB)under dynamic overburden load remains unexplored.A voussoir beam structure(VBS)model is established to analyze roof structure stability during panel advancement,introducing a VBS stability criterion.Reducing block B length l and immediate roof damage variable D,and increasing coal pillar widthχ_(c).lowers the GER structure instability risk.Reducing l and the GER width w leads to a CPBB system stability upswing.A UDEC model was established to systematically reveal how the l,backfill body width x_(b),and strength affect the stability and coupling performance of the CPPB system by monitoring the crack damage D_(C).Simulation results indicate that at l=14 m,χ_(b)=2.0 m,watercement ratio 1.5:1,the coal pillar and backfill body have similar D_(C)but maintain stability,resulting in CPPB system coupling degree K,better.A novel GER method supported by the CPBB was implemented on-site.Monitoring results indicated that the coal pillar peak stresses were 19.17 MPa(ahead),16.14 MPa(behind),and the backfill body peak stress was 12.27 MPa(maximum).The floor heave was380 mm,with a 103 mm backfill body rib.展开更多
Corrosion is an essential issue limiting the application of high-strength low-carbon steel in seawater environment. The impact of retained austenite on its corrosion behavior with immersion experiments and related cor...Corrosion is an essential issue limiting the application of high-strength low-carbon steel in seawater environment. The impact of retained austenite on its corrosion behavior with immersion experiments and related corrosion sensor technology was explored. A model that clarifies the micro-galvanic effect and the heat-induced changes to the shape and composition of retained austenite was used to discuss the findings. The results indicated that retained austenite was generated following an intercritical process and demonstrated approximately 48 mV higher Volta potential than the matrix. The retained austenite content first increased and then decreased with increasing intercritical temperatures, while reaching the maximum value of 8.5% at 660℃. With the increase in retained austenite content, the corrosion rate was increased by up to 32.8% compared to “quenching + tempering” (QT) specimen. The interfaces between the retained austenite and matrix were the priority nucleation sites for corrosion. Moreover, the retained austenite reduced the corrosion resistance of the steel by increasing the micro-galvanic effect and reducing rust layer compactness.展开更多
The 110-mining method,a rising and revolutionary non-pillar longwall mining method,can obviously expand coal extraction ratio and minimize roadway incidents.However,in case of composite hard roof,problems such as diff...The 110-mining method,a rising and revolutionary non-pillar longwall mining method,can obviously expand coal extraction ratio and minimize roadway incidents.However,in case of composite hard roof,problems such as difficulty in commanding the entry steadiness and insufficient fragmentation and bulking of the goaf gangue are prevalent.In this study,a 110-mining method for roadway surrounding rock stability control technology based on a compensation mechanism was proposed.First,the composite hard roof cutting short cantilever beam(SCB)model was built and the compensation mechanism including stress and space dual compensation was studied.Subsequently,the controllable elements influencing the roadway steadiness were confirmed to consequently put forward a control technology based on stress compensation for entry support and space compensation for the fragmentation and bulking of goaf gangue.The control technology was finally verified through onsite engineering experiments in terms of composite hard roof.The adoption of the 110-mining method with compensation control technology indicated good support effect on the roadway.The initial and residual expansion coefficients of the goaf gangue increased by 0.6 and 0.6,respectively,and the maximum and average working resistances of the working face support decreased by 10.9%and 13.8%,respectively.Consequently,the deformations of reserved entry decreased,and entry steadiness was enhanced.The presented technique and effects got probably have practical values for non-pillar mining functions in comparable field.展开更多
To accurately investigate the evolution characteristics and generation mechanism of retained oil,the study analyzed organic-rich lacustrine shale samples from the Paleogene Kongdian Formation in Cangdong Sag,Bohai Bay...To accurately investigate the evolution characteristics and generation mechanism of retained oil,the study analyzed organic-rich lacustrine shale samples from the Paleogene Kongdian Formation in Cangdong Sag,Bohai Bay Basin.This analysis involves Rock-Eval pyrolysis,pyrolysis simulation experiments,Gas Chromatograph Mass Spectrometer(GC-MS),and reactive molecular dynamics simulations(ReaxFF).The results revealed the retained oil primarily consisted of n-alkanes with carbon numbers ranging from C14 to C36.The generation of retained oil occurred through three stages.A slow growth stage of production rate was observed before reaching the peak of oil production in Stage Ⅰ.Stage Ⅱ involved a rapid increase in oil retention,with C12-C17 and C24-C32 serving as the primary components,increasing continuously during the pyrolysis process.The generation process involved the cleavage of weak bonds,including bridging bonds(hydroxyl,oxy,peroxy,imino,amino,and nitro),ether bonds,and acid amides in the first stage(Ro=0.50%-0.75%).The carbon chains in aromatic ring structures with heteroatomic functional groups breaks in the second stage(R_(o)=0.75%-1.20%).In the third stage(R_(o)=1.20%-2.50%),the ring structures underwent ring-opening reactions to synthesize iso-short-chain olefins and radicals,while further breakdown of aliphatic chains occurred.By coupling pyrolysis simu-lation experiments and molecular simulation technology,the evolution characteristics and bond breaking mechanism of retained oil in three stages were revealed,providing a reference for the for-mation and evolution mechanism of retained oil.展开更多
This study examines the nonlinear behaviors of a clamped-clamped porous pipe made of a functionally graded material(FGM)that conveys fluids and is equipped with a retaining clip,focusing on primary resonance and subcr...This study examines the nonlinear behaviors of a clamped-clamped porous pipe made of a functionally graded material(FGM)that conveys fluids and is equipped with a retaining clip,focusing on primary resonance and subcritical dynamics.The nonlinear governing equations for the FGM pipe are derived by the extended Hamilton's principle,and subsequently discretized through the application of the Galerkin method.The direct method of multi-scales is then used to solve the derived equations.A thorough analysis of various parameters,including the clip stiffness,the power-law index,the porosity,and the clip location,is conducted to gain a comprehensive understanding of the system's nonlinear dynamics.Through the analysis of the first natural frequency,the study highlights the influence of the flow velocity and the clip stiffness,while the comparisons with metallic pipes emphasize the role of FGM composition.The examination of the forced response curves reveals saddle-node bifurcations and their dependence on parameters such as the detuning parameter and the power-law index,offering valuable insights into the system's nonlinear resonant behavior.Furthermore,the frequency-response curves illustrate the hardening nonlinearities influenced by factors such as the porosity and the clip stiffness,revealing nuanced effects on the system response and resonance characteristics.This comprehensive analysis enhances the understanding of nonlinear behaviors in FGM porous pipes with a retaining clip,providing key insights for practical engineering applications in system design and optimization.展开更多
FGH 95 is a powder metallurgy （P/M） processed superalloy, which was developed in the 1980s in China. One of the applications of FGH 95 was high pressure turbine blade retainers. The manufacturing processes used to p...FGH 95 is a powder metallurgy （P/M） processed superalloy, which was developed in the 1980s in China. One of the applications of FGH 95 was high pressure turbine blade retainers. The manufacturing processes used to produce FGH 95 blade retainers consisted of atomization by plasma rotating electrode process （PREP）, hot isostatic pressing （HIP） at super-solvus temperature and a sub-solvus solution heat treatment. The material had an equiaxed grain structure （ASTM 6.5-7.5）. The γ precipitates in as-HIP FGH 95 showed a tri-model distribution. Carbides in the alloy were MC type and precipitated at grain boundaries. The prior particle boundaries （PPB） in the material originated mainly from γ＇ phase. Statistics of the mechanical properties data from batch production of the FGH 95 blade retainers were investigated. The as-HIP FGH 95 blade retainers showed high strength at room temperature and 650 ℃, excellent creep resistance and outstanding stress rupture strength at 650 ℃.展开更多
Enhancing the ductility and toughness of advanced high-strength steels is essential for the wide range of promising applications.The retained austenite(RA)is a key phase due to the austenite-to-martensite transformati...Enhancing the ductility and toughness of advanced high-strength steels is essential for the wide range of promising applications.The retained austenite(RA)is a key phase due to the austenite-to-martensite transformation and its transformation-induced plasticity effect.It is commonly accepted that slow RA-to-martensite transformation is beneficial to ductility;therefore,the RA fraction and stability should be carefully controlled.The RA stability is related to its morphology,size,carbon content,neighboring phase and orientation.Importantly,these factors are cross-influenced.It is noteworthy that the influence of RA on ductility and fracture toughness is not consistent because of their difference in stress state.There is no clear relationship between fracture toughness and tensile properties.Thus,it is important to understand the role of RA in toughness.The toughness is enhanced during the RA-to-martensite transformation,while the fracture toughness is decreased due to the formation of fresh and brittle martensite.As a result,the findings regarding to the effect of RA on fracture toughness are conflicting.Further investigations should be conducted in order to fully understand the effects of RA on ductility and fracture toughness,which can optimize the combination of ductility and toughness in AHSSs.展开更多
Existing studies have focused on the behavior of the retaining wall equipped with expanded polystyrene(EPS)geofoam inclusions under semi-infinite surcharge loading rather than limited surcharge loading.In this paper,t...Existing studies have focused on the behavior of the retaining wall equipped with expanded polystyrene(EPS)geofoam inclusions under semi-infinite surcharge loading rather than limited surcharge loading.In this paper,the failure mode and the earth pressure acting on the rigid retaining wall with EPS geofoam inclusions and granular backfills(henceforth referred to as EPS-wall),under limited surcharge loading are investigated through two-and three-dimensional model tests.The testing results show that different from the sliding of almost all the backfill in the EPS-wall under semi-infinite surcharge loading,only an approximately triangular backfill slides in the wall under limited surcharge loading.The distribution of the lateral earth pressure on the EPS-wall under limited surcharge loading is non-linear,and the distribution changes from the increase of the wall depth to the decrease with the increase of the limited surcharge loading.An approach based on the force equilibrium of a differential element is developed to predict the lateral earth pressure behind the EPS-wall subjected to limited surcharge loading,and its performance was fully validated by the three-dimensional model tests.展开更多
Rock avalanches are generally difficult to prevent and control due to their high velocities and the extensive destruction they cause.However,barrier structures constructed along the path of a rock avalanche can partia...Rock avalanches are generally difficult to prevent and control due to their high velocities and the extensive destruction they cause.However,barrier structures constructed along the path of a rock avalanche can partially mitigate the magnitudes and consequences of such catastrophic events.We selected a rock avalanche in Nayong County,Guizhou Province,China as a case to study the effect of the location and height of a retaining wall on the dynamic characteristics of rock avalanche by using both actual terrain-based laboratory-model tests and coupled PFC3D-FLAC3D numerical simulations.Our findings demonstrate that a retaining wall can largely block a rock avalanche and its protective efficacy is significantly influenced by the integrity of the retaining wall.Coupled numerical simulation can serve as a powerful tool for analyzing the interaction between a rock avalanche and a retaining wall,facilitating precise observations of its deformation and destruction.The impact-curve characteristics of the retaining wall depend upon whether or not the rock avalanche-induced destruction is taken into account.The location of the retaining wall exerts a greater influence on the outcome compared to the height and materials of the retaining wall,while implementing a stepped retaining-wall pattern in accordance with the terrain demonstrates optimal efficacy in controlling rock avalanche.展开更多
Background: The integration of the current technology of CBCT and 3D CAD/CAM technology has great potential in the field of orthodontics, which is not yet fully investigated. The purpose of this article is to evaluate...Background: The integration of the current technology of CBCT and 3D CAD/CAM technology has great potential in the field of orthodontics, which is not yet fully investigated. The purpose of this article is to evaluate the accuracy of 3D printed retainers in comparison to vacuum formed retainers. Methods: Alginate impressions were taken for ten patients who have a CBCT scan. A 3D printed retainer and vacuum formed retainer were fabricated. Linear measure-ments were measured by two assessors using digital caliper. Every measure-ment on the 3D printed retainer was compared to the corresponding measure-ment on the thermoformed retainer. The linear measurements were Inter-canine width, Inter-premolar width (first and second premolars), Inter-molar width, Canine-midline length (both sides) and Canine-molar length (both sides). Intra-observer, and inter-observer reliability measurements were done. Results: Results showed excellent intra-observer reliability for the thermoformed retainer and the 3D printed retainer. Inter-observer measurements showed strong agreement between the measurements of the two assessors, for both retainers. The comparison of the thermoformed retainer to the 3D printed retainer showed high statistical agreement, except for the canine-molar on the right side, but with no clinical significance, p value of 0.038 and mean difference 0.19. Conclusions: The new method for fabricating a 3D printed retainer is accurate and reliable in comparison to the vacuum formed retainer (conventional method). CBCT proved to be efficient for fabrication of a custom made appliances.展开更多
Soils are not necessarily uniform and may present linearly varied or layered characteristics,for example the backfilled soils behind rigid retaining walls.In the presence of large lateral thrust imposed by arch bridge...Soils are not necessarily uniform and may present linearly varied or layered characteristics,for example the backfilled soils behind rigid retaining walls.In the presence of large lateral thrust imposed by arch bridge,passive soil failure is possible.A reliable prediction of passive earth pressure for the design of such wall is challenging in complicated soil strata,when adopting the conventional limit analysis method.In order to overcome the challenge for generating a kinematically admissible velocity field and a statically allowable stress field,finite element method is incorporated into limit analysis,forming finiteelement upper-bound(FEUB)and finite-element lower-bound(FELB)methods.Pseudo-static,original and modified pseudo-dynamic approaches are adopted to represent seismic acceleration inputs.After generating feasible velocity and stress fields within discretized elements based on specific criteria,FEUB and FELB formulations of seismic passive earth pressure(coefficient K_(P))can be derived from work rate balance equation and stress equilibrium.Resorting to an interior point algorithm,optimal upper and lower bound solutions are obtained.The proposed FEUB and FELB procedures are well validated by limit equilibrium as well as lower-bound and kinematic analyses.Parametric studies are carried out to investigate the effects of influential factors on seismic K_(P).Notably,true solution of K_(P) is well estimated based on less than 5%difference between FEUB and FELB solutions under such complex scenarios.展开更多
Background: Epidural anesthesia is an effective intervention to treat labor pain and provide analgesia for orthopedic procedures. A rare complication of this technique is epidural catheter retention. Case Presentation...Background: Epidural anesthesia is an effective intervention to treat labor pain and provide analgesia for orthopedic procedures. A rare complication of this technique is epidural catheter retention. Case Presentation: In this case report, we present an otherwise healthy 21-year-old G2P0010 woman at 39 weeks and 3 days gestation whose anesthetic management was complicated by a symptomatic retained epidural catheter fragment. Computed tomography (CT) imaging of her spine showed the fractured catheter within her paraspinal muscles and neurosurgery recommended no surgical intervention at that time. The patient reported resolution of back pain while in the postpartum unit which she continues to endorse two weeks after discharge. Conclusion: Retained epidural catheter is a medical emergency that requires immediate imaging and neurological evaluation. While magnetic resonance imaging is typically regarded as the standard imaging modality for this complication, in epidural sets that contain metallic components, we suggest using CT to avoid the risk of thermal nerve damage. In cases where the patient does not report any acute complaints, nonsurgical management may be appropriate but close follow-up is required to monitor for catheter migration.展开更多
The mechanical properties of the sample and the stability of retained austenite were studied by designing two kinds of ultra-fine bainitic steel with different heat treatment methods austempering above and below Ms(ma...The mechanical properties of the sample and the stability of retained austenite were studied by designing two kinds of ultra-fine bainitic steel with different heat treatment methods austempering above and below Ms(martensite start tem-perature),which were subjected to tensile tests at 20 and 450℃,respectively.The results show that compared to room temperature(20℃)tensile properties,the uniform elongation of the sample at high temperature(450℃)significantly decreased.Specifically,the uniform elongation of the sample austempered above Ms decreased from 8.0%to 3.5%,and the sample austempered below Ms decreased from 10.9%to 3.1%.Additionally,the tensile strength of the sample austempered above Ms significantly decreased(from 1281 to 912 MPa),and the sample austempered below Ms slightly decreased(from 1010 to 974 MPa).This was due to the high carbon content(1.60 wt.%),high mechanical stability,low thermal stability for the retained austenite of the sample austempered below Ms.Besides,the retained austenite decomposed at high temper-atures,the carbon content and transformation driving force were significantly reduced,the transformation rate increased,and the phase transformation content reduced.展开更多
The metastable retained austenite(RA)plays a significant role in the excellent mechanical performance of quenching and partitioning(Q&P)steels,while the volume fraction of RA(V_(RA))is challengeable to directly pr...The metastable retained austenite(RA)plays a significant role in the excellent mechanical performance of quenching and partitioning(Q&P)steels,while the volume fraction of RA(V_(RA))is challengeable to directly predict due to the complicated relationships between the chemical composition and process(like quenching temperature(Qr)).A Gaussian process regression model in machine learning was developed to predict V_(RA),and the model accuracy was further improved by introducing a metallurgical parameter of martensite fraction(fo)to accurately predict V_(RA) in Q&P steels.The developed machine learning model combined with Bayesian global optimization can serve as another selection strategy for the quenching temperature,and this strategy is very effcient as it found the"optimum"Qr with the maximum V_(RA) using only seven consecutive iterations.The benchmark experiment also reveals that the developed machine learning model predicts V_(RA) more accurately than the popular constrained carbon equilibrium thermodynamic model,even better than a thermo-kinetic quenching-partitioning-tempering-local equilibrium model.展开更多
Given the complexities of reinforced soil materials’constitutive relationships,this paper compares reinforced soil composite materials to a sliding structure between steel bars and soil and proposes a reinforced soil...Given the complexities of reinforced soil materials’constitutive relationships,this paper compares reinforced soil composite materials to a sliding structure between steel bars and soil and proposes a reinforced soil constitutive model that takes this sliding into account.A finite element dynamic time history calculation software for composite response analysis was created using the Fortran programming language,and time history analysis was performed on reinforced soil retaining walls and gravity retaining walls.The vibration time histories of reinforced soil retaining walls and gravity retaining walls were computed,and the dynamic reactions of the two types of retaining walls to vibration were compared and studied.The dynamic performance of reinforced earth retaining walls was evaluated.展开更多
Poor design of ground water evacuation mechanisms is often blocked and leads to the rise of ground water behind the wall. As a result, free water behind the wall that is not quickly evacuated, increases the lateral pr...Poor design of ground water evacuation mechanisms is often blocked and leads to the rise of ground water behind the wall. As a result, free water behind the wall that is not quickly evacuated, increases the lateral pressure and thus favors overturning failure. The resolution of the overturning problem in cantilever retaining walls caused by hydro-mechanical interaction was studied. An analytical and numerical method was used to study this type of wall-floor interaction. Then Coulomb’s design criterion against overturning to develop a mathematical model that compute analytical factor of safety against overturning in different water conditions and heel lengths was used. The modeling and simulation of this system in the Cast3m software which took into account a wide variety of floor and wall properties were performed. The numerical factor of safety against rollover was obtained, and the graphs for the factor of safety versus heel length and immersion depth for both methods were plotted. From (0 ≤ Hw ≤ H/3), water effect is not dangerous to wall stability against overturning and from (H/3 Hw ≤ H), water effect is very dangerous to wall stability against overturning. For analytical and numerical methods, the heel can be predimensioned against overturning as: Lc: [0.27H 0.38H], [0.29H 0.43H] for 0 ≤Hw ≤ H/3;[0.33H 0.45H], [0.39H 0.53H] for H/3 Hw ≤ 2H/3;[0.5H 0.6H], [0.50H 0.67H] for 2H/3 Hw≤ H. The numerical method guaranteeing more safety than the analytical method, Cantilever retaining walls can thus be pre-dimensioned considering Clayey-Sand soil in hydro-mechanical conditions.展开更多
BACKGROUND Advances in implant material and design have allowed for improvements in total knee arthroplasty(TKA)outcomes.A cruciate retaining(CR)TKA provides the least constraint of TKA designs by preserving the nativ...BACKGROUND Advances in implant material and design have allowed for improvements in total knee arthroplasty(TKA)outcomes.A cruciate retaining(CR)TKA provides the least constraint of TKA designs by preserving the native posterior cruciate ligament.Limited research exists that has examined clinical outcomes or patient reported outcome measures(PROMs)of a large cohort of patients undergoing a CR TKA utilizing a kinematically designed implant.It was hypothesized that the studied CR Knee System would demonstrate favorable outcomes and a clinically significant improvement in pain and functional scores.AIM To assess both short-term and mid-term clinical outcomes and PROMs of a novel CR TKA design.METHODS A retrospective,multi-surgeon study identified 255 knees undergoing a TKA utilizing a kinematically designed CR Knee System(JOURNEY™II CR;Smith and Nephew,Inc.,Memphis,TN)at an urban,academic medical institution between March 2015 and July 2021 with a minimum of two-years of clinical follow-up with an orthopedic surgeon.Patient demographics,surgical information,clinical outcomes,and PROMs data were collected via query of electronic medical records.The PROMs collected in the present study included the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement(KOOS JR)and Patient-Reported Outcomes Measurement Information System(PROMIS■)scores.The significance of improvements in mean PROM scores from preoperative scores to scores collected at six months and two-years postoperatively was analyzed using Independent Samples t-tests.RESULTS Of the 255 patients,65.5%were female,43.8%were White,and patients had an average age of 60.6 years.Primary osteoarthritis(96.9%)was the most common primary diagnosis.The mean surgical time was 105.3 minutes and mean length of stay was 2.1 d with most patients discharged home(92.5%).There were 18 emergency department(ED)visits within 90 d of surgery resulting in a 90 d ED visit rate of 7.1%,including a 2.4%orthopedic-related ED visit rate and a 4.7%non-orthopedic-related ED visit rate.There were three(1.2%)hospital readmissions within 90 d postoperatively.With a mean time to latest follow-up of 3.3 years,four patients(1.6%)required revision,two for arthrofibrosis,one for aseptic femoral loosening,and one for peri-prosthetic joint infection.There were significant improvements in KOOS JR,PROMIS Pain Intensity,PROMIS Pain Interference,PROMIS Mobility,and PROMIS Physical Health from preoperative scores to six month and two-year postoperative scores.CONCLUSION The evaluated implant is an effective,novel design offering excellent outcomes and low complication rates.At a mean follow up of 3.3 years,four patients required revisions,three aseptic and one septic,resulting in an overall implant survival rate of 98.4%and an aseptic survival rate of 98.8%.The results of our study demonstrate the utility of this kinematically designed implant in the setting of primary TKA.展开更多
基金carried out under the KICT Research Program(Project No.20250285-001,Development of Infrastructure Disaster Prevention Technology Based on Satellites SAR)funded by the Ministry of Science and ICT.
文摘Excavation-induced deformations of earth-retaining walls(ERWs)can critically affect the safety of surrounding structures,highlighting the need for reliable prediction models to support timely decision-making during construction.This study utilizes traditional statistical ARIMA(Auto-Regressive Integrated Moving Average)and deep learning-based LSTM(Long Short-Term Memory)models to predict earth-retaining walls deformation using inclinometer data from excavation sites and compares the predictive performance of both models.The ARIMA model demonstrates strengths in analyzing linear patterns in time-series data as it progresses over time,whereas LSTM exhibits superior capabilities in capturing complex non-linear patterns and long-term dependencies within the time series data.This research includes preprocessing of measurement data for inclinometer,performance evaluation based on various time series data lengths and input variable conditions,and demonstrates that the LSTM model offers statistically significant improvements in predictive performance over the ARIMA model.In addition,by combining LSTM with attention mechanism,attention-based LSTM(ATLSTM)is proposed to improve the short-and long-term prediction performance and solve the problem of excavation site domain change.This study presents the advantages and disadvantages of major time series analysis models for the stability evaluation of mud walls using geotechnical inclinometer data from excavation sites,and suggests that time series analysis models can be used effectively through comparative experiments.
文摘Hydrogen-induced cracking (HIC) is one of the most complex material problems that hydrogen can diffuse into and interact with microstructure, degrading their mechanical properties. Microstructural modification is an effective way to enhance the resistance to HIC. The present study focused on the relationship between the retained austenite (RA) and HIC behavior in NiCrMoV/Nb multi-alloying ultra-strength steel. Results demonstrated that the maximum volume fraction of RA of 9.31% was obtained for QL30T specimen. After the deep cryogenic pretreatment, the volume fraction of RA reduced to 8.8%. RA could reduce the effective diffusion coefficient, while deep cryogenic pretreatment increased the susceptibility of the steel to HIC by a maxim of 14.8%. This was mainly due to the transformation of retained austenite into martensite, degrading the mechanical properties under hydrogen-charged condition. In addition, the deep cryogenic pretreatment had a significant effect on the crack initiation and propagation, with the intergranular (IG) fracture becoming the dominant fracture mode where an increase in the number of secondary cracks in the section. The interfaces of RA and matrix, as well as the grain boundaries, were the preferred sites for cracks initiation.
文摘Retaining walls are utilized to support the earth and prevent the soil from spreading with natural slope angles where there are differences in the elevation of ground surfaces.As the need for retaining structures increases,the use of retaining walls is increasing.The retaining walls,which increase the stability of levels,are economical and meet existing adverse conditions.A considerable amount of retaining walls is made from steel-reinforced concrete.The construction of reinforced concrete retaining walls can be costly due to its components.For this reason,the optimum cost should be targeted in the design of retaining walls.This study presents an artificial neural network(ANN)model developed to predict the optimum dimensions of a retaining wall using soil properties,material properties,and external loading conditions.The dataset utilized to train the ANN model is generated with the Flower Pollination Algorithm.The target variables in the dataset are the length of the heel(y1),length of the toe(y2),thickness of the stem(top)(y3),thickness of the stem(bottom)(y4),foundation base thickness(y5)and cost(y6)and these are estimated by utilizing an ANN model based on the height of the wall(x1),material unit weight(x2),wall friction angle(x3),surcharge load(x4),concrete cost per m3(x5),steel cost per ton(x6)and the soil class(x7).The model is formulated and trained as a multi-output regression model,as all outputs are numeric and continuous.The training and evaluation of the model results in a high prediction performance(R20.99).In addition,the impacts of different input features on the model>predictions are revealed using the SHapley Additive exPlanations(SHAP)algorithm.The study demonstrates that when trained with a large dataset,ANN models perform very well by predicting the optimal cost with high performance.
基金financial support provided by the National Natural Science Foundation of China(Nos.52574126and 52574144)the Xinjiang Uygur Autonomous Region Key R&D Project Task Special-Department and Department Linkage Project(No.2022B01051)+4 种基金the Major Project of Regional Joint Foundation of China(No.U21A20107)the Xinjiang Uygur Autonomous Region Tianchi Introduction Plan(No.2024XGYTCYC03)the Scientific Research Fund of Hunan Provincial Education Department(No.24A0359)the Urumqi City Hongshan Sci-Tech Innvoation Elite Talents Youth Top Talents Program(No.B241013004)the National Key Research and Development Program Young Scientists Project(No.2024YFC2910600)。
文摘Gob-side entry retaining(GER)is widely applied in China.Nevertheless,the stability mechanism of the GER with coal pilla r-backfill body(CPBB)under dynamic overburden load remains unexplored.A voussoir beam structure(VBS)model is established to analyze roof structure stability during panel advancement,introducing a VBS stability criterion.Reducing block B length l and immediate roof damage variable D,and increasing coal pillar widthχ_(c).lowers the GER structure instability risk.Reducing l and the GER width w leads to a CPBB system stability upswing.A UDEC model was established to systematically reveal how the l,backfill body width x_(b),and strength affect the stability and coupling performance of the CPPB system by monitoring the crack damage D_(C).Simulation results indicate that at l=14 m,χ_(b)=2.0 m,watercement ratio 1.5:1,the coal pillar and backfill body have similar D_(C)but maintain stability,resulting in CPPB system coupling degree K,better.A novel GER method supported by the CPBB was implemented on-site.Monitoring results indicated that the coal pillar peak stresses were 19.17 MPa(ahead),16.14 MPa(behind),and the backfill body peak stress was 12.27 MPa(maximum).The floor heave was380 mm,with a 103 mm backfill body rib.
文摘Corrosion is an essential issue limiting the application of high-strength low-carbon steel in seawater environment. The impact of retained austenite on its corrosion behavior with immersion experiments and related corrosion sensor technology was explored. A model that clarifies the micro-galvanic effect and the heat-induced changes to the shape and composition of retained austenite was used to discuss the findings. The results indicated that retained austenite was generated following an intercritical process and demonstrated approximately 48 mV higher Volta potential than the matrix. The retained austenite content first increased and then decreased with increasing intercritical temperatures, while reaching the maximum value of 8.5% at 660℃. With the increase in retained austenite content, the corrosion rate was increased by up to 32.8% compared to “quenching + tempering” (QT) specimen. The interfaces between the retained austenite and matrix were the priority nucleation sites for corrosion. Moreover, the retained austenite reduced the corrosion resistance of the steel by increasing the micro-galvanic effect and reducing rust layer compactness.
基金This work described herein was supported by the Program of China Scholarship Council(202206430008)the National Natural Science Foundation of China(NSFC)(52074300 and 52304111)+1 种基金the Yueqi Young Scholars Project of China University of Mining and Technology Beijing(2602021RC84)the Guizhou province science and technology planning project([2020]3007 and[2020]2Y019).
文摘The 110-mining method,a rising and revolutionary non-pillar longwall mining method,can obviously expand coal extraction ratio and minimize roadway incidents.However,in case of composite hard roof,problems such as difficulty in commanding the entry steadiness and insufficient fragmentation and bulking of the goaf gangue are prevalent.In this study,a 110-mining method for roadway surrounding rock stability control technology based on a compensation mechanism was proposed.First,the composite hard roof cutting short cantilever beam(SCB)model was built and the compensation mechanism including stress and space dual compensation was studied.Subsequently,the controllable elements influencing the roadway steadiness were confirmed to consequently put forward a control technology based on stress compensation for entry support and space compensation for the fragmentation and bulking of goaf gangue.The control technology was finally verified through onsite engineering experiments in terms of composite hard roof.The adoption of the 110-mining method with compensation control technology indicated good support effect on the roadway.The initial and residual expansion coefficients of the goaf gangue increased by 0.6 and 0.6,respectively,and the maximum and average working resistances of the working face support decreased by 10.9%and 13.8%,respectively.Consequently,the deformations of reserved entry decreased,and entry steadiness was enhanced.The presented technique and effects got probably have practical values for non-pillar mining functions in comparable field.
基金financially supported by the National Natural Science Foundation of China (Grant No. 42072150)
文摘To accurately investigate the evolution characteristics and generation mechanism of retained oil,the study analyzed organic-rich lacustrine shale samples from the Paleogene Kongdian Formation in Cangdong Sag,Bohai Bay Basin.This analysis involves Rock-Eval pyrolysis,pyrolysis simulation experiments,Gas Chromatograph Mass Spectrometer(GC-MS),and reactive molecular dynamics simulations(ReaxFF).The results revealed the retained oil primarily consisted of n-alkanes with carbon numbers ranging from C14 to C36.The generation of retained oil occurred through three stages.A slow growth stage of production rate was observed before reaching the peak of oil production in Stage Ⅰ.Stage Ⅱ involved a rapid increase in oil retention,with C12-C17 and C24-C32 serving as the primary components,increasing continuously during the pyrolysis process.The generation process involved the cleavage of weak bonds,including bridging bonds(hydroxyl,oxy,peroxy,imino,amino,and nitro),ether bonds,and acid amides in the first stage(Ro=0.50%-0.75%).The carbon chains in aromatic ring structures with heteroatomic functional groups breaks in the second stage(R_(o)=0.75%-1.20%).In the third stage(R_(o)=1.20%-2.50%),the ring structures underwent ring-opening reactions to synthesize iso-short-chain olefins and radicals,while further breakdown of aliphatic chains occurred.By coupling pyrolysis simu-lation experiments and molecular simulation technology,the evolution characteristics and bond breaking mechanism of retained oil in three stages were revealed,providing a reference for the for-mation and evolution mechanism of retained oil.
文摘This study examines the nonlinear behaviors of a clamped-clamped porous pipe made of a functionally graded material(FGM)that conveys fluids and is equipped with a retaining clip,focusing on primary resonance and subcritical dynamics.The nonlinear governing equations for the FGM pipe are derived by the extended Hamilton's principle,and subsequently discretized through the application of the Galerkin method.The direct method of multi-scales is then used to solve the derived equations.A thorough analysis of various parameters,including the clip stiffness,the power-law index,the porosity,and the clip location,is conducted to gain a comprehensive understanding of the system's nonlinear dynamics.Through the analysis of the first natural frequency,the study highlights the influence of the flow velocity and the clip stiffness,while the comparisons with metallic pipes emphasize the role of FGM composition.The examination of the forced response curves reveals saddle-node bifurcations and their dependence on parameters such as the detuning parameter and the power-law index,offering valuable insights into the system's nonlinear resonant behavior.Furthermore,the frequency-response curves illustrate the hardening nonlinearities influenced by factors such as the porosity and the clip stiffness,revealing nuanced effects on the system response and resonance characteristics.This comprehensive analysis enhances the understanding of nonlinear behaviors in FGM porous pipes with a retaining clip,providing key insights for practical engineering applications in system design and optimization.
文摘FGH 95 is a powder metallurgy （P/M） processed superalloy, which was developed in the 1980s in China. One of the applications of FGH 95 was high pressure turbine blade retainers. The manufacturing processes used to produce FGH 95 blade retainers consisted of atomization by plasma rotating electrode process （PREP）, hot isostatic pressing （HIP） at super-solvus temperature and a sub-solvus solution heat treatment. The material had an equiaxed grain structure （ASTM 6.5-7.5）. The γ precipitates in as-HIP FGH 95 showed a tri-model distribution. Carbides in the alloy were MC type and precipitated at grain boundaries. The prior particle boundaries （PPB） in the material originated mainly from γ＇ phase. Statistics of the mechanical properties data from batch production of the FGH 95 blade retainers were investigated. The as-HIP FGH 95 blade retainers showed high strength at room temperature and 650 ℃, excellent creep resistance and outstanding stress rupture strength at 650 ℃.
基金supported by the National Natural Science Foundation of China(Nos.52271004 and 51901021).
文摘Enhancing the ductility and toughness of advanced high-strength steels is essential for the wide range of promising applications.The retained austenite(RA)is a key phase due to the austenite-to-martensite transformation and its transformation-induced plasticity effect.It is commonly accepted that slow RA-to-martensite transformation is beneficial to ductility;therefore,the RA fraction and stability should be carefully controlled.The RA stability is related to its morphology,size,carbon content,neighboring phase and orientation.Importantly,these factors are cross-influenced.It is noteworthy that the influence of RA on ductility and fracture toughness is not consistent because of their difference in stress state.There is no clear relationship between fracture toughness and tensile properties.Thus,it is important to understand the role of RA in toughness.The toughness is enhanced during the RA-to-martensite transformation,while the fracture toughness is decreased due to the formation of fresh and brittle martensite.As a result,the findings regarding to the effect of RA on fracture toughness are conflicting.Further investigations should be conducted in order to fully understand the effects of RA on ductility and fracture toughness,which can optimize the combination of ductility and toughness in AHSSs.
基金funding support from National Natural Science Foundation of China(Grant No.52179109)Jiangsu Provincial Natural Science Foundation(Grant No.BK20230967)Open Research Fund of State Key Laboratory of Mechanical Behavior and System Safety of Traffic Engineering Structures,Shijiazhuang Tiedao University(Grant No.KF2022-02).
文摘Existing studies have focused on the behavior of the retaining wall equipped with expanded polystyrene(EPS)geofoam inclusions under semi-infinite surcharge loading rather than limited surcharge loading.In this paper,the failure mode and the earth pressure acting on the rigid retaining wall with EPS geofoam inclusions and granular backfills(henceforth referred to as EPS-wall),under limited surcharge loading are investigated through two-and three-dimensional model tests.The testing results show that different from the sliding of almost all the backfill in the EPS-wall under semi-infinite surcharge loading,only an approximately triangular backfill slides in the wall under limited surcharge loading.The distribution of the lateral earth pressure on the EPS-wall under limited surcharge loading is non-linear,and the distribution changes from the increase of the wall depth to the decrease with the increase of the limited surcharge loading.An approach based on the force equilibrium of a differential element is developed to predict the lateral earth pressure behind the EPS-wall subjected to limited surcharge loading,and its performance was fully validated by the three-dimensional model tests.
基金Hunan Provincial key Laboratory of key Technology on Hydropower Development Open Research Fund (PKLHD202203)
文摘Rock avalanches are generally difficult to prevent and control due to their high velocities and the extensive destruction they cause.However,barrier structures constructed along the path of a rock avalanche can partially mitigate the magnitudes and consequences of such catastrophic events.We selected a rock avalanche in Nayong County,Guizhou Province,China as a case to study the effect of the location and height of a retaining wall on the dynamic characteristics of rock avalanche by using both actual terrain-based laboratory-model tests and coupled PFC3D-FLAC3D numerical simulations.Our findings demonstrate that a retaining wall can largely block a rock avalanche and its protective efficacy is significantly influenced by the integrity of the retaining wall.Coupled numerical simulation can serve as a powerful tool for analyzing the interaction between a rock avalanche and a retaining wall,facilitating precise observations of its deformation and destruction.The impact-curve characteristics of the retaining wall depend upon whether or not the rock avalanche-induced destruction is taken into account.The location of the retaining wall exerts a greater influence on the outcome compared to the height and materials of the retaining wall,while implementing a stepped retaining-wall pattern in accordance with the terrain demonstrates optimal efficacy in controlling rock avalanche.
文摘Background: The integration of the current technology of CBCT and 3D CAD/CAM technology has great potential in the field of orthodontics, which is not yet fully investigated. The purpose of this article is to evaluate the accuracy of 3D printed retainers in comparison to vacuum formed retainers. Methods: Alginate impressions were taken for ten patients who have a CBCT scan. A 3D printed retainer and vacuum formed retainer were fabricated. Linear measure-ments were measured by two assessors using digital caliper. Every measure-ment on the 3D printed retainer was compared to the corresponding measure-ment on the thermoformed retainer. The linear measurements were Inter-canine width, Inter-premolar width (first and second premolars), Inter-molar width, Canine-midline length (both sides) and Canine-molar length (both sides). Intra-observer, and inter-observer reliability measurements were done. Results: Results showed excellent intra-observer reliability for the thermoformed retainer and the 3D printed retainer. Inter-observer measurements showed strong agreement between the measurements of the two assessors, for both retainers. The comparison of the thermoformed retainer to the 3D printed retainer showed high statistical agreement, except for the canine-molar on the right side, but with no clinical significance, p value of 0.038 and mean difference 0.19. Conclusions: The new method for fabricating a 3D printed retainer is accurate and reliable in comparison to the vacuum formed retainer (conventional method). CBCT proved to be efficient for fabrication of a custom made appliances.
基金The research was financially supported by National Natural Science Foundation of China(Grant Nos.52108302 and 52009046)Fundamental Research Funds for the Central Universities of Hua-qiao University(Grant No.ZQN-914).
文摘Soils are not necessarily uniform and may present linearly varied or layered characteristics,for example the backfilled soils behind rigid retaining walls.In the presence of large lateral thrust imposed by arch bridge,passive soil failure is possible.A reliable prediction of passive earth pressure for the design of such wall is challenging in complicated soil strata,when adopting the conventional limit analysis method.In order to overcome the challenge for generating a kinematically admissible velocity field and a statically allowable stress field,finite element method is incorporated into limit analysis,forming finiteelement upper-bound(FEUB)and finite-element lower-bound(FELB)methods.Pseudo-static,original and modified pseudo-dynamic approaches are adopted to represent seismic acceleration inputs.After generating feasible velocity and stress fields within discretized elements based on specific criteria,FEUB and FELB formulations of seismic passive earth pressure(coefficient K_(P))can be derived from work rate balance equation and stress equilibrium.Resorting to an interior point algorithm,optimal upper and lower bound solutions are obtained.The proposed FEUB and FELB procedures are well validated by limit equilibrium as well as lower-bound and kinematic analyses.Parametric studies are carried out to investigate the effects of influential factors on seismic K_(P).Notably,true solution of K_(P) is well estimated based on less than 5%difference between FEUB and FELB solutions under such complex scenarios.
文摘Background: Epidural anesthesia is an effective intervention to treat labor pain and provide analgesia for orthopedic procedures. A rare complication of this technique is epidural catheter retention. Case Presentation: In this case report, we present an otherwise healthy 21-year-old G2P0010 woman at 39 weeks and 3 days gestation whose anesthetic management was complicated by a symptomatic retained epidural catheter fragment. Computed tomography (CT) imaging of her spine showed the fractured catheter within her paraspinal muscles and neurosurgery recommended no surgical intervention at that time. The patient reported resolution of back pain while in the postpartum unit which she continues to endorse two weeks after discharge. Conclusion: Retained epidural catheter is a medical emergency that requires immediate imaging and neurological evaluation. While magnetic resonance imaging is typically regarded as the standard imaging modality for this complication, in epidural sets that contain metallic components, we suggest using CT to avoid the risk of thermal nerve damage. In cases where the patient does not report any acute complaints, nonsurgical management may be appropriate but close follow-up is required to monitor for catheter migration.
基金The authors gratefully acknowledge the financial support from the National Natural Science Foundation of China(52071238)Leading Innovation and Entrepreneurship Team in Zhejiang Province(2021R01020)+2 种基金the Key Research and Development Program of Hubei Province(2021BAA057)Science and Technology Program of Guangxi Province(AA22068080)the 111 Project.
文摘The mechanical properties of the sample and the stability of retained austenite were studied by designing two kinds of ultra-fine bainitic steel with different heat treatment methods austempering above and below Ms(martensite start tem-perature),which were subjected to tensile tests at 20 and 450℃,respectively.The results show that compared to room temperature(20℃)tensile properties,the uniform elongation of the sample at high temperature(450℃)significantly decreased.Specifically,the uniform elongation of the sample austempered above Ms decreased from 8.0%to 3.5%,and the sample austempered below Ms decreased from 10.9%to 3.1%.Additionally,the tensile strength of the sample austempered above Ms significantly decreased(from 1281 to 912 MPa),and the sample austempered below Ms slightly decreased(from 1010 to 974 MPa).This was due to the high carbon content(1.60 wt.%),high mechanical stability,low thermal stability for the retained austenite of the sample austempered below Ms.Besides,the retained austenite decomposed at high temper-atures,the carbon content and transformation driving force were significantly reduced,the transformation rate increased,and the phase transformation content reduced.
基金The authors acknowledge financial support from the National Natural Science Foundation of China(Grant Nos.51771114 and 51371117).
文摘The metastable retained austenite(RA)plays a significant role in the excellent mechanical performance of quenching and partitioning(Q&P)steels,while the volume fraction of RA(V_(RA))is challengeable to directly predict due to the complicated relationships between the chemical composition and process(like quenching temperature(Qr)).A Gaussian process regression model in machine learning was developed to predict V_(RA),and the model accuracy was further improved by introducing a metallurgical parameter of martensite fraction(fo)to accurately predict V_(RA) in Q&P steels.The developed machine learning model combined with Bayesian global optimization can serve as another selection strategy for the quenching temperature,and this strategy is very effcient as it found the"optimum"Qr with the maximum V_(RA) using only seven consecutive iterations.The benchmark experiment also reveals that the developed machine learning model predicts V_(RA) more accurately than the popular constrained carbon equilibrium thermodynamic model,even better than a thermo-kinetic quenching-partitioning-tempering-local equilibrium model.
基金supported in part by the Chongqing Social Science Planning Project(2021BS064)Chongqing Construction Science and Technology Plan Project(Grant 2023-0187)+1 种基金Special Foundation of Chongqing Postdoctoral Research(2021XM2052)Scientific and Technological Research Program of Chongqing Municipal Education Commission(Grant KJQN202304703).
文摘Given the complexities of reinforced soil materials’constitutive relationships,this paper compares reinforced soil composite materials to a sliding structure between steel bars and soil and proposes a reinforced soil constitutive model that takes this sliding into account.A finite element dynamic time history calculation software for composite response analysis was created using the Fortran programming language,and time history analysis was performed on reinforced soil retaining walls and gravity retaining walls.The vibration time histories of reinforced soil retaining walls and gravity retaining walls were computed,and the dynamic reactions of the two types of retaining walls to vibration were compared and studied.The dynamic performance of reinforced earth retaining walls was evaluated.
文摘Poor design of ground water evacuation mechanisms is often blocked and leads to the rise of ground water behind the wall. As a result, free water behind the wall that is not quickly evacuated, increases the lateral pressure and thus favors overturning failure. The resolution of the overturning problem in cantilever retaining walls caused by hydro-mechanical interaction was studied. An analytical and numerical method was used to study this type of wall-floor interaction. Then Coulomb’s design criterion against overturning to develop a mathematical model that compute analytical factor of safety against overturning in different water conditions and heel lengths was used. The modeling and simulation of this system in the Cast3m software which took into account a wide variety of floor and wall properties were performed. The numerical factor of safety against rollover was obtained, and the graphs for the factor of safety versus heel length and immersion depth for both methods were plotted. From (0 ≤ Hw ≤ H/3), water effect is not dangerous to wall stability against overturning and from (H/3 Hw ≤ H), water effect is very dangerous to wall stability against overturning. For analytical and numerical methods, the heel can be predimensioned against overturning as: Lc: [0.27H 0.38H], [0.29H 0.43H] for 0 ≤Hw ≤ H/3;[0.33H 0.45H], [0.39H 0.53H] for H/3 Hw ≤ 2H/3;[0.5H 0.6H], [0.50H 0.67H] for 2H/3 Hw≤ H. The numerical method guaranteeing more safety than the analytical method, Cantilever retaining walls can thus be pre-dimensioned considering Clayey-Sand soil in hydro-mechanical conditions.
文摘BACKGROUND Advances in implant material and design have allowed for improvements in total knee arthroplasty(TKA)outcomes.A cruciate retaining(CR)TKA provides the least constraint of TKA designs by preserving the native posterior cruciate ligament.Limited research exists that has examined clinical outcomes or patient reported outcome measures(PROMs)of a large cohort of patients undergoing a CR TKA utilizing a kinematically designed implant.It was hypothesized that the studied CR Knee System would demonstrate favorable outcomes and a clinically significant improvement in pain and functional scores.AIM To assess both short-term and mid-term clinical outcomes and PROMs of a novel CR TKA design.METHODS A retrospective,multi-surgeon study identified 255 knees undergoing a TKA utilizing a kinematically designed CR Knee System(JOURNEY™II CR;Smith and Nephew,Inc.,Memphis,TN)at an urban,academic medical institution between March 2015 and July 2021 with a minimum of two-years of clinical follow-up with an orthopedic surgeon.Patient demographics,surgical information,clinical outcomes,and PROMs data were collected via query of electronic medical records.The PROMs collected in the present study included the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement(KOOS JR)and Patient-Reported Outcomes Measurement Information System(PROMIS■)scores.The significance of improvements in mean PROM scores from preoperative scores to scores collected at six months and two-years postoperatively was analyzed using Independent Samples t-tests.RESULTS Of the 255 patients,65.5%were female,43.8%were White,and patients had an average age of 60.6 years.Primary osteoarthritis(96.9%)was the most common primary diagnosis.The mean surgical time was 105.3 minutes and mean length of stay was 2.1 d with most patients discharged home(92.5%).There were 18 emergency department(ED)visits within 90 d of surgery resulting in a 90 d ED visit rate of 7.1%,including a 2.4%orthopedic-related ED visit rate and a 4.7%non-orthopedic-related ED visit rate.There were three(1.2%)hospital readmissions within 90 d postoperatively.With a mean time to latest follow-up of 3.3 years,four patients(1.6%)required revision,two for arthrofibrosis,one for aseptic femoral loosening,and one for peri-prosthetic joint infection.There were significant improvements in KOOS JR,PROMIS Pain Intensity,PROMIS Pain Interference,PROMIS Mobility,and PROMIS Physical Health from preoperative scores to six month and two-year postoperative scores.CONCLUSION The evaluated implant is an effective,novel design offering excellent outcomes and low complication rates.At a mean follow up of 3.3 years,four patients required revisions,three aseptic and one septic,resulting in an overall implant survival rate of 98.4%and an aseptic survival rate of 98.8%.The results of our study demonstrate the utility of this kinematically designed implant in the setting of primary TKA.
