The design of footings on sands is often controlled by settlement rather than bearing capacity.Therefore,settlement predictions are essential in the design of shallow foundations.However,predicted settlements of footi...The design of footings on sands is often controlled by settlement rather than bearing capacity.Therefore,settlement predictions are essential in the design of shallow foundations.However,predicted settlements of footings are highly dependent on the chosen elastic modulus and the used method.This paper presents the use of probabilistic analysis to evaluate the variability of predicted settlements of footings on sands,focusing on the load curve(predicted settlements)characterization.Three methodologies,the first-and second-order second-moment(FOSM and SOSM),and Monte Carlo simulation(MCS),for calculating the mean and variance of the estimated settlements through Schmertmann(1970)’s equation,are presented and discussed.The soil beneath the footing is treated as an uncorrelated layered material,so the total settlement and variance are found by adding up the increments of the layers.The deformability modulus(ESi)is considered as the only independent random variable.As an example of application,a hypothetical case of a typical subsoil in the state of Espirito Santo,southeast of Brazil,is evaluated.The results indicate that there is a significant similarity between the SOSM and MCS methods,while the FOSM method underestimates the results due to the non-consideration of the high-order terms in Taylor’s series.The contribution of the knowledge of the uncertainties in settlement prediction can provide a safer design.展开更多
In this paper,the bearing capacity of strip footings on rock masses has been studied in the seismic case.The stress characteristics or slip line method was used for analysis.The problem was analyzed in the plane strai...In this paper,the bearing capacity of strip footings on rock masses has been studied in the seismic case.The stress characteristics or slip line method was used for analysis.The problem was analyzed in the plane strain condition using the Hoeke Brown failure criterion.First,the equilibrium equations along the stress characteristics were obtained and the rock failure criterion was applied.Then,the equations were solved using the finite difference method.A computer code has been provided for analysis.Given the footing and rock parameters,the code can calculate the stress characteristics network and obtain the stress distribution under the footing.The seismic effects have been applied as the horizontal and vertical pseudo-static coefficients.The results of this paper are very close to those of the other studies.The seismic bearing capacity of weightless rock masses can be obtained using the proposed equations and graphs without calculating the whole stress characteristics network.展开更多
Effects of tie beam length, width and overlap stress on settlement of foundations have been investigated. In this investigation square concrete footings have been used with dimensions (B × B × d) where (d) i...Effects of tie beam length, width and overlap stress on settlement of foundations have been investigated. In this investigation square concrete footings have been used with dimensions (B × B × d) where (d) is footing depth and (B) is footing width (1, 1.5,2 m). Width of tie beam (b) has been taken equal to 0.25, 0.30, 0.40, 0.50 and 0.75 (m). Tie beam length (L) has been taken varying from B till 3B with same footing depth = 0.50 m. Effect of overlap stress on settlement as well as effect of tie beam width and length on settlement has been determined. Also, the efficiency of tie beam length and width has been obtained. An equation is presented to compute the overlap stress zone in case of existing tie beam. It is found that the settlement increases with increasing the length of tie beam which is clear after the effect of the overlap stresses zone. The width of overlap stress zone case of existing tie beam has been found to be equal to (1.6 -1.75) B. The settlement of footings decreases with increasing tie beam width. It is found that the settlement after the effect of the overlap stress zone increases with increasing the length of tie beam.展开更多
The bearing capacity of interfering footings located near the slope face suffers from reduced bearing capacity due to the formation of the curtailed passive zone. Depending upon the position of the footing, their spac...The bearing capacity of interfering footings located near the slope face suffers from reduced bearing capacity due to the formation of the curtailed passive zone. Depending upon the position of the footing, their spacing and steepness of the slope different extents of bearing capacity reduction can be exhibited. A series of finite element investigation has been done with the aid of Plaxis 3 D v AE.01 to elucidate the influence of various geotechnical and geometrical parameters on the ultimate bearing capacity of interfering surface strip footings located at the crest of the natural soil slope. Based on the large database obtained from the numerical simulation, a6-8-1 Artificial Neural Network architecture has been considered for the assessment of the ultimate bearing capacity of interfering strip footings placed on the crest of natural soil slope. Sensitivity analyses have been conducted to establish the relative significance of the contributory parameters, which exhibited that for the stated problem, apart from shear strength parameters, the setback ratio and spacing of footing are the prime contributory parameters.展开更多
The node-based smoothed finite element method(NS-FEM)is shortly presented for calculations of the static and seismic bearing capacities of shallow strip footings.A series of computations has been performed to assess v...The node-based smoothed finite element method(NS-FEM)is shortly presented for calculations of the static and seismic bearing capacities of shallow strip footings.A series of computations has been performed to assess variations in seismic bearing capacity factors with both horizontal and vertical seismic accelerations.Numerical results obtained agree very well with those using the slip-line method,revealing that the magnitude of the seismic bearing capacity is highly dependent upon the combinations of various directions of both components of the seismic acceleration.An upward vertical seismic acceleration reduces the seismic bearing capacity compared to the downward vertical seismic acceleration in calculations.In addition,particular emphasis is placed on a separate estimation of the effects of soil and superstructure inertia on each seismic bearing capacity component.While the effect of inertia forces arising in the soil on the seismic bearing capacity is non-trivial,and the superstructure inertia is the major contributor to reductions in the seismic bearing capacity.Both tables and charts are given for practical application to the seismic design of the foundations.展开更多
In this paper, an experimental study for an eccentrically loaded circular footing, resting on a geogridreinforced sand bed, is performed. To achieve this aim, the steel model footing of 120 mm in diameterand sand in r...In this paper, an experimental study for an eccentrically loaded circular footing, resting on a geogridreinforced sand bed, is performed. To achieve this aim, the steel model footing of 120 mm in diameterand sand in relative density of 60% are used. Also, the effects of depth of first and second geogrid layersand number of reinforcement layers （1e4） on the settlement-load response and tilt of footing undervarious load eccentricities （0 cm, 0.75 cm, 1.5 cm, 2.25 cm and 3 cm） are investigated. Test results indicatethat ultimate bearing capacity increases in comparison with unreinforced condition. It is observed thatwhen the reinforcements are placed in the optimum embedment depth （u/D ？0.42 and h/D ？0.42）, thebearing capacity ratio （BCR） increases with increasing load eccentricity to the core boundary of footing,and that with further increase of load eccentricity, the BCR decreases. Besides, the tilt of footing increaseslinearly with increasing settlement. Finally, by reinforcing the sand bed, the tilt of footing decreases at 2layers of reinforcement and then increases by increasing the number of reinforcement layers.展开更多
In this investigation,the bearing capacity solution of a strip footing in anisotropic clay under inclined and eccentric load is analyzed using the numerical simulation model.The lower and upper bound finite element li...In this investigation,the bearing capacity solution of a strip footing in anisotropic clay under inclined and eccentric load is analyzed using the numerical simulation model.The lower and upper bound finite element limit analysis(FELA)approaches are utilized to establish precise modeling and derive the numerical outcomes of a strip footing’s bearing capacity.All analyses use effective automated adaptive meshes with three iteration stages to enhance the accuracy of the outcomes.The parametric analysis is performed to examine the influence of four dimensionless parameters which are taken into account in this study,namely the anisotropic strength ratio,the dimensionless eccentricity,the load inclination angle,and the adhesion factor to the bearing capacity factor.Furthermore,a new model has been proposed to predict the bearing capacity factor for the calculation of the undrained bearing capacity for footings resting on an anisotropic clay using an advanced data-driven method(MOGA-EPR).The new model takes into account the anisotropy,eccentricity,and inclination of the applied load and could be used with confidence in routine designs of shallow foundations in undrained conditions with the consideration of the anisotropic strengths of clays.展开更多
From a financial point of view,urbanization frequently enforces the clients to construct superstructures near the slopes,giving rise to increasing the risk of building instability.By conducting a series of small-scale...From a financial point of view,urbanization frequently enforces the clients to construct superstructures near the slopes,giving rise to increasing the risk of building instability.By conducting a series of small-scale plate load tests,this work aims to investigate the effects of installing geotextile reinforcement layers in sandy slope and reducing the apex angle of triangular shell strip footings.The results show considerable effect of using geotextile-reinforced layers and decreasing the apex angle on the ultimate bearing capacity of shell foundations.With increasing foundation distance from the slope,the adverse effect of the slope is reduced.However,as the distance decreases,the effect of reinforcement and apex angle is increased.For practical applications,empirical equations are also presented for determining the ultimate bearing capacity of the footings and scale effect as well.Finally,3D numerical simulations are executed and compared with the experimental results.展开更多
In nature there are situations where in foundation had to be placed over loose soil deposits. In such cases, deep foundations are recommended which increases cost of the structure. Black cotton soils, because of its h...In nature there are situations where in foundation had to be placed over loose soil deposits. In such cases, deep foundations are recommended which increases cost of the structure. Black cotton soils, because of its high swelling and shrinkage characteristics, have been a challenge to geotechnical engineers, increasing the strength of Clayey soil which is formed introducing randomly distributed fibers results in comparatively more homogeneous soil mixture and is one of the popular methods of soil stabilization. In the present study, model footing resting on BC soil reinforced with optimum percentage of treated and untreated coir fiber underlain by loose soil deposit was conducted to study its influence on bearing capacity and settlement. Loose soil deposit has been simulated by compacting sawdust in prefabricated steel tank. BC soil reinforced with optimum percentage of treated and untreated coir fibers has been compacted over loose sawdust and load settlement characteristics were determined at various D/B ratio of 1,2, 3 and for different sized model footings. The results indicated that settlement of model footings is significantly small at lower D/B = 1 and 2 ratios. Bearing capacity of BC soil is also found to be significantly affected by fiber reinforcement.展开更多
Background:Diabetic foot,a severe complication of diabetes,is characterized by chronic refractory wounds.Sanhuang Oil,a topical herbal formula,demonstrates significant therapeutic effects including antibacterial,anti-...Background:Diabetic foot,a severe complication of diabetes,is characterized by chronic refractory wounds.Sanhuang Oil,a topical herbal formula,demonstrates significant therapeutic effects including antibacterial,anti-inflammatory,and immunomodulatory activities.However,its active constituents and mechanisms of action against diabetic foot remain to be elucidated.Methods:In this study,the chemical constituents of Sanhuang Oil were identified using UPLC-QE-Orbitrap-MS.Subsequently,the mechanism by which Sanhuang Oil promotes diabetic foot ulcer healing was predicted by integrating network pharmacology and molecular docking.Additionally,diabetic mouse model was established in ICR mice using a combination of a high-fat diet(HFD)and streptozotocin(STZ)chemical induction.A full-thickness skin defect was created on the dorsum of the mice.Wound healing and the healing rate were observed following Sanhuang Oil intervention.The mechanism underlying Sanhuang Oil’s promotion of diabetic ulcer healing was further investigated using transcriptomics and histopathological examination(H&E staining).Results:A total of 97 active ingredients were identified from Sanhuang Oil.Network pharmacology analysis predicted 543 common targets,and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis identified 203 relevant pathways.Molecular docking further confirmed high binding affinity(binding energy≤−5.0 kcal/mol)between specific active components in Sanhuang Oil(e.g.,coptisine,phellodendrine,baicalein)and key targets associated with diabetic foot ulcers(e.g.,EGFR,AKT1,STAT3).In vivo experimental results demonstrated that the wound healing rate was significantly higher in Sanhuang Oil-treated groups compared to the model group(P<0.001).HE staining revealed that the high-dose Sanhuang Oil group exhibited more pronounced epithelial tissue coverage over the wound,reduced inflammatory cell infiltration,and increased collagen deposition and fibroblast proliferation.transcriptomic analysis identified Pdk4,Ttn,Csrp3,Actn2,Myoz2,Tnnc2,Myod1,Myog,Myot,and Myf6 as key regulatory proteins involved in promoting wound healing.Conclusion:Sanhuang Oil promotes wound healing in diabetic ulcer mice,potentially by mitigating inflammation and regulating key targets such as Pdk4 to enhance fibroblast function.These findings provide novel insights into the multi-target,multi-pathway mechanism of Sanhuang Oil for treating diabetic foot ulcers.展开更多
BACKGROUND Diabetic foot ulcers(DFUs)present a significant clinical challenge due to their high prevalence and profound impact on morbidity.Ultrasound-assisted wound debridement(UAWD)has emerged as a potential therape...BACKGROUND Diabetic foot ulcers(DFUs)present a significant clinical challenge due to their high prevalence and profound impact on morbidity.Ultrasound-assisted wound debridement(UAWD)has emerged as a potential therapeutic modality to improve healing outcomes in DFU management.AIM To evaluate the efficacy of UAWD in treating DFUs on wound closure rates,treatment duration,and quality of life outcomes.METHODS This systematic review and meta-analysis followed PRISMA guidelines,systematically searching PubMed,Embase,Web of Science,and the Cochrane Library with no date restrictions.Randomized controlled trials(RCTs)that evaluated the efficacy of UAWD in DFU treatment were included.Data were independently extracted by two reviewers,with discrepancies resolved through consensus or third-party consultation.The risk of bias was assessed using the Cochrane tool.χ2 and I2 statistics assessed heterogeneity,informing the use of fixed or random-effects models for meta-analysis,supplemented by sensitivity analysis and publication bias assessment through funnel plots and Egger's test.RESULTS From 1255 articles,seven RCTs met the inclusion criteria.The studies demonstrated that UAWD significantly reduced DFU healing time(standardized mean difference=-0.78,95%CI:-0.97 to-0.60,P<0.001)and increased healing rates(odds ratio=9.96,95%CI:5.99 to 16.56,P<0.001)compared to standard care.Sensitivity analysis confirmed the stability of these results,and no significant publication bias was detected.CONCLUSION UAWD is a promising adjunctive treatment for DFUs,significantly reducing healing times and increasing healing rates.These findings advocate for the integration of UAWD into standard DFU care protocols.展开更多
Diabetic foot(DF)is a major public health concern.As evident from numerous previous studies,supervision of DF ulcer(DFU)is crucial,and a specific quality check-up is needed.Patients should be educated about glycaemic ...Diabetic foot(DF)is a major public health concern.As evident from numerous previous studies,supervision of DF ulcer(DFU)is crucial,and a specific quality check-up is needed.Patients should be educated about glycaemic management,DFUs,foot lesions,proper care for injuries,diet,and surgery.Certain reasonably priced treatments,such as hyperbaric oxygen and vacuum-assisted closure therapy,are also available for DFUs,along with modern wound care products and techniques.Nonetheless,DF care(cleaning,applying antimicrobial cream when wounded,and foot reflexology),blood glucose monitoring to control diabetes,and monthly or quarterly examinations in individuals with diabetes are effective in managing DFUs.Between 50%and 80%of DF infections are preventable.Regardless of the intensity of the lesion,it needs to be treated carefully and checked daily during infection.Tissue regeneration can be aided by cleaning,dressing,and application of topical medicines.The choice of shoes is also important because it affects blood circulation and nerve impulses.In general,regular check-ups,monitoring of the patient’s condition,measuring blood glucose levels,and providing frequent guidance regarding DFU care are crucial.Finally,this important clinical problem requires involvement of multiple professionals to properly manage it.展开更多
Nausea and vomiting are physiological responses that react to various bodily conditions and play a protective function.Medicinal and nonmedicinal methods,including complementary medicine,treat nausea and vomiting.The ...Nausea and vomiting are physiological responses that react to various bodily conditions and play a protective function.Medicinal and nonmedicinal methods,including complementary medicine,treat nausea and vomiting.The current research aims to investigate the effectiveness of foot reflexology as a complementary medicine method for nausea and vomiting.Based on PRISMA 2020,PubMed,Web of Science,and Scopus were searched until October 2,2024,using a search strategy approved by two researchers.Only randomized controlled trial studies were included in this research.No limitations or filters were applied.The inclusion criteria were selected based on the PICOS framework,and the studies were evaluated according to the National Institutes of Health quality assessment tool,which is related to controlled intervention,and were evaluated by two researchers.Finally,six studies were included in this review.Eighty-four percent of studies were conducted in Asia.Three records are from Iran,and two are from Turkey,and one is from France.The results showed that nausea and vomiting improved in all studies.In most studies(67%),four sessions or less led to improved outcomes.Rhodes index of nausea,vomiting,and retching and visual analog scale were utilized to assess nausea and vomiting.The current systematic review indicated that foot reflexology as a noninvasive intervention could improve nausea and vomiting in patients with cancer problems,pregnancy,hemodialysis,and laparoscopic cholecystectomy。展开更多
Foot reflexology(FR)is a Chinese-originated and non-invasive complementary therapy increasingly used by functional,alternative and para-medical professionals.Enhance attempts are made to study FR in non-functional org...Foot reflexology(FR)is a Chinese-originated and non-invasive complementary therapy increasingly used by functional,alternative and para-medical professionals.Enhance attempts are made to study FR in non-functional organic conditions.The present invited Editorial discusses the application of FR in autoimmune diseases(AD),highlighting a few successful studies demonstrating symptomatic relief and objective improvements.Despite promising results,the FR domain remains under-investigated and an urgent need to confirm and understand the effect of FR in chronic diseases,including AD,is highly recommended.展开更多
BACKGROUND Diabetic foot ulcers(DFUs)are a significant contributor to disability and mortality in diabetic patients.Macrophage polarization and functional regulation are promising areas of research and show therapeuti...BACKGROUND Diabetic foot ulcers(DFUs)are a significant contributor to disability and mortality in diabetic patients.Macrophage polarization and functional regulation are promising areas of research and show therapeutic potential in the field of DFU healing.However,the complex mechanism,the difficulty in clinical translation,and the large heterogeneity present significant challenges.Hence,this study was to comprehensively analyze the publication status and trends of studies on macrophage polarization and DFU healing.AIM To examine the relevant literature on macrophage polarization in DFU healing.METHODS A bibliometric analysis was conducted using the Web of Science database.Relevant literature was retrieved from the Web of Science Core Collection database between 2013 to 2023 using literature visualization and analysis software(VOSviewer and CiteSpace)and bibliometric online platforms.The obtained literature was then subjected to visualization and analysis of different countries/regions,institutions,journals,authors,and keywords to reveal the research’s major trends and focus.RESULTS The number of publications on the role of macrophage polarization in DFU healing increased rapidly from 2013 to 2023,especially in the latter period.Chinese researchers were the most prolific in this field,with 217 publications,while American researchers had been engaged in this field for a longer period.Qian Tan of Nanjing Drum Tower Hospital and Qian Ding of Nanjing University were the first to publish in this field.Shanghai Jiao Tong University was the institution with the most publications(27).The keywords“bone marrow”,“adjustment,replacement,response,tissue repair”,and“activation,repair,differentiation”appeared more frequently.The study of macrophage polarization in DFU healing focused on the regulatory mechanism,gene expression,and other aspects.CONCLUSION This study through the bibliometric method reveals the research trends and development trends in this field of macrophage polarization in DFU healing from 2013 to 2023 in the Web of Science Core Collection database.The key hotspots in this field mainly include the regulation of macrophage activation,gene expression,wound tissue repair,and new wound materials.This study provides references for future research directions.展开更多
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
Diabetic foot ulcers(DFUs)represents a significant public health issue,with a rising global prevalence and severe potential complications including amputation.Traditional treatments often fall short due to various lim...Diabetic foot ulcers(DFUs)represents a significant public health issue,with a rising global prevalence and severe potential complications including amputation.Traditional treatments often fall short due to various limitations such as high recurrence rates and extensive resource utilization.This editorial explores the innovative use of acellular fish skin grafts as a transformative approach in DFU management.Recent studies and a detailed case report highlight the efficacy of acellular fish skin grafts in accelerating wound closure,reducing dressing changes,and enhancing patient outcomes with a lower socio-economic burden.Despite their promise,challenges such as limited availability,patient acceptance,and the need for further research persist.Addressing these through more extensive randomized controlled trials and fostering a multidisciplinary treatment approach may optimize DFU care and reduce the global health burden associated with these complex wounds.展开更多
Diabetic foot attack(DFA)is the most severe presentation of diabetic foot disease,with the patient commonly displaying severe sepsis,which can be limb or life threatening.DFA can be classified into two main categories...Diabetic foot attack(DFA)is the most severe presentation of diabetic foot disease,with the patient commonly displaying severe sepsis,which can be limb or life threatening.DFA can be classified into two main categories:Typical and atypical.A typical DFA is secondary to a severe infection in the foot,often initiated by minor breaches in skin integrity that allow pathogens to enter and proliferate.This form often progresses rapidly due to the underlying diabetic pathophysiology of neuropathy,microvascular disease,and hyperglycemia,which facilitate infection spread and tissue necrosis.This form of DFA can present as one of a number of severe infective pathologies including pyomyositis,necrotizing fasciitis,and myonecrosis,all of which can lead to systemic sepsis and multiorgan failure.An atypical DFA,however,is not primarily infection-driven.It can occur secondary to either ischemia or Charcot arthropathy.Management of the typical DFA involves prompt diagnosis,aggressive infection control,and a multidisciplinary approach.Treatment can be guided by the current International Working Group on the Diabetic Foot/Infectious Diseases Society of America guidelines on diabetic foot infections,and the combined British Orthopaedic Foot and Ankle Society-Vascular Society guidelines.This article highlights the importance of early recognition,comprehensive management strategies,and the need for further research to establish standardized protocols and improve clinical outcomes for patients with DFA.展开更多
The prosthesis is an artificial device that can replace an organ of a human body member to restore a compromised function. It is necessary following the removal of a human organ, which can occur as a result of an illn...The prosthesis is an artificial device that can replace an organ of a human body member to restore a compromised function. It is necessary following the removal of a human organ, which can occur as a result of an illness, trauma or congenital malformation. The trans-tibia prosthesis, in particular, allows the amputee patient to recover the impaired function and regain autonomy, while facilitating their daily social integration. The trans-tibia prosthesis consists of a socket, a sleeve, connecting elements and a prosthetic foot. Each of these components plays a very important role. Among these components, the prosthetic foot usually called “SACH foot” is very often replaced due to cracking and therefore has a fairly short lifespan. At the Center for Equipment and Rehabilitation of Kabalaye (CERK), the SACH foot made using polyurethane and wood is imported and is given to patients with reduced mobility. The aim of this article is twofold, on the one hand, to make a social and pathological study of trans-tibia amputees in relation to the use of the SACH foot prosthesis, on the other hand, to compare this foot with a new prosthetic foot proposed and which is manufactured using extruded polystyrene. The result of prosthetic tests carried out on twenty-four amputees showed that the foot manufactured using extruded polystyrene is better in terms of resistance, bulk and adaptability to active amputees.展开更多
Objective:To explore the correlation between fetal foot length measured by ultrasound and gestational age.Methods:This study employed ultrasound to measure the fetal foot length,femoral length,and foot length/femoral ...Objective:To explore the correlation between fetal foot length measured by ultrasound and gestational age.Methods:This study employed ultrasound to measure the fetal foot length,femoral length,and foot length/femoral length ratio in 214 pregnant women from 12 to 40 weeks of gestation,all of whom had no pregnancy complications or obstetric complications,and whose fetuses were normal.Results:A significant positive correlation was found between fetal foot length and gestational age(r=0.967,p<0.001);a similarly significant positive correlation was observed between fetal femoral length and gestational age(r=0.972,p<0.001);and a non-significant positive correlation was noted between the foot length/femoral length ratio and gestational age(r=0.943,p<0.001).Conclusion:Ultrasound can accurately measure fetal foot length and femoral length,both of which exhibit a significant positive correlation with gestational age,making them important reference indicators for assessing fetal growth and development.展开更多
基金sponsorship by the Brazilian government agencies CNPq and CAPES
文摘The design of footings on sands is often controlled by settlement rather than bearing capacity.Therefore,settlement predictions are essential in the design of shallow foundations.However,predicted settlements of footings are highly dependent on the chosen elastic modulus and the used method.This paper presents the use of probabilistic analysis to evaluate the variability of predicted settlements of footings on sands,focusing on the load curve(predicted settlements)characterization.Three methodologies,the first-and second-order second-moment(FOSM and SOSM),and Monte Carlo simulation(MCS),for calculating the mean and variance of the estimated settlements through Schmertmann(1970)’s equation,are presented and discussed.The soil beneath the footing is treated as an uncorrelated layered material,so the total settlement and variance are found by adding up the increments of the layers.The deformability modulus(ESi)is considered as the only independent random variable.As an example of application,a hypothetical case of a typical subsoil in the state of Espirito Santo,southeast of Brazil,is evaluated.The results indicate that there is a significant similarity between the SOSM and MCS methods,while the FOSM method underestimates the results due to the non-consideration of the high-order terms in Taylor’s series.The contribution of the knowledge of the uncertainties in settlement prediction can provide a safer design.
文摘In this paper,the bearing capacity of strip footings on rock masses has been studied in the seismic case.The stress characteristics or slip line method was used for analysis.The problem was analyzed in the plane strain condition using the Hoeke Brown failure criterion.First,the equilibrium equations along the stress characteristics were obtained and the rock failure criterion was applied.Then,the equations were solved using the finite difference method.A computer code has been provided for analysis.Given the footing and rock parameters,the code can calculate the stress characteristics network and obtain the stress distribution under the footing.The seismic effects have been applied as the horizontal and vertical pseudo-static coefficients.The results of this paper are very close to those of the other studies.The seismic bearing capacity of weightless rock masses can be obtained using the proposed equations and graphs without calculating the whole stress characteristics network.
文摘Effects of tie beam length, width and overlap stress on settlement of foundations have been investigated. In this investigation square concrete footings have been used with dimensions (B × B × d) where (d) is footing depth and (B) is footing width (1, 1.5,2 m). Width of tie beam (b) has been taken equal to 0.25, 0.30, 0.40, 0.50 and 0.75 (m). Tie beam length (L) has been taken varying from B till 3B with same footing depth = 0.50 m. Effect of overlap stress on settlement as well as effect of tie beam width and length on settlement has been determined. Also, the efficiency of tie beam length and width has been obtained. An equation is presented to compute the overlap stress zone in case of existing tie beam. It is found that the settlement increases with increasing the length of tie beam which is clear after the effect of the overlap stresses zone. The width of overlap stress zone case of existing tie beam has been found to be equal to (1.6 -1.75) B. The settlement of footings decreases with increasing tie beam width. It is found that the settlement after the effect of the overlap stress zone increases with increasing the length of tie beam.
文摘The bearing capacity of interfering footings located near the slope face suffers from reduced bearing capacity due to the formation of the curtailed passive zone. Depending upon the position of the footing, their spacing and steepness of the slope different extents of bearing capacity reduction can be exhibited. A series of finite element investigation has been done with the aid of Plaxis 3 D v AE.01 to elucidate the influence of various geotechnical and geometrical parameters on the ultimate bearing capacity of interfering surface strip footings located at the crest of the natural soil slope. Based on the large database obtained from the numerical simulation, a6-8-1 Artificial Neural Network architecture has been considered for the assessment of the ultimate bearing capacity of interfering strip footings placed on the crest of natural soil slope. Sensitivity analyses have been conducted to establish the relative significance of the contributory parameters, which exhibited that for the stated problem, apart from shear strength parameters, the setback ratio and spacing of footing are the prime contributory parameters.
基金part of the TPS projecta Vied-Newton PhD scholarship+1 种基金a Dixon scholarship from Imperial College London,UKthe Dean’s Fund from Imperial College London for financial support(2017-2020)。
文摘The node-based smoothed finite element method(NS-FEM)is shortly presented for calculations of the static and seismic bearing capacities of shallow strip footings.A series of computations has been performed to assess variations in seismic bearing capacity factors with both horizontal and vertical seismic accelerations.Numerical results obtained agree very well with those using the slip-line method,revealing that the magnitude of the seismic bearing capacity is highly dependent upon the combinations of various directions of both components of the seismic acceleration.An upward vertical seismic acceleration reduces the seismic bearing capacity compared to the downward vertical seismic acceleration in calculations.In addition,particular emphasis is placed on a separate estimation of the effects of soil and superstructure inertia on each seismic bearing capacity component.While the effect of inertia forces arising in the soil on the seismic bearing capacity is non-trivial,and the superstructure inertia is the major contributor to reductions in the seismic bearing capacity.Both tables and charts are given for practical application to the seismic design of the foundations.
文摘In this paper, an experimental study for an eccentrically loaded circular footing, resting on a geogridreinforced sand bed, is performed. To achieve this aim, the steel model footing of 120 mm in diameterand sand in relative density of 60% are used. Also, the effects of depth of first and second geogrid layersand number of reinforcement layers （1e4） on the settlement-load response and tilt of footing undervarious load eccentricities （0 cm, 0.75 cm, 1.5 cm, 2.25 cm and 3 cm） are investigated. Test results indicatethat ultimate bearing capacity increases in comparison with unreinforced condition. It is observed thatwhen the reinforcements are placed in the optimum embedment depth （u/D ？0.42 and h/D ？0.42）, thebearing capacity ratio （BCR） increases with increasing load eccentricity to the core boundary of footing,and that with further increase of load eccentricity, the BCR decreases. Besides, the tilt of footing increaseslinearly with increasing settlement. Finally, by reinforcing the sand bed, the tilt of footing decreases at 2layers of reinforcement and then increases by increasing the number of reinforcement layers.
基金financially supported by Office of the Permanent Secretary,Ministry of Higher Education,Science,Research and Innovation under Research Grant for New Scholar(RGNS 65-112).
文摘In this investigation,the bearing capacity solution of a strip footing in anisotropic clay under inclined and eccentric load is analyzed using the numerical simulation model.The lower and upper bound finite element limit analysis(FELA)approaches are utilized to establish precise modeling and derive the numerical outcomes of a strip footing’s bearing capacity.All analyses use effective automated adaptive meshes with three iteration stages to enhance the accuracy of the outcomes.The parametric analysis is performed to examine the influence of four dimensionless parameters which are taken into account in this study,namely the anisotropic strength ratio,the dimensionless eccentricity,the load inclination angle,and the adhesion factor to the bearing capacity factor.Furthermore,a new model has been proposed to predict the bearing capacity factor for the calculation of the undrained bearing capacity for footings resting on an anisotropic clay using an advanced data-driven method(MOGA-EPR).The new model takes into account the anisotropy,eccentricity,and inclination of the applied load and could be used with confidence in routine designs of shallow foundations in undrained conditions with the consideration of the anisotropic strengths of clays.
文摘From a financial point of view,urbanization frequently enforces the clients to construct superstructures near the slopes,giving rise to increasing the risk of building instability.By conducting a series of small-scale plate load tests,this work aims to investigate the effects of installing geotextile reinforcement layers in sandy slope and reducing the apex angle of triangular shell strip footings.The results show considerable effect of using geotextile-reinforced layers and decreasing the apex angle on the ultimate bearing capacity of shell foundations.With increasing foundation distance from the slope,the adverse effect of the slope is reduced.However,as the distance decreases,the effect of reinforcement and apex angle is increased.For practical applications,empirical equations are also presented for determining the ultimate bearing capacity of the footings and scale effect as well.Finally,3D numerical simulations are executed and compared with the experimental results.
文摘In nature there are situations where in foundation had to be placed over loose soil deposits. In such cases, deep foundations are recommended which increases cost of the structure. Black cotton soils, because of its high swelling and shrinkage characteristics, have been a challenge to geotechnical engineers, increasing the strength of Clayey soil which is formed introducing randomly distributed fibers results in comparatively more homogeneous soil mixture and is one of the popular methods of soil stabilization. In the present study, model footing resting on BC soil reinforced with optimum percentage of treated and untreated coir fiber underlain by loose soil deposit was conducted to study its influence on bearing capacity and settlement. Loose soil deposit has been simulated by compacting sawdust in prefabricated steel tank. BC soil reinforced with optimum percentage of treated and untreated coir fibers has been compacted over loose sawdust and load settlement characteristics were determined at various D/B ratio of 1,2, 3 and for different sized model footings. The results indicated that settlement of model footings is significantly small at lower D/B = 1 and 2 ratios. Bearing capacity of BC soil is also found to be significantly affected by fiber reinforcement.
基金supported by the Natural Science Foundation of Hubei Provincial Department of Education(D20232101)Shandong Second Medical University 2024 Affiliated Hospital(Teaching Hospital)Scientific Research Development Fund Project(2024FYQ026)+3 种基金the innovative Research Programme of Xiangyang No.1 People’s Hospital(XYY2023ZY01)Faculty Development Grants of Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine(XYY2023D05)Joint supported by Hubei Provincial Natural Science Foundation and Xiangyang of China(2025AFD091)Traditional Chinese Medicine Scientific Research Project of Hubei Provincial Administration of Traditional Chinese Medicine(ZY2025D019).
文摘Background:Diabetic foot,a severe complication of diabetes,is characterized by chronic refractory wounds.Sanhuang Oil,a topical herbal formula,demonstrates significant therapeutic effects including antibacterial,anti-inflammatory,and immunomodulatory activities.However,its active constituents and mechanisms of action against diabetic foot remain to be elucidated.Methods:In this study,the chemical constituents of Sanhuang Oil were identified using UPLC-QE-Orbitrap-MS.Subsequently,the mechanism by which Sanhuang Oil promotes diabetic foot ulcer healing was predicted by integrating network pharmacology and molecular docking.Additionally,diabetic mouse model was established in ICR mice using a combination of a high-fat diet(HFD)and streptozotocin(STZ)chemical induction.A full-thickness skin defect was created on the dorsum of the mice.Wound healing and the healing rate were observed following Sanhuang Oil intervention.The mechanism underlying Sanhuang Oil’s promotion of diabetic ulcer healing was further investigated using transcriptomics and histopathological examination(H&E staining).Results:A total of 97 active ingredients were identified from Sanhuang Oil.Network pharmacology analysis predicted 543 common targets,and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis identified 203 relevant pathways.Molecular docking further confirmed high binding affinity(binding energy≤−5.0 kcal/mol)between specific active components in Sanhuang Oil(e.g.,coptisine,phellodendrine,baicalein)and key targets associated with diabetic foot ulcers(e.g.,EGFR,AKT1,STAT3).In vivo experimental results demonstrated that the wound healing rate was significantly higher in Sanhuang Oil-treated groups compared to the model group(P<0.001).HE staining revealed that the high-dose Sanhuang Oil group exhibited more pronounced epithelial tissue coverage over the wound,reduced inflammatory cell infiltration,and increased collagen deposition and fibroblast proliferation.transcriptomic analysis identified Pdk4,Ttn,Csrp3,Actn2,Myoz2,Tnnc2,Myod1,Myog,Myot,and Myf6 as key regulatory proteins involved in promoting wound healing.Conclusion:Sanhuang Oil promotes wound healing in diabetic ulcer mice,potentially by mitigating inflammation and regulating key targets such as Pdk4 to enhance fibroblast function.These findings provide novel insights into the multi-target,multi-pathway mechanism of Sanhuang Oil for treating diabetic foot ulcers.
基金Hubei Province Top Medical Youth Talent Program,Wuhan Knowledge Innovation Special Basic Research Project,No.2023020201020558Clinical Research Project of Affiliated Hospital of Guangdong Medical University,No.LCYJ2021B004 and No.LCYJ2019B010Science and Technology Plan Project of Zhanjiang,No.2022A01191.
文摘BACKGROUND Diabetic foot ulcers(DFUs)present a significant clinical challenge due to their high prevalence and profound impact on morbidity.Ultrasound-assisted wound debridement(UAWD)has emerged as a potential therapeutic modality to improve healing outcomes in DFU management.AIM To evaluate the efficacy of UAWD in treating DFUs on wound closure rates,treatment duration,and quality of life outcomes.METHODS This systematic review and meta-analysis followed PRISMA guidelines,systematically searching PubMed,Embase,Web of Science,and the Cochrane Library with no date restrictions.Randomized controlled trials(RCTs)that evaluated the efficacy of UAWD in DFU treatment were included.Data were independently extracted by two reviewers,with discrepancies resolved through consensus or third-party consultation.The risk of bias was assessed using the Cochrane tool.χ2 and I2 statistics assessed heterogeneity,informing the use of fixed or random-effects models for meta-analysis,supplemented by sensitivity analysis and publication bias assessment through funnel plots and Egger's test.RESULTS From 1255 articles,seven RCTs met the inclusion criteria.The studies demonstrated that UAWD significantly reduced DFU healing time(standardized mean difference=-0.78,95%CI:-0.97 to-0.60,P<0.001)and increased healing rates(odds ratio=9.96,95%CI:5.99 to 16.56,P<0.001)compared to standard care.Sensitivity analysis confirmed the stability of these results,and no significant publication bias was detected.CONCLUSION UAWD is a promising adjunctive treatment for DFUs,significantly reducing healing times and increasing healing rates.These findings advocate for the integration of UAWD into standard DFU care protocols.
基金Supported by the King Salman Center for Disability Research,No.KSRG-2023-407.
文摘Diabetic foot(DF)is a major public health concern.As evident from numerous previous studies,supervision of DF ulcer(DFU)is crucial,and a specific quality check-up is needed.Patients should be educated about glycaemic management,DFUs,foot lesions,proper care for injuries,diet,and surgery.Certain reasonably priced treatments,such as hyperbaric oxygen and vacuum-assisted closure therapy,are also available for DFUs,along with modern wound care products and techniques.Nonetheless,DF care(cleaning,applying antimicrobial cream when wounded,and foot reflexology),blood glucose monitoring to control diabetes,and monthly or quarterly examinations in individuals with diabetes are effective in managing DFUs.Between 50%and 80%of DF infections are preventable.Regardless of the intensity of the lesion,it needs to be treated carefully and checked daily during infection.Tissue regeneration can be aided by cleaning,dressing,and application of topical medicines.The choice of shoes is also important because it affects blood circulation and nerve impulses.In general,regular check-ups,monitoring of the patient’s condition,measuring blood glucose levels,and providing frequent guidance regarding DFU care are crucial.Finally,this important clinical problem requires involvement of multiple professionals to properly manage it.
文摘Nausea and vomiting are physiological responses that react to various bodily conditions and play a protective function.Medicinal and nonmedicinal methods,including complementary medicine,treat nausea and vomiting.The current research aims to investigate the effectiveness of foot reflexology as a complementary medicine method for nausea and vomiting.Based on PRISMA 2020,PubMed,Web of Science,and Scopus were searched until October 2,2024,using a search strategy approved by two researchers.Only randomized controlled trial studies were included in this research.No limitations or filters were applied.The inclusion criteria were selected based on the PICOS framework,and the studies were evaluated according to the National Institutes of Health quality assessment tool,which is related to controlled intervention,and were evaluated by two researchers.Finally,six studies were included in this review.Eighty-four percent of studies were conducted in Asia.Three records are from Iran,and two are from Turkey,and one is from France.The results showed that nausea and vomiting improved in all studies.In most studies(67%),four sessions or less led to improved outcomes.Rhodes index of nausea,vomiting,and retching and visual analog scale were utilized to assess nausea and vomiting.The current systematic review indicated that foot reflexology as a noninvasive intervention could improve nausea and vomiting in patients with cancer problems,pregnancy,hemodialysis,and laparoscopic cholecystectomy。
文摘Foot reflexology(FR)is a Chinese-originated and non-invasive complementary therapy increasingly used by functional,alternative and para-medical professionals.Enhance attempts are made to study FR in non-functional organic conditions.The present invited Editorial discusses the application of FR in autoimmune diseases(AD),highlighting a few successful studies demonstrating symptomatic relief and objective improvements.Despite promising results,the FR domain remains under-investigated and an urgent need to confirm and understand the effect of FR in chronic diseases,including AD,is highly recommended.
基金Supported by the Qilu Medical School Traditional Chinese Medicine Academic School Inheritance Project,No.93 LW[2022]Construction Project of the Inheritance Studio of National Famous Traditional Chinese Medicine Experts,Traditional Chinese Medicine Teaching Letter No.75[2022]Qilu Health and Fitness Talents in 2019,No.3 LWRZ[2020].
文摘BACKGROUND Diabetic foot ulcers(DFUs)are a significant contributor to disability and mortality in diabetic patients.Macrophage polarization and functional regulation are promising areas of research and show therapeutic potential in the field of DFU healing.However,the complex mechanism,the difficulty in clinical translation,and the large heterogeneity present significant challenges.Hence,this study was to comprehensively analyze the publication status and trends of studies on macrophage polarization and DFU healing.AIM To examine the relevant literature on macrophage polarization in DFU healing.METHODS A bibliometric analysis was conducted using the Web of Science database.Relevant literature was retrieved from the Web of Science Core Collection database between 2013 to 2023 using literature visualization and analysis software(VOSviewer and CiteSpace)and bibliometric online platforms.The obtained literature was then subjected to visualization and analysis of different countries/regions,institutions,journals,authors,and keywords to reveal the research’s major trends and focus.RESULTS The number of publications on the role of macrophage polarization in DFU healing increased rapidly from 2013 to 2023,especially in the latter period.Chinese researchers were the most prolific in this field,with 217 publications,while American researchers had been engaged in this field for a longer period.Qian Tan of Nanjing Drum Tower Hospital and Qian Ding of Nanjing University were the first to publish in this field.Shanghai Jiao Tong University was the institution with the most publications(27).The keywords“bone marrow”,“adjustment,replacement,response,tissue repair”,and“activation,repair,differentiation”appeared more frequently.The study of macrophage polarization in DFU healing focused on the regulatory mechanism,gene expression,and other aspects.CONCLUSION This study through the bibliometric method reveals the research trends and development trends in this field of macrophage polarization in DFU healing from 2013 to 2023 in the Web of Science Core Collection database.The key hotspots in this field mainly include the regulation of macrophage activation,gene expression,wound tissue repair,and new wound materials.This study provides references for future research directions.
基金Supported by the Fundamental Research Funds for the Central Universities,No.2022CDJYGRH-004.
文摘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.
基金Supported by the Zhejiang Medical Technology Project,No.2022RC009 and No.2024KY645.
文摘Diabetic foot ulcers(DFUs)represents a significant public health issue,with a rising global prevalence and severe potential complications including amputation.Traditional treatments often fall short due to various limitations such as high recurrence rates and extensive resource utilization.This editorial explores the innovative use of acellular fish skin grafts as a transformative approach in DFU management.Recent studies and a detailed case report highlight the efficacy of acellular fish skin grafts in accelerating wound closure,reducing dressing changes,and enhancing patient outcomes with a lower socio-economic burden.Despite their promise,challenges such as limited availability,patient acceptance,and the need for further research persist.Addressing these through more extensive randomized controlled trials and fostering a multidisciplinary treatment approach may optimize DFU care and reduce the global health burden associated with these complex wounds.
文摘Diabetic foot attack(DFA)is the most severe presentation of diabetic foot disease,with the patient commonly displaying severe sepsis,which can be limb or life threatening.DFA can be classified into two main categories:Typical and atypical.A typical DFA is secondary to a severe infection in the foot,often initiated by minor breaches in skin integrity that allow pathogens to enter and proliferate.This form often progresses rapidly due to the underlying diabetic pathophysiology of neuropathy,microvascular disease,and hyperglycemia,which facilitate infection spread and tissue necrosis.This form of DFA can present as one of a number of severe infective pathologies including pyomyositis,necrotizing fasciitis,and myonecrosis,all of which can lead to systemic sepsis and multiorgan failure.An atypical DFA,however,is not primarily infection-driven.It can occur secondary to either ischemia or Charcot arthropathy.Management of the typical DFA involves prompt diagnosis,aggressive infection control,and a multidisciplinary approach.Treatment can be guided by the current International Working Group on the Diabetic Foot/Infectious Diseases Society of America guidelines on diabetic foot infections,and the combined British Orthopaedic Foot and Ankle Society-Vascular Society guidelines.This article highlights the importance of early recognition,comprehensive management strategies,and the need for further research to establish standardized protocols and improve clinical outcomes for patients with DFA.
文摘The prosthesis is an artificial device that can replace an organ of a human body member to restore a compromised function. It is necessary following the removal of a human organ, which can occur as a result of an illness, trauma or congenital malformation. The trans-tibia prosthesis, in particular, allows the amputee patient to recover the impaired function and regain autonomy, while facilitating their daily social integration. The trans-tibia prosthesis consists of a socket, a sleeve, connecting elements and a prosthetic foot. Each of these components plays a very important role. Among these components, the prosthetic foot usually called “SACH foot” is very often replaced due to cracking and therefore has a fairly short lifespan. At the Center for Equipment and Rehabilitation of Kabalaye (CERK), the SACH foot made using polyurethane and wood is imported and is given to patients with reduced mobility. The aim of this article is twofold, on the one hand, to make a social and pathological study of trans-tibia amputees in relation to the use of the SACH foot prosthesis, on the other hand, to compare this foot with a new prosthetic foot proposed and which is manufactured using extruded polystyrene. The result of prosthetic tests carried out on twenty-four amputees showed that the foot manufactured using extruded polystyrene is better in terms of resistance, bulk and adaptability to active amputees.
文摘Objective:To explore the correlation between fetal foot length measured by ultrasound and gestational age.Methods:This study employed ultrasound to measure the fetal foot length,femoral length,and foot length/femoral length ratio in 214 pregnant women from 12 to 40 weeks of gestation,all of whom had no pregnancy complications or obstetric complications,and whose fetuses were normal.Results:A significant positive correlation was found between fetal foot length and gestational age(r=0.967,p<0.001);a similarly significant positive correlation was observed between fetal femoral length and gestational age(r=0.972,p<0.001);and a non-significant positive correlation was noted between the foot length/femoral length ratio and gestational age(r=0.943,p<0.001).Conclusion:Ultrasound can accurately measure fetal foot length and femoral length,both of which exhibit a significant positive correlation with gestational age,making them important reference indicators for assessing fetal growth and development.
