Why do lesser toes deviate laterally in hallux valgus? A radiographic study.

Science.gov (United States)

Roan, Li-Yi; Tanaka, Yasuhito; Taniguchi, Akira; Tomiwa, Kiyonori; Kumai, Tsukasa; Cheng, Yuh-Min

2015-06-01

Hallux valgus foot with laterally deviated lesser toes is a complex condition to treat. Ignoring the laterally deviated lesser toes in hallux valgus might result in unsatisfactory foot shape. Without lateral support of the lesser toes, it might increase the risk of recurrence of hallux valgus. We sought to identify associated radiographic findings in patients where lesser toes follow the great toe in hallux valgus and deviate laterally. The weight-bearing, anteroposterior foot radiographs of 24 female hallux valgus feet with laterally deviated lesser toes (group L), 34 female hallux valgus feet with normal lesser toes (group H), and 43 normal female feet (group N) were selected for the study. A 2-dimensional coordinated system was used to analyze the shapes and angles of these feet by converting each dot made on the radiographs onto X and Y coordinates. Diagrams of the feet in each group were drawn for comparison. The hallux valgus angle, lateral deviation angle of the second toe, intermetatarsal angles, toe length, metatarsal length, and metatarsus adductus were calculated according to the coordinates of the corresponding points. The mapping showed the bases of the second, third, and fourth toe in group L shifted laterally away from their corresponding metatarsal head (P hallux valgus angles (P hallux valgus angle, more adducted first metatarsal, and divergent lateral splaying of the lesser metatarsals were associated with lateral deviation of the lesser toes in hallux valgus. Level III, comparative study. © The Author(s) 2015.

Gecko toe and lamellar shear adhesion on macroscopic, engineered rough surfaces.

Science.gov (United States)

Gillies, Andrew G; Henry, Amy; Lin, Hauwen; Ren, Angela; Shiuan, Kevin; Fearing, Ronald S; Full, Robert J

2014-01-15

The role in adhesion of the toes and lamellae - intermediate-sized structures - found on the gecko foot remains unclear. Insight into the function of these structures can lead to a more general understanding of the hierarchical nature of the gecko adhesive system, but in particular how environmental topology may relate to gecko foot morphology. We sought to discern the mechanics of the toes and lamellae by examining gecko adhesion on controlled, macroscopically rough surfaces. We used live Tokay geckos, Gekko gecko, to observe the maximum shear force a gecko foot can attain on an engineered substrate constructed with sinusoidal patterns of varying amplitudes and wavelengths in sizes similar to the dimensions of the toes and lamellae structures (0.5 to 6 mm). We found shear adhesion was significantly decreased on surfaces that had amplitudes and wavelengths approaching the lamella length and inter-lamella spacing, losing 95% of shear adhesion over the range tested. We discovered that the toes are capable of adhering to surfaces with amplitudes much larger than their dimensions even without engaging claws, maintaining 60% of shear adhesion on surfaces with amplitudes of 3 mm. Gecko adhesion can be predicted by the ratio of the lamella dimensions to surface feature dimensions. In addition to setae, remarkable macroscopic-scale features of gecko toes and lamellae that include compliance and passive conformation are necessary to maintain contact, and consequently, generate shear adhesion on macroscopically rough surfaces. Findings on the larger scale structures in the hierarchy of gecko foot function could provide the biological inspiration to drive the design of more effective and versatile synthetic fibrillar adhesives.

homo sapiens are bilaterally symmetrical but not with toe length and ...

African Journals Online (AJOL)

Kevin Ongeti

2017-11-12

Nov 12, 2017 ... in toe length and toe-length ratios among the three major ethnic groups in Nigeria. A total ... The toe-length ratios also displayed symmetrical differences for ... For the female population, all ratios were not significantly different.

Elastic modulus of tree frog adhesive toe pads.

Science.gov (United States)

Barnes, W Jon P; Goodwyn, Pablo J Perez; Nokhbatolfoghahai, Mohsen; Gorb, Stanislav N

2011-10-01

Previous work using an atomic force microscope in nanoindenter mode indicated that the outer, 10- to 15-μm thick, keratinised layer of tree frog toe pads has a modulus of elasticity equivalent to silicone rubber (5-15 MPa) (Scholz et al. 2009), but gave no information on the physical properties of deeper structures. In this study, micro-indentation is used to measure the stiffness of whole toe pads of the tree frog, Litoria caerulea. We show here that tree frog toe pads are amongst the softest of biological structures (effective elastic modulus 4-25 kPa), and that they exhibit a gradient of stiffness, being stiffest on the outside. This stiffness gradient results from the presence of a dense network of capillaries lying beneath the pad epidermis, which probably has a shock absorbing function. Additionally, we compare the physical properties (elastic modulus, work of adhesion, pull-off force) of the toe pads of immature and adult frogs.

Painful legs and moving toes syndrome

Directory of Open Access Journals (Sweden)

Qiu-ying Ma

2015-10-01

Full Text Available Painful legs and moving toes syndrome (PLMT is a rare movement disorder with low diagnostic rate, which is characterized by lower limb pain with involuntary movements of feet or toes. Etiology and pathogenesis of this disease is still unclear. Patients have different clinical manifestations, so the diagnosis is difficult. Treatment methods for PLMT are numerous, but so far the treatment of this disease is still a major challenge for clinicians. Further research is still needed to guide clinical work. DOI: 10.3969/j.issn.1672-6731.2015.10.013

The stress and fear levels of microwave toe-treated broiler chickens grown with two photoperiod programs.

Science.gov (United States)

Wang, B; Rathgeber, B M; Astatkie, T; MacIsaac, J L

2008-07-01

The current study was conducted to investigate the influence of microwave toe treatment and an increasing photoperiod on stress and fear levels in broiler chickens. Upon delivery from the hatchery, the toe tips of 364 male and 364 female broilers were exposed to microwave energy to restrict claw growth, whereas the same numbers of birds retained intact toes. Birds from each sex and toe treatment were grown under 23 h of light or increasing photoperiods, with 4 replicates of each treatment combination. Elevated activity of plasma creatine kinase (CK) and increased heterophil to lymphocyte (H/L) ratios were employed as indicators of stress. Tonic immobility (TI) was conducted on d 10, 22, and 36 and used as an index of fear response. Males had lower plasma CK activity and H/L ratios (P < 0.05). Birds on 23 h of light had a higher activity of plasma CK (P < 0.05) but similar H/L ratios compared with birds on the increasing photoperiod. Microwave toe treatment did not affect the activity of plasma CK or H/L ratios. Photoperiod, microwave toe treatment, or sex did not affect the number of attempts required to induce TI. The increasing lighting program decreased the duration of TI on d 10 (P < 0.05), had no effect on d 22, and increased duration of TI on d 36 (P < 0.05). There was no microwave toe treatment or sex effect on the duration of TI at any ages tested.

A Midterm Review of Lesser Toe Arthrodesis With an Intramedullary Implant.

Science.gov (United States)

Harmer, James Lee; Wilkinson, Anthony; Maher, Anthony John

2017-10-01

Lesser toe deformities are one of the most common conditions encountered by podiatric surgeons. When conservative treatments fail surgical correction is indicated. Many surgical options have been described to address the complex nature of these deformities but no perfect solution has been reported to date. However, with the continued advancement of internal fixation technology, interphalangeal joint (IPJ) arthrodesis with an intramedullary implant may be a good option. This retrospective study presents patient reported outcomes and complications at 6 months and 3 years following lesser toe proximal interphalangeal joint (PIPJ) arthrodesis with a polyketone intrameduallary implant (Toe Grip, Orthosolutions, UK). Between September 2011 and November 2012, a total of 38 patients attended for second toe PIPJ arthrodesis by means of the Toe Grip device. At 6 months postoperation, 94.7% of patients and at 3 years postoperation, 92.8% of patients felt that their original complaint was better or much better. Health-related quality of life scores continued to improve overtime as measured by the Manchester Oxford Foot Questionnaire. Complications were generally observational and asymptomatic. The most common complications were floating toes (17.8%), mallet deformities (14.2%), metatarsalgia (17.8%), and transverse plane deformity of the toe (10.7%). This study demonstrates excellent patient-eported outcomes with minimal symptomatic complications making the "Toe Grip" implant a safe and effective alternative fixation device for IPJ arthrodesis when dealing with painful digital deformities. Therapeutic, Level IV: Case series.

Reliability Evaluation of Armour Layer and Toe Berm Interaction

DEFF Research Database (Denmark)

Christiani, E.; Burcharth, H. F.; Sørensen, John Dalsgaard

1995-01-01

Failure of various parts of a rubble mound breakwater can be crucial for the stability of the rubble mound breakwater as a whole. This is illustrated in Fig 1, showing the various failure modes. The primary failure modes which will be focused on in this investigation are failure in the armour layer...... and the toe berm. The main function of the toe berm, is to keep the main armour layer in place so that movement is restricted to a minimum. As the water depth is lowered at the breakwater, the stability of the toe will decrease. The armour layer is also more susceptable to damage when the water level...

Arthroscopy of the great toe

NARCIS (Netherlands)

Frey, C.; van Dijk, C. N.

1999-01-01

The few available reports of arthroscopic treatment of the first MTP joint in the literature indicate favorable outcome. However, arthroscopy of the great toe is an advanced technique and should only be undertaken by experienced surgeons

The influence of the weld toe grinding and wig remelting weld toe rehabilitation techniques, on variable stresses, in case of cross fillet welds, reinforced with additional welding rows

Directory of Open Access Journals (Sweden)

Babis Claudiu

2017-01-01

Full Text Available Variable stresses where the load value varies between a maximum and a minimum value, or varies the position in time, cause after accumulating a large number of load cycles in those structures, the emergence of drug fatigue. Fatigue is characterized by failure on values of the applied stress from the load cycles, below the material flow, values which in case of static stress would not have caused problems. Knowing that the variable stressed structures are sensitive to stress concentrators, the paper aims to highlight the influence of two techniques to reduce stress concentrator weld toe grinding and WIG remelting weld toe, on the behavior of variable tensile test of cross corner welded specimens, reinforced with additional welding rows.

Treatment of Rigid Hammer-Toe Deformity: Permanent Versus Removable Implant Selection.

Science.gov (United States)

Doty, Jesse F; Fogleman, Jason A

2018-03-01

Hammer-toe deformities that fail nonoperative treatment can be successfully addressed with proximal interphalangeal joint resection arthroplasty or fusion. The goal of surgery is to eliminate the deformity and rigidly fix the toe in a well-aligned position. Hammer-toe correction procedures can be performed with temporary Kirschner wire (K-wire) fixation for 3 to 6 weeks with high success rates. Pain relief with successful hammer-toe correction approaches 90%; patient satisfaction rates approximate 84%. Although complication rates are rare in most series, there remains a concern regarding exposed temporary K-wire fixation, which has led to the development of multiple permanent internal fixation options. Copyright © 2017 Elsevier Inc. All rights reserved.

Interventions for treating osteoarthritis of the big toe joint.

Science.gov (United States)

Zammit, Gerard V; Menz, Hylton B; Munteanu, Shannon E; Landorf, Karl B; Gilheany, Mark F

2010-09-08

Osteoarthritis affecting of the big toe joint of the foot (hallux limitus or rigidus) is a common and painful condition. Although several treatments have been proposed, few have been adequately evaluated. To identify controlled trials evaluating interventions for osteoarthritis of the big toe joint and to determine the optimum intervention(s). Literature searches were conducted across the following electronic databases: CENTRAL; MEDLINE; EMBASE; CINAHL; and PEDro (to 14th January 2010). No language restrictions were applied. Randomised controlled trials, quasi-randomised trials, or controlled clinical trials that assessed treatment outcomes for osteoarthritis of the big toe joint. Participants of any age or gender with osteoarthritis of the big toe joint (defined either radiographically or clinically) were included. Two authors examined the list of titles and abstracts identified by the literature searches. One content area expert and one methodologist independently applied the pre-determined inclusion and exclusion criteria to the full text of identified trials. To minimise error and reduce potential bias, data were extracted independently by two content experts. Only one trial satisfactorily fulfilled the inclusion criteria and was included in this review. This trial evaluated the effectiveness of two physical therapy programs in 20 individuals with osteoarthritis of the big toe joint. Assessment outcomes included pain levels, big toe joint range of motion and plantar flexion strength of the hallux. Mean differences at four weeks follow up were 3.80 points (95% CI 2.74 to 4.86) for self reported pain, 28.30 degrees (95% CI 21.37 to 35.23) for big toe joint range of motion, and 2.80 kg (95% CI 2.13 to 3.47) for muscle strength. Although differences in outcomes between treatment and control groups were reported, the risk of bias was high. The trial failed to employ appropriate randomisation or adequate allocation concealment, used a relatively small sample and

Painless Legs and Moving Toes as an Initial Presentation of Ischemic Stroke

Directory of Open Access Journals (Sweden)

Se Mi Oh

2009-05-01

Full Text Available Painless legs and moving toes is an unusual syndrome, which has not previously been reported as an initial presentation of ischemic stroke. We encountered a 78-year-old woman who developed dysarthria and involuntary movement of her left toes that was clinically regarded as painless legs and moving toes. These symptoms appeared abruptly and simultaneously as the initial symptoms of stroke, and improved gradually with conservative management by intravenous hydration for a month. We suggest that, in our case, a cortical brain lesion caused by ischemic stroke might be associated with the development of painless legs and moving toes.

Modified toe pulp fillet flap coverage: Better wound healing and satisfactory length preservation.

Science.gov (United States)

Baek, Sang Oon; Suh, Hyo Wan; Lee, Jun Yong

2018-01-01

Amputation is commonly performed for toe necrosis secondary to peripheral vascular diseases, such as diabetes mellitus. When amputating a necrotic toe, preservation of the bony structure is important for preventing the collapse of adjacent digits into the amputated space. However, in the popular terminal Syme's amputation technique, partial amputation of the distal phalanx could cause increased tension on the wound margin. Herein, we introduce a new way to resect sufficient bony structure while maintaining the normal length, based on a morphological analysis of the toes. Unlike the pulp of the finger in the distal phalanx, the toe has abundant teardrop-shaped pulp tissue. The ratio of the vertical length to the longitudinal length in the distal phalanx was compared between the toes and fingers. Amputation was performed at the proximal interphalangeal joint level. Then, a mobilizable pulp flap was rotated 90° cephalad to replace the distal soft tissue defect. This modified toe fillet flap was performed in 5 patients. The toe pulp was found to have a vertically oriented morphology compared to that of the fingers, enabling length preservation through cephalad rotation. All defects were successfully covered without marginal ischemia. While conventional toe fillet flap coverage focuses on the principle of length preservation as the first priority, our modified method takes both wound healing and length into account. The fattiest part of the pulp is advanced to the toe tip, providing a cushioning effect and enough length to substitute for phalangeal bone loss. Our modified method led to satisfactory functional and aesthetic outcomes.

An Integrated Theory of Everything (TOE)

Science.gov (United States)

Colella, Antonio

2014-03-01

An Integrated TOE unifies all known physical phenomena from the Planck cube to the Super Universe (multiverse). Each matter/force particle is represented by a Planck cube string. Any Super Universe object is a volume of contiguous Planck cubes. Super force Planck cube string singularities existed at the start of all universes. An Integrated TOE foundations are twenty independent existing theories and without sacrificing their integrities, are replaced by twenty interrelated amplified theories. Amplifications of Higgs force theory are key to an Integrated TOE and include: 64 supersymmetric Higgs particles; super force condensations to 17 matter particles/associated Higgs forces; spontaneous symmetry breaking is bidirectional; and the sum of 8 permanent Higgs force energies is dark energy. Stellar black hole theory was amplified to include a quark star (matter) with mass, volume, near zero temperature, and maximum entropy. A black hole (energy) has energy, minimal volume (singularity), near infinite temperature, and minimum entropy. Our precursor universe's super supermassive quark star (matter) evaporated to a super supermassive black hole (energy). This transferred total conserved energy/mass and transformed entropy from maximum to minimum. Integrated Theory of Everything Book Video: https://www.youtube.com/watch?v=4a1c9IvdoGY Research Article Video: http://www.youtube.com/watch?v=CD-QoLeVbSY Research Article: http://toncolella.files.wordpress.com/2012/07/m080112.pdf.

Operative Outcomes of Grade 3 Turf Toe Injuries in Competitive Football Players.

Science.gov (United States)

Smith, Kenneth; Waldrop, Norman

2018-06-01

Turf toe is a term used to describe a hyperextension injury to the first metatarsophalangeal joint. Although the vast majority of turf toe injuries can be treated successfully without operative intervention, there are instances where surgery is required to allow the athlete to return to play. Although there is a plethora of literature on turf toe injuries and nonoperative management, there are currently few reports on operative outcomes in athletes. We obtained all cases of turf toe repair according to the ICD-10 procedural code. The inclusion criteria included: age greater than 16, turf toe injury requiring operative management and at least a varsity level high school football player. The charts were reviewed for age, BMI, level of competition, injury mechanism, football position, setting of injury and playing surface. In addition, we recorded the specifics of the operative procedure, a listing of all injured structures, the implants used and the great toe range of motion at final follow-up visit. The AOFAS Hallux score and VAS was used postoperatively as our outcome measures. Our patient population included 15 patients. The average follow-up time was 27.5 months. The average patient was 19.3 years old with a body mass index of 32.3. The average playing time missed was 16.5 weeks. The average dorsiflexion range of motion at the final follow-up was 42.3 degrees. At final follow-up, the average AOFAS Hallux score was 91.3. The average VAS pain score was 0.7 at rest and 0.8 with physical activity. Complete turf toe injuries are often debilitating and may require operative management to restore a pain-free, stable, and functional forefoot. This study represents the largest cohort of operatively treated grade 3 turf toe injuries in the literature and demonstrates that good clinical outcomes were achieved with operative repair. Level IV, case series.

Relationships Between Simple Toe Elevation Angle in the Standing Position and Dynamic Balance and Fall Risk Among Community-Dwelling Older Adults.

Science.gov (United States)

Takatori, Katsuhiko; Matsumoto, Daisuke

2015-10-01

To investigate the relationships between toe elevation ability in the standing position and dynamic balance and fall risk among community-dwelling older adults. Cross-sectional survey. General community. Community-dwelling older adults (N = 287). Toe elevation angles in the standing position. Intra-rater and inter-rater reliability of measurements of the toe elevation angle was high (internal coefficient of correlation [ICC] (1,2) = 0.94 for the former and ICC (2,1) = 0.90 for the latter). Significant correlations were found between the toe elevation angle and age (r = -0.20, P fall in the previous 6 months had a significantly lower toe elevation angle compared with subjects who did not experience a fall (t = 2.19, P balance ability and appears to be a simple screening test for fall risk in community-dwelling older adults. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Percutaneous flexor tenotomy for preventing and treating toe ulcers in people with diabetes mellitus

DEFF Research Database (Denmark)

Rasmussen, Anne; Bjerre-Christensen, Ulla; Almdal, Thomas Peter

2013-01-01

The purpose was to examine the effectiveness of flexor tenotomy in a modified technique to prevent and heal neuropathic and neuroischaemic pressure ulcers on the tip of the toe in claw- or hammer-toe deformities in people with diabetes.......The purpose was to examine the effectiveness of flexor tenotomy in a modified technique to prevent and heal neuropathic and neuroischaemic pressure ulcers on the tip of the toe in claw- or hammer-toe deformities in people with diabetes....

Self-drying: a gecko's innate ability to remove water from wet toe pads.

Directory of Open Access Journals (Sweden)

Alyssa Y Stark

Full Text Available When the adhesive toe pads of geckos become wet, they become ineffective in enabling geckos to stick to substrates. This result is puzzling given that many species of gecko are endemic to tropical environments where water covered surfaces are ubiquitous. We hypothesized that geckos can recover adhesive capabilities following exposure of their toe pads to water by walking on a dry surface, similar to the active self-cleaning of dirt particles. We measured the time it took to recover maximum shear adhesion after toe pads had become wet in two groups, those that were allowed to actively walk and those that were not. Keeping in mind the importance of substrate wettability to adhesion on wet surfaces, we also tested geckos on hydrophilic glass and an intermediately wetting substrate (polymethylmethacrylate; PMMA. We found that time to maximum shear adhesion recovery did not differ in the walking groups based on substrate wettability (22.7±5.1 min on glass and 15.4±0.3 min on PMMA but did have a significant effect in the non-walking groups (54.3±3.9 min on glass and 27.8±2.5 min on PMMA. Overall, we found that by actively walking, geckos were able to self-dry their wet toe pads and regain maximum shear adhesion significantly faster than those that did not walk. Our results highlight a unexpected property of the gecko adhesive system, the ability to actively self-dry and recover adhesive performance after being rendered dysfunctional by water.

Assessment of leg muscle activity using toe tapping in patients with Parkinson's disease: comparison of two types of toe tapping.

Science.gov (United States)

Taniguchi, Seira; Peper, Ferdinand; Shimokawa, Tetsuya

2018-05-01

[Purpose] This study investigates two types of toe tapping, i.e., "closed," with both feet on the floor, and "open," in which the foot does not touch the ground, and evaluates their usefulness in combination with monitoring of muscle activity during toe tapping. [Subjects and Methods] The study enrolled 11 patients with Parkinson's disease (PD) and 9 controls (Controls). The tibialis anterior (TA) and gastrocnemius (GS) muscle activity during toe tapping was measured using surface electromyography. [Results] In closed tapping, the minima in GS activation with the first tap was significantly higher in patients with PD than in Controls. In open tapping, the coefficient of variation (CV) of local maxima in TA activation was significantly higher in patients with PD than in Controls. In both types of tapping, the CV of extrema in GS activities increased with disease duration, but this may be due to the long-term administration of Levodopa, which itself tends to cause excessive GS activities. [Conclusion] Closed tapping is suitable for the assessment of GS activity and can detect excessive activities, which is observed as visible movement. Open tapping, on the other hand, is suitable for assessment of TA activity.

Increased healing in diabetic toe ulcers in a multidisciplinary foot clinic-An observational cohort study.

Science.gov (United States)

Almdal, T; Nielsen, A Anker; Nielsen, K E; Jørgensen, M E; Rasmussen, A; Hangaard, S; Siersma, V; Holstein, P E

2015-12-01

To study toe ulcer healing in patients with diabetic foot ulcers attending a multidisciplinary foot clinic over a 10 years period. The study was retrospective, consecutive and observational during 2001 through 2011. The patients were treated according to the International Consensus on the Diabetic Foot. During the period the chiropodist staffing in the foot clinic was doubled; new offloading material and orthopedic foot corrections for recalcitrant ulcers were introduced. Healing was investigated in toe ulcers in Cox regression models. 2634 patients developed foot ulcers, of which 1461 developed toe ulcers; in 790 patients these were neuropathic, in 551 they were neuro-ischemic and in 120 they were critically ischemic. One-year healing rates increased in the period 2001-2011 from 75% to 91% for neuropathic toe ulcers and from 72% to 80% for neuro-ischemic toe ulcers, while no changes was observed for ischemic toe ulcers. Adjusted for changes in the patient population, the overall rate of healing for neuropathic and neuro-ischemic toe ulcers almost doubled (HR=1.95 [95% CI: 1.36-2.80]). The results show that the healing of toe ulcers improved. This outcome could not be explained by changes in the patient characteristics, but coincided with a number of improvements in organization and therapy. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Outcomes of Noninvasively Treated Idiopathic Toe Walkers.

Science.gov (United States)

Radtke, Kerstin; Karch, Nataliia; Goede, Fabian; Vaske, Bernhard; von Lewinski, Gabriela; Noll, Yvonne; Thren, Anneke

2018-03-01

Idiopathic toe walking (ITW) causes a common problem in pediatric orthopaedics. In the literature, numerous treatment options have been reported, but consensus about the management of ITW is still missing. The aim of the current study was to evaluate conservative treatment with pyramidal insoles. A total of 193 patients underwent conservative treatment between January 2010 and June 2013. Mean age at the beginning of the treatment was 7.75 ± 0.23 years (range 2.0-17.0 years). For all patients, demographic data, comorbid diseases, passive range of motion (ROM), persistent toe walking, and performed operations were retrospectively evaluated. Following operative treatment was defined failure. Eight (4.15%) patients underwent Achilles tendon lengthening operation after mean therapy time of 2.72 years (range 0.1-7.0 years), 174 cases were treated successfully (90.16%). In 50 cases, toe walking suspended completely after mean therapy time of 2.83 years. In cases of failure, patients were older at diagnosis and at the beginning of the treatment. Mean passive ROM increased over the time. In cases of failure, ROM decreased from the first to the second examination. Conservative treatment of ITW using pyramidal insoles can be effective. Ankle dorsiflexion significantly improved in the patients who were successfully treated. Therapy should start early. A decrease of ROM under therapy should lead to critical revisal of individual therapy. Therapeutic, level IV: Case series.

Real-time feedback of dynamic foot pressure index for gait training of toe-walking children with spastic diplegia.

Science.gov (United States)

Pu, Fang; Ren, Weiyan; Fan, Xiaoya; Chen, Wei; Li, Shuyu; Li, Deyu; Wang, Yu; Fan, Yubo

2017-09-01

The aim of this study was to determine whether and how real-time feedback of dynamic foot pressure index (DFPI) could be used to correct toe-walking gait in spastic diplegic children with dynamic equinus. Thirteen spastic diplegic children with dynamic equinus were asked to wear a monitoring device to record their ambulation during daily gait, conventional training gait, and feedback training gait. Parameters based on their DFPI and stride duration were compared among the three test conditions. The results with feedback training were significantly better for all DFPI parameters in comparison to patients' daily gait and showed significant improvements in DFPI for toe-walking gait and percentage of normal gait in comparison to conventional training methods. Moreover, stride duration under two training gaits was longer than patient's daily gait, but there was no significant difference between the two training gaits. Although the stride duration for the two training gaits was similar, gait training with real-time feedback of DFPI did produce noticeably superior results by increasing heel-loading impulse of toe-walking gait and percentage of normal gait in comparison to convention training methods. However, its effectiveness was still impacted by the motion limitations of diplegic children. Implications for Rehabilitation The DFPI-based gait training feedback system introduced in this study was shown to be more effective at toe-walking gait rehabilitation training over conventional training methods. The feedback system accomplished superior improvement in correcting toe-walking gait, but its effectiveness in an increasing heel-loading impulse in normal gait was still limited by the motion limitations of diplegic children. Stride duration of normal gait and toe-walking gait was similar under conventional and feedback gait training.

Mechanics of toe and heel landing in stepping down in ongoing gait

NARCIS (Netherlands)

van Dieen, J.H.; Spanjaard, M.; Konemann, R.; Bron, L.; Pijnappels, M.A.G.M.

2008-01-01

When stepping down from a height difference in ongoing gait, subjects are known to use a heel landing at small height differences and switch to toe landing for larger height differences. We hypothesized that in toe landing, the leading leg can perform more negative work, to control the momentum

Non-MTC gait cycles: An adaptive toe trajectory control strategy in older adults.

Science.gov (United States)

Santhiranayagam, Braveena K; Sparrow, W A; Lai, Daniel T H; Begg, Rezaul K

2017-03-01

Minimum-toe-clearance (MTC) above the walking surface is a critical representation of toe-trajectory control due to its association with tripping risk. Not all gait cycles exhibit a clearly defined MTC within the swing phase but there have been few previous accounts of the biomechanical characteristics of non-MTC gait cycles. The present report investigated the within-subject non-MTC gait cycle characteristics of 15 older adults (mean 73.1 years) and 15 young controls (mean 26.1 years). Participants performed the following tasks on a motorized treadmill: preferred speed walking, dual task walking (carrying a glass of water) and a dual-task speed-matched control. Toe position-time coordinates were acquired using a 3 dimensional motion capture system. When MTC was present, toe height at MTC (MTC height ) was extracted. The proportion of non-MTC gait cycles was computed for the age groups and individuals. For non-MTC gait cycles an 'indicative' toe height at the individual's average swing phase time (MTC time ) for observed MTC cycles was averaged across multiple non-MTC gait cycles. In preferred-speed walking Young demonstrated 2.9% non-MTC gait cycles and Older 18.7%. In constrained walking conditions both groups increased non-MTC gait cycles and some older adults revealed over 90%, confirming non-MTC gait cycles as an ageing-related phenomenon in lower limb trajectory control. For all participants median indicative toe-height on non-MTC gait cycles was greater than median MTC height . This result suggests that eliminating the biomechanically hazardous MTC event by adopting more of the higher-clearance non-MTC gait cycles, is adaptive in reducing the likelihood of toe-ground contact. Copyright © 2017 Elsevier B.V. All rights reserved.

Biomechanical Differences Between Toe and Instep Kicking; Influence of Contact Area on the Coefficient of Restitution

DEFF Research Database (Denmark)

Andersen, T. Bull; Sørensen, Henrik; Kristensen, Lars Bo

2008-01-01

The coefficient of restitution (COR) was determined for toe and instep soccer kicks. Furthermore, experiments were performed with a pendulum that modeled the different impact areas in toe and instep kicking. Six sub-elite soccer players performed 20 toe and 20 instep kicks with no run-up at a range...... and after impact. In the pendulum experiments the COR was larger for the small area (Toe) at all velocities, whereas this only was found at the lower velocities (areas in the two...

Tic Tac Toe Math. Instructional Guide.

Science.gov (United States)

Cooper, Richard

This instructional guide and set of three companion workbooks are intended for use in an arithmetic course based on the Tic Tac Toe method of addition and multiplication, which is an alternative means of learning to add and multiply that was developed for students whose learning disabilities (including difficulty in distinguishing left from right…

The Distribution of Body Weight Force on Toe and Heel before and after Exercise Therapy in Children with Spastic Diplegia Cerebral Palsy

Directory of Open Access Journals (Sweden)

Keyvan Sharif-Moradi

2005-07-01

Full Text Available Objective: The purpose of this study was to assess the distribution of body weight force on toe and heel before and after exercise therapy and its effects on relaxation of children with spastic diplegia cerebral palsy. Materials & Methods: Ten children with spastic diplegia cerebral palsy between 8 to15 years of age participated in this study. Their mean weight and height were (30.8kg ± 5.7kg and (1.35m±0.09m respectively. Subjects underwent a 12 weeks of exercise therapy. A dynamic stability platform system (BIODEX was used to measure the mean percentage of body weight pressure on toe and heal. The balance tests were repeated on stable, almost stable and unstable base of support as well as with and without shoes. Results: Showed that the mean percentage of body weight pressure on toe and heal after exercise therapy was not significant (p>0.05. The mean percentage of body weight pressure on toe and heal was significantly decrease after exercise therapy in both with and without shoes (p<0.05. The greatest improvement achieved on almost stable and unstable conditions. Wearing shoes resulted in a balance percentage of body weight pressure on toe and heal on stable situation of stability platform the percentage of body weight pressure on toe and heal has no difference before and after exercise therapy. After exercise therapy strengthening the muscle of the ankle joint balance the percentage of body weight pressure on toe and heal. Wearing shoes decrease the muscle stretch and therefore balance the percentage of body weight pressure on toe and heal. Conclusion: The flexibility of spastic muscle and strengthening of the relax muscle must be perform. This result provides good information for physician in recognizing and therapy impacts on cerebral palsy children.

Idiopathic toe-walking in children, adolescents and young adults: a matter of local or generalised stiffness?

NARCIS (Netherlands)

Engelbert, Raoul; Gorter, Jan Willem; Uiterwaal, Cuno; van de Putte, Elise; Helders, Paul

2011-01-01

Idiopathic Toe Walking (ITW) is present in children older than 3 years of age still walking on their toes without signs of neurological, orthopaedic or psychiatric diseases. ITW has been estimated to occur in 7% to 24% of the childhood population. To study associations between Idiopathic Toe Walking

Heel and toe driving on fuel cell vehicle

Science.gov (United States)

Choi, Tayoung; Chen, Dongmei

2012-12-11

A system and method for providing nearly instantaneous power in a fuel cell vehicle. The method includes monitoring the brake pedal angle and the accelerator pedal angle of the vehicle, and if the vehicle driver is pressing both the brake pedal and the accelerator pedal at the same time and the vehicle is in a drive gear, activating a heel and toe mode. When the heel and toe mode is activated, the speed of a cathode compressor is increased to a predetermined speed set-point, which is higher than the normal compressor speed for the pedal position. Thus, when the vehicle brake is removed, the compressor speed is high enough to provide enough air to the cathode, so that the stack can generate nearly immediate power.

Second toe swelling: Nora's lesion or glomus tumour, case report and literature review.

LENUS (Irish Health Repository)

Mohammad, A

2012-09-01

We report a rare case of bizarre parosteal osteochondromatous proliferation (BPOP, Nora\\'s lesion) of the right second toe in a 60-year-old man who presented with painful, bluish and bulbous swelling of the right second toe without any break in the skin.

Material and biofilm load of K wires in toe surgery: titanium versus stainless steel.

Science.gov (United States)

Clauss, Martin; Graf, Susanne; Gersbach, Silke; Hintermann, Beat; Ilchmann, Thomas; Knupp, Markus

2013-07-01

Recurrence rates for toe deformity correction are high and primarily are attributable to scar contractures. These contractures may result from subclinical infection. We hypothesized that (1) recurrence of toe deformities and residual pain are related to low-grade infections from biofilm formation on percutaneous K wires, (2) biofilm formation is lower on titanium (Ti) K wires compared with stainless steel (SS) K wires, and (3) clinical outcome is superior with the use of Ti K wires compared with SS K wires. In this prospective nonrandomized, comparative study, we investigated 135 lesser toe deformities (61 patients; 49 women; mean ± SD age, 60 ± 15 years) temporarily fixed with K wires between August 2010 and March 2011 (81 SS, 54 Ti). K wires were removed after 6 weeks. The presence of biofilm-related infections was analyzed by sonication. High bacterial loads (> 500 colony-forming units [CFU]/mL) were detected on all six toes requiring revision before 6 months. Increased bacterial load was associated with pain and swelling but not recurrence of the deformity. More SS K wires had greater than 100 CFU/mL bacteria than Ti K wires. For K wires with a bacterial count greater than 100 CFU/mL, toes with Ti K wires had a lower recurrence rate, less pain, and less swelling than toes with SS K wires. Ti K wires showed superior clinical outcomes to SS K wires. This appears to be attributable to reduced infection rates. Although additional study is needed, we currently recommend the use of Ti K wires for the transfixation of toe deformities. Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

3D Printing Technology in Planning Thumb Reconstructions with Second Toe Transplant.

Science.gov (United States)

Zang, Cheng-Wu; Zhang, Jian-Lei; Meng, Ze-Zu; Liu, Lin-Feng; Zhang, Wen-Zhi; Chen, Yong-Xiang; Cong, Rui

2017-05-01

To report preoperative planning using 3D printing to plan thumb reconstructions with second toe transplant. Between December 2013 and October 2015, the thumbs of five patients with grade 3 thumb defects were reconstructed using a wrap-around flap and second toe transplant aided by 3D printing technology. CT scans of hands and feet were analyzed using Boholo surgical simulator software (www.boholo.com). This allowed for the creation of a mirror image of the healthy thumb using the uninjured thumb. Using 3D images of the reconstructed thumb, a model of the big toe and the second toe was created to understand the dimensions of the donor site. This model was also used to repair the donor site defect by designing appropriate iliac bone and superficial circumflex iliac artery flaps. The polylactic acid model of the donor toes and reconstructed thumb was produced using 3D printing. Surgically, the wrap-around flap of the first dorsal metatarsal artery and vein combined with the joint and bone of the second toe was based upon the model donor site. Sensation was reconstructed by anastomosing the dorsal nerve of the foot and the plantar digital nerve of the great toe. Patients commenced exercises 2 weeks after surgery. All reconstructed thumbs survived, although partial flap necrosis occurred in one case. This was managed with regular dressing changes. Patients were followed up for 3-15 months. The lengths of the reconstructed thumbs are 34-49 mm. The widths of the thumb nail beds are 16-19 mm, and the thickness of the digital pulp is 16-20 mm. The thumb opposition function was 0-1.5 cm; the extension angle was 5°-20° (mean, 16°), and the angle of flexion was 38°-55° (mean, 47°). Two-point discrimination was 9-11 mm (mean, 9.6 mm). The reconstructed thumbs had good appearance, function and sensation. Based on the criteria set forth by the Standard on Approval of Reconstructed Thumb and Finger Functional Assessment of the Chinese Medical Association, the results were

Kinematic Gait Changes Following Serial Casting and Bracing to Treat Toe Walking in a Child With Autism.

Science.gov (United States)

Barkocy, Marybeth; Dexter, James; Petranovich, Colleen

2017-07-01

To evaluate the effectiveness of serial casting in a child with autism spectrum disorder (ASD) exhibiting a toe-walking gait pattern with equinus contractures. Although many children with ASD toe walk, little research on physical therapy interventions exists for this population. Serial casting has been validated for use in idiopathic toe walking to increase passive dorsiflexion and improve gait, but not for toe walking in children with ASD. Serial casting followed by ankle-foot orthosis use was implemented to treat a child with ASD who had an obligatory equinus gait pattern. Gait analysis supported improvements in kinematic, spatial, and temporal parameters of gait, and the child maintained a consistent heel-toe gait at 2-year follow-up. STATEMENT OF CONCLUSION AND RECOMMENDATIONS FOR CLINICAL PRACTICE:: Serial casting followed by ankle-foot orthosis use is a viable treatment option for toe walking in children with ASD.

PARN and TOE1 Constitute a 3′ End Maturation Module for Nuclear Non-coding RNAs

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Ahyeon Son

2018-04-01

Full Text Available Summary: Poly(A-specific ribonuclease (PARN and target of EGR1 protein 1 (TOE1 are nuclear granule-associated deadenylases, whose mutations are linked to multiple human diseases. Here, we applied mTAIL-seq and RNA sequencing (RNA-seq to systematically identify the substrates of PARN and TOE1 and elucidate their molecular functions. We found that PARN and TOE1 do not modulate the length of mRNA poly(A tails. Rather, they promote the maturation of nuclear small non-coding RNAs (ncRNAs. PARN and TOE1 act redundantly on some ncRNAs, most prominently small Cajal body-specific RNAs (scaRNAs. scaRNAs are strongly downregulated when PARN and TOE1 are compromised together, leading to defects in small nuclear RNA (snRNA pseudouridylation. They also function redundantly in the biogenesis of telomerase RNA component (TERC, which shares sequence motifs found in H/ACA box scaRNAs. Our findings extend the knowledge of nuclear ncRNA biogenesis, and they provide insights into the pathology of PARN/TOE1-associated genetic disorders whose therapeutic treatments are currently unavailable. : By analyzing the 3′ termini of transcriptome, Son et al. reveal the targets of PARN and TOE1, two nuclear deadenylases with disease associations. Both deadenylases are involved in nuclear small non-coding RNA maturation, but not in mRNA deadenylation. Their combined activity is particularly important for biogenesis of scaRNAs and TERC. Keywords: PARN, TOE1, CAF1Z, deadenylase, 3′ end maturation, adenylation, deadenylation, scaRNA, TERC

From tails to toes: developing nonlethal tissue indicators of mercury exposure in five amphibian species.

Science.gov (United States)

Pfleeger, Adam Z; Eagles-Smith, Collin A; Kowalski, Brandon M; Herring, Garth; Willacker, James J; Jackson, Allyson K; Pierce, John R

2016-04-01

Exposure to environmental contaminants has been implicated as a factor in global amphibian decline. Mercury (Hg) is a particularly widespread contaminant that biomagnifies in amphibians and can cause a suite of deleterious effects. However, monitoring contaminant exposure in amphibian tissues may conflict with conservation goals if lethal take is required. Thus, there is a need to develop non-lethal tissue sampling techniques to quantify contaminant exposure in amphibians. Some minimally invasive sampling techniques, such as toe-clipping, are common in population-genetic research, but it is unclear if these methods can adequately characterize contaminant exposure. We examined the relationships between mercury (Hg) concentrations in non-lethally sampled tissues and paired whole-bodies in five amphibian species. Specifically, we examined the utility of three different tail-clip sections from four salamander species and toe-clips from one anuran species. Both tail and toe-clips accurately predicted whole-body THg concentrations, but the relationships differed among species and the specific tail-clip section or toe that was used. Tail-clips comprised of the distal 0-2 cm segment performed the best across all salamander species, explaining between 82 and 92% of the variation in paired whole-body THg concentrations. Toe-clips were less effective predictors of frog THg concentrations, but THg concentrations in outer rear toes accounted for up to 79% of the variability in frog whole-body THg concentrations. These findings suggest non-lethal sampling of tails and toes has potential applications for monitoring contaminant exposure and risk in amphibians, but care must be taken to ensure consistent collection and interpretation of samples.

Blue toe syndrome treated with sympathectomy in a patient with acute renal failure caused by cholesterol embolization

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Min-Gang Kim

2013-12-01

Full Text Available Blue toe syndrome is the most frequent manifestation of tissue ischemia caused by cholesterol embolization (CE, which can lead to amputation of affected lower extremities, if severe. However, any effective treatment is lacking. We experienced a case of spontaneously presenting blue toe syndrome and concomitant acute renal failure in a patient with multiple atherosclerotic risk factors. CE was confirmed by renal biopsy. Despite medical treatment including prostaglandin therapy and narcotics, the toe lesion progressed to gangrene with worsening ischemic pain. Therefore, we performed lumbar sympathectomy, which provided dramatic pain relief as well as an adequate blood flow to the ischemic lower extremities, resulting in healing of the gangrenous lesion and avoiding toe amputation. This is the first reported case of a patient with intractable ischemic toe syndrome caused by CE that was treated successfully by sympathectomy. Our observations suggest that sympathectomy may be beneficial in some patients with CE-associated blue toe syndrome.

In-toeing in children with type I osteogenesis imperfecta: an observational descriptive study.

Science.gov (United States)

Losa Iglesias, Marta Elena; Becerro de Bengoa Vallejo, Ricardo; Salvadores Fuentes, Paloma

2009-01-01

Osteogenesis imperfecta is an autosomal-dominant disorder of the connective tissue. Also known as brittle bone disease, it renders those affected susceptible to fractures after minimal trauma. Therefore, it is important to minimize the risk of falls and subsequent fractures in patients with this disease. In-toeing is a common condition in children that can result from various pathologic entities, including anteversion, internal tibial torsion, and metatarsus adductus. These conditions can result in frequent tripping and other functional problems. A descriptive study was undertaken to determine the prevalence of in-toeing gait attributable to tibial or femoral torsion or metatarsus adductus in children with type I osteogenesis imperfecta. The study involved orthopedic and biomechanical examination of 15 children (9 girls and 6 boys) aged 4 to 9 years with confirmed type I osteogenesis imperfecta. Patients who used assistive ambulatory devices, such as canes, crutches, and wheelchairs, were excluded from the study. Of the 15 children studied, 12 (80%) demonstrated previously undiagnosed in-toeing gait attributable to torsional deformity or metatarsus adductus in all but one child. Many children with confirmed type I osteogenesis imperfecta have in-toeing gait caused by torsional deformity or metatarsus adductus. Detection and control of in-toeing gait in children with osteogenesis imperfecta is important to prevent fractures resulting from trauma directly related to these conditions.

Magnetic resonance imaging of the pulleys of the flexor tendons of the toes at 11.7 T

Energy Technology Data Exchange (ETDEWEB)

Tafur, Monica; Iwasaki, Kenyu; Statum, Sheronda; Szeverenyi, Nikolaus M.; Bydder, Graeme M. [University of California, San Diego, School of Medicine, Department of Radiology, San Diego, CA (United States); Chung, Christine B. [Department of Radiology, Veterans Administration San Diego Healthcare System, San Diego, CA (United States); University of California, San Diego, School of Medicine, Department of Radiology, San Diego, CA (United States)

2015-01-15

We obtained high-resolution 11.7-T MR images of the pulleys of the flexor tendons in cadaveric toe specimens. A detailed understanding of toe pulley anatomy as seen with MR is likely to be of benefit in recognizing disease and the effects of trauma. Six cadaveric toes were imaged with an 11.7-T small-bore MR imaging system using optimized coils. Two-dimensional dual-echo SE scans were obtained in three planes (40 x 40 x 400-μm{sup 3} voxel size, TE = 7/14 ms, TR = 3,500 ms, fat saturation). Three-dimensional spoiled gradient echo scans were obtained (90-150 μm{sup 3} isotropic voxel size, TE = 6 ms, TR = 25 ms, with and without fat saturation). Specimen orientation was with the long axis of the toe either parallel or perpendicular to B{sub 0}. All the annular (A) pulleys were demonstrated in the great and lesser toes. The A2 pulley in the great and lesser toes and the A4 pulley in the lesser toes were the most substantial pulleys. The A5 pulley, which has not previously been described in the toes, was demonstrated. The cruciform pulleys were also seen and were smaller and thinner. Three tissue layers were seen, and there was evidence of different fiber directions in annular pulleys producing different magic angle effects. Detailed anatomy of the pulley system of the flexor tendons was seen on the 11.7-T MR images showing new features and providing a basis for image interpretation. Similarities and differences between the pulley systems in the toes and the fingers were identified. (orig.)

Tic Tac Toe Math. Train the Trainer.

Science.gov (United States)

Center for Alternative Learning, Bryn Mawr, PA.

This report describes a project that developed a "Train the Trainer" program that would enable individuals to learn and teach the alternative instructional technique, Tic Tac Toe Math, developed by Richard Cooper for adult basic education students. The pilot workshop conducted as part of the project identified problems that traditional…

Metatarsophalangeal joint stability: A systematic review on the plantar plate of the lesser toes

NARCIS (Netherlands)

Maas, N.M.G. (Nico M.G.); M. van der Grinten (Margot); W.M. Bramer (Wichor); G.J. Kleinrensink (Gert Jan)

2016-01-01

textabstractBackground: Instability of the metatarsophalangeal (MTP) joints of the lesser toes (digiti 2-5) is increasingly being treated by repair of the plantar plate (PP). This systematic review examines the anatomy of the plantar plate of the lesser toes, and the relation between the integrity

Fingertip Reconstruction Using Free Toe Tissue Transfer Without Venous Anastomosis

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Won Young Yoon

2012-09-01

Full Text Available BackgroundThis study was designed to introduce the feasibility of toe tissue transfer without venous outflow for fingertip reconstruction.MethodsFive cases of fingertip defects were treated successfully with this method. Four cases were traumatic fingertip defects, and one case was a hook-nail deformity. The lateral pulp of a great toe or medioinferior portion of a second toe was used as the donor site. An arterial pedicle was dissected only within the digit and anastomosis was performed within 2 cm around the defect margin. The digital nerve was repaired simultaneously. No additional dissection of the dorsal or volar pulp vein was performed in either the donor or recipient sites. Other surgical procedures were performed following conventional techniques. Postoperative venous congestion was monitored with pulp temperature, color, and degree of tissue oxygen saturation. Venous congestion was decompressed with a needle-puncture method intermittently, but did not require continuous external bleeding for salvage.ResultsVenous congestion was observed in all the flaps, but improved within 3 or 4 days postoperatively. The flap size was from 1.5×1.5 cm2 to 2.0×3.0 cm2. The mean surgical time was 2 hours and 20 minutes. A needle puncture was carried out every 2 hours during the first postoperative day, and then every 4 hours thereafter. The amount of blood loss during each puncture procedure was less than 0.2 mL. In the long-term follow-up, no flap atrophy was observed.ConclusionsWhen used properly, the free toe tissue transfer without venous anastomosis method can be a treatment option for small defects on the fingertip area.

Free toe pulp flap for finger pulp and volar defect reconstruction

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Jyoshid R Balan

2016-01-01

Full Text Available Background: Fingertip injury requiring flap cover is very common in the modern era. The ideal cover should fulfill both functional and aesthetic improvement. Materials and Methods: From June 2015 to April 2016, we performed seven free toe pulp flaps for finger defect reconstruction. All patients were males. Five flaps were done in emergency post-traumatic cases, and two were done in elective set up. The cases included reconstruction of three thumbs, one index and one ring finger in an emergency set up and two ring fingers in the elective. Thumb reconstruction was done with great toe lateral pulp and the other digits reconstructed with second toe pulp flap. Follow-up evaluation included both functional and aesthetic assessment. Results: Five flaps survived completely, one suffered partial loss, and one flap failed completely. The median follow-up period was 9 months. The median duration of surgery was 255 min (range 210 to 300 min. The median two-point discrimination was 6.5 mm (range 4–8 mm. There was the return of temperature sensation in all patients; two had cold intolerance. The Semmes-Weinstein monofilament score varied from 3.61 to 5.07 (median filament index value 4.31/pressure value of 2 g/mm2. Three patients had delayed donor site wound healing. Conclusions: The free toe pulp flap is an efficient choice for fingertip and volar finger defects reconstruction with an excellent tissue match.

Effects of shoe sole geometry on toe clearance and walking stability in older adults.

Science.gov (United States)

Thies, S B; Price, C; Kenney, L P J; Baker, R

2015-07-01

Thirty-five percent of people above age 65 fall each year, and half of their falls are associated with tripping: tripping, an apparently 'mundane' everyday problem, therefore, significantly impacts on older people's health and associated medical costs. To avoid tripping and subsequent falling, sufficient toe clearance during the swing phase is crucial. We previously found that a rocker-shaped shoe sole enhances toe clearance in young adults, thereby decreasing their trip-risk. This study investigates whether such sole design also enhances older adults' toe clearance, without inadvertently affecting their walking stability. Toe clearance and its variability are reported together with measures of walking stability for twelve older adults, walking in shoes with rocker angles of 10°, 15°, and 20°. Surface inclinations (flat, incline, decline) were chosen to reflect a potential real-world environment. Toe clearance increased substantially from the 10° to the 15° rocker angle (p=0.003) without compromising measures of walking stability (p>0.05). A further increase in rocker angle to 20° resulted in less substantial enhancement of toe clearance and came at the cost of a decrease in gait speed on the decline. The novelty of this investigation lies in the exploration of the trade-off between reduction of trip-risk through footwear design and adverse effects on walking stability on real-life relevant surfaces. Our two studies suggest that the current focus on slip-resistance in footwear design may need to be generalised to include other factors that affect trip-risk. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

A systematic review of discomfort due to toe or ear clipping in laboratory rodents

Science.gov (United States)

Geessink, Florentine J.; Brouwer, Michelle A. E.; Tillema, Alice; Ritskes-Hoitinga, Merel

2017-01-01

Toe clipping and ear clipping (also ear notching or ear punching) are frequently used methods for individual identification of laboratory rodents. These procedures potentially cause severe discomfort, which can reduce animal welfare and distort experimental results. However, no systematic summary of the evidence on this topic currently exists. We conducted a systematic review of the evidence for discomfort due to toe or ear clipping in rodents. The review methodology was pre-specified in a registered review protocol. The population, intervention, control, outcome (PICO) question was: In rodents, what is the effect of toe clipping or ear clipping, compared with no clipping or sham clipping, on welfare-related outcomes? Through a systematic search in PubMed, Embase, Web of Science and grey literature, we identified seven studies on the effect of ear clipping on animal welfare, and five such studies on toe clipping. Studies were included in the review if they contained original data from an in vivo experiment in rodents, assessing the effect of toe clipping or ear clipping on a welfare-related outcome. Case studies and studies applying unsuitable co-interventions were excluded. Study quality was appraised using an extended version of SYstematic Review Centre for Laboratory animal Experimentation (SYRCLE)’s risk of bias tool for animal studies. Study characteristics and outcome measures were highly heterogeneous, and there was an unclear or high risk of bias in all studies. We therefore present a narrative synthesis of the evidence identified. None of the studies reported a sample size calculation. Out of over 60 different outcomes, we found evidence of discomfort due to ear clipping in the form of increased respiratory volume, vocalization and blood pressure. For toe clipping, increased vocalization and decreased motor activity in pups were found, as well as long-term effects in the form of reduced grip strength and swimming ability in adults. In conclusion, there

Strategic insights from playing quantum tic-tac-toe

International Nuclear Information System (INIS)

Leaw, J N; Cheong, S A

2010-01-01

In this paper, we perform a minimalistic quantization of the classical game of tic-tac-toe, by allowing superpositions of classical moves. In order for the quantum game to reduce properly to the classical game, we require legal quantum moves to be orthogonal to all previous moves. We also admit interference effects, by squaring the sum of amplitudes over all moves by a player to compute his or her occupation level of a given site. A player wins when the sum of occupations along any of the eight straight lines we can draw in the 3 x 3 grid is greater than or equal to 3. We play the quantum tic-tac-toe first randomly, and then deterministically, to explore the impact different opening moves, end games and different combinations of offensive and defensive strategies have on the outcome of the game. In contrast to the classical tic-tac-toe, the deterministic quantum game does not always end in a draw. In contrast also to most classical two-player games of no chance, it is possible for player 2 to win. More interestingly, we find that player 1 enjoys an overwhelming quantum advantage when he opens with a quantum move, but loses this advantage when he opens with a classical move. We also find the quantum blocking move, which consists of a weighted superposition of moves that the opponent could use to win the game, to be very effective in denying the opponent his or her victory. We then speculate what implications these results might have on quantum information transfer and portfolio optimization.

Strategic insights from playing quantum tic-tac-toe

Energy Technology Data Exchange (ETDEWEB)

Leaw, J N; Cheong, S A, E-mail: cheongsa@ntu.edu.s [Division of Physics and Applied Physics, School of Physical and Mathematical Sciences, Nanyang Technological University, 21 Nanyang Link, Singapore 637371 (Singapore)

2010-11-12

In this paper, we perform a minimalistic quantization of the classical game of tic-tac-toe, by allowing superpositions of classical moves. In order for the quantum game to reduce properly to the classical game, we require legal quantum moves to be orthogonal to all previous moves. We also admit interference effects, by squaring the sum of amplitudes over all moves by a player to compute his or her occupation level of a given site. A player wins when the sum of occupations along any of the eight straight lines we can draw in the 3 x 3 grid is greater than or equal to 3. We play the quantum tic-tac-toe first randomly, and then deterministically, to explore the impact different opening moves, end games and different combinations of offensive and defensive strategies have on the outcome of the game. In contrast to the classical tic-tac-toe, the deterministic quantum game does not always end in a draw. In contrast also to most classical two-player games of no chance, it is possible for player 2 to win. More interestingly, we find that player 1 enjoys an overwhelming quantum advantage when he opens with a quantum move, but loses this advantage when he opens with a classical move. We also find the quantum blocking move, which consists of a weighted superposition of moves that the opponent could use to win the game, to be very effective in denying the opponent his or her victory. We then speculate what implications these results might have on quantum information transfer and portfolio optimization.

Primary Sjögren’s Syndrome with Sensory Ganglionopathy and Painful Legs and Moving Toes Syndrome

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Mehmet Uğur Çevik

2014-06-01

Full Text Available Sjogren’s syndrome is characterized by the sicca syndrome, with dryness of the mouth (xerostomia and the eyes (xerophthalmia. Sjogren's syndrome is the only connective tissue disease that has been associated with sensory neuronopathy. The syndrome of painful legs and moving toes consisting of pain in the lower limbs with spontaneous movements of the toes or feet. The association between Sjogren’s syndrome and painful legs and moving toes syndrome is a rare condition

Establishing a Reliability Evaluation of the Toe Berm and Armour Layer Interaction

DEFF Research Database (Denmark)

Christiani, E.; Burcharth, H. F.; Sørensen, Jørgen S.

1995-01-01

Failure of various sections of a rubble mound breakwater can be crucial for the stability of the rubble mound breakwater as a whole. This is illustrated in Fig 1, showing a series of failure modes for a rubble mound structure. Ensuring static stability of the armour layer and toe berm and crown......, enables stability of the primary sections of a rubble mound breakwater. The combined static stability of the armour layer and toe berm will be investigated....

Concerning the etiology of bony bridges along the sides of the terminal phalanx of the great toe

Energy Technology Data Exchange (ETDEWEB)

Fischer, E.

1987-06-01

Besides in acromegaly bony bridges at the terminal phalanx of the great toe occur in one third of cases with peripheral signs of diffuse idiopathic skeletal hyperostosis, systemic diseases as rheumatoid arthritis or psoriatic arthritis with chronic inflammation of the interphalangeal joint of the great toe respectively extraarticular osseous changes in the terminal phalanx of the great toe do not influence the development of such bridges.

Osteoid Osteoma of the Great Toe Mimicking Osteomyelitis: A Case Report and Review of the Literature

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Ismail Turkmen

2013-01-01

Full Text Available Osteoid osteomas are well-known benign tumors, seen generally in long bones. When seen in phalanxes or toes, they can cause a diagnostic dilemma. A young male presented to us with complaints of enlargement of the great toe and severe pain. He had had an ingrown toe-nail operation before, and this situation caused a diagnostic dilemma. In this case report, we emphasize that osteoid osteomas can cause diagnostic dilemmas and it should be kept in mind as a differential diagnosis.

Design overview of Syncrude's Mildred Lake East Toe berm

International Nuclear Information System (INIS)

List, B.R.; Martens, S.N.; Meyer, J.P.

1999-01-01

The Syncrude surface mining oil sand operation is located near Fort McMurray, Alberta, and produces an average of 470 tonnes of oil sand feed daily, which, after undergoing a bitumen extraction phase, generates 360,000 tonnes of tailings solids. This production yields approximately 83 million barrels of Syncrude Sweet Blend annually, being 13% of Canada's oil production. Tailings from the extraction process are used to hydraulically construct containment dikes and supporting beaches of the storage facilities, while the process water is returned to the extraction process. Since the start of the operation in 1978, the Mildred Lake Settling Basin has been Syncrude's primary tailings storage facility, and many design changes have occurred over 20 years which have optimized sand storage at the facility. An overview is included of the final design and preliminary performance of the Mildred Lake East Toe Berm currently being constructed along Cells 20 to 25 of Syncrude's Mildred Lake Settling Basin. The main point of constructing the East Toe Berm is to provide storage for 20 million cubic m or more of tailings over the period of March 1998 to July 1999. Following this period, a permanent tailings storage will be available in-pit. The key features of the Mildred Lake East Toe Berm described include the planning, design, and construction aspects, of which an additional benefit is an added storage capacity to the existing Mildred Lake Settling Basin. 6 refs., 8 figs., 3 tabs

Biallelic mutations in the 3' exonuclease TOE1 cause pontocerebellar hypoplasia and uncover a role in snRNA processing

DEFF Research Database (Denmark)

Lardelli, Rea M.; Schaffer, Ashleigh E.; Eggens, Veerle R C

2017-01-01

) is a unique recessive syndrome characterized by neurodegeneration and ambiguous genitalia. We studied 12 human families with PCH7, uncovering biallelic, loss-of-function mutations in TOE1, which encodes an unconventional deadenylase. toe1-morphant zebrafish displayed midbrain and hindbrain degeneration...... of TOE1 accumulated 3'-end-extended pre-snRNAs, and the immunoisolated TOE1 complex was sufficient for 3'-end maturation of snRNAs. Our findings identify the cause of a neurodegenerative syndrome linked to snRNA maturation and uncover a key factor involved in the processing of snRNA 3' ends....

Adjusting kinematics and kinetics in a feedback-controlled toe walking model

Directory of Open Access Journals (Sweden)

Olenšek Andrej

2012-08-01

Full Text Available Abstract Background In clinical gait assessment, the correct interpretation of gait kinematics and kinetics has a decisive impact on the success of the therapeutic programme. Due to the vast amount of information from which primary anomalies should be identified and separated from secondary compensatory changes, as well as the biomechanical complexity and redundancy of the human locomotion system, this task is considerably challenging and requires the attention of an experienced interdisciplinary team of experts. The ongoing research in the field of biomechanics suggests that mathematical modeling may facilitate this task. This paper explores the possibility of generating a family of toe walking gait patterns by systematically changing selected parameters of a feedback-controlled model. Methods From the selected clinical case of toe walking we identified typical toe walking characteristics and encoded them as a set of gait-oriented control objectives to be achieved in a feedback-controlled walking model. They were defined as fourth order polynomials and imposed via feedback control at the within-step control level. At the between-step control level, stance leg lengthening velocity at the end of the single support phase was adaptively adjusted after each step so as to facilitate gait velocity control. Each time the gait velocity settled at the desired value, selected intra-step gait characteristics were modified by adjusting the polynomials so as to mimic the effect of a typical therapeutical intervention - inhibitory casting. Results By systematically adjusting the set of control parameters we were able to generate a family of gait kinematic and kinetic patterns that exhibit similar principal toe walking characteristics, as they were recorded by means of an instrumented gait analysis system in the selected clinical case of toe walking. We further acknowledge that they to some extent follow similar improvement tendencies as those which one can

Lower-extremity rotational profile and toe-walking in preschool children with autism spectrum disorder.

Science.gov (United States)

Arik, Atilla; Aksoy, Cemalettin; Aysev, Ayla; Akçakin, Melda

2018-04-24

The aim of this study was to establish the torsional and toe-walking profiles of children with autism spectrum disorder (ASD), and to analyze the correlations between torsion, toe-walking, autism severity score, and age. In total, 79 consecutive children with autism were examined to determine their hip rotations, thigh-foot angle, degree of toe-walking, and autism severity. Femoral and tibial torsion values, of the preschool patients, were compared statistically with age-matched controls. The hip rotation profile of the patients was similar to the normal group. Nearly a half of the patients with ASD present excessive external tibial torsion. The difference in the tibial torsion between patients and normal children was statistically significant. A weak correlation was found only between tibial torsion and the autism severity score, but no correlation was found between the other parameters. External tibial torsion is the cardinal and persistent orthopedic manifestation among patients with ASD. Toe-walking is the second most common such manifestation and is an independent orthopedic feature in these patients. External tibial torsion may potentially contribute toward the described gait abnormalities in patients with ASD.

Los Robles Breakwater 2D-Tests

DEFF Research Database (Denmark)

Burcharth, Hans F.; Pedersen, Thomas Schmidt; Andersen, Thomas Lykke

The present report contains the results of main armour stability and toe stability tests for the Los Robles breakwater in Chile.......The present report contains the results of main armour stability and toe stability tests for the Los Robles breakwater in Chile....

Adaptive suspension strategy for a double wishbone suspension through camber and toe optimization

Directory of Open Access Journals (Sweden)

C. Kavitha

2018-02-01

Full Text Available A suspension system is responsible for the safety of vehicle during its manoeuvre. It serves the dual purpose of providing stability to the vehicle while providing a comfortable ride quality to the occupants. Recent trends in suspension system have focused on improving comfort and handling of vehicles while keeping the cost, space and feasibility of manufacturing in the constraint. This paper proposes a method for improving handling characteristics of a vehicle by controlling camber and toe angle using variable length arms in an adaptive manner. In order to study the effect of dynamic characteristics of the suspension system, a simulation study has been done in this work. A quarter car physical model with double wishbone suspension geometry is modelled in SolidWorks. It is then imported and simulated using SimMechanics platform in MATLAB. The output characteristics of the passive system (without variable length arms were validated on MSC ADAMS software. The adaptive system intends to improve vehicle handling characteristics by controlling the camber and toe angles. This is accomplished by two telescopic arms with an actuator which changes the camber and toe angle of the wheel dynamically to deliver best possible traction and manoeuvrability. Two PID controllers are employed to trigger the actuators based on the camber and toe angle from the sensors for reducing the error existing between the actual and desired value. The arms are driven by actuators in a closed loop feedback manner with help of a separate control system. Comparison between active and passive systems is carried out by analysing graphs of various parameters obtained from MATLAB simulation. From the results, it is observed that there is a reduction of 58% in the camber and 96% in toe gain. Hence, the system provides the scope of considerable adaptive strategy in controlling dynamic characteristics of the suspension system.

Blue toe syndrome Síndrome do dedo azul

Directory of Open Access Journals (Sweden)

Paulo Eduardo Ocke Reis

2005-01-01

Full Text Available The authors report the case of a man with blue toe syndrome, who developed bilateral foot ischemia and underwent successful repair of an abdominal aortic aneurysm and associated renal artery stenosis. Blue toe syndrome is characterized by tissue ischemia secondary to embolization of cholesterol crystals or atherothrombotic debris. Microembolization most often occurs in elderly men who undergo an invasive vascular procedure or have an aneurysm.Os autores relatam o caso de síndrome do dedo azul em um homem que apresentou um quadro de isquemia bilateral dos pés e foi submetido ao reparo bem sucedido de um aneurisma da aorta abdominal e de estenose da artéria renal associada. A síndrome do dedo azul é caracterizada pela isquemia tecidual, secundária à embolização de cristais de colesterol ou aterotrombose. A microembolização ocorre mais freqüentemente em homens idosos que têm um aneurisma ou são submetidos a um procedimento vascular invasivo.

Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity: a magnetic resonance imaging study

NARCIS (Netherlands)

Bus, Sicco A.; Maas, Mario; Cavanagh, Peter R.; Michels, Robert P. J.; Levi, Marcel

2004-01-01

OBJECTIVE: The aim of this study was to quantify the association between claw/hammer toe deformity and changes in submetatarsal head (sub-MTH) fat-pad geometry in diabetic neuropathic feet. RESEARCH DESIGN AND METHODS: Thirteen neuropathic diabetic subjects (mean age 56.2 years) with toe deformity,

Effect of Guci powder on toe swelling induced by egg white in rats

Science.gov (United States)

Xie, Guoqi; Hao, Shaojun; Shen, Huiling; Ma, Zhenzhen; Zhang, Xuehui; Zhang, Zhengchen

2018-04-01

To observe the effect of Guci Powder on foot swelling induced by egg white in rats. 50 male rats were randomly divided into normal saline group (n=10), white vinegar group (n=10) and Guning lotion group (n=10). There were 10 rats in the high-dose group and 10 in the low-dose group. The rats in each group were treated with the drug on the left and right feet of the rats. 0.5 hours after the last administration, the rats in each group were inflamed. The left hindsole plantar volume was measured respectively, so that the difference of the posterior toe volume before inflammation was taken as the swelling degree, and the swelling degree of each group was calculated. Compared with physiological saline group, the rats' egg white toe swelling (Pegg white toe in rats was inhibited at 0.5˜2h (Pegg white in rats, and the external application of bone spur powder has anti-inflammatory and swelling effect.

Vertical Equilibrium of Sheet Pile Walls with Emphasis on Toe Capacity and Plugging

DEFF Research Database (Denmark)

Iversen, Kirsten Malte; Augustesen, Anders Hust; Nielsen, Benjaminn Nordahl

Constructions including retaining walls are normally established in areas where it is impossible to conduct an excavation with inclined sides. Due to large excavation depths and due to restrictions on the deformations of the wall, it is often necessary to anchor the wall. The limited space makes...... at the pile toe to fulfil vertical equilibrium. The paper describes a case study of sheet pile walls in Aalborg Clay, and the amount of loads transferred as point loads at the pile toe for free and anchored walls is estimated. A parametric study is made for the free wall with regards to the height...... and the roughness of the wall. Due to limitations of the calculation method, the study of the anchored wall only includes variation of the roughness. For the case study, it is found that the vertical equilibrium is fulfilled for the considered free wall. An anchored wall needs a plug forming at the pile toe...

Effects of Knee Alignments and Toe Clip on Frontal Plane Knee Biomechanics in Cycling.

Science.gov (United States)

Shen, Guangping; Zhang, Songning; Bennett, Hunter J; Martin, James C; Crouter, Scott E; Fitzhugh, Eugene C

2018-06-01

Effects of knee alignment on the internal knee abduction moment (KAM) in walking have been widely studied. The KAM is closely associated with the development of medial knee osteoarthritis. Despite the importance of knee alignment, no studies have explored its effects on knee frontal plane biomechanics during stationary cycling. The purpose of this study was to examine the effects of knee alignment and use of a toe clip on the knee frontal plane biomechanics during stationary cycling. A total of 32 participants (11 varus, 11 neutral, and 10 valgus alignment) performed five trials in each of six cycling conditions: pedaling at 80 rpm and 0.5 kg (40 Watts), 1.0 kg (78 Watts), and 1.5 kg (117 Watts) with and without a toe clip. A motion analysis system and a customized instrumented pedal were used to collect 3D kinematic and kinetic data. A 3 × 2 × 3 (group × toe clip × workload) mixed design ANOVA was used for statistical analysis (p < 0.05). There were two different knee frontal plane loading patterns, internal abduction and adduction moment, which were affected by knee alignment type. The knee adduction angle was 12.2° greater in the varus group compared to the valgus group (p = 0.001), yet no difference was found for KAM among groups. Wearing a toe clip increased the knee adduction angle by 0.95º (p = 0.005). The findings of this study indicate that stationary cycling may be a safe exercise prescription for people with knee malalignments. In addition, using a toe clip may not have any negative effects on knee joints during stationary cycling.

A closed dorsolateral dislocation of PIP joint of the fourth toe-a case report and review of literature

Directory of Open Access Journals (Sweden)

Prof. Giris Kumar Singh

2009-01-01

Full Text Available Interphalangeal (IP joint dislocations of the toes are uncommon lesions. We present here a case of closed dorsolateral dislocation of proximal interphalangeal (PIP joint of the fourth toe. Closed reduction and buddy strapping have been done with middle toe for two weeks under digital block. There was painless full range of movement after 2 weeks. We propose that attempt of closed reduction must be given adequately under anesthesia before proceeding for open reduction.

A double toe-to-hand transfer in a young girl

International Nuclear Information System (INIS)

Rahman, M.F.

2013-01-01

A 14 years old girl lost all the fingers of her right hand except the thumb in a Toka (fodder chopping machine) 4 months ago. The fingers had been amputated at the level of the metacarpophalangeal joint. A double toe transfer was done using the second and third toes of her right foot to reconstruct the second and third digits of her right hand using microvascular technique. Bones were fixed with K-wires, corresponding tendons and nerves were attached, the dorsalis pedis artery was anastamosed end-to-side to the radial artery and the vein was anastamosed to the cephalic vein. The patient recovered well. K-wires were removed at 6 weeks and physiotherapy was started. After 4 months, the patient was able to use the hand for normal hand function and could make a tripod pinch. (author)

Effects of Knee Alignments and Toe Clip on Frontal Plane Knee Biomechanics in Cycling

Science.gov (United States)

Shen, Guangping; Zhang, Songning; Bennett, Hunter J.; Martin, James C.; Crouter, Scott E.; Fitzhugh, Eugene C.

2018-01-01

Effects of knee alignment on the internal knee abduction moment (KAM) in walking have been widely studied. The KAM is closely associated with the development of medial knee osteoarthritis. Despite the importance of knee alignment, no studies have explored its effects on knee frontal plane biomechanics during stationary cycling. The purpose of this study was to examine the effects of knee alignment and use of a toe clip on the knee frontal plane biomechanics during stationary cycling. A total of 32 participants (11 varus, 11 neutral, and 10 valgus alignment) performed five trials in each of six cycling conditions: pedaling at 80 rpm and 0.5 kg (40 Watts), 1.0 kg (78 Watts), and 1.5 kg (117 Watts) with and without a toe clip. A motion analysis system and a customized instrumented pedal were used to collect 3D kinematic and kinetic data. A 3 × 2 × 3 (group × toe clip × workload) mixed design ANOVA was used for statistical analysis (p < 0.05). There were two different knee frontal plane loading patterns, internal abduction and adduction moment, which were affected by knee alignment type. The knee adduction angle was 12.2° greater in the varus group compared to the valgus group (p = 0.001), yet no difference was found for KAM among groups. Wearing a toe clip increased the knee adduction angle by 0.95º (p = 0.005). The findings of this study indicate that stationary cycling may be a safe exercise prescription for people with knee malalignments. In addition, using a toe clip may not have any negative effects on knee joints during stationary cycling. Key points Varus or valgus alignment did not cause increased frontal-plane knee joint loading, suggesting stationary cycling is a safe exercise. This study supports that using a toe clip did not lead to abnormal frontal-plane knee loading during stationary cycling. Two different knee frontal plane loading patterns, knee abduction and adduction moment, were observed during stationary cycling, which are likely affected by

A novel device for measuring arterial stiffness using finger-toe pulse wave velocity: Validation study of the pOpmètre®.

Science.gov (United States)

Alivon, Maureen; Vo-Duc Phuong, Thao; Vignon, Virginie; Bozec, Erwan; Khettab, Hakim; Hanon, Olivier; Briet, Marie; Halimi, Jean-Michel; Hallab, Magid; Plichart, Matthieu; Mohammedi, Kamel; Marre, Michel; Boutouyrie, Pierre; Laurent, Stéphane

2015-04-01

The finger-toe pathway could be a good alternative for assessing arterial stiffness conveniently. To evaluate the accuracy of the pOpmètre®--a new device that measures finger-toe pulse wave velocity (ft-PWV). The pOpmètre has two photodiode sensors, positioned on the finger and the toe. Pulse waves are recorded continuously for 20 seconds, and the difference in pulse wave transit time between toe and finger (ft-TT) is calculated. The travelled distance is estimated using subject height. Study 1 compared ft-PWV with carotid-femoral PWV (cf-PWV) obtained by the reference method (SphygmoCor®) in 86 subjects (mean age 53±20 years), including 69 patients with various pathologies and 17 healthy normotensives. Study 2 compared changes in ft-PWV and cf-PWV during a cold pressor test in 10 healthy subjects. Study 3 assessed repeatability in 45 patients. ft-PWV correlated significantly with cf-PWV (R2=0.43; P<0.0001). A better correlation was found in terms of transit time (R2=0.61; P<0.0001). The discrepancy between transit times was related to age. The cold pressor test induced parallel changes in cf-PWV and ft-PWV, with increased aortic stiffness that was reversible during recovery. Intra-session repeatability was very good, with a coefficient of variation of 4.52%. The pOpmètre® allows measurement of arterial stiffness in routine clinical practice. The greatest advantages of ft-PWV are simplicity, rapidity, feasibility, acceptability by patients and correct agreement with the reference technique. Further studies are needed to adjust for bias and to validate the pOpmètre in larger populations. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

A Unique Case of Classic Kaposi's sarcoma restricted to the toes.

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Renteria, Anne S; Marshall, Vickie A; Sun, Yanyu; Chockalingam, Porselvi; Cooper, Jay S; Huang, Yiwu; Whitby, Denise

2013-01-01

Kaposi's sarcoma associated-herpesvirus causes all forms of Kaposi's sarcoma, and six major subtypes have been described based on the amino acid sequences of the open reading frame K1. A 71-year-old man from China, HIV negative, presented with nodules on the dorsal aspect of his toes. Biopsy confirmed the diagnosis of Kaposi's sarcoma and virology studies of his blood and saliva confirmed the presence of Kaposi's sarcoma associated-herpesvirus infection. Viral genotyping was consistent with subtype C3. Intervention has been deferred as our patient has remained clinically asymptomatic and without evident growth of his lesions over a 2-year follow up. We herein report the first known case of Kaposi's sarcoma restricted to the toes caused by the viral subtype C3 in an HIV-negative patient from Harbin, China.

Effect of a steel toe cap on forefoot injury pattern in a cadaveric model.

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Kwon, John Y; Campbell, John T; Myerson, Mark S; Jeng, Cliff L

2011-04-01

Crush injuries to the foot are a common workplace injury and a significant source of morbidity, disability and lost wages. Many regulatory bodies including the Occupational Safety and Health Administration (OSHA) recommend the use of safety shoes in certain occupations to help protect against these occupational hazards. However there remains controversy and paucity of published data regarding the protection afforded by a steel toe cap in regards to clinical injury pattern. This study looks to investigates the protective influence of a steel toe cap on crush injuries of the forefoot. Five non-osteoporotic paired cadaver lower extremities were appropriately fitted to a standard work boot. One foot of each pair was fitted into a steel toe capped boot (designated ``ST'' group) while the other foot was fitted into an identical version of the work boot but without the protective steel toe cap (designated ``NST'' group). Each foot was crushed using a custom designed rig with a load of 150 lb dropped from a calibrated height of 3 feet to the forefoot. X-rays were obtained to assess fracture location & comminution and stress fluoroscopy was used to assess for any ligamentous Lisfranc injury. The NST group averaged 8.2 fractured bones per foot while the ST group averaged 3.6 fractured bones per foot (p = 0.001). The NST group demonstrated significantly more metatarsal fractures (3.2 fractures/foot) versus the ST group (one fracture/foot) (p = 0.020). The NST group demonstrated significantly more proximal phalanx fractures (4.2 fractures/foot) compared to the ST group (2.6 fractures/foot) (p = 0.035). Middle and distal phalanx fractures were not significantly different between the two groups. A higher percentage of the bones fractured were deemed comminuted in the NST group (53.6%) versus the ST group (38.8%) although this did not reach statistical significance. This study demonstrated that the steel toe affords protective advantages in crush injuries to the foot in limiting

Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus.

Science.gov (United States)

Kim, Moon-Hwan; Yi, Chung-Hwi; Weon, Jong-Hyuck; Cynn, Heon-Seock; Jung, Do-Young; Kwon, Oh-Yun

2015-04-01

[Purpose] This study investigated whether the toe-spread-out exercise affects the hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction. [Subjects and Methods] Twenty-four subjects with hallux valgus were randomly assigned to orthosis and orthosis plus toe-spread-out exercise groups. The orthosis group wore the orthosis for 8 weeks, while the orthosis plus toe-spread-out group also performed the toe-spread-out exercise. The hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction were measured initially and after 8 weeks by radiography and ultrasonography. [Results] While there were no significant changes in the three parameters in the orthosis group, there were significant differences in the orthosis plus toe-spread-out exercise group after 8 weeks. In addition there were significant differences in the three measures between the two groups. [Conclusion] The toe-spread-out exercise reduces the hallux valgus angle and hallux valgus angle during active abduction, and increases the cross-sectional area of the abductor hallucis muscle. The toe-spread-out exercise is recommended for patients with mild to moderate hallux valgus.

Hallux Valgus and Lesser Toe Deformities are Highly Heritable in Adult Men and Women: the Framingham Foot Study

Science.gov (United States)

Hannan, Marian T.; Menz, Hylton B.; Jordan, Joanne M.; Cupples, L. Adrienne; Cheng, Chia-Ho; Hsu, Yi-Hsiang

2013-01-01

Objective To estimate heritability of three common disorders affecting the forefoot: hallux valgus, lesser toe deformities and plantar forefoot soft tissue atrophy in adult Caucasian men and women. Methods Between 2002-2008, a trained examiner used a validated foot exam to document presence of hallux valgus, lesser toe deformities and plantar soft tissue atrophy in 2,446 adults from the Framingham Foot Study. Among these, 1,370 participants with available pedigree structure were included. Heritability (h2) was estimated using pedigree structures by Sequential Oligogenic Linkage Analysis Routines (SOLAR) package. Results were adjusted for age, sex and BMI. Results Mean age of participants was 66 years (range 39 to 99 years) and 57% were female. Prevalence of hallux valgus, lesser toe deformities and plantar soft tissue atrophy was 31%, 29.6% and 28.4%, respectively. Significant h2 was found for hallux valgus (0.29 ~ 0.89, depending on age and sex) and lesser toe deformity (0.49 ~ 0.90 depending on age and sex). The h2 for lesser toe deformity in men and women aged 70+ years was 0.65 (p= 9×10−7). Significant h2 was found for plantar soft tissue atrophy in men and women aged 70+ years (h2 = 0.37; p=3.8×10−3). Conclusion To our knowledge, these are the first findings of heritability of foot disorders in humans, and they confirm the widely-held view that hallux valgus and lesser toe deformities are highly heritable in European-descent Caucasian men and women, underscoring the importance of future work to identify genetic determinants of the underlying genetic susceptibility to these common foot disorders. PMID:23696165

Effectiveness of the custom-mold room temperature vulcanizing silicone toe separator on hallux valgus: A prospective, randomized single-blinded controlled trial.

Science.gov (United States)

Chadchavalpanichaya, Navaporn; Prakotmongkol, Voraluck; Polhan, Nattapong; Rayothee, Pitchaya; Seng-Iad, Sirirat

2018-04-01

Silicone toe separator is considered as a conservative treatment for hallux valgus. The prefabricated toe separator does not fit all. However, effectiveness in prescription of the custom-mold toe separator is still unknown. To investigate the effect of using a custom-mold room temperature vulcanizing silicone toe separator to decrease hallux valgus angle and hallux pain. The compliances, complications, and satisfactions of toe separator were also explored. A prospective, randomized single-blinded controlled trial. A total of 90 patients with a moderate degree of hallux valgus were enrolled in a study at the Foot Clinic, Siriraj Hospital, Thailand. Patients were randomized into two groups; the study group was prescribed a custom-mold room temperature vulcanizing silicone toe separator for 6 h per night for 12 months. Patients in both groups received proper foot care and shoes and were permitted to continue drug treatment. In total, 40 patients in the study group and 39 patients in the control group completed the study. The hallux valgus angle was obtained through radiographic measurement. At month 12, both groups had significant differences in mean hallux valgus angle with a decrease of 3.3° ± 2.4° for the study group and increase of 1.9° ± 1.9° for the control group. There were statistically significant differences of hallux valgus angle between the two groups ( p Hallux pain was decreased in the study group. A custom-mold room temperature vulcanizing silicone toe separator can decrease hallux valgus angle and pain with no serious complications. Clinical relevance The custom-mold room temperature vulcanizing silicone toe separator for treatment of hallux valgus reduces deformity and hallux pain.

Effect of hoof boots and toe-extension shoes on the forelimb kinetics of horses during walking.

Science.gov (United States)

Amitrano, Fernando N; Gutierrez-Nibeyro, Santiago D; Schaeffer, David J

2016-05-01

OBJECTIVE To determine and compare the effect of hoof boots (HBs) and shoes with a toe extension on stance duration, ground reaction force, and sole length in contact with the ground in nonlame horses during walking. ANIMALS 6 nonlame Standardbreds. PROCEDURES Force plate gait analyses of the forelimbs were performed while the horses were walking barefoot before manipulation of feet (baseline), while the horses were walking fitted with HBs, while the horses were walking shod with toe-extension shoes, and while the horses were walking barefoot after shoe removal. Horses underwent radiography of both forelimb feet to determine the sole length in contact with the ground when barefoot, wearing HBs, and shod with toe-extension shoes. Stance duration, ground reaction force, and sole length were compared among the various walking sessions. RESULTS Compared with baseline findings, stance duration increased significantly when horses were fitted with HBs (7%) or toe-extension shoes (5%). Peak forelimb ground reaction force was similar among walking sessions; however, time of braking force peak was significantly greater during the stance phase only when horses wore HBs. Also, the sole length in contact with the ground was significantly longer in horses fitted with HBs (14.3 cm) or shod with the toe-extension shoes (17.6 cm), compared with that for one of the barefoot hooves (12.7 cm). CONCLUSIONS AND CLINICAL RELEVANCE In nonlame horses, use of HBs prolonged the stance time and time of braking force peak, which is indicative of a slower deceleration phase during limb impact with the ground. Also, the use of HBs prolonged the deceleration phase of the stride and increased the sole length in contact with the ground.

Toe Tissue Transfer for Reconstruction of Damaged Digits due to Electrical Burns

Directory of Open Access Journals (Sweden)

Hyung-Do Kim

2012-03-01

Full Text Available Background Electrical burns are one of the most devastating types of injuries, and can becharacterized by the conduction of electric current through the deeper soft tissue such asvessels, nerves, muscles, and bones. For that reason, the extent of an electric burn is veryfrequently underestimated on initial impression.Methods From July 1999 to June 2006, we performed 15 cases of toe tissue transfer for thereconstruction of finger defects caused by electrical burns. We performed preoperative rangeof motion exercise, early excision, and coverage of the digital defect with toe tissue transfer.Results We obtained satisfactory results in both functional and aesthetic aspects in all 15cases without specific complications. Static two-point discrimination results in the transferredtoe cases ranged from 8 to 11 mm, with an average of 9.5 mm. The mean range of motionof the transferred toe was 20° to 36° in the distal interphalangeal joint, 16° to 45° in theproximal interphalangeal joint, and 15° to 35° in the metacarpophalangeal joint. All of thepatients were relatively satisfied with the function and appearance of their new digits.Conclusions The strategic management of electrical injury to the hands can be both challengingand complex. Because the optimal surgical method is free tissue transfer, maintenance ofvascular integrity among various physiological changes works as a determining factor for thepostoperative outcome following the reconstruction.

Treatment of Idiopathic Toe-Walking in Children with Autism Using GaitSpot Auditory Speakers and Simplified Habit Reversal

Science.gov (United States)

Marcus, Ann; Sinnott, Brigit; Bradley, Stephen; Grey, Ian

2010-01-01

This study aimed to examine the effectiveness of a simplified habit reversal procedure (SHR) using differential reinforcement of incompatible behaviour (DRI) and a stimulus prompt (GaitSpot Auditory Squeakers) to reduce the frequency of idiopathic toe-walking (ITW) and increase the frequency of correct heel-to-toe-walking in three children with…

Mechanical analysis of the landing phase in heel-toe running

NARCIS (Netherlands)

Bobbert, Maarten F.; Yeadon, Maurice R.; Nigg, Benno M.

1992-01-01

Results of mechanical analyses of running may be helpful in the search for the etiology of running injuries. In this study a mechanical analysis was made of the landing phase of three trained heel-toe runners, running at their preferred speed and style. The body was modeled as a system of seven

[Minimally invasive therapy for hallux valgus with deformity of little toe varus].

Science.gov (United States)

Gu, Shi-Wei; Yang, Ke; Zhao, Si-Qiao; Gao, Zhan-Ao; Ma, Shun-Qian; Zhang, Wen-Qing

2018-03-25

To explore clinical effect of minimally corrective osteotomy for the treatment of hallux valgus with deformity of little toe varus through small incision. From January 2013 to June 2016, 168 hallux valgus patients with deformity of little toe varus were treated by minimally corrective osteotomy through small incision. Among them, 7 males and 161 females were aged from 22 to 75 years old with an average of(59.3±3.5) years old. Preoperative clinical manifestation mainly focus on red and swollen of bunion, pain around with metatarsal bones, and diagnosed as hallux valgus with deformity of little toe varus through small incision. Operative time, postoperative complications, pre and post-operative IMA(angle between the first and the second metatarsal bones), HVA (hallux valgus angle), LDA(valgus angle of the fifth metatarsal bones), MPA(valgus angle of little toe), IM4-5 (angle between the forth and the fifth metatarsal bones) and PASA(fixed angle of proximal joint), postoperative AOFAS score were used to evaluate foot function. One hundred and sixty-eight patients were followed up for 6 to 48 months with an average of (28.6±3.2) months. All wounds were healed well without infection, sinus tract and other complications. Operative time ranged from 16 to 28 min with an average of (18.3±2.1) min. IMA, HVA, LDA, MPA and IM A 4-5 were (10.1±2.1)°, (32.6±4.2)°, (6.9±2.3)°, (18.5±5.2)°, (15.1±2.9)°preoperatively, improved to (8.3±2.2)°, (10.9±2.9)°, (2.7±0.4)°, (6.5±1.6)°, (8.9±1.8)° postoperatively, and had significant differences before and after operation. While there was no difference in PASA before (9.1±2.1)°and after operation(8.7±1.9)°. AOFAS score were improved from (31.6±3.9) before operation to(83.7±5.2) after operation, but no significant difference( P >0.05). According to AOFAS score, 147 patients obtained excellent results, 13 good, 6 moderate and 2 poor. Minimally corrective osteotomy for the treatment of hallux valgus with deformity

Pressure plate analysis of toe-heel and medio-lateral hoof balance at the walk and trot in sound sport horses.

Science.gov (United States)

Oosterlinck, M; Hardeman, L C; van der Meij, B R; Veraa, S; van der Kolk, J H; Wijnberg, I D; Pille, F; Back, W

2013-12-01

Empirically, equine distal limb lameness is often linked to hoof imbalance. To objectively quantify dynamic toe-heel and medio-lateral hoof balance of the vertical ground reaction force in sound sport horses, seven Royal Dutch Sport Horses were led at the walk and trot over a dynamically calibrated pressure plate. Forelimb hoof prints were divided into a toe and heel region and a medial and lateral zone. Toe-heel and medio-lateral hoof balance of the vertical ground reaction force were calculated throughout the stance. Toe-heel balance was highly symmetrical between contralateral limbs at both gaits. At the walk, medio-lateral balance of both forelimbs presented higher loading in the lateral part of the hoof throughout the stance. However, at the trot, left medio-lateral balance presented higher loading of the medial part of the hoof at impact, whereas the right limb showed higher loading of the lateral part of the hoof in all horses, and both limbs presented increased lateral loading at the end of the stance. This study provides objective data for toe-heel and medio-lateral hoof balance in sound sport horses. Copyright © 2013 Elsevier Ltd. All rights reserved.

Increased healing in diabetic toe ulcers in a multidisciplinary foot clinic—An observational cohort study

DEFF Research Database (Denmark)

Almdal, Thomas Peter; Nielsen, A.A.; Nielsen, K.E.

2015-01-01

AIM: To study toe ulcer healing in patients with diabetic foot ulcers attending a multidisciplinary foot clinic over a 10 years period. METHODS: The study was retrospective, consecutive and observational during 2001 through 2011. The patients were treated according to the International Consensus...... on the Diabetic Foot. During the period the chiropodist staffing in the foot clinic was doubled; new offloading material and orthopedic foot corrections for recalcitrant ulcers were introduced. Healing was investigated in toe ulcers in Cox regression models. RESULTS: 2634 patients developed foot ulcers, of which...

Humans can integrate force feedback to toes in their sensorimotor control of a robotic hand.

Science.gov (United States)

Panarese, Alessandro; Edin, Benoni B; Vecchi, Fabrizio; Carrozza, Maria C; Johansson, Roland S

2009-12-01

Tactile sensory feedback is essential for dexterous object manipulation. Users of hand myoelectric prostheses without tactile feedback must depend essentially on vision to control their device. Indeed, improved tactile feedback is one of their main priorities. Previous research has provided evidence that conveying tactile feedback can improve prostheses control, although additional effort is required to solve problems related to pattern recognition learning, unpleasant sensations, sensory adaptation, and low spatiotemporal resolution. Still, these studies have mainly focused on providing stimulation to hairy skin regions close to the amputation site, i.e., usually to the upper arm. Here, we explored the possibility to provide tactile feedback to the glabrous skin of toes, which have mechanical and neurophysiological properties similar to the fingertips. We explored this paradigm in a grasp-and-lift task, in which healthy participants controlled two opposing digits of a robotic hand by changing the spacing of their index finger and thumb. The normal forces applied by the robotic fingertips to a test object were fed back to the right big and second toe. We show that within a few lifting trials, all the participants incorporated the force feedback received by the foot in their sensorimotor control of the robotic hand.

Using Student-Produced Video to Validate Head-to-Toe Assessment Performance.

Science.gov (United States)

Purpora, Christina; Prion, Susan

2018-03-01

This study explored third-semester baccalaureate nursing students' perceptions of the value of using student-produced video as an approach for learning head-to-toe assessment, an essential clinical nursing skill taught in the classroom. A cognitive apprenticeship model guided the study. The researchers developed a 34-item survey. A convenience sample of 72 students enrolled in an applied assessment and nursing fundamentals course at a university in the western United States provided the data. Most students reported a videotaping process that worked, supportive faculty, valuable faculty review of their work, confidence, a sense of performance independence, the ability to identify normal assessment findings, and few barriers to learning. The results suggested that a student-produced video approach to learning head-to-toe assessment was effective. Further, the study demonstrated how to leverage available instructional technology to provide meaningful, personalized instruction and feedback to students about an essential nursing skill. [J Nurs Educ. 2018;57(3):154-158.]. Copyright 2018, SLACK Incorporated.

Customizing Extensor Reconstruction in Vascularized Toe Joint Transfers to Finger Proximal Interphalangeal Joints: A Strategic Approach for Correcting Extensor Lag.

Science.gov (United States)

Loh, Charles Yuen Yung; Hsu, Chung-Chen; Lin, Cheng-Hung; Chen, Shih-Heng; Lien, Shwu-Huei; Lin, Chih-Hung; Wei, Fu-Chan; Lin, Yu-Te

2017-04-01

Vascularized toe proximal interphalangeal joint transfer allows the restoration of damaged joints. However, extensor lag and poor arc of motion have been reported. The authors present their outcomes of treatment according to a novel reconstructive algorithm that addresses extensor lag and allows for consistent results postoperatively. Vascularized toe joint transfers were performed in a consecutive series of 26 digits in 25 patients. The average age was 30.5 years, with 14 right and 12 left hands. Reconstructed digits included eight index, 10 middle, and eight ring fingers. Simultaneous extensor reconstructions were performed and eight were centralization of lateral bands, five were direct extensor digitorum longus-to-extensor digitorum communis repairs, and 13 were central slip reconstructions. The average length of follow-up was 16.7 months. The average extension lag was 17.9 degrees. The arc of motion was 57.7 degrees (81.7 percent functional use of pretransfer toe proximal interphalangeal joint arc of motion). There was no significant difference in the reconstructed proximal interphalangeal joint arc of motion for the handedness (p = 0.23), recipient digits (p = 0.37), or surgical experience in vascularized toe joint transfer (p = 0.25). The outcomes of different techniques of extensor mechanism reconstruction were similar in terms of extensor lag, arc of motion, and reconstructed finger arc of motion compared with the pretransfer toe proximal interphalangeal joint arc of motion. With this treatment algorithm, consistent outcomes can be produced with minimal extensor lag and maximum use of potential toe proximal interphalangeal joint arc of motion. Therapeutic, IV.

Low Dose of Clonazepam Is Effective in the Treatment of Painless Legs and Moving Toes Syndrome: A Case Report

Directory of Open Access Journals (Sweden)

Sumihiro Kawajiri

2015-03-01

Full Text Available Introduction: Painless legs and moving toes syndrome (PoLMT is a rare movement disorder characterized by flexion, extension, abduction, adduction, and torsion of toes in the absence of pain. It is considered a variant of painful legs and moving toes syndrome, which is characterized by similar movements but is accompanied by pain. Although neuropathy, spinal cord compression, brain tumor, cerebral infarction, and Wilson's disease have been reported to be associated with PoLMT, the actual cause, trigger, and mechanism remain unclear. Therefore, a standardized treatment for PoLMT is not established yet. Case Presentation: We describe a 64-year-old Japanese woman with no past medical history who presented with nonrhythmic repetitive involuntary toe movement of the left foot in the absence of pain. She was diagnosed with idiopathic PoLMT and treated with a low dose of clonazepam (0.5 mg/day. The involuntary movement disappeared completely several days after treatment. Conclusion: A low dose of clonazepam is effective in the treatment of PoLMT.

Improved coal winning in Zollverein 7/8 seam by toe-in plough 9. 30 v supplied by GEW Luenen

Energy Technology Data Exchange (ETDEWEB)

Schwolow, G; Dornack, M; Plich, H

1982-04-01

The project aimed at mining Zollverein 7/8 seam more efficiently than with drag-hook ploughs. Zollverein 7/8 seam is characterized by mechanically tough coal changing, seam thickness, a somewhat 'corrugated' shape, and a soft floor. Comparative investigations on one toe-in plough face and one drag-hook plough face in two neighbouring panels of said seam were made for individual plough travels as well as over several months of operation. These investigations were backed up by measuring. The measuring conditions were identical in both panels. The face equipments were identical except for the plough systems. The energy pick-up relative to the web is by 43% lower with the toe-in plough compared to the drag-hook plough. As to wear, for the toe-in plough in comparison to the drag-hook plough twice the longevity of the latter was recorded. For the noise level on the plough guides only marginal difference in favor to the toe-in plough could be recorded. Analyses of dust and particle-size distribution showed no obvious advantages for either of both plough systems.

Gradual digital lengthening with autologous bone graft and external fixation for correction of flail toe in a patient with Raynaud's disease.

Science.gov (United States)

Lamm, Bradley M; Ades, Joe K

2009-01-01

Iatrogenic flail toe is a complication of hammertoe surgery that occurs when an overaggressive resection of the proximal phalanx occurs. This can cause both functional and cosmetic concerns for the patient. We present a case report of the correction of a flail second toe in a patient with Raynaud's disease. The correction was achieved by means of gradual soft tissue lengthening with external fixation and an interposition autologous bone graft digital arthrodesis. After 5 months, this 2-stage procedure lengthened, stabilized, and restored the function of the toe. 4.

Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis.

Science.gov (United States)

Psarakis, Michael; Greene, David; Moresi, Mark; Baker, Michael; Stubbs, Peter; Brodie, Matthew; Lord, Stephen; Hoang, Phu

2017-11-01

Gait impairment in people with Multiple Sclerosis results from neurological impairment, muscle weakness and reduced range of motion. Restrictions in passive ankle range of motion can result in abnormal heel-to-toe progression (weight transfer) and inefficient gait patterns in people with Multiple Sclerosis. The purpose of this study was to determine the associations between gait impairment, heel-to-toe progression and ankle range of motion in people with Multiple Sclerosis. Twelve participants with Multiple Sclerosis and twelve healthy age-matched participants were assessed. Spatiotemporal parameters of gait and individual footprint data were used to investigate group differences. A pressure sensitive walkway was used to divide each footprint into three phases (contact, mid-stance, propulsive) and calculate the heel-to-toe progression during the stance phase of gait. Compared to healthy controls, people with Multiple Sclerosis spent relatively less time in contact phase (7.8% vs 25.1%) and more time in the mid stance phase of gait (57.3% vs 33.7%). Inter-limb differences were observed in people with Multiple Sclerosis between the affected and non-affected sides for contact (7.8% vs 15.3%) and mid stance (57.3% and 47.1%) phases. Differences in heel-to-toe progression remained significant after adjusting for walking speed and were correlated with walking distance and ankle range of motion. Impaired heel-to-toe progression was related to poor ankle range of motion in people with Multiple Sclerosis. Heel-to-toe progression provided a sensitive measure for assessing gait impairments that were not detectable using standard spatiotemporal gait parameters. Copyright © 2017 Elsevier Ltd. All rights reserved.

Fatigue Tests on Welded Joints Improved by Grinding

DEFF Research Database (Denmark)

Agerskov, Henning; Bjørnbak-Hansen, Jørgen; Olesen, John Forbes

The present project is a part of an investigation on the fatigue life of the welded structure of large two-stroke diesel engines. Of special interest has been a study of the improvement in fatigue life, due to grinding of the weld toes. The test series carried through showed a significant increase...... without grinding to approx. 6.4 for the test series with grinding. In one of the test series (No. 7), the crack initiation in most tests moved from the weld toe to the non-ground surface between the ground areas at the weld toes, due to the grinding....... in fatigue life due to the grinding, ranging from a factor of approx. 2.8 to infinity, depending on the load level. With the limited number of tests carried out, S-N lines have not been determined. However, the results obtained indicate a change in slope of the S-N line from approx. 3.0 for the test series...

Sand erosion at the toe of a gabion-protected dune face

NARCIS (Netherlands)

Chapman, A.

1992-01-01

The purpose of this research project was to study the manner in which erosion takes place the the toe of a dune slope protected by gabions, and to examine the response of the gabions to this erosion. A sand slope overlaid by model gabions was subjected to wave attack in a hydraulic flume, and

[Necrosis in fingers and toes following local anaesthesia with adrenaline--an urban legend?].

Science.gov (United States)

Finsen, Vilhjalmur

2013-09-17

It is often maintained that a local anaesthetic (usually lidocaine) with adrenaline must not be used in fingers and toes because it may cause necrosis due to vascular spasm in end arteries. This review article is an attempt to find evidence to support this warning. Relevant literature was found by means of searches in PubMed limited downwards to 1946 and in EMBASE from 1980 to 2012, and in reference lists. Five review articles on finger necrosis following local anaesthesia concluded that lidocaine with adrenaline does not entail a risk of ischaemic injury. One article found 48 reported cases of finger necrosis in the period 1880 to 2000. Most were from the first half of the 1900s, and none involved lidocaine. Gangrene of part of the finger tip has subsequently been described in one patient with Raynaud's syndrome. No cases of necrosis have been described in a large number of reported accidents in which EpiPen injections contained the same quantity of adrenaline as is found in 60 ml lidocaine with adrenaline. Over a quarter of a million reports have been made of operations on feet, hands, fingers and toes anaesthetised with lidocaine with adrenaline without resulting necrosis. There are no grounds for the warning against using lidocaine with adrenaline in fingers and toes. This anaesthetic offers considerable practical advantages. Care should be taken with infected fingers or fingers with poor circulation.

Minimum toe clearance events in divided attention treadmill walking in older and young adults: a cross-sectional study.

Science.gov (United States)

Santhiranayagam, Braveena K; Lai, Daniel T H; Sparrow, W A; Begg, Rezaul K

2015-07-12

Falls in older adults during walking frequently occur while performing a concurrent task; that is, dividing attention to respond to other demands in the environment. A particularly hazardous fall-related event is tripping due to toe-ground contact during the swing phase of the gait cycle. The aim of this experiment was to determine the effects of divided attention on tripping risk by investigating the gait cycle event Minimum Toe Clearance (MTC). Fifteen older adults (mean 73.1 years) and 15 young controls (mean 26.1 years) performed three walking tasks on motorized treadmill: (i) at preferred walking speed (preferred walking), (ii) while carrying a glass of water at a comfortable walking speed (dual task walking), and (iii) speed-matched control walking without the glass of water (control walking). Position-time coordinates of the toe were acquired using a 3 dimensional motion capture system (Optotrak NDI, Canada). When MTC was present, toe height at MTC (MTC_Height) and MTC timing (MTC_Time) were calculated. The proportion of non-MTC gait cycles was computed and for non-MTC gait cycles, toe-height was extracted at the mean MTC_Time. Both groups maintained mean MTC_Height across all three conditions. Despite greater MTC_Height SD in preferred gait, the older group reduced their variability to match the young group in dual task walking. Compared to preferred speed walking, both groups attained MTC earlier in dual task and control conditions. The older group's MTC_Time SD was greater across all conditions; in dual task walking, however, they approximated the young group's SD. Non-MTC gait cycles were more frequent in the older group across walking conditions (for example, in preferred walking: young - 2.9 %; older - 18.7 %). In response to increased attention demands older adults preserve MTC_Height but exercise greater control of the critical MTC event by reducing variability in both MTC_Height and MTC_Time. A further adaptive locomotor control strategy to reduce

XbD Video 2, Taxonomy of Experience (ToE) [Online

DEFF Research Database (Denmark)

2013-01-01

This is the second video in the Experience-based Designing series: It describes the Taxonomy of Experience, a structural way of looking at human experiences of almost any kind.This hierarchical model is useful to researchers and decision makers as a general method or tool for guiding the collection......, processing and categorisation of field data about an everyday experience. Researchers using this model often referred to the process as 'doing a ToE'...

Measuring systolic ankle and toe pressure using the strain gauge technique--a comparison study between mercury and indium-gallium strain gauges

DEFF Research Database (Denmark)

Broholm, Rikke; Wiinberg, Niels; Simonsen, Lene

2014-01-01

BACKGROUND: Measurement of the ankle and toe pressures are often performed using a plethysmograph, compression cuffs and a strain gauge. Usually, the strain gauge contains mercury but other alternatives exist. From 2014, the mercury-containing strain gauge will no longer be available in the Europ......BACKGROUND: Measurement of the ankle and toe pressures are often performed using a plethysmograph, compression cuffs and a strain gauge. Usually, the strain gauge contains mercury but other alternatives exist. From 2014, the mercury-containing strain gauge will no longer be available...... in the European Union. The aim of this study was to compare an indium-gallium strain gauge to the established mercury-containing strain gauge. METHODS: Consecutive patients referred to the Department of Clinical Physiology and Nuclear Medicine at Bispebjerg and Frederiksberg Hospitals for measurements of systolic...... ankle and toe pressures volunteered for the study. Ankle and toe pressures were measured twice with the mercury and the indium-gallium strain gauge in random order. Comparison of the correlation between the mean pressure using the mercury and the indium-gallium device and the difference between the two...

[New varieties of lateral metatarsophalangeal dislocations of the great toe].

Science.gov (United States)

Bousselmame, N; Rachid, K; Lazrak, K; Galuia, F; Taobane, H; Moulay, I

2001-04-01

We report seven cases of traumatic dislocation of the great toe, detailing the anatomy, the mechanism of injury and the radiographic diagnosis. We propose an additional classification based on three hereto unreported cases. Between october 1994 and october 1997, we treated seven patients with traumatic dislocation of the first metatarso-phalangeal joint of the great toe. There were six men and one woman, mean age 35 years (range 24 - 44 years). Dislocation was caused by motor vehicle accidents in four cases and by falls in three. Diagnosis was made on anteroposterior, lateral and medial oblique radiographs. According to Jahss' classification, there was one type I and three type IIB dislocations. There was also one open lateral dislocation and two dorsomedial dislocations. Only these dorsomedial dislocations required open reduction, done via a dorsal approach. Mean follow-up was 17.5 months (range 9 - 24 months) in six cases. One patient was lost to follow-up. The outcome was good in six cases and poor in one (dorsomedial dislocation). Dislocation of the first metatarso-phalangeal joint of the great toe is an uncommon injury. In 1980, Jahss reported two cases and reviewed three others described in the literature. He proposed three types of dislocation based on the feasibility of closed reduction (type I, II and IIB). In 1991, Copeland and Kanat reported a unique case in which there was an association of IIA and IIB lesions. They proposed an addition to the classification (type IIC). In 1994, Garcia Mata et al. reported another case which had not been described by Jahss and proposed another addition. All dislocations reported to date have been sagittal dislocations. Pathological alteration of the collateral ligaments has not been previously reported. In our experience, we have seen one case of open lateral dislocation due, at surgical exploration, to medial ligament rupture and two cases of dorsomedial dislocation due, at surgical exploration, to lateral ligament

Ewing sarcoma of the left big toe with trans-articular skip lesion

Directory of Open Access Journals (Sweden)

Ahmad F. Kamal

2009-06-01

Full Text Available We report the case of the patient who had Ewing Sarcoma in whom radiological and hystopathological appearances revealed a tumor mass in the left big toe along with trans-artikular skip lesion on the left diaphysis of tibia. In Cipto Mangunkusomo Hospital since 1995 until 2004 we have found 20 Ewing sarcoma cases, but only one skip lesion Ewing sarcoma was found. The diagnosis of transarticular skip lesion in association of Ewing sarcoma was confirmed in clinicopathological conferrence. The initial evaluation of all patients included the recording of the medical history, physical examination, and hematological studies. Radiographs of the chest and the site of the primary tumor were made routinely. Systemic staging was performed with use of total-body bone scan. Ray amputation of left big toe and open biopsy from mass of mid-shaft of tibia had been done to confirm the diagnosis. The patient underwent induction chemotherapy and above knee amputation. Ten months after diagnosis, he died because of advanced-distant metastasis. (Med J Indones 2008; 18: 139-44Key words: Ewing sarcoma, trans-articular skip lesion

MEG-compatible pneumatic stimulator to elicit passive finger and toe movements.

Science.gov (United States)

Piitulainen, Harri; Bourguignon, Mathieu; Hari, Riitta; Jousmäki, Veikko

2015-05-15

Magnetoencephalographic (MEG) signals recorded from the primary sensorimotor (SM1) cortex are coherent with kinematics of both active and passive finger movements. The coherence mainly reflects movement-related proprioceptive afference to the cortex. Here we describe a novel MEG-compatible stimulator to generate computer-controlled passive finger and toe movements that can be used as stimuli in functional brain-imaging experiments. The movements are produced by pneumatic artificial muscle (PAM), elastic actuator that shortens with increasing air pressure. To test the applicability of the stimulator to functional brain-imaging, 4-min trains of passive repetitive 5-mm flexion-extension movements of the right and left index finger and the right hallux were produced at 3Hz while the subject's brain activity was measured with whole-scalp MEG and finger or toe kinematics with an accelerometer. In all ten subjects studied, statistically significant coherence (up to 0.78) occurred between the accelerometer and MEG signals at the movement frequency or its first harmonic. Sources of coherent activity were in the contralateral hand or foot SM1 cortices. Movement-evoked fields elicited with intermittent movements of the right index finger (once every 3.2-4.0s; mean±SD peak response latency 88±25ms) were co-located with the respective coherent sources. We further moved the right index finger at 3, 6, and 12Hz (movement ranges 5, 3, and 2mm, respectively), and analyzed the first 1, 2, and 4-min epochs of data. One minute of data was sufficient to locate the left hand area of the SM1 cortex at all movement frequencies. Sound-induced spurious coherence was reliably ruled out in a control experiment. Our novel movement stimulator thus provides a robust and reliable tool to track proprioceptive afference to the cortex and to locate the SM1 cortex. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

Mat-Rix-Toe: Improving Writing through a Game-Based Project in Linear Algebra

Science.gov (United States)

Graham-Squire, Adam; Farnell, Elin; Stockton, Julianna Connelly

2014-01-01

The Mat-Rix-Toe project utilizes a matrix-based game to deepen students' understanding of linear algebra concepts and strengthen students' ability to express themselves mathematically. The project was administered in three classes using slightly different approaches, each of which included some editing component to encourage the…

A systematic review of discomfort due to toe or ear clipping in laboratory rodents

NARCIS (Netherlands)

Wever, K.E.; Geessink, F.J.; Brouwer, M.A.E.; Tillema, A.; Ritskes-Hoitinga, M.

2017-01-01

Toe clipping and ear clipping (also ear notching or ear punching) are frequently used methods for individual identification of laboratory rodents. These procedures potentially cause severe discomfort, which can reduce animal welfare and distort experimental results. However, no systematic summary of

Foot Temperatures and Toe Blood Flow during a 12 km Winter Hike and Guard Duty

National Research Council Canada - National Science Library

Mekjavic, Igor B; Kocjan, Nina; Vrhovec, Miro; Golja, Petra; House, Carol; Eiken, Ola

2005-01-01

.... During the 3-week study, the trails were covered with snow. Peripheral vasodilatation, presumably as a result of the elevated core temperature, maintained average skin temperature constant during the 12 km hike, and increased toe temperature...

From Toes to Top-of-the-Atmosphere: Fowler Sneaker Index

Science.gov (United States)

Crooke, Ben A.; McKinna, Lachlan I W.; Cetinic, Ivona

2016-01-01

Fowler Sneaker Index (FSI), developed by a NASA summer intern, is a new Ocean Color application that facilitates continuous monitoring of environmental conditions in the Chesapeake Bay. It builds on three decades of citizen science data collected by former Maryland State Senator Bernie Fowler, during his yearly "Wade-ins in the Patuxent River". FSI demonstrates how NASA's Earth-observing tools, in combination with a concerned and engaged public, can take science from the tips of our toes-to-top-of the atmosphere and back.

Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 3: Toe fractures in adults.

Science.gov (United States)

Paradise, David

2012-11-01

A short cut review was carried out to establish whether intervention and follow up of patients with toe phalanx fractures is better than no treatment at reducing time to return to normal activity and need for surgical intervention. 40 papers were found using the reported searches, of which 1 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper is tabulated. It is concluded that there is no evidence to determine whether intervention of any type improves outcome in toe phalanx fractures.

Longitudinal bracketed epiphysis of proximal phalanx of the great toe with congenital hallux varus managed simultaneously with monorail external fixator: a case report.

Science.gov (United States)

Verma, Vineet; Batra, Amit; Singla, Rohit; Gogna, Paritosh; Magu, Narender; Gupta, Rakesh

2014-02-01

Longitudinal bracketed epiphysis (delta phalanx) is a rare congenital anomaly that affects phalanges in the hand more commonly than toes. We present a rare case of congenital hallux varus with longitudinal bracketed epiphysis of proximal phalanx with bifid distal phalanx of the great toe, which was managed with monorail type of external fixator. To the best of our knowledge, this is the first report of its successful implementation in simultaneous treatment of longitudinal bracketed epiphysis of the proximal phalanx of the great toe and hallux varus. Apart from adding to the literature a case of rare subtype of delta phalanx with hallux varus, the present study highlights the role of a reliable alternative in its management.

Clinical study of toe ulcer and necrosis of the apex of the distal phalanx in 53 cattle.

Science.gov (United States)

Kofler, J

1999-03-01

Clinical signs, causative factors, radiographic findings, type and duration of treatment or reason for killing were evaluated in 53 cattle (mean age: 5.3 years) suffering from toe ulcer and/or apical pedal bone necrosis. A total of 78 claws were affected. Four cattle suffered from a toe ulcer in one claw, 35 cattle showed osteolysis of the apex of the distal phalanx in a single claw and 14 cattle in two or three claws per cow. Overtrimming by means of a grinding disc and/or perforation of the sole was diagnosed as the major cause in 27 cattle (49%), laminitis in 30.2% and traumatic injuries in 11.3%. Radiography revealed a varying degree of osteolysis involving up to two-thirds of the pedal bone. Twenty-one cattle (39.6%) showing multiple toe disorders or involvement of one single claw with concurrent internal diseases were destroyed. In 23 cattle, the osteolytic bone was resected using a bone curette or hammer and chisel. Of these, the treatment was successful in 20 animals. The healing period ranged from 16-60 days when one claw was affected and from 43-53 days when two claws were affected. In five cattle, the digit was amputated.

Clinical study of toe ulcer and necrosis of the apex of the distal phalanx in 53 cattle

International Nuclear Information System (INIS)

Kofler, J.

1999-01-01

Clinical signs, causative factors, radiographic findings, type and duration of treatment or reason for killing were evaluated in 53 cattle (mean age: 5.3 years) suffering from toe ulcer and/or apical pedal bone necrosis. A total of 78 claws were affected. Four cattle suffered from a toe ulcer in one claw, 35 cattle showed osteolysis of the apex of the distal phalanx in a single claw and 14 cattle in two or three claws per cow. Overtrimming by means of a grinding disc and/or perforation of the sole was diagnosed as the major cause in 27 cattle (49%), laminitis in 30.2% and traumatic injuries in 11.3%. Radiography revealed a varying degree of osteolysis involving up to two-thirds of the pedal bone. Twenty-one cattle (39.6%) showing multiple toe disorders or involvement of one single claw with concurrent internal diseases were destroyed. In 23 cattle, the osteolytic bone was resected using a bone curette or hammer and chisel. Of these, the treatment was successful in 20 animals. The healing period ranged from 16-60 days when one claw was affected and from 43-53 days when two claws were affected. In five cattle, the digit was amputated

Stress distribution and contact area measurements of a gecko toe using a high-resolution tactile sensor.

Science.gov (United States)

Eason, Eric V; Hawkes, Elliot W; Windheim, Marc; Christensen, David L; Libby, Thomas; Cutkosky, Mark R

2015-02-02

The adhesive systems of geckos have been widely studied and have been a great source of bioinspiration. Load-sharing (i.e. preventing stress concentrations through equal distribution of loads) is necessary to maximize the performance of an adhesive system, but it is not known to what extent load-sharing occurs in gecko toes. In this paper, we present in vivo measurements of the stress distribution and contact area on the toes of a tokay gecko (Gekko gecko) using a custom tactile sensor with 100 μm spatial resolution. We found that the stress distributions were nonuniform, with large variations in stress between and within lamellae, suggesting that load-sharing in the tokay gecko is uneven. These results may be relevant to the understanding of gecko morphology and the design of improved synthetic adhesive systems.

Stress distribution and contact area measurements of a gecko toe using a high-resolution tactile sensor

International Nuclear Information System (INIS)

Eason, Eric V; Hawkes, Elliot W; Christensen, David L; Cutkosky, Mark R; Windheim, Marc; Libby, Thomas

2015-01-01

The adhesive systems of geckos have been widely studied and have been a great source of bioinspiration. Load-sharing (i.e. preventing stress concentrations through equal distribution of loads) is necessary to maximize the performance of an adhesive system, but it is not known to what extent load-sharing occurs in gecko toes. In this paper, we present in vivo measurements of the stress distribution and contact area on the toes of a tokay gecko (Gekko gecko) using a custom tactile sensor with 100 μm spatial resolution. We found that the stress distributions were nonuniform, with large variations in stress between and within lamellae, suggesting that load-sharing in the tokay gecko is uneven. These results may be relevant to the understanding of gecko morphology and the design of improved synthetic adhesive systems. (paper)

Tic Tac TOE: Effects of Predictability and Importance on Acoustic Prominence in Language Production

Science.gov (United States)

Watson, Duane G.; Arnold, Jennifer E.; Tanenhaus, Michael K.

2008-01-01

Importance and predictability each have been argued to contribute to acoustic prominence. To investigate whether these factors are independent or two aspects of the same phenomenon, naive participants played a verbal variant of Tic Tac Toe. Both importance and predictability contributed independently to the acoustic prominence of a word, but in…

Sand erosion at the toe of a gabion-protected dune face

OpenAIRE

Chapman, A.

1992-01-01

The purpose of this research project was to study the manner in which erosion takes place the the toe of a dune slope protected by gabions, and to examine the response of the gabions to this erosion. A sand slope overlaid by model gabions was subjected to wave attack in a hydraulic flume, and periodic measurements of the bottom profile were taken. The results showed that the gabions performed well, and continued to provide protection to the slope even after a considerable amount of erosion an...

Return to sport following stress fractures of the great toe sesamoids: a systematic review.

Science.gov (United States)

Robertson, G A J; Goffin, J S; Wood, A M

2017-06-01

This review aims to provide information on return rates and times to sport following stress fractures of the great toe sesamoids (SFGTSs). A systematic search of CINAHAL, Cochrane, EMBASE, Google Scholar, Medline, PEDro, Scopus, SPORTDiscus and Web of Science was performed using the keywords 'stress', 'fractures', 'great', 'toe', 'sesamoid', 'athletes', 'sports', 'non-operative', 'conservative', 'operative' and 'return to sport'. Fourteen studies were included: three studies reported on the outcome of conservatively-managed SFGTSs; thirteen studies reported on the outcome of surgically-managed SFGTSs. The management principles were to attempt conservative management for 2-6 months using activity modification, analgesia, orthotics and physiotherapy; if symptoms persisted following this, surgical management was to be recommended, either with internal fixation or sesamoidectomy. The optimal treatment modalities for SFGTSs remain to be defined. Internal fixation shows the best return to full-level sport rates with low rates of complications. Future prospective studies should aim to establish the optimal treatment modalities for SFGTSs. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Gait Training with Real-Time Augmented Toe-Ground Clearance Information Decreases Tripping Risk in Older Adults and a Person with Chronic Stroke

Directory of Open Access Journals (Sweden)

Rezaul K Begg

2014-05-01

Full Text Available Falls risk increases with ageing but is substantially higher in people with stroke. Tripping-related balance loss is the primary cause of falls, and Minimum Toe Clearance (MTC during walking is closely linked to tripping risk. The aim of this study was to determine whether real-time augmented information of toe-ground clearance at MTC can increase toe clearance, and reduce tripping risk. Nine healthy older adults (76±9 years and one 71 year old female stroke patient participated. Vertical toe displacement was displayed in real-time such that participants could adjust their toe clearance during treadmill walking. Participants undertook a session of unconstrained walking (no-feedback baseline and, in a subsequent Feedback condition, were asked to modify their swing phase trajectory to match a target increased MTC. Tripping probability (PT pre- and post-training was calculated by modelling MTC distributions. Older adults showed significantly higher mean MTC for the post-training retention session (27.7 ±3.79mm compared to the normal walking trial (14.1± 8.3 mm. The PT on a 1cm obstacle for the older adults reduced from 1 in 578 strides to 1 in 105,988 strides. With gait training the stroke patient increased MTC and reduced variability (baseline 16±12 mm, post-training 24±8 mm which reduced obstacle contact probability from 1 in 3 strides in baseline to 1 in 161 strides post-training. The findings confirm that concurrent visual feedback of a lower limb kinematic gait parameter is effective in changing foot trajectory control and reducing tripping probability in older adults. There is potential for further investigation of augmented feedback training across a range of gait-impaired populations, such as stroke.

Retrograde tracing and toe spreading after experimental autologous nerve transplantation and crush injury of the sciatic nerve: a descriptive methodological study

Directory of Open Access Journals (Sweden)

van Neerven Sabien GA

2012-04-01

Full Text Available Abstract Evaluation of functional and structural recovery after peripheral nerve injury is crucial to determine the therapeutic effect of a nerve repair strategy. In the present study, we examined the relationship between the structural evaluation of regeneration by means of retrograde tracing and the functional analysis of toe spreading. Two standardized rat sciatic nerve injury models were used to address this relationship. As such, animals received either a 2 cm sciatic nerve defect (neurotmesis followed by autologous nerve transplantation (ANT animals or a crush injury with spontaneous recovery (axonotmesis; CI animals. Functional recovery of toe spreading was observed over an observation period of 84 days. In contrast to CI animals, ANT animals did not reach pre-surgical levels of toe spreading. After the observation period, the lipophilic dye DiI was applied to label sensory and motor neurons in dorsal root ganglia (DRG; sensory neurons and spinal cord (motor neurons, respectively. No statistical difference in motor or sensory neuron counts could be detected between ANT and CI animals. In the present study we could indicate that there was no direct relationship between functional recovery (toe spreading measured by SSI and the number of labelled (motor and sensory neurons evaluated by retrograde tracing. The present findings demonstrate that a multimodal approach with a variety of independent evaluation tools is essential to understand and estimate the therapeutic benefit of a nerve repair strategy.

Giant Cell Reparative Granuloma Mimicking Aneurysmal Bone Cyst in Proximal Phalanx of Toe

Directory of Open Access Journals (Sweden)

Huan CM

2016-03-01

Full Text Available Giant Cell Reparative Granuloma (GCRG of phalanx is uncommon. It is a benign osteolytic lesion but can be locally aggressive. GCRG has certain radiology and histological features that are similar to other giant cell lesions of the bone. We present a case report of a young patient with giant cell reparative granuloma of proximal phalanx of left third toe. The bone lesion was successfully treated surgically.

Turf toe and sesamoiditis: what the radiologist needs to know.

Science.gov (United States)

Schein, Aaron J; Skalski, Matthew R; Patel, Dakshesh B; White, Eric A; Lundquist, Ryan; Gottsegen, Christopher J; Forrester, Deborah M; Matcuk, George R

2015-01-01

The first metatarsophalangeal (MTP) joint complex is a critical weight-bearing structure important to biomechanics. An acute dorsiflexion injury, named "turf toe," is common among American football and soccer players. "Sesamoiditis" is a name often given for pain arising from the hallux sesamoids in the absence of acute trauma, and may result from a variety of causes. The first MTP joint complex can also be affected by degenerative or inflammatory arthritis, infarct, and infection. This review article will cover the anatomy and biomechanics of the first MTP joint complex, its patterns of injury and pathology, imaging techniques, and management. Copyright © 2015 Elsevier Inc. All rights reserved.

How many joints does the 5th toe have? A review of 606 patients of 655 foot radiographs.

LENUS (Irish Health Repository)

Moulton, Lawrence Stephen

2012-12-01

It is a common understanding that the fifth toe has three bones with two interphalangeal joints. However, our experience shows that a significant number have only two phalanges with one interphalangeal joint.

Ankle and toe muscle strength characteristics in runners with a history of medial tibial stress syndrome.

Science.gov (United States)

Saeki, Junya; Nakamura, Masatoshi; Nakao, Sayaka; Fujita, Kosuke; Yanase, Ko; Morishita, Katsuyuki; Ichihashi, Noriaki

2017-01-01

A high proportion of flexor digitorum longus attachment is found at the posteromedial border of the tibia, which is the most common location of medial tibial stress syndrome (MTSS). Therefore, plantar flexion strength of the lesser toes could be related to MTSS; however, the relationship between MTSS and muscle strength of the hallux and lesser toes is not yet evaluated due to the lack of quantitative methods. This study investigated the muscle strength characteristics in runners with a history of MTSS by using a newly developed device to measure the muscle strength of the hallux, lesser toes, and ankle. This study comprised 27 collegiate male runner participants (20.0 ± 1.6 years, 172.1 ± 5.1 cm, 57.5 ± 4.0 kg). Maximal voluntary isometric contraction (MVIC) torque of the plantar flexion, dorsiflexion, inversion, and eversion of the ankle were measured by using an electric dynamometer. MVIC torque of the 1st metatarsophalangeal joint (MTPJ) and 2nd-5th MTPJ were measured by using a custom-made torque-measuring device. MVIC torques were compared between runners with and without a history of MTSS. MVIC torque of the 1st MTPJ plantar flexion was significantly higher in runners with a history of MTSS than in those without it. In contrast, there were no significant differences in the MVIC torque values of the 2nd-5th MTPJ plantar flexion and each MVIC torque of the ankle between runners with and without a history of MTSS. A history of MTSS increased the isometric FHL strength.

Development of an Active Ankle Foot Orthosis to Prevent Foot Drop and Toe Drag in Hemiplegic Patients: A Preliminary Study

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Jungyoon Kim

2011-01-01

Full Text Available We developed an active ankle-foot orthosis (AAFO that controls dorsiflexion/plantarflexion of the ankle joint to prevent foot drop and toe drag during hemiplegic walking. To prevent foot slap after initial contact, the ankle joint must remain active to minimize forefoot collision against the ground. During late stance, the ankle joint must also remain active to provide toe clearance and to aid with push-off. We implemented a series elastic actuator in our AAFO to induce ankle dorsiflexion/plantarflexion. The activator was controlled by signals from force sensing register (FSR sensors that detected gait events. Three dimensional gait analyses were performed for three hemiplegic patients under three different gait conditions: gait without AFO (NAFO, gait with a conventional hinged AFO that did not control the ankle joint (HAFO, and gait with the newly-developed AFO (AAFO. Our results demonstrate that our newly-developed AAFO not only prevents foot drop by inducing plantarflexion during loading response, but also prevents toe drag by facilitating plantarflexion during pre-swing and dorsiflexion during swing phase, leading to improvement in most temporal-spatial parameters. However, only three hemiplegic patients were included in this gait analysis. Studies including more subjects will be required to evaluate the functionality of our newly developed AAFO.

Painful legs and moving toes syndrome: a 76-patient case series.

Science.gov (United States)

Hassan, Anhar; Mateen, Farrah J; Coon, Elizabeth A; Ahlskog, J Eric

2012-08-01

To better characterize the clinical features, electrophysiologic features, and treatment outcomes of painful legs and moving toes (PLMT) syndrome. Large case series. Neurology outpatient clinic at a tertiary referral center, 1983-2011. All cases of PLMT seen at our institution during an 18-year period were identified using our medical record linkage system. Key demographic, clinical, imaging, and electrophysiologic features of PLMT. Treatment outcomes and long-term follow-up are also reported. Of 76 cases identified (including 50 women [66%]), the mean age at onset was 58 years (range, 24-86 years) and at neurologic evaluation was 63 years (range, 26-88 years). Pure lower limb involvement was most common (69 patients [91%]), and 44 cases (58%) were bilateral. The most frequently diagnosed causes were peripheral neuropathy (21 cases [28%]), previous trauma (8 [11%]), and radiculopathy (7 [9%]); 32 cases (42%) were cryptogenic. Electromyography consistently showed irregular 50-millisecond to 1-second bursts of normal motor unit potential firing at 2 to 200 Hz accompanying the movements. Pain occurred first in nearly all cases and was more distressing to patients than the movements. Both components were difficult to treat, with no consistent benefit from a variety of drugs and therapeutic modalities. The syndrome persisted in most patients (83%) during the mean follow-up of 4.6 years, suggesting low likelihood of spontaneous resolution. Painful legs and moving toes syndrome is a debilitating clinical syndrome, not because of the movements but rather because of the pain, which often is refractory to treatment. Segmental lower limb involvement is most common, and neurophysiologic findings support a pathophysiologic process localizing to a central generator at the spinal cord or brainstem level.

Toe of Ganges Chasma Landslide ( 8.0 S, 44.4W)

Science.gov (United States)

2001-01-01

This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows shear striations, dark dunes banked up against the toe of the slide and over-riding light-toned ripples and boulders on surface of slide. These features can be used to determine quantitative aspects of surface processes.Malin Space Science Systems and the California Institute of Technology built the MOC using spare hardware from the Mars Observer mission. MSSS operates the camera from its facilities in San Diego, CA. The Jet Propulsion Laboratory's Mars Surveyor Operations Project operates the Mars Global Surveyor spacecraft with its industrial partner, Lockheed Martin Astronautics, from facilities in Pasadena, CA and Denver, CO.

Tic-Tac-Toe Performance as a Function of Maturational Level of Retarded Adolescents and Nonretarded Children

Science.gov (United States)

Spitz, Herman H.; Winters, Emilia A.

1977-01-01

Available from: Ablex Publishing Corporation, 355 Chestnut Street, Norwood, New Jersey 07648. Two groups (36 Ss) of educable and trainable mentally retarded adolescents in an institution were compared with two groups (38 Ss) of nonretarded children (ages 8-9 years old) on a modified tic-tac-toe game for foresight in logical problem solving. (MH)

Foot health-related quality of life among elderly with and without lesser toe deformities: a case–control study

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López-López D

2018-02-01

Full Text Available Daniel López-López,1 María Martínez-Vázquez,1 Marta Elena Losa-Iglesias,2 César Calvo-Lobo,3 David Rodríguez-Sanz,4 Patricia Palomo-López,5 Ricardo Becerro-de-Bengoa-Vallejo6 1Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Ferrol, Spain; 2Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain; 3Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED, Universidad de León, Ponferrada, León, Spain; 4School of Sports Science, European University, Villaviciosa de Odón, Madrid, Spain; 5University Center of Plasencia, Universidad de Extremadura, Extremadura, Spain; 6School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain Purpose: The aim of this study was to compare the health-related quality of life impact related to foot health and health in general in older adults with lesser toe deformities (LTD and without any foot conditions. Methods: A case–control observational study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology criteria. A total of 100 older adults with a mean age of 74.39±6.02 years were recruited at an outpatient clinic; 50 of these subjects had LTD (case group and 50 subjects were without any foot conditions (control group. Presence of LTD was determined in both feet using the Kelikian push-up test, and the Foot Health Status Questionnaire scores were self-reported.Results: The case group showed lower scores in quality of life in relation to health in general and to foot health specifically. Statistically significant differences (p<0.05 between case and control groups were shown by means of the Wicoxon test.Conclusion: A negative impact in quality of life in relation to foot health should be considered in older adults with LTD, regardless of gender. Keywords: aged, foot deformities, foot disease, quality of life, toes

Use of the modified Stainsby procedure in correcting severe claw toe deformity in the rheumatoid foot: a retrospective review.

LENUS (Irish Health Repository)

Queally, Joseph M

2009-06-01

In claw toe deformity, the plantar plate of the metarsophalangeal joint becomes displaced onto the dorsal aspect of the metatarsal head. The Stainsby procedure replaces the displaced plantar plate to its correct position beneath the metatarsal head.

TIG-dressing of High Strength Steel Butt Welded Connections. Part 1 : Weld Toe Geometry and Local Hardness

NARCIS (Netherlands)

Van Es, S.H.J.; Kolstein, M.H.; Pijpers, R.J.M.; Bijlaard, F.S.K.

2014-01-01

This paper presents the results of extensive measurements on weld toe geometry of as-welded and TIG-dressed butt welded connections in high strength steels S460, S690 and very high strength steels S890 and S1100. Descriptions of the measurement techniques and data analysis are presented. Four weld

TIG-dressing of high strength steel butt welded connections - Part 1: weld toe geometry and local hardness

NARCIS (Netherlands)

Es, S.H.J. van; Kolstein, M.H.; Pijpers, R.J.M.; Bijlaard, F.S.K.

2013-01-01

This paper presents the results of extensive measurements on weld toe geometry of as-welded and TIG-dressed butt welded connections in high strength steels S460, S690 and very high strength steels S890 and S1100. Descriptions of the measurement techniques and data analysis are presented. Four weld

Skin lesions simulating blue toe syndrome caused by prolonged contact with a millipede

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Augusto Scardazan Heeren Neto

2014-04-01

Full Text Available Venomous animals are those that, by means of a hunting and defense mechanism, are able to inject their prey with a toxic substance produced in their bodies, directly from specialized glands (e.g., tooth, sting, spur through which the poison passes. Millipedes are poisonous animals; they can be harmful to humans, and their effects usually manifest as erythematous, purpuric, and cyanotic lesions; local pain; and paresthesia. Here, we report a case of skin contact with a millipede for 6h resulting in skin lesions similar to blue toe syndrome.

Evaluation of arterial stiffness by finger-toe pulse wave velocity: optimization of signal processing and clinical validation.

Science.gov (United States)

Obeid, Hasan; Khettab, Hakim; Marais, Louise; Hallab, Magid; Laurent, Stéphane; Boutouyrie, Pierre

2017-08-01

Carotid-femoral pulse wave velocity (PWV) (cf-PWV) is the gold standard for measuring aortic stiffness. Finger-toe PWV (ft-PWV) is a simpler noninvasive method for measuring arterial stiffness. Although the validity of the method has been previously assessed, its accuracy can be improved. ft-PWV is determined on the basis of a patented height chart for the distance and the pulse transit time (PTT) between the finger and the toe pulpar arteries signals (ft-PTT). The objective of the first study, performed in 66 patients, was to compare different algorithms (intersecting tangents, maximum of the second derivative, 10% threshold and cross-correlation) for determining the foot of the arterial pulse wave, thus the ft-PTT. The objective of the second study, performed in 101 patients, was to investigate different signal processing chains to improve the concordance of ft-PWV with the gold-standard cf-PWV. Finger-toe PWV (ft-PWV) was calculated using the four algorithms. The best correlations relating ft-PWV and cf-PWV, and relating ft-PTT and carotid-femoral PTT were obtained with the maximum of the second derivative algorithm [PWV: r = 0.56, P < 0.0001, root mean square error (RMSE) = 0.9 m/s; PTT: r = 0.61, P < 0.001, RMSE = 12 ms]. The three other algorithms showed lower correlations. The correlation between ft-PTT and carotid-femoral PTT further improved (r = 0.81, P < 0.0001, RMSE = 5.4 ms) when the maximum of the second derivative algorithm was combined with an optimized signal processing chain. Selecting the maximum of the second derivative algorithm for detecting the foot of the pressure waveform, and combining it with an optimized signal processing chain, improved the accuracy of ft-PWV measurement in the current population sample. Thus, it makes ft-PWV very promising for the simple noninvasive determination of aortic stiffness in clinical practice.

The firms benefits of mobile CRM from the relationship marketing approach and the TOE model

OpenAIRE

San-Martín, S.; Jiménez, N.H.; López-Catalán, B.

2016-01-01

Las empresas que logran establecer relaciones recíprocas y exitosas con sus clientes pueden obtener mayor rentabilidad de sus inversiones en marketing relacional. Este estudio aplica el modelo TOE para contemplar factores del contexto tecnológico (competencia tecnológica), organizacional (propensión a la innovación y apoyo de los empleados) y del entorno empresarial (gestión de la información de los clientes) para determinar la percepción de los beneficios de la gestión de las relaciones con ...

Ectopic banking of amputated great toe for delayed thumb reconstruction: case report.

Science.gov (United States)

Valerio, Ian L; Hui-Chou, Helen G; Zelken, Jonathan; Basile, Patrick L; Ipsen, Derek; Higgins, James P

2014-07-01

Ectopic banking of amputated parts is a recognized technique for delayed replantation of an amputated part when the amputation stump will not permit immediate replantation. This is conventionally performed with the intent of transferring the injured part back to its anatomic position when the amputation stump is more appropriate for replantation. Current warfare conditions have led to a commonly encountered military trauma injury pattern of multiple extremity amputations with protected trunk and core structures. This pattern poses many challenges, including the limit or absence of donor sites for immediate or delayed flap reconstructive procedures. We describe a case in which we ectopically banked the great toe of an amputated lower extremity for delayed thumb reconstruction. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

The De-Noising of Sonic Echo Test Data through Wavelet Transform Reconstruction

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J.N. Watson

1999-01-01

Full Text Available This paper presents the results of feasibility study into the application of the wavelet transform signal processing method to sonic based non-destructive testing techniques. Finite element generated data from cast in situ foundation piles were collated and processed using both continuous and discrete wavelet transform techniques. Results were compared with conventional Fourier based methods. The discrete Daubechies wavelets and the continuous Mexican hat wavelet were used and their relative merits investigated. It was found that both the continuous Mexican hat and discrete Daubechies D8 wavelets were significantly better at locating the pile toe compared than the Fourier filtered case. The wavelet transform method was then applied to field test data and found to be successful in facilitating the detection of the pile toe.

Simplified Model for the Hybrid Method to Design Stabilising Piles Placed at the Toe of Slopes

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Dib M.

2018-01-01

Full Text Available Stabilizing precarious slopes by installing piles has become a widespread technique for landslides prevention. The design of slope-stabilizing piles by the finite element method is more accurate comparing to the conventional methods. This accuracy is because of the ability of this method to simulate complex configurations, and to analyze the soil-pile interaction effect. However, engineers prefer to use the simplified analytical techniques to design slope stabilizing piles, this is due to the high computational resources required by the finite element method. Aiming to combine the accuracy of the finite element method with simplicity of the analytical approaches, a hybrid methodology to design slope stabilizing piles was proposed in 2012. It consists of two steps; (1: an analytical estimation of the resisting force needed to stabilize the precarious slope, and (2: a numerical analysis to define the adequate pile configuration that offers the required resisting force. The hybrid method is applicable only for the analysis and the design of stabilizing piles placed in the middle of the slope, however, in certain cases like road constructions, piles are needed to be placed at the toe of the slope. Therefore, in this paper a simplified model for the hybrid method is dimensioned to analyze and design stabilizing piles placed at the toe of a precarious slope. The validation of the simplified model is presented by a comparative analysis with the full coupled finite element model.

Computed tomography-guided bupivacaine and corticosteroid injection for the treatment of symptomatic calcification in the great toe tendon

Directory of Open Access Journals (Sweden)

Karatoprak O

2014-04-01

Full Text Available Omer Karatoprak,1 Sinan Karaca,2 Mehmet Nuri Erdem,3 Ozgur Karaman,2 Azmi Hamzaoglu41Department of Orthopedic Surgery, Kadikoy Florence Nightingale Hospital, Istanbul, Turkey; 2Department of Orthopedic Surgery, Fatih Sultan Mehmet Training and Research Hospital Atasehir, Istanbul, Turkey; 3Department of Orthopedics and Traumatology, Kolan International Hospital Sisli, Istanbul, Turkey; 4Department of Orthopedic Surgery, Istanbul Florence Nightingale Hospital, Istanbul TurkeyBackground: Calcification in the great toe tendon is a rare disorder that is characterized by the deposition of calcium on degenerative collagen fibrils.Case presentations: In this report, we present two cases of calcific tendonitis: one in the adductor hallucis and the other in the flexor hallucis longus tendon. We preferred computed tomography-guided steroid injection in our cases because of pain unresponsive to conservative treatment. Patients were free of symptoms at the follow-up visit, 4 weeks after injection.Conclusion: Calcification of the hallux tendons is a rare disorder. Treatment of tendonitis consists of nonsteroidal anti-inflammatory drugs. Local anesthetic and steroid injection may be considered in cases unresponsive to conservative treatment. Because of the anatomic location of tendons, injection could be difficult. Computed tomography guidance may improve the success rate of injections.Keywords: bupivacaine, calcification, great toe tendons, corticosteroid injection

The variations of peroneus digiti quinti muscle and its contribution to the extension of the fifth toe. A cadaveric study

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Berin T. Demir

2015-11-01

Full Text Available Objectives: To investigate the origin, prevalence, and possible effects of peroneus digiti quinti muscle (PDQ on the fifth toe, to find out the variations of PDQ by determining the relationship between peroneus brevis muscle (PB and PDQ, and to reveal its importance for the applications in foot and ankle surgery. Methods: This study was conducted at the Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey between September 2013 and June 2014. The study was a prospective dissection of cadaveric lower limbs. Twenty-five amputated lower limbs were stored in the freezer at -15°C. The legs were dissected; prevalence and variations of peroneus digiti quinti were investigated. Results: Peroneus digiti quinti muscle was found in 8 (32% of 25 dissected lower limbs. However, 2 different tendon extensions were found at 3 (37.5% of 8, and 5 (62.5% of them were determined to have a single tendon. Conclusion: The incidence, dimensions, length, and insertions of peroneus digiti quinti are important in the evaluation and treatment of functional loss of the fifth toe, lateral foot deformities, and tendon problems behind the lateral malleolus of the ankle.

Reliability and Sensitivity of the Power Push-up Test for Upper-Body Strength and Power in 6-15-Year-Old Male Athletes.

Science.gov (United States)

Gillen, Zachary M; Miramonti, Amelia A; McKay, Brianna D; Jenkins, Nathaniel D M; Leutzinger, Todd J; Cramer, Joel T

2018-01-01

Gillen, ZM, Miramonti, AA, McKay, BD, Jenkins, NDM, Leutzinger, TJ, and Cramer, JT. Reliability and sensitivity of the power push-up test for upper-body strength and power in 6-15-year-old male athletes. J Strength Cond Res 32(1): 83-96, 2018-The power push-up (PPU) test is an explosive upper-body test performed on a force plate and is currently being used in high school football combines throughout the United States. The purpose of this study was to quantify the reliability of the PPU test based on age and starting position (knees vs. toes) in young athletes. Sixty-eight boys (mean ± SD; age = 10.8 ± 2.0 years) were tested twice over 5 days. Boys were separated by age as 6-9 years (n = 16), 10-11 years (n = 26), and 12-15 years (n = 26). The PPU test was performed on a force plate while rotating from the knees vs. the toes. Measurements were peak force (PF, N), peak rate of force development (pRFD, N·s), average power (AP, W), and peak power (PP, W). Intraclass correlation coefficients (ICC2,1), SEMs, coefficients of variation (CVs), and minimum detectable changes (MDCs) were calculated to quantify reliability and sensitivity. Peak force from the knees in 10-15-year-olds, PF from the toes in 12-15-year-olds, and pRFD from the knees and toes in 12-15-year-olds were comparably reliable (ICC ≥ 0.84). Neither power measurements (AP or PP) for any age group, nor any measurements (PF, pRFD, AP, or PP) for the 6-9-year-olds were comparably reliable (ICC ≤ 0.74). When considering the reliable variables, PF was greater in the 12-15-year-olds than in 10-11-year-olds (p ≤ 0.05). In addition, in 12-15-year-olds, PF and pRFD were greater from the knees than from the toes (p ≤ 0.05). For reasons largely attributable to growth and development, the PPU test may be a reliable (ICC ≥ 0.80) and sensitive (CV ≤ 19%) measure of upper-body strength (PF), whereas pRFD was also reliable (ICC ≥ 0.80), but less sensitive (CV = 30-38%) in 10-15-year-old male athletes.

The usefulness of Duplex Doppler ultrasound in the angiological and dermatological diagnosis of patients with blue toe syndrome.

Science.gov (United States)

Pawlaczyk, Katarzyna; Gabriel, Marcin; Strzelecka-Węklar, Daria A; Krasiński, Zbigniew; Stanisic, Michal; Gabriel, Zofia; Dzieciuchowicz, Łukasz; Adamski, Zygmunt

2017-10-01

Peripheral microembolism is one of the most frequent causes of acute limb ischemia. In order to effectively prevent relapses it is essential to localize and eliminate the source of embolism. To evaluate the role of Duplex Doppler ultrasound examination in identifying the causes of blue toe syndrome (BTS). The group of 165 patients with clinical symptoms of BTS on their upper limbs ( n = 16) and lower limbs ( n = 149) was investigated. They all underwent Duplex Doppler ultrasound of the major arteries of the extremities, where ischemic changes occurred. Morphological and functional changes which might be potential sources of microembolism were identified in 146 patients. These changes included significant short-length stenoses or unstable atherosclerotic plaque ( n = 73), true aneurysms ( n = 42) and pseudoaneurysms ( n = 17). In 11 cases, pathology of vascular prostheses in the form of anastomotic aneurysms, infection and residual thrombi after fibrinolysis was detected. In all cases, Duplex diagnosis was confirmed by other imaging and intraoperative tests. Duplex Doppler ultrasound of the arteries in the affected limb with a full length view should be the first-line examination in diagnosing patients with BTS. In the absence of hemodynamic blood flow disturbances in the major arteries in patients with symptoms of BTS, it is advisable to start haematological tests to identify/exclude congenital or acquired thrombophilia.

Extended Islanded Reverse Sural Artery Flap for Staged Reconstruction of Foot Defects Proximal to Toes

International Nuclear Information System (INIS)

Yousaf, M.A.; Abidin, Z.U.; Khalid, K.; Haq, A.U.; Tarar, F.A.; Asif, M.U.; Tarar, M.N.

2018-01-01

To assess the outcome of extended delayed reverse sural artery flap for reconstruction of foot defects proximal to toes in terms of flap survival, complication and extended area. Study Design:Case series. Place and Duration of Study:Jinnah Burn and Reconstructive Surgery Centre, Lahore, from February 2015 to April 2017. Methodology:Cases who underwent delayed sural artery flap were inducted. Preoperative hand-held doppler was done to confirm the location of perforator. Two suitable perforators were chosen to raise the extended flap by crossing the proximal limit in all cases. The pedicle was kept minimum 3 cm wide and perfusion was assessed. Flap was delayed for one week and vaccum-assisted closure (VAC) dressing was applied over wound. The second surgery was performed after one week. Proximal perforator was clamped and ligated after checking adequate perfusion of flap. Flap was insetted into defect. Results:Thirty-two patients were reconstructed with delayed reverse sural artery flap. The mean age of the patients was 26.5 +12.2 years. Twenty-four (75%) patients were males and 8 (25%) were females. Twenty-two (68.7%) cases were degloving wounds after road traffic accidents (RTA), 6 (18.7%) were diabetic foot wounds, 4 (12.5%) sustained injury after falling from height and 7 (21.8%) patients had fracture of metatarsals. Twenty-eight flaps were transferred after one week delay, and only in 4 cases, flap were transferred after two weeks. All flaps survived completely. Complications of infection noted in 3 (9.3%) flaps, 3 (9.3%) flaps showed tip necrosis, 2 (6.2%) flaps undergone epidermolysis and only 2 (6.2%) showed venous congestion. Conclusion:Delayed islanded reverse sural artery perforator flap is a reliable and versatile option for resurfacing soft tissue defects of lower limb proximal to the toes with lesser complications and extended coverage area. (author)

Extended Islanded Reverse Sural Artery flap for Staged Reconstruction of Foot Defects Proximal to Toes.

Science.gov (United States)

Yousaf, Muhammad Amin; Abidin, Zain Ul; Khalid, Kamran; Haq, Ata Ul; Khalid, Farrukh Aslam; Tarar, Faraz Ahmad; Asif, Muhammad Umar; Tarar, Moazzam Nazeer

2018-02-01

Obective:To assess the outcome of extended delayed reverse sural artery flap for reconstruction of foot defects proximal to toes in terms of flap survival, complication and extended area. Case series. Jinnah Burn and Reconstructive Surgery Centre, Lahore, from February 2015 to April 2017. Cases who underwent delayed sural artery flap were inducted. Preoperative hand-held doppler was done to confirm the location of perforator. Two suitable perforators were chosen to raise the extended flap by crossing the proximal limit in all cases. The pedicle was kept minimum 3 cm wide and perfusion was assessed. Flap was delayed for one week and vaccum-assisted closure (VAC) dressing was applied over wound. The second surgery was performed after one week. Proximal perforator was clamped and ligated after checking adequate perfusion of flap. Flap was insetted into defect. Thirty-two patients were reconstructed with delayed reverse sural artery flap. The mean age of the patients was 26.5 12.2 years. Twenty-four (75%) patients were males and 8 (25%) were females. Twenty-two (68.7%) cases were degloving wounds after road traffic accidents (RTA), 6 (18.7%) were diabetic foot wounds, 4 (12.5%) sustained injury after falling from height and 7 (21.8%) patients had fracture of metatarsals. Twenty-eight flaps were transferred after one week delay, and only in 4 cases, flap were transferred after two weeks. All flaps survived completely. Complications of infection noted in 3 (9.3%) flaps, 3 (9.3%) flaps showed tip necrosis, 2 (6.2%) flaps undergone epidermolysis and only 2 (6.2%) showed venous congestion. Delayed islanded reverse sural artery perforator flap is a reliable and versatile option for resurfacing soft tissue defects of lower limb proximal to the toes with lesser complications and extended coverage area.

Mayer Rokitansky Kuster Hauser (MRKH) syndrome with absent thumbs and big toes.

Science.gov (United States)

Yunus, Mahira

2014-01-01

Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a rare developmental failure of Müllerian ducts. Principle clinical features of MRKH syndrome are primary amenorrhoea associated with congenital absence of vagina, uterine anomalies, normal ovaries, 46 XX karyotype with normal female secondary sexual characteristics and frequent association with renal, skeletal, and other congenital anomalies. A case of a 3-year-old child with congenitally absent thumbs and big toes is reported herein; she was brought in with complaints of urinary incontinence. Radiological investigation (ultrasound and magnetic resonance imaging (MRI) scan) revealed absent uterus and vagina while both ovaries were normal. Intravenous urography (IVU) study showed bifid pelvicalyceal systems bilaterally. Karyotyping revealed a 46 XX female phenotype. Laparoscopy confirmed normal ovaries bilaterally and small unfused uterine buds lying beside both ovaries on each side of pelvis. Early diagnosis of MRKH syndrome is essential for timely planning of vaginal and (if possible) uterine reconstructive surgeries.

A pedestrian dead-reckoning system that considers the heel-strike and toe-off phases when using a foot-mounted IMU

Science.gov (United States)

Ju, Hojin; Lee, Min Su; Park, So Young; Song, Jin Woo; Park, Chan Gook

2016-01-01

In this paper, we propose an advanced pedestrian dead-reckoning (PDR) algorithm that considers the heel-strike and toe-off phases. Generally, PDR systems that use a foot-mounted inertial measurement unit are based on an inertial navigation system with an extended Kalman filter (EKF). To reduce the influence of the bias and white noises in the gyroscope and accelerometer signals, a zero-velocity update is often adopted at the stance phase. However, transient and large acceleration, which cannot be measured by the accelerometer used in pedestrian navigation, occur momentarily in the heel-strike phase. The velocity information from integration of the acceleration is not reliable because the acceleration is not measured in the heel-strike phase. Therefore, the designed EKF does not correctly reflect the actual environment, because conventional algorithms do not take the non-measurable acceleration into consideration. In order to reflect the actual environment, we propose a PDR system that considers the non-measurable acceleration from the heel-strike impact. To improve the PDR system’s performance, the proposed algorithm uses a new velocity measurement obtained using the constraint between the surface and the foot during the toe-off phase. The experimental results show improved filter performance after comparison of the proposed algorithm and a conventional algorithm.

A pedestrian dead-reckoning system that considers the heel-strike and toe-off phases when using a foot-mounted IMU

International Nuclear Information System (INIS)

Ju, Hojin; Lee, Min Su; Park, So Young; Park, Chan Gook; Song, Jin Woo

2016-01-01

In this paper, we propose an advanced pedestrian dead-reckoning (PDR) algorithm that considers the heel-strike and toe-off phases. Generally, PDR systems that use a foot-mounted inertial measurement unit are based on an inertial navigation system with an extended Kalman filter (EKF). To reduce the influence of the bias and white noises in the gyroscope and accelerometer signals, a zero-velocity update is often adopted at the stance phase. However, transient and large acceleration, which cannot be measured by the accelerometer used in pedestrian navigation, occur momentarily in the heel-strike phase. The velocity information from integration of the acceleration is not reliable because the acceleration is not measured in the heel-strike phase. Therefore, the designed EKF does not correctly reflect the actual environment, because conventional algorithms do not take the non-measurable acceleration into consideration. In order to reflect the actual environment, we propose a PDR system that considers the non-measurable acceleration from the heel-strike impact. To improve the PDR system’s performance, the proposed algorithm uses a new velocity measurement obtained using the constraint between the surface and the foot during the toe-off phase. The experimental results show improved filter performance after comparison of the proposed algorithm and a conventional algorithm. (paper)

Combined effects of knee brace, laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients.

Science.gov (United States)

Khan, Saad Jawaid; Khan, Soobia Saad; Usman, Juliana; Mokhtar, Abdul Halim; Abu Osman, Noor Azuan

2018-03-01

To test the hypothesis that toe-in gait (TI) will further reduce first peak (Knee Adduction Moment) KAM and decrease balance when combined with a knee brace (KB) and laterally wedged insoles (LWI) in medial knee osteoarthritis (kOA) patients. Twenty patients with bilateral symptomatic medial kOA. 4-point leverage-based KB, full-length LWI with 5° inclination and toe-in gait (TI). First and second peak knee adduction moment (fKAM and sKAM respectively), balance and pain. The fKAM and sKAM were determined from 3-dimensional gait analysis with six randomized conditions: (1) N (without any intervention), (2) KB, (3) KB + TI, (4) LWI, (5) LWI + TI, (6) KB + LWI + TI. Balance was assessed by Biodex Balance System using three stability settings, (i) Static (ii) Moderate dynamic setting for fall risk (FR12) and (iii) High dynamic setting for fall risk (FR8). The reduction in fKAM and sKAM was greatest (19.75% and 12%) when TI was combined with KB and LWI respectively. No change in balance was observed when TI combined with KB, and LWI and when used concurrently with both the orthosis at static and FR12 conditions. Significant balance reduction was found at FR8 for KB + TI (22.22%), and KB + LWI + TI (35.71%). Pain increased significantly for KB (258%), KB + TI (305%), LWI + TI (210%) and KB + LWI + TI (316%). LWI showed no effect on pain. There is a synergistic effect of TI when combined with KB and LWI concurrently in sKAM reduction. However, the concurrent use of TI, KB and LWI decreases balance and pain as assessed on a highly dynamic platform. Copyright © 2018 Elsevier B.V. All rights reserved.

Metatarsalgia located by synovitis and uncertainty of the articulation metatarsus-phalanges of the II toe

International Nuclear Information System (INIS)

Gerstner G, Juan Bernardo

2002-01-01

The synovitis and the uncertainty of the articulation metatarsus-phalanges (MP) of the II toe they are the causes more frequent of metatersalgia located in this articulation of the foot, frequently bad diagnosed and not well managed by the general orthopedist. The natural history understands stadiums so precocious as the synovitis without alteration of peri-articular structures, going by the frank uncertainty, and finishing with the angular deformities and the complete luxation of the articulation MP. The meticulous and directed interrogation, the physical exam specifies and the classification of the diagnostic they are the keys for the successful handling of the pathology. The surgical correction of this condition should always be associated to the correction of associate deformities as the hallux valgus and the fingers in claw

Finite element modelling and analysis of composites toecaps

International Nuclear Information System (INIS)

Yang, C C; Duhovic, M; Lin, R J T; Bhattacharyya, D

2009-01-01

Composite toe-caps have attracted considerable attention due to their advantageous properties over traditional metallic toe-caps. However, the anisotropic properties of composite materials also make the toe-cap performance more complex to analyse. This project aims at developing a Finite Element (FE) model for composite toe-caps with the aid of compression testing data. The geometry of the toe-cap was first scanned and imported into an FEA software package to create a workable FE model. The method was then validated by comparing the FE model with experimental results of steel toe-caps. Manufacturing, modelling and testing of custom-made composite toe-cap samples were then carried out. Modelling outputs of composite toe-caps were compared with compression test data for validation. The stress distributions and deformations of the toe-caps were also analysed. Modelling of the steel and composite toe-caps was realized using LS-DYNA Solver and PrePost (registered) . All FE analyses were modelled with reference to European Standards. The developed FE models can in the future be used to model toe-caps with various materials to determine the effects of fibre orientation relating to structural strength, and to achieve structural optimisation.

The effect of flexor tenotomy on healing and prevention of neuropathic diabetic foot ulcers on the distal end of the toe

Directory of Open Access Journals (Sweden)

van Netten Jaap J

2013-01-01

Full Text Available Abstract Background Flexor tenotomy is a minimally invasive surgical alternative for the treatment of neuropathic diabetic foot ulcers on the distal end of the toe. The influence of infection on healing and time to heal after flexor tenotomy is unknown. Flexor tenotomy can also be used as a prophylactic treatment. The effectiveness as a prophylactic treatment has not been described before. Methods A retrospective study was performed with the inclusion of all consecutive flexor tenotomies from one hospital between January 2005 and December 2011. Results From 38 ulcers, 35 healed (92%, with a mean time to heal of 22 ± 26 days. The longest duration for healing was found for infected ulcers that were penetrating to bone (35 days; p = .042. Cases of prophylactic flexor tenotomies (n=9 did not result in any ulcer or other complications during follow-up. Conclusions The results of this study suggest that flexor tenotomy may be beneficial for neuropathic diabetic foot ulcers on the distal end of the toe, with a high healing percentage and a short mean time to heal. Infected ulcers that penetrated to bone took a significantly longer time to heal. Prospective research, to confirm the results of this retrospective study, should be performed.

Utility of whole-body (head-to-toe) PET/CT in the evaluation of melanoma and sarcoma patients.

Science.gov (United States)

Webb, Heather R; Latifi, Hamid R; Griffeth, Landis K

2018-01-01

The aim of this study was to assess the added benefit of whole-body (head-to-toes) PET/CT versus routine 'eyes-to-thighs' PET/CT of melanoma and sarcoma patients. We performed a retrospective review of consecutive whole-body PET/CT scans from January 2006 through December 2010 in patients with melanoma or sarcoma. PET abnormalities in the brain, distal thighs, and legs were recorded and clinical significance was assessed on the basis of pathology, imaging studies, and clinical follow-up. Patients with known primary lesions distal to the proximal femora were excluded as these patients would routinely undergo 'head-to-toe' PET/CT. We reviewed reports from 352 PET/CT examinations in 194 patients with melanoma and 75 PET/CT examinations in 44 patients with sarcoma. Melanoma: 13 patients had brain metastases on PET. In five of these patients, lesions were unknown, but all were in the setting of other metastatic disease. Twenty-seven patients had lower extremity metastases, all in the setting of other metastatic disease. No lower extremity metastases were found in the remaining 167 patients. Sarcoma: one patient had an isolated, unexpected brain metastasis. Six patients had leg metastases, but none were isolated. No lower extremity metastases were found in the remaining 38 patients. In patients with melanoma and sarcoma, inclusion of entire lower extremities adds little additional clinical value as detection of isolated, unexpected metastasis is rare. Brain imaging may add value as the presence of brain metastases alters clinical management. Overall, in patients with melanoma or sarcoma, whole-brain PET/CT imaging may be of value, but routine inclusion of the entire lower extremities adds little additional value.

A radiologic study of an ancient Egyptian mummy with a prosthetic toe.

Science.gov (United States)

Brier, Bob; Vinh, Phuong; Schuster, Michael; Mayforth, Howard; Johnson Chapin, Emily

2015-06-01

A radiologic examination (both CT and traditional X-ray) of two mummies curated at the Albany Institute of History and Art revealed the identity of the mummified remains as well as details of the person's life style parameters (markers of occupational stress). These mummies, brought to the Institute over 100 years ago, were unstudied until 1989. This preliminary study led to the misappropriation of the remains, and subsequent switching of the remains within their coffins. Recent and more detailed analyses lead to the correct identification of sex, a re-association of the remains to their interment coffins, as well as a detailed analysis of occupational markers. A prosthetic toe was identified in one of the mummies which lead to the functional exploration of prosthetics in the past including their use as part of funerary processing in ancient Egypt. Finally, details of the embalming process place the wrapped mummy within the time frame identified on the coffin of the mummy identified as Ankhefenmut as well as confirming his social status. © 2015 Wiley Periodicals, Inc.

Influence of Toe-Hang vs. Face-Balanced Putter Design on Golfer Applied Kinetics

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Sasho MacKenzie

2018-02-01

Full Text Available The influence of the location of the center of mass (cm of the putter head, relative to the shaft, on golfer applied kinetics at the grip was investigated. Participants made 12 attempts at a straight up-hill (2.2° slope 8 ft putt with half of the attempts executed using a PING Anser 4 toe-hang putter (TH and half with an Anser 5 face-balanced putter (FB. The net torque applied by the golfer, acting about the long axis of the shaft, was significantly greater in magnitude with the TH putter in comparison to the FB putter. The TH putter was also associated with a higher angular velocity about the shaft and a more open face at impact. These findings may have important implications for fitting the style of putter to a particular stroke or individual golfer as golfer applied kinetics would be strongly associated with the ‘feel’ of a putter.

Reliability and smallest real difference of the ankle lunge test post ankle fracture.

Science.gov (United States)

Simondson, David; Brock, Kim; Cotton, Susan

2012-02-01

This study aimed to determine the reliability and the smallest real difference of the Ankle Lunge test in an ankle fracture patient population. In the post immobilisation stage of ankle fracture, ankle dorsiflexion is an important measure of progress and outcome. The Ankle Lunge test measures weight bearing dorsiflexion, resulting in negative scores (knee to wall distance) and positive scores (toe to wall distance), for which the latter has proven reliability in normal subjects only. A consecutive sample of ankle fracture patients with permission to commence weight bearing, were recruited to the study. Three measurements of the Ankle Lunge Test were performed each by two raters, one senior and one junior physiotherapist. These occurred prior to therapy sessions in the second week after plaster removal. A standardised testing station was utilised and allowed for both knee to wall distance and toe to wall distance measurement. Data was collected from 10 individuals with ankle fracture, with an average age of 36 years (SD 14.8). Seventy seven percent of observations were negative. Intra and inter-rater reliability yielded intra class correlations at or above 0.97, p Ankle Lunge test is a practical and reliable tool for measuring weightbearing dorsiflexion post ankle fracture. Copyright © 2011 Elsevier Ltd. All rights reserved.

TIG-dressing of High Strength Butt Welded Connection. Part 2 : Physical Testing and Modelling

NARCIS (Netherlands)

Van Es, S.H.J.; Kolstein, M.H.; Pijpers, R.J.M.; Bijlaard, F.S.K.

2014-01-01

Weld improvement techniques are aimed at reducing the notch effects of welds and generally focus on two aspects: a change of geometry of the weld toe and a change of the weld residual stresses. In this paper, fatigue tests are discussed, performed on butt welded specimens in steel grades ranging

TIG-dressing of high strength butt welded connection - Part 2: physical testing and modelling

NARCIS (Netherlands)

Es, S.H.J. van; Kolstein, M.H.; Pijpers, R.J.M.; Bijlaard, F.S.K.

2013-01-01

Weld improvement techniques are aimed at reducing the notch effects of welds and generally focus on two aspects: a change of geometry of the weld toe and a change of the weld residual stresses. In this paper, fatigue tests are discussed, performed on butt welded specimens in steel grades ranging

Maximum toe flexor muscle strength and quantitative analysis of human plantar intrinsic and extrinsic muscles by a magnetic resonance imaging technique.

Science.gov (United States)

Kurihara, Toshiyuki; Yamauchi, Junichiro; Otsuka, Mitsuo; Tottori, Nobuaki; Hashimoto, Takeshi; Isaka, Tadao

2014-01-01

The aims of this study were to investigate the relationships between the maximum isometric toe flexor muscle strength (TFS) and cross-sectional area (CSA) of the plantar intrinsic and extrinsic muscles and to identify the major determinant of maximum TFS among CSA of the plantar intrinsic and extrinsic muscles. Twenty six young healthy participants (14 men, 12 women; age, 20.4 ± 1.6 years) volunteered for the study. TFS was measured by a specific designed dynamometer, and CSA of plantar intrinsic and extrinsic muscles were measured using magnetic resonance imaging (MRI). To measure TFS, seated participants optimally gripped the bar with their toes and exerted maximum force on the dynamometer. For each participant, the highest force produced among three trials was used for further analysis. To measure CSA, serial T1-weighted images were acquired. TFS was significantly correlated with CSA of the plantar intrinsic and extrinsic muscles. Stepwise multiple linear regression analyses identified that the major determinant of TFS was CSA of medial parts of plantar intrinsic muscles (flexor hallucis brevis, flexor digitorum brevis, quadratus plantae, lumbricals and abductor hallucis). There was no significant difference between men and women in TFS/CSA. CSA of the plantar intrinsic and extrinsic muscles is one of important factors for determining the maximum TFS in humans.

Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe

Directory of Open Access Journals (Sweden)

Song Ho Chang

2017-01-01

Full Text Available This report presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon associated with the plantar capsular accessory ossicle at the interphalangeal joint of the great toe, which was confirmed by intraoperative observation and was successfully treated with surgical resection of the ossicle. As the plantar capsular accessory ossicle was not visible radiographically due to the lack of ossification, ultrasonography was helpful for diagnosing this disorder.

Two-Dimensional Model Test Study of New Western Breakwater Proposal for Port of Hanstholm

OpenAIRE

Eldrup, Mads Røge; Andersen, Thomas Lykke

2016-01-01

The present report presents results from a two-dimensional model test study carried out at Aalborg University in December 2016 with the proposed trunk section for the new western breakwater in Port of Hanstholm. The objectives of the model tests were to study the stability of the armour layer, toe erosion, overtopping and transmission. The scale used for the model tests was 1:61.5. Unless otherwise specified all values given in this report are prototype values converted from the model to prot...

The Reliability and Validity of Toe Grip Strength as an Index of Physical Development in 4- to 5-Year-Old Children

Institute of Scientific and Technical Information of China (English)

Takahiro Ikeda[1; Osamu Aoyagi[2

2015-01-01

Studies on TGS （toe-grip strength） are currently proliferating as a result of the development of the dynamometer. The purpose of the present study was to investigate the reliability and validity of TGS as a physical function in preschool aged children. The participants were 153 preschoolers. Each participant was measured in terms of his or her TGS and completed a MAT （motor ability test）. The reliability of the measurements was investigated via Pearson＇s r and Cronbach＇s a through a test-retest method, as well as a Bland-Altman plot. The validity of the TGS value was investigated by measuring the correlation between TGS and each component of the MAT, the principal component analysis, and a two-way layout ANOVA with general linear model （gender and age）. All reliability coefficients were more than 0.70. Though all components of the MAT relating to TGS were found to be significant （P 〈 0.05）, these correlations were weak. However, TGS was found to be a physical function that relating to the lower limbs and develops with aging. Therefore, TGS was found to be a highly reliable measure of physical function performance in preschoolers.

Toe blood pressure and leg muscle oxygenation with body posture.

Science.gov (United States)

Rosales-Velderrain, Armando; Cardno, Michael; Mateus, Jaime; Kumar, Ravindra; Schlabs, Thomas; Hargens, Alan R

2011-05-01

In 1980 Katkov and Chestukhin measured blood pressures and oxygenation invasively at various body tilt angles at different locations on the body, including the foot. To our knowledge, such measurements have not been performed noninvasively. Therefore, the purpose of this study was to measure toe blood pressure (TBP) and lower limb muscle oxygenation noninvasively at various body tilt angles, and to assess the use of a Finometer for noninvasive TBP measurements. Our noninvasive results are compared with those performed by Katkov and Chestukhin. We hypothesized that: 1) the Finometer provides a noninvasive measurement of TBP at different tilt angles; and 2) muscle oxygenation is highest with 0 and -6 degrees, and decreases with increased head-up tilt (HUT). There were 10 subjects who were exposed to different body tilt angles (-6, 0, 10, 30, 70, and 90 degrees). At each angle we measured TBP noninvasively with a Finometer and muscle tissue oxygenation by near infrared spectroscopy. We found a strong correlation between TBP using the Finometer and TBP predicted by adding the hydrostatic component due to body tilt to the standard arm blood pressure measurement. At 10, 30, 70, and 90 degrees both TBP and tissue oxygenation were significantly different from the 0 degree (supine) level. Oxygenation decreased and TBP increased with higher HUT angles. No differences were observed in TBP or oxygenation between -6 and 0 degree. The Finometer accurately measures TBP noninvasively with body tilt. Also, muscle oxygenation is highest at small HUT angles and decreases with increased HUT.

Autoamputation of diabetic toe with dry gangrene: a myth or a fact?

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Al Wahbi A

2018-06-01

Full Text Available Abdullah Al Wahbi Division of Vascular Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia Abstract: Diabetes is associated with various complications and reduced quality of life. Of the many complications, some are life-threatening. Among these, foot complications remain an important concern. The major foot complications include foot ulceration, cellulitis, abscess, wet gangrene, dry gangrene, and necrotizing fasciitis, with different pathophysiological concepts behind each of them. Gangrene occurs due to reduced blood supply in the body tissues that leads to necrosis. This condition may arise because of an injury, infection, or other health conditions, majorly diabetes. Gangrene is classified as dry, wet, and gas gangrene. In case of wet and gas gangrene, surgical amputation is usually performed to prevent the spread of infection to other tissues. In dry gangrene, due to the presence of clear demarcation, autoamputation is preferred in certain parts of the globe. The present review aims to analyze the mode of dry gangrene management in diabetic patients based on previous evidence and plans to highlight various management strategies available for dry gangrene and the advantages/disadvantages of different treatments with special consideration to autoamputation. Keywords: dry gangrene, amputation, surgical amputation, diabetic foot, diabetic toe, foot care

Effect of a nonsurgical treatment program on the gait pattern of idiopathic toe walking: a case report

Directory of Open Access Journals (Sweden)

Szopa A

2016-02-01

Full Text Available Andrzej Szopa,1 Małgorzata Domagalska-Szopa,2 Weronika Gallert-Kopyto,1 Wojciech Kiebzak,3 Ryszard Plinta4 1Department of Physiotherapy, 2Department of Medical Rehabilitation, School of Health Sciences, Medical University of Silesia, Katowice, 3Faculty of Health Sciences, Jan Kochanowski University, Kielce, 4Department of Adapted Physical Activity and Sport, School of Health Sciences, Medical University of Silesia, Katowice, Poland Background: Recent studies have reported many possibilities for the treatment of idiopathic toe walking (ITW; however, none of them have been sufficiently documented. The purpose of this case study was to document the evolution of the gait pattern of a child with severe ITW using the Gillette Gait Index before and after the third and sixth weeks, a nonsurgical treatment program and then every 3 months to 1 year from the start of the treatment. This is significant because the case study shows that a nonsurgical treatment program can be an alternative treatment method for children with severe ITW.Case description: The case study involved a 5-year-old boy diagnosed with severe ITW. An orthopedist recommended a surgical treatment, but his parents refused to provide consent.Intervention: The subject participated in a 12-week nonsurgical treatment program that used tone-inhibiting casts (TICs combined with physiotherapy based on neurodevelopmental treatment principles. The treatment protocol included the following: 1 precast preparation; 2 TICs with treatment; and 3 post-cast treatment to improve the gait pattern.Outcomes: After treatment with TICs, the range of motion of ankle dorsiflexion during stance had increased, resulting in an almost normalized gait. The patient stopped toe walking for at least 1 year.Discussion: This study demonstrates that nonsurgical treatment should be considered first, with surgical options reserved for resistant cases; however, further research is required given the current lack of knowledge

End-to-side neurotization with the phrenic nerve in restoring the function of toe extension: an experimental study in a rat model.

Science.gov (United States)

Jia, Xiaotian; Chen, Chao; Yang, Jianyun; Yu, Cong

2018-06-01

The phrenic nerve being transferred to the posterior division of the lower trunk with end-to-end neurorrhaphy is reported to be effective in restoring the function of digit extension in literature. However, the phrenic nerve is extremely important in respiration. We designed an animal experiment to discover whether the phrenic nerve being transferred to the posterior division of the lower trunk with end-to-side neurotization was feasible and provided the theoretical basis. A sum of 36 Sprague-Dawley rats was randomly assigned to one of two groups. In Group A, the phrenic nerve was transferred to the posterior division of the lower trunk with end-to-side neurotization. In Group B, the posterior division of the lower trunk was directly sutured. The results of behavioral assessment, electrophysiology, histology and nerve fiber count and muscle weight at 12 weeks postoperatively were recorded. In Group A, none of the rats experienced tachypnea. The motion of slight toe extension was observed. The results of electrophysiology, histology and nerve fiber count and muscle weight in Group A were not as well as those of Group B, but gradually improved with time. The phrenic nerve being transferred to the posterior division of lower trunk with end-to-side neurotization can partially restore the function of toe extension in a rat model. Whether the function of digit extension can be restored by the phrenic nerve with end-to-side neurotization in humans still needs more practice in clinic.

Two-Dimensional Model Test Study of New Western Breakwater Proposal for Port of Hanstholm

DEFF Research Database (Denmark)

Eldrup, Mads Røge; Andersen, Thomas Lykke

The present report presents results from a two-dimensional model test study carried out at Aalborg University in December 2016 with the proposed trunk section for the new western breakwater in Port of Hanstholm. The objectives of the model tests were to study the stability of the armour layer, toe...... erosion, overtopping and transmission. The scale used for the model tests was 1:61.5. Unless otherwise specified all values given in this report are prototype values converted from the model to prototype according to the Froude model law....

Structure of claws and toes of two tropidurid lizard species of Restinga from Southeastern Brazil: adaptations to the vertical use of the habitat Estructura de garras y dedos en dos lagartos tropidúridos de Restinga, sureste de Brasil: adaptaciones al uso vertical del hábitat

Directory of Open Access Journals (Sweden)

Sueli Carvalho Ribas

2004-12-01

Full Text Available Tropidurus torquatus and Liolaemus lutzae, found in a restinga habitat, show some morphological differences associated with differential microhabitats use. There were made measurements of the snout-vent length, length and width of the largest toe of hand and foot, and length, width, height and curvature of the claws. We counted the number of adhesive lamellae of the largest toe of each member. T. torquatus has larger toes, greater number of adhesive lamellae and higher and more curve claws than L. lutzae. No significant differences in toe and claw widths were found. These results suggest that the differences found in the morphology of toes and claws of these two species would be associated with the differential microhabitat use. T. torquatus has morphological adaptations that allow it to use the microhabitat both vertically or horizontally, while L. lutzae use it only horizontallyTropidurus torquatus y Liolaemus lutzae hallados en un hábitat de restinga, muestran algunas diferencias morfológicas asociadas a el uso diferencial de microhábitats. Se realizaron mediciones de la longitud "snout-vent", longitud y ancho del dedo mayor de la mano y el pie y, longitud, ancho, altura y curvatura de las garras. Se contó el número de lamelas adhesivas del dedo mayor de cada miembro. T. torquatus posee dedos más grandes, mayor número de lamelas adhesivas y garras más altas y curvadas que L. lutzae. No se hallaron diferencias significativas en los anchos de dedos y garras. Estos resultados sugieren que las diferencias encontradas en la morfología de dedos y garras de estas dos especies estarían asociadas con el uso diferencial del microhábitat. T. torquatus posee adaptaciones que le permiten utilizar el microhábitat tanto vertical como horizontalmente, mientras que L. lutzae solamente lo utiliza en forma horizontal

The Role of Surface Chemistry in Adhesion and Wetting of Gecko Toe Pads

Science.gov (United States)

Badge, Ila; Stark, Alyssa Y.; Paoloni, Eva L.; Niewiarowski, Peter H.; Dhinojwala, Ali

2014-10-01

An array of micron-sized setal hairs offers geckos a unique ability to walk on vertical surfaces using van der Waals interactions. Although many studies have focused on the role of surface morphology of the hairs, very little is known about the role of surface chemistry on wetting and adhesion. We expect that both surface chemistry and morphology are important, not only to achieve optimum dry adhesion but also for increased efficiency in self-cleaning of water and adhesion under wet conditions. Here, we used a plasma-based vapor deposition process to coat the hairy patterns on gecko toe pad sheds with polar and non-polar coatings without significantly perturbing the setal morphology. By a comparison of wetting across treatments, we show that the intrinsic surface of gecko setae has a water contact angle between 70-90°. As expected, under wet conditions, adhesion on a hydrophilic surface (glass) was lower than that on a hydrophobic surface (alkyl-silane monolayer on glass). Surprisingly under wet and dry conditions the adhesion was comparable on the hydrophobic surface, independent of the surface chemistry of the setal hairs. This work highlights the need to utilize morphology and surface chemistry in developing successful synthetic adhesives with desirable adhesion and self-cleaning properties.

Analysis on pile testing results of post-grouting bored pile

Science.gov (United States)

Zheng, A. R.

2017-04-01

Based on static load test results, the bearing capacity of bored piles with pile-toe and pile-shaft post-grouting has been analyzed. The analysis reveals that: with post-grouting, the interface between pile and surrounding soil are strengthened and the relative sliding displacement in between is reduced; end resistance of pile is enhanced and can be mobilized at earlier stage with smaller sliding displacement. As a result, the performance of bored pile is improved with increased bearing capacity and reduced settlement.

Final Environmental Assessment for Test Area D-84 Waterside Redevelopment

Science.gov (United States)

2012-09-01

button Lachnocaulon digynum ST Seepage slopes, wet flatwoods, bogs Low Gulf Coast lupine Lupinus westianus ST Dunes , scrub, sandhills Low Hummingbird...planned monitoring and rrUtigstion measures 3$ described in the toe reques~ and Ibis leau arc: impleme.ntoi Dtscriplion of the Action The purpose of...8217.miliprojfuct.cfin?Id- 13&Code=Pn=ams. Information acressed on NO\\~I I I , 2010. U.S. Anny Cc!]>S of Engineers (L"SACE). 2009. Standard ~ toe Conditions

Association with isokinetic ankle strength measurements and normal clinical muscle testing in sciatica patients.

Science.gov (United States)

Ustun, N; Erol, O; Ozcakar, L; Ceceli, E; Ciner, O Akar; Yorgancioglu, Z R

2013-01-01

Sensitive muscle strength tests are needed to measure muscle strength in the diagnosis and management of sciatica patients. The aim of this study was to assess the isokinetic muscle strength in sciatica patients' and control subjects' ankles that exhibited normal ankle muscle strength when measured clinically. Forty-six patients with L5 and/or S1 nerve compression, and whose age, sex, weight, and height matched 36 healthy volunteers, were recruited to the study. Heel-walking, toe-walking, and manual muscle testing were used to perform ankle dorsiflexion and plantar flexion strengths in clinical examination. Patients with normal ankle dorsiflexion and plantar flexion strengths assessed by manual muscle testing and heel-and toe-walking tests were included in the study. Bilateral isokinetic (concentric/concentric) ankle plantar-flexion-dorsiflexion measurements of the patients and controls were performed within the protocol of 30°/sec (5 repetitions). Peak torque and peak torque/body weight were obtained for each ankle motion of the involved limb at 30°/s speed. L5 and/or S1 nerve compression was evident in 46 patients (76 injured limbs). Mean disease duration was two years. The plantar flexion muscle strength of the patients was found to be lower than that of the controls (p=0.036). The dorsiflexion muscle strength of the patients was found to be the same as that of the controls (p=0.211). Isokinetic testing is superior to clinical muscle testing when evaluating ankle plantar flexion torque in sciatica patients. Therefore, isokinetic muscle testing may be helpful when deciding whether to place a patient into a focused rehabilitation program.

Presence of a long accessory flexor tendon of the toes in surgical treatment for tendinopathy of the insertion of the calcaneal tendon: case report

Directory of Open Access Journals (Sweden)

Nelson Pelozo Gomes Júnior

2016-02-01

Full Text Available ABSTRACT The presence of accessory tendons in the foot and ankle needs to be recognized, given that depending on their location, they may cause disorders relating either to pain processes or to handling of the surgical findings. We describe the presence of an accessory flexor tendon of the toes, seen in surgical exposure for transferring the long flexor tendon of the hallux to the calcaneus, due to the presence of a disorder of tendinopathy of the insertion of the calcaneal tendon in association with Haglund's syndrome.

Testing model parameters for wave‐induced dune erosion using observations from Hurricane Sandy

Science.gov (United States)

Overbeck, Jacquelyn R.; Long, Joseph W.; Stockdon, Hilary F.

2017-01-01

Models of dune erosion depend on a set of assumptions that dictate the predicted evolution of dunes throughout the duration of a storm. Lidar observations made before and after Hurricane Sandy at over 800 profiles with diverse dune elevations, widths, and volumes are used to quantify specific dune erosion model parameters including the dune face slope, which controls dune avalanching, and the trajectory of the dune toe, which controls dune migration. Wave‐impact models of dune erosion assume a vertical dune face and erosion of the dune toe along the foreshore beach slope. Observations presented here show that these assumptions are not always valid and require additional testing if these models are to be used to predict coastal vulnerability for decision‐making purposes. Observed dune face slopes steepened by 43% yet did not become vertical faces, and only 50% of the dunes evolved along a trajectory similar to the foreshore beach slope. Observations also indicate that dune crests were lowered during dune erosion. Moreover, analysis showed a correspondence between dune lowering and narrower beaches, smaller dune volumes, and/or longer wave impact.

Testing model parameters for wave-induced dune erosion using observations from Hurricane Sandy

Science.gov (United States)

Overbeck, J. R.; Long, J. W.; Stockdon, H. F.

2017-01-01

Models of dune erosion depend on a set of assumptions that dictate the predicted evolution of dunes throughout the duration of a storm. Lidar observations made before and after Hurricane Sandy at over 800 profiles with diverse dune elevations, widths, and volumes are used to quantify specific dune erosion model parameters including the dune face slope, which controls dune avalanching, and the trajectory of the dune toe, which controls dune migration. Wave-impact models of dune erosion assume a vertical dune face and erosion of the dune toe along the foreshore beach slope. Observations presented here show that these assumptions are not always valid and require additional testing if these models are to be used to predict coastal vulnerability for decision-making purposes. Observed dune face slopes steepened by 43% yet did not become vertical faces, and only 50% of the dunes evolved along a trajectory similar to the foreshore beach slope. Observations also indicate that dune crests were lowered during dune erosion. Moreover, analysis showed a correspondence between dune lowering and narrower beaches, smaller dune volumes, and/or longer wave impact.

Advanced order management in ERM systems: the tic-tac-toe algorithm

Science.gov (United States)

Badell, Mariana; Fernandez, Elena; Puigjaner, Luis

2000-10-01

The concept behind improved enterprise resource planning systems (ERP) systems is the overall integration of the whole enterprise functionality into the management systems through financial links. Converting current software into real management decision tools requires crucial changes in the current approach to ERP systems. This evolution must be able to incorporate the technological achievements both properly and in time. The exploitation phase of plants needs an open web-based environment for collaborative business-engineering with on-line schedulers. Today's short lifecycles of products and processes require sharp and finely tuned management actions that must be guided by scheduling tools. Additionally, such actions must be able to keep track of money movements related to supply chain events. Thus, the necessary outputs require financial-production integration at the scheduling level as proposed in the new approach of enterprise management systems (ERM). Within this framework, the economical analysis of the due date policy and its optimization become essential to manage dynamically realistic and optimal delivery dates with price-time trade-off during the marketing activities. In this work we propose a scheduling tool with web-based interface conducted by autonomous agents when precise economic information relative to plant and business actions and their effects are provided. It aims to attain a better arrangement of the marketing and production events in order to face the bid/bargain process during e-commerce. Additionally, management systems require real time execution and an efficient transaction-oriented approach capable to dynamically adopt realistic and optimal actions to support marketing management. To this end the TicTacToe algorithm provides sequence optimization with acceptable tolerances in realistic time.

Decrease in toe pinch force in male type 2 diabetic patients with diabetic nephropathy.

Science.gov (United States)

Kataoka, Hiroaki; Miyatake, Nobuyuki; Kitayama, Naomi; Murao, Satoshi; Tanaka, Satoshi

2018-06-01

The purpose of this cross-sectional study was to investigate the toe pinch force (TPF) of type 2 diabetic patients with diabetic nephropathy by disease stage, and to clarify the factors affecting the TPF. Seventy-four men with diabetic nephropathy (age: 62.7 ± 8.9 years, duration of diabetes: 14.2 ± 8.6 years) were enrolled. According to the staging of diabetic nephropathy, TPF and knee extension force (KEF) were compared among three groups: normoalbuminuria, microalbuminuria, and overt nephropathy. In addition, we investigated factors influencing TPF and KEF by performing multiple regression analysis. Normoalbuminuria group, microalbuminuria group, and overt nephropathy group included 26, 25, and 23 patients, respectively. The TPF of the overt nephropathy group (3.15 ± 0.75 kg) was significantly lower than that of the normoalbuminuria (4.2 ± 0.7 kg, p diabetic polyneuropathy (DPN) and diabetic nephropathy were determinant factors of the TPF; and age, body mass index, and diabetic nephropathy were determinant factors of the KEF. We found in male patients with diabetic nephropathy, the TPF and KEF decreased with progression of diabetic nephropathy. Furthermore, our findings suggest diabetic nephropathy and DPN are critically involved in the reduction of TPF and KEF.

Swing limb mechanics and minimum toe clearance in people with knee osteoarthritis.

Science.gov (United States)

Levinger, Pazit; Lai, Daniel T H; Menz, Hylton B; Morrow, Adam D; Feller, Julian A; Bartlett, John R; Bergman, Neil R; Begg, Rezaul

2012-02-01

Knee osteoarthritis (OA) has been shown to be a risk factor for falls. Reductions in foot clearance during the swing phase of walking can cause a trip and potentially lead to a fall. This study examined the swing phase mechanics of people with and without knee OA during walking. Minimum toe clearance (MTC) height, joint angles at the time of MTC and the influence of the angular changes of the hip, knee and ankle of the swing leg on foot clearance using sensitivity analysis were investigated in 50 knee OA participants and 28 age-matched asymptomatic controls. Although both groups had a similar MTC height (controls: 12.8±6.7 mm, knee OA: 13.4±7.0 mm), the knee OA group used a different strategy to achieve the same foot clearance, as evidenced by greater knee flexion (52.5±5.3° vs 49.4±4.8°, p=0.007), greater hip abduction (-3.6±3.3° vs -1.8±3.3°, p=0.03) and less ankle adduction (2.8±1.9° vs 4.2±2.1°, p=0.01). MTC height was comparable between the groups, however a different swing phase mechanism was used by the knee OA. Although adequate MTC is an important component of safe locomotion, it does not appear to be impaired in people with knee OA. Other factors, such as inadequate responses to postural perturbation, may be responsible for falls in this group. Copyright © 2011 Elsevier B.V. All rights reserved.

Functionally different pads on the same foot allow control of attachment: stick insects have load-sensitive "heel" pads for friction and shear-sensitive "toe" pads for adhesion.

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David Labonte

Full Text Available Stick insects (Carausius morosus have two distinct types of attachment pad per leg, tarsal "heel" pads (euplantulae and a pre-tarsal "toe" pad (arolium. Here we show that these two pad types are specialised for fundamentally different functions. When standing upright, stick insects rested on their proximal euplantulae, while arolia were the only pads in surface contact when hanging upside down. Single-pad force measurements showed that the adhesion of euplantulae was extremely small, but friction forces strongly increased with normal load and coefficients of friction were [Formula: see text] 1. The pre-tarsal arolium, in contrast, generated adhesion that strongly increased with pulling forces, allowing adhesion to be activated and deactivated by shear forces, which can be produced actively, or passively as a result of the insects' sprawled posture. The shear-sensitivity of the arolium was present even when corrected for contact area, and was independent of normal preloads covering nearly an order of magnitude. Attachment of both heel and toe pads is thus activated partly by the forces that arise passively in the situations in which they are used by the insects, ensuring safe attachment. Our results suggest that stick insect euplantulae are specialised "friction pads" that produce traction when pressed against the substrate, while arolia are "true" adhesive pads that stick to the substrate when activated by pulling forces.

Biofeedback training effects on minimum toe clearance variability during treadmill walking.

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Tirosh, Oren; Cambell, Amity; Begg, Rezaul K; Sparrow, W A

2013-08-01

A number of variability analysis techniques, including Poincaré plots and detrended fluctuation analysis (DFA) were used to investigate minimum toe clearance (MTC) control during walking. Ten young adults walked on a treadmill for 10 min at preferred speed in three conditions: (i) no-intervention baseline, (ii) with biofeedback of MTC within a target range, and (iii) no-biofeedback retention. Mean, median, standard deviation (SD), and inter quartile range of MTC during biofeedback (45.57 ± 11.65, 44.98 ± 11.57, 7.08 ± 2.61, 8.58 ± 2.77 mm, respectively) and retention (56.95 ± 20.31, 56.69 ± 20.94, 10.68 ± 5.41, 15.38 ± 10.19 mm) were significantly greater than baseline (30.77 ± 9.49, 30.51 ± 9.49, 3.04 ± 0.77, 3.66 ± 0.91 mm). Relative to baseline, skewness was reduced in biofeedback and retention but only significantly for retention (0.88 ± 0.51, 0.63 ± 0.55, and 0.40 ± 0.40, respectively). Baseline Poincaré measures (SD1 = 0.25, SD2 = 0.34) and DFA (α1 = 0.72 and α2 = 0.64) were lower than biofeedback (SD1 = 0.58, SD2 = 0.83, DFA α1 = 0.76 and α2 = 0.92) with significantly greater variability in retention compared to biofeedback only in the long-term SD2 and α2 analyses. Increased DFA longer-term correlations α2 in retention confirm that a novel gait pattern was acquired with a longer-term variability structure. Short- and long-term variability analyses were both useful in quantifying gait adaptations with biofeedback. The findings provide evidence that MTC can be modified with feedback, suggesting future applications in gait training procedures for impaired populations designed to reduce tripping risk.

The effect of the heel- to- toe rocker shoe on moments of ankle joint and temporal-spatial of gait in female student

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masoomeh Veiskarami

2015-01-01

Full Text Available Background : Rocker shoes are the most commonly prescribed external therapeutic shoe modification and are used for treatment of the ankle and midfoot problems. The aim of this study was to assesse the effects of the heel- to-toe rocker shoes on temporal-spatial and ankle joint moments in sagital and frontal plane. Materials and Methods: In this quasi-exprimental study, three-dimentional gait analysis was carried out on 20 healthy university female students with normal normal gait pattern selected by convenience sampling method. A Vicon 470 system(Oxford Metrix, U.K. consisting of 6 cameras operating at 60Hz and kistler forceplate (A9286 was used.The paired samples T test was used to statistical analysis. Results: The results showed that there is no significant change in temporal-spatial parameters while wearing this modified shoe ,but the ankle moments while wearing rocker shoes in sagittal plane was significantly less than that while wearing traditional shoes(p=0.002 but in frontal plane significantly increased(p=0.007. Conclusion: Based on the current findings the major benefits of this modified shoe appear to be significantly restricted sagital plane moments with maintenance of walking speed so the loads on ankle joint and achilles tendon reduced, but increases frontal plain moments which leads to increase of mediolateral instability of ankle joint.

A group of patients with Marfan's syndrome, who have finger and toe contractures, displays tendons' alterations upon an ultrasound examination: are these features common among classical Marfan patients?

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Melchiorre, Daniela; Pratelli, Elisa; Torricelli, Elena; Sofi, Francesco; Abbate, Rosanna; Matucci-Cerinic, Marco; Gensini, GianFranco; Pepe, Guglielmina

2016-08-01

The involvement of the musculoskeletal system with other mild pleiotropic manifestations represents a clinical criterion, called "systemic features," to d iagnose Marfan's syndrome. We aimed to investigate the features of the hands and feet redressable contractures present in a group of Marfan patients. In 13 patients with previously diagnosed Marfan's syndrome, an accurate clinical examination was performed. In particular the characterization of the musculoskeletal system by visual analogic scale to measure muscle pain (VAS) and muscle strength (MRC system) was carried out; the Beighton scale score was used to evaluate the articular hypermobility. Ultrasound examination (US) was performed to detect deep-superficial flexor tendons and extensor tendons of both hands, and the short and long flexor and extensor tendons of the fingers and toes in static and dynamic positions. The ImageJ program was adopted to measure a profile of tendon echo-intensity. A reduction of the thickness of all tendons was detected by US in our patients; the VAS and Beighton scale scores were in normal ranges. The profile of tendon echo-intensity showed different textural details in all Marfan patients. This study provides evidence for other contractures' localization, and for altered findings of the tendons in patients with Marfan syndrome and finger/toe contractures. These changes may be associated with structural modifications in connective tissue.

Wavelet-based multiscale analysis of minimum toe clearance variability in the young and elderly during walking.

Science.gov (United States)

Khandoker, Ahsan H; Karmakar, Chandan K; Begg, Rezaul K; Palaniswami, Marimuthu

2007-01-01

As humans age or are influenced by pathology of the neuromuscular system, gait patterns are known to adjust, accommodating for reduced function in the balance control system. The aim of this study was to investigate the effectiveness of a wavelet based multiscale analysis of a gait variable [minimum toe clearance (MTC)] in deriving indexes for understanding age-related declines in gait performance and screening of balance impairments in the elderly. MTC during walking on a treadmill for 30 healthy young, 27 healthy elderly and 10 falls risk elderly subjects with a history of tripping falls were analyzed. The MTC signal from each subject was decomposed to eight detailed signals at different wavelet scales by using the discrete wavelet transform. The variances of detailed signals at scales 8 to 1 were calculated. The multiscale exponent (beta) was then estimated from the slope of the variance progression at successive scales. The variance at scale 5 was significantly (ppathological conditions. Early detection of gait pattern changes due to ageing and balance impairments using wavelet-based multiscale analysis might provide the opportunity to initiate preemptive measures to be undertaken to avoid injurious falls.

A systematic review and meta-analysis of tests to predict wound healing in diabetic foot.

Science.gov (United States)

Wang, Zhen; Hasan, Rim; Firwana, Belal; Elraiyah, Tarig; Tsapas, Apostolos; Prokop, Larry; Mills, Joseph L; Murad, Mohammad Hassan

2016-02-01

This systematic review summarized the evidence on noninvasive screening tests for the prediction of wound healing and the risk of amputation in diabetic foot ulcers. We searched MEDLINE In-Process & Other Non-Indexed Citations, MEDLINE, Embase, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Scopus from database inception to October 2011. We pooled sensitivity, specificity, and diagnostic odds ratio (DOR) and compared test performance. Thirty-seven studies met the inclusion criteria. Eight tests were used to predict wound healing in this setting, including ankle-brachial index (ABI), ankle peak systolic velocity, transcutaneous oxygen measurement (TcPo2), toe-brachial index, toe systolic blood pressure, microvascular oxygen saturation, skin perfusion pressure, and hyperspectral imaging. For the TcPo2 test, the pooled DOR was 15.81 (95% confidence interval [CI], 3.36-74.45) for wound healing and 4.14 (95% CI, 2.98-5.76) for the risk of amputation. ABI was also predictive but to a lesser degree of the risk of amputations (DOR, 2.89; 95% CI, 1.65-5.05) but not of wound healing (DOR, 1.02; 95% CI, 0.40-2.64). It was not feasible to perform meta-analysis comparing the remaining tests. The overall quality of evidence was limited by the risk of bias and imprecision (wide CIs due to small sample size). Several tests may predict wound healing in the setting of diabetic foot ulcer; however, most of the available evidence evaluates only TcPo2 and ABI. The overall quality of the evidence is low, and further research is needed to provide higher quality comparative effectiveness evidence. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Two-Dimensional Model Test Verification of the New Cubipod Armoured Western Breakwater for the Port of Hanstholm

DEFF Research Database (Denmark)

Eldrup, Mads Røge; Andersen, Thomas Lykke

The present report presents results from a two-dimensional model test study carried out at Aalborg University in December 2017 with the proposed trunk section for the new cubipod armoured western breakwater in Port of Hanstholm as proposed by the contractor Aarsleff and their consultant Cowi....... The objectives of the model tests were to study the stability of the armour layer, toe erosion, overtopping and transmission. The scale used for the model tests was 1:44.6. Initially the model was created on a scale 1:47, but model was adapted to 1:44.6 due to a mismatch in density of rented cupipods. Unless...

Webbing of the fingers or toes

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... is diagnosed based on a family history, medical history, and physical exam. The following tests may be done: Chromosome studies Lab tests to check for certain proteins (enzymes) and metabolic problems X-rays Surgery may be ...

Prevalencia del juanete de sastre y quinto dedo adducto varo en el baile flamenco profesional. Prevalence of tailor's bunion and fifth toe adductus varus in professional flamenco dancing.

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Nadia Salti

2013-05-01

Full Text Available El Juanete de Sastre es una deformidad adquirida que afecta al quinto metatarsiano y quinto dedo del pie. Se caracteriza por una prominencia lateral en la cabeza del quinto metatarsiano, con una marcada desviación medial del quinto dedo y una desviación lateral del V metatarsiano. De origen multifactorial, hablamos de una etiología micro traumática influida por posturas viciosas en dinámica, estática o sedente, por la influencia del calzado y la presencia de alteraciones biomecánicas de la extremidad inferior y pies; aunque coexisten otros factores predisponentes. Mediante un estudio observacional transversal, realizado en diferentes academias de flamenco de Andalucía, el Área Clínica de Podología de la Universidad de Sevilla y centros privados de Investigación y Podología, sobre 27 participantes (40 pies de bailaoras y 14 pies de bailaores profesionales de flamenco, se determinó que existe una prevalencia del 14.8% de Juanetes de Sastre y del 35% de quintos dedos adducto varo. En ambos casos, la prevalencia es mayor entre la población femenina. Los años de actividad (años practicando baile flamenco influyen significativamente en la aparición de estas deformidades.The tailor’s bunion is an acquired deformity that concerns the fifth metatarsal and the fifth toe. It is defined by a lateral protuberance in the fifth metatarsal head with the fifth toe medial curvature and fifth metatarsal lateral curvature. Its origin can be derived from multiple factors as micro traumatic etiology influenced by repetitive positions in dynamics, static and sitting, shoewear´s influence and biomechanics alterations in the lower extremity and feet, although other influence factors are also found. By means of a cross-sectional and observational study carried out in different Andalusia flamenco dance academies, Podiatry Clinic of the University of Seville and podiatry’s private research centers, in 27 participants (40 women flamenco dancers´ feet

Effect of Sweating on Insulation of Footwear.

Science.gov (United States)

Kuklane, Kalev; Holmér, Ingvar

1998-01-01

The study aimed to find out the influence of sweating on footwear insulation with a thermal foot model. Simultaneously, the influence of applied weight (35 kg), sock, and steel toe cap were studied. Water to 3 sweat glands was supplied with a pump at the rate of 10 g/hr in total. Four models of boots with steel toe caps were tested. The same models were manufactured also without steel toe. Sweating reduced footwear insulation 19-25% (30-37% in toes). During static conditions, only a minimal amount of sweat evaporated from boots. Weight affected sole insulation: Reduction depended on compressibility of sole material. The influence of steel toe varied with insulation. The method of thermal foot model appears to be a practical tool for footwear evaluation.

Port Adriano, 2D-Model tests

DEFF Research Database (Denmark)

Burcharth, Hans F.; Meinert, Palle; Andersen, Thomas Lykke

the crown wall have been measured. The model has been subjected to irregular waves corresponding to typical conditions offshore from the intended prototype location. Characteristic situations have been video recorded. The stability of the toe has been investigated. The wave-generated forces on the caisson...

C-VAT – Clinical Video game Addiction Test: een diagnostisch instrument voor het herkennen van gameverslaving in de klinische praktijk.

OpenAIRE

Rooij, A.J. van; Duin, L. van; Frielink, N.; DeFuentes-Merillas, L.; Schoenmakers, T.M.

2012-01-01

In de Nederlandse verslavingszorg worden hulpverleners in toenemende mate geconfronteerd met een hulpvraag op het gebied van ‘gameverslaving’. Tot nu toe is er echter geen diagnostisch instrument dat gebruikt kan worden om het probleem goed in kaart te brengen. Dit artikel bespreekt de ontwikkeling van een dergelijk instrument, de Clinical Video game Addiction Test (C-VAT). De lijst bestaat uit drie introductievragen, negen kernvragen en aanbevelingen gericht op het ontdekken van comorbide pr...

Partial medial second toe pulp free flap and dermal substitute with skin graft for salvage reconstruction of a complete skin envelope degloving of the small finger.

Science.gov (United States)

Calafat, V; Strugarek, C; Montoya-Faivre, D; Dap, F; Dautel, G

2018-04-04

Skin envelope degloving of fingers are rare injuries that require rapid care and surgical treatment. Mostly caused by ring finger injuries, these traumas include bone, tendon and neurovascular pedicle damage. The authors present an unusual case of finger degloving limited exclusively to the skin envelope, without skeletal, tendinous or vascular lesion. This rare case of skin envelope degloving rendered microsurgical revascularization impossible. The authors report the results at 12 months following salvage reconstruction combining a partial second toe pulp free flap for the volar side and a dermal substitute with a thin skin graft for the dorsum. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Toe clearance and velocity profiles of young and elderly during walking on sloped surfaces

Directory of Open Access Journals (Sweden)

Begg Rezaul K

2010-04-01

Full Text Available Abstract Background Most falls in older adults are reported during locomotion and tripping has been identified as a major cause of falls. Challenging environments (e.g., walking on slopes are potential interventions for maintaining balance and gait skills. The aims of this study were: 1 to investigate whether or not distributions of two important gait variables [minimum toe clearance (MTC and foot velocity at MTC (VelMTC] and locomotor control strategies are altered during walking on sloped surfaces, and 2 if altered, are they maintained at two groups (young and elderly female groups. Methods MTC and VelMTC data during walking on a treadmill at sloped surfaces (+3°, 0° and -3° were analysed for 9 young (Y and 8 elderly (E female subjects. Results MTC distributions were found to be positively skewed whereas VelMTC distributions were negatively skewed for both groups on all slopes. Median MTC values increased (Y = 33%, E = 7% at negative slope but decreased (Y = 25%, E = 15% while walking on the positive slope surface compared to their MTC values at the flat surface (0°. Analysis of VelMTC distributions also indicated significantly (p th percentile (Q1 values in the elderly at all slopes. Conclusion The young displayed a strong positive correlation between MTC median changes and IQR (interquartile range changes due to walking on both slopes; however, such correlation was weak in the older adults suggesting differences in control strategies being employed to minimize the risk of tripping.

Effect of stretching program in an industrial workplace on hamstring flexibility and sagittal spinal posture of adult women workers: a randomized controlled trial.

Science.gov (United States)

Muyor, José M; López-Miñarro, Pedro A; Casimiro, Antonio J

2012-01-01

To determine the effect of a stretching program performed in the workplace on the hamstring muscle extensibility and sagittal spinal posture of adult women. Fifty-eight adult women volunteers (mean age of 44.23 ± 8.87 years) from a private fruit and vegetable company were randomly assigned to experimental (n=27) or control (n=31) groups. The experimental group performed three exercises of hamstrings stretching of 20 seconds per exercise, three sessions a week for a period of 12 weeks. The control group did not participate in any hamstring stretching program. Hamstring flexibility was evaluated through the passive straight leg raise test and toe-touch test, performed both before and after the stretching program. Thoracic and lumbar curvatures and pelvic inclination were measured in relaxed standing and toe-touch test with a Spinal Mouse. Significant increases (p < 0.01) in toe-touch score and straight leg raise angle (in both legs) were found in the experimental group during post-test, while the control group showed a non-significant decrease for both toe-touch score and straight leg raise test. A significant decrease in thoracic curve and significant increase in pelvic inclination were found in the toe-touch test for the experimental group (p <0.05). However, no significant changes were found in standing posture for any group. Hamstring stretching exercises performed in the working place are effective for increasing hamstring muscle extensibility. This increase generates a more aligned thoracic curve and more anterior pelvic inclination when maximal trunk flexion is performed.

Ultrasonography, magnetic resonance imaging, radiography, and clinical assessment of inflammatory and destructive changes in fingers and toes of patients with psoriatic arthritis

DEFF Research Database (Denmark)

Wiell, Charlotte; Szkudlarek, Marcin; Hasselquist, Maria

2007-01-01

The aim of the present study was to assess ultrasonography (US) for the detection of inflammatory and destructive changes in finger and toe joints, tendons, and entheses in patients with psoriasis-associated arthritis (PsA) by comparison with magnetic resonance imaging (MRI), projection radiography...... (x-ray), and clinical findings. Fifteen patients with PsA, 5 with rheumatoid arthritis (RA), and 5 healthy control persons were examined by means of US, contrast-enhanced MRI, x-ray, and clinical assessment. Each joint of the 2nd-5th finger (metacarpophalangeal joints, proximal interphalangeal [PIP...... tendons of the fingers were assessed for the presence of insertional changes and tenosynovitis. One hand was assessed by means of MRI for the aforementioned changes. X-rays of both hands and feet were assessed for bone erosions and proliferations. US was repeated in 8 persons by another ultrasonographer...

Towards Robot-Assisted Echocardiographic Monitoring in Catheterization Laboratories : Usability-Centered Manipulator for Transesophageal Echocardiography.

Science.gov (United States)

Pahl, Christina; Ebelt, Henning; Sayahkarajy, Mostafa; Supriyanto, Eko; Soesanto, Amiliana

2017-08-15

This paper proposes a robotic Transesophageal Echocardiography (TOE) system concept for Catheterization Laboratories. Cardiovascular disease causes one third of all global mortality. TOE is utilized to assess cardiovascular structures and monitor cardiac function during diagnostic procedures and catheter-based structural interventions. However, the operation of TOE underlies various conditions that may cause a negative impact on performance, the health of the cardiac sonographer and patient safety. These factors have been conflated and evince the potential of robot-assisted TOE. Hence, a careful integration of clinical experience and Systems Engineering methods was used to develop a concept and physical model for TOE manipulation. The motion of different actuators of the fabricated motorized system has been tested. It is concluded that the developed medical system, counteracting conflated disadvantages, represents a progressive approach for cardiac healthcare.

A TOE Approach to Establish a Green Supply Chain Adoption Decision Model in the Semiconductor Industry

Directory of Open Access Journals (Sweden)

Bang-Ning Hwang

2016-02-01

Full Text Available The green supply chain is an innovation that extends traditional sustainability initiatives to environmental activities in the supply chain and aims to minimize a product’s environmental impact throughout its life cycle. The adoption of a green supply chain involves a complex decision-making process characterized by multiple criteria. The goal of the current study is to construct a decision framework by identifying a comprehensive set of consideration factors and their causal relationships. The consideration factors are deliberately drawn from a variety of different, yet related, theories and are grouped into an extensive Technology-Organization -Environment (TOE framework. In accordance with the Decision Making Trial and Evaluation Laboratory (DEMATEL method, the decision framework was analyzed for appropriateness through surveys of selected experts in the semiconductor industry. Because the semiconductor industry has a long history of heavy resource usage and has proven an early advocate of green supply chains, results from this study can provide insights to other firms with similar operations and aims. The contributions of this research are twofold. First, its theoretical contribution consists of integrating previously separate strands of different theories into a holistic framework and exploring the causal relationships among decision factors. Second, its practical contribution lies in its establishment of a strategic path that provides firms a set of priorities when adopting green supply chains.

Improvement of Fatigue Life of Welded Structural Components of a Large Two-Stroke Diesel Engine by Grinding

DEFF Research Database (Denmark)

Agerskov, Henning; Hansen, Anders V.; Bjørnbak-Hansen, Jørgen

2004-01-01

one side only, with no access to the root side. Various investigations on the fatigue life of the structural components of this new design have been carried out. The present investigation concentrates on the improvement in fatigue life which may be obtained by grinding of the weld toes. The tests...... grinding to m=6 for the test series with grinding. In one of the test series, it was observed that in most cases crack initiation moved from the weld toe to the non-ground surface between the ground areas at the weld toes. Tests were made on steel S 275, on centrally and eccentrically loaded test specimens.......The crankshaft housings of large two-stroke diesel engines are welded structures subjected to constant amplitude loading and designed for infinite life at full design load. A new design of the so-called frame box has been introduced in the engine using butt weld joints of thick plates, welded from...

Accuracy of pulse oximetry in detection of oxygen saturation in patients admitted to the intensive care unit of heart surgery: comparison of finger, toe, forehead and earlobe probes.

Science.gov (United States)

Seifi, Sohila; Khatony, Alireza; Moradi, Gholamreza; Abdi, Alireza; Najafi, Farid

2018-01-01

Heart surgery patients are more at risk of poor peripheral perfusion, and peripheral capillary oxygen saturation (SpO2) measurement is regular care for continuous analysis of blood oxygen saturation in these patients. With regard to controversial studies on accuracy of the current pulse oximetry probes and lack of data related to patients undergoing heart surgery, the present study was conducted to determine accuracy of pulse oximetry probes of finger, toe, forehead and earlobe in detection of oxygen saturation in patients admitted to intensive care units for coronary artery bypass surgery. In this clinical trial, 67 patients were recruited based on convenience sampling method among those admitted to intensive care units for coronary artery bypass surgery. The SpO2 value was measured using finger, toe, forehead and earlobe probes and then compared with the standard value of arterial oxygen saturation (SaO2). Data were entered into STATA-11 software and analyzed using descriptive, inferential and Bland-Altman statistical analyses. Highest and lowest correlational mean values of SpO2 and SaO2 were related to finger and earlobe probes, respectively. The highest and lowest agreement of SpO2 and SaO2 were related to forehead and earlobe probes. The SpO2 of earlobe probes due to lesser mean difference, more limited confidence level and higher agreement ration with SaO2 resulted by arterial blood gas (ABG) analysis had higher accuracy. Thus, it is suggested to use earlobe probes in patients admitted to the intensive care unit for coronary artery bypass surgery. Registration of this trial protocol has been approved in Iranian Registry of Clinical Trials at 2018-03-19 with reference IRCT20100913004736N22. "Retrospectively registered."

Influence of the Heel-to-Toe Drop of Standard Cushioned Running Shoes on Injury Risk in Leisure-Time Runners: A Randomized Controlled Trial With 6-Month Follow-up.

Science.gov (United States)

Malisoux, Laurent; Chambon, Nicolas; Urhausen, Axel; Theisen, Daniel

2016-11-01

Modern running shoes are available in a wide range of heel-to-toe drops (ie, the height difference between the forward and rear parts of the inside of the shoe). While shoe drop has been shown to influence strike pattern, its effect on injury risk has never been investigated. Therefore, the reasons for such variety in this parameter are unclear. The first aim of this study was to determine whether the drop of standard cushioned running shoes influences running injury risk. The secondary aim was to investigate whether recent running regularity modifies the relationship between shoe drop and injury risk. Randomized controlled trial; Level of evidence, 1. Leisure-time runners (N = 553) were observed for 6 months after having received a pair of shoes with a heel-to-toe drop of 10 mm (D10), 6 mm (D6), or 0 mm (D0). All participants reported their running activities and injuries (time-loss definition, at least 1 day) in an electronic system. Cox regression analyses were used to compare injury risk between the 3 groups based on hazard rate ratios (HRs) and their 95% CIs. A stratified analysis was conducted to evaluate the effect of shoe drop in occasional runners (running regularity, low-drop shoes (D6 and D0) were found to be associated with a lower injury risk in occasional runners (HR, 0.48; 95% CI, 0.23-0.98), whereas these shoes were associated with a higher injury risk in regular runners (HR, 1.67; 95% CI, 1.07-2.62). Overall, injury risk was not modified by the drop of standard cushioned running shoes. However, low-drop shoes could be more hazardous for regular runners, while these shoes seem to be preferable for occasional runners to limit injury risk. © 2016 The Author(s).

Signs and Symptoms of Artery Disease | Coronary Artery Disease | NIH MedlinePlus the Magazine

Science.gov (United States)

... or toe pain at rest that often disturbs sleep Skin wounds or ulcers on the feet or toes that are slow to heal (or that do not heal for 8 to 12 weeks) If you check one or more boxes, talk to your health professional about being tested for P.A.D. Source: ...

On Heels and Toes: How Ants Climb with Adhesive Pads and Tarsal Friction Hair Arrays.

Directory of Open Access Journals (Sweden)

Thomas Endlein

Full Text Available Ants are able to climb effortlessly on vertical and inverted smooth surfaces. When climbing, their feet touch the substrate not only with their pretarsal adhesive pads but also with dense arrays of fine hairs on the ventral side of the 3rd and 4th tarsal segments. To understand what role these different attachment structures play during locomotion, we analysed leg kinematics and recorded single-leg ground reaction forces in Weaver ants (Oecophylla smaragdina climbing vertically on a smooth glass substrate. We found that the ants engaged different attachment structures depending on whether their feet were above or below their Centre of Mass (CoM. Legs above the CoM pulled and engaged the arolia ('toes', whereas legs below the CoM pushed with the 3rd and 4th tarsomeres ('heels' in surface contact. Legs above the CoM carried a significantly larger proportion of the body weight than legs below the CoM. Force measurements on individual ant tarsi showed that friction increased with normal load as a result of the bending and increasing side contact of the tarsal hairs. On a rough sandpaper substrate, the tarsal hairs generated higher friction forces in the pushing than in the pulling direction, whereas the reverse effect was found on the smooth substrate. When the tarsal hairs were pushed, buckling was observed for forces exceeding the shear forces found in climbing ants. Adhesion forces were small but not negligible, and higher on the smooth substrate. Our results indicate that the dense tarsal hair arrays produce friction forces when pressed against the substrate, and help the ants to push outwards during horizontal and vertical walking.

On Heels and Toes: How Ants Climb with Adhesive Pads and Tarsal Friction Hair Arrays.

Science.gov (United States)

Endlein, Thomas; Federle, Walter

2015-01-01

Ants are able to climb effortlessly on vertical and inverted smooth surfaces. When climbing, their feet touch the substrate not only with their pretarsal adhesive pads but also with dense arrays of fine hairs on the ventral side of the 3rd and 4th tarsal segments. To understand what role these different attachment structures play during locomotion, we analysed leg kinematics and recorded single-leg ground reaction forces in Weaver ants (Oecophylla smaragdina) climbing vertically on a smooth glass substrate. We found that the ants engaged different attachment structures depending on whether their feet were above or below their Centre of Mass (CoM). Legs above the CoM pulled and engaged the arolia ('toes'), whereas legs below the CoM pushed with the 3rd and 4th tarsomeres ('heels') in surface contact. Legs above the CoM carried a significantly larger proportion of the body weight than legs below the CoM. Force measurements on individual ant tarsi showed that friction increased with normal load as a result of the bending and increasing side contact of the tarsal hairs. On a rough sandpaper substrate, the tarsal hairs generated higher friction forces in the pushing than in the pulling direction, whereas the reverse effect was found on the smooth substrate. When the tarsal hairs were pushed, buckling was observed for forces exceeding the shear forces found in climbing ants. Adhesion forces were small but not negligible, and higher on the smooth substrate. Our results indicate that the dense tarsal hair arrays produce friction forces when pressed against the substrate, and help the ants to push outwards during horizontal and vertical walking.

Complex thrusting at the toe of the Nankai accretionary prism, NanTroSEIZE Kumano transect

Science.gov (United States)

Moore, G. F.; Park, J.; Kodaira, S.; Kaneda, Y.

2009-12-01

Seismic reflection data collected over the past 10 years by the Institute for Research on Earth Evolution (IFREE) of Japan Agency for Marine Earth Science and Technology (JAMSTEC) image a zone of complex thrusting at the toe of the Nankai accretionary prism south of Kii Peninsula, Honshu, Japan. The frontal part of the Nankai prism west of Shionomisaki Canyon (SC) at ~136° E, including the Muroto and Ashizuri Transects off Shikoku, is generally formed of imbricate thrusts with spacing of ~ 1-3 km that dip ~25-35° landward and sole into a prominent décollement. Out-of-sequence thrusts (OOSTs) are usually restricted to the landward margin of this imbricate thrust zone. East of SC, in the Kumano Transect area, the imbricate thrust zone is bounded on its seaward edge by a frontal thrust block that is ~5-6 km wide and consists of several OOSTs. The frontal thrust dips ~5-10° under this ~2-4 km thick block, emplacing this thrust sheet over the trench floor. The number and character of thrusts within the frontal thrust block vary laterally along strike. The 2006 Kumano 3D seismic data set images details of one segment of this complex frontal thrust block. Out-of-sequence faulting has led to underplating of several smaller thrust slices and movement along oblique ramps has led to a complex pattern of faulting that cannot be recognized in even closely-spaced 2D seismic lines. The frontal thrust block is further modified by subduction of seamounts and ridges that have caused large slumps of material from the block.

Analysis of spastic gait in cervical myelopathy: Linking compression ratio to spatiotemporal and pedobarographic parameters.

Science.gov (United States)

Nagai, Taro; Takahashi, Yasuhito; Endo, Kenji; Ikegami, Ryo; Ueno, Ryuichi; Yamamoto, Kengo

2018-01-01

Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord. The objective of this study was to link maximum compression ratio (CR) to spatiotemporal/pedobarographic parameters. Quantitative gait analysis was performed by using a pedobarograph in 75 elderly males with a wide range of cervical compression severity. CR values were characterized on T1-weighted magnetic resonance imaging (MRI). Statistical significances in gait analysis parameters (speed, cadence, stride length, step with, and toe-out angle) were evaluated among different CR groups by the non-parametric Kruskal-Wallis test followed by the Mann-Whitney U test using Bonferroni correction. The Spearman test was performed to verify correlations between CR and gait parameters. The Kruskal-Wallis test revealed significant decline in gait speed and stride length and significant increase in toe-out angle with progression of cervical compression myelopathy. The post-hoc Mann-Whitney U test showed significant differences in these parameters between the control group (0.45test revealed that CR was significantly correlated with speed, cadence, stride length, and toe-out angle. Gait speed, stride length, and toe-out angle can serve as useful indexes for evaluating progressive gait abnormality in cervical myelopathy. Our findings suggest that CR≤0.25 is associated with significantly poorer gait performance. Nevertheless, future prospective studies are needed to determine a potential benefit from decompressive surgery in such severe compression patients. Copyright © 2017 Elsevier B.V. All rights reserved.

The analysis of the accuracy of the wheel alignment inspection method on the side-slip plate stand

Science.gov (United States)

Gajek, A.; Strzępek, P.

2016-09-01

The article presents the theoretical basis and the results of the examination of the wheel alignment inspection method on the slide slip plate stand. It is obligatory test during periodic technical inspection of the vehicle. The measurement is executed in the dynamic conditions. The dependence between the lateral displacement of the plate and toe-in of the tested wheels has been shown. If the diameter of the wheel rim is known then the value of the toe-in can be calculated. The comparison of the toe-in measurements on the plate stand and on the four heads device for the wheel alignment inspection has been carried out. The accuracy of the measurements and the influence of the conditions of the tests on the plate stand (the way of passing through the plate) were estimated. The conclusions about the accuracy of this method are presented.

Structural Stability Of Detached Low Crested Breakwaters

DEFF Research Database (Denmark)

Burcharth, Hans F.; Kramer, Morten; Lamberti, Alberto

2006-01-01

The aim of the paper is to describe hydraulic stability of rock-armoured low-crested structures on the basis of new experimental tests and prototype observations. Rock armour stability results from earlier model tests under non-depth-limited long-crested head-on waves are reviewed. Results from new...... determining armour stone size in shallow water conditions is given together with a rule of thumb for the required stone size in depth-limited design waves. Rock toe stability is discussed on the basis of prototype experience, hard bottom 2-D tests in depth-limited waves and an existing hydraulic stability...... formula. Toe damage predicted by the formula is in agreement with experimental results. In field sites, damage at the toe induced by scour or by sinking is observed and the volume of the berm is often insufficient to avoid regressive erosion of the armour layer. Stone sinking and settlement in selected...

There's more than one way to climb a tree: Limb length and microhabitat use in lizards with toe pads.

Science.gov (United States)

Hagey, Travis J; Harte, Scott; Vickers, Mathew; Harmon, Luke J; Schwarzkopf, Lin

2017-01-01

Ecomorphology links microhabitat and morphology. By comparing ecomorphological associations across clades, we can investigate the extent to which evolution can produce similar solutions in response to similar challenges. While Anolis lizards represent a well-studied example of repeated convergent evolution, very few studies have investigated the ecomorphology of geckos. Similar to anoles, gekkonid lizards have independently evolved adhesive toe pads and many species are scansorial. We quantified gecko and anole limb length and microhabitat use, finding that geckos tend to have shorter limbs than anoles. Combining these measurements with microhabitat observations of geckos in Queensland, Australia, we observed geckos using similar microhabitats as reported for anoles, but geckos with relatively longer limbs were using narrower perches, differing from patterns observed in anoles and other lizards. We also observed arboreal geckos with relatively shorter proximal limb segments as compared to rock-dwelling and terrestrial geckos, similar to patterns observed for other lizards. We conclude that although both geckos and anoles have adhesive pads and use similar microhabitats, their locomotor systems likely complement their adhesive pads in unique ways and result in different ecomorphological patterns, reinforcing the idea that species with convergent morphologies still have idiosyncratic characteristics due to their own separate evolutionary histories.

There's more than one way to climb a tree: Limb length and microhabitat use in lizards with toe pads.

Directory of Open Access Journals (Sweden)

Travis J Hagey

Full Text Available Ecomorphology links microhabitat and morphology. By comparing ecomorphological associations across clades, we can investigate the extent to which evolution can produce similar solutions in response to similar challenges. While Anolis lizards represent a well-studied example of repeated convergent evolution, very few studies have investigated the ecomorphology of geckos. Similar to anoles, gekkonid lizards have independently evolved adhesive toe pads and many species are scansorial. We quantified gecko and anole limb length and microhabitat use, finding that geckos tend to have shorter limbs than anoles. Combining these measurements with microhabitat observations of geckos in Queensland, Australia, we observed geckos using similar microhabitats as reported for anoles, but geckos with relatively longer limbs were using narrower perches, differing from patterns observed in anoles and other lizards. We also observed arboreal geckos with relatively shorter proximal limb segments as compared to rock-dwelling and terrestrial geckos, similar to patterns observed for other lizards. We conclude that although both geckos and anoles have adhesive pads and use similar microhabitats, their locomotor systems likely complement their adhesive pads in unique ways and result in different ecomorphological patterns, reinforcing the idea that species with convergent morphologies still have idiosyncratic characteristics due to their own separate evolutionary histories.

An Accelerated Multi-Modality Rehabilitation Protocol Combined with Botulinum Toxin-A Injection in Adult Idiopathic Toe Walking: Case Report

Science.gov (United States)

Yavuz, Ferdi; Balaban, Birol

2016-01-01

Diagnosis of Adult Idiopathic Toe Walking (AITW) is very rare in clinical practice. High quality studies regarding AITW and its treatment options have not been conducted previously. A 28-year-old male patient complaining of lower leg pain was referred to outpatient rehabilitation clinic. Physical examination revealed a gait abnormality of insufficient heel strike at initial contact. The aetiology was investigated and the patient’s walking parameters were assessed using a computerized gait analysis system. The AITW was diagnosed. Botulinum toxin-A (Dysport®) was injected to the bilateral gastrocnemius muscles. A combined 10-days rehabilitation program was designed, including a daily one-hour physiotherapist supervised exercise program, ankle dorsiflexion exercises using an EMG-biofeedback unit assisted virtual rehabilitation system (Biometrics) and virtual gait training (Rehawalk) every other day. After treatment, the patient was able to heel strike at the initiation of the stance phase of the gait. Ankle dorsiflexion range of motions increased. The most prominent improvement was seen in maximum pressure and heel force. In addition center of pressure evaluations were also improved. To the best of our knowledge this is the first case, of AITW treated with combined botulinum toxin, exercise and virtual rehabilitation systems. This short report demonstrates the rapid effect of this 10-days combined therapy. PMID:27504395

In-Toeing and Out-Toeing in Toddlers

Science.gov (United States)

... most cases, it has. If not, parents should speak with their child's doctor to discuss whether treatment is ... rarely used now. If Walking Does Not Improve Speak with your doctor if you're concerned about the ...

Can ultrasound of plantar plate have normal appearance with a positive drawer test?

Energy Technology Data Exchange (ETDEWEB)

Fernandes, Eloy de Avila [Affiliated Professor, Department of Diagnostic Imaging, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-Unifesp), São Paulo (Brazil); Mann, Tania Szejnfeld [Medical Assistant of Medicine and Surgery of the Foot and Ankle Group, Department of Orthopedics and Traumatology, EPM-Unifesp, São Paulo (Brazil); Puchnick, Andrea, E-mail: andrea.ddi@epm.br [Professor and Coordinator of Educational and Research Support, Department of Diagnostic Imaging, EPM-Unifesp, São Paulo (Brazil); Tertulino, Franklin de Freitas [Postgraduate Physician, Department of Diagnostic Imaging, EPM-Unifesp, São Paulo (Brazil); Cannato, Camila Testoni [Resident Physician, Department of Surgery, EPM-Unifesp, São Paulo (Brazil); Nery, Caio [Associate Professor, Department of Orthopedics and Traumatology, EPM-Unifesp, São Paulo (Brazil); Fernandes, Artur da Rocha Corrêa [Associate Professor, Department of Diagnostic Imaging, EPM-Unifesp, São Paulo (Brazil)

2015-03-15

Highlights: •We evaluate the accuracy of ultrasound to identify and measure the plantar plate. •We correlate ultrasound findings with those of physical examination and MRI. •Ultrasound and MRI measures of plantar plate were positively correlated. •Ultrasound is efficient in identifying and measuring plantar plate. •Ultrasound may complement physical examination. •Young asymptomatic subjects can present a grade I positive drawer test. -- Abstract: Objectives: The aims of this study were (1) to evaluate the reliability of ultrasound (US) examination in the identification and measurement of the metatarsophalangeal plantar plate (MTP-PP) in asymptomatic subjects and (2) to establish the correlation of US findings with those of physical examination and magnetic resonance imaging (MRI), once it is an important tool in the evaluation of the instability syndrome of the second and third rays. Materials and Methods: US examinations of the second and third MTP-PPs were performed in eight asymptomatic volunteers, totaling 32 MTP joints, by three examiners with different levels of experience in musculoskeletal US. Plantar plate dimensions, integrity and echogenicity, the presence of ruptures, and confidence level in terms of structure identification were determined using conventional US. Vascular flow was assessed using power Doppler. US data were correlated with data from physical examination and MRI. Results: MTP-PPs were ultrasonographically identified in 100% of cases, always showing homogeneous hyperechoic features and no detectable vascular flow on power Doppler, with 100% certainty in identification for all examiners. There was excellent US inter-observer agreement for longitudinal measures of second and third toe MTP-PPs and for transverse measures of the second toe MTP-PP. The MTP drawer test was positive for grade 1 MTP instability in 34.4% of joints with normal US results. Transverse MTP-PP measures were significantly higher in individuals with positive

Prediction of wound healing after minor amputations of the diabetic foot.

Science.gov (United States)

Caruana, Luana; Formosa, Cynthia; Cassar, Kevin

2015-08-01

To identify any significant differences in physiological test results between healing and non healing amputation sites. A single center prospective non-experimental study design was conducted on fifty subjects living with type 2 diabetes and requiring a forefoot or toe amputation. Subjects underwent non-invasive physiological testing preoperatively. These included assessment of pedal pulses, preoperative arterial spectral waveforms at the ankle, absolute toe pressures, toe-brachial pressure index and ankle-brachial pressure index. After 6 weeks, patients were examined to assess whether the amputation site was completely healed, was healing, had developed complications, or did not heal. There was no significant difference in ABPI between the healed/healing and the non-healing groups. Mean TBI (p=0.031) and toe pressure readings (p=0.014) were significantly higher in the healed/healing group compared to the non healing group. A significant difference was also found in ankle spectral waveforms between the two groups (p=0.028). TBIs, toe pressures and spectral waveforms at the ankle are better predictors of likelihood of healing and non-healing after minor amputation than ABPIs. ABPI alone is a poor indicator of the likelihood of healing of minor amputations and should not be relied on to determine need for revascularization procedures before minor amputation. Copyright © 2015 Elsevier Inc. All rights reserved.

An Ulceronecrotic Foot Lesion in a Patient with Essential Thrombocythemia: Successful Treatment with Hydroxyurea

Directory of Open Access Journals (Sweden)

Tokue Kato

2012-01-01

Full Text Available The patient was a 47-year-old woman with a painful ulcer that had appeared on the right 5th toe two weeks before she visited our hospital. Histopathological examination showed that thrombi were present in small blood vessels in the dermis and pancytosis was detected in a blood test, suggesting polycythemia-associated ulceration of the toe. Essential thrombocythemia was diagnosed based on bone marrow puncture and chromosomal test findings. Platelet count and the ulcer were improved by oral hydroxyurea.

The effects of military body armour on the lower back and knee mechanics during toe-touch and two-legged squat tasks.

Science.gov (United States)

Phillips, Megan; Bazrgari, Babak; Shapiro, Robert

2015-01-01

While effective in the prevention of otherwise lethal injuries, military body armour (BA) has been suggested to reduce warfighter's performance and increase injury-related musculoskeletal conditions. Providing the significant role of joint biomechanics in both performance and risk of injury, the immediate and prolonged effects of wearing BA on biomechanics of the lower back and knee during toe-touch (TT) and two-legged squat (TLS) tasks were investigated. The immediate effects of BA were an increase of >40 ms (p ≤ 0.02) in flexion duration of the dominant joint and an ∼1 s (p ≤ 0.02) increase in overall task duration as well as an ∼18% (p = 0.03) decrease in the lumbopelvic rhythm ratio near the mid-range of trunk flexion. In general the prolonged duration of wearing BA (i.e. 45 min of walking) was not found to cause more changes in our measures than walking without BA. The effects of wearing military BA on biomechanics of the lower back and knee during TT and TLS tasks were investigated. The immediate effects of BA were increased flexion duration, increased overall trial duration and decreased lumbopelvic rhythm near the mid-range of trunk flexion.

Functional implications of corticospinal tract impairment on gait after spinal cord injury

DEFF Research Database (Denmark)

Barthélemy, Dorothy; Knudsen, Hanne; Willerslev-Olsen, Maria

2013-01-01

elevation with clinical physiotherapy tests.Setting:Cross-sectional study, laboratory and clinical settings.Methods:A total of 24 individuals with SCI (American Spinal Injury Association (ASIA) Impairment Scale D) were recruited. Maximum toe elevation during the swing phase of treadmill gait was measured...... indicate that maximum toe elevation, which is directly correlated with CST impairment, is functionally relevant as it also correlates with timed clinical tests, LEMS and sensory scores.Spinal Cord advance online publication, 13 August 2013; doi:10.1038/sc.2013.84....

There’s more than one way to climb a tree: Limb length and microhabitat use in lizards with toe pads

Science.gov (United States)

Harte, Scott; Vickers, Mathew; Harmon, Luke J.; Schwarzkopf, Lin

2017-01-01

Ecomorphology links microhabitat and morphology. By comparing ecomorphological associations across clades, we can investigate the extent to which evolution can produce similar solutions in response to similar challenges. While Anolis lizards represent a well-studied example of repeated convergent evolution, very few studies have investigated the ecomorphology of geckos. Similar to anoles, gekkonid lizards have independently evolved adhesive toe pads and many species are scansorial. We quantified gecko and anole limb length and microhabitat use, finding that geckos tend to have shorter limbs than anoles. Combining these measurements with microhabitat observations of geckos in Queensland, Australia, we observed geckos using similar microhabitats as reported for anoles, but geckos with relatively longer limbs were using narrower perches, differing from patterns observed in anoles and other lizards. We also observed arboreal geckos with relatively shorter proximal limb segments as compared to rock-dwelling and terrestrial geckos, similar to patterns observed for other lizards. We conclude that although both geckos and anoles have adhesive pads and use similar microhabitats, their locomotor systems likely complement their adhesive pads in unique ways and result in different ecomorphological patterns, reinforcing the idea that species with convergent morphologies still have idiosyncratic characteristics due to their own separate evolutionary histories. PMID:28953920

Biomechanical Performance of Medial Row Suture Placement Relative to the Musculotendinous Junction in Transosseous Equivalent Suture Bridge Double-Row Rotator Cuff Repair.

Science.gov (United States)

Virk, Mandeep S; Bruce, Benjamin; Hussey, Kristen E; Thomas, Jacqueline M; Luthringer, Tyler A; Shewman, Elizabeth F; Wang, Vincent M; Verma, Nikhil N; Romeo, Anthony A; Cole, Brian J

2017-02-01

To compare the biomechanical performance of medial row suture placement relative to the musculotendinous junction (MTJ) in a cadaveric transosseous equivalent suture bridge (TOE-SB) double-row (DR) rotator cuff repair (RCR) model. A TOE-SB DR technique was used to reattach experimentally created supraspinatus tendon tears in 9 pairs of human cadaveric shoulders. The medial row sutures were passed either near the MTJ (MTJ group) or 10 mm lateral to the MTJ (rotator cuff tendon [RCT] group). After the supraspinatus repair, the specimens underwent cyclic loading and load to failure tests. The localized displacement of the markers affixed to the tendon surface was measured with an optical tracking system. The MTJ group showed a significantly higher (P = .03) medial row failure (5/9; 3 during cyclic testing and 2 during load to failure testing) compared with the RCT group (0/9). The mean number of cycles completed during cyclic testing was lower in the MTJ group (77) compared with the RCT group (100; P = .07) because 3 specimens failed in the MTJ group during cyclic loading. There were no significant differences between the 2 study groups with respect to biomechanical properties during the load to failure testing. In a cadaveric TOE-SB DR RCR model, medial row sutures through the MTJ results in a significantly higher rate of medial row failure. In rotator cuff tears with tendon tissue loss, passage of medial row sutures through the MTJ should be avoided in a TOE-SB RCR technique because of the risk of medial row failure. Copyright © 2016. Published by Elsevier Inc.

Biomechanical comparison of single-row, double-row, and transosseous-equivalent repair techniques after healing in an animal rotator cuff tear model.

Science.gov (United States)

Quigley, Ryan J; Gupta, Akash; Oh, Joo-Han; Chung, Kyung-Chil; McGarry, Michelle H; Gupta, Ranjan; Tibone, James E; Lee, Thay Q

2013-08-01

The transosseous-equivalent (TOE) rotator cuff repair technique increases failure loads and contact pressure and area between tendon and bone compared to single-row (SR) and double-row (DR) repairs, but no study has investigated if this translates into improved healing in vivo. We hypothesized that a TOE repair in a rabbit chronic rotator cuff tear model would demonstrate a better biomechanical profile than SR and DR repairs after 12 weeks of healing. A two-stage surgical procedure was performed on 21 New Zealand White Rabbits. The right subscapularis tendon was transected and allowed to retract for 6 weeks to simulate a chronic tear. Repair was done with the SR, DR, or TOE technique and allowed to heal for 12 weeks. Cyclic loading and load to failure biomechanical testing was then performed. The TOE repair showed greater biomechanical characteristics than DR, which in turn were greater than SR. These included yield load (p repair of a chronic, retracted rotator cuff tear, the TOE technique was the strongest biomechanical construct after healing followed by DR with SR being the weakest. Copyright © 2013 Orthopaedic Research Society.

Pulse oximeter perfusion index as an early indicator of sympathectomy after epidural anesthesia.

Science.gov (United States)

Ginosar, Y; Weiniger, C F; Meroz, Y; Kurz, V; Bdolah-Abram, T; Babchenko, A; Nitzan, M; Davidson, E M

2009-09-01

The pulse oximeter perfusion index (PI) has been used to indicate sympathectomy-induced vasodilatation. We hypothesized that pulse oximeter PI provides an earlier and clearer indication of sympathectomy following epidural anesthesia than skin temperature and arterial pressure. Forty patients received lumbar epidural catheters. Patients were randomized to receive either 10 ml 0.5% bupivacaine or 10 ml 0.25% bupivacaine. PI in the toe, mean arterial pressure (MAP) and toe temperature were all assessed at baseline and at 5, 10 and 20 min following epidural anesthesia. The effect of epidural anesthesia over time was assessed by repeated measures analysis of variance. Additionally, we defined clinically evident sympathectomy criteria (a 100% increase in the PI, a 15% decrease in MAP and a 1 degrees C increase in toe temperature). The numbers of patients demonstrating these changes for each test were compared using the McNemar test for each time point. Twenty-nine subjects had photoplethysmography signals that met a priori signal quality criteria for analysis. By 20 min, PI increased by 326%, compared with a 10% decrease and a 3% increase in MAP and toe temperature, respectively. For PI 15/29, 26/29 and 29/29 of the subjects met the sympathectomy criteria at 5, 10 and 20 min, respectively, compared with 4/29, 6/29 and 18/29 for MAP changes and 3/29, 8/29 and 14/29 for toe temperature changes. PI was an earlier, clearer and more sensitive indicator of the development of epidural-induced sympathectomy than either skin temperature or MAP.

3D Centrifuge Modeling of the Effect of Twin Tunneling to an Existing Pile Group

Directory of Open Access Journals (Sweden)

M. A. Soomr

2017-10-01

Full Text Available In densely built urban areas, it is inevitable that tunnels will be constructed near existing pile groups. The bearing capacity of a pile group depends on shear stress along the soil-pile interface and normal stress underneath the pile toe while the two would be adversely affected by the unloading process of tunneling. Although extensive studies have been conducted to investigate the effects of tunnel construction on existing single piles, the influence of twin tunnel advancement on an existing pile group is merely reported in the literature. In this study, a series of three-dimensional centrifuge tests were carried out to investigate the response of an existing pile group under working load subjected to twin tunneling at various locations in dry Toyoura sand. In each twin tunneling test, the first tunnel is constructed near the mid-depth of the pile shaft, while the second tunnel is subsequently constructed either next to, below or right underneath the pile toe (Tests G_ST, G_SB and G_SU, respectively. Among the three tests, the 2nd tunnel excavated near the pile toe (Test G_ST results in the smallest settlement but the largest transverse tilting (0.2% of pile group. Significant bending moment was induced at the pile head (1.4 times of its bending moment capacity due to the 2nd tunnel T. On the contrary, tunneling right underneath the toe of pile (i.e., Test G_SU results in the smallest tilting but largest settlement of the pile group (4.6% of pile diameter and incremental mobilisation of shaft resistance (13%. Due to stress release by the twin tunneling, the axial force taken by the front piles close to tunnels was reduced and partially transferred to the rear piles. This load transfer can increase the axial force in rear piles by 24%.

Determination of Optimum Cross-section for Oran Highway Revetment

Science.gov (United States)

Velioglu, Deniz; Sogut, Erdinc; Guler, Isikhan

2017-04-01

Revetments are shore parallel, sloping coastal structures which are built to provide protection from the negative effects of the sea. The revetment mentioned in this study is located in the City of Oran, Algeria and is currently under construction. This study investigates the determination of the optimum revetment cross section for Oran highway, considering both the hydraulic stability of the revetment and economy. The existence of cliffs in the region and the settlement of the City of Oran created a necessity to re-align Oran highway; therefore, it was shifted towards the Gulf of Oran. Approximately 1 km of the highway is to be constructed on the Mediterranean Sea due to the new alignment. In order to protect the sea side of the road from the adverse effects of the sea, a revetment was designed. The proposed cross section had an armour layer composed of 23 tons of antifer units and regular placement of armour units was recommended. In order to check the hydraulic stability of the proposed section, physical model tests were performed in the laboratory of LEM (Laboratoire d'Etudes Maritimes) in Algeria, using the pre-determined design wave conditions. The physical model tests revealed that the trunk of the revetment was totaly damaged. Accordingly, the proposed section was found insufficient and certain modifications were required. The first modification was made in the arrangement of armour units, changing them from regular to irregular. After testing the new cross section, it was observed that the revetment was vulnerable to breaking wave attack due to the toe geometry and thus the toe of the revetment had to be re-shaped. Therefore, the second option was to reduce the toe elevation. It was observed that even though the revetment trunk was safe, the damage in the toe was not in acceptable limits. The new cross section was found insufficient and as the final option, the weight of the antifer units used in the armour layer was increased, the toe length of the

Turf Toe

Science.gov (United States)

... Although this injury is most commonly reported in football players, participants in soccer, basketball, wrestling, gymnastics and ... foot and ankle surgeon will obtain your medical history and examine your foot. X-rays are typically ...

The effects of hip external rotator exercises and toe-spread exercises on lower extremity muscle activities during stair-walking in subjects with pronated foot.

Science.gov (United States)

Goo, Young-Mi; Kim, Da-Yeon; Kim, Tae-Ho

2016-03-01

[Purpose] The purpose of the present study was to examine the effects of toe-spread (TS) exercises and hip external rotator strengthening exercises for pronated feet on lower extremity muscle activities during stair-walking. [Subjects and Methods] The participants were 20 healthy adults with no present or previous pain, no past history of surgery on the foot or the ankle, and no foot deformities. Ten subjects performed hip external rotator strengthening exercises and TS exercises and the remaining ten subjects performed only TS exercises five times per week for four weeks. [Results] Less change in navicular drop height occurred in the group that performed hip external rotator exercises than in the group that performed only TS exercises. The group that performed only TS exercises showed increased abductor hallucis muscle activity during both stair-climbing and -descending, and the group that performed hip external rotator exercises showed increased muscle activities of the vastus medialis and abductor hallucis during stair-climbing and increased muscle activity of only the abductor hallucis during stair-descending after exercise. [Conclusion] Stair-walking can be more effectively performed if the hip external rotator muscle is strengthened when TS exercises are performed for the pronated foot.

Predictive MRI correlates of lesser metatarsophalangeal joint plantar plate tear

Energy Technology Data Exchange (ETDEWEB)

Umans, Rachel L. [Cornell University Medical College, New York, NY (United States); Umans, Benjamin D. [Harvard University, Cambridge, MA (United States); Umans, Hilary [Albert Einstein College of Medicine, Bronx, NY (United States); Lenox Hill Radiology and Imaging Associates, New York, NY (United States); Elsinger, Elisabeth [Albert Einstein College of Medicine, Bronx, NY (United States); Montefiore Medical Center, Bronx, NY (United States)

2016-07-15

To identify correlated signs on non-enhanced MRI that might improve diagnostic detection of plantar plate (PP) tear. We performed an IRB-approved, HIPAA-compliant retrospective analysis of 100 non-contrast MRI (50 PP tear, 50 controls). All were anonymized, randomized, and reviewed; 20 were duplicated to assess consistency. One musculoskeletal radiologist evaluated qualitative variables. A trained non-physician performed measurements. Consistency and concordance were assessed. Pearson's Chi-square test was used to test the correlation between qualitative findings and PP tear status. Correlation between measurements and PP status was assessed using t tests and Wilcoxon's rank-sum test (p values < 0.05 considered significant). Classification and regression trees were utilized to identify attributes that, taken together, would consistently distinguish PP tear from controls. Quantitative measurements were highly reproducible (concordance 0.88-0.99). Elevated 2nd MT protrusion, lesser MT supination and rotational divergence of >45 between the 1st-2nd MT axis correlated with PP tear. Pericapsular soft tissue thickening correlated most strongly with PP tear, correctly classifying 95 % of cases and controls. Excluding pericapsular soft tissue thickening, sequential assessment of 2nd toe enthesitis, 2nd flexor tendon subluxation, and splaying of the second and third toes accurately classified PP status in 92 %. Pericapsular soft tissue thickening most strongly correlated with PP tear. For cases in which it might be difficult to distinguish pericapsular fibrosis from neuroma, sequential assessment of 2nd toe enthesitis, flexor tendon subluxation and splaying of the 2nd and 3rd toe is most helpful for optimizing accurate diagnosis of PP tear. (orig.)

Fatigue behavior of boxing welded joint under biaxial cyclic loads; 2juku kurikaeshi kajuka ni okeru kakumawashi yosetsu keishu no hiro kyodo

Energy Technology Data Exchange (ETDEWEB)

Takahashi, I.; Takada, A.; Akiyama, S.; Ushijima, M.; Maenaka, H. [Ministry of Transportation, Tokyo (Japan)

1998-12-31

Various forces such as gravity, wave induced force, inertial force etc. compositely act on a ship body from various directions. Therefore, while discussing strength or life of structural elements of ship body, it is necessary to understand the effects of the composite force condition. In this study, fatigue tests of boxing welded joint under rectangular biaxial cyclic loads are performed, the following results are obtained. Even under he biaxial cyclic loads, it is the same as the uniaxial test, the cracks occurred at the boxing weld toes propagate almost in the straight y-direction, but no oblique propagation of the cracks caused by the lad in the y-direction occurs. That the crack at initial stage of the crack progress is improved in y-direction can be illustrated by the facts that the residual stress in x-direction near the toes reaches to the yield stress, and the stress concentration in the welded toes is bigger in x-direction than that in y-direction. But as for prediction of the progress route, a further study including amplitude ratio of the biaxial loads, effects of width of test specimen is necessary. 4 refs., 12 figs., 4 tabs.

Initiation of movement from quiet stance: comparison of gait and stepping in elderly subjects of different levels of functional ability.

Science.gov (United States)

Brunt, Denis; Santos, Valeria; Kim, Hyeong Dong; Light, Kathye; Levy, Charles

2005-04-01

This study describes how elderly subjects initiate gait, and step from a position of quiet stance. Based on scores from selected standardized tests subjects were placed in either a high (HFL) or low functional level (LFL) group and were asked to initiate gait, step onto a 10 cm high, 1.22 m wide curb and step over a 10 cm high, 9 cm wide obstacle at a self paced speed. Stepping conditions affected the velocity of movement. It was clear that all subjects decreased initiation velocity for both curb and obstacle compared to gait initiation. Swing and stance limb acceleration ground reaction forces and EMG amplitude were modulated according to initiation velocity. Toe clearance was greater for obstacle than curb and gait initiation. Swing toe-off was significantly earlier and there was a trend for obstacle clearance to be greater for the HFL group. Those in the LFL group appear to be at a greater risk for falling due to the possible effect of slower rate of toe-off that could influence toe clearance over the obstacle.

How to classify plantar plate injuries: parameters from history and physical examination.

Science.gov (United States)

Nery, Caio; Coughlin, Michael; Baumfeld, Daniel; Raduan, Fernando; Mann, Tania Szejnfeld; Catena, Fernanda

2015-01-01

To find the best clinical parameters for defining and classifying the degree of plantar plate injuries. Sixty-eight patients (100 metatarsophalangeal joints) were classified in accordance with the Arthroscopic Anatomical Classification for plantar plate injuries and were divided into five groups (0 to IV). Their medical files were reviewed and the incidence of each parameter for the respective group was correlated. These parameters were: use of high heels, sports, acute pain, local edema, Mulder's sign, widening of the interdigital space, pain in the head of the corresponding metatarsal, touching the ground, "drawer test", toe grip and toe deformities (in the sagittal, coronal and transversal planes). There were no statistically significant associations between the degree of injury and use of high-heel shoes, sports trauma, pain at the head of the metatarsal, Mulder's sign, deformity in pronation or displacement in the transversal and sagittal planes (although their combination, i.e. "cross toe", showed a statistically significant correlation). Positive correlations with the severity of the injuries were found in relation to initial acute pain, progressive widening of the interdigital space, loss of "touching the ground", positive results from the "drawer test" on the metatarsophalangeal joint, diminished grip strength and toe deformity in supination. The "drawer test" was seen to be the more reliable and precise tool for classifying the degree of plantar plate injury, followed by "touching the ground" and rotational deformities. It is possible to improve the precision of the diagnosis and the predictions of the anatomical classification for plantar plate injuries through combining the clinical history and data from the physical examination.

Comparison of algorithms of testing for use in automated evaluation of sensation.

Science.gov (United States)

Dyck, P J; Karnes, J L; Gillen, D A; O'Brien, P C; Zimmerman, I R; Johnson, D M

1990-10-01

Estimates of vibratory detection threshold may be used to detect, characterize, and follow the course of sensory abnormality in neurologic disease. The approach is especially useful in epidemiologic and controlled clinical trials. We studied which algorithm of testing and finding threshold should be used in automatic systems by comparing among algorithms and stimulus conditions for the index finger of healthy subjects and for the great toe of patients with mild neuropathy. Appearance thresholds obtained by linear ramps increasing at a rate less than 4.15 microns/sec provided accurate and repeatable thresholds compared with thresholds obtained by forced-choice testing. These rates would be acceptable if only sensitive sites were studied, but they were too slow for use in automatic testing of insensitive parts. Appearance thresholds obtained by fast linear rates (4.15 or 16.6 microns/sec) overestimated threshold, especially for sensitive parts. Use of the mean of appearance and disappearance thresholds, with the stimulus increasing exponentially at rates of 0.5 or 1.0 just noticeable difference (JND) units per second, and interspersion of null stimuli, Békésy with null stimuli, provided accurate, repeatable, and fast estimates of threshold for sensitive parts. Despite the good performance of Békésy testing, we prefer forced choice for evaluation of the sensation of patients with neuropathy.

面外ガセット溶接継手・ルート破壊の疲労強度評価法の検討

OpenAIRE

遠藤, 健太

2014-01-01

Fatigue failure origin of out-of-plane gusset welded joints used for steel bridges is usually weld toe with high stress concentration. In this case the fatigue strength evaluation is carried out using nominal stress in main plate and the fatigue strength has been also made clear though a lot of fatigue test data. Weld root also becomes originating point of fatigue failure in case that weld toe is finished. But the reference stress and fatigue strength have been unknown yet in case of root fai...

Sailplane Glide Performance and Control Using Fixed and Articulating Winglets. M.S. Thesis

Science.gov (United States)

Colling, James David

1995-01-01

An experimental study was conducted to investigate the effects of controllable articulating winglets on glide performance and yawing moments of high performance sailplanes. Testing was conducted in the Texas A&M University 7 x 10 foot Low Speed Wind Tunnel using a full-scale model of the outboard 5.6 feet of a 15 meter class high performance sailplane wing. Different wing tip configurations could be easily mounted to the wing model. A winglet was designed in which the cant and toe angles as well as a rudder on the winglet could be adjusted to a range of positions. Cant angles used in the investigation consisted of 5, 25, and 40 degrees measured from the vertical axis. Toe-out angles ranged from 0 to 22.5 degrees. A rudder on the winglet was used to study the effects of changing the camber of the winglet airfoil on wing performance and wing yawing moments. Rudder deflections consisted of-10, 0, and 10 degrees. Test results for a fixed geometry winglet and a standard wing tip are presented to show the general behavior of winglets on sailplane wings, and the effects of boundary-layer turbulators on the winglets are also presented. By tripping the laminar boundary-layer to turbulent before laminar separation occurs, the wing performance was increased at low Reynolds numbers. The effects on the lift and drag, yawing moment, pitching moment, and wing root bending moment of the model are presented. Oil flows were used on the wing model with the fixed geometry winglet and the standard wing tip to visualize flow directions and areas of boundary layer transition. A cant angle of 25 degrees and a toe-out angle of 2.5 degrees provided an optimal increase in wing performance for the cant and toe angles tested. Maximum performance was obtained when the winglet rudder remained in the neutral position of zero degrees. By varying the cant, toe, and rudder angles from their optimized positions, wing performance decreases. Although the winglet rudder proved to be more effective in

Polydactyly

Science.gov (United States)

... fingers or toes? Is there a known family history of any of the disorders linked to polydactyly? Are there any other symptoms or problems? Tests used to diagnose the condition: Chromosome studies Enzyme tests X-rays Metabolic studies You may want ...

Gaillard Island Bio-degradable Geotube Test Project, Mobile Bay, Alabama

Science.gov (United States)

2016-12-01

and may provide a feasible construction alternative in regions that do not allow either synthetic or hard structures on dunes and coastal shorelines...and later remove the curtain but leave the ballast in place to support the toe of the material that the boom contained. Wave action caused minor...construction of a dune and beach on the north side of the project area to preserve the dike crest width. Wave action also tore the external turbidity

SUITABLE LOCATION OF SHEET PILE UNDER DAM RESTING ON SANDY SOIL WITH CAVITY

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Laith J. Aziz

2018-05-01

Full Text Available This research describes the seepage characteristics of experimental model test of dam with cutoff located at different region (at dam heel, at mid floor of dam, and at dam toe. It is resting on sandy soil with cavity at different locations in X and Y directions (such as in Al-Najaf soil city. Thirty three model tests are performed in laboratory by using steel box to estimate the quantity of the seepage and flow lines direction. It was concluded that the best location of the cutoff wall is at the dam toe for model test with cavity ( Xc B = 0 and 0.5, but for model test with cavity ( Xc B ≥1, the best location of the sheet pile wall becomes at the dam heel. For negative location of the cavity, the best location of the sheet pile wall is at the middle of the floor dam.

A Case Report of Maffucci Syndrome

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Gh. Eshghi

2013-01-01

Full Text Available Introduction: Maffucci syndrome is a rare clinical entity (approximately 200 cases have been reported in the medical literature with a combination occurrence of multiple enchodroma and vascular tumors. Case Report: Our patient was an 18 year old girl born in a non-consanguineous marriage with finger and toe bones disorders (enchondroma causing deformity of fingers and toes with multiple vascular tumors (cavernous hemangioma in the distal upper and lower limbs. Entire laboratory investigations including thyroid function tests were normal. Cardiovascular ex-amination including EKG and echocardiography were also normal. The abnormal findings on brain CT SCAN with contrast were not observed. Angiographic and histologic stud-ies confirmed the cavernous hemangioma and radiography of fingers and toes approved bone lesions (enchondroma. Conclusion: A diagnosis of Maffucci syndrome was made by the above mentioned measures.(Sci J Hamadan Univ Med Sci 2013; 19 (4:82-85

Slaat Xanthomonas dit jaar weer toe in Prunus laurocerasus

NARCIS (Netherlands)

Doorn, van J.; Dalfsen, van P.; Pham, K.T.K.

2012-01-01

Een diagnostische test moet duidelijk maken of er sprake is van Xanthomonas in Prunus laurocerasus. De bacterieziekte is namelijk makkelijk te verwarren met andere ziekten. Onderzoek, gefinancierd door het Productschap Tuinbouw, richt zich op het toetsen van moerplanten voordat hier van gestekt gaat

Balance ability of 7 and 10 year old children in the population: results from a large UK birth cohort study.

Science.gov (United States)

Humphriss, Rachel; Hall, Amanda; May, Margaret; Macleod, John

2011-01-01

The literature contains many reports of balance function in children, but these are often on atypical samples taken from hospital-based clinics and may not be generalisable to the population as a whole. The purpose of the present study is to describe balance test results from a large UK-based birth cohort study. Data from the Avon Longitudinal Study of Parents and Children (ALSPAC) were analysed. A total of 5402 children completed the heel-to-toe walking test at age 7 years. At age 10 years, 6915 children underwent clinical tests of balance including beam-walking, standing heel-to-toe on a beam and standing on one leg. A proportion of the children returned to the clinic for retesting within 3 months allowing test-retest agreement to be measured. Frequency distributions for each of the balance tests are given. Correlations between measures of dynamic balance at ages 7 and 10 years were weak. The static balance of 10 year old children was found to be poorer with eyes closed than with eyes open, and poorer in boys than in girls for all measures. Balance on one leg was poorer than heel-to-toe balance on a beam. A significant learning effect was found when first and second attempts of the tests were compared. Measures of static and dynamic balance appeared independent. Consistent with previous reports in the literature, test-retest reliability was found to be low. This study provides information about the balance ability of children aged 7 and 10 years and provides clinicians with reference data for balance tests commonly used in the paediatric clinic. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Centrifuge model test of rock slope failure caused by seismic excitation. Applicability to the stability evaluation method of safety factors against sliding

International Nuclear Information System (INIS)

Ishimaru, Makoto; Kawai, Tadashi

2010-01-01

The purposes of this study are to analyze dynamic failure characteristics of slopes in discontinuous rock mass with brittle fracture by centrifuge model tests and to study applicability to the equivalent linear analysis against dynamic sliding failure of rock slopes. We conducted centrifuge model test using a dip slope model with discontinuities imitated by Teflon sheets. The centrifugal acceleration was 30G, and the acceleration amplitudes of input sin waves were increased gradually at every step. The test results were compared with safety factors of the sliding surface based on the equivalent linear analysis. The following results were obtained: (1) The slope model collapsed when it was excited by the sine wave of 350gal, which was converted to real field scale. (2) Artificial discontinuities considerably affected the collapse, and the type of collapse was plane failure. (3) From response displacement records measured at the slope model, the failure around toe of the slope model probably caused the collapse. (4) The evaluation of safety factors against sliding based on the equivalent linear analysis were conservative compared with the experimental results. (author)

C-VAT – Clinical Video game Addiction Test: een diagnostisch instrument voor het herkennen van gameverslaving in de klinische praktijk.

NARCIS (Netherlands)

Rooij, A.J. van; Duin, L. van; Frielink, N.; DeFuentes-Merillas, L.; Schoenmakers, T.M.

2012-01-01

In de Nederlandse verslavingszorg worden hulpverleners in toenemende mate geconfronteerd met een hulpvraag op het gebied van ‘gameverslaving’. Tot nu toe is er echter geen diagnostisch instrument dat gebruikt kan worden om het probleem goed in kaart te brengen. Dit artikel bespreekt de ontwikkeling

Flood and Coastal Storm Damage Reduction Program. Beach-fx User’s Manual: Version 1.0

Science.gov (United States)

2009-08-01

to the seaward toe of the dune at which Lots in the Reach will be marked as condemned prohibiting the rebuilding of Damage Elements in that Lot...seaward toe of the dune to start of fore slope. Dune section is the distance from the seaward toe of the dune to the landward toe of the dune . Upland...width is the distance between the SBEACH cross-shore position and the landward toe of the dune . It can be used for offline calculations for land

Impaired perception of surface tilt in progressive supranuclear palsy.

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Marian L Dale

Full Text Available Progressive supranuclear palsy (PSP is characterized by early postural instability and backward falls. The mechanisms underlying backward postural instability in PSP are not understood. The aim of this study was to test the hypothesis that postural instability in PSP is a result of dysfunction in the perception of postural verticality.We gathered posturography data on 12 subjects with PSP to compare with 12 subjects with idiopathic Parkinson's Disease (PD and 12 healthy subjects. Objective tests of postural impairment included: dynamic sensory perception tests of gravity and of surface oscillations, postural responses to surface perturbations, the sensory organization test of postural sway under altered sensory conditions and limits of stability in stance.Perception of toes up (but not toes down surface tilt was reduced in subjects with PSP compared to both control subjects (p≤0.001 standing, p≤0.007 seated and subjects with PD (p≤0.03 standing, p≤0.04 seated. Subjects with PSP, PD and normal controls accurately perceived the direction of gravity when standing on a tilting surface. Unlike PD and control subjects, subjects with PSP exerted less postural corrective torque in response to toes up surface tilts.Difficulty perceiving backward tilt of the surface or body may account for backward falls and postural impairments in patients with PSP. These observations suggest that abnormal central integration of sensory inputs for perception of body and surface orientation contributes to the pathophysiology of postural instability in PSP.

Hálux valgo e pés planos: as forças plantares são iguais? Hallux valgus and flat feet: are plantar forces equal?

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Elaine Cristina Martinez Teodoro

2007-01-01

Full Text Available OBJETIVO: Este trabalho teve como objetivo estimar as forças plantares nos dedos dos pés de mulheres com hálux valgo e/ou pés planos. MÉTODOS: Trata-se de um estudo transversal envolvendo mulheres com hálux valgo e/ou pés planos confirmado através de análise radiográfica. Mediram-se as forças plantares, utilizando plataformas de forças. Coletaram-se estas forças com as mulheres descalças e em posição ereta, por três medidas sendo obtida uma média. Os dados foram adquiridos através da ponte amplificadora Spider 8 da HBM e analisados através do programa Catman®. Obtiveram-se as medidas de forças dos dedos de ambos os pés e as médias foram comparadas pelo teste t de Student segundo a presença de hálux valgo e pés planos; a associação entre essas deformidades foi estimada pelo teste exato de Fischer bicaudal, a significância estatística adotada foi alfa = 5%. RESULTADOS: Foram incluídas no estudo, vinte mulheres com presença ou não de hálux valgo. As forças médias encontradas mostraram-se maiores no 5º dedo em relação ao 1º dedo de ambos os pés (pOBJECTIVE: to measure the plantar forces above the toes of women with hallux valgus and/or flat feet. METHODS: This study involved women with hallux valgus and/or flat feet confirmed by X-ray images. The plantar forces were measured utilizing force plates. Force was measured three times, which were taken with the women on barefoot and at upright position, recording the average for the three measurements. Data were acquired from Spider 8 system (HBM and analyzed by using a Catman® software. The measurements for both feet's toes force were reported and the averages were compared by the Student's t-test according to the presence of hallux valgus and flat feet; the association between these deformities was estimated by using the two-tailed Fischer's exact test, the statistical significance adopted was alpha = 5%. RESULTS: For this study, 20 women with or without hallux

When the going gets rough – studying the effect of surface roughness on the adhesive abilities of tree frogs

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Niall Crawford

2016-12-01

Full Text Available Tree frogs need to adhere to surfaces of various roughnesses in their natural habitats; these include bark, leaves and rocks. Rough surfaces can alter the effectiveness of their toe pads, due to factors such as a change of real contact area and abrasion of the pad epithelium. Here, we tested the effect of surface roughness on the attachment abilities of the tree frog Litoria caerulea. This was done by testing shear and adhesive forces on artificial surfaces with controlled roughness, both on single toe pads and whole animal scales. It was shown that frogs can stick 2–3 times better on small scale roughnesses (3–6 µm asperities, producing higher adhesive and frictional forces, but relatively poorly on the larger scale roughnesses tested (58.5–562.5 µm asperities. Our experiments suggested that, on such surfaces, the pads secrete insufficient fluid to fill the space under the pad, leaving air pockets that would significantly reduce the Laplace pressure component of capillarity. Therefore, we measured how well the adhesive toe pad would conform to spherical asperities of known sizes using interference reflection microscopy. Based on experiments where the conformation of the pad to individual asperities was examined microscopically, our calculations indicate that the pad epithelium has a low elastic modulus, making it highly deformable.

HypnosIS to faciLitate trans-Esophageal echocardiograPhy Tolerance: The I-SLEPT study.

Science.gov (United States)

Corman, Isabelle; Bouchema, Yasmina; Miquel, Béatrice; Rousseau, Hélène; Bouvier, Dominique; Voilmy, Nicolas; Beauvais, Florence; Cohen-Solal, Alain; Vicaut, Eric; Logeart, Damien; Tournoux, François

2016-03-01

Trans-oesophageal echocardiography (TOE) is one of the major diagnostic tests in cardiovascular medicine, but the procedure is associated with some discomfort for the patient. To determine the additive value of hypnosis as a means of improving patient comfort during TOE. We randomly assigned 98 patients with non-emergency indications for TOE to a 30-minute hypnosis session combined with topical oropharyngeal anaesthesia (HYP group) or topical oropharyngeal anaesthesia only (CTRL group) before the procedure. The primary efficacy endpoint was the level of patient discomfort assessed using a visual analogue scale (VAS). The VAS score was significantly reduced in the HYP group compared with the CTRL group (6 [5; 8] vs. 7 [5; 9]; P=0.046). No statistically significant differences were observed in terms of procedure failure (HYP group 2.2% vs. CTRL group 3.9%; P=1.00) and procedure length (HYP group 7 [5; 11] minutes vs. CTRL group 8 [7; 11] minutes; P=0.29). However, the patients' subjective estimations of the length of the procedure were significantly shorter in the HYP group than in the CTRL group (8 [5; 10] vs. 10 [10; 20] minutes; PHypnosis is an efficient alternative or complementary method for improving patient comfort during TOE. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Dynamic self-cleaning in gecko setae via digital hyperextension

Science.gov (United States)

Hu, Shihao; Lopez, Stephanie; Niewiarowski, Peter H.; Xia, Zhenhai

2012-01-01

Gecko toe pads show strong adhesion on various surfaces yet remain remarkably clean around everyday contaminants. An understanding of how geckos clean their toe pads while being in motion is essential for the elucidation of animal behaviours as well as the design of biomimetic devices with optimal performance. Here, we test the self-cleaning of geckos during locomotion. We provide, to our knowledge, the first evidence that geckos clean their feet through a unique dynamic self-cleaning mechanism via digital hyperextension. When walking naturally with hyperextension, geckos shed dirt from their toes twice as fast as they would if walking without hyperextension, returning their feet to nearly 80 per cent of their original stickiness in only four steps. Our dynamic model predicts that when setae suddenly release from the attached substrate, they generate enough inertial force to dislodge dirt particles from the attached spatulae. The predicted cleaning force on dirt particles significantly increases when the dynamic effect is included. The extraordinary design of gecko toe pads perfectly combines dynamic self-cleaning with repeated attachment/detachment, making gecko feet sticky yet clean. This work thus provides a new mechanism to be considered for biomimetic design of highly reuseable and reliable dry adhesives and devices. PMID:22696482

Bionic Design for Mars Sampling Scoop Inspired by Himalayan Marmot Claw

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Long Xue

2016-01-01

Full Text Available Cave animals are often adapted to digging and life underground, with claw toes similar in structure and function to a sampling scoop. In this paper, the clawed toes of the Himalayan marmot were selected as a biological prototype for bionic research. Based on geometric parameter optimization of the clawed toes, a bionic sampling scoop for use on Mars was designed. Using a 3D laser scanner, the point cloud data of the second front claw toe was acquired. Parametric equations and contour curves for the claw were then built with cubic polynomial fitting. We obtained 18 characteristic curve equations for the internal and external contours of the claw. A bionic sampling scoop was designed according to the structural parameters of Curiosity’s sampling shovel and the contours of the Himalayan marmot’s claw. Verifying test results showed that when the penetration angle was 45° and the sampling speed was 0.33 r/min, the bionic sampling scoops’ resistance torque was 49.6% less than that of the prototype sampling scoop. When the penetration angle was 60° and the sampling speed was 0.22 r/min, the resistance torque of the bionic sampling scoop was 28.8% lower than that of the prototype sampling scoop.

[Do children with attention deficit and hyperactivity disorder (ADHD) have a diferent gait pattern? Relationship between idiopathic toe-walking and ADHD].

Science.gov (United States)

Soto Insuga, Víctor; Moreno Vinués, Beatriz; Losada Del Pozo, Rebeca; Rodrigo Moreno, María; Martínez González, Marta; Cutillas Ruiz, Raquel; Mateos Carmen, Carmen

2018-04-01

Idiopathic toe-walking (ITW) is described as a gait pattern with no contact between the heels and the ground in children older than 3years. The diagnosis is clinical, making it necessary to rule out other neurological and orthopaedic conditions. A relationship between ITW and vestibular dysfunction and/or proprioceptive sensibility has been proposed. Children with neurodevelopmental disorders (autism, language and cognitive disorders) often have ITW. To determine the frequency of ITW in children with attention deficit disorder and hyperactivity (ADHD). A study was conducted on children diagnosed with ADHD, with normal neurological examination, with no alterations in MRI scan, cognitive disorder or autism. A complete clinical anamnesis was performed and Achilles shortening was measured with a goniometer. The study included 312 children with a mean age of 11 years (73.7% boys). The ADHD combined subtype was the most frequent (53.8%), followed by the inattentive (44.9%), and hyperactive (1.3%). ITW was observed in 20.8% of patients, particularly in the combined subtype (P=.054). Only 32 of them (49.2%) had Achilles shortening. ITW was associated with sociability disorders (P=.01), absence of pain in legs (P=.022), and family history of ITW (P=.004). Only 11% had previously visited a doctor for this reason. As in other neurodevelopmental disorders, children with ADHD have frequently more ITW and Achilles shortening than controls, especially if they presented with a social communication disorder or a family history of ITW. An early diagnosis is essential to establish effective treatments. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Effects of different foot progression angles and platform settings on postural stability and fall risk in healthy and medial knee osteoarthritic adults.

Science.gov (United States)

Khan, Saad Jawaid; Khan, Soobia Saad; Usman, Juliana; Mokhtar, Abdul Halim; Abu Osman, Noor Azuan

2018-02-01

This study aims to investigate the effects of varying toe angles at different platform settings on Overall Stability Index of postural stability and fall risk using Biodex Balance System in healthy participants and medial knee osteoarthritis patients. Biodex Balance System was employed to measure postural stability and fall risk at different foot progression angles (ranging from -20° to 40°, with 10° increments) on 20 healthy (control group) and 20 knee osteoarthritis patients (osteoarthritis group) randomly (age: 59.50 ± 7.33 years and 61.50 ± 8.63 years; body mass: 69.95 ± 9.86 kg and 70.45 ± 8.80 kg). Platform settings used were (1) static, (2) postural stability dynamic level 8 (PS8), (3) fall risk levels 12 to 8 (FR12) and (4) fall risk levels 8 to 2 (FR8). Data from the tests were analysed using three-way mixed repeated measures analysis of variance. The participant group, platform settings and toe angles all had a significant main effect on balance ( p ≤ 0.02). Platform settings had a significant interaction effect with participant group F(3, 144) = 6.97, p fall risk as compared to the healthy group. Changing platform settings has a more pronounced effect on balance in knee osteoarthritis group than in healthy participants. Changing toe angles produced similar effects in both the participant groups, with decreased stability and increased fall risk at extreme toe-in and toe-out angles.

Comparison of Designed Slippers Splints with the Splints Available on the Market in the Treatment of Hallux Valgus

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Yadollah Pournia

2012-02-01

Full Text Available Hallux valgus or the lateral deviation of the great toe is a complex disease. If it is not treated, it will cause the deviation of other toes. Hallux valgus is three times more common in females and may cause uncomfortable deformity of the foot, problems in putting on unsuitable and narrow toe box shoes, and pain on the medial side of the first metatarsophalangeal joint; therefore, patients seek medical services. Untreated hallux valgus may cause the hammer toe deformity of the second toe. In this cohort study, 30 patients referring to the Orthopedic Clinic of Shohada Ashayer Hospital of Khorramabad, Iran, with a complaint of hallux valgus were randomly divided into two groups. The splints designed by the researches (slippers splints were given to the case group, and the splints on the market including night splints and interdigital pads were given to the control group. The patients were followed every three months for a year and every time the weight bearing anteroposterior radiography of both feet were taken and hallux valgus and inter-metatarsal angles were measured. The data was analyzed by the SPSS software using repeated measure tests. In the case group that used the designed splints regularly, hallux valgus angles decreased more dramatically than in the control group (P<0.001. This study showed that, despite controversies over the nonoperative treatment of hallux valgus, if hallux valgus angle in patient is mild to moderate, the splint can be used as a nonoperative treatment.

Biofuels barometer

International Nuclear Information System (INIS)

Anon.

2012-01-01

The European Union governments no longer view the rapid increase in biofuel consumption as a priority. Between 2010 and 2011 biofuel consumption increased by only 3%, which translates into 13.6 million tonnes of oil equivalent (toe) used in 2011 compared to 13.2 million toe in 2010. In 2011 6 European countries had a biofuel consumption in transport that went further 1 million toe: Germany (2,956,746 toe), France (2,050,873 toe), Spain (1,672,710 toe), Italy (1,432,455 toe), United Kingdom (1,056,105 toe) and Poland (1,017,793 toe). The breakdown of the biofuel consumption for transport in the European Union in 2011 into types of biofuels is: bio-diesel (78%), bio-ethanol (21%), biogas (0.5%) and vegetable oil (0.5%). In 2011, 4 bio-diesel producers had a production capacity in Europe that passed beyond 900,000 tonnes: Diester Industrie International (France) with 3,000,000 tonnes, Neste Oil (Finland) with 1,180,000 tonnes, ADM bio-diesel (Germany) with 975,000 tonnes, and Infinita (Spain) with 900,000 tonnes. It seems that the European Union's attention has shifted to setting up sustainability systems to verify that the biofuel used in the various countries complies with the Renewable Energy Directive's sustainability criteria

Comparison of Hematologic and Biochemical Test Results in Blood Samples Obtained by Jugular Venipuncture Versus Nail Clip in Moluccan Cockatoos (Cacatua moluccensis).

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Bennett, Tracy D; Lejnieks, Daniel V; Koepke, Hoyt; Grimson, Fiona; Szucs, Jennifer; Omaits, Kerri; Lane, Rosalie

2015-12-01

In birds, blood samples are often collected from the jugular, medial metatarsal, and basilic vein. Samples are sometimes collected by toe nail clip, but concerns to avoid drawing blood from the nail include pain after nail clips for blood collection, potential differences in complete blood count (CBC) results, and potential contamination with uric acid values. To compare differences in biochemical and hematologic values in blood samples obtained by jugular venipuncture versus toenail clip, blood samples were collected from Moluccan cockatoos (Cacatua moluccensis) (N = 23) and sent to a commercial laboratory for routine CBCs and serum biochemical analysis. Results showed good agreement between venipuncture and nail clip blood samples in red blood cell count, packed cell volume, heterophil count and percentage, lymphocyte count and percentage, aspartate aminotransferase, chloride, creatine phosphokinase, glucose, lactate dehydrogenase, total protein, and uric acid values. Constant bias was found in values of bile acids, cholesterol, and hemoglobin. Proportional bias toward higher values in the jugular sample were found in total white blood cell (WBC) count and inorganic phosphorus. Serum calcium plots revealed a proportional bias toward higher values in the toe nail blood when values were increased. Results suggest some differences in WBC count, bile acids, calcium, cholesterol, hemoglobin, and phosphorus values between blood samples collected by jugular venipuncture and samples collected by toe nail clip, but the differences are mostly minor and, with the possible exception of inorganic phosphorus and marginally elevated or very low WBC counts, are unlikely to affect the use or interpretation of the avian blood panel.

Skin Condition Finder

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... SKIN CONDITIONS HEALTH TOPICS FOR PROFESSIONALS Rash and Skin Condition Finder 1 Select Age Group Infant Child ... Toe Toe Webspace Toe Nail CLOSE About the Skin Condition Finder Have a health question or concern? ...

It’s All Fun and Games until Someone Learns Something: Assessing the Learning Outcomes of Two Educational Games

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Steven Wise

2009-12-01

Full Text Available Objective – To determine whether educational games can be designed that are both fun and effective in improving information seeking skills. Methods – Two skills that are known to be particularly difficult for students taking a required information literacy test were identified. These skills are the ability to identify citations and the ability to search databases with keywords. Educational games were designed to address these two skills. The first game, Citation Tic Tac Toe, placed commonly used bibliographic citations into a tick tac toe style grid. Students were required to play the Tic Tac Toe game and subsequently given citation identification exercises. The second game arranged key concepts related to search phrases in a Magnetic Keyword interface. Students were observed searching databases before and after playing the Magnetic Keyword game and their pre‐ and post‐play searches were analyzed.Results – Students who played the Tic Tac Toe game improved more from pretest to posttest than students who only took an online tutorial. In addition, students who played the Magnetic Keyword game demonstrated quicker database searching for their topics and expressed increased satisfaction with their results. Conclusions – Games can be created which have measurable educational outcomes and are fun. It is important, however, to establish the educational objective prior to beginning game design.

Biointrusion test plan for the Permanent Isolation Surface Barrier Prototype

International Nuclear Information System (INIS)

Link, S.O.; Cadwell, L.L.; Brandt, C.A.; Downs, J.L.; Rossi, R.E.; Gee, G.W.

1994-04-01

This document provides a testing and monitoring plan for the biological component of the prototype barrier slated for construction at the Hanford Site. The prototype barrier is an aboveground structure engineered to demonstrate the basic features of an earthen cover system. It is designed to permanently isolate waste from the biosphere. The features of the barrier include multiple layers of soil and rock materials and a low-permeability asphalt sublayer. The surface of the barrier consists of silt loam soil, covered with plants. The barrier sides are reinforced with rock or coarse earthen-fill to protect against wind and water erosion. The sublayers inhibit plant and animal intrusion and percolation of water. A series of tests will be conducted on the prototype barrier over the next several years to evaluate barrier performance under extreme climatic conditions. Plants and animals will play a significant role in the hydrologic and water and wind erosion characteristics of the prototype barrier. Studies on the biological component of the prototype barrier will include work on the initial revegetation of the surface, continued monitoring of the developing plant community, rooting depth and dispersion in the context of biointrusion potential, the role of plants in the hydrology of the surface and toe regions of the barrier, the role of plants in stabilizing the surface against water and wind erosion, and the role of burrowing animals in the hydrology and water and wind erosion of the barrier

29 CFR 1918.106 - Payment for protective equipment.

Science.gov (United States)

2010-07-01

... pay for non-specialty safety-toe protective footwear (including steel-toe shoes or steel-toe boots... Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR LONGSHORING Personal Protective Equipment...

The legend of plantar neuropraxia in long-distance athletes

African Journals Online (AJOL)

Legend has it, and anecdotal reports reinforce that endurance athletes who ... of the great toe; the test was considered positive if the participant could not feel the ... is a well-known phenomenon that occurs during and after exercise. Perhaps ...

29 CFR 1917.96 - Payment for protective equipment.

Science.gov (United States)

2010-07-01

... employer at no cost to employees. (b) The employer is not required to pay for non-specialty safety-toe protective footwear (including steel-toe shoes or steel-toe boots) and non-specialty prescription safety... Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION...

The optimum tension for bridging sutures in transosseous-equivalent rotator cuff repair: a cadaveric biomechanical study.

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Park, Ji Soon; McGarry, Michelle H; Campbell, Sean T; Seo, Hyuk Jun; Lee, Yeon Soo; Kim, Sae Hoon; Lee, Thay Q; Oh, Joo Han

2015-09-01

Transosseous-equivalent (TOE) rotator cuff repair can increase contact area and contact pressure between the repaired cuff tendon and bony footprint and can show higher ultimate loads to failure and smaller gap formation compared with other repair techniques. However, it has been suggested that medial rotator cuff failure after TOE repair may result from increased bridging suture tension. To determine optimum bridging suture tension in TOE repair by evaluating footprint contact and construct failure characteristics at different tensions. Controlled laboratory study. A total of 18 fresh-frozen cadaveric shoulders, randomly divided into 3 groups, were constructed with a TOE configuration using the same medial suture anchor and placing a Tekscan sensing pad between the repaired rotator cuff tendon and footprint. Nine of the 18 shoulders were used to measure footprint contact characteristics. With use of the Tekscan measurement system, the contact pressure and area between the rotator cuff tendon and greater tuberosity were quantified for bridging suture tensions of 60, 90, and 120 N with glenohumeral abduction angles of 0° and 30° and humeral rotation angles of 30° (internal), 0°, and 30° (external). TOE constructs of all 18 shoulders then underwent construct failure testing (cyclic loading and load to failure) to determine the yield load, ultimate load, stiffness, hysteresis, strain, and failure mode at 60 and 120 N of tension. As bridging suture tension increased, contact force, contact pressure, and peak pressure increased significantly at all positions (P .05 for all). Increasing bridging suture tension to over 90 N did not improve contact area but did increase contact force and pressure. Bridging suture tension did not significantly affect ultimate failure loads. Considering the risks of overtensioning bridging sutures, it may be clinically more beneficial to keep bridging suture tension below 90 N. © 2015 The Author(s).

Assessment of atrial septal defects in adults comparing cardiovascular magnetic resonance with transoesophageal echocardiography

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Brown Michael A

2010-07-01

Full Text Available Abstract Background Many adult patients with secundum-type atrial septal defects (ASDs are able to have these defects fixed percutaneously. Traditionally, this has involved an assessment of ASD size, geometry and atrial septal margins by transoesophageal echocardiography (TOE prior to percutaneous closure. This is a semi-invasive technique, and all of the information obtained could potentially be obtained by non-invasive cardiovascular magnetic resonance (CMR. We compared the assessment of ASDs in consecutive patients being considered for percutaneous ASD closure using CMR and TOE. Methods Consecutive patients with ASDs diagnosed on transthoracic echocardiography (TTE were invited to undergo both CMR and TOE. Assessment of atrial septal margins, maximal and minimal defect dimensions was performed with both techniques. Analyses between CMR and TOE were made using simple linear regression and Bland Altman Analyses. Results Total CMR scan time was 20 minutes, and comparable to the TOE examination time. A total of 20 patients (M:F = 5:15, mean age 42.8 years ± 15.7 were included in the analyses. There was an excellent agreement between CMR and TOE for estimation of maximum defect size (R = 0.87. The anterior inferior, anterior superior and posterior inferior margins could be assessed in all patients with CMR. The posterior superior margin could not be assessed in only one patient. Furthermore, in 1 patient in whom TOE was unable to be performed, CMR was used to successfully direct percutaneous ASD closure. Conclusions CMR agrees with TOE assessment of ASDs in the work-up for percutaneous closure. Potentially CMR could be used instead of TOE for this purpose.

Characteristics of leading forelimb movements for obstacle avoidance during locomotion in rats.

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Aoki, Sho; Sato, Yamato; Yanagihara, Dai

2012-10-01

Walking smoothly and safely often involves stepping over an obstacle. The purpose of this study was to examine forelimb movements and toe trajectories in stepping over an obstacle during overground locomotion in rats. We performed a kinematic analysis of forelimb movements and measured electromyographic (EMG) activities in the biceps and triceps brachii of the forelimbs. We found that mean toe height just above the obstacle was lower in the leading forelimb than in the trailing forelimb. The toe positions of the leading forelimb at maximal elevation over the obstacle (peak toe position) were closer to the upper edge of the obstacle than those of the trailing forelimb. The linear distance between peak toe position and the upper edge of the obstacle was significantly less in the leading forelimb compared to the trailing forelimb. The peak toe position of the leading forelimb spatially corresponds to the transition point from flexion to extension of the elbow joint. This transition appeared to be controlled mainly by an offset of EMG activity of the elbow flexor, the biceps brachii muscle. In contrast, the trailing forelimb appeared to be controlled by the shoulder and wrist joints. These results suggest that the toe trajectory of the leading forelimb is more accurately regulated than that of the trailing forelimb. In addition, the activities of the elbow flexor may in part contribute to the toe trajectory of the leading forelimb. Copyright © 2012 Elsevier Ireland Ltd and the Japan Neuroscience Society. All rights reserved.

A prophylactic amputation

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Faria Afsana

2010-10-01

Full Text Available A case of amputation of the fourth toe is described in a diabetic patient. The patient had overlapping of third and fourth toes since her childhood and later she developed soft lipomas over the fourth toe and lateral aspect of the dorsum of the foot. The lipomas were excised without relief of pain. Subsequently, the fourth toe was disarticulated with relief of pain and healing of ulcers. The role of prophylactic amputations in such cases is described. Ibrahim Med. Coll. J. 2010; 4(2: 87-89

Vedic Theory Of Everything

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Subhendu Das

2017-01-01

Full Text Available There are many articles in the literature on the theory of everything TOE written by mathematicians physicists biologists neuroscientists cosmologists etc. All books of all religions including Bible and Vedas also describe a TOE which are all essentially same. It is the objective of this paper to inform the scientific community about the TOE that the religious books describe. The paper attempts to define the requirements for a TOE that can explain in a uniform way all the laws of nature described by the religions from all over the world.

From Torch to Toe.

Science.gov (United States)

Harbaugh, Mary

1984-01-01

Students and teachers are responsible for helping in the restoration of the Statue of Liberty through contributions and school fund-raising activities. Interesting details on the progress of the restoration process are offered for teachers to share with students. (DF)

The Development and Evaluation of an Online Formative Assessment upon Single-Player Game in E-Learning Environment

Science.gov (United States)

Tsai, Fu-Hsing

2013-01-01

This study developed a game-based formative assessment, called tic-tac-toe quiz for single-player version (TRIS-Q-SP), in an energy education e-learning system. This assessment game combined tic-tac-toe with online assessment, and revised the rule of tic-tac-toe for stimulating students to use online formative assessment actively. Additionally, to…

Design and operation of AFC ramp plates for track clearance on longwall faces

Energy Technology Data Exchange (ETDEWEB)

Shaw, I R

1975-10-01

A study of the use of AFC ramp plates carried out in the University of Newcastle upon Tyne is reported. A 1/4-scale ramp plate test rig was designed and the effects of pushing force, ramp plate toe angle, track width and other factors were studied.

The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis

Science.gov (United States)

Rojas-Villarraga, Adriana; Bayona, Javier; Zuluaga, Natalia; Mejia, Santiago; Hincapie, Maria-Eugenia; Anaya, Juan-Manuel

2009-01-01

Background Alterations in the feet of patients with rheumatoid arthritis (RA) are a cause of disability in this population. The purpose of this research was to evaluate the impact that foot impairment has on the patients' global quality of life (QOL) based on validated scales and its relationship to disease activity. Methods This was a cross-sectional study in which 95 patients with RA were enrolled. A complete physical examination, including a full foot assessment, was done. The Spanish versions of the Health Assessment Questionnaire (HAQ) Disability Index and of the Disease Activity Score (DAS 28) were administered. A logistic regression model was used to analyze data and obtain adjusted odds ratios (AORs). Results Foot deformities were observed in 78 (82%) of the patients; hallux valgus (65%), medial longitudinal arch flattening (42%), claw toe (lesser toes) (39%), dorsiflexion restriction (tibiotalar) (34%), cock-up toe (lesser toes) (25%), and transverse arch flattening (25%) were the most frequent. In the logistic regression analysis (adjusted for age, gender and duration of disease), forefoot movement pain, subtalar movement pain, tibiotalar movement pain and plantarflexion restriction (tibiotalar) were strongly associated with disease activity and disability. The positive squeeze test was significantly associated with disability risk (AOR = 6,3; 95% CI, 1.28–30.96; P = 0,02); hallux valgus, and dorsiflexion restriction (tibiotalar) were associated with disease activity. Conclusion Foot abnormalities are associated with active joint disease and disability in RA. Foot examinations provide complementary information related to the disability as an indirect measurement of quality of life and activity of disease in daily practice. PMID:19527518

Phalangeal joints kinematics during ostrich (Struthio camelus locomotion

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Rui Zhang

2017-01-01

Full Text Available The ostrich is a highly cursorial bipedal land animal with a permanently elevated metatarsophalangeal joint supported by only two toes. Although locomotor kinematics in walking and running ostriches have been examined, these studies have been largely limited to above the metatarsophalangeal joint. In this study, kinematic data of all major toe joints were collected from gaits with double support (slow walking to running during stance period in a semi-natural setup with two selected cooperative ostriches. Statistical analyses were conducted to investigate the effect of locomotor gait on toe joint kinematics. The MTP3 and MTP4 joints exhibit the largest range of motion whereas the first phalangeal joint of the 4th toe shows the largest motion variability. The interphalangeal joints of the 3rd and 4th toes present very similar motion patterns over stance phases of slow walking and running. However, the motion patterns of the MTP3 and MTP4 joints and the vertical displacement of the metatarsophalangeal joint are significantly different during running and slow walking. Because of the biomechanical requirements, osctriches are likely to select the inverted pendulum gait at low speeds and the bouncing gait at high speeds to improve movement performance and energy economy. Interestingly, the motions of the MTP3 and MTP4 joints are highly synchronized from slow to fast locomotion. This strongly suggests that the 3rd and 4th toes really work as an “integrated system” with the 3rd toe as the main load bearing element whilst the 4th toe as the complementary load sharing element with a primary role to ensure the lateral stability of the permanently elevated metatarsophalangeal joint.

Nonlinear finite element analysis of the plantar fascia due to the windlass mechanism.

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Cheng, Hsin-Yi Kathy; Lin, Chun-Li; Chou, Shih-Wei; Wang, Hsien-Wen

2008-08-01

Tightening of plantar fascia by passively dorsiflexing the toes during walking has functional importance. The purpose of this research was to evaluate the influence of big toe dorsiflexion angles upon plantar fascia tension (the windlass effect) with a nonlinear finite element approach. A two-dimensional finite element model of the first ray was constructed for biomechanical analysis. In order to imitate the windlass effect and to evaluate the mechanical responses of the plantar fascia under various conditions, 12 model simulations--three dorsiflexion angles of the big toe (45 degrees, 30 degrees, and 15 degrees), two plantar fascia properties (linear, nonlinear), and two weightbearing conditions (with body weight, without body weight)--were designed and analyzed. Our results demonstrated that nonlinear modeling of the plantar fascia provides a more sophisticated representation of experimental data than the linear one. Nonlinear plantar fascia setting also predicted a higher stress distribution along the fiber directions especially with larger toe dorsiflexion angles (45 degrees>30 degrees>15 degrees). The plantar fascia stress was found higher near the metatarsal insertion and faded as it moved toward the calcaneal insertion. Passively dorsiflexing the big toe imposes tension onto the plantar fascia. Windlass mechanism also occurs during stance phase of walking while the toes begin to dorsiflex. From a biomechanical standpoint, the plantar fascia tension may help propel the body upon its release at the point of push off. A controlled stretch via dorsiflexing the big toe may have a positive effect on treating plantar fasciitis by providing proper guidance for collagen regeneration. The windlass mechanism is also active during the stance phase of walking when the toes begin to dorsiflex.

Hair-Thread Tourniquet Syndrome

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Emre Gokcen

2016-01-01

Two month-old male infant was brought to the emergency service with the complaint of fever, uneasiness, and swelling on 4th-5th toes of right foot.  Apparent swelling, rubescence and increase in heat were seen and a constrictive band was observed to surround proximal phalanges of both toes in the physical examination of the patient (Figure 1.  A hair was found on the constrictive band surrounding both toes. The hair was removed by means of forceps. Oral antibiotic was administered to the patient. The patient was treated successfully by not letting a necrosis develop on the toes. It should be remembered that hair-thread tourniquet syndrome may be observed in the infant patients applying to the hospital with the complaints of unexplained fever and uneasiness. Figure 1: Appearance of the toes right after the hair was removed. Arrows show the constrictive band. 

Effects of an Off-Axis Pivoting Elliptical Training Program on Gait Function in Persons With Spastic Cerebral Palsy: A Preliminary Study.

Science.gov (United States)

Tsai, Liang-Ching; Ren, Yupeng; Gaebler-Spira, Deborah J; Revivo, Gadi A; Zhang, Li-Qun

2017-07-01

This preliminary study examined the effects of off-axis elliptical training on reducing transverse-plane gait deviations and improving gait function in 8 individuals with cerebral palsy (CP) (15.5 ± 4.1 years) who completed an training program using a custom-made elliptical trainer that allows transverse-plane pivoting of the footplates during exercise. Lower-extremity off-axis control during elliptical exercise was evaluated by quantifying the root-mean-square and maximal angular displacement of the footplate pivoting angle. Lower-extremity pivoting strength was assessed. Gait function and balance were evaluated using 10-m walk test, 6-minute-walk test, and Pediatric Balance Scale. Toe-in angles during gait were quantified. Participants with CP demonstrated a significant decrease in the pivoting angle (root mean square and maximal angular displacement; effect size, 1.00-2.00) and increase in the lower-extremity pivoting strength (effect size = 0.91-1.09) after training. Reduced 10-m walk test time (11.9 ± 3.7 seconds vs. 10.8 ± 3.0 seconds; P = 0.004; effect size = 1.46), increased Pediatric Balance Scale score (43.6 ± 12.9 vs. 45.6 ± 10.8; P = 0.042; effect size = 0.79), and decreased toe-in angle (3.7 ± 10.5 degrees vs. 0.7 ± 11.7 degrees; P = 0.011; effect size = 1.22) were observed after training. We present an intervention to challenge lower-extremity off-axis control during a weight-bearing and functional activity for individuals with CP. Our preliminary findings suggest that this intervention was effective in enhancing off-axis control, gait function, and balance and reducing in-toeing gait in persons with CP.

Time of emergence in regional precipitation changes: an updated assessment using the CMIP5 multi-model ensemble

Science.gov (United States)

Nguyen, Thuy-Huong; Min, Seung-Ki; Paik, Seungmok; Lee, Donghyun

2018-01-01

This study conducted an updated time of emergence (ToE) analysis of regional precipitation changes over land regions across the globe using multiple climate models from the Coupled Model Intercomparison Project phase 5 (CMIP5). ToEs were estimated for 14 selected hotspots over two seasons of April to September (AS) and October to March (OM) from three RCP scenarios representing low (RCP2.6), medium (RCP4.5), and high (RCP8.5) emissions. Results from the RCP8.5 scenario indicate that ToEs would occur before 2040 over seven hotspots including three northern high-latitude regions (OM wettening), East Africa (OM wettening), South Asia (AS wettening), East Asia (AS wettening) and South Africa (AS drying). The Mediterranean (both OM and AS drying) is expected to experience ToEs in the mid-twenty-first century (2040-2080). In order to measure possible benefits from taking low-emission scenarios, ToE differences were examined between the RCP2.6 scenario and the RCP4.5 and RCP8.5 scenarios. Significant ToE delays from 26 years to longer than 67 years were identified over East Africa (OM wettening), the Mediterranean (both AS and OM drying), South Asia (AS wettening), and South Africa (AS drying). Further, we investigated ToE differences between CMIP3-based and CMIP5-based models using the same number of models for the comparable scenario pairs (SRESA2 vs. RCP8.5, and SRESB1 vs. RCP4.5). Results were largely consistent between two model groups, indicating the robustness of ToE results. Considerable differences in ToEs (larger than 20 years) between two model groups appeared over East Asia and South Asia (AS wettening) and South Africa (AS drying), which were found due to stronger signals in CMIP5 models. Our results provide useful information on the timing of emerging signals in regional and seasonal hydrological changes, having important implications for associated adaptation and mitigation plans.

Roentgenologic study of sesamoid bones

International Nuclear Information System (INIS)

Lee, Son Young; Park, Byung Hwan; Kim, Dong Hyuk

1980-01-01

A radiological study on sesamoid bones of hands and feet was done in Korea adults who visited the Capital Armed Forces General Hospital Of Korea during last 10 months from Jan. 1, to Oct, 30, 1970. The incidence of presence or absence of sesamoid bones in each possible site and shape and partition were studied in 250 males and 200 females. The results are follow: 1. In hands, two sesamoids are present at metacarpophalangel joint of thumb in all and one at metacarpophalangeal joint of little finger in half, metacarpophalangeal joint of index, interphalangeal joint of thumb. Metacarpophalangeal joint of ring finger were other sites, in order of frequency. 2. In feet, two sesamoid are present at metacarpophalangeal joint of great toe in all, but the incidence at other sites are much lower comparison to hands and the sites are interphalangeal joint of great toe, metacarpophalangeal joint of 5th toe, metacarpophalangeal joint of 2nd toe, and metacarpophalangeal joint of 4th toe in order frequency. 3. In comparison with sexes, the incidence is a little greater in female at every site. 4. In general, the partition line of sesamoid bone is transverse, and fracture line of sesamoid is longitudinal. 5. In comparison with Europeans, the incidence of sesamoid bone at interphalangeal joint of thumb and great toe is about half, and at other sites, except metacaso phalangeal joint of thumb abd great toe, the incidence was smaller in each site.

Mandibular canine intrusion with the segmented arch technique: A finite element method study.

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Caballero, Giselle Milagros; Carvalho Filho, Osvaldo Abadia de; Hargreaves, Bernardo Oliveira; Brito, Hélio Henrique de Araújo; Magalhães Júnior, Pedro Américo Almeida; Oliveira, Dauro Douglas

2015-06-01

Mandibular canines are anatomically extruded in approximately half of the patients with a deepbite. Although simultaneous orthodontic intrusion of the 6 mandibular anterior teeth is not recommended, a few studies have evaluated individual canine intrusion. Our objectives were to use the finite element method to simulate the segmented intrusion of mandibular canines with a cantilever and to evaluate the effects of different compensatory buccolingual activations. A finite element study of the right quadrant of the mandibular dental arch together with periodontal structures was modeled using SolidWorks software (Dassault Systèmes Americas, Waltham, Mass). After all bony, dental, and periodontal ligament structures from the second molar to the canine were graphically represented, brackets and molar tubes were modeled. Subsequently, a 0.021 × 0.025-in base wire was modeled with stainless steel properties and inserted into the brackets and tubes of the 4 posterior teeth to simulate an anchorage unit. Finally, a 0.017 × 0.025-in cantilever was modeled with titanium-molybdenum alloy properties and inserted into the first molar auxiliary tube. Discretization and boundary conditions of all anatomic structures tested were determined with HyperMesh software (Altair Engineering, Milwaukee, Wis), and compensatory toe-ins of 0°, 4°, 6°, and 8° were simulated with Abaqus software (Dassault Systèmes Americas). The 6° toe-in produced pure intrusion of the canine. The highest amounts of periodontal ligament stress in the anchor segment were observed around the first molar roots. This tooth showed a slight tendency for extrusion and distal crown tipping. Moreover, the different compensatory toe-ins tested did not significantly affect the other posterior teeth. The segmented mechanics simulated in this study may achieve pure mandibular canine intrusion when an adequate amount of compensatory toe-in (6°) is incorporated into the cantilever to prevent buccal and lingual crown

Dynamic scour protection for off-shore wind turbine foundations. Edge scour tests and results

Energy Technology Data Exchange (ETDEWEB)

Kularatne, K.A.S.R.; Sumer, B.M.; Fredsoee, J.

2002-07-01

Sufficient protection cover for the foundation of offshore wind turbines is an essential part in maintaining the stability of the structure. In addition to the danger caused by the flow conditions existing in the sea, a sudden change in the bed topography would definitely cause a greater risk on the stability of a structure. A movement of a sand bank close to the structure could be one of the common examples of that kind. Therefore, the main objective of the present study is to investigate the scour process at the tip of a scour protection for an offshore wind turbine foundation under a steady uniform flow parallel to the structure, while a sand bank is moving close by. The physical model of a scour protection for an offshore wind turbine foundation, which forms basis for this report, was constructed in the 23m long, 2m wide and 0.5m deep steady flow fume of ISVA, Technical University of Denmark. The processes of scouring and settlement of stones mainly close to the tip of the protection layer were monitored under number of different flow and bottom conditions such as flow velocity (Shields parameter), slope of the sand bank, number of scour protection layers and different lateral slopes of the sand bank. All the tests were conducted under live-bed conditions. After 10 different tests, the following conclusions were reached: 1. Formation of horseshoe vortex in front of the scour protection layer and the contraction of streamlines due to the obstruction caused by the scour protection were identified as the major mechanisms of scour causing instability of stones, 2. When a lateral slope was present, on top of the two major mechanisms the scouring originated from the toe of the lateral slope too apparently propagated towards the joint between the sand bed and the scour protection, 3. The maximum scour depth normalized by the stone size (S/D) found increase with the Shields parameter but for higher values of Shields parameter it becomes pronounced, 4. The slope of the

The Effect of Foot Structure on Locomotion of a Small Biped Robot

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Nguyen Tinh

2017-01-01

Full Text Available This paper is a presentation of a work that consists of considering a novel foot structure for biped robot inspired by human foot. The specific objective is to develop a foot mechanism with human-like toes for a small biped robot. The chosen architecture to present the biped includes ten degrees of freedom (DoF on ten articulations between eleven links. Our study considers the effect of varying foot structure on a walking process of the robot in simulation by ADAMS (MSC software, USA through gait generation method. In toe mechanism, aiming to reduce the energy consumption, the passive joint was selected as the toe joint. The center of gravity (CoG point trajectories of the robot with varying toe is compared with each other in normal motion on flat terrain to determine the most consistent toe mechanism. The result shows that the selected foot structure enables the robot to walk stably and naturally.

Broilers'toes asymmetry and walking ability assessment Assimetria dos pés de frangos de corte e medida de habilidade locomotora

Directory of Open Access Journals (Sweden)

Irenilza de A. Nääs

2009-01-01

Full Text Available Brazilian poultry production nowadays occupies important position in world's economy due to its technological advancement, which associated to the development of genetic strains of high growth may cause deviation in the growth rate and harm production. Morphological asymmetry has been pointed as an indicator of welfare, as maintained the pattern that leads to balance, the broiler chicken would have its normal locomotion characteristics, freely reaching water and feed. Thus, the objective of this research was to verify the possibility of using morphological asymmetry for evaluating walking ability of broiler chicken. The research was done in the Technology Center, at UNICAMP. The experiment was made using biomechanics analysis and following, the toes were measured. Results found did not show asymmetry useful for determining the locomotion ability of broiler chicken. New studies are recommended in order to search for other correlations that might help to estimate at field level, the locomotion difficulties of broiler chicken.A avicultura brasileira ocupa hoje importante posto na economia mundial devido ao seu avanço tecnológico que, associado ao desenvolvimento de linhagens genéticas de alta conformidade, pode comprometer o bem-estar animal, causar desvios de crescimento e prejudicar a produção. A assimetria morfológica tem sido apontada como indicador de bem-estar em aves, uma vez que, mantido esse padrão que propicia equilíbrio, o frango teria suas características de locomoção de maneira normal, acessando livremente água e comida. O objetivo desta pesquisa foi verificar a possibilidade de utilizar assimetria morfológica para avaliar a habilidade locomotora de frangos de corte. O trabalho foi realizado no Centro de Tecnologia, UNICAMP. O experimento foi realizado utilizando análise biomecânica e, em seguida, os dedos dos pés foram medidos. Os resultados encontrados não apontaram que a assimetria pode ser utilizada para a

Measuring Claw Conformation in Cattle: Assessing the Agreement between Manual and Digital Measurement

Directory of Open Access Journals (Sweden)

Linda J. Laven

2015-08-01

Full Text Available Five measurements of claw conformation (toe angle, claw height, claw width, toe length and abaxial groove length taken directly from the hoof were compared with the measurements taken from digital images of the same claws. Concordance correlation coefficients and limits-of-agreement analysis showed that, for four of the five measures (claw height, claw width, toe length and abaxial groove length, agreement was too poor for digital and manual measures to be used interchangeably. For all four of these measures, Liao’s modified concordance correlation coefficient (mCCC was ≤0.4, indicating poor concordance despite Pearson’s correlation being >0.6 in all cases. The worst concordance was seen for toe length (mCCC = 0.13. Limits-of-agreement analysis showed that, for all four measures, there was a large variation in the difference between the manual and digital methods, even when the effect of mean on difference was accounted for, with the 95% limits-of-agreement for the four measures being further away from the mean difference than 10% of the mean in all four cases. The only one of the five measures with an acceptable concordance between digital and manual measurement was toe angle (mCCC = 0.81. Nevertheless, the limits-of-agreement analysis showed that there was a systematic bias with, on average, the manual measure of toe angle, being 2.1° smaller than the digital. The 95% limits-of-agreement for toe angle were ±3.4°, probably at the upper limit of what is acceptable. However, the lack of data on the variability of individual measurements of claw conformation means that it is unclear how this variability compares to measurement of toe angle in the same animal using the same or a different manual technique.

Plantar pressure distribution of ostrich during locomotion on loose sand and solid ground

Directory of Open Access Journals (Sweden)

Rui Zhang

2017-07-01

Full Text Available Background The ostrich is a cursorial bird with extraordinary speed and endurance, especially in the desert, and thus is an ideal large-scale animal model for mechanic study of locomotion on granular substrate. Methods The plantar pressure distributions of ostriches walking/running on loose sand/solid ground were recorded using a dynamic pressure plate. Results The center of pressure (COP on loose sand mostly originated from the middle of the 3rd toe, which differed from the J-shaped COP trajectory on solid ground. At mid-stance, a high-pressure region was observed in the middle of the 3rd toe on loose sand, but three high-pressure regions were found on solid ground. The gait mode significantly affected the peak pressures of the 3rd and 4th toes (p = 1.5 × 10−6 and 2.39 × 10−8, respectively, but not that of the claw (p = 0.041. The effects of substrate were similar to those of the gait mode. Discussion Ground reaction force trials of each functional part showed the 3rd toe bore more body loads and the 4th toe undertook less loads. The pressure distributions suggest balance maintenance on loose sand was provided by the 3rd and 4th toes and the angle between their length axes. On loose sand, the middle of the 3rd toe was the first to touch the sand with a smaller attack angle to maximize the ground reaction force, but on solid ground, the lateral part was the first to touch the ground to minimize the transient loading. At push-off, the ostrich used solidification properties of granular sand under the compression of the 3rd toe to generate sufficient traction.

Application of Reliability in Breakwater Design

DEFF Research Database (Denmark)

Christiani, Erik

methods to design certain types of breakwaters. Reliability analyses of the main armour and toe berm interaction is exemplified to show the effect of a multiple set of failure mechanisms. First the limit state equations of the main armour and toe interaction are derived from laboratory tests performed...... response, but in one area information has been lacking; bearing capacity has not been treated in depth in a probabilistic manner for breakwaters. Reliability analysis of conventional rubble mound breakwaters and conventional vertical breakwaters is exemplified for the purpose of establishing new ways...... by Bologna University. Thereafter a multiple system of failure for the interaction is established. Relevant stochastic parameters are characterized prior to the reliability evaluation. Application of reliability in crown wall design is illustrated by deriving relevant single foundation failure modes...

Neuroprosthetics and Solutions for Restoring Sensorimotor Functions

Science.gov (United States)

2009-01-01

in the stab wound control (A, C) and the 1-week implantation of the electrode (B, D). Striking neurofilament loss occurred surrounding both the stab...force. (Like in heel strike and toe of in normal gait cycle). (B) The Proof Test is a static test for foot ankle unit in which maximum load is...applied on heel and forefoot in one single time successively. Project 1. Develop a somatosensory neural interface (SSNI) -Completed pilot testing of

Guidelines for transoesophageal echocardiographic probe cleaning and disinfection from the British Society of Echocardiography.

Science.gov (United States)

Kanagala, P; Bradley, C; Hoffman, P; Steeds, R P

2011-10-01

The clinical utility of transoesophageal echocardiography (TOE) is well established. Being a semi-invasive procedure, however, the potential for transmission of infection between sequential patients exists. This has implications for the protection of both patients and medical staff. Guidelines for disinfection during gastrointestinal endoscopy (GIE) have been in place for many years.(1,2) Unfortunately, similar guidance is lacking with respect to TOE. Although traversing the same body cavities and sharing many similarities with upper GIE, there are fundamental structural and procedural differences with TOE which merit special consideration in establishing a decontamination protocol. This document provides recommendations for TOE probe decontamination based on the available evidence, expert opinion, and modification of the current British Society of Gastroenterology guidelines.

Field Tests to Investigate the Penetration Rate of Piles Driven by Vibratory Installation

Directory of Open Access Journals (Sweden)

Zhaohui Qin

2017-01-01

Full Text Available Factors directly affecting the penetration rate of piles installed by vibratory driving technique are summarized and classified into seven aspects which are driving force, resistance, vibratory amplitude, energy consumption, speeding up at the beginning, pile plumbness keeping, and slowing down at the end, from the mechanism and engineering practice of the vibratory pile driving. In order to find out how these factors affect the penetration rate of the pile in three major actors of vibratory pile driving: (i the pile to be driven, (ii the selected driving system, and (iii the imposed soil conditions, field tests on steel sheet piles driven by vibratory driving technique in different soil conditions are conducted. The penetration rates of three different sheet pile types having up to four different lengths installed using two different vibratory driving systems are documented. Piles with different lengths and types driven with or without clutch have different penetration rates. The working parameters of vibratory hammer, such as driving force and vibratory amplitude, have great influences on the penetration rate of the pile, especially at the later stages of the sinking process. Penetration rate of piles driven in different soil conditions is uniform because of the different penetration resistance including shaft friction and toe resistance.

A simplified model for TIG-dressing numerical simulation

Science.gov (United States)

Ferro, P.; Berto, F.; James, M. N.

2017-04-01

Irrespective of the mechanical properties of the alloy to be welded, the fatigue strength of welded joints is primarily controlled by the stress concentration associated with the weld toe or weld root. In order to reduce the effects of such notch defects in welds, which are influenced by tensile properties of the alloy, post-weld improvement techniques have been developed. The two most commonly used techniques are weld toe grinding and TIG dressing, which are intended to both remove toe defects such as non-metallic intrusions and to re-profile the weld toe region to give a lower stress concentration. In the case of TIG dressing the weld toe is re-melted to provide a smoother transition between the plate and the weld crown and to beneficially modify the residual stress redistribution. Assessing the changes to weld stress state arising from TIG-dressing is most easily accomplished through a complex numerical simulation that requires coupled thermo-fluid dynamics and solid mechanics. However, this can be expensive in terms of computational cost and time needed to reach a solution. The present paper therefore proposes a simplified numerical model that overcomes such drawbacks and which simulates the remelted toe region by means of the activation and deactivation of elements in the numerical model.

FY 2000 report on the basic survey to promote Joint Implementation, etc. Survey on the energy conservation of the Lianyuan Iron and Steel Group Complex, China; 2000 nendo kyodo jisshi nado suishin kiso chosa hokokusho. Lianyuan tekko sho energy chosa

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

For the purpose of conserving energy and reducing greenhouse effect gas emission, a feasibility study was carried out of the installation of energy conservation facilities at the steelworks of Lianyuan Iron and Steel Group Complex, Loudi City, Hunan Province, China. The installation of the following facilities was studied: coke dry quenching (CDQ) equipment, coal moisture control (CMC) equipment, sintering ignition furnace equipment, cooler exhaust heat recovery equipment, top pressure recovery turbine (TRT), and hot stove exhaust heat recovery equipment. As a result of the study, the energy conservation amount was 20,000 toe/y by CDQ, 2,530 toe/y by CMC, 900 toe/y by improvement of ignition furnace in the sintering process, 12,300 toe/y by sintering cooler, 13,200 toe/y by TRT, and 10,300 toe/y by hot stove exhaust heat recovery equipment. Further, the amount of greenhouse effect gas reduction was 61,022 t-CO2/y, 7,843 t-CO2/y, 2,896 t-CO2/y, 38,060 t-CO2/y, 55,295 t-CO2/y, and 40,621 t-CO2/y, respectively. In the estimation of effects vs. expenses, the sintering ignition furnace, sintering cooler exhaust heat recovery, and hot stove exhaust heat recovery indicated the comparatively favorable values. (NEDO)

Basic feasibility study on energy conservation at Lianyuan Iron and Steel Group Co., Ltd.

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

For the purpose of conserving energy and reducing greenhouse effect gas emission, a feasibility study was carried out of the installation of energy conservation facilities at the steelworks of Lianyuan Iron and Steel Group Complex, Loudi City, Hunan Province, China. The installation of the following facilities was studied: coke dry quenching (CDQ) equipment, coal moisture control (CMC) equipment, sintering ignition furnace equipment, cooler exhaust heat recovery equipment, top pressure recovery turbine (TRT), and hot stove exhaust heat recovery equipment. As a result of the study, the energy conservation amount was 20,000 toe/y by CDQ, 2,530 toe/y by CMC, 900 toe/y by improvement of ignition furnace in the sintering process, 12,300 toe/y by sintering cooler, 13,200 toe/y by TRT, and 10,300 toe/y by hot stove exhaust heat recovery equipment. Further, the amount of greenhouse effect gas reduction was 61,022 t-CO2/y, 7,843 t-CO2/y, 2,896 t-CO2/y, 38,060 t-CO2/y, 55,295 t-CO2/y, and 40,621 t-CO2/y, respectively. In the estimation of effects vs. expenses, the sintering ignition furnace, sintering cooler exhaust heat recovery, and hot stove exhaust heat recovery indicated the comparatively favorable values. (NEDO)

Collection, Processing and Accuracy of Mobile Terrestrial Lidar Survey Data in the Coastal Environment

Science.gov (United States)

2017-04-01

is built from sequential two-dimensional linescans. A typical survey will start with the vehicle positioned parallel to the dune near the dune toe ...these maps to assess where wave runup impacted the foreshore, upper beach, and dune toe , as well as areas where aeolian transport has deposited...the lidar data. These techniques can be expanded to calculate beach/berm widths, slopes, and dune toe and dune crest positions. ERDC/CHL TR-17-5 27

First Year Sedimentological Characteristics and Morphological Evolution of an Artificial Berm at Fort Myers Beach, Florida

Science.gov (United States)

2011-06-17

collected in the berm area. In the control areas, surface sediment samples were taken at approximately the toe of the dune (where present...In the berm area, surface sediment samples were taken at approximately the toe of the dune (where 29   present), backbeach, high tide line, mean...samples were taken at approximately the toe of the dune (where present), backbeach, high tide line, mean sea level, low tide line, 2 ft water depth

Use of the CHA2DS2VASc score to reduce utilisation of transoesophageal echocardiography prior to ablation for atrial fibrillation

Directory of Open Access Journals (Sweden)

Charlotte Atkinson

2017-10-01

Full Text Available Transoesophageal echocardiography (TOE is frequently performed prior to atrial fibrillation (AF ablation to exclude left atrial appendage (LAA thrombus. However, patients undergoing AF ablation are usually anticoagulated, thus making the presence of thrombus unlikely in most cases. This study aimed to determine whether the CHA2DS2VASc scoring system can be used to identify patients that do not require TOE prior to AF ablation. In this single-centre retrospective study, local institutional and primary care databases and electronic patient records were searched to identify patients that had undergone TOE prior to AF ablation. Patient demographics, CHA2DS2VASc score, TOE findings and anticoagulation status were collected for analysis. Over a 7-year period (2008–2014, 332 patients (age 57 ± 10 years; 74% male underwent TOE prior to proposed AF ablation. CHA2DS2VASc scores of 0, 1, 2 and >2 were found in 39, 34, 15 and 12% of patients, respectively. The prevalence of LAA thrombus was 0.6% (2 patients and these 2 patients had risk scores of 2 and 4. No patients with a score of 0 or 1 had LAA thrombus. Patients that are classed as low risk by the CHA2DS2VASc score do not require a pre-ablation TOE to screen for LAA thrombus provided they are adequately anticoagulated. This would lead to a significant reduction in health care expenditures by reducing unnecessary TOE requests and thereby improve patient experience.

[Relationship between vibratory sense threshold and blood lead concentration in ceramic color workers and transfer printing manufacturers].

Science.gov (United States)

Fukaya, Y; Matsumoto, T; Fujiwara, N; Tokudome, S

1995-08-01

We measured vibratory sense thresholds (VSTs) at 63Hz and 125Hz on the third fingertip of the right hand and on the third toe of the right foot of 74 male workers. The subjects were workers engaged in manufacturing ceramic color and transfer printing paper, whose blood lead (Pb-B) levels were 2-58 micrograms/dl. They were divided into three groups according to the Pb-B levels, namely, below 9, 10-19, and 20 micrograms/dl or more. For statistical analysis, simple and partial correlations, and Scheffé's multiple comparison between the least squares means were used. The VSTs on the fingertip as well as on the toe showed a significant correlation with age. The VSTs at 125Hz on the fingertip were also significantly correlated with alcohol consumption and cigarette smoking. Controlling for age, systolic blood pressure, alcohol consumption and smoking habit, a significant dose-effect relationship was observed between the VSTs at not only 63Hz but at 125Hz on the fingertip, and each of the corresponding Pb-B levels. A similar tendency was also observed at the two frequencies on the toe. The measurement of VSTs was considered to be an effective screening test for sensory nerve disorders caused by lead poisoning.

The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis

Directory of Open Access Journals (Sweden)

Rojas-Villarraga Adriana

2009-06-01

Full Text Available Abstract Background Alterations in the feet of patients with rheumatoid arthritis (RA are a cause of disability in this population. The purpose of this research was to evaluate the impact that foot impairment has on the patients' global quality of life (QOL based on validated scales and its relationship to disease activity. Methods This was a cross-sectional study in which 95 patients with RA were enrolled. A complete physical examination, including a full foot assessment, was done. The Spanish versions of the Health Assessment Questionnaire (HAQ Disability Index and of the Disease Activity Score (DAS 28 were administered. A logistic regression model was used to analyze data and obtain adjusted odds ratios (AORs. Results Foot deformities were observed in 78 (82% of the patients; hallux valgus (65%, medial longitudinal arch flattening (42%, claw toe (lesser toes (39%, dorsiflexion restriction (tibiotalar (34%, cock-up toe (lesser toes (25%, and transverse arch flattening (25% were the most frequent. In the logistic regression analysis (adjusted for age, gender and duration of disease, forefoot movement pain, subtalar movement pain, tibiotalar movement pain and plantarflexion restriction (tibiotalar were strongly associated with disease activity and disability. The positive squeeze test was significantly associated with disability risk (AOR = 6,3; 95% CI, 1.28–30.96; P = 0,02; hallux valgus, and dorsiflexion restriction (tibiotalar were associated with disease activity. Conclusion Foot abnormalities are associated with active joint disease and disability in RA. Foot examinations provide complementary information related to the disability as an indirect measurement of quality of life and activity of disease in daily practice.

A fluctuation method to calculate the third order elastic constants in crystalline solids

Energy Technology Data Exchange (ETDEWEB)

Chen, Zimu [School of Materials Science and Engineering, Beihang University, Beijing 100191 (China); Qu, Jianmin, E-mail: j-qu@northwestern.edu [Department of Civil and Environmental Engineering, Department of Mechanical Engineering, Northwestern University, Evanston, Illinois 60208 (United States)

2015-05-28

This paper derives exact expressions of the isothermal third order elastic constants (TOE) in crystalline solids in terms of the kinetic and potential energies of the system. These expressions reveal that the TOE constants consist of a Born component and a relaxation component. The Born component is simply the third derivative of the system's potential energy with respect to the deformation, while the relaxation component is related to the non-uniform rearrangements of the atoms when the system is subject to a macroscopic deformation. Further, based on the general expressions derived here, a direct (fluctuation) method of computing the isothermal TOE constants is developed. Numerical examples of using this fluctuation method are given to compute the TOE constants of single crystal iron.

Point Judith, Rhode Island, Breakwater Risk Assessment

Science.gov (United States)

2015-08-01

output stations. Beach zones considered included the sandy beach to the west side of the HoR, which had significant dune features and was fronting...time dependency for crest height and wave parameters is assumed, hc = total damaged crest height of structure from toe , Lp is the local wave length...computed using linear wave theory and Tp, h is the toe depth, hc’ = total undamaged crest height of structure from toe , At = area of structure enclosed

Coastal Foredune Evolution, Part 1: Environmental Factors and Forcing Processes Affecting Morphological Evolution

Science.gov (United States)

2017-02-01

morphological features on the dune , such as its toe or crest (e.g., Sallenger 2000), bringing waves into contact with different portions of the dune ...responses (Sallenger 2000). When total storm water levels are above the dune toe but lower than the dune crest, wave bores and swash collide with the dune ...Depending on the magnitude of sequential wave runups, this slump block is then eroded away or remains at the toe of the dune , effectively increasing the

Performance Monitoring of a Nearshore Berm at Ft. Myers Beach, Florida

Science.gov (United States)

2013-08-01

Figure 14. Establishing a temporary benchmark. ERDC/CHL TR-13-11 28 Visually estimated vegetation/ toe -of- dune line, MHHW line (identified...sediment samples were taken at the toe of the dune (where present), backbeach, high tide line, mean sea level, low tide line, and then at approximately...2-ft, 4-ft, 6-ft, and 8-ft water depths. In the berm area, surface sediment samples were taken at the toe of the dune (where present), backbeach

Minimal distal pressure rise after reconstructive arterial surgery in patients with multiple obstructive arteriosclerosis

DEFF Research Database (Denmark)

Noer, Ivan; Tønnesen, K H; Sager, P

1980-01-01

fifteen had ischemic ulcers. The preoperative median pressure index (per cent of arm systolic pressure) was 10% on the 1st toe. At the 10th postoperative day the median toe pressure rose to 25%. A further rise took place at the one month control to 30% which was unchanged throughout the study. All...... patients with a persistent postoperative toe pressure above 20% of arm systolic pressure were ultimately relieved from rest pain and chronic ulcers....

Morphometric magnetic resonance imaging and genetic testing in cerebellar abiotrophy in Arabian horses

Science.gov (United States)

2013-01-01

Background Cerebellar abiotrophy (CA) is a rare but significant disease in Arabian horses caused by progressive death of the Purkinje cells resulting in cerebellar ataxia characterized by a typical head tremor, jerky head movements and lack of menace response. The specific role of magnetic resonance imaging (MRI) to support clinical diagnosis has been discussed. However, as yet MR imaging has only been described in one equine CA case. The role of MR morphometry in this regard is currently unknown. Due to the hereditary nature of the disease, genetic testing can support the diagnosis of CA. Therefore, the objective of this study was to perform MR morphometric analysis and genetic testing in four CA-affected Arabian horses and one German Riding Pony with purebred Arabian bloodlines in the third generation. Results CA was diagnosed pathohistologically in the five affected horses (2 months - 3 years) supported by clinical signs, necropsy, and genetic testing which confirmed the TOE1:g.2171G>A SNP genotype A/A in all CA-affected horses. On MR images morphometric analysis of the relative cerebellar size and relative cerebellar cerebrospinal fluid (CSF) space were compared to control images of 15 unaffected horses. It was demonstrated that in MR morphometric analyses, CA affected horses displayed a relatively smaller cerebellum compared to the entire brain mass than control animals (P = 0.0088). The relative cerebellar CSF space was larger in affected horses (P = 0.0017). Using a cut off value of 11.0% for relative cerebellar CSF space, the parameter differentiated between CA-affected horses and controls with a sensitivity of 100% and a specificity of 93.3%. Conclusions In conclusion, morphometric MRI and genetic analysis could be helpful to support the diagnosis of CA in vivo. PMID:23702154

Emergency medical support for a manned stratospheric balloon test program.

Science.gov (United States)

Blue, Rebecca S; Norton, Sean C; Law, Jennifer; Pattarini, James M; Antonsen, Erik L; Garbino, Alejandro; Clark, Jonathan B; Turney, Matthew W

2014-10-01

Red Bull Stratos was a commercial program that brought a test parachutist, protected by a full-pressure suit, in a stratospheric balloon with pressurized capsule to over 127,582 ft (38,969 m), from which he free fell and subsequently parachuted to the ground. Given that the major risks to the parachutist included ebullism, negative Gz (toe-to-head) acceleration exposure from an uncontrolled flat spin, and trauma, a comprehensive plan was developed to recover the parachutist under nominal conditions and to respond to any medical contingencies that might have arisen. In this report, the project medical team describes the experience of providing emergency medical support and crew recovery for the manned balloon flights of the program. The phases of flight, associated risks, and available resources were systematically evaluated. Six distinct phases of flight from an Emergency Medical Services (EMS) standpoint were identified. A Medical Support Plan was developed to address the risks associated with each phase, encompassing personnel, equipment, procedures, and communications. Despite geographical, communications, and resource limitations, the medical team was able to implement the Medical Support Plan, enabling multiple successful manned balloon flights to 71,615 ft (21,828 m), 97,221 ft (29,610 m), and 127,582 ft (38,969 m). The experience allowed refinement of the EMS and crew recovery procedures for each successive flight and could be applied to other high altitude or commercial space ventures.

Exploring Topsnut-Graphical Passwords by Twin Odd-elegant Trees

Directory of Open Access Journals (Sweden)

Wang Hong-yu

2017-01-01

Full Text Available Graphical passwords are facing a good opportunity as 2-dimension codes are accepted by many people, since it has been applied in mobile devices, electronic equipments with touch screen, and so on. QR codes can be considered as a type of graphical passwords. Topsnut-graphical password differs from the existing graphical passwords, and has been investigated and developed. In this article, a new type of Topsnut-graphical passwords has been designed by technique of graph theory, called twin odd-elegant labelling. We make the twin odd-elegant graphs for one-key vs two or more locks (conversely, one-lock vs two or more keys. These Topsnut-GPWs show perfect matching characteristics of locks (TOE-lock-models and keys (TOE-key-models. We show examples for testing our methods which can be easily transformed into effective algorithms.

Application of self-balanced loading test to socketed pile in weak rock

Science.gov (United States)

Cheng, Ye; Gong, Weiming; Dai, Guoliang; Wu, JingKun

2008-11-01

Method of self-balanced loading test differs from the traditional methods of pile test. The key equipment of the test is a cell. The cell specially designed is used to exert load which is placed in pile body. During the test, displacement values of the top plate and the bottom plate of the cell are recorded according to every level of load. So Q-S curves can be obtained. In terms of test results, the bearing capacity of pile can be judged. Equipments of the test are simply and cost of it is low. Under some special conditions, the method will take a great advantage. In Guangxi Province, tertiary mudstone distributes widely which is typical weak rock. It is usually chosen as the bearing stratum of pile foundation. In order to make full use of its high bearing capacity, pile is generally designed as belled pile. Foundations of two high-rise buildings which are close to each other are made up of belled socketed piles in weak rock. To obtain the bearing capacity of the belled socketed pile in weak rock, loading test in situ should be taken since it is not reasonable that experimental compression strength of the mudstone is used for design. The self-balanced loading test was applied to eight piles of two buildings. To get the best test effect, the assembly of cell should be taken different modes in terms of the depth that pile socketed in rock and the dimension of the enlarged toe. The assembly of cells had been taken three modes, and tests were carried on successfully. By the self-balanced loading test, the large bearing capacities of belled socketed piles were obtained. Several key parameters required in design were achieved from the tests. For the data of tests had been analyzed, the bearing performance of pile tip, pile side and whole pile was revealed. It is further realized that the bearing capacity of belled socketed pile in the mudstone will decrease after the mudstone it socketed in has been immerged. Among kinds of mineral ingredient in the mudstone

Epidemiology of Shoe Wearing Patterns Over Time in Older Women: Associations With Foot Pain and Hallux Valgus.

Science.gov (United States)

Menz, Hylton B; Roddy, Edward; Marshall, Michelle; Thomas, Martin J; Rathod, Trishna; Peat, George M; Croft, Peter R

2016-12-01

Foot problems are prevalent in older women and are thought to be associated with footwear. This study examined women's shoe wearing patterns over time and evaluated associations between footwear characteristics and foot pain and hallux valgus. Women aged 50-89 years (n = 2,627) completed a survey that included drawings of four toe-box shapes and four heel heights. For each life decade, participants indicated which footwear style they wore most of the time. Foot pain in the past 12 months and hallux valgus were documented by self-report. Logistic regression examined associations between heel height, toe-box shape, foot pain and hallux valgus. Wearing shoes with a high heel and very narrow toe box between the ages of 20 and 29 was common, but decreased to less than 10% by the age of 40. Compared with women who had worn shoes with a very wide toe box, the likelihood of hallux valgus increased in those who had worn shoes with a wide (odds ratio [OR] 1.96, 95% CI 1.03-3.71), narrow (2.39, 1.29-4.42) and very narrow (2.70, 1.46-5.00) toe box between the ages of 20 and 29 and those who wore shoes with a very narrow toe box (1.93, 1.10-3.39) between the ages of 30 and 39. Women wear shoes with a lower heel and broader toe box as they age. Wearing constrictive footwear between the ages of 20 and 39 may be critical for developing hallux valgus in later life. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America.

Dune Erosion Models and Swash Zone Kinematics from Remote Video Observations

Science.gov (United States)

2010-12-09

system. Thus, successful prediction of dune erosion requires knowledge of the expected trajectory of the eroding dune toe . If we describe the... dune toe trajectory as following a slope, βT, two end member retreat trajectories exist. The first would be direct landward erosion so that zb never...changes     0 0   T bb ztz  (2.24) The second end member trajectory is that erosion moves the dune toe directly up the foreshore slope

A test of the universal applicability of a commonly used principle of hoof balance.

Science.gov (United States)

Caldwell, M N; Allan, L A; Pinchbeck, G L; Clegg, P D; Kissick, K E; Milner, P I

2016-01-01

This study used a UK trimming protocol to determine whether hoof balance is achieved (as defined by equivalence of geometric proportions) in cadaver limbs (n = 49) and two cohorts of horses (shod, n = 6, and unshod, n = 20; three trimming cycles). To determine equivalence, dorsal hoof wall length (DHWL), distance from the heel buttress to the centre of pressure (HBUT-COP) and distance from dorsal toe to centre of rotation (DT-COR) were calculated as a proportion of bearing border length (BBL) using digital photography. Geometric proportions were tested using Fieller's test of equivalence with limits of difference of 2.8%. In 22 cadaver limbs the location of external COR and COP was also mapped radiographically to the extensor process of the third phalanx and the centre of rotation of the distal interphalangeal joint. Equivalence of geometric proportions was not present following trimming in cadaver limbs or in the two cohorts. Although the dorsal hoof wall to heel wall ratio improved in cadaver and unshod horses after trimming, dorsal hoof wall and lateral heel parallelism was absent in all groups and COP was not consistently in line with the extensor process. Increased COP-COR distance occurred in shod horses and may relate to solar arch flattening. Palmar heel migration, however, occurred more in unshod horses. The study shows that equivalence of geometric proportions as a measure of static hoof balance was not commonly present and widely published measures and ratios of hoof balance rarely occurred in this sample population of horses. Copyright © 2015 Elsevier Ltd. All rights reserved.

Common Childhood Orthopedic Conditions

Science.gov (United States)

... Parents Parents site Sitio para padres General Health Growth & Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & ... pain. Toe Walking Toe walking is common among toddlers as they learn to walk, especially during the ...

Variability and correlations of shoreline and dunes on the southern Baltic coast (CRS Lubiatowo, Poland)

OpenAIRE

Zbigniew Pruszak; Rafal Ostrowski; Jan Schönhofer

2011-01-01

The paper analyses the results of field investigations into the evolution of the shoreline and dune toe positions in a multi-bar,dissipative coastal zone. The correlations between the changes in the shoreline and the dune toe range from -0.4 to 0.8. It is most often the case that the dune toe is stable while the shoreline moves. Consistent cross-shore migration is slightly more likelyto happen than the divergent or convergent movements of both lines. Shoreline retreat and advance attain resp...

Pilot Sensorimotor and Cardiovascular Results from the Joint Russian/U.S. Field Test

Science.gov (United States)

Reschke, M. F.; Kozlovskaya, I. B.; Kofman, I. S.; Tomilovskya, E. S.; Cerisano, J. M.; Bloomberg, J. J.; Stenger, M. B.; Platts, S. H.; Rukavishnikov, I. V.; Fomina, E. V.;

A biomechanical analysis of point of failure during lateral-row tensioning in transosseous-equivalent rotator cuff repair.

Science.gov (United States)

Dierckman, Brian D; Goldstein, Jordan L; Hammond, Kyle E; Karas, Spero G

2012-01-01

The purpose of this study was to determine the maximum load and point of failure of the construct during tensioning of the lateral row of a transosseous-equivalent (TOE) rotator cuff repair. In 6 fresh-frozen human shoulders, a TOE rotator cuff repair was performed, with 1 suture from each medial anchor passed through the tendon and tied in a horizontal mattress pattern. One of 2 limbs from each of 2 medial anchors was pulled laterally over the tendon. After preparation of the lateral bone for anchor placement, the 2 limbs were passed through the polyether ether ketone (PEEK) eyelet of a knotless anchor and tied to a tensiometer. The lateral anchor was placed into the prepared bone tunnel but not fully seated. Tensioning of the lateral-row repair was simulated by pulling the tensiometer to tighten the suture limbs as they passed through the eyelet of the knotless anchor. The mode of failure and maximum tension were recorded. The procedure was then repeated for the second lateral-row anchor. The mean load to failure during lateral-row placement in the TOE model was 80.8 ± 21.0 N (median, 83 N; range, 27.2 to 115.8 N). There was no statistically significant difference between load to failure during lateral-row tensioning for the anterior and posterior anchors (P = .84). Each of the 12 constructs failed at the eyelet of the lateral anchor. Retrieval analysis showed no failure of the medial anchors, no medial suture cutout through the rotator cuff tendon, and no signs of gapping at the repair site. Our results suggest that the medial-row repair does not appear vulnerable during tensioning of the lateral row of a TOE rotator cuff repair with the implants tested. However, surgeons should exercise caution when tensioning the lateral row, especially when lateral-row anchors with PEEK eyelets are implemented. For this repair construct, the findings suggest that although the medial row is not vulnerable during lateral-row tensioning of a TOE rotator cuff repair, lateral

Evolution of peripheral vs metabolic perfusion parameters during septic shock resuscitation. A clinical-physiologic study

NARCIS (Netherlands)

Hernandez, Glenn; Pedreros, Cesar; Veas, Enrique; Bruhn, Alejandro; Romero, Carlos; Rovegno, Maximiliano; Neira, Rodolfo; Bravo, Sebastian; Castro, Ricardo; Kattan, Eduardo; Ince, Can

2012-01-01

Purpose: Perfusion assessment during septic shock resuscitation is difficult and usually complex determinations. Capillary refill time (CRT) and central-to-toe temperature difference (Tc-toe) have been proposed as objective reproducible parameters to evaluate peripheral perfusion. The comparative

Pfeiffer syndrome

Directory of Open Access Journals (Sweden)

Fryns Jean-Pierre

2006-06-01

Full Text Available Abstract Pfeiffer syndrome is a rare autosomal dominantly inherited disorder that associates craniosynostosis, broad and deviated thumbs and big toes, and partial syndactyly on hands and feet. Hydrocephaly may be found occasionally, along with severe ocular proptosis, ankylosed elbows, abnormal viscera, and slow development. Based on the severity of the phenotype, Pfeiffer syndrome is divided into three clinical subtypes. Type 1 "classic" Pfeiffer syndrome involves individuals with mild manifestations including brachycephaly, midface hypoplasia and finger and toe abnormalities; it is associated with normal intelligence and generally good outcome. Type 2 consists of cloverleaf skull, extreme proptosis, finger and toe abnormalities, elbow ankylosis or synostosis, developmental delay and neurological complications. Type 3 is similar to type 2 but without a cloverleaf skull. Clinical overlap between the three types may occur. Pfeiffer syndrome affects about 1 in 100,000 individuals. The disorder can be caused by mutations in the fibroblast growth factor receptor genes FGFR-1 or FGFR-2. Pfeiffer syndrome can be diagnosed prenatally by sonography showing craniosynostosis, hypertelorism with proptosis, and broad thumb, or molecularly if it concerns a recurrence and the causative mutation was found. Molecular genetic testing is important to confirm the diagnosis. Management includes multiple-staged surgery of craniosynostosis. Midfacial surgery is performed to reduce the exophthalmos and the midfacial hypoplasia.

Sensorimotor Results from the Joint NASA and Russian Pilot Field Test

Science.gov (United States)

Reschke, Millard; Kozlovskaya, I. B.; Kofman, I. S.; Tomilovskaya, E. S.; Cerisano, J. M.; Bloomberg, J. J.; Stenger, M. B.; Lee, S. M. C.; Laurie, S. S.; Rukavishnikov, I. V.;

Developing health economic models of chronic diseases for reimbursement purposes

NARCIS (Netherlands)

Heeg, Bartele Marten Sybrens

2015-01-01

De bevolking van Nederland en andere Europese landen vergrijsd. Hierdoor neemt het aantal mensen met chronische ziekten, die vaak chronische medicatie nodig hebben, toe. Nieuwe geneesmiddelen, diagnostische testen en medische hulpmiddelen zijn vaak effectiever dan de tot dan toe beschikbare

29 CFR 1915.152 - General requirements.

Science.gov (United States)

2010-07-01

... protective footwear (including steel-toe shoes or steel-toe boots) and non-specialty prescription safety... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment...

Reliability and fall experience discrimination of Cross Step Moving on Four Spots Test in the elderly.

Science.gov (United States)

Yamaji, Shunsuke; Demura, Shinichi

2013-07-01

To examine the reliability and fall experience discrimination of the Cross Step Moving on Four Spots Test (CSFT) and the relationship between CSFT and fall-related physical function. The reliability of the CSFT was examined in a test-retest format with the same tester. Fall history, fall risk, fear of falling, activities of daily living (ADL), and various physical parameters were measured for all participants. A community center and university medical school. Elderly community-dwelling subjects (N=533; 62 men, 471 women) aged 65 to 94 years living independently. Not applicable. Time to complete all the CSFT steps required, fall risk score, ADL score, and fall-related physical function (isometric muscle strength: toe grip, plantar flexion, knee extension, hip flexion, hand grip; balance: 1-leg standing time with eyes open, functional reach test using an elastic stick; and gait: 10-m maximal walking speed). The trial-to-trial reliability test indicated good reliability of the CSFT in both sexes (intraclass correlation coefficient =.833 in men, .825 in women). However, trial-to-trial errors increased with an increase in the CSFT values in both sexes. Significant correlations were observed between the CSFT values and scores for most fall-related physical function tests in both sexes. However, the correlation coefficient for all significant correlations was fall experience) revealed that the fall experience is a significant factor affecting CSFT values; values in fallers were significantly lower than those in nonfallers. The odds ratios in logistic regression analysis were significant in both sexes (men, 1.35; women, 1.48). As determined by the Youden index, the optimal cutoff value for identifying fall experience was 7.32 seconds, with an area under the curve of .676. The CSFT can detect fall experience and is useful in the evaluation of different fall-related physical functions including muscle strength, balance, and mobility. Copyright © 2013 American Congress of

Anatomic relationship of the proximal nail matrix to the extensor hallucis longus tendon insertion.

Science.gov (United States)

Palomo López, P; Becerro de Bengoa Vallejo, R; López López, D; Prados Frutos, J C; Alfonso Murillo González, J; Losa Iglesias, M E

2015-10-01

The purpose of this study was to delineate the relationship of the terminal extensor hallucis longus tendon insertion to the proximal limit of the nail matrix of the great toe. Fifty fresh-frozen human cadaver great toes with no evidence of trauma (average age, 62.5 years; 29 males and 21 females) were used for this study. Under 25X magnification, the proximal limit of the nail matrix and the terminal bony insertion of the extensor hallucis longus tendons were identified. The distance from the terminal tendon insertion to the nail matrix was ascertained using precision calipers, an optical microscope, and autocad(®) software for windows. Twenty-five great toes were placed in a neutral formalin solution and further analysed by histological longitudinal-sections. The specimens were stained with haematoxylin and eosin and examined microscopically to determine the presence of the extensor hallucis longus tendon along the dorsal aspect of the distal phalanx of each great toe. The main result we found in great toes was that the extensor tendon is between the matrix and the phalanx and extends dorsally to the distal aspect of the distal phalanx in all, 100%, specimens. The nail matrix of the great toe is not attached to the periosteum of the dorsal aspect of the base of the distal phalanx as is the case for fingers, because the extensor hallucis tendon is plantar or directly underneath the nail matrix and the tendon is dorsal to the bone. We have found that the extensor tendon is between the matrix and the phalanx and extends dorsally to the distal aspect of the distal phalanx. The nail matrix of the great toe is not attached to the periosteum of the dorsal aspect of the base of distal phalanx as is the case in fingers, because the extensor hallucis tendon is plantar or directly underneath the nail matrix and the tendon is dorsal to the bone. Our anatomic study demonstrates that the proximal limit of the matrix and nail bed of the human great toe are dorsal and

The clot thickens: an incompletely ligated left  atrial appendage

Directory of Open Access Journals (Sweden)

Merrill Thomas

2018-05-01

Full Text Available Our patient presented with known mechanical mitral valve endocarditis documented by 2D transesophageal echocardiogram (TOE from a recent hospitalization at an outside facility. On admission to our center, there was no prior knowledge of an incompletely ligated left atrial appendage (LAA according to patient- or family-reported history, review of outside records or the outside facility’s 2D TOE report. A 3D TOE performed at our center to assess her pathology, since a month had passed from her prior hospitalization, revealed a LAA ligation with evidence of communication to the left atrium and with clot present in the appendage. This case report highlights the common finding of incomplete closure of the LAA following surgical ligation, thus making it inadequate for stroke prevention in patients with atrial fibrillation, and that 3D TOE plays a valuable role in assessing the durability of LAA ligation.

Femoral artery pressure measurement to predict the outcome of arterial surgery in patients with multilevel disease

DEFF Research Database (Denmark)

Faris, I; Tønnesen, K H; Agerskov, K

1982-01-01

Direct measurement of the femoral artery pressure before operation has been used to predict the postoperative change in ankle and toe pressure in 102 limbs (83 patients) that underwent aortoiliac surgery for the treatment of atherosclerotic occlusion or stenosis affecting both the aortoiliac...... and femoral artery segments. Rest pain or gangrene was present in 74 limbs. In 26 other limbs simultaneous aortoiliac and femoral artery reconstructions were performed. The changes in both toe and ankle pressures could be confidently predicted from the preoperative data. A predicted toe pressure of lower than...... 25 mm Hg was associated with a high probability that amputation would be required. The chances of an amputation were less than 3% if a toe pressure higher than 40 mm Hg was predicted. If the predicted ankle pressure index was lower than 0.56, there was a 90% chance that intermittent claudication...

Solid biomass barometer 2011

International Nuclear Information System (INIS)

2012-01-01

The winter of 2011 was exceptionally mild, even in Northern Europe, with unusually warm temperatures. As a result the demand for firewood and solid biomass fuel was low. The European Union's primary energy production from solid biomass contracted by 2.9% slipping to 78.8 Mtoe. The first 4 countries are Germany (11.690 Mtoe), France (9.223 Mtoe), Sweden (8.165 Mtoe) and Finland (7.476 Mtoe) and when the production is relative to the population the first 4 countries become: Finland (1.391 toe/inhab.), Sweden (0.867 toe/inhab.), Latvia (0.784 toe/inhab.) and Estonia (0.644 toe/inhab.). Solid biomass electricity production continued to grow, driven by the additional take-up of biomass co-firing, to reach 72.800 TWh at the end of 2011, it means +2.6% compared to 2010. The energy policy of various states concerning solid biomass is analyzed

Corrective Action Investigation Plan for Corrective Action Unit 552: Area 12 Muckpile and Ponds, Nevada Test Site, Nevada: Revision 0

Energy Technology Data Exchange (ETDEWEB)

U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

2004-04-06

This Corrective Action Investigation Plan contains the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office's approach for collecting the data necessary to evaluate corrective action alternatives appropriate for the closure of Corrective Action Unit (CAU) 552: Area 12 Muckpile and Ponds, Nevada Test Site (NTS), Nevada, under the Federal Facility Agreement and Consent Order. Located in Area 12 on the NTS, CAU 552 consists of two Corrective Action Sites (CASs): 12-06-04, Muckpile; 12-23-05, Ponds. Corrective Action Site 12-06-04 in Area 12 consists of the G-Tunnel muckpile, which is the result of tunneling activities. Corrective Action Site 12-23-05 consists of three dry ponds adjacent to the muckpile. The toe of the muckpile extends into one of the ponds creating an overlap of two CASs. The purpose of the investigation is to ensure that adequate data are collected to provide sufficient and reliable information to identify, evaluate, and select technic ally viable corrective actions. The results of the field investigation will support a defensible evaluation of corrective action alternatives in the corrective action decision document.

Overview of particle physics

International Nuclear Information System (INIS)

Salam, A.

1993-01-01

This article presents an overview of the situation in particle physics and a prognosis of its future: ideas which have been tested or will soon be tested (standard model and the light Higgs particle), ideas whose time has not yet come (supersymmetry, supersymmetry and N=1 supergravity, right-left symmetry and preons, unification of gravity with other forces, anomaly-free supergravities, supersymmetry strings, string theory as the ''Theory of Everything'' (T.O.E.); passive and non accelerator experiments. 6 figs., 2 tabs

Pain Experience is Somatotopically Organized and Overlaps with Pain Anticipation in the Human Cerebellum.

Science.gov (United States)

Michelle Welman, F H S; Smit, Albertine E; Jongen, Joost L M; Tibboel, Dick; van der Geest, Jos N; Holstege, Jan C

2018-02-26

Many fMRI studies have shown activity in the cerebellum after peripheral nociceptive stimulation. We investigated whether the areas in the cerebellum that were activated after nociceptive thumb stimulation were separate from those after nociceptive toe stimulation. In an additional experiment, we investigated the same for the anticipation of a nociceptive stimulation on the thumb or toe. For his purpose, we used fMRI after an electrical stimulation of the thumb and toe in 19 adult healthy volunteers. Following nociceptive stimulation, different areas were activated by stimulation on the thumb (lobule VI ipsilaterally and Crus II mainly contralaterally) and toe (lobules VIII-IX and IV-V bilaterally and lobule VI contralaterally), i.e., were somatotopically organized. Cerebellar areas innervated non-somatotopically by both toe and thumb stimulation were the posterior vermis and Crus I, bilaterally. In the anticipation experiment, similar results were found. However, here, the somatotopically activated areas were relatively small for thumb and negligible for toe stimulation, while the largest area was innervated non-somatotopically and consisted mainly of Crus I and lobule VI bilaterally. These findings indicate that nociceptive stimulation and anticipation of nociceptive stimulation are at least partly processed by the same areas in the cerebellum. This was confirmed by an additional conjunction analysis. Based on our findings, we hypothesize that input that is organized in a somatotopical manner reflects direct input from the spinal cord, while non-somatotopically activated parts of the cerebellum receive their information indirectly through cortical and subcortical connections, possibly involved in processing contextual emotional states, like the expectation of pain.

Gender differences of sagittal knee and ankle biomechanics during stair-to-ground descent transition.

Science.gov (United States)

Hong, Yoon No Gregory; Shin, Choongsoo S

2015-12-01

Falls on stairs often result in severe injury and occur twice as frequently in women. However, gender differences in kinetics and kinematics during stair descent are unknown. Thus, this study aimed to determine whether gender differences of knee and ankle biomechanics exist in the sagittal plane during the stair-to-ground descending transition. It was hypothesized that 1) women would reveal higher ground-toe-trochanter angle and lower ground-toe length during stair-to-ground descent transition than men; and 2) women would reveal lower peak knee extension moment during stair-to-ground descent transition than men. Fifteen men and fifteen women were recruited and performed a stair descent activity. Kinetic and kinematic data were obtained using a force plate and motion capture system. The women performed the stair descent with a lower peak knee extension moment and a peak knee power at the early weight acceptance phase. The women also revealed a higher ground-toe-trochanter angle and a lower ground-toe length, which indicated a more forward position of the lower extremity relative to the toe contact point at both the initial contact and at the time of peak kinematic and kinetic events. This study found that knee and ankle kinematics and kinetics differed significantly between the genders due to differences in ground-toe-trochanter angle. Women have a different stair descending strategy that reduces the demand of the lower extremity muscle function, but this strategy seems to increase the risk of falls. Copyright © 2015 Elsevier Ltd. All rights reserved.

Fitness Activity Recognition on Smartphones Using Doppler Measurements

Directory of Open Access Journals (Sweden)

Biying Fu

2018-05-01

Full Text Available Quantified Self has seen an increased interest in recent years, with devices including smartwatches, smartphones, or other wearables that allow you to monitor your fitness level. This is often combined with mobile apps that use gamification aspects to motivate the user to perform fitness activities, or increase the amount of sports exercise. Thus far, most applications rely on accelerometers or gyroscopes that are integrated into the devices. They have to be worn on the body to track activities. In this work, we investigated the use of a speaker and a microphone that are integrated into a smartphone to track exercises performed close to it. We combined active sonar and Doppler signal analysis in the ultrasound spectrum that is not perceivable by humans. We wanted to measure the body weight exercises bicycles, toe touches, and squats, as these consist of challenging radial movements towards the measuring device. We have tested several classification methods, ranging from support vector machines to convolutional neural networks. We achieved an accuracy of 88% for bicycles, 97% for toe-touches and 91% for squats on our test set.

Estudio piloto del modelo técnico de ejecución del pitch a captura de pies en gimnasia acrobática. (A pilot study of technical model during a simulated toe pitch to catch in gymnastics acrobatics.

Directory of Open Access Journals (Sweden)

Juan Antonio León-Prados

2010-04-01

Full Text Available En Gimnasia Acrobática (GA el Toe Pitch to Catch (TPC es una acción técnica muy usual, lo que motiva la necesidad de proporcionar un modelo técnico del movimiento que permita facilitar la compresión de los factores relacionados con su ejecución. Se analizaron 12 ejecuciones sin penalizaciones técnicas realizadas por una pareja mixta de GA utilizando técnicas de fotogrametría y dinamometría. Para el análisis se dividió el movimiento en tres fases: Impulsión, Vuelo y Recepción. Los resultados indicaron que el valor máximo de fuerza en la Fase de Impulsión fue de 2,67 ± 0,06 BW (PC: Peso Corporal, BW: Body Weigth mientras que en la de Recepción fue de 2,78 ± 0,30 PC: Peso Corporal. En el modelo técnico individual analizado se destaca cómo en la Fase de Impulsión es más importante optimizar el impulso aplicado que la fuerza máxima. Durante la Fase de Vuelo, sobresale la alta reproducibilidad en los intentos satisfactorios de la altura alcanzada por el Top para facilitar su posterior recepción. Finalmente durante la Fase de Recepción, se destaca la acción de frenado del Base con el fin de minimizar las fuerzas de reacción verticales del suelo en los movimientos de recepción del Top.AbstractIn acrobatic gymnastics Toe Pitch to Catch (TPC is one of the most traditional skill. The aim of the study was to provide a technical model of the skill to facilitate the understanding of the principal factors associated with the execution. In order to elaborate the model, 12 tryouts without technical deductions performed by a mixed pair of gymnasts were analyzed using techniques of photogrammetric and dynamometry. The movement was divided into three different phases for analysing purposes: Propulsion, Flight and Reception. Results indicated that maximum value of the force during the Propulsion Phase was 2,67 ± 0,06 BW, whereas during the Reception Phase the value obtained was 2,78 ± 0,30 BW. In the technical model analyzed highlights

Classification of peripheral occlusive arterial diseases based on symptoms, signs and distal blood pressure measurements

DEFF Research Database (Denmark)

Tønnesen, K H; Noer, Ivan; Paaske, William

1980-01-01

Systolic blood pressures at toe and ankle were measured in 459 consecutive patients with occlusive arterial disease. Fifty-eight per cent had intermittent claudication with arterial disease of all degrees of severity. Seventeen per cent complained of rest pain having toe systolic pressures below 30...

Does comprilan bandage have any influence on peripheral perfusion in patients with oedema?

DEFF Research Database (Denmark)

Midttun, M; Ahmadzay, N F; Henriksen, J H

2010-01-01

Comprilan bandage may be an attractive treatment of leg oedema, but theoretically bandage could compromise peripheral circulation. The present study was undertaken to investigate circulation in the first toe before, during, and after treatment with comprilan bandage. METHODS AND STUDY POPULATION......: Blood flow rate was measured by the heat-washout method in the pulp of the first toe of 10 patients (eight women, two men, aged 75-94) with leg oedemas, and systolic toe blood pressure was determined by the strain gauge method. Oedema was scored according to a visual scale, and the patients were treated...

Effect of Epidural Block under General Anesthesia on Pulse Transit Time

International Nuclear Information System (INIS)

Choi, Byeong Cheol; Kim, Seong Min; Jung, Dong Keun; Kim, Gi Ryon; Lee, He Jeong; Jeon, Gye Rock

2005-01-01

Epidural block under general anesthesia has been widely used to control postoperative pain. In this anesthetic state many hemodynamic parameters are changed. Moreover pulse transit time is influenced by this memodynamic change. PPT change in the finger and the toe due to relaxation of arterial wall muscle after general anesthesia and epidural block under general anesthesia. This study, in the both general anesthesia and epidural block under general anesthesia, ΔPTT of the toe and of the finger are measured. In addition, ΔPTT(toe-finger) of the epidural block under general anesthesia and of the general anesthesia were compared

What might be the energy demand and energy mix to reconcile the world's pursuit of welfare and happiness with the necessity to preserve the integrity of the biosphere?

Energy Technology Data Exchange (ETDEWEB)

Jess, Andreas [Department of Chemical Engineering, Faculty of Engineering Science, University of Bayreuth, 95440 Bayreuth (Germany)

2010-08-15

In today's global energy mix with a share of 80% fossil energy, the growth of the world population and energy demand will lead to a conflict between stable ecosystems and global welfare. The inspection of social indexes of welfare and happiness leads to the following energy plan: high-income countries with a current annual energy demand of up to 8 tonnes of oil equivalent per capita (toe pc) have to reduce their demand to 2 toe pc, which should be sufficient without cutback in welfare. Vice versa, low-income countries increase their demand until 2 toe pc are reached. Compared to today this scenario (2 toe pc, 9 billion people by 2050) leads to an increase of the ecological footprint from today 1.3 to 2 planet Earths in today's technologies. The only solution to provide 2 toe pc without damaging the biosphere is a reduction of the CO{sub 2} footprint with a current share of 50%. A complete shift from fossil fuels to renewables would half the ecological footprint as needed for the desired footprint of one planet Earth. To reach this goal, one or more forms of solar power and/or nuclear power are needed, as the potential of non-solar renewables is too small. (author)

What might be the energy demand and energy mix to reconcile the world's pursuit of welfare and happiness with the necessity to preserve the integrity of the biosphere?

International Nuclear Information System (INIS)

Jess, Andreas

2010-01-01

In today's global energy mix with a share of 80% fossil energy, the growth of the world population and energy demand will lead to a conflict between stable ecosystems and global welfare. The inspection of social indexes of welfare and happiness leads to the following energy plan: high-income countries with a current annual energy demand of up to 8 tonnes of oil equivalent per capita (toe pc) have to reduce their demand to 2 toe pc, which should be sufficient without cutback in welfare. Vice versa, low-income countries increase their demand until 2 toe pc are reached. Compared to today this scenario (2 toe pc, 9 billion people by 2050) leads to an increase of the ecological footprint from today 1.3 to 2 planet Earths in today's technologies. The only solution to provide 2 toe pc without damaging the biosphere is a reduction of the CO 2 footprint with a current share of 50%. A complete shift from fossil fuels to renewables would half the ecological footprint as needed for the desired footprint of one planet Earth. To reach this goal, one or more forms of solar power and/or nuclear power are needed, as the potential of non-solar renewables is too small.

Shoe adaptation after amputation of the II - V phalangeal bones of the foot.

Science.gov (United States)

Rommers, G M; Diepstraten, H J M; Bakker, E; Lindeman, E

2006-12-01

In The Netherlands, about 50% of all amputations of the lower limb are toes and forefoot amputations. Traumata of toes and mid-foot are rare. Preservation of the foot is the primary goal for treatment. Crush injuries of the foot may be associated with prolonged morbidity. This case study presents an insole solution for the solitary first phalangeal bone after amputation of the phalangeal bones II - V. The normal adaptation for forefoot amputations is stiffening of the sole of the shoe and a rocker bar to improve the toe off phase with load reduction of the forefoot. Because the patient had to do excessive stair climbing during work another solution was chosen. As a foot orthosis, a metal soleplate was made in order to have free movement during loading and toe-off during walking. The soleplate gives safety and provides self-adjusting properties after toe off. This enables the shoe technician to make a shoe without a rocker bar or an extra stiff insole. The 0.5 mm custom-made spring-steel plate is also used as a protective in industrial safety shoes. To improve shoe adaptation more research and case reports have to be published in order to inform doctors and shoe technicians about everyday solutions to partial foot amputations.

Tåtourniquetsyndrom hos barn på tre måneder

DEFF Research Database (Denmark)

Monrad, Rikke Nygaard; Rytter, Søren

2011-01-01

Toe tourniquet syndrome is a rare condition in which a hair or thread becomes tightly wrapped around an appendage, which causes ischaemic strangulation. We present a three month-old infant with strangulation of one toe to direct attention to this condition. Prompt recognition and complete removal...

Keeping Special Forces Special: Regional Proficiency in Special Forces

Science.gov (United States)

2011-12-01

and traveled extensively throughout my AOR for work and leisure . I am now [serving] as an Army attaché in Southeast Asia and can go toe-to-toe with...Southeast Asia Brunei Darussalam Cambodia Indonesia Lao People’s Democratic Republic Malaysia Philippines Singapore Thailand Timor-Leste Viet

Transcutaneous oxygen tension in imminent foot gangrene

DEFF Research Database (Denmark)

Tønnesen, K H

1978-01-01

Transcutaneous oxygen tension at 44 degree C and maximal isotope clearance (90m Tc-pretechnetate + histramine) just proximal to the 1st toe and systolic toe blood pressure (strain gauge) were studied on a tilt table in patients with various degrees of obstructive arteriosclerotic disease. In legs...

An Exploration of the Factors Influencing the Adoption of an IS Governance Framework

Science.gov (United States)

Parker, Sharon L.

2013-01-01

This research explored IT governance framework adoption, leveraging established IS theories. It applied both the technology acceptance model (TAM) and the technology, organization, environment (TOE) models. The study consisted of developing a model utilizing TOE and TAM, deriving relevant hypotheses. Interviews with a group of practitioners…

Traumatic ocular emergencies: the difficulties associated with their ...

African Journals Online (AJOL)

Background: In black Africa, the severity of traumatic ocular emergencies (TOE) is increased by a lack of ophthalmologists and often inadequate or even the inexistence of surgical ... These TOE were: corneoscleral rupture (63.2%), vitreoretinal iron foreign body (16.8%), retinal detachment (15%), and macula hole (5%).

Isolated macrodactyly or extremely localized Proteus syndrome?

NARCIS (Netherlands)

van Bever, Y.; Hennekam, R. C.

1994-01-01

We report on a woman with unilateral macrosyndactyly of the second and third toes, a local plantar soft tissue lump, and radiographically an abnormal shape of the phalanges of the affected toes. This finding may represent either an isolated macrosyndactyly or an extremely localised form of Proteus

Diagnostic dilemmas in foot and ankle injuries

Energy Technology Data Exchange (ETDEWEB)

Keene, J.S.; Lange, R.H.

1986-07-11

Differential diagnosis of foot and ankle injuries should include (1) stress fractures of the great toe sesamoids, the shaft of the fifth metatarsal, and the tarsal navicular bone; (2) transchondral talar-dome fractures; (3) fractures of the os trigonum; and (4) dislocating peroneal tendons. Diagnosis of these injuries is challenging because the initial roentgenograms often are normal, and special clinical tests and ancillary studies are required.

Diagnostic dilemmas in foot and ankle injuries

International Nuclear Information System (INIS)

Keene, J.S.; Lange, R.H.

1986-01-01

Differential diagnosis of foot and ankle injuries should include (1) stress fractures of the great toe sesamoids, the shaft of the fifth metatarsal, and the tarsal navicular bone; (2) transchondral talar-dome fractures; (3) fractures of the os trigonum; and (4) dislocating peroneal tendons. Diagnosis of these injuries is challenging because the initial roentgenograms often are normal, and special clinical tests and ancillary studies are required

Turkmenistan: the sleeping giant of the gas world?

International Nuclear Information System (INIS)

O'Connor, R. Jr.

1994-01-01

The geological basins of Turkmenistan are reviewed as to their hydrocarbon potential, particularly with respect to gas reserves and resources. It is clear that the gas resources are immense. It is estimated that oil and gas reserves and resources are roughly 20 bn tonnes oil-equivalent (toe), about 80% of which is expected to be gas. This compares with 100 bn toe for Saudi Arabia, 10 bn toe for the North Sea and 5 bn toe for the Gulf of Mexico. Given the size of the resource, there has been relatively little interest from the international oil and gas industry. The primary factor limiting foreign investment is probably the lack of pipelines for oil and gas transport. Existing pipelines, built during the days of the USSR, connect with the Russian system in the north. The feasibility of completing pipelines to the south and west, some of which were started before the Iranian revolution, and reactivating those to the north is being studied. (UK)

Accuracy and reproducibility of aortic annular measurements obtained from echocardiographic 3D manual and semi-automated software analyses in patients referred for transcatheter aortic valve implantation: implication for prosthesis size selection.

Science.gov (United States)

Stella, Stefano; Italia, Leonardo; Geremia, Giulia; Rosa, Isabella; Ancona, Francesco; Marini, Claudia; Capogrosso, Cristina; Giglio, Manuela; Montorfano, Matteo; Latib, Azeem; Margonato, Alberto; Colombo, Antonio; Agricola, Eustachio

2018-02-06

A 3D transoesophageal echocardiography (3D-TOE) reconstruction tool has recently been introduced. The system automatically configures a geometric model of the aortic root and performs quantitative analysis of these structures. We compared the measurements of the aortic annulus (AA) obtained by semi-automated 3D-TOE quantitative software and manual analysis vs. multislice computed tomography (MSCT) ones. One hundred and seventy-five patients (mean age 81.3 ± 6.3 years, 77 men) who underwent both MSCT and 3D-TOE for annulus assessment before transcatheter aortic valve implantation were analysed. Hypothetical prosthetic valve sizing was evaluated using the 3D manual, semi-automated measurements using manufacturer-recommended CT-based sizing algorithm as gold standard. Good correlation between 3D-TOE methods vs. MSCT measurements was found, but the semi-automated analysis demonstrated slightly better correlations for AA major diameter (r = 0.89), perimeter (r = 0.89), and area (r = 0.85) (all P 3D methods underestimated the MSCT measurements, but semi-automated measurements showed narrower limits of agreement and lesser bias than manual measurements for most of AA parameters. On average, 3D-TOE semi-automated major diameter, area, and perimeter underestimated the respective MSCT measurements by 7.4%, 3.5%, and 4.4%, respectively, whereas minor diameter was overestimated by 0.3%. Moderate agreement for valve sizing for both 3D-TOE techniques was found: Kappa agreement 0.5 for both semi-automated and manual analysis. Interobserver and intraobserver agreements for the AA measurements were excellent for both techniques (intraclass correlation coefficients for all parameters >0.80). The 3D-TOE semi-automated analysis of AA is feasible and reliable and can be used in clinical practice as an alternative to MSCT for AA assessment. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2018. For permissions, please

Balance in Astronauts Performing Jumps, Walking and Quiet Stance Following Spaceflight

Science.gov (United States)

Reschke, Millard F.; Bloomberg, J. J.; Wood, S. J.; Harm, D. L.

2011-01-01

Introduction: Both balance and locomotor ataxia is severe in astronauts returning from spaceflight with serious implications for unassisted landings. As a part of an ongoing effort to demonstrate the functional significance of the postflight ataxia problem our laboratory has evaluated jumping, walking heel-to-toe and quite stance balance immediately following spaceflight. Methods: Six astronauts from 12-16 day flights and three from 6-month flights were asked to perform three self-initiated two-footed jumps from a 30-cm-high platform, walking for 10 steps (three trials) placing the feet heel to toe in tandem, arms folded across the chest and the eyes closed, and lastly, recover from a simulated fall by standing from a prone position on the floor and with eyes open maintain a quiet stance for 3 min with arms relaxed along the side of the body and feet comfortably positioned on a force plate. Crewmembers were tested twice before flight, on landing day (short-duration), and days 1, 6, and 30 following all flight durations. Results/Conclusions: Many of astronauts tested fell on their first postflight jump but recovered by the third jump showing a rapid learning progression. Changes in take-off strategy were clearly evident in duration of time in the air between the platform and the ground (significant reduction in time to land), and also in increased asymmetry in foot latencies on take-off postflight. During the tandem heel-to-toe walking task there was a significant decrease in percentage of correct steps on landing day (short-duration crew) and on first day following landing (long-duration) with only partial recovery the following day. Astronauts for both short and long duration flight times appeared to be unaware of foot position relative to their bodies or the floor. During quite stance most of crewmembers tested exhibited increased stochastic activity (larger short-term COP diffusion coefficients postflight in all planes and increases in mean sway speed).

A Technology-Organization-Environment Perspective on Eco-effectiveness: A Meta-analysis

Directory of Open Access Journals (Sweden)

Josephine LL Chong

2017-03-01

Full Text Available In this research, we perform a meta-analysis to explain how organizations are deploying technologies to enforce organizational sustainability by meeting the goal of eco-effectiveness. Prior studies have studied the influences on the adoption of technologies using the Technology-Organisation-Environment (TOE model that incorporate some aspects of technological, organizational or environmental factors. We collected prior research to test the factors of the TOE model to ascertain their relative impact and strength. Our meta-analysis found eight additional technological and organizational factors. We found strong support for IT infrastructure, perceived direct benefits, top management support, and competitive pressure. Moderate support for compatibility, technological readiness, perceived indirect benefits, knowledge (human resources, organizational size, attitudes towards innovation, learning culture, pressure from trade partners (industry characteristics and regulatory support. Lastly, weak support was found for relative advantage, complexity, perceived risks and information learning culture. Only two dimensions, financial resources and environmental uncertainty failed to reach statistical significance.

Synthesis of novel branched polymers for enhanced oil recovery

NARCIS (Netherlands)

van Mastrigt, Frank

2017-01-01

De energievraag neemt de komende jaren toe en hoewel het relatieve aandeel olie licht zal afnemen, neemt de absolute vraag met 24% toe tussen 2010 en 2030. Om in de vraag te voorzien, worden aanvullende maatregelen getroffen, zoals de injectie van materialen die van nature niet aanwezig zijn in

38 CFR 4.71a - Schedule of ratings-musculoskeletal system.

Science.gov (United States)

2010-07-01

... contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked... at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads... objectively demonstrated) 10 The Ankle Rating 5270Ankle, ankylosis of: In plantar flexion at more than 40°, or...

29 CFR 1926.96 - Occupational foot protection.

Science.gov (United States)

2010-07-01

... § 1926.96 Occupational foot protection. Safety-toe footwear for employees shall meet the requirements and specifications in American National Standard for Men's Safety-Toe Footwear, Z41.1-1967. [58 FR 35152, June 30... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR...

Nickel in nails, hair and plasma from nickel-hypersensitive women

DEFF Research Database (Denmark)

Gammelgaard, Bente; Veien, Niels

1990-01-01

The concentrations of nickel in finger-nails, toe-nails, hair and plasma from 71 nickel-hypersensitive women and 20 non-hypersensitive women were determined. Nickel concentrations in finger-nails were significantly higher than in toe-nails in both the nickel-hypersensitive group and the control...... group. Nickel-sensitive women had significantly higher levels of nickel in toe-nails, hair and plasma than had control subjects, whereas there was no significant difference in nickel concentration in finger-nails between the two groups. No correlation could be demonstrated between nickel levels in any...... combination of nails, hair and plasma in the nickel-hypersensitive or in the control group....

Wave Interaction with Porous Coastal Structures

DEFF Research Database (Denmark)

Jensen, Bjarne

with the simulation of a rock toe structure on a rubble mound breakwater. The stones in the toe structure were resolved directly in the model while the rest of the breakwater was included with the porosity model. In Chapter 6 both experimental and numerical topics are included. The physical experiments includes...

77 FR 9637 - Process for Requesting a Variance From Vegetation Standards for Levees and Floodwalls; Additional...

Science.gov (United States)

2012-02-17

... revetments, sand dunes, and barrier islands. b. New federally authorized cost-shared levee projects shall be..., the landside slope, and within 15 feet of the landside toe (subject to preexisting real estate... appropriate depth but not less than 20 feet below the levee toe. The determination and documentation of site...

Treatment of severe foot ischaemia by defibrination with ancrod

DEFF Research Database (Denmark)

Tønnesen, K H; Sager, P; Gormsen, J

1978-01-01

factors which could affect the degree of ischaemia. Objective measurements showed a significant rise in ankle and toe systolic blood pressure in the ancrod group lasting for 3 months. There was no rise in distal blood pressure in the control group. In the ancrod treated group the toe and ankle systolic...

Micro-lightguide spectrophotometry for tissue perfusion in ischemic limbs

DEFF Research Database (Denmark)

Jørgensen, Lise Pyndt; Schroeder, Torben V

2012-01-01

To validate micro-lightguide spectrophotometry (O2C) in patients with lower limb ischemia and to compare results with those obtained from toe blood pressure.......To validate micro-lightguide spectrophotometry (O2C) in patients with lower limb ischemia and to compare results with those obtained from toe blood pressure....

Shoe adaptation after amputation of the II-V phalangeal bones of the foot

NARCIS (Netherlands)

Rommers, G. M.; Diepstraten, H. J. M.; Bakker, E.; Lindeman, E.

2006-01-01

In The Netherlands, about 50% of all amputations of the lower limb are toes and forefoot amputations. Traumata of toes and mid-foot are rare. Preservation of the foot is the primary goal for treatment. Crush injuries of the foot may be associated with prolonged morbidity. This case study presents an

Energy efficiency policies and measures in Norway: monitoring of energy efficiency in EU27, Norway and Croatia (ODYSSEE-MURE)

Energy Technology Data Exchange (ETDEWEB)

Rosenberg, Eva

2009-09-15

This report represents the national case study of Norway for the EIE-project 'Monitoring of Energy Demand Trends and Energy Efficiency in the EU - ODYSSEE-MURE'. It presents the recent energy efficiency trends in Norway on the basis of indicators extracted from the ODYSSEE database. Total energy consumption (not including energy as feedstock) has increased from 16.6 M toe (195 TWh) in 1990 to 19.2 M toe (226 TWh) in 2007 and has been relatively constant the last ten years. Energy consumption in manufacturing industry has increased by 10 % from 1990 to 2007, but is lower in 2007 than in 1998. Final energy use in households has increased from 3515 k toe (41 TWh) in 1990 to 3826 (45 TWh) in 2007. The climate corrected energy use has been at approximately 4000 k toe since the mid 1990s. It seems to be an interrupt in the increase of energy use in households, despite the growth of all common used drivers in this sector. Energy efficiency policies and measures implemented since 1990 have contributed to improve the efficiency by 13 %, or 0.7 % per year; this means that if these policies and measures would not have been implemented, the final energy consumption would have been 13 % higher in 2007 (or approximately 1.9 M toe or 22 TWh). (Author)

Finnish bioenergy research

Energy Technology Data Exchange (ETDEWEB)

Malinen, H. [Technical Research Centre of Finland, Jyvaeskylae (Finland)

1993-12-31

Finland is one of the leading countries in the use of biofuels. The share of wood derived fuels of the total primary energy requirement was about 14% (ca. 4 million toe) and peat about 5% (1.4 million toe). The possibilities for increasing the use of biofuels in Finland are significant. There is theoretically about 10 million m{sup 3}/a (about 2 million toe/a) of harvestable wood. Areas suitable for fuel peat production (0.5 million ha) could produce ca. 420 million toe of peat. At present rates of use, the peat reserves are adequate for centuries. During the next few years 0.5--1 million hectares of fields withdrawn from farming could be used for biofuel production. The production potential of this field area is estimated to be about 0.2--0.5 million toe. In addition, the use of wastes in energy production could be increased. The aim of the new Bioenergy Research Programme is to increase the use of economically profitable and environmentally sound bioenergy by improving the competitiveness of present peat and wood fuels. New economically competitive biofuels, new equipment and methods for production, handling and use of biofuels will also be developed. The main research areas are production of wood fuels, peat production, use of bioenergy and conversion of biomass.

EMG and force production of the flexor hallucis longus muscle in isometric plantarflexion and the push-off phase of walking.

Science.gov (United States)

Péter, Annamária; Hegyi, András; Stenroth, Lauri; Finni, Taija; Cronin, Neil J

2015-09-18

Large forces are generated under the big toe in the push-off phase of walking. The largest flexor muscle of the big toe is the flexor hallucis longus (FHL), which likely contributes substantially to these forces. This study examined FHL function at different levels of isometric plantarflexion torque and in the push-off phase at different speeds of walking. FHL and calf muscle activity were measured with surface EMG and plantar pressure was recorded with pressure insoles. FHL activity was compared to the activity of the calf muscles. Force and impulse values were calculated under the big toe, and were compared to the entire pressed area of the insole to determine the relative contribution of big toe flexion forces to the ground reaction force. FHL activity increased with increasing plantarflexion torque level (F=2.8, P=0.024) and with increasing walking speed (F=11.608, Ppush-off phase of walking, peak force under the big toe increased at a higher rate than force under the other areas of the plantar surface (F=3.801, P=0.018), implying a greater relative contribution to total force at faster speeds. Moreover, substantial differences were found between isometric plantarflexion and walking concerning FHL activity relative to that of the calf muscles, highlighting the task-dependant behaviour of FHL. Copyright © 2015 Elsevier Ltd. All rights reserved.

Lateral Variability of Lava flow Morphologies in the Deccan Traps Large Igneous Province (India)

Science.gov (United States)

Vanderkluysen, L.; Rader, E. L.; Self, S.; Clarke, A. B.; Sheth, H.; Moyer, D. K.

2016-12-01

these results as an indication that smaller, meter-sized toes and lobes are indicative of proximal facies, whereas the thickest (> 10 m) inflated sheet lobes are the most likely to reach the far edges of the province. Analogue experiments are currently under way to test the relative importance of eruption parameters in the development of these morphologies.

The relationship between gait parameters and static and dynamic balance in the elderly

Directory of Open Access Journals (Sweden)

Razieh Tabe

2015-02-01

Full Text Available Background: The physiological changes and muscle problems can lead to balance disorder and increased risk of falling among the elderly. Therefore, it is necessary to evaluate the factors associated with balance in the elderly, to increase their awareness of the falling risks and to provide them with appropriate assistive devices.. Hence, this study was carried out to investigate the relationship between some gait parameters and static and dynamic balance in the elderly. Methods: In this quasi-experimental study, 44 men and women in two groups (22 per group participated as the study sample. The measured values included step length, stride length, step width, rotating angle of toes, and static and dynamic balance. The static balance was measured with Romberg test and dynamic balance with TUGTU test. Data were analysed by SPSS-15 software using t-test and Pearson correlation coefficient. Results: There was a significant relationship between step length and stride length with static and dynamic balance and between step width and dynamic balance (p0/05. But no significant relationship was reported between step width and static balance and between rotating angle of toes with static and dynamic balance among the elderly. Conclusions: the elderly balance can be improved by decreasing the step length and increasing the stride length, thereby reducing the possibility of their falling.

Peripheral gangrene in a case of severe dengue | Nair | Nigerian ...

African Journals Online (AJOL)

We report the case of a 10.year.old male who developed gangrene of his fingers and toes following severe dengue fever complicated by disseminated intravascular coagulation (DIC). Child developed bilateral dry gangrene of fingers and toes. All the peripheral pulses of the affected limbs were palpable. The child had no ...

Coastal Inlets Research Program. Barrier Island Migration Over a Consolidating Substrate

Science.gov (United States)

2009-09-01

the toe of the dune to the high water line) for full development of eolian transport. However, the original Shore Protection Manual (1984...tested. Barrier islands overlying a compressible substrate are more likely to have reduced dune elevations due to consolidation, incur overall...migra- tion when the dune reaches a critical elevation with respect to the prev- alent storm conditions. Initial large-scale infusion of sand from an

Dynamic testing of horseshoe designs at impact on synthetic and dirt Thoroughbred racetrack materials.

Science.gov (United States)

Mahaffey, C A; Peterson, M L; Thomason, J J; McIlwraith, C W

2016-01-01

Different horseshoe designs have been developed in an attempt to optimise footing for equine athletes. Horseshoe performance is assumed to be dependent on the surface and gait, but there are limited data on horseshoe performance on different surfaces, independent of gait variation. To quantify the dynamic loading for 3 aluminium racing shoe designs on Thoroughbred racetrack surface materials, using a biomechanical surface tester. A flat racing plate, a serrated V-Grip and a shoe with a 6 mm toe grab and 10 mm heel calks were tested on synthetic and dirt surfaces under typical operating conditions of temperature and moisture content for the respective material samples. Samples were tested under laboratory conditions, replicating a track surface by compacting material into a latex-lined mould surrounded by silica sand for representative boundary conditions. Peak loading and loading rates were measured vertically and horizontally (craniocaudal), simulating aspects of primary and secondary impacts of the hoof in a galloping horse. Maximum vertical and shear loads and loading rates were not significantly different between shoe types, with the exception of a reduced craniocaudal loading rate for the V-Grip shoe on the synthetic surface. All other statistical significance was related to the surface material. These 3 different Thoroughbred racing shoes do not have a significant impact on loading and loading rate, with the exception of the V-Grip shoe on a synthetic surface. Although the V-Grip may reduce craniocaudal peak load rates in a synthetic material with relatively high wax and/or low oil content, the reduction in load rate is less than the difference found between materials. This study indicates that shoeing has little effect, and that a track's surface material and its preparation have a significant effect on the dynamic loading during the impact phase of the stance. © 2015 EVJ Ltd.

Comparison of Muscle Involvement and Posture Between the Conventional Deadlift and a "Walk-In" Style Deadlift Machine.

Science.gov (United States)

Snyder, Benjamin J; Cauthen, Courtney P; Senger, Scott R

2017-10-01

The deadlift exercise is one of the most effective exercises for developing lower-body strength; however, technique errors can lead to low back injuries. The use of a "walk-in" deadlift machine removes the weight bar by using a lever system with independent handles on either side of the body. Theoretically, this would allow alignment of the load with the center of gravity, encouraging a more upright torso and decreasing the involvement of the low back extensors. This study compared trunk angle, knee angle, and electrical activity of key muscles between the conventional deadlift (CDL) and 2 foot positions (ball of foot or toe alignment) with pronated grip (called BallPro and ToePro) of a walk-in deadlift machine among high-skilled and low-skilled lifters. Although there were no skill group differences, in the combined groups, the walk-in deadlift resulted in a significantly more upright trunk angle (p ≤ 0.05) for both the BallPro (29.9° ± 12.0 SD) and the ToePro (32.4° ± 10.4) compared with the CDL (23.7° ± 11.3) at the start of the lift. Similar results were noted in the midconcentric phase, with trunk angles for the ToePro (46.9° ± 6.8) significantly different from CDL (42.66° ± 3.7), and for the mideccentric phase of the lift, with ToePro (47.2° ± 7.0) significantly higher than CDL (42.9° ± 6.5). ToePro knee angle was significantly more flexed (101.6° ± 10.6) than CDL (110.8° ± 11.5) at the starting position, with both BallPro (135.7° ± 14.2) and ToePro (136.5° ± 8.8) significantly more flexed than CDL (159.3° ± 5.9) in both the midconcentric phase and the mideccentric phase (BallPro 129.2° ± 14.0, ToePro 127.7° ± 8.9, and CDL 150.5° ± 7.8). In the combined low- and high-skilled groups, electrical activity as a percent of maximum isometric root mean square activity of the erector spinae during the BallPro variation (53.1% ± 33.8) was significantly lower than CDL (73.19% ± 23.9), whereas vastus lateralis activity was significantly

Effect of different flooring systems on claw conformation of dairy cows.

Science.gov (United States)

Telezhenko, E; Bergsten, C; Magnusson, M; Nilsson, C

2009-06-01

The effect of different flooring surfaces in walking and standing areas on claw conformation, claw horn growth, and wear was studied in 2 experiments during 2 consecutive housing seasons in a research dairy herd of 170 cows. In experiment 1, the flooring systems tested were solid rubber mats, mastic asphalt with and without rubber-matted feed-stalls, and aged concrete slats. In experiment 2, slatted concrete flooring was compared with slatted rubber flooring. The cows were introduced to the respective flooring systems in early lactation and their claws were trimmed before the exposure period. Toe length, toe angle, sole concavity, and claw width, as well as claw growth and wear rates were recorded for lateral and medial claws of the left hind limb. Claw asymmetry calculations were based on these claw measurements and on differences in sole protrusion between lateral and medial soles. Asphalt floors caused shorter toe length and steeper toe angle. They also increased wear on rear claws (5.30 +/- 0.31 and 5.95 +/- 0.33 mm/mo for lateral and medial claw, respectively; LSM +/- SE) and horn growth rate (5.12 +/- 0.36 and 5.83 +/- 0.31 mm/mo of lateral and medial claws, respectively). Rubber mats instead of asphalt in walking areas reduced wear (1.36 +/- 0.19 and 2.02 +/- 0.20 mm/mo for lateral and medial claw, respectively) and claw growth (3.83 +/- 0.23 and 3.94 +/- 0.17 mm/mo for lateral and medial claw, respectively). Rubber-matted feed-stalls together with asphalt walkways decreased claw wear (3.29 +/- 0.31 and 4.10 +/- 0.32 mm/mo for lateral and medial claw, respectively). The concavity of claw soles was reduced on asphalt, especially in the lateral rear claws. Rubber matting in feed-stalls prevented loss of sole concavity compared with asphalt. Claw asymmetry did not differ between flooring systems. While different access to abrasive flooring affected claw conformation, there was no evidence that flooring system influenced the disproportion between lateral and

9 CFR 11.2 - Prohibitions concerning exhibitors.

Science.gov (United States)

2010-01-01

... horses that weighs more than 16 ounces. (10) Artificial extension of the toe length, whether accomplsihed... of the hoof wall, to the distal portion of the hoof wall at the tip of the toe. The artificial... unsteadiness of stance in the horse with resulting muscle and tendon strain due to the horse's weight and...

but if it approaches

African Journals Online (AJOL)

algemene prinsipes funksioneer; dit is op die een of ander (tot nog toe onbekende) manier in die mens se gees ..... se karakterisering van die pragmatiese kompetensie as "tot nog toe onge- presiseer" v~r my enigsins ...... mits a range of empirical phenomena to be derived from some simple and I, think rat;.her natural ...

Browse Title Index

African Journals Online (AJOL)

Items 1 - 50 of 159 ... Vol 5, No 2 (2016), Retracted: The clinical anatomy of the insertion of the rotator cuff tendons, Abstract PDF. Martie Vosloo, Natalie Keough, Mathys Arend De Beer. Vol 6, No 3 (2017): Supplementary Issue, Homo sapiens are bilaterally symmetrical but not with toe length and toe-length ratios among ...

Early emergence of anthropogenically forced heat waves in the western United States and Great Lakes

Science.gov (United States)

Lopez, Hosmay; West, Robert; Dong, Shenfu; Goni, Gustavo; Kirtman, Ben; Lee, Sang-Ki; Atlas, Robert

2018-05-01

Climate projections for the twenty-first century suggest an increase in the occurrence of heat waves. However, the time at which externally forced signals of anthropogenic climate change (ACC) emerge against background natural variability (time of emergence (ToE)) has been challenging to quantify, which makes future heat-wave projections uncertain. Here we combine observations and model simulations under present and future forcing to assess how internal variability and ACC modulate US heat waves. We show that ACC dominates heat-wave occurrence over the western United States and Great Lakes regions, with ToE that occurred as early as the 2020s and 2030s, respectively. In contrast, internal variability governs heat waves in the northern and southern Great Plains, where ToE occurs in the 2050s and 2070s; this later ToE is believed to be a result of a projected increase in circulation variability, namely the Great Plain low-level jet. Thus, greater mitigation and adaptation efforts are needed in the Great Lakes and western United States regions.

Variability and correlations of shoreline and dunes on the southern Baltic coast (CRS Lubiatowo, Poland

Directory of Open Access Journals (Sweden)

Zbigniew Pruszak

2011-03-01

Full Text Available The paper analyses the results of field investigations into the evolution of the shoreline and dune toe positions in a multi-bar,dissipative coastal zone. The correlations between the changes in the shoreline and the dune toe range from -0.4 to 0.8. It is most often the case that the dune toe is stable while the shoreline moves. Consistent cross-shore migration is slightly more likelyto happen than the divergent or convergent movements of both lines. Shoreline retreat and advance attain respective rates of 0.7 m day-1 and 0.4 m day-1. Deep-water wave energy of about 50 kJ m-1 constitutes the boundary between shore accumulation and erosion.

Turbulent flow structures and aeolian sediment transport over a barchan sand dune

Science.gov (United States)

Wiggs, G. F. S.; Weaver, C. M.

2012-03-01

The turbulent structure of airflow over a barchan sand dune is determined using quadrant analysis of wind velocity data derived from sonic anemometers. Results indicate an increased frequency of ejection and sweep events in the toe region of the dune, characteristic of the turbulent bursting process. In contrast, at the crest there was a significant increase in the occurrence of outward interactions. Combined with high frequency saltation data our analyses show that turbulent structures characterised by a positive streamwise fluctuating velocity (+u‧ sweeps at the toe and outward interactions at the crest) have a dominant influence on sand transport on the dune, together accounting for up to 83% and 95% of transporting events at the toe and crest respectively.

Clubbing of the fingers or toes

Science.gov (United States)

... occur in people with bronchiectasis , cystic fibrosis , or lung abscess Infection of the lining of the heart chambers and heart valves (infectious endocarditis). This can be caused by ... substances Lung disorders in which the deep lung tissues become ...

Ammonia toxicity: from head to toe?

Science.gov (United States)

Dasarathy, Srinivasan; Mookerjee, Rajeshwar P; Rackayova, Veronika; Rangroo Thrane, Vinita; Vairappan, Balasubramaniyan; Ott, Peter; Rose, Christopher F

2017-04-01

Ammonia is diffused and transported across all plasma membranes. This entails that hyperammonemia leads to an increase in ammonia in all organs and tissues. It is known that the toxic ramifications of ammonia primarily touch the brain and cause neurological impairment. However, the deleterious effects of ammonia are not specific to the brain, as the direct effect of increased ammonia (change in pH, membrane potential, metabolism) can occur in any type of cell. Therefore, in the setting of chronic liver disease where multi-organ dysfunction is common, the role of ammonia, only as neurotoxin, is challenged. This review provides insights and evidence that increased ammonia can disturb many organ and cell types and hence lead to dysfunction.

Improving Face Detection with TOE Cameras

DEFF Research Database (Denmark)

Hansen, Dan Witzner; Larsen, Rasmus; Lauze, F

2007-01-01

A face detection method based on a boosted classifier using images from a time-of-flight sensor is presented. We show that the performance of face detection can be improved when using both depth and gray scale images and that the common use of integration of hypotheses for verification can...... be relaxed. Based on the detected face we employ an active contour method on depth images for full head segmentation....

On Range of Skill

DEFF Research Database (Denmark)

Hansen, Thomas Dueholm; Miltersen, Peter Bro; Sørensen, Troels Bjerre

2008-01-01

size (and doubly exponential in its depth). We also provide techniques that yield concrete bounds for unbalanced game trees and apply these to estimate the Range of Skill of Tic-Tac-Toe and Heads-Up Limit Texas Hold'em Poker. In particular, we show that the Range of Skill of Tic-Tac-Toe is more than...

Dance Therapy with Physical Therapy for Children with Down Syndrome.

Science.gov (United States)

Dupont, Blanche Burt; Schulmann, Diana

This study sought to investigate effects of a dance program on bilateral toe-standing balance and single-point static balance skills of a group of children with Down Syndrome. Thirteen experimental and 10 control group students between the ages of 3 and 13 years were assessed on toe-standing balance and single-point standing balance on the right…

Use of a novel smart heating sleeping bag to improve wearers' local thermal comfort in the feet.

Science.gov (United States)

Song, W F; Zhang, C J; Lai, D D; Wang, F M; Kuklane, K

2016-01-13

Previous studies have revealed that wearers had low skin temperatures and cold and pain sensations in the feet, when using sleeping bags under defined comfort and limit temperatures. To improve wearers' local thermal comfort in the feet, a novel heating sleeping bag (i.e., MARHT) was developed by embedding two heating pads into the traditional sleeping bag (i.e., MARCON) in this region. Seven female and seven male volunteers underwent two tests on different days. Each test lasted for three hours and was performed in a climate chamber with a setting temperature deduced from EN 13537 (2012) (for females: comfort temperature of -0.4 °C, and for males: the limit temperature of -6.4 °C). MARHT was found to be effective in maintaining the toe and feet temperatures within the thermoneutral range for both sex groups compared to the linearly decreased temperatures in MARCON during the 3-hour exposure. In addition, wearing MARHT elevated the toe blood flow significantly for most females and all males. Thermal and comfort sensations showed a large improvement in feet and a small to moderate improvement in the whole body for both sex groups in MARHT. It was concluded that MARHT is effective in improving local thermal comfort in the feet.

Use of a novel smart heating sleeping bag to improve wearers’ local thermal comfort in the feet

Science.gov (United States)

Song, W. F.; Zhang, C. J.; Lai, D. D.; Wang, F. M.; Kuklane, K.

2016-01-01

Previous studies have revealed that wearers had low skin temperatures and cold and pain sensations in the feet, when using sleeping bags under defined comfort and limit temperatures. To improve wearers’ local thermal comfort in the feet, a novel heating sleeping bag (i.e., MARHT) was developed by embedding two heating pads into the traditional sleeping bag (i.e., MARCON) in this region. Seven female and seven male volunteers underwent two tests on different days. Each test lasted for three hours and was performed in a climate chamber with a setting temperature deduced from EN 13537 (2012) (for females: comfort temperature of -0.4 °C, and for males: the limit temperature of -6.4 °C). MARHT was found to be effective in maintaining the toe and feet temperatures within the thermoneutral range for both sex groups compared to the linearly decreased temperatures in MARCON during the 3-hour exposure. In addition, wearing MARHT elevated the toe blood flow significantly for most females and all males. Thermal and comfort sensations showed a large improvement in feet and a small to moderate improvement in the whole body for both sex groups in MARHT. It was concluded that MARHT is effective in improving local thermal comfort in the feet.

An automated approach for extracting Barrier Island morphology from digital elevation models

Science.gov (United States)

Wernette, Phillipe; Houser, Chris; Bishop, Michael P.

2016-06-01

The response and recovery of a barrier island to extreme storms depends on the elevation of the dune base and crest, both of which can vary considerably alongshore and through time. Quantifying the response to and recovery from storms requires that we can first identify and differentiate the dune(s) from the beach and back-barrier, which in turn depends on accurate identification and delineation of the dune toe, crest and heel. The purpose of this paper is to introduce a multi-scale automated approach for extracting beach, dune (dune toe, dune crest and dune heel), and barrier island morphology. The automated approach introduced here extracts the shoreline and back-barrier shoreline based on elevation thresholds, and extracts the dune toe, dune crest and dune heel based on the average relative relief (RR) across multiple spatial scales of analysis. The multi-scale automated RR approach to extracting dune toe, dune crest, and dune heel based upon relative relief is more objective than traditional approaches because every pixel is analyzed across multiple computational scales and the identification of features is based on the calculated RR values. The RR approach out-performed contemporary approaches and represents a fast objective means to define important beach and dune features for predicting barrier island response to storms. The RR method also does not require that the dune toe, crest, or heel are spatially continuous, which is important because dune morphology is likely naturally variable alongshore.

Report for fiscal 1999 on the fundamental survey on promotion of joint implementation. Modernization of Bakabad Cement Factory; 1999 nendo kyodo jisshi nado suishin kiso chosa Bekbad cement kojo kindaika chosa hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

This paper describes the result in fiscal 1999 of the feasibility study applied with the COP3 clean development mechanism for Bekabad Cement Factory in the Republic of Uzbekistan. One of the existing three old type kilns were diverted and converted into a dry NSP type kiln (having the same production capacity as the present of 726,000 tons a year). This arrangement was intended to enhance the productivity, save the energy, and reduce emission of greenhouse gases and different pollutants by renewing the upper and lower stream facilities and installing such environmental devices as electric dust collectors and bag filters. The total construction cost is US$84,432,000. Reducible energy consumption and reduction quantity of greenhouse gases would be 73,232 toe/year and 176,528 toe/year, respectively, in the single fiscal 2006. The cumulative quantity over twenty-year period until 2025 would be 1,464,640 toe and 3,530,560 toe, respectively. The energy saving effect per US$1,000 would be 17.87 toe, and the greenhouse gas reduction effect would be 43.08 t. In the case of using a soft loan such as the special yen loan for environment application, the internal profit rate after tax would be 7.63%, which is not high as the business enterprise profitability. However, the profit and loss statement indicates creation of profit after two years of operation, hence there is a relative realization possibility. (NEDO)

Foot shape in arboreal birds: two morphological patterns for the same pincer-like tool.

Science.gov (United States)

Abourachid, Anick; Fabre, Anne-Claire; Cornette, Raphaël; Höfling, Elizabeth

2017-07-01

The feet are the only contact between the body and the substrate in limbed animals and as such they provide a crucial interface between the animal and its environment. This is especially true for bipedal and arboreal species living in a complex three-dimensional environment that likely induces strong selection on foot morphology. In birds, foot morphology is highly variable, with different orientations of the toes, making it a good model for the study of the role of functional, developmental, and phylogenetic constraints in the evolution of phenotypic diversity. Our data on the proportions of the phalanges analyzed in a phylogenetic context show that two different morphological patterns exist that depend mainly on habitat and toe orientation. In the anisodactyl foot, the hallux is the only backward-oriented toe and is enlarged in climbing species and reduced in terrestrial ones. Moreover, a proximo-distal gradient in phalanx size is observed depending on the degree of terrestriality. In the two other cases (heterodactyl and zygodactyl) that have two toes that point backward, the hallux is rather small in contrast to the other backward-pointing toe, which is enlarged. The first pattern is convergent and common among tetrapods and follows rules of skeletal development. The second pattern is unique for the clade and under muscle-morphogenetic control. In all cases, the functional result is the same tool, a pincer-like foot. © 2017 Anatomical Society.

Layer-dependent role of collagen recruitment during loading of the rat bladder wall.

Science.gov (United States)

Cheng, Fangzhou; Birder, Lori A; Kullmann, F Aura; Hornsby, Jack; Watton, Paul N; Watkins, Simon; Thompson, Mark; Robertson, Anne M

2018-04-01

In this work, we re-evaluated long-standing conjectures as to the source of the exceptionally large compliance of the bladder wall. Whereas these conjectures were based on indirect measures of loading mechanisms, in this work we take advantage of advances in bioimaging to directly assess collagen fibers and wall architecture during biaxial loading. A custom biaxial mechanical testing system compatible with multiphoton microscopy was used to directly measure the layer-dependent collagen fiber recruitment in bladder tissue from 9 male Fischer rats (4 adult and 5 aged). As for other soft tissues, the bladder loading curve was exponential in shape and could be divided into toe, transition and high stress regimes. The relationship between collagen recruitment and loading curves was evaluated in the context of the inner (lamina propria) and outer (detrusor smooth muscle) layers. The large extensibility of the bladder was found to be possible due to folds in the wall (rugae) that provide a mechanism for low resistance flattening without any discernible recruitment of collagen fibers throughout the toe regime. For more extensible bladders, as the loading extended into the transition regime, a gradual coordinated recruitment of collagen fibers between the lamina propria layer and detrusor smooth muscle layer was found. A second important finding was that wall extensibility could be lost by premature recruitment of collagen in the outer wall that cut short the toe region. This change was correlated with age. This work provides, for the first time, a mechanistic understanding of the role of collagen recruitment in determining bladder extensibility and capacitance.

Modeling and analysis of passive dynamic bipedal walking with segmented feet and compliant joints

Science.gov (United States)

Huang, Yan; Wang, Qi-Ning; Gao, Yue; Xie, Guang-Ming

2012-10-01

Passive dynamic walking has been developed as a possible explanation for the efficiency of the human gait. This paper presents a passive dynamic walking model with segmented feet, which makes the bipedal walking gait more close to natural human-like gait. The proposed model extends the simplest walking model with the addition of flat feet and torsional spring based compliance on ankle joints and toe joints, to achieve stable walking on a slope driven by gravity. The push-off phase includes foot rotations around the toe joint and around the toe tip, which shows a great resemblance to human normal walking. This paper investigates the effects of the segmented foot structure on bipedal walking in simulations. The model achieves satisfactory walking results on even or uneven slopes.

The effect of proximal tibial slope on dynamic stability testing of the posterior cruciate ligament- and posterolateral corner-deficient knee.

Science.gov (United States)

Petrigliano, Frank A; Suero, Eduardo M; Voos, James E; Pearle, Andrew D; Allen, Answorth A

2012-06-01

Proximal tibial slope has been shown to influence anteroposterior translation and tibial resting point in the posterior cruciate ligament (PCL)-deficient knee. The effect of proximal tibial slope on rotational stability of the knee is unknown. Change in proximal tibial slope produced via osteotomy can influence both static translation and dynamic rotational kinematics in the PCL/posterolateral corner (PLC)-deficient knee. Controlled laboratory study. Posterior drawer, dial, and mechanized reverse pivot-shift (RPS) tests were performed on hip-to-toe specimens and translation of the lateral and medial compartments measured utilizing navigation (n = 10). The PCL and structures of the PLC were then sectioned. Stability testing was repeated, and compartmental translation was recorded. A proximal tibial osteotomy in the sagittal plane was then performed achieving either +5° or -5° of tibial slope variation, after which stability testing was repeated (n = 10). Analysis was performed using 1-way analysis of variance (ANOVA; α = .05). Combined sectioning of the PCL and PLC structures resulted in a 10.5-mm increase in the posterior drawer, 15.5-mm increase in the dial test at 30°, 14.5-mm increase in the dial test at 90°, and 17.9-mm increase in the RPS (vs intact; P slope (high tibial osteotomy [HTO] +5°) in the PCL/PLC-deficient knee reduced medial compartment translation by 3.3 mm during posterior drawer (vs deficient; P slope (HTO -5°) caused a 4.8-mm increase in medial compartment translation (vs deficient state; P slope diminished static posterior instability of the PCL/PLC-deficient knee as measured by the posterior drawer test but had little effect on rotational or dynamic multiplanar stability as assessed by the dial and RPS tests, respectively. Conversely, decreasing posterior slope resulted in increased posterior instability and a significant increase in the magnitude of the RPS. These results suggest that increasing posterior tibial slope may improve

France looks to biomass

Energy Technology Data Exchange (ETDEWEB)

1982-03-22

France's Solar Energy Commission has announced a series of measures it is backing to increase the country's production of energy from biomass. Following consultations on suitable equipment, it has decided to go ahead with experiments of 15 systems designed to produce methane from animal wastes. Its eventual target is the production of between 1 million and 1.5 million tons per year of oil equivalent (toe) from this source. Secondly, it has launched a tender for the supply of domestic and industrial heating equipment capable of functioning on straw. It has calculated that the amount of straw available for this end use is in the region of 6 million ton per year, equivalent to about 2 million tons per year toe. Finally, tests are to be carried out in 14 different areas to determine the best variety of Jerusalem artichoke for the production of ethanol. Together with the Institut Francais du Petrole the Commission is building a demonstration unit for the production of acetone/butyric acid by fermentation of sugars from Jerusamlem artichoke and beet roots.

Development of roller type side slip tester; Roller shiki side slip tester no kaihatsu

Energy Technology Data Exchange (ETDEWEB)

Nishiyama, S [Hiroshima City Industrial Technology Institute, Hiroshima (Japan); Harada, S; Harada, K

1997-10-01

This paper presents a new development of roller type side slip tester (RTSSI). The test equipment consists of four parts, which are developed in this research. These are a roller part, a control part, a remote control part and a CRT part. In this study, we especially investigated the mechanism and performance between tire and roller. We analyzed the amount of side slip with various toe angles. The developed tester is examined under the conditions that is considered in industrial applications. We investigated the influences of toe angle, size of tire, pressure of tire, coefficient of friction between tire and roller, pushing force of tire, revolution velocity of roller, axle load and so on. The validity of the developed RTSST is confirmed under these conditions. It was found that the RTSST can be used in practical use. Some measurement results are presented in the form of parametric plots. And we also compared measurements data between the RTSST and that of flat type using several automobiles. 4 refs., 8 figs., 4 tabs.

Predicting ground contact events for a continuum of gait types: An application of targeted machine learning using principal component analysis.

Science.gov (United States)

Osis, Sean T; Hettinga, Blayne A; Ferber, Reed

2016-05-01

An ongoing challenge in the application of gait analysis to clinical settings is the standardized detection of temporal events, with unobtrusive and cost-effective equipment, for a wide range of gait types. The purpose of the current study was to investigate a targeted machine learning approach for the prediction of timing for foot strike (or initial contact) and toe-off, using only kinematics for walking, forefoot running, and heel-toe running. Data were categorized by gait type and split into a training set (∼30%) and a validation set (∼70%). A principal component analysis was performed, and separate linear models were trained and validated for foot strike and toe-off, using ground reaction force data as a gold-standard for event timing. Results indicate the model predicted both foot strike and toe-off timing to within 20ms of the gold-standard for more than 95% of cases in walking and running gaits. The machine learning approach continues to provide robust timing predictions for clinical use, and may offer a flexible methodology to handle new events and gait types. Copyright © 2016 Elsevier B.V. All rights reserved.

Modeling of Liquid Steel/Slag/Argon Gas Multiphase Flow During Tundish Open Eye Formation in a Two-Strand Tundish

Science.gov (United States)

Chatterjee, Saikat; Li, Donghui; Chattopadhyay, Kinnor

2018-04-01

Multiphase flows are frequently encountered in metallurgical operations. One of the most effective ways to understand these processes is by flow modeling. The process of tundish open eye (TOE) formation involves three-phase interaction between liquid steel, slag, and argon gas. The two-phase interaction involving argon gas bubbles and liquid steel can be modeled relatively easily using the discrete phase modeling technique. However, the effect of an upper slag layer cannot be captured using this approach. The presence of an upper buoyant phase can have a major effect on the behavior of TOEs. Hence, a multiphase model, including three phases, viz. liquid steel, slag, and argon gas, in a two-strand slab caster tundish, was developed to study the formation and evolution of TOEs. The volume of fluid model was used to track the interphase between liquid steel and slag phases, while the discrete phase model was used to trace the movement of the argon gas bubbles in liquid steel. The variation in the TOE areas with different amounts of aspirated argon gas was examined in the presence of an overlying slag phase. The mathematical model predictions were compared against steel plant measurements.

Field Test: Results of Tandem Walk Performance Following Long-Duration Spaceflight

Science.gov (United States)

Rosenberg, M. J. F.; Reschke, M. F.; Cerisano, J. M.; Kofman, I. S.; Fisher, E. A.; Gadd, N. E.; May-Phillips, T. R.; Lee, S. M. C.; Laurie, S. S.; Stenger, M. B.;

Controlling fusarium wilt disease in melon(cucumis melo L.) using tilllered onion bulb extract

International Nuclear Information System (INIS)

Yushu, Z.; Guo, Q.; Xuezheng, W.; Yanan, Z.; Yuting, Li.

2017-01-01

Melon wilt disease is a soil-borne disease caused by Fusarium oxysporum f. sp. niveum. This disease incur of the heavy economic loss in melon crops. To decrease damage to melons, many control methods have been developed. However, many of the current control methods have limitations and disadvantages. For example, fungicides may cause health concerns for both humans and the environment due to high toxin content and the presence of residues. Therefore, biological control methods that reduce or eliminate the risk of environmental contamination and threats to human health are urgently needed to solve these issues and to protect melon crops from wilt disease.In this research, we assessed the efficacy of tillered onion bulb extract (TOE) for biocontrol of melon wilt disease in melon. Different concentrations of the TOE have been shown to have inhibitory effects on Fusariumspore germination and growth, pathogenic bacterial biomass, and fungal sporulation, with increased inhibitory effects at higher TOE concentrations. In melon wilt disease, concentrations of TOE greater than 250 mg/mL produced the highest protective effects in both susceptible and resistant melon cultivars. The disease index in resistant varieties was 18%, and the disease control effect was 63.51%, while the disease index in susceptible varieties was 21.41%, and the disease control effect reached 65.96%. These values indicate stronger control effects than those achieved using 40% Ning WP melon blight. High concentrations (over 500 mg/mL) of TOE had strong inhibitory effects on melon seed germination and the activity of protective enzymes in melon cultivars. (author)

The effects of laterality on obstacle crossing performance in unilateral trans-tibial amputees.

Science.gov (United States)

De Asha, Alan R; Buckley, John G

2015-05-01

Unilateral trans-tibial amputees have bilaterally reduced toe clearance, and an increased risk of foot contact, while crossing obstacles compared to the able-bodied. While the able-bodied tend to lead with a 'preferred' limb it is equivocal whether amputees prefer to lead with the intact or prosthetic limb. This study determined the effects of laterality, compared to side of amputation, on amputees' obstacle crossing performance. To help understand why laterality could affect performance we also assessed knee proprioception for both limbs. Foot placement and toe clearance parameters were recorded while nine amputees crossed obstacles of varying heights leading with both their intact and prosthetic limbs. Joint-position sense was also assessed. Participants self-reported which limb was their preferred (dominant) limb. There were no significant differences in foot placements or toe clearance variability across lead-limb conditions. There were no significant differences in toe clearance between intact and prosthetic lead-limbs (p=0.28) but toe clearance was significantly higher when amputees led with their preferred compared to non-preferred limb (p=0.025). There was no difference in joint-position sense between the intact and residual knees (p=0.34) but joint-position sense tended to be more accurate for the preferred, compared to non-preferred limb (p=0.08). Findings suggest that, despite the mechanical constraints imposed by use of a prosthesis, laterality may be as important in lower-limb amputees as it is in the able bodied. This suggests that amputees should be encouraged to cross obstacles leading with their preferred limb. Copyright © 2015. Published by Elsevier Ltd.

Laboratory Experiments on Steady State Seepage-Induced Landslides Using Slope Models and Sensors

Directory of Open Access Journals (Sweden)

Sandra G. Catane

2011-06-01

Full Text Available A thorough understanding of the failure initiation process is crucial in the development of physicallybased early warning system for landslides and slope failures. Laboratory-scale slope models were constructed and subjected to instability through simulated groundwater infiltration. This is done by progressively increasing the water level in the upslope tank and allowing water to infiltrate laterally towards the toe of the slope. Physical changes in the slope models were recorded by tilt sensors and video cameras. When the model slope was destabilized, the chronology of events occurred in the following sequence: (1 bulging at the toe, (2 seepage at the toe, (3 initial failure of soil mass, (4 piping, (5 retrogressive failure, (6 formation of tension cracks and (7 major failure of soil mass. Tension cracks, piping and eventual failure are manifestations of differential settlements due to variations in void ratio. Finite element analysis indicates that instability and subsequent failures in the model slope were induced primarily by high hydraulic gradients in the toe area. Seepage, initial deformation and subsequent failures were manifested in the toe area prior to failure, providing a maximum of 36 min lead time. Similar lead times are expected in slopes of the same material as shown in many case studies of dam failure. The potential of having a longer lead time is high for natural slopes made of materials with higher shear strength thus evacuation is possible. The tilt sensors were able to detect the initial changes before visual changes manifested, indicating the importance of instrumental monitoring.

Improvement of isometric dorsiflexion protocol for assessment of tibialis anterior muscle strength☆

Science.gov (United States)

Siddiqi, Ariba; Arjunan, Sridhar P.; Kumar, Dinesh

2015-01-01

It is important to accurately estimate the electromyogram (EMG)/force relationship of triceps surae (TS) muscle for detecting strength deficit of tibalis anterior (TA) muscle. In literature, the protocol for recording EMG and force of dorsiflexion have been described, and the necessity for immobilizing the ankle has been explained. However, there is a significant variability of the results among researchers even though they report the fixation of the ankle. We have determined that toe extension can cause significant variation in the dorsiflexion force and EMG of TS and this can occur despite following the current guidelines which require immobilizing the ankle. The results also show that there was a large increase in the variability of the force and the RMS of EMG of TS when the toes were not strapped compared with when they were strapped. Thus, with the current guidelines, where there are no instructions regarding the necessity of strapping the toes, the EMG/force relationship of TS could be incorrect and give an inaccurate assessment of the dorsiflexor TA strength. In summary, • Current methodology to estimate the dorsiflexor TA strength with respect to the TS activity, emphasizing on ankle immobilization is insufficient to prevent large variability in the measurements. • Toe extension during dorsiflexion was found to be one source of variability in estimating the TA strength. • It is recommended that guidelines for recording force and EMG from TA and TS muscles should require the strapping of the toes along with the need for immobilizing the ankle. PMID:26150978

Improvement of isometric dorsiflexion protocol for assessment of tibialis anterior muscle strength.

Science.gov (United States)

Siddiqi, Ariba; Arjunan, Sridhar P; Kumar, Dinesh

2015-01-01

It is important to accurately estimate the electromyogram (EMG)/force relationship of triceps surae (TS) muscle for detecting strength deficit of tibalis anterior (TA) muscle. In literature, the protocol for recording EMG and force of dorsiflexion have been described, and the necessity for immobilizing the ankle has been explained. However, there is a significant variability of the results among researchers even though they report the fixation of the ankle. We have determined that toe extension can cause significant variation in the dorsiflexion force and EMG of TS and this can occur despite following the current guidelines which require immobilizing the ankle. The results also show that there was a large increase in the variability of the force and the RMS of EMG of TS when the toes were not strapped compared with when they were strapped. Thus, with the current guidelines, where there are no instructions regarding the necessity of strapping the toes, the EMG/force relationship of TS could be incorrect and give an inaccurate assessment of the dorsiflexor TA strength. In summary, •Current methodology to estimate the dorsiflexor TA strength with respect to the TS activity, emphasizing on ankle immobilization is insufficient to prevent large variability in the measurements.•Toe extension during dorsiflexion was found to be one source of variability in estimating the TA strength.•It is recommended that guidelines for recording force and EMG from TA and TS muscles should require the strapping of the toes along with the need for immobilizing the ankle.

Comparison of oxygen saturation values and measurement times by pulse oximetry in various parts of the body.

Science.gov (United States)

Yönt, Gülendam Hakverdioğlu; Korhan, Esra Akin; Khorshid, Leyla

2011-11-01

The aim of this study, which included 40 patients, was to compare the values pulse oximetry and the measurement times in various regions of the body. Data were analyzed using intraclass correlation coefficient test and paired-sample test. The confidence power value was found to be .81 for the comparison of oxygen saturation values by arterial blood gas analysis and measurement by the forehead probe. It was found that the time for oxygen saturation measurement using the forehead probe was shorter than those using the finger and toe probes. Copyright © 2011 Elsevier Inc. All rights reserved.

Quantifying skin motion artifact error of the hindfoot and forefoot marker clusters with the optical tracking of a multi-segment foot model using single-plane fluoroscopy.

Science.gov (United States)

Shultz, R; Kedgley, A E; Jenkyn, T R

2011-05-01

The trajectories of skin-mounted markers tracked with optical motion capture are assumed to be an adequate representation of the underlying bone motions. However, it is well known that soft tissue artifact (STA) exists between marker and bone. This study quantifies the STA associated with the hindfoot and midfoot marker clusters of a multi-segment foot model. To quantify STA of the hindfoot and midfoot marker clusters with respect to the calcaneus and navicular respectively, fluoroscopic images were collected on 27 subjects during four quasi-static positions, (1) quiet standing (non-weight bearing), (2) at heel strike (weight-bearing), (3) at midstance (weight-bearing) and (4) at toe-off (weight-bearing). The translation and rotation components of STA were calculated in the sagittal plane. Translational STA at the calcaneus varied from 5.9±7.3mm at heel-strike to 12.1±0.3mm at toe-off. For the navicular the translational STA ranged from 7.6±7.6mm at heel strike to 16.4±16.7mm at toe-off. Rotational STA was relatively smaller for both bones at all foot positions. For the calcaneus they varied between 0.1±2.2° at heel-strike to 0.2±0.6° at toe-off. For the navicular, the rotational STA ranged from 0.6±0.9° at heel-strike to 0.7±0.7° at toe-off. The largest translational STA found in this study (16mm for the navicular) was smaller than those reported in the literature for the thigh and the lower leg, but was larger than the STA of individual spherical markers affixed to the foot. The largest errors occurred at toe-off position for all subjects for both the hindfoot and midfoot clusters. Future studies are recommended to quantify true three-dimensional STA of the entire foot during gait. Copyright © 2011. Published by Elsevier B.V.

Energy demand and mix for global welfare and stable ecosystems

Energy Technology Data Exchange (ETDEWEB)

Jess, A.; Kern, C.; Kaiser, P.

2012-07-01

Social indicators show that an annual energy consumption of 2 tonnes of oil equivalent per capita (toe pc) should be enough to ensure a sufficient global average level of welfare and happiness. Hence, rich countries with currently up to 8 toe pc should reduce and poor should legitimately increase their energy demand until 2 toe pc are reached. At today's global energy mix with 80% fossil fuels, even this optimistic scenario will inevitably lead to a conflict between welfare and stable ecosystems. The population will be 9 billion by 2050 and the ecological footprint would rise from today 1.5 to 2 planet Earths. The only option to reach the desired footprint of one planet Earth is a complete shift from fossil fuels to renewables. (orig.)

/sup 99m/Tc radionuclide angioscintigraphic perfusion analysis in the assessment and follow-up of peripheral vascular diseases of the lower limbs

International Nuclear Information System (INIS)

Bencini, C.; Mazzuca, N.; Bertelli, P.; Pulera, N.; Mariani, G.

1986-01-01

Peripheral arterial diseases (PADs) of the lower limbs such as thromboangitis obliterans (TAO) (Buerger's disease), arteriosclerosis obliterans (ASO) and diabetes mellitus, produce trophic disturbances occurring most often in the toes. Perfusion analysis of the foot and toes was previously reported. The analysis utilized radionuclide arteriography (RNA) during reactive hyperaemia to obtain peak activity in RNA time-activity curves (TACs). RNA was also used to assess healing capability of skin ulcers of the calf and ankle, which depends on localized enhancement of capillary blood flow. On these bases, detection of capillary blood flow assumes primary importance in the assessment of peripheral vascular disease (PVD). The purpose of this study was to determine whether RNA of the toes at rest could provide adequate assessment of microcirculation in PVD and of microcirculatory changes induced by lumbar sympathectomy (LS)

Biofuels barometer - EurObserv'ER - July 2013

International Nuclear Information System (INIS)

2013-07-01

+2.9% the increase in EU biofuel consumption in transport between 2011 and 2012. Despite the uncertain political context, biofuel consumption growth was firm in the European Union, rising to almost 14.4 million toe in 2012, i.e. a year-on-year increase of 0.4 million toe. However the previous years' weaker growth trend is confirmed with growth at just 2.9% between 2011 and 2012

Heat-washout - an objective method for diagnosing neuropathy and atherosclerosis in diabetic patients

DEFF Research Database (Denmark)

Midttun, M; Snorgaard, O

2013-01-01

The heat-washout method is an objective method that measures cutaneous blood flow rate (BFR) in ml (100 g. min)(-1), previously found useful for measuring toe BFR in non-diabetic patients with claudication.......The heat-washout method is an objective method that measures cutaneous blood flow rate (BFR) in ml (100 g. min)(-1), previously found useful for measuring toe BFR in non-diabetic patients with claudication....

Mechanics of evolutionary digit reduction in fossil horses (Equidae).

Science.gov (United States)

McHorse, Brianna K; Biewener, Andrew A; Pierce, Stephanie E

2017-08-30

Digit reduction is a major trend that characterizes horse evolution, but its causes and consequences have rarely been quantitatively tested. Using beam analysis on fossilized centre metapodials, we tested how locomotor bone stresses changed with digit reduction and increasing body size across the horse lineage. Internal bone geometry was captured from 13 fossil horse genera that covered the breadth of the equid phylogeny and the spectrum of digit reduction and body sizes, from Hyracotherium to Equus To account for the load-bearing role of side digits, a novel, continuous measure of digit reduction was also established-toe reduction index (TRI). Our results show that without accounting for side digits, three-toed horses as late as Parahippus would have experienced physiologically untenable bone stresses. Conversely, when side digits are modelled as load-bearing, species at the base of the horse radiation through Equus probably maintained a similar safety factor to fracture stress. We conclude that the centre metapodial compensated for evolutionary digit reduction and body mass increases by becoming more resistant to bending through substantial positive allometry in internal geometry. These results lend support to two historical hypotheses: that increasing body mass selected for a single, robust metapodial rather than several smaller ones; and that, as horse limbs became elongated, the cost of inertia from the side toes outweighed their utility for stabilization or load-bearing. © 2017 The Author(s).

Clinical diagnostic exome evaluation for an infant with a lethal disorder: genetic diagnosis of TARP syndrome and expansion of the phenotype in a patient with a newly reported RBM10 alteration.

Science.gov (United States)

Powis, Zöe; Hart, Alexa; Cherny, Sara; Petrik, Igor; Palmaer, Erika; Tang, Sha; Jones, Carolyn

2017-06-02

Diagnostic Exome Sequencing (DES) has been shown to be an effective tool for diagnosis individuals with suspected genetic conditions. We report a male infant born with multiple anomalies including bilateral dysplastic kidneys, cleft palate, bilateral talipes, and bilateral absence of thumbs and first toes. Prenatal testing including chromosome analysis and microarray did not identify a cause for the multiple congenital anomalies. Postnatal diagnostic exome studies (DES) were utilized to find a molecular diagnosis for the patient. Exome sequencing of the proband, mother, and father showed a previously unreported maternally inherited RNA binding motif protein 10 (RBM10) c.1352_1353delAG (p.E451Vfs*66) alteration. Mutations in RBM10 are associated with TARP syndrome, an X-linked recessive disorder originally described with cardinal features of talipes equinovarus, atrial septal defect, Robin sequence, and persistent left superior vena cava. DES established a molecular genetic diagnosis of TARP syndrome for a neonatal patient with a poor prognosis in whom traditional testing methods were uninformative and allowed for efficient diagnosis and future reproductive options for the parents. Other reported cases of TARP syndrome demonstrate significant variability in clinical phenotype. The reported features in this infant including multiple hemivertebrae, imperforate anus, aplasia of thumbs and first toes have not been reported in previous patients, thus expanding the clinical phenotype for this rare disorder.

The biomechanical effects of limb lengthening and botulinum toxin type A on rabbit tendon.

Science.gov (United States)

Olabisi, Ronke M; Best, Thomas M; Hurschler, Christof; Vanderby, Ray; Noonan, Kenneth J

2010-12-01

Numerous studies have examined the effects of distraction osteogenesis (DO) on bone, but relatively fewer have explored muscle adaptation, and even less have addressed the concomitant alterations that occur in the tendon. The purpose herein was to characterize the biomechanical properties of normal and elongated rabbit (N = 20) tendons with and without prophylactic botulinum toxin type A (BTX-A) treatment. Elastic and viscoelastic properties of Achilles and Tibialis anterior (TA) tendons were evaluated through pull to failure and stress relaxation tests. All TA tendons displayed nonlinear viscoelastic responses that were strain dependent. A power law formulation was used to model tendon viscoelastic responses and tendon elastic responses were fit with a microstructural model. Distraction-elongated tendons displayed increases in compliance and stress relaxation rates over undistracted tendons; BTX-A administration offset this result. The elastic moduli of distraction-lengthened TA tendons were diminished (p = 0.010) when distraction was combined with gastrocnemius (GA) BTX-A administration, elastic moduli were further decreased (p = 0.004) and distraction following TA BTX-A administration resulted in TA tendons with moduli not different from contralateral control (p > 0.05). Compared to contralateral control, distraction and GA BTX-A administration displayed shortened toe regions, (p = 0.031 and 0.038, respectively), while tendons receiving BTX-A in the TA had no differences in the toe region (p > 0.05). Ultimate tensile stress was unaltered by DO, but stress at the transition from the toe to the linear region of the stress-stretch curve was diminished in all distraction-elongated TA tendons (p properties. Copyright © 2010 Elsevier Ltd. All rights reserved.

Footprint Contact Area and Interface Pressure Comparison Between the Knotless and Knot-Tying Transosseous-Equivalent Technique for Rotator Cuff Repair.

Science.gov (United States)

Kim, Sung-Jae; Kim, Sung-Hwan; Moon, Hyun-Soo; Chun, Yong-Min

2016-01-01

To quantify and compare the footprint contact area and interface pressure on the greater tuberosity between knotless and knot-tying transosseous-equivalent (TOE) repair using pressure-sensitive film. We used 11 pairs of fresh-frozen cadaveric shoulders (22 specimens), in which rotator cuff tears were created before repair. Each pair was randomized to either conventional medial knot-tying TOE repair (group A) or medial knotless TOE repair using the modified Mason-Allen technique (group B). Pressure-sensitive film was used to quantify the pressurized contact area and interface pressure between the greater tuberosity and supraspinatus tendon. The mean pressurized contact area was 33.2 ± 2.5 mm(2) for group A and 28.4 ± 2.4 mm(2) for group B. There was a significant difference between groups (P = .005). Although the overall contact configuration of both groups was similar and showed an M shape, group A showed a greater pressurized configuration around the medial row. The mean interface pressure was 0.20 ± 0.02 MPa for group A and 0.17 ± 0.02 MPa for group B. There was a significant difference between groups (P = .001). Contrary to our hypothesis, in this time-zero study, medial knotless TOE repair using a modified Mason-Allen suture produced a significantly inferior footprint contact area and interface pressure compared with conventional medial knot-tying TOE repair. Even though we found a statistically significant difference between the 2 repair methods, it is still unknown if this statistical difference seen in our study has any clinical and radiologic significance. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Vertical Jump Height Estimation Algorithm Based on Takeoff and Landing Identification Via Foot-Worn Inertial Sensing.

Science.gov (United States)

Wang, Jianren; Xu, Junkai; Shull, Peter B

2018-03-01

Vertical jump height is widely used for assessing motor development, functional ability, and motor capacity. Traditional methods for estimating vertical jump height rely on force plates or optical marker-based motion capture systems limiting assessment to people with access to specialized laboratories. Current wearable designs need to be attached to the skin or strapped to an appendage which can potentially be uncomfortable and inconvenient to use. This paper presents a novel algorithm for estimating vertical jump height based on foot-worn inertial sensors. Twenty healthy subjects performed countermovement jumping trials and maximum jump height was determined via inertial sensors located above the toe and under the heel and was compared with the gold standard maximum jump height estimation via optical marker-based motion capture. Average vertical jump height estimation errors from inertial sensing at the toe and heel were -2.2±2.1 cm and -0.4±3.8 cm, respectively. Vertical jump height estimation with the presented algorithm via inertial sensing showed excellent reliability at the toe (ICC(2,1)=0.98) and heel (ICC(2,1)=0.97). There was no significant bias in the inertial sensing at the toe, but proportional bias (b=1.22) and fixed bias (a=-10.23cm) were detected in inertial sensing at the heel. These results indicate that the presented algorithm could be applied to foot-worn inertial sensors to estimate maximum jump height enabling assessment outside of traditional laboratory settings, and to avoid bias errors, the toe may be a more suitable location for inertial sensor placement than the heel.

Feasibility study of energy conservation at Vietnam Steel Corporation

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

Feasibility study was conducted of the project for energy conservation and reduction in greenhouse effect gas emission by introducing the honeycomb type heat storage burner technology to heating furnaces of Vietnam Steel Corporation (VSC). Furnaces for study are the bar mill furnace at Gia Sang plant of TISCO Steelorks, bar mill furnace at Thu Duc plant of SSC Steelworks, billet furnace at new bar mill of SSC Steelworks, slab furnace at new hot strip mill that VSC is now in the planning stage. As a result of the study, the energy conservation amount is 2,900 toe/y at TISCO Steelworks, 2,130 toe/y at SSC Steelworks, and 6,000 toe/y at VSC new hot strip mill, which totaled 11,030 toe/y. The amount of greenhouse effect gas reduction is 9,000 t-CO2/y at TISCO, 6,600 t-CO2/y at SSC, and 18,600 t-CO2/y at VSC, which totaled 34,200 t/y. The total investment amount is 0.23, 0.44, 1.32 and 1.99 billion yen for each. As to the profitability, the internal earning rate is 24%, 86%, 97% and 51% for each, which are all favorable. (NEDO)

Automatic Adjustments of a Trans-oesophageal Ultrasound Robot for Monitoring Intra-operative Catheters

Science.gov (United States)

Wang, Shuangyi; Housden, James; Singh, Davinder; Rhode, Kawal

2017-12-01

3D trans-oesophageal echocardiography (TOE) has become a powerful tool for monitoring intra-operative catheters used during cardiac procedures in recent years. However, the control of the TOE probe remains as a manual task and therefore the operator has to hold the probe for a long period of time and sometimes in a radiation environment. To solve this problem, an add-on robotic system has been developed for holding and manipulating a commercial TOE probe. This paper focuses on the application of making automatic adjustments to the probe pose in order to accurately monitor the moving catheters. The positioning strategy is divided into an initialization step based on a pre-planning method and a localized adjustments step based on the robotic differential kinematics and related image servoing techniques. Both steps are described in the paper along with simulation experiments performed to validate the concept. The results indicate an error less than 0.5 mm for the initialization step and an error less than 2 mm for the localized adjustments step. Compared to the much bigger live 3D image volume, it is concluded that the methods are promising. Future work will focus on evaluating the method in the real TOE scanning scenario.

Sensorimotor cortical activity in patients with complete spinal cord injury: a functional magnetic resonance imaging study.

Science.gov (United States)

Sabbah, P; de, Schonen S; Leveque, C; Gay, S; Pfefer, F; Nioche, C; Sarrazin, J L; Barouti, H; Tadie, M; Cordoliani, Y S

2002-01-01

Residual activation of the cortex was investigated in nine patients with complete spinal cord injury between T6 and L1 by functional magnetic resonance imaging (fMRI). Brain activations were recorded under four conditions: (1) a patient attempting to move his toes with flexion-extension, (2) a patient imagining the same movement, (3) passive proprio-somesthesic stimulation of the big toes without visual control, and (4) passive proprio-somesthesic stimulation of the big toes with visual control by the patient. Passive proprio-somesthesic stimulation of the toes generated activation posterior to the central sulcus in the three patients who also showed a somesthesic evoked potential response to somesthesic stimulation. When performed under visual control, activations were observed in two more patients. In all patients, activations were found in the cortical areas involved in motor control (i.e., primary sensorimotor cortex, premotor regions and supplementary motor area [SMA]) during attempts to move or mental imagery of these tasks. It is concluded that even several years after injury with some local cortical reorganization, activation of lower limb cortical networks can be generated either by the attempt to move, the mental evocation of the action, or the visual feedback of a passive proprio-somesthesic stimulation.

Foot ulcer risk and location in relation to prospective clinical assessment of foot shape and mobility among persons with diabetes.

Science.gov (United States)

Cowley, Matthew S; Boyko, Edward J; Shofer, Jane B; Ahroni, Jessie H; Ledoux, William R

2008-11-01

We assessed baseline clinical foot shape for 2939 feet of diabetic subjects who were monitored prospectively for foot ulceration. Assessments included hammer/claw toes, hallux valgus, hallux limitus, prominent metatarsal heads, bony prominences, Charcot deformity, plantar callus, foot type, muscle atrophy, ankle and hallux mobility, and neuropathy. Risk factors were linked to ulcer occurrence and location via a Cox proportional hazards model. Hammer/claw toes (hazard ratio [HR] (95% confidence interval [CI])=1.43 (1.06, 1.94) p=0.02), marked hammer/claw toes (HR=1.77 (1.18, 2.66) p=0.006), bony prominences (HR=1.38 (1.02, 1.88), p=0.04), and foot type (Charcot or drop foot vs. neutrally aligned) (HR=2.34 (1.33, 4.10), p=0.003) were significant risk factors for ulceration adjusting for age, body mass index, insulin medication, ulcer history and amputation history. With adjustment for neuropathy only hammer/claw toes (HR=1.40 (1.03, 1.90), p=0.03) and foot type (HR=1.76 (1.04, 3.04), p=0.05) were significantly related to ulceration. However, there was no relationship between ulcer location and foot deformity. Certain foot deformities were predictive of ulceration, although there was no relationship between clinical foot deformity and ulcer location.

Red hot chili pepper. A new Calluella stoliczka, 1872 (Lissamphibia: Anura: Microhylidae) from Sarawak, East Malaysia (Borneo).

Science.gov (United States)

Das, Indraneil; Min, Pui Yong; Hsu, Wayne W; Hertwig, Stefan T; Haas, Alexander

2014-04-07

A new brightly-coloured (olive and red) species of microhylid frog of the genus Calluella Stoliczka 1872 is described from the upper elevations of Gunung Penrissen and the Matang Range, Sarawak, East Malaysia (Borneo). Calluella capsa, new species, is diagnosable in showing the following combination of characters: SVL up to 36.0 mm; dorsum weakly granular; a faint dermal fold across forehead; toe tips obtuse; webbing on toes basal; lateral fringes on toes present; outer metatarsal tubercle present; and dorsum greyish-olive, with red spots; half of venter bright red, the rest with large white and dark areas. The new species is the eighth species of Calluella to be described, and the fourth known from Borneo. A preliminary phylogeny of Calluella and its relatives is presented, and the new taxon compared with congeners from Malaysia and other parts of south-east Asia. 

Environmental Assessment And Finding of No Significant Impact for the Low Impact Development Retrofit At Pillar Point Air Force Station, California

Science.gov (United States)

2012-01-09

feet of seacliff during the winter of 1997-1998. Failure of the seacliff was likely due to scour of the toe of the seacliff during high tides...reactivation of a preexisting landslide due to record rainfall during the 1997-1998 winter and/or possibly by wave erosion of the toe of the slope (Fugro...None IB Coastal bluff scrub, coastal dunes , coastal prairie, coastal spineflower scrub. Fritillaria liliacea Fragrant fritillary None None IB

Risks to Navigation at the Matagorda Ship Channel Entrance, Texas, Phase 2: Evaluation of Significant Risk Factors

Science.gov (United States)

2011-08-01

jetties are deteriorating. As a result of this deterioration and lowered beach and dunes adjacent to the jetties, there are overwash occurrences during...the toe . An example slope stability analysis is presented in Figure 51. This figure shows a typical cross section or model properties (soil layers...depth caused by the ship passage. Any area of influence will be localized and, in light of a critical gradient analysis, near- toe scouring effects

Two-Dimensional (2-D) Acoustic Fish Tracking at River Mile 85, Sacramento River, California

Science.gov (United States)

2013-06-01

on fish become known (USACE 2004). Levee repair and constructed habitat features included (1) protection of the toe and upper slopes of the bank...be recovered rather than being lost due to sediment dunes , large woody material floating downstream, and vandalism. The RM 85 site was a relatively...into the river channel. The addition of this material narrowed the channel and created a scour feature along the toe of the repair site. VPS array

Physical Standards for Appointment , Enlistment, and Induction

Science.gov (United States)

1994-05-02

military footwear. m. Pes cavus, symptomatic or with contracted plantar fascia , dorsiflexed toes, tenderness under the metatarsal heads, or callosities...c. kle (1) Dorsiflexion to 100. (2) Plantar flexion to 300. (3) Eversion and inversion (total to 50). d. Toes Stiffness that interferes with walk. ng...military service. 27. Uxtz±axJj. Chronic. 28. Warts, plantar , that have materially interfered with a useful vocation in civilian life. 1-30 May 2, 94

Hereditary Neuropathy With Liability to Pressure Palsies: Diverse Phenotypes in Childhood.

Science.gov (United States)

Harada, Yohei; Puwanant, Araya; Herrmann, David N

2016-12-01

Hereditary neuropathy with liability to pressure palsies (HNPP) is a rare autosomal-dominant disorder that most commonly produces recurrent painless focal sensory and motor neuropathies often preceded by minor, mechanical stress, or minor trauma. Herein, we report 2 pediatric cases of HNPP with atypical presentations; isolated muscle cramping and toe walking. Electrophysiologic testing disclosed multifocal sensorimotor polyneuropathy with slowing of sensory conduction velocities in both cases, which prompted PMP 22 gene deletion testing. Multifocal sensorimotor electrophysiologic abnormalities, with slowing of sensory conduction velocities should raise consideration of HNPP in childhood. These case reports emphasize that the diagnosis of HNPP in children requires a high index of suspicion.

Estimating ToE Risk Level using CVSS

NARCIS (Netherlands)

Houmb, S.H.; Nunes Leal Franqueira, V.

2009-01-01

Security management is about calculated risk and requires continuous evaluation to ensure cost, time and resource effectiveness. Parts of which is to make future-oriented, cost-benefit investments in security. Security investments must adhere to healthy business principles where both security and

Kalender uit Tweede Wereldoorlog kom huis toe

African Journals Online (AJOL)

Dit het higiene on- moontlik gemaak. As hulle voaraf geweet het dat hulle 'n maand daar sou deurbring, sou die mee- ste sekerlik al die eerste week omgekom het. Maar hulle het elke dag geglo dat hierdie mis- kien die laaste dag in die donker houthuis sou wees. En waar daar nog hoop is, is daar nog lewe. Altyd honger.

Effect of arch support insole on plantar pressure distribution in females with mild and moderate hallux valgus

Directory of Open Access Journals (Sweden)

Maedeh Farzadi

2013-10-01

Full Text Available Objective: Hallux Valgus is one of the most foot deformities which increase plantar pressure beneath big toe and first metatarsal. The aim of this study was to assess the effect of foot orthosis on plantar pressure distribution in subjects with mild and moderate Hallux Valgus. Materials & Methods: in this quasi-experimental study, females 16 with Hallux Valgus were recruited. Plantar pressure in 8 area of foot was measured by Pedar-X insole when wearing standard shoe only shoe with foot orthosis and shoe with foot orthosis after a month of using orthosis. Data were analyzed by repeated measure analysis of variance test. Results: using foot orthosis for a month leaded to decrease pressure in the big toe (P<0/019 first metatarsal and 3-5 metatarsals (P<0.001 and also increased pressure in medial mid foot (P<0.001. Conclusion: Foot orthosis decreased peak pressure in fore foot and increased it in medial mid foot. Therefore redistribute plantar pressure to the more normal pattern in Hallux Valgus subjects. So it could be one of the effective methods to prevent the progression of this deformity in its initial steps of formation.

Foot clearance and variability in mono- and multifocal intraocular lens users during stair navigation.

Science.gov (United States)

Renz, Erik; Hackney, Madeleine; Hall, Courtney

2016-01-01

Intraocular lenses (IOLs) provide distance and near refraction and are becoming the standard for cataract surgery. Multifocal glasses increase variability of toe clearance in older adults navigating stairs and increase fall risk; however, little is known about the biomechanics of stair navigation in individuals with multifocal IOLs. This study compared clearance while ascending and descending stairs in individuals with monofocal versus multifocal IOLs. Eight participants with multifocal IOLs (4 men, 4 women; mean age = 66.5 yr, standard deviation [SD] = 6.26) and fifteen male participants with monofocal IOLs (mean age = 69.9 yr, SD = 6.9) underwent vision and mobility testing. Motion analysis recorded kinematic and custom software-calculated clearances in three-dimensional space. No significant differences were found between groups on minimum clearance or variability. Clearance differed for ascending versus descending stairs: the first step onto the stair had the greatest toe clearance during ascent, whereas the final step to the floor had the greatest heel clearance during descent. This preliminary study indicates that multifocal IOLs have similar biomechanic characteristics to monofocal IOLs. Given that step characteristics are related to fall risk, we can tentatively speculate that multifocal IOLs may carry no additional fall risk.

A method for performance comparison of polycentric knees and its application to the design of a knee for developing countries.

Science.gov (United States)

Anand, T S; Sujatha, S

2017-08-01

Polycentric knees for transfemoral prostheses have a variety of geometries, but a survey of literature shows that there are few ways of comparing their performance. Our objective was to present a method for performance comparison of polycentric knee geometries and design a new geometry. In this work, we define parameters to compare various commercially available prosthetic knees in terms of their stability, toe clearance, maximum flexion, and so on and optimize the parameters to obtain a new knee design. We use the defined parameters and optimization to design a new knee geometry that provides the greater stability and toe clearance necessary to navigate uneven terrain which is typically encountered in developing countries. Several commercial knees were compared based on the defined parameters to determine their suitability for uneven terrain. A new knee was designed based on optimization of these parameters. Preliminary user testing indicates that the new knee is very stable and easy to use. The methodology can be used for better knee selection and design of more customized knee geometries. Clinical relevance The method provides a tool to aid in the selection and design of polycentric knees for transfemoral prostheses.

Mechanical design and optimal control of humanoid robot (TPinokio

Directory of Open Access Journals (Sweden)

Teck Chew Wee

2014-04-01

Full Text Available The mechanical structure and the control of the locomotion of bipedal humanoid is an important and challenging domain of research in bipedal robots. Accurate models of the kinematics and dynamics of the robot are essential to achieve bipedal locomotion. Toe-foot walking produces a more natural and faster walking speed and it is even possible to perform stretch knee walking. This study presents the mechanical design of a toe-feet bipedal, TPinokio and the implementation of some optimal walking gait generation methods. The optimality in the gait trajectory is achieved by applying augmented model predictive control method and the pole-zero cancellation method, taken into consideration of a trade-off between walking speed and stability. The mechanism of the TPinokio robot is designed in modular form, so that its kinematics can be modelled accurately into a multiple point-mass system, its dynamics is modelled using the single and double mass inverted pendulum model and zero-moment-point concept. The effectiveness of the design and control technique is validated by simulation testing with the robot walking on flat surface and climbing stairs.

Border Hunter Research Technical Report

Science.gov (United States)

2010-07-31

paintballs) keep everybody on their toes . • Specific actions on contact, force on force to implement tactics • None - good job!! • All...suspect or keep them in jail. For this event, the terrain becomes a little bit easier – hard sand and rock, sandy dunes with plants – so that intricate...the toe -first primary impact point and uneven stride, and increasing pressure of one of the tracks, you surmise that one of the party is injured

Undiagnosed Small-Fiber Polyneuropathy: Is it a Component of Gulf War Illness?

Science.gov (United States)

2014-09-01

informed consent, a site (10 cm above the ankle ) was anesthetized and one or two 2- or 3mm diameter skin punches were removed using sterile technique and...construct the normative series. Although pediatric norms were outside of the scope of this study, the biopsy results of the youngsters anchored the lower...Allodynia (in toes and foot); Large Fiber Sensation (vibration and great toe position); and Reflexes (deep tendon at the ankle ). 0 10 20 30 40 50

Premature Growth Plate Closure in a Ballet Dancer en Pointe.

Science.gov (United States)

Shah, Selina

2017-09-01

A 13-year-old ballet dancer who had been dancing en pointe (on the tips of the toes) since 10 years presented to the clinic with a shortened right second toe. She had no previous history of pain or trauma. She was diagnosed with premature growth arrest of the second metatarsal head physes resulting in a shortened metatarsal. This is the first reported case of premature growth arrest in a ballet dancer as a result of dancing en pointe.

Fiscal 2000 survey report on feasibility of implementing model project for energy conservation of sintering machine in China; 2000 nendo Chugoku ni okeru shoketsuki sho energy ka model jigyo jisshi kanosei chosa hokoku

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

A survey was conducted on the feasibility of implementing a model project for energy conservation of sintering machines in ironworks in China. This paper explains the results of fiscal 2000. The survey was based on the assumption that the HPS (Hybrid Pelletized Sinter) process in operation at Fukuyama ironworks in Japan was to be introduced into China. This process is employed at the Fukuyama No.5 sintering plant with an area of 530 m{sup 2}, and is famous for the highly efficient energy consumption rate with the solid fuel consumption of 37 kg/t and the electric power consumption of 31 kWh/t. The technology was applied to the No.3 sintering machine (265 m{sup 2}) at Tangshan Steel. Case A refers to where only the energy conservation effect of a targeted sintering machine was considered, and Case B refers to where the productivity of the applied sintering machine is increased, with that of the others decreased. In Case A, total equipment cost was 1,977,450 thousand yen, energy conservation effect was 23,795 toe/y, economic savings was 244,000 thousand yen/y, and investment recoupment period was 7.85 years. In Case B, they were 1,977,450 thousand yen, 36,215 toe/y, 356,000 thousand yen/y, and 5.38 years, respectively. In the same token, at Wuhan Steel, Case A showed 2,447,160 thousand yen, 30,320 toe/y, 272,000 thousand yen/y, and 8.77 years; Case B showed 2,447,160 thousand yen, 31,570 toe/y, 289,000 thousand yen/y, and 8.28 years, respectively. Assuming the technological spread is over the entire China, the total energy conservation in terms of crude oil is expected to be 845,700 toe/y. (NEDO)

Expansion and Functional Divergence of AP2 Group Genes in Spermatophytes Determined by Molecular Evolution and Arabidopsis Mutant Analysis

Directory of Open Access Journals (Sweden)

Pengkai Wang

2016-09-01

Full Text Available The APETALA2 (AP2 genes represent the AP2 group within a large group of DNA-binding proteins called AP2/EREBP. The AP2 gene is functional and necessary for flower development, stem cell maintenance, and seed development, whereas the other members of AP2 group redundantly affect flowering time. Here we study the phylogeny of AP2 group genes in spermatophytes. Spermatophyte AP2 group genes can be classified into AP2 and TOE types, six clades, and we found that the AP2 group homologs in gymnosperms belong to the AP2 type, whereas TOE types are absent, which indicates the AP2 type gene are more ancient and TOE type was split out of AP2 type and losing the major function. In Brassicaceae, the expansion of AP2 and TOE type lead to the gene number of AP2 group were up to six. Purifying selection appears to have been the primary driving force of spermatophyte AP2 group evolution, although positive selection occurred in the AP2 clade. The transition from exon to intron of AtAP2 in Arabidopsis mutant leads to the loss of gene function and the same situation was found in AtTOE2. Combining this evolutionary analysis and published research, the results suggest that typical AP2 group genes may first appear in gymnosperms and diverged in angiosperms, following expansion of group members and functional differentiation. In angiosperms, AP2 genes (AP2 clade inherited key functions from ancestors and other genes of AP2 group lost most function but just remained flowering time controlling in gene formation. In this study, the phylogenies of AP2 group genes in spermatophytes was analyzed, which supported the evidence for the research of gene functional evolution of AP2 group.

Anatomical characterization of hoof growth pattern in six Iranian sheep breeds and its possible implication for trimming recommendations.

Science.gov (United States)

Azarpajouh, S; Marchewka, J; Segura Correa, J C; Calderón Díaz, J A

2018-03-11

The objective of this study was to compare hoof anatomy, hoof growth pattern, and hoof weight-bearing surface of six different Iranian sheep breeds to identify possible differences in the hoof anatomical features that could help to minimize adverse effects of hoof trimming methods. Front and hind hooves of 2-year-old, previously untrimmed, pastured dairy ewes of six Iranian breeds (Afshari, Moghani, Kurdi, Makoui, Chaleshtori, and Lori-Bakhtiari; n = 180 ewes; 30 ewes per breed) were collected after slaughter. Medial and lateral claws were incised sagittally and anatomical measurements such as toe length, heel height, toe height, sole thickness, sole length, and toe angle were recorded in each claw. Data were analyzed using mixed model equations including breed, claw (lateral or medial), hoof (front or hind) and their interactions as fixed effects, and ewe as random effect. Breed differences were observed for all hoof measurements (P < 0.05). Chaleshtori sheep had higher measurements for most of the traits studied while Afshari and Makoui sheep had lower measurements. All measurements, except for toe length and toe height to solar surface to heel height ratio, were significantly greater in the front hooves than in the hind hooves (P < 0.05). Soles were longer in the medial claws compared to the lateral claws of the front hooves (P < 0.05). Results suggest the observed breed differences could interfere with establishing a standard, uniform hoof trimming method for sheep. For instance, it might be possible that while Afshari and Makoui sheep could require more conservative trimming, Chaleshtori sheep could require to be trimmed more. In consequence, hoof trimming methods might need to be adjusted to specific breed characteristics to avoid possible tissue damage.

Factors Related to Prevalence of Hallux Valgus in Female University Students: A Cross-Sectional Study

Science.gov (United States)

Okuda, Hiroto; Juman, Sachiko; Ueda, Ai; Miki, Tomohiro; Shima, Masayuki

2014-01-01

Background We investigated the prevalence of hallux valgus (HV) and examined its association with various factors in a cross-sectional study of Japanese female university students. Methods A questionnaire survey of foot symptoms, lifestyle, and body mass index (BMI) was administered to 343 women who provided informed consent at a women’s university. Footprints were obtained and bone density was measured. Associations of HV with various factors were analyzed by logistic regression analysis. Results Big toe pain was reported in 26.5% of the women. HV (HV angle, ≥15°) was present in the left foot in 22.4%, the right foot in 20.7%, and unilaterally or bilaterally in 29.7% of women. Mild HV (HV angle, ≥15° to <20°) was noted in the left foot and right foot in 13.4% and 13.1% of women, respectively; no severe HV (HV angle, ≥40°) was observed. HV was associated with big toe pain (adjusted OR: 3.56, 95% CI: 2.01–6.32), history of HV in the mother or maternal grandmother (adjusted OR: 2.45, 95% CI: 1.19–5.02), and history of HV in other family members (adjusted OR: 3.09, 95% CI: 1.35–7.06). Moderate HV was associated with big toe pain (adjusted OR: 4.58, 95% CI: 2.17–9.66) and history of HV in the mother or maternal grandmother (adjusted OR: 3.36, 95% CI: 1.40–8.07). The proportion of women with big toe pain increased significantly with HV severity. Conclusions HV was present in about 30% of female university students. Young women with big toe pain or a family history of HV should be evaluated for HV. PMID:24705646

Keeping Students "on Their Toes and on Their Game": Serendipitous Findings in Students' Assessments and Reactions

Science.gov (United States)

Pelletier, Kathie L.

2017-01-01

This study extends the empirical findings of the use of continuous, lecture-embedded assessments to increase engagement and enhance learning. Outcome data (exam performance and attendance rates) from college students in three upper-division business course sections who took quizzes and wrote two-minute papers (test group) were compared to outcome…

Preliminary Sensorimotor and Cardiovascular Results from the Joint Russian and U.S. Pilot Field Test with Planning for the Full Field Test Beginning with the Year Long Intenational Space Station

Science.gov (United States)

Reschke, M. F.; Kozlovskaya, I. B.; Tomilovskaya, E. S.; Bloomberg, J. J.; Platts, S. H.; Rukavishnikov, I. V.; Fomina, E. V.; Stenger, M. B.; Lee, S. M. C.; Wood, S. J.;

Numerical modelling of flow structures over idealized transverse aeolian dunes of varying geometry

Science.gov (United States)

Parsons, Daniel R.; Walker, Ian J.; Wiggs, Giles F. S.

2004-04-01

A Computational Fluid Dynamics (CFD) model (PHOENICS™ 3.5) previously validated for wind tunnel measurements is used to simulate the streamwise and vertical velocity flow fields over idealized transverse dunes of varying height ( h) and stoss slope basal length ( L). The model accurately reproduced patterns of: flow deceleration at the dune toe; stoss flow acceleration; vertical lift in the crest region; lee-side flow separation, re-attachment and reversal; and flow recovery distance. Results indicate that the flow field over transverse dunes is particularly sensitive to changes in dune height, with an increase in height resulting in flow deceleration at the toe, streamwise acceleration and vertical lift at the crest, and an increase in the extent of, and strength of reversed flows within, the lee-side separation cell. In general, the length of the separation zone varied from 3 to 15 h from the crest and increased over taller, steeper dunes. Similarly, the flow recovery distance ranged from 45 to >75 h and was more sensitive to changes in dune height. For the range of dune shapes investigated in this study, the differing effects of height and stoss slope length raise questions regarding the applicability of dune aspect ratio as a parameter for explaining airflow over transverse dunes. Evidence is also provided to support existing research on: streamline curvature and the maintenance of sand transport in the toe region; vertical lift in the crest region and its effect on grainfall delivery; relations between the turbulent shear layer and downward forcing of flow re-attachment; and extended flow recovery distances beyond the separation cell. Field validation is required to test these findings in natural settings. Future applications of the model will characterize turbulence and shear stress fields, examine the effects of more complex isolated dune forms and investigate flow over multiple dunes.

Gender differences of foot characteristics in older Japanese adults using a 3D foot scanner.

Science.gov (United States)

Saghazadeh, Mahshid; Kitano, Naruki; Okura, Tomohiro

2015-01-01

Knowledge of gender differences in foot shape assists shoe manufactures with designing appropriate shoes for men and women. Although gender differences in foot shapes are relatively known among young men and women, less is known about how the older men and women's feet differ in shape. A recent development in foot shape assessment is the use of 3D foot scanners. To our knowledge this technology has yet to be used to examine gender differences in foot shape of Japanese older adults. This cross-sectional study included 151 older men (74.5 ± 5.6 years) and 140 older women (73.9 ± 5.1 years) recruited in Kasama City, Japan. Foot variables were measured in sitting and standing positions using Dream GP Incorporated's 3D foot scanner, Footstep PRO (Osaka, Japan). Scores were analyzed as both raw and normalized to truncated foot length using independent samples t-test and analysis of covariance, respectively. In men, the measurement values for navicular height, first and fifth toe and instep heights, ball and heel width, ball girth, arch height index (just standing), arch rigidity index and instep girth were significantly greater than the women's, whereas the first toe angle, in both sitting and standing positions was significantly smaller. However, after normalizing, the differences in ball width, heel width, height of first and fifth toes in both sitting and standing and ball girth in sitting position were nonsignificant. According to Cohen's d, among all the foot variables, the following had large effect sizes in both sitting and standing positions: truncated foot length, instep, navicular height, foot length, ball girth, ball width, heel width and instep girth. This study provides evidence of anthropometric foot variations between older men and women. These differences need to be considered when manufacturing shoes for older adults.

Fatigue behaviour of T welded joints rehabilitated by tungsten inert gas and plasma dressing

International Nuclear Information System (INIS)

Ramalho, Armando L.; Ferreira, Jose A.M.; Branco, Carlos A.G.M.

2011-01-01

Highlights: → This study addresses the use of improvement techniques for repair T welded joints. → TIG and plasma arc re-melting are applied in joints with fatigue cracks at weld toes. → Plasma dressing provides reasonable repair in joints with cracks greater than 4 mm. → TIG dressing produces a deficient repair in joints with cracks greater than 4 mm. → TIG dressing provides good repair in joints with fatigue cracks lesser than 2.5 mm. -- Abstract: This paper concerns a fatigue study on the effect of tungsten inert gas (TIG) and plasma dressing in non-load-carrying fillet welds of structural steel with medium strength. The fatigue tests were performed in three point bending at the main plate under constant amplitude loading, with a stress ratio of R = 0.05 and a frequency of 7 Hz. Fatigue results are presented in the form of nominal stress range versus fatigue life (S-N) curves obtained from the as welded joints and the TIG dressing joints at the welded toe. These results were compared with the ones obtained in repaired joints, where TIG and plasma dressing were applied at the welded toes, containing fatigue cracks with a depth of 3-5 mm in the main plate and through the plate thickness. A deficient repair was obtained by TIG dressing, caused by the excessive depth of the crack. A reasonable fatigue life benefits were obtained with plasma dressing. Good results were obtained with the TIG dressing technique for specimens with shallower initial defects (depth lesser than 2.5 mm). The fatigue life benefits were presented in terms of a gain parameter assessed using both experimental data and life predictions based on the fatigue crack propagation law.

A pneumatic power harvesting ankle-foot orthosis to prevent foot-drop

Directory of Open Access Journals (Sweden)

Chin Robin

2009-06-01

Full Text Available Abstract Background A self-contained, self-controlled, pneumatic power harvesting ankle-foot orthosis (PhAFO to manage foot-drop was developed and tested. Foot-drop is due to a disruption of the motor control pathway and may occur in numerous pathologies such as stroke, spinal cord injury, multiple sclerosis, and cerebral palsy. The objectives for the prototype PhAFO are to provide toe clearance during swing, permit free ankle motion during stance, and harvest the needed power with an underfoot bellow pump pressurized during the stance phase of walking. Methods The PhAFO was constructed from a two-part (tibia and foot carbon composite structure with an articulating ankle joint. Ankle motion control was accomplished through a cam-follower locking mechanism actuated via a pneumatic circuit connected to the bellow pump and embedded in the foam sole. Biomechanical performance of the prototype orthosis was assessed during multiple trials of treadmill walking of an able-bodied control subject (n = 1. Motion capture and pressure measurements were used to investigate the effect of the PhAFO on lower limb joint behavior and the capacity of the bellow pump to repeatedly generate the required pneumatic pressure for toe clearance. Results Toe clearance during swing was successfully achieved during all trials; average clearance 44 ± 5 mm. Free ankle motion was observed during stance and plantarflexion was blocked during swing. In addition, the bellow component repeatedly generated an average of 169 kPa per step of pressure during ten minutes of walking. Conclusion This study demonstrated that fluid power could be harvested with a pneumatic circuit built into an AFO, and used to operate an actuated cam-lock mechanism that controls ankle-foot motion at specific periods of the gait cycle.

Erosion Control and Environment Restoration Plan Development, Matagorda County, Texas. Phase 1: Preliminary Investigation

Science.gov (United States)

2012-07-01

Matagorda Peninsula east of MCR where a thicker cover of sand with vegetated dunes can be observed. 2.8 Typical beach profile Beach profile shape is a...clay bluffs on the beach face o Small tidal range, defined in Chapter 2, tends to focus wave action on the bluff toe o Breaking waves propel shell...toward the bluff, abrading the bluff toe o Abrasion undercuts the bluff, causing large sections to fail  Slope failure o Cyclical wave loading on

Biofuels barometer - EurObserv'ER - July 2012

International Nuclear Information System (INIS)

2012-07-01

The European Union governments no longer view the rapid increase in biofuel consumption as a priority. Between 2010 and 2011 biofuel consumption increased by 3.1%, which translates into 14 million tons of oil equivalent (toe) used in 2011 compared to 13.6 million toe in 2010. The European Union's attention has shifted to setting up sustainability systems to verify that the biofuel used in the various countries complies with the Renewable Energy Directive's sustainability criteria

Evidence for van der Waals adhesion in gecko setae

OpenAIRE

Autumn, Kellar; Sitti, Metin; Liang, Yiching A.; Peattie, Anne M.; Hansen, Wendy R.; Sponberg, Simon; Kenny, Thomas W.; Fearing, Ronald; Israelachvili, Jacob N.; Full, Robert J.

2002-01-01

Geckos have evolved one of the most versatile and effective adhesives known. The mechanism of dry adhesion in the millions of setae on the toes of geckos has been the focus of scientific study for over a century. We provide the first direct experimental evidence for dry adhesion of gecko setae by van der Waals forces, and reject the use of mechanisms relying on high surface polarity, including capillary adhesion. The toes of live Tokay geckos were highly hydrophobic, and adhered equally well ...

Glomus tumors in neurofibromatosis type 1: genetic, functional and clinical evidence of a novel association

OpenAIRE

Brems, Hilde; Park, Caroline; Maertens, Ophélia; Pemov, Alexander; Messiaen, Ludwine; Upadhyaya, Meena; Claes, Kathleen; Beert, Eline; Peeters, Kristel; Mautner, Victor; Sloan, Jennifer L.; Yao, Lawrence; Lee, Chyi-Chia Richard; Sciot, Raf; Smet, Luc De

2009-01-01

Neurofibromatosis type 1 (NF1) is a common disorder that arises secondary to mutations in the tumor suppressor gene NF1. Glomus tumors are small, benign but painful tumors that originate from the glomus body, a thermoregulatory shunt concentrated in the fingers and toes. We report eleven individuals with NF1 who harbored 20 glomus tumors of the fingers and one in the toe; five individuals had multiple glomus tumors. We hypothesized that bi-allelic inactivation of NF1 underlies the pathogenesi...

Stratified Fronts in Well-Mixed Estuaries

Science.gov (United States)

2013-09-01

absences, I owe you more than I will ever be able to repay. To my daughters, Maya and Matilda, you are my joy, my light, and my happiness. I love you. xx...than those at the energy- conserving toe region [Lowe et al., 2002; Gristenko and Chubarenko, 2010]. The toe is contained laterally to the width of... conservation equation, the plunge point will conform to a line of mutual realization for hp and bp, which is referred herein as the “plunge section

Clear cell hidradenocarcinoma:

OpenAIRE

Lamovec, Janez; Pohar-Marinšek, Živa

2003-01-01

A case of eccrine clear cell hidradenocarcinoma of sweat gland origin is presented, disclosing its clinical behavior and morphologic characteristics asevidenced by fine needle aspiration biopsy and tissue section histology. Thepatient was a 53-years old male who had a tumor on his fifth toe for 16 years. The tumor recurred 18 months after excision and metastasized widely 17 months following the amputation of the toe due to the recurrence. In spite of chemotherapy the patient died 37 months af...

Microstructure and Mechanical Properties of Three-Layer TIG-Welded 2219 Aluminum Alloys with Dissimilar Heat Treatments

Science.gov (United States)

Zhang, Dengkui; Li, Quan; Zhao, Yue; Liu, Xianli; Song, Jianling; Wang, Guoqing; Wu, Aiping

2018-05-01

2219-C10S and 2219-CYS aluminum alloys are 2219 aluminum alloys with different heat treatment processes, and they have been widely used in the aerospace industry. In the present study, 2219-C10S and 2219-CYS aluminum alloys were butt-welded by three-layer tungsten inert gas arc welding (with the welding center of the third layer shifted toward the CYS side), and the microstructure characteristics and mechanical properties of the welded joint were investigated. The lamellar θ' phases, the bulk or rod θ phases, and the coarse rod-shaped or pancake-shaped Al-Cu-Fe-Mn phases coexisted in the two aluminum alloys. The Cu content of the α-Al matrix and the distribution of eutectic structures of different welding layers in the weld zone (WZ) were varied, implying that the segregation degrees of the Cu element were different due to the different welding thermal cycles in different welding layers. The microhardness values of the CYS side were much higher than those of the C10S side in each region on both sides of the joint. The tensile test deformation was concentrated mainly in the regions of WZ and the over aged zone (OAZ), where the microhardness values were relatively low. The main deformation concentrated region was transferred from the CYS side to the C10S side with the increase in the tensile load during the tensile test. The fracture behavior of the tensile test showed that the macroscopic crack initiated near the front weld toe had gone through the crack blunt region, the shear fracture region of the partially melted zone (PMZ), and the shear fracture region of OAZ. Meanwhile, the fracture characteristics gradually evolved from brittle to ductile. The concentrated stress and the dense eutectic structure in the region near the front weld toe of the C10S side contributed to the fracture of the joint. The shift of the welding center of the third layer to the CYS side resulted in two effects: (i) the microhardness values from the middle layer to the top layer in the

Quality of Life in Patients With Untreated and Symptomatic Hallux Valgus.

Science.gov (United States)

Yamamoto, Yohei; Yamaguchi, Satoshi; Muramatsu, Yuta; Terakado, Atsushi; Sasho, Takahisa; Akagi, Ryuichiro; Endo, Jun; Sato, Yasunori; Takahashi, Kazuhisa

2016-11-01

The purposes of this study were to compare the quality of life (QOL) of subjects who had untreated symptomatic hallux valgus with the QOL of the general population and to investigate factors associated with the QOL of the subjects. One hundred sixteen subjects with previously untreated and symptomatic hallux valgus were surveyed. QOL was assessed using the 36-item Short Form Health Survey (SF-36). Additionally, clinical evaluations (the visual analog scale for pain, Japanese Society for Surgery of the Foot Scale, lesser toe pain, and pain in other parts of the body) and radiographic evaluations (hallux valgus angle, intermetatarsal angle between the first and second metatarsals, and dislocation of the second metatarsophalangeal joint) were performed. Differences in the SF-36 between the subjects and the general population were tested using independent t tests. Correlations between the QOL measurements, clinical evaluations, and radiographic evaluations were assessed using Spearman rank correlation coefficient. All SF-36 subscales and physical component summary scores for the subjects were significantly lower than those of the general population. Notably, the standardized physical function subscale (38.2 ± 15.8, P hallux valgus subjects was lower than that of the general population. All QOL and clinical evaluation parameters were not significantly or negligibly correlated with the severity of toe deformities. Surgical decision making should not be based on the severity of the deformity alone, but rather patient QOL should also be carefully assessed. Level III, comparative series. © The Author(s) 2016.

Severe Acrosteolisis In gouty arthritis and Down syndrome

International Nuclear Information System (INIS)

Toro Gutierrez, Carlos Enrique; Medina, John Jairo; Coral Alvarado, Paola; Mejia Vallejo, Jimi; Rondon, Federico; Restrepo, Jose Felix; Iglesias Gamarra Antonio

2007-01-01

The association between gout and Down Syndrome (DS) is very in frequent, in spite that both diseases are common in general population. Surprisingly, hyperuricemia is a common metabolic impairment in DS. In this report we describe a 35-years old man with DS presenting with arthritis in the fifth and then in the first toe of his Ieft foot. Severe osteolysis of the first and fifth toe was seen by radiography. Because of this, neoplasm was suspected but later ruled out by oncologic orthopedist. After we found hyperuricemia a diagnosis of gout was made, and then confirmed by examination of a sample obtained from a subcutaneous node. This report is one of the few cases previously published. In addition development of gout in this patient has unusual features like its onset in the fifth toe and its severity at presentation. In spite that hyperuricemia is common in DS, in not clear why these patients mostly do not develop gout

Three-Axis Ground Reaction Force Distribution during Straight Walking.

Science.gov (United States)

Hori, Masataka; Nakai, Akihito; Shimoyama, Isao

2017-10-24

We measured the three-axis ground reaction force (GRF) distribution during straight walking. Small three-axis force sensors composed of rubber and sensor chips were fabricated and calibrated. After sensor calibration, 16 force sensors were attached to the left shoe. The three-axis force distribution during straight walking was measured, and the local features of the three-axis force under the sole of the shoe were analyzed. The heel area played a role in receiving the braking force, the base area of the fourth and fifth toes applied little vertical or shear force, the base area of the second and third toes generated a portion of the propulsive force and received a large vertical force, and the base area of the big toe helped move the body's center of mass to the other foot. The results demonstrate that measuring the three-axis GRF distribution is useful for a detailed analysis of bipedal locomotion.

The first metatarsal web space: its applied anatomy and usage in tracing the first dorsal metatarsal artery in thumb reconstruction.

Science.gov (United States)

Xu, Yong-Qing; Li, Jun; Zhong, Shi-Zhen; Xu, Da-Chuan; Xu, Xiao-Shan; Guo, Yuan-Fa; Wang, Xin-Min; Li, Zhu-Yi; Zhu, Yue-Liang

2004-12-01

To clarify the anatomical relationship of the structures in the first toe webbing space for better dissection of toes in thumb reconstruction. The first dorsal metatarsal artery, the first deep transverse metatarsal ligament and the extensor expansion were observed on 42 adult cadaveric lower extremities. Clinically the method of tracing the first dorsal metatarsal artery around the space of the extensor expansion was used in 36 cases of thumb reconstruction. The distal segments of the first dorsal metatarsal artery of Gilbert types I and II were located superficially to the extensor expansion. The harvesting time of a toe was shortened from 90 minutes to 50 minutes with 100% survival of reconstructed fingers. The distal segment of the first dorsal metatarsal artery lies constantly at the superficial layer of the extensor expansion. Most of the first metatarsal arteries of Gilbert types I and II can be easily located via the combined sequential and reverse dissection around the space of the extensor expansion.

Testing Testing Testing.

Science.gov (United States)

Deville, Craig; O'Neill, Thomas; Wright, Benjamin D.; Woodcock, Richard W.; Munoz-Sandoval, Ana; Gershon, Richard C.; Bergstrom, Betty

1998-01-01

Articles in this special section consider (1) flow in test taking (Craig Deville); (2) testwiseness (Thomas O'Neill); (3) test length (Benjamin Wright); (4) cross-language test equating (Richard W. Woodcock and Ana Munoz-Sandoval); (5) computer-assisted testing and testwiseness (Richard Gershon and Betty Bergstrom); and (6) Web-enhanced testing…

Sensorimotor peripheral nerve function and physical activity in older men

DEFF Research Database (Denmark)

Lange-Maia, B. S.; Cauley, J A; Newman, Anne B

2016-01-01

We determined whether sensorimotor peripheral nerve (PN) function was associated with physical activity (PA) in older men. The Osteoporotic Fractures in Men Study Pittsburgh, PA, site (n = 328, age 78.8 ± 4.7 years) conducted PN testing, including: peroneal motor and sural sensory nerve conduction...... (latencies, amplitudes: CMAP and SNAP for motor and sensory amplitude, respectively), 1.4g/10g monoflament (dorsum of the great toe), and neuropathy symptoms. ANOVA and multivariate linear regression modeled PN associations with PA (Physical Activity Scale for the Elderly [PASE] and SenseWear Armband). After...

The Coffin-Siris syndrome. A report of four cases and review of the literature.

Science.gov (United States)

Lucaya, J; Garcia-Conesa, J A; Bosch-Banyeras, J M; Pons-Peradejordi, G

1981-01-01

Four additional cases of the Coffin-Siris syndrome bring the number of reported cases to 16. This disorder is characterized by the absence or hypoplasia of the nails, especially those of the fifth fingers and toes, growth retardation and mental deficiency, microcephaly, coarse facial appearance, sparse scalp hair and lax joints. Feeding difficulties and respiratory problems are common in infancy. Absence or hypoplasia of the distal and middle phalanges, especially those of the fifth finger and toes and retarded bone maturation are the most common radiological features.

Sea-level rise impacts on seawater intrusion in coastal aquifers: Review and integration

Science.gov (United States)

Ketabchi, Hamed; Mahmoodzadeh, Davood; Ataie-Ashtiani, Behzad; Simmons, Craig T.

2016-04-01

Sea-level rise (SLR) influences groundwater hydraulics and in particular seawater intrusion (SWI) in many coastal aquifers. The quantification of the combined and relative impacts of influential factors on SWI has not previously been considered in coastal aquifers. In the present study, a systematic review of the available literature on this topic is first provided. Then, the potential remaining challenges are scrutinized. Open questions on the effects of more realistic complexities such as gradual SLR, parameter uncertainties, and the associated influences in decision-making models are issues requiring further investigation. We assess and quantify the seawater toe location under the impacts of SLR in combination with recharge rate variations, land-surface inundation (LSI) due to SLR, aquifer bed slope variation, and changing landward boundary conditions (LWBCs). This is the first study to include all of these factors in a single analysis framework. Both analytical and numerical models are used for these sensitivity assessments. It is demonstrated that (1) LSI caused by SLR has a significant incremental impact on the seawater toe location, especially in the flatter coasts and the flux-controlled (FC) LWBCs, however this impact is less than the reported orders of magnitude differences which were estimated using only analytical solutions; (2) LWBCs significantly influence the SLR impacts under almost all conditions considered in this study; (3) The main controlling factors of seawater toe location are the magnitudes of fresh groundwater discharge to sea and recharge rate. Regional freshwater flux entering from the landward boundary and the groundwater hydraulic gradient are the major contributors of fresh groundwater discharge to sea for both FC and head-controlled (HC) systems, respectively; (4) A larger response of the aquifer and larger seawater toe location changes are demonstrable for a larger ratio of the aquifer thickness to the aquifer length particularly in

Movement triggers and remediation in a fracture-dominated translational landslide at the Oregon coast

Science.gov (United States)

Priest, George R.; Allan, Jonathan; Niem, Alan; Niem, Wendy A.; Dickenson, Stephen E.

2009-01-01

The Johnson Creek landslide is a translational slide in seaward dipping Miocene siltstone and sandstone (Astoria Formation) and an overlying Quaternary marine terrace deposit. The slide terminates in a sea cliff and has a hummocky to nearly horizontal ground surface. The basal slide plane, however, slopes subparallel to the dip of the Miocene rocks, except beneath the back-tilted toe blocks where it curves upward. The siltstone and sandstone have low estimated permeability but cores and field mapping reveal an extensive fracture system within the slide mass. The slide mainly moves in response to groundwater pressure and coastal erosion of the toe. Limit-equilibrium stability analyses indicate that 3 m of erosion at the toe would destabilize the slide for most of the wet season, although no movement could be directly attributed to erosion in the 5 years of observation. Intense rainfall events raise pore-water pressure throughout the slide in the form of pulses of water pressure traveling from the headwall graben down the axis of the slide at rates of 1.4-2.5 m/hr in the upper part, and 3.5 m/hr to virtually instantaneous in the middle part. Infiltration of meteoric water was only ~50 mm/hr. Slope of the water table exceeds topographic slope from the head to the toe of the slide, so infiltration was too slow to directly raise head in 90 percent of the slide mass where the saturated zone is deeper than a few meters. Only at the headwall graben was the saturated zone shallow enough for rainfall events to trigger pulses of water pressure through the entire saturated zone. When a pressure pulse reached the threshold pressure for movement in the central part of the slide, the whole slide began slow, creeping movement. As head became larger and larger than the threshold for movement in more of the slide mass, movement accelerated and differential displacement between internal slide blocks became more pronounced. These findings suggest that dewatering the shallowest part of

Diagnosis and Management of Common Foot Fractures.

Science.gov (United States)

Bica, David; Sprouse, Ryan A; Armen, Joseph

2016-02-01

Foot fractures are among the most common foot injuries evaluated by primary care physicians. They most often involve the metatarsals and toes. Patients typically present with varying signs and symptoms, the most common being pain and trouble with ambulation. Diagnosis requires radiographic evaluation, although emerging evidence demonstrates that ultrasonography may be just as accurate. Management is determined by the location of the fracture and its effect on balance and weight bearing. Metatarsal shaft fractures are initially treated with a posterior splint and avoidance of weight-bearing activities; subsequent treatment consists of a short leg walking cast or boot for four to six weeks. Proximal fifth metatarsal fractures have different treatments depending on the location of the fracture. A fifth metatarsal tuberosity avulsion fracture can be treated acutely with a compressive dressing, then the patient can be transitioned to a short leg walking boot for two weeks, with progressive mobility as tolerated after initial immobilization. A Jones fracture has a higher risk of nonunion and requires at least six to eight weeks in a short leg non-weight-bearing cast; healing time can be as long as 10 to 12 weeks. Great toe fractures are treated with a short leg walking boot or cast with toe plate for two to three weeks, then a rigid-sole shoe for an additional three to four weeks. Lesser toe fractures can be treated with buddy taping and a rigid-sole shoe for four to six weeks.

Bee Venom Pharmacopuncture: An Effective Treatment for Complex Regional Pain Syndrome

Directory of Open Access Journals (Sweden)

Jong-Min Kim

2014-12-01

Full Text Available Objectives: Treating complex regional pain syndrome (CRPS is difficult because it still does not have a recommended therapy. A 29-year-old man was diagnosed with CRPS after surgery on his 4th and 5th left toes 7 years ago. Though he had undergone diverse pain treatment, the symptoms persisted, so he visited Dunsan Korean Medicine Hospital of Daejeon University. This case report presents results on the effect of bee venom pharmacopuncture in treating patient with CRPS. Methods: Bee venom pharmacopuncture (BVP, 0.15 to 0.4 mL dosage, was administered at GB43. The treatment was applied each week for a total 14 times. The symptoms were evaluated using a numeric rating scale (NRS and the dosage of pain medicine. Results: On the first visit, he was taking an anticonvulsant, a trycyclic antidepressant, and an analgesic. On the NRS the worst pain in the toes received a score of 8. He also complained of severe pain and hypersensitivity when the 4th and the 5th toes were touched just slightly. Other complaint included dyspepsia, rash, and depression. After treatment, on the NRS, the score for toe pain was 0, and he no longer needed to take pain medication. During the 4-months follow-up period, he has remained without pain; neither have additional symptoms appeared nor adverse events occurred. Conclusion: BVP may have potential benefits for treating patients with CRPS.

Report of year 2000 version on basic survey for promotion of joint execution. Modernization of Bekabad Cement Plant

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

This paper describes the result of applying the COP3 clean development mechanism to Bekabad Cement Plant in Uzbekistan. One of the three existing outdated wet process kilns will be converted into a new NSP kiln (having the same production capacity as now of 726,000 tons/year). Upstream and downstream facilities will be renewed, and environmental devices such as electric dust collectors and bag filters will be installed to enhance the productivity, conserve the energies, and reduce production of greenhouse effect gases and different pollutants. The total construction cost will be US$84,432,000. Reducible energy consumption and reduction in the greenhouse effect gases will be 73,232 toe/year and 176,528 toe/year respectively in a single fiscal year of 2006, and cumulative total amount in 20 years until 2025 will be 1,464,640 toe and 3,530,560 t. The energy saving effect per US$1,000 will be 17.87 toe, and the greenhouse gas reduction effect will be 43.08 t. In case of using such a soft loan as the special Yen loan for environment, the internal profit rate after tax will be 7.63%, which is not necessarily high as the business profitability. However, the profit and loss calculation sheet indicates that profit will be produced in two years after the inauguration of the operation, which is promised as relatively high possibility of realization. (NEDO)

Wave Overtopping of a Barrier Beach

Science.gov (United States)

2009-09-01

but can result in increased dune erosion along Scenic Road as occurred in 1993, 1997, and 2005 (James, 2005). Field data and observations for...factors are equal to 1. The equations for these run-up formulas are parameterized on significant wave height at the toe of the structure as measured in...3 exp C r SS RQ C D HgH γ ⎛ ⎞ = −⎜ ⎟ ⎝ ⎠ 2pξ > where the significant wave height at the toe of the structure, SH and pT are used. Again the

Biofuels barometer - EurObserv'ER - July 2014

International Nuclear Information System (INIS)

2014-07-01

6.8% the drop in biofuel consumption in European Union transport between 2012 and 2013. The growth of biofuel consumption for use in transport in the European Union (EU -28) has dwindled in the past few years and finally dropped by about 1 million toe (6.8%) between 2012 and 2013 according to EurObserv'ER, to a consumption level of 13.6 million toe. Nevertheless, sustainable biofuel consumption, certified and thus eligible for inclusion in European targets increased slightly by 1.1% to 11.8 Mtoe

Prof. Dr. C. J. H. De Wet. (’n Persoonlike waardering.

Directory of Open Access Journals (Sweden)

J. C. Coetzee

1959-03-01

Full Text Available Ek het prof. De Wet vir eerste maal ontmoet toe hy aan die begin van1912 student geword het aan die Teologiese Skool van die Gereformeerde Kerkop Potchefstroom. Ek was toe student aan dieselfde inrigting en in my laastejaar vir die graad B.A. Hy was onder ons studente bekend as 'n hardwerkend een baie begaafde jongman. In ons studenteverenigings en -samenkomste het hy hom openbaar -as iemand met ’n breedheid van insig en ’n helderheid van formulering wat kenmerkend gedurende sy hele latere optrede sou wees.

Measurement of the healing ability of ischemic ulcers in the lower limbs in chronic arterial obstructive disease using 201Tl-Cl

International Nuclear Information System (INIS)

Motoyasu, Shuzo

1987-01-01

Evaluation of the healing ability of ischemic ulcers by a method involving measurement of the ulcer index (U. I.) and mean ulcer index of toes (mU. I.) using 201 Tl-Cl before and after the treatment of chronic arterial obstructive disease accompanied by ischemic ulcer was studied. The lesions consisted of 56 ulcers in 41 limbs. Reactive hyperemia following avascularization stress was used for measurement, and U. I. was determined according to the method of Siegel et al. For cases with toe ulcers, the mU. I. was measured from plantar scintigrams, twice under stress and upon redistribution after 3 hours' rest. The following results were obtained. 1) The healing ability of the cases with a U. I. value of more than 1.4 was good, but even among cases with a pretreatment U. I. of 0.9 - 1.4, ulcer healing was also good in cases in which the U. I. was maintained above 1.4 as a result of various treatments. 2) Significant increases in U. I. were observed in the arterial reconstruction group after treatment, compared to the conservative treatment group and the lumbar sympathectomy group. 3) The healing ability was good in cases with an mU. I. of more than 1.2 at stress except for 2 ASO cases complicated by diabetes. 4) Although it was difficult to prognosticate the healing ability of cases with an mU. I. of less than 1.2 before treatment, healing ability could be evaluated after treatment on the basis of the appearance of significant increase in blood flow on stress in the ulcerated toes. 5) A stress index seemed to reflect the ischemic conditions in ulcerated toes in relation to stress. 6) U. I. and mU. I. measured using 201 Tl-Cl were significantly correlated with the degree of inflammatory and reactive hyperemia in the floor of ulcers and in the ulcerated toes. (J.P.N.)

Neutron activation analysis applied to the determination of trace elements in human nails; Aplicacao do metodo de analise por ativacao com neutrons a determinacao de elementos traco em unhas humanas

Energy Technology Data Exchange (ETDEWEB)

Aguiar, Amilton Reinaldo

2001-07-01

There is a considerable interest in the determination of trace elements in human nails in order to use this tissue as a monitor of nutritional and healthy status of individuals, of occupational exposure diseases and of the environmental contamination. In this work, instrumental neutron activation analysis was applied to determine trace elements in finger nail clippings to make comparisons between the elemental concentrations obtained in nails from healthy individuals of a control group and those from cystic fibrosis (CF) patients. Firstly, a protocol for sample collection and preparation for analysis was established. Finger and toe nail samples from CF patients were collected at the Instituto da Crianca of Medicine School, University of Sao Paulo, SP. The nail samples from control group were collected from healthy adults and from children living in Sao Paulo city, SP. These samples were cleaned by stirring them witha a diluted Triton X100 solution and then by washing with distilled water and acetone. The analytical procedure consisted of irradiation nail samples and elemental standards in the IEA-R1m nuclear reactor under thermal neutro flux of about 10{sup 12} n cm{sup -2} s{sup -1}, for short and long period irradiations. The activities of the radionuclides were measured using a gamma-ray spectrometer comprising an hyperpure Ge detector and associated electronic system. The biological reference materials Bovine Liver 1577b and Oyster Tissue 1566a, both from National Institute of Standards and Technology, USA were analysed in order to evaluate the accuracy and precision of the results. The analysis of variance (ANOVA) and F-test at the significance level of 5% were used to make a comparison between the sets of results obtained in this work. In the comparison of the results obtained for finger and toe nails from CF patients, the Br concentrations were higher in finger nails that those obtained for toe nails. For the control group of children, the finger nails

Neutron activation analysis applied to the determination of trace elements in human nails

International Nuclear Information System (INIS)

Aguiar, Amilton Reinaldo

2001-01-01

There is a considerable interest in the determination of trace elements in human nails in order to use this tissue as a monitor of nutritional and healthy status of individuals, of occupational exposure diseases and of the environmental contamination. In this work, instrumental neutron activation analysis was applied to determine trace elements in finger nail clippings to make comparisons between the elemental concentrations obtained in nails from healthy individuals of a control group and those from cystic fibrosis (CF) patients. Firstly, a protocol for sample collection and preparation for analysis was established. Finger and toe nail samples from CF patients were collected at the Instituto da Crianca of Medicine School, University of Sao Paulo, SP. The nail samples from control group were collected from healthy adults and from children living in Sao Paulo city, SP. These samples were cleaned by stirring them witha a diluted Triton X100 solution and then by washing with distilled water and acetone. The analytical procedure consisted of irradiation nail samples and elemental standards in the IEA-R1m nuclear reactor under thermal neutro flux of about 10 12 n cm -2 s -1 , for short and long period irradiations. The activities of the radionuclides were measured using a gamma-ray spectrometer comprising an hyperpure Ge detector and associated electronic system. The biological reference materials Bovine Liver 1577b and Oyster Tissue 1566a, both from National Institute of Standards and Technology, USA were analysed in order to evaluate the accuracy and precision of the results. The analysis of variance (ANOVA) and F-test at the significance level of 5% were used to make a comparison between the sets of results obtained in this work. In the comparison of the results obtained for finger and toe nails from CF patients, the Br concentrations were higher in finger nails that those obtained for toe nails. For the control group of children, the finger nails presented different

Establishing Differences in Thermographic Patterns between the Various Complications in Diabetic Foot Disease

Directory of Open Access Journals (Sweden)

Alfred Gatt

2018-01-01

Full Text Available Aim. To evaluate the potential of thermography as an assessment tool for the detection of foot complications by understanding the variations in temperature that occur in type 2 diabetes mellitus (DM. Methods. Participants were categorized according to a medical examination, ankle brachial index, doppler waveform analysis, and 10-gram monofilament testing into five groups: healthy adult, DM with no complications, DM with peripheral neuropathy, DM with neuroischaemia, and DM with peripheral arterial disease (PAD groups. Thermographic imaging of the toes and forefeet was performed. Results. 43 neuroischaemic feet, 41 neuropathic feet, 58 PAD feet, 21 DM feet without complications, and 126 healthy feet were analyzed. The temperatures of the feet and toes were significantly higher in the complications group when compared to the healthy adult and DM healthy groups. The higher the temperatures of the foot in DM, the higher the probability that it is affected by neuropathy, neuroischaemia, or PAD. Conclusions. Significant differences in mean temperatures exist between participants who were healthy and those with DM with no known complications when compared to participants with neuroischaemia, neuropathy, or PAD. As foot temperature rises, so does the probability of the presence of complications of neuropathy, neuroischaemia, or peripheral arterial disease.

Effects of residual stress on fatigue strength of small diameter welded pipe joint

International Nuclear Information System (INIS)

Yamashita, Tetsuo; Hattori, Takahiro; Nomoto, Toshiharu; Iida, Kunihiro; Sato, Masanobu

1996-01-01

A power plant consists of many welded components, therefore, it is essential in establishing the reliability of the power plant to maintain the reliability of all welded components. The fatigue failure caused by mechanical vibrations of small diameter welded joints, which is represented by socket welded joints, is one of the major causes of trouble for the welded parts of the power plant. Here, bending fatigue tests were conducted to investigate the fatigue strength of small diameter socket welded pipe joints. In the most cases of large diameter socket joints, a fatigue crack started from the root of the fillet weld though the stress amplitude at the root was smaller than that at the toe of fillet weld. Additionally, the fatigue strength was affected by the weld bead sequence. The residual stress was considered to be one of the important parameters governing fatigue strength, therefore, its effects were investigated. In several types of pipe joints, the local stress and residual stress distributions were calculated by finite element analysis. The residual stresses were compressive at the toe and tensile at the root of the socket welded joints. Based on these results, the effects of residual stresses on the fatigue strength are discussed for small diameter welded pipe joints in the present work

Sporadic Fibrodysplasia Ossificans Progressiva in an Egyptian Infant with c.617G > A Mutation in ACVR1 Gene: A Case Report and Review of Literature

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Mohammad Al-Haggar

2013-01-01

Full Text Available Fibrodysplasia ossificans progressiva (FOP is an autosomal dominant severe musculoskeletal disease characterized by extensive new bone formation within soft connective tissues and unique skeletal malformations of the big toes which represent a birth hallmark for the disease. Most of the isolated classic cases of FOP showed heterozygous mutation in the ACVR1 gene on chromosome 2q23 that encodes a bone morphogenetic protein BMP (ALK2. The most common mutation is (c.617G > A leading to the amino acid substitution of arginine by histidine (p.Arg206His. We currently report on an Egyptian infant with a sporadic classic FOP in whom c.617G > A mutation had been documented. The patient presented with the unique congenital malformation of big toe and radiological evidence of heterotopic ossification in the back muscles. The triggering trauma was related to the infant's head, however; neither neck region nor sites of routine intramuscular vaccination given during the first year showed any ossifications. Characterization of the big toe malformation is detailed to serve as an early diagnostic marker for this rare disabling disease.

Environmental efficiency analysis of transportation system in China: A non-radial DEA approach

International Nuclear Information System (INIS)

Chang, Young-Tae; Zhang, Ning; Danao, Denise; Zhang, Nan

2013-01-01

Many countries are worried about reducing energy consumption and environmental pollution while increasing the productivity and efficiency of their industries. This study intends to contribute to the literature by proposing a non-radial DEA model with the slacks-based measure (SBM) to analyze the environmental efficiency of China's transportation sector. The results show that most of the provinces in China do not have an eco-efficient transportation industry. The environmental efficiency levels in most of the provinces are lower than 50% of the ideal or target level. Therefore, China's transportation industry is environmentally very inefficient. China can reduce a great deal of carbon emissions in each province ranging from at least 1.6 million TOEs in Qinghai and at most 33 million TOEs in Guangdong and Shanghai. - Highlights: • Propose a non-radial DEA model with the slacks-based measure. • Analyze the environmental efficiency of China's transportation sector. • China's transportation industry is environmentally very inefficient. • Millions of TOE carbon emissions can be reduced in most of the provinces

Effects of carrying a backpack in a symmetrical manner on the shape of the feet.

Science.gov (United States)

Drzał-Grabiec, Justyna; Snela, Sławomir; Rachwał, Maciej; Rykała, Justyna; Podgórska, Justyna

2013-01-01

The aim of this study was to assess changes in the shape of the feet while carrying a backpack constituting 10% of a child's weight. It was an observational, cross-sectional study involving 118 primary school children aged 11-13 years. Selected parameters of foot shape were assessed in both a normal position and with a backpack using podoscopy and a CQ-ST examination device. The study revealed significant differences in the length and width of the right and left feet between assessments. Moreover, the longitudinal arch of the foot was significantly lowered and deformity of the great toe was reported. Carrying a backpack constituting 10% of a child's weight results in lowering of the longitudinal and traverse arches of the feet and advanced toe deformities. We performed an observational, cross-sectional study examining the effect of carrying a backpack constituting 10% of a child's weight on parameters of foot shape and observed significant lowering of the longitudinal and traverse arches of the feet and advanced toe deformities.

Evaluating the impact of virtualization characteristics on SaaS adoption

Science.gov (United States)

Tomás, Sara; Thomas, Manoj; Oliveira, Tiago

2018-03-01

Software as a service (SaaS) is a service model in which the applications are accessible from various client devices through internet. Several studies report possible factors driving the adoption of SaaS but none have considered the perception of the SaaS features and the organization's context. We propose an integrated research model that combines the process virtualization theory (PVT), the technology-organization-environment (TOE) framework and the institutional theory (INT). PVT seeks to explain whether processes are suitable for migration into virtual environments via an information technology-based mechanism as SaaS. The TOE framework seeks to explain the effects of the intra-organizational factors, while INT seeks to explain the effects of the inter-organizational factors on the technology adoption. This research addresses a gap in the SaaS adoption literature by studying the internal perception of the technical features of SaaS and technology, organization, and environment perspectives. Additionally, the integration of PVT, the TOE framework, and INT contributes to the information system (IS) discipline, deepening the applicability and strengths of these theories.

Prenatal diagnosis of congenital hallux varus deformity associated with pericentric inversion of chromosome 9.

Science.gov (United States)

Gürel, Sebahat Atar

2015-04-01

Congenital hallux varus is a rare deformity of the great toe characterized by adduction of the hallux and medial displacement of the first metatarsophalangeal joint. Prenatal diagnosis of congenital hallux varus is presented herein. A 32-year-old woman was referred to our unit due to significant deviation of the fetal right great toe at 22(+2) weeks of pregnancy. Ultrasound examination revealed a thick and short great toe, which was significantly angulated medially on the right side. Amniocentesis was performed and the result was reported as inv(9) (p11;q12). After delivery, the clinical examination confirmed the prenatal diagnosis. To our knowledge, this is the first reported prenatal diagnosis of an isolated congenital hallux varus. Congenital hallux varus can be diagnosed easily in the prenatal period by 2-D and 4-D ultrasonography. Prenatal karyotyping should be taken into consideration, especially in the presence of associated anomalies, such as polydactyly and clubfoot. © 2014 The Author. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

Promotional study for joint implementation program. Energy conservation and efficiency improvement for district heating system in Tashkent, Uzbekistan

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

For the purpose of reducing greenhouse effect gas emissions, a study was carried out for repair/improvement of the district heating system in Tashkent City, the Republic of Uzbekistan. In the project, the following were studied: heightening of electrical insulation of the total pipeline, improvement in efficient utilization of heat energy in the thermal plant. As to the existing pipeline, heat loss is improved by 0-5% by changing it to electrical insulation pipe. In relation to the thermal plant, studied were cogeneration facility A using three 4MW gas turbines and combined cycle cogeneration facility B using two 40MW gas turbines. As a result, the amount of energy saving was 11,370 toe/y in pipeline, 12,750 toe/y in facility A and 69,000 toe/y in facility B. Further, the reduction amount of greenhouse effect gas emissions was 27,200t-CO2/y in pipeline, 30,500t-CO2/y in facility A and 164,900t-CO2/y in facility B. (NEDO)

Investigation of the Cascade Canal dyke assessing the risk of dyke performance problems

Energy Technology Data Exchange (ETDEWEB)

Cullum-Kenyon, Simon; Sobkowicz, John C.; Abraha, Dawit G.; Ramdharry, Bhamisha [Thurber Engineering Ltd., Alberta, (Canada); Taylor, Scott [TransAlta Generation Partnership, Alberta, (Canada)

2010-07-01

The Cascade Development is located on the Cascade River in the Banff National Park, Alberta. In 2005, two earth slumps occurred on the down slope face of the Cascade Canal dyke as a result of heavy rain. This paper presented the repair work and the investigation program carried out after the repair work. The program started with an initial phase which included six test holes along the crest of the dyke and twelve test pits along the toe of the dyke. Slotted standpipe piezometers were installed in the test holes. Moisture content, Atterberg limit and grain-size analysis tests were conducted on samples. The next phase used a combination of CPT testing and additional test holes drilled using a GeoProbe drill rig. A preliminary liquefaction analysis was conducted. Several areas along the dyke with loose or very loose soils within the downstream shoulder were found. The liquefaction analyses showed that these loose materials may be susceptible to earthquake liquefaction.

Morfologie dětské nohy Child's foot morphology

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Jarmila Riegerová

2005-02-01

. Longitudinal foot vault was evaluated by Plantographic method by index method and processed by "Foot" software; the big toe and little toe axis in the sense of valgozity and varozity, the size of foot angle. Statistically significant differences were evaluated by means of Wilcoxon, Mann-Whitney tests, Scheffe test and chí-quadrate test (Statistica, vers. 6. The state of longitudinal foot vault appeared as relatively satisfactory. The normal foot of I. and II. degree was determined with highest frequency. The occurrence of flat foot and high foot did not signify any principal problem in these age categories. The deformation of big toe and little toe occurred in high frequency in both genders and in all age categories. In boys the valgoze angle reached the range 2.6–7.9°, in girls 4.3–8.1°. The average values of big toe varozity were higher. Little toe angle (valgozity in the group of boys reached the range of values 15.4° to 20.4°, in girls 14.4° to 18.6°. At the end we can evaluate the longitudinal foot vault in child's age categories as corresponding with the ontogenesis phase. The analysis of morphological parameters in the area of anterior part of foot proved the deformations in medial and lateral foot rays in high frequency. The foot angle in posterior part of the foot responds the reference values of established age categories.

Head to toe: Safety gear for field work

Energy Technology Data Exchange (ETDEWEB)

Mowers, J.

2004-09-01

Safety equipment designed to protect oil industry workers from hazards on the work site are described. Equipment described include hard hats of various kinds, hard hat liners for winter wear, protective eyewear to prevent injuries to the eyes from straight on and from above and below, face shields to protect against sparks, scratches or chemical sprays or spills, gloves and mitts to minimize abrasions, cuts, cold, heat, and various chemicals, work boots to prevent crushing blows to feet and shock absorbing safety harnesses and self-retracting lifelines to reduce injuries resulting from falls. The emphasis is on the many different types of equipment available in each of these categories, each designed to meet the special hazards faced on different job sites. Wearing the equipment properly, and keeping them in top condition through periodic inspections are also emphasized. 1 photo.

Fifteen: Combining Magic Squares and Tic-Tac-Toe

Science.gov (United States)

Yeo, Joseph B. W.

2012-01-01

Most students love to play games. Ernest (1986) believed that games could be used to teach mathematics effectively in four areas: motivation, concept development, reinforcement of skills, and practice of problem-solving strategies. Fifteen is an interesting and thought-provoking game that helps students learn mathematics at the same time. Playing…

Supportive Cryotherapy: A Review from Head to Toe

Science.gov (United States)

Kadakia, Kunal C.; Rozell, Shaina A.; Butala, Anish A.; Loprinzi, Charles L.

2013-01-01

Context Conventional chemotherapy leads to multiple adverse mucocutaneous complications including oral mucositis, alopecia, ocular toxicity, and onycholysis. Limited pharmacologic interventions are available for preventing these clinical problems. Objectives This study aimed to critically review the role of cryotherapy (regional hypothermia) for alleviating these adverse symptoms. Methods A narrative review was performed, with an emphasis on randomized controlled trials. A comprehensive search using PubMed, Ovid, Embase, and MEDLINE® was completed. References of all cited articles also were reviewed. Data from the review were comprised of articles published between 1970 to May 2013. Results Available evidence suggests that regional hypothermia decreases the burden of chemotherapy-related oral mucositis, alopecia, ocular toxicity, and onycholysis. The major limitations of studies include the absence of blinded control groups and variable clinical endpoints. Conclusion Regional hypothermia decreases the burden of these four chemotherapy-induced complications and is well tolerated. More research is needed to determine what subgroups of cancer patients are most likely to respond to different types of regional hypothermia, the ideal duration of cooling needed, and to further improve the ease of use of the cooling devices. PMID:24210702

RELIABILITY OF ANKLE-FOOT MORPHOLOGY, MOBILITY, STRENGTH, AND MOTOR PERFORMANCE MEASURES.

Science.gov (United States)

Fraser, John J; Koldenhoven, Rachel M; Saliba, Susan A; Hertel, Jay

2017-12-01

Assessment of foot posture, morphology, intersegmental mobility, strength and motor control of the ankle-foot complex are commonly used clinically, but measurement properties of many assessments are unclear. To determine test-retest and inter-rater reliability, standard error of measurement, and minimal detectable change of morphology, joint excursion and play, strength, and motor control of the ankle-foot complex. Reliability study. 24 healthy, recreationally-active young adults without history of ankle-foot injury were assessed by two clinicians on two occasions, three to ten days apart. Measurement properties were assessed for foot morphology (foot posture index, total and truncated length, width, arch height), joint excursion (weight-bearing dorsiflexion, rearfoot and hallux goniometry, forefoot inclinometry, 1 st metatarsal displacement) and joint play, strength (handheld dynamometry), and motor control rating during intrinsic foot muscle (IFM) exercises. Clinician order was randomized using a Latin Square. The clinicians performed independent examinations and did not confer on the findings for the duration of the study. Test-retest and inter-tester reliability and agreement was assessed using intraclass correlation coefficients (ICC 2,k ) and weighted kappa ( K w ). Test-retest reliability ICC were as follows: morphology: .80-1.00, joint excursion: .58-.97, joint play: -.67-.84, strength: .67-.92, IFM motor rating: K W -.01-.71. Inter-rater reliability ICC were as follows: morphology: .81-1.00, joint excursion: .32-.97, joint play: -1.06-1.00, strength: .53-.90, and IFM motor rating: K w .02-.56. Measures of ankle-foot posture, morphology, joint excursion, and strength demonstrated fair to excellent test-retest and inter-rater reliability. Test-retest reliability for rating of perceived difficulty and motor performance was good to excellent for short-foot, toe-spread-out, and hallux exercises and poor to fair for lesser toe extension. Joint play measures had

Factors influencing survival and mark retention in postmetamorphic boreal chorus frogs

Science.gov (United States)

Swanson, Jennifer E; Bailey, Larissa L.; Muths, Erin L.; Funk, W. Chris

2013-01-01

The ability to track individual animals is crucial in many field studies and often requires applying marks to captured individuals. Toe clipping has historically been a standard marking method for wild amphibian populations, but more recent marking methods include visual implant elastomer and photo identification. Unfortunately, few studies have investigated the influence and effectiveness of marking methods for recently metamorphosed individuals and as a result little is known about this life-history phase for most amphibians. Our focus was to explore survival probabilities, mark retention, and mark migration in postmetamorphic Boreal Chorus Frogs (Psuedacris maculata) in a laboratory setting. One hundred forty-seven individuals were assigned randomly to two treatment groups or a control group. Frogs in the first treatment group were marked with visual implant elastomer, while frogs in the second treatment group were toe clipped. Growth and mortality were recorded for one year and resulting data were analyzed using known-fate models in Program MARK. Model selection results suggested that survival probabilities of frogs varied with time and showed some variation among marking treatments. We found that frogs with multiple toes clipped on the same foot had lower survival probabilities than individuals in other treatments, but individuals can be marked by clipping a single toe on two different feet without any mark loss or negative survival effects. Individuals treated with visual implant elastomer had a mark migration rate of 4% and mark loss rate of 6%, and also showed very little negative survival impacts relative to control individuals.

[Digital gigantism of the foot: a clinical study of 12 cases].

Science.gov (United States)

Wang, Hai-hua; Tian, Guang-lei; Zhu, Yin; Zhang, You-le; Zhao, Jun-hui; Tian, Wen

2008-03-15

To summarize the clinical characteristic and outcome of digital gigantism of the foot. Retrospectively analyze the clinical documents of cases of digital gigantism of the foot. Twelve 12 cases with 13 feet in this study included 8 male and 4 female with an average 4.6-years-old. All the deformities were found at birth. Multiple toes involved were more than single toe, and tibial toe involved more than fibular. Forefoot was enlarged. All the phalanges involved and partial metatarsal bones were enlarged. Marked increase in subcutaneous fat was found in all cases in the operation which infiltrated interossei and articular capsules. The appearance of the nerves and its branches in the foot were normal and fat infiltrating was not discovered. The operation types included debulking, epiphyseal arrest, amputation, nerve stripping and anastomosis. Seven cases were followed up with mean periods 25.6 months. Functional evaluation according to a criterion formulated by author revealed a result of 2 excellent, 2 good and 3 fair. Digital gigantism of the foot is an uncommon congenital deformity of the foot characterized by overgrowth of both the soft-tissue and the osseous elements of the enlarged toe and forefoot. Surgical treatment is the unique method, and the goal is to reduce the size of the foot to allow fitting regular shoes and walking readily. There are several types of operations which to be chosen. The indication, the timing of operative intervention and the selection of operation type should be paid more attention.

Footwear dermatitis - Clinical patterns and contact allergens

Directory of Open Access Journals (Sweden)

Handa S

1991-01-01

Full Text Available Thirty patients suspected of contact dermatitis to footwear studied to evaluate various clinical presentations and possible sensitizers. ′V′ chappals and sandals were suspected alone in 12, a combination of open and closed shoes in 15 and closed shoes alone in 3 patients. Commonest affected sites were dorsa of feet and toes in 14 and dorsa of feet corresponding to the shape of footwear in 12 patients. Patch tests were done using a battery of sixteen allergens. Positive patch tests were seen in 29 patients. Rubber chemicals were the commonest allergens detected in 26 patients, dyes in 10,leather in 6, glues and neoprene cements in 4 and rubber material from suspected footwear as such in 4 patients respectively.

Bizarre parosteal osteochondromatous proliferation of bone

International Nuclear Information System (INIS)

Bandiera, S.; Bacchini, P.; Bertoni, F.

1998-01-01

A 47-year-old man presented with a painless mass of 7 months' duration, on the plantar aspect of the great toe of the right foot. Radiographs and CT images initially suggested an osteochondroma arising from the proximal phalanx of the great toe but there was no continuity between the medullary canal of the phalanx and the lesion. The mass was excised and a histological diagnosis of bizarre parosteal osteochondromatous proliferation of bone (Nora's disease) was made. The aggressive growth of this lesion may clinically suggest a neoplasm. Histological features, however, are those of a reactive lesion. (orig.)

Apert′s Syndrome

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B K Sohi

1980-01-01

Full Text Available A case of Apert′s syndrome in a one year old female child is described and literature reviewed. She was the first born of a young couple. She had congenital syndactyl of toes and fingers, acro-cephalic skull, flat facies, exophthalmos, hypertelorism and greasy skin. In addition to the typical radiological features of this syndrome which the patient showed, thickened first metacarpals forked at the base were also seen. There were two phalanges for each toe. Calcification was seen intracranially. These radiological features have not been mentioned so far in the literature reviewed.

The clinical identification of peripheral neuropathy among older persons.

Science.gov (United States)

Richardson, James K

2002-11-01

To identify simple clinical rules for the detection of a diffuse peripheral neuropathy among older outpatients. Observational, blinded, controlled study. A tertiary-care electrodiagnostic laboratory and biomechanics laboratory. One hundred research subjects, 68 with electrodiagnostic evidence of peripheral neuropathy, between the ages of 50 and 80 years. Not applicable. One examiner, unaware of the results of electrodiagnostic testing, evaluated Achilles' and patellar reflexes, Romberg testing, semiquantified vibration, and position sense at the toe and ankle in all subjects, and unipedal stance time and the Michigan Diabetes Neuropathy Score in a subset of subjects. Significant group differences were present in all clinical measures tested. Three signs, Achilles' reflex (absent despite facilitation), vibration (128Hz tuning fork perceived for <10s), and position sense (<8/10 1-cm trials) at the toe, were the best predictors of peripheral neuropathy on both univariate and logistic regression (pseudo R(2)=.744) analyses. The presence of 2 or 3 signs versus 0 or 1 sign identified peripheral neuropathy with sensitivity, specificity, and positive and negative predictive values of 94.1%, 84.4%, 92.8%, and 87.1%, respectively. Values were similar among subgroups of subjects with and without diabetes mellitus. When other clinicians applied the technique to 12 more subjects, excellent interrater reliability regarding the presence of peripheral neuropathy (kappa=.833) and good to excellent interrater reliability for each sign (kappa range,.667-1.00) were shown. Among older persons, the presence of 2 or 3 of the 3 clinical signs strongly suggested electrodiagnostic evidence of a peripheral neuropathy, regardless of etiology. Age-related decline in peripheral nerve function need not be a barrier to the clinical recognition of a diffuse peripheral neuropathy among older persons. Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of

Automating Test Activities: Test Cases Creation, Test Execution, and Test Reporting with Multiple Test Automation Tools

OpenAIRE

Loke Mun Sei

2015-01-01

Software testing has become a mandatory process in assuring the software product quality. Hence, test management is needed in order to manage the test activities conducted in the software test life cycle. This paper discusses on the challenges faced in the software test life cycle, and how the test processes and test activities, mainly on test cases creation, test execution, and test reporting is being managed and automated using several test automation tools, i.e. Jira, ...

Foot and ankle problems in Muay Thai kickboxers.

Science.gov (United States)

Vaseenon, Tanawat; Intharasompan, Piyapong; Wattanarojanapom, Thongaek; Theeraamphon, Nipon; Auephanviriyakul, Sansanee; Phisitkul, Phinit

2015-01-01

Muay Thai kickboxing is a common sport that uses the foot and ankle in fighting. Muay Thai kickboxing trainees usually receive training in Thailand Foot and ankle problems in this group ofpeople who usually train barefoot remain unexplored To evaluate the prevalence of common foot and ankle problems in Muay Thai kick boxers. The present study is a cross-sectional survey of Muay Thai kick boxers practicing in northern Thailand. Interviews were conducted and foot and ankle examinations were evaluated Foot morphology was examined using a Harris mat footprint. One hundred and twenty-three Muay Thai kickbox ersinnine training gyms were included in this study. Common foot and ankle problems found in the Muay Thai kick boxers were callosity (59%), gastrocnemius contracture (57%), toe deformities (49.3%), wounds (10%) and heel pain (9%). Callosity was most commonly found on the forefoot (77.5%), on the plantar first metatarsal (55.3%) and on the big toe (33.3%). An association was found between a tight heel cord and a history of foot injury with prolonged periods of weekly training. Toe deformities such as hallux rigidus (37.6%) were also associated with prolonged periods of training (p = 0.001). No correlation was found between type of foot arch and foot and ankle problems. Plantar forefoot callosities and wounds as well as toe deformities including tight heel cords are some of the foot and ankle problems commonly found in Muay Thai kick boxers. They are associated with prolonged periods of barefoot training. The unique pattern of training and of the kicks in Muay Thai might be a path mechanism, leading to the development of foot and ankle problems.

The position of bioenergy and development possibilities

International Nuclear Information System (INIS)

Asplund, D.

1997-01-01

This report is a review of bioenergy in energy economy of Finland and generally a review of bioenergy markets in the world. This review concentrates on wood and peat fuels. Municipal wastes, agro biomass and use of biogas in energy production are also considered in this review but in minor aspect. The significant part of this work is an estimation of bioenergy development prospects. The schedule is strategic to the year 2010, partly to the year 2025. The use of bioenergy in Finland has increased 64 % from the year 1980 and was in 1996 almost 7 million toe. The use of peat was 2,1 million toe and the rest consisted mainly of wood and wood based fuels. The share of bioenergy in the primary energy consumption is over 20 %. As far as the resources are concerned the possibilities to increase the use are very good. The main problem is the competitiveness. The competitiveness of forest biomass has improved as a result of technological research and development but it is still potential to maintain more by systematical R and D. A large target setting of increasing the bioenergy use in Finland is included in this review. The target is to increase the bioenergy use 25 % by the year 2005. This equals to 1,5 million toe. The target for the year 2010 is suggested to increase of 3,5 million toe from the 1995 level. Also the possibilities to develop new bioenergy technology for export markets are considered. A large number of concrete actions and long term activities to achieve these targets are presented. (orig.) 24 refs

[A family with autosomal dominant temporal lobe epilepsy accompanied by motor and sensory neuropathy].

Science.gov (United States)

Matsuoka, Takeshi; Furuya, Hirokazu; Ikezoe, Koji; Murai, Hiroyuki; Ohyagi, Yasumasa; Yoshiura, Takashi; Sasaki, Masayuki; Tobimatsu, Syozo; Kira, Jun-ichi

2004-01-01

We report a 20-year-old man with temporal lobe epilepsy (TLE) accompanied by hereditary motor and sensory neuropathy (HMSN). He had experienced complex partial seizures (CPS), which started with a nausea-like feeling, followed by loss of consciousness and automatism, since he was 6 years old. The frequency of attacks was at first decreased by phenytoin. However, attacks increased again when he was 18 years old. On admission, neurological examination showed mild weakness of the toes, pes cavus, hammer toe and mildly impaired vibratory sensation in his legs. Ten people in four generations of his family showed a history of epilepsy in the autosomal dominant inheritance form. His younger sister and mother had a history of epilepsy accompanied with pes cavus, hammer toe, weakness of toe and finger extension and mildly impaired vibratory sensation as well. Direct sequencing of the glioma-inactivated leucine-rich gene (LGI1), in which several mutations were reported in patients with familial lateral temporal lobe epilepsy, showed no specific mutation in this family. On consecutive video-EEG monitoring, paroxysmal rhythmic activity was confirmed in his left fronto-temporal region when he showed automatism, and then a generalized slow burst activity was detected when he lost consciousness. For his seizures, TLE with secondary generalization was diagnosed. In the nerve conduction study, delayed nerve conduction, distal motor latency and decreased amplitudes of the compound muscle action potentials (CMAP) of bilateral peroneal nerves were observed, indicating the existence of mild axonal degeneration. Based on these data, we consider that this family to be a new phenotype of autosomal dominant TLE accompanied by motor and sensory neuropathy.

Difference in vascular patterns between transosseous-equivalent and transosseous rotator cuff repair.

Science.gov (United States)

Urita, Atsushi; Funakoshi, Tadanao; Horie, Tatsunori; Nishida, Mutsumi; Iwasaki, Norimasa

2017-01-01

Vascularity is the important factor of biologic healing of the repaired tissue. The purpose of this study was to clarify sequential vascular patterns of repaired rotator cuff by suture techniques. We randomized 21 shoulders in 20 patients undergoing arthroscopic rotator cuff repair into 2 groups: transosseous-equivalent repair (TOE group, n = 10) and transosseous repair (TO group, n = 11). Blood flow in 4 regions inside the cuff (lateral articular, lateral bursal, medial articular, and medial bursal), in the knotless suture anchor in the TOE group, and in the bone tunnel in the TO group was measured using contrast-enhanced ultrasound at 1 month, 2 months, 3 months, and 6 months postoperatively. The sequential vascular pattern inside the repaired rotator cuff was different between groups. The blood flow in the lateral articular area at 1 month, 2 months, and 3 months (P = .002, .005, and .025) and that in the lateral bursal area at 2 months (P = .031) in the TO group were significantly greater than those in the TOE group postoperatively. Blood flow was significantly greater for the bone tunnels in the TO group than for the knotless suture anchor in the TOE group at 1 month and 2 months postoperatively (P = .041 and .009). This study clarified that the sequential vascular pattern inside the repaired rotator cuff depends on the suture technique used. Bone tunnels through the footprint may contribute to biologic healing by increasing blood flow in the repaired rotator cuff. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

Evaluation of the occupational exposure to external sources of ionizing radiation in Cuba in the period 2001-2005

International Nuclear Information System (INIS)

Molina P, D.; Martinez H, E.; Castro S, A.

2006-01-01

The single radiological surveillance of the occupational exposure to external radiation sources in Cuba it is carried out by the Radiation Protection and Hygiene Center (CPHR). The data corresponding to the external exposure are presented. The service it covers to all the occupationally exposed workers (TOEs) of the country that work fundamentally the radiodiagnostic practices, nuclear medicine, radiotherapy and research. The purpose of this work is to carry out an analysis of the occupational exposures of the TOE of the country starting of the results registered by the service of single radiological surveillance in the period 2001 to 2005, keeping in mind the indicators used by the UNSCEAR. The annual average effective dose (E) for each practice is shown. The obtained results showed that the values of annual average effective dose (E) its are bigger for the radiodiagnostic practices, radiotherapy and nuclear medicine. In a general way, all the E values are inferior to 2.00 mSv. The number of TOEs that overcame the 20 mSv established as annual dose limit, it went inferior to 1% of the controlled total universe. (Author)

Distress call-induced gene expression in the brain of the Indian short-nosed fruit bat, Cynopterus sphinx.

Science.gov (United States)

Ganesh, Ambigapathy; Raghuram, Hanumanthan; Nathan, Parthasarathy T; Marimuthu, Ganapathy; Rajan, Koilmani Emmanuvel

2010-02-01

Individuals in distress emit audible vocalizations to either warn or inform conspecifics. The Indian short-nosed fruit bat, Cynopterus sphinx, emits distress calls soon after becoming entangled in mist nets, which appear to attract conspecifics. Phase I of these distress calls is longer and louder, and includes a secondary peak, compared to phase II. Activity-dependent expression of egr-1 was examined in free-ranging C. sphinx following the emissions and responses to a distress call. We found that the level of expression of egr-1 was higher in bats that emitted a distress call, in adults that responded, and in pups than in silent bats. Up-regulated cDNA was amplified to identify the target gene (TOE1) of the protein Egr-1. The observed expression pattern Toe1 was similar to that of egr-1. These findings suggest that the neuronal activity related to recognition of a distress call and an auditory feedback mechanism induces the expression of Egr-1. Co-expression of egr-1 with Toe1 may play a role in initial triggering of the genetic mechanism that could be involved in the consolidation or stabilization of distress call memories.

Non-contrast MRI perfusion angiosome in diabetic feet

Energy Technology Data Exchange (ETDEWEB)

Zheng, Jie [Cardiovascular Imaging Lab, Mallinckrodt Institute of Radiology, St. Louis, MO (United States); Hastings, Mary K.; Mueller, Michael J. [Washington University School of Medicine, The Program in Physical Therapy, St. Louis, MO (United States); Muccigross, David; Hildebolt, Charles F. [Washington University School of Medicine, Mallinckrodt Institute of Radiology, St. Louis, MO (United States); Fan, Zhaoyang [Cedars-Sinai Medical Center, Biomedical Imaging Research Institute, Los Angeles, CA (United States); Gao, Fabao [West China Hospital, Sichuan University, Department of Radiology, Chengdu (China); Curci, John [Washington University School of Medicine, The Department of Surgery, St. Louis, MO (United States)

2015-01-15

The purpose of this study is to develop a non-contrast magnetic resonance imaging (MRI) approach to evaluate skeletal muscle perfusion in the diabetic foot based on the concept of angiosomes of the foot. Five healthy volunteers and five participants with diabetes (HbA1c = 7.2 ± 1.8 %) without a history of peripheral artery disease were examined. The non-contrast perfusion measurements were performed during a toe flexion challenge. Absolute perfusion maps were created and two regions (medial and lateral) on the maps were segmented based on angiosomes. Regional difference in the perfusion of foot muscle was readily visualized in the MRI perfusion angiosomes during the challenge. In the participants with diabetes, the perfusion during toe flexion challenge was significantly lower than in healthy volunteers (P < 0.01). The average perfusion for the medial plantar region of the right foot was lower in subjects with diabetes (38 ± 9 ml/min/100 g) than in healthy subjects (93 ± 33 ml/min/100 g). Non-contrast MRI perfusion angiosome maps demonstrate the feasibility of determining regional perfusion in foot muscles during toe challenge and may facilitate evaluation of muscle perfusion in diabetic feet. (orig.)

Non-contrast MRI perfusion angiosome in diabetic feet

International Nuclear Information System (INIS)

Zheng, Jie; Hastings, Mary K.; Mueller, Michael J.; Muccigross, David; Hildebolt, Charles F.; Fan, Zhaoyang; Gao, Fabao; Curci, John

2015-01-01

The purpose of this study is to develop a non-contrast magnetic resonance imaging (MRI) approach to evaluate skeletal muscle perfusion in the diabetic foot based on the concept of angiosomes of the foot. Five healthy volunteers and five participants with diabetes (HbA1c = 7.2 ± 1.8 %) without a history of peripheral artery disease were examined. The non-contrast perfusion measurements were performed during a toe flexion challenge. Absolute perfusion maps were created and two regions (medial and lateral) on the maps were segmented based on angiosomes. Regional difference in the perfusion of foot muscle was readily visualized in the MRI perfusion angiosomes during the challenge. In the participants with diabetes, the perfusion during toe flexion challenge was significantly lower than in healthy volunteers (P < 0.01). The average perfusion for the medial plantar region of the right foot was lower in subjects with diabetes (38 ± 9 ml/min/100 g) than in healthy subjects (93 ± 33 ml/min/100 g). Non-contrast MRI perfusion angiosome maps demonstrate the feasibility of determining regional perfusion in foot muscles during toe challenge and may facilitate evaluation of muscle perfusion in diabetic feet. (orig.)

Evaluation of the occupational exposure to external sources of ionizing radiation in Cuba in the period 2001-2005; Evaluacion de la exposicion ocupacional a fuentes externas de radiacion ionizante en Cuba en el periodo 2001-2005

Energy Technology Data Exchange (ETDEWEB)

Molina P, D.; Martinez H, E.; Castro S, A. [Laboratorio de Dosimetria Externa, CPHR, A.P. 6195, C.P. 10600, La Habana (Cuba)]. e-mail: daniel@cphr.edu.cu

2006-07-01

The single radiological surveillance of the occupational exposure to external radiation sources in Cuba it is carried out by the Radiation Protection and Hygiene Center (CPHR). The data corresponding to the external exposure are presented. The service it covers to all the occupationally exposed workers (TOEs) of the country that work fundamentally the radiodiagnostic practices, nuclear medicine, radiotherapy and research. The purpose of this work is to carry out an analysis of the occupational exposures of the TOE of the country starting of the results registered by the service of single radiological surveillance in the period 2001 to 2005, keeping in mind the indicators used by the UNSCEAR. The annual average effective dose (E) for each practice is shown. The obtained results showed that the values of annual average effective dose (E) its are bigger for the radiodiagnostic practices, radiotherapy and nuclear medicine. In a general way, all the E values are inferior to 2.00 mSv. The number of TOEs that overcame the 20 mSv established as annual dose limit, it went inferior to 1% of the controlled total universe. (Author)

The measurement of digital systolic blood pressure by strain gauge technique

DEFF Research Database (Denmark)

Nielsen, P E; Bell, G; Lassen, N A

1972-01-01

The systolic blood pressure on the finger, toe, and ankle has been measured by a strain gauge technique in 10 normal subjects aged 17-31 years and 14 normal subjects aged 43-57 years. The standard deviation in repeated measurements lies between 2 and 6 mm Hg. The finger pressure in the younger...... group was significantly higher than the corresponding arm pressure (+ 9.3 mm Hg, S.D. 6.8), but equalled this in the older group (- 0.5 mm Hg, S.D. 6.6). In the two groups the ankle pressures were + 19.3 mm Hg (S.D. 7.5) and + 23.6 mm Hg (S.D. 9.5) higher than the systolic arm pressures. The toe...... pressures were lower than the arm pressures, in the two groups - 4.8 mm Hg (S.D. 6.6) and - 9.8 mm Hg (S.D. 10.7) respectively. The ankle-toe gradient was in the younger group 24.3 mm Hg (S.D. 7.3) and in the older group 33.3 mm Hg (S.D. 12.1). Using mean minus 2.5 X S.D. as the lower limit of normality...

The effect of weight-bearing exercise and non-weight-bearing exercise on gait in rats with sciatic nerve crush injury.

Science.gov (United States)

Kim, Ki-Hyun; Hwangbo, Gak; Kim, Seong-Gil

2015-04-01

[Purpose] The purpose of this study was to access the effect of weight bearing exercise (treadmill exercise) and non-weight-bearing exercise (swimming exercise) on gait in the recovery process after a sciatic nerve crush injury. [Subjects and Methods] Rats were randomly divided into a swimming group (n=3) with non-weight-bearing exercise after a sciatic nerve crush and a treadmill group (n=3) with weight bearing exercise after a sciatic nerve crush. Dartfish is a program that can analyze and interpret motion through video images. The knee lateral epicondyle, lateral malleolus, and metatarsophalangeal joint of the fifth toe were marked by black dots before recording. [Results] There were significant differences in TOK (knee angle toe off) and ICK (knee angle at initial contact) in the swimming group and in TOK, ICA (ankle angle at initial contact), and ICK in the treadmill group. In comparison between groups, there were significant differences in TOA (ankle angle in toe off) and ICA at the 7th day. [Conclusion] There was no difference between weight bearing and non-weight-bearing exercise in sciatic nerve damage, and both exercises accelerated the recovery process in this study.

Kinesiology-Based Robot Foot Design for Human-Like Walking

Directory of Open Access Journals (Sweden)

SangJoo Kwon

2012-12-01

Full Text Available Compared with the conventional flat foot, the flexible foot is advantageous in implementing human-like walking and much reduces energy consumption. In this paper, from an anatomical and kinesiological point of view, a flexible foot with toes and heels is investigated for a bipedal robot and three critical design parameters for walking stability are drawn, which include stiffness of toes and heels, frontal toe position, and ankle joint position. In addition, a human-like walking trajectory compatible with the flexible foot is proposed by mimicking a human walking pattern. First of all, the zero moment point (ZMP trajectory continuously moves forward without stopping, even in the single support phase. Secondly, the centre of mass (CoM trajectory includes vertical motion similar to that seen in human beings. Thirdly, the ankle trajectory follows the rotational motion of a human foot while being lifted from and landing on the ground. Through the simulation study, it is shown that the suggested design parameters can be applied as useful indices for the mechanical design of biped feet; interestingly, the vertical motion of the centre of mass tends to compensate for the transient response in the initial walking step.

The effect of blade pitch in the rotor hydrodynamics of a cross-flow turbine

Science.gov (United States)

Somoano, Miguel; Huera-Huarte, Francisco

2016-11-01

In this work we will show how the hydrodynamics of the rotor of a straight-bladed Cross-Flow Turbine (CFT) are affected by the Tip Speed Ratio (TSR), and the blade pitch angle imposed to the rotor. The CFT model used in experiments consists of a three-bladed (NACA-0015) vertical axis turbine with a chord (c) to rotor diameter (D) ratio of 0.16. Planar Digital Particle Image Velocimetry (DPIV) was used, with the laser sheet aiming at the mid-span of the blades, illuminating the inner part of the rotor and the near wake of the turbine. Tests were made by forcing the rotation of the turbine with a DC motor, which provided precise control of the TSR, while being towed in a still-water tank at a constant Reynolds number of 61000. A range of TSRs from 0.7 to 2.3 were covered for different blade pitches, ranging from 8° toe-in to 16° toe-out. The interaction between the blades in the rotor will be discussed by examining dimensionless phase-averaged vorticity fields in the inner part of the rotor and mean velocity fields in the near wake of the turbine. Supported by the Spanish Ministry of Economy and Competitiveness, Grant BES-2013-065366 and project DPI2015-71645-P.

Mountaineering-induced bilateral plantar paresthesia.

Science.gov (United States)

Henderson, Kyle K; Parker, Justine; Heinking, Kurt P

2014-07-01

Flat feet (pes planus) have been implicated in multiple musculoskeletal complaints, which are often exacerbated by lack of appropriate arch support or intense exercise. To investigate the efficacy of osteopathic manipulative treatment (OMT) on a patient (K.K.H.) with mountaineering-induced bilateral plantar paresthesia and to assess the association of pes planus with paresthesia in members of the mountaineering expedition party that accompanied the patient. A patient history and physical examination of the musculoskeletal system were performed. The hindfoot, midfoot, forefoot, big toe, and distal toes were evaluated for neurologic function, specifically pin, vibration, 10-g weight sensitivity, and 2-point discrimination during the 4-month treatment period. To determine if OMT could augment recovery, the patient volunteered to use the contralateral leg as a control, with no OMT performed on the sacrum or lower back. To determine if pes planus was associated with mountaineering-induced paresthesia, a sit-to-stand navicular drop test was performed on members of the expedition party. Osteopathic manipulative treatment improved fibular head motion and muscular flexibility and released fascial restrictions of the soleus, hamstring, popliteus, and gastrocnemius. The patient's perception of stiffness, pain, and overall well-being improved with OMT. However, OMT did not shorten the duration of paresthesia. Of the 9 expedition members, 2 experienced paresthesia. Average navicular drop on standing was 5.1 mm for participants with no paresthesia vs 8.9 mm for participants with paresthesia (t test, Pparesthesia. Early diagnosis of pes planus and treatment with orthotics (which may prevent neuropathies)--or, less ideally, OMT after extreme exercise--should be sought to relieve tension and discomfort. © 2014 The American Osteopathic Association.

Perawatan Crossbite Posterior pada Maloklusi Angle Klas III dengan Alat Ortodontik Cekat Teknik Begg

Directory of Open Access Journals (Sweden)

Trio Wijayanto

2011-12-01

Full Text Available Latar Belakang: Crossbite posterior merupakan hubungan abnormal dari gigi-gigi posterior secara bukolingual pada rahang atas atau bawah pada saat kedua lengkung gigi berada dalam oklusi sentrik yang dapat terjadi pada satu atau kedua sisi rahang. Posterior crossbite adalah maloklusi yang paling sering muncul pada masa gigi susu dan awal gigi bercampur. Tujuan Perawatan: mengoreksi crossbite posterior dan mengembalikan fungsi pengunyahan yang baik. Kasus: Perempuan 20 tahun dengan maloklusi Angle klas III disertai crossbite posterior kanan, crowding rahang atas dan bawah. Penanganan: menggunakan alat cekat teknik Begg dengan pencabutan gigi premolar I rahang atas kiri, kedua premolar I rahang bawah, cross elastik, toe-in, dan toe out digunakan untuk koreksi crossbite. Kesimpulan: Perawatan crossbite posterior dengan teknik Begg menunjukkan hasil yang cukup memuaskan. Prognatik mandibula berkurang, crossbite terkoreksi, overjet normal, overbite normal, dan fungsi pengunyahan menjadi lebih baik.   Background: Posterior crossbite is defined as any abnormal bucal-lingual relations between posterior teeth of upper and lower jaw in centric occlusion which can occur in one side only or both. Posterior crossbite is one of the most prevalent malocclusion in primary and early mixed dentition. Purpose: to correct posterior and restore normal mastication. Case: 20 years old woman with Angle’s class II accompanied by posterior crossbite on the right side and crowding in anterior segment of upper and lower jaw. Management: using the Begg fixed appliance techniques with the extraction of upper left, and two lower first premolars. Cross elastic along with toe in and toe out on the main wire was used to correct posterior crossbite. Conclusion: Posterior crossbite treatment with Begg technique showed satisfactory results. Prognatism mandibula had reduced, regained normal overjet and overbite, and restored good mastication.

Swift and sure-footed on the Savanna: A study of Hadzabe gaits and feet in Northern Tanzania.

Science.gov (United States)

Musiba, Charles M; Tuttle, Russell H; Hallgrímsson, Benedikt; Webb, David M

1997-01-01

Data on footprints and gait of 54 Hadzabe, 6-70 years of age expand understanding of pedal morphology of unshod people and assist the development of ideas about the evolution of hominid bipedality and upright posture. Contrary to published data on gaits and pedal morphology of unshod populations, Hadzabe (also known as Hadza) from northern Tanzania exhibit values of stride length, relative stride length, and walking speeds that exceed those of rural and small-town populations. In all observable plantar features, including foot indices, an interdigital space between the hallux and second toe, fanning of the foot anteriorly, and foot angles (in-toeing and out-toeing), Hadzabe feet are comparable with those of never-shod Machiguengas in Perú. On average, Hadzabe hallucal gaps and ball widths are narrower than those of Machiguengas and other unshod short people. Hadzabe feet are also characterized by valgus halluces versus the varus halluces of never-shod Machiguengas and certain West Africans. Although characterized by a valgus toe, Hadzabe hallucal angles, which do not exceed 20°, are lower than those of Northern Hemispheric urbanites and shod rural populations of the Southern and Northern Hemispheres. Hadzabe also exhibit less medial and lateral rotation of the hip joint than Machiguengas do. The heel and the longitudinal arch impressions of the Hadzabe footprints closely resemble those of the Laetoli bipeds in the manner of weight distribution during locomotion. The striking similarity of footprint impressions, especially the heel and the longitudinal arch, between Hadzabe and Laetoli hominid footprints clearly imply that the pedal features of the Laetoli printmakers are remarkably humanoid. Am. J. Hum. Biol. 9:303-321, 1997. © 1997 Wiley-Liss, Inc. Copyright © 1997 Wiley-Liss, Inc.

Compression therapy in mixed ulcers increases venous output and arterial perfusion.

Science.gov (United States)

Mosti, Giovanni; Iabichella, Maria Letizia; Partsch, Hugo

2012-01-01

This study was conducted to define bandage pressures that are safe and effective in treating leg ulcers of mixed arterial-venous etiology. In 25 patients with mixed-etiology leg ulcers who received inelastic bandages applied with pressures from 20 to 30, 31 to 40, and 41 to 50 mm Hg, the following measurements were performed before and after bandage application to ensure patient safety throughout the investigation: laser Doppler fluxmetry (LDF) close to the ulcer under the bandage and at the great toe, transcutaneous oxygen pressure (TcPo(2)) on the dorsum of the foot, and toe pressure. Ejection fraction (EF) of the venous pump was performed to assess efficacy on venous hemodynamics. LDF values under the bandages increased by 33% (95% confidence interval [CI], 17-48; P pressure ranges applied. At toe level, a significant decrease in flux of -20% (95% CI, -48 to 9; P bandage pressure >41 mm Hg. Toe pressure values and TcPo(2) showed a moderate increase, excluding a restriction to arterial perfusion induced by the bandages. Inelastic bandages were highly efficient in improving venous pumping function, increasing the reduced ejection fraction by 72% (95% CI, 50%-95%; P pressure of 21 to 30 mm Hg and by 103% (95% CI, 70%-128%; P ulceration, an ankle-brachial pressure index >0.5 and an absolute ankle pressure of >60 mm Hg, inelastic compression of up to 40 mm Hg does not impede arterial perfusion but may lead to a normalization of the highly reduced venous pumping function. Such bandages are therefore recommended in combination with walking exercises as the basic conservative management for patients with mixed leg ulcers. Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

Aggregatibacter actinomycetemcomitans osteomyelitis in a 12 year old boy: case report emphasizing the importance of tissue culture, and review of literature.

Science.gov (United States)

Sharma, Ketaki; Mudgil, Poonam; Whitehall, John S; Gosbell, Iain

2017-03-14

Aggregatibacter actinomycetemcomitans most commonly causes periodontitis but has been reported to infect heart valves, soft tissue, brain and lungs, and distal bones. Osteomyelitis distal to the jaw is rarely described. We report an unusual and rare case of chronic osteomyelitis caused by A. actinomycetemcomitans in the toe of a paediatric patient, and review the available literature. The infection was managed with intravenous antibiotics followed by oral antibiotics. This is an unusual presentation of A. actinomycetemcomitans causing chronic osteomyelitis presumed due to nidation in a minimally damaged bone, associated with bacteraemia of an oral commensal. It occurred in the toe, without obvious dental predisposition; associated with minimal clinical disturbance and with muted immune response.

Implementation and Commercialization of New Germplasms for Use on Military Ranges

Science.gov (United States)

2009-12-01

Surrounded on three sides by mountain ranges, the Dugway Proving Ground’s terrain varies from level salt flats to scattered sand dunes and rugged...7 BBWG 50 1 1 20 2 Sand Hollow BBST 51 1 1 21 2 Fish Creek BBST 52 1 1 22 2 Toe Jam Creek BBST 53 1 1 23 2 Trailhead BWR 54 1 1 24 2 L-45 BWR 55...Nephi 2005 31 1 2 18 4 SB-3 WWG 34 1 2 19 4 L-45 BWR 55 1 2 20 4 Basin WR – Army H Field 2004 58 1 2 21 4 Toe Jam Creek BBST 53 1 2 22 4 Rosana WWG