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1.
Ultrasonics ; 143: 107411, 2024 Jul 22.
Article in English | MEDLINE | ID: mdl-39059258

ABSTRACT

The ultrasonic-assisted manufacturing process is a promising machining approach for composite materials as it exerts less force, making it ideal for the aerospace and automotive sectors. This work reports about the pre-crack initiation in carbon fiber reinforced (CF)/ poly-ether-ether-ketone (PEEK) composite under ultrasonic frequency at room temperature. An iron-based cutting tool matching the system's resonance frequency (20 kHz) was used to perform the ultrasonic pre-cracking. In this novel work, the pre-cracking of CF-PEEK is considered as the initial step for a complete fiber layer separation, which holds the key for circularity options in high-performance aerospace composites. State-of-the-art high-speed camera and infrared thermography were combined to monitor the crack initiation and propagation. By online monitoring, the different stages involved in the pre-cracking process, its temperature evolution, and consequently the dissipated energy during pre-cracking under ultrasonic frequency were evaluated. The results showed that oscillation amplitude had a significant influence on the determined pre-crack depth and measured global temperature and energy compared to cutting force. The measured global temperature data indicates that pre-cracking occurred in the solid state with a temperature well below the glass-transition temperature of PEEK. However, the local temperature at the contact between the sample and sonotrode could have been much higher during ultrasonic cutting which needed further investigation. The computed global dissipated energy and temperature were only reliable at the pre-crack initiation site due to the limitation in the infrared thermography system.

2.
J Environ Manage ; 367: 121849, 2024 Jul 25.
Article in English | MEDLINE | ID: mdl-39059312

ABSTRACT

Due to their small size and high anthropogenic pressure, small watercourses are particularly prone to severe siltation and are densely overgrown with macrophytes. Many of these watercourses are subject to regular maintenance works (RMW), consisting of seasonal desilting and vegetation clearance, in order to ensure unobstructed water flow. The aim of the study was to assess the impact of three types of maintenance works: dredging and mud removal (DMR), river channel vegetation removal (RCVR) and river bank vegetation removal (RBVR) on taxa species richness, macroinvertebrate density and the Shannon-Wiener diversity index, as well as their changes and long-term benthic recolonization one and two years after completion of the works. The study was carried out in 21 habitats on eight rivers in the European Central Plains Ecoregion. A total of 107 zoobenthic taxa were found at all sites, and their species composition was characteristic of highly hydrophytic waters with low hydrological and hydrochemical quality parameters. A significant decrease in macroinvertebrate taxa richness was observed one year after the works, as the average number of taxa had dropped from thirteen to eight, with a further fall to seven taxa two years after the RMW. The same was true for density, which had decreased from an average of 2496 to 786 individuals per square meter one year after the RMW, while, a gradual recolonization was recorded two years after the RMW, with an average density of 1295 individuals per square meter. The Shannon-Wiener index, which had averaged 2.528 before the RMW, also decreased, falling to 1.982 and 1.832 one and two years after. BACI statistical analyses showed that of the three types of maintenance work, desilting and bottom sediment removal had the largest negative impact, significantly reducing taxonomic composition (by an average of 53%), density (by an average of 43%), and ecological index values (by an average of 40%). Over-frequent maintenance can prevent macroinvertebrate populations from recovering, thus depleting the environment of valuable taxa, including those that provide food for fish and other vertebrates.

3.
Orthop Traumatol Surg Res ; : 103949, 2024 Jul 17.
Article in English | MEDLINE | ID: mdl-39029793

ABSTRACT

PURPOSE: Patient-specific cutting guides are increasingly used in the field of osteotomies around the knee and can improve the accuracy of planned correction and more specifically in the case of double-level osteotomy (DLO). The purpose of this study was to analyse the accuracy of postoperative coronal alignment after DLO using patient-specific cutting guides techniques (PSI) compared to conventional techniques. The secondary objective was to compare the functional results between the two groups at short-term follow-up. HYPOTHESIS: The accuracy of global correction (HKA angle) is better with patient-specific cutting guides compared to conventional techniques for double-level osteotomy METHODS: This multicentric comparative retrospective study included 53 patients (mean age: 53.8 ± 5.2 years, male/female: 44/9) who underwent a DLO for knee varus malalignment. The coronal correction accuracy (as expressed by the difference between postoperative angular values and preoperative targeted correction) was compared between techniques using patient-specific cutting guides (PSI group, n = 27) or conventional techniques (n = 26) for the medial proximal tibial angle (MPTA) and the lateral distal femoral angle (LDFA). Postoperatively, the global alignment expressed by the hip-knee-ankle angle and the joint line obliquity were compared between groups. The postoperative functional results for KOOS and UCLA activity scale score were also compared at a mean follow-up of 1.7 years (1.0-3.1 years). RESULTS: No difference was observed for the postoperative global alignment between the PSI and the conventional groups (Δ = 0.6 °, p = 0.11) neither for the postoperative posterior proximal tibial angle (Δ = 1.6°, p = 0,99) or the joint line obliquity (Δ = 0.3°, p = 0,17). In the coronal plane, the postoperative MPTA was lower in the PSI group (Δ = 2.3°, p < 0.001) as well as the postoperative LDFA (Δ = 0.9°, p = 0.01). Concerning correction accuracy in the coronal plane, the results showed a significant higher accuracy of the planned correction in the PSI group compared to the conventional group for MPTA (2.2 ± 0.2 versus 0.8 ± 0.7, Δ = 1.5 °, p < 0.001) and LDFA (1.3 ± 1.0 versus 0.6 ± 0.9, Δ = 0.7°, p < 0.001). No improvement difference was observed between the conventional group and the PSI group respectively for the KOOS symptoms (p = 0.12), the KOOS Pain (p = 0,57), the KOOS activities of daily living (p = 0.61), the KOOS sport/rec (p = 0.65), or for the KOOS Quality of Life (p = 0.99) neither for the UCLA (p = 0.97). CONCLUSIONS: This study suggests that the use of custom-made cutting guides improves the accuracy of planned correction in double-level osteotomy compared with conventional techniques, which may have implications particularly in centers not performing a large volume of osteotomies. This improved accuracy is not associated with any difference in joint line obliquity or functional results but these results need to be confirmed by a randomized prospective study. LEVEL OF EVIDENCE: III; Retrospective comparative study.

4.
Bioengineering (Basel) ; 11(7)2024 Jun 24.
Article in English | MEDLINE | ID: mdl-39061724

ABSTRACT

To ensure the prevention of thermal trauma and tissue necrosis during bone drilling in surgical procedures, it is crucial to maintain temperatures below the time- and temperature-dependent threshold of 50 °C for 30 s. However, the absence of a current standard for assessing temperatures attained during bone drilling poses a challenge when comparing findings across different studies. This article aims to address this issue by introducing a standardized testing method for acquiring thermal data during experimental bone drilling. The method requires the use of three controlled variables: infrared thermography, standard bone blocks, and a regulated drilling procedure involving a drill press with irrigation that simulates a surgeon. By utilizing this setup, we can obtain temperature data that can be effectively applied in the evaluation of other variables, such as surgical techniques or drill bit design, and translate the data into bone damage/clinical outcomes. Two surgical drill bits (2.0 mm-diameter twist drill bit and 3.3 mm-diameter multi-step drill bit) are compared using this experimental protocol. The results show the 2.0 mm bit reached significantly higher temperatures compared to the 3.3 mm bit when preparing an osteotomy (p < 0.05). The 2.0 mm drill bit reached temperatures over 100 °C while the 3.3 mm drill bit did not exceed 50 °C.

5.
Article in English | MEDLINE | ID: mdl-38984673

ABSTRACT

BACKGROUND: Debulking devices are often followed by a scoring or cutting balloon in percutaneous coronary intervention (PCI) for severely calcified lesions. However, there are limited data on balloon preparation after orbital atherectomy (OA) assessed using optical coherence tomography (OCT). AIM: We aimed to compare the effects of a novel scoring and cutting balloon on calcified coronary lesions with OCT. METHODS: We retrospectively examined 38 patients (38 lesions) who underwent PCI with a scoring or a cutting balloon after OA. All patients underwent pre-PCI, preballooning, postballooning, and post-PCI OCT imaging. We divided the patients into novel scoring-balloon (group A: n = 22) and cutting-balloon (group B: n = 16) groups and compared the OCT findings, including minimum lumen area (MLA) and expansion ratio (MLA divided by mean reference lumen area). RESULTS: The mean patient age was 76.1 ± 8.7 years; 71.5% were male. There were no significant differences in patient background between both groups. Regarding procedural characteristics, the maximum balloon pressure was significantly higher in group A (median 23 atm, interquartile range [IQR] 18-24 vs. 12 atm [IQR: 10-12], p < 0.01). Although a calcium score of 4 was more frequently observed in group A (86.4% vs. 62.5%, p = 0.12), post-PCI MLA was comparable between both groups (3.95 mm2 [IQR: 3.27-4.41] vs. 3.43 mm2 [IQR: 2.90-4.82], p = 0.63). Furthermore, the expansion ratio was significantly greater in group A (0.83 ± 0.20 vs. 0.68 ± 0.14, p < 0.01). CONCLUSION: Despite a higher calcium score, a larger expansion ratio was achieved in patients with a novel scoring balloon than in those with a cutting balloon after OA.

6.
World J Clin Cases ; 12(18): 3622-3628, 2024 Jun 26.
Article in English | MEDLINE | ID: mdl-38983397

ABSTRACT

BACKGROUND: Congenital duodenal webs are rare in adults and can lead to various symptoms such as nausea, vomiting, and postprandial fullness. The treatment for this disease is mostly surgical. Endoscopic treatment techniques have been developed and attempted for this disease. Endoscopic radial incision and cutting (RIC) techniques are reportedly very effective in benign anastomotic stricture. This case report highlights the effectiveness and safety of endoscopic RIC as a minimally invasive treatment for adult congenital duodenal webs. CASE SUMMARY: A 23-year-old female patient with indigestion was referred to a tertiary hospital. The patient complained of postprandial fullness in the epigastric region. Previous physical examinations or blood tests indicated no abnormalities. Computed tomography revealed an eccentric broad-based delayed-enhancing mass-like lesion in the second portion of the duodenum. Endoscopy showed an enlarged gastric cavity and a significantly dilated duodenal bulb; a very small hole was observed in the distal part of the second portion, and scope passage was not possible. Gastrografin upper gastrointestinal series was performed, revealing an intraduodenal barium contrast-filled sac with a curvilinear narrow radiolucent rim, a typical "windsock" sign. Endoscopic RIC was performed on the duodenal web. The patient recovered uneventfully. Follow-up endoscopy showed a patent duodenal lumen without any residual stenosis. The patient reported complete resolution of symptoms at the 18-month follow-up. CONCLUSION: Endoscopic RIC may be an effective treatment for congenital duodenal webs in adults.

7.
ACS Nano ; 18(28): 18743-18757, 2024 Jul 16.
Article in English | MEDLINE | ID: mdl-38951720

ABSTRACT

Continuous rotation of a fragile, photosensitive microrod in a safe, flexible way remains challenging in spite of its importance to microelectro-mechanical systems. We propose a photovoltaic strategy to continuously rotate a fragile, fluorescent microrod on a LiNbO3/Fe (LN/Fe) substrate using a continuous wave visible (473 nm) laser beam with an ultralow power (few tens of µW) and a simple structure (Gaussian profile). This strategy does not require the laser spot to cover the entire microrod nor does it result in a sharp temperature rise on the microrod. Both experiments and simulation reveal that the strongest photovoltaic field generated beside the laser spot firmly traps one corner of the microrod and the axisymmetric photovoltaic field exerts an electrostatic torque on the microrod driving it to rotate continuously around the laser spot. The dependence of the rotation rate on the laser power indicates contributions from both deep and shallow photovoltaic centers. This rotation mode, combined with the transportation mode, enables the controllable movement of an individual microrod along any complex trajectory with any specific orientation. The tuning of the end-emitting spectrum and the photothermal cutting of the fluorescent microrod are also realized by properly configuring the laser illumination. By taking a microrod as the emitter and a polystyrene microsphere as the focusing lens, we demonstrate the photovoltaic assembly of a microscale light-source system with both spectrum and divergence-angle tunabilities, which are realized by adjusting the photoexcitation position along the microrod and the geometry relationship in the system, respectively.

8.
BMC Musculoskelet Disord ; 25(1): 527, 2024 Jul 09.
Article in English | MEDLINE | ID: mdl-38982445

ABSTRACT

BACKGROUND: This study investigated the effects of changes in motor skills from an educational video program on the kinematic and kinetic variables of the lower extremity joints and knee ligament load. METHODS: Twenty male participants (age: 22.2 ± 2.60 y; height: 1.70 ± 6.2 m; weight: 65.4 ± 7.01 kg; BMI: 23.32 ± 2.49 [Formula: see text]) were instructed to run at 4.5 ± 0.2 m/s from a 5 m distance posterior to the force plate, land their foot on the force plate, and perform the cutting maneuver on the left. The educational video program for cutting maneuvers consisted of preparatory posture, foot landing orientation, gaze and trunk directions, soft landing, and eversion angle. The measured variables were the angle, angular velocity of lower extremity joints, ground reaction force (GRF), moment, and anterior cruciate ligament (ACL) and medial collateral ligament (MCL) forces through musculoskeletal modeling. RESULTS: After the video feedback, the hip joint angles increased in flexion, abduction, and external rotation (p < 0.05), and the angular velocity increased in extension (p < 0.05). The ankle joint angles increased in dorsiflexion (p < 0.05), and the angular velocity decreased in dorsiflexion (p < 0.05) but increased in abduction (p < 0.05). The GRF increased in the anterior-posterior and medial-lateral directions and decreased vertically (p < 0.05). The hip joint moments decreased in extension and external rotation (p < 0.05) but increased in adduction (p < 0.05). The knee joint moments were decreased in extension, adduction, and external rotation (p < 0.05). The abduction moment of the ankle joint decreased (p < 0.001). There were differences in the support zone corresponding to 64‒87% of the hip frontal moment (p < 0.001) and 32‒100% of the hip horizontal moment (p < 0.001) and differences corresponding to 32‒100% of the knee frontal moment and 21‒100% of the knee horizontal moment (p < 0.001). The GRF varied in the support zone at 44‒95% in the medial-lateral direction and at 17‒43% and 73‒100% in the vertical direction (p < 0.001). CONCLUSIONS: Injury prevention feedback reduced the load on the lower extremity joints during cutting maneuvers, which reduced the knee ligament load, mainly on the MCL.


Subject(s)
Knee Joint , Motor Skills , Weight-Bearing , Humans , Male , Young Adult , Weight-Bearing/physiology , Knee Joint/physiology , Biomechanical Phenomena/physiology , Motor Skills/physiology , Video Recording , Hip Joint/physiology , Ankle Joint/physiology , Adult , Running/physiology , Lower Extremity/physiology
9.
Materials (Basel) ; 17(13)2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38998302

ABSTRACT

The present work aims to provide the readers with a bird's-eye view of the general domain of cylindrical gear manufacturing technologies, including the cutting tools used, and related topics. The main scientific sources are explored to collect data about the subject. A systematization of the scientific works is completed, to emphasize the main issues the researchers have focused on in the past years in the domain. Several specific aspects are investigated: chip-forming process, cutting tool lifetime, the materials used to produce gear hobs, temperature and lubrication, the cutting tool geometry, cutting parameters, design methods, and optimization. Some gaps in the research have been identified, which are mainly related to the gear hob's design. These gaps, the organization of knowledge, the current requirements of the industry, and the actual socio-economic priorities form the basis for identifying new scientific research directions for the future in the area of spur gears manufacturing technologies and cutting tools. The main output of this work is a frame to guide the development of scientific research in the domain of spur gear production.

10.
Materials (Basel) ; 17(13)2024 Jul 02.
Article in English | MEDLINE | ID: mdl-38998356

ABSTRACT

The abrasive waterjet machining process was introduced in the 1980s as a new cutting tool; the process has the ability to cut almost any material. Currently, the AWJ process is used in many world-class factories, producing parts for use in daily life. A description of this process and its influencing parameters are first presented in this paper, along with process models for the AWJ tool itself and also for the jet-material interaction. The AWJ material removal process occurs through the high-velocity impact of abrasive particles, whose tips micromachine the material at the microscopic scale, with no thermal or mechanical adverse effects. The macro-characteristics of the cut surface, such as its taper, trailback, and waviness, are discussed, along with methods of improving the geometrical accuracy of the cut parts using these attributes. For example, dynamic angular compensation is used to correct for the taper and undercut in shape cutting. The surface finish is controlled by the cutting speed, hydraulic, and abrasive parameters using software and process models built into the controllers of CNC machines. In addition to shape cutting, edge trimming is presented, with a focus on the carbon fiber composites used in aircraft and automotive structures, where special AWJ tools and manipulators are used. Examples of the precision cutting of microelectronic and solar cell parts are discussed to describe the special techniques that are used, such as machine vision and vacuum-assist, which have been found to be essential to the integrity and accuracy of cut parts. The use of the AWJ machining process was extended to other applications, such as drilling, boring, milling, turning, and surface modification, which are presented in this paper as actual industrial applications. To demonstrate the versatility of the AWJ machining process, the data in this paper were selected to cover a wide range of materials, such as metal, glass, composites, and ceramics, and also a wide range of thicknesses, from 1 mm to 600 mm. The trends of Industry 4.0 and 5.0, AI, and IoT are also presented.

11.
Materials (Basel) ; 17(13)2024 Jul 05.
Article in English | MEDLINE | ID: mdl-38998412

ABSTRACT

In this work, we focus on the prediction of the influence of CO2 laser parameters on the kerf properties of cut spruce wood. Laser kerf cutting is mainly characterized by the width of kerf and the width of the heat-affected zone, which depend on the laser power, cutting speed, and structure of the cut wood, represented by the number of cut annual rings. According to the measurement results and ANN prediction results, for lower values of the laser power (P) and cutting speed (v), the effect of annual rings (ARs) is non-negligible. The results of the sensitivity analysis show that the effect of v increases at higher energy density (E) values. With P in the range between 100 and 500 W, v values between 3 and 50 mm·s-1, and AR numbers between 3 and 11, the combination of P = 200 W and v = 50 mm·s-1, regardless of the AR value, leads to the best cut quality for spruce wood. In this paper, the main goal is to show how changes in the input parameters affect the characteristics of the cutting kerf and heat-affected zones for all possible input parameter values.

13.
Res Q Exerc Sport ; : 1-10, 2024 Jul 09.
Article in English | MEDLINE | ID: mdl-38980761

ABSTRACT

Handball is a body-contact Olympic ball sport that is characterized by fast-paced defensive and offensive actions. Players must coordinate explosive movements (e.g. changing of direction) and handball-specific skills (e.g. passing). Maximizing performance requires a systematic approach to training that includes physical, psychological, technical, and tactical preparation. Purpose: The aim of this study is to determine the effects of movement-based (MOV; unspecific sport stimulus) or game-based (GAM; sport-specific stimulus) flywheel resistance training intervention in highly trained youth handball players. Method:Twenty-five highly trained youth male handball players completed two sessions per week of flywheel resistance training (MOV, n = 12; GAM, n = 13) over the 7-week intervention period. Change-of-direction tests (180º change-of-direction speed test of both legs and test) and handball-throwing test were conducted before and after the intervention. Results: Both groups significantly improved V-cut, and 180º Change-of-direction speed test performance (p < .05; d = 0.79-2.05). Notwithstanding, the GAM group demonstrated greater improvements in V-cut and COD180ASY compared with the MOV group (p < .05) with small effect. Handball throwing speed performance remained unchanged independently of training condition (p > .05). Conclusions: These findings provide further support for the training principle of "specificity" and highlight the importance of including a game-based training stimulus during resistance training. This is a key consideration for coaches wanting to enhance physical performance in youth handball players.

14.
J Appl Microbiol ; 2024 Jul 17.
Article in English | MEDLINE | ID: mdl-39020257

ABSTRACT

AIMS: This research aimed to analyze cutting board surfaces in seafood markets to find Vibrio parahaemolyticus, assess the isolates' ability to form biofilms, generate and evaluate characteristics of plasma-activated water (PAW), and compare the effect of PAW on planktonic and biofilm cells of the isolated V. parahaemolyticus strains. METHODS AND RESULTS: A total of 11 V. parahaemolyticus strains were isolated from 8.87% of the examined cutting boards. Biofilm-forming ability was evaluated for these isolates at temperatures of 10, 20, and 30°C using crystal violet staining. Four strains with the highest biofilm potential were selected for further analysis. The pH of the PAW used in the study was 3.41±0.04, and the initial concentrations of hydrogen peroxide, nitrate, and nitrite were 108±9.6 µM, 742±61 µM, and 36.3±2.9 µM, respectively. However, these concentrations decreased significantly within 3-4 days during storage at room temperature. PAW exhibited significant antimicrobial effects on V. parahaemolyticus planktonic cells, reducing viable bacteria up to 4.54 log CFU/ml within 20 minutes. PAW also reduced the number of biofilm cells on stainless steel (up to 3.55 log CFU/cm2) and high-density polyethylene (up to 3.06 log CFU/cm2) surfaces, although to a lesser extent than planktonic cells. CONCLUSIONS: PAW exhibited significant antibacterial activity against V. parahaemolyticus cells, although its antibacterial properties diminished over time. Furthermore, the antibacterial activity of PAW against biofilm cells of V. parahaemolyticus was less pronounced compared to the planktonic cells. Therefore, the actual effectiveness of PAW in seafood processing environments can be affected by biofilms that may form on various surfaces such as cutting boards if they are not cleaned properly.

15.
J Econ Entomol ; 2024 Jul 18.
Article in English | MEDLINE | ID: mdl-39023256

ABSTRACT

Social insect pests, particularly leaf-cutting ants, present a considerable challenge in terms of control. Leaf-cutting ants are significant agricultural, forestry, and pasture pests, and understanding their behavior and defense mechanisms is essential for managing their colonies effectively. While toxic ant baits are a primary control method, the limited availability of effective insecticides and concerns over their hazardous nature has spurred the search for alternative solutions, particularly natural compounds, which aligns with the goals of forest certification groups. In the light of previous evidence demonstrating the efficacy of nasturtium leaves (Tropaeolum majus L. (Brassicales: Tropaeolaceae)) in suppressing leaf-cutting ant colonies, this study investigates 2 active components of nasturtium leaf extracts: diphenyl disulfide and lyral. We tested their impact on Atta sexdens (L.) (Hymenoptera: Formicidae), the most prevalent leaf-cutter ant species in Brazil, and their symbiotic fungus, Leucoagaricus gongylophorus (Möller) Singer (Agaricales: Agaricaceae). We conducted experiments with increasing concentrations of diphenyl disulfide and lyral, assessing their effects on the symbiotic fungus and on forager workers and gardeners of A. sexdens colonies. Our findings revealed no fungicidal activity, and ant mortality was minimal in both topical and ingestion bioassays with the exception of gardeners topically exposed to diphenyl sulfide. Furthermore, the compounds did not affect leaf ingestion, but diphenyl disulfide did increase interactions among foragers. These results suggest that neither diphenyl disulfide nor lyral are the primary contributors to the suppression of leaf-cutting ant colonies by nasturtium leaves. However, they may enhance the formicidal activity of other compounds present in nasturtium leaves.

16.
Int J Colorectal Dis ; 39(1): 108, 2024 Jul 15.
Article in English | MEDLINE | ID: mdl-39008124

ABSTRACT

BACKGROUND AND AIMS: Video-assisted anal fistula treatment (VAAFT) is an innovative surgical approach enabling the direct visualization of the fistula tract structure. This study aims to assess the efficacy of VAAFT in comparison with that of traditional surgical methods and explore potential risk factors contributing to fistula recurrence to provide new recommendations for surgical selection. MATERIALS AND METHODS: Information was collected from 100 patients with complex anal fistula (CAF) in our hospital who underwent surgical treatment from January 2021 to January 2023. We compared the baseline information and surgical outcomes of two groups, analyzed the risk factors for fistula recurrence by using logistic regression analysis, and conducted further exploration by using the body mass index. RESULTS: Equal numbers of patients underwent VAAFT and traditional surgeries, and no significant differences in baseline information were observed. Patients who received VAAFT experienced less intraoperative bleeding (15.5 (14.0-20.0) vs. 32.0 (25.0-36.0)), shorter hospital stays (2.0 (2.0-2.5) vs. 3.0 (3.0-3.5)), reduced postoperative pain and wound discharge, but longer operative times (43.3 ± 6.9 vs. 35.0 (31.5-40.0)) compared with patients who underwent traditional surgeries. No significant differences in recurrence rates were found three and six months after operation (the p-values were 0.790 and 0.806, respectively). However, the Wexner scores of the VAAFT group were significantly low in the first follow-up (0 (0-1.0) vs. 2.0 (1.0-2.0)). Postoperative recurrence of fistulas may be associated with obesity (p-value = 0.040), especially in patients undergoing traditional surgeries (p-value = 0.036). CONCLUSION: VAAFT offers advantages, such as less pain, less trauma, and faster recovery, compared with traditional surgical treatment. Obese patients with CAF are prone to recurrence, and we recommend that they undergo VAAFT treatment rather than traditional surgeries.


Subject(s)
Obesity , Rectal Fistula , Recurrence , Video-Assisted Surgery , Humans , Rectal Fistula/surgery , Rectal Fistula/etiology , Obesity/complications , Obesity/surgery , Female , Male , Treatment Outcome , Middle Aged , Adult , Risk Factors , Body Mass Index , Operative Time , Length of Stay
17.
Sensors (Basel) ; 24(14)2024 Jul 22.
Article in English | MEDLINE | ID: mdl-39066155

ABSTRACT

(1) This study examined the impact of fatigue and unanticipated factors on knee biomechanics during sidestep cutting and lateral shuffling in female basketball players, assessing the potential for non-contact anterior cruciate ligament (ACL) injuries. (2) Twenty-four female basketball players underwent fatigue induction and unanticipated change of direction tests, and kinematic and kinetic parameters were collected before and after fatigue with a Vicon motion capture system and Kistler ground reaction force (GRF) sensor. (3) Analysis using two-way repeated-measures ANOVA showed no significant interaction between fatigue and unanticipated factors on joint kinematics and kinetics. Unanticipated conditions significantly increased the knee joint flexion and extension angle (p < 0.01), decreased the knee flexion moment under anticipated conditions, and increased the knee valgus moment after fatigue (p ≤ 0.05). One-dimensional statistical parametric mapping (SPM1d) results indicated significant differences in GRF during sidestep cutting and knee inversion and rotation moments during lateral shuffling post-fatigue. (4) Unanticipated factors had a greater impact on knee load patterns, raising ACL injury risk. Fatigue and unanticipated factors were independent risk factors and should be considered separately in training programs to prevent lower limb injuries.


Subject(s)
Basketball , Knee Joint , Humans , Basketball/physiology , Female , Biomechanical Phenomena/physiology , Knee Joint/physiology , Young Adult , Anterior Cruciate Ligament Injuries/physiopathology , Adult , Fatigue/physiopathology , Range of Motion, Articular/physiology
18.
Materials (Basel) ; 17(14)2024 Jul 11.
Article in English | MEDLINE | ID: mdl-39063729

ABSTRACT

Hard milling is being increasingly used as an alternative to EDM due to its high productivity. The present paper presents the results of theoretical-experimental research on the face milling of hard steel 55NiCrMoV7. A comprehensive analysis of cutting temperatures and forces during single-tooth milling and a morphological examination of the resulting chips are conducted for roughing and semi-finishing operations. The temperature is analyzed in the chip formation area, and the detached chips and the cutting force are analyzed through their tangential, radial, and penetration components, depending on the contact angle of the cutter tooth with the workpiece. The analysis of chip morphology is carried out based on the dimensional and angular parameters of chip segmentation and their degree of segmentation. Based on the central composite design and the response surface method, it is shown that it is possible to mathematically model the dependence of the macroscopic dimensions of the detached chips on the cutting parameters. The determined process functions, the maximum chip curling diameter, and the maximum chip height allow for establishing the influence of the cutting parameters' values on the chips' macroscopic dimensions and, thus, guiding the cutting process in the desired direction.

19.
Materials (Basel) ; 17(14)2024 Jul 13.
Article in English | MEDLINE | ID: mdl-39063767

ABSTRACT

Abrasion wear is a significant concern for cutting tools, particularly when milling asphalt concrete due to the presence of hard mineral aggregate particles. The pressure exerted on the cutting tool by the chipped material and the resulting cutting forces directly influence tool wear. To estimate the cutting forces in asphalt milling, the authors propose using either laboratory experiments or cost-effective Discrete Element Method (DEM) modeling-by simulating the real conditions-as direct measurement under real conditions is challenging. This article presents results from an original experimental program aimed at determining the cutting forces during asphalt pavement milling. A specialized stand equipped with a moving plate and recording devices was designed to vary milling depth, rotational speed, and advance speed. The experimental results for horizontal force values were compared with numerical results from DEM modeling. It was found that both increasing the milling depth and the advance speed lead to higher cutting forces. Generally, DEM modeling trends align with experimental results, although DEM values are generally higher. The statistical analysis allowed identification of the milling depth as the most significant parameter influencing cutting force and the optimal combination of milling parameters to achieve minimum horizontal force acting on cutting tooth, namely, 15 mm milling depth and 190 mm/min advanced speed.

20.
Materials (Basel) ; 17(14)2024 Jul 12.
Article in English | MEDLINE | ID: mdl-39063749

ABSTRACT

This study investigates the effects of a water-guided laser on the cutting performance of AISI 1020 steel sheets of various thicknesses by comparing the results with respect to a conventional laser. For this purpose, a novel nozzle design has been devised enabling the delivery of laser beams to the workpiece conventionally as well as through water guidance. Diverging from prior literature, a fiber laser is used with a high wavelength and a laser power output of 1 kW. Experiments are conducted on steel sheets with thicknesses ranging from 1.5 mm to 3 mm using three different cutting speeds and laser power levels. Analysis focuses on assessing surface roughness, burr formation and heat effects on the cut surfaces for both conventional and waterjet-guided cutting. Surface roughness is evaluated by using a 3D profilometer and cut surfaces are examined through SEM imaging. The results showed that the waterjet-guided laser system greatly reduced surface roughness and minimized problems associated with traditional laser cutting such as kerf, dross adherence and thermal damage. The study revealed that cutting speed had a greater effect on surface roughness reduction than laser power, with the most noticeable differences occurring in thinner sheets. Furthermore, the investigation suggests that the waterjet-guided laser cutting system demonstrates superior performance relative to conventional methods, particularly in surface quality.

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