Modeling of Gait Adaptations to Minimize Plantar Tissue Strain During Walking

2010 ◽  
Author(s):  
J. P. Halloran ◽  
M. Ackermann ◽  
A. Erdemir ◽  
A. J. van den Bogert
Keyword(s):  
Computational Models ◽  
Neuromuscular Control ◽  
Cost Effective ◽  
Element Model ◽  
Gait Pattern ◽  
Human Gait ◽  
Successful Implementation ◽  
Cost Effective Approach ◽  
Musculoskeletal Systems ◽  
Musculoskeletal Simulations

Computational models often represent the most cost-effective approach to predict the behavior of musculoskeletal systems. Historically, dynamic musculoskeletal simulations have simplified representations of soft tissue structures, which makes it impossible to investigate the relationship between neuromuscular control and tissue loading. It is possible to overcome this limiting assumption by coupling a finite element model, e.g. of a foot, directly with a musculoskeletal model, e.g. of the lower extremity [1]. The goal of the current study was to apply this concept to the control of human gait and demonstrate that it is possible to have a gait pattern that minimizes internal foot deformation while satisfying an overall movement goal, e.g. minimal deviations from normal gait. Successful implementation will have wide-ranging implications such as finding therapeutic and rehabilitative movement patterns that relieve localized tissue loading.

scholarly journals Biomechanical parameters characterising the foot during normal gait

2021 ◽  
Vol 21 (2) ◽  
pp. 87-104
Author(s):  
Arina SEUL ◽  
Aura MIHAI ◽  
Antonela CURTEZA ◽  
Mariana COSTEA ◽  
Bogdan SÂRGHIE
Keyword(s):  
Neuromuscular Control ◽  
Gait Pattern ◽  
Biomechanical Analysis ◽  
Human Gait ◽  
Foot Health ◽  
Mean Values ◽  
Study Results ◽  
Size Groups ◽  
Biomechanical Parameters ◽  
Extended Group

The biomechanical analysis allows to understand the normal and pathological gait, the mechanics of neuromuscular control, and last but not least, allows the visualisation of the effects of footwear on human gait or feet. Biomechanical analyses are very important for the footwear development process, as they can identify the incorrect loading of the foot or the incorrect gait pattern, thus avoiding the occurrence of deformations. This paper aims to create an average representative model of barefoot loading based on an extended group of participants by applying an optimal procedure for measuring biomechanical parameters. The variation of four basic biomechanical parameters, namely force, pressure, contact time and contact area, was measured using a pressure platform and a specialised software system. The data was collected from 32 healthy females, without particularities regarding foot health and the practice of performance sports, aged between 18 and 30 years, divided into three size groups – 36, 37 and 38. The T-Student test was applied to verify if there are significant differences between the left and right foot. Statistical indicators for each parameter were calculated, in order to characterize and establish the degree of variation of the obtained values, as follows: mean, standard deviation, minimum and maximum values, the amplitude of variation and coefficient of variation (CV). The study results confirm that the obtained mean values can be used as input data to load the foot and perform virtual simulations of footwear products.

scholarly journals Healthcare providers experiences of using uterine balloon tamponade (UBT) devices for the treatment of post-partum haemorrhage: A meta-synthesis of qualitative studies

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248656
Author(s):  
Kenneth Finlayson ◽  
Joshua P. Vogel ◽  
Fernando Althabe ◽  
Mariana Widmer ◽  
Olufemi T. Oladapo
Keyword(s):  
Post Partum ◽  
Healthcare Providers ◽  
Cost Effective ◽  
Successful Implementation ◽  
Middle Income ◽  
Medical Treatments ◽  
Middle Income Countries ◽  
Balloon Tamponade ◽  
Cost Effective Approach ◽  
Uterine Balloon Tamponade

Background Postpartum haemorrhage (PPH) is a leading cause of maternal mortality and severe morbidity globally. When PPH cannot be controlled using standard medical treatments, uterine balloon tamponade (UBT) may be used to arrest bleeding. While UBT is used by healthcare providers in hospital settings internationally, their views and experiences have not been systematically explored. The aim of this review is to identify, appraise and synthesize available evidence about the views and experiences of healthcare providers using UBT to treat PPH. Methods Using a pre-determined search strategy, we searched MEDLINE, CINAHL, PsycINFO, EMBASE, LILACS, AJOL, and reference lists of eligible studies published 1996–2019, reporting qualitative data on the views and experiences of health professionals using UBT to treat PPH. Author findings were extracted and synthesised using techniques derived from thematic synthesis and confidence in the findings was assessed using GRADE-CERQual. Results Out of 89 studies we identified 5 that met our inclusion criteria. The studies were conducted in five low- and middle-income countries (LMICs) in Africa and reported on the use of simple UBT devices for the treatment of PPH. A variety of cadres (including midwives, medical officers and clinical officers) had experience with using UBTs and found them to be effective, convenient, easy to assemble and relatively inexpensive. Providers also suggested regular, hands-on training was necessary to maintain skills and highlighted the importance of community engagement in successful implementation. Conclusions Providers felt that administration of a simple UBT device offered a practical and cost-effective approach to the treatment of uncontrolled PPH, especially in contexts where uterotonics were ineffective or unavailable or where access to surgery was not possible. The findings are limited by the relatively small number of studies contributing to the review and further research in other contexts is required to address wider acceptability and feasibility issues.

E-Insurance :A Platform For Insurance Penetration In India

2019 ◽  
Vol 118 (6) ◽  
pp. 90-93
Author(s):  
L. Terina Grazy ◽  
Dr.G. Parimalarani
Keyword(s):  
Insurance Industry ◽  
Cost Effective ◽  
Online Marketing ◽  
Insurance Companies ◽  
The Internet ◽  
Insurance Sector ◽  
The People ◽  
Cost Effective Approach ◽  
Time And Energy ◽  
Work Done

E-commerce is a part of Internet Marketing. The arrival of Internet made the world very simple and dynamic in all the areas. Internet is the growing business as a result most of the people are using it in their day to day life. E-commerce is attractive and efficient way for both buyers and sellesr as it reduce cost, time and energy for the buyer. No surprise the insurance sector has become quite active within the internet sphere. Most insurance companies are offering policies to be brought online and also the portals for paying premiums. It actually saves from hassles involved in going to an insurance office and spend hours to get the insurance work done. Insurance has become an important and crucial aspect of life. Online insurance is the best and most cost effective approach of taking the insurance deal. This paper focused on influence of online marketing on the insurance industry in India, usage of internet in India , the internet penetration in India and the online sale of insurance product by the insurance sector.

Conclusion

2018 ◽  
Author(s):  
Yana van der Meulen Rodgers
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Health Outcomes ◽  
Cost Effective ◽  
Reproductive Health Services ◽  
Cost Effective Approach ◽  
Restrictive Legislation

Chapter 7 concludes by highlighting the three biggest messages from the analysis presented in this book: (1) the global gag rule has failed to achieve its goal of reducing abortions; (2) restrictive legislation is associated with more unsafe abortions; and (3) the expanded global gag rule is likely to have negative repercussions across a range of health outcomes for women, children, and men. They are simple but powerful messages that should be heard by policymakers over the voices calling for an ideologically based policy that fails to achieve its desired outcome. The chapter closes with a more constructive and cost-effective approach for US family-planning assistance that targets integrated reproductive health services.

scholarly journals The Inverse Spacer—A Novel, Safe, and Cost-Effective Approach in Routine Procedures for Revision Knee Arthroplasty

2021 ◽  
Vol 10 (5) ◽  
pp. 971
Author(s):  
Kristoff Hammerich ◽  
Jens Pollack ◽  
Alexander F. Hasse ◽  
André El Saman ◽  
René Huber ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Clinical Success ◽  
Cost Effective ◽  
Revision Total Knee Arthroplasty ◽  
Rotational Stability ◽  
X Rays ◽  
Free Interval ◽  
Major Disadvantage ◽  
Cost Effective Approach ◽  
Before And After

Background: A major disadvantage of current spacers for two-stage revision total knee arthroplasty (R-TKA) is the risk of (sub-) luxation during mobilization in the prosthesis-free interval, limiting their clinical success with detrimental consequences for the patient. The present study introduces a novel inverse spacer, which prevents major complications, such as spacer (sub-) luxations and/or fractures of spacer or bone. Methods: The hand-made inverse spacer consisted of convex tibial and concave femoral components of polymethylmethacrylate bone cement and was intra-operatively molded under maximum longitudinal tension in 5° flexion and 5° valgus position. Both components were equipped with a stem for rotational stability. This spacer was implanted during an R-TKA in 110 knees with diagnosed or suspected periprosthetic infection. Postoperative therapy included a straight leg brace and physiotherapist-guided, crutch-supported mobilization with full sole contact. X-rays were taken before and after prosthesis removal and re-implantation. Results: None of the patients experienced (sub-) luxations/fractures of the spacer, periprosthetic fractures, or soft tissue compromise requiring reoperation. All patients were successfully re-implanted after a prosthesis-free interval of 8 weeks, except for three patients requiring an early exchange of the spacer due to persisting infection. In these cases, the prosthetic-free interval was prolonged for one week. Conclusion: The inverse spacer in conjunction with our routine procedure is a safe and cost-effective alternative to other articulating or static spacers, and allows crutch-supported sole contact mobilization without major post-operative complications. Maximum longitudinal intra-operative tension in 5° flexion and 5° valgus position appears crucial for the success of surgery.

scholarly journals Efficient Design of Energy Disaggregation Model with BERT-NILM Trained by AdaX Optimization Method for Smart Grid

Energies ◽  
2021 ◽  
Vol 14 (15) ◽  
pp. 4649
Author(s):  
İsmail Hakkı ÇAVDAR ◽  
Vahit FERYAD
Keyword(s):  
Smart Grids ◽  
Energy Demand ◽  
Optimization Technique ◽  
Cost Effective ◽  
Optimization Method ◽  
Long Term Memory ◽  
Successful Implementation ◽  
Efficient Design ◽  
Energy Disaggregation ◽  
Load Monitoring

One of the basic conditions for the successful implementation of energy demand-side management (EDM) in smart grids is the monitoring of different loads with an electrical load monitoring system. Energy and sustainability concerns present a multitude of issues that can be addressed using approaches of data mining and machine learning. However, resolving such problems due to the lack of publicly available datasets is cumbersome. In this study, we first designed an efficient energy disaggregation (ED) model and evaluated it on the basis of publicly available benchmark data from the Residential Energy Disaggregation Dataset (REDD), and then we aimed to advance ED research in smart grids using the Turkey Electrical Appliances Dataset (TEAD) containing household electricity usage data. In addition, the TEAD was evaluated using the proposed ED model tested with benchmark REDD data. The Internet of things (IoT) architecture with sensors and Node-Red software installations were established to collect data in the research. In the context of smart metering, a nonintrusive load monitoring (NILM) model was designed to classify household appliances according to TEAD data. A highly accurate supervised ED is introduced, which was designed to raise awareness to customers and generate feedback by demand without the need for smart sensors. It is also cost-effective, maintainable, and easy to install, it does not require much space, and it can be trained to monitor multiple devices. We propose an efficient BERT-NILM tuned by new adaptive gradient descent with exponential long-term memory (Adax), using a deep learning (DL) architecture based on bidirectional encoder representations from transformers (BERT). In this paper, an improved training function was designed specifically for tuning of NILM neural networks. We adapted the Adax optimization technique to the ED field and learned the sequence-to-sequence patterns. With the updated training function, BERT-NILM outperformed state-of-the-art adaptive moment estimation (Adam) optimization across various metrics on REDD datasets; lastly, we evaluated the TEAD dataset using BERT-NILM training.

scholarly journals Overexpression of OsABCG48 Lowers Cadmium in Rice (Oryza sativa L.)

Agronomy ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 918
Author(s):  
Xingzhe Cai ◽  
Meng Wang ◽  
Yucong Jiang ◽  
Changhu Wang ◽  
David W. Ow
Keyword(s):  
Oryza Sativa L ◽  
Cost Effective ◽  
Health Issues ◽  
Rna Seq ◽  
Wild Type ◽  
Genetic Changes ◽  
Cd Accumulation ◽  
Lateral Root Development ◽  
Atp Binding Cassette Transporter ◽  
Cost Effective Approach

Cadmium pollution threatens food safety and security by causing health issues and reducing farmland availability. Engineering genetic changes in crop plants to lower Cd accumulation can be a cost-effective approach to address this problem. Previously, we reported that a rice line, 2B, which expresses a truncated version of OsO3L2 had reduced Cd accumulation throughout the plant, including in seed. However, downstream events caused by expression of this gene were not known. In this study, RNA-seq was used to identify differentially expressed genes between the wild type and 2B rice with or without Cd treatment, leading to the study of an ABC transporter gene, OsABCG48 (ATP-Binding Cassette transporter G family member 48). Heterologous expression of OsABCG48 conferred tolerance to Cd in Schizosaccharomyces pombe, Arabidopsis and rice. Moreover, overexpressing OsABCG48 in rice lowered root Cd accumulation that was associated with more extensive lateral root development. These data suggest that OsABCG48 might have applications for engineering low-Cd rice.

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