Physical modeling represents probably the oldest design tool in hydraulic engineering together with analytical approaches. In free surface flows, the similitude based upon a Froude similarity allows for a correct repr...Physical modeling represents probably the oldest design tool in hydraulic engineering together with analytical approaches. In free surface flows, the similitude based upon a Froude similarity allows for a correct representation of the dominant forces, namely gravity and inertia. As a result fluid flow properties such as the capillary forces and the viscous forces might be incorrectly reproduced, affecting the air entrainment and transport capacity of a high-speed model flow. Small physical models operating under a Froude similitude systematically underestimate the air entrainment rate and air-water interfacial properties. To limit scale effects, minimal values of Reynolds or Weber number have to be respected. The present article summarizes the physical background of such limitations and their combination in terms of the Morton number. Based upon a literature review, the existing limits are presented and discussed, resulting in a series of more conservative recommendations in terms of air concentration scaling. For other air-water flow parameters, the selection of the criteria to assess scale effects is critical because some parameters （e.g., bubble sizes, turbulent scales） can be affected by scale effects, even in relatively large laboratory models.展开更多
Among the many causes of forefoot pain, Morton's neuroma(MN) is often suspected, particularly in women, due to its high incidence.However, there remain controversies about its relationship with symptomatology and ...Among the many causes of forefoot pain, Morton's neuroma(MN) is often suspected, particularly in women, due to its high incidence.However, there remain controversies about its relationship with symptomatology and which diagnostic and treatment choices to choose.This article mainly focuses on the role of the various imaging methods and their abilities to support an accurate diagnosis of MN, ruling out other causes of forefoot pain, and as a way of providing targeted imaging-guided therapy for patients with MN.展开更多
Background: The authors present the results of a four surgeon, multicenter study of endoscopic decompression for the treatment of Civinini-Morton’s entrapment of 193 interspaces. Methods: A retrospective review of 19...Background: The authors present the results of a four surgeon, multicenter study of endoscopic decompression for the treatment of Civinini-Morton’s entrapment of 193 interspaces. Methods: A retrospective review of 193 interspaces, which were decompressed by four different surgeons. Results: The overall success rate was high, with 92% of patients reporting a good or fair outcome. Higher success rates were reported in the 3rd interspace decompression group (95%) compared to the 2nd interspace decompression group (85%). Complications reported were minimal, with only seven cases requiring a revision with traditional neurectomy. No revisions were required in the 3rd interspace decompression group. Five of the revisions were in the 2nd interspace decompression group, with the remaining two revisions in the combined 2nd/3rd interspace decompression group. Conclusions: Endoscopic decompression for the treatment of Civinnini-Morton’s entrapment is a safe and efficacious method of treatment of this nerve entrapment, with very low complication rates and rapid return to normal activity.展开更多
Background: Morton’s neuroma is the enlargement of an interdigital nerve most commonly located between the third and fourth metatarsals. Greek foot is a normal variant where the first metatarsal is shorter than the s...Background: Morton’s neuroma is the enlargement of an interdigital nerve most commonly located between the third and fourth metatarsals. Greek foot is a normal variant where the first metatarsal is shorter than the second metatarsal. To our knowledge, there is currently no reported association between Greek foot and Morton’s neuroma in the literature. Methods: Retrospective study of 184 patients. Two separate cohorts were recruited. Cohort A comprised of 100 randomly selected asymptomatic patients. Cohort B comprised of 84 patients with a history of foot pain and histologically confirmed Morton’s neuroma. Foot shape was determined by using a self-assessment tool and plain radiographs. Statistical analyses were performed using the Chi-square test on the association between Greek foot and Morton’s neuroma. A p-value of ﹣9). Conclusions: This study has shown a possible association between the presence of a Greek foot and the presence of Morton’s neuroma. Although our study design has limitations and does not allow full statistical analysis, we do believe that the shown association between Greek foot and Morton’s neuroma can help clinicians and other health care providers in establishing the diagnosis of Morton’s neuroma in patients with a painful foot.展开更多
Morton’s Neuroma is a common metatarsalgia in athletes created due to the entrapment of the inter-digital nerve inside the transverse inter-metatarsal ligament. The purpose of the present study is to draw the necessa...Morton’s Neuroma is a common metatarsalgia in athletes created due to the entrapment of the inter-digital nerve inside the transverse inter-metatarsal ligament. The purpose of the present study is to draw the necessary conclusions from the use of a particular surgical treatment to release the digital nerve, accompanied by neurolysis in adults who exercise. On the whole, twenty five patients with twenty-five suffering extremities were treated. Five of them simultaneously had a Hallux Valgus type deformity and that supports the belief of the mechanical induce of this condition. Both ultrasonography and Magnetic Resonance Imaging (MRI) were used for the clinical evaluation of this condition. The pain was estimated via the Visual Analogue Scale (VAS). The patients were re-examined after three (1st postoperative), twelve (2nd postoperative) and twenty-four (3rd postoperative) months. A significant improvement (p 0.0001) was noticed from the correlation between the pain before the surgery and the pain after the surgery via the Visual Analogue Scale (VAS). Most patients (15/25) did not display any discomfort or sensory disorder after surgery. The correct clinical evaluation as well as the correct and effective surgical intervention with the simultaneous repair of all the mechanical deformities of the foot provided better post-surgery progress in patients and increased the percentage of their rehabilitation of their previous activities.展开更多
Background The choice for the surgical approach of interdigital neuroma in the foot is controversial.Plantar approach can leave a painful scar on weight bearing area; hence, some prefer dorsal approach.The aim of the ...Background The choice for the surgical approach of interdigital neuroma in the foot is controversial.Plantar approach can leave a painful scar on weight bearing area; hence, some prefer dorsal approach.The aim of the current study was to measure the outcome of interdigital （Morton＇s） neurectomy performed by a single surgeon using dorsal and plantar approaches.Methods A retrospective review of the patient records of one orthopaedic foot and ankle surgeon identified thirty-six patients （42 feet） who had been treated operatively for a primary, persistently painful interdigital neuroma.The mean follow-up was 18 months.Pain, weight bearing, wound problems and rehabilitation period were studied.Results The duration to full weight bearing, return to work, driving and recreational activities were at least one week shorter in the dorsal group.The overall satisfaction for surgery was rated as excellent or good in 85% of the thirty six patients.Scar problems were more troublesome and common in the plantar group.There was residual numbness noticed in twenty feet, the pattern of numbness was quite variable and it was bothersome in only seven feet.There was one recurrence in the plantar group.Conclusions Resection of a symptomatic interdigital neuroma through a dorsal or a plantar approach can result in a good outcome.Dorsal approach, however, is associated with better rehabilitation and less scar problems.展开更多
Background: The authors present the personal results of the review of a group of cases treated for Morton’s neuroma with continuous radiofrequency (CRF) thermo-ablation of the plantar intermetatarsal nerve. Methods: ...Background: The authors present the personal results of the review of a group of cases treated for Morton’s neuroma with continuous radiofrequency (CRF) thermo-ablation of the plantar intermetatarsal nerve. Methods: This retrospective review consisted of 29 patients treated between January 2008 and December 2011, with a minimum 1 year follow-up. Three patients underwent bilateral treatment and 10 patients underwent concomitant treatment procedures for associated foot disorders: hallux valgus (7), tailor’s bunion (2) and hammertoe (5). The procedure was performed in a day hospital setting under direct fluoroscopic control. Results: The follow-up protocol used a visual analog scale (VAS) for pain (0 = no pain, 10 = worst pain) and a visual analog scale (VAS) for patient satisfaction (0 = no satisfaction, 10 = complete satisfaction). Success was defined by a decrease of 5 points in pain at 1 year after the treatment procedure. From these 29 cases, with a VAS pain score between severe and worst pain ever, treatment with CRF thermo-ablation at one year follow-up yielded these results: 14 cases with no pain (48%), 7 cases with mild pain (24%), 5 cases with moderate pain (17%), 3 cases still with severe pain (10%). The overall benefit was that 88% of the patients had significant pain improvements. From another point of view, 26 cases (89.6%) had a decrease of the VAS score between 5 and 10 points and in only 3 cases (10.3%) severe pain was reported, even though it was slightly diminished after the procedure. Conclusion: Continuous radiofrequency (CRF) thermo-ablation of Morton’s neuroma (Entrapment) was a safe and minimally invasive surgical procedure which gave these patients great satisfactions and a rapid return to normal activity.展开更多
Starting from reviewing the current development of botanic gardens in China,the shortcomings of current research on botanical gardens in China are summarized:the research and construction concepts of the botanical gar...Starting from reviewing the current development of botanic gardens in China,the shortcomings of current research on botanical gardens in China are summarized:the research and construction concepts of the botanical gardens lack professional characteristics;the education and science popularization system is extensive;and the investment and construction model and operation and management method are relatively rigid.Through combing the development history of The Morton Arboretum and introducing its construction features,such as the long-term garden-establishing idea with a high starting point,continuously building and improving for a long time to actively adapt to changes in social needs,a refi ned education and science popularization system for various groups,and a strong self-hematopoietic function,the successful construction experience of The Morton Arboretum is elaborated and the enlightenment from The Morton Arboretum to the construction of botanic gardens China are put forward,so as to provide a reference for the construction and development of botanic gardens in China in the new period.展开更多
I. OLD AND NEW OBSERVATIONS Savage, Bolton and Wright, found that the radio source PKS 1448-232 coincided with a stellar object of a magnitude about 16.4 having an ultraviolet excess. A lowresolution spectrum obtained...I. OLD AND NEW OBSERVATIONS Savage, Bolton and Wright, found that the radio source PKS 1448-232 coincided with a stellar object of a magnitude about 16.4 having an ultraviolet excess. A lowresolution spectrum obtained with the Anglo-Australian 3.m9 Telescope （AAT） confirmed this object to be a QSO with zem=2.22, and revealed many absorption展开更多
基金supported by the Australian Re-search Council(Grant No.DP120100481)
文摘Physical modeling represents probably the oldest design tool in hydraulic engineering together with analytical approaches. In free surface flows, the similitude based upon a Froude similarity allows for a correct representation of the dominant forces, namely gravity and inertia. As a result fluid flow properties such as the capillary forces and the viscous forces might be incorrectly reproduced, affecting the air entrainment and transport capacity of a high-speed model flow. Small physical models operating under a Froude similitude systematically underestimate the air entrainment rate and air-water interfacial properties. To limit scale effects, minimal values of Reynolds or Weber number have to be respected. The present article summarizes the physical background of such limitations and their combination in terms of the Morton number. Based upon a literature review, the existing limits are presented and discussed, resulting in a series of more conservative recommendations in terms of air concentration scaling. For other air-water flow parameters, the selection of the criteria to assess scale effects is critical because some parameters （e.g., bubble sizes, turbulent scales） can be affected by scale effects, even in relatively large laboratory models.
文摘Among the many causes of forefoot pain, Morton's neuroma(MN) is often suspected, particularly in women, due to its high incidence.However, there remain controversies about its relationship with symptomatology and which diagnostic and treatment choices to choose.This article mainly focuses on the role of the various imaging methods and their abilities to support an accurate diagnosis of MN, ruling out other causes of forefoot pain, and as a way of providing targeted imaging-guided therapy for patients with MN.
文摘Background: The authors present the results of a four surgeon, multicenter study of endoscopic decompression for the treatment of Civinini-Morton’s entrapment of 193 interspaces. Methods: A retrospective review of 193 interspaces, which were decompressed by four different surgeons. Results: The overall success rate was high, with 92% of patients reporting a good or fair outcome. Higher success rates were reported in the 3rd interspace decompression group (95%) compared to the 2nd interspace decompression group (85%). Complications reported were minimal, with only seven cases requiring a revision with traditional neurectomy. No revisions were required in the 3rd interspace decompression group. Five of the revisions were in the 2nd interspace decompression group, with the remaining two revisions in the combined 2nd/3rd interspace decompression group. Conclusions: Endoscopic decompression for the treatment of Civinnini-Morton’s entrapment is a safe and efficacious method of treatment of this nerve entrapment, with very low complication rates and rapid return to normal activity.
文摘Background: Morton’s neuroma is the enlargement of an interdigital nerve most commonly located between the third and fourth metatarsals. Greek foot is a normal variant where the first metatarsal is shorter than the second metatarsal. To our knowledge, there is currently no reported association between Greek foot and Morton’s neuroma in the literature. Methods: Retrospective study of 184 patients. Two separate cohorts were recruited. Cohort A comprised of 100 randomly selected asymptomatic patients. Cohort B comprised of 84 patients with a history of foot pain and histologically confirmed Morton’s neuroma. Foot shape was determined by using a self-assessment tool and plain radiographs. Statistical analyses were performed using the Chi-square test on the association between Greek foot and Morton’s neuroma. A p-value of ﹣9). Conclusions: This study has shown a possible association between the presence of a Greek foot and the presence of Morton’s neuroma. Although our study design has limitations and does not allow full statistical analysis, we do believe that the shown association between Greek foot and Morton’s neuroma can help clinicians and other health care providers in establishing the diagnosis of Morton’s neuroma in patients with a painful foot.
文摘Morton’s Neuroma is a common metatarsalgia in athletes created due to the entrapment of the inter-digital nerve inside the transverse inter-metatarsal ligament. The purpose of the present study is to draw the necessary conclusions from the use of a particular surgical treatment to release the digital nerve, accompanied by neurolysis in adults who exercise. On the whole, twenty five patients with twenty-five suffering extremities were treated. Five of them simultaneously had a Hallux Valgus type deformity and that supports the belief of the mechanical induce of this condition. Both ultrasonography and Magnetic Resonance Imaging (MRI) were used for the clinical evaluation of this condition. The pain was estimated via the Visual Analogue Scale (VAS). The patients were re-examined after three (1st postoperative), twelve (2nd postoperative) and twenty-four (3rd postoperative) months. A significant improvement (p 0.0001) was noticed from the correlation between the pain before the surgery and the pain after the surgery via the Visual Analogue Scale (VAS). Most patients (15/25) did not display any discomfort or sensory disorder after surgery. The correct clinical evaluation as well as the correct and effective surgical intervention with the simultaneous repair of all the mechanical deformities of the foot provided better post-surgery progress in patients and increased the percentage of their rehabilitation of their previous activities.
文摘Background The choice for the surgical approach of interdigital neuroma in the foot is controversial.Plantar approach can leave a painful scar on weight bearing area; hence, some prefer dorsal approach.The aim of the current study was to measure the outcome of interdigital （Morton＇s） neurectomy performed by a single surgeon using dorsal and plantar approaches.Methods A retrospective review of the patient records of one orthopaedic foot and ankle surgeon identified thirty-six patients （42 feet） who had been treated operatively for a primary, persistently painful interdigital neuroma.The mean follow-up was 18 months.Pain, weight bearing, wound problems and rehabilitation period were studied.Results The duration to full weight bearing, return to work, driving and recreational activities were at least one week shorter in the dorsal group.The overall satisfaction for surgery was rated as excellent or good in 85% of the thirty six patients.Scar problems were more troublesome and common in the plantar group.There was residual numbness noticed in twenty feet, the pattern of numbness was quite variable and it was bothersome in only seven feet.There was one recurrence in the plantar group.Conclusions Resection of a symptomatic interdigital neuroma through a dorsal or a plantar approach can result in a good outcome.Dorsal approach, however, is associated with better rehabilitation and less scar problems.
文摘Background: The authors present the personal results of the review of a group of cases treated for Morton’s neuroma with continuous radiofrequency (CRF) thermo-ablation of the plantar intermetatarsal nerve. Methods: This retrospective review consisted of 29 patients treated between January 2008 and December 2011, with a minimum 1 year follow-up. Three patients underwent bilateral treatment and 10 patients underwent concomitant treatment procedures for associated foot disorders: hallux valgus (7), tailor’s bunion (2) and hammertoe (5). The procedure was performed in a day hospital setting under direct fluoroscopic control. Results: The follow-up protocol used a visual analog scale (VAS) for pain (0 = no pain, 10 = worst pain) and a visual analog scale (VAS) for patient satisfaction (0 = no satisfaction, 10 = complete satisfaction). Success was defined by a decrease of 5 points in pain at 1 year after the treatment procedure. From these 29 cases, with a VAS pain score between severe and worst pain ever, treatment with CRF thermo-ablation at one year follow-up yielded these results: 14 cases with no pain (48%), 7 cases with mild pain (24%), 5 cases with moderate pain (17%), 3 cases still with severe pain (10%). The overall benefit was that 88% of the patients had significant pain improvements. From another point of view, 26 cases (89.6%) had a decrease of the VAS score between 5 and 10 points and in only 3 cases (10.3%) severe pain was reported, even though it was slightly diminished after the procedure. Conclusion: Continuous radiofrequency (CRF) thermo-ablation of Morton’s neuroma (Entrapment) was a safe and minimally invasive surgical procedure which gave these patients great satisfactions and a rapid return to normal activity.
基金Sponsored by Open Foundation of the Key Laboratory of Urban Land Resources Monitoring and Simulation of the Ministry of Land and Resources,China(KF-2019-04-072).
文摘Starting from reviewing the current development of botanic gardens in China,the shortcomings of current research on botanical gardens in China are summarized:the research and construction concepts of the botanical gardens lack professional characteristics;the education and science popularization system is extensive;and the investment and construction model and operation and management method are relatively rigid.Through combing the development history of The Morton Arboretum and introducing its construction features,such as the long-term garden-establishing idea with a high starting point,continuously building and improving for a long time to actively adapt to changes in social needs,a refi ned education and science popularization system for various groups,and a strong self-hematopoietic function,the successful construction experience of The Morton Arboretum is elaborated and the enlightenment from The Morton Arboretum to the construction of botanic gardens China are put forward,so as to provide a reference for the construction and development of botanic gardens in China in the new period.
文摘I. OLD AND NEW OBSERVATIONS Savage, Bolton and Wright, found that the radio source PKS 1448-232 coincided with a stellar object of a magnitude about 16.4 having an ultraviolet excess. A lowresolution spectrum obtained with the Anglo-Australian 3.m9 Telescope （AAT） confirmed this object to be a QSO with zem=2.22, and revealed many absorption
