A comparison of types and thicknesses of adhesive felt padding in the reduction of peak plantar pressure of the foot: a case report

Introduction: This case report will have implications for any area of medicine that aims to redistribute plantar pressure away from a particular area of the foot. This could be for example in the short-term care of people with diabetes, people who have insensate feet and people with poor blood supply to the foot coupled with plantar ulceration. The aim of the study was to investigate which type and thickness of Hapla felt padding is the most effective at redistributing plantar pressure of the foot. This case report is the first of its kind. Case presentation: The participant was a healthy 50-year-old white man with a high peak plantar pressure over the second metatarsal head of both feet; he required removal of a plantar callus on a periodic basis. Conclusions: The reader should note that different types of Hapla felt padding provide different forms of redistribution of plantar pressure on the foot. In the clinic it may be useful to measure peak plantar pressure using F-Scan before deciding on the most appropriate type of felt padding

Emerging Longitudinal Trends in Health Indicators for Rural Residents Participating in a Diabetes and Cardiovascular Screening Program in Northern Alberta, Canada

Background. Geographic isolation, poverty, and loss of culture/tradition contribute to “epidemic” rates of diabetes amongst indigenous Canadians. The Mobile Diabetes Screening Initiative travels to rural indigenous and other remote communities in Alberta to screen for diabetes and cardiovascular risk. We sought to examine risk factors longitudinally. Methods. Clinical and anthropometric measurements were undertaken for 809 adults (aged 20–91) between November 2003 and December 2009. For those who had more than one MDSi visit, trend estimates (actual changes) were calculated for body mass index (BMI), weight, waist circumference, hemoglobin A1c (A1c), total cholesterol, and blood pressure. Results. Among those without diabetes (N = 629), BMI and weight increased (P < .01) and blood pressure decreased (P < .05). For those with diabetes (N = 180), significant improvements (P < .05) were observed for all indicators except waist circumference. Conclusion. Improvements observed suggest that MDSi's model may effectively mediate some barriers and support subjects in managing their health

Element Level Bridge Inspection: Benefits and Use of Data for Bridge Management

In 2012, Congress passed the Moving Ahead for Progress in the 21st Century Act (MAP-21) and committed to the development of a data-driven, risk based approach to asset management in the United States. This law requires the collection and submission of element level bridge inspection data for all National Highway System bridges, in addition to the National Bridge Inspection condition rating data. Ultimately, the data collected during element level bridge inspections should satisfy the requirements of the Federal Highway Administration and MAP-21 and be utilized by INDOT to evaluate bridge condition, predict deterioration, and guide decision making. The objective of this project is to develop recommendations for element level bridge inspection techniques, data collection, and inspector training based on a survey of INDOT peer agencies and a literature review of existing research and bridge inspection guidance. In order to collect consistent and reliable data, a rigorous inspector training program and detailed quality control procedures are necessary. INDOT must provide inspectors with the tools to be successful, including clearly defined expectations and instructions, comprehensive training and technical support, and effective inspection equipment. Similarly, robust quality control measures and periodic performance testing should be implemented to improve inspection quality and assess the agency’s performance

On-Orbit Polymer Degradation Results from MakerSat-1: First Satellite Designed to be Additively Manufactured in Space

MakerSat-1, a 1U cubesat, is a proof-of-concept mission from Northwest Nazarene University (NNU) and Made In Space (MIS). It demonstrates microgravity additive manufacturing of a cubesat aboard the International Space Station (ISS). It is the first satellite specifically designed to be 3D printed and easily snap-assembled in microgravity. Its structural frame was 3D printed on the ISS AMF printer in August 2017. In late 2019, MakerSat-1 was loaded in a SEOPS Hypergiant Slingshot deployer and then launched to the ISS aboard SpaceX CRS-19 Dragon on Dec. 5, 2019. On Jan. 31, 2020, this deployer was mounted on the hatchdoor of the Cygnus NG-12 spacecraft, unberthed from ISS, and raised to a 300 mile high orbit. MakerSat-1 and other cubesats were deployed from Slingshot into orbit on Feb. 1, 2020. In the four months following deployment, MakerSat-1 has been carrying out research on the durability of 3D printed polymer samples in the orbital space environment. The results of this science data are reported here

Experimental and Analytical Evaluation of the Strength of Selected Truss Members from the Approach Spans of the Winona Bridge

The following report details a research project comprised of two phases. Phase I included the full-scale experimental testing of two built-up truss chord members removed from service. The members were installed into a reaction frame and loaded to failure to determine remaining capacity in the presence of pack rust, as well as after-failure load redistribution behavior mimicking the member in a state following complete fracture of half the cross section. Phase I also included a finite element–based parametric study calibrated by the experimental work. The study was focused on two-channel axially loaded members for the purpose of developing closed-form solutions intended for evaluation of internal member redundancy. During Phase II of the project, a small round-robin-style inspection and load rating study was performed with certified bridge inspectors and practicing load rating engineers. The purpose was to investigate the variability in the inspection and evaluation of severely corroded steel tension members. This process evaluated two separate, but related, sources of variability within the inspection and load rating process. The variability in each task was controlled such that variability in the load ratings was not compounded by variability in the inspection findings

Probability of Detection Study for Visual Inspection of Steel Bridges: Volume 2—Full Project Report

An inspector’s ability to correctly identify surface and internal defects in steel bridge components is critical to protecting public safety. Ensuring that inspectors are properly trained and adequately equipped to detect these defects in locations that are difficult to access and/or in unfavorable environmental conditions must be a high priority. While the Federal Highway Administration and individual state departments of transportation have guidelines for inspector qualifications, trainings, and certifications, there is very little emphasis placed on evaluating or “testing: a given inspector’s capability to characterize defects in the field. As a result, there is also very little, if any, data on how well a given inspector actually performs or the variability which can be expected between inspectors. This comprehensive Probability of Detection (POD) study was conducted to establish the ability of an inspector with the current required training to locate and quantify cracks in steel bridge components. This study is believed to be the first statistically-significant study of its kind in the United States

A Simplified Approach for Designing SRMs in Composite Continuous Twin-Tub Girder Bridges

High torsional rigidity and attractive aesthetics in construction of twin-tub girder bridges make them preferable for the design of curved bridges. However, according to the concepts associated with the term “Fracture Critical (FC)” that are in place today, all two-girder bridges are classified as having FC members (FCMs) due to their perceived lack of load path redundancy. For a steel bridge with FCMs, the fracture of any of the FCMs is assumed to result in complete catastrophic failure or significant loss of serviceability; hence, every two years twin-tub girder bridges undergo very expensive hands-on field inspections. This report presents a simplified approach to ensure newly designed twin-tub girder bridges will meet all the requirements defined in the 2018 AASHTO Guide Specifications without performing in-depth FEA. AASHTO-ready proposed specifications are included in Appendix A. It is anticipated that these provisions could be incorporated into the AASHTO LRFD BDS as a new article 6.6.3 Special Provisions for Twin Tub Girder Bridges