Double Zone Research Articles

Superorders and terahertz acoustic modes in multiferroic BiFeO3/LaFeO3 superlattices

Superlattices are materials created by the alternating growth of two chemically different materials. The direct consequence of creating a superlattice is the folding of the Brillouin zone, which gives rise to additional electronic bands and phonon modes. This phenomenon has been successfully exploited to achieve new transport and optical properties in semiconductor superlattices. Here, we show that multiferroic BiFeO3/LaFeO3 superlattices exhibit several structural orders parallel and perpendicular to the growth direction, not existing in individual bulk materials. Using transmission electron microscopy, x-ray diffraction, and first-principles calculations, we reveal in particular a new long-range order of tilted FeO6 octahedra, with a period along the growth direction about twice that of the chemical supercell, i.e., a superorder. The effect of this new structural order on the phonon dynamics is studied with ultrafast optical pump-probe experiments. While a folded-mode at 1.2 THz is attributed solely to the chemical modulation of the superlattice, the existence of another 0.7 THz mode seems to be explained only by a double Brillouin zone folding in agreement with the structural out-of-plane superorder. Our work shows that multiferroic BiFeO3/LaFeO3 superlattices can be used to tune the spectrum of coherent THz phonons, and potentially that of magnons or electromagnons.

Comparative Study Between Design and Parameter Adjustment for Profit Maximization of Low-Density Polyethylene (LDPE) Production in High-Pressure Tubular Reactor

Low density polyethylene (LDPE) market becomes increasingly competitive and profit margins are tightening, manufacturers must create solutions to optimize profit in LDPE high pressure tubular reactors. Thus, in this study, the optimization of LDPE was proposed and conducted by improving the design and parameter adjustment of the LDPE tubular reactor. A mathematical model was developed and validated with industrial data by using MATLAB R2021. Input parameter study was carried out to investigate the effect of initiator concentration (CI), monomer concentration (CM), and solvent concentration (CS) to the ethylene conversion rate, reaction temperature rate, and final product grade, respectively. The CM was identified as the most significant parameter to influence LDPE polymerization process. CM increment results in the highest reaction temperature peak, which was originating from 249.58 to 299.21oC. The highest MFI value was also obtained when the CM was increased from 0.01954 to 0.01979 mol/cm3. Then, a comparative study between design and parameter adjustment for profit maximization in LDPE High Pressure Tubular Reactor was conducted. With the profit of RM166.83 million/year, compared to RM106.83 million/year, double reaction zones demonstrates that it has much better ethylene conversion rate compared to single reaction zone with optimization.

High-Responsivity Vis–NIR photodetectors based on Bi2Te3 thin films and Ag2S QDs heterojunction

In this paper, high quality Bi2Te3 films were prepared by double temperature zone vapor deposition. On this basis, Ag2S/Bi2Te3 heterojunction photodetectors were prepared by spin-coating technique. Due to the synergistic absorption effect of the two materials, and the carrier extraction and separation enhanced by the built-in electric field, the device exhibits a wide spectral response and high performance. Under 405 nm, the responsivity is 18.34 mA/W, and the response time is 33/21 ms. This work provides research experience for mixed dimensional heterojunction photodetectors based on two-dimensional materials.

Dynamic evolution of competing same-dip double subduction: New perspectives of the Neo-Tethyan plate tectonics

Same-dip double-subduction (SDDS) systems are widely reported from present as well as past complex convergent plate tectonic configurations. However, the dynamics of their evolution is poorly understood, which is crucial to conceptualize anomalous subducting slab kinematics and associated observed geological phenomena, such as irregular trench migration rates, high convergence velocities, and slab break-off. To bridge this gap, we develop dynamic thermo-mechanical subduction models and investigate the initiation and evolution of SDDS systems, considering three different initial plate configurations: oceanic, oceanic-continental and multiple continental settings, based on Neo-Tethyan paleo-reconstructions. Each model offers new insights into the complex tectonic history of the major Neo-Tethyan subduction zones, particularly the Indo–Eurasian and Andaman convergent systems. We evaluate the slab-slab interactions, trench and subduction kinematics, inter-plate reorganization, and temporally varying mantle flow patterns involved in the dynamic evolution of these SDDS systems. The oceanic SDDS model simulations reveal that a sizable oceanic plate can initiate two subduction zones synchronously, and they evolve unequally in a competing mode, leading to exceptionally high convergence rates (∼16–17 cm/year) for a prolonged duration (∼7–8 Myr). This finding explains the coeval activity of coupled subduction zones in the Indo-Eurasia convergence during the Cretaceous evolution of the Neo-Tethys. We further implement a corresponding single subduction model to assess the additional effects of competing slab kinematics in an oceanic SDDS setting. The ocean-continent SDDS model, on the other hand, localizes subduction preferentially at passive margins between the oceanic plate and the continental block, forming double subduction zones that grow almost equally to form a spreading centre between the two trenches. These model results allow to reconstruct the Cenozoic evolution of the eastern Neo-Tethyan region, which ultimately led to the development of the Andaman subduction zone. We also show the post-Cretaceous evolution of the Indo–Eurasian collision zone as a consequence of the SDDS dynamics in presence of multiple continental blocks. These dynamics facilitated slab break-off, transforming the SDDS into a single subduction system in a relatively short time frame (∼3 Myr). We finish with a synthesis of the paleo-reconstructions of the Neo-Tethys in the perspective of these SDDS models.

Insight into intracontinental deformation and crustal reworking of ancient continents implied by crustal structure imaging of the Yangtze Craton

The crustal imprints from multistage tectonic activities in cratons offer valuable insights into continental evolution. Utilizing seismic data from two densely deployed, nearly perpendicular linear arrays, and a newly developed stepwise joint inversion of depth-domain receiver function and surface wave dispersion, we constructed a detailed crustal layering model for the Yangtze Craton. Our analysis revealed elongated double velocity reversal zones as salient features of the crust, which likely record ancient crustal reworking and juvenile crustal growth associated with Neoproterozoic rift-related magmatic processes. The interlayering of low- and high-velocity structures may contribute to the enduring stability of the Yangtze Craton. Additionally, superimposed layers separated by east-dipping interfaces and abrupt changes in crustal thickness in the boundary belts surrounding the Yangtze Craton document the crust's structural responses to intracontinental deformation during continent assembly.

Performance analysis and design method of strengthening beam-column welded connections against progressive collapse

To address the insufficient collapse resistance of the beam-column welded connection (BWC), this study proposes a strengthening beam-column welded connection with truss elements (BWCTE). A static test on a BWCTE specimen with a composite slab was conducted to investigate its failure pattern, final deflection, and the evolution of axial force, bending moment, and collapse resistance. The results indicate that the addition of truss elements increases the peak load and corresponding deformation of BWCTE by 108.6 % and 27.3 %, respectively, compared to BWC. Moreover, the axial force in the composite beam of the BWCTE specimen achieved the yield axial force, facilitating the complete development of catenary action and optimizing beam performance. Subsequently, primary parameters of the truss element were analyzed using refined numerical models. It is recommended that the projected length of the inside leaning limb is within 0.5 to 0.7 times the height of the steel beam, and the thickness of each limb is within 0.6 to 1.2 times the thickness of the beam flange. Then, the working mechanism of BWCTE was explored through theoretical analysis. The resistance process of BWCTE can be divided into elastic, elastic-plastic, plastic, transition, and catenary stages. The loading and deformation synergies between truss elements and composite beams enable the formation of double plastic zones and double strengthening zones at the beam root, effectively delaying the rupture of the stretched beam flange. Finally, a design method for BWCTE is proposed according to theoretical and numerical analysis.

Complex fault system associated with the Molucca Sea Divergent double subduction zone revealed by the 2019 Mw 6.9 and Mw 7.1 Earthquakes

GNSS (Global Navigation Satellite System) data in northern Sulawesi and western Halmahera reveals a pattern of coseismic displacement that was caused by the 7 July 2019 (Mw 6.9) and 14 November 2019 (Mw 7.1) Molucca Sea earthquakes. The coseismic slip of these earthquakes are obtained via inversion on rectangular fault planes of surface GNSS coseismic deformation offsets. The 7 July 2019 earthquake ruptured on an east-dipping fault with a maximum slip of ∼35 cm located at ∼4 km depth and ∼ 100 km north-west of the epicenter. The 14 November 2019 earthquake also ruptured on an east-dipping fault, which has a maximum slip of ∼64 cm located at ∼22 km depth and ∼ 20 km south-west of the epicenter. The coseismic slip distribution of the 14 November earthquake is spatially aligned to that of an earthquake of similar magnitude that took place on 15 November 2014 in the same region. This observation points to the possibility of synchronization, thus raising the prospect of a future earthquake exceeding magnitude 7. If the stress was completely released during the 2014 event, it would have been necessary to reload that portion of the fault at a rate significantly larger than the observed convergence rate of ∼5.8 cm/yr. This suggests that partial ruptures are likely controlling the recurrence time of large earthquakes in the region.

Latitudinal Characteristics of Nighttime Electron Temperature in the Topside Ionosphere and Its Dependence on Solar and Geomagnetic Activities

This study investigates the latitudinal characteristics of the nighttime electron temperature, as observed by the Defense Meteorological Satellite Program F16 satellite, and its dependence on solar and geomagnetic activities between 2013 and 2022 in the topside ionosphere, only for the winter hemispheres. The electron temperature in both hemispheres exhibited a low-temperature zone at the equator and a double high-temperature zone at the sub-auroral and auroral latitudes along the magnetic latitude. In addition, we further studied the temperature crest/trough positions in the temperature zone at different latitudes. As the solar activity intensity decreased (increased), the temperature trough position at the equator shifted from the Southern (Northern) to the Northern (Southern) Hemisphere, and the temperature double-crest positions at the sub-auroral and auroral latitudes gradually approached (moved away from) each other. Furthermore, during the geomagnetic disturbance time, the temperature double-crest positions both moved toward lower latitudes, but the temperature trough position was not sensitive to geomagnetic activity. Our analysis demonstrates that the values and correlations of the electron temperature and density varied in different temperature characteristic zones (the temperature crest/trough positions ±2°), possibly due to the different energy control factors of the electrons at different latitudes. This may also indirectly indicate the energy coupling process between the topside ionosphere and different regions at different latitudes.

Multiaxial low-cycle fatigue life model for notched specimens considering small sample characteristics

PurposeSufficient sample data are the necessary condition to ensure high reliability; however, there are relatively poor fatigue test data in the engineering, which affects fatigue life's prediction accuracy. Based on this, this research intends to analyze the fatigue data with small sample characteristics, and then realize the life assessment under different stress levels.Design/methodology/approachFirstly, the Bootstrap method and the principle of fatigue life percentile consistency are used to realize sample aggregation and information fusion. Secondly, the classical outlier detection algorithm (DBSCAN) is used to check the sample data. Then, based on the stress field intensity method, the influence of the non-uniform stress field near the notch root on the fatigue life is analyzed, and the calculation methods of the fatigue damage zone radius and the weighting function are revised. Finally, combined with Weibull distribution, a framework for assessing multiaxial low-cycle fatigue life has been developed.FindingsThe experimental data of Q355(D) material verified the model and compared it with the Yao’s stress field intensity method. The results show that the predictions of the model put forward in this research are all located within the double dispersion zone, with better prediction accuracies than the Yao’s stress field intensity method.Originality/valueAiming at the fatigue test data with small sample characteristics, this research has presented a new method of notch fatigue analysis based on the stress field intensity method, which is combined with the Weibull distribution to construct a low-cycle fatigue life analysis framework, to promote the development of multiaxial fatigue from experimental studies to practical engineering applications.

Analytical modeling and experiments on soft soil consolidation with vacuum preloading‐airbag pressurization

AbstractThis study aims to provide substantial theoretical support for employing vacuum preloading‐airbag pressurization (VP‐AP) to enhance soft soil foundations. By integrating the airbags and prefabricated vertical drains (PVDs) within the analytical framework, the consolidation models are developed to accommodate double smear zones and well resistance. Analytical solutions for various airbag pressurization scenarios are derived under the equal‐strain assumption. A model test is subsequently conducted to investigate the settlement process of soft soil using the VP‐AP method. The validity of the proposed theoretical model is corroborated through comparison with existing analytical solutions and experimental data. The accuracy of the predictive model is further substantiated by the model test results. Lastly, this research offers an in‐depth analysis of soil consolidation behavior under diverse influencing factors. The findings indicate that the VP‐AP method demonstrates superior efficacy over conventional vacuum‐surcharge preloading when the airbag pressure matches the external load pressure. Additionally, an increase in the radius of airbags enhances the soil consolidation efficiency. The analytical model presented in this study elucidates the consolidation mechanisms of the VP‐AP method, with experimental research confirming the efficacy of this approach and the predictive model established herein.

Advanced 3D seismic hazard analysis for active compression in the Adriatic Thrust Zone, Italy

The probabilistic seismic hazard assessment contains two ingredients: (1) the seismic source model with earthquake rates and rupture parameters for specification of the statistical distribution of earthquakes in time and space and (2) the ground motion model, for estimation of ground shaking level at a site for each earthquake rupture. The selection of these models significantly impacts the resulting hazard maps, and it can be challenging, particularly in seismotectonic regions where overlapping structures, sited at different depths, coexist. Eastern Central Italy is a well-known active compressional environment of the central Mediterranean with a complex tectonic structure with a lithospheric double shear zone. In this study, we propose a seismic hazard assessment to analyze the contribution of these two shear zones as overlapping multi-depth seismogenic volumes to ground motion at a given hazard level. We specifically focus on selecting relevant and applicable parameters for earthquake rate modeling, emphasizing the importance of defining rate computation and rupture-depth parametrization in hazard analysis. To achieve this, we utilized a seismotectonic- and catalog-based 3D adaptive smoothed seismicity approach following the methodology given by (Pandolfi et al. in Seismol Res Lett 95: 1–11, 2023). Finally, we demonstrated how this innovative 3D approach can identify with high resolution the individual sources' contribution with particular attention to the depth location of structures that strongly influence the ground motion. Moreover, combining seismotectonic data with seismicity avoids the challenges associated with structures with scarce geologic, geodetic, or paleoseismological data. Our result provides detailed insights into the seismic hazard within the Adriatic Thrust Zone.

Molecular mechanism for the influence of yam starch multiscale structure on the sensory texture of cooked yam

Yam is a dual-purpose crop as both medicine and food. However, the mechanism controlling the eating quality of yam remains to be elucidated. This study explored the influence of starch multiscale structure on the texture of yam. The results indicated that FS and RC yam have higher hardness and chewiness, while BZ, XM, and PL yam possess waxiness, Fineness, and Stickiness. Statistically, high amylose (AM) can increase hardness, chewiness, and compactness; and average molecular size (Rh) is positively correlated with stickiness, fineness, and waxiness. Specifically, medium- and long-chain amylose (1000 < X ≤ 10,000) and amylopectin (24 < X ≤ 100), particularly medium-chain amylose (1000 < X ≤ 5000) and long-chain amylopectin (24 < X ≤ 36), primarily affect sensory and rheological stickiness. The long chains of amylose form a straight chain interspersed in the crystalline and amorphous regions to support the entire lamellar structure. Higher proportion of amylose long chains, promoting the starch's structural rigidity, which in turn enhanced its hardness-related attributes. Moreover, a higher ratio of long chains within amylopectin results in tightly intertwined adjacent outer chains, forming double helix crystalline zones. This consequently augmenting the texture quality linked to stickiness-related attributes.

Selective recovery of Sm from Sm-Co magnet scrap by vacuum distillation

Sm-Co rare earth permanent magnet materials are widely used in special fields such as new energy and electronic information. Sm-Co permanent magnet scraps are generated during the preparation and the use of end-of-life permanent magnets, which need to be recycled for the sustainable development. It is proposed to selectively recover Sm from the Sm-Co permanent magnet scraps by vacuum distillation. The experimental investigations were carried out in a vacuum furnace with double temperature zones for the efficient condensation of Sm vapor based on the thermodynamic and kinetic calculations. The recycling feasibility of the recovery of rare earth and the evaporation mechanism of Sm were also demonstrated in this work. The results show that Sm with the purity over 99% was obtained by the molybdenum condenser used as a condensing collectors at given conditions, providing a reference for the pyrometallurgical recovery of rare earth secondary resources.

Increased Proteolytic Activity of Serratia marcescens Clinical Isolate HU1848 Is Associated with Higher eepR Expression.

Serratia marcescens is a global opportunistic pathogen. In vitro cytotoxicity of this bacterium is mainly related to metalloprotease serralysin (PrtS) activity. Proteolytic capability varies among the different isolates. Here, we characterized protease production and transcriptional regulators at 37°C of two S. marcescens isolates from bronchial expectorations, HU1848 and SmUNAM836. As a reference strain the insect pathogen S. marcescens Db10 was included. Zymography of supernatant cultures revealed a single (SmUNAM836) or double proteolytic zones (HU1848 and Db10). Mass spectrometry confirmed the identity of PrtS and the serralysin-like protease SlpB from supernatant samples. Elevated proteolytic activity and prtS expression were evidenced in the HU1848 strain through azocasein degradation and qRT-PCR, respectively. Evaluation of transcriptional regulators revealed higher eepR expression in HU1848, whereas cpxR and hexS transcriptional levels were similar between studied strains. Higher eepR expression in HU1848 was further confirmed through an in vivo transcriptional assay. Moreover, two putative CpxR binding motifs were identified within the eepR regulatory region. EMSA validated the interaction of CpxR with both motifs. The evaluation of eepR transcription in a cpxR deletion strain indicated that CpxR negatively regulates eepR. Sequence conservation suggests that regulation of eepR by CpxR is common along S. marcescens species. Overall, our data incorporates CpxR to the complex regulatory mechanisms governing eepR expression and associates the increased proteolytic activity of the HU1848 strain with higher eepR transcription. Based on the global impact of EepR in secondary metabolites production, our work contributes to understanding virulence factors variances across S. marcescens isolates.

Preparation and optoelectronic properties of bulk black phosphorus crystals

In this paper, dense cylindrical shaped bulk black phosphorus (BBP)s are obtained by establishing a well-developed double growth zone technique through a chemical vapor phase transport (CVT) method. Extensive characterization tests confirm its high degree of orientation. XRD, SEM, TEM and Raman specturum are used to characterize the physical composition and structure of the prepared samples, confirming that the prepared BBP has good crystallinity and purity. Optical properties are evaluated, revealing distinct responses in UV–vis testing for black phosphorus (BP) of different sizes. Furthermore, the electrical properties of the bulk black phosphorus are measured, and it is found that the bulk black phosphorus is a P-type semiconductor. And the carrier mobility of the thin black phosphorus layer is 1233.81 cm2/V/S. The maximum Seebeck coefficient of 65.474 μV·K−1 along the growth direction of the column when the temperature difference is within 100 K.

Mechanism of large-scale reservoir landslides with double-sliding zones: insights from long-term field monitoring

A significant number of ancient landslides with double or multi-sliding zones exist in reservoir areas. However, understanding large-scale reservoir landslides with double-sliding zones remains limited due to the challenges of studying deformation along the sliding zone independently from surface deformation. In this study, the seepage and deformation characteristics of the Taping landslide were obtained through field investigations and long-term in-situ monitoring. For the first time, hydrological factors influencing double-sliding zones were revealed using an attribute reduction algorithm based on long-term field data. The results indicate that the Taping landslide undergoes significant step-like consistent creep deformation, exhibiting failure along double-sliding zones. For the toe part, reservoir water level (RWL) and precipitation are two critical hydrological factors triggering deformation. Shallow sliding is more susceptible to rainfall, while the deep sliding zone is more affected by RWL variations. In the rear part, precipitation has a greater impact than RWL. Daily precipitation is the primary hydrological factor affecting slope movement along the shallow sliding zone. However, accumulated precipitation over the previous seven days is the most crucial factor influencing slope movement along the deep sliding zone. During the RWL drawdown period, shallow sliding initially occurs at the toe, induced by the de-buttressing effect, while deep sliding occurs after the RWL reaches 145 m, induced by the downslope seepage force. Local damage and failure at the toe provide space for the instability of the rear part, reducing the anti-sliding force. Consequently, failure extends to the rear part. The findings of this study hold significant implications for gaining a deeper understanding of the deformation mechanisms of large-scale reservoir landslides with double-sliding zones and improving landslide management and mitigation strategies in reservoir area.

A generalized mixture fraction formulation for nonpremixed ammonia–hydrogen flames

For nonpremixed combustion, the mixture fraction variables are widely used as a conserved scalar to map out the flame structure in a unified manner. For ammonia–hydrogen flames, however, a proper definition of the mixture fraction variable is difficult due to the presence of fuel-bound nitrogen in ammonia. This work proposes a revised mathematical definition of the mixture fraction as a modified form of the Bilger’s formula in order to describe the characteristics of nonpremixed ammonia–hydrogen blend flames at general fuel mixture ratios. The newly defined mixture fraction properly accounts for differential diffusion effects in the presence of hydrogen, and thus serves as a convenient invariant coordinate for the flame manifolds. Counterflow nonpremixed flames with different ammonia–hydrogen ratios were computed and the validity of the new formulation is demonstrated. The analysis of the flame structure revealed the presence of double reaction zones, one dominated by the hydrogen oxidation and the other by ammonia oxidation. The role of differential diffusion is crucial in determining the existence of double reactive layers and its impact is evaluated by varying the strain rate. Detailed reaction analysis revealed that the hydrogen flame is related to HO2 reactions, while the ammonia flame to N, NH2 and NH3 reaction groups. As the strain rate is increased, OH reactions are responsible for shifting dominant heat release rate from the hydrogen flame to the ammonia flames. The scalar dissipation rate profile shows two distinct peaks, suggesting that a different functional description is needed in the flamelet modeling framework.

The rupture plane of the February 2022 Mw 6.2 Guatemala, intermediate depth earthquake

An intermediate depth intraplate earthquake with Mw 6.2 was generated in the Guatemalan subduction zone on 16 February 2022 with epicenter to Southwest of the department of Escuintla. More than 275 aftershocks were registered, which were relocated with the HypoDD algorithm, being able to identify a fault with an area of ~350 km2, which is considerably higher than expected for an earthquake of that magnitude. The moment tensor at the centroid of the main earthquake and the estimation of other focal mechanisms of the largest aftershocks, allowed us to identify extension earthquakes, related to the fault plane, and compression earthquakes that were associated with seismicity on the upper part of the slab. The region of the sequence has presented high seismic activity in recent years. It is proposed that the mainshock nucleated in the lower seismicity layer (LSL) of the double seismicity zone proposed for the region, triggering seismic activity on a pre-existing active fault, also triggering seismic activity in the upper seismicity layer (USL). The separation between these seismicity layers was estimated to be 12.2±5.0 km.

One-step method to control the temperature of S and Mo source and its effect on the size and morphology of MoS2

Molybdenum disulfide (MoS2) is a typical two-dimensional material, which is widely used in many fields because of its excellent electrical and optical properties. In recent years, the high-quality growth of MoS2 has attracted more and more attention from researchers. Many studies have reported a two-step method for the production of MoS2 by pre-deposition of molybdenum (Mo) source and then vulcanization, which is cumbersome and time-consuming, and the preparation temperature is mostly above 800 °C, increasing energy consumption and experimental risk. In this paper, S source and Mo source can be distinguished by double temperature zone tube furnace to prepare MoS2 material in one-step method. The temperatures of S and Mo sources were designed separately, and the effect of each temperature on the quality of MoS2 was investigated. And the monolayer MoS2 with high crystalline quality was obtained at a S source temperature of 165 °C and a Mo source temperature of 680 °C. We produce MoS2 in one-step method at low temperature, which provides a reference for the synthesis of high-quality monolayer MoS2.

The experience of a tertiary level hospital in the 2023 Turkey double earthquake zone; management of 1,092 musculoskeletal injuries in the first week.

The double earthquakes that occurred on February 6, 2023, are currently called the disaster of the century, in Turkey. This study is the first to report the experiences in the treatment of orthopedic emergency patients hospitalized in Adana City Training and Research Hospital (ACH), the largest tertiary hospital in the region. The study included the retrospective analysis of the files of the victims of the earthquakes admitted to the ACH between February 6, 2023, and February 13, 2023. The age, gender, time of admission, types and localization of injuries, treatment modalities of earthquake victims, and orthopedic surgical treatment data were recorded. In the first week of the quakes, 3,699 patients were admitted to the ER with earthquake-related injuries. A total of 1,092 patients with musculoskeletal injuries were hospitalized, and 827 (75.7%) received orthopedic surgery. Surgical procedures included wound debridement under anesthesia (n=392, 47.4%), large bone fractures and/or pelvic ring fractures (n=224, 27.1%), fasciotomies (n=327, 69.1%), and amputations (n=121, 14.6%). Although Orthopedics and Traumatology Clinic staff have the highest workload, all hospital personnel should be equipped with basic orthopedic approaches related to the disaster. We believe that taking a more active role in the follow-up of orthopedic patients will help improve the management of the chaotic processes and increase overall treatment success.