Body Locations Research Articles

Radiation of pain: psychophysical evidence for a population coding mechanism in humans.

The spread of pain across body locations remains poorly understood but may provide important insights into the encoding of sensory features of noxious stimuli by populations of neurons. In this psychophysical experiment, we hypothesized that more intense noxious stimuli would lead to spread of pain, but more intense light stimuli would not produce perceptual radiation. Fifty healthy volunteers (27 females, 23 males, ages 14-44 years) participated in this study wherein noxious stimuli (43, 45, 47, and 49°C) were applied to glabrous (hand) and hairy skin (forearm) skin with 5-second and 10-second durations. Also, visual stimuli displayed on the target bodily area were used as a control. Participants provided pain (and light) spatial extent ratings as well as pain (and light) intensity ratings. In the extent rating procedure, participants adjusted the extent of the square displayed on the screen with the extent of pain (or light) that they experienced. Pain extent ratings showed statistically significant radiation of pain indicated by 12.42× greater spatial spread of pain (pain extent) than the area of the stimulation with 49°C (P < 0.001), in contrast to visual ratings, which closely approximated the size of the stimulus (1.22×). Pain radiation was more pronounced in hairy than glabrous skin (P < 0.05) and was more pronounced with longer stimulus duration (P < 0.001). Pain intensity explained only 14% of the pain radiation variability. The relative independence of the pain radiation from pain intensity indicates that distinct components of population coding mechanisms may be involved in the spatial representation of pain vs intensity coding.

Comparison of proximal and distal BCG measurements for blood pressure estimation

Abstract This paper presents a comparison of the blood pressure estimation based on Ballistocardiography (BCG) measurements, acquired at two different body locations. The first BCG signal being the proximally measured BCG at the carotid artery, the second being the distally measured BCG at the foot. Parallel to the BCG measurement, the reference blood pressure is measured. Visual inspection of both BCG signals shows a decreased signal quality for the distal measurement. Moreover, in order to estimate the blood pressure based on BCG derived features for beat-to-beat intervals two neural networks are deployed. It is shown that Mean Absolut Error (MAE) is twice as large for the distal blood pressure estimation as for the proximal estimation and that the estimated pressure values of the proximal model show less variation when comparing the reference pressure and estimated pressure visually.

Surgical Anatomy of the Lateral Thoracic Artery and Its Perforators: A Computed Tomographic Angiography and Cadaveric Dissection Study

Objective: This study explores the anatomical variations and characteristics of the lateral thoracic artery (LTA) and its perforators through thoracic computed tomographic angiographies (CTA) and cadaveric dissection, aiming to enhance surgical planning and patient outcomes. Materials and Methods: Data were recorded for both thoracic CTA patients (n = 40) and soft cadavers (n = 13) for subsequent retrospective analyses of biological sex, age, body mass index (BMI), LTA characteristics (length, diameter, origin, number of perforators, number of lymph nodes), and locations (rib level and distance from the pectoralis major, latissimus dorsi, and acromioclavicular joint). Results: Average LTA parameters for thoracic CTAs were 89.6 millimeters in length from origin and 2.1 millimeters in diameter, while cadavers were 117.0 millimeters in length and 2.3 millimeters in diameter. At least 1-2 cutaneousperforators and 1 proximal lymph node were found across both thoracic CTAs and cadavers. No significant differences were observed between the left and right sides for both groups. On average, 73.8% and 66.4% of LTAs from thoracic CTAs and cadavers, respectively, originated from the axillary artery. Conclusion: This knowledge is crucial for surgical planning, both to minimize damage to the LTA and ensure the inclusion of its perforators and proximal lymph nodes in the lateral thoracic region. The researchers recommend lateral thoracic artery perforator flap harvest between the lateral border of the pectoralis major and the anterior border of the latissimus dorsi, specifically above the 3rd-6th ribs, which is correlated to the length of LTA at 89.6-117 millimeters from origins.

Modular Reconfigurable Approach Toward Noninvasive Wearable Body Net for Monitoring Sweat and Physiological Signals.

In the realm of wearable technology, strategically placing sensors at various body locations enhances the detection of diverse physiological indicators crucial for remote medical care. However, current devices often focus on a single body part for specific physical parameters, which hinders the seamless integration of sensors across multiple body parts and necessitates redesign for new detection capabilities. Here, we propose a modular, reconfigurable circuit assembly method that can be adaptable for multiple body locations to construct the body net. By simply reassembling different child modules with the base module using flexible printed circuit board connectors, we can efficiently detect various parameters including sweat ion indicators, electrocardiogram signals, electromyography signals, motion data, heart rate, blood oxygen saturation, and skin temperature. These data can be transmitted to a mobile phone app via a Bluetooth Low Energy protocol for further evaluation. Comparative evaluations against established commercial devices substantiate the viability of our sensor technology. In addition, results from wearable body network detections using reconfigurable sensors across multiple body parts of volunteers also indicate promising application prospects, demonstrating the extensive potential for regular health monitoring and clinical applications.

Musculoskeletal Soreness Location and Intensity in Soccer Athletes Across Multiple Seasons.

To compare soreness location and intensity between male and female soccer athletes across 2 competitive seasons. Descriptive Cohort Study. Collegiate Sports Medicine Facility. Forty male and 42 female collegiate soccer athletes. Season-long soccer trainings and games. Athletes reported perceived soreness location and intensity daily. χ2 analysis and linear mixed effect models were used to compare soreness locations and intensities by sex. Male and female soccer athletes reported similar number of soreness instances, but male soccer athletes reported soreness more frequently at the ankle, foot, hip, pelvis, and posterior thigh. Female soccer athletes reported soreness more frequently at the anterior leg, anterior thigh, and knee. There was no significant difference in soreness intensity between sexes at any body location (P = 0.86). When collapsed across sex, the frequency of anterior thigh soreness was higher at preseason (7.49%, CI: 5.46-9.52) than at midseason (4.55%, CI: 2.52-6.57; t = -2.94, P = 0.023) and at postseason (3.00%, CI: 0.76-5.23; t = -3.74, P < 0.001). There was also a significant difference in hip soreness frequency between the preseason (2.35%, CI: 1.32-3.33) and the postseason time points (0.52%, CI: -0.73% to 1.67%; t = -2.68, P = 0.023). Male and female athletes differ in the locations of their lower extremity soreness. However, lower extremity soreness intensity does not differ between sexes. Soccer athletes report soreness more frequently during the preseason and midseason than during the postseason. With tools to measure daily soreness location and intensity, clinicians could create targeted interventions to reduce soreness and limit its negative affect.

Finite element modeling of concentrated impact loads on the masticatory muscles at the head

AbstractNumerical simulation has great potential to provide a more comprehensive understanding of human impact response to injury mechanisms. Finite Element (FE) models are used as a tool to study human injuries in greater detail, for example, the THUMS (Total Human Model Safety of TOYOTA) model, which is widely used as a reliable human model in different fields to predict human injuries such as fractures, internal organ damage, and brain tissue injuries. However, no available FE model can be used to simulate human‐robot collisions based on standards ISO/TS 15066 and the biomechanical characteristics of human soft tissues in vivo. The authors have developed a head model based on the structures (dimensions and anatomy) of the THUMS head model, specifically designed to simulate impact loads on the masticatory muscles. Based on medical imaging (MRI) data, the soft tissues at the location of the masticatory muscles in the THUMS head are transformed from monolayer to multilayer, that is, a composite geometry of skin‐fat‐muscle each with its own material model and parameters. The model was optimized and validated using the experimental data from the Fraunhofer IFF subjects study, which determined biomechanical thresholds for specific body locations in ISO/TS 15066 under dynamic collisions.

Removal of soft tissue foreign bodies in the hand under microscopy: a retrospective observational study

Purpose: Numerous studies have focused on techniques for detecting foreign bodies in soft tissue in the hand, but removal remains a subject of interest. In this study, we describe the microscope-assisted removal of foreign bodies in the hand. Methods: We reviewed records of patients treated for foreign bodies in the hand at our department from July 2013 to May 2023. In 16 patients aged 23 to 55 years, the following variables were analyzed: the cause of trauma; the time interval from trauma to surgery; the location, type, size, and number of foreign bodies; patient complaints; imaging technique; and procedure type. Under local anesthesia, a slit incision was made at the suspected site. Foreign bodies were completely removed using micro-instruments under microscopic guidance. Results: Stab injuries were the most common (n=13), and there was one case each of abrasion, traffic accident, and bee sting. The middle finger (n=5) was the most affected, followed by the thumb (n=4), index (n=3), little finger (n=2), ring finger (n=1), and palm (n=1). Foreign bodies included glass (n=6), wood (n=4), seashell (n=2), fish bone, a pencil tip, a bee stinger, and metal. Their size ranged from 1 to 20 mm. Patient complaints included a foreign body sensation, localized pain, swelling, discoloration, and a skin lesion. X-ray examinations were performed in all cases, and ultrasonography was conducted in five cases. Conclusion: A microscopic approach allows precise, safe, and complete removal of foreign bodies without tissue damage, highlighting the efficacy of this technique in hand surgery.

Implementing sensor-based digital health technologies in clinical trials: Key considerations from the eCOA Consortium.

The increased use of sensor-based digital health technologies (DHTs) in clinical trials brought to light concerns about implementation practices that might introduce burden on trial participants, resulting in suboptimal compliance and become an additional complicating factor in clinical trial conduct. These concerns may contribute to the lower-than-anticipated uptake of DHT deployment and data use for regulatory decision-making, despite well-articulated benefits. The Electronic Clinical Outcome Assessment (eCOA) Consortium gathered collective experience on deploying sensor-based DHTs and supplemented this with relevant literature focusing on mechanisms that may enhance participant compliance. The process for DHT implementation starts with identifying a clinical concept of interest followed by a digital measure selection, defining active or passive data capture and their sources, the number of sensors with respective body location, plus the duration and frequency of use in the context of perceived participant burden. Roundtable discussions among patient groups, physicians, and technology providers prior to protocol development can be very impactful for optimizing trial design. While diversity and inclusion are essential for any clinical trial, patient populations should be considered carefully in the context of trial-specific aims, requirements, and anticipated patient burden. Minimizing site burden includes assessment of training, research engagement, and logistical burden which needs to be triaged differently for early and late-stage clinical trials. Additional considerations include sharing trial results with study participants and leveraging publicly available data for compliance modeling. To the best of our knowledge, this report provides holistic considerations for sensor-based DHT implementation that may optimize participant compliance.

025. Brain Corpal Evacuation Caused by Air Gun: Management and Surgical Approach Evacuation with Neuronavigation Guiding

Background: In Indonesia, cases of injury from airgun are relatively common and do not immediately result in death because the projectile velocity of airgun is slower compared to the gunshot. Consequently, if the pellet hits the brain (brain injury), it may cause the patient to live with disabilities or infection problems due to the non-sterile of the airgun pellet. Surgical procedures often difficulties in determining the location of the pellet or foreign body, especially if the pellet of air gun penetrates to the contralateral side of the entry point. Neuronavigation is a modern system in neurosurgery that helps surgeons precisely locate targets with minimal disruption to critical brain and spinal structures. This allows for more precise and easier pellet evacuation. Report a patient who had a gunshot wound with the bullet entering from the left parietal region and penetrating through to the right parietal surface of the head, managed comprehensively with neuronavigation guidance. Case: A 5-year-old female patient presented to the emergency department with an open wound on the left parietal region of the head. Her Glasgow Coma Scale score was 8 (GCS: Eye: 2, Verbal: 2, Motor: 4), indicating a sedated state. Initial and specific treatments were administered to prevent deterioration and improve the patient’s prognosis. Surgical management, using neuronavigation guidance, was employed to determine the exact location of the foreign body. The procedure included debridement of the entry point in the parietal region and evacuation of the foreign body using neuronavigation guidance. Conclusion: Early management of gunshot injuries is crucial for improving prognosis. Neuronavigation guidance proved effective, and minimally invasive neurosurgical techniques may be a safe option for treating traumatic brain injuries caused by gunshots. This approach facilitates easier, faster, and more precise incision and evacuation of foreign bodies.

Where are the magnets?—A case of misleading radiology

AbstractMultiple magnet ingestion warrants appropriate and timely management to avoid serious complications. We report a case of a 14‐year‐old male with multiple magnet ingestion. Serial abdominal X‐rays with misinterpreted foreign body location delayed appropriate management.

Warmer Temperatures Are More Predictive Than Solar Radiation for the Number of Skin Cancer Removal Procedures.

Solar radiation is the primary risk factor for skin cancer, with personal exposure influenced by environmental and behavioral factors. At higher temperatures, behavioral changes increase solar radiation exposure. Examine the relationships between solar radiation, ambient temperature, age, and skin cancer. For the contiguous United States, we obtained the state mean global horizontal irradiance (GHI), daily maximum temperature, and number of skin cancer removals in the Medicare population. For skin cancer removals, we defined more sun-exposed skin as the head, neck, hands, and feet, and less sun-exposed skin as the trunk, arms, and legs. By comparing the temperature thresholds 17°C, 20°C, 24°C, 27°C, 31°C, and 34°C, we found that the annual number of days above 24°C was the strongest temperature-related predictor of skin cancer removals. Multivariable linear regression showed that the number of days above 24°C predicted more skin cancer removals for all body locations and less sun-exposed skin (p = 0.008 and p = 0.003, respectively), while GHI did not (p = 0.1 and p = 0.8, respectively). GHI only predicted more skin cancer removals for more sun-exposed skin (p = 0.02). More days above 24°C was a better predictor of skin cancer removals than GHI for all skin locations and less sun-exposed skin, suggesting that the behavioral changes occurring at warmer temperatures are more predictive of skin cancer removals than solar irradiance. Due to rising global temperatures, skin cancer incidence may further increase. Temperature-related behavioral changes represent a potential target for skin cancer prevention efforts.

Understanding stakeholder perspectives on Apgar score, cyanosis and identifying jaundice in ethnic minority neonates.

To explore neonatal assessments that include an element of evaluating skin colour in neonates of black, Asian and minority ethnicities, focusing on the Apgar score, presence of cyanosis and presence of jaundice. We employed focused ethnography involving diverse healthcare professionals (HCPs) and parents or caregivers with Black, Asian, or ethnic minority children born in the last five years. Zoom interviews were performed following a semi-structured interview guide. Ethnographic data analysis was conducted using NVivo software. There was a lack of consistency in how HCPs applied the Apgar scores, which also varied from textbook guidelines. The use of pink as a skin colour descriptor for ethnic minority neonates created a divide among both parents and HCPs. HCPs relied more heavily on other elements of the Apgar score or infant breathing and crying at birth to gauge infant wellness. When identifying cyanosis, HCPs depend on specific body locations for accurate assessment of oxygenation, but the limitations of visual assessment are acknowledged. For jaundice, most HCPs recognised the difficulty in identifying the colour yellow in infants with darker skin tones. HCPs focussed on yellowing of the sclera and gums and other well-being assessments to detect jaundice. Some interviewed parents noticed jaundice in their infants before HCPs but felt they were not listened to when raising concerns. HCPs acknowledged the need for additional training to effectively assess the health of ethnic minority infants. This study highlights disparities in neonatal health assessment from the perspectives of healthcare professionals and parents from diverse backgrounds. Varied practices in determining the Apgar score and recognising cyanosis and jaundice signal the need for standardised protocols, appropriate educational materials, and targeted training. Addressing these challenges is vital for equitable care, emphasising comprehensive training and bias mitigation efforts in maternal and neonatal healthcare.

Comparing the Psychophysical Capabilities on Fingertip and Wrist using Method of Adjustment

Haptic technology, which refers to creating the sense of touch artificially, offers a crucial source of communication between humans and computers or machines. While conventional haptic devices are designed to render vibrotactile information on the fingertip, recent trends in the field expand the tactile communication to other body locations, like the wrist. Even though the literature has many successful applications showing the validity of such haptic applications, there is no study comparing the user perception for meaningful virtual or teleoperated task scenarios due to the lack of calibration methods between alternative body locations. In this paper, we attempt to compare the perceived intensities at the fingertip and the wrist through psychophysical experiments and to answer: (i) Is there a perpetual difference between the haptic stimuli on the wrist compared to the fingertip? (ii) Is possible to form a reasonable, linear relationship (or a pattern) between the stimuli rendered at the fingertip and the wrist? (iii) If so, do different users require different relationships that would need to be obtained through calibration? We designed a user study with 13 healthy participants, receiving three levels of haptic stimuli at their fingertips while adjusting the intensities of the stimuli rendered at their wrist using the method of adjustments. Our results indicate that there is a linear pattern between the vibrotactile stimuli rendered at the fingertip and the wrist, and each participant exhibits a different pattern. Our results can be used to equalize the perceived intensities of different forms of tactile stimuli for future research investigating the perceived performance under different haptic scenarios.

Patch test results to the Spanish baseline patch test series according to age groups: A multicentric prospective study from 2019 to 2023.

Patch test results may be influenced by age-related factors. However, there is still discordant evidence between age and patch test results. We aim to evaluate the patch test results reflecting skin sensitisation, their relevance and association with clinical features by age group. Prospective multicentric study of all patients patch tested with the Spanish baseline series in participating centres. Age groups were pre-defined as children (0- to 11-years), adolescents (12- to 18-years), young adults (19- to 30-years), middle-aged adults (31- to 65-years) and older adults (≥66-years). Occurrence of sensitisation, relevance and clinical features were compared by age group. Factors associated with skin sensitisation were investigated with multivariate logistic regression. A total of 13 368 patients were patch-tested. Differences in positive patch test results and relevance by age were detected with the highest proportion in middle-aged adults. Age-related trend differences were found for nickel, potassium dichromate, caines, colophony, Myroxylon pereirae resin, 2-hydroxyethyl methacrylate and limonene hydroperoxide. The multivariate logistic analysis (adjusted for sex, atopic dermatitis, body location and occupational dermatitis) showed an association between the age group of 31-65 (OR: 1.41, 95% CI: 1.26-1.58) and above 66-years (OR: 1.15, 95% CI: 1.01-1.32) with a higher proportion of positive results, compared with young adults. Positive patch test results vary according to age, with the highest occurrence in middle-aged adults. Most haptens did not present age-related differences, reinforcing the use of baseline series regardless of age.

Signs of Potential Androgen Excess Across the Lifespan in a US-based Digital Cohort Study.

Androgen excess (AE)-related symptoms can vary widely and may appear across the life course. We assessed the prevalence of signs of potential AE and heterogeneity by demographic/health characteristics. We used data of 24 435 participants who consented and enrolled during November 2019 to December 2022 in a US digital cohort to evaluate the prevalence and heterogeneity of self-reported signs of potential AE: possible hirsutism (having thick coarse hair on ≥4 of 8 body locations), hair level on the chin, hair loss on top of the head, and moderate to severe acne. The prevalence of possible hirsutism, having several/a lot of hair on the chin, significantly reduced hair/visible scalp on top of the head, and moderate to severe acne were 6.9%, 12.6%, 1.7%, and 31.8%, respectively. While possible hirsutism and moderate to severe acne decreased with age (range: 18-86 years), hair on the chin and hair loss on the head increased with age. Participants who self-identified as Hispanic or South Asian reported a higher prevalence of possible hirsutism (11.2%, 16.9%, vs 6.3% among non-Hispanic White participants). Participants with higher body mass index had a higher prevalence of possible hirsutism. Moderate to severe acne was more common among those with polycystic ovary syndrome. Possible hirsutism and hair loss were less common among participants using hormones for contraception. In this large cohort, signs of potential AE varied by demographic and health factors. These results could provide a new understanding of how potential AE may appear differently in diverse groups, informing future work to develop more inclusive evaluation at a population level.

Malignant Transformation in Porokeratosis Ptychotropica: A Systematic Review.

Porokeratosis ptychotropica (PP) is a rare and unusual variant of porokeratosis. There is a dearth of information on the natural history, epidemiology, and optimal treatment options. This study aimed to characterize the worldwide distribution, epidemiology, clinical features, and treatments attempted for all reported cases of porokeratosis ptychotropica. A total of 59 cases of porokeratosis ptychotropica have been reported, with most cases originating from the United States. The median age of patients affected with porokeratosis ptychotropica was 49 years. The most involved body locations are the buttocks and gluteal cleft. The risk of malignant transformation in porokeratosis ptychotropica is approximately 1.7% but there is significant bias in estimating rare occurrences in rare diseases. In conclusion, PP is an important but under-recognized variant of porokeratosis, with a likely low risk of malignant transformation. The best available treatment modality remains uncertain; however, the use of topical lovastatin/cholesterol cream appears promising. Long-term surveillance appears prudent for porokeratosis ptychotropica due to a risk of cancerization.

Upper mantle flow and crustal deformation patterns beneath the Dangerous Grounds and Borneo where multiple plates converge in South China Sea revealed by 3-D anisotropic magnetotelluric imaging

SUMMARY A large-scale magnetotelluric (MT) study was carried out in offshore Borneo to understand the lithospheric structure in this geologically complex region where three tectonic plates converge and past crustal studies generated long-standing debates. Marine MT data were acquired at 1416 stations with 3 km spacing along 13 regional lines (covering 4677 line-km) with periodicities of 0.1 to 10 000 s. These were inverted in 3-D incorporating electrical anisotropy with cross-gradients constraints between vertical and horizontal resistivities and the results were validated with resistivity well-logs from several exploration wells. The models reveal widespread presence of electrically resistive upper crustal and uppermost mantle layers, each underlain by a laterally varying conductive and anisotropic layer. The geometries of the anisotropic layers suggest large-scale ductile flow, thrusting and folding forming belts of alternating deep roots and thin lithosphere, consistent with multiple underthrusting/subduction. Our results are in agreement with the seismologically detected lithospheric variations in northern Borneo suggesting onshore–offshore continuity and a common lithospheric–asthenospheric origin for the deformation patterns. Over thinned lithosphere, we found consistent low resistivity and high anisotropy anomalies in the mantle above the spatial locations of fast shear-wave bodies imaged by recent seismological workers which we interpret to indicate post-subduction lithospheric–asthenospheric ductile flow in response to multidirectional regional compression. We demonstrate that these zones are spatially correlated with the distribution of mainly Cretaceous ophiolitic rocks and melanges exposed onshore and suggest that serpentinization of mantle peridotite can explain some of the anisotropic conductivity anomalies. The taper zones of these deep anisotropic conductors are also associated with Neogene sub-basins, high thermal gradients, and intrasedimentary magmatic bodies indicating a link between lithospheric thinning and magmatism. We propose that such anomalies could be important pathfinders for geothermal and natural hydrogen systems in the ongoing global drive for carbon-free energy resources.

Exploring Chronic Pain Patterns and Associations With All-Cause Dementia: Results From UK Biobank

The count of locations with chronic pain is widely used in research and clinical practice. However, this approach might be too simplistic to fully capture the complexity of chronic pain experiences. This study identified prevalent patterns of chronic pain locations and evaluated their associations with incident dementia among middle-aged and older adults in the UK. Data were from 445,530 participants who were free of dementia at baseline (2006–2010) in the UK Biobank. We calculated the incidence rates of all-cause dementia by the 20 most prevalent combinations of pain locations assessed at baseline. Cox models were utilized to examine the hazard ratio of incident dementia among each of these 20 combinations compared to 3 groups: 1) participants without chronic pain, 2) participants with only a single chronic pain location not included in the combination, and 3) participants with only a single chronic pain location included in the combination. The 3 most prevalent combinations were neck and back (5.7%), back and knee (5.4%), and neck and knee (4.5%). Chronic back, neck, and knee pain was commonly present either individually or simultaneously in combinations associated with higher dementia rates than persons without chronic pain. The combinations involving back, neck, and knee were associated with higher dementia rates than groups with 1 pain location not included in the combination. Chronic pain is not randomly present in body locations. Understanding how different patterns of chronic pain locations relate to dementia provides new insights into dementia prevention through pain relief. PerspectiveThis article unveils chronic pain patterns and dementia risks in the UK Biobank. Chronic pain in back, neck, and knee presents frequently, either individually or in combinations associated with increased dementia rates. Chronic pain combos correlate with diverse dementia rates, guiding targeted prevention strategies through pain management.

Study on construction technology and bearing mechanism of pressure cast-in-situ pile with spray-expanded frustum

The pressure cast-in-situ pile with spray-expanded frustum (PCPSF) is a new type of pile developed by the last author, which is composed of pile body, ribbed plate and expanded body with double-frustum. This paper presents the equipment used to produce the PCPSF and the spray-expansion extrusion vibration and pressure method used for construction of the PCPSF. The PCPSF model of cement soil transition layer around pile is built with finite element software. The accuracy of the numerical calculations is verified through a comparison with the results of static load tests conducted on PCPSF. Furthermore, the impact of the expanding ratio, expanded body location, and ribbed plate length on the response of the PCPSF is investigated. The results show that: (1) the ultimate bearing capacity (UBC) of PCPSF single pile is proportional to the diameter expanding ratio and the length of the ribbed plate; (2) the improvement of the bearing capacity of single cubic concrete of PCPSF decreases with the increase of expanding ratio; (3) the bearing capacity of expanded body can be activated ahead of time as it advances up in position, and there is a trend toward a steady increase in the combined bearing capacity of the expanded body and pile end; (4) as the expanded body moves up, the vertical stress of the soil below pile tip decreases, the rate of decay of additional stress is accelerated; (5) under the identical circumstances, the PCPSF's bearing capacity is 1.5 times greater than the traditional cast-in-place pile's, and the presence of cement soil transition layer contributes 15 % of the lateral resistance of the PCPSF.

Analyzing Optimal Wearable Motion Sensor Placement for Accurate Classification of Fall Directions.

Falls represent a significant risk factor, necessitating accurate classification methods. This study aims to identify the optimal placement of wearable sensors-specifically accelerometers, gyroscopes, and magnetometers-for effective fall-direction classification. Although previous research identified optimal sensor locations for distinguishing falls from non-falls, limited attention has been given to the classification of fall direction across different body regions. This study assesses inertial measurement unit (IMU) sensors placed at 12 distinct body locations to determine the most effective positions for capturing fall-related data. The research was conducted in three phases: first, comparing classifiers across all sensor locations to identify the most effective; second, evaluating performance differences between sensors placed on the left and right sides of the body; and third, exploring the efficacy of combining sensors from the upper and lower body regions. Statistical analyses of the results for the most effective classifier model demonstrate that the support vector machine (SVM) is more effective than other classifiers across all sensor locations, with statistically significant differences in performance. At the same time, the comparison between the left and right sensor locations shows no significant performance differences within the same anatomical areas. Regarding optimal sensor placement, the findings indicate that sensors positioned on the pelvis and upper legs in the lower body, as well as on the shoulder and head in the upper body, were the most effective results for accurate fall-direction classification. The study concludes that the optimal sensor configuration for fall-direction classification involves strategically combining sensors placed on the pelvis, upper legs, and lower legs.